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CoronavirusTennessee radio host doubted and mocked vaccines – now he has Covid
Phil Valentine’s family urges listeners to get the shot
Host sang ‘Vaxman’ Beatles parody and touted choice
Tennessee hospital grapples with Delta and vaccine hesitancy
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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
The lifting of all restrictions on 19 July is “possibly too early”, the government has been warned, with public health experts calling for more caution in the weeks ahead amid the continuing spread of the highly transmissible Delta variant.The rapid emergence of Delta forced Downing Street to delay the full reopening of society on 21 June by four weeks, and some scientists are concerned that the UK will remain vulnerable to a significant surge in cases, hospitalisations and deaths once all measures are removed later next month.A total of 101,676 cases were reported last week up to Saturday, a 43 per cent increase on the previous week, while a further 514 people were hospitalised in England with Covid-19 in the seven days up to 21 June. Of these, 304 were unvaccinated. Rising hospital pressures have also been compounded by a recent spike in A&E patients due to non-Covid issues; last week, The Independent revealed that a number of trusts had declared “black alerts” due to sudden surges in admissions.Some have nonetheless called for restrictions to be lifted on 5 July. But Linda Bauld, a professor of public health at the University of Edinburgh, said that such a move “is not supported by current evidence”.“We’ve seen rising numbers of cases in the UK over the past few weeks and although hospital admissions remain low, they are also rising, as are deaths from a very low base,” she said. “We know that although 88 per cent of adults have had a single dose of a Covid-19 vaccine, this provides partial protection and we need time to deliver more second doses, particularly to the over-40s.”Prof Bauld said three more weeks at the current level of easing would put the UK “in a more sustainable position” while providing the government with a “better idea” of the state of the UK’s epidemic. However, she warned, 19 July is still “very ambitious and possibly too early”.Agreeing that all Covid metrics were moving in the wrong direction, Professor Stephen Reicher, a member of Sage’s subgroup advising on behavioural science, said: “The question isn’t whether we should reopen on 5 July, it is what we can do to control the pandemic so we can reopen on 19 July.”Professor Sir Peter Horby, chairman of the government’s New and Emerging Respiratory Virus Threats Advisory Group (Nervtag), said he would not bring the restrictions easing date forward, adding that it had been “very sensible” to delay it by four weeks.“I don’t think we should rush into anything, we really want to make sure that we can release all restrictions and not have to backtrack at all,” he told the BBC’s Andrew Marr Show on Sunday.Announcing a delay to the original so-called “freedom day” on 21 June, Mr Johnson told the public the government will “monitor the position every day and if after two weeks we have concluded that the risk has diminished then we reserve the possibility of proceeding to Step 4 and full opening sooner”.In a Commons statement on Monday, however, it is widely expected the government will not sanction an early reopening on 5 July – despite calls from some Tory backbenchers – and rather insist the relaxation of all remaining Covid restrictions remains on track for 19 July.Just last week, the business minister Kwasi Kwarteng also claimed the government would “always err on the side of caution”, as he suggested it was “unlikely” measures would be lifted ahead of what the prime minister has described as the “terminus” date of 19 July.It was not immediately clear whether Sajid Javid, who replaced Matt Hancock as health secretary at the weekend following his dramatic resignation, will return to the despatch box tomorrow tasked with the job of updating MPs on the government’s plans.Speaking on Sunday for the first time since his return to the cabinet, Mr Javid said his “most immediate priority” will be ending the Covid-19 pandemic as soon as possible, as he stressed he wanted to “see that we return to normal as soon and as quickly as possible”.Asked whether Labour would support the direction indicated by Mr Javid, Sir Keir Starmer told reporters: “What we’ve seen today already I’m afraid is confusion, because the incoming health secretary said he wants to open up as quickly as possible. The government’s now rowed back on that.“I don’t think it’s inspired confidence that already on day one, there’s been the health secretary saying his position this morning and then the government rowing back on it.”Prof Horby, who is also professor of emerging infectious diseases in the Nuffield Department of Medicine, University of Oxford, said the government and its scientific advisers were watching the data “very carefully”.He added: “There will be a lot of analysis of the data coming up to that date, to make sure we’re comfortable with that release.”Professor Lawrence Young, a virologist at the University of Warwick, said that cases were continuing to rise as a result of the more transmissible Delta variant, but insisted that the link between infections, severe disease and hospitalisations has “been significantly weakened” as a result of the UK’s vaccine rollout.Even so, he added, “it does make sense to hold our nerve for a few more weeks [in easing restrictions] to get more people doubled jabbed and be sure that we have the Delta variant under control”.Some breakthrough infections are still to be expected, where a vaccinated individual falls ill from Covid, Prof Horby added. Those who have refused to receive a vaccine also remain particularly vulnerable. “But at this stage, we’re able to make sure that the health system isn’t overwhelmed and vaccination is really key to that.”He warned that the route out of the pandemic would be “a bumpy road out and that there will be twists and turns that we’re not wishing to see”. More
The leader of a spurious church which peddled industrial bleach as a “miracle cure” for Covid-19 is claiming that he provided Donald Trump with the product in the White House shortly before the former president made his notorious remarks about using “disinfectant” to treat the disease.Mark Grenon, the self-styled “archbishop” of the Genesis II “church”, has given an interview from his prison cell in Colombia as he awaits extradition to the US to face criminal charges that he fraudulently sold bleach as a Covid cure. In the 90-minute interview he effectively presents himself as the source of Trump’s fixation with the healing powers of disinfectant.“We were able to give through a contact with Trump’s family – a family member – the bottles in my book,” Grenon says. “And he mentioned it on TV: ‘I found this disinfectant’.”Grenon had previously revealed that he had written to Trump in the White House in the days leading up to the disinfectant episode, urging him to promote the healing powers of chlorine dioxide. But in the new interview Grenon goes considerably further, claiming that the bleach, which carries serious health warnings from federal agencies, was actually put into the hands of the then president who consumed it.Trump’s comments about disinfectant, made at the White House on 23 April 2020 as coronavirus was tearing through the US, reverberated around the world. They caused astonishment in scientific circles, attracted widespread ridicule, and have come to symbolize the maverick response of the Trump administration towards the pandemic.At the press conference Trump hailed disinfectant as a potential cure for Covid, saying it “knocks it out in a minute, one minute”. He went on to muse whether “we can do something like that, by injection inside or almost a cleaning”.Why Trump suddenly embraced bleach as a possible Covid treatment has remained one of the mysteries of his presidency. Now Grenon claims that it was his product, marketed as Miracle Mineral Solution or “MMS”, that lay behind it.The Guardian asked Trump’s office to clarify whether he had received and drank “MMS” bleach while in the White House, but received no immediate response.Grenon made his claim that he supplied Trump with bleach solution to Zakariya Adeel, a London-based astrologer and psychic. The interview was conducted apparently over a prison telephone line.Grenon and his son Joseph are both being held in Colombia as they await extradition. In April a federal grand jury sitting in Miami indicted them, along with two other sons, Jonathan and Jordan who are also in jail in Miami.The four Grenon family members face charges of fraudulently marketing and selling industrial bleach as a cure for Covid, cancer, malaria and a host of other serious medical conditions. A criminal trial is expected in Miami later this year.The US Food and Drug Administration has made it clear that drinking MMS is the same as drinking bleach. It warns that consumption can cause severe vomiting, diarrhea and low-blood pressure that can be life-threatening.The FDA describes MMS as a “powerful bleach typically used for industrial water treatment or bleaching textiles, pulp and paper”.In the video, Grenon repeats false claims that chlorine dioxide solution cures Covid. “We tried it with Covid – six drops every two hours for the first and second day. Boom! Gone, negative. You’re feeling great from feeling like you’re going to die – it works great,” he says.Use of bleach as a miracle cure has proliferated across Latin America during the pandemic. Fiona O’Leary, a campaigner against pseudoscience, told the Guardian that MMS peddlers were using Trump’s comments on disinfectant as a marketing tool.“You have the president of the United States telling people they can ingest bleach to treat Covid – so the response is hardly surprising. There’s been a dramatic increase in the use of the product in several Latin American countries after he made those comments,” she said. More
With Covid vaccination penetration in the US likely to fall short of Joe Biden’s 70% by Fourth of July target, pandemic analysts are warning that vaccine incentives are losing traction and that “two Americas” may emerge as the aggressive Delta variant becomes the dominant US strain.Efforts to boost vaccination rates have come through a variety of incentives, from free hamburgers to free beer, college scholarships and even million-dollar lottery prizes. But of the efforts to entice people to get their shots have lost their initial impact, or failed to land effectively at all.“It’s just not working,” Irwin Redlener at the Pandemic Resource and Response Initiative at Columbia University, told Politico. “People aren’t buying it. The incentives don’t seem to be working – whether it’s a doughnut, a car or a million dollars.”In Ohio, a program offering five adults the chance to win $1m boosted vaccination rates 40% for over a week. A month later, the rate had dropped to below what it had been before the incentive was introduced, Politico found.Oregon followed Ohio’s cash-prize lead but saw a less dramatic uptick. Preliminary data from a similar lottery in North Carolina, launched last week, suggests the incentive is also not boosting vaccination rates there.Public officials are sounding alarms that the window between improving vaccination penetration and the threat from the more severe Delta variant, which accounts for around 10% of US cases, is beginning to close. The Delta variant appears to be much more contagious than the original strain of Covid-19 and has wreaked havoc in countries like India and the United Kingdom.“I certainly don’t see things getting any better if we don’t increase our vaccination rate,” Scott Allen of the county health unit in Webster, Missouri, told Politico. The state has seen daily infections and hospitalizations to nearly double over the last two weeks.Overall, new US Covid cases have plateaued to a daily average of around 15,000 for after falling off as the nation’s vaccination program ramped up. But the number of first dose vaccinations has dropped to 360,000 from 2m in mid-April. A quarter of those are newly eligible 12- to 15-year-olds.Separately, pandemic researchers are warning that a picture of “two Americas” is emerging – the vaccinated and unvaccinated – that in many ways might reflect red state and blue state political divides.Only 52% of Republicans said they were partially or fully vaccinated, and 29% said they have no intention of getting a vaccine, according to a CBS News/YouGov poll. 77% of Democrats said they were already vaccinated, with just 5% responding that were resisting the vaccine.“I call it two Covid nations,” Peter Hotez, a vaccine researcher at Baylor College of Medicine in Houston, told BuzzFeed News.Bette Korber, a computational biologist at the Los Alamos National Laboratory in New Mexico, said she expected variant Delta to become the most common variant in the US within weeks. “It’s really moving quickly,” Korber told Buzzfeed.On Friday, President Biden issued a plea to Americans who have not yet received a vaccine to do so as soon as possible.“Even while we’re making incredible progress, it remains a serious and deadly threat,” Biden said in remarks from the White House, saying that the Delta variant leaves unvaccinated people “even more vulnerable than they were a month ago”.“We’re heading into, God willing, the summer of joy, the summer of freedom,” Biden said. “On July 4, we are going to celebrate our independence from the virus as we celebrate our independence of our nation. We want everyone to be able to do that.” More
Andy Slavitt’s Preventable is a 336-page indictment of Donald Trump, Trumpworld, America’s lack of social cohesion, greed and big pharma. He laments needless deaths, hyper-partisanship and populist disdain of experts and expertise. The word “evil” appears. So does “privilege”.Slavitt, recently departed as a senior adviser to Joe Biden on Covid response, is himself a product of the Ivy League: the University of Pennsylvania and Harvard business school. He also did stints in the Obama administration and at Goldman Sachs, McKinsey and United Healthcare.His book reads like Covid-porn for blue America. Unfortunately, he does not reflect on how the US reached this place.The saga of Albion’s Seed – English Protestants who slaughtered each other in the old country, overthrew the crown in a new land then waged a second civil war – does not figure in Slavitt’s calculus. Said differently, if kin can repeatedly raise arms against kin, the social fabric can never be taken for granted – especially not as demographics convulse. E pluribus unum has limitations.Slavitt sees Trump’s cruelty at the southern border but fails to acknowledge the grievances of those in flyover country. Brexit and Trump were not one-offs. They were inextricably related. Displacement exacts a price.Slavitt’s book is subtitled “The Inside Story of How Leadership Failures, Politics, and Selfishness Doomed the US Coronavirus Response”. He lauds pandemic responses in Hong Kong, Singapore and New Zealand and criticizes Greg Abbott and Ron DeSantis, governors of Texas and Florida.But he ignores the fact that cases and mortality rates in those two states were lower than in New York and New Jersey – states called home by coastal elites.To his credit, Slavitt does take to task Bill de Blasio, that hapless and tin-eared mayor, for urging New Yorkers to “go out and enjoy themselves at restaurants” as the pandemic took root.“The impact of New York’s delay was significant,” Slavitt writes.Similarly, Kristi Noem, South Dakota’s performative Republican governor, is derided for her “freedom-first” strategy. But unlike De Blasio she remains popular in her state and her party. A DeSantis-Noem Republican ticket in 2024 is not out of the question. In the eyes of voters, Noem did something right – much like Andrew Cuomo in New York, now beset by allegations of sexual misconduct but apparently on the verge of dodging a political bullet.On the other hand, the New York Times reports that even in east Asia and the south Pacific, supposed world leaders in containing the coronavirus, the fight is not yet won. Variants and their dangers loom. Vaccinations lag.To quote the Times, “people are fed up” and asking: “Why are we behind and when, for the love of all things good and great, will the pandemic routine finally come to an end?”Patience is never in limitless supply. Not in the US, not elsewhere. Slavitt makes insufficient allowance for this very human quirk.Trump was callous and mendacious but he grasped what made folks tick. Despite Slavitt’s vilification of big pharma, in those countries that possessed sufficient capital and foresight, vaccine manufacturers came through. Markets can work, even if they result in asymmetries.As expected, Preventable catalogs Trump’s failings in granular detail: his false promises of Covid quickly disappearing, his embrace of medical quackery, his rejection of testing as a crucial weapon. Slavitt also reminds readers that Trump chucked his predecessor’s pandemic response playbook and gutted the supply of personal protective equipment, just for the sake of blotting out the past.Politicians are self-centered. Trump more so than others. According to Slavitt, he saw himself as the smartest person in the room and expected to be flattered accordingly. One way to win his attention was to compliment his parenting skills. But being the owner of a debt-laden company forced to pay for golf course upkeep with no one on the greens may have injected additional anxiety. The public was expected to feel Trump’s pain.Slavitt also describes Trump’s difficulty in coming to grips with the possibility of the pandemic costing him the election, and his decision to offload to the states the mission of combating Covid. The White House became the backdrop for a reality show while the Confederate flag emerged as a symbol of pro-Trump, “liberate the state” sentiment.Jared Kushner told Slavitt: “We’re going to put testing back to the states.” The White House “can’t be responsible”, Trump’s son-in-law and senior adviser explained. “Some [governors] don’t want to succeed. Bad incentives to keep blaming us.”As an administration insider told the Guardian in April 2020, Trump was “killing his own supporters”.And yet, not surprisingly, Slavitt struggles with the reality that Democratic nay-saying almost lost Biden the White House and Nancy Pelosi the speaker’s gavel. Voters yearned for hope and wanted to know their sacrifice mattered.Being told “we are in this together” when “we” are manifestly not is more than a problem with messaging. For example, Slavitt omits mention of Gavin Newsom, California’s governor, and his infamous dinner at a Napa Valley restaurant in November as Covid cases mounted. On being found out, Newsom acknowledged: “We’re all human. We all fall short sometimes.” Whatever.Slavitt does upbraid the Fox News host Tucker Carlson for downplaying the dangers of Covid and recounts the inane pronouncements of Richard Epstein, a libertarian-minded New York University law school professor, to a similar end. Slavitt calls Epstein “disconnected from reality and remarkably self-assured”.This week, the US death toll passed 600,000. The vaccine works only on the living. The world has experienced more deaths halfway through 2021 than in all of 2020.Slavitt ends his book wondering whether “the lessons of the past year might be forgotten”. Don’t rule that out. More
How stressful can an election campaign really be? Potentially life-threatening, researchers say, at least in the case of the 2016 US presidential election. The divisive campaign may have raised the risk of abnormal heart rhythms and worsened high blood pressure in people with underlying cardiovascular disease, two studies suggest.One study focused on nearly 2,500 people (mostly white, with an average age of about 71) with implanted cardiac devices in North Carolina, a swing state in the 2016 election that was subjected to fiercely negative political commercials and campaign events.Researchers examined the incidence of cardiac arrhythmias (too fast or too slow heartbeats or irregular heart rhythms) in a six-week period spanning before and after the election, and compared it with two six-week control periods June/July 2016 and October/November 2015.There was a 77% rise in the risk of cardiac arrhythmias during the election phase versus the control periods, even after accounting for factors including age and underlying medical conditions, according to the study published in the Journal of the American Heart Association.In particular there was an 82% rise in the incidence of atrial arrhythmias, an abnormal heart rhythm that begins in the heart’s upper chambers and can lead to blood clots, stroke and other complications. There was a 60% jump in the rate of ventricular arrhythmias, an abnormal heart rhythm involving the heart’s lower chambers that can lead to cardiac arrest.The study’s lead author, Dr Lindsey Rosman, an assistant professor of medicine at the University of North Carolina, said previous research had indicated that acute cardiovascular events tend to rise in the aftermath of events such as natural disasters and terrorist attacks. “But the direct link between a stressful political election and an increase in cardiac events hasn’t been established – until now.”The researchers also assessed whether the risk of arrhythmia differed by political party affiliation. Surprisingly, people who voted for the losing candidate, Hillary Clinton, did not experience a higher rate of arrhythmias compared with those who voted for the winner, Donald Trump.A separate study investigated changes in blood pressure among different ethnic groups. Readings from about 2,000 non-Hispanic white people, non-Hispanic people of colour, and Mexican Americans in the pre-election period (May to October 2016) were compared against 1,700 randomly selected participants from the three groups a year into the new presidency (November 2017 to April 2018.)The researchers found significant increases in blood pressure among black and Mexican American participants with hypertension, but no significant rises in people who did not already have hypertension (regardless of their ethnic background.The lead author, Dr Andrew Hwang, an assistant professor of clinical science at High Point University, North Carolina, said it was possible that the passage of time may have played a role in worsening blood pressure measures. “However, given that the 2016 US election was a major national event, we may be able to suspect that the election may have contributed, in part, to changes in blood pressure.” More
This week’s surprise reversal of mask-wearing guidance for those vaccinated against Covid-19 was a “foundational first step” towards returning the US to normal, the head of the Centers for Disease Control and Prevention (CDC) insisted on Sunday, as the agency continued to draw criticism for the sudden and confusing advice.Dr Rochelle Walensky appeared on several Sunday talk shows to stress it was up to individuals whether to follow the guidance issued on Thursday.“This was not permission to shed masks for everybody, everywhere. This was really [a] science-driven individual assessment of your risk,” Walensky told NBC’s Meet the Press.“We are asking people to be honest with themselves. If they are vaccinated and they are not wearing a mask, they are safe. If they are not vaccinated and they are not wearing a mask, they are not safe.”A growing number of groups and health experts have questioned the new guidance, which reversed the CDC position that even those fully vaccinated should continue to wear masks indoors, and came 48 hours after Walensky was assailed in Congress on the issue.A number of mostly Republican-controlled states have subsequently said they are modifying their mask mandates and several large businesses, including Walmart and Starbucks, have dropped them altogether.The nation’s largest nurses union suggested on Saturday the CDC advice was not based on science and said any relaxation of protective health measures would place patients and caregivers at risk.Others were critical of the timing of the new guidance given that emergency approval was given only this week for those aged 12 to 15 to receive the Pzifer-BioNTech vaccine. Children aged 11 and under will likely not be able to receive a vaccine for months.In an opinion piece for the Washington Post, health commentator Dr Leana Wen said the CDC move was “sudden” and prompted “increasing confusion”, particularly for vulnerable groups.“Let’s say you go to the grocery store,” Wen wrote. “It’s crowded and few people there are masked. Perhaps everyone is vaccinated, but perhaps not. What if you’re vaccinated but not fully protected because you’re immunocompromised?“You can no longer count on CDC rules to help you keep safe. What if you don’t have childcare, so you had to bring your kids along? They didn’t choose to remain unvaccinated, the shots aren’t available for them. Surely it’s not fair to put them at risk.”Walensky acknowledged the concern but said some element of risk was inevitable as the US emerges from the pandemic.“We knew that there was going to be a time where we had the majority of Americans who wanted to be vaccinated and yet the children were not going to be eligible,” Walensky told CNN’s State of the Union.“This week we got news that we can vaccinate our 12- to 15-year-olds. We hope by the fall, by the end of this year, we’ll have vaccine eligible at even younger ranges. We recognize the challenge of parents who can’t leave their kids at home to go shopping, those kids should continue to wear masks in those settings and to the best of their ability to keep a distance. Those recommendations have not changed.”She repeated her assertion that it was “individual guidance”.“I want to convey that we are not saying that everybody has to take off their mask if they’re vaccinated,” she said. “It’s been 16 months that we’ve been telling people to mask and this is going to be a slow process.“The other thing is that every community is not the same, not all communities have vaccination rates that are high. These decisions have to be made at the community level”.Dr Anthony Fauci, Joe Biden’s chief medical adviser, told CBS’s Face the Nation the changed guidance was underpinned by “an accumulation of data”, including that the vaccines’ effectiveness had proved “even better than in the clinical trials”.Also, he said, “a number of papers have come out showing the vaccine protects even against the variants that are circulating, and we’re seeing that it is very unlikely that a vaccinated person, even if there’s a breakthrough infection, would transmit to someone else.”Fauci was referring to eight vaccinated members of the New York Yankees baseball team who tested positive but exhibited no symptoms.He did, however, appear to acknowledge the sudden switch of advice had been confusing. The CDC, Fauci said, will be “coming out very quickly with individual types of guidances, so people will say, ‘Well, what about the workplace? What about this, what about that?’“That’s going to be clarified pretty quickly I would imagine. Within just a couple of weeks you’re gonna start to see significant clarification of some of the actually understandable and reasonable questions that people are asking.” More
