Vaccines and immunisation

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      in US Politics

      Get the vax, win a shotgun: US states get creative to encourage vaccination

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      First it was a lottery to win $1m in Ohio. Then another lottery was set up in West Virginia.In Illinois people could get free tickets to the Six Flags amusement park.In New Jersey it meant a free beer.The governor of Minnesota announced giveaways that included fishing licenses, gift cards and state park permits, among others.And West Virginia upped the ante, adding the chance to win hunting rifles or shotguns.Governors across the country are resorting to almost shameless incentives to lure Americans who haven’t gotten a coronavirus vaccine to willingly take a jab. And a few folks who have entered in these raffles have come away winning prizes – even $1m.It’s partially a move of necessity. There are still Americans who are either actively refraining from getting a Covid-19 vaccine or just haven’t got round to it yet.Businesses, too, have stepped in to nudge the unvaccinated. The percentage of a state’s population that has been vaccinated varies dramatically. Some states are approaching 70%, and others are still below 50%.So governors have had to get creative. On Thursday, Governor Jay Inslee of Washington state announced a “shot of a lifetime” state lottery for getting a vaccine, with prizes including a lottery for $2m, game systems and speakers, and “higher education tuition and expense assistance”.In New Jersey, the governor, in partnership with the state’s department of health, set up a “shot and a beer” incentive program, which lets any New Jerseyan of legal drinking age who gets their first vaccine shot in May to also enjoy a free beer through breweries participating in the program.That sort of approach got a shoutout from Joe Biden on Wednesday when he announced a month of action to reach the goal of vaccinating 70% of US adults by the Fourth of July holiday, with the president nodding to a beer-maker’s proposed giveaway by saying: “That’s right, get a shot and have a beer. Free beer for everyone 21 years and over to celebrate independence from the virus.”The White House press secretary, Jen Psaki, echoed this on Thursday at the daily briefing.“Free beer – that seems to be very appealing to the public, it seems, by [the] headlines,” Psaki said.In a video that went viral in May, Governor Jim Justice of West Virginia sat at his desk with his English bulldog, named Babydog, in his lap.“If you won’t do it for your family, you’ve got to get vaccinated for Babydog,” Justice tells the camera. “That’s all there is to it. Now she wants you vaccinated so badly and she’s going to absolutely be the one to lead us through on this all these incentives. And without any questions she’ll give you a high five right now but you have got to get yourself vaccinated.”The incentive programs have become a bipartisan trend with governors from deep-red states like West Virginia or deep-blue states like California offering a range of inducements.And already there have been some million-dollar winners. In Ohio, Jonathan Carlyle of Toledo won the state’s Vax-a-Million lottery.“I kept hemming and hawing about it, and I work all the time, and when the Vax-a-Million thing started I immediately went down there and got it. It pushed me over the edge,” Carlyle told the Toledo Blade. He said he would use the money to pay off some bills and buy a house.Not every governor has rolled out prizes. In Utah, Governor Spencer Cox, a Republican, says he’s monitoring how effective the lotteries are.“It would be really great if we didn’t need any incentives at all. Hopefully, not dying is a great incentive,” the governor said according to the Deseret News.In North Carolina, Governor Roy Cooper, a Democrat, is considering a vaccine lottery.“We need to do everything we can to make sure we can get as many shots in arms as possible,” Cooper said according to ABC affiliate KATV.North Carolina already has a $25 cash-card giveaway incentive program for vaccine shots.In South Carolina, the state house of representatives minority leader, Todd Rutherford, has proposed using leftover Covid-19 relief money to set up $1m prizes for people to get vaccinated. In an interview, when the Guardian suggested it was surprising that some people still had not been vaccinated, Rutherford lamented with a groan: “You and me both!“The only way that I think we can start breaking through is to use what’s working in other states and I think Ohio saw a 29% uptick in their vaccinations because of this,” Rutherford said. “And if we can get that kind of uptick by spending a million, two million dollars, I think it’s a no-brainer.” More

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      in US Politics

      Workers matter and government works: eight lessons from the Covid pandemic

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      Maybe it’s wishful thinking to declare the pandemic over in the US, and presumptuous to conclude what lessons we’ve learned. So consider this a first draft.1. Workers are always essentialWe couldn’t have survived without millions of warehouse, delivery, grocery and hospital workers literally risking their lives. Yet most of these workers are paid squat. Amazon touts its $15 minimum wage but it totals only about $30,000 a year. Most essential workers don’t have health insurance or paid leave. Many of their employers (including Jeff Bezos and Elon Musk, to take but two examples) didn’t give them the personal protective equipment they needed.Lesson: Essential workers deserve far better.2. Healthcare is a basic rightYou know how you got your vaccine without paying a dime? That’s how all healthcare could be. Yet too many Americans who contracted Covid-19 got walloped with humongous hospital bills. By mid-2020, about 3.3 million people had lost employer-sponsored coverage and the number of uninsured had increased by 1.9 million. Research by the Urban Institute found that people with chronic disease, Black Americans and low-income children were most likely to have delayed or foregone care during the pandemic.Lesson: America must insure everyone.3. Conspiracy theories can be deadlyLast June, about one in four Americans believed the pandemic was “definitely” or “probably” created intentionally, according to the Pew Research Center. Other conspiracy theories have caused some people to avoid wearing masks or getting vaccinated, resulting in unnecessary illness or death.Lesson: An informed public is essential. Some of the responsibility falls on all of us. Some of it on Facebook, Twitter and other platforms that allowed misinformation to flourish.4. The stock market isn’t the economyThe stock market rose throughout the pandemic, lifting the wealth of the richest 1% who own half of all stock owned by Americans. Meanwhile, from March 2020 to February 2021 80 million in the US lost their jobs. Between June and November 2020, nearly 8 million fell into poverty. Black and Latino adults were more than twice as likely as white adults to report not having enough to eat: 16% each for Black and Latino adults, compared to 6% of white adults.Lesson: Stop using the stock market as a measure of economic wellbeing. Look instead at the percentage of Americans who are working, and their median pay.5. Wages are too low to get by onMost Americans live paycheck to paycheck. So once the pandemic hit, many didn’t have any savings to fall back on. Conservative lawmakers complain that the extra $300 a week unemployment benefit Congress enacted in March discourages people from working. What’s really discouraging them is lack of childcare and lousy wages.Lesson: Raise the minimum wage, strengthen labor unions and push companies to share profits with their workers.6. Remote work is now baked into the economyThe percentage of workers punching in from home hit a high of 70% in April 2020. A majority still work remotely. Some 40% want to continue working from home.Two lessons: Companies will have to adjust. And much commercial real estate will remain vacant. Why not convert it into affordable housing?7. Billionaires aren’t the answerThe combined wealth of America’s 657 billionaires grew by $1.3tn – or 44.6% – during the pandemic. Jeff Bezos, with $183.9bn, became the richest man in the world. Larry Page, a co-founder of Google, added $11.8bn to his $94.3bn fortune. Sergey Brin, Google’s other co-founder, added $11.4bn. Yet billionaires’ taxes are lower than ever. Wealthy Americans today pay one-sixth the rate of taxes their counterparts paid in 1953.Lesson: To afford everything the nation needs, raise taxes at the top.8. Government can be the solutionRonald Reagan’s famous quip – “Government is not the solution to our problem, government is the problem” – can now officially be retired. Trump’s “Operation Warp Speed” succeeded in readying vaccines faster than most experts thought possible. Biden got them into more arms more quickly than any vaccination program in history.Furthermore, the $900bn in aid Congress passed in late December prevented millions from losing unemployment benefits and helped sustain the recovery when it was faltering. The $1.9tn Democrats pushed through in March will help the US achieve something it failed to achieve after the 2008-09 recession: a robust recovery.Lesson: The federal government did not just help beat the pandemic. It also did more to keep the nation afloat than in any previous recession. It must be prepared to do so again. More

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      in US Politics

      Biden hails ‘stunning progress’ on Covid but warns Americans: ‘Do not let up now’ – live

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      Key events

      Show

      5.43pm EDT
      17:43

      Interior Department reverses Trump-era policies on tribal land

      5.15pm EDT
      17:15

      Today so far

      5.02pm EDT
      17:02

      Biden raises minimum wage for workers paid by federal contractors

      4.26pm EDT
      16:26

      Governor calls for special prosecutor in Andrew Brown case

      4.07pm EDT
      16:07

      Texas sheriff who criticized Trump is nominated to head Ice

      2.33pm EDT
      14:33

      Interim summary

      2.14pm EDT
      14:14

      ‘Do not let up now’ – Biden

      Live feed

      Show

      5.43pm EDT
      17:43

      Interior Department reverses Trump-era policies on tribal land

      The US Interior Department has reversed Trump-era policies governing Native American tribes’ ability to establish and consolidate land trusts.
      The department restored jurisdiction to the regional Bureau of Indian Affairs directors to review and approve the transfer of private land into federal trust for tribes. The Trump administration had moved the oversight of the process to the department headquarters.
      “Qe have an obligation to work with Tribes to protect their lands and ensure that each Tribe has a homeland where its citizens can live together and lead safe and fulfilling lives,” said Deb Haaland, the first Native American woman to lead the department. “Our actions today will help us meet that obligation and will help empower Tribes to determine how their lands are used – from conservation to economic development projects.”
      The agency also reversed several Trump admin rules that hindered or complicated the process for putting land into trust.
      The AP explains:

      Whether land is in trust has broad implications for whether tribal police can exercise their authority, for tribal economic development projects to attract financing and for the creation of homelands and government offices for tribes that don’t have dedicated land.
      The Trump administration put 75,000 acre (30,300 hectares) into trust over four years, versus more than 560,000 acres (226,600 hectares) in the eight years of the Obama administration, Interior officials said.
      The trust land system was adopted in 1934, when Congress passed the Indian Reorganization Act in response to more than 90 million acres (36.4 million hectares) of tribal homelands that had been converted into private land under the 1887 Allotment Act.
      Approximately 56 million acres (22.7 million hectares) are currently in trust. Combined that’s an area bigger than Minnesota and makes up just over 2 percent of the U.S.

      5.28pm EDT
      17:28

      Joe Biden and Jill Biden will visit former president Jimmy Carter and former first lady Rosalynn Carter this week.
      A day after the president delivers his address to Congress, the Bidens will make a trip to Georgia, where the Carters reside. The Carters, who are both in their 90s, did not attend Biden’s inauguration due to the pandemic. Now that they have both been vaccinated, they will be able to safely visit with the Bidens.
      Biden will also likely hold some sort of drive-in event in Georgia to mark his 100th day in office, the White House has previously indicated.

      Updated
      at 5.35pm EDT

      5.15pm EDT
      17:15

      Today so far

      The blog will hand over from the US east coast to the west coast now, where our colleague Maanvi Singh is ready to take you through the next few hours of developing politics news. There’s plenty of it, so please stay tuned.
      Main items so far today:

      Joe Biden a little earlier signed an executive order raising the minimum wage paid by federal contractors to $15 an hour.
      The US president plans to nominate Ed Gonzalez – a Texas sheriff who vocally opposed Donald Trump’s policy of separating migrant children from their families – to become the head of the Immigration and Customs Enforcement agency.
      Roy Cooper, the governor of North Carolina, has called for a special prosecutor to be appointed to handle the investigation into the police shooting of Andrew Brown, a 42-year-old Black man, in the state last week.
      Earlier this afternoon, Biden spoke outside the White House to hail progress towards ending the coronavirus pandemic, while warning that there was a long way to go. He said people in the US should not “let up” and should definitely get vaccinated ASAP as a patriotic duty.
      This followed new advice from the US Centers for Disease Control and Prevention that fully vaccinated people in US can go without masks outdoors except in crowded settings.

      Updated
      at 5.37pm EDT

      5.02pm EDT
      17:02

      Biden raises minimum wage for workers paid by federal contractors

      Joe Biden a little earlier signed an executive order raising the minimum wage paid by federal contractors to $15 an hour.

      President Biden
      (@POTUS)
      I believe no one should work full time and still live in poverty. That’s why today, I raised the minimum wage to $15 an hour for people working on federal contracts.

      April 27, 2021

      The tweet and the sentiment didn’t go down terribly well with everyone.

      LADY BUNNY
      (@LADYBUNNY77)
      So in other words, you mean that everyone who makes minimum wage who is not a federal employee should work full time and still live in poverty.

      April 27, 2021

      The $15 minimum is likely to take effect next year and increase the wages of hundreds of thousands of workers, according to a White House document.
      The New York Times has a lot more on this, here, including this:

      White House economists believe that the increase will not lead to significant job losses — a finding in line with recent research on the minimum wage — and that it is unlikely to cost taxpayers more money, two administration officials said in a call with reporters. They argued that the higher wage would lead to greater productivity and lower turnover.
      And although the number of workers directly affected by the increase is small as a share of the economy, the administration contends that the executive order will indirectly raise wages beyond federal contractors by forcing other employers to bid up pay as they compete for workers.
      Paul Light, an expert on the federal work force at New York University, recently estimated that about five million people are working on federal contracts, on which the government spends hundreds of billions of dollars each year.

      Updated
      at 5.10pm EDT

      4.46pm EDT
      16:46

      When the former Minneapolis police officer Derek Chauvin was found guilty a week ago today of murdering George Floyd last May, the judge in the case mentioned that sentencing was expected in eight weeks’ time.
      So the sentencing hearing had been expected on 18 June, but news just emerged from a brief court filing today that it will now be scheduled for 25 June.
      Chauvin is white and Floyd was Black and his murder, seen around the world on a bystander’s video as the officer kneeled on his neck for more than nine minutes, fanned the largest civil rights uprising in the US since the 1960s.

      The only reason cited for the later sentencing date was a scheduling conflict, the Associated Press reports.
      The trial in the Hennepin county court house in downtown Minneapolis lasted three weeks before Chauvin was convicted on all three counts facing him.
      Second degree murder carries a maximum sentence of 40 years. That was the most serious charge, which Chauvin had denied, along with the other two charges, of third degree murder and manslaughter.
      The AP adds that the longest sentence Chauvin is expected to be given, according to experts, is 30 years, maybe less.
      The jury only deliberated for about 10 hours, over two days, before unanimously reaching its verdict.
      Do watch the Guardian’s excellent film about the trial and reverberations.

      Updated
      at 5.01pm EDT

      4.26pm EDT
      16:26

      Governor calls for special prosecutor in Andrew Brown case

      Roy Cooper, the governor of North Carolina, has called for a special prosecutor to be appointed to handle the investigation into the police shooting of Andrew Brown, a 42-year-old Black man, in the state last week.

      Governor Roy Cooper
      (@NC_Governor)
      Gov. Cooper issued the following statement urging a special prosecutor following the Pasquotank County shooting: pic.twitter.com/6m5UqxyZ09

      April 27, 2021

      Cooper, a Democrat, put out a statement saying such an appointment would be “in the interest of justice and confidence in the judicial system”.
      He said that: “This would help assure the community and Mr Brown’s family that a decision on pursuing criminal charges is conducted without bias.”
      Demonstrators called this morning for p0lice officers to be arrested, after an independent autopsy arranged by the family concluded that Brown was killed with a bullet that entered the back of his head.
      Attorneys for Brown’s family, who were shown only a 20-second clip of police body camera footage yesterday, said in a press conference in Elizabeth City, North Carolina, that the man’s hands were clearly placed on the steering wheel of his car, where police could see him, when they fired at him, and that he was driving away, presenting no threat.
      The local North State Journal adds that:

      Should the district attorney request a special prosecutor, the potential appointment could come from the North Carolina Attorney General’s Special Prosecution Division, the Administrative Office of the Courts, or the Conference of District Attorneys.
      Cooper’s call follows the announcement of an FBI civil rights investigation into the shooting.

      There will be a protest march tomorrow over the fatal shooting.

      Kyleigh Panetta
      (@KyleighPanetta)
      HAPPENING NOW: Church members announced they will march from Mt. Zion A.M.E. Church tomorrow at 11:30 to the location where #AndrewBrownJr was shot & killed here in #ElizabethCity. They’re calling on people of all denominations to join them @SpecNews1RDU pic.twitter.com/4x7aWhzdxJ

      April 27, 2021

      Updated
      at 4.33pm EDT

      4.07pm EDT
      16:07

      Texas sheriff who criticized Trump is nominated to head Ice

      Joe Biden plans to nominate Ed Gonzalez – a Texas sheriff who vocally opposed Donald Trump’s policy of separating migrant children from their families – to a key post as the head of the Immigration and Customs Enforcement agency (Ice), the White House has announced.

      Houston Chronicle
      (@HoustonChron)
      White House nominates Harris County Sheriff Ed Gonzalez to lead ICE https://t.co/A5W3YP0SWI

      April 27, 2021

      Gonzalez is a Houston native and a veteran law enforcement officer and Democrat who has served since 2017 as sheriff of Harris county, the most populous county in Texas, Reuters reports.

      In a July 2019 Facebook post, Gonzalez said he opposed sweeping immigration raids after Republican former president Donald Trump, a month earlier tweeted hyperbolically that ICE would begin deporting “millions of illegal aliens”.
      “I do not support ICE raids that threaten to deport millions of undocumented immigrants, the vast majority of whom do not represent a threat to the US,” Gonzalez wrote. “The focus should always be on clear & immediate safety threats.”
      The nomination would need to be approved by the US Senate, divided 50-50 between Democrats and Republicans, with Vice President Kamala Harris able to break ties.
      Biden campaigned on a pledge to reverse many of Trump’s hardline immigration policies. After Biden took office on January 20, his administration placed a 100-day pause on many deportations and greatly limited who can be arrested and deported by ICE.
      Biden’s deportation moratorium drew fierce pushback from Republicans and was blocked by a federal judge in Texas days after it went into effect.
      Biden announced on April 12 that he would tap Chris Magnus, an Arizona police chief, to lead U.S. Customs and Border Protection (CBP). Magnus had criticized the Trump administration’s attempt to force so-called “sanctuary” jurisdictions to cooperate with federal law enforcement.
      Gonzalez similarly sought to limit ties between local police and federal immigration enforcement. In 2017, he ended Harris County’s participation in a program that increased cooperation between county law enforcement and federal immigration authorities.

      Meagan Flynn
      (@Meagan_Flynn)
      Wow. Thinking back to when Ed Gonzalez was the new sheriff in town, having run on a reform-minded platform, and quickly made the call to terminate Harris County’s 287(g) partnership with ICE. Now the White House wants him to lead the agency, @nkhensley reports: https://t.co/B9R2YvCWvF

      April 27, 2021

      Here’s another view:

      Stephanie Clay 🦋🏳️‍🌈🐝🛳
      (@_StephanieClay)
      Republicans will hate his nomination. That should tell you everything you need to know. Ed Gonzalez withdrew from the 287(g) collaboration program with ICE while he was sheriff of Harris County. Ed has fought ICE at every turn to protect Houstonians. https://t.co/RSn6kSFcOz

      April 27, 2021

      Updated
      at 4.14pm EDT

      3.32pm EDT
      15:32

      The White House is considering options for maximizing production and supply of Covid-19 vaccines for the world at the lowest cost, including backing a proposed waiver of intellectual property rights.
      No decision has been made, press secretary Jen Psaki said a little earlier.
      “There are a lot of different ways to do that. Right now, that’s one of the ways, but we have to assess what makes the most sense,” Psaki said, adding that US officials were also looking at whether it would be more effective to boost manufacturing in the United States.

      3.07pm EDT
      15:07

      It’s been incredibly difficult to cope with assessing the Oscars ceremony without the help of Donald Trump, so fortunately the former president has glided back into our lives for a moment to fill that void.
      Here comes a statement from Trump’s office. It speaks for itself.
      Statement by Donald J Trump, 45th president of the United States of America

      What used to be called The Academy Awards, and now is called the “Oscars”—a far less important and elegant name—had the lowest Television Ratings in recorded history, even much lower than last year, which set another record low. If they keep with the current ridiculous formula, it will only get worse—if that’s possible. Go back 15 years, look at the formula they then used, change the name back to THE ACADEMY AWARDS, don’t be so politically correct and boring, and do it right. ALSO, BRING BACK A GREAT HOST. These television people spend all their time thinking about how to promote the Democrat Party, which is destroying our Country, and cancel Conservatives and Republicans. That formula certainly hasn’t worked very well for The Academy!”

      So that clears that up. More

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      Harry and Meghan to join Joe Biden at Vax Live concert to increase global vaccination

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      The Duke and Duchess of Sussex will join the US president, Joe Biden, at a concert in Los Angeles aimed at increasing the global vaccination effort.Harry and Meghan are “campaign chairs” of the A-list event, Vax Live. Hosted by Selena Gomez, and organised by Global Citizen, the event, on Saturday 8 May, will feature musical performances by names from the worlds of film and politics, and music performances from stars including Jennifer Lopez, Pearl Jam’s Eddie Vedder, Foo Fighters, J Balvin and HER.The broadcast special aims to encourage donations to Covax, which is working to provide vaccines for low and middle-income countries.In a statement, the Sussexes said: “Over the past year, our world has experienced pain, loss and struggle – together. Now we need to recover and heal – together. We can’t leave anybody behind. We will all benefit, we will all be safer, when everyone, everywhere has equal access to the vaccine.“We must pursue equitable vaccine distribution and, in that, restore faith in our common humanity. The mission couldn’t be more critical or important.”Special guests, including Ben Affleck, Chrissy Teigen, David Letterman, Gayle King, Jimmy Kimmel and Sean Penn, will speak from around the world.Biden, along with the US first lady, Jill Biden, and the vice-president, Kamala Harris, will make special appearances through Global Citizen’s partnership with the White House’s We Can Do This initiative, which encourages measures, including mask wearing.Appearances by the French president, Emmanuel Macron, the Canadian prime minister, Justin Trudeau, and the Croatian prime minister, Andrej Plenković, are also planned, organisers say.A trailer for Vax Live promised it would feature “big names and an even bigger message”. It will be recorded at SoFi stadium in Los Angeles, and air on 8 May across networks including ABC, CBS, and iHeartMedia radio stations.The announcement comes as there are calls for the US to hand over 60m doses of AstraZeneca vaccine to India as part of the global drive to fight the virus. The US announced on Monday that 60m doses would be available to send abroad once the vaccine was approved by the Food and Drug Administration (FDA).Global Citizen calls itself a movement of “engaged citizens who are using their collective voice to end extreme poverty by 2030”. The concert has been described as a call to world leaders to ensure vaccines are accessible for all. More

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      US to share up to 60m vaccine doses amid pressure to lead global virus fight

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      The US will share up to 60m doses of AstraZeneca’s coronavirus vaccine with other countries, the White House has announced, amid intensifying pressure for it to lead the global fight against the pandemic.The pledge came as Joe Biden spoke with Narendra Modi, the prime minister of India, which is reportedly running out of Covid-19 vaccines just as a deadly second wave continues to devastate the country.Hospitals across the capital, Delhi, continued to issue SOS calls over acute oxygen shortages, with eight patients dying in private hospitals on Sunday when oxygen supplies ran dry. Many of the biggest hospitals in the capital said they had stopped admitting new patients as all beds were full and oxygen was running out, while Delhi’s Ganga Ram hospital said it was in “beg and borrow mode” for oxygen cylinders used in its ambulances.The US has committed to send India oxygen systems, ventilators, testing kits, therapeutic drugs and personal protective equipment.Biden “pledged America’s full support to provide emergency assistance and resources in the fight against Covid-19”, the US president tweeted. “India was there for us, and we will be there for them.”America has vaccinated more than 53% of its adult population with at least one dose of its three authorised vaccines from Pfizer, Moderna and Johnson & Johnson, and it expects to have enough supply for its entire population by early summer. This has fuelled demands for it to step up and help the rest of the world, especially as China and Russia’s aggressive international donations led to concerns that they are beating Washington at “vaccine diplomacy”.The White House announced on Monday it would distribute the AstraZeneca vaccine overseas as production allows. Andy Slavitt, the White House senior Covid-19 adviser, posted on Twitter: “US to release 60 million AstraZeneca doses to other countries as they become available.”Much of the US effort over the past year has been focused inwards, but the crisis in India has concentrated minds. The virus is ripping through a population of nearly 1.4bn, with the healthcare system on the brink of collapse.On Monday, India set another record for new coronavirus infections: a fifth day in a row at more than 350,000. It reported running out of Covid-19 vaccines, and numerous hospitals in the country are desperately low on supplies of oxygen. Tedros Adhanom Ghebreyesus, the WHO director general, described the recent surge as “beyond heartbreaking”.From Saturday, everyone in India over 18 will be eligible for a vaccine, a decision made by the government as the virus has brought India’s healthcare system to its knees, with more than 352,000 new cases on Monday and more than 2,800 more deaths.High hopes have been placed on an expanded vaccine rollout to help halt the spread of the virus. However, in several of the worst-affected states, including Rajasthan, Punjab, Jharkhand and Chhattisgarh, state governments have said there is already a shortage or complete lack of jabs, and they had been unable to order more, throwing doubt on to any expansion of vaccine rollout by 1 May, when about 900 million more people will become eligible.Almost 10% of India’s population of 1.3 billion have received one jab. Just over 1% have received both vaccines.In the week to 25 April, India recorded a cumulative 89% increase in Covid deaths compared with the week before, and a total of 2.2m new cases – the highest seven-day increase experienced anywhere in the world. Total confirmed infections have now passed 17m.Most of the onus to deliver the vaccines has fallen on India’s Serum Institute, the country’s largest vaccine producer, which produces the Oxford/AstraZeneca vaccine, known in India as Covishield. However, it has been struggling to meet demand, with capacity currently to make only 70m doses a month. Last week the government approved a $400m grant to the company to boost production to 100m doses a month by the end of May.The grim picture is thrown into sharp relief by the speedy vaccination progress of richer countries such as the US, the UK and Israel.The AstraZeneca vaccine is widely in use around the world but has not yet been authorised by the Food and Drug Administration (FDA) in the US. The US decision to distribute the AstraZeneca vaccine abroad was made easier because it does not need the doses domestically.A senior White House official told reporters on a conference call: “Given the strong portfolio of vaccines that the US already has and that have been authorised by the FDA, and given that the AstraZeneca vaccine is not authorized for use in the US, we do not need to use the AstraZeneca vaccine here during the next few months.“Therefore the US is looking at options to share the AstraZeneca doses with other countries as they become available.”Before any AstraZeneca doses can be shipped, however, they must meet the FDA’s “expectations for product quality”, the official said.Jen Psaki, the White House press secretary, said at a briefing: “We are continuing to look for a range of ways to help India so we’re talking about what we can redirect, what is available now. A lot of what they need at this moment is oxygen; that is what they will tell you. We are quite focused on that, as well as PPE, testing and other immediate needs they have now.”Sending vaccines to India, Psaki explained, will take longer.She said: “Right now we have zero doses available at AstraZeneca. We’re talking about what the FDA needs to go through, a review to ensure the safety and it’s meeting our own guidelines.”Psaki said approximately 10m doses could be released when the FDA grants approval, but warned that this would not be immediate.Asked about criticism that the US response is coming late, Psaki added: “The US has been one of the largest providers of assistance to address the Covid pandemic around the world including to India.” More

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      ‘We take safety seriously’: Fauci says J&J vaccine pause should raise confidence

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      Joe Biden’s chief medical adviser said on Sunday the recent pause on the Johnson & Johnson Covid-19 vaccine should raise confidence in health agencies’ focus on vaccine safety, as the administration tries to curb deadly outbreaks across the US.The most dangerous outbreak is in Michigan, where more younger people are being hospitalized than at any point in the pandemic.“Something we need to pay attention to is that we’re having still about 50,000 new infections per day,” Dr Anthony Fauci told ABC’s This Week. “That’s a precarious level and we don’t want that to go up.”An independent government advisory panel on Friday voted in favor of resuming use of the Johnson & Johnson single-shot vaccine after it was put on pause to review cases of a blood clotting disorder in six women who received it. The vaccine will now include a warning on its label about the potential risk for rare blood clots and a fact sheet on potential side effects will be given to medical providers and vaccine recipients.Fauci said the Centers for Disease Control and Prevention (CDC) and Food and Drug Administration (FDA) were “the gold standard for both safety and the evaluation of [vaccine] efficacy”.“I think in the long run what we’re going to see – we’ll probably see it soon – is that people will realize that we take safety very seriously.”The risk of developing the clotting disorder after receiving the Johnson & Johnson vaccine is extremely low. The highest-risk group appears to be women aged 30 to 39, in which there have been 11.8 cases per million doses given. Among men and women 50 and older, there has been less than one case per million doses.“We’ve looked at it,” Fauci said. “Now let’s get back and get people vaccinated. And that’s what we’re going to be doing, get as many people vaccinated as we possibly can.”Fauci said he expected updated guidance on mask use for vaccinated people to be released soon. In the US, 28% adults are fully vaccinated, according to the CDC.He said he was encouraged by the effectiveness of the vaccines available, but warned that the US has still not reined in Covid-19. More than 568,000 people have died from the virus in the US.Across the country, people in their 20s, 30s and 40s account for a growing share of hospitalizations. Michigan has confirmed 91,000 new cases in the past two weeks, more than in the two most populous states, California and Texas, combined.The seven-day average for Covid-19 hospitalizations last week was 38,550, according to the CDC. At the peak of the pandemic, in December and January, the highest such average was 123,907.The majority of the Michigan residents 65 and older have been vaccinated but that does not fully explain why cases have risen among those 60 and younger. Part of the change is being attributed to the B117 virus variant, which is more contagious and more deadly, and to an easing of restrictions on dining, crowds and mask wearing.Dr Mark Hamed, medical director in the emergency department at McKenzie Hospital in Sandusky, Michigan, said people may have been lulled into a false sense of security because the region was spared from rampant cases last year.Many people are still unvaccinated and the area “is being hit pretty hard”, Hamed told the Associated Press. “Our ER is absolutely swamped beyond belief.”On ABC, Fauci was asked to address those who are hesitant to be vaccinated, including the Wisconsin Republican senator Ron Johnson, who has no medical expertise or background but said this week there was no reason to “push” vaccines on the American people.“We have a highly efficacious and effective vaccine that’s really very, very safe,” Fauci said. “That is the reason why you want everyone to get vaccinated, so I don’t understand the argument.”Surveys have shown Republicans to be one of the most vaccine hesitant groups. Democrats (67%) are more likely than independents (47%) and Republicans (36%) to report getting a first dose, according to a Monmouth University poll in early April.Former president Donald Trump, who downplayed the severity of the pandemic throughout 2020, has encouraged people to get a vaccine.On Sunday the Republican senator Shelley Moore Capito, of West Virginia, encouraged people to get vaccinated and said of Johnson: “I definitely think that comments like that hurt. I believe that we should all have confidence that we should to not just protect ourselves, but our communities and our neighbors. We should get vaccinated.”West Virginia was an early national leader in the vaccine rollout and 28.8% of residents are now fully vaccinated.“We’re starting to find that we have more vaccine than we do have people who are willing to step forward,” Capito, who has been vaccinated, told CNN’s State of the Union. “So I’m trying to do whatever I can to say it’s safe, it’s reliable and it’s really about you and your neighbor.” More

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      Blow to US vaccination campaign as J&J ‘one-shot’ vaccine deliveries plummet

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      US deliveries of the “one-shot” Johnson and Johnson vaccine are set to drop by 85% next week, in a setback to the government’s vaccination campaign.The Biden administration has allocated just 700,000 J&J doses to states for the week beginning 12 April, according to the Centers for Disease Control and Prevention, a huge drop from the nearly 5m shots allocated the week before.The decline comes after J&J reported a batch of its Covid-19 vaccines developed in Baltimore had failed quality standards and cannot be used – as Anthony Fauci warned the US is at risk from a new coronavirus surge.Distribution of the J&J vaccine – which requires just one dose, as opposed to the two-shot Moderna and Pfizer vaccines also authorized for use in the US – has been uneven since it was introduced.The government allocated 2.8m doses to states at the beginning of March, only for that to drop to 493,000 the next week, but the drop to 12 April is the steepest yet.The slowdown comes after workers at the plant manufacturing coronavirus shots for J&J and AstraZeneca accidentally conflated the vaccines’ ingredients several weeks ago, the New York Times reported.It is unclear if the mix-up is the reason for the drop in J&J doses, and a J&J spokesman told the Wall Street Journal that the company still aimed to deliver 100m doses to the US by the middle of year, most of those by the end of May. The federal government has a deal with J&J for 200m doses.On Thursday Fauci, the top infectious diseases expert in the US, told CNN coronavirus cases had plateaued at a “disturbingly high level”. More than 61,000 new cases were reported on Wednesday, according to Johns Hopkins University.“It’s almost a race between getting people vaccinated and this surge that seems to want to increase,” Fauci said.Health experts have warned the rising number of coronavirus cases in dozens of US states is probably attributable to the spread of virus variants. Michigan has recorded the worst increase in infections over the past two weeks, at a rate not seen since early December.On Tuesday, the Associated Press reported that nearly half of new US virus infections are in just five states, with New York, Michigan, Florida, Pennsylvania and New Jersey responsible for nearly 197,500 new cases in the latest available seven-day period.Despite Michigan’s rate of new infections in the past two weeks, Gretchen Whitmer, the states Democratic governor, has stopped short of ordering restrictions, instead asking for voluntary compliance. She has blamed the virus surge on pandemic fatigue, which has people moving about more, as well as more contagious variants.This week, Joe Biden said half of all American adults are on track to have received at least one Covid-19 vaccination by this weekend. The president has set a goal of delivering 200m vaccinations by 30 April – which marks his first 100 days in office.One in four American adults have now been fully vaccinated against the virus, according to the CDC. More