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Tag: microscopic life

  • FDA inspection finds sterilization issues at recalled eye drop manufacturer’s facility | CNN

    FDA inspection finds sterilization issues at recalled eye drop manufacturer’s facility | CNN

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    CNN
     — 

    The manufacturer of eye drops that have been linked to an outbreak of serious bacterial infections in the US, including at least three deaths, did not follow proper protocol to prevent contamination of its products, according to an inspection report published Friday by the US Food and Drug Administration.

    The FDA visited a Global Pharma Healthcare facility in India for an inspection that started in mid-February, 2½ weeks after the company recalled EzriCare Artificial Tears due to possible contamination.

    At the time of the recall, there were 55 reports of adverse events including eye infections, permanent loss of vision and at least one death with a bloodstream infection. As of late last month, 68 infections had been identified in 16 states, according to the US Centers for Disease Control and Prevention. There have been three deaths, eight cases of vision loss and four surgical eye removals reported.

    An 11-day inspection of the Global Pharma facility resulted in 11 observations by the FDA, including a “manufacturing process that lacked assurance of product sterility,” specifically for batches of product that were manufactured between December 2020 and April 2022 and shipped to the US.

    The EzriCare Artificial Tears product, which is manufactured by Global Pharma, is part of an outbreak of infections from bacteria called Pseudomonas aeruginosa.

    This rare drug-resistant bacteria can spread among people who don’t have symptoms – and to people who haven’t used the eye drops, according to the CDC. This type of spread is particularly common in health care settings.

    “The bacteria can spread when one patient carrying the bacteria exposes another patient, or when patients touch common items or when healthcare workers transmit the germs which is why infection control, like hand hygiene, is so important,” the agency told CNN in an email Monday.

    Several cases in the current outbreak have been identified in people who were carrying the bacteria without signs or symptoms of clinical infections, the CDC said. These cases were discovered through screenings at inpatient health care facilities that had clusters of infections.

    The particular strain of the bacteria associated with this outbreak had never before been reported in the US, and related infections have been identified at acute care hospitals, long-term care facilities, emergency departments, urgent care clinics and other outpatient facilities.

    People affected by the outbreak reported using different brands of artificial tears, but EzriCare Artificial Tears was most commonly reported.

    The FDA inspection of the Global Pharma facility is part of an ongoing compliance matter.

    “The FDA’s highest priority is protecting public health – this includes working with manufacturers to quickly remove unsafe drugs from shelves when they are identified,” the agency said in an email Monday. “The FDA continues to monitor this issue and is working with the Centers for Disease Control and Prevention (CDC) and the companies recalling these affected products. We urge consumers to stop using these products which may be harmful to their health.”

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  • CDC to warn some travelers to watch for Marburg virus symptoms as it investigates outbreaks in Africa | CNN

    CDC to warn some travelers to watch for Marburg virus symptoms as it investigates outbreaks in Africa | CNN

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    CNN
     — 

    The US Centers for Disease Control and Prevention is sending personnel to Africa to help stop outbreaks of Marburg virus disease and is urging travelers to certain countries to take precautions. The CDC is also taking steps to keep infections from spreading to the United States.

    Equatorial Guinea and Tanzania are facing their first known outbreaks of Marburg virus, a viral fever with uncontrolled bleeding that’s a close cousin to Ebola. This week, the CDC urged travelers to both countries to avoid contact with sick people and to watch for symptoms for three weeks after leaving the area. Travelers to Equatorial Guinea should take enhanced precautions and avoid nonessential travel to the provinces where the outbreak is ongoing, the agency said.

    In the United States, the agency will post notices in international airports where most travelers arrive, warning them to watch for symptoms of the virus for 21 days and to seek care immediately if they become ill. They will also get a text reminder to watch for symptoms.

    The CDC is standing up a “center-led” emergency response; it’s not as all-encompassing as when the CDC stands up its Emergency Operations Center, such as for Covid-19 and mpox. But it will refocus the efforts and attention of the staff of its National Center for Emerging and Zoonotic Infectious Diseases to respond to the outbreaks, which are in two countries on opposite sides of Africa, indicating that the deadly hemorrhagic fever is spreading.

    Equatorial Guinea, on the coast in West Africa, declared an outbreak of Marburg virus disease in mid-February with cases spread across multiple provinces. As of March 22, Equatorial Guinea had 13 confirmed cases, including nine people who have died and one who has recovered, according to the World Health Organization. Nine CDC staffers are on the ground there. They have established a field laboratory and are assisting with testing, case identification and contact tracing.

    Tanzania, on the coast in East Africa, declared an outbreak of Marburg virus disease on March 21, with cases reported in two villages in the Kagera region, according to the CDC. As of March 22, Tanzania has had eight confirmed cases, including five deaths. The CDC has a permanent office in Tanzania that is assisting with the outbreak. It is sending additional staff to support those efforts.

    Marburg virus is a rare and deadly virus that causes fever, chills, muscle pain, rash, sore throat, diarrhea, weakness or unexplained bleeding or bruising. It is spread through contact with body fluids and contaminated surfaces. People can also catch it from infected animals. It is fatal in about half of cases who get it. Other countries in Africa have had to quell outbreaks before.

    In its early stages, the infection is difficult to distinguish from other illnesses, so a history of travel to either of those countries will be essential to helping clinicians spot it.

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  • FDA sketches out plan to bolster fragile US infant formula supply management | CNN

    FDA sketches out plan to bolster fragile US infant formula supply management | CNN

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    CNN
     — 

    The US Food and Drug Administration announced Tuesday its initial strategy to boost and strengthen the management of the country’s supply of infant formula.

    The announcement came just ahead of a hearing of the House Oversight and Accountability Committee about what went wrong during last year’s infant formula shortage.

    Committee members and experts who testified were critical of formula makers and the FDA’s food safety program, which the agency has pledged to revamp in order to protect the nation’s food supply and promote better nutrition. Many experts are concerned that the formula shortage of 2022 could easily happen again, even with those changes.

    “While we stand here today, more than a year since the recall, it is my view that the state of the infant formula industry today is not much different than it was then,” testified Frank Yiannas, who stepped down from his role as the agency’s deputy commissioner of food policy and response in late February.

    “The nation remains one outbreak, one tornado, flood or cyberattack away from finding itself in a similar place to that of February 17, 2022.”

    A formula shortage that started in 2021 was exacerbated when the United States’ largest infant formula maker, Abbott Nutrition, recalled multiple products in mid-February and had to pause production after FDA inspectors found potentially dangerous bacteria at its Sturgis, Michigan, plant.

    A former Abbott employee filed a whistleblower complaint about the plant with the US Department of Labor’s Occupational Safety and Health Administration in February 2021. The complaint suggested that the plant lacked proper cleaning practices and that workers falsified records and hid information from inspectors.

    The complaint was filed February 16, 2021, and was passed on to Abbott and the FDA three days later.

    Yiannas testified that because of the siloed nature of the agency, he wasn’t made aware of the complaint until February 2022. It was only then that he learned that children had gotten sick with Cronobacter after consuming powdered formula made at the plant.

    The US Centers for Disease Control and Prevention investigated at least four illnesses and two deaths in three states in connection. The agency sequenced bacteria from two of the children to compare against the samples the FDA took at the facility, but it did not find that the samples were closely related.

    Cronobacter infections are rare but can be serious and even fatal, especially in newborns. The bacteria lives in the environment, but when these infections are diagnosed in infants, they are often linked to powdered formula.

    “Clearly, I really wish, and I should have been notified sooner, so I could have initiated containment steps earlier. Had that happened, I believe we might not be here today,” Yiannas said Tuesday. “Had the agency responded quicker to some of the earlier signals, I believe this crisis could have been averted or at least the magnitude lessened.”

    With more demand for other brands after the Abbott recalls, families across the country had to hunt through multiple stores for formula last year. Stock rates of baby formula stayed lower than they were the year before for much of 2022. Even in October, when rates had improved, nearly a third of households with a baby younger than 1 said they had trouble finding formula over the course of one week, according to a survey by the US Census Bureau.

    The FDA said Tuesday that its new national strategy helps ensure that the country’s supply of formula will remain constant and safe.

    The agency said it will work with the industry on redundancy risk management plans that will help companies identify possible supply chain problems. It will also continue to enhance inspections of infant formula plants by expanding and improving training for agency investigators.

    According to the strategy, the FDA will expedite review of premarket submissions for new products to prevent shortages. It will continue to closely monitor the formula supply and has developed a model to forecast any potential disruptions.

    It also plans to work closely with the US Department of Agriculture to build in more resiliency with its Special Supplemental Nutrition Program for Women, Infants, and Children program, or WIC, the nation’s largest purchaser of infant formula.

    The new strategy is just a first step; the long-term strategy is expected to be released in early 2024.

    Dr. Susan Mayne, director of the FDA’s Center for Food Safety and Applied Nutrition, said in a statement that the new strategy aims to incentivize “additional infant formula manufacturers to enter the market.”

    Many parts of the strategy are underway, the FDA said.

    “Safety and supply go hand-in-hand. We witnessed last year how a safety concern at one facility could be the catalyst for a nationwide shortage. That’s why we are looking to both strengthen and diversify the market, while also ensuring that manufacturers are producing infant formula under the safest conditions possible,” FDA Commissioner Dr. Robert Califf said in a news release. “Now, with this strategy, we are looking at how to advance long-term stability in this market and mitigate future shortages, while ensuring formula is safe.”

    Formula stock rates are still not where they once were before last year’s crisis, Yiannas said, but the problem can’t be solved overnight. He said it was a good step for Congress to ask for a resiliency report from the industry.

    One positive development that came out of the crisis is that manufacturers are reporting formula volume to the FDA on a weekly basis even though there is no legal requirement to do so, he said.

    Historically, the FDA has focused on food safety and nutrition, not supply chain availability, but the Covid-19 pandemic opened eyes and served as the “biggest test on the US food system in 100 years,” Yiannas said. Food supply shortages made experts realize that the agency needed more intelligence on how companies’ supply chains worked.

    “Progress is being made, but it’s not being made fast enough,” Yiannas said.

    The FDA is now tracking sales and stock rates of baby formula. He said he’s talked to formula companies that say they have ramped up production, even though they might have cut back on the number of varieties of product they offer.

    The FDA said Tuesday that it has also done a study to better understand what led to the recall of infant formula at the Abbott plant. The agency had conducted a routine surveillance inspection at the plant in September 2021 and even then found problems like standing water and inadequate handwashing among employees.

    Abbott is facing additional investigations from the US Securities and Exchange Commission, the US Federal Trade Commission and the US Department of Justice as well as lawsuits from customers.

    Yiannas told the House committee Tuesday that one strategy to head off similar shutdowns would be to require manufacturers to report Cronobacter bacteria found in its products. Currently, only the Abbott plant in Michigan is required to report the bacteria as part of the consent decree that allowed it to reopen.

    The FDA said in November that it would like Cronobacter infections added to the CDC’s list of national notifiable diseases, which would require doctors to report cases to public health officials so the CDC and the FDA could keep better track of infections. Only two states have such a reporting requirement now.

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  • A hidden pandemic: the orphans Covid has left behind | CNN

    A hidden pandemic: the orphans Covid has left behind | CNN

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    CNN
     — 

    “Papa died last night, but his death is not the end.”

    Those are the first words Veronica Fletcher uttered to her three children after her husband, Joseph Fletcher, died from Covid-19 on April 11, 2020.

    “We’re going to keep papa’s name alive,” Fletcher, 49, later told her children. “He lives in us.”

    The Fletchers’ 17-year-old son, Joshua, recalled the day his mother told him about the death of his “papa”: “It’s so real, but not real at the same time,” he said. He says he felt compelled to step into his father’s shoes as the eldest child.

    “Being a better role model for my siblings,” he told CNN. “Instilling things that I learned from my father that they might not have the opportunity to have because they didn’t have as much time with him that I did.”

    Joshua, his younger brother, Zachary, 14, and sister, Maddie, 10, are among the estimated 238,500 Covid orphans in the United States whose lives have been upended in the past three years by the loss of a parent or primary caregiver, according to the Imperial College London COVID-19 Orphanhood Calculator. Globally, there have been more than eight million Covid orphans since the World Health Organization declared Covid-19 a pandemic in March 2020.

    Orphanhood increases the likelihood of poverty, abuse, delayed development, mental health challenges and reduced access to education, according to the Centers for Disease Control and Prevention.

    Veronica Fletcher grew up an orphan – her father was not present during her childhood and her mother died when she was nine.

    “To be able to usher my children through this loss, it comes from 40 years of pain and knowing what that little nine-year-old girl needed and received,” said Fletcher as she recalled the day she learned of her mother’s death. “To lose a parent is traumatic, and the way the parents were lost during the pandemic, to have to grieve in isolation, that compounds the pain exponentially.”

    Christopher Kocher is honoring those who died from Covid and supporting those who survived through his organization, COVID Survivors for Change. The group offers resources and programs to families like the Fletchers. It also pushes for legislative and cultural change. Kocher says much more needs to be done for Covid orphans.

    “I was in New York on 9/11. I know how much the city and the nation stepped up to support those families,” Kocher told CNN. “We need to see something similar here. We’re fighting to make sure that we hear a lot more from the president, from the states around the country and from local communities to make sure that they are providing the support that these children need.”

    Targeted efforts are gaining traction in many states, albeit slowly.

    California state Sen. Nancy Skinner helped her state become the first in the country to pass legislation in June 2022. She introduced a bill strengthening the HOPE (Hope, Opportunity, Perseverance and Accountability) Account law she authored last year. That law made California the first in the nation to create savings accounts for children who lost a parent or guardian to Covid. The California State Budget Act of 2022-23 included $100 million to fund the HOPE program.

    California is one of six states that accounts for half of national caregiver loss. New York is another state and has become the second in the nation to introduce legislation that would fund scholarships for children who lost a parent or caregiver to Covid. Each qualifying student would be eligible for a scholarship that covers the equivalent cost of SUNY tuition, plus room and board, books as well as supplies.

    New York’s legislation, if approved, would come too late for Joshua Fletcher’s first year of college. “I got accepted into schools that I wanted to go to, but I couldn’t afford to go to them because papa died,” he said. However, Joshua would be eligible for his remaining years of college.

    Asian, Hispanic and Black families are more likely to experience a loss, with Black families, like the Fletcher family, twice as likely to suffer from a Covid death, according to the National Institutes of Health.

    “Pain is pain, trauma is trauma,” Veronica Fletcher said. “This power is turning your pain into purpose. Those are the kinds of lessons that are helping my children to find hope, to be resilient, to know that they’re not alone. It helps you to help someone else.”

    It’s why Fletcher now finds support through external groups, such as COVID Widow Sisters, which connects grieving wives across the country. Fletcher also plans to start her own organization, Widows Tears Collective, a support group for women who have lost loved ones to the illness.

    “Especially early on the pandemic, you didn’t get to say goodbye. You didn’t get to be in the hospital. You didn’t get to hold their hand. That loss impacts you dramatically and sits with you for a really long time,” Kocher said. “When that loss is for a young person, someone who’s losing a parent, it’s a really different kind of loss.”

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  • China approves its first mRNA Covid-19 vaccine | CNN Business

    China approves its first mRNA Covid-19 vaccine | CNN Business

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    Hong Kong
    CNN
     — 

    China has approved its first Covid-19 vaccine based on mRNA technology, months after the country lifted strict pandemic measures.

    The vaccine was developed by CSPC Pharmaceutical Group, a homegrown firm based in the northern Chinese city of Shijiazhuang, it said in a Wednesday statement to the Hong Kong stock exchange. The vaccine targets the Omicron variant and was tested in China with over 5,500 people, it added.

    The approval comes just weeks after China declared a “major and decisive victory” in its handling of the coronavirus outbreak that swept the country in recent months following an abrupt relaxation of its “zero-Covid” policy late last year.

    “This is a positive step because there is strong scientific evidence that mRNA vaccines do much better than non-MRA vaccines,” Jin Dong-yan, a professor in molecular virology at the University of Hong Kong, told CNN.

    “Whether this product … is as good as other products on market is still to be determined.”

    CSPC said in the statement the results had demonstrated the vaccine’s “safety, immunogenicity and efficacy,” but it didn’t offer additional details.

    Until now, China has approved only inactivated vaccines made by Sinovac Biotech and Sinopharm Group, two Beijing-based drugmakers.

    The inactivated vaccines have been found to elicit lower levels of antibody response compared to ones using the newer messenger RNA technology. Biotech firms Pfizer

    (PFE)
    and Moderna

    (MRNA)
    make rRNA vaccines.

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  • Former Florida lawmaker pleads guilty in Covid-19 loan fraud case | CNN Politics

    Former Florida lawmaker pleads guilty in Covid-19 loan fraud case | CNN Politics

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    CNN
     — 

    A former Florida lawmaker pleaded guilty Tuesday to wire fraud, money laundering and making false statements in connection with Covid-19 relief fraud, according to a news release from the Department of Justice.

    Former Republican state Rep. Joseph Harding acquired more than $150,000 in Small Business Administration loans by lying on loan applications, the department said.

    Harding is scheduled to be sentenced on July 25, the release said.

    A wire fraud conviction carries a maximum sentence of 20 years in prison, while money laundering and making false statements carry a maximum of 10 and five years, respectively.

    Peg O’Connor, an attorney for Harding, said in a statement that her client “made the best decision available to him under the circumstances to protect his family and his future.”

    She added that she looks forward to providing a “fuller picture” and “insight into who Mr. Harding is as a person” at sentencing.

    Prosecutors previously said Harding listed dormant business entities on his applications, fabricated the numbers of people he employed and submitted fake bank statements.

    Harding was elected to the Florida House of Representatives in 2020 and announced his resignation after he was charged in December.

    In a statement to The New York Times last year, he said he had pleaded not guilty during an initial court appearance. “I want the public and my constituents to know that I fully repaid the loan and cooperated with investigators as requested,” Harding told the newspaper at the time.

    The Florida Republican has drawn the national spotlight before, as a sponsor of the controversial legislation that banned certain instruction about sexual orientation and gender identity in the classroom that opponents dubbed the “Don’t Say Gay” law. The legislation officially named the “Parental Rights in Education” law, signed by Florida Republican Gov. Ron DeSantis in March 2022, set off a national firestorm and drew immediate pushback from LGBTQ advocates.

    Investigators have said that billions of dollars of Covid-19 relief funds have been obtained using fabricated, stolen or fake information. The Justice Department’s Covid-19 Fraud Enforcement Task Force has brought several high-profile fraud cases across the country.

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  • Pandemic lowered US step count and Americans haven’t bounced back, study says | CNN

    Pandemic lowered US step count and Americans haven’t bounced back, study says | CNN

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    Editor’s Note: Sign up for CNN’s Fitness, But Better newsletter series. Our seven-part guide will help you ease into a healthy routine, backed by experts.



    CNN
     — 

    Americans took fewer steps during the height of the Covid-19 pandemic, and they still haven’t gotten their mojo back, a new study found.

    “On average, people are taking about 600 fewer steps per day than before the pandemic began,” said study author Dr. Evan Brittain, associate professor of cardiovascular medicine at Vanderbilt University Medical Center in Nashville.

    “To me, the main message is really a public health message — raising awareness that Covid-19 appears to have had a lasting impact on people’s behavioral choices when it comes to activity,” he said.

    The study used data from the National Institutes of Health’s All of Us Research Program, which is focused on identifying ways to develop individualized health care. Many of the 6,000 participants in the program wore activity trackers for at least 10 hours a day over multiple years and allowed researchers access to their electronic health records.

    Brittain and his colleagues have used the ensuing data before, publishing a study in October 2022 that found overweight people could lower their risk of obesity by 64% by increasing their steps taken from about 6,000 to 11,000 per day.

    In the new study, published Monday in JAMA Network Open, researchers compared steps taken by nearly 5,500 people who wore the program’s activity trackers. Most were White women, with an average age of 53.

    Step counts collected between January 1, 2018, and January 31, 2020, were considered pre-Covid. Steps tracked after that date until the end of 2021, which is when the study ended, were considered post-Covid.

    Results showed no difference in identified step activity based on sex, obesity, diabetes and other illnesses or conditions such as coronary artery disease, hypertension or cancer.

    People who took the fewest steps were socioeconomically disadvantaged, under psychological stress and not vaccinated, the study said.

    Age made a difference as well, but in an unexpected manner: People over 60 were not impacted by the pandemic, the study found — they continued to keep their steps up.

    Oddly, it was younger people between 18 and 30 whose step counts were most impacted, Brittain said. “In fact, we found every 10-year decrease in age was associated with a 243 step reduction per day.”

    “If this persists over time, it could certainly raise the risk of cardiovascular disease, obesity, hypertension, diabetes and other conditions strongly linked to being sedentary,” Brittian said. “However, it’s too soon to know whether this trend will last.”

    Why would a younger generations lose steps while older people did not?

    “I think it’s difficult to interpret because it’s only 600 steps, which you could argue is what some people would get simply walking into work and through their day,” said Dr. Andrew Freeman, director of cardiovascular prevention and wellness at National Jewish Health, a hospital in Denver, who was not involved in the research. “I think the question is who is more likely to work from home?”

    Younger generations make up the majority of workers in technology, software and other professions that are able to work from anywhere, “whereas older people may have less of those jobs,” Freeman said.

    Whatever the reason, the study data shows that people were not moving as much during the pandemic as they used to. That is worrisome, Freeman added.

    “If this trend remains, we should really be cognizant that if you’re going to work from home, use either a standing, treadmill or bike desk,” he said, adding that managers of remote employees should “insist people take periodic breaks for people to do exercise, which also is proven to improve mental clarity and acuity,” he said.

    Health professionals should always be talking to their patients about activity levels, but “the impact of Covid-19 might make those kinds of messages all the more important to discuss with patients,” Brittain said.

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  • Scientists parse another clue to possible origins of Covid-19 as WHO says all possibilities ‘remain on the table’ | CNN

    Scientists parse another clue to possible origins of Covid-19 as WHO says all possibilities ‘remain on the table’ | CNN

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    CNN
     — 

    There’s a tantalizing new clue in the hunt for the origins of the Covid-19 pandemic.

    A new analysis of genetic material collected from January to March 2020 at the Huanan Seafood Market in Wuhan, China, has uncovered animal DNA in samples already known to be positive for SARS-CoV-2, the coronavirus that causes Covid-19. A significant amount of that DNA appears to belong to animals known as raccoon dogs, which were known to be traded at the market, according to officials with the World Health Organization, who addressed the new evidence in a news briefing on Friday.

    The connection to raccoon dogs came to light after Chinese researchers shared raw genetic sequences taken from swabbed specimens collected at the market early in the pandemic. The sequences were uploaded in late January 2023, to the data sharing site GISAID, but have recently been removed.

    An international team of researchers noticed them and downloaded them for further study, the WHO officials said Friday.

    The new findings – which have not yet been publicly posted – do not settle the question of how the pandemic started. They do not prove that raccoon dogs were infected with SARS-CoV-2, nor do they prove that raccoon dogs were the animals that first infected people.

    But because viruses don’t survive in the environment outside of their hosts for long, finding so much of the genetic material from the virus intermingled with genetic material from raccoon dogs is highly suggestive that they could have been carriers, according to scientists who worked on the analysis. The analysis was led by Kristian Andersen, an immunologist and microbiologist at Scripps Research; Edward Holmes, a virologist at the University of Sydney; Michael Worobey, an evolutionary biologist at the University of Arizona. These three scientists, who have been digging into the origins of the pandemic, were interviewed by reporters for The Atlantic magazine. CNN has reached out to Andersen, Holmes and Worobey for comment.

    The details of the international analysis were first reported Thursday by The Atlantic.

    The new data is emerging as Republicans in Congress have opened investigations into the pandemic’s origin. Previous studies provided evidence that the virus likely emerged naturally in market, but could not point to a specific origin. Some US agencies, including a recent US Department of Energy assessment, say the pandemic likely resulted from a lab leak in Wuhan.

    In the news briefing on Friday, WHO Director-General Tedros Adhanom Ghebreyesus said the organization was first made aware of the sequences on Sunday.

    “As soon as we became aware of this data, we contacted the Chinese CDC and urged them to share it with WHO and the international scientific community so it can be analyzed,” Tedros said.

    WHO also convened its Scientific Advisory Group for the Origins of the Novel Pathogens, known as SAGO, which has been investigating the roots of the pandemic, to discuss the data on Tuesday. The group heard from Chinese scientists who had originally studied the sequences, as well as the group of international scientists taking a fresh look at them.

    WHO experts said in the Friday briefing that the data are not conclusive. They still can’t say whether the virus leaked from a lab, or if it spilled over naturally from animals to humans.

    “These data do not provide a definitive answer to the question of how the pandemic began, but every piece of data is important in moving us closer to that answer,” Tedros said.

    What the sequences do prove, WHO officials said, is that China has more data that might relate to the origins of the pandemic that it has not yet shared with the rest of the world.

    “This data could have, and should have, been shared three years ago,” Tedros said. “We continue to call on China to be transparent in sharing data and to conduct the necessary investigations and share results.

    “Understanding how the pandemic began remains a moral and scientific imperative.”

    CNN has reached out to the Chinese scientists who first analyzed and shared the data, but has not received a reply.

    The Chinese researchers, who are affiliated with that country’s Center for Disease Control and Prevention, had shared their own analysis of the samples in 2022. In that preprint study posted last year, they concluded that “no animal host of SARS-CoV2 can be deduced.”

    The research looked at 923 environmental samples taken from within the seafood market and 457 samples taken from animals, and found 63 environmental samples that were positive for the virus that causes Covid-19. Most were taken from the western end of the market. None of the animal samples, which were taken from refrigerated and frozen products for sale, and from live, stray animals roaming the market, were positive, the Chinese authors wrote in 2022.

    When they looked at the different species of DNA represented in the environmental samples, the Chinese authors only saw a link to humans, but not other animals.

    When an international team of researchers recently took at fresh look at the genetic material in the samples – which were swabbed in and around the stalls of the market – using an advanced genetic technique called metagenomics, scientists said they were surprised to find a significant amount of DNA belonging to raccoon dogs, a small animal related to foxes. Raccoon dogs can be infected with the virus that causes Covid-19 and have been high on the list of suspected animal hosts for the virus.

    “What they found is molecular evidence that animals were sold at that market. That was suspected, but they found molecular evidence of that. And also that some of the animals that were there were susceptible to SARS-CoV2 infection, and some of those animals include raccoon dogs,” said Maria Van Kerkhove, WHO’s technical lead for Covid-19, in Friday’s briefing.

    “This doesn’t change our approach to studying the origins of Covid-19. It just tells us that more data exists, and that data needs to be shared in full,” she said.

    Van Kerkhove said that until the international scientific community is able to review more evidence, “all hypotheses remain on the table.”

    Some experts found the new evidence persuasive, if not completely convincing, of an origin in the market.

    “The data does point even further to a market origin,” Andersen, the Scripps Research evolutionary biologist who attended the WHO meeting and is one of the scientists analyzing the new data, told the magazine Science.

    The assertions made over the new data quickly sparked debate in the scientific community.

    Francois Balloux, director of the Genetics Institute at University College London, said the fact that the new analysis had not yet been publicly posted for scientists to scrutinize, but had come to light in news reports, warranted caution.

    “Such articles really don’t help as they only polarise the debate further,” Balloux posted in a thread on Twitter. “Those convinced by a zoonotic origin will read it as final proof for their conviction, and those convinced it was a lab leak will interpret the weakness of the evidence as attempts of a cover-up.”

    Other experts, who were not involved in the analysis, said the data could be key to showing the virus had a natural origin.

    Felicia Goodrum is an immunobiologist at the University of Arizona, who recently published a review of all available data for the various theories behind the pandemic’s origin.

    Goodrum says the strongest proof for a natural spillover would be to isolate the virus that causes Covid-19 from an animal that was present in the market in 2019.

    “Clearly, that is impossible, as we cannot go back in time any more than we have through sequencing, and no animals were present at the time sequences could be collected. To me, this is the next best thing,” Goodrum said in an email to CNN.

    In the WHO briefing, Van Kerkhove said that the Chinese CDC researchers had uploaded the sequences to GISAID as they were updating their original research. She said their first paper is in the process of being updated and resubmitted for publication.

    “We have been told by GISAID that the data from China’s CDC is being updated and expanded,” she said.

    Van Kerkhove said on Friday that what WHO would like to be able to do is to find the source of where the animals came from. Were they wild? Were they farmed?

    She said in the course of its investigation into the pandemic’s origins, WHO had repeatedly asked China for studies to trace the animals back to their source farms. She said WHO had also asked for blood tests on people who worked in the market, as well as tests on animals that may have come from the farms.

    “Share the data,” Dr. Mike Ryan, executive director of WHO’s health emergencies program, said Friday, addressing scientists around the world who might have relevant information. “Let science do the work, and we will get the answers.”

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  • Chinese billionaire arrested and charged in alleged fraud conspiracy that bilked investors of more than $1 billion | CNN Politics

    Chinese billionaire arrested and charged in alleged fraud conspiracy that bilked investors of more than $1 billion | CNN Politics

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    New York
    CNN
     — 

    Chinese billionaire and proclaimed dissident Guo Wengui was arrested Wednesday and charged with defrauding thousands of followers out of more than $1 billion through complex investment schemes, US prosecutors announced Wednesday.

    Guo, a staunch critic of the Chinese government who is exiled in Manhattan and close to former Donald Trump adviser Steve Bannon, was taken into custody in New York on Wednesday morning. He is charged with defrauding or misappropriating investor money using different schemes, including his media company GTV Media Group, a farm loan program through Himalaya Farm Alliance, and a cryptocurrency called Himalaya Coin.

    Guo is also known as Ho Wan Kwok and Miles Guo.

    Prosecutors said instead of using the money the way he promised potential investors, Guo directed the funds to invest in a hedge fund to benefit GTV and a relative, to cover the maintenance payments for his $37 million, 145-foot luxury yacht, a New Jersey mansion and a custom-built Bugatti sports car valued at $4.4 million. Prosecutors said in a letter to the judge that they are seeking his detention, arguing he poses a serious risk of flight.

    CNN has reached out to Guo’s lawyer for comment.

    Guo co-founded two nonprofit organizations, the Rule of Law Foundation and the Rule of Law Society, that prosecutors allege he used to attract a following who believed in many of his ideas.

    Those nonprofits were linked to a group promoting the theory that the novel coronavirus was likely engineered in a Chinese lab. The Rule of Law organizations were co-founded by Guo and Bannon.

    Bannon has not been charged in this case.

    Bannon was arrested in 2020 on Guo’s yacht on unrelated fraud charges stemming from a border wall fundraising effort. Bannon was pardoned by Trump but indicted on similar state charges. Bannon has pleaded not guilty.

    50,000 square foot New Jersey mansion owned by Guo Wengui, according to the US Justice Department.

    Prosecutors said they have seized $634 million from 21 bank accounts and a Lamborghini Aventador SVJ Roadster.

    In addition to criminal charges of conspiracy, wire fraud, securities fraud, international money laundering and obstruction of justice, Guo was also sued by the Securities and Exchange Commission.

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  • Chinese city proposes lockdowns for flu — and faces a backlash | CNN

    Chinese city proposes lockdowns for flu — and faces a backlash | CNN

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    Hong Kong
    CNN
     — 

    A Chinese city has sparked a backlash on social media after saying it would consider the use of lockdowns in the event of an influenza outbreak.

    The city of Xi’an – a tourism hotspot in Shaanxi province that is home to the famous terracotta warriors – revealed an emergency response plan this week that would enable it to shut schools, businesses and “other crowded places” in the event of a severe flu epidemic.

    That prompted a mixture of anxiety and anger on China’s social media websites among many users who said the plan sounded uncomfortably similar to some of the strict zero-Covid measures China had implemented throughout the pandemic and which have only recently been abandoned.

    “Vaccinate the public rather than using such time to create a sense of panic,” one user wrote on Weibo, China’s equivalent of Twitter.

    “How will people not panic given that Xi’an’s proposal to suspend work and business activities were issued without clear instruction on the national level to classify the disease?” asked another.

    While cases of Covid in China are falling, there has been a spike in flu cases across the country and some pharmacies are struggling to meet demand for flu remedies.

    However, Xi’an’s emergency response plan will not necessarily be used. Rather, it outlines how the city of almost 13 million people would respond to any future outbreak based on four levels of severity.

    At the first and highest level, it says, “the city can lock down infected areas, carry out traffic quarantines and suspend production and business activities. Shopping malls, theaters, libraries, museums, tourist attractions and other crowded places will also be closed.”

    “At this emergency level, schools and nurseries at all levels would be shut down and be made responsible for tracking students’ and infants’ health conditions.”

    The backlash comes as the central government in Beijing has emphasized the need to open the country back up following the removal of all Covid restrictions in January.

    Throughout the pandemic, China had enforced some of the world’s most severe Covid restrictions, including lockdowns that stretched into months in some cities. It was also one of the last countries in the world to end measures such as mass testing and strict border quarantine periods, even amid growing evidence of the damage being done to its economy.

    Xi’an itself was subject to a draconian lockdown between December 2021 and January 2022, with 13 million residents confined to their homes for weeks on end – and many left short of food and other essential supplies. Access to medical services was also affected. In an incident that shocked and angered the nation, a heavily pregnant woman was turned away from a hospital on New Year’s Day because she didn’t have a valid Covid-19 test, and suffered a miscarriage after she was finally admitted two hours later.

    Residents take nucleic acid tests in a closed community in Xi'an in January 2022.

    Shortly before China removed its pandemic era restrictions the country had been rocked by a series of demonstrations against its zero-Covid policy.

    Memories of being confined to their homes and of panic buying that in some areas led to food shortages remain fresh in people’s minds and the idea of a return to Covid-style measures appears to have hit a nerve.

    However, some voices called for calm.

    Epidemiologist Ben Cowling, from the University of Hong Kong’s School of Public Health, said he saw the rationale of the move.

    “I think it’s quite rational to make contingency plans. I wouldn’t expect a lockdown to be needed for flu, but presumably there are different response levels,” he said.

    One user on Weibo expressed a similar sentiment: “It is merely the revelation of a proposal, not putting it in place. It is quite normal to take precautions given this wave of flu is coming at us very strong.”

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  • Chinese city claims to have destroyed 1 billion pieces of personal data collected for Covid control | CNN

    Chinese city claims to have destroyed 1 billion pieces of personal data collected for Covid control | CNN

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    Hong Kong
    CNN
     — 

    A Chinese city says it has destroyed a billion pieces of personal data collected during the pandemic, as local governments gradually dismantle their coronavirus surveillance and tracking systems after abandoning the country’s controversial zero-Covid policy.

    Wuxi, a manufacturing hub on China’s eastern coast and home to 7.5 million people, held a ceremony Thursday to dispose of Covid-related personal data, the city’s public security bureau said in a statement on social media.

    The one billion pieces of data were collected for purposes including Covid tests, contact tracing and the prevention of imported cases – and they were only the first batch of such data to be disposed, the statement said.

    China collects vast amounts of data on its citizens – from gathering their DNA and other biological samples to tracking their movements on a sprawling network of surveillance cameras and monitoring their digital footprints.

    But since the pandemic, state surveillance has pushed deeper into the private lives of Chinese citizens, resulting in unprecedented levels of data collection. Following the dismantling of zero-Covid restrictions, residents have grown concerned over the security of the huge amount of personal data stored by local governments, fearing potential data leaks or theft.

    Last July, it was revealed that a massive online database apparently containing the personal information of up to one billion Chinese citizens was left unsecured and publicly accessible for more than a year – until an anonymous user in a hack forum offered to sell the data and brought it to wider attention.

    In the statement, Wuxi officials said “third-party audit and notary officers” would be invited to take part in the deletion process, to ensure it cannot be restored. CNN cannot independently verify the destruction of the data.

    Wuxi also scrapped more than 40 local apps used for “digital epidemic prevention,” according to the statement.

    During the pandemic, Covid apps like these dictated social and economic life across China, controlling whether people could leave their homes, where they could travel, when businesses could open and where goods could be transported.

    But following the country’s abrupt exit from zero-Covid in December, most of these apps faded from daily life.

    On December 12, China scrapped a nationwide mobile tracking app that collected data on users’ travel movements. But many local pandemic apps run by the municipal or provincial governments, such as the ubiquitous Covid health code apps, have remained in place – although they are no longer in use.

    Wuxi claims to be the first municipality in China to have destroyed Covid-related personal data from citizens. On Weibo, China’s Twitter-like platform, users called for other local governments to follow suit.

    Yan Chunshui, deputy head of Wuxi’s big data management bureau, said the disposal was meant to better protect citizens’ privacy, prevent data leaks and free up data storage space.

    Kendra Schaefer, the head of tech policy research at the Beijing-based consultancy Trivium China, said the data collection related to local-level Covid apps was often messy, and those apps were difficult and expensive to manage for local governments.

    “Considering the cost and difficulty managing such apps, coupled with concerns expressed by the public over data security and privacy – not to mention the political win local governments get by symbolically putting zero-Covid to bed – dismantling those systems is par for the course,” Schaefer said.

    In many cases, she added, the big data departments at local governments were overwhelmed dealing with Covid data, so scaling back simply makes sense economically.

    “Many cities have not yet deleted their Covid data – or have not done so publicly – not because I believe they intend to keep it, but because it simply hasn’t been that long since zero-Covid was halted,” Schaefer said.

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  • US agency assessment backing Covid lab leak theory raises more questions than answers — and backlash from China | CNN

    US agency assessment backing Covid lab leak theory raises more questions than answers — and backlash from China | CNN

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    Editor’s Note: A version of this story appeared in CNN’s Meanwhile in China newsletter, a three-times-a-week update exploring what you need to know about the country’s rise and how it impacts the world. Sign up here.


    Hong Kong
    CNN
     — 

    The US Department of Energy’s assessment that Covid-19 most likely emerged due to a laboratory accident in China has reignited fierce debate and attention on the question of how the pandemic began.

    But the “low confidence” determination, made in a newly updated classified report, has raised more questions than answers, as the department has publicly provided no new evidence to back the claim. It’s also generated fierce pushback from China.

    “We urge the US to respect science and facts, stop politicizing this issue, stop its intelligence-led, politics-driven origins-tracing,” a Chinese Foreign Ministry spokesperson said on Wednesday.

    The Department of Energy assessment is part of a broader US effort in which intelligence agencies were asked by President Joe Biden in 2021 to examine the origins of the coronavirus, which was first detected in the Chinese city of Wuhan.

    That overall assessment from the intelligence community was inconclusive, and then, as now, there has yet to be a decisive link established between the virus and a specific animal or other route – as China continues to stonewall international investigations into the origins of the virus.

    Four agencies and the National Intelligence Council assessed with low confidence that the virus likely jumped from animals to humans through natural exposure, while one assessed with moderate confidence that the pandemic was the result of a laboratory-related accident. Three other intelligence community elements were unable to coalesce around either explanation without additional information, according to a declassified version of the 2021 report.

    The majority of agencies remain undecided or lean toward the virus having a natural origin – a hypothesis also widely favored by scientists with expertize in the field. But the change from the US Department of Energy has now deepened the split in the intelligence community, especially as the director of the FBI this week commented publicly for the first time on his agency’s similar determination made with “medium confidence.”

    Intelligence agencies can make assessments with either low, medium or high confidence. A low confidence assessment generally means the information obtained is not reliable enough, or is too fragmented to make a more definitive judgment.

    And while the assessment and new commentary has pulled the theory back into the spotlight, neither agency has released evidence or information backing their determinations. That raises crucial questions about their basis – and shines the spotlight back on gaping, outstanding unknowns and need for further research.

    Hear FBI director remark on Covid lab leak theory

    Scientists largely believe the virus most likely emerged from a natural spillover from an infected animal to people, as many viruses before it, though they widely acknowledge the need for more research of all options. Many have also questioned the lack of data released to substantiate the latest claim.

    Virologist Thea Fischer, who in 2021 traveled to Wuhan as part of a World Health Organization (WHO) origins probe and remains a part of ongoing WHO tracing efforts, said it was “very important” that any new assessments related to the origin of the virus are documented by evidence.

    “(These are) strong accusations against a public research laboratory in China and can’t stand alone without substantial evidence,” said Fischer, a professor at the University of Copenhagen.

    “Hopefully they will share with the WHO soon so the evidence can be known and assessed by international health experts just as all other evidence concerning the pandemic origin.”

    A senior US intelligence official told the Wall Street Journal, which first reported the new Department of Energy assessment, that the update to the assessment was conducted in light of new intelligence, further study of academic literature and in consultation with experts outside government.

    The idea that the virus could have emerged from a lab accident became more prominent as a spotlight was turned on coronavirus research being done at local facilities, such as the Wuhan Institute of Virology. It was further enhanced amid a failure to find a “smoking gun” showing which animal could have passed the virus to people at Wuhan’s Huanan Seafood Wholesale Market – the location linked to a number of early known cases – amid limitations to follow-up research.

    Some experts who have been closely involved in examining existing information, however, are skeptical of the new assessment giving the theory more weight.

    “Given that so much of the data we have points to a spillover event occurring at the Huanan market in late 2019 I doubt there’s anything very significant in it or new information that would change our current understanding,” said David Robertson, a professor in the University of Glasgow’s School of Infection and Immunity, who was involved in recent research with findings that supported the natural origin theory.

    He noted that locations of early human cases centered on the market, positive environmental samples, and confirmation that live animals susceptible to the virus were for sale there are among evidence supporting the natural origins theory – while there’s no data supporting a lab leak.

    “The extent of this evidence continually gets lost (in media discussion) … when in fact we know a lot about what happened, and arguably more than other outbreaks,” he said.

    Security personnel stand guard outside the Wuhan Institute of Virology in Wuhan as members of the World Health Organization (WHO) team investigating the origins of the Covid-19 coronavirus make a visit on February 3, 2021.

    Efforts to understand how the pandemic started have been further complicated by China’s lack of transparency – especially as the origin question spiraled into another point of bitter contention within rising US-China tensions of recent years.

    Beijing has blocked robust, long-term international field investigations and refused to allow a laboratory audit, which could bring clarity, and been reticent to share details and data around domestic research to uncover the cause. However, it repeatedly maintains that it has been transparent and cooperative with the WHO.

    Chinese officials carefully controlled the single WHO-backed investigation it did allow on the ground in 2021, citing disease control measures to restrict visiting experts to their hotel rooms for half their trip and to prevent them from sharing meals with their Chinese counterparts – cutting off an opportunity for more informal information sharing.

    Citing data protection, Beijing has also declined to allow its own investigatory measures, like testing stored blood samples from Wuhan or combing through hospital data for potential “patient zeros,” to be verified by researchers outside the country.

    China has fiercely denied that the virus emerged from a lab accident, and has repeatedly tried to assert it could have arrived in the country for the initial outbreak from elsewhere – including a US laboratory, without offering any evidence supporting the claim.

    But a top WHO official as recently as last month publicly called for “more cooperation and collaboration with our colleagues in China to advance studies that need to take place in China”– including studies of markets and farms that could have been involved.

    “These studies need to be conducted in China and we need cooperation from our colleagues there to advance our understandings,” WHO technical lead for Covid-19 Maria Van Kerkhove said at a media briefing.

    When asked about the Department of Energy assessment by CNN, a WHO representative said the organization and its origins tracing advisory body “will keep examining all available scientific evidence that would help us advance the knowledge on the origin of SARS CoV 2 and we call on China and the scientific community to undertake necessary studies in that direction.”

    “Until we have more evidence all hypotheses are still on the table,” the representative said.

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  • Hong Kong scraps mask mandate after nearly three years | CNN

    Hong Kong scraps mask mandate after nearly three years | CNN

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    Hong Kong
    CNN
     — 

    Hong Kong, one of the last major international cities requiring face masks, on Tuesday announced it will end its controversial mandate nearly three years after it was enacted to prevent the spread of Covid-19.

    The mandate, enforced through fines that could reach more than $1,000, had required facial coverings in all public spaces including outdoors, indoors and public transport. At one point, it had even been mandatory while exercising outside.

    The rule came into effect on July 15, 2020, though the vast majority of people in the city had begun wearing masks months earlier as reports of coronavirus infections spread, leading to panic buying and shortages as early as January that year.

    The mandate will be fully lifted on Wednesday, the city’s leader John Lee said at a news briefing Tuesday.

    “We are now returning to normalcy,” Lee said, as the Asian financial hub launches a major push to welcome back business travelers and tourists.

    Hong Kong has rolled back several other major controls in recent months, most notably mandatory quarantine for all international arrivals, in a move anticipated to boost tourism.

    Speaking at the same news briefing, Health Secretary Lo Mau-chung said that with the lifting of the mask mandate, “We have now removed all epidemic restrictions.”

    “I’m looking forward to seeing a smile on everyone’s face now,” he said. However, he added, there are still some recommendations in place to wear masks at “high risk” areas such as elderly care homes and hospitals.

    Most other places in Asia have either fully or partially eased their mask mandates in recent months, including South Korea, Japan and Taiwan.

    The World Health Organization still recommends health workers wear masks, with Maria Van Kerkhove, technical lead of WHO’s Covid response, warning that the virus was “circulating pretty much unchecked around the world at the moment.”

    This is a developing story.

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  • US Energy Department assesses Covid-19 likely resulted from lab leak, furthering US intel divide over virus origin | CNN Politics

    US Energy Department assesses Covid-19 likely resulted from lab leak, furthering US intel divide over virus origin | CNN Politics

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    CNN
     — 

    The US Department of Energy has assessed that the Covid-19 pandemic most likely came from a laboratory leak in China, according to a newly updated classified intelligence report.

    Two sources said that the Department of Energy assessed in the intelligence report that it had “low confidence” the Covid-19 virus accidentally escaped from a lab in Wuhan.

    Intelligence agencies can make assessments with either low, medium or high confidence. A low confidence assessment generally means that the information obtained is not reliable enough or too fragmented to make a more definitive analytic judgment or that there is not enough information available to draw a more robust conclusion.

    The latest assessment further adds to the divide in the US government over whether the Covid-19 pandemic began in China in 2019 as the result of a lab leak or whether it emerged naturally. The various intelligence agencies have been split on the matter for years. In 2021, the intelligence community declassified a report that showed four agencies in the intelligence community had assessed with low confidence that the virus likely jumped from animals to humans naturally in the wild, while one assessed with moderate confidence that the pandemic was the result of a laboratory accident.

    Three other intelligence community elements were unable to coalesce around either explanation without additional information, the report said.

    The Wall Street Journal first reported on the new assessment from the Department of Energy. A senior US intelligence official told the Journal that the update to the intelligence assessment was conducted in light of new intelligence, further study of academic literature and in consultation with experts outside government.

    A Department of Energy spokesperson told CNN in a statement: “The Department of Energy continues to support the thorough, careful, and objective work of our intelligence professionals in investigating the origins of COVID-19, as the President directed.”

    The Department of Energy’s Office of Intelligence and Counterintelligence is one of 18 government agencies that make up the intelligence community, which are under the umbrella of the Office of the Director of National Intelligence.

    The Office of the Director of National Intelligence declined to comment.

    The latest intelligence assessment was provided to Congress as Republicans on Capitol Hill have been pushing for further investigation into the lab leak theory, while accusing the Biden administration of playing down its possibility.

    A spokesperson for House Oversight Chairman James Comer, a Kentucky Republican, said in a statement that the committee was “reviewing the classified information provided” by the Office of the Director of National Intelligence in response to a letter requesting information earlier this month.

    One of the sources said that the new assessment from the Department of Energy is similar to information from a House Republican Intelligence Committee report released last year on the origins of the virus.

    National security adviser Jake Sullivan said on CNN’s “State of the Union” on Sunday that the intelligence community remains divided on the matter, while noting that President Joe Biden has put resources into getting to the bottom of the origin question.

    “Right now, there is not a definitive answer that has emerged from the intelligence community on this question,” Sullivan told CNN’s Dana Bash. “Some elements of the intelligence community have reached conclusions on one side, some on the other. A number of them have said they just don’t have enough information to be sure.”

    Sullivan said Biden had directed the national laboratories, which are part of the Department of Energy, to be brought into the assessment.

    In May 2020, researchers at the government-backed Lawrence Livermore National Laboratory issued a classified report that found it was possible that the coronavirus escaped from a lab in Wuhan, which came at a time when that line of inquiry was considered taboo.

    The US began exploring the possibility that Covid-19 spread in a laboratory as early as April 2020, though the intelligence community has noted repeatedly that a lack of cooperation from Beijing has made it difficult to get to the bottom of the question.

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  • Covid shrunk the restaurant industry. That’s not changing anytime soon | CNN Business

    Covid shrunk the restaurant industry. That’s not changing anytime soon | CNN Business

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    New York
    CNN
     — 

    It’s never been easy to operate a restaurant, and in recent years it’s been even harder.

    In 2020, Covid restrictions ground the nation’s bustling restaurant industry to a halt. Since then, there have been significant signs of a rebound: Dining rooms have reopened and customers have returned to cafes, fine-dining establishments and fast food joints.

    But there are fewer US restaurants today than in 2019. It’s not clear when —if ever — they’re coming back.

    Last year, there were about 631,000 restaurants in the United States, according to data from Technomic, a restaurant research firm. That’s roughly 72,000 fewer than in 2019, when there were 703,000 restaurants in the country.

    That number could fall even further this year, to about 630,000 locations, according to Technomic, which doesn’t foresee the number of restaurants in the US returning to pre-Covid levels even by 2026.

    Sit-down restaurants, especially, are at a disadvantage as delivery and takeout remain popular. And with inflation still high, some potential customers are avoiding restaurants to save money. Meanwhile, restaurant operators are seeing their own costs, like rent and ingredients, rise, and say it’s hard to hire staff.

    With conditions so tough, some restaurant owners are advising newcomers to steer clear of the industry altogether.

    If someone were to ask David Nayfeld, chef and co-owner of the San Francisco restaurants Che Fico and Che Fico Alimentari, whether to open a new restaurant right now, his answer would be no.

    “I would say it is not a good time to go open a restaurant if you are not a seasoned and incredibly durable operator,” he said. Especially now, when restaurant operators need experience and deep pockets in order to succeed, he added.

    Even Nayfeld, himself an industry veteran who has worked at the famed Eleven Madison Park, is struggling. The pandemic led to “a really devastating few years that we’re still working our way out of,” he said.

    Some have argued that the contraction is a painful but necessary correction.

    “The narrative back pre-pandemic was that we were over-saturated … too many restaurants chasing too few consumer dollars,” said David Henkes, senior principal at Technomic.

    A restaurant stands empty and closed in Brooklyn, New York in 2020.

    Indeed, before the pandemic, the number of restaurants was growing between half a percent and one percent each year, he said, adding that the recent decline served to “reset” the size of the market. Without those hurdles, however, that decrease would likely have happened more slowly, he noted.

    Daniel Jacobs, a chef and restaurant owner, has seen his own network of restaurants shrink over the past few years.

    Prior to the pandemic, he and his business partner Dan Van Rite operated three restaurants and a bakery, plus a catering operation and restaurant consulting business. Today, they are left with two Milwaukee restaurants, DanDan and EsterEv.

    “Closing a restaurant is an incredibly difficult decision to make,” Jacobs said. “We did our best during the pandemic to try and keep our teams together … at some point, you just gotta call it.”

    Daniel Jacobs, chef and restaurant owner, and his business partner Dan Van Rite, in 2017.

    The rise of takeout and delivery during the pandemic helped multiple restaurants survive the pandemic.

    DanDan, a Chinese American restaurant, had offered takeout for years. The restaurant “had that customer confidence that we were going to deliver quality products,” he said.

    EsterEv is a tasting-menu-only restaurant within a restaurant (functionally, a dining room located inside DanDan) open only on weekends, and “definitely wouldn’t have [made it] if we had to pay rent on a space,” Jacobs said.

    The trend toward delivery and takeout has stuck, with restaurants reporting higher levels of off-premise orders. According to Revenue Management Solutions, a restaurant consultancy, delivery was up 11.4% in fast food and fast casual restaurants in January compared to last year.

    “We increasingly like to get our food on the go,” said David Portalatin, food service industry advisor for the NPD Group, a market research firm. “We’re still a more home-centric society.”

    Plus, sit-down restaurants tend to be more expensive, which could drive cash-strapped customers away, said Portalatin. Even with rising grocery prices, eating at home is generally less expensive than dining out, and restaurants last year saw their foot traffic dip.

    Full-service restaurants are also more labor intensive. That’s a problem right now, as restaurant owners report having a hard time hiring staff.

    Job openings in accommodation and food services rose by 409,000 in December, the largest increase by sector for the month, the Bureau of Labor Statistics said in February.

    Demand for workers marks a turnaround from early in the pandemic, when restaurants let go of millions of staffers. Some employees also left of their own volition during the pandemic, afraid of getting sick with Covid-19 or tired of dealing with grueling conditions and rude customers.

    People walk in front of a restaurant closed near Times Square on January 24, 2023 in New York City.

    Today, some of those workers haven’t returned, leaving operators struggling to restaff.

    “Fundamentally, the labor situation is one where … there’s just not enough supply of qualified workers,” Henkes said. “And restaurants are particularly vulnerable, because it’s never been the industry of choice for a lot of people.”

    Some restaurants, Henkes said, “are very cognizant that they need to improve the working experience and what they’re offering to employees,” he said. “But doing that at scale for an industry is very hard.”

    And, of course, some major employers are not interested in higher wages for workers.

    Chipotle, Starbucks, Chick-fil-A, McDonald’s and KFC-owner Yum Brands, for example, have each donated $1 million to Save Local Restaurants, a coalition opposing a California law that could set minimum wage up to $22 an hour and codify working conditions for fast-food employees in the state.

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  • Biden administration to soon release roadmap to transition out of Covid-19 public health emergency, sources say | CNN Politics

    Biden administration to soon release roadmap to transition out of Covid-19 public health emergency, sources say | CNN Politics

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    CNN
     — 

    The Biden administration is planning to roll out a roadmap as early as Thursday on what it will mean for the country when the Covid-19 public health emergency comes to an end later this year, according to a source familiar with the forthcoming announcement.

    The administration is supposed to come out soon with more details around the ending of the public health emergency declaration, another source close to the administration’s discussions told CNN.

    It will be for “the partners that have supported the response,” the source said.

    The White House announced last week that President Joe Biden intends to end the Covid-19 national and public health emergencies on May 11 – a decision that signals that the administration believes the Covid-19 pandemic is now squarely in a different stage than it has been over the past few years.

    The goal of the expected roadmap, one source said, is to try to lay out for the public in a clear way what the end of the declaration “does and does not mean,” including for various stakeholders like state health departments and Medicare and Medicaid beneficiaries.

    In Biden’s State of the Union address Tuesday night, he said that the United States has “broken Covid’s grip” on the nation.

    “Let’s also recognize how far we’ve come in the fight against the pandemic itself,” the President said. “While the virus is not gone, thanks to the resilience of the American people, we have broken Covid’s grip on us. Covid deaths are down nearly 90%. We’ve saved millions of lives and opened our country back up. And soon we’ll end the public health emergency.”

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  • More than 400 products including breakfast sandwiches and fruit cups recalled due to possible Listeria contamination | CNN

    More than 400 products including breakfast sandwiches and fruit cups recalled due to possible Listeria contamination | CNN

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    CNN
     — 

    More than 400 food products sold under dozens of brand names were recalled due to possible Listeria contamination, the US Food and Drug Administration announced Friday.

    The recall by Fresh Ideation Food Group LLC includes ready-to-eat sandwiches, salads, yogurts, wraps and other products sold in nine states and Washington, DC, from January 24 through January 30.

    The Baltimore company said Friday that no illnesses have been reported so far.

    “The recall was initiated after the company’s environmental samples tested positive for Listeria monocytogenes,” Fresh Ideation Food Group said in its recall announcement.

    Eating Listeria-contaminated food can cause a serious infection that can lead to symptoms including fever, headache, diarrhea and vomiting, according to the US Centers for Disease Control and Prevention.

    It’s most likely to sicken pregnant women and their newborns, adults aged 65 or older, and people with weakened immune systems, according to the CDC. “An estimated 1,600 people get listeriosis each year, and about 260 die,” the agency says.

    The recalled foods were distributed in Connecticut, the District of Columbia, Maryland, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina and Virginia, according to the FDA.

    The products – which included items like bacon, egg and cheddar muffins, breakfast croissants, tuna and chicken sandwiches, and fruit cups – were sold in stores, vending machines and by transportation providers, according to the company.

    “All recalled products have a Fresh Creative Cuisine label and/or identifier on the bottom of the label with the Fresh Creative Cuisine name and a fresh through or sell through date ranging from January 31, 2023 through February 6, 2023,” the company said.

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  • CDC advises against using EzriCare eye drops as it investigates dozens of infections and one death in 11 states | CNN

    CDC advises against using EzriCare eye drops as it investigates dozens of infections and one death in 11 states | CNN

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    CNN
     — 

    The US Centers for Disease Control and Prevention is urging health care providers and consumers to stop using EzriCare Artificial Tears as it conducts an investigation into at least 50 infections in 11 states that have led to instances of permanent vision loss, hospitalization and one death.

    Most of the people with these infections reported using artificial tears, and EzriCare was the most common brand, the agency says. These eye drops are preservative-free, meaning they don’t have ingredients to prevent bacterial growth.

    Testing of open EzriCare bottles identified Pseudomonas aeruginosa bacteria that were resistant to carbapenem antibiotics as well as the antibiotics ceftazidime and cefepime. Testing of unopened bottles is ongoing, the CDC says.

    “CDC recommends that clinicians and patients immediately discontinue the use of EzriCare Artificial Tears until the epidemiological investigation and laboratory analyses are complete,” the agency says.

    New Jersey-based EzriCare says in a statement dated January 24 that it has not received any consumer complaints or adverse event reports.

    “We have not been asked to conduct a recall. EzriCare does not manufacture the Lubricant Eye Drops,” the statement says.

    “Nevertheless, and in an abundance of caution, EzriCare recommends that during this evolving situation you discontinue use of any portions of EzriCare Artificial Tears Lubricant Eye Drops you may have until we can discover more details about any potential safety concerns.”

    Pseudomonas bacteria are common in the environment, such as in soil and water. Pseudomonas aeruginosa is usually spread in health care settings, the CDC says, and is increasingly difficult to treat because of antibiotic resistance. It caused more than 32,000 infections in hospitalized patients and about 2,700 deaths in the US in 2017.

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  • Biden intends to end Covid-19 and public health emergencies on May 11 | CNN Politics

    Biden intends to end Covid-19 and public health emergencies on May 11 | CNN Politics

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    CNN
     — 

    President Joe Biden intends to end the Covid-19 national and public health emergencies on May 11, the White House said Monday.

    The White House, in a statement of administration policy announcing opposition to two Republican measures to end the emergencies, said the national emergency and public health emergency authorities declared in response to the pandemic would each be extended one final time to May 11.

    “This wind down would align with the Administration’s previous commitments to give at least 60 days’ notice prior to termination of the (public health emergency),” the statement said.

    The statement added, “To be clear, continuation of these emergency declarations until May 11 does not impose any restriction at all on individual conduct with regard to COVID-19. They do not impose mask mandates or vaccine mandates. They do not restrict school or business operations. They do not require the use of any medicines or tests in response to cases of COVID-19.”

    The statement came in response to a pair of measures before the House that would end the public health emergency and the Covid-19 national emergency.

    The White House weighed in because House Democrats were concerned about voting against the Republican legislation to end the public health emergency that is coming to the floor this week without a plan from the Biden administration, a senior Democratic aide told CNN.

    “Democrats were concerned about the optics of voting against Republicans winding down the public health emergency, absent an understanding of whether and how we intended to do so from the White House,” the aide said. “As soon as we saw this bill, it obviously concerns the White House. So, it was important for them to weigh in.”

    The administration argues that the bills are unnecessary because it intends to end the emergencies anyway. The White House also noted the passage of the measures ahead of May 11 would have unintended consequences, such as disrupting the administration’s plans for ending certain policies that are authorized by the emergencies.

    The White House said it would extend the Covid-19 emergencies one final time in order to ensure an orderly wind-down of key authorities that states, health care providers and patients have relied on throughout the pandemic.

    A White House official pointed to a successful vaccination campaign and reductions in Covid cases, hospitalizations and deaths as a rationale for lifting the emergency declarations. The official said a final extension will allow for a smooth transition for health care providers and patients and noted that health care facilities have already begun preparing for that transition.

    The administration is actively reviewing flexible policies that were authorized under the public health emergency to determine which can remain in place after it is lifted on May 11.

    The aide told CNN that it will be up to every member to decide what is best for their district and how they will vote on the legislation this week. Declaring an end to the public health emergency will also end the border restriction known as Title 42, which will also likely set up a showdown on Capitol Hill.

    The public health emergency has enabled the government to provide many Americans with Covid-19 tests, treatments and vaccines at no charge, as well as offer enhanced social safety net benefits, to help the nation cope with the pandemic and minimize its impact.

    “People will have to start paying some money for things they didn’t have to pay for during the emergency,” said Jen Kates, senior vice president at the Kaiser Family Foundation. “That’s the main thing people will start to notice.”

    Most Americans covered by Medicare, Medicaid and private insurance plans have been able to obtain Covid-19 tests and vaccines at no cost during the pandemic. Those covered by Medicare and private insurance have been able to get up to eight at-home tests per month from retailers at no charge. Medicaid also picks up the cost of at-home tests, though coverage can vary by state.

    Those covered by Medicare and Medicaid have also had certain therapeutic treatments, such as monoclonal antibodies, fully covered.

    Once the emergency ends, Medicare beneficiaries generally will face out-of-pocket costs for at-home testing and all treatment. However, vaccines will continue to be covered at no cost, as will testing ordered by a health care provider.

    State Medicaid programs will have to continue covering Covid-19 tests ordered by a physician and vaccines at no charge. But enrollees may face out-of-pocket costs for treatments.

    Those with private insurance could face charges for lab tests, even if they are ordered by a provider. Vaccinations will continue to be free for those with private insurance who go to in-network providers, but going to an out-of-network providers could incur charges.

    Covid-19 vaccinations will be free for those with insurance even when the public health emergency ends because of various federal laws, including the Affordable Care Act and pandemic-era measures, the Inflation Reduction Act and a 2020 relief package.

    Americans with private insurance have not been charged for monoclonal antibody treatment since they were prepaid by the federal government, though patients may be charged for the office visit or administration of the treatment. But that is not tied to the public health emergency, and the free treatments will be available until the federal supply is exhausted. The government has already run out of some of the treatments so those with private insurance may already be picking up some of the cost.

    The uninsured had been able to access no-cost testing, treatments and vaccines through a different pandemic relief program. However, the federal funding ran out in the spring of 2022, making it more difficult for those without coverage to obtain free services.

    The federal government has been preparing to shift Covid-19 care to the commercial market since last year, in part because Congress has not authorized additional funding to purchase additional vaccines, treatments and tests.

    Pfizer and Moderna have already announced that the commercial prices of their Covid-19 vaccines will likely be between $82 and $130 per dose – about three to four times what the federal government has paid, according to Kaiser.

    The public health emergency has also meant additional funds for hospitals, which have been receiving a 20% increase in Medicare’s payment rate for treating Covid-19 patients.

    Also, Medicare Advantage plans have been required to bill enrollees affected by the emergency and receiving care at out-of-network facilities the same as if they were at in-network facilities.

    This will end once the public health emergency expires.

    But several of the most meaningful enhancements to public assistance programs are no longer tied to the public health emergency. Congress severed the connection in December as part of its fiscal year 2023 government funding package.

    Most notably, states will now be able to start processing Medicaid redeterminations and disenrolling residents who no longer qualify, starting April 1. They have 14 months to review the eligibility of their beneficiaries.

    As part of a Covid-19 relief package passed in March 2020, states were barred from kicking people off Medicaid during the public health emergency in exchange for additional federal matching funds. Medicaid enrollment has skyrocketed to a record 90 million people since then, and millions are expected to lose coverage once states began culling the rolls.

    A total of roughly 15 million people could be dropped from Medicaid when the continuous enrollment requirement ends, according to an analysis the Department of Health and Human Services released in August. About 8.2 million folks would no longer qualify, but 6.8 million people would be terminated even though they are still eligible, the department estimated.

    Many who are disenrolled from Medicaid, however could qualify for other coverage.

    Food stamp recipients had been receiving a boost during the public health emergency. Congress increased food stamp benefits to the maximum for their family size in a 2020 pandemic relief package.

    The Biden administration expanded the boost in the spring of 2021 so that households already receiving the maximum amount and those who received only a small monthly benefit get a supplement of at least $95 a month.

    This extra assistance will end as of March, though several states have already stopped providing it.

    Congress, however, extended one set of pandemic flexibilities as part of the government funding package.

    More Medicare enrollees are able to get care via telehealth during the public health emergency. The service is no longer limited just to those living in rural areas. They can conduct the telehealth visit at home, rather than having to travel to a health care facility. Plus, beneficiaries can use smartphones and receive a wider array of services via telehealth.

    These will now continue through 2024.

    This story has been updated with additional details.

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  • Trump takes aim at DeSantis in first major campaign swing, says he’s trying to ‘rewrite history’ on his Covid-19 record | CNN Politics

    Trump takes aim at DeSantis in first major campaign swing, says he’s trying to ‘rewrite history’ on his Covid-19 record | CNN Politics

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    CNN
     — 

    Former President Donald Trump took aim at Ron DeSantis Saturday, claiming the Florida governor and his team are “trying to rewrite history” regarding their Covid-19 pandemic response, and called the potential presidential run by his GOP rival “very disloyal.”

    “There are Republican governors that did not close their states,” Trump told reporters while aboard his plane. “Florida was closed for a long period of time.”

    “They’re trying to rewrite history,” he added. CNN has reached out to DeSantis for comment.

    In March 2020, the Florida governor issued an executive order closing bars and nightclubs, urging people to follow US Centers for Disease Control and Prevention guidelines to limit gatherings on beaches to no more than 10 people. By that September, DeSantis signed an order clearing restaurants and bars to fully open, which drew criticism from public health officials due to the Covid-19 spike that fall.

    Trump defended his management of the pandemic, saying he left decisions to governors.

    “I had governors that decided not to close a thing and that was up to them,” he said. The former president also took aim at DeSantis’ shifting posture on vaccines, saying the Florida governor had “changed his tune a lot.”

    That claim comes after DeSantis called on state lawmakers this month to make permanent existing penalties for companies that require all employees get the Covid-19 vaccination.

    The rivalry with Trump hangs over every move DeSantis makes. Their relationship traces back to the governor’s 2018 primary campaign, when an endorsement from Trump helped the little-known congressman win the nomination. A viral ad featuring DeSantis and his family, including two young children, highlighted his allegiance to Trump.

    But as talk of 2024 swirled in recent months, as Trump again declared his presidential candidacy, and DeSantis won re-election in a 19-point landslide in November, the pair grew increasingly at odds. Before and after the midterm election, Trump derided DeSantis as an “average governor” and mocked him with the would-be nickname, “Ron DeSanctimonious.”

    On Saturday, during his first major campaign swing to New Hampshire and South Carolina, Trump took credit again for helping elevate DeSantis during his 2018 bid for governor, saying “Ron would have not been governor if it wasn’t for me.”

    “So when I hear he might run, I consider that very disloyal,” Trump said.

    While taking aim at DeSantis, Trump told reporters aboard his plane that Nikki Haley – who served as his ambassador to the United Nations – called him in recent days to inform him that she is considering launching a 2024 presidential bid.

    “I talked to her for a little while, I said, ‘Look, you know, go by your heart if you want to run,’” Trump said. “She’s publicly said that ‘I would never run against my president, he was a great president.’”

    Trump said he told Haley that she “should do it.”

    Haley, who recently relocated her top aides to Charleston, is said to be weighing the timing of a campaign launch at this point, not wanting to be the first one to take on Trump by herself. In 2021, she said she would not challenge Trump if he ran again for the White House in 2024.

    CNN has reached out to Haley for comment.

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