Tag Archives: COVID

British Economy, Post Brexit and Pummeled by Covid, Is Worst in G-7

The U.K.’s economy shrank more last year than any of the G-7, in what the Bank of England says will be the country’s biggest economic slump in more than 300 years.

What went wrong? Shutdowns caused greater pain for the U.K. than other members of the Group of Seven advanced economies in part because it is especially dependent on consumer spending, which evaporated amid one of Europe’s deadliest Covid-19 outbreaks. The economy was already weak after the four years of negotiations over Britain’s exit from the European Union, during which business investment sagged and households held back on spending.

This is the starting point for Britain’s new relationship with the EU, which began Jan. 1 with a loose free-trade agreement. Earlier this month, Prime Minister Boris Johnson announced another nationwide lockdown to fight a new, more-contagious variant of the coronavirus. That puts the U.K. economy on course to shrink again in the first quarter of the year, when businesses must also get to grips with new European trading arrangements.

Growth in the U.K. was already weak going into the pandemic because of feeble business investment, poor productivity and scant growth in incomes. Once the coronavirus set in, the British economy shrank by more than its peers in the G-7 in the first nine months of the year. Figures for the final quarter, due Feb. 12, are expected to show the economy contracted again.

The U.K. took a bigger hit because around 13% of its annual gross domestic product comes from spending on recreation and culture and in restaurants and hotels, a higher share than any other G-7 country. Businesses that depend on direct contact with consumers—bars and restaurants, sports events, hotels and theaters, cinemas and museums—were hobbled when social distancing became the norm and when the spread of the virus forced them to close. The current lockdown, in place through mid-February, closes schools and nonessential shops, and people have been told to leave home only if necessary.

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What happened when one Chinese city shut down after new Covid outbreak

Volunteers in protective suits disinfect in a residential area of Tonghua, China on January 24, 2021.

Visual China Group | Getty Images

BEIJING — One small Chinese city’s rush to control the coronavirus has left some residents without food, and some officials without jobs.

The fallout shows the extreme lengths to which local Chinese authorities will go to try to contain the coronavirus. While new cases in China so far this year remain far below that of other countries, the stringent prevention measures can quickly cause greater disruptions to work and daily life.

After a spike in Covid-19 cases in mid-January, Tonghua city, about a 10 hour drive northeast of Beijing, announced on Wednesday that no one could leave the city. Authorities added that all apartment complexes were essentially locked down.

People stuck at home and with little time to stock up on food turned to smartphone-based delivery apps, but many complained online that they couldn’t get their orders, according to posts on Weibo, China’s version of Twitter.

On Saturday, the local Communist Party discipline and inspection commission dismissed three officials for their poor performance in the oversight of the pandemic situation, state media said. Eleven other officials received severe warnings, the report said.

Then on Sunday, Tonghua city apologized to its roughly 500,000 residents for “untimely” delivery of daily necessities and general inconveniences. The city added there was a severe shortage of workers but sufficient food.

More than 11,000 people left mostly angry comments on a national state media post about the apology on Weibo. Some users described how they or neighbors were going hungry and hadn’t received their orders for three or four days.

Many user comments noted an inability to place orders on Eleme, a food delivery app backed by Alibaba. The company did not immediately respond to a CNBC request for comment.

Nasdaq-listed Dada, a grocery delivery company which saw a surge in growth during the lockdowns of the initial coronavirus outbreak last year, said neither of its two apps operate in Tonghua city.

Covid-19 first emerged in late 2019 in the Chinese city of Wuhan. Chinese authorities shut down more than half the country in February 2020, and the outbreak stalled domestically within several weeks. Meanwhile, the virus accelerated its spread overseas in a global pandemic.

In the last two months, new domestically transmitted cases have emerged in China amid cold winter weather and a continued trickle of visitors from overseas. The northeastern province of Jilin where Tonghua city is located has become the third-hardest hit region, reporting 273 new confirmed coronavirus cases for January alone.

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Coronavirus live news: Biden to reinstate Covid travel ban as world nears 100m cases | World news













19:36

More now from New Zealand.

Over three dozen guests at the Pullman hotel in central Auckland, where the infected woman was undergoing government-managed isolation, are being held longer in their rooms while the source of the newly confirmed local infection is investigated. Nearly all 200 hotel staff have been tested

Although health authorities suspect the virus was contacted directly – meaning person to person contact – they have not ruled out airborne or surface contact.

Hundreds of people have been lining up all day for tests in Whangarei, Northland and Auckland. Test results for these people will be known tomorrow. The director-general also said many people who had no symptoms or contact with the infected woman have been lining up for tests – and he asked them to go home so close contacts could be prioritised.

The Covid-19 response minister said news was circulating on social media of an impending lockdown. He said this was “fake news” and “not true at all”.













19:30













19:16

Community case confirmed in New Zealand

A community case of Covid-19 has been confirmed in New Zealand, with genome sequencing identifying it as of the South African variant of the virus.

Investigators think the 56-year-old woman contracted the infection from a fellow guest at the Pullman hotel, where she was undergoing government-managed isolation.













19:02

World nears 100m cases













18:40

Israel ‘closes skies’ to air travel to prevent virus spread













18:37

Biden to reinstate travel ban and add South Africa

Updated













18:34

Summary



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12 Walmart stores in N.J. ready to give COVID vaccinations, company says

Residents searching for a coronavirus vaccination will soon have 12 Walmart and Sam’s Club stores to choose from, the company says.

When the company gets the vaccine, in conjunction with New Jersey health authorities, the retail giant will join six mega centers and 200 other locations in the state.

The Walmart sites could help, after New Jersey has faced criticism for having a slower rollout than dozens of other states as it continues to deal with a second wave of the pandemic, according to data from the federal Centers for Disease Control and Prevention (CDC).

The announcement is part of Walmart’s “expanding efforts at the state’s request in administering the COVID-19 vaccine to state-designated priority groups,” Alexa Cangialosi, a Walmart spokeswoman, said in a statement

“So far, we have an estimated 100 stores and Sam’s Clubs across more than half a dozen states administering vaccines to those the state has deemed eligible, including here in New Jersey,” she said.

Stores and clubs in the following locations are preparing to administer vaccinations to priority populations: Pleasantville, Toms River, North Brunswick, Burlington Township, Pennsville, Franklin, Garfield, Hamilton, Vineland, Linden, North Bergen and Boonton.

Currently, shots are available for health care workers, long-term care residents and others in congregant living, and police and firefighters. Also included are anyone 65 or older and those between 16 and 64 with specific medical conditions – including smokers.

Nearly every site in the state has asked people to pre-register through the state’s website. Many have reported getting appointment times several weeks away.

The announcement comes as the state reported 4.613 more coronavirus cases and 17 deaths on Sunday. It was the same day the state Department of Health issued new predictive models that showed Sunday could be the peak of the state’s second wave of the pandemic.

Whether that bump happens could depend on how quickly New Jersey receives and distributes vaccine doses. Gov. Phil Murphy has said he wants to have 70% of the state’s eligible population — nearly 5 million people — vaccinated by May.

Walmart also has a website and a store locator dedicated to the vaccine.

At full capacity, the company expects to be able to deliver 10 to 13 million doses per month nationally when supply and allocations allow, Walmart officials said in a statement.

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Larry Higgs may be reached at lhiggs@njadvancemedia.com.

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N.J.’s COVID vaccine appointment call center goes live Monday

A toll-free phone line will go live Monday to help people who who don’t have a computer make an appointment for a coronavirus vaccine.

The call center’s number, 855-568-0545, says in a Sunday recording that live agents will be taking calls starting the week of Jan. 25.

North Jersey.com reported the call center was launching Monday at 8 a.m., staffed with 250 agents.

State Health Commissioner Judy Persichilli announced the call center last week for residents unable to use the online registry.

The call center will have, “an interactive voice response platform in both English and Spanish that provides key information to New Jersey residents on how to register (for a vaccine) as well as how to schedule vaccination appointments as people become eligible,” the commissioner said.

The call center augments the online vaccine registry, which launched earlier this month. When an online user is eligible, they receive an email from the state with a link to choose a vaccination location and set an appointment.

The state Health Department cautioned that vaccine appointments are limited due to supply limitations.

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Larry Higgs may be reached at lhiggs@njadvancemedia.com.

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Government does not know how much Covid vaccine the U.S. has

WASHINGTON – The director of the Centers for Disease Control and Prevention warned Sunday that the federal government does not know how much coronavirus vaccine the nation has, a complication that adds to the already herculean task before the Biden administration.

“I can’t tell you how much vaccine we have, and if I can’t tell it to you then I can’t tell it to the governors and I can’t tell it to the state health officials,” CDC director Dr. Rochelle Walensky told “Fox News Sunday.”

“If they don’t know how much vaccine they’re getting not just this week but next week and the week after they can’t plan. They can’t figure out how many sites to roll out, they can’t figure out how many vaccinators that they need, and they can’t figure out how many appointments to make for the public,” Walensky said.

In a dig at the Trump administration, Walensky said the lack of knowledge of vaccine supply is indicative of “the challenges we’ve been left with.”

Read more: Biden surgeon general pick says U.S. racing to adapt against new Covid strains

President Joe Biden has set a goal to administer 100 million Covid-19 vaccine shots within his first 100 days. The Biden administration has been repeatedly pressed on whether that target is ambitious enough given the severity of the pandemic.

Walensky acknowledged that the U.S. must vaccinate people faster, but she said the nation faces supply constraints. Production will increase after the first 100 days, Walensky said, and the expected introduction of Johnson & Johnson’s vaccine will also help ease supply problems.

“We are really hoping that we’ll have more vaccines and that will increase the pace at which we can do the vaccinations,” Walensky said.

White House chief of staff Ron Klain said the nation also faces distribution problems because the Trump administration, which started the program, did not have a clear plan.

“The process of distributing the vaccine, particularly outside of nursing homes and hospitals, out into the community as a whole did not really exist when we came into the White House,” Klain told MSNBC’s “Meet the Press” on Sunday.

“So, the process of getting that vaccine into arms, that’s the hard process, that’s where we are behind as a country and that’s where we are focused in the Biden administration on getting that ramped up,” he added.

White House chief medical advisor Dr. Anthony Fauci, who served in the Trump administration, said Sunday the Biden target of 100 million doses in 100 days is not a final number.

“It is really a floor and not a ceiling,” Fauci told CBS’ “Face The Nation”. “It is going to be a challenge. I think it was a reasonable goal that was set. We always want to do better than the goal that you’ve set.”

Those 100 million injections will cover about 67 million people, Fauci said, some of whom will have received the required two doses while others will have received only one dose. So far, the U.S. has administered nearly 22 million doses, far below federal targets.

The need to vaccinate as many people as possible has taken on new urgency as the coronavirus mutates. Fauci said the Covid-19 vaccines currently on the market may not be as effective against new strains.

Biden’s surgeon general pick stressed on Sunday the U.S. is in a race to adapt against the new variants.

“The virus is basically telling us that it’s going to continue to change and we’ve got to be ready for it,” Dr. Vivek Murthy said during an interview with ABC News’ “This Week.”

“So the bottom line is, we’re in a race against these variants, the virus is going to change and it’s up to us to adapt and to make sure that we’re staying ahead,” Murthy said.

When asked if the U.S. is in a race against time before a Covid variant emerges that renders the vaccines ineffective, Walensky said Americans need to get inoculated when they have the opportunity and adhere to mitigation strategies to deny the virus opportunity to circulate.

“I would say we’ve been in a race all along,” Walensky said. “The more virus that is out there, the more virus that is replicating, the more likely that we are going to have mutations and variants.”

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Coronavirus case maps, graphs, data

COVID-19 in New Hampshire: Key data, maps and graphs

Officials detail number of COVID-19 cases



SUNUNU IS UPDATING THE STATE’S CORONAVIRUS. HIS RESPONSE. THANKS EVERYONE FOR JOINING US FOR ANOTHER ONE OF OUR WEEKLY PRESS CONFERENCES FIRST OBVIOUSLY WANT TO START IT WAS A BUSY WEEK ALL ACROSS OUR COUNTRY. AND SO WE WANT TO FIRST START BY CONGRATULATING PRESIDENT BIDEN AND VICE PRESIDENT HARRIS ON THE INAUGURATION YESTERDAY. I THINK A LOT OF US WHO SAW THE INAUGURAL SPEECH THOUGHT THAT THE SPEECH DEFINITELY STRUCK THE RIGHT TONE AT THE RIGHT TIME FOR OUR COUNTRY. SO THAT WAS I THINK NICE TO HEAR AND OBVIOUSLY AS THE GOVERNOR WILL LOOK FORWARD TO MAINTAINING OPEN LINES OF COMMUNICATION WITH THE ADMINISTRATION JUST TO MAKE SURE WORK THAT AND JUST JUST TO HELP FRANKLY THAT NEW HELP MAKE SURE THAT NEW HAMPSHIRE HAS A VOICE WITH WHAT’S HAPPENING DOWN IN WASHINGTON AND WE CAN GET THE BEST RESULTS FOR OUR CITIZENS HERE IN NEW HAMPSHIRE. SO WITH THAT LET’S JUST KICK THINGS OFF. I’LL TURN IT OVER TO DR. CHAN FROM THE DEPARTMENT OF PUBLIC HEALTH. GREAT. GOOD AFTERNOON. JUST A QUICK AT NUMBERS UPDATE FOR TODAY. SO WE ARE REPORTING 925 NEW PEOPLE DIE. WEST WITH COVID-19 592 OF THESE INDIVIDUALS TESTED POSITIVE BY PCR AND 333 TESTED POSITIVE BY ANTIGEN TESTING. THERE ARE NOW SIX THOUSAND TWO HUNDRED AND FOUR PEOPLE WITH ACTIVE INFECTION, WHICH IS ACTUALLY A DECREASE FROM THE NUMBER OF LAST WEEK, WHICH WAS OVER 6,700 PEOPLE. OUR TEST POSITIVITY RATE CONTINUES TO AVERAGE IT CONTINUES TO TREND DOWN AND THE LAST SEVEN DAY AVERAGE IS BELOW SEVEN PERCENT NOW IT’S AT SIX. TO EIGHT PERCENT WHICH IS A DECREASE AGAIN FROM LAST WEEK AND AT THE SAME LEVEL THAT WE SAW BACK AT THE END OF NOVEMBER. SO THAT’S ANOTHER POSITIVE TREND THAT WE ARE NOTING AND THEN FINALLY THERE ARE TWO ACTUALLY NOT FINALLY BUT THERE ARE 240 PEOPLE CURRENTLY HOSPITALIZED STATEWIDE WITH COVID-19. WHICH AGAIN IS A DECREASE FROM THE NUMBER LAST WEEK. UNFORTUNATELY, THERE ARE 12 NEW PEOPLE THAT WE ARE REPORTING TODAY THAT DIED FROM COVID-19 BRINGING THE TOTAL TO NINE HUNDRED AND SIXTY T THAT HAVE DIED FROM COVID-19 DURING THIS PANDEMIC SIX OF THESE TWELVE INDIVIDUALS WERE ASSOCIATED WITH A LONG-TERM CARE FACILITY AND IN THE LAST WEEK THERE HAVE BEEN A TOTAL OF 65 PEOPLE THAT WE’VE HAD TO ANNOUNCE THAT HAVE DIED FROM COVID-19 JUST OF NOTE IN THE LAST WEEK OF THESE 65 PEOPLE THAT HAVE DIED FROM COVID-19 JUST OVER HALF ARE ASSOCIATED WITH LONG-TERM CARE FACILITIES. NOW, THIS IS A LOWER PERCENTAGE FROM WHAT WE HAVE TYPICALLY SEEN IN SOME OF OUR YOU KNOW DEATH NUMBERS OVER THE COURSE OF THIS PANDEMIC AND SO WE HOPE TO WILL CONTINUE TO SEE IF THIS TREND CONTINUES BUT HOPEFULLY THIS ISN’T ACTUALLY AN EARLY INDICATION POSSIBLY THAT THE VACCINATION ROLL OUT IN OUR LONG-TERM CARE FACILITIES MIGHT BE HAVING A BENEFICIAL EFFECT. AND AGAIN, THAT’S THE PURPOSE OF RECEIVING THE COVID-19 VACCINE IS TO PREVENT MORBIDITY AND MORTALITY PREVENT HOSPITALIZATIONS PREVENT DEATHS. SO ANY DEATH FROM COVID-19 IS TOO MANY AND WE CERTAINLY WANT TO SEE ALL DAY. HOSPITALIZATIONS GO DOWN AND THAT’S AGAIN THE PURPOSE OF THE VACCINE. SO WE RECOMMEND AND STRONGLY ENCOURAGE PEOPLE TO RECEIVE THE VACCINE WHEN IT’S OFFERED TO THEM. BUT UNTIL WE HAVE HIGH RATES OF VACCINATION IN OUR COMMUNITIES, WE NEED PEOPLE TO CONTINUE TO PRACTICE THE MITIGATION MEASURES TO SLOW THE SPREAD OF COVID-19 AND CONTINUE TO BRING OUR NUMBERS DOWN. SO WHILE THERE ARE ALSO WELL THERE ARE SOME PROMISING TRENDS IN THE NUMBERS COMING DOWN. THE OVERALL LEVELS OF COMMUNITY TRANSMISSION CONTINUE TO BE VERY HIGH. AND SO WE NEED PEOPLE TO CONTINUE TO AVOID THOSE SOCIAL AND GROUP GATHERINGS PRACTICE SOCIAL DISTANCING WEAR FACE MASKS WHENEVER OUT OF THE HOME AND IN PUBLIC PLACES GET TESTED IF YOU’RE HAVING ANY SYMPTOMS OF COVID-19, AND PLEASE CONTINUE TO AVOID NON-ESSENTIAL TRAVEL THESE RECOMMENDATIONS REMAIN IN PLACE FOR PEOPLE REGARDLESS OF WHETHER OR NOT THEY MAY HAVE BEEN PREVIOUSLY INFECTED OR WHETHER THEY ARE FULLY VACCINATED. THANK YOU. GOOD AFTERNOON. I’M GOING TO PROVIDE AN UPDATE ON OUR VACCINATION INITIATIVE. SO TO DATE WE HAVE RECEIVED ONE HUNDRED AND TEN THOUSAND ONE HUNDRED AND SIXTY FIRST DOSES OF VACCINE THAT HAVE BEEN DISTRIBUTED TO OUR VACCINATION SITES HERE IN NEW HAMPSHIRE. SEVENTY THOUSAND EIGHT HUNDRED AND SIXTY-NINE. PEOPLE HAVE RECEIVED THEIR FIRST DOSES OF COVID. 19 VACCINE THIS IS AN ADDITIONAL 17 THOUSAND PEOPLE WHO HAVE RECEIVED THEIR FIRST DOSE SINCE WE REPORTED LAST WEEK, AND WE RECEIVED SEVENTEEN THOUSAND DOSES LAST WEEK, WHICH MEANS THAT WE ARE VACCINATING PEOPLE AS QUICKLY AS WE ARE RECEIVING VACCINE AMONG THOSE WHO HAVE RECEIVED THEIR FIRST DOSE HAS 10,000 HAVE RECEIVED THEIR SECOND DOSE TO DATE AND THIS WEEK WE PLAN TO RECEIVE THIS WEEK. WE DID RECEIVE AN $17,575.13 THE SAME AMOUNT THAT WE EXPECT TO RECEIVE THE NEXT WEEK AS WELL IN TERMS OF AN UPDATE ON THE LONG-TERM CARE FACILITY PHARMACY PARTNERSHIP PROGRAM ACTIVITIES CVS AND WALGREENS PHARMACIES IN OUR STATE HAVE NOW COMPLETED 147 CLINICS AT OUR LONG-TERM CARE FACILITIES, AND THEY HAVE VACCINATED MORE THAN PEOPLE THROUGH THIS PROGRAM. IN TERMS OF OUR FIXED SITES THAT ARE OPERATING ACROSS THE STATE MORE THAN 36,000 PEOPLE HAVE REGISTERED UNDER THE PHASE 1A. AND TO DATE THEY HAVE VACCINATED OVER 15,000 PEOPLE AT THESE LOCATIONS. THESE SITES ARE CURRENTLY ONLY OPEN TO OUR HEALTH CARE PROVIDERS AND FIRST RESPONDERS, BUT THEY WILL BEGIN VACCINATING PHASE 1 B VACCINE RECIPIENTS NEXT WEEK AS PLANT AS ANNOUNCED LAST WEEK REGISTRATION FOR PHASE 1 B WILL OPEN TOMORROW AT 8:00 A.M. AND WE’RE WORKING REALLY HARD TO MAKE SURE THAT OUR MOST VULNERABLE CITIZENS IN OUR STATE ARE FIRST AND THEN WE’LL WORK. QUICKLY AS POSSIBLE TO MAKE VACCINE AS IT BECOMES AVAILABLE TO EVERYONE WHO WANTS TO RECEIVE THE VACCINE IN OUR STATE. THANK YOU. SO I’M JUST GOING TO DO A QUICK UPDATE ON LONG-TERM CARE AND THEN A LITTLE BIT ON MONOCLONAL ANTIBODIES SO OUR MOST RECENT NEWS ON OUTBREAKS. WE ARE CLOSING 7 OUTBREAKS TODAY AURORE ASSISTED LIVING THEIR LIST. HERE OR ASSISTED LIVING IN DERRY COLONIAL POPLIN CRESTWOOD EPSOM KEYSTONE HALL PHEASANT WOOD AND WENTWORTH SENIOR LIVING. WE ARE ANNOUNCING FIVE NEW OAK BREAKS TODAY HARBOR CARE GROUP HOME DEPARTMENT OF CORRECTIONS PRISON PRISON FOR WOMEN, EDGEWOOD CENTER LEDGEWOOD BASIS TO LIVING AND RIVER MEET IN PETERBOROUGH. SO THAT’S IT FOR OUTBREAKS TODAY. MONOCLONAL ANTIBODIES. WE’VE HEARD A LOT ABOUT THIS OVER THE LAST COUPLE. OF WEEKS. THIS IS A TREATMENT THAT WAS ORIGINALLY ONLY AVAILABLE TO THE HOSPITAL’S THE FEDERAL GOVERNMENT HAS BEEN SENDING US DOSES AND ALLOCATING IT TO THE HOSPITALS ACROSS THE STATE. SO ABOUT TWO WEEKS AGO. THEY ALLOWED US TO START DISTRIBUTING THIS IMPORTANT TREATMENT TO OTHER HEALTH CARE PROVIDERS IN THE COMMUNITY INITIALLY. WE BROUGHT ON VERY QUICKLY THE LONG-TERM CARE FACILITY. SO WE PROVIDE THIS MEDICATION THE TO THE PHARMACIES THAT THAT THAT SERVE THOSE LONG-TERM CARE FACILITIES AND WE DID THAT A COUPLE OF WEEKS AGO. SO THIS IS NOW AVAILABLE IN A LONG-TERM CARE FACILITIES NURSING HOMES ACROSS THE STATE. WE’VE ALSO BROUGHT ON OTHER PARTNERS TO PROVIDE THIS TREATMENT AND THEY’RE LISTED HERE ON THIS MAP. YOU WILL SEE EVERYTHING FROM URGENT CARE CENTERS TO OUR HOSPITALS TO EVEN SOME INDEPENDENT PRIVATE PHYSICIAN PRACTICES THAT HAVE SET UP INFUSION CLINICS FOR FOR OUR CLIENTS THAT HAVE BEEN EARNED. OUR CITIZENS THAT HAVE BEEN DIAGNOSED WITH COVID-19 THE ITS MOST EFFECTIVE WHEN ADMINISTERED THREE DAYS AFTER CONTRACTING THE ILLNESS. IT IS AN INFUSION WHERE YOU GO INTO THE HOSPITAL IT TAKES ABOUT AN HOUR TO GET THE INFUSION AND IV INFUSION AND BUT THERE IS A MONITORING PERIOD AFTERWARDS SO YOU CAN PLAN FOR A COUPLE OF HOURS OUT OF YOUR DAY TO BE ABLE TO GO AND GET THIS INFUSION. THIS IS REALLY SET UP FOR THOSE THAT ARE AT HIGHEST RISK FOR HOSPITALIZATION AND VERY SERIOUS ILLNESS. IT IS NOT TREATMENT THAT IS TYPICALLY USED FOR. PEOPLE THAT ARE IN THE HOSPITAL OR RECEIVING SUPPLEMENTAL OXYGEN SO IT REALLY IS DONE ON AN OUTPATIENT SETTING SO BASED ON OUR PROVIDERS PROVIDERS THAT ARE THAT ARE REALLY LEANING INTO THIS TYPE OF TREATMENT AND MAKING IT ACCESSIBLE TO THE PUBLIC. YOU CAN CONTACT YOUR PRIMARY CARE PHYSICIAN AND RECEIVE A REFERRAL TO GO TO ANY ONE OF THESE FACILITIES. SO I HAVE THANK YOU. GREAT. YOU VERY MUCH COMMISSIONER AND BATH AND DR. CHAN. DR. DALY. THE TEAM HAS REALLY BEEN JUST OUTSTANDING. THERE’S BEEN A LOT ON THE TEAM’S PLATE CARRÉE PLUMBER REALLY LEADING LEADING INTO THE LOGISTICS BEHIND OTHER VACCINE DISTRIBUTION, AND AS DR. DALY MENTIONED TOMORROW IS A IS A REALLY A VERY BIG DAY. SO LET’S START BEFORE WE OPEN UP TO QUESTIONS TO TALK ABOUT THE ACTUAL VACCINE ROLL OUT IN A LITTLE MORE DETAIL AND A FEW REMINDERS AT 8:00 A.M. TOMORROW. THE STATE WILL BEGIN ACCEPTING VACCINATION. INDIVIDUALS THAT FALL WITHIN PHASE 1B AND TO REMIND EVERYONE PHASE 1B AS YOU CAN SEE BEHIND ME HERE INCLUDES NEW HAMPSHIRE RESIDENTS THAT ARE 65 AND OVER NEW HAMPSHIRE RESIDENTS THAT ARE MEDICALLY MEDICALLY VULNERABLE THAT YOU CAN CALL YOUR DOCTOR AND GET SIGN OFF THERE OR FAMILY CAREGIVERS FOR CHILDREN THAT ALSO UNDER 16 THAT ALSO MIGHT HAVE THE SAME TYPE OF MEDICAL VULNERABILITIES STAFF AND RESIDENTS AT OUR IDD FACILITY AND CONGREGATE SETTINGS. CORRECTIONS OFFICERS AND STAFF AND THEN OBVIOUSLY OUR POPULATIONS THAT EXPERIENCE HEALTH DISPARITIES AND HEALTH CARE ACCESS CHALLENGES WILL HAVE OUR MOBILE TEAM. READY TO GO NEXT WEEK IN A COUPLE OF LOCATIONS IN THE EXPAND THAT OUT ACROSS THE STATE. SO IT’S VERY EXCITING. IT’S A VERY BIG UNDERTAKING AND FOR THE ESTIMATED 300,000 GRANITE STATERS THAT DO FALL WITHIN PHASE 1B THE AGAIN THE FIRST ACTUAL APPOINTMENTS THE FIRST ACTUAL APPOINTMENTS FOR THE VACCINE WILL BEGIN ON TUESDAY, JANUARY 26TH, SO YOU CAN SIGN UP AS OF 8:00 A.M. TOMORROW, BUT THE ACTUAL VACCINATION PROCESS WILL START ON TUESDAY GO ON INDEFINITELY REALLY AGAIN, THE FASTEST MOST EFFICIENT WAY TO SCHEDULE A VACCINE APPOINTMENT WITHOUT A DOUBT AND WE’RE REALLY ENCOURAGING EVERYONE WHO CAN TO GO TO A VACCINES DOT NH DOT-GOV THAT’S REALLY GOING TO BE THE BEST WAY TO GO THROUGH THE PROCESS BUT FOR THOSE WHO ARE UNABLE TO SCHEDULE ONLINE THROUGH VACCINES DOT N H DOT GOV THE 211 HOTLINE WILL REMAIN AVAILABLE, BUT I REALLY CAN’T STRESS THIS ENOUGH. WE NEED FOLKS TO BE PATIENT. WILL BE EXPECTING AN UNPRECEDENTED CALL. YOU WAIT TIMES COULD BE AN HOUR OR MORE AND WHILE WAIT TIMES MAYBE LONG REST ASSURED EVERY CALL WILL BE ANSWERED BY A LIVE PERSON AND KNOWING THAT THIS WOULD BE AN ALL-HANDS-ON-DECK EFFORT EARLIER THIS WEEK. I PUT OUT A CALL TO OUR STATE EMPLOYEES TO ASK EMPLOYEES TO FRANKLY VOLUNTEER TO SEE WHO MIGHT BE WILLING TO VOLUNTEER TO HELP STAFF UP OUR CALL CENTERS. WE HAD HOPED THAT ROUGHLY A HUNDRED INDIVIDUALS ACROSS THE STATE EMPLOYEE DEPARTMENTS MIGHT BE ABLE TO HELP OUT NEEDLESS TO SAY WE WERE BLOWN AWAY WHEN OVER 300 STATE EMPLOYEES SIGNED UP TO VOLUNTEER AND THEY ARE LITERALLY BEING TRAINED AS WE SPEAK SO THAT THE CALL CENTER WILL BE PREPARED AT 8:00 A.M. TOMORROW. WE JUST KNOW THAT EVEN 300 OR MORE INDIVIDUALS WORKING WITH OUR NATIONAL GUARD AND ALL OUR OTHER PARTNERS TO MAKE THE CALL CENTERS WORK. WE VERY LIKELY ARE GOING TO EXPERIENCE MAYBE EVEN TENS OF THOUSANDS OF PHONE CALLS IN A SINGLE DAY. IT’LL BE ONE OF THE LARGEST CALL CENTER UNDERTAKINGS THAT WE’VE EVER HAD AND SO AGAIN, WE JUST REALLY WANT FOLKS TO BE AS BEST THEY CAN THE SYSTEM IS SET UP. IT’S GOING TO WORK OUR WEBSITE CAN HANDLE WELL OVER A HUNDRED THOUSAND INDIVIDUALS AT A TIME. THAT’S WHY WE’RE TRYING TO PUSH AS MANY FOLKS AS WE CAN TO THE WEBSITE. WE’VE HEARD OF OTHER STORIES ACROSS THE COUNTRY OF WEBSITES CRASHING AND I KNOW A LOT OF OUR CITIZENS HAVE HEARD SIMILAR STORIES. WE’VE REALLY TRIED TO MAKE OUR PORTAL IF YOU WILL AS BIG AS POSSIBLE TO BE ABLE TO HANDLE AS MANY REQUESTS AT A SINGLE AT A SINGLE TIME AS POSSIBLE. AND RIGHT NOW IT LOOKS LIKE IF WE CAN HANDLE OVER A HUNDRED THOUSAND WE SHOULD THAT SHOULD BE ENOUGH. OBVIOUSLY, BUT WE JUST NEVER KNOW HOW MANY FOLKS ARE GOING TO REQUEST THE VACCINE AT 8:00 A.M. TOMORROW. SO BE PATIENT IF YOU CAN THE TEAM HAS DONE A GREAT JOB BUILDING THE SYSTEM AND BUILDING THE INFRASTRUCTURE TO MAKE SURE THAT WE CAN COMMIT YOU KNOW ALL THE WAY THROUGH WHAT WE TALKED ABOUT WITH THE AMOUNT OF VACCINE, YOU KNOW, OVER-PROMISING AND UNDER-DELIVERING. THAT’S A TRADEMARK OF WASHINGTON, NOT OF NEW HAMPSHIRE AND SO WE’VE SET OURSELVES A HIGH BAR OVER THE PAST 10 MONTHS AND WE ALWAYS SEEM TO MEET OUR STANDARDS STANDARDS IN OUR GOALS AND I HAVE NO DOUBT THAT THIS SYSTEM WILL WORK IS JUST A MATTER OF THE A LITTLE BIT OF THE UNKNOWN IN TERMS OF THE NUMBER OF FOLKS THAT WILL COME IN AND REQUEST IT THE VACCINE ON DAY ONE AND OF COURSE IF THE FEDERAL GOVERNMENT DOES COME THROUGH AND CAN INCREASE OUR VACCINE ALLOCATION. THERE WILL BE MORE RESERVATION SPOTS PUT INTO THE SYSTEM. I MEAN, IT’S VERY LIKELY THAT SOME FOLKS. IN FACT, WE MOST FOLKS WILL BE ABLE TO AND WE’LL HAVE TO REGISTER FOR THE VACCINE WEEKS AWAY IF YOU HAVE 300,000 PEOPLE AT ONCE APPLY FOR A VACCINATION. BUT WE’RE STILL ONLY GETTING ABOUT 17,000 A WEEKEND. WE GET THEM ALL OUT. WE PUT NEEDLES IN ARMS AS FAST AS WE GET THEM IN THE TEAM HAS DONE A GREAT JOB WITH THAT, BUT THAT WOULD STILL TAKE WEEKS AND WEEKS TO GET THROUGH THE FIRST AND SUBSEQUENT SECOND SHOT FOR THIS AT THIS CURRENT RATE AS THE FEDERAL GOVERNMENT INCREASES VACCINES FOR THE STATE OF NEW HAMPSHIRE. WE WILL ADD MORE RESERVATION SPOTS WITHIN OUR SYSTEM AND BE ABLE TO MOVE PEOPLE UP AND JUST BE ABLE TO GO THROUGH THE WHOLE PROCESS MUCH MORE QUICKLY. BUT RIGHT NOW WE’RE JUST THE SYSTEM IT HAS THE CAPACITY AND IS DESIGNED THE AMOUNT OF VACCINE THAT WORKER. RECEIVING BUT IT IS FLEXIBLE SO WE CAN MAKE THOSE ADJUSTMENTS AS WE GO. ONE MORE THING I DO WANT TO HIT ONLY BECAUSE IT WAS KIND OF A IT’S BEEN TALKED ABOUT IN A BIT OF A TOPIC. I THINK THERE’S A LITTLE BIT OF MISINFORMATION OUT THERE IN A MISUNDERSTANDING A LITTLE BIT FRANKLY AND THAT HAS TO SURROUND WHAT WE’RE DOING WITH SCHOOLS AND HOW SCHOOLS ARE OPERATING RECENTLY. IT’S BECOME CLEAR FRANKLY THAT THERE’S A LOT OF LEADERSHIP WITHIN THE TEACHERS UNION AS WELL AS SOME IN LOCAL LEADERSHIP THAT HAVE STARTED TO FRANKLY POLITICIZE THE VACCINATION PROCESS CRITICIZING THAT THE STATE HAS PRIORITIZED OUR FIRST RESPONDERS. THAT IS COMPLETELY WRONG. THEY’RE SAYING THAT TEACHERS NEED THE VACCINE FOR SCHOOLS TO OPEN. THAT ALSO IS COMPLETELY WRONG. WE’VE SEEN FRANKLY MOST SCHOOLS IN NEW HAMPSHIRE’S ALL ACROSS THE STATE HAVE BEEN ABLE TO OPEN EITHER IN A FULL MODEL OR AT LEAST IN A HYBRID MODEL. MANAGING WITH COVID TRANSMISSIONS WITHIN THOSE SCHOOLS ALL THE OPENING AND THE FOLKS WHO HAVE TAKEN THESE STEPS OPENING AND MANAGING THROUGH SUCCESSFULLY THROUGH THIS PANDEMIC WE OWE THEM A BIG DEBT OF THANKS ON BEHALF OF THE KIDS. THEY’RE ALLOWING THOSE KIDS TO HAVE THOSE OPPORTUNITIES. IT’S A GREAT MODEL AND THEY ARE SHOWING HOW IT CAN BE DONE AND CONTINUES TO BE DONE WITHOUT VACCINES AVAILABLE. WE’RE NOT SAYING IT’S EASY. WE’RE NOT SAYING IT DOESN’T REQUIRE SOME CHANGES, BUT IT CAN BE DONE. VERY VERY, SUCCESSFULLY AS OF THIS WEEK NO K THROUGH 12 PUBLIC SCHOOL HAS EXPERIENCED LARGE OUTBREAKS VIRTUALLY NO TRANSMISSION WITHIN SCHOOL CLUSTERS. WE HAVE CLUSTERS, BUT VIRTUALLY NO TRANSMISSION WITHIN THOSE CLUSTERS IN SCHOOLS AND YOU’RE SEEING THAT TREND ACROSS THE REST OF THE COUNTRY AS WELL. 90% OF ALL TEACHERS IN NEW HAMPSHIRE ARE UNDER THE AGE OF 65. IN FACT, THE AVERAGE AGE IS 46. IT’S ACTUALLY MY AGE AND SO REGARDLESS OF WHO FOLKS OF MY AGE ASSUMING YOU HAVE NO MEDICAL VULNERABILITIES REGARDLESS OF WHO WE COME IN CONTACT WITH WE ARE NOT IN THE HIGH-RISK CATEGORY. AND OF COURSE IF YOU’RE A TEACHER OVER THE AGE OF 65 OR YOU HAVE ALL THE MEDICAL VULNERABILITIES, OF COURSE YOU AS WELL WILL BE ABLE TO SIGN UP TO GET THE VACCINE. YOU ARE A HIGH-RISK INDIVIDUAL AND YOU CAN SIGN UP TO GET THAT VACCINE AS EARLY AS TOMORROW. MORNING, BUT I THINK THE MESSAGE HERE IS THAT WE CAN PROVIDE IN-PERSON LEARNING SAFELY. WE’VE SEEN INCREDIBLY LOW TRANSMISSIVITY WITHIN THE SCHOOLS FOR THOSE THAT HAVE RETURNED TO IN PERSON LEARNING. SO THERE’S REALLY ABSOLUTELY NO REASON THAT SCHOOLS NEED TO GO REMOTE FOR THE LONG TERM AND I GUESS I’M SPEAKING A LITTLE BIT AS A PARENT NOW, I DO SHARE A LOT OF THE FRUSTRATIONS THAT A LOT OF PARENTS HAVE OUT THERE, YOU KNOW WITH WITH SEEING SOME OF THESE ENTITIES FRANKLY KEEPING OUR KIDS FROM IN PERSON LEARNING. IT’S A TO THE KIDS TO THAT THE VACCINE AVAILABILITY IT PREVENTS US FROM OPENING SCHOOL SAFELY SCHOOLS CAN FRANKLY START RAMPING UP TODAY. THE FUNDING IS THERE THE WILL OF THE STUDENTS IS THERE THE WILL OF THE PARENTS IS THERE WE NEED TO BE THERE FOR EVERY CHILD WHO FRANKLY WANTS TO GET BACK IN TO IN PERSON LEARNING, BUT THEY CAN’T WE NEED TO BE THERE FOR THE PARENTS THAT ARE STRUGGLING WITH THE DEMANDS OF REMOTE LEARNING WHILE TRYING TO HOLD A JOB. LET’S GET THESE KIDS BACK INTO SCHOOL. I THINK THAT’S THE REAL MESSAGE HERE. WE’VE SHOWN IT CAN BE DONE SUCCESSFULLY ACROSS THE STATE. THERE’S NO WHY EVERYONE CAN’T LOOK AT THOSE MODELS. MAKE THE ADJUSTMENTS AND DO WHAT’S RIGHT BY THESE KIDS. WE ABSOLUTELY HAVE TO PUT THEM FIRST AND SO WITH THAT WE CAN IT OPEN UP FOR QUESTIONS. JUST EXCEPT IN THE DETAILS IN TERMS OF WHAT WE CAN HANDLE. THANK YOU GOVERNOR. I MEAN CERTAINLY WE’VE LEARNED FROM WHAT THE OTHER STATES HAVE BEEN EXPERIENCING AND WE’VE HAVE ADDED STAFF ADDED RESOURCES AND WE THINK OUR WEBSITE WILL HANDLE IF EVERYBODY WANTED TO GET ON AT THE SAME TIME OF THAT AGE RANGE IT WOULD HANDLE IT AND WE’VE INCREASED IT AS OF YESTERDAY EVEN TO GET THE MAXIMUM AMOUNT OF PEOPLE ONLINE AT THE SAME TIME OUR CALL CENTER. WE KEEP ADDING MORE WHERE ADD MORE AS WE SPEAK TO TRY TO MAKE SURE THOSE PEOPLE CAN YOU TO A LIVE PERSON AND GET THE ANSWER THAT THEY NEED THERE WILL BE WAIT TIMES, BUT W THINK THAT WE MANAGEABLE. IT’S NATIONAL GUARD FOLKS AT STATE EMPLOYEES, AND WE’VE BEEN DOING ALL THOSE TRAININGS FREQUENTLY ASKED QUESTIONS, AND THEY’LL BE ABLE TO REGISTER THEM IF THEY DON’T HAVE AN EMAIL ADDRESS WILL BE ABLE TO REGISTER HIM AT THAT TIME. IT WILL HELP THEM THROUGH THE REGISTRATION PROCESS WITH AN EMAIL ADDRESS WILL BE REGISTERING FOR THE FIRST AND SECOND SHOTS. NUMBER ONE, BUT THAT PUTS HIM IN THE QUEUE FOR SHOT. NUMBER TWO. WE’RE GUARANTEEING SHOT AT NUMBER 2 IN A APPOINTMENT TO MAKE SURE THAT THAT HAPPENS IN A TIMELY MANNER, SO THEY’RE FULLY VACCINATED. THAT’S SOMETHING THAT WE’RE COMMITTED TO. I THINK SCHOOLS. IT WORKS VERY SUCCESSFULLY FULLY IN PERSON AND ALL DAY FIVE DAYS A WEEK. SOME SCHOOLS ARE MORE IN A HYBRID MODE, BUT THAT’S THAT’S FINE, TOO. BUT THIS IDEA THAT ALL KIDS HAVE TO BE OUT OF SCHOOL FULL-TIME FULLY ON A REMOTE SCHEDULE TILL THE END OF THE YEAR FOLKS ARE TALKING ABOUT THAT. THAT IS THAT’S NOT ACCEPTABLE. IT’S NOT ACCEPTABLE FOR THESE KIDS AND WE HAVE TO WE HAVE A STANDARD THAT WE HAVE TO MEET IN TERMS OF LEADERSHIP AND OUR RESPONSIBILITY TO OUR COMMUNITIES NOT JUST AT A STATE BU AT A LOCAL LEVEL. IT’S BEEN SOME SCHOOLS AND CLASSROOMS ARE AT FULL CAPACITY WITHOUT ANY VACCINE. THEY’VE BEEN THERE SINCE SEPTEMBER THEY’RE DOING GREAT. SO IT’S BEEN PROVEN THAT YOU DON’T NEED A VACCINE THIS IDEA THAT YOU HAVE TO PRIORITIZE TEACHERS BECAUSE YOU THEY HAVE TO HAVE THE VACCINE TO OPEN A SCHOOL. THAT’S A COMPLETELY FALSE STATEMENT AND HAS BEEN PROVEN OUT HUNDREDS OF TIMES OVER ACROSS THE STATE. SEE YOU FEEL SAFE. I DON’T FEEL THAT WAY. I KNOW THAT. IT’S BEEN PROVEN ACROSS THE STATE. YEAH, THERE’S VERY LITTLE TRANSMISSIVITY BETWEEN CLUSTERS. THERE’S VERY LITTLE INCIDENT OF STUDENTS TO TEACHER TRANSMISSION. THERE’S BEEN A COUPLE CASES HERE AND THERE BUT ESPECIALLY WHEN YOU’RE CONSIDERING THE FACT THAT 98 PERCENT OR SO OF THE INDIVIDUALS THAT UNFORTUNATELY WHERE THIS IS FATAL ARE ABOVE THE AGE OF 65. THAT’S WHY WE’RE PRIORITIZING THEM. THEY HAVE TO GO FIRST, RIGHT? SO, YEAH, IT’S JUST IT’S A MODEL THAT’S BEEN PROVEN HUNDREDS OF TIMES ACROSS THE STATE. WE WANT THE REST OF THE STATE TO LOOK AT THAT SUCCESS AND SAY WE’RE GOING COPY THAT SUCCESS FOR OUR KIDS TO DO THAT. WE KNOW DEMAND WILL OUTSTRIP SUPPLY HERE. IF I’M MUCH OLDER AND MUCH THICKER, AM I LIKELY TO GET AN EARLIER APPOINTMENT FOR THE VACCINE THAN IF I’M NOT NO, NOT NECESSARILY EVERYONE WHO’S IN 1B THE DOOR OPENS IT FOR GROUP 1 B AT THE SAME TIME IF YOU’RE OLDER AND SICKER THAN YOUR IN 1B, RIGHT AND YOU’RE SO YOU’RE GOING TO BE PRIORITIZED OVER THE OTHER PROBABLY MILLION OR SO FOLKS IN THE STATE THAT ARE STILL WAITING. PART OF 2A 2B 3A AND 3B. SO THAT’S HOW WE HAVE PRIORITIZED THEM. BUT IF YOU’RE IN 1B, YOU DON’T GET PREFERENTIAL TREATMENT WITHIN THAT SYSTEM. DOVER WE’LL HEAR FROM SOME OF THOSE FOLKS WHO ARE UNDER 65 WITH DO HAVE MEDICAL ISSUES. THAT WOULD MAKE THEM SORT OF PRIORITY CASES TO GET THE VACCINE. THE STATE HAS SAID ESSENTIALLY THEY SHOULD REACH OUT TO THEIR PROVIDERS FOR CLARITY TO SEE IF THEY ARE ELIGIBLE. WE ARE HEARING THAT IN SOME CASES PROVIDERS ARE SAYING DON’T CALL US BY YOUR MEDICAL CONDITIONS, RIGHT? THE GOVERNMENT DOESN’T WE DON’T HAVE RECORDS OR FILES ON YOUR MEDICAL KITCHEN. WE DON’T THAT’S NOT THE WAY IT WORKS FOR PRIVACY REASONS AS IT SHOULD SO I WOULD ENCOURAGE ALL DOCTORS AND ALL PROVIDERS TAKE THOSE PHONE CALLS FROM FOLKS, YOU KNOW PROVIDE THOSE THOSE CERTIFICATIONS REFERRALS, WHATEVER YOU WANT TO CALL THEM. IT’S A VERY VERY SIMPLE AND DOCTORS HAVE A LOT OF FLEXIBILITY AS WELL, YOU KNOW FOLKS CALL AND THEY DON’T MEET THE EXACT CDC LIST THAT WE’VE BEEN USING FOR PRIORITIZATION. WE’VE GOT A LOT OF FOLKS WITH TYPE 1 DIABETES NOT TYPE 2 DIABETES AND THEIR CDC PUT TYPE 1 DIABETES ON KIND OF A LESSER PRIORITY LIST, BUT IF A DOCTOR FEELS LIKE SOMEONE WITH THAT SITUATION IS OF A HIGH RISK THE DOCTOR HAS THAT FLEXIBILITY TO MAKE SURE THAT THEY GET INTO THE SYSTEM AND AGAIN PERRY AND HIS TEAM HAVE REALLY I THINK DONE A GREAT JOB MAKING THE SYSTEM VERY SIMPLE. SO WHETHER IT’S THE DOCTOR PUTTING YOU INTO THE SYSTEM OR JUST WE ACCESS TO THE SYSTEM ON BEHALF OF THEIR PATIENT. WE’VE MADE IT VERY EASY. AND OBVIOUSLY WE ENCOURAGE ALL THE ALL PRIMARY CARE PHYSICIANS TO TAKE THE CALL FROM FROM YOUR PATIENTS. THERE IS THE SHEER VOLUME COULD OVERWHELM THEIR OPERATION. LOOK, WE’RE ALL DEALING WITH HIGH VOLUME MY GOODNESS. THIS IS THE BIGGEST HEALTH SITUATION THAT WE HAVE DEALT WITH IN THE STATE IN A HUNDRED YEARS. YEAH. IT’S GOING TO BE HIGH VOLUME. IT COULD BE SOME LATE HOURS. IT COULD BE A LOT OF WORK FOR ALL OF US AND ASKING A THE DOCTORS TO STEP UP. IF I HAVEN’T HEARD I HAVEN’T HEARD THIS SO I THINK THE VAST MAJORITY OF PHYSICIANS ACROSS THE STATE UNDERSTAND THEIR RESPONSIBILITIES TO THEIR PATIENTS, AND THEY’RE SIMPLY CHECKING OFF AND SAYING THEY HAVE ONE OF OR TWO OF THESE VERY SIGNIFICANT ISSUES. IT’S NOT THAT HARD TO DO. IT COULD BE A VOLUME ISSUE OF COURSE, BUT THAT’S NOT A REASON TO JUST SAY WE’RE GOING TO OBJECT OUR RESPONSIBILITY. EVERYONE’S PUTTING IN THE HOURS. EVERYONE’S DOING A LITTLE EXTRA AND THERE WILL BE A HIGH VOLUME FOR THE NEXT FEW WEEKS. WE’RE NOT TALKING ABOUT HIGH VOLUME OVER THE NEXT SIX MONTHS. IT’S A FEW WEEKS MAYBE EVEN A MONTH OF REALLY GETTING THROUGH ALL THE PATIENT REQUESTS ME FOR US AS WE DISCUSSED LAST WEEK. THEY COULD BE EIGHTY NINETY THOUSAND IS TOO HARD TO KNOW HOW MANY INDIVIDUALS WOULD QUALIFY FOR THIS. IT COULD BE UP TO 80 OR 90 THOUSAND OVER THE NEXT FEW WEEKS / ALL THE DIFFERENT DOCTORS ACROSS THE STATE. YEAH DOCTORS COULD HAVE A COUPLE THOUSAND PEOPLE POTENTIALLY CALLING OVER THE NEXT FEW WEEKS. THAT’S A LOT I GET IT, BUT THIS IS WHAT WE’RE IN YOU WANT TO GET OUT OF THE WE ALL WANT TO GET OUT OF THE COVID CRISIS. AND SO EVERYONE’S GOT TO STEP UP A LITTLE BIT, BUT I THINK THE VAST MAJORITY OF DOCTORS ARE READY TO GO THE WANT. TH WANT THE UNDERSTAND THIS PROCESS THIS PROCESS THAT WAS RECOMMENDED BY THE CDC AND JUST GETTING PEOPLE REFERRED WITH THEIR MEDICAL CONDITIONS IS AN APPROPRIATE RESPONSE TO MAKING SURE THEY GET THEIR VACCINE AS PART OF PHASE 1 B. ALTERNATIVE SCHOOLS HAS GONE OUT AND AND ALSO THAT THEIR THE NUMBER OF PEOPLE ACTUALLY HAVE ENROLLED IN FREE AND REDUCED LUNCH HAS GONE DOWN BECAUSE THEY’VE OPENED UP THE PROGRAM FOR ACTUALLY TO EVERYONE DURING THE PANDEMIC IT ARE YOU OPEN TO I GUESS LOOKING AT NOT JUST LOOKING STRICTLY AT THE NUMBERS IN TERMS OF DETERMINING FUTURE EDUCATION AID, BUT TAKING INTO ACCOUNT THESE OH, ABSOLUTELY. SO THERE’S A COUPLE THINGS I DID RECEIVE A LETTER FROM ALL THE MAYOR’S TO FIND A LOT OF THE SCHOOL BUDGET SHORTFALLS THAT SAY AND A LOT OF IT DOES REVOLVE AROUND FREE AND REDUCED LUNCH ONE OF THE CHALLENGES THAT CITIES ARE HAVING AND TOWNS ARE HAVING IS GETTING PEOPLE SIGNED UP BECAUSE YOU DON’T HAVE THAT STRICT REQUIREMENT THAT YOU DID BEFORE ON THE FEDERAL SIDE. SO A LOT OF OUR FORMULAS IN EDUCATION FUNDING ARE BUILT INTO FREE AND REDUCED LUNCH AND THAT IS A BIG PART OF THE SHORTFALL IN SOME CASES CITIES MAY HAVE SHORTFALLS OF OVER A MILLION DOLLARS. SO AND THAT’S VERY SIGNIFICANT. SO THERE’S A COUPLE THINGS FIRST THE ACT ALONG WITH WHAT WAS RECENTLY. ASK THE NINE HUNDRED BILLION DOLLAR COVID RELIEF BILL THAT WAS PASSED IN DECEMBER WHEN YOU COMBINE THOSE TOGETHER, THAT’S THAT PUT SOMEWHERE IN THE BALLPARK OF OVER 220 MILLION DOLLARS INTO EDUCATION DIRECTLY FOR COVID RELATED COSTS AND COVID RELATED LOSSES OF WHICH THIS WOULD CLEARLY IDENTIFY. SO THERE’S A LOT OF MONEY JUST IN NEW HAMPSHIRE 220 MILLION DOLLARS A LOT OF MONEY COMING INTO THE SYSTEM TO COVER THESE TYPES OF COSTS AND AS AGAIN THAT MONEY SHOULD MOVE VERY SMOOTHLY WHEN THEY DO FUNDING ON ACACIA ISSUES OUT OF THE FEDERAL GOVERNMENT. IT JUST ROLLS INTO THEIR THEIR FUNDING FORMULA. SO THOSE DOLLARS ARE GOING TO BE AVAILABLE TO SCHOOLS FOR THIS GOING DOWN THE ROAD. I THINK WHAT WE’RE GOING TO BE LOOKING AT IS PROPOSING IS GETTING OUT OF THIS ONLY LOOKING AT FREE AND REDUCED LUNCH AS A METRIC IN OUR FUNDING FORMULAS. I THINK THERE’S A REAL OPPORTUNITY TO DO THAT SO YOU DON’T GET SITUATIONS LIKE THIS. WE’RE ALSO HAVE JUST WHILE WE ARE TIED INTO THE FORMULA BECAUSE WE’RE NOT OUT OF IT YET. I’M NOT SURE WHAT THE LEGISLATURE WOULD PASS. WE ARE ALSO PROVIDING A LOT OF SUPPORTS DEPARTMENT OF A LOT OF SUPPORTS TO THOSE CITIES AND TOWNS JUST TO GET PEOPLE SIGNED UP EVEN THOUGH THEY DON’T HAVE TO FILL OUT THE FORM GOING TO THOSE FOLKS AND REALLY TRYING TO GET THEM TO FILL OUT THE FORM SO THEY GET ENROLLED SO THE TOWN’S CAN RECOUP THOSE FUNDS AS THE CURRENT FORMULA SUGGESTS. SO THERE’S DOLLARS COMING INTO THE SYSTEM. I THINK THERE’S AN OPPORTUNITY TO LOOK AT CHANGING USING THIS THIS AS A SOLE METRIC IN TERMS OF GETTING FUNDING. AND IN THE MEANTIME, WE ARE TRYING TO GET FOLKS SIGNED UP AS WELL. SO IT’S I GOT THE LETTER IT’S VERY LEGITIMATE CONCERNS ON THEIR PART AND BETWEEN THE FUNDING IN THE STATE SUPPORT. I THINK WE CAN WE CAN THE GAP REGARDING SOCIAL DISTANCING IN SCHOOLS THE TEACHERS WHO HAVE 20 25 STUDENTS AND YOU KNOW, THEY NEED THAT 4 TO 6 FEET OF SPACE. YOU WANT THEM TO COME BACK FULLY OR DO YOU WANT THEM TO DO A HYBRID MODEL OR WHAT SCHOOLS HAVE THE CHOICE OF HOW TO PROVIDE THE BEST EDUCATION FOR KIDS OTHER SCHOOLS HAVE FOUND A WAY TO DO THAT. THEY HAVE SOMETIMES THEY’VE SPLIT UP THEIR CLASSROOM. THEY USE THE CAFETERIA FOR AND YOU KNOW KIND OF AN EXTENSION FOR THE CLASSROOMS THAT ARE A LITTLE MORE FULL. IT’S NOT GOING TO BE A PERFECT MODEL. THERE’S GOING TO BE CHALLENGES EVERY AND EVERY WAY YOU LOOK AT IT. BUT A LOT OF SCHOOLS HAVE SAID WE’RE NOT GOING TO LEAVE THESE KIDS BEHIND AND WE’RE GOING TO MAKE SURE IN MOST SCHOOLS HAVE ACTUALLY DONE THAT AND I CAN’T THANK THEM ENOUGH. THEY ARE SETTING A MODEL OF SUCCESS FOR EVERYBODY ELSE. THEY’VE DONE A TREMENDOUS JOB TEACHERS ARE MAKING SACRIFICES SUPERINTENDENTS AND MAKING SACRIFICES ADDITIONAL STAFF FOR MAKING SACRIFICES WE GET IT BUT THOSE ARE THE MODELS OF SUCCESS. I JUST FIRMLY THINK THAT AND I THINK MOST PEOPLE IN THE STATE THINK THAT EVERY SCHOOL SHOULD BE CHALLENGING THEMSELVES TO OPEN THOSE DOORS THIS IDEA. I’M GOING TO CONCERN BECAUSE I’M HEARING PEOPLE THE CHATTER WILL MAYBE WE’LL JUST KEEP NEWS REMOTE FOR THE REST OF THE YEAR. LOOK WE’RE GOING TO GET OUR MOST VULNERABLE POPULATION VACCINATED. THAT’S THE KEY. THAT’S THE KEY TO GETTING FATALITIES DOWN. THAT’S THE KEY TO MAKING SURE OUR HEALTH CARE SYSTEM DOESN’T GET OVERRUN. WE STILL MAY HAVE VERY HIGH NUMBERS OF COVID FOR A LONG TIME. BUT IF THE HOSPITALIZATION AND THE IN THE MORTALITY RATE IS DOWN, THAT’S THE GOAL AND THAT’S HOW WE START OPENING THINGS UP SCHOOLS SHOULDN’T NECESSARILY WAIT FOR THAT TO HAPPEN SCHOOLS. I THINK AN OPEN TODAY, BUT EVEN IF THEY’RE OPEN TODAY START THINKING ABOUT HOW YOU’RE TO OPEN HOW YOU’RE GOING TO RAMP UP. IT MIGHT NOT BE NEXT WEEK, BUT IT’S NOT NECESSARILY IN JUNE EITHER SO THEY HAVE TO START PLANNING AHEAD AND WE HAVE TO START AGAIN JUST UNDERSTANDING THE MODELS OF SUCCESS THAT ARE OUT THERE AND MY FRUSTRATION REALLY DRIVES ON THAT COMMENT. I KEPT HEARING TEACHERS HAVE TO BE VACCINATED FOR SCHOOLS TO OPEN THAT IS A HUNDRED PERCENT FALSE. IT JUST IS AND SO I DO I’M TRYING TO CHANGE THAT NARRATIVE BECAUSE IT’S JUST NOT RIGHT SCHOOLS ALL ACROSS THE STATE ARE TEACHERS BEING VACCINATED. SO I’M NOT SAYING THERE’S NO RISK. I’M NOT SAYING YOU DON’T HAVE TO MAKE CHANGES I’M SAYING YOU DO HAVE TO MAKE CHANGES THAT I’M ASKING SCHOOLS TO MAKE THOSE CHANGES MAKE THOSE ADAPTATIONS WHETHER IT’S BECAUSE OF A FULL CLASSROOM WHETHER IT’S BECAUSE MAYBE A TEACHER SOME TEACHERS DO HAVE SOME MEDICAL VULNERABILITIES OR THEY ARE OLDER BEFORE THEY GET THE VACCINE. SO EITHER THEY HAVE TO TEACH REMOTE OR YOU HAVE TO BRING IN MORE SUBSTITUTES OR WHATEVER. IT MIGHT BE A LOT OF SCHOOLS ARE MAKING THOSE ADJUSTMENTS AND I’M WE’RE ASKING EVERYONE TO GET ON BOARD. DO YOU KNOW IS THERE A LOT OF NEW HAMPSHIRE SCHOOLS THAT ARE FULLY BACK IN SESSION WITH FULL ATTENDANCE OR IS IT JUST THAT’S WHAT A THIRD I GET HAVE TO ASK THE COMMISSIONER A TABLEAU FOR THE EXACT NUMBER. I MUST SAY IT’S ABOUT 1/4 TO 1/3 SOMETHING LIKE THAT. YEAH SOME THAT’S I’M REALLY ROUGHING THAT NUMBER. SO I THINK THAT’S ABOUT RIGHT AND I THINK SO A LOT OF THOSE SCHOOLS. I’VE SEEN SCHOOLS THAT ARE FULLY BACK IN SESSION. MAYBE THEY GET A CLUSTER OF ILLNESS AND SO THEY GO OUT FOR TWO WEEKS. THEY PUT THE KIDS ON REMOTE FOR TWO WEEKS AND THEN THEY COME BACK IN RIGHT SO THERE’S A WAY TO DO IT SO YOU MIGHT HAVE GAPS HERE AND THERE YOU MIGHT HAVE TO GO OUT FOR A DAY HERE A DAY THERE WHILE THEY GET TESTED WHATEVER IT MIGHT BE BUT THEY KNOW THE IMPORTANCE IN THE VALUE. I’VE DONE A LOT OF ZOOM CALLS WITH COSTUMES. I DID ONE WITH A CLASS IN PELHAM THIS MORNING. I WAS ON A ZOOM CALL LAST WEEK WITH A LOT OF THE HIGH SCHOOL STUDENTS THAT ARE CREATING A LOT OF OUR S UD PREVENTION PROGRAMMING AROUND DRUGS AND OPIOIDS AND ALCOHOL AND THINGS OF THAT NATURE. EVERY ONE OF THEM WANTS TO BE BACK IN. THEY ARE ALL ITCHING TO BE BACK IN EVEN KIDS THAT TYPICALLY REALLY DIDN’T WANT TO BE IN SCHOOL REALLY WANT TO BE BACK IN AND IT’S IMPORTANT NOT JUST FOR THE EDUCATIONAL IT’S IMPORTANT TO HAVE SOMEONE ELSE HAVE PUT EYES ON THAT STUDENT. WE TALKED ABOUT THE MENTAL HEALTH ISSUES. WE TALK ABOUT THE ISOLATION. WE JUST TALKED ABOUT ALL THE OTHER ISSUES THAT CAN COME AND THAT CAN BE BROUGHT TO THE SURFACE APPROPRIATELY WHEN TEACHERS ARE MORE ENGAGED TEACHERS WILL TELL YOU IS HARD TO ENGAGE RIGHT TO SEE REALLY SEE WHAT’S HAPPENING WITH THE STUDENT AND I’VE TALKED TO A LOT OF TEACHERS SAY I CAN SEE MY STUDENTS MOST OF THEM ARE. OKAY. THERE’S A COUPLE THAT I DON’T KNOW WHAT’S GOING ON IN THAT HOUSEHOLD, RIGHT AND AND THAT GIVES THEM A LOT OF CONCERN AND SO THEY WANT THE KIDS BACK IN SO THEY CAN TALK TO HIM HAVE YOU KNOW THE ONE ONE CONVERSATIONS WHATEVER IT IS, WHATEVER IT NEEDS FOR THAT WHOLE HEALTH STUDENT RECENTLY. COUPLE THINGS LET ME PEACE THAT QUESTION OF PART A LITTLE BIT IF I’M RIGHT WHEN IT COMES TO THE DELIVERY, I THINK FEDEX AND UPS AND A COUPLE OTHER ORGANIZATIONS ARE PROVIDING THE DELIVERY. I THINK THEY’VE BEEN DOING A VERY GOOD JOB. I HAVEN’T HEARD OF A WHOLE LOT OF DELAYS IN DELIVERY OR LOST SHIPMENTS AND THINGS OF THAT NATURE. I THINK THOSE ORGANIZATIONS HAVE DONE VERY WELL ON THEIR LOGISTICS AND I DON’T HAVE ANY REASON TO BELIEVE THAT MANUFACTURERS AREN’T GOING AS FAST AS THEY POSSIBLY CAN RIGHT? I DON’T THINK ANYONE’S GOING SLOW. SO I’M NOT SURE HOW HE’S GOING TO END NECESSARILY INCREASE OUT. IT HAPPENS. DON’T MISUNDERSTAND ME. I DO HAVE A LOT OF CONFIDENCE THAT OVER THE NEXT FEW WEEKS OVERALL PRODUCTION WILL RAMP UP AS WAS ALREADY ALWAYS ANTICIPATED. IT JUST HASN’T HAPPENED AS FAST AS AS WE WOULD HAVE LIKED. SO THERE’S NO REASON TO THINK PRODUCTION WON’T RAMP UP. I HEARD MANY TIMES FROM THE FEDERAL GOVERNMENT THAT Q 1 OR BETWEEN NOW AND BASICALLY MARCH 31ST, A HUNDRED MILLION DOSES WOULD BE AVAILABLE FROM A MURDER NE AND A HUNDRED MILLION WOULD BE AVAILABLE FROM PFIZER. SO THAT MEANS KNOW OF THE 31 OR 30 MAYBE 35 MILLION DOSES THAT THEY’VE PUT OUT AS OF TODAY THERE STILL APPROXIMATELY ANOTHER HUNDRED SIXTY MILLION TO GO BETWEEN NOW AND THE END OF MARCH THE ONLY WAY TO HIT THAT GOAL IS TO RAMP UP AND SO I FEEL VERY CONFIDENT. WE’LL GET THERE WITH THAT KIND OF RAMPED UP. I DON’T KNOW IF IT’LL MEET THE TIMELINE THAT THEY WERE DICTATING BUT I DO FEEL CONFIDENT. IT WILL HAPPEN. I NOBODY KNOWS WHEN IT IS. I’M ON THE PHONE WITH GOVERNORS ALL THE TIME TWO NIGHTS AGO. WE HAD A LONG TALK AND NO ONE REALLY HAS A ANY SENSE OF TRUE CONFIDENCE OF WHEN AND TO WHAT LEVEL WI HAPPEN, BUT I THINK WE’RE ALL IT WILL HAPPEN. IT HAS TO HAPPEN. I MEAN, WE REALLY WE CAN’T GO ABOUT DOING THIS AND SEVENTEEN THOUSAND DOSES A WEEK ALLOCATION WILL BE HERE FOR ANOTHER YEAR THE OTHER BENEFIT IF I MIGHT IS JOHNSON & JOHNSON LOOKS LIKE THERE’S A VACCINE IT’S DIFFERENT, BUT IT WILL COME ONLINE. HOPEFULLY SOMETIME IN MARCH OR AT LEAST BE APPROVED SOMETIME IN MARCH THE ASTRAZENECA VACCINE COULD BE APPROVED SOMETIME IN LATE MARCH EARLY APRIL. THAT’S THE ROUGH TIMELINE. WE’VE BEEN GIVEN THERE’S OTHER VACCINES THAT ARE ON THE MARKET SOME OUR MRNA SOME ARE MORE. SOME HAVE HIGHER EFFICACY THAN OTHERS, BUT IT IS AN ALL-HANDS-ON-DECK EFFORT. I DON’T THINK ANYONE’S SLOWING DOWN OR GOING SLOW. I I CAN’T SPEAK FOR MY DINNER AND PFIZER, BUT I IMAGINE THEY IT’S IN THEIR INTEREST TO PRODUCE THE STUFF AS FAST AS THEY POSSIBLY CAN. I DON’T HAVE AN EXACT NUMBER OTHER THAN TO SAY I CAN TELL YOU THAT WASTED VACCINE IS UNDER 1% WE CAN. AND THAT BUT I THINK THERE’S THIS VERY FEW. I KNOW I’VE HEARD STORIES AND OTHER STATES OF A FREEZER FAILING RIGHT OR SOMETHING LIKE THAT. IT ISN’T LIKE WILLFUL NEGLIGENCE OR ANYTHING LIKE THAT. SO I’M SURE OF THE MILLIONS OF DOSES OF VACCINE YOU’RE GOING TO HAVE STUFF HERE AND THERE BUT WE DON’T HAVE ANY MAJOR INCIDENCES OF MASS FAT WASTE OF VACCINE. WE’ DONE VERY WELL ANYWAY, THAT’S INTERESTING. I DON’T BELIEVE SO IF WE DON’T HAVE INFORMATION ON THAT, BUT I NOT SEEN THAT. QUESTION CAME UP YESTERDAY ABOUT THE VACCINE REGISTRATION WITH ADULT CHILDREN AND ELDERLY PARENTS. THAT WAS MY BIG QUESTION FOR YOU CAN ADULT CHILDREN WHO HAVE ELDERLY PARENTS WHO ARE GOING TO FILL OUT THE REGISTRATION FORM FOR THEIR PARENTS. CAN THEY FILL OUT CAN BE ADULT CHILD PUT THEIR ADULT CHILD EMAIL AND PHONE NUMBER? TO GET THE CONTACT BACK TO THEM BECAUSE THEY’RE AFRAID THEIR PARENT MAY NOT CHECK THEIR EMAIL. YES, OF COURSE IF YOU RELY ON SOMEBODY ELSE’S EMAIL FOR INFORMATION, THAT WOULD BE FINE THAT WOULD PRECLUDE YOU OUT OF THE SYSTEM. YOU KNOW WHAT? WE HAVE SET UP CAN HANDLE THE 17,000 AND WILL EXPAND THEM AS NEEDED, BUT I’LL LET PERIOD TALK A LITTLE BIT MORE OF THAT. RIGHT NOW WE HAVE 13 SITES OPEN AND WE CAN HANDLE THE CAPACITY. THAT IS DEFINITELY, YOU KNOW, THE DOSES THAT ARE COMING IN PLUS THE SECOND DOSE IS WE CAN EXPAND THOSE IN WHERE THEY’RE AT. BUT BUT ALSO WE COULD ADD SITES WE HAVE PLANS TO ADD SITES AND EVEN DO SOME SUPER SITES. SHOULD WE GET A BOLUS OR A LARGE VOLUME OF COMING IN? SO PUTTING NEEDLES IN ARMS IS NOT GOING TO BE OUR DIFFICULTY. IT’S JUST A AMOUNT OF VACCINE COMING IN WHATEVER THEY COME IN. WE CAN MATCH THAT, YOU KNOW THAT OPERATION TO THAT AND WE HAVE PLANS TO EXPAND RAPIDLY TO DO THAT IF THEY CALLED US TODAY AND SAID WE HAVE 20,000 MORE DOSES COMING NEXT WEEK WE COULD GET THOSE IN ARMS RIGHT AWAY AND OPEN UP A POEMS TO DO THAT. QUESTIONS ON THE PHONE HOLLY REMER WITH THE ASSOCIATED PRESS HOLLY, PLEASE. GO AHEAD WITH YOUR QUESTION. GREAT QUESTION, SO IT’S FAIR SHARE. SURE GREAT QUESTION. I’LL HAVE DR. DALY ANSWER THE SECOND QUESTION. IS THAT OKAY? GREAT THE FOR THE FIRST QUESTION IN TERMS OF ANY ADJUSTMENTS WE MAKE TO FURTHER PHASES WHETHER IT BE 2A OR 2B. I THINK ONE OF THE QUESTIONS THAT WE STILL DON’T KNOW IS WHAT WILL THE UPTAKE OF PHASE ONE BE BE WILL IT BE WILL 90% OF FOLKS IN PHASE ONE BE WANT THE VACCINE OR WILL ONLY 40 OR 50% SO I THINK WE’RE NOT GOING TO MAKE ANY CHANGES I THINK PROBABLY A COUPLE KIND OF WE SEE WHAT THE REQUEST AND DEMAND ON THE SYSTEM IS HOW FAR OUT THERE BOOKING AND A FOLKS ARE REALLY BOOKING. WELL PAST, YOU KNOW THE APRIL TIME FRAME OR SOMETHING LIKE THAT FOR THEIR FIRST SHOT THEN YEAH OBVIOUSLY WILL MAKE THAT ADJUSTMENT, BUT WE JUST DON’T KNOW WE HOPE I HOPE IT’S A HUNDRED PERCENT OF FOLKS THAT WANT THE VACCINE FOLKS DO WANT THE VACCINE, BUT I THINK WELL IF WE HAVE TO MAKE ADJUSTMENTS THAT WILL BE DONE PROBABLY IN THE NEXT COUPLE WEEKS AS WE SEE WHAT THE REQUEST AND DEMAND IS AS PART OF THE POPULATION VACCINATED. I’LL TURN IT OVER TO DR. DALY. SO THE NUMBERS THAT CDC ARE RELEASING ARE BASED ON A RATE CALCULATION. SO IT’S PER 100,000 PERSONS. EXCUSE ME. THEY DO THAT SO THAT THEY CAN COMPARE THAT ACROSS FAIRLY COMPARE THAT ACROSS ALL THE DIFFERENT JURISDICTIONS. SO WHEN YOU LOOK AT THAT THOSE STATISTICS IT IS ACCOUNTING FOR THE UNDERLYING SIZE OF THE POPULATION. SO THOSE COMPARISONS CAN BE MADE AND THEY’RE SIMPLY JUST TAKING THE NUMBER OF FIRST DOSES ADMINISTERED AND DIVIDING THAT BY OUR POPULATION TO COME UP WITH RATE IT DOES NOT TAKE INTO CONSIDERATION. HOW MUCH VACCINE NEW HAMPSHIRE HAS RECEIVED? OUR UNDERSTANDING IS AT LEAST AT THIS TIME THAT THE AMOUNT THAT WE’RE RECEIVING EACH WEEK IS A IS A PROPORTIONAL AMOUNT THAT ALL STATES ARE RECEIVING AND SO THE AMOUNT OF ALLOCATION COMING TO NEW HAMPSHIRE IS FAIR. WE HAVE HEARD THAT THEY MAY CONSIDER ALTERING THE WAY THAT THEY PROVIDE THOSE ALLOCATIONS TO THE STATES IN THE FUTURE, BUT SO FAR THAT HAS NOT TRANSPIRED YET. SO RIGHT NOW IT’S A STRAIGHT PROPORTIONAL ALLOCATION. I’M GOING TO ADD ONE MORE THING ON THERE IF I COULD THAT’S A GREAT ANSWER. THANK YOU. DR. DALY ONE OF THE OTHER IF YOU LOOK ON THAT CDC WEBSITE A LOT OF TIMES YOU’LL SEE WHAT’S BEEN DISTRIBUTED VERSUS ADMINISTERED FOLKS HAVE TO REMEMBER THAT WE AS A STATE BY FEDERAL RULE HAD TO GIVE CVS AND WALGREENS 100 PERCENT OF THE POTENTIAL IN LONG-TERM CARE KNOWING THAT A HUNDRED PERCENT OF THE INDIVIDUALS AND STAFF AND RESIDENTS MAY NOT BE TAKING IT. SO AT SOME POINT THAT VACCINE THAT’S ESSENTIALLY BEING HELD IF YOU WILL. BY CVS AND WALGREENS AS THEY ADMINISTER TO OUR LONG-TERM CARE FACILITIES WILL COME BACK TO THE STATE AND BACK INTO THE SYSTEM, BUT WE HAD TO PROVIDE ALL OF THAT. WELL UP FRONT IN THE FIRST TWO OR THREE WEEKS OR THREE OR FOUR WEEKS. I SHOULD SAY OF THE PROCESS. SO THAT’S WHY A LOT OF STATES AND THAT GOES FOR EVERY STATE THE DISTRIBUTION IS SO HEAVY COMPARED TO THE RATIO OF THAT THAT HAS BEEN ADMINISTERED. IT’S IT HAD TO ASSUME A HUNDRED PERCENT UPTAKE EVEN THOUGH THAT PROBABLY WASN’T A PRACTICAL EXPECTATION, BUT WE DO EXPECT TO GET A THAT VACCINE BACK SO WE CAN BE RE ADMINISTERED IN OTHER WAY FOR THOSE WHO DON’T USE IT AS PART OF THE LONG-TERM CARE PROCESS. THE NEXT QUESTION COMES FROM KATIE FIG AND BOMB WITH A CALEDONIAN RECORD KATIE, PLEASE GO AHEAD WITH YOUR QUESTION. UNFORTUNATELY, WE’VE HAD SOME OUTBREAKS SIGNIFICANT OUTBREAKS IN BERLIN AT THE COHAS COUNTY NURSING HOME. THAT WAS QUITE A SIGNIFICANT OUTBREAK THAT’S BEEN GOING ON FOR WELL, MAYBE SIX WEEKS NOW, BUT I’M SORRY THE PRISON. YEP, SO SOME OF THOSE OUTBREAKS THAT HAVE HAPPENED WITHIN THOSE FACILITIES YOU GET IT REALLY WITH THE UNINTENDED AND OFTEN ASYMPTOMATIC TRANSMISSION FROM A MAYBE A STAFF MEMBER TO A RESIDENT OR BUT THEN ALSO IT GOES BACK THE SAME WAY AND AND THOSE FOLKS ARE IN THE COMMUNITY. SO OFTEN WITH THE OUTBREAKS, YOU’LL SEE A AN INCREASE IN COMMUNITY TRANSMISSION KIND OF THEY KIND OF GO HAND IN HAND ON FOR UNFORTUNATELY. SO WE HAVE BEEN WORKING WITH THAT FOR APPROXIMATELY LAST SIX WEEKS OR SO SINCE THE BEGINNING OF DECEMBER WHEN SOME OF THESE VERY SEVERE OUTBREAK STARTED TO HAPPEN, YOU KNOW MORE OUTBREAKS ARE COMING OFF THE LIST THAN GOING ON, BUT WE HAVE PROBABLY OVER 40 OUTBREAKS ACROSS THE STATE AND NOT JUST IN THAT SOUTHERN TIER. SO WE’RE TRYING TO MAKE SURE THAT WHETHER IT’S UP TO OUR FIXED SITES OR MAKING SURE THAT CVS WALGREENS IS PROVIDING AND THE ACCOUNTABILITY OF THEM PROVIDING THAT VACCINE INTO LONG-TERM CARE. IT’S HAPPENING WHETHER YOU’RE IN MANCHESTER OR WHETHER YOU’RE IN COLEBROOK. IT’S VERY IMPORTANT THAT AGAIN WE MAKE SURE WE’RE NOT PROVIDING VACCINE AND INEQUITABLE WAY IN TERMS OF THE ADMINISTRATIVE ADMINISTRATOR ADMINISTRATION’S CHANGE THAT THE CHANGE IN ADMINISTRATION. IS THAT HAPPENED AS OF YESTERDAY SO FAR? IT’S BEEN FAIRLY SEAMLESS. WE KNOW THEY’LL BE A CHANGE SPECIFICALLY AT HEALTH AND HUMAN SERVICES. IT REALLY REMAINS TO BE SEEN WHAT INDIVIDUALS THAT WE CONSTANTLY WORK WITH AT OPERATION WARP SPEED IF THEY’LL BE CHANGING OR NOT. I IMAGINE MOST OF THOSE FOLKS WILL STAY THE SAME THE I KNOW THEY’VE BEEN WORKING HARD THEY MAY BE CHANGES IN PROCESS. I KNOW PRESIDENT BIDEN IS TALKING A LOT ABOUT SPEEDING UP THE PROCESS, BUT I THINK THE MOST IMPORTANT CHANGE THAT WE WOULD LIKE TO SEE I A LITTLE MORE TRANSPARENCY OF FORMATION A LITTLE MORE WHEN YOU KNOW WHAT THEY SAY IS WHAT THEY DO AND WE ALWAYS TALK ABOUT EXPECTATIONS BEING FULFILLED AND MET AT THE FROM THE FEDERAL LEVEL TO THE STATE LEVEL AND I DON’T THINK THAT VARIES NORTH COUNTRY TO THE SOUTHERN PART OF THE STATE SO I DON’T THINK THE ADMINISTRATION CHANGE WILL HAVE AN ADVERSE OR NET POSITIVE IMPACT TO THE NORTH COUNTRY VERSUS THE SOUTHERN TIER ONE WAY OF THE OTHER STATES ARE REALLY IN THIS AS A WHOLE IF YOU WILL AND BUT WE’RE VERY CONFIDENT HOPEFUL THAT YOU KNOW THE PROCESS THAT THAT TRANSITION WILL BE POSITIVE IT WILL BE COOS AND THEN AS THINGS RAMP UP, YOU KNOW, IT CONTINUES WE JUST CONTINUED TO GET MORE VACCINE AS WE NEED IT. GOVERNOR THE NEXT QUESTION COMES FROM NANCY WEST WITH IN-DEPTH, NEW HAMPSHIRE NANCY, PLEASE GO AHEAD WITH YOUR QUESTION. YEAH, GOOD AFTERNOON. THANK YOU FOR TAKING OUR QUESTIONS TODAY. SO I’M GOING TO BE ASKING THE QUESTION AND WITH. THE VACCINE NO, I THINK CARRIE PALMER JUST SAID THAT THE STATE IS GUARANTEEING A SECOND SHOT BUT NOT MAKING THE APPOINTMENT RIGHT AWAY, AND I’M WONDERING HOW THAT WILL WORK WILL OF A SECOND PHONE CALL OR EMAIL HAVE TO BE DONE TO MAKE THAT SECOND APPOINTMENT AND WAS ONLY SEVENTEEN DOSES A WEEK HOW MANY NEW PEOPLE BE GETTING THE JOB? SOME OF THOSE DOSES HAVE TO GO TO THE SECON DOSES FOR OTHER PEOPLE SURE WHETHER IT BE TOMORROW OR THEREAFTER. THEY WILL GET IN A CONFIRMATION EMAIL BACK WITHIN ABOUT 24 HOURS ALLOWING THEM TO PICK THEIR LOCATION IN AND THEN THEY GO FOR THAT LOCATION. AND IN TIME THEY GET THEIR VACCINE AND THEN ABOUT THREE WEEKS AFTER THAT THEY’LL GET ANOTHER CONFIRMATION EMAIL. IS THAT RIGHT? PERRY? THAT IS CORRECT. THEY ALSO GAVE INFORMATION WHEN THEY’RE THERE. RIGHT? RIGHT. SO WHILE THEY’RE THERE THEY CAN PREEMPTIVELY RE-REGISTER OR THEY’LL GET A SECOND EMAIL DOWN THE LINE IF THEY CHOOSE NOT TO DO THAT TO RE-REGISTER FOR THAT SECOND SHOT, BUT THEY’LL GET NOTIFICATION AND THE ABILITY TO DO THAT EITHER RIGHT THERE AT THE SITE OR ANOTHER EMAIL WILL BE SENT TO THEM AUTOMATICALLY TO MAKE SURE THAT THEY REGISTER FOR THAT SECOND SHOT AT THEIR AT A TIME OF THEIR CONVENIENCE. I’LL HAVE DR. DALY COME UP TO TALK A LITTLE BIT ABOUT THE NUMBERS IN TERMS OF THE PRIMARY DOSES. WE GET VERSUS THE BOOSTER DOSES WEEKEND. AND SO I WANT TO ADD AS WELL THAT AT THOSE FIXED SITES. WE ARE ACTUALLY SETTING ASIDE A CERTAIN NUMBER OF APPOINTMENTS BASED ON OUR ALLOCATIONS TO BE ABLE TO PROVIDE THOSE SECOND DOSES. SO WHEN WE SAY YOU’RE GUARANTEED IT IT’S BECAUSE WE ARE RECEIVING THE SECOND DOSES AND WE HAVE SAVED SPOTS. FOR PEOPLE TO REGISTER FOR THOSE SECOND DOSES OF VACCINE IN REGARDS TO THE NUMBERS THAT WERE RELEASING WHEN WE’RE TALKING ABOUT 17 THOUSAND DOSES COMING IN PER WEEK. THOSE ARE FIRST DOSES BECAUSE WE THINK THAT’S PROBABLY WHAT’S MOST IMPORTANT TO ALL OF YOU AT HOME. YOU WANT TO KNOW WHEN YOU’RE GOING TO BE ABLE TO START THE SERIES AND SO THAT’S THE NUMBER THAT WE’RE REPORTING EACH WEEK AT THE SAME TIME. WE ARE ALSO RECEIVING THOSE SECOND DOSES COMING IN AS AN EXAMPLE THIS WEEK. WE’VE RECEIVED 35,000 SECOND DOSES AND THAT’S BASED ON WHAT WE RECEIVED FOR FIRST DOSE HAS THREE OR FOUR WEEKS AGO. SO BASICALLY WHAT’S HAPPENING IS THE FEDERAL GOVERNMENT HAS SAVED BACK THAT SECOND DOSE. THEY AUTOMATICALLY SEND IT TO US AS THOSE PEOPLE ARE BECOMING ELIGIBLE TO RECEIVE THE SECOND DOSE. SO WHAT WERE RECEIVING NOW IN SECOND DOSE IS AGAIN IS WHAT WE RECEIVED IN FIRST DOSE HAS SEVERAL WEEKS AGO. SO FOR THE 17,000 NEW DOSES THAT WE’VE RECEIVED IN THE STATE THIS WEEK FOR FIRST DOSE IS THREE WEEKS FROM NOW WILL RECEIVE AN ADDITIONAL 17 THOUSAND DOSES THAT WILL BE FOR A SECOND DOSE IS FOR PEOPLE WHO ARE BEING VACCINATED. AT THIS WEEK SO I’M GOING TO REPLAY THAT LATER TONIGHT BECAUSE THAT WAS A GREAT ANSWER. ABSOLUTELY RIGHT. I KNOW IT’S A LITTLE CONFUSING THE LONG STORY SHORT IS WHEN WE TALK ABOUT DOSES COMING IN. WE ALWAYS JUST REFERENCE THE FIRST DOSE BECAUSE WHILE WE’RE GETTING THE SECOND DOSE THAT’S GOING TO BE FOR FOLKS TO MAKE SURE WE NEVER WANT TO TELL SOMEONE. SORRY. I CAN’T GIVE YOU YOUR SECOND SHOT. SO TO KEEP IT SIMPLE. WE ALWAYS JUST REFERENCE. THE FIRST DOSE IS EVEN THOUGH WE’RE ACTUALLY GETTING THE SECOND DOSE HAS THE RESERVED FOR THE FOLKS THAT HAVE ALREADY GOTTEN THEM AND SO THAT’S WAS ONE OF OUR WAYS TO TO KEEP IT SIMPLE. I KNOW IT CAN BE A LITTLE CONFUSING BUT WE GET SEVENTEEN THOUSAND A DAY. WE KNOW WE’RE GETTING 17,000 IN THAT SAME BOOSTER DOWN THE ROAD, BUT WE’LL ALWAYS JUST WEEK-TO-WEEK TALK ABOUT THE FIRST DO SHOTS. GOVERNOR THE NEXT QUESTION COMES FROM COMES FROM WITH THE LACONIA DAILY, SON RICK, PLEASE GO AHEAD WITH YOUR QUESTION. THANK YOU. IN OTHER WORDS, ARE THERE COMMONALITY. ALSO WE’RE HEARING THAT SOME LONG-TERM CARE STAFF ARE REFUSING VACCINATION. HOW BIG A CONCERN IS THAT AND CAN FACILITIES THAT MAN STAFF RECEIVE THE SHOP? I’M GONNA HAVE CHUCK LORRE COMMISSIONER SHIPPING AT TALK ABOUT THE ANALYSIS LOOKING AT THE LONG-TERM CARE FACILITY. SO WE HAVE LOOKED AT THE FACILITIES THAT I’VE HAD SOME SEVERE OIL BREAKS VERSUS SOME FACILITIES THAT HAVE HAD TWO OR THREE CASES ENTERS A BUILDING AND NOT REALLY GO ANYWHERE. WE LOOKED AT YOU’LL RECALL WE DID A VENTILATION STUDY BACK SEVERAL MONTHS AGO TO SEE IF THAT IT WAS RELATED AND WE COULDN’T IDENTIFY. YOU KNOW THE VENTILATION IN THE FACILITY BEING A MAJOR CAUSE OF IT, YOU KNOW, WHAT WE CAN SAY IS WHAT WE SUSPECT. IS THAT NUMBER ONE. HOW EARLY IS A COD AND WHAT YOU’LL SEE NOW IS THAT WE ARE CATCHING OUTBREAKS MUCH EARLIER BECAUSE RIGHT NOW MOST OF THE LONG-TERM CARE FACILITIES ARE GETTING FULL STAFF TESTING EVERY TWICE A WEEK. SO BACK IN THE SPRING WHEN WE WERE DOING TESTING ONCE A WEEK ONCE A MONTH. AT THESE FACILITIES WE’RE NOW DOING TWICE A WEEK TESTING. SO WE’RE ABLE TO CATCH IT SOONER THE NUMBERS TEND TO BE SMALLER THAN WHAT THEY WERE IN THE SPRING WHEN YOU LOOK AT THE THE TOTAL NUMBER OF PEOPLE AFFECTED IN THE FACILITIES OTHER THINGS, YOU KNOW, THE OTHER THE OLDER BUILDINGS THE OLDER LONG-TERM CARE BUILDINGS. THEY ARE SET UP VERY DIFFERENT FROM AN ENVIRONMENTAL AND PHYSICAL STANDPOINT THE WAY THE BEDS ARE SET UP HOW BIG THE ROOMS ARE HOW BIG THE AREAS ARE ALL THOSE THINGS. TO PLAY A PLAY A ROLE IN IT. HOW MANY PRIVATE ROOMS ARE ON A UNIT VERSUS SEMI-PRIVATE ROOMS ALL OF THOSE THINGS. WE ARE SURE PLAY PLAY PLAY INTO THIS SPREAD OF COVID-19, BUT I THINK THAT’S MORE GOING TO BE SOMETHING WE’RE GOING TO LOOK AT RETROSPECTIVELY BECAUSE WE OBVIOUSLY CAN’T GO IN AND CHANGE THE PHYSICAL STRUCTURE OF A BUILDING IN THE MIDDLE OF A GLOBAL PANDEMIC. SO WE DO SUSPECT THAT SOME OF THOSE THINGS ARE AT PLAY, BUT WE HAVEN’T IDENTIFIED ANY SPECIFIC COMMONALITIES THAT WE ACT ON TODAY TO HELP CURB THAT SPREAD THE UPTAKE IN VACCINE FOR LONG-TERM CARE FACILITIES. I’VE HEARD VARYING REPORTS. I DON’T HAVE SOLID NUMBERS. I’VE HEARD EVERYTHING FROM A NATIONAL NUMBER OF ABOUT 50 OR 60% JUST GENERAL REPORTS FROM LONG-TERM CARE FACILITIES AROUND THE STATE ARE CHANGING BECAUSE WHAT THEY’RE FINDING, IS THAT ALTHOUGH ALTHOUGH DURING THEIR FIRST DOSE CLINIC MAYBE ONLY 60% OF THEIR STAFF TOOK THEIR DOSE WHEN IT CAME TIME TO DO THE SECOND SHOT MULTIPLE PEOPLE THAT DIDN’T TAKE THE FIRST SHOT DURING THE FIRST CLINIC HAS NOW HAVE NOW COME COME UP AND SAID I NOW WANT TO TAKE THE SHOT. SO THE THE TOTAL UPTAKE WE ARE UNSURE OF AT THIS POINT, BUT WE KNOW THAT IT CONTINUES TO ELEVATE AN ESCALADE AS MORE PEOPLE GET THE SERIES AND THEY DON’T HAVE NEGATIVE SIDE EFFECTS OR ANYTHING THAT THAT PEOPLE FEAR FROM THE VACCINE. AND MORE PEOPLE IN HEALTHCARE NOT JUST NURSING HOMES, BUT ALSO IN HOSPITALS ARE COMING FORWARD SAYING THAT WE WANT THE VACCINE. I DON’T HAVE ANY INFORMATION ON WHETHER THE LONG-TERM CARE FACILITY CAN MANDATE A VACCINE ON ON THEIR STAFF. THAT’S DEFINITELY SOMETHING ARE LEGAL FRIENDS WILL HAVE TO TAKE UP THAT QUESTION. SO I WAS JUST ASKING A COMMISSIONER SHIPMENT. IN TERMS OF HAVE THERE BEEN ANY SITUATIONS WHERE FOLKS ARE DEMANDING THAT THEIR STAFF TAKE IT. I WE HAVEN’T HEARD OF ANY REPORTS OF THAT ACTUALLY HAPPENING AND THAT REQUEST GOING OUT TO STAFF AS OF YET. HAMPSHIRE JOURNA GROUP IS ASKING TO BE PLACED IN THE IN THE PHASE 1 B GIVEN THAT THE NUMBER OF VACCINES ISN’T GOING TO CHANGE. WHAT WOULD YOU HAVE TO DO IN ORDER TO PUT THOSE PEOPLE IN THE FACE 1B GROUP? WELL, IF LOOK I MEAN, WHAT WOULD YOU HAVE TO DO TOO? PUT TEACHERS INTO PHASE 1 B. YEAH, WELL WE COULD JUST PUT THEM INTO PHASE ONE BE BUT IT’S GOING TO MAKE A MUCH LARGER GROUP AND IT’S GOING TO POTENTIALLY PUT INDIVIDUALS OF LOWER-RISK AHEAD OF INDIVIDUALS OF HIGHER RISK, AND THAT’S EXACTLY WHAT WE DON’T WANT TO HAPPEN. YOU KNOW AS I NOTED BEFORE THE AVERAGE AGE OF A TEACHER IN THE STATE IS 46 YEARS OLD AND THAT S OF LOW RISK WHETHER YOU’RE COMING IN CONTACT WITH A STUDENT WHETHER YOU’RE WORKING AT A GROCERY STORE AND COMING IN CONTACT WITH A CUSTOMER WITH THERE’S A LOT OF PERSONAL INTERACTION THAT HAPPENS. I KEEP GOING BACK TO THE FACT THAT IN TERMS OF OPENING SCHOOL’S CLASSROOMS BEING OPENED. THE MODELS ARE THERE OF SUCCESS AND THERE IS A WAY TO DO IT WITHOUT A DOUBT. SO WE’RE NOT LOOKING AT MOVING TEACHERS INTO INTERPHASE 1B WOULD MAKE THE THE GROUP MUCH LARGER AND POTENTIALLY PUT TENS OF THOUSANDS OF INDIVIDUALS OF LOW-RISK AHEAD OF THOSE THAT OF HIGH RISK THAT HAVE BEEN ISOLATED THAT HAVE BEEN WAITING PATIENTLY THAT ARE 80 YEARS OLD LIVING AT HOME AND JUST WANT A VACCINE SO THEY CAN THEY CAN GIVE THEIR FAMILY A AGAIN THAT TAKES PRIORITY. OVER YOU KNOW TEACHERS THAT AREN’T ABOVE THE AGE OF 65 AND DON’T HAVE OTHER MEDICAL VULNERABILITIES AND IT’S NOT JUST TEACHERS. I DON’T I’M NOT PICKING ON THE TEACHERS HERE. IT’S REALLY ALL THE DIFFERENT GROUPS THAT HAVE ASKED TO BE PRIORITIZED WE HEARD FROM AIRLINE PILOTS THIS WEEK. WE HEARD FROM APPLIANCE MANUFACTURERS THIS WEEK. WE’VE HEARD FROM EVERYBODY AND I GET IT. EVERYBODY WANTS TO BE FIRST IN LINE, BUT IT HAS TO BE BASED ON HEALTH MORTALITY AND HOSPITALIZATION. THAT’S HOW WE YOU KNOW, THAT’S WHY WE’RE IN THIS HOLE. AND THAT’S BY TAKING CARE OF THAT FIRST. THAT’S HOW WE’RE GOING TO GET OUT OF IT IN A VERY EFFECTIVE WAY. IT WAS THERE QUESTION. YEAH, SURE. SURE, SO TWO QUESTIONS THERE IN TERMS OF HOW STATE SHOULD BE TREATED. IT’S FUNNY THAT THE ANALOGY YOU BROUGHT UP IS IF STATES ARE DOING WELL. SHOULD THEY GO TO THE BACK OF THE LINE ONE OF THE IDEAS PROPOSED BY THE FEDERAL GOVERNMENT’S ARE STATES THAT ARE DOING WELL WOULD GET MORE VACCINE AND STATES THAT AREN’T DOING WELL WOULD GET LESS. THAT’S WHAT AN IDEA THAT WAS THROWN OUT THERE. I CAN DO AS GOVERNOR AND I THINK A LOT OF GOVERNORS WOULD AGREE EVEN THOUGH YOU KNOW, WE WOULD POTENTIALLY GET 500 MORE VIALS. LOOK EVERY STATE IS GOING AT WHATEVER SPEED THEY’RE GOING FOR DIFFERENT REASONS. I’M NOT MAKING EXCUSES FOR OTHER STATES, BUT EVERY STATE SHOULD CONTINUE TO GET THEIR PRO RATA SHARE EVENLY AS SOON AS YOU ADD ANY SORT OF SUBJECTIVITY INTO THE VACCINATION DISTRIBUTION FORMULA OUT OF THE FEDERAL GOVERNMENT. YOU’RE ADDING RELATIONSHIPS AND POLITICS AND ALL THE THINGS THAT SHOULDN’T BE THERE. IT WAS BASED ON POPULATION. WE’VE DESIGNED OUR SYSTEM BASED ON RESIDENCY AND POPULATION. THAT’S HOW ALL STATES HAVE PLANNED THEIR SYSTEMS AND THEY SHOULD BE DISTRIBUTED ACCORDINGLY AS MUCH AS I YOU KNOW, WE CALL AND WE ASK FOR MORE IF NEW HAMPSHIRE GOT MORE I THINK STATE SHOULD GET MORE AT THE EXACT SAME RATE. I THINK THAT’S ONLY FAIR AND AND AGAIN STATES HAVE THEIR OWN SYSTEMS AND THEIR OWN THEIR OWN CHALLENGES. SOME STATES DON’T REALLY HAVE CVS AND WALGREENS IN THEM. SO THEY HAVE TO RELY ON OTHER SYSTEMS OF DISTRIBUTION. MAYBE THAT MAKES IT WORK FASTER OR SLOWER. EVERY STATE IS A LITTLE BIT DIFFERENT. SO TO JUDGE ONE STATE AGAINST THE OTHER GETS A LITTLE BIT DIFFICULT AND TO BASICALLY MAKE IT A RACE OF ONE STATE AGAINST THE OTHER AS WELL AS NEW HAMPSHIRE’S DOING YOU KNOW, WE’VE ALWAYS BEEN KIND OF TOWARDS THE TOP OF THE PACK, BUT I JUST THINK EVERY STATE NEEDS TO G GET THEIR THEIR FAIR SHARE WHETHER IN FEDERAL FUNDS WHETHER IT’S IN VACCINE DISTRIBUTION, AND THEN LET THE STATES HAVE THE FLEXIBILITY TO SPEND OR ADMINISTER THESE RESOURCES THE WAY THEY BEST TO SEE FIT AND THIS YOUR SECOND QUESTION HAVING TO DO WITH BEING THE STATE BEING A FEDERAL RECIPIENT OR A FEDERAL DONOR STATE LOOK THE ISSUE THIS MORNING WAS THE FACT THAT GOVERNOR CUOMO HAS TOLD THE FEDERAL GOVERNMENT UNLESS YOU GIVE ME 15 BILLION DOLLAR BAILOUT 15 BILLION. I MEAN IT AFTER WIN MEGABUCKS OR MEGA MILLIONS 15 TIMES OVER FOR THAT UNLESS THE FEDERAL GOVERNMENT GIVES ME FIFTEEN BILLION. I’M GOING TO ATTACK PUT MORE TAXES ON MY CITIZEN MY OWN CITIZENS. THERE’S NO LOGIC TO THAT AND IT’S NOT FAIR. I THINK A LOT OF GOVERNORS HAVE DONE VERY WELL AND A LOT OF STATES HAVE DONE VERY WELL MANAGING THROUGH THIS CRISIS NOT DEMANDING MORE OUT OF THE FEDERAL GOVERNMENT IF THE FEDERAL GOVERNMENT DIDN’T GIVE US ANOTHER PENNY FOR REVENUE REPLACEMENT. WE WOULD BE JUST FINE AND I’M STILL GOING TO PROPOSED TAX CUTS AND THINGS ARE STILL GOING TO MOVE FORWARD IN A VERY POSITIVE WAY FOR NEW HAMPSHIRE. I DON’T I JUST DON’T THINK IT’S FAIR THAT GOVERNORS SHOULD BE DEMANDING THESE MASSIVE MASSIVE BAILOUTS. I MEAN THINK ABOUT THAT IF NEW YORK HAS A POPULATION OF 15 TIMES NEW HAMPSHIRE, WHICH IT DOES THAT MEANS NEW HAMPSHIRE WOULD GET A BILLION DOLLARS FOR REVENUE REPLACEMENT, RIGHT SO YOU CAN’T JUST YOU KNOW, I JUST SOMEONE’S GOT TO PAY FOR THAT RIGHT? AND SO I THINK MY FRUSTRATION THIS MORNING WAS SIMPLY AS MORE AS A TAXPAYER THAN ANYTHING SOMEONE’S GOT TO PAY FOR NEW YORK BAD MANAGEMENT AND I DON’T THINK DECISIONS IN NEW HAMPSHIRE SHOULD BE THE LINE FOR THAT AT ALL. I THINK THE CITIZENS OF NEW HAMPSHIRE ARE A BIG PART OF THE SUCCESS THAT WE’VE HAD HERE IN THIS STATE. I THINK THE CITIZENS DOING WHAT THEY NEED TO DO TO KEEP THE ECONOMY STRONG THE LEVEL OF COVID LOW GOOD MANAGEMENT PRACTICES FOLLOWING, YOU KNOW, A LOT OF THE GUIDELINES THAT WE PUT IT OVER AND PUT INTO PLACE WASN’T EASY. WE UNDERSTAND THAT BUT WHY SHOULD THEY BE PENALIZED FOR BAD MANAGEMENT AND OTHER STATES AND YEAH, I GOT PRETTY FRUSTRATED WITH THAT AND I THINK EVERYBODY SHOULD GET A BIT FRUSTRATED WITH THAT IN TERMS OF BEING A FEDERAL DONOR OR FEDERAL RECIPIENT. LOOK NEW HAMPSHIRE. I THINK DOES A GREAT JOB MAKING SURE THAT WHEN WE SPEND DOLLA WE GET A GOOD MATCH OUT OF FEDERAL GOVERNMENT, RIGHT? WE’RE ALWAYS TRYING TO LEVERAGE OUR DOLLARS UP. MAYBE WITH BETTER MANAGEMENT NEW YORK COULD DO THE SAME. GOVERNOR YOUR FINAL PHONE QUESTION COMES FROM TODD FOLKMAN FROM NEW HAMPSHIRE PUBLIC RADIO, PLEASE GO AHEAD AND BE A QUESTION. THANK YOU. COULD YOU REPEAT THE QUESTION THE QUESTION ONE MORE TIME? I APOLOGIZE. DR. DALY ANSWER THAT ONE. THAT’S OKAY. YES, SO WE ARE OPENING UP APPOINTMENTS OVER THE NEXT THROUGH THE END OF MARCH I BELIEVE SO AS ALL THESE INDIVIDUALS COME IN THROUGH THE SYSTEM THEY’RE GOING TO BE REGISTERING FOR APPOINTMENTS AS THEY BECOME AVAILABLE WHICH AGAIN IS WHY WE’RE ENCOURAGING PEOPLE TO BE VERY PATIENT WITH THIS PROCESS YOU CAN GET INTO THE REGISTRATION PROCESS, BUT YOU’RE ACTUALLY GONNA BE BOOKING. AS FAR OUT AS WE HAVE THEM THE FIXED SITES WILL HAVE AROUND 12,000 APPOINTMENT SLOTS FOR FIRST DOSES FOR EACH WEEK. WE’RE ALSO PUSHING SOME OF THAT SEVENTEEN THOUSAND DOSES OF VACCINE TO MOBILE SITES BECAUSE YOU’VE HEARD US TALK ABOUT THOSE DIFFERENT INITIATIVES WHERE WE’RE GOING TO GO OUT INTO THE COMMUNITIES AND REACH PEOPLE WHERE THEY’RE AT AS WELL. SO THAT IS HOW THAT PLAYS OUT. ABOUT WHAT SO THE QUICK ANSWER THIS ABOUT 12,000 AVAILABLE AVAILABLE. WEEK AT OUR FIXED SIGHTS. ALL RIGHT, AND THEN THERE’S A THE THE DIFFERENTIAL BETWEEN 17 AND 12 GOES TO EVERYTHING FROM OUR PUBLIC HEALTH NETWORKS THAT WILL INTEGRATE WITH MAYBE WITH CORRECTIONS STAFF OR WITH CONGREGATE SETTINGS WITH THE ID COMMUNITY SENIOR HOUSING RIGHT OR OR AS BETH WAS DESCRIBING THE 10% WE’VE HELD FOR THOSE WHO JUST HAVE HEALTH ACCESS EQUITY ISSUES WILL MAKE SURE THAT WHERE THERE ARE MOBILE SITES ARE TAKING OF THAT POPULATION. GREAT GREAT. ADAM I CAN TELL Y HE GOT SOMETHING BREWING WANT TO ASK THE FEDERAL GOVERNMENT FOR ANY REPLACEMENT OF REVENUE IN NEW HAMPSHIRE. SOME MUNICIPAL LEADERS ARE WONDERING IF YOU’RE SAYING YOU DON’T THINK YOU CAN TREAT SHOULD BE GETTING MONEY TO FILL IN BUDGET GAPS NOT NECESSARILY AT THE STATE LEVEL, BUT THE ONES THAT ARE OPENING UP AT MUNICIPAL LEVEL, SO NO WONDER IF I DO YOU THINK THAT ARE YOU REQUESTING FROM THE FEDERAL GOVERNMENT? IF THE FEDERAL GOVERNMENT IS GOING TO PROVIDE REVENUE REPLACEMENT AND ASSISTANCE, OF COURSE, WE’RE GOING TO BE ABLE TO SPEND IT RESPONSIBLY THE RIGHT WAY WHETHER IT’S HELPING CITIES AND TOWNS IF THAT WERE TO BE AVAILABLE. THAT WOULD BE GREAT. IT’S NOT ABSOLUTELY NEEDED, BUT IT WOULD BE IT WOULD BE GREAT TO DO. SO, WHATEVER THEY DO HAS TO BE DONE EQUITABLY AMONGST ALL THE STATES AND THE ISSUE THIS MORNING WAS ONE STATE SAYING GIVE ME 15 BILLION OR I’M RAISING TAXES ON MY OWN CITIZEN. IT’S LIKE HOLDING YOUR OWN CITIZENS HOSTAGE. IT’S REALLY YOU KNOW, THAT WAS THE THE FRUSTRATION AND PART OF THE CALL, BUT NO LOOK IF THE FEDERAL GOVERNMENT IS GOING TO PROVIDE SOME SENSE OF REASONABLE, YOU KNOW ASSISTANCE TO STATES TO HELP WITH REVENUE. THAT’S FINE. WE’RE GOING TO SPEND IT THE RIGHT WAY AND RESPONSIBLY EVERYONE NEEDS TO GET THEIR PRO RATA SHARE ANY BUT YOU JUST CAN’T HAVE, YOU KNOW, MASSIVE BAILOUTS TO INDIVIDUAL GOVERNOR’S THAT MAKE THREATS ON HIGHER TAXES, WHETHER WE GET ASSISTANCE OR NOT. WE CAN DO TAX CUTS. OUR ECONOMY IS STRONG WE CAN MAKE SURE THAT THE DOLLARS THAT ARE NEEDED IN THE SCHOOLS OR WHATEVER. IT MIGHT BE ARE GOING T THERE BECAUSE REMEMBER NINE HUNDRED BILLION DOLLARS. TOP OF THE 1.25 BILLION HAS ALREADY BEEN SPENT OR WILL BE SPENT HERE IN HAMPSHIRE. PLUS THE HUNDRED A COUPLE HUNDRED BILLION THAT WAS SPENT IN TO HOSPITALS AND THINGS OF THAT NATURE. SO THERE’S BEEN A MASSIVE AMOUNT OF MONEY PUT OUT ACROSS THIS COUNTRY AND HERE IN NEW HAMPSHIRE. WE’VE DONE FAIRLY WELL IN TERMS OF BEING ABLE TO COVER A LOT OF THOSE COSTS THROUGH COVID, BUT WE’VE ALSO I THINK MANAGE OUR ECONOMY VERY WELL AND IT’S VERY STRONG AND REVENUE COMING IN IS EXACTLY WHERE WE THOUGHT IT WOULD BE AND THAT’S A VERY GOOD SIGN SO MY POINT THERE THEY’RE BEING IF NOTHING ELSE WERE TO COME WE’RE GOING FINE, BUT YOU KNOW GOVERNOR’S SHOULDN’T BE STANDING UP AND MAKING THREATS LIKE THAT. IT’S INAPPROPRIATE. SURE. AND IF SO WHAT THEY JUST KEEP REFRESHING THE LINK WHERE WE’LL MORE APPOINTMENTS BE AT IT’S A YOU KNOW A MONTH FROM NOW ON A CERTAIN DAY, BUT HOW WILL THAT PROCESS BECAUSE YOU KNOW NOTIFIED TO THE PUBLIC AND ONE FURTHER QUESTION IS DCYF SOCIAL WORKERS HAVE BEEN ADVOCATING TO BE INCLUDED IN EARLIER PHASES. THEY HAVE NOT OBVIOUSLY PROVIDE FRONTLINE EMERGENCY MEDICAL CARE, BUT THE SOCIAL WORKERS COME IN CONTACT WITH THE PARENTS AND CHILDREN, YOU KNOW AN IMMEDIATE SITUATIONS. IS THERE ANY VERY VULNERABLE CITIZENS AND THEY JUST THEY HAVE TO GO FIRST BECAUSE OF AGE OR MEDICAL CONDITION OR SOME OF THE OTHER CONDITIONS AS OUTLINED IN PHASE 1 B AND THOSE TAKE PRIORITY AND PRECEDENT REGARDLESS OF WHAT YOUR OCCUPATION IS AND LOOK WE WISH WE COULD PUT EVERYBODY INTO PHASE 1 B. WE WISH WE HAD A MILLION VACCINES TO GIVE OUT TOMORROW. THAT’S JUST NOT THE WAY. AT THE SYSTEM IS SET UP SO WE HAVE TO PRIORITIZE AND I KNOW IT’S FRUSTRATING FOR A LOT OF FOLKS. I GET IT. I REALLY DO BUT THERE HAS TO BE A PRIORITY BASED ON A MEDICAL NEED AND THE THE SEVERITY OF SYMPTOMS AT THIS VIRUS CAN WITHIN THOSE INDIVIDUAL POPULATIONS. SORRY, DR. DALE. HE’S COMING UP TO ANSWER THE SECOND HALF MOON. SO WHEN PEOPLE GO ON TO REGISTER TOMORROW WHAT THEY CAN EXPECT IS THAT THEY’RE GOING TO GO THROUGH A REGISTRATION FORM FIRST, AND THEN THEY WILL RECEIVE A FOLLOW-UP EMAIL THAT WILL THEM TO SCHEDULE SO IT’S NOT A MATTER OF REFRESHING THE BROWSER IF YOU REGISTER WE WILL SCHEDULE YOU FOR AN APPOINTMENT IF WE DO NOT HAVE ENOUGH APPOINTMENTS. WE’RE GOING TO CONTINUE TO OPEN THEM UP FOR THE FUTURE. SO WE’RE IT’S A KIND OF A BALANCING ACT OF SEEING HOW MANY REGISTRATIONS WE GET ON THESE FIRST DAYS, BUT WE ARE BOOKING OUT MANY WEEKS OUT INTO THE FUTURE. THERE WILL BE THOUSANDS TENS OF THOUSANDS OF APPOINTMENTS IN THE SYSTEM THERE AND WE’LL GET EVERYONE SCHEDULED AGAIN. JUST ASKING FOR YOUR PATIENCE. IT MAY TAKE A FEW DAYS TO GET YOUR APPOINTMENT SCHEDULED. BUT NOW THAT IT’S HAPPENED. DO YOU HAVE ANY OPINION ABOUT THE SENATE HOLDING AN IMPEACHMENT TRIAL OF A PRESIDENT TRUMP? NOT NOW THAT HE’S NO LONGER IN ALL NIGHT. WELL, I’LL SIMPLY SAY I’M NOT SURE WHAT PURPOSE IT WOULD IT WOULD REALLY SERVE. I YOU KNOW ME. I’M ALL ABOUT JUST GETTING GETTING THE WORK DONE. IF IT’S SOMETHING THAT CAN MOVE THE BALL FORWARD AND PROVIDE A BENEFIT TO THE THIS COUNTRY OR THIS. GO FOR IT IF IT’S SOMETHING THAT’S BEING DONE FOR POLITICAL REASONS OR AFTER THE FACT THAT I’M NOT SURE WHAT PURPOSE THAT SERVES I THINK CONGRESS IF ANYTHING HAS TO HAVE A LITTLE BIT OF SELF-REFLECTION ABOUT WHAT DO WE NEED? WHAT DO THEY NEED TO DO TO JUST GET THE JOB DONE? RIGHT? I MIGHT NOT AGREE WITH EVERYTHING THEY PASS. I MIGHT NOT AGREE WITH EVERYTHING. THEY DO BY ANY MEANS, BUT THEY HAVE TO DO AND I THINK THAT’S WHAT THE EXPECTATION OF THE AMERICAN PEOPLE ARE. SO I’M JUST YOU KNOW, I’M NOT GOING TO WEIGH IN OF MORE THAN I’M NOT SURE WHAT PURPOSE IT WOULD SERVE A THIS TIME. OKAY. WELL, THANK YOU. I KNOW THIS IS A LITTLE LONG LOT OF INFORMATION OUT THERE COME 8 A.M. PATIENCE PATIENCE PATIENCE. WE HOPE EVERYONE HAS PATIENTS USE THE WEBSITE VACCINES OUT NH DOT-GOV THEY’VE DONE A GREAT JOB BUILDING OUT THAT SYSTEM. WE KNOW THIS IS GOING TO BE A KIND OF AN ONSLAUGHT ON IT POTENTIALLY AT 8 A.M. SO HAVE SOME PATIENCE GIVE IT SOME TIME YOU IF YOU HAVE TO CALL IN JUST KNOW THAT YOU MIGHT BE ON HOLD A LITTLE BIT, BUT WE LITERALLY HAVE HUNDREDS OF PEOPLE IN OUR ALL CENTER THAT ARE TRAINED UP AND READY TO GET YOU GET YOU WHAT YOU NEED AND REALLY GET THIS WHOLE PROCESS FOR THE GENERAL POPULATION KICKED OFF. ITS A PRIORITIZATION. WE WISH WE COULD PRIORITIZE EVERYONE. I REALLY DO APPRECIATE EVERYONE’S PASSION FOR WANTING TO BE FIRST, BUT THE SOONER WE TAKE CARE OF THE FATALITIES AND THE HOSPITALIZATIONS THE SOONER WE GET OUT

COVID-19 in New Hampshire: Key data, maps and graphs

Officials detail number of COVID-19 cases

Get the latest information below about the COVID-19 pandemic and its effects on New Hampshire. This page is updated daily. *Full press conference in the video above was held Jan. 21, 2021*>> Download the FREE WMUR app New Hampshire data:Number of people diagnosed with COVID-19: 62,337Most-recent daily PCR test positivity rate (data released 1/24): 4.9% Number of deaths attributed to COVID-19: 987Number of active cases: 6,122Number of patients who have recovered: 55,228Number of current hospitalizations: 239 Number of total PCR tests for COVID-19: 584,072 Number of total antibody tests: 36,033Number of MIS-C cases: 1 ** Town-by-town COVID-19 case data **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Can’t see the map and graphs above? Visit this link and scroll down. VACCINE INFORMATIONThe state encourages people to visit https://www.vaccines.nh.gov/ for more information.** Step by step: How to sign up to receive the shots through Phase 1B **Estimated Distribution TimelineThe following is an estimated vaccine timeline for distribution from the state (updated Jan. 14, 2021):Phase 1-A: Underway now through March(about 110,000 people)High-risk health workersLong-term care residentsFirst responders Phase 1B: January 26 to March(about 300,000 people) — Sign-ups began Jan. 22; visit https://www.vaccines.nh.gov/People 65 years old or olderMedically vulnerable at significantly higher risk, including family caregivers for those under 16Staff and residents of IDD facilitiesCorrections officers and staffPopulations that experience health disparities Phase 2A: March to May(about 175,000 people)K-12 teachers, school staff, child care workersPhase 2B: March to May(about 200,000 people)People 50-64 years oldPhase 3A: May and beyond(about 325,000 people)Medically vulnerable people 50 years of age and younger who are at a moderate risk Phase 3B: May and beyond(about 325,000 people)Everyone else who has not yet been vaccinatedAllocation Summary for Each Vaccine Phase, 1st Doses Only (through Jan. 21, 2021)Phase 1A: 112,915 doses allocated; 112,915 people in group (100% of needed amount)Phase 1B: 2,685 doses allocated; 325,000 people in group (<1% of needed amount)State reserve for outbreaks or emergency needs: 1,100 doses allocated; 1,100 people in group (100% of needed amount)Vaccine Site Summary (through Jan. 21, 2021)Hospitals: 48,690 doses available; 41,495 doses delivered; 38,295 doses administered to patients (8,144 of those were second doses)Long-term care facilities: 57,525 doses available; 39,000 doses delivered; 20,306 doses administered to patients (3,519 of those were second doses)State-managed fixed sites: 37,310 doses available; 35,130 doses delivered; 24,039 doses administered to patients (0 of those were second doses)Regional public health network mobile sites: 5,840 doses available; 3,250 doses delivered; 2,535 doses administered to patients (0 of those were second doses)Other: 2,905 doses available; 705 doses delivered; 596 doses administered to patients (182 of those were second doses) ACTIVE OUTBREAKS AT FACILITIES IN STATEThe following facilities have seen confirmed cases in residents and/or staff in recent days or weeks, according to officials: The Arbors at BedfordBel-Air Nursing Home and Rehab Center in GoffstownBentley Commons at BedfordBirch Hill in ManchesterCalemut House (NH Department of Corrections) in ManchesterCarriage Hill Assisted Living in Madbury Clipper Harbor/Cedar Healthcare Center in Portsmouth Community Bridges ConcordDover Center for Health and Rehabilitation in DoverEdgewood Centre in PortsmouthGolden View Health Care Center in MeredithGreystone Farms in Salem Hanover Terrace Health and Rehabilitation Center in HanoverHarbor Care Group Home (Chestnut Street) in NashuaHarmony Homes By the Bay in DurhamHarris Hill Center Hillsborough County House of Corrections in ManchesterHillsborough County Nursing Home in GoffstownKeene Center in KeeneKendal at Hanover in HanoverLafayette Center in FranconiaLangdon Place of Nashua in NashuaLedgewood Bay Assisted Living in MilfordMeredith Bay Colony Club in MeredithMerrimack County Jail Merrimack County Nursing Home in Boscawen Nashua Crossings Benchmark New Hampshire State Prison for Men in ConcordNew Hampshire State Prison for Women in ConcordNew Hampshire Veterans Home in TiltonNorthern NH Correctional Facility in Berlin Pines of NewmarketPleasant View Center in Concord RiverMead Lifecare Community in PeterboroughRiverside Rest Home in DoverRockingham County Nursing Home in BrentwoodSt. Francis and Rehabilitation and Nursing Center in LaconiaSt. Vincent Rehabilitation and Nursing Center in BerlinThe Secure Psychiatric Unit at the Department of CorrectionsStrafford County Jail Sullivan County Nursing Home Summerhill Assisted Living in Peterborough Woodcrest Village Assisted Living in New London HOW NEW HAMPSHIRE COMPARES TO THE REST OF THE UNITED STATESDaily U.S. Deaths: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7-Day Average for U.S. Cases: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(Are you unable to see the above maps? Visit this link and scroll down) KEY LOCAL INFORMATIONLATEST NEWS: Coronavirus coverage from WMURTOWN-BY-TOWN: Town-by-town coronavirus casesQUARANTINING: Guidance for quarantiningTESTING: Information about coronavirus testingMASKS: Statewide mandate | Guidelines announced in April LOCAL RESOURCESDHHS Information: Coronavirus in New HampshireVolunteering opportunitiesHow to donate PPEsNATIONAL RESOURCESLatest worldwide coronavirus dataInteractive map from Johns Hopkins UniversityCDC guidelines on coronavirus TIMELINE: NOTABLE DATESCertain groups - including people 65 years of age or older - can get vaccinated as soon as Jan. 26. Vaccination scheduling begins Jan. 22. On Jan. 5, the state released an updated vaccine timeline. Scroll up to see it above or visit this link.On Dec. 15, Elliot Hospital ICU nurse Heidi Kukla became the first person in New Hampshire to be vaccinated for COVID-19.As of Dec. 5, the state has temporarily paused daily monitoring of people who might have been exposed to COVID-19. On Dec. 3, the state updated its guidance for quarantining, reducing the 14-day window for most situations down to 10 days. On Nov. 19, the governor announced a statewide mask mandate, effective Nov. 20. Anyone over the age of 5 in a public space, indoors or outdoors, who cannot physically distance from others not in their own household shall wear a mask, according to the emergency order. This remains in effect.On Nov. 12, state officials said they will no longer conduct contact tracing for every single case and instead will focus on certain populations. On Oct. 2, health officials began adding antigen test results to the totals because the rapid tests are becoming more widely used. That resulted in an apparent spike in positive cases, as positive antigen tests from over the course of the pandemic were added. One additional death and five hospitalizations related to positive antigen tests were also added.On Sept. 24, the governor said that all restaurants can move tables closer than 6 feet as long as there is a protective divider in place between tables.On Aug. 21, the governor announced that all New Hampshire restaurants could open at 100% capacity, though they still must following distancing and mask guidelines.On Aug. 11, the governor announced that masks would be required at all scheduled gatherings of 100 or more people.On June 15, the stay-at-home order expired and was replaced by a safer-at-home advisory. A key difference is that the requirement that all groups must be fewer than 10 people is no longer in place.On May 22, officials announced the state's first case of MIS-C in a child.On March 23, officials announced the state's first death of a patient diagnosed with COVID-19.On March 13, the governor first declared a state of emergency, which ensures resources will be ready so the state is able to respond quickly, as needed. This has been renewed and is currently active. It needs to be renewed every three weeks while an emergency is ongoing in order to remain active. SYMPTOMSOfficials said symptoms might appear in as few as two days or as long as 14 days after exposure.Symptoms include:Fever or chillsCoughDifficulty breathing or shortness of breathFatigueMuscle or body achesNew loss of taste or smellSore throatCongestion or runny noseNausea or vomitingDiarrhea According to the CDC, emergency warning signs for COVID-19 include:Difficulty breathing or shortness of breathPersistent pain or pressure in the chestNew confusionInability to wake or stay awakeBluish lips or face PROTECTING YOURSELFThe best way to prevent illness is to avoid being exposed to the virus, officials said.Here are ways to protect yourself:Frequent hand-washing with soap and water (or hand sanitizer with at least 60% alcohol) for at least 20 secondsAvoid close contact through social distancing (at least 6 feet from someone)Stay homePREVENTING THE SPREADThere are steps that can be taken to avoid spreading coronavirus:Covering coughs and sneezes and then washing hands afterwardStay home and avoid public places when sickAvoid being within 6 feet of a person when sickDisinfect frequently touched surfacesAvoid sharing drinks, smoking/vaping devices or other utensils or objects that may transmit saliva Wear cloth face coverings when near other people in public CURRENT TESTING PROCEDURES>> More information about testing << Testing is available for active COVID-19 infections and for antibodies, which would indicate evidence of past infection.All Granite Staters, whether they have symptoms or not, are allowed to get tested and are being encouraged to do so. Visit this link to learn more.The FDA has also approved a test for COVID-19 that you can take at home. The test kits are available for purchase on Amazon with a turnaround time for results of 24 to 72 hours after the sample is shipped and received. QUARANTININGThe quarantine period is now 10 days, down from 14 days as was previously required by the CDC and state health officials. Here's what you need to know about each situation that might lead to being asked to quarantine or isolate.UNEMPLOYMENTTens of thousands of Granite Staters have filed for unemployment, and hundreds of millions of dollars have been paid out. How to apply: Visit https://www.nhes.nh.gov/ -- Claims can be filed 24/7File an initial claim: https://www.unemploymentbenefits.nh.gov/file-my-initial-claimFile a weekly continued claim: https://www.unemploymentbenefits.nh.gov/file-my-weekly-continued-claimCheck existing claim status: https://www.unemploymentbenefits.nh.gov/check-my-existing-claim-statusOr call 603-271-7700 -- Hotline open 8 a.m. to 8 p.m. Monday through Friday and 9 a.m. to 5 p.m. on Saturday and SundayThe state has launched a website to answer unemployment-related questions. Visit https://www.unemploymentbenefits.nh.gov/.RECENT COVERAGE** See the latest headlines at this link. **You are also encouraged to subscribe to the daily coronavirus newsletter to get the latest updates in your inbox.NATIONAL UPDATESCoronavirus deaths are rising in nearly two-thirds of American states as a winter surge pushes the overall toll toward 400,000. Mutations are rapidly popping up, and the longer it takes to vaccinate people, the more likely it is that a variant that can elude current tests, treatments and vaccines could emerge. The coronavirus is becoming more genetically diverse, and health officials say the high rate of new cases is the main reason.Layered face masks have been spotted on everyone from President-elect Joe Biden to New England Patriots coach Bill Belichick to essential workers on public transportation and at the grocery store. But is wearing two face masks actually more effective than wearing one? Here’s what experts had to say.

Get the latest information below about the COVID-19 pandemic and its effects on New Hampshire. This page is updated daily.

*Full press conference in the video above was held Jan. 21, 2021*

>> Download the FREE WMUR app

New Hampshire data:

  • Number of people diagnosed with COVID-19: 62,337
  • Most-recent daily PCR test positivity rate (data released 1/24): 4.9%
  • Number of deaths attributed to COVID-19: 987
  • Number of active cases: 6,122
  • Number of patients who have recovered: 55,228
  • Number of current hospitalizations: 239
  • Number of total PCR tests for COVID-19: 584,072
  • Number of total antibody tests: 36,033
  • Number of MIS-C cases: 1

** Town-by-town COVID-19 case data **

Can’t see the map and graphs above? Visit this link and scroll down.

VACCINE INFORMATION

The state encourages people to visit https://www.vaccines.nh.gov/ for more information.

** Step by step: How to sign up to receive the shots through Phase 1B **

Estimated Distribution Timeline

The following is an estimated vaccine timeline for distribution from the state (updated Jan. 14, 2021):

Phase 1-A: Underway now through March
(about 110,000 people)

  • High-risk health workers
  • Long-term care residents
  • First responders

Phase 1B: January 26 to March
(about 300,000 people) — Sign-ups began Jan. 22; visit https://www.vaccines.nh.gov/

  • People 65 years old or older
  • Medically vulnerable at significantly higher risk, including family caregivers for those under 16
  • Staff and residents of IDD facilities
  • Corrections officers and staff
  • Populations that experience health disparities

Phase 2A: March to May
(about 175,000 people)

  • K-12 teachers, school staff, child care workers

Phase 2B: March to May
(about 200,000 people)

Phase 3A: May and beyond
(about 325,000 people)

  • Medically vulnerable people 50 years of age and younger who are at a moderate risk

Phase 3B: May and beyond
(about 325,000 people)

  • Everyone else who has not yet been vaccinated

Allocation Summary for Each Vaccine Phase, 1st Doses Only (through Jan. 21, 2021)

  • Phase 1A: 112,915 doses allocated; 112,915 people in group (100% of needed amount)
  • Phase 1B: 2,685 doses allocated; 325,000 people in group (<1% of needed amount)
  • State reserve for outbreaks or emergency needs: 1,100 doses allocated; 1,100 people in group (100% of needed amount)

Vaccine Site Summary (through Jan. 21, 2021)

  • Hospitals: 48,690 doses available; 41,495 doses delivered; 38,295 doses administered to patients (8,144 of those were second doses)
  • Long-term care facilities: 57,525 doses available; 39,000 doses delivered; 20,306 doses administered to patients (3,519 of those were second doses)
  • State-managed fixed sites: 37,310 doses available; 35,130 doses delivered; 24,039 doses administered to patients (0 of those were second doses)
  • Regional public health network mobile sites: 5,840 doses available; 3,250 doses delivered; 2,535 doses administered to patients (0 of those were second doses)
  • Other: 2,905 doses available; 705 doses delivered; 596 doses administered to patients (182 of those were second doses)

ACTIVE OUTBREAKS AT FACILITIES IN STATE

The following facilities have seen confirmed cases in residents and/or staff in recent days or weeks, according to officials:

  • The Arbors at Bedford
  • Bel-Air Nursing Home and Rehab Center in Goffstown
  • Bentley Commons at Bedford
  • Birch Hill in Manchester
  • Calemut House (NH Department of Corrections) in Manchester
  • Carriage Hill Assisted Living in Madbury
  • Clipper Harbor/Cedar Healthcare Center in Portsmouth
  • Community Bridges Concord
  • Dover Center for Health and Rehabilitation in Dover
  • Edgewood Centre in Portsmouth
  • Golden View Health Care Center in Meredith
  • Greystone Farms in Salem
  • Hanover Terrace Health and Rehabilitation Center in Hanover
  • Harbor Care Group Home (Chestnut Street) in Nashua
  • Harmony Homes By the Bay in Durham
  • Harris Hill Center
  • Hillsborough County House of Corrections in Manchester
  • Hillsborough County Nursing Home in Goffstown
  • Keene Center in Keene
  • Kendal at Hanover in Hanover
  • Lafayette Center in Franconia
  • Langdon Place of Nashua in Nashua
  • Ledgewood Bay Assisted Living in Milford
  • Meredith Bay Colony Club in Meredith
  • Merrimack County Jail
  • Merrimack County Nursing Home in Boscawen
  • Nashua Crossings Benchmark
  • New Hampshire State Prison for Men in Concord
  • New Hampshire State Prison for Women in Concord
  • New Hampshire Veterans Home in Tilton
  • Northern NH Correctional Facility in Berlin
  • Pines of Newmarket
  • Pleasant View Center in Concord
  • RiverMead Lifecare Community in Peterborough
  • Riverside Rest Home in Dover
  • Rockingham County Nursing Home in Brentwood
  • St. Francis and Rehabilitation and Nursing Center in Laconia
  • St. Vincent Rehabilitation and Nursing Center in Berlin
  • The Secure Psychiatric Unit at the Department of Corrections
  • Strafford County Jail
  • Sullivan County Nursing Home
  • Summerhill Assisted Living in Peterborough
  • Woodcrest Village Assisted Living in New London

HOW NEW HAMPSHIRE COMPARES TO THE REST OF THE UNITED STATES

Daily U.S. Deaths:



7-Day Average for U.S. Cases:



(Are you unable to see the above maps? Visit this link and scroll down)

KEY LOCAL INFORMATION

LOCAL RESOURCES

NATIONAL RESOURCES

TIMELINE: NOTABLE DATES

  • Certain groups – including people 65 years of age or older – can get vaccinated as soon as Jan. 26. Vaccination scheduling begins Jan. 22.
  • On Jan. 5, the state released an updated vaccine timeline. Scroll up to see it above or visit this link.
  • On Dec. 15, Elliot Hospital ICU nurse Heidi Kukla became the first person in New Hampshire to be vaccinated for COVID-19.
  • As of Dec. 5, the state has temporarily paused daily monitoring of people who might have been exposed to COVID-19.
  • On Dec. 3, the state updated its guidance for quarantining, reducing the 14-day window for most situations down to 10 days.
  • On Nov. 19, the governor announced a statewide mask mandate, effective Nov. 20. Anyone over the age of 5 in a public space, indoors or outdoors, who cannot physically distance from others not in their own household shall wear a mask, according to the emergency order. This remains in effect.
  • On Nov. 12, state officials said they will no longer conduct contact tracing for every single case and instead will focus on certain populations.
  • On Oct. 2, health officials began adding antigen test results to the totals because the rapid tests are becoming more widely used. That resulted in an apparent spike in positive cases, as positive antigen tests from over the course of the pandemic were added. One additional death and five hospitalizations related to positive antigen tests were also added.
  • On Sept. 24, the governor said that all restaurants can move tables closer than 6 feet as long as there is a protective divider in place between tables.
  • On Aug. 21, the governor announced that all New Hampshire restaurants could open at 100% capacity, though they still must following distancing and mask guidelines.
  • On Aug. 11, the governor announced that masks would be required at all scheduled gatherings of 100 or more people.
  • On June 15, the stay-at-home order expired and was replaced by a safer-at-home advisory. A key difference is that the requirement that all groups must be fewer than 10 people is no longer in place.
  • On May 22, officials announced the state’s first case of MIS-C in a child.
  • On March 23, officials announced the state’s first death of a patient diagnosed with COVID-19.
  • On March 13, the governor first declared a state of emergency, which ensures resources will be ready so the state is able to respond quickly, as needed. This has been renewed and is currently active. It needs to be renewed every three weeks while an emergency is ongoing in order to remain active.

SYMPTOMS

Officials said symptoms might appear in as few as two days or as long as 14 days after exposure.

Symptoms include:

  • Fever or chills
  • Cough
  • Difficulty breathing or shortness of breath
  • Fatigue
  • Muscle or body aches
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

According to the CDC, emergency warning signs for COVID-19 include:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

PROTECTING YOURSELF

The best way to prevent illness is to avoid being exposed to the virus, officials said.

Here are ways to protect yourself:

  • Frequent hand-washing with soap and water (or hand sanitizer with at least 60% alcohol) for at least 20 seconds
  • Avoid close contact through social distancing (at least 6 feet from someone)
  • Stay home

PREVENTING THE SPREAD

There are steps that can be taken to avoid spreading coronavirus:

  • Covering coughs and sneezes and then washing hands afterward
  • Stay home and avoid public places when sick
  • Avoid being within 6 feet of a person when sick
  • Disinfect frequently touched surfaces
  • Avoid sharing drinks, smoking/vaping devices or other utensils or objects that may transmit saliva
  • Wear cloth face coverings when near other people in public

CURRENT TESTING PROCEDURES

>> More information about testing <<

Testing is available for active COVID-19 infections and for antibodies, which would indicate evidence of past infection.

All Granite Staters, whether they have symptoms or not, are allowed to get tested and are being encouraged to do so. Visit this link to learn more.

The FDA has also approved a test for COVID-19 that you can take at home. The test kits are available for purchase on Amazon with a turnaround time for results of 24 to 72 hours after the sample is shipped and received.

QUARANTINING

The quarantine period is now 10 days, down from 14 days as was previously required by the CDC and state health officials. Here’s what you need to know about each situation that might lead to being asked to quarantine or isolate.

UNEMPLOYMENT

Tens of thousands of Granite Staters have filed for unemployment, and hundreds of millions of dollars have been paid out.

How to apply:

The state has launched a website to answer unemployment-related questions. Visit https://www.unemploymentbenefits.nh.gov/.

RECENT COVERAGE

** See the latest headlines at this link. **

You are also encouraged to subscribe to the daily coronavirus newsletter to get the latest updates in your inbox.

NATIONAL UPDATES

Coronavirus deaths are rising in nearly two-thirds of American states as a winter surge pushes the overall toll toward 400,000. Mutations are rapidly popping up, and the longer it takes to vaccinate people, the more likely it is that a variant that can elude current tests, treatments and vaccines could emerge. The coronavirus is becoming more genetically diverse, and health officials say the high rate of new cases is the main reason.

Layered face masks have been spotted on everyone from President-elect Joe Biden to New England Patriots coach Bill Belichick to essential workers on public transportation and at the grocery store. But is wearing two face masks actually more effective than wearing one? Here’s what experts had to say.

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N.J. reports 4,613 more confirmed COVID cases and 17 deaths as models predict state hits its 2nd wave peak

New Jersey health officials on Sunday reported another 4,613 confirmed cases of the coronavirus and 17 additional deaths as predictive models from the state suggest we’ve hit the peak of the second wave of the pandemic.

Gov. Phil Murphy announced the latest figures on social media.

They came the same day new predictive models from the state Department of Health showed Sunday could be the peak of the state’s second wave of the pandemic.

The scenarios show there could be 5,467 new cases and 3,796 people hospitalized as of Sunday under a moderate prediction (there were 3,186 people hospitalized as of Saturday). But as many as 6,833 new positive tests and 4,745 hospitalizations could also play out on the same day under the worst-case scenario.

The moderate model shows a steeper decline in cases and hospitalizations over the coming months with the potential for around 500 new cases a day and about 375 people being treated in hospitals by the end of June.

Under the worst-case modeling scenario, however, the decline in cases and hospitalizations would be much slower. That model forecasts the state could still have 4,706 daily cases and 3,268 patients hospitalized by the end of June. Both forecasts predict a bump in cases and hospitalizations in the coming days.

Much could depend on how quickly New Jersey receives and distributes vaccine doses.

Murphy has said he wants to have 70% of the state’s eligible population — nearly 5 million people — vaccinated by May.

Health officials, meanwhile, announced Friday the first two cases of the highly-contagious COVID-19 variant first identified in the U.K. have been discovered in the Garden State.

Scientists have said the mutation is up to 70% more contagious. But there is no evidence yet it is more deadly or more resistant to vaccines. New Jersey joins at least 20 states where the strain has been confirmed. The first case identified is from an Ocean County man in his 60s and the other is a child who was traveling to northern New Jersey.

NJ Residents Deaths by Month and Year 2015-2020

The pandemic has killed at least 20,951 people in the state since the first COVID-19 death in March.

Deaths from the coronavirus in New Jersey surpassed what is typically recorded for heart disease and cancer, the two leading killers year after year. On Dec. 31, the state’s official coronavirus toll reached 19,042 confirmed and probable deaths in a pandemic that devastated during the spring, then exploded again in the fall and winter in a second wave that is still roiling.

That exceeded the usual annual deaths produced by cancer, which killed nearly 16,200 people a year from 2014 to 2019, according to Department of Health data. It also exceeded that of heart disease, which claimed more than 18,650 lives on average over those six years.

CORONAVIRUS RESOURCES: Live map tracker | Newsletter | Homepage

VACCINATIONS

The number of vaccine doses administered has pushed past 500,000, according to the state’s dashboard tracking vaccinations, which showed 524,865 as of Sunday afternoon. Of those, 459,635 were the first of two doses people will receive.

New Jersey has received 989,900 doses from the federal government, according to a running tally from the CDC.

The state hit a high of 31,859 doses administered in a single day Jan. 20, based on the most current data.

All six of the coronavirus vaccine mega-sites have opened throughout New Jersey to serve as vaccination hubs.

New Jersey has faced criticism for having a slower rollout than dozens of other states as it continues to deal with a second wave of the pandemic, according to data from the federal Centers for Disease Control and Prevention.

The state has been doling out doses in phases. And even though officials last week greatly expanded vaccine eligibility, demand remains greater than supply, and residents are scrambling for scarce appointments. More than 4 million New Jersey residents are now eligible.

Officials stress that the state is depending on the federal government for its supply and is receiving only 100,000 doses a week, though New Jersey has the capacity for 470,000 a day.

Murphy on Saturday said the federal government has not provided additional doses that were promised.

HOSPITALIZATIONS

The 3,186 patients hospitalized with confirmed or suspected COVID-19 cases across New Jersey’s hospitals as of Saturday night included 590 in critical or intensive care (18 fewer than the previous night), with 376 on ventilators (53 fewer).

There were 74 fewer people hospitalized Saturday compared to the previous night.

There were also 397 COVID-19 patients discharged Saturday, according to the state’s COVID-19 dashboard.

The governor has said any hospitalizations over 5,000 patients would likely trigger new rounds of restrictions. But the number of people being hospitalized has mostly ticked down slowly in recent days after hitting a more than seven-month high of 3,873 people on Dec. 22.

SCHOOL CASES

At least 597 students and staff in 121 school districts in New Jersey have caught COVID-19 through in-school outbreaks, according to the latest update from state health officials.

That’s an increase of 10 districts and 40 cases from the previous weekly report. There are now confirmed in-school outbreaks in all 21 counties, though the state does not identify the individual school districts.

Bergen County has the most outbreaks (26) and cases (115). The county also has the most confirmed cases overall with 55,349 as of Wednesday.

Those numbers do not include students or staff believed to have been infected outside school or cases that can’t be confirmed as in-school outbreaks. Though the numbers keep rising every week, Murphy has said the school outbreak statistics remain below what state officials were expecting when schools reopened for in-person classes.

New Jersey defines school outbreaks as cases where contact tracers determined two or more students or school staff caught or transmitted COVID-19 in the classroom or during academic activities at school.

AGE BREAKDOWN

Broken down by age, those 30 to 49 years old make up the largest percentage of New Jersey residents who have caught the virus (31.2%), followed by those 50-64 (23.7%), 18-29 (19.3%), 65-79 (11.1%), 5-17 (7.5%), 80 and older (5.4%), and 0-4 (1.6%).

On average, the virus has been more deadly for older residents, especially those with preexisting conditions. Nearly half the state’s COVID-19 deaths have been among residents 80 and older (47%), followed by those 65-79 (33%), 50-64 (15.6%), 30-49 (4%), 18-29 (0.4%), 5-17 (0%), and 0-4 (0%).

At least 7,668 of the state’s COVID-19 deaths have been among residents and staff members at nursing homes and other long-term care facilities. That number has been rising again at a steeper rate in recent months, with deaths at the state’s nursing homes nearly tripling in December.

There are currently active outbreaks at 431 facilities, resulting in 7,054 active cases among residents and 7,619 among staffers.

GLOBAL NUMBERS

As of Sunday morning, there were more than 98.86 million positive COVID-19 tests across the world, according to a running tally by Johns Hopkins University. More than 2.12 million people have died from coronavirus-related complications.

The U.S. has reported the most cases, at more than 25 million, and the most deaths, at more than 417,500.

NJ Advance Media Staff Writer Riley Yates contributed to this report.

Our journalism needs your support. Please subscribe today to NJ.com

Matt Arco may be reached at marco@njadvancemedia.com.



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Biden’s COVID testing push calls for more supplies and rapid tests

CLOSE

At-home testing could transform the fight against the novel coronavirus.

USA TODAY

President Joe Biden seeks to reset the nation’s inconsistent coronavirus testing efforts with a $50 billion plan and more federal oversight.

Biden’s plan calls for a newly-created Pandemic Testing Board to coordinate a “clear, unified approach,” to testing for COVID-19, a marked difference from the Trump administration’s policy of states establishing their own plans with federal support.

Laboratories have ramped up production to more than 2 million tests each day, but stubborn problems persist. Some labs still struggle to complete timely tests – particularly when demand surges – due to shortages of critical supplies.

Public health labs largely are not equipped to detect new coronavirus variants such as ones first identified in the United Kingdom and South Africa. And there’s still debate among testing experts on whether wider use of cheaper but less sensitive rapid tests will be the smartest path out of the pandemic.

Biden on Thursday issued a flurry of executive orders, from mask mandates on federal property to reopening schools and accelerating vaccine shipments. Fixing the nation’s disparate testing system “will be the most challenging,” of all, said Marcus Plescia, chief medical officer of the Association of State and Territorial Health Officials.

Former Centers for Disease Control and Prevention Director Tom Frieden said Biden’s testing initiative fits with his broader, science-based plan to curb a pandemic that’s already killed more than 400,000 Americans.

“This is a really challenging pandemic to deal with,” said Frieden, president and CEO of Resolve to Save Lives, an initiative of Vital Strategies. “Important as executive orders are, they are only the start of a major effort.”

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Calling a national testing strategy the “cornerstone to reducing the spread of COVID,” the Biden’s plan calls for more rapid antigen tests, supplies, lab capacity and genomic sequencing to keep better track of hotspots and new variants.

There’s also tidbits for consumers. One executive order requires federal agencies clarify insurers’ obligation to cover testing, even for people who have no symptoms. For those without health insurance, testing will be free, the order states.

Just as important as a national testing plan is the president’s call for better data reporting and a willingness to level with the American public, Frieden said.  

“President Biden has been very clear: We’re in it together,” he said.  “It’s going to get worse before it gets better. These are all hard truths and important facts that need to be shared and lived. And they have been ignored for a year.”

‘Make a big difference’

The plan calls for federal agencies to use a wartime Defense Production Act to fix persistent shortages of testing and vaccine supplies, as well as protective equipment like gowns, gloves and N95 masks. 

When labs run out of critical supplies such as chemical reagents, plastic tips or swabs, it delays or prevents a lab’s ability to complete a test, said Dr. Patrick Godbey, president of the College of American Pathologists.

Godbey said labs finish tests within hours when all supplies are on hand. But when labs can’t get supplies, some must ship samples to other labs to test, which delays results two days or more.

“I still can’t to do all the tests I’d like to do,” said Godbey,  laboratory director of Southeast Georgia Regional Medical Center in Brunswick. “If we can’t get the reagents necessary, we measure turnaround time in days.”

When testing demand surged this summer in Sunbelt states, labs in communities hard hit by COVID-19 were routinely taking one week or longer to complete results. Supply shortages snarled results at small and large labs alike. 

At home tests?:Companies attempt to make coronavirus tests widely available

Public health labs also have faced persistent shortages in testing materials since the beginning of the pandemic.

“Those are the kinds of situations where having the federal government step in can make a big difference,” said Plescia, of the Association of State and Territorial Health Officials.

Biden’s plans calls for federal agencies to use the Defense Production Act or other “appropriate authorities” to accelerate manufacturing of a dozen types of supplies: N95 masks, gowns, gloves, test swabs, reagents, plastic pipette tips, testing machines, swabs, needles and syringes, rapid test kits and material for rapid antigen tests. The federal government can use the act to compel private companies to make critical supplies for national defense or national emergencies.

“We still have supply-chain issues that we hope this (Biden’s plan) will address,” Godbey said. 

Biden pushes rapid testing

Biden’s push also calls for wider use of rapid tests to complement lab testing in settings such as schools.

Molecular PCR tests processed at labs remain the gold standard of accurate testing, but they are more expensive and results can take days to process. Rapid antigen tests can be performed outside labs and deliver results in 15 minutes.

Under the Trump administration, the U.S. Department of Health and Human Services purchased rapid testing machines for use in nursing homes nationwide. HHS also bought 150 million Abbott BinaxNow portable, rapid tests tests for states, nursing homes, Indian Health Services and Historically Black Colleges and Universities.

Only one rapid test, made by Australia-based Ellume, has gained U.S. Food and Drug Administration authorization for home use without a medical provider’s prescription. Several other companies are developing tests they hope to sell directly to consumers.

The Biden plan will establish a CDC support team to “fund rapid test acquisition and distribution for priority populations, work to spur development and manufacturing of at-home tests and work to ensure that tests are widely available.”

The rapid tests are typically less sensitive than lab tests, which means they might not detect the virus in some cases. It’s a scenario that concerns lab experts like Godbey.

“I worry about inaccurate testing,” Godbey said. “Bad tests are worse than no tests at all.”

But others argue rapid testing makes sense when done frequently because they are likely to quickly detect when a person is infectious and prone to spread the virus to others.

“Even if the individual test lacks a certain sensitivity, you do that test on a frequent basis, that can really add a great deal of population security,” said Dr. William Schaffner, a Vanderbilt University School of Medicine professor of preventive medicine and an infectious disease doctor.

He said it makes sense to deploy such rapid tests in settings such as schools. If students, teachers and other school employees are tested frequently with rapid tests, parents can gain confidence the school is safe.

“All of the sudden the economy gets stimulated again because the parents can go to work,” Schaffner said. 

Michael Mina, a Harvard epidemiologist who has advocated for rapid antigen tests, said such testing can be quickly deployed. If the Biden administration authorizes the purchase and widespread use of these tests, they can be shipped directly to Americans homes and “we can start seeing cases plummet.”

“If we can do that, we can start to see cases come down dramatically across the country within weeks in a way that vaccines could never do in these first 100 days,” Mina said. 

Contributing: Karen Weintraub

Ken Alltucker is on Twitter at @kalltucker, or can be emailed at alltuck@usatoday.com

Read or Share this story: https://www.usatoday.com/story/news/health/2021/01/24/bidens-covid-testing-push-calls-more-supplies-and-rapid-tests/4215619001/

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Coffee shop owner, pastor tells fellow COVID-19 long-haulers ‘they’re not alone’

A Roseville pastor/coffee shop owner is still feeling the effects of COVID-19, two months after his original diagnosis.Joshua Lickter owns and operates The Fig Tree Coffee, Art & Music Lounge. Along with the ups and downs this pandemic year has brought to small business owners just like him, Lickter has weathered the challenges of having the coronavirus and all the numerous, long-term side-effects that came along with it.“I’m tired all the time. Exhausted. Body fatigue. I have, what they call, is this ‘COVID fog’ which is this blurriness in your head. It’s hard to focus,” explained Lickter.He’s also endured sciatica, nail discoloration, hair loss, irregular sleep patterns and his taste and smell have only returned to about 50% of normal.“I had four really good days last week and so I thought I was back to normal. So I was acting like I was back to normal,” Lickter said. “Then I crashed for three or four days afterward and could barely get out of bed.”Originally thinking he’d have COVID-19 for about two weeks, that his symptoms would clear up, and then he’d be fine, the course of Lickter’s case didn’t take that path.“I got to the point where I was starting to feel better, but then I never progressed past that point of starting to feel better.”Doctors are now documenting the effects of a couple of variations in what are sometimes dubbed “long-haul” COVID cases, just like Lickter’s.“One is ‘long COVID’ which is that three- or four-week window,” explained Dr. Mark Vaughan, medical director for the Auburn Medical Group. “Once you get past that … all the way out to 12 weeks, they would actually use the label ‘ post COVID.’”Vaughan said there are variations in how those effects hit different people.“You can also have symptoms involving many of the body’s systems including respiratory, cardiac and neurologic,” Vaughan said. “Many have symptoms of depression, some of them have something called ‘autonomic dysfunction’ where you can actually have your body not adapt to changes in sitting or standing.”Lickter decided to open up about his long-COVID-19 journey in a series of video check-ins on his Facebook page.Using raw honesty and a dose of humor, he’s talked at length about the litany of long-term effects he’s experienced.“One of the reasons that I went online to share my story as far as post-COVID is concerned is because I want to encourage people,” Lickter said. “I want people who are going through this to know they’re not alone and it’s OK to talk about it.”Lickter feels it’s important as a community leader to use his voice to take away the stigma he said some people tie to having COVID.“I’ve noticed a lot of COVID shaming in our community where people are just afraid to admit that they had COVID because somebody will speak out against them,” he said.He also wants to give a relatable experience for people with those long-term COVID effects — weeks after their initial bout with the virus ends, including people trying to convince friends and loved ones it’s not “all in their heads.”“If you’re going through this, and it doesn’t feel like it’s just a flu, it’s really hard to hear people telling you, ‘aw, it’s just a flu, don’t worry about it.’”For those who’ve had COVID-19, doctors stress the importance of staying connected with your healthcare provider in the weeks and months that follow your diagnosis.“You need to have someone who can kinda tease-out whether this is something that needs to be followed up with a specialist… if it’s something you’re going to have to deal with for a while,” said Vaughan. “And the other part of it is, differentiating between long-COVID symptoms or post-COVID symptoms, and something else that maybe just surfaced at the same time but could be very serious and need to be addressed through a different avenue.”In sharing his story Lickter hopes people experiencing these same effects won’t feel so alone on their path … and others will exercise empathy for those still fighting to get through it.”If all of the sudden, you’re finding yourself feeling very lethargic or you’re struggling, or you’re depressed, it may not be what you think it is,” Lickter explained. “It may just be a side effect of the COVID — working itself through you. Be aware of that and get the treatment, the help and the support that you need to get through that.”

A Roseville pastor/coffee shop owner is still feeling the effects of COVID-19, two months after his original diagnosis.

Joshua Lickter owns and operates The Fig Tree Coffee, Art & Music Lounge. Along with the ups and downs this pandemic year has brought to small business owners just like him, Lickter has weathered the challenges of having the coronavirus and all the numerous, long-term side-effects that came along with it.

“I’m tired all the time. Exhausted. Body fatigue. I have, what they call, is this ‘COVID fog’ which is this blurriness in your head. It’s hard to focus,” explained Lickter.

He’s also endured sciatica, nail discoloration, hair loss, irregular sleep patterns and his taste and smell have only returned to about 50% of normal.

“I had four really good days last week and so I thought I was back to normal. So I was acting like I was back to normal,” Lickter said. “Then I crashed for three or four days afterward and could barely get out of bed.”

Originally thinking he’d have COVID-19 for about two weeks, that his symptoms would clear up, and then he’d be fine, the course of Lickter’s case didn’t take that path.

“I got to the point where I was starting to feel better, but then I never progressed past that point of starting to feel better.”

Doctors are now documenting the effects of a couple of variations in what are sometimes dubbed “long-haul” COVID cases, just like Lickter’s.

“One is ‘long COVID’ which is that three- or four-week window,” explained Dr. Mark Vaughan, medical director for the Auburn Medical Group. “Once you get past that … all the way out to 12 weeks, they would actually use the label ‘ post COVID.’”

Vaughan said there are variations in how those effects hit different people.

“You can also have symptoms involving many of the body’s systems including respiratory, cardiac and neurologic,” Vaughan said. “Many [COVID survivors] have symptoms of depression, some of them have something called ‘autonomic dysfunction’ where you can actually have your body not adapt to changes in sitting or standing.”

Lickter decided to open up about his long-COVID-19 journey in a series of video check-ins on his Facebook page.

Using raw honesty and a dose of humor, he’s talked at length about the litany of long-term effects he’s experienced.

“One of the reasons that I went online to share my story as far as post-COVID is concerned is because I want to encourage people,” Lickter said. “I want people who are going through this to know they’re not alone and it’s OK to talk about it.”

Lickter feels it’s important as a community leader to use his voice to take away the stigma he said some people tie to having COVID.

“I’ve noticed a lot of COVID shaming in our community where people are just afraid to admit that they had COVID because somebody will speak out against them,” he said.

He also wants to give a relatable experience for people with those long-term COVID effects — weeks after their initial bout with the virus ends, including people trying to convince friends and loved ones it’s not “all in their heads.”

“If you’re going through this, and it doesn’t feel like it’s just a flu, it’s really hard to hear people telling you, ‘aw, it’s just a flu, don’t worry about it.’”

For those who’ve had COVID-19, doctors stress the importance of staying connected with your healthcare provider in the weeks and months that follow your diagnosis.

“You need to have someone who can kinda tease-out whether this is something that needs to be followed up with a specialist… if it’s something you’re going to have to deal with for a while,” said Vaughan. “And the other part of it is, differentiating between long-COVID symptoms or post-COVID symptoms, and something else that maybe just surfaced at the same time but could be very serious and need to be addressed through a different avenue.”

In sharing his story Lickter hopes people experiencing these same effects won’t feel so alone on their path … and others will exercise empathy for those still fighting to get through it.

“If all of the sudden, you’re finding yourself feeling very lethargic or you’re struggling, or you’re depressed, it may not be what you think it is,” Lickter explained. “It may just be a side effect of the COVID — working itself through you. Be aware of that and get the treatment, the help and the support that you need to get through that.”

Read original article here

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