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    Conservative judges block Biden’s vaccine requirement for businesses

    Conservative judges block Biden’s vaccine requirement for businessesPanel of judges rules stay of requirement for businesses with 100 or more workers is ‘firmly in the public interest’ Judges appointed by Donald Trump and Ronald Reagan declined on Friday to lift a stay on the Biden administration’s Covid-19 vaccine requirement for businesses with 100 or more workers.LA has imposed the strictest vaccine mandate in the US. Will it prevent a Covid surge?Read moreOne law professor said the move showed the court was “radical and anti-science”.Under the federal Occupational Safety and Health Administration (Osha) requirement, such workers must be vaccinated by 4 January or use masks and weekly tests.The measure is softer than those implemented by many private businesses and state or local governments, and the Biden administration has expressed confidence in its legality.Nonetheless, the fifth US circuit court of appeals, based in New Orleans and one of the most conservative federal panels, granted an emergency stay last Saturday.Justice and labor department lawyers filed a response on Monday in which they said stopping the requirement would prolong the Covid-19 pandemic and “cost dozens or even hundreds of lives per day”.On Friday, a three-judge panel rejected that argument. In his ruling, Judge Kurt D Engelhardt wrote that the stay was “firmly in the public interest” and referred to the Osha requirement as a “Mandate”, with a capital “m”.More than 762,000 people have died from Covid-19 in the US, from a caseload of nearly 47m. Nonetheless, vaccine mandates, rules and requirements and other public health measures are the focus of concentrated opposition among Republican voters and politicians, including many jockeying for the presidential nomination in 2024.More than 434m doses of vaccines have been administered and more than 194 million Americans, or 58.5% of the population, are fully vaccinated.Resistance to vaccine mandates has produced protests and fears of staff shortages. At the same time, the Biden administration has heralded strong jobs numbers and what it says is an economy rebounding from its Covid battering.Engelhardt said “the mere specter of the Mandate” had stoked “workplace strife” and “contributed to untold economic upheaval in recent months”.“Rather than a delicately handled scalpel, the Mandate is a one-size fits-all sledgehammer that makes hardly any attempt to account for differences in workplaces (and workers) that have more than a little bearing on workers’ varying degrees of susceptibility to the supposedly ‘grave danger’ the Mandate purports to address.”Experts say Covid remains a grave danger. Writing for the Guardian, Eric Topol, a professor of molecular medicine and executive vice-president of Scripps Research, said the US was “sitting in the zone of denial”.“We are already seeing signs that the US is destined to succumb to more Covid spread,” Topol said, “with more than three weeks sitting at a plateau of ~75,000 new cases per day, now there’s been a 10% rise in the past week.“We are miles from any semblance of Covid containment, facing winter and the increased reliance of being indoors with inadequate ventilation and air filtration, along with the imminent holiday gatherings.“Now is the time for the US to … pull out all the stops. Promote primary vaccination and boosters like there’s no tomorrow. Aggressively counter the pervasive misinformation and disinformation. Accelerate and expand the vaccine mandates that unfortunately became necessary and have been proven effective, and mass distribute medical quality masks and rapid home testing kits at no cost.”Judge Engelhardt said the Biden business requirement potentially violated the commerce clause of the US constitution.“The Mandate imposes a financial burden upon [businesses] by deputising their participation in Osha’s regulatory scheme,” he wrote, “exposes them to severe financial risk if they refuse or fail to comply, and threatens to decimate their workforces (and business prospects) by forcing unwilling employees to take their shots, take their tests, or hit the road.”Federal judges routinely claim to be above politics. But the system for nominating and appointing them runs through the Senate, where Republicans are aggressive in seeking to tilt the bench their way.Engelhardt was nominated by Trump and confirmed in 2018, as was Stephen Kyle Duncan, who joined Engelhardt’s opinion on Friday. So did Edith H Jones, a Reagan appointee in 1985.Amy Coney Barrett claims supreme court ‘not comprised of partisan hacks’Read moreAll three have links to the Federalist Society, a conservative group which has worked with Republicans in Congress to install judges including Neil Gorsuch, Brett Kavanaugh and Amy Coney Barrett, supreme court justices nominated by Trump.At least 27 states have filed challenges to the Osha vaccine rule in federal appeals courts. The federal government said in court filings the cases should be consolidated and one circuit court should be chosen at random on 16 November to hear it. Administration lawyers also say there is no reason to keep the requirement on hold while the court where the cases ultimately land remains undetermined.In an email, Carl Tobias, a law professor at the University of Richmond in Virginia, said the fifth circuit was “acting politically”.“But it also seems to be attempting to dictate the terms of the debate and to be violating the intent of Congress … to have an orderly system to resolve appeals when there are multiple challenges to an agency’s action and to prevent litigants from ‘forum shopping’ by racing to the courthouse to secure a decision from the court that it believes most favors the litigant’s position.“The appeals court which ‘wins’ the lottery and receives all of the challenges is free to ignore what the fifth circuit did or other courts may do.”On Twitter, Rick Hasen, a law professor at the University of California, Irvine, said: “One factor federal courts must consider in granting or denying emergency motions is the ‘public interest’. [It is] ASTONISHING that the fifth circuit does not even MENTION prevention of death/disease from Covid as a public interest to justify the vaccine mandate”.He also said he did not “even think conservative is the right word” to describe the fifth circuit court.“It’s pretty radical and anti-science,” he said.TopicsUS newsCoronavirusVaccines and immunisationUS politicsnewsReuse this content More

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    Republicans resist mandates to curb Covid but lawsuits likely to prove futile

    Republicans resist mandates to curb Covid but lawsuits likely to prove futileThe Biden administration is on solid legal ground in imposing Covid-related public health measures, scholars argue Republican elected officials continue to challenge government mandates aimed at stopping the spread of Covid-19, but legal experts predict the lawsuits and bans on mandates will largely prove fruitless because the law allows for such public safety measures.But as those legal fights play out the US will probably still be riven by a dispute between mostly Democrats on one hand who argue they are trying to curb a deadly virus, and usually Republicans on the other who say the Biden administration is involved in government overreach, often using rhetoric that can veer into the conspiratorial.Republicans slam Biden vaccine rule for businesses as health groups defend itRead moreTen states filed a lawsuit on Wednesday seeking to block the Biden administration’s vaccine mandate for healthcare workers because it could “exacerbate an alarming shortage of health care workers, particularly in rural communities, that has already reached a boiling point”, the filing states. All the states but one have Republican attorneys general.That petition comes days after a federal appeals court temporarily blocked a federal vaccine requirement for large businesses in response to a lawsuit from Republican officials, businesses and religious groups challenging the rules.And judges in two states issued rulings on Wednesday offering potentially different outcomes for masking mandates in schools. In Texas, a federal judge ruled that Governor Greg Abbot’s ban on school mask mandates violated the rights of students with disabilities, which clears the way for districts to issue requirements for face coverings. The Texas attorney general tweeted that he was “considering all legal avenues to challenge this decision”.In Pennsylvania, a state court ruled that the state health secretary did not have the authority to issue a school mask mandate, but the Democratic governor, Tom Wolf, appealed, which means the requirement can for now remain in place.While the judicial rulings create hurdles for Democratic elected officials’ use of government authority to try to bring the pandemic to an end, legal experts say there is precedent for such health policy measures and that they will largely remain in place.“There is no fundamental right to wear or not wear a mask in the public square,” said Derek Black, a law professor at the University of South Carolina School of Law whose focus is education law and policy, and constitutional law. “Even where some fundamental right might be impinged,” such as the right not to be vaccinated, “it doesn’t mean that it can’t be overridden if there is some compelling state interest for doing so.”The latest wave of lawsuits comes after the Biden administration last week announced rules concerning vaccinations for companies with 100 or more employees, and healthcare workers.The rule from the Occupational Safety and Health Administration (Osha), which the federal court blocked, would take effect on 4 January and require large companies to ensure their employees have been vaccinated or regularly administer Covid-19 tests for those who decline the vaccine and require them to wear masks at work. It would affect an estimated 84 million workers.The rule concerning healthcare workers from the Centers for Medicare & Medicaid Services (CMS) has the same deadline – with no option for weekly testing rather than vaccination. That would affect 76,000 providers and more than 17 million healthcare workers.The lawsuit concerning healthcare workers argues that the mandate is unreasonably broad in part because it includes staff who would probably not have contact with patients, such as construction crews.But Sidney Watson, director of the Center for Health Law Studies at Saint Louis University School of Law, argues that the administration is on solid legal ground in issuing the vaccine mandate because hospitals must comply with certain conditions in order to receive payment through the Medicare and Medicaid programs, which they are not required to participate in but which almost all hospitals do.The vaccination requirement “only applies to providers who step forward and say, ‘I want to take this federal money,’” said Watson.But the Republicans are also challenging the mandate on the basis that it could hurt rural hospitals, which are already facing a labor shortage and could lose more employees who do not want to get vaccinated. Hospitals across the country are having a difficult time finding nurses, but the problem is particularly acute in rural areas, according to reports from Vox and PBS.“We think the goal of having all employees in rural hospitals vaccinated is a good one. The problem is, the mandate and its timing may be difficult, especially if it leaves some hospitals with severe staff shortages,” said Brock Slabach, chief operations officer of the National Rural Health Association (NRHA), which is considering requesting during a public comment period that the CMS instead allow hospitals to regularly test unvaccinated workers, the same as the Osha rule for large companies.But Watson, of Saint Louis University, said she sees concern about the mandate causing large numbers of employees to quit their jobs or be fired as speculation. She points to places like New York, where the police union warned that a vaccine mandate would cause 10,000 police officers to be “pulled from [the] streets”, but the number of officers who were placed on unpaid leave was ultimately only 34.Despite his concerns about the mandate, Slabach does not expect courts to strike it down and is recommending that rural hospitals prepare to come into compliance with it.In addition to facing a labor shortage, the rural healthcare organizations must contend with a population base that is vaccinated against Covid-19 at a much lower rate than in urban areas. For example, in Pulaski county in central Missouri, only 17% of its more than 50,000 residents are fully vaccinated.As such, it’s crucial that hospitals in such areas employ staff that is fully vaccinated because they could see a surge in Covid cases, said Slabach.“When you complicate that with the fact that rural communities have populations that are more vulnerable to the disease itself, meaning they have co-morbid or chronic diseases,” then vaccination is “critically important”, Slabach added.TopicsCoronavirusVaccines and immunisationBiden administrationRepublicansUS politicsnewsReuse this content More

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    Republicans slam Biden vaccine rule for businesses as health groups defend it

    US newsRepublicans slam Biden vaccine rule for businesses as health groups defend itDivided reaction to mandate requiring that large companies either vaccinate staff or administer tests mirrors vaccine rollout in US Eric BergerMon 8 Nov 2021 05.00 ESTLast modified on Mon 8 Nov 2021 12.07 ESTBiden administration plans to get US companies with 100 or more workers to vaccinate their staff or bring in regular tests have been welcomed by public health groups but slammed by Republicans and trade groups, who claim government overreach with negative economic consequences.Federal court temporarily blocks Biden’s vaccine mandate for larger businessesRead moreSuch divided reaction to the rules announced last week mirrors much of America’s problematic vaccine rollout, where social and political headwinds have seen vaccination take-up slow down worryingly. US vaccination rates are some of the lowest in industrialized countries where the vaccine is readily available.Subject at least to a temporary stay issued by a circuit court in New Orleans on Saturday, the new rule from the Occupational Safety and Health Administration (Osha) will take effect on 4 January.It requires that large companies either ensure employees have been vaccinated or regularly administer Covid-19 tests and require masks at work for those who refuse to get the shot.The rule will affect an estimated 84 million workers.The Centers for Medicare & Medicaid Services also issued a rule requiring healthcare workers to be vaccinated by the same deadline, with no option for weekly testing rather than vaccination. That will affect 76,000 providers and more than 17 million workers.The administration also extended a deadline for federal contractors to comply with the same sort of rule – vaccination without the testing option – from 8 December to 4 January.“Too many people remain unvaccinated for us to get out of this pandemic for good,” Joe Biden said in a statement.But the rules sparked new backlash from Republican lawmakers and conservative groups who described the measures as unconstitutional. Republican governors or attorneys general in 15 states plan to file lawsuits against the mandate, according to the Associated Press.“This rule is garbage,” South Carolina’s attorney general, Alan Wilson, a Republican, said, according to the AP. “It’s unconstitutional and we will fight it.”Celebrating the Saturday ruling in Louisiana, the state attorney general, Jeff Landry, said: “The president will not impose medical procedures on the American people without the checks and balances afforded by the constitution.”While courts have largely declined to block state and local vaccine mandates, the federal government “has more constraints on it than state and local governments do when it comes to public health and vaccination”, said Lindsay Wiley, a public health law professor at American University.On whether the Osha rule could be overturned, Wiley said: “It’s difficult to predict, in part because the environment has become so politicized.”Plaintiffs could also seek to file lawsuits in circuits with conservative judges appointed by Donald Trump, Wiley said.Lawrence Gostin, a global health law expert at Georgetown Law, tweeted earlier this week that “Biden is on rock-solid legal ground. He’s acting to protect the US workforce and will get us all back to normal sooner.”But groups such as the National Retail Federation (NRF), the country’s largest retail trade group, condemned the Osha rule because they said it places an unreasonable burden on businesses during the holiday season, which for many ventures is the busiest time of the year.The NRF is requesting an extension of the deadlines, though Edwin Egee, a vice-president of the group, did not provide a preferred date.“NRF members have for months taken extraordinary efforts to distribute the vaccine, to incentivize the vaccine. We have been, and will continue to be, very much in favor of the vaccine and its efficacy,” Egee said.Republicans have also warned that the vaccine requirements could cause employees to quit. If faced with a mandate, 11% of the unvaccinated said they would be most likely to get the vaccine and 46% said they would opt for weekly testing, according to an October survey from the Kaiser Family Foundation (KFF). More than a third of unvaccinated workers said they would quit if their employer required them to get a vaccine or get tested weekly. But that amounts to just 5% of all adults in the US.“When we are looking at the bigger picture amongst all adults … it’s a pretty small share of the population,” said Lunna Lopes, senior survey analyst for KFF.There is evidence that workers often opt to get vaccinated rather than lose their jobs. For example, Houston Methodist hospital required 25,000 workers to get a vaccine by 7 June, the Conversation, a non-profit news organization, reported. Before the mandate, about 15% of employees were unvaccinated. By mid-June, that had dropped to 3%.David Michaels, a former Osha chief now a professor of public health at George Washington University, argued the new rules would help businesses who wanted to institute requirements but were constrained by state and local rules or feared litigation.“This actually allows employers to do what they want to do and blame the federal government,” said Michaels, who has advised the Health Action Alliance, a coalition of corporations such as Starbucks and Amazon and non-profits such as the CDC Foundation and the Ad Council aimed at promoting Covid-19 vaccination and prevention.The rules will make the workplaces safer, Michaels said.“The retail industry should give a gift to the American people and start to be supportive of vaccination requirements,” Michaels said. “That’s the only way that we will save lives and return to normalcy. It’s outrageous to ask for an exception to a public health measure.”TopicsUS newsVaccines and immunisationCoronavirusBiden administrationUS politicsUS healthcareUS domestic policynewsReuse this content More

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    California town declares itself a ‘constitutional republic’ to buck Covid rules

    CaliforniaCalifornia town declares itself a ‘constitutional republic’ to buck Covid rulesOroville’s city council adopted a resolution stating it would oppose state and federal orders that it deems to be government overreach Dani Anguiano in Los Angeles@dani_anguianoFri 5 Nov 2021 06.00 EDTLast modified on Fri 5 Nov 2021 10.00 EDTA northern California town has declared itself a “constitutional republic” in response to Covid-19 health restrictions imposed by the governor, in the latest sign of strife between the state’s government and its rural and conservative regions.The city council in Oroville, located at the base of the Sierra Nevada foothills about 90 miles from the capital of Sacramento, adopted a resolution this week stating it would oppose state and federal orders it deems to be government overreach.Oroville leaders said the designation was a way of affirming the city’s values and pushing back against state rules it doesn’t agree with, although a legal expert said the designation was merely a gesture and did not grant the city any new authority.Religious exemptions threaten to undermine US Covid vaccine mandatesRead moreTensions have existed throughout the pandemic between the rural north and California’s leadership, which has been among the first to implement lockdowns, mask mandates and vaccination requirements.In Butte county, fierce opposition to Covid lockdowns and school closures drove support for recalling the state’s governor, Gavin Newsom, with 51% of voters in the county backing the ultimately failed effort. Newsom’s policies, however, appear to have worked and the state had the lowest Covid infection rate in the US last month.Last year, Oroville refused to enforce state requirements prohibiting indoor dining. Butte county, where Oroville is located, declined to recommend a mask mandate earlier this fall, even as cases surged and a a local medical center reported treating more patients than at any other point during the pandemic.Before passing the resolution, council members argued they were taking a stand and advocating for residents to make their own health choices.“I assure you folks that great thought was put into every bit of this,” the city’s mayor, Chuck Reynolds, said. “Nobody willy-nilly threw something to grandstand.”But the city’s declaration does not shield it from following federal and state laws, said Lisa Pruitt, a rural law expert at the University of California, Davis, who said it was not clear what the designation meant.“A municipality cannot unilaterally declare itself not subject to the laws of the state of California,” Pruitt said. “Whatever they mean by constitutional republic you can’t say hocus pocus and make it happen.”Leaders in the city of 20,000 say the resolution is an effort to push back against state government and affirm the city’s values and commitment to the constitution. Oroville drafted its resolution from scratch after not finding any examples of other cities with similar resolutions, said Scott Thomson, the city’s vice-mayor.“I proposed it after 18 months of increasingly intrusive executive mandates and what I felt to be excessive overreach by our government,” said Thomson. “After the failed recall in California, our state governor seems to [be] on a rampage and the mandates are getting more intrusive. Now he’s going after our kids and schools.”The majority of speakers at the Oroville city council meeting expressed their support for their resolution – applauding its introduction and calling council members “heroes” – with several specifically citing the state’s vaccine requirement for schoolchildren.“We’re hoping that becoming a constitutional republic city is the best step in order to regain and maintain our inalienable rights protected by the constitution of the United States. What will be left if we don’t have that? if we don’t have bodily autonomy?” one speaker said in tears. “What else are they gonna want me to let them do to my kids? Where does it stop?”The resolution does not affect local schools, which fall under the purview of the school district, Thomson said, but is a way for the community to declare it will not use city resources to implement state rules it does not agree with. “We’re not ignorant that there are serious issues at hand, we just do not agree with the way it’s being handled.”One council member argued that mandates were “political theater” and that the immune system is the best defense against disease. The best protection against against Covid-19 is vaccination – Butte county has a vaccination rate of 48%, according to New York Times data.The council approved the resolution by a 6-1 vote on Tuesday, even as one member who voted in favor of it warned residents it had “no teeth” and was a “political statement”.The city’s efforts tap in to a common sentiment in rural northern California that the region is ignored, but also over-governed by the state, Pruitt said. Signs for the state of Jefferson, a movement to secede from California, are common here. But, Pruitt says, the city’s gesture does not grant it more power or the ability to ignore state law.“It seems to make the people of Oroville feel better that their city council has made this gesture but as a practical matter it doesn’t make any difference,” Pruitt said.TopicsCaliforniaCoronavirusUS politicsGavin NewsomnewsReuse this content More

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    Why are so many NYPD officers fighting vaccination? | Akin Olla

    OpinionCoronavirusWhy are so many NYPD officers fighting vaccination?Cops have been on the wrong side of public health for the entire pandemic – and yet they act like they are victims Thu 4 Nov 2021 14.24 EDTLast modified on Thu 4 Nov 2021 14.26 EDTIn New York City, the Police Benevolent Association of the City of New York (PBA) tried and failed to block the city’s vaccine mandate for all city workers. New York City police officers have been on the wrong side of public health for most of the pandemic. Like other American police unions, the PBA uses its political clout and large coffers to push regressive policies and fight any move towards an even slightly more humane justice system.In an effort to prevent another rise in Covid-19 cases, New York’s mayor, Bill de Blasio, introduced a mandate requiring all city employees to have received at least one dose of a vaccine by 29 October. Seventy-one per cent of all city officials are already vaccinated but, according to the PBA, roughly a third of uniformed police officers are not. Even optimistic assessments of the department’s vaccination rates as a whole lag behind the rates of city residents. Despite the fact that Covid-19 is the leading cause of death among US police officers, the PBA launched a lawsuit against the city to halt the mandate. A judge struck down the suit, but the PBA plans to appeal the decision.The police union loves to play the victim card and paint even its worst officers as heroes – like when it called for a slowdown strike after an officer was fired for his role in the 2014 death of Eric Garner. Yet when faced with a real threat to the lives of their members, and to the public those officers ostensibly serve, the unions’ leaders have chosen to oppose public health recommendations. While the police commissioner has at least urged officers to get vaccinated, the department and its individual officers haven’t exactly had a stellar record of behavior from earlier phases of the pandemic.In October, unmasked police officers forced a subway rider out of a station after he asked them to put on their masks as mandated by both the city’s transportation authority and the NYPD itself. This was not an isolated incident, according to the New York Times: “[t]he flouting of mask mandates by some police officers in New York City has been the subject of criticism throughout the pandemic. Face coverings have remained required on the city’s public transit and at indoor subway stations since April 2020. But many reports on social media and in local news outlets have drawn attention to instances of officers ignoring those rules.”This behavior is especially dangerous considering that officers interact face-to-face with the public on a daily basis. According to the Legal Aid Society, the NYPD illegally detained hundreds of people during the George Floyd uprising and the second surge of the pandemic. Protesters were allegedly held for longer periods of time than legally allowed, increasing their risk of contracting Covid-19 and potentially spreading it once released. One protester complained of police stuffing protesters in vans while the officers themselves were not wearing masks. The NYPD insists that these delays were not retaliatory and just another symptom of the pandemic, but the Legal Aid Society noted the similarity to a previous lawsuit over similar alleged events at the 2004 Republican national convention.In fact, the mere existence of such a large police department is a hindrance to public health. If current trends continue, the city will probably spend more than $10bn on the police department this year, including hundreds of millions of taxpayer dollars to settle lawsuits for police brutality and misconduct. In comparison, the city’s department of health and mental hygiene has a budget of $1.6bn.While city residents could have benefited from an increase in healthcare access, the city was busy maintaining the largest police department in the country, spending over $100,000 a year on average for every uniformed officer, according to Business Insider. Insider also notes that a single set of riot gear could provide personal protective equipment for 33 nurses. These numbers recall the dueling images of New York healthcare workers wearing trash bags during the earlier days of the pandemic, in contrast to the heavily armored officers sweeping through neighborhoods arresting people en masse.The NYPD spent $115m in overtime in the first two weeks of the George Floyd protests alone. And large sums of that money, in the form of membership dues and donations, find their way to police unions. Those unions shell out tens of millions of dollars on campaign contributions and lobbying, much of it to elect candidates seen as pro-police and “tough on crime”. According to Dan Quart, a New York State assembly member, the PBA has “had very significant and I would say disruptive influence in blocking so much important criminal legal reform of our criminal justice system”. Between 2015 and 2018, the union gave $78,500 to the state senate Republican campaign committee. In 2020 the union endorsed Donald Trump for re-election, its first endorsement of a presidential candidate in decades. This last fact alone speaks to the depravity of the union’s perspective and priorities.The PBA insists that the vaccine mandate will cause “chaos” – that 10,000 officers will be gone from the street, that dozens of patrol precincts will go unstaffed. This outcome seems unlikely. If it does happen, however, it may be a great experiment for the city. During their 2014 slowdown strike in response to anti-police brutality protests, officers decreased their “proactive” crime duties, cutting down patrols and only responding to active calls. The department expected the city to come crawling back in fear. But the opposite happened; a peer-reviewed study in the journal Nature Human Behavior found that residents actually reported a decline in major crime.The PBA may be setting itself up for another disappointment – and offering yet more evidence that we must defund police for the sake of public health and the public good.
    Akin Olla is a contributing opinion writer at the Guardian
    TopicsCoronavirusOpinionInfectious diseasesVaccines and immunisationNew YorkUS politicscommentReuse this content More

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    Surge in Colorado Covid cases could force hospitals to ration services

    ColoradoSurge in Colorado Covid cases could force hospitals to ration servicesIncrease can be attributed in part to the almost 40% of the state population that has not been vaccinated Eric BergerThu 4 Nov 2021 06.00 EDTLast modified on Thu 4 Nov 2021 09.00 EDTEvan Faber’s 78-year-old father, Michael, has for the last three years had difficulty walking around his home in Colorado Springs, Colorado. The Fabers hope that a spinal surgery scheduled for late December at a local hospital will help restore his balance and motor function.But now they are worried that the hospital will have to postpone the operation.That’s because a recent surge in Covid-19 cases around the state has increased the number of unvaccinated patients needing care and prompted concerns that hospitals may have to ration services for other issues.“If you have been waiting for an elective procedure for the last 18 months and are finally scheduled – you’re vaccinated, you don’t have Covid – your procedure might still get canceled if a hospital is totally full,” said Dr Anuj Mehta, a pulmonologist with Denver Health who serves on the governor’s expert emergency epidemic response committee. “While this is a pandemic of the unvaccinated at this point – and the surges in the hospital are entirely being driven by unvaccinated folks – it is having a massive bleed-over effect on to the entire population.”There are about 1,300 patients hospitalized with Covid-19 in Colorado, according to the New York Times data; that’s the highest number since December 2020, when more than 1,900 patients were hospitalized.That number has increased by 15% over the last two weeks, the third largest increase in the country, and at a time when the national picture for the US is of a Delta variant surge that is firmly on the way down.The trend in Colorado can be attributed in part to the almost 40% of the state population that has not been vaccinated and people again gathering indoors without masks. It also shows that, despite the national downward trends of infections, regional spikes can still happen that can cause havoc in state healthcare systems.“We clearly have events taking place in Colorado, as elsewhere, that are spreading infection,” said Dr Jon Samet, an epidemiologist who directs Covid-19 modeling for the state. “I know everyone would like for it to be 2019 all over again, but that’s not the case.”The state had also not had surges on the scale of other states, said Dr Michelle Barron, senior medical director of infection prevention and control for UCHealth.Other states “had flames from the get-go, whereas we have been smoldering along this whole time, and we are finally hitting that peak of saturation and seeing flames finally,” said Barron.Thirty per cent of Colorado hospitals are anticipating a shortage in the number of intensive care unit beds and 37% are anticipating staffing shortages within the next week, according to data from the Colorado department of public health and environment.“Staffing is becoming increasingly a problem, which is true everywhere throughout the country. We are seeing healthcare workers really burned out from everything the last two years,” said Mehta. “It just raises concerns that we are pushing the limits of how many patients we can take care of. We are still taking great care of everybody” at Denver Health, “but we are filling up fast.”In response to the surge, Governor Jared Polis, a Democrat, on Sunday issued a pair of executive orders that allow the state to direct healthcare facilities to redirect patients to other centers and for the implementation of a protocol for healthcare workers to decide in an emergency who should be treated first.Mehta would also like to see the governor issue a statewide indoor mask mandate, something Polis has declined to do.“If we were to continue masking indoors, I think we would see a significant drop in transmission and hospitalization, and that would free us up to do the routine medical stuff that we do all the time,” Mehta said.Even though people who have been vaccinated against Covid face a very low risk of hospitalization, they still, of course, face other risks. The UCHealth system is seeing record number of patients with non-Covid issues, according to a spokesperson.“A year ago, most schools and businesses were virtual, and there were capacity limits on restaurants and other businesses,” Dan Weaver vice-president of communications for UCHealth stated in an email. “Now, with few people staying at home, we are seeing large numbers of traumas, other injuries, and non-Covid healthcare needs.”Even among healthy Colorado residents, the pandemic continues to affect their lives. Stephanie Danielson, a Boulder resident, had 60 children in her son and daughter’s Cub Scouts pack a year ago; there are now 10, in part because of ongoing concerns about the virus.The pack gathered for a hike in September for the first time in more than a year – and afterwards learned that a parent had tested positive for Covid.“As a leader, it felt defeating because we are trying so hard to bring back some normalcy to each other’s lives, and our very first time, we had this happen,” said Danielson, who works at Moxie Sozo, a branding agency in Boulder.Faber, the 40-year-old CEO of the company, just got a vaccine booster and said his life has not changed much because of the surge. But he continues to worry about his father, a retired restaurant owner.“Everything is so volatile, it’s a waiting game to see if [the surgery] will still happen,” said Faber. “It’s the circle of people just outside of the direct impact from Covid that are dealing” with the surge, “and I know there are more severe examples than this”.TopicsColoradoCoronavirusInfectious diseasesUS politicsVaccines and immunisationnewsReuse this content More

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    Jen Psaki, White House press secretary to Joe Biden, tests positive for Covid

    Biden administrationJen Psaki, White House press secretary to Joe Biden, tests positive for CovidPsaki, who did not travel with the president to Europe, says her last contact with Biden was on Tuesday Martin Pengelly in New York and agencies@MartinPengellySun 31 Oct 2021 17.56 EDTLast modified on Sun 31 Oct 2021 20.08 EDTJen Psaki, Joe Biden’s White House press secretary, said on Sunday she had tested positive for Covid-19.Joe Biden dismisses bad polling and says domestic agenda set to pass Read morePsaki, 42, did not travel with Biden to Rome for this week’s G20 summit. The president is also due to travel to Glasgow for the Cop26 climate talks. Biden has been accompanied in Europe by his principal deputy press secretary, Karine Jean-Pierre.News of a positive test for such a close aide to the president came a little over a year after an outbreak at the White House reached the then president, Donald Trump, who fell seriously ill and was forced to spend time in hospital.In a statement, Psaki said she last saw the 78-year-old Biden on Tuesday, “when we sat outside more than 6ft apart and wore masks”.Biden tested negative for Covid-19 on Saturday, Reuters quoted “a person familiar with the matter” as saying.Psaki said she stayed in the US “due to a family emergency, which was members of my household testing positive for Covid-19”. She has two children.“Since then,” Psaki continued, “I have quarantined and tested negative via PCR for Covid on Wednesday, Thursday, Friday and Saturday. However, today I tested positive for Covid.“While I have not had close contact in person with the president or senior members of the White House staff since Wednesday and tested negative for four days after that last contact, I am disclosing today’s positive test out of an abundance of transparency.”Psaki also said that “thanks to the vaccine I have only experienced mild symptoms, which has enabled me to continue working from home.“I will plan to return to work in person at the conclusion of the 10-day quarantine following a negative rapid test, which is an additional White House requirement beyond [Centers for Disease Control and Prevention] guidance, taken out an abundance of caution.”White House staff and others traveling with the president began undergoing daily tests for Covid-19 before departing Washington and are all fully vaccinated. Many officials have also received booster shots, due to the close-quarters environment and frequent travel associated with their work.Biden got his Covid-19 booster on 27 September, shortly after federal regulators approved the third dose for many Americans.On Sunday Eric Feigl-Ding, an epidemiologist and senior fellow at the Federation of American Scientists, responded to the news that Psaki had worn a mask around Biden by tweeting: “Good to still mask up, even if vaxxed.”Pro-vaccine Fox News host receives support from CNN anchor over death threatsRead moreAccording to Johns Hopkins University, the US has recorded nearly 46m cases of Covid-19 and more than 745,000 deaths. Resistance to vaccination mandates remains a concern, particularly among Republican voters, though case numbers are slowing.On Sunday, the CDC said the US had administered 422,070,099 doses of Covid-19 vaccines, up from 420,657,683 doses on Saturday. The agency said 221,520,153 people had received at least one dose, while 192,453,500 people were fully vaccinated.The CDC tally includes two-dose vaccines from Moderna and Pfizer/BioNTech and Johnson & Johnson’s one-shot vaccine. About 18.6 million people have received a booster dose.Full approval for children aged five to 12 to receive the Pfizer/BioNTech vaccine is expected as soon as this week.TopicsBiden administrationJoe BidenUS politicsCoronavirusInfectious diseasesnewsReuse this content More