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Abatement crews struggle as mosquitoes that carry West Nile virus multiply in Utah

Some abatement crews describe 2021 as the worst mosquito season ever in Utah as they struggled to push back the pests this summer. (Mike Anderson, KSL TV)

BOUNTIFUL — Some abatement crews describe 2021 as the worst mosquito season ever in Utah as they struggled to push back the pests this summer.

Crews said the high temperatures are causing mosquitoes to multiply.

The mosquitoes that breed in floodwaters are actually way down, as you would expect, but the kind that breeds in existing wetlands are thriving. And to make matters worse, they’re the kind that are known to carry West Nile virus.

On the southwest end of Davis County, abatement tech Trevor Larsen searched the wetlands for water, but had little success.

“It’s all dry,” he said.

But in the areas where there is standing water, the mosquitoes were doing very well.

“We’re seeing numbers now like we normally would in our peak — in the end of July, first part of August,” said Gary Hatch, director of Davis County’s Mosquito Abatement District.

Hatch said it could be an early peak, or a sign that a much bigger peak will hit in a few weeks.

“When the heat started to come on in May, we were very concerned, and actually started to see their numbers climbing,” he said.

Abatement tech Trevor Larsen searches the wetlands at the southwest end of Davis County. Crews said the high temperatures were causing mosquitos to multiply. (Photo: Mike Anderson, KSL TV)

Many of their traps came in full.

“These are the Culex tarsalis. These carry West Nile Virus,” said Hatch.

That’s where the greater concern comes and that’s why their lab started testing early.

“We have detected West Nile virus earlier than we ever have,” said Hatch.

That could mean more cases of the disease, but is there also one more hurdle to overcome this year. Techs like Larsen have been doing double duty. Much like everywhere else, Hatch is having trouble hiring summer help.

They have been trying to make due with about half the staff they want.

“This is by far the most challenging year we’ve had — with the heat, the number of mosquitoes we’re seeing, and the lack of employees that we have,” said Hatch, who has been with Davis County for 27 years.

He said everyone will have to be more vigilant outside, using repellant, and if we can stand it, long sleeves and pants.

These mosquitoes, in particular, bite after the sun goes down, but Hatch said they are aggressive.

And as always, he said try to avoid having any standing water around your house.

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Mike Anderson

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In crosshairs of ransomware crooks, cyber insurers struggle

BOSTON (AP) — In the past few weeks, ransomware criminals claimed as trophies at least three North American insurance brokerages that offer policies to help others survive the very network-paralyzing, data-pilfering extortion attacks they themselves apparently suffered.

Cybercriminals who hack into corporate and government networks to steal sensitive data for extortion routinely try to learn how much cyber insurance coverage the victims have. Knowing what victims can afford to pay can give them an edge in ransom negotiations. The cyber insurance industry, too, is a prime target for crooks seeking its customers’ identities and scope of coverage.

Before ransomware evolved into a full-scale global epidemic plaguing businesses, hospitals, schools and local governments, cyber insurance was a profitable niche industry. It was accused of fueling the criminal feeding frenzy by routinely recommending that victims pay up, but kept many from going bankrupt.

Now, the sector isn’t just in the criminals’ crosshairs. It’s teetering on the edge of profitability, upended by a more than 400% rise last year in ransomware cases and skyrocketing extortion demands. As a percentage of premiums collected, cyber insurance payouts now top 70%, the break-even point.

Read more on the Kaseya ransomware attack

Fabian Wosar, chief technical officer of Emsisoft, a cybersecurity firm specializing in ransomware, said the prevailing attitude among insurers is no longer: Pay the criminals. It’s likely to be cheaper for all involved.

“The ransomware groups got way too greedy too quickly. So the cost-benefit equation the insurers initially used to figure out whether or not they should pay a ransom — it’s just not there anymore,” he said.

It’s not clear how the single biggest ransomware attack on record, which began Friday, will impact insurers. But it can’t be good.

Pressure is building on the industry to stop reimbursing for ransoms.

In May, the major cyber insurer AXA decided to do so with all new policies in France. But it is so far apparently alone in the industry, and governments are not moving to outlaw reimbursement.

AXA is among major insurers that have suffered ransomware attacks, with operations in Thailand hard-hit. Chicago-based CNA Financial Corp., the seventh–ranked U.S. cybersecurity underwriter last year, saw its network crippled in March. Less than a week earlier, the cybersecurity firm Recorded Future published an interview with a member of the Russian-speaking ransomware gang, REvil, that is skilled in pre-attack intelligence-gathering and happens to be behind the current attack. He suggested it actively targets insurers for data on their clients.

CNA would not confirm a Bloomberg report that it paid a $40 million ransom, which would be the highest reported ransom on record. Nor would it say what or how much data was stolen. It said only that systems where most policyholder data was stored “were not impacted.”

In a regulatory filing with the Securities and Exchange Commission, CNA also said that its losses might not be fully covered by its insurance and “future cybersecurity insurance coverage may be difficult to obtain or may only be available at significantly higher costs to us.”

Another major insurance player hit by ransomware was broker Gallagher. Although it was hit in September, only this past week (June 30) did it disclose that the attackers may have stolen highly detailed data from an unspecified number of customers — from passwords and Social Security numbers to credit card data and medical diagnoses. Company spokeswoman Kelli Murray would not say if any cyber insurance policy contracts were on compromised servers. Nor would she say whether Gallagher paid a ransom. The criminals, from the RagnarLocker gang, apparently never posted information about the attack on their dark web leak site, suggesting that Gallagher paid.

Of the three insurance brokers that ransomware gangs claimed to have attacked in recent weeks, posting stolen data on their dark web sites as evidence, two, in Montreal and Detroit, did not respond to phone calls and emails. The third, in southern California, acknowledged being hobbled for a week.

By the time the Colonial Pipeline and major meat processer JBS were hit by ransomware in May, insurers were already passing higher coverage costs to customers.

Cyber premiums jumped by 29% in January in the U.S. and Canada from the previous month, said Gregory Eskins, an analyst at top commercial insurance broker Marsh McLennan. In February, the month-to-month jump was 32%, in March it was 39%.

In a bid to turn back ransomware-related losses — Eskins said they amounted to about 40% of cyber insurance claims in North America last year — policy renewals are carrying new, stricter rules or lowered coverage limits.

“The price has to match the risk,” said Michael Phillips, chief claims officer at the San Francisco cyber insurance firm Resilience and a co-chair of the public-private Ransomware Task Force.

A policy might now specify that reimbursement for extortion payments can’t exceed one-third of overall coverage, which typically also encompasses recovery and lost income and can include payments to PR firms to mitigate reputational damage. Or an insurer may cut coverage in half, or introduce a deductible, said Brent Reith of the broker Aon.

While some smaller carriers have dropped coverage altogether, the big players are instead retooling.

Then there are hybrid insurers like Resilience and Boston-based Corvus. They don’t simply ask potential customers to fill out a questionnaire. They physically probe their cyber defenses and actively engage clients as cyber threats occur.

“We’re monitoring and making active recommendations not just once a year but throughout the year and dynamically,” said Corvus CEO Phil Edmundson.

But is the overall industry nimble enough to absorb the growing onslaught?

The Government Accountability Office warned in a May report that “the extent to which cyber insurance will continue to be generally available and affordable remains uncertain.” And the New York State Department of Finance said in a February circular that massive industry losses were possible.

Both insured and insurers, stingy about sharing experiences and data, shoulder the blame for that, the U.K. Royal United Services Institute said in a new report. Most ransomware attacks go unreported, and no central clearinghouse on them exists, though governments are beginning to pressure for mandatory industry reporting. As a business sector, insurers are not especially transparent. In the U.S. they are regulated not by the federal government but by the states.

And for now, cyber insurers are mostly resisting calls to halt reimbursements for ransoms paid.

In a May earnings call, the CEO of U.K.-based Beazley, Adrian Cox, said “generally speaking network security is not good enough at the moment.” He said it is up to government to decide whether payments are bad public policy. CEO Evan Greenberg of the leading U.S. cyber insurer, Chubb Limited, agreed in the company’s annual report in February that deciding on a ban is government’s purview. But he did endorse outlawing payments.

Jan Lemnitzer, a Copenhagen Business School lecturer, thinks cyber insurance should be compulsory for businesses large and small, just as everyone who drives must have car insurance and seat belts. The Royal United Services Institute study recommends it for all government suppliers and vendors.

While he considers banning ransom payments problematic, Lemnitzer says it would be a “no-brainer” to compel insurers to stop reimbursing for them.

Some have suggested imposing fines on ransom payments as a disincentive. Or the government could retain a percentage of any cryptocurrency recovered from ransomware criminals, the proceeds going to a federal ransomware defense fund.

Such measures could bite into criminal revenues, said attorney Stewart Baker of Steptoe and Johnson, a former NSA general counsel.

“In the long run, it probably means that resources that are currently going to Russia to pay for Ferraris in Moscow will instead go to improve cybersecurity in the United States.”

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‘It’s terrifying’: parents’ struggle to get help for children with long Covid | Long Covid

On Christmas Day, Gail Jackson’s 16-year-old daughter said she was in so much pain she thought she would die. Liliana had been briefly admitted to hospital with Covid in September. Her symptoms never went away and, as time went on, new ones had emerged.

“For months she had a relentless, agonising headache, nausea, tinnitus, fatigue and insomnia, but the worst thing was the agonising nerve pain,” said Jackson. “I couldn’t even touch her without her screaming in pain.”

On Christmas morning, Jackson drove to hospital with her daughter vomiting from pain in the passenger seat. When they got to the hospital, however, the A&E doctor said there was no such thing as long Covid in children. “He said she just needed to go home and get on with her life,” Jackson said. “It was jaw-dropping.”

It is extremely rare for children and young people to contract severe Covid, but recent research has shown that even mild or asymptomatic infection can lead to long Covid in children. A study at UCL is investigating long Covid in 11- to 17-year-olds who were not hospitalised with the disease.

“The Office for National Statistics found that after 12 weeks, 7% of two- to 11-year-olds, 8% of 12- to 16-year-olds and 11.5% of 17- to 24-year-olds had symptoms,” said Dr Nisreen Alwan, an associate professor in public Health at the University of Southampton.

Nice, the National Institute for Health and Care Excellence, has recommended more research to produce guidance on how children and young people are affected and how they can be treated. However, there is no case definition of long Covid in children and young people in the way there is in adults.

In the absence of that definition and guidance, parents say they are being dismissed or regarded with suspicion by medical professionals over their child’s unexplained symptoms.

One of the problems, says the Royal College of Paediatrics and Child Health, is that services for rehabilitating children seriously affected by, for example, chronic fatigue symptoms are “completely inadequate” in many parts of the country.

“We’re very pleased to see the high-quality research being undertaken into symptoms seen in some children post-Covid,” a spokesperson said. “One of the things these studies hope to find out is which symptoms are to do with the effect of the virus (many viruses can leave people with post-viral symptoms such as chronic fatigue), and which are a consequence of lockdown or other knock-on effects of the pandemic.”

Frances Simpson with her son, Magnus, six. She co-founded the support and advocacy group Long Covid Kids

Kate and her son Max, 12, say they had to fight to be believed by their GP. “We’ve been living with the long-term effects of Covid for over a year now,” Kate said. “It’s been a long journey, via a rollercoaster of terrifying symptoms ranging from chest pains, breathlessness, red eyes, gastric problems, muscular and joint pains, to hives, to name just a few.

“GPs deal in certainties but there are no certainties here, just a litany of new symptoms. We’ve been bounced endlessly between child and mental health services and the GP, but still no one has any idea how to help my son.”

Janet* is certain that her two teenage daughters both have long Covid. “I’m a senior nurse and I still feel patronised and dismissed by the paediatricians,” she said. “Nothing has happened unless I’ve threatened to complain. There are just constant attempts to fob me off by implying the severity of my daughters’ symptoms are exaggerated.”

Anna said her experience with her 12-year-old son had been “barbaric and horrible”. “To send a child away from A&E when he’s screaming in pain and insisting it’s all in his head – which is what has happened to us – is negligent and criminal,” she said.

Melania* had a similar experience with her two-year-old daughter. “She’s been having seizures and losing consciousness since October but doctors have been dismissive to the point of telling me I’m an anxious mother and needed to calm down because children of my daughter’s age are not affected by Covid or long Covid.”

Ruth believes that her daughter Sue, 15, also has long Covid. “If they don’t believe us now, how can we even hope to find out what the long-term impact of this condition could be on our children?” she said. “It’s terrifying.”

Frances Simpson, a lecturer in psychology at Coventry University, co-founded the support and advocacy group Long Covid Kids in October after her two children, Saskia, now 10, and Magnus, now six, developed the condition. Membership stands at more than 2,000 parent and is growing by about 100 a day.

“Many parents on our site have experienced poor care for their children, including diagnoses of anxiety in the child and even, in some cases, some form of Munchausen by proxy in the parents,” said Simpson. “Even those medical practitioners who have been supportive have been honest in their admission that there is no research and no answers.”

Michael Rosen, the former children’s laureate author who spent 47 days in intensive care after contracting Covid, has agreed to be a trustee of the group.

“It’s emerging that this is an overlooked and special area of people affected by Covid,” he said. “We’ve allowed the common understanding to spread that children don’t get Covid and/or if they get it, they don’t get it bad, and that if they get it, they don’t get long Covid. Clearly, things aren’t that simple and we need more detail and more stats to tell us more.”

* Some names have been changed.

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The Struggle To Hold David Dobrik And YouTubers Accountable

This is an excerpt from Please Like Me, BuzzFeed News’ newsletter about how influencers are battling for your attention. You can sign up here.

Last week, an allegation rocked the once clean image of mega YouTuber David Dobrik. In a story from Business Insider, a woman who wished to remain anonymous said she was raped by Vlog Squad member Dom Zeglaitis in 2018. The woman claimed she had consumed so much alcohol that she could not consent to having sex with Zeglaitis.

She also accused Dobrik of filming her entering the bedroom where the incident occurred and posting it on YouTube a few days later. She said Dobrik later deleted the vlog at her request. Business Insider talked to one of the woman’s friends and YouTuber Trisha Paytas, who verified that the group of young women there that night were underage and supplied with hard liquor. I reached out to both Dobrik and Zeglaitis about the allegations but didn’t hear back.

Of course, the focus of the allegations should be on Zeglaitis. But it’s Dobrik’s part that has taken over media and online communities over the last week.

After the story came out, major brands began cutting ties with Dobrik. Companies like DoorDash, HelloFresh, and EA Sports made public statements condemning the allegations. SeatGeek said it was “reviewing” its relationship with him. Then, Dobrik made a statement saying he would be stepping down from the board of Dispo, a photo-sharing app he helped create. People online celebrated the fast domino effect of financial and business consequences Dobrik was facing.

It even prompted the YouTuber to post a second, oh-so-familiar genre of YouTube apology the next day. Dobrik looks somber, he’s facing the camera directly, he’s seated on the ground, and the video is given a vague title: “03/22/21.” (He first addressed the allegations against Zeglaitis and him on his podcast channel on the day the Business Insider report came out. He said then he “doesn’t stand for any kind of misconduct.”) In his second apology, Dobrik seemed to be confronting the issues and his part in them more directly. He said that he is aware of an “unfair power dynamic” he’s created between him and other content creators in the Vlog Squad and that he generally “fucked up” and is sorry.

“Even though I got the consent to post that video, I should have never posted it,” he says in the second apology, which has over 8 million views. “I want to apologize to her and her friends for ever putting them in an environment — that I enabled — that made them feel like their safety and values were compromised.”

Whether or not Dobrik’s apology is sincere and should be accepted is ultimately up to the accuser. But the news cycles and familiar habits we’ve created around watching an influencer scramble to atone for questionable or concerning behavior is becoming so tiresome.

Influencers, specifically YouTubers, who get called out for current and past bad behavior usually try to evade addressing it publicly or directly at first. I’ve reached out to a number of YouTubers in my career when scandals have unfolded, and rarely do they or their publicists provide responses. The PR strategy seems to be that if they don’t speak on it, their problem might go away. Sometimes, this works, especially if the accuser or questioner gets tired enough of demanding accountability.

When a YouTuber does address something publicly, usually in the form of an apology video that will garner millions of views for their channel, it will almost always come after brands start pulling out of their deals. This has happened with a variety of scandals, from the less serious, like Jaclyn Hill’s lipstick shitshow, to the very harmful, like PewDiePie’s antisemitic comments and the infamous Aokigahara video and all of frustrating actions and inactions from Logan Paul. The consequences of their actions, though, were ultimately small. All of these YouTubers still have platforms and fandoms, and their careers have sustained.

For Dobrik, this is not even his first cycle this year with a public accusation of wrongdoing. Last month, I reported on sexual assault allegations from another Vlog Squad member named Seth against Dobrik for a viral “prank” video from 2017. In the video, Seth is asked to kiss a woman but discovers that he’s actually kissing a man, fellow YouTuber Jason Nash. Seth told me Dobrik intentionally duped him in the name of a “prank,” and he only recently began unpacking how violating that was for him. Dobrik and his team did not respond to my multiple requests for comment, and neither did Nash.

Those allegations only seemed to have an effect on Dobrik and his empire for a few weeks. He was more or less able to avoid addressing them and continued to post content, engage with fans, and record his podcast as if these realities didn’t exist.

Now, coupled with the more recent allegations, there is some level of confrontation and “change” happening within the industry. Sure, Dobrik has said something publicly and companies are “taking a stand” against him. But because we’ve been here so many times before with YouTubers, it is hard not to feel demoralized about whether these changes and stances are genuine and long-standing. Will these major corporations re-sign deals with Dobrik in a few months when this stain on him recedes into the background? Will these companies just reallocate their money to another YouTuber with a questionable past? Has Dobrik sincerely learned from this, or has he been coached to say the right things in the name of damage control for his bottom line? Will he reassess how he manages his own power and influence on his team and the kind of content he posts, or will he fall back to old ways when people and media stop paying attention as closely?

I am not asking these questions facetiously. I truly don’t know. Only Dobrik and the people within these institutions know what they truly feel and what they will do about these issues long term. But I am not holding my breath for a transformative outcome. I am dejectedly just waiting to see what happens in a few months, or in a few years. I hope to be surprised in good ways, but I’m prepared to be disappointed again.

Before you throw the CaNceL CuLTuRe gripes my way, I am not asking — and I don’t think a majority of people are asking — for him and other YouTubers to be “canceled” indefinitely. The cancel culture discourse is also so exhausting and I don’t wish to get into that here. Dobrik losing his money and career, albeit symbolically satisfying for people he’s hurt, does nothing great for society overall. It can further isolate and victimize him, which he can then use to weaponize more sympathy and support. He, and other YouTubers, should face consequences that cause him to wake up to the realities of his actions — whatever that may be.

And when he is really conscious of himself, and how he’s hurt people in his pursuit for fame, may he then choose to do things differently. And set a better precedent for YouTubers and anyone else who multibillion-dollar companies are endorsing every day.

Maybe then we will see a believable change. But today I am downtrodden. And I will leave you and this newsletter with a phrase I am beginning to hate: Only time will tell.

Until next time,

Tanya



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Priyanka Chopra’s interview with Oprah Winfrey: From first impression about Nick Jonas to her Bollywood struggle, here are five takeaways

Priyanka Chopra’s interview with the iconic talk show host Oprah Winfrey on Super Soul has been garnering a lot of buzz. The main topic of the conversation is Chopra’s recently released memoir titled Unfinished: A Memoir.

But from the memoir, in which Chopra writes about her remarkable life, come stories of her childhood, career, family, relationships, and marriage. Thus the conversation is fairly uninhibited.

Here are five takeaways from the interview:

1. Priyanka Chopra is a firm believer in God

During the interview, PeeCee said that being an Indian, she was exposed to nearly every major religion and religious practices while growing up and does believe in a higher power. She said during the interview, “In India it’s hard not to, you’re right. With the swirling number of religions that live in the country… I grew up in a convent school. So I was aware of Christianity. My dad used to sing in a mosque. I was aware of Islam. I grew up in a Hindu family. I was aware of that. Spirituality is such a large part of India that you can’t ignore it.”

2. When her faith was tested

It was her father’s death that tested Priyanka’s faith. She told Oprah in an answer to a question, “I was very angry. My relationship with God changed a little bit. But then at the same time, I feel like God helped me find salvation and come out of it too. But at that time, it was tested. Oh man, I went to every temple there was to go to. I did every prayer there was to do. I met every godman or woman I needed to meet, every doctor I need to go to. I flew my dad to Singapore, New York, Europe, India, everywhere just to do whatever I could to prolong his life. It’s such a helpless feeling.”

3. She was bullied and racially harassed at school

Priyanka revealed that she moved to Boston, US at the age of 16. There, she was a target of intense bullying of racial kind. She told Oprah, “High school is hardy anyway. To be coming of age, to understand your body as a woman. At the same time being devalued for something I couldn’t change. I wasn’t aware that this is something I should feel embarrassed about.”

4. How Priyanka judged the book by its cover regarding Nick Jonas

During the interview, Oprah brought up the topic of Nick and how Priyanka has written in the memoir that her mother “dreamed” him up. Priyanka said that when she first looked at Nick, she may have “judged the book by the cover”. She added, “I may have judged the book by the cover. I didn’t honestly take it very seriously when Nick was texting me. I was 35, I was like, ‘I want to get married, I want to have kids. He’s in his 20s, I don’t if that’s something he’d want to do’. I did that to myself for a while, till I actually went out with him.”

5. Priyanka regrets not standing up for herself when she was mistreated by filmmakers

Priyanka talked about her struggles in the early days in the film industry that involved a director forcing her to do a dance performance. She revealed that due to her being a newcomer, she could not find the courage to voice her opinion. She said, “I was so scared. I was new in the entertainment business and girls are always told that ‘you don’t want to get a reputation of being hard to work with.’ So I worked within the system.”

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Covid-19 Vaccine Is a Struggle for Those With No Hospital Connection

As Covid-19 vaccines continue to roll out across the country, many hospitals and clinics are giving priority to their own patients, leaving people who lack a primary-care doctor or a doctor affiliated with the right hospital struggling to find doses.

Many states chose to distribute the vaccine first to hospitals, which then became the primary deliverer of the shot to their own healthcare workers and others who qualified. In many cases, people have to have a primary-care doctor affiliated with the hospital, or receive care from the hospital, to receive a shot there.

That means that people living in poorer communities without major hospitals often face an even harder time finding access to the still-scarce vaccine. The problem highlights one of the challenges officials face in the effort to vaccinate people equitably.

When Texans aged 65 and older and with certain medical conditions became eligible for Covid-19 vaccines, Jovana Sanchez-Melendez, a 35-year-old university director of technology near Dallas who has an autoimmune disease, received an email from her doctor to sign up for an appointment.

New research could help explain why thousands of Covid-19 survivors are facing debilitating neurological symptoms months after initially getting sick. WSJ breaks down the science behind how the coronavirus affects the brain, and what this could mean for long-haul patients. Illustration: Nick Collingwood/WSJ

Ms. Sanchez-Melendez received the vaccine quickly. But she said she couldn’t get appointments for her parents, who work in front-line jobs as a custodian and a construction worker and have medical conditions that make them high risk for Covid-19. Her parents weren’t patients of a hospital that had doses.

“You have to know somebody who knows somebody who knows how to get it, and even then it’s not a sure thing,” Ms. Sanchez-Melendez said. Her parents eventually found doses, with her father getting his first shot Wednesday, about a month after she received hers.

Similar dynamics have been reported across the country, in states as disparate as California, New York, Iowa and Alabama. The situation has improved slightly in recent weeks as more hospitals are starting to make room for nonpatient registrations, health officials said. Also, in some states, major retail pharmacies such as CVS are now distributing doses, widening access.

Dennis Andrulis, a senior researcher for the Texas Health institute, said that nationally 27% of white men, 31% of Black men and 41% of Hispanic men don’t have a primary-care doctor. He said hospitals also tend to locate in more prosperous areas, leaving poorer neighborhoods with fewer options.

“You have a history of neglect on steroids,” Dr. Andrulis said. “If people have access to a doctor in their community, and insurance, the door is going to be more open to them.”

Dr. Georges Benjamin, executive director of the American Public Health Association, said that some of the people who need the vaccine most—workers in dangerous, public-facing jobs—are least equipped to fight for doses if they don’t have a connection to a doctor. Bus drivers, custodians, grocery workers and others can’t spend their days refreshing computer screens looking for vaccine doses, the way people working from home on computers can, he said.

Many doctors and clinics without ties to a major hospital were left out of initial vaccine distribution efforts, Dr. Benjamin said. On Wednesday, he said the situation is evolving. “There is certainly an increase in availability, but many of the community-physician providers still don’t have easy access,” he said. “The retail pharmacies should help the situation some.”

In Texas, facilities giving priority to their own patients include some designated by the state as vaccine hubs. Hospitals said they have expanded access as they have been able to do so. A spokesman for UT Southwestern Medical Center, where Ms. Sanchez-Melendez received her vaccine, said it treats extremely sick patients and tried to give priority to those most likely to be hospitalized if they caught the virus. The hospital has allowed periodic access to sign-ups for nonpatients, and has set up a vaccination site in an area of southern Dallas historically underserved by healthcare.

John DeFilippo got his second Covid-19 vaccine shot in January.

John DeFilippo, a 72-year-old in Houston, signed up for vaccine appointments in January at the same time as his wife, Marylyn. Her doctor at Memorial Hermann Health System emailed her an appointment link. A few days later, he got a call from a representative at the hospital asking who his doctor was. Mr. DeFilippo had been treated at Memorial Hermann before and recovered from back surgery there, but his primary-care physician wasn’t directly affiliated. He said the hospital canceled his appointment.

A spokeswoman for the health system said it had such limited vaccine supply, and such a large qualifying population, that it has had to move through it in waves. “Like many health systems around the country, we started by offering vaccination to established, active patients,” the hospital said. “However, by mid-January, we were hosting a number of mass vaccination drive-through clinics around greater Houston.”

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Mr. DeFilippo said he was surprised, not only by the hospital’s policy but also that it would dedicate resources during the pandemic to tracking down and weeding out nonpatients.

“I’m not a stranger to the hospital, but I guess I’m not enough of a customer,” he said. “She must have researched me and my doctor—all for one patient.”

He said he was later able to obtain the vaccine from a different hospital.

Write to Elizabeth Findell at Elizabeth.Findell@wsj.com

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Germany imposes border checks as Austria, Czech Republic struggle to contain the coronavirus

The worsening situation in the Austrian province of Tyrol and the Czech Republic forced Germany to announce new border controls with both countries to contain the spread of the disease. German Health Minister Jens Spahn said the new rules, which will come into effect on Sunday, were “unavoidable.”

”To protect the population from virus mutations — this is why the federal government decided yesterday to declare the Czech Republic, Tyrol and Slovakia as coronavirus variant areas,” Spahn said at a news conference Friday.

“This means there will be a ban on transportation — and without exceptions tests must be made before entering Germany — and there is an obligation to quarantine.’

Coronavirus cases have been falling in Germany recently despite the new, more contagious variants. On Friday, the country recorded 9,860 new infections — a drop of 3,048 cases compared to the same day last week. Austria and the Czech Republic have not seen similar drops in cases.

The Tyrol government said Wednesday that as of Tuesday, it had identified 438 confirmed and suspected cases of the South African variant. Scientists are concerned about this strain because its mutations appear to reduce the efficacy of some of the coronavirus vaccines.

In an attempt to contain the spread of the variant, local authorities deployed 1,200 police officers and soldiers. Starting Friday at midnight and lasting for 10 days, they will be deployed to Tyrol’s border checkpoints to ensure that anyone trying to leave the province has a negative coronavirus test no older than 48 hours, Tyrol police spokesman Stefan Eder told CNN.

Children, freight traffic and travelers transiting through Tyrol are exempt from the rule.

Meanwhile in the Czech Republic, the parliament refused to extend the state of emergency on Thursday. As a result, many of the country’s coronavirus restrictions are set to lift automatically on Sunday when the current state of emergency expires, despite the fact that the virus continues to spread fast through the country.

Czech Health Minister Jan Blatny warned that any easing of restrictions at this point would lead to the health system being at risk of running out of capacity. That is already happening in some hospitals in the country’s westernmost Karlovarsky region.

The decision was a result of a deep political spat between the minority government, led by the populist Prime Minister Andrej Babiš, and the opposition, which has accused Babiš of not doing enough to contain the virus.

Among others, the opposition argued that the government’s lack of financial support for individuals and businesses impacted by the pandemic means people are not following the rules and are skipping quarantines because they cannot afford to risk losing their income.

When Babiš refused to take their proposals on board, the opposition voted against the extension of the state of emergency. The country is holding key parliamentary election later this year.

The Czech Republic has reported more than 1 million cases since the start of the pandemic, according to the country’s health ministry data. In terms of Covid-19 deaths per 100,000 people, it is the fifth worst in the world, after San Marino, Belgium, Slovenia and the United Kingdom, according to data from Johns Hopkins University. That is despite the country escaping the first wave of the pandemic last spring relatively unscathed.

Nadine Schmidt and Claudia Otto reported from Berlin. Ivana Kottasová reported and wrote from London.

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Jamaica faces marijuana shortage as farmers struggle

KINGSTON, Jamaica (AP) — Jamaica is running low on ganja.

Heavy rains followed by an extended drought, an increase in local consumption and a drop in the number of marijuana farmers have caused a shortage in the island’s famed but largely illegal market that experts say is the worst they’ve seen.

“It’s a cultural embarrassment,” said Triston Thompson, chief opportunity explorer for Tacaya, a consulting and brokerage firm for the country’s nascent legal cannabis industry.

Jamaica, which foreigners have long associated with pot, reggae and Rastafarians, authorized a regulated medical marijuana industry and decriminalized small amounts of weed in 2015.

People caught with 2 ounces (56 grams) or less of cannabis are supposed to pay a small fine and face no arrest or criminal record. The island also allows individuals to cultivate up to five plants, and Rastafarians are legally allowed to smoke ganja for sacramental purposes.

But enforcement is spotty as many tourists and locals continue to buy marijuana on the street, where it has grown more scarce — and more expensive.

Heavy rains during last year’s hurricane season pummeled marijuana fields that were later scorched in the drought that followed, causing tens of thousands of dollars in losses, according to farmers who cultivate pot outside the legal system.

“It destroyed everything,” said Daneyel Bozra, who grows marijuana in the southwest part of Jamaica, in a historical village called Accompong founded by escaped 18th-century slaves known as Maroons.

Worsening the problem were strict COVID-19 measures, including a 6 p.m. curfew that meant farmers couldn’t tend to their fields at night as is routine, said Kenrick Wallace, 29, who cultivates 2 acres (nearly a hectare) in Accompong with the help of 20 other farmers.

He noted that a lack of roads forces many farmers to walk to reach their fields — and then to get water from wells and springs. Many were unable to do those chores at night due to the curfew.

Wallace estimated he lost more than $18,000 in recent months and cultivated only 300 pounds, compared with an average of 700 to 800 pounds the group normally produces.

Activists say they believe the pandemic and a loosening of Jamaica’s marijuana laws has led to an increase in local consumption that has contributed to the scarcity, even if the pandemic has put a dent in the arrival of ganja-seeking tourists.

“Last year was the worst year. … We’ve never had this amount of loss,” Thompson said. “It’s something so laughable that cannabis is short in Jamaica.”

Tourists, too, have taken note, placing posts on travel websites about difficulties finding the drug.

Paul Burke, CEO of Jamaica’s Ganja Growers and Producers Association, said in a phone interview that people are no longer afraid of being locked up now that the government allows possession of small amounts. He said the stigmatization against ganja has diminished and more people are appreciating its claimed therapeutic and medicinal value during the pandemic.

Burke also said that some traditional small farmers have stopped growing in frustration because they can’t afford to meet requirements for the legal market while police continue to destroy what he described as “good ganja fields.”

The government’s Cannabis Licensing Authority — which has authorized 29 cultivators and issued 73 licenses for transportation, retail, processing and other activities — said there is no shortage of marijuana in the regulated industry. But farmers and activists say weed sold via legal dispensaries known as herb houses is out of reach for many given that it still costs five to 10 times more than pot on the street.

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Coto reported from San Juan, Puerto Rico.

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