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    Fears as more children falling ill in latest US Covid surge and school approaches

    CoronavirusFears as more children falling ill in latest US Covid surge and school approachesNational Institutes of Health director says 1,450 kids in hospital Teachers union shifts, calls for vaccine mandates for teachers Edward HelmoreSun 8 Aug 2021 13.54 EDTLast modified on Sun 8 Aug 2021 13.56 EDTAmid increased fears that children are now both victims and vectors of the latest Covid-19 variant surge, National Institutes of Health director Francis Collins signaled on Sunday that increasing numbers of children are falling ill in the US.His comments also came as one of America’s largest teachers unions appeared to shift its position on mandatory vaccinations for teachers.With around 90 million adult Americans remaining unvaccinated, and vaccines remaining unauthorized for 12 years and under, Collins told ABC News This Week with George Stephanopoulos that “the largest number of children so far in the whole pandemic right now are in the hospital, 1,450 kids in the hospital from Covid-19.”Collins acknowledged that data on pediatric infections was incomplete but he said that he was “hearing from pediatricians that they’re concerned that, this time, the kids who are in the hospital are both more numerous and more seriously ill”.Collins’s comments came as new Covid-19 cases in the US have rebounded to more than 100,000 a day on average, returning to the levels of the winter surge six months ago. But health officials focus on children adds urgency to the situation as the US education system approaches the start of the school year.Collins said his advice to parents of school-age children is to “think about masks in the way that they ought to be thought about”.He added: “This is not a political statement or an invasion of your liberties. This is a life-saving medical device. And asking kids to wear a mask is uncomfortable, but, you know, kids are pretty resilient. We know that kids under 12 are likely to get infected and if we don’t have masks in schools, this virus will spread more widely.”The alternative, he said, “will probably result in outbreaks in schools and kids will have to go back to remote learning which is the one thing we really want to prevent”.Warning that virtual learning that kids have experienced for more than a year is “really bad for their development”, Collins urged that “we ought to be making every effort to make sure they can be back in the classroom. And the best way to do that is to be sure that masks are worn by the students, by the staff, by everybody.”The president of the American Federation of Teachers, Randi Weingarten, went further, calling for vaccine mandates for teachers. “As a matter of personal conscience, I think that we need to be working with our employers, not opposing them, on vaccine mandates,” she told NBC’s Meet The Press.Weingarten’s comments are an advance on the union’s earlier position in which it maintained teachers should be prioritized for the vaccines but stopped short of supporting a mandate. That shift was previewed last week when Weingarten said she would consider supporting vaccine mandates to keep students and staff safe and schools open.Dr Anthony Fauci, chief medical adviser to Joe Biden, also echoed Weingarten’s comments Sunday, saying the best way to protect children from the virus is to “surround them with those who can be vaccinated, whoever they are. Teachers, personnel in the school, anyone, get them vaccinated.”Dr Scott Gottlieb, former FDA commissioner, also weighed in on the concerns, saying that schools are not “inherently safe” from the Delta variant and that society “can’t expect the same outcome that we saw earlier with respect to the schools where we were largely able to control large outbreaks in the schools with a different set of behaviors.”“The challenge right now is that the infection is going to start to collide with the opening of school. And we have seen that the schools can become sources of community transmission when you’re dealing with more transmissible strains,” Gottleib told CBS’s Face the Nation.TopicsCoronavirusUS politicsSchoolsInfectious diseasesVaccines and immunisationnewsReuse this content More

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    Contempt for the unvaccinated is a temptation to be resisted | Dan Brooks

    OpinionCoronavirusContempt for the unvaccinated is a temptation to be resistedDan BrooksThe narrative of a dangerously ignorant minority may appeal, but it is not good for democracy Mon 2 Aug 2021 11.50 EDTLast modified on Mon 2 Aug 2021 13.38 EDTThe Covid-19 pandemic was the perfect disaster for our cultural moment, because it made other people being wrong on the internet a matter of life and death.My use of the past tense here is aspirational. The emergence of the more contagious Delta variant threatens to undo a lot of progress – particularly here in the US, where active cases of coronavirus infection are up 149% from two weeks ago. Last week, the Centers for Disease Control and Prevention recommended that fully vaccinated people return to wearing masks indoors in public spaces. The hope that this summer would mark our return to normal is curdling fast, and the enlightened majority – the fact-based, Facebook-sceptical, and fully vaccinated – are looking for someone to blame.A moralist might argue that the Delta variant is poetic justice in light of the US government’s reluctance to provide free vaccines to places such as India, where it first emerged. The notion that doses should be saved for Americans or exported at profit was selfish and shortsighted, and now the chickens (germs) have come home to roost (sickened millions). But this sort of pitiless self-recrimination is so old-fashioned. The modern person prefers to lay blame where it rests more comfortably: on other, dumber people. Take this tweet from a sportswriter, which implied that the people of Alabama – where the vaccination rate lingers at about 34% – would get the jab if the alternative meant no American football. Such remarks often play on the association between the American south and a certain type of person: culturally conservative, frequently undereducated, more interested in sports on TV than pandemics in the newspaper. This person, a kind of back-formation from various statistical trends, has become a familiar scapegoat during the coronavirus pandemic. They represent the obstinate minority – 30% of adults in the US – whose refusal to get vaccinated threatens to mess up the recovery for the rest of us.This narrative, which has become especially popular among American liberals, excoriates imaginary dummies instead of confronting the problems that have discouraged people from getting the jab. These problems include an employer-based healthcare system that favours professionals with permanent jobs and makes it difficult for many Americans to form trusting relationships with doctors. According to Kaiser Health News, the demographic with the lowest vaccination rate in the United States is uninsured people under the age of 65. The difficulty of reaching this group has been compounded by a world-historical explosion of misinformation and a political culture bent on pandering to it.The insistence, among the Republican leadership in the spring of 2020, that Covid-19 was a glorified version of the flu guaranteed that responses to the pandemic would shake out along political and, therefore, cultural lines. In places such as Alabama, not getting the vaccine has more to do with socio-economic identity than with scientific literacy. This is a fatal flaw in the reasoning of unvaccinated people, who are absolutely wrong in a way that endangers not only themselves but also others. But given the haughty reaction of many liberals, can you blame them? Even as the cost of their obstinacy has become grimly clear, the cost of admitting they were wrong has risen; to get the vaccine now would be to kowtow to a class that holds them in contempt. The notion that a vocal minority of our fellow citizens threaten to undo us with their ignorance has become something of a master narrative in anglophone democracies over the past five years. Trump did it for a lot of American Democrats in 2016, and Brexit – which, unlike Trump, won popular support at the polls but, like Trump, was overwhelmingly opposed by the urban and higher-educated – had a similar effect in the UK. The current Republican mania for making voting more difficult seems to be a product of Trump’s loss in November. Last week, a Pew Research Center poll found that 42% of respondents agreed with the statement: “Voting is a privilege that comes with responsibilities and can be limited.” This attitude is fundamentally incompatible with democracy.Don’t blame young people for vaccine hesitancy. The vast majority of us want to get jabbed | Lara SpiritRead moreThe belief that the masses are fundamentally decent and capable of governing themselves – or at least qualified to select leaders capable of governing for them – has been badly dented by social media, which confronts us with the ignorance of strangers at high volume every day. Basic forms of empathy, emerging from real-life communication, are fading from modern democracy, washed out of our assessment of the average stranger by a high-pressure spray of anonymous idiots on the internet.I think we should resist the urge to hold the unvaccinated in contempt. Their premises are wrong, but they are doing what we want citizens in a democracy to do: thinking for themselves, questioning authority, refusing to submit to a class they perceive as bent on ruling them by fiat. The fact that they are doing these things in the service of dangerous misinformation is a terrible irony, and it threatens the stability of 21st-century democracy.Covid-19 might be the most convincing counterargument to the western liberal tradition we see in our lifetimes. It offers a counterexample to two foundational ideas: that ordinary people can recognise their own best interests, and that the minority who do not can be afforded their freedom without endangering the rest of us. A plague is one of those classic exceptions that appears in the literature of political science again and again. I don’t know if existing systems can withstand it. I do know that, like a marriage, a democracy can survive anything but contempt.
    Dan Brooks writes essays, fiction and commentary from Missoula, Montana
    TopicsCoronavirusOpinionInfectious diseasesUS politicsVaccines and immunisationHealthcommentReuse this content More

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    New US mask guidance prompted by evidence vaccinated can spread Delta

    US newsNew US mask guidance prompted by evidence vaccinated can spread Delta CDC director Rochelle Walensky cites ‘new science’ People with outbreak infections can pass on virus Adam Gabbatt, Martin Pengelly and Maya YangWed 28 Jul 2021 10.18 EDTFirst published on Wed 28 Jul 2021 09.45 EDTThe director of the Centers for Disease Control and Protection spoke on Wednesday about evidence that vaccinated people can spread the Covid-19 Delta variant to others, after the nation’s top health agency expanded on its new guidance that fully vaccinated Americans wear masks indoors in certain places.Rochelle Walensky said “new science” observed in recent days demonstrated that new variants of the coronavirus were transmissible by people who have been fully vaccinated in some cases.Double-jabbed US and EU travellers can avoid England quarantine, ministers decideRead more“With prior variants, when people had these rare breakthrough infections, we didn’t see the capacity of them to spread the virus to others,” Walensky told CNN.“But with the Delta variant we now see in our outbreak investigations that have been occurring over the last couple of weeks, in those outbreak investigations we have been seeing that if you happen to have one of those breakthrough infections that you can actually now pass it to somebody else.”The CDC revised its mask guidance on Tuesday to recommend fully vaccinated Americans wear masks in “public indoor settings” with “substantial and high transmission”, a shift from its earlier guidance issued on 13 May, which said vaccinated individuals did not need to wear masks in most indoor settings.The move came as Joe Biden said requiring all federal workers to get a coronavirus vaccine is “under consideration” as the Delta variant surges in the US. Some local and state leaders, including New York’s mayor, Bill de Blasio, and the California governor, Gavin Newsom, have already announced such mandates for their government employees.Walensky also spoke on Wednesday about the threat of Covid-19 to children. “If you look at the mortality rate of Covid, just this past year for children, it’s more than twice the mortality rate that we see in influenza in a given year,” she said.On Tuesday the CDC changed its advice and now recommends that fully vaccinated people living with vulnerable household members, such as those who are immunocompromised and children, wear masks in indoor public spaces. In addition, the agency recommended everyone in K-12 schools wear masks, “including teachers, staff, students and visitors, regardless of vaccination status”, Walensky said in a press briefing on Tuesday.“In recent days I have seen new scientific data from recent outbreak investigations showing that the Delta variant behaves uniquely differently from past strains of the virus that cause Covid-19,” Walensky said on Tuesday, referring to scientists’ discovery of the Delta strain shedding as actively in breakthrough infections as it does in unvaccinated individuals, despite the rarity of breakthrough cases.For months Covid cases, deaths and hospitalizations were falling steadily, but the highly infectious Delta variant of the coronavirus has fueled steep rises in case numbers, particularly among unvaccinated Americans and amid struggles with disinformation and resistance, particularly on the political right.“Nobody wants to go backward but you have to deal with the facts on the ground, and the facts on the ground are that it’s a pretty scary time and there are a lot of vulnerable people,” Robert Wachter, chairman of the department of medicine at the University of California, San Francisco, told the Washington Post.“I think the biggest thing we got wrong was not anticipating that 30% of the country would choose not to be vaccinated.”In recent weeks, a growing number of cities and towns have restored indoor masking rules. St Louis, Savannah, Georgia, and Provincetown, Massachusetts, are among the places that reimposed mask mandates this month.At a White House briefing last week, the surgeon general, Vivek Murthy, said 97% of hospital admissions and 99.5% of Covid deaths were occurring among unvaccinated people.More than 162.7 million Americans are vaccinated – or 49% of the population, according to the CDC.California and New York City announced on Monday that they would require all government employees to get the coronavirus vaccine or face weekly Covid-19 testing, and the Department of Veterans Affairs became the first major federal agency to require healthcare workers to receive the shot.In New York City, Mayor Bill de Blasio announced that all municipal workers – including teachers and police officers – will be required to get vaccinated by mid-September or face weekly Covid-19 testing, making the city one of the largest employers in the US to take such action.“Let’s be clear about why this is so important: this is about our recovery,” De Blasio said.California said it will similarly require proof of vaccination or weekly testing for all state workers and healthcare employees starting next month.Associated Press contributed to this reportTopicsUS newsCoronavirusInfectious diseasesUS politicsBiden administrationnewsReuse this content More

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    Nightmare Scenario review: Trump, Covid and a lasting national trauma

    BooksNightmare Scenario review: Trump, Covid and a lasting national trauma Yasmeen Abutaleb and Damian Paletta of the Washington Post show how bad things got – and how they could have been worseLloyd GreenSat 3 Jul 2021 02.00 EDTLast modified on Sat 3 Jul 2021 02.21 EDTAs the world wakes from its pandemic-induced coma, Bloomberg rates the US as the best place to be. More than 150 million Americans have been vaccinated; little more than 4,100 have been hospitalized or have died as a result of breakthrough infection.Trump contempt for White House Covid taskforce revealed in new bookRead moreThe vaccines worked – but too late to save more than 600,000 Americans who have died. More than 500,000 were on Donald Trump’s watch.“This would have been hard regardless of who was president,” a senior administration official confided to Yasmeen Abutaleb and Damian Paletta. “With Donald Trump, it was impossible.”Abutaleb is a health policy writer for the Washington Post. Paletta is its economics editor. Together, they supply a bird’s-eye narrative of a chaotic and combative response to a pandemic that has subsided but not disappeared in the west. Elsewhere, it still rages.At almost 500 pages, Nightmare Scenario depicts an administration riven by turf wars, terrified of losing re-election and more concerned about the demands of Trump and his base than broader constituencies and realities. It was always “them” v “us”. Sadly, this is what we expected.Under the subtitle “Inside the Trump Administration’s Response to the Pandemic that Changed History”, Abutaleb and Paletta confirm that life in the Trump White House was Stygian bleak. Trump was the star. Pain and insecurity were the coins of the realm.Alex Azar, the secretary of health and human services, laboured in constant fear of Trump and competitors inside the government. After taking a hard line against flavoured e-cigarettes early on, to Trump’s dismay, Azar never recovered. The pandemic simply deepened his personal nightmare.When Covid struck, he was all but a dead man walking. Then the White House Covid taskforce, headed by Mike Pence, neutered his authority. Think of it as a one-two punch. True to form, Trump told a taskforce member Azar was “in trouble” and that he, Trump, had “saved him”.Azar was forced to take on Michael Caputo, an acolyte of Roger Stone, as spokesman. Eventually, Caputo posted a Facebook video in which he claimed “hit squads [were] being trained all over this country”, ready to mount an armed insurrection to stop a second Trump term. Caputo embarked on a two-month medical leave. His “mental health … definitely failed”.Not surprisingly, Trump lost patience with Pence’s taskforce. It failed to deliver a magic bullet and he dismissed it as “that fucking council that Mike has”. For the record, in April 2020 Pence remarked: “Maybe I’m a glass half-full kind of guy, but I think the country is ready to reopen.” For all of his obsequiousness, Pence could never make Trump happy.Instead, Peter Navarro, Scott Atlas and Stephen Moore emerged as Trump’s go-to guys. Predictably, mayhem ensued.Navarro suggested his PhD in economics made him an expert in medicine as well. He jousted with Anthony Fauci, head of the National Institute of Allergy and Infectious Disease since 1984 – seemingly for giggles.Atlas was a radiologist whose understanding of infectious diseases was tangential. As for Moore, he played emissary for a libertarian donor base distraught by shutdowns and mask mandates.“Fauci is the villain here,” Moore intoned. “He has the Napoleon complex, and he thinks he is the dictator who could decide how to run the country.” Trump’s own authoritarian streak seems to have escaped him.Moore also referred to Fauci as “Fucky”, and advised state-based “liberation” movements against public health measures that served as precursors and incubators to the invasion of the US Capitol on 6 January this year.Going back to 2019, Moore was forced to withdraw from consideration for the board of the Federal Reserve after the Guardian reported on his bouts of alimony-dodging, contempt of court and tax delinquency.With one major exception – financing and developing a vaccine – the Trump administration left Covid to the states. Hydroxychloroquine never saved the day, though Ron DeSantis, Florida’s governor, ordered a bunch of it from India to sate Trump’s ego. Six days after the 2020 election, the National Institutes of Health issued a statement that insisted: “Hydroxychloroquine does not benefit adults hospitalized with Covid-19.” Trump was callous and mendacious before the pandemic. Yet even as he embraced medical quackery, bleach injections and self-pity, he presided over unprecedented vaccine development, the medical equivalent of winning the space race and the cold war at once.Preventable review: Andy Slavitt indicts Trump over Covid – but scolds us all tooRead moreWhen Trump signed off on Operation Warp Speed in May 2020, “he thought vaccines were too pie in the sky”, Abutaleb and Paletta report. When Trump learned the first contract executed under the program was with AstraZeneca, from the UK, he growled: “This is terrible news. I’m going to get killed.”Boris Johnson would “have a field day”, he said. Things didn’t work out that way.Right now, countries that relied on Chinese vaccines are experiencing a death spike in the face of the Delta variant. In the Seychelles, almost seven in 10 are fully vaccinated – yet deaths per capita are currently running at the highest rate in the world.Added to Chinese opacity surrounding its role in the outbreak, the limits of vaccine diplomacy and technology are apparent. From the looks of things, Trump has left multiple legacies, some more complex and alloyed than others. But things could have been worse.TopicsBooksCoronavirusInfectious diseasesPolitics booksUS politicsDonald TrumpTrump administrationreviewsReuse this content More