Tag Archives: Race

COVID-19 vaccines by demographics: 4 questions answered

WITH HEALTH CARE PROFESSIONALS HAVE BEEN TRYING TO GET FOR WEEKS. KCRA 3 INVESTIGATES BRITTANY JOHNSON JOINS US LIVE WITH MORE ON WHAT THE DATA TELLS US, BRITTANY? BRITTANY: THE DATA TELLS US WHO IS GETTING VACCINATED BY RACE AND ETHNICITY, AGE AND GENDER. TAKE A LOOK, IF YOU GO TO COVID19.CA.GOV, YOU SEE THE INFORMATION BROKEN DOWN. IT IS NOT REQUIRED TO INCLUDE THIS INFORMATION ABOUT YOURSELF IN ORDER TO GET A COVID-19 VACCINE, ACCORDING TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH. A SPOKESPERSON WITH THE STATE HEALTH DEPARTMENT SAYS ONLY 10% OF PEOPLE HAVE DECLINED TO PROVIDE THIS DATA. ALTHOUGH IT’S NOT MANDATORY, ONE DOCTOR I SPOKE WITH AT UC DAVIS HEALTH, SAYS WHEN PEOPLE INCLUDE THEIR DEMOGRAPHICS, IT’S HELPFUL. HE ALSO ADDS, THE INFORMATION IS KEPT CONFIDENTIAL. >>HAVING THESE DEMOGRAPHIC CHARACTERISTICS ARE REALLY IMPORTANT, AS I SAID, TO BE ABLE TO TARGET CERTAIN GROUPS IF WE’RE NOT SEEING ENOUGH VACCINE UPTAKE. THAT COULD BE FOR LOTS OF REASONS, ONE OF WHICH WOULD BE JUST THE AVAILABILITY OF VACCINATION SITES AND DOSES OF VACCINE. IT COULD ALSO BE BECAUSE OF VACCINE HESITANCY. WE DO KNOW THAT THERE ARE CERTAIN ETHNIC AND RACIAL SUBGROUPS WHERE THERE HAVE BEEN MORE CHALLENGES IN KIND OF OVERCOMING THIS VACCINE HESITANCY. SO THAT WOULD ALLOW US TO THEN CALIBRATE OUR OUR TARGETED EFFORTS TO TRY TO OVERCOME THOSE THOSE DISPARITIES. BRITTANY: DR. POLLOCK SAYS IT’S IMPORTANT TO KEEP IN MIND THAT THIS DATA DOES NOT REPRESENT WHAT THE OVERALL POPULATION LOOKS LIKE HERE IN CALIFORNIA. THE INITIAL DATA LARGELY COMES FROM HEALTHCARE WORKERS AND FIRST RESPONDERS. THE FIRST GROUPS OF PEOPLE TO

COVID-19 vaccines by demographics: 4 questions answered

KCRA 3 Investigates has been going over the latest coronavirus vaccine data released by the state of California. The most recent data provides details about who is getting the vaccine by race and ethnicity, age and gender.Dr. Bradley H. Pollock, associate dean and chair in public health Sciences, at UC Davis Health, spoke with KCRA 3 about the demographics data.Q: What are your overall thoughts on the data demographics dashboard?Pollock: One of the reasons to track race and ethnicity, as well as age, and, and sex, also, these are all really important factors is to make sure that we can identify any gaps there are in terms of the population that are getting vaccinated. That would be one reason. Second reason would be to be able to look at both vaccine efficacy, so, when people are vaccinated, you know, we know that the efficacy may be hopefully up to 95%, there’s still one in 20 people, then 5%, that would fail. And we don’t know yet whether there’s a particular higher rate or lower rate among certain ethnic-racial subgroups. So that would be important to know that. The same thing is true for any adverse events that occur, you know, any of the reactions that people have, that are serious. While there are data available from the clinical trials that were done to evaluate both of the vaccines, the Pfizer and the Moderna vaccines, we still don’t have a really solid idea of whether there’s going to be differential adverse events in certain population subgroups. And so, having this information will be very helpful to be able to evaluate how the vaccines working, as well as to identify who to target for efforts if we’re seeing certain groups are not getting vaccine(s) equally. We want to be able to target those groups and increase our backs vaccination efforts.Q: Putting on your age, your race, ethnicity, where you live, all of that is not mandatory to receive the vaccine. We know that. But with that being said, do health care officials recommend or encourage people to do this, even though it’s not mandatory? Pollock: We really do prefer when people provide that information, of course. The information is kept confidentially, also. It’s not released for public at the level of individuals. So, having these demographic characteristics are really important, as I said, to be able to target certain groups if we’re not seeing enough vaccine uptake. That could be for lots of reasons, one of which would be just the availability of vaccination sites and doses of vaccine, and it could also be because of vaccine hesitancy. We do know that there are certain ethnic and racial subgroups where there have been more challenges in kind of overcoming this vaccine hesitancy so that would allow us to then calibrate our targeted efforts to try to overcome those disparities.Q: According to CDPH, only 10% of people who have received the vaccine so far have declined to provide this data. That means 90% have included demographics information. Is that promising?Pollock: Vey promising. Much better than what I heard a week ago, which was 60%. So, 90%% is much better. I hope that they get it up, that gets to be a higher rate than that because again, it helps us but 90% is very good.Q: Do the initial data reflect California’s population?Pollock: In relative to the first doses that came out, and remember that doses were shipped out two months ago. Now, they all went to large health care organizations. All of them. We, UC Davis Health, Kaiser, Sutter, Dignity, all of the big health providers. And the reason is that the very top tier people was to vaccinate the health care workers so that they wouldn’t be taken out of the workforce, if they get sick, they can take care. And remember, the hospitals were overwhelmed. So if you look at at the racial, ethnic composition of health care workers, it ranges quite a bit, but there certainly are going to be fewer people of color in nursing and medicine when it comes to the folks that we were. Actually, though, at UC Davis Health, we included all of our employees that were that worked at the Medical Center, including folks that that are not in the same professions — we have people that did a lot of the janitorial and foodservice. And there, what we did see, at least initially was a more hesitancy. There were fewer folks in some of those job categories that really agreed to get the vaccine. And so we’ve tried really hard to educate folks and then to make that available, and they still can get vaccinated. So we’ve actually been picking up some of that slack. But overall, I think that the fact that the first doses went to health care workers, the workforce, really doesn’t typify what the population looks like here. And as you said, we’re still a little bit early on, and now we’re seeing vaccines getting rolled out to the general population, only really in the last month. And in fact, there’s been issues of vaccine availability, as well as logistics. So I think those are kind of getting ramped up right now. And hopefully, in short time, we’ll actually be vaccinating in a very good, equitable way across the state. Again, with this material in mind, that there are people that are more vulnerable. In fact, if you look at the mortality from COVID-19, it’s primarily in the in the elderly population. So the idea of having 75 year olds for us and then 65 plus, year-olds, it makes a lot of sense from the standpoint of trying to reduce deaths, as well as reduce hospitalizations. But we’re going to see things ramp up. I’m at least encouraged by the federal government and the Biden administration for really ramping up the distribution of vaccines to the whole country. I think when a lot of us thought that maybe the fall, by the end of fall, we would be pretty good in the country — it may be by the beginning of summer or the middle of summer when we actually get most of the people vaccinated.

KCRA 3 Investigates has been going over the latest coronavirus vaccine data released by the state of California. The most recent data provides details about who is getting the vaccine by race and ethnicity, age and gender.

Dr. Bradley H. Pollock, associate dean and chair in public health Sciences, at UC Davis Health, spoke with KCRA 3 about the demographics data.

Q: What are your overall thoughts on the data demographics dashboard?

Pollock: One of the reasons to track race and ethnicity, as well as age, and, and sex, also, these are all really important factors is to make sure that we can identify any gaps there are in terms of the population that are getting vaccinated. That would be one reason. Second reason would be to be able to look at both vaccine efficacy, so, when people are vaccinated, you know, we know that the efficacy may be hopefully up to 95%, there’s still one in 20 people, then 5%, that would fail. And we don’t know yet whether there’s a particular higher rate or lower rate among certain ethnic-racial subgroups. So that would be important to know that.

The same thing is true for any adverse events that occur, you know, any of the reactions that people have, that are serious. While there are data available from the clinical trials that were done to evaluate both of the vaccines, the Pfizer and the Moderna vaccines, we still don’t have a really solid idea of whether there’s going to be differential adverse events in certain population subgroups. And so, having this information will be very helpful to be able to evaluate how the vaccines working, as well as to identify who to target for efforts if we’re seeing certain groups are not getting vaccine(s) equally. We want to be able to target those groups and increase our backs vaccination efforts.

Q: Putting on your age, your race, ethnicity, where you live, all of that is not mandatory to receive the vaccine. We know that. But with that being said, do health care officials recommend or encourage people to do this, even though it’s not mandatory?

Pollock: We really do prefer when people provide that information, of course. The information is kept confidentially, also. It’s not released for public at the level of individuals. So, having these demographic characteristics are really important, as I said, to be able to target certain groups if we’re not seeing enough vaccine uptake. That could be for lots of reasons, one of which would be just the availability of vaccination sites and doses of vaccine, and it could also be because of vaccine hesitancy. We do know that there are certain ethnic and racial subgroups where there have been more challenges in kind of overcoming this vaccine hesitancy so that would allow us to then calibrate our targeted efforts to try to overcome those disparities.

Q: According to CDPH, only 10% of people who have received the vaccine so far have declined to provide this data. That means 90% have included demographics information. Is that promising?

Pollock: Vey promising. Much better than what I heard a week ago, which was 60%. So, 90%% is much better. I hope that they get it up, that gets to be a higher rate than that because again, it helps us but 90% is very good.

Q: Do the initial data reflect California’s population?

Pollock: In relative to the first doses that came out, and remember that doses were shipped out two months ago. Now, they all went to large health care organizations. All of them. We, UC Davis Health, Kaiser, Sutter, Dignity, all of the big health providers. And the reason is that the very top tier people was to vaccinate the health care workers so that they wouldn’t be taken out of the workforce, if they get sick, they can take care. And remember, the hospitals were overwhelmed. So if you look at at the racial, ethnic composition of health care workers, it ranges quite a bit, but there certainly are going to be fewer people of color in nursing and medicine when it comes to the folks that we were.

Actually, though, at UC Davis Health, we included all of our employees that were that worked at the Medical Center, including folks that that are not in the same professions — we have people that did a lot of the janitorial and foodservice. And there, what we did see, at least initially was a more hesitancy. There were fewer folks in some of those job categories that really agreed to get the vaccine. And so we’ve tried really hard to educate folks and then to make that available, and they still can get vaccinated. So we’ve actually been picking up some of that slack. But overall, I think that the fact that the first doses went to health care workers, the workforce, really doesn’t typify what the population looks like here. And as you said, we’re still a little bit early on, and now we’re seeing vaccines getting rolled out to the general population, only really in the last month.

And in fact, there’s been issues of vaccine availability, as well as logistics. So I think those are kind of getting ramped up right now. And hopefully, in short time, we’ll actually be vaccinating in a very good, equitable way across the state. Again, with this material in mind, that there are people that are more vulnerable. In fact, if you look at the mortality from COVID-19, it’s primarily in the in the elderly population. So the idea of having 75 year olds for us and then 65 plus, year-olds, it makes a lot of sense from the standpoint of trying to reduce deaths, as well as reduce hospitalizations. But we’re going to see things ramp up. I’m at least encouraged by the federal government and the Biden administration for really ramping up the distribution of vaccines to the whole country.

I think when a lot of us thought that maybe the fall, by the end of fall, we would be pretty good in the country — it may be by the beginning of summer or the middle of summer when we actually get most of the people vaccinated.

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Daytona 500 live updates: Drivers, lead changes, and crash updates from the Great American Race

The 2021 Daytona 500 is the 63rd running of the Great American Race at the Daytona International Speedway in Daytona Beach, Fla. The race will be broadcast on Fox and is streaming on fuboTV, with a seven-day free trial available.

This year the race will look different than usual due to the coronavirus pandemic. Rather than having over 100,000 fans in attendance, the race will welcome in 30,000. Social distancing and other guidelines will be in place. In qualifying,  Alex Bowman captured the 2021 Daytona 500 pole and will be joined by with William Byron in the front row. Aric Almirola and Austin Dillon follow in the lineup. William Hill Sportsbook has two-time defending champion Denny Hamlin as the favorite with 17-2 odds.

Race day has seen rain in Daytona Beach, resulting in a lengthy delay that began after a big crash on lap 15 and lasted nearly five and a half hours, with drivers making their way back on track just after 9 p.m. ET.

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US rushes to catch up in the race to detect mutant viruses

NEW YORK (AP) — Despite its world-class medical system and its vaunted Centers for Disease Control and Prevention, the U.S. fell behind in the race to detect dangerous coronavirus mutations. And it’s only now beginning to catch up.

The problem has not been a shortage of technology or expertise. Rather, scientists say, it’s an absence of national leadership and coordination, plus a lack of funding and supplies for overburdened laboratories trying to juggle diagnostic testing with the hunt for genetic changes.

“We have the brains. We have the tools. We have the instruments,” said Ilhem Messaoudi, director of a virus research center at University of California, Irvine. “It’s just a matter of supporting that effort.”

Viruses mutate constantly. To stay ahead of the threat, scientists analyze samples, watching closely for mutations that might make the coronavirus more infectious or more deadly.

But such testing has been scattershot.

Less than 1% of positive specimens in the U.S. are being sequenced to determine whether they have worrisome mutations. Other countries do better — Britain sequences about 10% — meaning they can more quickly see threats coming at them. That gives them greater opportunity to slow or stop the problem, whether through more targeted contact tracing, possible adjustments to the vaccine, or public warnings.

CDC officials say variants have not driven recent surges in overall U.S. cases. But experts worry that what’s happening with variants is not clear and say the nation should have been more aggressive about sequencing earlier in the epidemic that has now killed over 450,000 Americans.

“If we had evidence it was changing,” said Ohio State molecular biologist Dan Jones, “maybe people would’ve acted differently.”

U.S. scientists have detected more than 500 cases of a variant first identified in Britain and expect it to become the cause of most of this country’s new infections in a matter of weeks. Another troubling variant tied to Brazil and a third discovered in South Africa were detected last week in the U.S. and also are expected to spread.

The British variant is more contagious and is believed to be more deadly than the original, while the South Africa one may render the vaccines somewhat less effective. The ultimate fear is that a variant resistant to existing vaccines and treatments could eventually emerge.

Potentially worrisome versions may form inside the U.S., too. “This virus is mutating, and it doesn’t care of it’s in Idaho or South Africa,” Messaoudi said.

But the true dimensions of the problem in the U.S. are not clear because of the relatively low level of sequencing.

“You only see what’s under the lamppost,” said Kenny Beckman, director of the University of Minnesota Genomics Center, which started analyzing the virus’s genetics last spring.

After the slow start, public health labs in at least 33 states are now doing genetic analysis to identify emerging coronavirus variants. Other states have formed partnerships with university or private labs to do the work. North Dakota, which began sequencing last week, was the most recent to start that work, according to the Association of Public Health Laboratories.

The CDC believes a minimum of 5,000 to 10,000 samples should be analyzed weekly in the U.S. to adequately monitor variants, said Gregory Armstrong, who oversees the agency’s advanced molecular detection work. And it’s only now that the nation is hitting that level, he acknowledged.

Still, it is a jumble of approaches: Some public health labs sequence every positive virus specimen. Some focus on samples from certain outbreaks or certain patients. Others randomly select samples to analyze.

On top of that, labs continue to have trouble getting needed supplies — like pipette tips and chemicals — used in both gene sequencing and diagnostic testing.

President Joe Biden, who inherited the setup from the Trump administration, is proposing a $1.9 trillion COVID-19 relief package that calls for boosting federal spending on sequencing of the virus, though the amount has not been detailed and other specifics have yet to be worked out.

“We’re 43rd in the world in genomic sequencing. Totally unacceptable,” White House coronavirus response coordinator Jeff Zients said.

For more than five years, U.S. public health labs have been building up their ability to do genomic sequencing, thanks largely to a federal push to zero in on the sources of food poisoning outbreaks.

At the pandemic’s outset, some labs began sequencing the coronavirus right away. The Minnesota Department of Health, for example, started doing so within weeks of its first COVID-19 cases in March, said Sara Vetter, an assistant lab director. “That put us a step ahead,” she said.

The CDC likewise worked with certain states to sequence close to 500 samples in April, and over a thousand samples in May and June.

But many labs didn’t do the same — especially those overburdened with ramping up coronavirus diagnostic testing. The CDC’s Armstrong said that at the time, he couldn’t justify telling labs to do more sequencing when they already had their hands full and there wasn’t any evidence such analysis was needed.

“Up until a month ago, it wasn’t on the list of things that are urgently necessary. It was nice to have,” said Trevor Bedford, a scientist at the Fred Hutchinson Cancer Research Center in Seattle. “There was definitely lack of federal resources assigned to doing exactly this.”

At the same time, because of stay-at-home orders imposed during the outbreak, researchers at some labs were told not to go in to work, Messaoudi said.

“Instead of having a call to arms,” she said, “they sent everyone home.”

Over the summer, though, a group of scientists sounded the alarm about the state of genomic surveillance in the U.S. and began pushing for something more systematic.

In November, the CDC began to roll out a national program to more methodically pull and check specimens to better determine what strains are circulating. Then in December, the U.S. got a wake-up call when British researchers announced they had identified a variant that seems to spread more easily.

The CDC reacted by announcing its surveillance program would scale up to process 750 samples nationally per week. The agency also contracted with three companies — LabCorp, Quest Diagnostics and Illumina — to sequence thousands more each week. State labs are doing thousands of their own.

Meanwhile, the outbreak is almost certainly seeding more COVID-19 mutations.

“Where it has free rein of the place, there’s going to be significant variants that evolve,” Scripps Research Institute scientist Dr. Eric Topol said. “The more genomic sequencing, the more we can stay ahead of the virus.”

___

This story has been updated to correct the spelling of Illumina, which had been misspelled “Ilumina.”

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

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Latinos dying daily from Covid-19 increase 1,000% in Los Angeles county | US news

The average number of Latino residents dying from coronavirus each day in Los Angeles county has increased by more than 1,000% since November, according to county public health officials.

Los Angeles is battling one of the worst Covid-19 outbreaks in the US, amid a winter surge that has left hospitals across the region overwhelmed. LA county’s Latino population has faced the brunt of the crisis.

In November, the average number of Latino residents in LA county dying from Covid-19 each day stood at 3.5 per 100,000 residents. Now, it is 40 deaths per 100,000 residents. “That’s an increase of over 1,000%,” said Barbara Ferrer, the county public health director at a briefing this week.

“Los Angeles under Covid-19 has won the world series in baseball, the championship in basketball and holds the title for most Covid-19 infections and the most Latinos who are losing their lives,” said Sonja Diaz, the founding director of the Latino Policy and Politics Initiative at the University of California, Los Angeles, to the Guardian.

Los Angeles county’s population is 48.6% Latino, but Latinos are dying at a rate of more than one-and-a-half times that of all Los Angeles residents. As of this week, 231 Latinos died per 100,000 people in Los Angeles county, according to county data, as compared to 82 white people per 100,000. “Our Latinx community is, in fact, bearing the worst of this pandemic,” said Ferrer.

It’s a devastating trend that’s reflected in other parts of the state as well. Latinos represent 38.9% of California’s population, yet constitute 55% of positive Covid-19 cases and nearly half the deaths.

Diaz pointed out this is because Latinos make up much of the essential workforce and are often forced between risking exposure to the virus and earning a paycheck.





A Latino worker wears a mask and gloves as he crosses a street in the MacArthur Park area of Los Angeles. Photograph: Apu Gomes/AFP/Getty Images

“Nationally, Latino households have 1.6 wage earners per household compared to 1.2 in non-Hispanic households,” Diaz said. “That means there are more Latino households with adults who leave the house every day because of the hyper-segmentation of Latino workers in essential working situations. That means they are going to be more exposed to Covid-19, just to ensure they have the money necessary to keep shelter and food in their homes. They’re going to work not because they’re aspiring to be heroes but because our economy and the current decision-making of our leaders require that they show up to work.”

Many in these positions have reported having to work through unsafe conditions with no protective gear and no social distancing measures, Diaz said, and don’t have access to sick leave, despite legislation requiring employers to provide sick leave related to Covid-19.

“No matter what, these people of color are showing up to work and they are showing up to work under dangerous conditions that have not been remedied,” Diaz said. “We’re still expecting these low wage workers to show up to work without any of the common sense safety measures necessary.”

California this week lifted its statewide stay-at-home order after recording improving trends in the state’s rate of infections, hospitalizations and intensive care unit capacity as well as vaccinations.

The announcement came after a relentless surge of cases following the winter holidays had overwhelmed the state’s medical system and left many counties with limited ICU capacity.

Parts of the state, including southern California and the San Joaquin valley region, are still seeing high rates of infection, however.

Meanwhile, the state is trying to speed up vaccination after a slow start earlier in the year. Most regions are now vaccinating residents over the age of 65, in addition to healthcare workers and first responders.

Diaz fears what reopening will do to the Latino population. Already throughout Latino communities Los Angeles county, everybody knows somebody who has had the virus.

“We are an embarrassment to industrialized societies in our ability to get Covid-19 under control,” Diaz said. “As a result, Californians of color are getting sick and dying and having a difficult time recovering at the same time millions of Californians are requiring them to put their bodies on the line.”

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Oregon puts debate over race in vaccine rollout to test

PORTLAND, Ore. (AP) — The role that race should play in deciding who gets priority for the COVID-19 vaccine in the next phase of the rollout is being put to the test in Oregon as tensions around equity and access to the shots emerge nationwide.

An advisory committee that provides recommendations to Oregon’s governor and public health authorities will vote Thursday on whether to prioritize people of color, target those with chronic medical conditions or focus on some combination of groups at higher risk from the coronavirus. Others, such as essential workers, refugees, inmates and people under 65 living in group settings, are also being considered.

The 27-member committee in Oregon, a Democratic-led state that’s overwhelmingly white, was formed with the goal of keeping fairness at the heart of its vaccine rollout. Its members were selected to include racial minorities and ethnic groups, from Somalian refugees to Pacific Islanders to tribes. The committee’s recommendations are not binding but provide critical input for Gov. Kate Brown and guide health authorities crafting the rollout.

“It’s about revealing the structural racism that remains hidden. It influences the disparities we experienced before the pandemic and exacerbated the disparities we experienced during the pandemic,” said Kelly Gonzales, a member of the Cherokee Nation of Oklahoma and a health disparity expert on the committee.

The virus has disproportionately affected people of color. Last week, the Biden administration reemphasized the importance of including “social vulnerability” in state vaccination plans — with race, ethnicity and the rural-urban divide at the forefront — and asked states to identify “pharmacy deserts” where getting shots into arms will be difficult.

Overall, 18 states included ways to measure equity in their original vaccine distribution plans last fall — and more have likely done so since the shots started arriving, said Harald Schmidt, a medical ethicist at the University of Pennsylvania who has studied vaccine fairness extensively.

Some, such as Tennessee, proposed reserving 5% of its allocation for “high-disadvantage areas,” while states like Ohio plan to use social vulnerability factors to decide where to distribute vaccine, he said. California has developed its own metrics for assessing a community’s level of need, and Oregon is doing the same.

“We’ve been telling a fairly simple story: ‘Vaccines are here.’ Now we have to tell a more complicated story,” said Nancy Berlinger, who studies bioethics at The Hastings Center, a nonpartisan and independent research institute in Garrison, New York. “We have to think about all the different overlapping areas of risk, rather than just the group we belong to and our personal network.”

Attempts to address inequities in vaccine access have already prompted backlashes in some places. Dallas authorities recently reversed a decision to prioritize the most vulnerable ZIP codes — primarily communities of color — after Texas threatened to reduce the city’s vaccine supply. That kind of pushback is likely to become more pronounced as states move deeper into the rollout and wrestle with difficult questions about need and short supply.

To avoid legal challenges, almost all states looking at race and ethnicity in their vaccine plans are turning to a tool called a “social vulnerability index” or a “disadvantage index.” Such an index includes more than a dozen data points — everything from income to education level to health outcomes to car ownership — to target disadvantaged populations without specifically citing race or ethnicity.

By doing so, the index includes many minority groups because of the impact of generations of systemic racism while also scooping up socioeconomically disadvantaged people who are not people of color and avoiding “very, very difficult and toxic questions” on race, Schmidt said.

“The point is not, ‘We want to make sure that the Obama family gets the vaccine before the Clinton family.’ We don’t care. They can both safely wait,” he said. “We do care that the person who works in a meatpacking plant in a crowded living situation does get it first. It’s not about race, it’s about race and disadvantage.”

In Oregon, health leaders are working on a social vulnerability index, including looking at U.S. census data and then layering on things like occupational status and income levels, said Rachael Banks, public health division director at the Oregon Health Authority.

That approach “gets beyond an individual perspective and to more of a community perspective” and is better than asking a person to prove “how they fit into any demographic,” she said.

The committee’s recommendations also will undergo a legal analysis, Banks said.

That makes sense to Roberto Orellana, a social work professor at Portland State University who launched a program to train his students to do contact tracing in Hispanic communities. Data shows that Hispanic people have roughly a 300% higher risk of contracting COVID-19 than their white counterparts in Oregon.

Orellana hopes his students, who are interning at state agencies and organizations, can put their knowledge to use both in contact tracing and in advocating for vaccines in migrant and farmworker communities. Vaccinating essential workers, prisoners and those in multigenerational households will reach people of color and put them at the heart of the vaccine plan, he said.

“I don’t want to take away from any other group. It’s a hard, hard question, and every group has valid needs and valid concerns. We shouldn’t be going through this,” Orellana said. “We should have vaccines for everybody — but we’re not there.”

_____

Associated Press/Report for America Statehouse News Initiative corps member Sara Cline contributed to this report. Follow Flaccus on Twitter at http://www.twitter.com/gflaccus.



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Vaccine Shortages Hit E.U. in a Setback for Its Immunization Race

BRUSSELS — Europe’s coronavirus vaccination woes snowballed into a full-blown crisis Wednesday, as Spain became the first country to partly suspend immunizations for lack of doses, and a dispute escalated with AstraZeneca over the drugmaker’s announcement that it would slash deliveries of its vaccine by 60 percent because of production shortfalls.

The European Union has been beset by a litany of problems since it approved its first coronavirus vaccine, made by Pfizer and BioNTech, in December and rushed to begin a vast immunization campaign weeks behind rich nations like the United States and Britain.

While it is flush with cash, influence and negotiating heft, the bloc of 27 nations has found itself behind those countries, as well as others like Israel, Canada, and the United Arab Emirates, mounting similar efforts to get enough doses for their citizens, even as many countries across the world, particularly poorer ones, struggle to secure any at all.

The European Commission, the bloc’s executive branch, last week set a goal to have 70 percent of its population inoculated by this summer, a goal that was dismissed four days later by the president of the European Council, Charles Michel, as “difficult.”

By this week, a mere 2 percent of E.U. citizens had received at least one dose of a coronavirus vaccine, according to numbers collected by Our World in Data, compared with some 40 percent of Israelis. The figure in Britain was 11 percent, and just over 6 percent in the United States.

In a rare bit of good news, the French drugmaker Sanofi said Wednesday that it would help produce more than 100 million doses of the Pfizer-BioNTech vaccine, starting this summer, but those doses would likely come too late to salvage vaccination plans for the first half of 2021.

Pfizer informed the European Union and other countries outside the United States this month that it had to drastically cut its vaccine deliveries until mid-February to upgrade its plants in order to ramp up output, adding to the severe supply problems facing the region.

But it was AstraZeneca’s sudden announcement last week that it would cut deliveries in February and March by 60 percent, that really upended European Union vaccination plans. Many countries had built their strategies around expectations of millions of those doses of that vaccine, which is cheaper and easier to store than others, in the first quarter of the year. AstraZeneca said it was having production troubles at one of its factories, but did not specify what those were or offer details on how it was addressing them and when.

The AstraZeneca vaccine is expected to gain approval for use in the European Union on Friday, and the bloc had been expecting some 80 million doses to be delivered in the course of the next two months.

With the company now saying it can’t make good on its promise to deliver, it is unclear when the bloc’s target might be reached.

Some critics have blamed the European Commission for the mess. The commission struck deals on behalf of its 27 member states to secure a total of 2.3 billion vaccine doses from several companies. But some of its agreements lagged behind those struck by the United States and Britain by weeks. AstraZeneca and some European opposition politicians say the delay put the bloc at the back of the line for deliveries.

But the commission has hit back against the criticism.

“We reject the logic of first-come first-served,” the bloc’s heath commissioner, Stella Kyriakides said at a news conference Wednesday. “That may work at the neighborhood butcher, but not in contracts and not in our advanced purchase agreements. There’s no priority clause in the advanced purchase agreement,” she said.

AstraZeneca needed “to live up to its contractual, societal and moral obligations,” she said.

The bloc’s drug regulator, the European Medicines Agency, has also been accused of being too bureaucratic and taking too long to grant authorization to vaccines. The agency has rejected that criticism, defending its processes as being more thorough, by spending more time with data from clinical trials and going back repeatedly to pharmaceutical companies for additional details.

The vaccine crisis in the European Union is set against a still-raging second wave of the coronavirus, prolonged lockdowns in most member countries, and widespread panic over the spread of at least two highly infectious variants of the virus that are bringing national health systems to their knees yet again. France, which has imposed restrictions on social and economic life since a second wave of the coronavirus began to overwhelm it in late October, is now considering moving into an even stricter lockdown like the one it had imposed in the springtime.

The pain of supply shortages is being felt across Europe, with Spain announcing Wednesday that it would suspend the vaccination program in Madrid for two weeks, and warning that Catalonia, in the northeast of the country, may follow suit.

“Tomorrow our fridges will be empty,” Josep Maria Argimon, a regional health official in Catalonia, said, referring to the dwindling supplies of the vaccine.

The deputy head of Madrid’s regional government, Ignacio Aguado, told a news conference that priority needed to be given to administering the second dose of the vaccine and that Madrid did not have enough supplies to continue with the first round of vaccinations.

Mr. Aguado called on the central government to urgently demand extra supplies from the European Union, saying that it needed to “go to Brussels and get more doses” for Spain.

The sentiment was also expressed by local-government leaders in other E.U. countries.

“My conviction is that there is a real shortage of vaccines,” Martine Aubry, the mayor of the northern French city of Lille said this month, as she urged the French government to “tell the truth.” François Rebsamen, the mayor of Dijon, in northeastern France, decried “the central government’s failure to deliver vaccines.”

Covid-19 Vaccines ›

Answers to Your Vaccine Questions

While the exact order of vaccine recipients may vary by state, most will likely put medical workers and residents of long-term care facilities first. If you want to understand how this decision is getting made, this article will help.

Life will return to normal only when society as a whole gains enough protection against the coronavirus. Once countries authorize a vaccine, they’ll only be able to vaccinate a few percent of their citizens at most in the first couple months. The unvaccinated majority will still remain vulnerable to getting infected. A growing number of coronavirus vaccines are showing robust protection against becoming sick. But it’s also possible for people to spread the virus without even knowing they’re infected because they experience only mild symptoms or none at all. Scientists don’t yet know if the vaccines also block the transmission of the coronavirus. So for the time being, even vaccinated people will need to wear masks, avoid indoor crowds, and so on. Once enough people get vaccinated, it will become very difficult for the coronavirus to find vulnerable people to infect. Depending on how quickly we as a society achieve that goal, life might start approaching something like normal by the fall 2021.

Yes, but not forever. The two vaccines that will potentially get authorized this month clearly protect people from getting sick with Covid-19. But the clinical trials that delivered these results were not designed to determine whether vaccinated people could still spread the coronavirus without developing symptoms. That remains a possibility. We know that people who are naturally infected by the coronavirus can spread it while they’re not experiencing any cough or other symptoms. Researchers will be intensely studying this question as the vaccines roll out. In the meantime, even vaccinated people will need to think of themselves as possible spreaders.

The Pfizer and BioNTech vaccine is delivered as a shot in the arm, like other typical vaccines. The injection won’t be any different from ones you’ve gotten before. Tens of thousands of people have already received the vaccines, and none of them have reported any serious health problems. But some of them have felt short-lived discomfort, including aches and flu-like symptoms that typically last a day. It’s possible that people may need to plan to take a day off work or school after the second shot. While these experiences aren’t pleasant, they are a good sign: they are the result of your own immune system encountering the vaccine and mounting a potent response that will provide long-lasting immunity.

No. The vaccines from Moderna and Pfizer use a genetic molecule to prime the immune system. That molecule, known as mRNA, is eventually destroyed by the body. The mRNA is packaged in an oily bubble that can fuse to a cell, allowing the molecule to slip in. The cell uses the mRNA to make proteins from the coronavirus, which can stimulate the immune system. At any moment, each of our cells may contain hundreds of thousands of mRNA molecules, which they produce in order to make proteins of their own. Once those proteins are made, our cells then shred the mRNA with special enzymes. The mRNA molecules our cells make can only survive a matter of minutes. The mRNA in vaccines is engineered to withstand the cell’s enzymes a bit longer, so that the cells can make extra virus proteins and prompt a stronger immune response. But the mRNA can only last for a few days at most before they are destroyed.

And in Germany, the bloc’s richest and largest country, regional leaders were livid about the shortages, for which they blamed their own government and the European Union.

“I have to say that I am totally disappointed with how this has played out,” Manuela Schwesig, governor of the northeastern state of Mecklenburg-Western Pomerania said last week.

“We had a very clear agreement — we in the states prepare the immunization centers and set everything up. We have done that. The logistics are there and we could offer an inoculation to all of our citizens,” Ms. Schwesig said on the ZDF public television network. “But we can’t use it because we don’t have enough vaccines.”

Delays in ordering and approving vaccines, and the current shortages, have not been the only problems, experts said.

“Some countries have planned the entire process well in advance and have done their job in an efficient and effective way,” said Rosanna Tarricone of Bocconi University in Milan. But while the E.U. countries “have announced their plans, they haven’t actually planned anything appropriately.”

In parts of the European Union, especially in its poorer eastern flank, people have been struggling to access vaccines because of a lack of trained nurses, needles and syringes, or poor administration and communication with citizens.

Still, despite the growing concerns and political fallout, experts warned against adopting the British policy of allowing up to 12 weeks to pass between the first and second doses of two-dose vaccines such as the Pfizer and Moderna ones.

In the European Union, regulators have recommended allowing a maximum of three weeks between the two Pfizer doses, or four weeks in the case of the Moderna vaccine.

“In the E.U., at the national level everybody tries to go as fast as possible, because this is what we need to do,” said Jean-Michel Dogné, a professor at the University of Namur in Belgium and adviser to the European Medicines Agency and the World Health Organization. “But we need to be careful to be able to give the second dose, and to anticipate new vaccines that may come.”

Raphael Minder contributed reporting from Madrid, Melissa Eddy from Berlin, and Constant Meheut and Aurelien Breeden from Paris.

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US coronavirus numbers drop, but race against new strains heats up

WASHINGTON (Reuters) — Coronavirus deaths and cases per day in the U.S. dropped markedly over the past couple of weeks but are still running at alarmingly high levels, and the effort to snuff out COVID-19 is becoming an ever more urgent race between the vaccine and the mutating virus.

The government’s top infectious-disease expert, Dr. Anthony Fauci, said the improvement in numbers around the country appears to reflect a “natural peaking and then plateauing” after a holiday surge, rather than the arrival of the vaccine in mid-December.

The U.S. is recording just under 3,100 deaths a day on average, down from more than 3,350 less than two weeks ago. New cases are averaging about 170,000 a day after peaking at almost 250,000 on Jan. 11. The number of hospitalized COVID-19 patients has fallen to about 110,000 from a high of 132,000 on Jan. 7.

States that have been hot spots in recent weeks such as California and Arizona have shown similar improvements during the same period.

On Monday, California lifted regional stay-at-home orders in favor of county-by-county restrictions and ended a 10 p.m. curfew. The shift will allow restaurants and churches to resume outdoor operations and hair and nail salons to reopen in many places, though local officials could maintain stricter rules.

Elsewhere, Minnesota school districts have begun bringing elementary students back for in-person learning. Chicago’s school system, the nation’s third-largest district, had hoped to bring teachers back Monday to prepare for students to return next month, but the teachers union has refused. Illinois announced that that more counties will be able to offer limited indoor dining.

“I don’t think the dynamics of what we’re seeing now with the plateauing is significantly influenced yet — it will be soon — but yet by the vaccine. I just think it’s the natural course of plateauing,” Fauci told NBC’s “Today.”

Ali Mokdad, a professor of health metrics sciences at the University of Washington, said that a predicted holiday surge was reduced by people traveling less than expected, and an increase in mask wearing in response to spikes in infections has since helped bring the numbers down.

Caitlin Rivers, an epidemiologist at the Johns Hopkins Center for Health Security, said too few people have been vaccinated so far for that to have had a significant impact on virus trends. She said she can’t predict how long it will take for the vaccines’ effects to be reflected in the numbers.

Rivers said she is concerned that the more contagious variants of the virus could lead to a deadly resurgence later this year.

“I think we were on track to have a good — or a better, at least — spring and summer, and I’m worried that the variants might be throwing us a curveball,” she said.

Nationwide, about 18 million people, or less than 6% of the U.S. population, have received at least one dose of vaccine, including about 3 million who have gotten the second shot, according to the Centers for Disease Control and Prevention. Only slightly more than half of the 41 million doses distributed to the states by the federal government have been injected into arms, by the CDC’s count.

The virus has killed over 419,000 Americans and infected more than 25 million, with a widely cited University of Washington model projecting the death toll will reach about 569,000 by May 1.

And health experts have warned that the more contagious and possibly more deadly variant sweeping through Britain will probably become the dominant source of infection in the U.S. by March. It has been reported in over 20 states so far. Another mutant version is circulating in South Africa.

The more the virus spreads, the more opportunities it has to mutate. The fear is that it will ultimately render the vaccines ineffective.

To guard against the new variants, President Joe Biden on Monday added South Africa to the list of more than two dozen countries whose residents are subject to coronavirus-related limits on entering the U.S.

Most non-U.S. citizens who have been to Brazil, Ireland, Britain and other European nations will be barred from entering the U.S. under the rules re-imposed by Biden after President Donald Trump had moved to relax them.

Fauci said scientists are already preparing to adjust COVID-19 vaccines to fight the mutated versions.

He said there is “a very slight, modest diminution” of the effectiveness of COVID-19 vaccines against those variants, but “there’s enough cushion with the vaccines that we have that we still consider them to be effective” against both.

Moderna, the maker of one of the two vaccines being used in the U.S., announced on Monday that it is beginning to test a possible booster dose against the South African variant. Moderna CEO Stephane Bancel said the move was out of “an abundance of caution” after preliminary lab tests suggested its shot produced a weaker immune response to that variant.

The vaccine rollout in the U.S. has been marked by disarray and confusion, with states complaining in recent days about shortages and inadequate deliveries that have forced them to cancel mass vaccination events and tens of thousands of appointments.

New York Mayor Bill de Blasio said shortages are preventing the city from opening more large-scale vaccination sites.

“Here you have New York City ready to vaccinate at the rate of a half-million New Yorkers a week, but we don’t have the vaccine to go with it,” de Blasio said. “A lot of other places in the country are ready to do so much more.”

Associated Press writers around the U.S. contributed to this report.

Find AP’s full coverage of the coronavirus pandemic at https://apnews.com/hub/coronavirus-pandemic

Copyright © 2021 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Madison Cawthorn: GOP congressman who voted to overturn election results admits 2020 race not fraudulent

The freshman congressman made the comments to CNN’s Pamela Brown when pressed about his lingering views on the November election results.

Cawthorn was one of more than 120 House GOP members who voted to sustain the objection to electoral votes from Arizona and Pennsylvania earlier this month when Congress met to to certify President-elect Biden’s victory.

“Yes, I think I would say that the election was not fraudulent. You know, the Constitution allowed for us to be able to push back as much as we could and I did that to the amount of the constitutional limits that I had at my disposal. So now I would say that Joseph R. Biden is our president,” he added.

There have been no credible allegations of any issues with voting that would have impacted the election, as affirmed by dozens of state and federal courts, governors, state election officials and the departments of Homeland Security and Justice. And not one of the Republican officeholders objecting to Biden’s victory have objected to Trump’s wins, or in some cases their own wins, on the same day.

Since Biden’s inauguration, Cawthorn has signed onto a letter along with 16 other GOP House freshmen, saying they look forward to working with Biden. Notably, Cawthorn is the youngest member of Congress in modern history, according to US House records, at just 25 years old.

“So when I contested to the election, that was within the constitutional guidelines that the framers had set up. But after I’ve done that and the electors and the delegates from each state elected Joe Biden as our president, I respect the office. He is my president, and I want to work with him to make sure that we can bring some meaningful change to the American people,” Cawthorn said.

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RuPaul’s Drag Race Recap, Season 13 Episode 4

Welcome, compatriots, to the first elimination episode of the season. Finally! The first three weeks of season 13 have been a lovely run of RuPaul’s Best Friend Race, but it brings me great pleasure to report that this week we finally see a contestant cry. Don’t get me wrong: First and foremost, I watch Drag Race for the immense and diverse talents of all the contestants, of course. In fact, that’s exactly why I was excited for this episode, which celebrates the two most ubiquitous drag queen talents of all: conflict and emotional manipulation!

And the queens truly get right to it. Group one (the self-ordained “Winner’s Circle”) decides to stage a sting operation to embarrass group two (“the B-squad”) by hiding Elliott behind a dividing curtain in the back of the werkroom. The idea here is that they can trick the queens into shit-talking Elliott while she’s in the room. This plan doesn’t make sense to me for two reasons: The first is that you usually don’t have to “trick” drag queens into being mean to you. And the second is that I don’t understand what Elliott gets out of this. She already has confirmation that the other queens dislike her, because, well, they sent her home unanimously. So now, by hiding behind the curtain, she gets the privilege of … hearing them say it again? A half-baked plan, to be sure, but Elliott seems to find perverse joy in revealing to a crowd of crestfallen entertainers that, yes, she’s still here.

After the queens have sized each other up, RuPaul enters and gets straight to business. For this week’s main challenge, the queens are divided into teams and tasked with acting in RuPaulmark Channel holiday movies, movies with near-identical scripts and characters that satirize the formulaic nature of the Hallmark Christmas movie. It’s a clever setup that really evens the playing field. Denali can’t claim she got the short end of the stick, for instance, because Tina and Symone had the exact same lines and did just fine. This also benefits the audience, since we get to directly compare the comedy skills of the assembled cast for the first time.

Now, as with any Drag Race acting challenge, we have the good (Symone, Rosé), the bad (Denali, LaLa) and the transcendent (Kahmora). Let’s discuss:

“God Loves Flags”

Let’s save the best for first. Symone and Rosé carry their team to a definitive victory with their Flag Day parody “God Loves Flags.” Symone stars as evil, closeted CEO Red Flag; she keeps the judges cackling from start to finish with her now-iconic facial expressions and inscrutable pronunciation of the work “factory.” Rosé plays her … Best friend? Love interest? Who cares. The only thing that matters is that she glued shoes to her knees, a truly inspired choice. Their presences buoy the much weaker LaLa Ri and Utica, who are both more than a little shaky and can’t seem to translate their winning personalities to this scripted challenge. Or memorize their lines for that matter! The judges heap praise onto Rosé and Symone, but Symone’s stellar du-rag-train runway steals the show. The judges are gagged, as are we all, and RuPaul tells Symone “You’re a winner, baby” for the third time in four episodes. Symone’s momentum is undeniable at this point. She’s somehow lapped the other girls before the referee has even had a chance to start his stopwatch. Of course, it’s still early, and you may recall another young, stunning L.A. queen with an unimpeachable early-season run who was prematurely declared the season’s victor (by me … shut up). But, in my view, the comparisons end there. There was a cockiness to Gigi Goode that I don’t sense at all in Symone. Perhaps it’s her firmly rooted sense of purpose and maturity, or perhaps it’s simply good old-fashioned midwestern manners, but Symone feels grounded to me. And I think that will serve her well as we enter the marathon phase of this competition.

“April Fool’s Rush In”

Next up, in a solid second place, it’s Team “April Fool’s Rush In” starring Gottmik, Joey Jay, Kandy Muse, and Tamisha Iman. Gottmik and Tina are the stars, in theory, but Kandy steals the show as Whoopi Cushion, a clown employee of the small-town novelty gift shop. Kandy wants this part so bad that she stakes her claim before the other girls even have a chance to open their scripts. It’s certainly obnoxious, but it’s hard to stay mad at someone as entertaining as Kandy. As Gottmik astutely summarizes: “Well … props to you. That was kind of everything, but not sure that’s how that works.” Yes, Kandy may be a tough pill to swallow, but the high you get is worth it. Tamisha also has some standout moments as a fortune teller/Cher impersonator. She responds to Ross’s direction well (unlike Joey Jay), and the results in the final product speak for themselves. Tamisha is safe, and Kandy might have been a top contender if not for her runway. Don’t get me wrong, the garment is beautiful, but Michelle is right that it’s not quite the category and there’s really no story to speak of when compared to some of the other girls. But the judges love them some Kandy, and it’s a solid rebound after her low placement last challenge.

“Misery Loves Company”

Finally, let’s talk about the team with the most to lose, “Misery Loves Company.” Denali wants to show she can stand out among titans like Symone, Elliott wants to prove she’s not the worst one here, Kahmora needs to make up for last episode’s disaster, and Olivia … is just chilling! Denali talked a big game this week. And last week. And the week before. She tells us repeatedly that she’s the fiercest competitor, the one to beat, and (most relevant) more than just a fierce lip-syncer. Unfortunately, Denali collapses under the burden of her own expectations. Before the other girls can get a word in, she insists on biting off the biggest role, which she later realizes is a bit more than she can chew. This leaves Elliott to play the ditzy cupid (“I actually am stupid,” she explains), Kahmora as a tree (more on that in a moment), and Olivia affably accepts the grandma (she’s just happy to be there). In rehearsal, we watch Denali strike out. The lines aren’t coming, and there’s no characterization to speak of. On the runway, she’s a knockout, but it’s apparently not enough to make up for her grave miscalculation. But Denali’s struggles are truly nothing when compared to her sister Kahmora’s. For context, Kahmora is playing a completely green-screened tree. Why then, an astute observer might ask, does Kahmora show up to set wearing full hip/ass pads and a breastplate with erect nipples? I cannot answer this, as my mind does not operate on the same plane of consciousness as hers. Kahmora seemingly has a total of two lines, takes up 80 percent of everyone’s time and attention on set (VERY me), and ultimately fails to deliver one of those two lines correctly. Needless to say, I am obsessed. Much like Denali, her impeccable runway doesn’t save her, and it’s Chicago vs. Chicago in the bottom two.

The lip sync is a bloodbath. Denali has proved one thing for certain: She is indeed the lip-sync assassin of the season. She brings Olympic-level athleticism and precision to her incredible performance of “100% Pure Love,” and it’s over within seconds. “Stop!” I wanted to shout. “She’s already dead!” But Denali is ruthless. She shows so little mercy for her Chicago sister, I’m pretty sure it’s a violation of at least two Geneva Conventions. Denali is declared the victor, and the beautiful Kahmora is the first official casualty of the Pork Chop Loading Dock. Elliott rejoices.

Despite B-squad’s best efforts, the hierarchy put into place in episode one’s lip-sync extravaganza was reinforced this week. Symone reigned supreme once again, and both members of the bottom two came from the lip-sync-losing team. But Drag Race is known for its midseason shakeups, and I wouldn’t put it past these queens to steal the spotlight right back next week. Let’s find out, shall we? Until then!

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