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​Jerome Adams says CDC relaxing mask guidance is ‘premature’

​Jerome Adams, the surgeon general in the Trump administration, said the Centers for Disease Control and Prevention’s relaxing masking guidelines amid a surge in coronavirus infections because of the delta variant “premature.”

“Last year Tony Fauci and I famously, prematurely, & wrongly advised against masks. I felt it was the best call at the time, but now regret it. I’m worried the CDC also made a similarly premature, misinterpreted, yet still harmful call on masking in the face of delta variant,” Adams said in a series of postings on Twitter Saturday.

He said the mask guidelines should pertain to areas where coronavirus cases are increasing and vaccine rates are declining.

Adams made the comments a day after current CDC Director Rochelle Walensky warned of a “pandemic of the unvaccinated” as the delta variant spreads across the country.

“We are seeing outbreaks of cases in parts of the country that have low vaccination coverage, because unvaccinated people are at risk.”

People wearing protective masks cross the street in Midtown on March 27, 2021 in New York City.
John Lamparski/Getty Images

I​n Los Angeles County, a mandate took effect on Saturday that requires both vaccinated and unvaccinated people wear masks indoors. ​

Adams blamed the confusion on the changing science around the novel coronavirus, which was first reported in December 2019 in China. 

​”​What Dr. Fauci and I said was based on the science & conditions at the time, and amounted to ​’​save the medical masks (which were all that was available) for the medical workers.​’​ Both the conditions & the science changed, but what people heard and held to was masks don’t wo​rk,” he said in another posting. ​

“What @CDCgov said was based on the science & conditions at the time, and amounted to ‘you’re safe IF you vax it OR mask it,’” Adams said. “Both the conditions (rising cases) & the science (delta variant) changed, but what people heard and held to was masks were no longer needed.”​

He predicted that states will soon enact mask mandates like Los Angeles County that “conflict with mask guidance @CDCgov issued a month ago.”

“The sooner CDC says we were wrong & hits the reset button, the better. Trust me​ ​- I know more than anyone​,” he said. ​

Adams said based on the emerging data, the CDC should be advising people to “vax it AND mask it” in areas with increasing coronavirus cases and positivity rates.

“CDC was well intended, but the message was misinterpreted, premature, & wrong. Let’s fix it​,” he said. 

​New infections spiked 70 percent from the previous seven-day average to about 26,300 cases, Walensky said during a briefing on Friday. ​

At the same time, hospital admissions jumped 36 percent to about 2,790 a day, while deaths from coronavirus rose 26 percent to 211 per day. 

According to the CDC, more than 160 million Americans are vaccinated, representing about 48 percent of the population. ​
​​



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US Coronavirus: A top health official warned relaxing measures threatens progress. A day later, more states said they were easing restrictions

Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota, said the B.1.1.7 variant has resulted in increased transmission in countries with vaccination efforts similar to the United States.

“Our only hope right now is that we as a country take this seriously and do whatever we can to limit transmission, as these other countries tried to do,” he said during an event hosted by Axios.

“And, yet, at the same time I sit here and tell you we’ve never been more open as a country since the very first days of the pandemic.”

Osterholm said efforts to reopen schools are “frustrating,” as are recent guidelines that schools can maintain three feet of social distance as opposed to six feet.

“The transmission dynamics are going to change, and it won’t be quite the same way that it was.” Osterholm said. “We don’t seem to care, in the sense that we’re opening up everything at local, state, and even federal levels.”

More governors relax restrictions

Since the start of the month, at least a dozen state leaders have eased Covid-19 restrictions.

On Tuesday, Indiana Gov. Eric Holcomb announced that starting April 6, the state’s face-covering mandate will become a state mask advisory. Masks will remain mandatory in state buildings and facilities as well as at Covid-19 testing and vaccination sites, the governor said.

Also starting April 6, decisions about venue capacity will be in the hands of local officials, Holcomb said, and customers in restaurants, bars and nightclubs will no longer be required to be seated. Six feet of spacing between tables is still recommended, he added.

In Virginia, Gov. Ralph Northam announced Tuesday that starting April 1, both indoor and outdoor gathering limits will increase and certain sports and entertainment venues will be able to operate with additional capacity.

Vaccination pace doubled in less than two months

In less than two months, the pace of vaccination in the US has doubled.

Almost 130.5 million Covid-19 vaccine doses have been administered, according to data published Wednesday by the Centers for Disease Control and Prevention. The CDC reported that 130,473,853 total doses have been administered — about 77% of the 169,223,125 doses delivered.

That’s nearly 2.3 million more doses reported administered since Tuesday, for a seven-day average of about 2.5 million doses per day.

A month ago, the seven-day average was about 1.5 million doses per day, according to a CNN analysis of CDC data. On January 29, the seven-day average was 1,253,815 doses per day.

Vaccine eligibility across the US

Nearly 26% of the population — almost 85.5 million people — has received at least one dose of vaccine, and 14% of the population — more than 46 million people — are fully vaccinated, CDC data shows. A third of adults and about 70% of seniors have received at least one dose.

Philadelphia cancels at least 11,000 invalid vaccine appointments

Philadelphia canceled thousands of Covid-19 vaccine appointments at its FEMA-run vaccination site after some residents used QR codes circulated online to schedule invalid appointments, according to the city’s Department of Public Health.

The department has canceled approximately 11,000 vaccine appointments for this week and is in the process of reviewing appointments made for the upcoming two weeks, spokesperson James Garrow said. All told, the city may cancel as many as 30,000 appointments after its internal review.

The vaccination site had been scheduled to provide first doses for the first three weeks, followed by only second doses for the following three. The city was alerted to the invalid appointments after the site moved to its second-dose stage. Staff checked a vaccine database and “saw that names didn’t match up,” Garrow told CNN.

Site staff members had shared a QR code with people receiving their first dose so they could schedule a second appointment. That QR code was later found online, according to Garrow.

“We are going through the appointment database and matching it up with the vaccine database to see who is eligible for a second dose and then canceling all of the rest of the appointments,” Garrow told CNN in an email.

“The vast majority of Philadelphians continue to follow the rules and wait for their turn in line. We understand how frustrating this wait is and are working as quickly as possible to get everyone vaccinated,” Garrow said, warning that those who expect to receive their first dose at the site “should not walk up and expect to be vaccinated.”

More Americans are going out, poll shows

As more Americans are vaccinated, the number of people going out is also increasing, according to a poll from Axios-Ipsos published Tuesday.

Compared to a month ago, the number of people who have gone out to eat or visit friends and family are up 12 and 9 percentage points respectively, according to the poll — which was conducted March 19 to 22 and was made up of 995 Americans 18 and older.

The number of people who believe that dining out poses a large risk to health and well-being has gone down to 23% compared to 33% a month ago.

Those who have visited friends or relatives — 48% — is the highest since October. Additionally, 54% have visited a non-grocery retail store — the highest number since May.

Experts worry AstraZeneca confusion may lead to vaccine hesitancy

Meanwhile, AstraZeneca is soon expected to apply for emergency use authorization for its Covid-19 vaccine in the US. But some experts fear recent concerns over an announcement of its vaccine data could further contribute to hesitancy.

AstraZeneca has updated its data on how well its vaccine works, saying late Wednesday the vaccine showed 76% efficacy against symptomatic coronavirus disease and 100% efficacy against severe or critical disease or the need for hospitalization.

On Monday, AstraZeneca had said its vaccine showed 79% efficacy against symptomatic disease and 100% efficacy against severe disease and hospitalization.

A day later, the National Institute of Allergy and Infectious Diseases issued a statement saying the independent board that reviews data from multiple vaccine candidates had concerns about the company’s announcement.

The board “expressed concern that AstraZeneca may have included outdated information from that trial, which may have provided an incomplete view of the efficacy data,” the NIAID statement said.

Speaking on ABC’s “Good Morning America” on Tuesday, Dr. Anthony Fauci said the AstraZeneca news release may have contained misleading information about its vaccine efficacy — “an unforced error” that may create doubt about what is likely a good vaccine.

The data is “really quite good, but when they put it into the press release, it wasn’t completely accurate,” Fauci said.

Covid cases dropping fastest among seniors

Cases of Covid-19, as well as hospitalizations and deaths are dropping fastest among seniors in the US, a CNN analysis shows.

The 65 and older population has seen a larger decline in case rates, death rates and hospitalizations than any other age group, and they’re accounting for a smaller share of total hospitalizations than they were a few months ago, according to the analysis of data from the CDC.

Among people 65 and older, weekly hospitalizations have been steadily declining since the start of the year, dropping 83% over nine weeks between early January and mid-March, CDC data shows.

More than half of hospitalizations were among people 65 and older in early January, but that had dropped to about 37% by mid-March.

Hospitalization data from the CDC’s COVID-NET surveillance system is preliminary.

Additional data tracked by the CDC shows that Covid-19 case rates among seniors were 83% lower in the first week of March than they were two months earlier, and death rates were about 96% lower, both steeper declines than in any another age group.

“Right now, as the weeks go by, we see more and more that not only are these vaccines efficacious but in the community they are extremely effective in preventing infection with SARS-CoV-2,” Fauci said during a White House briefing on Wednesday.

CNN’s Rebekah Riess, Deidre McPhillips and Naomi Thomas contributed to this report.

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Israel said not planning to follow CDC in relaxing mask mandates for vaccinated

Israel currently has no plans to follow new US guidelines that relax mask-wearing requirements for people who are fully vaccinated, the Kan public broadcaster reported.

The US Centers for Disease Control and Prevention announced new guidelines on Monday, saying that fully-vaccinated Americans can gather with other vaccinated people indoors without wearing a mask or social distancing.

The recommendations also say that vaccinated people can come together in the same way with people considered at low-risk for severe disease, such as in the case of vaccinated grandparents visiting healthy children and grandchildren.

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However, senior Israeli health ministry officials told Kan that Israel would not advocate similar steps yet, saying there was not yet enough information on whether or not vaccinated people could still transmit the virus.

Kan called the Israeli approach “very strict,” given clear evidence that the vaccines dramatically lower infections.

The issue is likely to come to the fore in a few weeks during the Passover holiday, when families traditionally gather for large, festive Seder meals. Last year’s holiday was celebrated under Israel’s first — and tightest — coronavirus lockdown, with many elderly forced to celebrate alone.

Channel 12 news reported, without citing a source, that Health Ministry officials have started discussions on whether to make it easier for families to gather.

Health Minister Yuli Edelstein told Channel 12 on Sunday that he hoped families would be able to celebrate Passover together at the end of the month.

“I very much hope we will be able to be with the whole family… I am hopeful, and this is a hope with a pretty good basis… that with proper conduct [by the public], we will be able to avoid more lockdowns. I really do ask everyone to help us with this,” Edelstein said.

Perahia Shilo arranges the Passover Seder dinner table next to a picture of her children and grandchildren, on the eve of the Jewish holiday of Passover, in the West Bank settlement of Efrat, April 8, 2020. (Gershon Elinson/Flash90)

The CDC issued its guidance to address a growing demand, as more adults have been getting vaccinated and wondering if it gives them greater freedom to visit family members, travel, or do other things that they had done before the COVID-19 pandemic swept the world last year.

“We know that people want to get vaccinated so they can get back to doing the things they enjoy with the people they love,” said CDC Director Dr. Rochelle Walensky, in a statement.

The CDC is continuing to recommend that fully vaccinated people continue to wear well-fitted masks, avoid large gatherings, and physically distance themselves from others when out in public. The CDC also advised vaccinated people to get tested if they develop symptoms that could be related to COVID-19.

Officials say a person is considered fully vaccinated two weeks after receiving the last required dose of vaccine. About 30 million Americans — or only about nine percent of the US population — have been fully vaccinated with a federally authorized COVID-19 vaccine so far, according to the CDC.

In Israel, the percentage is much higher. On Monday Israel vaccinated its five millionth citizen against the coronavirus as Prime Minister Benjamin Netanyahu predicted that the entire adult population would be inoculated by the end of April.

Granby kindergarten school teacher Christina Kibby (right) receives the Johnson & Johnson COVID-19 vaccine from pharmacist Madeline Acquilano, at Hartford Hospital in Hartford, Connecticut, March 3, 2021. (AP Photo/Jessica Hill)

Of the five million who have now had the first vaccine dose, 3,789,118 have also had the second, according to Health Ministry figures released Monday. I

Since the start of the coronavirus outbreak early last year, 803,260 people have been diagnosed with the virus and there are 37,698 active patients.

Out of Israel’s 9.3 million total population, some three million, including children and recovered, were not initially eligible to be vaccinated. Israel announced last week it would start giving the recovered a single shot.

The prime minister also said Monday he had been in contact with Pfizer and the company will soon announce a vaccine that is approved for use on children.

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Relaxing Covid-19 restrictions in US now is “inexplicable,” says Fauci

The UK’s Medicines and Healthcare products Regulatory Agency (MHRA) said on Thursday that new Covid-19 vaccines modified to tackle new variants of the virus can now be fast-tracked for approval.

The MHRA issued new guidance with ACCESS Consortium — a coalition of regulatory authorities in Australia, Canada, Singapore and Switzerland.

The regulator said authorized Covid-19 vaccines that are modified in response to new variants will not need brand new approval or lengthy clinical studies.

But the guidance states that vaccine manufacturers will need to provide robust evidence that the modified shot produces an immune response.

Researchers can now measure such protection from vaccines by monitoring antibodies in the blood after inoculation, reducing the need to wait and see if people in a trial become infected with the disease or not through clinical trials.

The manufacturer would also be expected to provide evidence showing the modified vaccine is safe and is of the expected quality. 

Data from original clinical trials of the vaccines and ongoing studies on their real-world use could also be used to support any decision by the regulators.

Our priority is to get effective vaccines to the public in as short a time as possible, without compromising on safety. Should any modifications to authorised Covid-19 vaccines be necessary, this regulatory approach should help to do just that,” MHRA Chief Scientific Officer, Dr. Christian Schneider said.

“The announcement today also demonstrates the strength of our international partnerships with other regulators and how our global work can help ensure faster access to life-saving vaccines in the UK and around the world,” Schneider said.

He added: “The public should be confident that no vaccine would be approved unless the expected high standards of safety, quality and effectiveness are met.””

June Raine, chief regulator at MHRA said she’d like to “emphasize that to date we don’t have evidence that the vaccines in use in the UK are significantly lacking in effectiveness.”

She added: “A clear goal is that the future vaccine modifications that respond to the new variants of coronavirus can be made available in the shortest possible time to UK recipients without compromising at any stage on safety, quality, or effectiveness.”

According to the guidance, the fast-tracking approach is tried and tested on seasonal flu vaccines for which modifications are needed each year to match the emerging strains circulated.

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Utah doctors warn against relaxing health routines after COVID-19 vaccinations

SALT LAKE CITY — As the COVID-19 vaccine campaign ramps up, and more Utahns get protected, people wonder when they can get together with loved ones who have already been vaccinated.

Some individuals over 70 will soon be fully vaccinated, but is it too early to visit?

Dr. Emily Spivak, an associate professor of medicine in the Division of Infectious Diseases at University of Utah Health, said we still need to act cautiously around people who have been vaccinated.

On the plus side: the vaccines prevent that person from getting symptomatic infection and severe illness. But researchers don’t know how well the vaccines prevent asymptomatic infection, or the ability of people to spread the virus without knowing they’re sick.

So the best recommendation is to keep following local health guidelines.

“We should not change our behaviors until we get a very large proportion of the population vaccinated,” said Spivak.

We should still avoid travel, mask up and social distance, said the doctor. But Spivak also recognizes that many of our loved ones have been extraordinarily isolated for nearly a year, and she understands some people will risk getting closer.

“If you’re going to visit, it should not be between the first and second dose, and should be at least two weeks or later after the second dose,” she said.

That will allow the vaccinated individual time for maximum protection.

If you get together with someone recently vaccinated, Spivak said wear a mask, keep your distance, and meet outside if you can.

“Don’t let your guard completely down,” she said. “Still employ some of those basic mitigation strategies we’ve talked about to prevent asymptomatic transmission — ideally, wearing masks.”

The vaccines available, so far, appear to protect against variants of the virus emerging in the United States. Even if the vaccines have reduced efficacy against the variants, they seem very protective against severe disease and hospitalization.

When you are available for a vaccine, she said they all offer the protection we will need.

“The faster we can get people to take them, regardless of what vaccine you’re offered, the more quickly we are going to get to ‘herd immunity,’ or enough of the population being protected that we will slow down the transmission of this virus and maybe get back to normal,” she said.

It’s another aspect of this vaccine campaign that demands a lot of patience.

“I think we’re moving in the right direction. I would like to see it go faster and more widely disseminated, but I’m optimistic we’ll get there,” Spivak said.

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