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public health
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04/16/2020
Jacob Lucas Oral History, 2020/04/16
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May 2nd, 2020
CVS in Lockdown
The CVS on Armstrong and Arthur Kill Road requires masks and social distancing if you are shopping there. -
2022-07-11
Sign at Phoenix Sky Harbor International Airport
This was a picture taken by my mom while traveling out of town. Here, it is a sign telling people that the railings have been sanitized with UV light. My own prediction is that this will be one of the things that sticks since the pandemic. In my own life, I have noticed that sneeze guards are still being used in places like grocery stores. These precautions will possibly help improve public health at large, as higher sanitation levels could help lessen the spread of harmful bacteria and viruses. -
2022-04-29
Need another reason to boost fruit, veggie intake? Try COVID-19
This is a news story from the American Medical Association by Timothy M. Smith. Doctors mentioned in this article bring up the importance of diet and how it relates to fighting off COVID-19. According to a 2019 survey, researchers found only 1 in 10 adults meet the daily recommended intake of fruit and vegetables. There is a racial disparity as well. The researchers also noted that meeting vegetable intake recommendations was highest among those 51 or older. There were also differences in vegetable intake between groups defined by income level and race. While 12.2% of adults in the highest-income households got enough veggies, only 7.7% of those living in middle-income households did. Meanwhile, 6.9% of Black adults met vegetable intake recommendations, compared with 10.1% of white adults. Other barriers in getting the daily recommended intake have class issues, where some groups are more likely to have access to fresh food than other groups. “Perceived barriers to fruit and vegetable consumption include cost, as well as limited availability and access,” the report notes, adding that “for some persons, such barriers might have worsened during the COVID-19 pandemic related to economic and supply chain disruptions that could further limit ability to access healthier foods.” Dr. Kirley said she hopes the pandemic “will draw attention to this longstanding problem and that we’ll start to see more investment in innovative solutions to promote health through better nutrition.” With these things in mind, it demonstrates the barriers some people might have in fighting off COVID. -
2022-04-18
If you have any symptoms
This is a Twitter update by nilikm. This person is a doctor warning people about the symptoms associated with COVID. The doctor advises people to assume they have COVID-19 anyway if they experience the following symptoms, even if they have had it before. The final piece of advice is to isolate longer than five days, as this doctor does not believe that is enough time. -
2022-04-13
The 11% Lunatic Fringe
This is a Twitter update by WaytowichNeil. This user is ranting on what he calls the "selfish 11% lunatic fringe." To him, this fringe group is what is causing more problems with fighting COVID. In contrast, he says that 89% did everything they were asked. His frustration is coming from the belief that it is only the fringe deciding public health policy these days. -
2022-04-04
Vaccination Celebration
This is an Instagram post by ucr_chc. This is of a celebration where kids are encouraged to go and get vaccinated. The celebration flyer says that there will be food and kids toys available. The event is also giving away free testing kits, and will do booster shots as well. This event was held in Jurupa Valley, California. -
2022-04-12
Vacuna contra COVID19
This is an Instagram post by eldiariodetlaxcala. This is written in Spanish and is about information for people to get the AstraZeneca vaccine. This event will be held for two days. In the picture, we see volunteers working to help administer the vaccine. Only people 18 and above are eligible for this vaccine, and it is being held in Ocotlán, Tlaxcala. -
2022-04-08
Our Roadmap Moving Forward
This is an Instagram post by smcpublichealth. This post is about vaccination status and the risks that they pose. Those unvaccinated are said to be highest risk. The immunocompromised are recommended to see a doctor about a fourth dose. If you are up to date on all vaccines and everyone else in the household is vaccinated, life can continue on as normal. In the hashtags below this post, it says to wear a mask, stay home when sick, and get tested. Obviously, despite it saying that those that are up to dates on vaccines and live with those also fully vaccinated are able to return to normal, culturally, I have seen some people out in public abiding by COVID restrictions. I think this is a hard habit to break, and for some, the feeling of security is worth continuing to wear a mask even if some places have already lifted mandates. My overall feeling from observing those at my own local church is that people are more lenient with mask use based on what the CDC says. A few did not wear masks despite the CDC recommendation, but once the CDC announced masks were not necessary, people at my church took them off. -
2021-04-03
The whitewashing of Arab Americans impacted by Covid-19 is a catastrophic public health issue, experts say
This article brings up important points regarding the underrepresentation of Middle Eastern and North African (MENA) people and communities in U.S. This article focuses primarily on Arab Americans, but also sheds light on the fact that there are no identifiers for Middle Eastern and North African people on the U.S. Census as their only options are to choose “white” or “other”. As a result, there is a lack of Covid-19 data specific to these communities which prevents support and information being directed to those underrepresented – and often socioeconomically underprivileged – groups. This article is important in demonstrating the vulnerability of this group. Many MENA families live in multi-generational homes, have preexisting medical conditions or risk factors which may make them more vulnerable should they contract Covid, and still some do not have access to the information and support needed to prevent Covid or to receive the proper treatment if infected. Additionally, because MENA people are not able to self-identify on the U.S. Census, the information about how these communities are being affected is not accurate. The U.S. Census isn’t the only place where these identifiers do not exist. Job, scholarship, and college applications (to name only a few) do not provide accurate identifiers for MENA individuals. I think this article is important in revealing the lack of identifiers available to MENA people and how important it is that this is changed soon. -
07/30/2020
Christopher Viveiros Oral History, 2020/07/30
Northeastern University student Alex Bice interviewed the Director of Communications at Fenway Health Christopher Viveiros. In this interview, they discuss what Fenway Health does for its community and how the COVID-19 pandemic has affected their interactions with the community. Fenway Health has been able to create signage, update its website, send out emails, and resort to telehealth appointments to help the people in the community that doesn’t to be seen in person. Viveiros is concerned that the voices of many minority communities are not being heard, but is glad that some health officials have been able to speak the truth. -
2021-12-10T14:00:00
Brigid Halliday And Jaden Weinstein Oral History, 2021/12/10
In this interview, the focus will be less about your experiences in the pandemic (although your experience in college during the pandemic is certainly something that you might want to talk about) and more about the ways learning about past pandemics has or has not affected your attitude toward, or perception of, the current pandemic. -
2021-12-09
Isabel Vara and Grace Griffin Oral History, 2021/12/09
The audios I have uploaded share different perspectives on Covid-19 after learning about past pandemics -
2021-05-25
Breakthrough COVID-19 cases possible but rarity shows vaccine effectiveness
This graphic shows the rates of infection and hospitalization for breakthrough infections for COVID-19 among vaccinated people (as of May 2021) -
2021-02-26
Illinois to open federal mass vaccination site at United Center
Parking lots of the United Center will soon host a new mass vaccination site for Illinoisans. Gov. JB Pritzker says the site will have the capacity to give 6,000 doses of vaccine per day. The home of the Chicago Bulls and Blackhawks will open as a vaccination site on March 10. But, construction is already underway. This will be one of the several community vaccination centers led by the Biden administration. Doses will come directly from the federal government instead of taking vaccine away from the allotment for the state and the city of Chicago. Leaders explained seniors will have exclusive access to appointments before the site officially opens. However, FEMA hasn’t set dates for those appointments at this time. Reporters asked how Pritzker could guarantee this facility would create easier access for those in need compared to wealthy Chicagoans. “In the city of Chicago, in Cook County, and across the state, we’ve all made and are continuing to make efforts to attract people of color to people who are most vulnerable to making those appointments, giving them access wherever we can. Having a site in a location like the United Center makes it more easily accessible,” Pritzker emphasized. Chicago Mayor Lori Lightfoot said rideshare service Uber will provide 20,000 free rides to help people get to the site. Information about scheduling appointments for vaccinations should become available in the coming days. “With this new site, we’ll now be able to take our vaccination success to a whole new level and bring to bear the historic and inclusive recovery that is soon to come,” Lightfoot explained. Getting Black and brown residents vaccinated Still, the state has a significant issue getting Black and Latinx Illinoisans vaccinated. U.S. Sen. Dick Durbin explained a recent study showed minority neighborhoods in Chicago had a vaccination rate of 5%. The majority-white areas of Chicago currently report 13% of the population vaccinated. Durbin says the United Center site should help. “The faster we can get people vaccinated, the more quickly we can escape the grip that this pandemic has had on our nation for so long, the less likely we’re gonna see mutations and variations which we have to fight in different ways,” Durbin added. The Springfield native said the federal government could provide more help with vaccine distribution bypassing the American Rescue Plan. President Joe Biden has asked Congress to approve the $1.9 trillion package with specific portions going to mass vaccination sites and $1,400 stimulus checks. Pritzker noted things are getting better in the long battle with COVID-19. “Someday not too far from now, we’ll be at the United Center not for a life-saving shot, but for a game-winning shot,” Pritzker said. -
2021-11-10
Children Ages 5-11 Now Eligible for Vaccine
The campaign to vaccinate elementary school age children in the U.S. is off to a strong start, health officials said Wednesday, but experts say there are signs that it will be difficult to sustain the initial momentum. About 900,000 kids aged 5 to 11 will have received their first dose of the COVID-19 vaccine in their first week of eligibility, the White House said, providing the first glimpse at the pace of the school-aged vaccination campaign. “We’re off to a very strong start,” said White House COVID-19 coordinator Jeff Zients, during a briefing with reporters. Final clearance for the shots was granted by federal regulators on Nov. 2, with the first doses to kids beginning in some locations the following day. The estimated increase in vaccinations in elementary school age children appears similar to a jump seen in May, when adolescents ages 12 to 15 became eligible for shots. Now nearly 20,000 pharmacies, clinics and physicians’ offices are offering the doses to younger kids, and the Biden administration estimates that by the end of Wednesday more than 900,000 of the kid doses will have been given. On top of that, about 700,000 first-shot appointments are scheduled for the coming days. About 28 million 5 to 11 year-olds are now eligible for the low-dose Pfizer vaccine. Kids who get their first of two shots by the end of next week will be fully vaccinated by Christmas. The administration is encouraging schools to host vaccine clinics on site to make it even easier for kids to get shots. The White House is also asking schools to share information from “trusted messengers” like doctors and public health officials to combat misinformation around the vaccines. A initial surge in demand for vaccinations was expected from parents who have been waiting for the chance to protect their younger kids, especially before the holidays. About 3% of newly eligible children in the U.S. got first shots in the first week, but the rate of vaccinations in varied widely around the country, as it has for adult vaccines. California Health and Human Services Secretary Dr. Mark Ghaly said Wednesday that more than 110,000 Californians ages 5 to 11 have received their first coronavirus shot — 9% of kids that age in the state. “We are starting to see this pick up and I’m really encouraged about what this means for our state,” Ghaly said. On the other ends of the spectrum, Idaho reported just 2,257 first shots, or 1.3% of the newly eligible kids there. In West Virginia’s Cabell County, high demand led local health officials to start setting up vaccination clinics in all the county’s public middle schools. A spokeswoman for the county health department said there were some lines for vaccines in the first few days after the doses were approved for kids ages 5 to 11, but that things have slowed since then. Some experts say that nationally, demand could also begin to recede soon. They note polling data suggests only a fraction of parents have planned to get their kids shots immediately, and they suspect the trend will play out like it did earlier this year when kids ages 12 to 15 were first able to get shots. In the first week after vaccines for that age group were authorized in May, the number of adolescents getting a first shot jumped by roughly 900,000, according to an American Academy of Pediatrics review of federal data. The next week, it rose even further, to 1.6 million. “There was an initial burst,” said Shannon Stokley of the Centers for Disease Control and Prevention. But then the number dropped steadily for months, interrupted only briefly in early August as the delta variant surged and parents prepared to send children back to school. Adolescent vaccinations have since flagged considerably, to just 32,000 getting their first shots last week. Only about half of adolescents ages 12 to 17 are fully vaccinated, compared to 70% of adults. It’s unlikely that vaccination rates in young kids will be as high as what’s seen in adults — or even in adolescents, some experts said, unless they are required for school. Part of the reason is that adults are far more likely than children to suffer serious illness or die from COVID-19, they noted. “Parents may have the perception it may not be as serious in young children or they don’t transmit it,” said Stokley, the acting deputy director of the CDC’s Immunization Services Division. But more than 2 million COVID cases have been reported in U.S. children ages 5 to 11 since the pandemic started, including 66 deaths over the past year, according to CDC data. “We’re going to have a lot of work to do to communicate to parents about why it’s important to get children vaccinated,” she said. Zients said the effort to vaccinate younger kids is still ramping up, with new clinics coming on line. Government officials expect the number of children who are vaccinated to keep rising in the days and weeks ahead, he said. “We are just getting started,” he said. Earlier this year the White House set — and missed — a July 4 goal to have at least certain percentage of U.S. adults vaccinated. Officials have not announced a similar target for kids. Dr. Lee Savio Beers, president of the American Academy of Pediatrics, called the new numbers reassuring and said the rollout appears to be going smoothly for the most part. She noted however that with a lower dose and different vials than for older kids, the rollout requires more steps and that some states have been slower in getting vaccine to providers. Initial data from some areas show Black children lagging behind whites in getting their first doses, which Beers said raises concerns. “It’s really important to make sure the vaccine is easily accessible in a wide variety of places,” Beers said. -
2021-09-16
The Importance of Context in Covid-19 Vaccine Safety
Vaccine safety is critical for the successful implementation of any vaccination program, especially during a pandemic. In February 1976, the Centers for Disease Control and Prevention confirmed a cluster of cases of severe influenza-like illness among Army recruits at Fort Dix, New Jersey.1 A swine influenza A strain that resembled the 1918 pandemic influenza strain was identified,2 and a vaccination program was subsequently initiated for the entire U.S. population. After more than 40 million persons were vaccinated, a small excess risk of Guillain–Barré syndrome was noted, with an attributable risk of approximately 1 case per 100,000 doses administered. Given these concerns and because the pandemic did not materialize, the vaccination program was halted in December 1976 so that the issue could be explored further. This experience shed light on the need for real-time vaccine safety surveillance and the importance of context in decision making during a pandemic. In a study now reported in the Journal by Barda et al., the investigators simultaneously evaluated the risk of adverse events among persons (≥16 years of age) who had received the BNT162b2 vaccine (Pfizer–BioNTech) and the risk of the same events after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.3 The authors used data from the largest integrated payer–provider health care organization in Israel, in conjunction with data on SARS-CoV-2 polymerase-chain-reaction tests and data on coronavirus disease 2019 (Covid-19) vaccine administration from the Israeli Ministry of Health. This use of multiple data sets highlights the importance of investment in digital capabilities and meaningful integration across systems in order to provide real-time answers to key public health questions. The design of rigorous postauthorization vaccine safety studies during the Covid-19 pandemic has been a challenge because the pandemic itself has caused changes in health care utilization, the rollout of Covid-19 vaccines has occurred in phases because of initial supply limitations, and there have been disparities in access to vaccines. Barda et al. broadly addressed many of these challenges by emulating a trial that matched eligible vaccinees to unvaccinated controls according to sociodemographic characteristics, the number of preexisting chronic health conditions, previous health care utilization, and pregnancy status. In the vaccination analysis, the study included 42 days of follow-up (i.e., 21 days after the first dose and 21 days after the second dose). This analysis accounted for seasonal and secular trends by matching on the day of vaccination, rather than relying on historical risk estimates that may not have been comparable in the pandemic setting. In the SARS-CoV-2 analysis, a similar approach was used to match persons with a newly diagnosed infection to uninfected persons. Although the risk estimates in the vaccination and the SARS-CoV-2 analyses were not directly comparable because of differences in the populations (i.e., events were evaluated per 100,000 vaccinated persons and per 100,000 infected persons, respectively), these risks were placed in context. The most salient example is myocarditis, which has received much attention recently given the preponderance of reported cases after vaccination among adolescents and young adults and the incidence of myocarditis observed after SARS-CoV-2 infection.4-6 In the population-based cohort in the study conducted by Barda and colleagues, the risk ratios for myocarditis were 3.24 (95% confidence interval [CI], 1.55 to 12.44) after vaccination and 18.28 (95% CI, 3.95 to 25.12) after SARS-CoV-2 infection, with risk differences of 2.7 events per 100,000 persons (95% CI, 1.0 to 4.6) and 11.0 events per 100,000 persons (95% CI, 5.6 to 15.8), respectively. What is even more compelling about these data is the substantial protective effect of vaccines with respect to adverse events such as acute kidney injury, intracranial hemorrhage, and anemia, probably because infection was prevented. Furthermore, the persons with SARS-CoV-2 infection appeared to be at substantially higher risk for arrhythmia, myocardial infarction, deep-vein thrombosis, pulmonary embolism, pericarditis, intracerebral hemorrhage, and thrombocytopenia than those who received the BNT162b2 vaccine. National discussions about benefit–risk balance often focus on the benefits of preventing symptomatic disease, hospitalization, or death due to Covid-19 and the risks of serious adverse events after vaccination.7,8 As specific adverse events such as myocarditis are highlighted, however, the lack of corresponding specificity about benefits can hamper efforts to communicate effectively with patients. Messenger RNA (mRNA) vaccines may be associated with myocarditis, but they can also prevent cases of myocarditis, acute kidney injury, arrhythmia, and thromboembolic disease. The key to comparing these risks depends on the risk of SARS-CoV-2 infection to an individual person, and that risk can vary according to place and over time. Given the current state of the global pandemic, however, the risk of exposure to SARS-CoV-2 appears to be inevitable. One major limitation of this study is the lack of risk estimates according to age group and sex. For example, thrombosis with thrombocytopenia syndrome occurs predominantly in young adult women who have received adenoviral vector vaccines against SARS-CoV-2, whereas myocarditis predominantly occurs in male teens and young men who have received mRNA vaccines.5,9,10 Age- and sex-stratified comparisons that reflect local epidemiologic factors might support public understanding of different approaches to vaccine use in different countries, such as Israel, the United Kingdom, and the United States. Other limitations of the study include the paucity of data regarding younger teens and children, the conservative assumption that vaccines have no effect on transmission, and the absence of medical record review to validate computable phenotypes (i.e., algorithms used to identify a cohort on the basis of patient records). As new knowledge of the safety and benefits of vaccines continues to evolve, studies like this one may help to support decision making about the use of Covid-19 vaccines. The benefit–risk balance should be reassessed, refined, and communicated as the disease burden changes, new variants and safety signals emerge, and vaccine effectiveness begins to wane. Context matters, which means that we as a country need to be ready for continual learning and change. -
2021-11-11
What We Know So Far About Waning Vaccine Effectiveness
As tens of millions who are eligible in the United States consider signing up for a Covid-19 booster shot, a growing body of early global research shows that the vaccines authorized in the United States remain highly protective against the disease’s worst outcomes over time, with some exceptions among older people and those with weakened immune systems. But while the vaccines’ effectiveness against severe disease and hospitalization has mostly held steady, even through the summer surge of the highly transmissible Delta variant, a number of published studies show that their protection against infection, with or without symptoms, has fallen. Public health experts say this decline does not mean that the vaccines are not working. In fact, many studies show that the vaccines remain more than 50 percent effective at preventing infection, the level that all Covid vaccines had to meet or exceed to be authorized by the Food and Drug Administration back in 2020. But the significance of these declines in effectiveness — and whether they suggest all adults should be eligible for a booster shot — is still up for debate. -
2021-04-06
Biden will offer a virus update as the pace of vaccination accelerates
President Biden will promote his administration’s success in accelerating the pace of coronavirus vaccinations during two appearances on Tuesday, as officials in nearly every state say they will make shots available to all adults by his target of April 19. Three months into his presidency, Mr. Biden confronts an escalating migrant surge at the border with Mexico and has embarked on a grind-it-out effort to ram through a $2.3 trillion infrastructure bill. But the virus remains his primary focus. And he wants the country to know that — so he is offering multiple updates each week, along with helpful visual cues, like standing next to a giant Easter bunny wearing a mask. On Tuesday afternoon, Mr. Biden will travel to Alexandria, Va., to tour a vaccination site at the Virginia Theological Seminary. Later, at the White House, he will deliver remarks emphasizing recent successes, including the milestone of delivering four million vaccinations in one day over the weekend. More than three million doses are now being given on average each day, compared with well under one million when Mr. Biden took office in January, according to the Centers for Disease Control and Prevention. Every state has now given at least one dose to a quarter or more of its population. About 62.4 million people — 19 percent of Americans — have been fully vaccinated. On Monday, Gov. Larry Hogan of Maryland announced that all Maryland residents 16 or older would be eligible from Tuesday for a shot at the state’s mass vaccination sites, and starting April 19 at any vaccine provider in the state. Also on Monday, Gov. Philip D. Murphy of New Jersey and Mayor Muriel Bowser of Washington, D.C., said residents 16 or older would be eligible on April 19. Gov. Kate Brown of Oregon announced Tuesday that all Oregonians over the age of 16 were eligible to receive a vaccine. The state had been limiting the doses to those with underlying conditions and frontline workers. That leaves one state, Hawaii, keeping to Mr. Biden’s original deadline of May 1. In Hawaii, 34 percent of residents have received at least one dose. Alabama has vaccinated the lowest proportion of its residents, at 25 percent. Along with dangerous coronavirus variants that were identified in Britain, South Africa and Brazil, new mutations have continued to pop up in the United States, from California to New York to Oregon. The shots will eventually win, scientists say, but because each infection gives the coronavirus a chance to evolve further, vaccinations must proceed as quickly as possible. For now, however, cases are rising sharply in parts of the country, with some states offering a stark reminder that the pandemic is far from over. Yet again, governors across the country have lifted precautions like mask mandates and capacity limits on businesses. -
2021-01-19
Incoming CDC Director to Prioritize Communication, COVID-19 Vaccine Rollout
As Rochelle Walensky, MD, MPH, prepares to assume the role of CDC director on January 20, the former professor of medicine at Harvard Medical School and infectious disease physician at Massachusetts General Hospital and Brigham Women’s Hospital faces a myriad of challenges wrought by the ongoing coronavirus disease 2019 (COVID-19) pandemic. January 21st marks the 1-year mark since the first case of COVID-19 was reported in the United States, while current data indicate the country has surpassed 400,000 deaths. In comparison, the 1918 flu pandemic took 675,000 American lives, while the US reported a total of 405,000 fatalities during World War II. Even at the unprecedented speed with which pharmaceutical companies have developed vaccines for COVID-19, rollout has been fragmented at the state level while racial disparities in administration rates are beginning to become apparent. In an effort to improve the national rollout of COVID-19 vaccines, Walensky plans to increase the CDC’s communication to combat any hesitancy in receiving the vaccine, and indicated she wanted to increase media appearances above those made by current director Robert Redfield, MD, who departs with any remaining Trump administration officials Wednesday. She said making sure science-based communication is effectively disseminated to the public in layman’s terms is a top priority. “Science is now conveyed through Twitter. Science is conveyed on social media, on podcasts, and in many different ways. And I think that's critical,” Walensky said during a livestreamed interview with JAMA's Howard Bauchner, MD, the journal's editor-in-chief. When confronting vaccine hesitancy or anti-vaxxer sentiment on social media, “There's just this massive void and the right information, I think, is not getting out there… I want to make sure that the science is conveyed. We have to say it to one another. We have to say it to the public. And then we have to say it in other forms.” Internally, Walensky hopes to bolster the voices of scientists already employed by the CDC. Under the Trump presidency, “they have been diminished. I think they've been muzzled,” Walensky said. “This top tier agency—world renowned—hasn't really been appreciated over the last 4 years, and really markedly over the last year. So I have to fix that.” Although some states have been widely successful in administering the allotment of COVID-19 vaccines they were given, many have reported roadblocks. Part of the Biden administration’s plan to enhance rollout is to expand vaccine allocation to 4 key locations: federally qualified health centers, community vaccination centers (ie, stadiums), mobile units, and pharmacies. “Part of the challenge with COVID-19 was that we had a frail public health infrastructure to start. It wasn't ready to tackle what it was given,” Walensky said. As director, she hopes to bring this reality to Congress’ attention. “We're in this because we had warnings for many, many other public health scares in the last 20 years and we didn't fix our public health infrastructure and our data infrastructure,” in response to those tests. In order to meet President-elect Biden’s goal of 100 million vaccinations in 100 days, the constraints currently faced by federal and state governments need to be mitigated. “We have to titrate our supply and our eligibility so that we somehow hit the sweet spot, wherever it is we are, with how much supply we have and how many people are eligible,” Walensky said. While the CDC set the initial guidelines for vaccine eligibility and revised them this month, the Trump administration left actual rules and distribution processes to states, resulting in wide variation across the country. Some states adopted stricter standards that led to the waste of vaccines, while loose adherence has led to long lines and confused residents. Expanding the population of those eligible to administer the vaccine can also help alleviate these roadblocks. These individuals can include retirees, the Public Health Commissioned Corps, medical military, upper level medical and nursing students, dentists and veterinarians. Increasing both the number of vaccination sites and vaccinators will also help address the equity problems brought to light by the pandemic. “We want to make sure that we can deliver volume, but also volume to the people in places that might be harder to reach.” In a collaborative approach, the federal government will step in at a state-by-state level and offer help based on each state’s unique challenges, Walensky said. -
2020-12-31
Trump administration falls far short of vaccination goals as new virus variant looms
Logistical problems at the heart of the federal government’s faltering rollout of coronavirus vaccines came into sharper view Thursday as the Trump administration fell vastly short of its goal of delivering an initial shot to 20 million people by the end of December. On the final day of a bleak year, only about 2.8 million people had received the shot, according to the Centers for Disease Control and Prevention — the first of two doses needed to provide immunity to the virus. Around 14 million doses had been distributed as of Wednesday, according to Gustave Perna, chief operating officer of Operation Warp Speed, and a total of 20 million doses have been allocated. Though the figures are an underestimate — data collection on vaccinations has lagged — the doses administered so far represent just a small fraction of the ambitious targets outlined by officials from the administration’s Operation Warp Speed program in the fall. “We’d have liked to have seen it run smoothly and have 20 million doses in to people today, by the end of 2020, which was the projection,” Anthony S. Fauci, the government’s leading infectious-disease expert, said in an interview with NBC’s “Today” show on Thursday. “Obviously it didn’t happen, and that’s disappointing.” Nationwide, states and health-care providers continued to grapple with unpredictable timelines for when new vaccine shipments would arrive and in what quantities, while chronically underfunded public health departments struggled to muster the resources to carry out mass injections of front-line workers and vulnerable people. Fauci said that he hoped momentum for vaccinations would build in the first weeks of the new year and bring the country closer to its immunization goals. “But there really has to be more effort in the sense of resources for the locals, namely the states, the cities, the counties, the places where the vaccine is actually going into the arms of individuals,” he said. “We have to support the local groups, the states and the cities to help them get this task done, which is a very prodigious task.” Under the Trump administration’s plan, the federal government supplies vaccines to states but leaves it to state officials to prioritize residents, send doses to providers and get shots into people’s arms. The approach — as well as a litany of logistical problems — has caused a varied distribution effort. Local health departments and hospitals tasked with administering the vaccines have complained that they do not know when shipments will come or if they will receive additional resources, said Oscar Alleyne, and epidemiologist and chief of programs and services for the National Association of County and City Health Officials, which is made up of about 3,000 local health departments. “Some health departments have only received vaccines as recently as this week,” Alleyne told The Washington Post. “I had one health department that told me they had received their vaccines the day after Christmas.” Alleyne compared the communication concerns to those that cropped up during the H1N1 pandemic in 2009, when unclear guidance hampered efforts to get the population vaccinated. “It really boils down to ensuring a very transparent process,” Alleyne said. “There will always be a lag between the doses allocated and those shipped; between those shipped and those administered; and between those administered and those reported to CDC as administered,” Michael J. Pratt, a spokesperson for Operation Warp Speed, said in a statement. “We’re working to make those lags as small as possible.” At the Texas Medical Center, the largest medical complex in the world, the approach has already created logistical challenges. Hospital officials on the campus in south Houston often don’t know exactly when to expect new shipments or precisely how many vials they’ll receive, according to Bill McKeon, the center’s chief executive officer. That leaves the center with just a couple days’ worth of vaccine inventory on hand at a time, he said. “At best, we hear estimates. It’s a day-to-day situation,” McKeon told The Post. “We hear that we may be getting more next week but we’re not sure.” To date, the center has administered the first of the two injections to about 60,000 people, averaging more than 4,000 a day, according to McKeon. That includes some of the center’s 120,000 employees, as well as patients with underlying conditions who are first in line for inoculation. But it’s only a tiny portion of the sprawling metropolitan area the center serves. Until hospital officials can better predict how many vaccine doses they’ll have available week after week, McKeon said, vaccinating more people, faster, will be an uphill battle. “You can’t do scheduling with a couple days of inventory. We wouldn’t put a patient through the process of coming to the hospital, leaving their home, and then say, ‘Sorry we don’t have the inventory,’ ” he said. “We can’t be bold and just say, ‘Let’s do ten thousand a day.’ ” McKeon called on the federal government to take a more active role, possibly offering more large-scale vaccination centers, and relieve pressure on state officials, whom he said were “rowing in the same direction” as providers. There will be a growing need not just for more health-care workers to give the shots, he said, but for people who can perform the administrative work of calling patients, verifying their personal information and signing them up for injections. “I’m not seeing the grand strategies on a national basis, and I’m concerned, because this is a war,” he said. “Every day that we delay on some of those grander strategies we’re going to see losses of life.” As the distribution of vaccines has proceeded in fits and starts, coronavirus deaths and hospitalizations have soared to new heights. More than 125,000 people around the country were in hospital beds battling covid-19, the disease caused by the virus. Hospitalizations have exceeded 100,000 since Dec. 2. The nation on Wednesday also recorded a record 3,862 deaths in a day. The previous record, set on Dec. 17, was 3,406. New daily reported cases were trending upward again, after dipping during the week of Christmas. Family gatherings and spikes in holiday travel make it all but certain that the new year will bring yet another wave of infections. Compounding fears about the accelerating virus spread, a new, more transmissible variant of the coronavirus has cropped up in multiple U.S. states after circulating in the United Kingdom. The presence of the mutated pathogen only added to the need for vaccinations to ramp up quickly, said Scott Gottlieb, former Food and Drug Administration commissioner. “The Covid vaccine could be a tool to help reduce the impact of current wave of epidemic spread,” he tweeted Thursday. “But we’re largely missing the narrow window we had to deploy it rapidly enough to alter the present trajectory of death and disease in January. The new variant makes this more urgent.” Clarification: This story has been updated to cite Operation Warp Speed’s distribution numbers. It has also been updated to note that Operation Warp Speed has allocated 20 million vaccine doses to states. -
2020-09-14
Pfizer and BioNTech announce plan to expand Covid-19 vaccine trial
Pfizer and BioNTech are moving to enlarge the Phase 3 trial of their Covid-19 vaccine by 50%, which could allow the companies to collect more safety and efficacy data and to increase the diversity of the study’s participants. The companies said in a press release that they would increase the size of the study to 44,000 participants, up from an initial recruitment goal of 30,000 individuals. The U.S. Food and Drug Administration will have to approve the change before it goes into effect. “The companies continue to expect that a conclusive readout on efficacy is likely by the end of October,” the press release said. The Pfizer and BioNTech study is likely to be among the first in the U.S. to report efficacy data from a Phase 3 trial. Related: AstraZeneca resumes Covid-19 vaccine trials in the U.K. Expanding the trial will likely make it easier for the company to demonstrate whether the vaccine is effective against SARS-CoV-2, the virus that causes Covid-19. The companies also said that the change will allow the study to include a more diverse population. The companies said the study will now include adolescents as young as 16, people with stable HIV, and those with hepatitis C or hepatitis B. The companies said that the trial is expected to reach its initial target of 30,000 patients next week. Moderna, which started its trial on the same day as Pfizer, said on Sept. 4 that it is working to increase the diversity of trial participants in its study, “even if those efforts impact the speed of enrollment.” Related: Covid-19 Drugs and Vaccines Tracker The Pfizer/BioNTech study could finish sooner than Moderna’s, even though the two began on the same day, for other reasons, as well. Both vaccines require a second shot; Pfizer’s is given after three weeks, while Moderna’s is given after four. The Pfizer trial also starts to count cases of Covid-19 sooner after participants receive their shots than the Moderna study. But the Pfizer/BioNTech vaccine could also prove to be one of the most difficult of the experimental vaccines to distribute, should they prove effective. The vaccine must be kept at a temperature of -70 degrees Celsius. There has been political pressure to move a vaccine quickly, with President Trump saying that one could be available before election day. Last week, several drugmakers, including Pfizer, issued a pledge not to move a vaccine forward sooner than was justified by the results of their clinical trials. -
2020-07-14
Moderna Phase 1 results show coronavirus vaccine safe, induces immune response
Moderna Inc’s experimental vaccine for COVID-19 showed it was safe and provoked immune responses in all 45 healthy volunteers in an ongoing early-stage study, U.S. researchers reported on Tuesday. Volunteers who got two doses of the vaccine had high levels of virus-killing antibodies that exceeded the average levels seen in people who had recovered from COVID-19, the team reported in the New England Journal of Medicine. No study volunteers experienced a serious side effect, but more than half reported mild or moderate reactions such as fatigue, headache, chills, muscle aches or pain at the injection site. These were more likely to occur after the second dose and in people who got the highest dose. Experts say a vaccine is needed to put an end to the coronavirus pandemic that has sickened millions and caused nearly 575,000 deaths worldwide. Moderna was the first to start human testing of a vaccine for the novel coronavirus on March 16, 66 days after the genetic sequence of the virus was released. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, whose researchers developed Moderna’s vaccine candidate, called the results “good news,” noting that the study found no serious adverse events and the vaccine produced “reasonably high” levels of virus-killing or neutralizing antibodies. “If your vaccine can induce a response comparable with natural infection, that’s a winner,” Fauci said in a telephone interview. “That’s why we’re very pleased by the results.” Moderna shares jumped more than 15% in after-hours trading on Tuesday. The U.S. government is supporting Moderna’s vaccine with nearly half a billion dollars and has chosen it as one of the first to enter large-scale human trials. A successful vaccine could be a turning point for Cambridge, Massachusetts-based Moderna, which has never had a licensed product. Moderna’s shot, mRNA-1273, uses ribonucleic acid (RNA) - a chemical messenger that contains instructions for making proteins. When injected into people, the vaccine instructs cells to make proteins that mimic the outer surface of the coronavirus, which the body recognizes as a foreign invader, and mounts an immune response against. The results released Tuesday involved three doses of the vaccine, tested in groups of 15 volunteers aged 18-55 who got two shots, 28 days apart. The groups tested 25, 100 or 250 micrograms of the vaccine. Adverse events after the second dose occurred in seven of the 13 volunteers who got the 25-microgram dose, all 15 participants who received the 100 microgram dose and all 14 who got the 250 microgram dose. In the highest-dose group, three patients had severe reactions such as fever, chills, headache or nausea. One of these had a fever of 103.28 Fahrenheit (39.6 C). “We didn’t see any events that are characterized as serious adverse events,” said lead author Dr Lisa Jackson of Kaiser Permanente Washington Health Research Institute in Seattle, referring to reactions that require hospitalization or result in death. In June, Moderna said it selected the 100-microgram dose for its late-stage study to minimize adverse reactions. At that dose, Moderna said the company is on track to deliver about 500 million doses per year, and possibly up to 1 billion doses per year, starting in 2021, from the company’s internal U.S. manufacturing site and strategic collaboration with Swiss drugmaker Lonza. “It’s a good first step,” said Dr William Schaffner, a vaccine expert at Vanderbilt University Medical Center who was not involved in the study. “There’s nothing here that would inhibit one from going ahead to the Phase 2/Phase 3 trials,” he said. In April, Moderna expanded the Phase 1 trial to include adults over 55, who are more at risk of serious disease, with the aim of enrolling 120 volunteers. Moderna said it will follow study volunteers for a year to look for side effects and check how long immunity lasts. Moderna started its phase 2 trial in May and expects to start a phase 3 trial on July 27. Phase 1 trials aim to ensure a treatment is safe and help determine an effective dose. Phase 2 trials test a treatment in a larger group and get an early read on effectiveness. Phase 3 trials are conducted in a large group of individuals to confirm efficacy and identify rare side effects. Moderna’s Phase 3 trial will be conducted in 30,000 volunteers. -
2020-01-30
WHO Declares Coronavirus a Global Public Health Emergency
The World Health Organization declared a global health emergency on Thursday as the coronavirus outbreak spread well beyond China, where it emerged last month. The move reversed the organization’s decision just a week ago to hold off such a declaration. Since then, there have been thousands of new cases in China and clear evidence of human-to-human transmission in several other countries, including the United States. -
2021-10-31
Health officials push for booster shots as 50% of last week’s COVID-19 deaths in Illinois were breakthrough cases
Health officials are pushing residents to get booster shots as state data shows about 50% of the recorded COVID deaths in Illinois last week were cases where people were fully vaccinated. The Illinois Department of Public Health (IDPH) reported there were 179 COVID-19 deaths from October 20 to October 27. From the same reporting period of October 20-27, there were 91 breakthrough cases, IDPH data shows. A breakthrough case is when a person tests positive for COVID-19 at least 14 days after being fully vaccinated and did not test positive in the previous 45 days, according to IDPH. 87% of all breakthrough COVID-19 deaths in Illinois have been in the 65+ age group. Illinois Department of Public Health spokeswoman Melaney Arnold told Lake and McHenry County Scanner that COVID-19 vaccines “continue to be highly effective at preventing death due to COVID-19.” [Suggested Article] Illinois attorney general, 51 other attorneys general call on Congress to protect children on Facebook, Instagram “Of the more than 7 million people in Illinois who are fully vaccinated, breakthrough deaths have occurred in 0.01% of the population,” Arnold said. Arnold noted that not all breakthrough deaths reported from October 20 to October 27 actually occurred in that span. “It takes time (days to weeks) to match death records with vaccination records; therefore; there can be a lag in when the death occurred and when it is reported as a breakthrough death,” she said. Still, the reporting week from October 20 to October 27 had the highest percent of breakthrough deaths compared to non-breakthrough deaths since the state began publishing the data back in April. Currently, Illinois residents 65 or older, anyone 18+ with underlying medical conditions or who work or live in high-risk settings, such as educators and first responders, are eligible to receive a booster shot of the Pfizer and Moderna vaccines. Those who received the Johnson and Johnson vaccine are able to get any COVID-19 vaccine as their booster shot, the CDC says. “We know that advanced age is a significant factor in COVID-19 breakthrough hospitalizations and deaths, but a booster dose can help provide continued protection,” IDPH Director Dr. Ngozi Ezike said earlier this month. “While COVID-19 vaccines continue to be effective in reducing the risk of severe disease, hospitalization, and death, scientists and medical experts continue to watch for signs of waning immunity, how well the vaccines protect against variants, and how that data differs across age groups and risk factors,” Ezike said. -
2021-09-07
The Possibility of COVID-19 after Vaccination: Breakthrough Infections
COVID-19 vaccines are effective at preventing infection, serious illness, and death. Most people who get COVID-19 are unvaccinated. However, since vaccines are not 100% effective at preventing infection, some people who are fully vaccinated will still get COVID-19. An infection of a fully vaccinated person is referred to as a “vaccine breakthrough infection.” -
2021-10-18
Don't Forget Your Mask!
The mask has had a huge impact on our sense of touch and smell. For one, breathing with a mask on was an adjustment. Tuna sandwiches became something to avoid at all costs because of the smell you could be stuck with all day by wearing a mask. There is also something to say about the feeling of a mask around your ears and over your nose. The constant practice of grabbing a mask and putting it around one's ears has become a ritual of protection or habit as we are now bound to this object like that of a cell phone which is now always on our person. The sense of touch also adapted to various kinds of masks that were promoted and the variety of masks that would be marketed for commercial value. The mask, one of the few things that forces us to run back inside the house because we forgot it. The mask, a true measuring stick for how quick we can adapt and change society for better and for worse. -
2021-09-02
The Delta Variant Is Hammering the Southeastern U.S.
This is a news article about Southern U.S. states and the rising number of cases involving the delta variant of the coronavirus. This article presents statistics of in Louisiana, Florida, Mississippi, and Arkansas where the highest rates of delta variant cases is the highest. -
2021-08-05
Tucson Unified requires masks
Arizona Governor Doug Ducey and the Arizona State Legislature have attempted to make it illegal for school districts to require face masks. Tucson Unified School District's school board voted for a mask mandate in defiance of this. Other Arizona districts followed, risking the withholding of COVID relief funds that the governor is refusing to disburse to any district with a mask mandate. A judge later ruled that the law was invalid and schools could have a mask mandate. As someone with children who are in school but are too young to receive a vaccine yet, I hope districts continue to require face masks for the safety of the students and staff. The Arizona Daily Star published a story about TUSD's decision. TEXT OF ARTICLE: Tucson Unified School District is requiring all staffers, students and visitors to wear masks at all its school sites when the school year begins on Thursday, Aug. 5. The TUSD decision defies a new state law that bans public schools from issuing mask mandates. “While Gov. (Doug) Ducey and the state Legislature has decided to ignore the advice of our public health experts and endanger our community, we can’t sit idle and watch COVID inevitably spread throughout our schools and devastate so many TUSD families,” said board member Ravi Grivois-Shah during an emergency Governing Board meeting Wednesday morning. “This is why I will support, along with my colleagues, a requirement to have masks on TUSD campuses and authorize TUSD to enforce this.” The board passed the measure 4-0. Board President Leila Counts was not present for the vote. Masking in schools is an important mitigation measure to slow the spread of COVID-19, and especially the new delta variant, health agencies at the county, state and federal level all say. This week, with Tucson classrooms back at capacity, as nearly 140,000 children across Pima County are returning to classrooms in person, indoor masking is one of the remaining virus mitigation measures schools have left. Social distancing is problematic at most school sites because of large class sizes, and there’s a state ban on a vaccine mandate. Further, a vaccine is unavailable to anyone younger than 12 years old. Between July 20 and Aug. 2, there were 102 virus cases in Pima County schools and 11 outbreaks, according to data from the Health Department. Those figures occurred when most schools here were not yet open. At the end of July, cases in schools accounted for about 8% of the Pima County’s total reported cases, compared to 4% of total cases during last school year — when masks were required. The county also has seen an increase in pediatric admissions and ER visits in children over the last two weeks of July. Vail Unified is the only Tucson school district that has been open for two weeks. Without a mask mandate, the district has 57 current COVID-19 cases in students and 12 in staff workers. The county Health Department has already temporarily closed three Vail classrooms and told staffers and students to quarantine. “Last year, schools had a number of tools that are no longer available,” said Vail Superintendent John Carruth. “They had the ability to do hybrid learning with smaller class sizes, require face coverings and close classrooms if needed. This year, Vail has two instructional options for families — fully in person and fully remote. With all of our teachers assigned to in-person or fully remote instruction, we are leaning on structures we built last year to support students when (the Health Department) requires them to quarantine.” And while some parents, especially those with children not old enough to be vaccinated, fear for their children’s safety in a packed classroom with unmasked people, other parents are staunchly against mask mandates, saying it is unnecessary and even harmful. In an informal survey by the Arizona Daily Star, with 180 participants two weeks ago when the COVID-19 numbers were lower, less than a third of respondents said masks should be optional, in line with the new state law. The other two-thirds said masks should be required or schools should at least have the option to require them. TUSD, with about 42,000 students, follows at least two other school districts in the state, the Phoenix Union High and Phoenix Elementary school districts, in defying the governor and state Legislature by requiring masks. A Phoenix Union teacher sued the district over the mandate, but a court hearing on the case that was set for Wednesday morning was postponed until next week. Science teacher Douglas Hester filed a lawsuit against the Phoenix Union school district’s board members and superintendent on Aug. 2, saying the mandate is illegal and can’t be enforced. A hearing on the case is set for Aug. 13. While most Tucson school districts are strongly recommending that students and staff wear masks indoors, most have also said they don’t intend on mandating masks, including Vail, Marana, Amphitheater, Sahuarita, Sunnyside and Tanque Verde. TUSD Board Member Adelita Grijalva said the mask mandate is necessary for the following reasons: More children are getting sick from the new COVID variant; new evidence has shown that fully vaccinated people may still be able to transmit the virus; the delta variant appears to be more contagious than chickenpox; and many students in the district are too young to be vaccinated. “Probably over 30% of our district cannot be vaccinated because of age,” she said. “I know my youngest can’t. I know many of our children cannot or their friends cannot, and so we have to do everything we can in the district to ensure their safety. That’s our No. 1 priority.” -
2021-07-28
Public Safety Alert
I always get a reality check of how different Arizona is handling the pandemic when I visit my family in California. Life has been back to "normal" here in Arizona for a while now. Masks are rarely seen, the number counts are not reported as much and coverage of vaccination sites is rare. In California, it is obvious that life has not yet returned to normal. There is no distinction between vaccinated and unvaccinated, since no one is allowed to ask, everyone is asked to still wear masks. I was surprised to get this public safety alert while at my cousin's house last week. I feel like it was a reminder that life shouldn't be "normal" that we are still living through a pandemic and the storm has not yet passed. I wonder how people in Arizona would react to public safety messages like this one. -
2021-07-30
Mask up!
My cousins shared this adorable picture of her masked dog on social media. Although masks are a thing of the past here in Arizona, they are still very much used in Los Angeles. People here in Arizona are dreading the idea of having to put them back on and in Los Angeles people are almost glad that they never really let them go. -
2021-04-19
Navajo Department of Health Public Health Emergency Orders through 19 April 2021
These eight documents are the eight Public Health Emergency Orders issued by the Navajo Department of Health issued through 19 April 2021. -
2021-03-22
#JOTPYLesson from tinykikisunshine
tinykikisunshine I learned to speak up when conditions are unsafe, when politics are being prioritized over safety, and my community is being put at risk. I learned that voices do make a difference and no retaliation should silence me. Not a bad lesson for an introvert! #jotpylesson -
2021-04-05
#JOTPYFuture from rishah
I hope that the cases go down, the vaccine is effective, no new virus wreaks havoc, and we can go back to a relatively normal way of living #joptyfuture -
2021-04-14
News Article: Pima County (AZ) Vaccinations Approach 250K - FEMA Vaccination Pods
By: Valerie Cavazos - Posted at 12:50 AM, Apr 14, 2021 and last updated 12:51 AM, Apr 14, 2021 TUCSON, Ariz. (KGUN) — Pima County is now a step closer to FEMA setting up vaccination PODS and bringing in about a quarter million doses. The state first rejected FEMA's offer to run the PODS, criticizing Pima County on how it's operating its current vaccine locations. The state has now officially given the county the green light to allow the FEMA PODS, but with a long list of stipulations. "I don't think it's anything that prevents us from moving forward," said Supervisor Dr. Matt Heinz. He says the stipulations include "how the state is not involved in any way, the state registration system cannot be utilized, the county has to cover any and all costs, any moment the state can decide without cause and without notice that the agreement is null and void," he said. The state can also audit the funds used to create, implement, operate, and dismantle the site. Heinz told KGUN9 the county received the 4-page proposed Intergovernmental Agreement Tuesday afternoon. "I'm pleased that we're seeing progress, because now the county can now go over this the next 24 hours or so," Heinz said, "And hopefully, very likely, agree to these conditions which are largely ones we were expecting." Administrator Chuck Huckelberry wrote in a memo, "We are in the process of reviewing these requirements to determine their reasonableness and/or ability to comply." -
2021-03-05
News Article: Gila County's COVID-19 efforts lead more urban counties
"By Christopher Brito, March 5, 2021, CBSnews.com While a majority of states and cities are still vaccinating higher priority groups of people, one county in Arizona is now allowing any resident over the age of 18 to receive the COVID-19 vaccine. Gila County, which is located east of Phoenix, entered Phase 2 of their vaccine prioritization late last month, opening up eligibility to the general population. Part of the the decision to open vaccine eligibility is because Gila County has one of the lowest percentages of COVID-19 vaccine doses used in Arizona. Michael O'Driscoll, director of Public Health and Emergency Management for the county, told CBS affiliate KPHO-TV that they received permission from the state last week to offer the vaccine in a drive-thru clinic last weekend. "Prior to that, we were struggling to find enough people to make appointments to that, so the state gave me permission to offer it to any resident 18 and older," he said. About 56,000 people reside in the county. According to the Arizona's Department of Health Services, more than 13,000 people – or almost one fourth of residents – have received at least one dose of the COVID-19 vaccine. "We did a survey before to get a sense of how many people in Gila County would consider getting the vaccine, and our survey came back about 50-60% of the residents would choose to get the vaccine if available," O'Driscoll said. Based on the data, over 5,600 people under the age of 65 have received the vaccine, including 73 people under the age of 20. One of the younger recipients, 18-year-old Jacob Jost, told KPHO-TV that he was "excited" to get the shot. "I have a little nephew, a little baby, so having the vaccine puts a peace of mind for that," Jost said. First published on March 5, 2021 / 12:13 PM © 2021 CBS Interactive Inc. All Rights Reserved. Christopher Brito is a social media producer and trending writer for CBS News, focusing on sports and stories that involve issues of race and culture. -
2021-03-22
Apache County (AZ) Library COVID-19 Guidelines after March 22, 2021
This copyright-free image of a public-facing government webpage displays the COVID-19 protocols in place at Apache County (AZ) library locations after Governor Doug Ducey ordered local governments to phase out public health mandates on March 22, 2021. Unlike urban areas within the state, rural Apache County in northeastern Arizona no longer required mask use inside private or government (public) buildings and facilities. -
2021-04-11
EMT psychomotor exam regulations
At the start of the pandemic, the state of Massachusetts Department of Public Health shut down EMT psychomotor exams which meant that we could not certify new EMTs for several months. This is a terrible thing for an industry that was already having staffing problems before the pandemic began. Then in the summer, the state began to allow us to hold the exams again but under significant restrictions. We had to limit our exams to 8 students which meant that we were forced to hold several small exams instead on one larger one (a logistical nightmare). The students had to do the exam in full PPE with constant hand-washing and sanitation requirements. This past week, the state sent out new provisions regarding psychomotor exams. Thankfully, now we can hold larger exams again. Many of the other regulations are still in place, but the fact that we can have all of our students test at the same time makes things so much easier. -
2021-04-04
COVID Impacts
This article by the World Health Organization (WHO) talks about the effects of the COVID-19 pandemic on people’s livelihoods. The article says “tens of millions of people are at risk of falling into extreme poverty.” As a human living in a two story house that is food secure, this may just seem like a number. But extreme poverty is a human rights violation, and it is already clear the pandemic’s ripples are affecting people in serious ways. Further in the article, it starts to talk about the effects on the food and trade industry, which includes issues with closed borders, farmers being able to sell their food, and even people accessing healthy foods. The article ends by acknowledging the opportunity we have to rebuild a better world, and I find comfort in this thought. -
2020-03-11
March 11, 2020: Arizona Declaration of Emergency by Gov Doug Ducey
Declaration of Emergency - COVID-19 WHEREAS, the World Health Organization declared a Public Health Emergency of International Concern on January 30, 2020, the United States Department of Health and Human Services declared a Public Health Emergency related to the COVID-19 outbreak on January 31, 2020, and the World Health Organization officially declared a pandemic due to COVID-19 on March 11, 2020; and WHEREAS, globally there are 124,908 total confirmed cases and 4,591 total deaths to-date related to COVID-19, and the situation is rapidly evolving with person-to-person transmission and continued community transmission; and WHEREAS, COVID-19 was first discovered in Wuhan, China, and is known to cause respiratory illness, which can result in severe disease complications and death; and WHEREAS, Arizona is proactively leading on the COVID-19 response in the United States, as the third of 39 states that have confirmed cases of COVID-19; and WHEREAS, the Arizona Department of Health Services and local public health departments have identified 9 cases of CO VID-19, including cases spreading in the community, and have additional patients under investigation linked to the global outbreak; and WHEREAS, COVID-19 poses a serious public health threat for infectious disease spread to Arizona residents and visitors if proper precautions recommended by public health are not followed; and WHEREAS, the Arizona Department of Health Services in partnership with the Centers for Disease Control and Prevention (CDC) and local public health departments have implemented disease surveillance and testing for confirmed COVID-19 case(s) and patients under investigation; and WHEREAS, in Arizona, public health and health care systems have identified precautions and interventions that can mitigate the spread of COVID-19; and WHEREAS, the Arizona Department of Health Services requires a more robust and integrated response to successfully combat the COVID-19 outbreak; and WHEREAS, the Governor and the Director of the Arizona Department of Health Services have reasonable cause to believe the spread of COVID-19 can lead to severe respiratory illness, disease complications, and death for Arizona residents, particularly those with underlying medical conditions or the elderly; and WHEREAS, it is necessary and appropriate to take action to ensure the spread of COVID-19 is controlled and that the residents of Arizona remain safe and healthy; and WHEREAS, the Governor is authorized to declare an emergency pursuant to A.R.S. § 26-303(D) and in accordance with A.R.S. § 26-301(15). WHEREAS, pursuant to A.R.S. § 26-307(A), a state agency, when designated by the Governor, may make, amend and rescind orders, rules and regulations necessary for emergency functions; WHEREAS, pursuant to A.R.S. § 36-787(A), during a state of emergency declared by the Governor as a result of an occurrence or imminent threat of illness or health condition caused by an epidemic that poses a substantial risk of a significant number of human fatalities or incidents of permanent or long-term disability, the Arizona Department of Health Services shall coordinate all matters pertaining to the public health emergency response of the State; and WHEREAS, pursuant to A.R.S. § 36-787(B) and (C), during a state of emergency declared by the Governor, the Governor, in consultation with the Director of the Arizona Department of Health Services, may issue orders pertaining to the public health emergency response of the State; and WHEREAS, pursuant A.R.S. § § 36-788 and 36-789, during a state of emergency declared by the Governor, the Arizona Department of Health Services, to protect the public health, may establish and maintain places of isolation and quarantine and require the isolation or quarantine of any person who has contracted or been exposed to a highly contagious and fatal disease; WHEREAS, the Legislature has authorized the expenditure of funds in an event of an emergency pursuant to A.R.S. § 35-192; and WHEREAS, Executive Order 2017-06 establishes the Arizona Emergency Response and Recovery Plan to assist in responding to emergencies including public health emergencies; and NOW, THEREFORE I, Douglas A. Ducey, Governor of the State of Arizona, by virtue of the authority vested in me by the Constitution and Laws of the State, do hereby determine that the COVID-19 outbreak presents conditions in Arizona, which are or are likely to be beyond the control of the services, personnel, equipment, and facilities of any single county, city or town, and which require the combined efforts of the State and the political subdivision, and thus justifies a declaration of a State of Emergency; accordingly, pursuant to A.R.S. §§ 26-303(0) and 36-787, I do hereby: a. Declare that a State of Emergency exists in Arizona due to the COVID-19 outbreak, effective March 11, 2020; and b. Direct that the State of Arizona Emergency Response and Recovery Plan be used, and the Division of Emergency Management to be engaged, as necessary or requested, to assist the Arizona Department of Health Services' coordination of the public health emergency response and authorize the use of state assets as necessary; and c. Authorize the Director of the Arizona Department of Health Services to coordinate all matters pertaining to the public health emergency response of the State in accordance with A.R.S. Title 36, Chapter 6, Article 9; This Emergency Declaration will be eligible for termination upon the resolution of the outbreak as determined by the Arizona Department of Health Services. IN WITNESS WHEREOF, I have hereunto set my hand and caused to be affixed the Great Seal. of the State of Arizona. ATTEST: GOVERNOR (Douglas Ducey) DONE at the Capitol in Phoenix on this 11th day of March in the Year Two Thousand Twenty and of the Independence of the United States of America the Year Two Hundred and Forty-Fourth. ATTEST: Secretary of State (Katie Hobbs) -
2020-09-22
Unintended Consequences Part II
This article, "From Equality to Global Poverty: How Covid-19 is Affecting Societies and Economies," includes much information. It covers things like the fact that millions of kids may not ever go back to school after this. The article talks about how poverty has increased since the outbreak and how clean energy progress has stalled. The article ends by talking about the investments needed. But all in all there is a lot of important information here on unintended consequences. -
2021-02-14T07
The Covid-19 pandemic
The document that I uploaded is about my personal experience with the COVID-19 pandemic and my feeling about it. It is important to me because I think these experiences will be record in the history, I believe in the future the COVID-19 pandemic would be wrote in textbooks -
2020-02-24
My Coronavirus Experience
In the beginning of the pandemic, I immediately realized how a large portion of the public was not focused on the virus itself, but the racial controversy of the virus' origin. This was unnerving to the core, because it is a fact that COVID-19 came from China. While it was unacceptable to accept this as fact, MERS literally stands for Middle Eastern Respiratory Syndrome. It is clear that there was a pro-CCP agenda being pushed in the background when propagating the "COVID Safety" spiel. As time went on, more and more inconsistencies began popping up. Beauty and barber shops closed, but Nancy Pelosi is more than welcome to get her hair done. Masks become required to enter any building or participate in society at all, but when the new President was sworn in, the spectators were sitting shoulder-to-shoulder and masks were few and far between. What my story says about the pandemic is that while we may have had a real potential global crisis, I believe things were skewed, twisted, and flipped so that it is most convenient for those who hold the power, and not done in the best interest of the American people. An example of this in real life was how the Los Angeles Lakers, Ritz Carlton, and Bank of America (per store) were able to get PPP loans, drain the pool of PPP money, and leave small business owners fighting for crumbs. I have linked a Washington Post article below that expands on the PPP loan problem and how our government failed small business. The pandemic I fear will have long-lasting, Orwellian effects on our society in the sense that those in power will continue to use fear mongering to control the public through COVID. Even though a vast majority of the population has already had it and are building antibodies, Western European-style, 1940s era vaccination cards are beginning to circulate. I fear these cards will be the new "gold star" or "Scarlet Letter'', except those without it would be barred from society, rather than those with it. In my opinion, COVID today is what AIDS was in the eighties. Lots of unanswered questions, lots of fear, and government intervention so that free thinking is minimized. These three, and you have a perfect recipe for controlling the masses. Both diseases were politicized to death, and public opinion of the disease swung back and forth with politicization. If AIDS was blown up to the proportion that COVID was, I couldn't imagine the backlash the political and science communities would get from a certain demographic of people who are very vocal and have a statistically higher likelihood of contracting HIV. I hypothesize that pandemic would turn into pandemonium. With that, my experience during quarantine was as expected. Mental health suffered due to lack of human interaction and ability to go outside, and physical health suffered due to inability to go outside and lack of motivation which was connected to mental health. The main positive thing from the pandemic I can identify is the performance of my stock portfolio. Even though I lost my job due to COVID, I was still able to afford rent, food, and supplies to stay hunkered down in my new $900/month prison for my three month sentence. Another big positive from the quarantine was my savings. The pandemic helped me realize how much unnecessary or emotional spending I do. It helped me point out lots of bad habits I have so I can work on fixing them. Things like spending money when I'm sad, and identifying vices that hold me back in my day-to-day. While the pandemic brought a lot of negatives to me and the world around me, I believe there are some positive things to take away from it. Opening your mind to more than what the government feeds you, appreciating every moment you have, embracing new hobbies, and learning how to maneuver through change. These are all things the pandemic has taught me, but if I had the option, I wouldn't do it again. In terms of being a part of history, simply by living you are a part of history. I was at Sloan-Kettering in NYC with my family getting a life-extending cancer treatment for my father when 9/11 happened. He was one of three patients that day because while in surgery, the first plane hit the towers. The rest of the patients to be seen that day were canceled. I suppose the point I am trying to make is that history is subjective. 9/11 wasn’t 9/11 to me. 9/11 was the day I was blessed with enough time to make some foundational memories of my father before he passed. It can be argued that since I have been invested in GameStop since November, I was a part of history there too. I went to the Game 7 Cardinals vs. Red Sox World Series Game in Fenway Park. The game that broke the Bambino Curse. Again, it could be argued that I was a part of history there too, except my three year old self was asleep for the last two innings. History is subjective, and every day, everyday people like you and I make history. Historians and memoirists will use these events in the future to write articles, make movies and tv shows, write books, and extrapolate many other kinds of art from it. However, most often historical stories are told through a lens of subjectivity, and because of that, eventually all history becomes skewed to the point where it is indistinguishable from fable. -
2021-02-18
Black Doctors Consortium 24hr Philadelphia Vaxathon Feb 19 - Feb 20
The Black Doctors Consortium in Philadelphia, Pennsylvania planned to administer vaccines at the Liacouras Center at Temple University. It was to last 24 hours from Feb 19 12PM to Feb 20 12PM. It aimed to serve those who "live[d] in the hardest hit zip codes." No appointments were necessary. The original poster, handle @dralastanford, posted a series of photographs that helped answer some of the most frequently asked questions. These included the zip codes they were aiming for. These zip codes were specifically chosen as African Americans had "more than 50% of [the] death[s] related to COVID-19." With so much confusion over the vaccine and how to get it, this organization tried to make it an easy process. They assured that there would be designated lines for those who pre-registered and those who didn't. -
2021
Center for the Study of Racism, Social Justice & Health
COVID-19 TASK FORCE ON RACISM & EQUITY. The site looks at the science and humanity behind the Covid-19 Pandemic through a social justice lens. -
2020-06-09
Why Social Justice Is Central to Treating COVID-19
From article: Racism and classism create conditions where people of color, those living in poverty, and other marginalized groups have limited access to resources that affect health -
2021-02-15
COVID-19: We're doing this for this
Video created by the Government of Canada urging the public to wear a mask so "one day we can go back to" travelling, getting together with friends and family, and eating at restaurants. -
2020-03-27
Social Distancing and Quarantine Were Used in Medieval Times to Fight the Black Death
A medieval Italian legislation document, dating from 1377, reveals that social distancing and quarantine measures were practiced during the bubonic plague. The article describes what measures seaport towns took to screen and isolate ships before their goods and crews could enter these populations Also, it discusses the advent of plague hospitals, how the word quarantine came to be, and 14th century public health structure. As far as medicine and technology has advanced over the centuries, we are still using some of the same practices that were used seven centuries ago. It illustrates how much we can still learn from the past. -
2020-12-25
Christmas in a pandemic.
This year many families were forced into changing traditions due to California lockdowns. My family did not agree with these lockdown orders and instead went on to host a normal Christmas like any other year. We had more decorations than ever, and we gave out presents to everyone. We went to church on Christmas eve, where it started raining while we were outside, and we visited our cousins and grandparents for a Christmas day dinner. Though we were putting ourselves at risk, everyone there agreed to be there and no one got the virus. My prayer goes out to those who had to scrap traditions for Covid, or just through overall fear. -
2020-12-14
Public Health Systems Tension with the Government during COVID-19 Pandemic
Public Health Systems Tension with the Government during COVID-19 Pandemic