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Tag: COVID-19 pandemic

  • Boris Johnson’s former top aide is withering about UK government during COVID-19 pandemic inquiry

    Boris Johnson’s former top aide is withering about UK government during COVID-19 pandemic inquiry

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    LONDON — The former top aide to ex-British Prime Minister Boris Johnson on Tuesday painted a picture of widespread chaos and dysfunction in the U.K. government during the coronavirus pandemic.

    In keenly awaited testimony to the country’s public inquiry into the COVID-19 pandemic, Dominic Cummings was withering about many of the people dealing with the situation, including his former boss, describing a culture of toxic relations and lack of trust — but denied that he had broken any rules.

    “I would say, overall, it’s widespread failure, but pockets of excellent people and pockets of excellent teams doing excellent work within an overall dysfunctional system,” said Cummings, a self-styled political disruptor.

    In emails and WhatsApp messages that were handed to the inquiry and read out by the lead counsel, Cummings also slammed many in Johnson’s Cabinet and other top officials in expletive-ridden terms.

    While apologizing repeatedly for his “deplorable” language that was aired live across British media, Cummings denied he was a misogynist and said the exchanges took place in the midst of the “underlying insanity” that was in place at Johnson’s Downing Street offices.

    “My appalling language has always been my own but my judgment of a lot of senior people was widespread,” said Cummings, who was the prime minister’s chief adviser during the first months of the pandemic in 2020 and at the heart of the U.K.’s response.

    Cummings also said Johnson, who was hospitalized for several days with the virus in April 2020, lacked focus and discipline, constantly changing his mind during the pandemic which made it difficult to set policy.

    “Pretty much everyone called him the trolley,” he said, using the British term for a shopping cart.

    Cummings was hired by Johnson after helping to mastermind the victorious “leave” campaign in Britain’s 2016 European Union membership referendum. He went to work in Downing Street when Johnson became prime minister in 2019, filling a loosely defined but powerful role that saw him dubbed “Boris’ brain.”

    At one point in May 2020, Cummings became the focal point of the pandemic when it emerged that he had driven 250 miles (400 km) across England to his parents’ house while the country was under a “stay-at-home” order and while he was ill with coronavirus. Cummings made a later journey to a scenic town 30 miles (50 km) away.

    At the time Johnson resisted calls to fire him, but Cummings left his job in November 2020 and has fired broadsides at Johnson ever since. He conceded to the inquiry that he left government with someone “unfit for office” at its helm.

    During his testimony, he also took a swipe at many of the formal structures of government during the pandemic and how a lack a planning hobbled the immediate response to the virus after it first emerged in China in late 2019.

    The Cabinet Office, which coordinates policy around departments, bore the brunt of Cummings’ scorn. Describing it as a “dumpster fire,” he accused it of trying to block a shielding plan for the vulnerable in the days and weeks before Johnson eventually announced a national lockdown on March 23, 2020.

    Cummings follows other aides who have painted a picture of Johnson as a leader who was distracted and indecisive during the country’s biggest peacetime crisis.

    Also on Tuesday, former top communications director Lee Cain, said Johnson’s erratic decision-making was “rather exhausting” and indicated that the pandemic did not suit his temperament.

    Cain said COVID was “the wrong crisis for this prime minister’s skillset” and that Johnson, in the early days of the pandemic, often referred to the mayor in the 1975 Stephen Spielberg movie “Jaws,” who wanted to keep the beaches open despite mounting evidence of a deadly shark in its waters.

    Cain also said that Johnson considered allowing the pandemic to let rip through the elderly population in order to protect the economy and allow younger people to live their lives, but that he eventually took “the moral and responsible action” of imposing lockdowns, though admittedly later than they should have been.

    The U.K. has one of the highest COVID-19 death tolls in Europe, with the virus recorded as a cause of death for around 230,000 people.

    Johnson, who was forced to step down as prime minister in September 2022 following revelations of rule-breaking parties at his Downing Street residence during the pandemic, is due to address the inquiry before Christmas. Current Prime Minister Rishi Sunak is also expected to give evidence this year as he was Johnson’s Treasury chief during the pandemic.

    The inquiry is divided into four so-called modules, with the current phase focusing on political decision-making around major developments, such as the timing of lockdowns. The first stage, which concluded in July, looked at the country’s preparedness for the pandemic.

    Overall, the probe, which is being led by retired judge Heather Hallett, is expected to take three years to complete, though it will be publishing interim reports in the meantime in the hope of bolstering Britain’s response in the event of another pandemic.

    Johnson agreed in late 2021 to hold a public inquiry after heavy pressure from bereaved families, who have hit out at the evidence emerging about his actions.

    “The nastiness, arrogance and misogyny at the heart of government during the pandemic is core to the awful decision-making that led to thousands of unnecessary deaths and tore families like mine apart,” said Susie Flintham, spokesperson for COVID-19 Bereaved Families for Justice U.K.

    “When you see that these figures had such a shocking disregard for each other, you can only imagine the disregard they had for families like mine,” she added.

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  • COVID-19 treatments to enter the market with a hefty price tag

    COVID-19 treatments to enter the market with a hefty price tag

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    The COVID-19 treatments millions of have taken for free from the federal government will enter the private market next week with a hefty price tag

    ByAMANDA SEITZ Associated Press

    October 27, 2023, 3:00 PM

    FILE – Doses of the anti-viral drug Paxlovid are displayed in New York, Aug. 1, 2022. The COVID-19 treatments millions of have taken for free from the federal government will enter the private market next week with a hefty price tag. Pharmaceutical giant Pfizer is setting the price for a five-day treatment of Paxlovid at $1,390, but Americans can still access the pills at no cost, for now. Millions of free, taxpayer-funded courses of the pills will remain at pharmacies, hospitals and doctor’s offices across the country, U.S. Health and Human Services officials said Friday, Oct. 27, 2023. (AP Photo/Stephanie Nano, File)

    The Associated Press

    WASHINGTON — The COVID-19 treatments millions of Americans have taken for free from the federal government will enter the private market next week with a hefty price tag.

    Pharmaceutical giant Pfizer is setting the price for a five-day treatment of Paxlovid at $1,390, but Americans can still access the pills at no cost — for now. The less commonly used COVID-19 treatment Lagevrio, manufactured by Merck, also will hit the market next week.

    Millions of free, taxpayer-funded courses of the pills will remain at pharmacies, hospitals and doctor’s offices across the country, U.S. Health and Human Services officials said Friday. People on private insurance may start to notice copays for the treatments once their pharmacy or doctor’s office runs out of the COVID-19 treatments they received from the government.

    The U.S. government initially inked a deal with Pfizer to pay more than $5 billion for 10 million courses of Paxlovid in 2021.

    Under a new agreement, reached last month between Pfizer and the federal government, people on Medicaid, Medicare or those who are without medical insurance will not pay any out-of-pocket costs for the treatment through the end of next year. Pfizer will also offer copay assistance for the treatment through 2028. The Department of Veterans Affairs, the Department of Defense and Indian Health Service will still be able to access Paxlovid the government has on hand. The government will also get 1 million treatment courses to keep in its stockpile.

    Suppliers to pharmacies, doctor’s offices and hospitals can begin ordering the treatments from the drug companies starting next week.

    “Pfizer is committed to a smooth commercial transition and is working collaboratively with the U.S. government and health care stakeholders to ensure broad and equitable access to this important medicine for all eligible patients,” the company said in an emailed statement to The Associated Press.

    Paxlovid has been used to treat COVID-19 since 2021, but the Food and Drug Administration granted full approval earlier this year for it to be used on adults with coronavirus who face high risks of hospitalization or death. That group typically includes older adults and those with medical conditions like diabetes, asthma and obesity.

    Full-year revenue for Paxlovid and Pfizer’s COVID-19 vaccine, Comirnaty, is expected to be approximately $12.5 billion.

    Merck has not confirmed a list price yet for its Lagevrio treatment but said in a statement to AP that it will also offer the treatment free to patients “who, without assistance, could not otherwise afford the product.”

    Associated Press reporter Tom Murphy in Indianapolis contributed to this report.

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  • Hong Kong cuts taxes for foreign home buyers and stock traders as it seeks to maintain global status

    Hong Kong cuts taxes for foreign home buyers and stock traders as it seeks to maintain global status

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    HONG KONG — Hong Kong’s leader on Wednesday cut taxes for some homebuyers and stock traders to boost markets as the city seeks to maintain its reputation as a global financial hub.

    Chief Executive John Lee said the extra stamp duties imposed on non-resident buyers and current local homeowners looking to buy additional properties would be halved, making the first easing over the past decade since property cooling measures were introduced.

    In his annual policy address, Lee also unveiled plans to reduce stamp duty on stock transactions to 0.1% from 0.13%, saying a vibrant stock market is vital to upholding the city’s status as a financial hub.

    After the easing of COVID-19 restrictions, Hong Kong’s economy has begun to recover, fueled by growth in tourism and private consumption. The city’s economy expanded 2.2% in the first half of 2023 year-on-year and is expected to grow between 4% and 5% for the full year.

    However, the path to full recovery remains uneven, particularly with geopolitics tensions rising and mainland China, its largest trading partner, struggling to rebound quickly.

    The financial hub has been wrestling with the mass departure of residents in recent years, triggered by a crackdown on pro-democracy activists following Beijing’s imposition of a tough national security law, and the now-rescinded strict COVID-19 mandates. This mass migration has hurt its economy and the property market.

    Official data showed that a 15% year-on-year drop in home prices last December, and a 39% yearly decline in the volume of residential property transactions in 2022.

    Lee acknowledged the decline in transactions and property prices over the past year amid interest rate hikes and modest economic growth in other regions, and adjusted a raft of measures that manage property demand with immediate effect.

    Under the slashed stamp duty, a foreigner buying properties in the city only needs to pay 15% of their purchase price as taxes, down from 30% currently. Current local homeowners will pay 7.5% for buying their second homes, down from 15%.

    Foreign professionals working in Hong Kong on eligible visa programs are no longer required to pay extra property stamp duties arising from their non-permanent residency unless they fail to become permanent residents later.

    A former security chief handpicked by Beijing to lead Hong Kong, Lee also is aiming to enact the city’s own security law next year. Similar efforts were shelved in 2003 after fears about losing freedoms sparked massive protests.

    Beijing has already imposed a national security law on the former British colony that returned to its rule in 1997. It criminalizes acts of secession, subversion, terrorism and collusion with foreign forces. But the city’s constitution requires Hong Kong, a semi-autonomous territory, to enact its own laws for acts such as treason, secession and subversion.

    “External forces continue to meddle in Hong Kong affairs,” Lee said, without elaborating.

    He added the government will propose a bill to enhance cybersecurity of the critical infrastructure, such as financial institutions and telecommunications.

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  • Democratic governor spars with Republican challenger over pandemic policies in Kentucky debate

    Democratic governor spars with Republican challenger over pandemic policies in Kentucky debate

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    Democratic Gov. Andy Beshear defended his sweeping COVID-19 pandemic restrictions as he faced an onslaught of criticism from Republican challenger Daniel Cameron in a high-stakes debate Monday night, coming about two weeks before Kentucky’s closely watched gubernatorial election.

    Cameron acknowledged, meanwhile, that if elected he would sign legislation that included school vouchers, after being pressed for his stand on the divisive education issue.

    The bitter rivals sparred over the economy, education policies, abortion and transgender issues during the hourlong debate shown statewide on Kentucky Educational Television. They were pressed to drill down on many of their policy positions during the latest in a series of faceoffs before the Nov. 7 election.

    Some of their sharpest exchanges came when questioned about pandemic and education policies.

    Beshear, who is seeking reelection to a second term, was asked to critique his policies during the height of the deadly COVID-19 pandemic, while Cameron was pressed on what he would have done differently.

    The global health crisis dominated the first half of the governor’s term, and his restrictions on businesses and public gatherings have come under constant attack from Cameron, the state’s attorney general. The virus has killed more than 19,000 Kentuckians since early 2020.

    Beshear said he believed he made the best decisions he could have with the information he had at the time. Talking about the health crisis in personal terms, the governor noted that he mentioned every pandemic death in Kentucky during his daily press conferences to update people about the virus.

    “I showed people during the pandemic I was willing to make the hard decisions, even if it cost me,” Beshear said. “I put politics out the window, and I made the best decisions I could to save as many lives as possible.”

    Cameron countered that the governor infringed on constitutional rights with his restrictions.

    “This governor, because of pride, won’t tell you that he has regrets,” Cameron said.

    As the state’s attorney general, Cameron successfully led GOP-backed court fights against the governor’s pandemic actions, which essentially halted the COVID-era restrictions. Cameron said the governor’s policies amounted to executive overreach. Beshear said his actions saved lives and that he leaned heavily on guidance from former Republican President Donald Trump’s coronavirus task force.

    Cameron said Monday night that the restrictions hurt small businesses, many of which haven’t recovered. School closures during the pandemic led to widespread learning loss among students, he said.

    “Your kids are behind because of this short-sighted decision,” Cameron said, blaming it on Beshear.

    Beshear responded that he made vaccinations a priority for teachers to get schools reopened. Sending teachers back to classrooms before having access to the vaccine would have put them at risk, he said.

    “It was real,” Beshear said during another exchange about the pandemic. “And acting like we shouldn’t have taken those steps is a slap in the face at all those health care workers that marched into the COVID wings when they didn’t have enough PPE, knowing they could take it home to their families.”

    Education became another flashpoint in the debate, especially when the focus turned to school vouchers.

    Asked repeatedly for his stance, Cameron eventually said that if elected he would sign legislation that included school vouchers or scholarship tax credits. Cameron said he wants to “expand opportunity and choice,” while noting that the education plan he unveiled earlier in the campaign focuses on public schools. Democrats say that was a strategic omission meant to mask his support for school choice measures they say would weaken public education.

    Beshear, meanwhile, reiterated his staunch opposition to vouchers Monday night, saying “they steal money from our public schools and send them to our private schools.”

    As attorney general, Cameron’s office unsuccessfully defended a Republican-backed measure to award tax credits for donations supporting private school tuition. Kentucky’s Supreme Court struck down the legislation in 2022. Bills promoting charter schools and private school-related tax credits were among the most contentious faced by Kentucky lawmakers in recent years, splintering Republican supermajorities.

    Each candidate touted his plan for public education during the debate.

    Beshear has proposed an 11% pay raise for teachers and all other public school personnel, including bus drivers, janitors and cafeteria staff. The governor said the raise is needed to get enough teachers in the classrooms to help students in need catch up. Kentucky lags behind most of the country in average teacher starting pay and average teacher pay.

    Cameron has proposed raising the statewide base starting pay for new teachers, saying it would have a ripple effect by lifting pay for other teachers. Another key part of Cameron’s plan would develop an optional, 16-week tutoring program for math and reading instruction to help get students caught up.

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  • Owner of California biolab that fueled bio-weapons rumors charged with mislabeling, lacking permits

    Owner of California biolab that fueled bio-weapons rumors charged with mislabeling, lacking permits

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    FRESNO, Calif. — The Chinese owner of an unauthorized central California lab that fueled conspiracy theories about China and biological weapons has been arrested on charges of not obtaining the proper permits to manufacture tests for COVID-19, pregnancy and HIV, and mislabeling some of the kits.

    Jia Bei Zhu, 62, was arrested Thursday after an investigation by the U.S. Food and Drug Administration, according to the U.S. Attorney’s Office for the Eastern District of California. He is also charged with making false statements.

    The charges deal with federal health regulations, nothing related to online conspiracy theories about China purportedly trying to engineer biological weapons in rural America.

    Zhu, who is also known as Jesse Zhu, Qiang He and David He, is a citizen of China who formerly lived in Clovis, California, the office said in a press release.

    Court documents allege that between December 2020 and March 2023, Zhu and others manufactured, imported, sold, and distributed hundreds of thousands of COVID-19 test kits, as well as tests for HIV, pregnancy and other conditions in the U.S. and China.

    The criminal case alleges that the two companies involved, Universal Meditech Inc. and Prestige Biotech Inc., did not obtain authorizations to manufacture and distribute the kits and mislabeled some of them. It also alleges that Zhu made false statements to the FDA about his identity, ownership and control of the companies and their activities.

    Michael M. Lin, a Las Vegas attorney for Prestige Biotech, said in an email to The Associated Press that he had no immediate comment on the allegations.

    The investigation stemmed from the discovery of medical test kits being manufactured in a warehouse in the agricultural Central Valley city of Reedley in December 2022. A city code enforcement officer found dozens of refrigerators and freezers, vials of blood and jars of urine, and about 1,000 white lab mice in crowded, soiled containers.

    A local news report said that a company representative told officials the mice were modified to carry COVID-19, fueling the rumors of biological weapons being made. It was later determined that they were simply used to grow antibody cells to make test kits.

    The federal Centers for Disease Control and Prevention said there was no sign that the lab was illegally in possession of the materials or had select agents or toxins that could be used as bioweapons.

    “As part of his scheme, the defendant changed his name, the names of his companies, and their locations,” U.S. Attorney Phillip A. Talbert said in a statement.

    “The disarray at the Reedley lab led to the glare of publicity he was trying to avoid, and the ensuing investigation unraveled his efforts to circumvent the requirements that are designed to ensure that medical devices are safe and effective,” Talbert said.

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  • Owner of California biolab that fueled bio-weapons rumors charged with mislabeling, lacking permits

    Owner of California biolab that fueled bio-weapons rumors charged with mislabeling, lacking permits

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    FRESNO, Calif. — The Chinese owner of an unauthorized central California lab that fueled conspiracy theories about China and biological weapons has been arrested on charges of not obtaining the proper permits to manufacture tests for COVID-19, pregnancy and HIV, and mislabeling some of the kits.

    Jia Bei Zhu, 62, was arrested Thursday after an investigation by the U.S. Food and Drug Administration, according to the U.S. Attorney’s Office for the Eastern District of California. He is also charged with making false statements.

    The charges deal with federal health regulations, nothing related to online conspiracy theories about China purportedly trying to engineer biological weapons in rural America.

    Zhu, who is also known as Jesse Zhu, Qiang He and David He, is a citizen of China who formerly lived in Clovis, California, the office said in a press release.

    Court documents allege that between December 2020 and March 2023, Zhu and others manufactured, imported, sold, and distributed hundreds of thousands of COVID-19 test kits, as well as tests for HIV, pregnancy and other conditions in the U.S. and China.

    The criminal case alleges that the two companies involved, Universal Meditech Inc. and Prestige Biotech Inc., did not obtain authorizations to manufacture and distribute the kits and mislabeled some of them. It also alleges that Zhu made false statements to the FDA about his identity, ownership and control of the companies and their activities.

    Michael M. Lin, a Las Vegas attorney for Prestige Biotech, said in an email to The Associated Press that he had no immediate comment on the allegations.

    The investigation stemmed from the discovery of medical test kits being manufactured in a warehouse in the agricultural Central Valley city of Reedley in December 2022. A city code enforcement officer found dozens of refrigerators and freezers, vials of blood and jars of urine, and about 1,000 white lab mice in crowded, soiled containers.

    A local news report said that a company representative told officials the mice were modified to carry COVID-19, fueling the rumors of biological weapons being made. It was later determined that they were simply used to grow antibody cells to make test kits.

    The federal Centers for Disease Control and Prevention said there was no sign that the lab was illegally in possession of the materials or had select agents or toxins that could be used as bioweapons.

    “As part of his scheme, the defendant changed his name, the names of his companies, and their locations,” U.S. Attorney Phillip A. Talbert said in a statement.

    “The disarray at the Reedley lab led to the glare of publicity he was trying to avoid, and the ensuing investigation unraveled his efforts to circumvent the requirements that are designed to ensure that medical devices are safe and effective,” Talbert said.

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  • California tech CEO convicted in COVID-19 and allergy test fraud case sentenced to 8 years in prison

    California tech CEO convicted in COVID-19 and allergy test fraud case sentenced to 8 years in prison

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    A Silicon Valley executive who lied to investors about inventing technology that tested for allergies and COVID-19 using only a few drops of blood has sentenced to eight years in prison and ordered to pay $24 million in restitution

    ByThe Associated Press

    October 18, 2023, 7:51 PM

    SAN JOSE, Calif. — A Silicon Valley executive who lied to investors about inventing technology that tested for allergies and COVID-19 using only a few drops of blood was sentenced Wednesday to eight years in prison and ordered to pay $24 million in restitution, federal prosecutors said.

    Mark Schena, 60, was convicted last year of paying bribes to doctors and defrauding the government after his company billed Medicare $77 million for fraudulent COVID-19 and allergy tests, the U.S. Department of Justice said in a statement.

    Schena claimed his Sunnyvale, California-based company, Arrayit Corporation, had the only laboratory in the world that offered “revolutionary microarray technology” that allowed it to test for allergies and COVID-19 with the same finger-stick test kit, prosecutors said.

    In meetings with investors, Schena claimed he was on the shortlist for the Nobel Prize and falsely represented that Arrayit could be valued at $4.5 billion, prosecutors said.

    Before the COVID-19 pandemic, from 2018 through February 2020, Schena and other employees paid bribes to recruiters and doctors to run an allergy screening test for 120 allergens ranging from stinging insects to food allergens on every patient whether they were needed or not, authorities said.

    The case against Schena shared similarities with a more prominent legal saga surrounding former Silicon Valley star Elizabeth Holmes, who dropped out of Stanford University in 2003 to found a company called Theranos that she pledged would revolutionize health care with a technology that could scan for hundreds of diseases and other issues with just a few drops of blood, too.

    Holmes was convicted on four felony counts of investor fraud following a nearly four-month trial in the same San Jose, California, courtroom where Schena’s trial was held. In May, Holmes entered a Texas prison where she could spend the next 11 years.

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  • A Tonga surgeon to lead WHO’s Western Pacific after previous director fired for racism, misconduct

    A Tonga surgeon to lead WHO’s Western Pacific after previous director fired for racism, misconduct

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    LONDON — Health ministers in the Western Pacific nominated a surgeon from Tonga, Dr. Saia Ma’u Piukala, to lead the World Health Organization’s regional office at a meeting in Manila on Tuesday.

    Piukala’s nomination for WHO’s top job in the Western Pacific comes months after the U.N. health agency fired its previous director, Dr. Takeshi Kasai, following allegations of racism and misconduct first reported by The Associated Press last year.

    WHO said in a statement that Piukala has nearly three decades of experience working in public health in Tonga and across the region in areas including chronic diseases, climate change and disaster response. Piukala was most recently Tonga’s minister of health and defeated rival candidates from China, the Philippines, the Solomon Islands and Vietnam.

    Last January, the AP reported that dozens of WHO staffers in the Western Pacific region alleged that Kasai, the previous regional director, made racist remarks to his staff and blamed the rise of COVID-19 in some Pacific countries on their “lack of capacity due to their inferior culture, race and socioeconomic level.” Kasai rejected allegations that he ever used racist language.

    Days after the AP report, WHO Director-General Tedros Adhanom Ghebreyesus announced that an internal investigation into Kasai had begun. In March, WHO announced it had terminated Kasai’s appointment after the inquiry resulted in “findings of misconduct.” It was the first time in WHO’s history that a reginal director was dismissed.

    Piukala said he was grateful for the nomination and credited his experience in Pacific Island countries and his “fellow villagers” for his success.

    “I thank you sincerely for the trust you have placed in me today,” Piukala said. Piukala will be formally appointed for a five-year term at WHO’s Executive Board meeting in January.

    WHO regional directors wield significant influence in public health and their decisions may help contain emerging outbreaks of potentially dangerous new outbreaks like the coronavirus and bird flu.

    In January, the AP reported that a senior WHO Fijian doctor with a history of sexual assault allegations had also been planning to stand for election as the Western Pacific’s director, with support from his home government and some WHO staffers. Months after that report, WHO announced the physician, Temo Waqanivalu, had also been fired.

    In recent years, WHO has been plagued by accusations of misconduct across multiple offices, including its director in Syria and senior managers who were informed of sexual exploitation in Congo during an Ebola outbreak but did little to stop it.

    ___

    The Associated Press health and science department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • FBI report: Violent crime decreases to pre-pandemic levels, but property crime is on the rise

    FBI report: Violent crime decreases to pre-pandemic levels, but property crime is on the rise

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    ST. LOUIS — Violent crime across the U.S. decreased last year — dropping to about the same level as before the onset of the COVID-19 pandemic — but property crimes rose substantially, according to data in the FBI’s annual crime report released Monday.

    The report comes with an asterisk: Some law enforcement agencies failed to provide data. But a change in collection methods in compiling 2022 numbers helped, and the FBI said the new data represents 83.3% of all agencies covering 93.5% of the population. By contrast, last year’s numbers were from only 62.7% of agencies, representing 64.8% of Americans.

    Violent crime dropped 1.7%, and that included a 6.1% decrease in murder and non-negligent manslaughter. Rape decreased 5.4% and aggravated assault dropped 1.1%, but robbery increased 1.3%. Violent crime had also decreased slightly in 2021, a big turnaround from 2020, when the murder rate in the U.S. jumped 29% during the pandemic that created huge social disruption and upended support systems.

    The violent crime rate of 380.7 per 100,000 people was a tick better than 2019 — the year before the pandemic hit the U.S., when the rate was 380.8 per 100,000 people.

    Richard Rosenfeld, criminal justice professor emeritus at the University of Missouri-St. Louis, said the drop in violence can be attributed largely to the fact that the “stresses and strains” associated with the pandemic have abated.

    “By and large what we’re seeing is simply a return to something approaching normal after the big changes associated with the pandemic,” Rosenfeld said.

    Despite the waning violence, property crimes jumped 7.1%, with motor vehicle thefts showing the biggest increase at 10.9%. The FBI said carjackings increased 8.1% from 2021, and the vast majority of carjackings involving an assailant with a weapon. Someone was injured in more than a quarter of all carjackings.

    Rachael Eisenberg, managing director of rights and justice for the Washington, D.C.-based Center for American Progress, said that while the FBI report looks at 2022 data, more recent statistics indicate that the drop in violent crime will continue through this year.

    In fact, the FBI findings are in line with a report released in July by the nonpartisan think tank the Council on Criminal Justice. That report using data from 37 surveyed cities found that murders dropped 9.4% in the first half of 2023 compared to the first half of 2022, but vehicle thefts rose a whopping 33.5%.

    Last year’s FBI report arrived with major caveats since nearly two-fifths of all policing agencies failed to participate, including big cities like New York, Los Angeles and Miami. That followed a major overhaul in the reporting system.

    For this year’s report, the FBI used data voluntarily collected from agencies using the newer National Incident-Based Reporting System, but also included data from agencies still using an older system, known as the Summary Reporting System. That accounted, in part, for the huge increase in participating agencies.

    The overhaul will eventually make crime data more modern and detailed, federal officials said, but the switchover can be complicated for police departments. While the increase in 2022 participation was due in part to inclusion of Summary Reporting System data, the FBI noted that an additional 1,499 agencies submitted data through NIBRS.

    This year’s report showed that while the the number of adult victims of fatal gun violence decreased 6.6%, the estimated number of juvenile victims rose 11.8%. Gun-safety advocates decry the loosening of gun laws, especially in conservative-leaning states around the U.S.

    Assaults on law enforcement officers rose 1.8% compared to 2021. An estimated 31,400 of the 102,100 assaults resulted in injuries in 2022, up 1.7% from the previous year.

    Violent crime overall remains far lower than the historic highs of the 1990s.

    While the direct impact has ebbed, Rosenfeld said the pandemic could still indirectly result in more crime. The pandemic prompted many firms to allow employees to work from home some or all of the time. Desolate city streets make crime more likely.

    “The more people in the street, the more people difficult it is for somebody to commit a crime because there are so many eyes on the street,” Rosenfeld said.

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  • Pfizer trims expectations for 2023 with sales of COVID-19 vaccine, treatment, weaker than thought

    Pfizer trims expectations for 2023 with sales of COVID-19 vaccine, treatment, weaker than thought

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    Shares of Pfizer are falling before the opening bell as the company cut its full-year outlook, citing declining sales of its COVID-19-related products

    ByMICHELLE CHAPMAN AP business writer

    October 16, 2023, 8:21 AM

    FILE – The Pfizer logo is displayed at the company’s headquarters, Friday, Feb. 5, 2021, in New York. Shares of Pfizer are falling before the market opened on Monday, Oct. 16, 2023, as the company cut its full-year outlook, citing declining sales of its COVID-19-related products.(AP Photo/Mark Lennihan)

    The Associated Press

    Shares of Pfizer are in retreat on the first day of trading after the drug company said sales of its COVID-19 vaccine and its coronavirus treatment are weaker than it had expected and cut revenue projections by $9 billion for the year.

    Falling sales of both clipped sales in the second quarter, but Pfizer said in August that it expected a rebound in the second half of 2023.

    Shares of Pfizer slipped more than 1% before the opening bell Monday and Moderna, which is heavily reliant on the competing vaccine it makes, slid nearly 5%.

    Pfizer said Friday that global usage of Paxlovid is trending slightly above last year, but that it’s still below expectations.

    The fall vaccination period just began and the New York City drugmaker said that it’s too soon to get a handle on vaccination rates for the year.

    Full-year revenue for Paxlovid and Comirnaty is expected to be approximately $12.5 billion, short $9 billion of what it had expected.

    Pfizer is lowering its full-year revenue expectations for Paxlovid by approximately $7 billion. That number also accounts for delayed commercialization of the product, which was pushed to January 2024 from the company’s previous expectation of commercialization in the second half of this year. Pfizer is also lowering its 2023 revenue expectations for Comirnaty by approximately $2 billion due to lower-than-expected vaccination rates.

    Pfizer Inc. now foresees 2023 revenue in a range of $58 billion to $61 billion, down from its prior forecast for $67 billion to $70 billion. It now projects full-year adjusted earnings between $1.45 and $1.65 per share due to lower-than-anticipated revenue for COVID-19-related products and inventory write-offs.

    That is short of the full-year revenue of $63.61 billion and earnings of $2.77 per share that Wall Street was expecting, and far short of the company’s previous projections of per-share earning between $3.25 and $3.45.

    JPMorgan said the company’s update solves an ongoing U.S. Paxlovid inventory debate and it anticipates the company’s bigger-than-expected cuts to its sales projections will help put a floor under per-share earnings expectations for next year.

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  • Pfizer cuts full-year outlook due to declining sales of Covid-19-related products

    Pfizer cuts full-year outlook due to declining sales of Covid-19-related products

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    Shares of Pfizer are falling before the opening bell as the company cut its full-year outlook, citing declining sales of its COVID-19-related products

    ByMICHELLE CHAPMAN AP business writer

    October 16, 2023, 8:21 AM

    FILE – The Pfizer logo is displayed at the company’s headquarters, Friday, Feb. 5, 2021, in New York. Shares of Pfizer are falling before the market opened on Monday, Oct. 16, 2023, as the company cut its full-year outlook, citing declining sales of its COVID-19-related products.(AP Photo/Mark Lennihan)

    The Associated Press

    Shares of Pfizer are in retreat on the first day of trading after the drug company said sales of its COVID-19 vaccine and its coronavirus treatment are weaker than it had expected and cut revenue projections by $9 billion for the year.

    Falling sales of both clipped sales in the second quarter, but Pfizer said in August that it expected a rebound in the second half of 2023.

    Shares of Pfizer slipped more than 1% before the opening bell Monday and Moderna, which is heavily reliant on the competing vaccine it makes, slid nearly 5%.

    Pfizer said Friday that global usage of Paxlovid is trending slightly above last year, but that it’s still below expectations.

    The fall vaccination period just began and the New York City drugmaker said that it’s too soon to get a handle on vaccination rates for the year.

    Full-year revenue for Paxlovid and Comirnaty is expected to be approximately $12.5 billion, short $9 billion of what it had expected.

    Pfizer is lowering its full-year revenue expectations for Paxlovid by approximately $7 billion. That number also accounts for delayed commercialization of the product, which was pushed to January 2024 from the company’s previous expectation of commercialization in the second half of this year. Pfizer is also lowering its 2023 revenue expectations for Comirnaty by approximately $2 billion due to lower-than-expected vaccination rates.

    Pfizer Inc. now foresees 2023 revenue in a range of $58 billion to $61 billion, down from its prior forecast for $67 billion to $70 billion. It now projects full-year adjusted earnings between $1.45 and $1.65 per share due to lower-than-anticipated revenue for COVID-19-related products and inventory write-offs.

    That is short of the full-year revenue of $63.61 billion and earnings of $2.77 per share that Wall Street was expecting, and far short of the company’s previous projections of per-share earning between $3.25 and $3.45.

    JPMorgan said the company’s update solves an ongoing U.S. Paxlovid inventory debate and it anticipates the company’s bigger-than-expected cuts to its sales projections will help put a floor under per-share earnings expectations for next year.

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  • Booze, beads and art among unclaimed gifts lavished upon billionaire Illinois Gov. J.B. Pritzker

    Booze, beads and art among unclaimed gifts lavished upon billionaire Illinois Gov. J.B. Pritzker

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    SPRINGFIELD, Ill. — Illinois Gov. J.B. Pritzker has so many fans and friends that he receives a $30 gift at the rate of one every three days, but because of his job he accepts none of them, and rarely even sees them.

    The second-term Democratic governor and multi-billionaire has been lavished with hundreds of gifts from around the world, ranging from a $950 bottle of Japanese whiskey to 35 cents: a quarter and dime, to be exact.

    The state’s 25-year-old Gift Ban Act prohibits public employees such as Pritzker from accepting presents, with broad exceptions. Therefore, the high-priced hooch delivered compliments of the Japanese embassy and three bottles of tequila valued at $450 have remained untapped.

    “I don’t get to do that,” Pritzker said at a stop in Springfield. “I will say I like tequila, so that’s why people will have given that to me, but there are a few other spirits that I like as well.”

    Pricey bottles of alcohol are not the only gifts that Pritzker eschews. Most are stored in Springfield and Chicago, with a staff member responsible for thank-you notes. Together, they comprise 4 1/2 years of gratuities totaling 561 gifts valued at $16,890.14, according to a log provided to The Associated Press in response to a public records request.

    Perishable food is shared with office staff and visitors. The rest will eventually end up in an appropriate charitable home, gubernatorial spokesperson Jordan Abudayyeh said.

    A governor receives gifts for reasons you’d expect: A gift bag when he visits a town or cuts a ribbon, a plaque from an advocacy group when he champions its cause. Promotion also plays a part. Louisiana Gov. John Bel Edwards has sent king cake and beads to gin up interest in Mardi Gras, while authors seem to believe getting a copy of their latest work into Pritzker’s hands will land it on the bestseller list.

    With a net worth of $3.5 billion as a Hyatt Hotel heir, Pritzker is not pining for much. But for those government employees who aren’t among the nation’s 326 richest people, according to Forbes magazine, the law prohibits accepting gifts from those who do or seek business with the state, who perform state-regulated activities and lobbyists.

    Acceptable presents from one source must not exceed $100 in a single year and no one may accept food or refreshments valued at more than $75 in a single day.

    Initiated in 1998 by the late U.S. Sen. Paul Simon, co-authored by then-first-term state Sen. Barack Obama and signed by Republican Gov. Jim Edgar, the Gift Ban Act was the first major ethics reform in Illinois since post-Watergate campaign-finance disclosure laws.

    “It’s worked pretty well,” said David Melton of the advocacy group Reform for Illinois. “As a general rule, they (public employees) are not allowed to accept gifts. That’s the right approach.”

    Based on value alone, Pritzker could accept the overwhelming majority of his gubernatorial gift pile. Each present, arriving at a rate of just under 10 a month, averages about $30.

    Beside the four bottles of luxurious liquor, there are only six gifts that are generally off limits, including a $200 Mondaine watch from the Swiss ambassador to the U.S. and a $120 potpourri of eco-friendly pet waste bags, biodegradable diaper bags, bamboo utensils and more from a citizen named Tiffany Kuhl.

    The COVID-19 crisis imbued the governor’s admirers with generosity. From March 2020 through December 2021, Pritzker received 33 gifts specifically in appreciation of his pandemic protocol, including some that seemed more personal: handmade face-coverings, items with inspirational messages, selections of food and a Gov. Pritzker bobblehead from the National Bobblehead Hall of Fame and Museum in Milwaukee.

    There also was “2:30 p.m. Man,” a painting of a smiling Pritzker in acrylic by SeungRi “Victoria” Park, a Chicago schoolteacher and artist.

    “Every day at 2:30, he showed up on my TV,” said Park, referring to Pritzker’s daily news conferences during the worst of the pandemic. “I don’t vote for any politicians, but I like him. I wanted to paint him. He reminded me of Buddha.”

    Pritzker, the state’s third Jewish governor, was not a spiritual leader to Park, but his message resonated.

    “I don’t go with religion and I don’t go with politicians,” said Park, who has remained free of COVID-19 in the 3 1/2 years since the coronavirus crept into Illinois. “But I go with science.”

    As for the Governor’s Gifts scorecard? Shirts: 54. Hats: 21. Mugs and totes: 23. Scarves: seven, including three maroon and gold Loyola University wraps. Pens and pencils: 8. Pins: 11 (plus one rolling pin).

    There were 188 books, 27 from the authors themselves, including former Israeli prime minister Shimon Peres. He is listed as sending a signed copy of his autobiography, though he died two years before Pritzker’s election. Sidney Blumenthal, a former adviser to President Bill Clinton, sent his latest Abraham Lincoln biography, along with tequila and a stuffed pink flamingo. Consumer advocate Ralph Nader and his co-author, Mark Green, each sent a copy of “Wrecking America,” a critique of Donald Trump’s presidency.

    Sometimes gifts come wrapped in the wrong potato chip bag, like when Pritzker stopped at a Freeport elementary school on June 6 and received from the Stephenson County Democratic Party two bags of Mrs. Fishers potato chips made in nearby Rockford, instead of the equally salty Mrs. Mike’s potato chips manufactured in Freeport.

    Party chairperson Jody Coss cannot say for certain whether she grabbed the Freeport snack when she decided to add some hometown flavor to the governor’s greeting.

    “The intention,” Coss said sheepishly, “was to give him Mrs. Mike’s.”

    ___

    Associated Press researcher Jennifer Farrar in New York contributed.

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  • ACT test scores for US students drop to new 30-year low

    ACT test scores for US students drop to new 30-year low

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    High school students’ scores on the ACT college admissions test have dropped to their lowest in more than three decades, showing a lack of student preparedness for college-level coursework, according to the nonprofit organization that administers the test.

    Scores have been falling for six consecutive years, but the trend accelerated during the COVID-19 pandemic. Students in the class of 2023 whose scores were reported Wednesday were in their first year of high school when the virus reached the U.S.

    “The hard truth is that we are not doing enough to ensure that graduates are truly ready for postsecondary success in college and career,” said Janet Godwin, chief executive officer for the nonprofit ACT.

    The average ACT composite score for U.S. students was 19.5 out of 36. Last year, the average score was 19.8.

    The average scores in reading, science and math all were below benchmarks the ACT says students must reach to have a high probability of success in first-year college courses. The average score in English was just above the benchmark but still declined compared to last year.

    Many universities have made standardized admissions tests optional amid criticism that they favor the wealthy and put low-income students at a disadvantage. Some including the University of California system do not consider ACT or SAT scores even if submitted.

    Godwin said the scores are still helpful for placing students in the right college courses and preparing academic advisors to better support students.

    “In terms of college readiness, even in a test-optional environment, these kinds of objective test scores about academic readiness are incredibly important,” Godwin said.

    At Denise Cabrera’s high school in Hawaii, all students are required to take the ACT as juniors. She said she would have taken it anyway to improve her chances of getting into college.

    “Honestly, I’m unsure why the test was ever required because colleges can look at different qualities of the students who are applying outside of just a one-time test score,” said Denise, a 17-year-old senior at Waianae High School.

    She’s looking at schools including the California Institute of Technology, which implemented a five-year moratorium on the standardized test score requirements during the pandemic. Denise said she knows the school is not considering scores but she doesn’t want to limit her options elsewhere.

    About 1.4 million students in the U.S. took the ACT this year, an increase from last year. However, the numbers have not returned to pre-pandemic levels. Godwin said she doesn’t believe those numbers will ever fully recover, partly because of test-optional admission policies.

    Of students who were tested, only 21% met benchmarks for success in college-level classes in all subjects. Research from the nonprofit shows students who meet those benchmarks have a 50% chance of earning a B or better and nearly a 75% chance of earning a C or better in corresponding courses.

    ___

    This story has been corrected to show that Denise Cabrera attends Waianae High School, not Waimea High School.

    ___

    The Associated Press education team receives support from the Carnegie Corporation of New York. The AP is solely responsible for all content.

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  • UK’s Labour Party says it will invest for growth, as violence in Israel hangs over its conference

    UK’s Labour Party says it will invest for growth, as violence in Israel hangs over its conference

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    LIVERPOOL, England — Britain’s main opposition Labour Party said Monday that it will focus on economic growth rather than higher taxes to “rebuild” the country after more than a decade of Conservative rule.

    Labour economy spokeswoman Rachel Reeves told delegates at the party’s annual conference that “Labour will tax fairly and spend wisely.”

    “But I must tell you, you cannot tax and spend your way to economic growth,” she said. “The lifeblood of a growing economy is business investment.”

    Reeves was making her pitch to British voters and businesses at the four-day conference in Liverpool, where Labour is trying to cement its front-runner status in opinion polls before an election due in 2024.

    The party is running 15 or more points ahead of the governing Conservatives in multiple opinion polls, as Britain endures a sluggish economy and a cost-of-living crisis driven by the COVID-19 pandemic, the war in Ukraine and economic disruption following the U.K.’s exit from the European Union.

    Labour is trying to show it can provide an alternative to Prime Minister Rishi Sunak’s Conservatives, who have been in power since 2010. But the opposition party is wary of promising big public spending increases that would require tax hikes. The social democratic party also wants to convince corporate Britain that it is on the side of business.

    For years, businesses were wary of the party, which has its roots in the trade union movement, and tended to favor the Conservatives. But recent economic and political upheavals have made many think again.

    Reeves said a Labour government would get the economy growing faster to fund public services and boost investment through a new national wealth fund. She pledged to build 1.5 million homes to ease Britain’s chronic housing crisis, reform an “antiquated” planning system Labour says is holding back infrastructure improvements, and repair the creaking, overburdened state-funded National Health Service.

    Money for health and education will come from abolishing “non-domiciled” tax status, which allows some wealthy individuals to avoid paying U.K. tax, and ending private schools’ tax-free status, she said.

    Reeves said Labour also will strengthen workers’ rights and abolish “zero hours” contracts that do not guarantee employees a minimum number of hours a week.

    The speech was broadly welcomed by both business and workers’ groups — no mean feat. Rain Newton-Smith, chief executive of the Confederation of British Industry, said businesses would be “encouraged” to hear Labour “speak so ambitiously about driving up business investment and committing to tackle some of the key blockers.”

    Gary Smith, general secretary of the GMB trade union, said Reeves’ speech “gave a far-sighted vision of a better U.K.”

    Reeves also said a Labour government would appoint a “COVID corruption commissioner” to try to recoup some of the billions lost to fraud and waste during the pandemic.

    Reeves said the commissioner would bring together tax officials, fraud investigators and law enforcement officers to track down an estimated 7.2 billion pounds ($8.8 billion) in lost public money spent on grants and contracts related to COVID-19, and “get back every penny of taxpayers’ money that they can.”

    Like many countries, the U.K. was forced to sidestep usual rules as it rushed to procure essential supplies and prop up people’s livelihoods during the coronavirus pandemic.

    A multi-year public inquiry is examining Britain’s handling of the pandemic, which left more than 200,000 people in the country dead.

    Leader Keir Starmer has steered Labour back toward the political middle ground after the divisive tenure of predecessor Jeremy Corbyn, a staunch socialist who advocated nationalization of key industries and infrastructure. Corbyn resigned after Labour suffered its worst election defeat in almost a century in 2019.

    The brutal, shocking attack by Hamas militants on Israel, and Israel’s military response, overshadowed the gathering of a party that has spent several years confronting allegations that antisemitism was allowed to fester under Corbyn, a strong supporter of the Palestinian cause.

    After being elected leader in 2020, Starmer apologized and vowed to restore relations between Labour and the Jewish community. Corbyn was expelled from the party.

    The conference schedule includes several meetings by pro-Israel and pro-Palestinian groups, including one on Monday organized by Labour Friends of Palestine that opened with 30 seconds of silence to reflect on the “horrors” of recent days.

    In a speech to delegates, party foreign affairs spokesman David Lammy said that Labour “utterly condemns Hamas’s appalling attack on Israel.”

    “There is never a justification for terrorism,” he said. “Labour stands firmly in support of Israel’s right to defend itself, rescue hostages and protect its citizens.”

    He reiterated Labour’s support for a two-state solution that now seems a distant prospect.

    “There will not be a just and lasting peace until Israel is secure, Palestine is a sovereign state and both Israelis and Palestinians enjoy security, dignity and human rights,” Lammy said.

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  • The Asian Games wrap up, with China dominating the medal count

    The Asian Games wrap up, with China dominating the medal count

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    ByThe Associated Press

    October 9, 2023, 12:11 AM

    Korea’s Kim Changsu, right, and Mongolia’s Tulga Tumur-Ochir compete during their Men’s Freestyle 65Kg wrestling quarterfinal at the 19th Asian Games in Hangzhou, China, Friday, Oct. 6, 2023. (AP Photo/Aaron Favila)

    The Associated Press

    HANGZHOU, China — The Asian Games wrapped up Sunday with China dominating the medal count, followed by Japan and South Korea. China has traditionally been strong in the event and it was again, taking advantage of being at home in the eastern city of Hangzhou.

    The Asian Games feature more competitors than next year’s Summer Olympics in Paris. About 12,500 participated, compared to about 10,500 expected in France.

    The games offered all the traditional Olympic sports, and also a glimpse of one sport that is previewing next year in Paris — breaking, or breakdancing. And another, cricket, which will be included in either the 2028 Los Angeles Olympics or in 2032 in Brisbane.

    It also offered some competitions not seen anywhere else in a multi-sports event: dragon boat racing, kabaddi, sepaktakraw (foot volleyball), 3×3 basketball and roller skating.

    China is reported to have spent about $30 billion to prepare Hangzhou as a grand stage to show off its economic power to its neighbors, impress the local population and promote the city. The organizers also had an extra year to prepare, delayed from 2022 because of the COVID-19 pandemic.

    Though China, Japan and South Korea are the powers at the Asian Games, many smaller nations and territories — 45 were represented — have a chance to win medals, which many are unable to do in the larger Olympics.

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  • Pharmacist shortages and heavy workloads challenge drugstores heading into their busy season

    Pharmacist shortages and heavy workloads challenge drugstores heading into their busy season

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    A dose of patience may come in handy at the pharmacy counter this fall.

    Drug and staffing shortages haven’t gone away. Stores are starting their busiest time of year as customers look for help with colds and the flu. And this fall, pharmacists are dealing with a new vaccine and the start of insurance coverage for COVID-19 shots.

    Some drugstores have addressed their challenges by adding employees at busy hours. But experts say many pharmacies, particularly the big chains, still don’t have enough workers behind the counter.

    Chris Adkins said he left his job as a pharmacist with a major drugstore chain a couple years ago because of the stress. Aside from filling and checking prescriptions, Adkins routinely answered the phone, ran the register and stocked pharmacy shelves.

    “I just didn’t have time for the patients,” he said. “I am OK working hard and working long hours, but I just felt like I was not doing a good job as a pharmacist.”

    In recent years, drugstores have struggled to fill open pharmacist and pharmacy technician positions, even as many have raised pay and dangled signing bonuses.

    Larger drugstore chains often operate stores with only one pharmacist on duty per shift, said Richard Dang, an assistant professor of clinical pharmacy at the University of Southern California. That kind of thin staffing can make it hard to recruit employees.

    “I think that many pharmacists in the profession are hesitant to work for a company where they don’t feel supported,” said Dang, a former president of the California Pharmacists Association.

    Customers have noticed.

    John Staed, of Pelham, Alabama, said a CVS pharmacist gave him the wrong prescription about a decade ago: the pills were a different color than usual. He worries the chances for another mistake could increase as pharmacists take on more work.

    “These pharmacists always look stressed,” he said.

    A CVS spokeswoman said the company is focused on addressing concerns raised by its pharmacists and has taken several actions, including “providing additional pharmacy resources” in markets that need support. She declined to say how many pharmacists or technicians the company has hired.

    Former Walgreens CEO Rosalind Brewer said in late June that the company had added more than 1,000 pharmacists in the second quarter, but was running into a shortage of job candidates. Walgreens is adding processing centers around the country to ease some of the prescription workload for its stores.

    Brewer, who left in late August, also said the company was limiting hours at 1,100 pharmacies, or about 12% of its U.S. locations. That was down from 1,600 earlier this year, but a company executive has said it doesn’t expect to return all pharmacies to normal operating hours by year’s end.

    Labor strife and staffing shortages in health care are not isolated to drugstores, as the recent Kaiser Permanente strike shows.

    But drugstores have some additional challenges in the fall. Many customers come to them for vaccines for COVID-19, flu and pneumonia. Plus, federal officials have approved a new shot for people ages 60 and older for a virus called RSV.

    All told, CVS touts in a pharmacy counter brochure that the company can offer more than 15 vaccines to customers.

    Ongoing drug shortages also have kept pharmacy workers on the phone more.

    Jonathan Marquess said one of his drugstores fielded 100 questions one day last fall about the antibiotic amoxicillin and the attention deficit-hyperactivity disorder treatment Adderall, two drugs in short supply.

    Marquess runs several independent pharmacies in Georgia and serves on the National Community Pharmacists Association board. He has done a few things to help his stores adapt to the extra workload, he said, including training all employees to answer basic questions about vaccines.

    Marquess also adds extra staff when he knows they will have an influx of customers, like when a nearby company sends its employees over for vaccines.

    “We learned from our experiences,” he said. “Training your entire staff is very, very important.”

    Pharmacists say customers aren’t powerless and can help things run smoothly.

    People should bring all their insurance cards to vaccine appointments, especially since insurance coverage is new for the COVID-19 shots, Marquess said.

    Dang said customers should avoid showing up right after pharmacies reopen from a lunch break or just before they close, times when pharmacists and technicians are especially busy.

    Making appointments for vaccines gives pharmacy workers a better sense for their workload. Calling several days in advance for a prescription refill also helps, said Jen Cocohoba, a pharmacy professor at University of California San Francisco.

    “That tiny piece of control can help, because there’s so many things you cannot predict when you’re inside the community pharmacy,” Cocohoba said.

    ___

    AP Business Writer Josh Funk contributed to this report.

    ___

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

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  • Arkansas jail inmates settle lawsuit with doctor who prescribed them ivermectin for COVID-19

    Arkansas jail inmates settle lawsuit with doctor who prescribed them ivermectin for COVID-19

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    LITTLE ROCK, Ark. — Five former inmates at an Arkansas county jail have settled their lawsuit against a doctor who they said gave them the antiparasitic drug ivermectin to fight COVID-19 without their consent.

    A federal judge last week dismissed the 2022 lawsuit against Dr. Robert Karas, who was the doctor for the Washington County jail and had administered the drug to treat COVID, citing the settlement.

    The U.S. Food and Drug Administration has approved ivermectin for use by people and animals for some parasitic worms, head lice and skin conditions. The FDA has not approved its use in treating or preventing COVID-19 in humans. According to the FDA, side effects for the drug include skin rash, nausea and vomiting.

    The inmates said they were never told ivermectin was among the medications they had been given to treat their COVID-19 infections, and instead were told they were being given vitamins, antibiotics or steroids. The inmates said in their lawsuit that they suffered side effects from taking the drug including vision issues, diarrhea and stomach cramps, according to the lawsuit.

    “These men are incredibly courageous and resilient to stand up to the abusive, inhumane experimentation they endured at the Washington County Detention Center,” said Holly Dickson, executive director of the American Civil Liberties Union of Arkansas, which represented the inmates. “The experimental use of Ivermectin without the knowledge and consent of these patients was a grave violation of medical ethics and the rights of the patients and these brave clients prevented further violation of not only their own rights, but those of others detained in WCDC.”

    Under the settlement, each of the former inmates will receive $2,000. Two of the inmates are no longer in custody and the other three are now in state custody, Dickson said. The jail has also improved its notice and consent procedures and forms since the lawsuit was filed, the ACLU said.

    Michael Mosley, an attorney for the defendants in the case, said they didn’t admit any wrongdoing by settling the case.

    “From our perspective, we simply settled because the settlement (as you can see) is very minimal and less than the projected cost of continued litigation,” Mosley said in an email to The Associated Press. “Additionally, the allegations by some that Dr. Karas conducted any experiment regarding ivermectin were and are false and were disproven in this case.”

    The state Medical Board last year voted to take no action against Karas after it received complaints about his use of ivermectin to treat COVID among inmates. Karas has said he began giving ivermectin at the jail in November 2020. He told a state Medical Board investigator that 254 inmates at the jail had been treated with ivermectin.

    Karas has defended the use of ivermectin to treat COVID-19, and said no inmates were forced to take it.

    U.S. District Judge Timothy L. Brooks in March denied the motion to dismiss the inmates’ lawsuit, ruling that they had a “plausible” claim that their constitutional rights had been violated.

    The American Medical Association, the American Pharmacists Association and the American Society of Health-System Pharmacists in 2021 called to an immediate end to prescribing and using the drug to treat COVID-19.

    Pharmacy prescriptions for ivermectin boomed during the pandemic, and health officials in Arkansas and other states issued warnings after seeing a spike in poison control center calls about people taking the animal form of the drug to treat COVID-19. The CDC also sent an alert to doctors about the trend.

    Despite the warnings, the drug had been touted by Republican lawmakers in Arkansas and other states as a potential treatment for COVID-19.

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  • Child care programs just lost thousands of federal dollars. Families scramble to cope

    Child care programs just lost thousands of federal dollars. Families scramble to cope

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    WILLIAMSON, W.Va. — Kaitlyn Adkins is studying law to help families in her community impacted by the opioid epidemic at the heart of West Virginia coal country.

    But to do that, she needs someone to help look after her three toddlers. The first-generation college graduate said she wouldn’t be able to finish law school without access to reliable daycare.

    Providers say millions of children and their families are now at risk of losing that vital service. After two years of receiving federal subsidies, 220,000 child care programs across the country were cut off from funding Saturday. The largest investment in child care in U.S. history, the monthly payments ranged from hundreds to tens of thousands of dollars, and stabilized the industry during the COVID-19 pandemic.

    “It feels like they’re just setting everyone up for failure,” Adkins said, dropping her 2-year-old and 1-year-old twins at daycare on a recent morning before an hour-and-a-half drive to class.

    For years, providers have been raising alarm about an unsustainable business model that burdens families with high costs and leaves centers with razor-thin profit margins — issues only exacerbated by inflation and a significant workforce shortage.

    Now, providers say that without additional investment, they face the possibility of shutdown. The Century Foundation, a progressive think tank in Washington, D.C., analyzed a provider survey and government data, and concluded that in six states — Arkansas, Montana, Utah, Virginia, West Virginia, as well as Washington, D.C. — up to half of all providers may be forced to close.

    Many families and providers are calling on Congress to create a permanent funding solution to the crisis, warning of the ripple effects on the nation’s economy. A Democratic proposal failed last month without any Republican support. It would have continued the grants for five years with $16 billion allocated annually.

    The most at-risk providers are those in rural communities that predominately serve low-income families. In West Virginia, where a quarter of all children live in poverty, the situation is especially dire.

    Adkins brings her children to a center affiliated with a church in Williamson, West Virginia, where nearly 90% of families qualify for federal aid to help cover child care costs. For a family of four, that means making less than $45,000 a year. Williamson is the seat of Mingo County, where one in three residents live below the poverty line, and more than 75% of children in the county school system are being raised by someone other than their parents, often grandparents.

    Most mornings, Adkins wakes up at 5:30 a.m. to shuttle her kids to Living Water Child Care Center. She typically gets home late, and plays with and bathes her children before studying until early morning.

    The proud daughter of a former coal miner, Adkins said she’s witnessed the loss of coal jobs and the influx of opioids in the state with the highest rate of overdoses. She said taxpayers will end up paying more in the long run to welfare programs if the government doesn’t make investments now in child care.

    “We’re seeing our kids really suffer — and that’s a big problem,” said Adkins, who wants to practice law focused on child abuse and neglect. “If they have no structure and no guidance, we’re going to keep repeating cycles.”

    Starting in October 2021, Democrats’ American Rescue Plan Act disbursed $24 billion in payments to providers across the country, with varied funding based on program size and quality rating. In West Virginia, centers received an average $5,000 to $27,000 a month and family providers got between $750 to $3,200. The legislation also included $15 billion to expand the block grant program that subsidizes the cost of child care for low-income families, though it is set to expire in September 2024.

    At Living Water, a $7,000 monthly subsidy went to purchasing new curriculum and advancing employee certifications, according to Director Jackie Branch. The investment paid off: In April, the center moved up a tier in its state quality rating, increasing its monthly stabilization funding to $11,000.

    When staffers realized many children didn’t get outside playtime at home, they installed a rubber playground and colorful sunshades.

    School-aged kids can finally work on homework assignments in the after-school program thanks to recently purchased computers.

    Like most providers in the state, Living Water was also able to offer staff bonuses.

    As of May 2022, the median pay for a child care worker in the U.S. was $13.71, compared with $10.47 in West Virginia, according to the U.S. Bureau of Labor. Wage growth in the industry has fallen behind other low-wage professions.

    Over the years, Goldie Huff, a waitress at a steakhouse in Williamson, has cared for more than two dozen foster care children. There are just two child care centers in the entire county, and the community can’t afford to lose either one, she said.

    “It would be horrible,” she said, if Living Waters closed. All of her foster children have attended Living Water, along with kids, grandchildren and other family members. The state has the highest number of youth in foster care in the country.

    She said a lot of the kids she cares for are recovering from traumatic childhood experiences and need structure. “How many kids do you know that don’t wake up to breakfast? They don’t know where the meals are coming from. They’ve not had baths. They’ve never had nice clothes.”

    The center serves three meals a day, plus snacks. They also distribute donations such as clothes and school supplies.

    Branch said it will be an uphill battle to find other grants to make up for lost funds.

    Policymakers should not only be worried about shuttering centers, but also about the quality of care and education available with such limited resources, said Melissa Colagrosso, CEO of A Place To Grow Children’s Center, in Fayetteville, West Virginia. Since they opened 28 years ago, the number of accredited centers in the state has been halved.

    “Right in the beginning, that’s our opportunity to really change the brain and change a child’s future,” she said. “You invest in early childhood, then you invest less in prisons.”

    West Virginia’s Department of Health and Human Resources announced last week it was sending providers a final bonus payment as September drew to a close, but that funds were tapped. The agency also allocated $24 million in TANF funds to reimburse providers for children whose costs are subsidized based on enrollment rather than attendance for another year.

    But providers say what they need instead is a permanent, long-term funding solution.

    If West Virginia wants to grow its economy, child care is part the infrastructure necessary for that to happen, Tiffany Gale said. She isn’t a parent herself, but just months before the pandemic started, she began caring for six children at her home in West Virginia’s northern panhandle.

    In just three years, she’s moved up a level in the state’s quality rating status and expanded into an empty commercial space downtown. She has five staff members and 18 children — 24 split between the two sites — who would have otherwise been waitlisted. Three-quarters of them are considered low-income, and qualify for government-subsidized care.

    With the help of federal subsidies, Gale was able to purchase the two units next door. But now that the pandemic-era support is ending, Gale doesn’t know if she’ll be able to stay in business.

    Policymakers have relied on the passion of child care providers — who are mostly women — to find a way to make ends meet without the resources and support they really need, Gale said.

    “They’re still going to do it, whether they’re living in poverty and having to go to the food bank every week or not,” she said, of child care workers’ commitment to work. “I think we really take advantage of that instead of lifting them up, lifting children up and lifting our communities up.”

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  • Britain’s Treasury chief raises the minimum wage but angers some colleagues by ruling out tax cuts

    Britain’s Treasury chief raises the minimum wage but angers some colleagues by ruling out tax cuts

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    MANCHESTER, England — Britain’s Treasury chief announced a hike in the national minimum wage on Monday, as the governing Conservative Party tries to persuade voters it is on the side of those who are struggling financially.

    But Chancellor of the Exchequer Jeremy Hunt ruled out tax cuts, saying they would fuel inflation.

    “I do want us to have lower taxes,” Hunt told Sky News before his speech. But he said “it’s very difficult to see” it happening this year.

    That message was not what many Conservatives at the party’s annual conference wanted to hear. Hundreds of them packed a room to applaud as former Prime Minister Liz Truss — whose seven weeks in office last year plunged Britain’s economy into crisis — demanded Hunt slash taxes in his fall budget next month.

    Hunt told conference delegates that the hourly rate for workers 23 or older will rise in April from 10.42 pounds ($12.70) to at least 11 pounds ($13.40). The exact amount will be set after a recommendation by the Low Pay Commission, an advisory body. Hunt said that will mean a raise for more than 2 million workers.

    Hunt also pledged to freeze civil service recruitment to cut costs and toughen the rules on social benefits in an attempt to stem the flow of working-age people out of the workforce, a trend that has accelerated since the coronavirus pandemic.

    “It isn’t fair that someone who refuses to look seriously for a job gets the same as someone trying their best,” he said, in remarks that drew concern from anti-poverty groups.

    The party is trying to sprinkle voter-pleasing measures such as the pay increase at the conference, which may be the last before a national election due in 2024. But the government’s spending power is constricted by the U.K.’s sluggish economy and stubbornly high inflation that hit double digits last year and now stands just below 7%.

    The result was a grab-bag of generally inexpensive policy announcements: a ban on children using cell phones in school, a curb on local authorities slapping “ excessive fines on motorists,” a push for “smarter regulation.”site

    Opponents see a government that has run out of big ideas and a party heading for defeat. The right-of-center Tories, in power since 2010, are lagging far behind the center-left opposition Labour Party in opinion polls. Voters are weary after years of political turmoil over the U.K.’s exit from the European Union, the coronavirus pandemic and a cost-of-living crisis fueled by Russia’s invasion of Ukraine last year.

    Prime Minister Rishi Sunak, who took office just under a year ago, is facing grumbling — and even open rebellion — from some Conservative members and lawmakers.

    Sunak steadied the economy after his predecessor Truss crashed the pound and trashed Britain’s reputation for fiscal prudence with her tax-slashing economic plans. She left office after just 49 days.

    Many Conservatives doubt whether Sunak — the party’s fifth leader since 2016 — can restore its popularity to the level that saw the party win an 80-seat majority in the 650-seat House of Commons in 2019. The prime minister then, Boris Johnson, resigned in mid-2022 amid scandals over his ethics and judgment.

    In recent weeks, Sunak has sought to take the initiative with a clutch of measures depicted as easing the economic burden on taxpayers. He has delayed a ban on selling new gas and diesel cars and watered down other green measures that he said imposed “unacceptable costs” on ordinary people. Critics say the measures will have little impact on people’s pocketbooks and will make it harder for Britain to reach its goal of cutting greenhouse gas emissions to net zero by 2050 in order to limit climate change.

    Hundreds of party lawmakers, activists and officials attending the four-day conference in Manchester, northwest England, are being wooed by rivals to Sunak, positioning themselves for a party leadership contest that could follow election defeat.

    Home Secretary Suella Braverman and Business Secretary Kemi Badenoch are both addressing meetings and receptions as they vie for the support of the party’s populist right wing, which wants tough curbs on irregular migration and a war on liberal social values derided as “woke.” Foreign Secretary James Cleverly is popular with more centrist Conservatives.

    Even Truss, who resigned in disgrace less than 12 months ago, is on hand to offer her opinion, keep her name in the headlines and make life difficult for her successor.

    At a packed meeting attended by several high-profile lawmakers on the party’s right wing, Truss, called for everyone to “unleash their inner Conservative” and back a platform of lower taxes, less environmental regulation — including removing a ban on fracking — and a smaller state,

    Truss, whose plan for billions in unfunded tax cuts spooked the financial markets last year, got loud applause for her mantra that “government is too big, that taxes are too high and that we are spending too much.”

    “Let’s stop taxing and banning things,” she said.

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  • Nobel in medicine goes to scientists whose work led to mRNA vaccines against COVID

    Nobel in medicine goes to scientists whose work led to mRNA vaccines against COVID

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    STOCKHOLM — Two scientists won the Nobel Prize in medicine on Monday for discoveries that enabled the creation of mRNA vaccines against COVID-19 that were critical in slowing the pandemic and whose technology could be used in the future to develop shots against non-infectious diseases like cancer.

    Hungarian-American Katalin Karikó and American Drew Weissman were cited for contributing “to the unprecedented rate of vaccine development during one of the greatest threats to human health,” according to the panel that awarded the prize in Stockholm.

    The panel said the pair’s “groundbreaking findings … fundamentally changed our understanding of how mRNA interacts with our immune system.”

    Traditionally, making vaccines required growing viruses or pieces of viruses and then purifying them before next steps. T he messenger RNA approach starts with a snippet of genetic code carrying instructions for making proteins. Pick the right virus protein to target, and the body turns into a mini vaccine factory.

    But simply injecting lab-grown mRNA into the body triggered a reaction that usually destroyed it. Karikó, a professor at Szeged University in Hungary and an adjunct professor at the University of Pennsylvania, and Weissman, of the University of Pennsylvania, figured out a tiny modification to the building blocks of RNA that made it stealthy enough to slip past immune defenses.

    Karikó, 68, is the 13th woman to win the Nobel Prize in medicine. She was a senior vice president at BioNTech, which partnered with Pfizer to make one of the COVID-19 vaccines. Kariko and Weissman, 64, met by chance in the 1990s while photocopying research papers, Kariko told The Associated Press.

    Dr. Paul Hunter, a professor of medicine at Britain’s University of East Anglia, described the mRNA vaccines made by BioNTech-Pfizer and Moderna Inc. as a “game changer” in shutting down the coronavirus pandemic, crediting the shots with saving millions of lives.

    “We would likely only now be coming out of the depths of COVID without the mRNA vaccines,” Hunter said.

    Dr. Bharat Pankhania, an infectious diseases expert at Exeter University, predicted the technology used in the vaccines could be used to refine vaccines for other diseases like Ebola, malaria and dengue, and might also be used to create shots that immunize people against certain types of cancer or auto-immune diseases including lupus.

    Peter Maybarduk, at the Washington advocacy group Public Citizen, welcomed the recognition of mRNA vaccines, but said the award should also be deeply embarrassing for Western countries.

    “This is a technology that should have been available to all of humanity but it was almost exclusively available only in the richest countries in the world,” he said, adding that much of the funding that led to the development of mRNA technology came from U.S. public funds.

    “The future is just so incredible,” Weissman said. “We’ve been thinking for years about everything that we could do with RNA, and now it’s here.”

    Karikó said her husband was the first to pick up the early morning call, handing it to her to hear the news. She then watched the announcement to make sure she wasn’t being pranked.

    “I was very much surprised. But I am very happy.”

    Kariko said she was the one to break the news to Weissman, since she got in touch before the Nobel committee could reach him.

    The two have collaborated for decades, with Kariko focusing on the RNA side and Weissman handling the immunology: “We educated each other,” she said.

    Before COVID-19, mRNA vaccines were already being tested for other diseases like Zika, influenza and rabies — but the pandemic brought more attention to this approach, Karikó said.

    “There was already clinical trials before COVID, but people were not aware,” she said.

    Karikó’s family are no strangers to high honors. Her daughter, Susan Francia, is a double Olympic gold medalist in rowing, competing for the United States.

    The prize carries a cash award of 11 million Swedish kronor ($1 million) — from a bequest left by the prize’s creator, Swedish inventor Alfred Nobel. The laureates are invited to receive their awards at ceremonies on Dec. 10, the anniversary of Nobel’s death.

    Nobel announcements continue with the physics prize on Tuesday, chemistry on Wednesday and literature on Thursday. The Nobel Peace Prize will be announced Friday and the economics award on Oct. 9.

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    This story has been updated to correct that Karikó is a professor at Szeged University, not Sagan’s University.

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    Corder reported from The Hague, Netherlands. Associated Press writers Maria Cheng in London, Maddie Burakoff in New York and Lauran Neergaard in Washington contributed to this report.

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    Follow all AP stories about the Nobel Prizes at https://apnews.com/hub/nobel-prizes

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