ReportWire

Tag: public health

  • Regular use of common cholesterol-lowering drug linked to reduction of COVID-19 severity, risk of death

    Regular use of common cholesterol-lowering drug linked to reduction of COVID-19 severity, risk of death

    [ad_1]

    NEW ORLEANS — Commonly used cholesterol-lowering statins may reduce the risk of death and severity of COVID-19 disease, suggests a study of more than 38,000 patients being presented at the ANESTHESIOLOGY® 2022 annual meeting.

    “While there is no ‘magic bullet’ to help patients who are very ill with COVID-19, statins decrease inflammation, which may help reduce the severity of the disease,” said Ettore Crimi, M.D., MBA, lead author of the study and professor of anesthesiology and critical care medicine, University of Central Florida, Orlando. “Results of our study clearly showed regular statin use is associated with reduced risk of death and improved outcomes in hospitalized COVID-19 patients.”

    The retrospective study is one of the most extensive of regular statin use in patients with COVID-19. Researchers analyzed the electronic medical records of 38,875 patients hospitalized for COVID-19 at 185 hospitals in the United States between Jan. 1 and Sept. 30, 2020. Of those patients, 30% regularly used statins to treat high cholesterol. Statin users had a 37% lower risk of dying from COVID-19 than those who didn’t use statins. In addition, regular statin users were significantly less likely to be discharged to hospice, be admitted to the intensive care unit (ICU) or develop blood clots. They also had shorter hospital stays and spent less time on a ventilator. 

    While COVID-19 itself causes inflammation, in some cases the immune system creates further inflammation by responding too aggressively to the infection. This extreme reaction causes much of the damage to the body, including difficulty breathing and damage to the lungs, kidneys, heart, brain and vascular system. The anti-inflammatory actions of statins “cool the process” so that the disease is not as severe, Dr. Crimi said.

    One in four Americans over the age of 40 take statins to lower their cholesterol and reduce their risk of heart attack, stroke and other cardiovascular diseases, according to the American Heart Association, making them one of the most commonly prescribed drugs.

    “This research illustrates the importance of evaluating medications that could be repurposed to help patients in ways other than their intended use,” said Dr. Crimi. “Our results suggest statins could be an additional cost-effective solution against COVID-19 disease severity and should be studied further.”

    THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS

    Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 55,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves. 

    For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/MadeforThisMoment. Join the ANESTHESIOLOGY® 2022 social conversation today. Like ASA on Facebook, follow ASALifeline on Twitter and use the hashtag #ANES22.

    # # #

    [ad_2]

    American Society of Anesthesiologists (ASA)

    Source link

  • Pfizer says COVID-19 vaccine will cost $110-$130 per dose

    Pfizer says COVID-19 vaccine will cost $110-$130 per dose

    [ad_1]

    Pfizer will charge $110 to $130 for a dose of its COVID-19 vaccine once the U.S. government stops buying the shots, but the drugmaker says it expects many people will continue receiving it for free.

    Pfizer executives said the commercial pricing for adult doses could start early next year, depending on when the government phases out its program of buying and distributing the shots.

    The drugmaker said it expects that people with private health insurance or coverage through public programs like Medicare or Medicaid will pay nothing. The Affordable Care Act requires insurers to cover many recommended vaccines without charging any out-of-pocket expenses.

    A spokesman said the company also has an income-based assistance program that helps eligible U.S. residents with no insurance get the shots.

    The price would make the two-dose vaccine more expensive for cash-paying customers than annual flu shots. Those can range in price from around $50 to $95, depending on the type, according to CVS Health, which runs one of the nation’s biggest drugstore chains.

    A Pfizer executive said Thursday that the price reflects increased costs for switching to single-dose vials and commercial distribution. The executive, Angela Lukin, said the price was well below the thresholds “for what would be considered a highly effective vaccine.”

    The drugmaker said last year that it was charging the U.S. $19.50 per dose, and that it had three tiers of pricing globally, depending on each country’s financial situation. In June, the company said the U.S. government would buy an additional 105 million doses in a deal that amounted to roughly $30 per shot. The government has the option to purchase more doses after that.

    Pfizer’s two-shot vaccine debuted in late 2020 and has been the most common preventive shot used to fight COVID-19 in the U.S.

    More than 375 million doses of the original vaccine, which Pfizer developed with the German drugmaker BioNTech, have been distributed in the U.S., according to the Centers for Disease Control and Prevention.

    That doesn’t count another 12 million doses of an updated booster that was approved earlier this year.

    The vaccine brought in $36.78 billion in revenue last year for Pfizer and was the drugmaker’s top-selling product.

    Analysts predict that it will rack up another $32 billion this year, according to FactSet. But they also expect sales to fall rapidly after that.

    More than 90% of the adult U.S. population has already received at least one dose of COVID-19 vaccine, according to the CDC. But only about half that population has also received a booster dose.

    ———

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

    [ad_2]

    Source link

  • Neither Pfizer nor the government ever claimed to have conducted studies on the vaccine’s effect on transmission in its original clinical trials

    Neither Pfizer nor the government ever claimed to have conducted studies on the vaccine’s effect on transmission in its original clinical trials

    [ad_1]

    Fact Check By:
    Newswise

    Truthfulness: False

    Claim:

    In COVID hearing, #Pfizer director admits: #vaccine was never tested on preventing transmission.
    “Get vaccinated for others” was always a lie.
    The only purpose of the #COVID passport: forcing people to get vaccinated.

    Claim Publisher and Date: Rob Roos MEP on 2022-10-11

    Rob Roos, an Dutch member of the European Parliament with a history of reiterating conservative talking points, claimed that the Pfizer director admitted that their COVID-19 vaccine was never tested on preventing transmission. On the show Tucker Carlson Tonight, Roos claimed that the delivery of the vaccine was “one of the greatest scandals of our time.” Many anti-vaccine advocates are sharing this news on social media under the hashtag #PfizerGate. The tweet and video have been shared by over 30k. The post implies both the company and public health officials misled the public in order to increase vaccination rates.

    The claim is rated false.  Pfizer didn’t claim to have tested its COVID-19 vaccine’s ability to prevent transmission, and this information was clearly available in press releases published by the European Medicines Agency as well as the published study containing results from Pfizer’s clinical trials. In fact, when the FDA announced the emergency authorization of the Pfizer COVID vaccine back in December 2020, they stated, “at this time, data are not available to make a determination about how long the vaccine will provide protection, nor is there evidence that the vaccine prevents transmission of SARS-CoV-2 from person to person.” The COVID-19 vaccine clinical trials were designed to study the vaccine’s safety and efficacy in preventing symptomatic disease, not transmission. 

    Katie Foss, Associate Director of Middle Tennessee State University’s School of Journalism and Strategic Media and author of Constructing the Outbreak responds to the claim:

    Epidemics in Media and Collective Media counters Roos’ claim and contextualizes how COVID-19  vaccine efficacy can be more accurately communicated in the media. “The downside of our digital landscape is that complex concepts can easily be reduced to sound bites and social media posts. These are then used out of context to make false claims, significantly undermining immunization campaigns. The important takeaway from COVID messaging is not that vaccinated people won’t contract the virus, but that they are far less likely to get seriously ill or die from the disease,” explains Foss.

     

    [ad_2]

    Newswise

    Source link

  • Covid-19 vaccines will be on the 2023 vaccine schedule, but that doesn’t mean they’re required in schools | CNN

    Covid-19 vaccines will be on the 2023 vaccine schedule, but that doesn’t mean they’re required in schools | CNN

    [ad_1]



    CNN
     — 

    Covid-19 vaccines will be part of recommended immunization schedules in 2023 for both children and adults, after a unanimous vote by the US Centers for Disease Control and Prevention’s independent Advisory Committee on Immunization Practices.

    That doesn’t make the vaccines mandatory for anyone, a point that was emphasized in a discussion before Thursday’s vote. The board members addressed concerns from the public that adding Covid-19 vaccinations to the schedule would force schools to require the shots.

    “We recognize that there is concern around this, but moving Covid-19 to the recommended immunization schedule does not impact what vaccines are required for school entrance, if any,” said Dr. Nirav Shah, a committee member and director of the Maine Center for Disease Control and Prevention.

    “Indeed, there are vaccines that are on the schedule right now that are not required for school attendance in many jurisdictions, such as seasonal influenza. Local control matters, and we honor that. The decision around school entrance for vaccines rests where it did before, which is with the state level, the county level and at the municipal level, if it exists at all. They are the arbiters of what vaccines are required, if any, for school entry. This discussion does not change that.”

    In fact, Covid-19 vaccines are explicitly banned from being included in school mandates in at least 20 states. Only California and the District of Columbia have announced that Covid-19 shots will be among mandated vaccinations for students, but those mandates were not implemented for this school year.

    It’s been nearly a year since eligibility for the Covid-19 vaccine was expanded to include everyone in the US 5 and older, but coverage among children still lags behind that of adults. Even as these vaccines and the related mandates have become highly politicized over the course of the pandemic, experts say vaccine hesitancy among parents isn’t new.

    Although the Covid-19 shot will not become mandatory for school, all 50 states do have laws requiring specific vaccines for students – most of which include shots for measles, mumps and rubella (MMR), diphtheria, tetanus and pertussis (DTaP) and varicella.

    Uptake for these vaccines, mandated by schools long before Covid-19, fell during the pandemic.

    In the 2020-21 school year, vaccination coverage for kindergarteners fell to less than 94% – dropping below the overall target of 95% that was set as an objective by the US Department of Health and Human Services in the Healthy People project for the first time in six years.

    A CNN analysis of the latest CDC data suggests that students in states with stricter school vaccine requirements are more likely to have their shots.

    All school immunization laws grant exemptions to children for specific medical reasons. But 44 states and Washington, DC, also grant religious exemptions, and 15 states allow philosophical or moral exemptions for children, according to the National Conference of State Legislatures.

    According to the CNN analysis, states that were stricter with exemptions were much more likely to still meet the 95% coverage target. In the 2020-21 school year, an average of about 96% of kindergarten students had their MMR vaccine in states that allowed only medical exemptions, compared with 92% of students in states that also allowed philosophical or moral exemptions.

    The full effect of the pandemic on children’s routine vaccination rates isn’t clear: It will be another few months before the CDC shares national data for compliance rates for mandatory vaccinations in the 2021-22 school year, and schools are in the midst of outreach and programming to ensure that as many students as possible will continue through the 2022-23 school year up to date on their vaccines.

    Correcting the drop in vaccination coverage in students will probably depend more on better access to care, information and outreach – and school vaccine mandates can help.

    With many people who are hesitant, it’s “because of something they’ve heard or something they’ve read,” said Dr. Jesse Hackell, a pediatrician who co-authored a clinical report about countering vaccine hesitancy in 2016. “Most people [who are hesitant] have a very free-floating worry about vaccines. It’s not specific in most cases.”

    A small share of parents – about 2% or 3% – are adamantly opposed to vaccines, and that rate has stayed mostly consistent over the years, said Hackell, who is also chair of the American Academy of Pediatrics Committee on Practice and Ambulatory Medicine.

    Overall vaccination coverage fell among kindergarteners in the 2020-21 school year, but the share of students who had an exemption also declined from 2.5% to 2.1%, according to CDC data. The rate has changed by less than 1 percentage point over the past 10 years.

    About 3% of kindergarteners in the US – about 120,000 students – were considered to be out of compliance with mandatory vaccines in the 2020-21 school year.

    “Mandates may not do anything to those people who would pull their kids out of public school,” Hackell said. “But the vast majority of parents are not opposed. They’re hesitant, or they’re uncertain. And when there’s pressure to do it for another reason, such as getting your kid into school, they come around.”

    Responsibility for enforcing vaccine mandates falls to the education system, and practices vary by state. Some students are ultimately turned away because they aren’t up to date, but most states offer provisional enrollment periods that allow kids to stay in school if they are in progress with at least one shot in a series or evidence of an upcoming appointment.

    According to the CDC, “school officials may prefer to keep students in school where they have access to education, safe supervision, nutrition, and social services while working with parents or guardians to get children vaccinated.”

    And many states do their best to help students stay up to date on their immunizations, with vaccination drives and direct followup with parents.

    “I think that the drop in the past year or two is partly pandemic-related,” Hackell said. “What we’re seeing, I think, is a little bit of a disparity between kids who have a medical home and have a private [doctor] versus kids who get their immunizations from a public source” like a school clinic.

    Mississippi is an impressive example of finding ways to keep child vaccination rates high, Hackell says. Public schools are the only option for many in the state, where poverty rates are higher than anywhere else in the US.

    Despite the large public need and additional resource struggles that the pandemic brought, 99% of kindergarteners in Mississippi met required vaccination coverage in the 2020-21 school year – better than any other state, according to the CDC.

    “They’ve done a tremendous job at that,” Hackell said, and it demonstrates the power of mandates. Mississippi is strict with exemptions – one of just six states allowing medical reasons only – and just 0.1% of kindergarteners were exempt in the 2020-21 school year.

    Hackell says he would be most concerned if he sees a sustained drop in vaccination rates for highly transmissible diseases, especially measles and polio. And he’s worried about pockets of low vaccination rates in certain communities.

    Schools are public spaces with a level of control, and 95% vaccination coverage is a goal with intent.

    “We know it’s never going to be 100% because there are some people who cannot medically be vaccinated. But if you have 95%, that means in any given school classroom of 30 kids, there might be one unvaccinated kid. And so if that child brings a case of something into the class, there’s nobody else to give it to,” he said. “It stops there with one case.”

    And when it comes to adding Covid-19 vaccines to the CDC’s recommended immunization schedule, the focus is still on public health – not on adding another requirement.

    “I’ve had parents who come in my office, and I say, ‘What are you here for?’ And they say, ‘Well, we’re here for vaccines so that our kids can go to school.’ And I’ve said, ‘OK, I understand that, but really I’m not vaccinating so you can go to school, I’m vaccinating because I want to prevent serious disease and death in your kids,’ ” Dr. Matthew Daley, an ACIP member and senior investigator with the Institute for Health Research at Kaiser Permanente Colorado, said at Thursday’s advisory meeting.

    “And the fact that there’s a school immunization requirement helps because it brought you into the office, but that’s not my goal. My goal is to prevent serious disease.”

    [ad_2]

    Source link

  • mRNA Vaccines Significantly Reduce Severity of Delta, Omicron COVID-19 Infections

    mRNA Vaccines Significantly Reduce Severity of Delta, Omicron COVID-19 Infections

    [ad_1]

    Newswise — People who have received two or three doses of an mRNA COVID-19 vaccine are significantly more likely to have milder illnesses if infected with the Delta or Omicron coronavirus variants than those who are unvaccinated, according to a nationwide study involving a team of University of Utah researchers.

    The study, which examined health care personnel, first responders and other frontline workers in Utah and five other states, builds on previous research that indicates mRNA vaccines provide protection against severe health outcomes associated with COVID-19 despite the variants’ increased transmissibility.

    “It’s encouraging that the mRNA vaccines hold up rather well against these variants,” said Sarang Yoon, D.O., associate professor in the Department of Family and Preventive Medicine at University of Utah Health. She is a study co-author who leads the Utah portion of the research and is part of the Rocky Mountain Center for Occupational and Environmental Health, a partnership between the University of Utah and Weber State University. “We know that breakthrough cases are more likely with Delta and Omicron than the initial strain, but the vaccines still do a good job of limiting the severity of the infection.”

    The study was published Tuesday in the Journal of the American Medical Association (JAMA). It is the latest of several peer-reviewed papers resulting from the nationwide HEROES-RECOVER project funded by the U.S. Centers for Disease Control and Prevention.

    Researchers examined 1,199 participants who developed COVID-19 infections. Of the participants, 24% were infected with Delta and 62% contracted Omicron, while 14% had the original virus strain.

    Delta highlights:

    • Participants who had received two vaccine doses were significantly less likely to be symptomatic than those who were unvaccinated (77.8% vs. 96.1%)
    • Symptomatic participants with a third dose were far less likely to experience fever or chills than those who were unvaccinated (38.5% vs. 84.9%) and experienced symptoms for an average of six fewer days (10.2 days vs. 16.4 days)

    Omicron highlights:

    • The risk of symptomatic infection was similar between participants with two vaccine doses and those who were unvaccinated, while those with three doses experienced a higher risk than the unvaccinated (88.4% vs. 79.4%)
    • Symptomatic participants with three doses were significantly less likely to experience fever or chills (51.5% vs 79%) or seek medical care (14.6% vs 24.7%) than the unvaccinated

    The authors noted that, while the study is among the largest of its kind examining COVID-19 vaccines over time and across variants, grouping participants by variant and vaccine status resulted in some combinations with relatively few people, affecting the precision of the findings. They also indicated that the study was not able to account for all factors influencing COVID-19 severity, which may skew the results. There were also results the authors characterized as “unexpected” among participants who received three doses and had symptomatic Omicron infections.

    Researchers gathered data between Dec. 14, 2020, and April 19, 2022. Participants submitted self-collected nasal swabs weekly regardless of COVID-19 symptoms, as well as at the beginning of experiencing signs of illness. Participants were excluded from the study if they had infections before the study start date, or if their infections occurred: sooner than 14 days after their second vaccine dose, sooner than seven days after their third dose or more than 149 days after their third dose.

    # # #

    Other co-authors associated with the University of Utah and Rocky Mountain Center for Occupational and Environmental Health include Kurt Hegmann, M.D.; Matthew Thiese, P.h.D; Andrew Phillips, M.D.; Jenna Praggastis, B.S.; and Matthew Bruner, B.S.

    About University of Utah Health

    University of Utah Health  provides leading-edge and compassionate care for a referral area that encompasses Idaho, Wyoming, Montana, and much of Nevada. A hub for health sciences research and education in the region, U of U Health has a $458 million research enterprise and trains the majority of Utah’s physicians and health care providers at its Colleges of Health, Nursing, and Pharmacy and Schools of Dentistry and Medicine. With more than 20,000 employees, the system includes 12 community clinics and five hospitals. U of U Health is recognized nationally as a transformative health care system and provider of world-class care.

    [ad_2]

    University of Utah Health

    Source link

  • Under Xi Jinping, zero-Covid is accelerating China’s surveillance state | CNN

    Under Xi Jinping, zero-Covid is accelerating China’s surveillance state | CNN

    [ad_1]


    Hong Kong
    CNN
     — 

    As a new, deadly virus overtook the central city of Wuhan and spread throughout China in early 2020, the country’s ruling Communist Party and its leader Xi Jinping were faced with a crisis on a scale not seen in decades.

    In Wuhan, there was chaos. The city shut itself off from the outside world, while hospitals were overrun with the sick and dying – but it was too late to stop the virus’ advance. Huge swaths of China, too, locked down, grinding the country to a halt. Online, public outrage over apparent delays in the official release of information – and the silencing of whistleblowers – lit up social media faster than the censors could repress it.

    Outside China, observers watching the start of what would become the Covid-19 pandemic began to ask: could this be a catastrophe so big it calls into question the legitimacy of the Communist Party and its leader?

    Nearly three years later, however, Xi is poised to cement his place as China’s most powerful leader in decades, when he is anointed with a likely norm-breaking third term as the party chief on Sunday.

    In the months following that initial outbreak, Xi oversaw the assembly of a toolbox of brute-force lockdowns, enforced quarantines, and digital tracking. All that was used to bring the virus to heel and largely keep it outside China’s shuttered borders – an approach that initially appeared to earn broad public support as China lived largely virus-free and the pandemic raged overseas.

    But, now, as Xi steps into an expected new era of his rule, that system – known today as the “dynamic zero-Covid” policy – is facing both social and economic pushback.

    Public frustration – the true scale of which is difficult to gauge – appears to be rising over lockdowns that can shutter people in their homes for weeks on end with fleeting advance notice, digital health codes that dictate where people can move, and the constant threat of being sent to centralized quarantine. Meanwhile, the country’s economy is faltering, with both the IMF and World Bank recently downgrading China’s GDP growth forecasts, citing zero-Covid as one of the major drags.

    As China’s Communist Party National Congress meets this week to approve the party’s priorities for the next five years, many are watching for signs restrictions could be loosened. But with Xi having personally tied himself to the policy, any change would need to come straight from the top – and from a leader, who throughout his rule, has sought to extend, not curtail, the party’s control on daily life.

    China’s advanced online ecosystem – run on mobile phone superapps and ubiquitous QR codes – has offered arguably unrivaled convenience for consumers to shop, dine and travel. Now, those technologies play a role in constraining daily life.

    Mobile phone health codes are the backbone of a system designed to track citizens and designate whether they are cleared to enter various venues, upping state control on people’s movement to an extent never before seen in China.

    Across the country, basic activities like going to the grocery store, riding public transport, or entering an office building depend on holding an up-to-date, negative Covid test and not being flagged as a close contact of a patient – data points reflected by a color code.

    Going out in public can be a risk in itself, as being placed under quarantine or barricaded by authorities into a mall or office building as part of a snap lockdown could simply depend on whether someone in the general vicinity ends up testing positive.

    “(You see) all the flaws of big data when it has control over your daily life,” said one Shanghai resident surnamed Li, who spent a recent afternoon scrambling to prove he didn’t need to quarantine after a tracking system pinned his wife to a location near to where a positive case had been detected.

    Li, who’d been with his wife at the time but received no such message, said they were eventually able to reach a hotline and explain their situation, ultimately returning her health code to green.

    “If you don’t complain, the next step is your neighborhood committee seals up your door,” he said.

    The clear message from Beijing is that these steps are necessary to prevent large-scale loss of life and overwhelmed medical systems.

    “The essence of persisting with dynamic zero-Covid is putting people first and prioritizing life,” read a recent editorial in the People’s Daily – one of three along similar lines released by the party mouthpiece last week in an apparent bid to lower public expectation about any policy changes ahead of the Party Congress.

    But as local officials pursue Beijing’s edict of stopping the spread of the virus above all other considerations – the system too, over and over again, has led to human tragedy.

    The past year is marked by grim examples well-known across China: the expectant mother in Xi’an who miscarried after being denied treatment due to expired test results, the off-duty nurse who died from an asthma attack in Shanghai as a hospital branch was closed for Covid-19 disinfection, and, last month, the 27 passengers who died in a crash in the middle of the night as they were bussed into a different jurisdiction for compulsory quarantine.

    “What makes you think that you won’t be on that late-night bus one day?” read a viral comment, which garnered more than 250,000 likes before it was censored – one of a number of glimpses into rising frustration with the cost of the policy.

    Last week, a rare political protest in Beijing saw banners hung from a bridge along the capital’s busy Third Ring Road that zoned in on social controls under the policy.

    “Say no to Covid test, yes to food. No to lockdown, yes to freedom. No to lies, yes to dignity. No to cultural revolution, yes to reform. No to great leader, yes to vote. Don’t be a slave, be a citizen,” one banner read, while the other called for the removal of “dictator and national traitor Xi Jinping.”

    Speaking before some 2,300 mostly surgical-mask clad Communist Party members at the opening of the party’s five-yearly leadership reshuffle on Sunday, Xi gave a sweeping endorsement of China’s Covid controls, saying the party had “protected the people’s health and safety to the greatest extent possible” and “made tremendous, encouraging achievements in both epidemic and social development.”

    The impact of those controls is becoming sharper, as lockdowns – which have repeatedly left people struggling for access to food and medicine and grappling with lost income and a mental toll – have become more frequent.

    Last month, CNN counted more than 70 Chinese cities placed under full or partial Covid lockdowns in a period of a couple weeks, impacting more than 300 million people.

    In the run up to the Party Congress, controls amplified – as local authorities around the country sought to tamp down on outbreaks coinciding with the major political event.

    Chinese leader Xi Jinping meets with medical workers at Huoshenshan Hospital in Wuhan in March 2020.

    “Maintaining the zero-Covid strategy is now substantially more costly than it was a year ago, because the latest (viral) strains are so much more transmissible and outbreaks are occurring more frequently,” said epidemiologist Ben Cowling of the University of Hong Kong’s School of Public Health.

    “At the same time, the threat posed by Covid is reduced because of the higher vaccine coverage and the availability of antivirals. Taken together, I think the point has already been crossed where continuing zero-Covid could be considered a cost-effective strategy,” he said, adding that maintaining high vaccine coverage was key for a planned transition away from zero-Covid.

    Xi’s proclaimed success over the virus and China’s accompanying propaganda campaign is one reason why it may be difficult for China to change course.

    “The issue is Xi Jinping already associated himself with the ‘successful’ model of fighting Covid, so the zero-Covid policy now is a de facto Xi Jinping policy,” said Alfred Wu, an associate professor at the National University of Singapore’s Lee Kuan Yew School of Public Policy, adding that China’s handling of the virus in comparison to other countries remains a point of national pride for many Chinese.

    And backing away from the policy will come with significant consequences. Allowing the virus to spread within the country of 1.4 billion would likely increase Covid-19 deaths to unseen levels in the country, experts say – and China so far has staked its policy around preventing those outcomes at all costs.

    Outside experts say that, since the virus will stay in circulation beyond China, keeping tight controls and closed borders is just delaying the inevitable, and the focus should be on preparing, for example through raising elderly vaccination rates and increasing ICU capacity, as well as getting or expanding access to the most effective vaccines and treatments.

    While China backed a massive vaccination campaign since early 2021, it has relied on homegrown shots, which produce lower levels of protective antibodies than mRNA vaccines developed in the West.

    So far, however, China has appeared most focused on bolstering the pillars of zero-Covid: mass testing capacity and mass quarantine facilities.

    “The vaccines take time, the ICU expansion takes time – and if you don’t see effort to prepare for the change, that implies that they are not planning to change the policy any time soon,” said Yanzhong Huang, a senior fellow for global health at the Council on Foreign Relations in New York.

    And while experts say it’s possible economic and other considerations could see China loosen certain controls in the coming year, an eventual end to zero-Covid may not see an end to all of its vestiges – especially as Xi, including in his Sunday address, has made clear his focus on increasing “security” in China.

    Already the health code system has been used to diffuse social protest – with petitioners who lost their savings in rural banks barred from protesting after their health codes inexplicably turned red.

    “One scenario is that (China) might drop the zero-Covid policy, but some of the key components of the policy might be retained and repurposed,” said Huang, pointing to Xi’s focus on maximizing security in China, including via high tech means.

    “Zero-Covid has provided a proof of concept – this actually works,” he said.

    [ad_2]

    Source link

  • Indonesia bans sale of all cough syrups after 99 child deaths | CNN

    Indonesia bans sale of all cough syrups after 99 child deaths | CNN

    [ad_1]


    Jakarta, Indonesia
    CNN
     — 

    Indonesia has halted the sale of all syrup and liquid medicines following the deaths of nearly 100 children and an unexplained spike in cases of acute kidney injuries.

    The ban, announced by the country’s Health Ministry on Wednesday, will remain until authorities complete an investigation into unregistered medical syrups suspected of containing toxic ingredients.

    Health Ministry spokesperson Mohammad Syahril said 99 deaths and 206 cases of acute kidney injuries in children, mostly under the age of 6, were being investigated.

    “As a precaution, the ministry has asked health workers in health facilities not to prescribe liquid medicine or syrup temporarily,” he said. “We also ask that drug stores temporarily stop all sales of non-prescription liquid medicine or syrup until our investigations are completed.”

    The ban comes after the World Health Organization (WHO) linked four Indian-made cough syrups to the deaths of up to 70 children suffering acute kidney failure in The Gambia, West Africa. Earlier this month Indian authorities shut down a factory in New Delhi where the medicines were made.

    WHO suspects that four of the syrups made by Maiden Pharmaceuticals Limited – Promethazine oral solution, Kofexmalin baby cough syrup, Makoff baby cough syrup and Magrip N cold syrup – contained “unacceptable amounts” of chemicals that could damage the brains, lungs, livers and kidneys of those who take them.

    The syrups being used in The Gambia were not available in Indonesia, according to the Southeast Asian country’s food and drugs agency.

    However, on Thursday, Indonesian Health Minister Budi Gunadi Sadikin said ethylene glycol and diethylene glycol – which are more usually found in products like antifreeze, paints, plastics and cosmetics – had been detected in syrups found in the homes of some child patients.

    “(The chemicals) should not have been present,” Budi said.

    He added that the number of acute kidney failure cases could be higher than reported and his ministry was taking a conservative approach by banning the sale of all syrups.

    [ad_2]

    Source link

  • Bird flu case prompts Omaha zoo to close several exhibits

    Bird flu case prompts Omaha zoo to close several exhibits

    [ad_1]

    OMAHA, Neb. — Omaha’s Henry Doorly Zoo & Aquarium has closed several exhibits and taken other precautions after one of its pelicans died from the bird flu.

    The zoo said one of its pink-backed pelicans that died on Thursday tested positive for the highly pathogenic avian influenza. A second pelican became ill Friday and was euthanized.

    As a precaution, the zoo has closed its Lied Jungle, Desert Dome and Simmons Aviary exhibits to the public for at least 10 days.

    The Omaha zoo was one of many across the country that closed down its aviaries and moved birds inside whenever possible to help protect them from avian influenza that is primarily spread by the droppings of wild birds.

    The zoo reopened its aviary in June after bird flu cases waned, but some cases continued to be reported across the country throughout the summer, and the outbreak has started to make a resurgence this fall.

    More than 47 million chickens and turkeys have been slaughtered in 42 states to limit the spread of bird flu during this year’s outbreak. Officials order entire flocks to be killed when the virus is found on farms. More than 6 million chickens and turkeys were slaughtered last month to limit the spread of the disease.

    The Omaha zoo also took precautions to protect its birds by limiting staff access to them and requiring workers to clean their shoes before entering areas where the birds are kept.

    The zoo said its pelicans live outside, so they do come into contact with wild birds. But the pelicans don’t come into contact with other zoo birds and no other birds in the zoo’s collection have shown symptoms of bird flu.

    “It is very important that Omaha’s Henry Doorly Zoo and Aquarium immediately tighten our protocols to protect our birds and guard against any potential spread of avian influenza,” Sarah Woodhouse, the zoo’s director of animal health, said in a statement. “This is important both to prevent infection of other zoo birds, and to prevent the virus from being dispersed off zoo grounds.”

    Unlike on farms, zoos are generally allowed to isolate and treat an infected bird as long as they take precautions to protect the other birds in their collections.

    Health officials emphasize that bird flu doesn’t jeopardize food safety because infected birds aren’t allowed into the food supply and properly cooking meat and eggs to 165 degrees Fahrenheit will kill any viruses.

    [ad_2]

    Source link

  • Current FDA oversight of vaping industry likely to have minimal impact

    Current FDA oversight of vaping industry likely to have minimal impact

    [ad_1]

    Newswise — Current Food and Drug Administration (FDA) oversight of the vaping industry in the US is likely to have minimal impact, suggests an analysis of the regulator’s warning letters for marketing violations, published online in the journal Tobacco Control.

    The regulator is failing to target the key players or the products most popular with young people, the analysis suggests, with over 90% of warnings sent to small online retailers rather than leading tobacco companies, and a focus on refillable devices.

    While the prevalence of vaping among US adults remains low, at just under 4% in 2020, it is four times higher among young people.

    In 2016 the FDA announced plans to regulate the vaping industry, including a requirement for the manufacturers of e-cigarettes to obtain pre-market approval (PMTA) to ensure that their products protect public health.

    In 2017, the regulator began sending warning letters to manufacturers, retailers, and distributors for potential violations, such as advertising to young people, selling to minors, packaging or labelling that contravened regulations, and failure to apply for a PMTA.

    But little is known about who received these letters, the types of product they concerned, or details of the violations and their consequences.

    To try and find out, the authors from non-profit tobacco control organisation, Truth Initiative, assessed the content and recipients of publicly available FDA warning letters issued in 2020 and 2021. In total, the FDA issued 303 warnings:126 in 2020 and 177 up to 9 September 2021.

    The analysis revealed that in 2021, over 98% of all the targeted companies fulfilled all three roles (manufacturer, distributor and retailer).

    But nearly all the letters (97%) were sent to small online retailers, none of which was a large company with measurable market share, as evidenced by sales data.

    Companies were cited for between one and three infractions. Most involved failure to obtain a PMTA. In 2020 and 2021, respectively, 56% and 99%+ of the infractions concerned a PMTA violation.

    And more than 90% of the products cited–880 different ones in total–were flavoured refillable e-cigarette liquids, rather than the disposable vaping devices (‘pod mods’) which the evidence indicates are most popular with young people.

    Penalties ranged in severity from product detention to product seizure and fines. But loss of tobacco distributor licence and criminal charges appeared less frequently in both years than these other consequences.

    At the time of the review, most (72%) of the websites cited for 2020 infractions were still operating, as were 29% of websites cited for 2021 infractions.

    And as the authors note, it was impossible to find out how the targeted companies responded, and whether the FDA followed through with the consequences cited in the warning letters, because that information isn’t publicly available.

    “While current research estimates that online sales comprise around one-third of the marketplace, data tell us that most young people get their products from friends (32.3%), buy them from another person (21.5%), or purchase from a vape shop (22.2%),” note the authors.

    “Prioritising the products most accessed by youth which are made available from a variety of sources will be important to curb youth use,” they add.

    And they emphasise:“Strong, impactful and transparent consequences need to be in place to prevent the sale of products that violate regulations necessary in protecting the health of adult users of e-cigarettes and preventing youth use alike.”

    “The FDA should use its enforcement powers to target the manufacturing, distribution, and sellers of the tobacco products that have the greatest impact on youth and products that provide no public health benefit,” they conclude.

     

    [ad_2]

    BMJ

    Source link

  • In drawn-out recovery, NYC inches out from COVID’s shadow

    In drawn-out recovery, NYC inches out from COVID’s shadow

    [ad_1]

    NEW YORK — As kids returned to school last month, people watching New York City pull itself out of COVID-19’s shadow wondered whether workers who fled Manhattan’s office towers during the pandemic would finally return in a rush, too.

    More workers did return to their offices, at least part time, as the summer ended, limited data suggests. But the onset of autumn has also made it clearer than ever that the recovery will be drawn out, and that some aspects of the city’s economic ecosystem could be changed for good.

    “We’re certainly entered a changed relationship between office workers and their offices,” said James Parrott, director of Economic and Fiscal Policies at the Center for New York City Affairs at The New School.

    That’s meant hardship for New Yorkers who are part of the economy built around the commuting class.

    They are the workers whose livelihoods can’t happen over an internet connection, who have depended on that serendipity of a customer being in the right place at the right time — the sudden impulse to buy a snack, pop into a store, throw some dollars into a street performer’s tip bucket.

    They’re people like Emad Ahmed, 58, who for more than two decades has worked in lower Manhattan, running his food cart on a plaza near Wall Street and the World Trade Center.

    The pandemic forced a pause, but as soon as he was able, Ahmed came back — and really wishes he could say the same for all the workers he relied on as customers, many of them still working at home and coming into Manhattan only a few days a week, at most.

    “The pandemic (is) almost done, nobody uses a mask now, and you can go to the subway and the bus without masks, and people still don’t come,” he said. It’s “absolutely not like before.”

    Some had looked to the Labor Day as a possible catalyst, a transition back to the way things were, and indeed, some data has shown momentum since then, including office occupancy in the metro area getting closer to the halfway mark.

    Subway ridership is on an upswing, as well, with one day last week reaching almost 3.9 million riders. While that’s only about 64% of a comparable day pre-pandemic, the weekday totals have been inching up overall since the holiday.

    A survey of Manhattan companies put out by the Partnership for New York City last month found that on an average day, just under half of Manhattan office workers were in their offices as of the beginning of September.

    But when it comes to being back in the office full time, only 9% of workers were, with the largest group, 37%, in for three days a week. Sixteen percent of workers were still completely remote.

    Looking ahead through the rest of the year to the beginning of 2023, the survey didn’t show those numbers changing drastically, despite city government and corporate leaders urging workers to come back.

    “People have gotten used to the flexibility and the benefits of not having to commute to the office every day,” said Kathryn Wilde, president and CEO of the partnership. “They’re going to have to have good reasons to go back.”

    Remote work has brought an upswing in jobs and liveliness to some neighborhoods in the outer boroughs, as people staying close to home have brought their coffee and other daily needs to their local outlets.

    But that hasn’t made up for what’s been lost, said Jonathan Bowles, executive director of the Center for an Urban Future, a public policy think tank.

    “In some ways, it’s almost miraculous how much the city’s economy has recovered since the depths of March 2020,” Bowles said.

    New York City lost more than 970,000 jobs when the pandemic hit; as of August, just about 810,000 had come back, about 84%.

    “But there are still really large pockets, particularly around the central business districts where entrepreneurs and small businesses are struggling left and right … seeing a fraction of their previous customers,” Bowles said.

    Ahmed is among them. On his best days, midweek, he sees maybe 60% of what he would have before the pandemic. On the worst, even getting to 10-15% can be a challenge.

    For some dependent on office life, the partial return has been enough. Denis Johnston, executive vice president of 32BJ Service Employees International Union, said almost all of the commercial office space cleaners represented by the union are back at work.

    Whether companies have some or all of their employees back on a given day, the spaces need to be cleaned and maintained, so his members are needed, he said.

    Some, like taxi driver Sukhdarshan Singh, have learned to adjust. While there are fewer commuters, he’s finding fares at other times.

    “Office people are not back, but evenings and weekends, people are out,” said Singh, a cabbie for about 35 years.

    But other sectors are suffering. Among retail outlets, food and beverage stores have seen only about 66% of jobs come back, while clothing stores have seen about 62%, according to the New York City Independent Budget Office.

    If office workers are “not in the city, they’re not shopping in the city,” said Stuart Appelbaum, president of the Retail, Wholesale and Department Store Union.

    “Stores are operating with fewer people because there are fewer customers,” he said.

    The city’s unemployment rate was 6.6% in August, significantly higher than the national rate of 3.7%.

    Office workers being slow to go back is “absolutely going to impact the bottom line for tons of … vendors, people that operate food trucks and so many more businesses that are really dependent on office workers providing a big chunk of their sales,” Bowles said.

    “There are just going to be fewer of those chance encounters, where people pick up something to eat or drink or to bring home during their lunch hour, on their way to work and on the way home,” Bowles said. “And that’s a surprisingly huge part of the Manhattan economy.”

    Ahmed worries about his own future, especially as winter approaches. Even prior to the pandemic, the cold weather was slow for business, and now he worries it will be a financial deep freeze.

    He just holds out hope that the city streets will come back to the life they had before.

    “Nothing else can help me,” he said. “Without people? That’s it.”

    [ad_2]

    Source link

  • In drawn-out recovery, NYC inches out from COVID’s shadow

    In drawn-out recovery, NYC inches out from COVID’s shadow

    [ad_1]

    NEW YORK — As kids returned to school last month, people watching New York City pull itself out of COVID-19’s shadow wondered whether workers who fled Manhattan’s office towers during the pandemic would finally return in a rush, too.

    More workers did return to their offices, at least part time, as the summer ended, limited data suggests. But the onset of autumn has also made it clearer than ever that the recovery will be drawn out, and that some aspects of the city’s economic ecosystem could be changed for good.

    “We’re certainly entered a changed relationship between office workers and their offices,” said James Parrott, director of Economic and Fiscal Policies at the Center for New York City Affairs at The New School.

    That’s meant hardship for New Yorkers who are part of the economy built around the commuting class.

    They are the workers whose livelihoods can’t happen over an internet connection, who have depended on that serendipity of a customer being in the right place at the right time — the sudden impulse to buy a snack, pop into a store, throw some dollars into a street performer’s tip bucket.

    They’re people like Emad Ahmed, 58, who for more than two decades has worked in lower Manhattan, running his food cart on a plaza near Wall Street and the World Trade Center.

    The pandemic forced a pause, but as soon as he was able, Ahmed came back — and really wishes he could say the same for all the workers he relied on as customers, many of them still working at home and coming into Manhattan only a few days a week, at most.

    “The pandemic (is) almost done, nobody uses a mask now, and you can go to the subway and the bus without masks, and people still don’t come,” he said. It’s “absolutely not like before.”

    Some had looked to the Labor Day as a possible catalyst, a transition back to the way things were, and indeed, some data has shown momentum since then, including office occupancy in the metro area getting closer to the halfway mark.

    Subway ridership is on an upswing, as well, with one day last week reaching almost 3.9 million riders. While that’s only about 64% of a comparable day pre-pandemic, the weekday totals have been inching up overall since the holiday.

    A survey of Manhattan companies put out by the Partnership for New York City last month found that on an average day, just under half of Manhattan office workers were in their offices as of the beginning of September.

    But when it comes to being back in the office full time, only 9% of workers were, with the largest group, 37%, in for three days a week. Sixteen percent of workers were still completely remote.

    Looking ahead through the rest of the year to the beginning of 2023, the survey didn’t show those numbers changing drastically, despite city government and corporate leaders urging workers to come back.

    “People have gotten used to the flexibility and the benefits of not having to commute to the office every day,” said Kathryn Wilde, president and CEO of the partnership. “They’re going to have to have good reasons to go back.”

    Remote work has brought an upswing in jobs and liveliness to some neighborhoods in the outer boroughs, as people staying close to home have brought their coffee and other daily needs to their local outlets.

    But that hasn’t made up for what’s been lost, said Jonathan Bowles, executive director of the Center for an Urban Future, a public policy think tank.

    “In some ways, it’s almost miraculous how much the city’s economy has recovered since the depths of March 2020,” Bowles said.

    New York City lost more than 970,000 jobs when the pandemic hit; as of August, just about 810,000 had come back, about 84%.

    “But there are still really large pockets, particularly around the central business districts where entrepreneurs and small businesses are struggling left and right … seeing a fraction of their previous customers,” Bowles said.

    Ahmed is among them. On his best days, midweek, he sees maybe 60% of what he would have before the pandemic. On the worst, even getting to 10-15% can be a challenge.

    For some dependent on office life, the partial return has been enough. Denis Johnston, executive vice president of 32BJ Service Employees International Union, said almost all of the commercial office space cleaners represented by the union are back at work.

    Whether companies have some or all of their employees back on a given day, the spaces need to be cleaned and maintained, so his members are needed, he said.

    Some, like taxi driver Sukhdarshan Singh, have learned to adjust. While there are fewer commuters, he’s finding fares at other times.

    “Office people are not back, but evenings and weekends, people are out,” said Singh, a cabbie for about 35 years.

    But other sectors are suffering. Among retail outlets, food and beverage stores have seen only about 66% of jobs come back, while clothing stores have seen about 62%, according to the New York City Independent Budget Office.

    If office workers are “not in the city, they’re not shopping in the city,” said Stuart Appelbaum, president of the Retail, Wholesale and Department Store Union.

    “Stores are operating with fewer people because there are fewer customers,” he said.

    The city’s unemployment rate was 6.6% in August, significantly higher than the national rate of 3.7%.

    Office workers being slow to go back is “absolutely going to impact the bottom line for tons of … vendors, people that operate food trucks and so many more businesses that are really dependent on office workers providing a big chunk of their sales,” Bowles said.

    “There are just going to be fewer of those chance encounters, where people pick up something to eat or drink or to bring home during their lunch hour, on their way to work and on the way home,” Bowles said. “And that’s a surprisingly huge part of the Manhattan economy.”

    Ahmed worries about his own future, especially as winter approaches. Even prior to the pandemic, the cold weather was slow for business, and now he worries it will be a financial deep freeze.

    He just holds out hope that the city streets will come back to the life they had before.

    “Nothing else can help me,” he said. “Without people? That’s it.”

    [ad_2]

    Source link

  • Today in History: October 12, China arrests “Gang of Four”

    Today in History: October 12, China arrests “Gang of Four”

    [ad_1]

    Today in History

    Today is Wednesday, Oct. 12, the 285th day of 2022. There are 80 days left in the year.

    Today’s Highlight in History:

    On Oct. 12, 1976, it was announced in China that Hua Guofeng had been named to succeed the late Mao Zedong as chairman of the Communist Party; it was also announced that Mao’s widow and three others, known as the “Gang of Four,” had been arrested.

    On this date:

    In 1492 (according to the Old Style calendar), Christopher Columbus’ expedition arrived in the present-day Bahamas.

    In 1792, the first recorded U.S. celebration of Columbus Day was held to mark the tricentennial of Christopher Columbus’ landing.

    In 1870, General Robert E. Lee died in Lexington, Virginia, at age 63.

    In 1933, bank robber John Dillinger escaped from a jail in Allen County, Ohio, with the help of his gang, who killed the sheriff, Jess Sarber.

    In 1971, the rock opera “Jesus Christ Superstar” opened at the Mark Hellinger Theatre on Broadway.

    In 1973, President Richard Nixon nominated House minority leader Gerald R. Ford of Michigan to succeed Spiro T. Agnew as vice president.

    In 1984, British Prime Minister Margaret Thatcher escaped an attempt on her life when an Irish Republican Army bomb exploded at a hotel in Brighton, England, killing five people.

    In 1986, the superpower meeting in Reykjavik, Iceland, ended in stalemate, with President Ronald Reagan and Soviet leader Mikhail S. Gorbachev unable to agree on arms control or a date for a full-fledged summit in the United States.

    In 2000, 17 sailors were killed in a suicide bomb attack on the destroyer USS Cole in Yemen.

    In 2002, bombs blamed on al-Qaida-linked militants destroyed a nightclub on the Indonesian island of Bali, killing 202 people, including 88 Australians and seven Americans.

    In 2007, former Vice President Al Gore and the U.N.‘s Intergovernmental Panel on Climate Change won the Nobel Peace Prize for sounding the alarm over global warming.

    In 2011, a Nigerian al-Qaida operative pleaded guilty to trying to bring down a jetliner with a bomb in his underwear; Umar Farouk Abdulmutallab (OO’-mahr fah-ROOK’ ahb-DOOL’-moo-TAH’-lahb) defiantly told a federal judge in Detroit that he had acted in retaliation for the killing of Muslims worldwide.

    Ten years ago: Thousands of supporters and opponents of Egyptian President Mohammed Morsi clashed in Cairo’s Tahrir Square in the first such violence since Morsi took office more than three months earlier. The European Union won the Nobel Peace Prize for fostering peace on a continent long ravaged by war.

    Five years ago: The Trump administration said it would “immediately” halt payments to insurers under the Obama-era health care law. President Donald Trump lashed out at hurricane-devastated Puerto Rico, saying the federal government can’t keep sending help “forever” and suggesting that the U.S. territory was to blame for its financial struggles.

    One year ago: The New Jersey Nets said Kyrie Irving could not play or practice with them until he could be a full participant; New York City required professional athletes to be vaccinated against COVID-19 in order to play or practice in public venues. (Irving would be allowed to rejoin the team for out-of-town games in January 2022, and for home games two months later.) The head of the Chicago police officers union called on its members to defy the city’s requirement to report their COVID-19 vaccination status or be placed on unpaid leave. The Boeing Co. told employees they must be vaccinated against COVID-19 or possibly be fired. Florida issued its first fine to a county that it said had violated a new state law banning coronavirus vaccine mandates; Leon County was fined $3.5 million.

    Today’s Birthdays: Former Sen. Jake Garn, R-Utah, is 90. Singer Sam Moore (formerly of Sam and Dave) is 87. Broadcast journalist Chris Wallace is 75. Actor-singer Susan Anton is 72. Pop/rock singer/songwriter Jane Siberry is 67. Actor Hiroyuki Sanada is 62. Actor Carlos Bernard is 60. Jazz musician Chris Botti (BOH’-tee) is 60. R&B singer Claude McKnight (Take 6) is 60. Rock singer Bob Schneider is 57. Actor Hugh Jackman is 54. Actor Adam Rich is 54. R&B singer Garfield Bright (Shai) is 53. Country musician Martie Maguire (Courtyard Hounds, The Chicks) is 53. Actor Kirk Cameron is 52. Olympic gold medal skier Bode Miller is 45. Rock singer Jordan Pundik (New Found Glory) is 43. Actor Brian J. Smith is 41. Actor Tyler Blackburn is 36. Actor Marcus T. Paulk is 36. Actor Ito Aghayere is 35. Actor Josh Hutcherson is 30.

    [ad_2]

    Source link

  • Mobile Network Data, an Efficient Method for Assessing the Spread of Epidemics

    Mobile Network Data, an Efficient Method for Assessing the Spread of Epidemics

    [ad_1]

    Newswise — The onset of the COVID-19 pandemic in March 2020 forced governments around the world to take measures to prevent its spread among the population and, thus, reduce the number of fatalities as a result of the virus. A few months later, as mobility restrictions and confinements were gradually lifted, states decided to launch tracking apps that citizens could download to their cell phones to find out if nearby contacts were infected with COVID. However, for these apps to be truly effective they require a large number of people to have them installed on their devices, and they also involve certain privacy risks.

    Now an IMDEA Networks research team led by Elisa Cabana (Postdoc researcher) and Nikolaos Laoutaris (Research Professor), in collaboration with Andra Lutu (Teléfonica Research) and Enrique Frías-Martínez (Camilo José Cela University), has carried out a study in which they propose a method that uses mobile network data to detect possible hospitalizations due to COVID-19 and obtain the corresponding epidemic risk maps. The paper “Improving epidemic risk maps using mobility information from mobile network data” will be published at the ACM SIGSPATIAL conference in November 2022.

    Cabana explains that the main advantage of the proposed solution is that, unlike Contact Tracing, “the data is already available at the operator and progress is faster. You don’t need to have GPS enabled and an application downloaded.” “When you have mobile data connected, your device connects to a cell tower that identifies your location radius. And that’s how you study the spatio-temporal mobility of people,” she adds. Another plus point is that the method works with anonymized data and can be run on the operator’s premises under its standard security provisions.

    According to Laoutaris, the method works as follows: “We check the location of a phone late at night and if it is not connected to the usual phone towers it was connected to in the pre-pandemic era, we see if it was connected to a tower near a hospital that is receiving COVID patients. If it does, the person who owns the cell phone is labeled as potentially hospitalized. The method also includes filters to eliminate false positives, such as people who live near or work in hospitals.

    As indicated in their study, mobile network data can be exploited to understand the dynamics of urban mobility and its impact on the spread of contagious diseases such as cholera, and also to predict the risk of viruses such as dengue, Zika or malaria, or other new ones that may emerge in the future.

    The team has applied their methods to an anonymized dataset of more than 2 million cell phones, collected by a mobile network provider located in London, UK, during the months of March and April 2020. They have concluded that this method yields a 98.6% agreement with public records of patients admitted to National Health Service (NHS) hospitals.

    Phases of the data collection process

    In the first phase, the research group describes the algorithm for detecting possible COVID hospitalizations from the mobile network data, as well as the parameters involved. The second phase consists of validating these data by checking the cases reported by London hospitals to the National Health Service and comparing them with those obtained with the proposed method. Finally, in the third phase, they analyze the mobility pattern of each person detected as hospitalized during the two weeks prior to their hospitalization day. With this information, they obtain dynamic and detailed risk maps that change over time and thus more accurately capture the distribution, evolution and intensity of the disease.

    Compared to census-based maps, their risk maps indicate that the areas at highest risk are not necessarily the most densely populated and can change from day to day. In addition, they have observed that hospitalized people tend to have a higher average mobility than non-hospitalized people.

    Elisa Cabana stresses that the most relevant result of her research is precisely the risk maps, since they not only allow the evolution of an epidemic to be visually analyzed, but can also be very beneficial for different sectors of society. “At the individual level, representing each area with a more or less intense color, which can vary over time, depending on a risk measure, is useful because it can help people to take additional protective measures, at each time and place. For emergency teams and decision-makers, it would help to assess the level of stress in the health system, as well as the severity and intensity of spread, and the advantages or disadvantages of certain decisions (use of masks, quarantine, vaccination). In general, the spatio-temporal information extracted from mobile network data, and the tools we develop with that information, can benefit both individuals and the policies and important decisions being developed against existing and future epidemics,” she concludes.

    E. Cabana, A. Lutu, E. Frias-Martinez, N. Laoutaris, “Improving Epidemic Risk Maps Using Mobility Information from Mobile Network Data,” ACM SIGSPATIAL’22.(extended abstractfull versionat SpatialEpi’22 workshop).

    [ad_2]

    IMDEA Networks Institute

    Source link

  • White-collar workers are feeling the brunt of the Fed’s rate hikes. Here’s why | CNN Business

    White-collar workers are feeling the brunt of the Fed’s rate hikes. Here’s why | CNN Business

    [ad_1]

    A version of this story first appeared in CNN Business’ Before the Bell newsletter. Not a subscriber? You can sign up right here. You can listen to an audio version of the newsletter by clicking the same link.


    New York
    CNN Business
     — 

    September’s hotly anticipated jobs data ended up cooling markets on Friday. Stocks fell sharply as investors evaluated the report, which showed more jobs than expected were added to the US economy and indicated that more pain-inflicting interest rate hikes from the Federal Reserve lie ahead.

    But a breakdown of the numbers shows that the Fed’s plans to weaken the labor market to fight persistent inflation may already be working, just not for everybody.

    White-collar office workers appear to be feeling the brunt of the Fed’s actions: The financial and business sector saw a large decline in employment last month. Legal and advertising services also experienced drops. Service and construction workers, meanwhile, are still thriving.

    What’s happening: The US economy added 263,000 jobs in September, higher than analyst estimates of 250,000. The unemployment rate came in at 3.5%, down from 3.7% in August.

    Leading the gain in jobs was the leisure and hospitality industry, which added 83,000 jobs in September — and employment in food services and drinking places made up 60,000 of those jobs alone. Manufacturing and construction also came in hot, adding 22,000 and 19,000 jobs, respectively.

    The largest non-governmental losses in jobs came from the financial industry, which shed 8,000 between August and September. Large banks hire in cycles, extending offers to recent graduates in the early fall months. That makes this September’s drop particularly significant.

    Business support services — such as telemarketing, accounting and administrative and clerical jobs — are also bleeding jobs. The sector lost 12,000 in September. Meanwhile, legal services lost 5,000 jobs, and advertising services also dropped 5,000 jobs.

    What it means: The Federal Reserve’s hawkish policy appears to be cooling certain parts of the economy, but not others. Finance workers are likely beginning to worry as their industry depends on stock and lending markets which have been particularly hard hit by Fed actions.

    Friday’s numbers indicate that we’re beginning to see that impact in the employment data.

    What remains to be seen is whether the Fed can cool the economy just by loosening employment in white-collar industries or if these losses will trickle down to other industries, hurting lower-income workers.

    Coming up: Earnings season begins in earnest this week with big banks like JPMorgan, Citigroup

    (C)
    , Morgan Stanley

    (MS)
    and BlackRock

    (BLK)
    reporting. Investors will be watching closely for any guidance on hiring and layoff plans.

    Two key inflation indicators, PPI and CPI are also set to be released. Expect markets to react poorly if inflation comes in hot.

    A panel of top US economists just released its economic outlook for the next year, and it’s not great.

    The panel of 45 forecasters, led by the National Association for Business Economics (NABE), said they expected slower growth, higher inflation, higher interest rates, and weakening employment in both 2022 and 2023 than they previously expected.

    Most of the worries come down to the Federal Reserve’s interest rate policy.

    “More than three-quarters of respondents believe the odds are 50-50 or less that the economy will achieve a ‘soft landing’,” said NABE Vice President Julia Coronado. “More than half the panelists indicate that the greatest downside risk to the U.S. economic outlook is too much monetary tightness.”

    NABE panelists downgraded their median forecast for real GDP for the fourth quarter of 2022 to a 0.1% increase, compared to a 1.8% increase in the May 2022 survey. The vast majority of respondents placed more than a 25% probability of a recession occurring in 2023, with the most likely start date in the first quarter.

    The latest report comes as a growing number of economists are predicting that recession is imminent. Former US Treasury Secretary Larry Summers told CNN on Thursday that it’s “more likely than not” the US will enter a recession, calling it a consequence of the “excesses the economy has been through.”

    Friday’s jobs report showed that the share of workers telecommuting or working from home because of the pandemic ticked lower — falling to just 5.2% in September from 6.5% in August.

    Fully remote work in the United States, which many predicted would remain the norm long after the pandemic, appears to be edging away, especially as the job market loosens for white collar workers and employees have less leverage.

    Last week, a KPMG survey of US-based CEOs found that two-thirds believed in-office work would be the norm within the next three years.

    Still, it may not be enough to help an ailing commercial real estate market, where the outlook is dire. New York City office properties declined by nearly 45% in value in 2020 and are forecast to remain 39% below their pre-pandemic levels long-term as hybrid policies continue, according to a recent study from the National Bureau of Economic Research.

    Looking forward: The Bureau of Labor Statistics has noted that while hybrid work may still be popular, Covid-19 is no longer fueling work from home trends. The October report will rephrase its telework questions to remove references to the pandemic.

    Since May 2020, each jobs report has asked: “At any time in the last four weeks, did you telework or work at home for pay because of the Coronavirus pandemic?

    In May 2020, 35.4% answered yes.

    Starting next month, the question will be revised. “At any time in the last week did you telework or work at home for pay?” it will ask, limiting the timeline and eliminating any reference to the pandemic.

    The US bond market is closed for Columbus Day/Indigenous Peoples’ Day.

    Coming later this week:

    ▸ Third quarter earnings season begins. Expect reports from big banks like JPMorgan Chase

    (JPM)
    , Wells Fargo

    (WFC)
    , Citigroup

    (C)
    , Morgan Stanley

    (MS)
    , PNC

    (PNC)
    and US Bancorp

    (USB)
    and consumer staples like Pepsi

    (PEP)
    , Walgreen

    (WBA)
    s and Domino’s

    (DMPZF)

    ▸ CPI and PPI, two closely watched measures of inflation in the US are also due to be released. 

    [ad_2]

    Source link

  • UN ponders rapid armed force to help end Haiti’s crisis

    UN ponders rapid armed force to help end Haiti’s crisis

    [ad_1]

    SAN JUAN, Puerto Rico — U.N. Secretary-General António Guterres submitted a letter to the Security Council on Sunday proposing the immediate activation of a rapid action force following a plea for help from Haiti as gangs and protesters paralyze the country.

    The letter, which was seen by The Associated Press but has not been made public, said the rapid action force would be deployed by one or several member states to help Haiti’s National Police. That force would “remove the threat posed by armed gangs and provide immediate protection to critical infrastructure and services,” as well as secure the “free movement of water, fuel, food and medical supplies from main ports and airports to communities and health care facilities.”

    The letter also states the secretary-general may deploy “additional U.N. capacities to support a ceasefire or humanitarian arrangements.”

    However, the letter notes that “a return to a more robust United Nations engagement in the form of peacekeeping remains a last resort if no decisive action is urgently taken by the international community in line with the outlined options and national law enforcement capacity proves unable to reverse the deteriorating security situation.”

    The letter suggests that the rapid action force be phased out as Haitian police regain control of infrastructure, and that two options could follow: member states establish an international police task force to help and advise local officers or create a special force to help tackle gangs “including through joint strike, isolation and containment operations across the country.”

    The letter notes that if member states do not “step forward with bilateral support and financing,” the U.N. operation may be an alternative.

    “However, as indicated, a return to U.N. peacekeeping was not the preferred option of the authorities,” it states.

    The letter also says the Security Council could decide to strengthen the police component of the current United Nations Integrated Office in Haiti known as BINUH, and to call on member states to provide additional equipment and training to local police, which are understaffed and lack resources. Only about a third of some 13,000 are operational in a country of more than 11 million people.

    The secretary-general said the issue is a matter of urgency, noting Haiti “is facing an outbreak of cholera amid a dramatic deterioration in security that has paralyzed the country.”

    On Friday, Haiti’s government published an official document signed by Prime Minister Ariel Henry and 18 top-ranking officials requesting from international partners “the immediate deployment of a specialized armed force, in sufficient quantity,” to stop the “criminal actions” of armed gangs across the country.

    The request comes nearly a month after one of Haiti’s most powerful gangs surrounded a key fuel terminal in the capital of Port-au-Prince, preventing the distribution of some 10 million gallons of diesel and gasoline and more than 800,000 gallons of kerosene stored on site.

    Tens of thousands of demonstrators also have blocked streets in Port-au-Prince and other major cities in recent weeks, preventing the flow of traffic including water trucks and ambulances, as part of an ongoing protest against a spike in the prices of gasoline, diesel and kerosene.

    Gas stations and schools are closed, while banks and grocery stores are operating on a limited schedule.

    Protesters are demanding the resignation of Henry, who announced in early September that his administration could no longer afford to subsidize fuel.

    The deepening paralysis has caused supplies of fuel, water and other basic goods to dwindle amid a cholera outbreak that has killed several people and sickened dozens of others, with health officials warning that the situation could worsen amid a lack of potable water and cramped living conditions. More than 150 suspected cases have been reported, with the U.N. warning that the outbreak is spreading beyond Port-au-Prince.

    The outbreak comes as UNICEF warns that three-fourths of major hospitals across Haiti are unable to provide critical service “due to the fuel crisis, insecurity and looting.”

    The U.S. Embassy has granted temporarily leave to personnel and urged U.S. citizens to immediately leave Haiti.

    Haitian officials have not specified what kind of armed forces they’re seeking, with many local leaders rejecting the idea of U.N. peacekeepers, noting that they’ve been accused of sexual assault and of sparking a cholera epidemic that killed nearly 10,000 people during their a 13-year mission in Haiti that ended five years ago.

    A Brazilian general and former U.N. peace mission leader who declined to be identified because he is still involved with the U.N. told The Associated Press this weekend that any peacekeeping mission would be established following a decision by the Security Council if it believes there’s a risk to international security.

    The U.N. would send a team for evaluation, and then the Security Council would decide if money is available and which countries would be available for volunteering. He noted that a military mission could cost between 600 to 800 million dollars and would count with 7,000 military components, plus police and civil components.

    “It is an ongoing crisis, which makes it difficult for short term solutions,” he said. “There needs to be international help, no doubt about that.”

    ———

    Associated Press reporter Carla Bridi in Brasilia, Brazil contributed.

    [ad_2]

    Source link

  • Vaccination status, mortality among intubated patients with COVID-19–related acute respiratory distress syndrome

    Vaccination status, mortality among intubated patients with COVID-19–related acute respiratory distress syndrome

    [ad_1]

    About The Study: Full vaccination status compared with controls was associated with lower mortality among critically ill patients who required invasive mechanical ventilation owing to COVID-19–related acute respiratory distress syndrome in this study including 265 patients. These results may inform discussions with families about prognosis.

    Authors: Ilias I. Siempos, M.D., D.Sc., of the National and Kapodistrian University of Athens Medical School in Athens, Greece, is the corresponding author.

    To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/  

    (doi:10.1001/jamanetworkopen.2022.35219)

    Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

    #  #  #

    Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2022.35219?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=100722

    About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

    [ad_2]

    JAMA – Journal of the American Medical Association

    Source link

  • Borderline personality disorder-related stigma undermines patient care and efforts to reduce suicide

    Borderline personality disorder-related stigma undermines patient care and efforts to reduce suicide

    [ad_1]

    Newswise — People with a diagnosis of borderline personality disorder and their carers report experiencing discrimination and stigma when presenting to health services following self-harm or a suicide attempt, leading to inadequate treatment and care for suicide prevention, say authors of a new large-scale review.

    Researchers at Flinders University are calling for better use of existing resources to improve health and community-based services and staff training, which would not only boost the health and wellbeing of all Australians but significantly contribute to a reduction in emergency department presentations and hospital admissions.

    Led by Pauline Klein, a Casual Academic and PhD Candidate in Flinders University’s College of Medicine and Public Health, the research team undertook a review of the international literature to investigate people with a diagnosis of borderline personality disorder, their carers, and health practitioners’ experiences of health services.

    “Our aim was to identify any challenges, gaps, and barriers in health services and supports, as well as recommendations for addressing these issues,” says Ms Klein.

    Borderline personality disorder affects one to two percent of the global population but has high rates of self-harm and suicide, leading to frequent presentations to emergency departments and mental health services, the review found.

    “Unlike schizophrenia, borderline personality disorder is much less likely to respond to medications, with previous research finding longer-term solutions, such as face to face therapy and ongoing support, better suited to manage the underlying trauma that is thought to have led to the disorder for many of the people who experience it,” says co-author Dr Kate Fairweather, a Mental Health Epidemiologist and Public Health/Health Equity Lecturer at Flinders University.

    The review identified significant structural problems in the health system for people with a diagnosis of borderline personality disorder and their carers, including the limited public health services and community group programs available to meet the urgent demand for support.

    “We found that the available public health services and programs have long wait lists, and specialist services are not an affordable option for many people with a diagnosis of borderline personality disorder and their families,” says Ms Klein.

    “Similarly, health practitioners reported experiencing challenges navigating health services and referral pathways, due to the limited services and supports available.”

    The research further suggests that there is a dominant stigmatising culture, particularly in emergency and acute mental health services, that perpetuates misconceptions regarding the legitimacy of the diagnosis of borderline personality disorder as well as its treatability and recovery prospects, leading to reluctance among some health practitioners to diagnose or treat people with this mental health condition.

    “Alarmingly, there are consistent reports in the literature indicating that when experiencing a suicidal crisis, people with a borderline personality disorder diagnosis and their carers are treated disrespectfully and denied treatment when presenting to some health services, leading to a lack of support being offered to these patients at a pivotal time when crisis intervention is needed,” says Ms Klein.

    “The Clinical Practice Guidelines for the Management of Borderline Personality Disorder, developed in 2012, state that treatment for this disorder is a legitimate use of healthcare resources and that having a diagnosis of borderline personality disorder is never a reason for withholding healthcare to a person.

    “These stigmatising experiences lead to patients and their carers facing discrimination and high levels of anxiety when seeking treatment because the presenting condition is not taken seriously, undermining patient care and potentially retraumatising and exacerbating patients’ self-harming behaviour.”

    The authors say the results of the review echo existing structural problems impacting other areas of the health system and provide further evidence of a critical need for health reform.

    “This should serve as a call to action for governments to prioritise and address these important public health concerns,” says Ms Klein.

    “We need a system-wide approach including providing health practitioners who work with people with borderline personality disorder ongoing access to education, training, and supervision to better support them in their role.”

    The paper ‘Structural stigma and its impact on healthcare for borderline personality disorder: a scoping review’ by Pauline Klein, Kate Fairweather, and Sharon Lawn is published in the International Journal of Mental Health Systems. DOI: 10.1186/s13033-022-00558-3.

    The research was funded by the Suicide Prevention Research Fund, established by the Federal Government to support research into suicide prevention. The aim of the fund is to support world-class Australian research and facilitate the rapid translation of knowledge into more effective services for individuals, families, and communities. Suicide Prevention Australia manages the fund on behalf of the Federal Government. We also acknowledge our partner organisation, Lived Experience Australia.

    [ad_2]

    Flinders University

    Source link

  • Taking a hike? Remember, it’s deer tick season

    Taking a hike? Remember, it’s deer tick season

    [ad_1]

    Newswise — KINGSTON, R.I. – Sept. 30, 2022 – If you’re a hiker or just love the outdoors, fall is probably your favorite season. Temperatures are cooler but still warm enough, days are still long, and for the most part, bugs are less of a pest.

    But as you get ready to head out, University of Rhode Island entomologist Tom Mather wants you to know something: This is also the season for adult blacklegged ticks, or deer ticks. They’re exploding on the scene and more than 50% carry the germ for Lyme disease. But luckily, unlike in the tick’s nymph stage, the adults are large enough to see.

    “What people need to remember is there’s a seasonality to most of nature, including ticks,” says Mather, director of the Center for Vector-Borne Disease and the TickEncounter Resource Center. “Every type of tick has a slightly different season. In this case – adult blacklegged ticks – their season is October and November. That’s when they first come out. They’re at their freshest and their hungriest.”

    Mather, aka the TickGuy, is a veteran of almost four decades of hunting and researching ticks, and educating and helping the public protect itself from the blood suckers. But, he says, many people mistakenly think tick season ends when fall hits. 

    “Most people are quite surprised,” he says. “You could do a survey: Most people think ticks die when it gets cold. It’s a surprise that October and November are actually the fifth and sixth ‘tickiest’ months of the year.”

    The tick situation in Rhode Island and New England this year has been moderate, Mather says. Summer’s drought probably curtailed nymph-stage ticks and may have prevented many of them from getting the blood meal ticks need at each stage of their lifecycle (larva, nymph and adult).

    “That could mean there will be fewer adult stage ticks. But we’ve been surprised in the past,” he says. “I struggled at many of my regular sites to find nymphs this year. But there were a few sites, especially along the south coast, that had an exceptional number of nymph ticks.”

     Adult blacklegged ticks are just now starting to become active in Rhode Island, in just the past week, crowdsourced reports of adult deer ticks have come from Ontario, Vermont, Massachusetts and West Virginia, according to data collected from the TickEncounter’s TickSpotters program. TickSpotters allows people from all over to upload photos of ticks that they’ve picked off themselves or their pets and get a quick tick ID check and a risk assessment, while the crowdsourced information provides data to assess tick population trends.

    “The first one we got through TickSpotters was Sept. 23 from way up in Vermont,” Mather says. “We haven’t seen any in Rhode Island just yet, but I’m sure they’ll start coming any day now.”

    While there are about nine species of ticks encountered in Rhode Island, and across the U.S., the most prevalent are blacklegged ticks (or deer ticks), lone star ticks and American dog ticks. Their lifecycles overlap somewhat, with stages of each most active at different times.

    For example, May, the “tickiest” month of the year, has the greatest diversity of ticks. Adult deer ticks that didn’t feed in the fall may still be active, along with deer tick nymphs, and adult dog ticks and lone star ticks being most active. Lone star tick nymphs are also around in May. But their seasons come to an end. Late August and September are pretty quiet when it comes to ticks, and that lulls people into thinking tick “season” is over, Mather says.

    But then–WHAM. By October, it’s mainly adult blacklegged ticks that people have to worry about. About 85% of TickSpotters’ submissions from around the country during October and November are for adult blacklegged ticks.

    And those adult deer ticks you encounter in your trek through the woods started their lifecycle in spring of 2021. The larvae hatched that June – from eggs laid by adult ticks that fed the previous fall and that survived through the winter. After being active in July and August, the larvae detached from their host, made it through the winter and became nymphs this past spring.

    Nymphs fed in May, June or July, detached, and through a process called molting, transformed into this fall’s adults. One out of two (or more) adult stage deer ticks carry the germ for Lyme disease – compared with about one in four of the nymph-stage deer ticks earlier in the year. The reason is, the adult stage has had two opportunities to feed and pick up the germs for Lyme from rodents, mainly white-footed mice. They can also pick up germs for babesiosis, anaplasmosis, a relapsing fever disease, and Powassan virus.

    Adult blacklegged ticks will be active this fall until the temperature stays consistently cold – not disappearing at the first hard frost. The first frost usually comes between Oct. 10 and 20, says Mather, and after that the numbers of adult ticks actually soar until about Thanksgiving.

    “By then, it’s getting routinely cold enough to keep them from being active,” he adds. “It has to be sustainably cold because if it is below freezing overnight but 40 degrees the next day, these ticks will be out.”

    Until the cold weather sets in to stay, the center’s TickSmart webpage has numerous ways to help you and your pet stay safe from ticks – including how to prepare to go out into nature, what to do after to check for ticks, and how to remove them.

    Along with the website, TickEncounter is taking prevention to the woods to give you on-the-spot tips, or “just-in-time” learning, as Mather calls it. Starting in the summer, about 400 signs – “Warning: Tick Habitat” – have been distributed and posted at trailheads. Signs have gone up at Rhode Island Land Trust trails and in communities such as North Kingstown and South Kingstown. 

    The signs have a QR code to give people venturing into nature immediate information – such as three things they can do right there at the trailhead to reduce their chances of bringing home a tick. (There are also stickers being distributed that provide a QR code with tips to protect your pets.)

    “You can have tick expert advice ‘just in time’ telling you exactly what you probably need to know right now – if you just scan the code,” Mather says.

    Get more information about TickEncounter’s newest campaign and “Be Ready For Ticks” when you step outside this fall.

    [ad_2]

    University of Rhode Island

    Source link

  • Opinion: The Fed doesn’t have a choice anymore. Get ready for a recession | CNN Business

    Opinion: The Fed doesn’t have a choice anymore. Get ready for a recession | CNN Business

    [ad_1]

    Editor’s Note: Gad Levanon is the chief economist at the Burning Glass Institute. He’s the former head of The Conference Board’s Labor Market Institute. The opinions expressed in this commentary are his own.

    To many economists and analysts, the US economy has represented a paradox this year. On the one hand, GDP growth has slowed significantly, and some argue, even entered a recession. On the other hand, overall employment growth has been much stronger than normal.

    While GDP declined at an annualized rate of 1.1% in the first half of 2022, the US economy added 2.3 million jobs in the last six months, far more than in any other six-month period in the 20 years prior to the pandemic.

    This tight labor market – and the rapid wage growth it has spurred – is causing inflation to become more entrenched. The Consumer Price Index, which measures a basket of goods and services, was 8.3% year-over-year in August. That’s lower than the 40-year high of 9.1% in June, but still painfully high. To address it, the Federal Reserve is likely to drive the economy into a recession in 2023, crushing continued job growth.

    Why has employment growth remained so strong? First, the US economy is holding on better than many expected. The Atlanta Fed’s GDPNow estimate for real GDP growth in the third quarter of 2022 is 2.3%, suggesting that while the economy is now growing much more slowly than it did last year, we are still not in a recession. When the demand for goods and services strengthens, so does the demand for workers producing these goods and services.

    Second, despite the slowing of the economy and the growing fears of recession, layoffs are still historically low. Initial claims for unemployment insurance, an indicator highly correlated with layoffs, were 219,000 for the week ended October 1 – higher than the week prior, but still one of the lowest readings in recent decades. After years of increasingly traumatic labor shortages, many employers are reluctant to significantly reduce the number of workers even as their businesses are slowing. That’s because companies are worried that they will have trouble recruiting new workers when they start expanding again.

    Third, many industries are growing faster than normal because they are still recovering from the pandemic. Convention and trade show organizers, car rental companies, nursing homes and child day care services, among others, are all growing fast because they are still well below pre-pandemic employment levels.

    Fourth, just as some industries are growing because they are still catching up, others are experiencing high growth as they adjust to a new normal of higher demand. Demand for data processing and hosting services, semiconductor manufacturing, mental health services, testing laboratories, medical equipment and pharmaceutical manufacturing is higher than before the pandemic. And it’s likely that these represent structural changes to buying patterns that will keep demand high.

    Fifth, during the pandemic, corporate investments in software and R&D reached unprecedented levels, which drove a rapid increase in new STEM jobs. Because these workers are especially well paid, they have had plenty of disposable income to spend on goods and services, which has supported job growth throughout the economy.

    These factors are spurring positive momentum that will not disappear overnight. Employment growth is likely to slow down from its historically high rates, but it will still remain solid in the coming months. ManpowerGroup’s Employment Outlook Survey shows that the hiring intentions for the fourth quarter are still very high, despite dropping from the previous quarter.

    Next year, however, will look very different. Many of the industries that are still recovering from the pandemic will have reached pre-pandemic employment levels. With demand saturated, those industries may revert to slower hiring. But this alone is unlikely to push job growth into negative territory. What will do that is monetary policy.

    There are two ways to rein in the labor market: Either reduce demand for workers or increase the labor supply. But it’s hard to engineer a boost in labor supply. That takes the kind of legislative action needed to increase immigration, drive people into the labor force or grow investment in workforce training. This is likely to prove elusive in today’s polarized political environment.

    The only option that leaves the Fed is to engineer a recession by continuing to raise interest rates. Expect to see that happen in 2023.

    [ad_2]

    Source link

  • UCLA Fielding School of Public Health-led research demonstrates the importance of influenza vaccination globally

    UCLA Fielding School of Public Health-led research demonstrates the importance of influenza vaccination globally

    [ad_1]

    Newswise — LOS ANGELES (Oct. 5, 2022) – An international team of researchers has demonstrated that among patients hospitalized for influenza, those who were vaccinated had less severe infections, including reducing the odds for children requiring admittance to an intensive care unit by almost half.

    In addition, the researchers found that deaths among hospitalized adults, 65 or older, who had been vaccinated were 38% lower compared to those who had not been vaccinated.

    “A common complaint about influenza vaccine is that they are typically 40-60% effective against infection – or the ‘what’s the point?’ complaint. So it is important to note that although everyone in this study was hospitalized, vaccinated individuals were less likely to be severely ill or die, suggesting that you are likely to have far less severe consequences if vaccinated,” said Dr. Annette Regan, UCLA Fielding School of Public Health assistant professor of epidemiology and lead author of the peer-reviewed research, published this week in the October edition of The Lancet Infectious Diseases. “This is an important point, especially in light of the upcoming influenza season coupled with ongoing COVID-19 activity, both this season and into the future.”

    Globally, influenza contributes to 9.5 million hospitalizations, 81.5 million hospital days, and 145,000 deaths each year. Vaccination offers the best method of preventing influenza illness, reducing illness in the general population by 40–60%, experts say.

    Specifically, The Lancet analysis found that three groups routinely targeted for influenza vaccination experiences less severe illness. Children who had received only part of their first series of influenza vaccines had 36% lower chances of being admitted to an intensive care unit (ICU), and children who had fully completed their first series of influenza vaccines had 48% lower chances of admission to ICU compared to unvaccinated children, the researchers found.

    The study – “Severity of influenza illness associated with seasonal influenza vaccination among hospitalized patients in four South American countries” – is the product of an international team of researchers from the United States, Argentina, Brazil, Chile, and Paraguay, and drew on data from all four South American countries over a period of seven years. Data were obtained through the Network for the Evaluation of Vaccine Effectiveness in Latin America and the Caribbean, influenza (REVELAC-i) which is coordinated by the Pan American Health Organization (PAHO).

    “Although several studies have reported drops in influenza illness following influenza vaccination, the results have focused predominantly on adults in the United States, and this study aimed to evaluate the severity of influenza illness by vaccination status in a broad range of age groups, and across multiple South American countries,” said Dr. Marta Von Horoch, a co-author who serves as coordinator of the National Immunization Program in Paraguay. “We were very pleased to work with our partners in the U.S. and across the continent, and these findings demonstrate, quite clearly, the importance of influenza vaccination for children and adults, no matter where they live.”

    The study – the first-ever on this scale in South America – examined influenza-related hospitalization rates and outcomes across all four countries from 2013-19. Specifically, the analysts reviewed the outcomes for some 2,747 patients hospitalized with confirmed influenza virus infection, in three age groups – children aged 6–24 months, adults aged 18–64 years, and adults aged 65 years or older.

    Given the reality that vaccination rates have fallen, in the U.S. and globally during the COVID-19 pandemic, including among children, the findings should help make clear the benefits of timely, pro-active immunization campaigns to the public, the researchers said.

    “With influenza season approaching this winter and influenza vaccines now available, these results highlight the importance of getting vaccinated for flu for anyone six months of age or older – as CDC recommends,” Regan said. “It is critical that healthcare providers and the public understand the risks of missing out on vaccinations – it is so much better to prevent a serious illness than to suffer through it, for the patient and everyone in their community.”

    PRINCIPAL INVESTIGATOR: Regan, also a faculty affiliate with UCLA’s Bixby Center on Population and Reproductive Health, has taught at the university since 2019. She earned her PhD from the University of Western Australia in 2016. As part of her doctoral work, Regan established one of the largest population-based cohorts to investigate the safety of influenza vaccination in pregnancy and Australia’s first rapid surveillance system for monitoring the safety of vaccines given during pregnancy. She is also currently leading a large U.S. study on COVID-19 vaccination during pregnancy. Regan has served as an epidemiologist with the Western Australia Department of Health (2013-16) and Epidemiologist for the U.S. Centers for Disease Control and Prevention (2007-11). She is also on faculty at the University of San Francisco’s School of Nursing and Health Professions.

    METHODS: Using surveillance data from four South American countries, the team examined indicators of severity of illness among influenza-associated hospitalizations, including length of hospital stay, admission to ICU, and death in hospital. Data collection conformed to a common protocol, reducing heterogeneity in measurements. As a result, the researchers were able to evaluate the health effects associated with influenza vaccination in a large sample of three priority groups, including children aged 6–24 months. The large sample size also enabled analyses by influenza virus subtype and by number of pre-existing health conditions. The results for each group was subjected to separate statistical analyses.

    FUNDING: This work was supported by a grant from the U.S. Centers for Disease Control and Prevention (CDC) through cooperative agreements with the Pan American Health Organization and the World Health Organization.

    CITATION: Regan A, Arriola CS, Couto P, et al. Severity of influenza illness associated with seasonal influenza vaccination among hospitalised patients in four South American countries, 2013–19: a surveillance-based cohort study. Lancet Infectious Diseases, S1473-3099(22)00493-5.

    ============================

    The UCLA Fielding School of Public Health, founded in 1961, is dedicated to enhancing the public’s health by conducting innovative research, training future leaders and health professionals from diverse backgrounds, translating research into policy and practice, and serving our local communities and the communities of the nation and the world. The school has 761 students from 26 nations engaged in carrying out the vision of building healthy futures in greater Los Angeles, California, the nation and the world.

    [ad_2]

    UCLA Fielding School of Public Health

    Source link