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      CDC contemplating change to mask guidance in coming weeks

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      CDC contemplating change to mask guidance in coming weeksDirector Rochelle Walensky notes recent declines in Covid cases, hospital admissions and deaths The leading US health officials said on Wednesday that the nation is moving closer to the point that Covid-19 is no longer a “constant crisis” as more cities, businesses and sports venues began lifting pandemic restrictions around the country.Centers for Disease Control and Prevention (CDC) director Rochelle Walensky said during a White House briefing that the government is contemplating a change to its mask guidance in the coming weeks.Noting recent declines in Covid-19 cases, hospital admissions and deaths, she acknowledged “people are so eager” for health officials to ease masking rules and other measures designed to stop the spread of the coronavirus.“We all share the same goal – to get to a point where Covid-19 is no longer disrupting our daily lives, a time when it won’t be a constant crisis – rather something we can prevent, protect against, and treat,” Walensky said.With the Omicron variant waning and Americans eager to move beyond the virus, government and business leaders have been out ahead of the CDC in ending virus measures in the last week, including ordering workers back to offices, eliminating mask mandates and no longer requiring proof of vaccine to get into restaurants, bars and sports and entertainment arenas.The efforts have been gaining more steam each day.Philadelphia officials on Wednesday said the city’s vaccine mandate for restaurants was immediately lifted, though indoor mask mandates remain in place for now.At Disney World, vaccinated guests will no longer have to wear masks at the Florida theme park starting Thursday.Professional sports teams including the Utah Jazz and Washington Wizards and Capitols have stopped requiring proof of vaccine for fans.Health commissioner Cheryl Bettigole said Philadelphia’s average daily case count had dropped to 189 cases a day in the city of more than 1.5 million people.Bettigole said the plunge in infections has been steeper in Philadelphia than elsewhere in the state or the country, making it easier to lift the vaccine mandate for restaurants and other businesses announced in mid-December and that fully went into effect just this month.“Our goal has always been to be the least restrictive as possible while ensuring safety,” she said.She added that the vaccine mandate helped spur “a very large” increase in pediatric vaccinations, pushing the city way ahead of the national average for first doses among kids ages five to 11. More than 53% of Philadelphia residents in that age group have received a first dose, compared with closer to 30% nationally, she said.In Provincetown, Massachusetts, a seaside town that became a coronavirus hot spot with an early outbreak of the Delta variant last summer, officials on Tuesday lifted a mask mandate and vaccine requirement for indoor spaces like restaurants and bars.Town manager Alex Morse said the community of about 3,000 recorded zero active cases last week among Provincetown residents – something that hasn’t happened since the surge following last year’s July 4 celebrations.“We are learning to live with, and mitigate, the impact of the virus on our community,” Morse said.Covid-19 infections and hospitalizations have fallen sharply in the US, with the seven-day rolling average for daily new cases dropping from about 453,000 two weeks ago to about 136,000 as of Tuesday, according to data from Johns Hopkins University.Hospitalizations are at levels similar to September, when the US was emerging from the Delta variant surge. Almost 65% of Americans are fully vaccinated.“As a result of all this progress and the tools we now have, we are moving to a time where Covid isn’t a crisis but is something we can protect against and treat,” said Jeff Zients, the White House coronavirus response coordinator.Walensky said the CDC “will soon put guidance in place that is relevant and encourages prevention measures when they are most needed to protect public health and our hospitals”.She suggested any changes will take into account measures of community transmission, as well as hospitalization rates or other gauges of whether infected people are becoming severely ill. They also would consider available bed space in hospitals.Several states with indoor mask mandates announced last week they would be lifted in coming weeks, also citing promising numbers.Two music festivals that draw thousands of people to the California desert town of Indio in April and May, Coachella and Stagecoach, also said this week there will be no vaccination, masking or testing mandates, in accordance with local guidelines.Walensky said the CDC wants to give most people “a break from things like mask-wearing” when circumstances improve, though be able to mask up again if things worsen.TopicsCoronavirusTrump administrationUS politicsInfectious diseasesVaccines and immunisationnewsReuse this content More

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      Blue states are rolling back mask rules – but experts warn it’s too soon

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      Blue states are rolling back mask rules – but experts warn it’s too soonThe lifting of mandates is coming at a time when the CDC says a vast majority of the country is still seeing high Covid transmission Several US states, many of them governed by Democrats, began rolling back mask mandates this week, a move public health experts warn could set back progress battling Covid.On Wednesday, Massachusetts, Illinois, New York and Rhode Island joined California, Connecticut, Delaware, New Jersey and Oregon in lifting mask mandates for some public places.The wave of relaxations comes after months of private meetings among state leaders and political focus groups after the November elections, according to reports. “Now, it’s time to give people their lives back,” Sean Maloney, chair of the Democratic Congressional Campaign Committee, tweeted in support of New York suspending its indoor mask-or-vaccine mandate.Covid-era Americans are using public transit less and having more car crashes Read moreYet the lifting of rules has not been universally applauded and is coming at a time when the vast majority of the country (99%) is still seeing high transmission of the virus, according to the US Centers for Disease Control and Prevention (CDC). Public polls show consistent support for mask mandates and other precautions, and experts say the time to relax precautions is not here yet – and acting prematurely could prolong this wave.“In my view, it’s too soon. I feel like we’re anticipating too much,” said Justin Lessler, a professor of epidemiology at the UNC Gillings School of Global Public Health. “We’re being too confident that things are going to keep going the direction that they have been going.”The CDC’s director Rochelle Walensky also recently said that “now is not the moment” to drop masks in public, although the agency is reportedly weighing changes to its guidance on masks.While Covid cases have dropped from Omicron’s record-shattering peak, the US still has an average of more than 230,000 cases each day – similar to the height of last winter’s wave – and more than 2,300 people are dying from Covid each day, according to the CDC. While hospitalizations are beginning to fall, 80% of hospitals are still under “high or extreme stress”.Treatments, including antivirals and monoclonal antibodies, that keep Covid from progressing to serious illness and death are still in short supply throughout the country. Children under the age of 5 are not yet eligible for vaccines, while less than a quarter of kids ages five to 11 are fully vaccinated.“We have hundreds of thousands of people dying, we have millions who’ve been hospitalized and we have an unknown number who have long Covid and who will get long Covid as we roll back what little mitigation we have,” said Julia Raifman, assistant professor at Boston University School of Public Health and creator of the Covid-19 US state policy database.“Saying things are normal undercuts us in getting more people vaccinated and in helping people wear masks, because transmission actually remains quite high,” Raifman said. “The best way to help people think things are more normal is to reduce the amount of virus with the mitigation measures that we have.”The failure to set measures on when to drop or reinstate precautions “starts from the top”, including the CDC and the White House, Raifman said. “The whole of the pandemic response is being mismanaged, and only better leadership can help us come together to better address it.”Anthony Fauci, the president’s chief medical adviser, says the US is leaving the “full blown” phase of the pandemic. In September, he said controlling the pandemic meant having fewer than 10,000 cases a day.“This is not a declaration of victory as much as an acknowledgment that we can responsibly live with this thing,” said the New Jersey governor, Phil Murphy, who is also a key leader of the National Governors Association. Governors have reportedly urged Biden to “move away from the pandemic”.Many states – including Connecticut, Delaware, Massachusetts, Oregon, New Jersey and Rhode Island – are also set to lift school mask mandates. California is considering changes to the rules on school masks, while Illinois and New York will keep theirs for now. The governor of Pennsylvania lifted the school mask rule last month.Teachers’ unions have joined health experts in calling for science-based recommendations in order to keep educators and students safe, and to keep the virus from forcing further school closures caused by worker shortages.“I worry about taking off measures just because cases are trending down,” Lessler said. “At least some of the rate of decrease has to do with what little we’re doing to try to control transmission, and by stopping these measures – both directly and in the message it sends about the risk of the virus – you slow that down-trend.”A new variant could also emerge and change the situation yet again, he said. “We’ve time and time again been surprised by new variants.”Lifting measures too early and slowing the decrease in cases can result in “a lot of unnecessary cases and deaths that you might have avoided simply by waiting a few weeks”, Lessler said.“And if we change what we’re doing substantially, we may not get there, or it may take us longer to get there than anticipated.”TopicsCoronavirusOmicron variantDemocratsUS politicsCaliforniaNew YorkOregonnewsReuse this content More

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      Arkansas officials praise doctor accused of giving inmates ivermectin without consent

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      Arkansas officials praise doctor accused of giving inmates ivermectin without consentDespite lawsuit filed against Dr Robert Karas by four inmates, local officials have praised him for a ‘job well done’ An Arkansas doctor accused of prescribing ivermectin to inmates in his state without their consent has been praised by local officials for a “job well done” despite widespread outrage at his actions.In January, the Arkansas chapter of the American Civil Liberties Union (ACLU) sued Dr Robert Karas, the physician at Arkansas’s Washington county detention center, on behalf of four inmates who said they were given ivermectin to treat Covid-19 as a form of “medical experiment”.“Plaintiffs ingested incredibly high doses of a drug that credible medical professionals, the FDA, and the Centers for Disease Control and Prevention (CDC), all agree is not an effective treatment against Covid-19 and that if given in large doses is dangerous for humans,” the lawsuit said.According to the lawsuit, Karas told the inmates that the prescribed drugs “consisted of mere ‘vitamins’, ‘antibiotics’ and/or ‘steroids.’”The CDC, as well as the Food and Drug Administration (FDA), have put out advisories warning against using ivermectin for Covid-19, though it is a cause celebre for some rightwing figures and anti-vaxxers.Despite the lawsuit, some prominent local leaders of Washington county have lauded Karas for his Covid treatment efforts.On Monday, Patrick Deakins, a Washington county justice of the peace, introduced a resolution to a local quorum court’s jail and enforcement committee to praise Karas for his handling of the pandemic in Washington county jail.“I don’t know the science behind Covid and I’m not so sure anybody does. I’m certainly not a doctor and I’m certainly not a virologist, and none of us on this panel are,” Deakins said.He went on to add, “I don’t know the value of one treatment or the appropriateness of it is. I don’t know the efficacy of ivermectin and I don’t know the most useful ways to treat any one individual, and those are not the debate of this resolution, I just want what’s best for the health and safety of the county.”“While over 850 cases of the infection have been recorded in the Washington county detention center, Dr Robert Karas and Karas Correctional Health have effectively treated those cases which have resulted in zero fatalities from the virus,” the resolution said.According to the document, Karas provided “exceptional medical care” to inmates and that the “Washington County Quorum Court commends Dr Robert Karas and Karas Correctional Health for a job well done despite the unique challenges.”Despite the resolution getting passed by the committee, other local officials pushed back against Karas.“If you talk to individuals at our local hospitals that are treating patients after Dr Karas has treated them, they are very ill,” said justice of the peace Eva Madison. “The reality is that he doesn’t know … He can’t possibly know what the side-effects are of the treatment that he has given,” she added.“How can we tout nobody died when the individuals in this lawsuit claimed health consequences from what he did to them,” Madison said in reference to the inmates. “You can agree or disagree with the lawsuit, Dr Karas, but why in the world would this body endorse a practice that’s being challenged in court?”In the lawsuit filed by ACLU last month, inmates complained that they suffered from various side-effects after ingesting ivermectin, including vision issues, diarrhea, bloody stools and stomach cramps. The inmates were also subject to payment of fees for medical examinations that they sought after experiencing the side-effects.Karas, who has had numerous lawsuits filed against him over the years for allegedly providing inadequate and poor medical care to inmates, has filed a motion to dismiss ACLU’s lawsuit against him.TopicsArkansasCoronavirusUS politicsnewsReuse this content More

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      California county recalls top official, giving militia-aligned group a path to government

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      California county recalls top official, giving militia-aligned group a path to governmentSupervisor Leonard Moty has been ousted after two years of threats and increasing hostility over pandemic health restrictions Voters in far northern California have solidified the ouster of a Republican county official, giving control of the Shasta county board of supervisors to a group supported by local militia members.Leonard Moty, a retired police chief and Republican with decades of public service, lost his seat in a recall election in one of California’s most conservative counties. The Tuesday recall came as tensions reached a high in the county after two years of threats and increasing hostility toward moderate Republican officials over pandemic health restrictions.California county on track to be run by militia-aligned groupRead more“I really thought my community would step up to the plate and they didn’t and that’s very discouraging,” Moty said in an interview with the Guardian earlier this week, warning the recall would shift the area to the “alt-right”.Updated polling numbers released on Friday showed about 56% of 8,752 voters supported recalling Moty. Cathy Darling Allen, the county registrar of voters, said there were about 121 ballots left to count. The results won’t be finalized until next month, but the two candidates in the lead to replace Moty attended a celebration on Tuesday with members of an area militia group, the Sacramento Bee reported.The recall is a win for the county’s ultra-conservative movement in their efforts to gain a foothold in local government in this rural part of northern California and fight back against moderate Republicans they felt didn’t do enough to resist state health rules during the pandemic.Though Shasta county was among the least restrictive in California amid Covid, residents unhappy about state rules and mask requirements have showed up to meetings in large numbers since 2020. Moty and others were subjected to what law enforcement has deemed “credible threats” and personal attacks in meetings – one person told him that bullets are expensive, but “ropes are reusable”.Experts have warned the pandemic and eroding trust in US institutions has fueled extremism in local politics and hostility against officials. In Shasta county, the successful recall campaign will likely set up more conflict between the local government and the state government, said Lisa Pruitt, a rural law expert at the University of California, Davis.Carlos Zapata, a local militia member who helped organize the recall efforts, in 2020 told the board there could be blood in the streets if the supervisors didn’t reject state health rules such as mask requirements.“This is a warning for what’s coming. It’s not going to be peaceful much longer. It’s going to be real … I’ve been in combat and I never wanted to go back again, but I’m telling you what – I will to stay in this country. If it has to be against our own citizens, it will happen. And there’s a million people like me, and you won’t stop us,” he said.TopicsCaliforniaUS politicsThe far rightCoronavirusnewsReuse this content More

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      US appears to shake off Omicron and adds nearly half a million January jobs

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      US appears to shake off Omicron and adds nearly half a million January jobsEconomists had predicted dramatic slump in job growth but labor department figures much better than expected The US economy appeared to shake off the Omicron variant in January as employers added 467,000 new jobs, the labor department reported on Friday.Data for the report was collected in mid-January when the Omicron variant was at its peak in the US. While some economists – and the White House – had predicted a dramatic slump in jobs growth, the number of jobs added was far better than expected.The unemployment rate remained low overall at 4%, down from a pandemic high of 14.8% in April 2020 but up from 3.9% in December.The news comes at a sensitive time for the Biden administration and the Federal Reserve. The US economy is wrestling with soaring inflation and signs of an economic slowdown after last year’s strong rebound.Joe Biden celebrated the jobs news in a speech in Washington. “America is back to work,” Biden said. “History’s been made here.”His comments were in stark contrast to those made by White House officials earlier in the week. In a highly unusual move, the White House sought to manage expectations ahead of the latest jobs figure release, cautioning that Friday’s jobs report could be “confusing” because of the timing of the survey and suggesting that the US would add few or even lose jobs in January.Covid infections have fallen sharply across the US since the report was compiled.The government report follows on from a survey conducted by ADP, the US’s largest private payroll supplier, which reported that companies cut jobs in January for the first time in more than a year. Payrolls fell by 301,000 for the month with more than half the losses coming from the pandemic-sensitive leisure and hospitality industries.“The labor market recovery took a step back at the start of 2022 due to the effect of the Omicron variant and its significant, though likely temporary, impact to job growth,” said Nela Richardson, ADP’s chief economist.There were signs that the jobs market is still recovering ahead of Friday’s report. On Thursday, the labor department reported that new unemployment claims fell to 238,000 for the final week in January, dropping 23,000 from the week prior, a second straight week of falls.TopicsUS economyUS unemployment and employment statisticsUnemployment and employment statisticsCoronavirusOmicron variantUS politicsnewsReuse this content More

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      Sweeping bill on inquiry into US Covid response sees bipartisan support

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      Sweeping bill on inquiry into US Covid response sees bipartisan supportNew Covid commission would inform the US response to future outbreaks as well as the current impact of the virus A sweeping new bill with powerful bipartisan support in the US Senate would establish an inquiry into the country’s Covid-19 response similar to the 9/11 Commission, among other provisions aimed at preventing the next pandemic.The new Covid commission would inform the US response to future outbreaks as well as the current impact of the disease. The bill will be co-sponsored by Senator Patty Murray of Washington and Senator Richard Burr of North Carolina, who plan to mark it up in committee in coming weeks.“The pain of this pandemic is unforgettable, and we have a responsibility to make sure its lessons are unforgettable, too,” Murray said.The legislation, called the Prevent Pandemics Act, would lay the groundwork to enshrine new powers in federal health agencies.It would also require Senate confirmation to appoint the director of the Centers for Disease Control and Prevention, and it would better outline the duties of the assistant secretary for preparedness and response, a position Burr created in a 2006 law on pandemic preparedness.Murray, chair of the Senate health committee, first raised the idea of a Covid commission in March 2020. “Because even back then it was clear: we have to learn from this pandemic to make sure we are never in this situation again,” she said on Thursday.In November 2021, another bipartisan group of senators – Dianne Feinstein of California, Roger Marshall of Kansas, Kirsten Gillibrand of New York and Joni Ernst of Iowa – also introduced a bill to establish a Covid commission.US scientists develop cheap smartphone-based test kit for CovidRead moreThis wider bill represents months of work across the aisle between Murray and Burr, the committee’s Republican ranking member.An independent taskforce would “conduct a comprehensive review of the federal Covid-19 response, fully account for consequential gaps and breakdowns in our response, and issue recommendations to correct them”, Murray said.In November 2019, the US was ranked first of 195 countries for pandemic preparedness in a report co-produced by the Johns Hopkins Center for Health Security – but it has consistently had one of the worst responses to the actual Covid-19 pandemic, said John Farmer Jr, the senior counsel for the 9/11 Commission and director of the Eagleton Institute of Politics at Rutgers University.“And there’s very little apparent effort to figure out exactly why it was so ineffective and what we can do in the future,” he said.Farmer was among those calling for an inquiry early in the pandemic, he said, “because it was clear that the United States’ response was almost completely ineffective in containing the pandemic and preventing future variants from emerging”.The US response involved “basically 50 governors going 50 different ways, and no one effectively containing the virus”, Farmer said.That happened in part because the president doesn’t have the authority under current law to establish temporary public health measures, even during a pandemic.Legislation such as the proposed bill could lay the groundwork for changing these laws, though such changes would be likely to face sharp scrutiny in a highly divided Congress.The 9/11 Commission was created by Congress soon after the September 11 terrorist attacks. It was independent and non-partisan, staffed with officials who had investigative power, funding and time to create an authoritative report.“Good reports are important because they create the historical record, and they can also inform how we respond to the crisis to avoid it happening again,” said Alan Rozenshtein, associate professor at the University of Minnesota Law School.Another reason to create a Covid commission would be to garner high-profile support from all branches of government, which could bolster public trust in institutions, Rozenshtein said.“Those are the benefits – if you can pull it off,” he said.Rozenshtein doesn’t believe it’s possible to create a report on Covid that accomplishes what the 9/11 Commission did, however.“It will be very rigorous and professional and it will produce an excellent report – but because that will be attacked the whole way through by Trump and his enablers in the Republican party, that report will not then have anything like the impact of the 9/11 Commission.”A Covid commission would surely face bipartisan scrutiny even if it finds bipartisan support, Rozenshtein and Farmer said.“I think any sitting administration is going to feel vulnerable to the conclusions of such a commission,” Farmer said. “This is such a calamitous response that I’m not sure that either administration is really going to want a close look at what went wrong.”At the same time, he added, “the public interest has to outweigh that kind of partisan consideration.“We failed, as a society and as a world, to contain Covid, and we really need to look at more effective ways to handle future pandemics – or we could be in worse shape the next time,” Farmer said.TopicsUS CongressCoronavirusUS politicsTrump administrationBiden administrationnewsReuse this content More