Tag: months

  • FDA Officials Say Hemp And CBD Regulatory Plan Is Months Away As It Carries Out Marijuana Scheduling Review

    FDA Officials Say Hemp And CBD Regulatory Plan Is Months Away As It Carries Out Marijuana Scheduling Review

    As the Food and Drug Administration (Fda) carries out a scientific overview into marijuana that will advise its federal scheduling position, leading officers at the company say they are months absent from releasing a regulatory evaluation for hemp-dependent solutions like CBD.

    Fda has confronted major criticism in the latest many years over the deficiency of policies allowing for for the promoting of cannabis in the foods source or as dietary dietary supplements. Hemp and its derivatives were legalized beneath the 2018 Farm Bill, but the agency has lengthy maintained that far more research must be done, or Congress really should move in all over again, right before laws for consumable cannabinoid products and solutions are finalized.

    In interviews with the Wall Street Journal that was printed on Tuesday, Food and drug administration Principal Deputy Commissioner Janet Woodcock and two other officials steering the agency’s hashish coverage, Patrick Cournoyer and Norman Birenbaum, reviewed future techniques.

    “Given what we know about the basic safety of CBD so much, it raises considerations for Fda about whether these existing regulatory pathways for food and dietary dietary supplements are correct for this substance,” Woodcock stated.

    It is doable that Fda may perhaps finally punt to Congress, as officials have formerly mentioned could be needed in buy to forge a regulatory pathway for the plant.

    Meanwhile, the market for hemp, CBD and additional novel intoxicating cannabinoids like delta-8 THC is presently popular throughout the place. As these, Fda officials seem to more and more realize the urgency of rulemaking.

    “I never believe that we can have the great be the enemy of the excellent when we’re searching at these a huge current market that is so readily available and used,” Birenbaum, a former state marijuana regulator in New York and Rhode Island, told the Journal. “You’ve bought a broadly unregulated market place.”

    U.S. Hemp Roundtable said in a assertion that FDA’s responses sign that “the new year may give some promise for the lengthy-awaited regulation of hemp-derived extracts these as CBD.”

    The marketplace group explained that it would be “meeting with the Food and drug administration in early January as part of our continuing dialogue on what a regulatory scheme need to entail” and that it would also go on its advocacy on Capitol Hill in scenario the agency does need to have new legislative authority from Congress in purchase to established cannabinoid restrictions.

    The Food and drug administration officials said that a couple of details they are assessing concern no matter if CBD can be applied safely and securely in the long-time period, and what impacts intake might have in the course of being pregnant. The increase in recognition of delta-8 THC goods, which the Drug Enforcement Administration (DEA) claims are not controlled substances, has more sophisticated rulemaking.

    Birenbaum stated officials have “growing and a lot more intensifying small-time period concerns” about the results of cannabinoid products and solutions.

    “Over the past 12 months and a fifty percent, we have witnessed a total host and cadre of intoxicating hemp derived cannabinoids occur up,” he stated. “There are incredibly, very various regulatory things to consider for products and solutions that are likely to intoxicate you.”

    Birenbaum also said that the “safety profiles all over these products are not what they are frequently accustomed to and not the similar as what they get from other solutions when they walk into a wellness store or grocery keep or even a gasoline station.”

    Fda a short while ago touted its position helping a point out company crack down on a enterprise offering delta-8 THC gummies that they stated are joined to “serious adverse situations.”

    Previous month, Food and drug administration despatched warning letters to 5 companies that market meals and beverages containing CBD.

    The agency didn’t specify why it specific those certain 5 firms out of the a lot of additional that marketplace related cannabidiol-infused consumables, but it stated that they provide merchandise “that individuals may confuse for classic foods or drinks which could result in unintended usage or overconsumption of CBD.”

    Bipartisan lawmakers have continuously pressed Fda to produce that internet marketing pathway for CBD in the foods offer and as nutritional dietary supplements.

    Reps. Morgan Griffith (R-VA) and Brett Guthrie (R-KY) despatched a letter to Fda Commissioner Robert Califf in September, demanding responses over the continued deficiency of restrictions for CBD for all those uses.

    Griffith and other bipartisan lawmakers sent a independent, linked letter to the Fda commissioner in August. They expressed frustration more than the “completely inadequate response” the agency presented in reaction to their bill contacting for hemp-derived CBD to be permitted and controlled as a foodstuff additive.

    Following the CBD Product Security and Standardization Act was filed in December 2021, the sponsors sought technological guidance from Fda to suggest on crucial provisions. But 4 months soon after they sent the inquiry, Food and drug administration returned a “one-page” response that was “simply a reformatting of a doc furnished to Congress about two decades ago,” the lawmakers reported

    At a Residence Appropriations subcommittee hearing in May, FDA’s Califf regarded that the agency had moved gradually with rulemaking for CBD in the foods supply, stating that the circumstance “looks rather substantially the similar in phrases of where we are now” as as opposed to when he initially labored on the situation in 2016.

    He said the Food and drug administration has taken actions to research the security profile of cannabinoids to notify potential guidelines, but he also punted the criticism about inaction to Congress, indicating he does not feel that “the current authorities we have on the food aspect or the drug facet necessarily give us what we want to have to get the appropriate pathways forward.”

    “We’re heading to have to appear up with one thing new,” Califf explained. “I’m incredibly fully commited to performing that.”

    Stakeholders have strongly encouraged Fda to stay up to its authority and provide guidelines and clarity for the field. But the company has largely minimal its regulatory enforcement authority to sending warning letters to particular CBD organizations and denying cannabinoid marketing purposes.

    In May possibly, for illustration, the agency simply sent warning letters to four cannabis companies for allegedly producing unsanctioned statements about the health-related advantages of CBD items they’ve promoted for animals.

    Food and drug administration also warned buyers about marijuana-infused copycat food products that resemble well-known models and the risks of accidentally ingesting THC, significantly for kids.

    The company separately issued its to start with established of warnings to businesses over the allegedly illegal sale of items containing the progressively well-liked cannabinoid delta-8 THC.

    It sent 5 warning letters to companies that are advertising and marketing products and solutions with the intoxicating compound and producing what the company claims are unsanctioned promises about their therapeutic prospective.

    In May, a leading Republican on a crucial congressional committee also referred to as on leadership to schedule a listening to to keep Food and drug administration accountable for its absence of action to established restrictions for CBD and delta-8 THC products and solutions.

    All of this arrives in the background of a big process for Fda: Conducting a scientific evaluate into marijuana, at the course of President Joe Biden, to assist in an assessment of its federal scheduling. FDA’s suggestion will not be binding, but officers say they be expecting DEA to products a scheduling suggestion that’s dependable with their findings about its pitfalls and added benefits.

    Scientists Published A Document Range Of Scientific Experiments About Cannabis In 2022, NORML Assessment Displays

    Photo courtesy of Brendan Cleak.

    Cannabis Minute is made achievable with guidance from viewers. If you depend on our cannabis advocacy journalism to stay educated, make sure you take into consideration a monthly Patreon pledge.

  • Health News Roundup: U.S. CDC expands use of bivalent COVID vaccines for kids as young as 6 months; Patient selection for AstraZeneca, Daiichi breast cancer drug needs improvement, experts say and more

    Health News Roundup: U.S. CDC expands use of bivalent COVID vaccines for kids as young as 6 months; Patient selection for AstraZeneca, Daiichi breast cancer drug needs improvement, experts say and more

    Following is a summary of recent health and fitness information briefs.

    &#13

    U.S. CDC expands use of bivalent COVID vaccines for young children as youthful as 6 months

    &#13

    The U.S. Facilities for Condition Handle and Avoidance (CDC) on Friday expanded the use of COVID-19 vaccines that goal the two the primary coronavirus and Omicron sub-variants to incorporate kids aged 6 months through 5 many years. The improvement comes a working day right after the U.S. Food items and Drug Administration authorized the up-to-date photographs from Moderna as well as Pfizer and its partner BioNTech for use in youngsters as young as 6 months.

    &#13

    Affected person choice for AstraZeneca, Daiichi breast most cancers drug desires enhancement, authorities say

    &#13

    The rush to use AstraZeneca and Daiichi-Sankyo’s drug Enhertu to address sure sorts of breast most cancers has significantly outpaced doctors’ potential to ascertain with certainty which people could possibly benefit, industry experts mentioned this 7 days at a conference of breast most cancers medical doctors. Enhertu, which received U.S. approval in late 2019, is made use of in patients with superior breast, gastric and lung cancers whose tumor cells have a protein called HER2.

    &#13

    ‘It’s useless out here’: China’s gradual exit from zero-COVID

    &#13

    Judging by Friday’s quiet streets in China’s cash Beijing and the reluctance of some corporations to fall COVID curbs, enduring anxieties about the coronavirus are possible to hamper a fast return to overall health for the world’s second-most significant overall economy. Despite the fact that the authorities on Wednesday loosened crucial parts of its stringent “zero-COVID” coverage that has held the pandemic mostly at bay for the earlier a few a long time, several folks seem cautious of staying too quick to shake off the shackles.

    &#13

    China’s money swings from anger more than zero-COVID to coping with infections

    &#13

    Beijing’s COVID-19 gloom deepened on Sunday with many outlets and other firms closed, and an skilled warned of a lot of hundreds of new coronavirus scenarios as anger about China’s earlier COVID policies gave way to fret about coping with an infection. China dropped most of its rigid COVID curbs on Wednesday after unparalleled protests in opposition to them previous month, but towns that ended up by now battling with their most severe outbreaks, like Beijing, observed a sharp lower in economic activity soon after principles these as regular tests ended up scrapped.

    &#13

    China’s health care process put to the take a look at as COVID curbs fade

    &#13

    When Li tested favourable for COVID-19 on Tuesday in Baoding in northern China, he braced for a five-day quarantine at a makeshift neighborhood clinic as aspect of the country’s demanding pandemic controls. Rather, China the future day abruptly comfortable the policy that has made the world’s most-populous region an outlier in a entire world largely mastering to live with COVID.

    &#13

    China to let German expats to use German COVID-19 vaccines

    &#13

    The Chinese international ministry mentioned China and Germany experienced achieved an arrangement on giving “German vaccines” to German nationals in China, just after the German Chancellor just lately explained that BioNTech’s COVID-19 vaccine would be utilized by German expatriates. Suitable arrangements will be reviewed and established by the two sides by diplomatic channels, Mao Ning, a spokeswoman at the Chinese international ministry instructed reporters on Friday at a frequent push meeting.

    &#13

    Some bloodstream infection micro organism grew resistant to previous-resort medicine in 2020 – WHO

    &#13

    Enhanced drug resistance in micro organism causing bloodstream bacterial infections, which include against last-resort antibiotics, was found in the initial 12 months of the coronavirus pandemic, a Globe Wellbeing Business report dependent on details from 87 nations in 2020 showed. The overuse and/or misuse of antibiotics has aided microbes to develop into resistant to lots of treatments, though the pipeline of replacement therapies in improvement is alarmingly sparse.

    &#13

    White Household health professionals urge Us citizens to get current COVID boosters

    &#13

    Leading U.S. health officers on Friday urged People to get COVID-19 vaccine boosters if eligible to assist ward off infections throughout the vacation year. Speaking at a digital city corridor, White House COVID-19 Reaction Coordinator Dr. Ashish Jha suggested people who had been contaminated with COVID in September or before look at acquiring an anti-Omicron booster shot.

    &#13

    Juul agrees to pay $1.2 billion in youth-vaping settlement – Bloomberg News

    &#13

    Juul Labs Inc has agreed to shell out $1.2 billion to take care of about 10,000 lawsuits focusing on the e-cigarette maker as a key induce of a U.S. youth-vaping epidemic, Bloomberg Information claimed on Friday, citing persons familiar with the make a difference. Last week, Juul explained it experienced settlements with about 10,000 plaintiffs masking far more than 5,000 scenarios in California. The enterprise selected not to disclose the settlement total as portion of the court docket process in the federal multi-district litigation.

    &#13

    China tackles healthcare offer snags, price gouging amid COVID fears

    &#13

    China reported on Saturday it would halt examining truck drivers and ship crew transporting goods domestically for COVID-19, getting rid of a important bottleneck from its offer chain community as a dismantling of the country’s zero-COVID plan gathers pace. The country this week designed a dramatic pivot towards economic reopening, loosening vital areas of the COVID plan in a shift that has been welcomed by a weary community but also is now stoking issues that bacterial infections could spike and cause more disruptions.

    (With inputs from companies.)

  • More States to Consider Extending Postpartum Medicaid Coverage Beyond 2 Months | Healthiest Communities Health News

    More States to Consider Extending Postpartum Medicaid Coverage Beyond 2 Months | Healthiest Communities Health News

    Lawmakers in quite a few conservative-led states — such as Montana, Wyoming, Missouri, and Mississippi — are expected to contemplate proposals to deliver a yr of steady health and fitness protection to new mothers enrolled in Medicaid.

    Medicaid beneficiaries nationwide are confirmed continual postpartum coverage for the duration of the ongoing COVID-19 public well being unexpected emergency. But momentum has been building for states to increase the default 60-day required coverage period of time forward of the emergency’s eventual conclude. Somewhere around 42{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of births nationwide are protected below Medicaid, the federal-state wellness insurance policy plan for low-revenue individuals, and extending postpartum coverage aims to decrease the chance of pregnancy-relevant fatalities and diseases by making certain that new mothers’ health-related treatment is not interrupted.

    The thrust arrives as a provision in the American Rescue Plan Act helps make extending postpartum Medicaid coverage much easier because states no longer require to utilize for a waiver. A renewed target on maternal health amid significant U.S. maternal mortality fees also is driving the proposals, as is the expectation that much more women of all ages will need postpartum treatment as state abortion bans proliferate in the wake of the U.S. Supreme Court’s final decision to get rid of federal protections.

    30-five states and Washington, D.C., have presently extended, or program to prolong, postpartum eligibility in their Medicaid courses. That selection contains Texas and Wisconsin, which did not employ the ARPA provision but have proposed restricted extensions of 6 months and 90 times, respectively.

    The 15 states that restrict postpartum Medicaid eligibility to 60 days are predominantly a swath of Republican-led states that stretch from the Mountain West to the South. But that could change when legislative periods start out in the new 12 months.

    In Montana, Republican Gov. Greg Gianforte and Division of Community Overall health and Human Solutions Director Charlie Brereton provided 12-thirty day period postpartum eligibility in the governor’s proposed state finances. It would price $9.2 million in federal and condition funding in excess of the upcoming two yrs, in accordance to the proposal, with the federal federal government covering just about 70{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}.

    A 2021 U.S. Division of Wellness and Human Services report estimated about 2,000 females in Montana would reward from the adjust. Point out well being office spokesperson Jon Ebelt stated state officials’ estimate is 50 percent that variety. The reason for the disparity was not straight away distinct.

    Brereton considers the “extension of protection for new mothers to be a professional-everyday living, pro-family members reform,” Ebelt reported.

    To come to be law, the proposal should be authorised by point out lawmakers the moment the legislative session begins in January. It has currently acquired enthusiastic aid from the senior Democrat on the committee that oversees the wellness department’s spending budget. “Continuous eligibility for females immediately after they have a infant is genuinely important,” stated point out Rep. Mary Caferro in the course of the Children’s Legislative Discussion board in Helena on Nov. 30.

    The top Republican on the committee, point out Rep.-elect Bob Keenan, stated he has not dug in on the governor’s spending budget proposal but extra that he ideas to study his fellow lawmakers and overall health treatment companies on the postpartum extension. “I wouldn’t dare venture a guess as to its acceptance,” he explained.

    Nationwide, additional than 1 in 5 mothers whose pregnancies have been lined by Medicaid shed their insurance policies in just 6 months of giving start, and 1 in 3 being pregnant-connected deaths happen among a week and a 12 months immediately after a delivery occurs, in accordance to federal health officers.

    The U.S. had the highest overall maternal mortality level, by considerably, between rich nations in 2020, at 23.8 fatalities for each 100,000 births, in accordance to a report by the Commonwealth Fund, a basis that supports investigate concentrated on health care challenges. The charge for Black women in the U.S. is even bigger, 55.3 fatalities.

    “Many maternal deaths outcome from skipped or delayed chances for cure,” the report explained.

    The maternal mortality price in Montana is not publicly offered because the Facilities for Ailment Control and Avoidance suppressed the state facts in 2020 “due to trustworthiness and confidentiality constraints.” Ebelt, the point out health office spokesperson, could not offer a amount in advance of this article’s publication.

    Annie Glover, a senior research scientist for the College of Montana’s Rural Institute for Inclusive Communities, explained the governor’s proposal to lengthen postpartum Medicaid protection could make a considerable variance in bettering total maternal overall health in Montana. The university was awarded a federal grant this calendar year for these attempts, specifically to lessen the mortality charge among the Native People, and Glover mentioned the state measure could further more minimize prices.

    “The cause truly has to do with preserving accessibility to care throughout this extremely significant period,” Glover explained. That goes for helping moms with postpartum despair, as very well as medical problems like significant blood stress that have to have follow-ups with a doctor very well just after shipping, she mentioned.

    In Wyoming, a legislative committee voted 6-5 in August to introduce a invoice in the up coming session dissenters cited the charge and their reluctance to even more entangle the state in federal government packages.

    About a third of Wyoming births are lined by Medicaid, and condition officers estimate about 1,250 females would advantage from the improve.

    Postpartum eligibility charges are also envisioned to be taken up by legislators in Missouri and Mississippi, two states that have earlier grappled with the situation. The two states have outlawed most abortions due to the fact the U.S. Supreme Courtroom lifted federal protections in June, and Mississippi leaders have mentioned more postpartum care is essential due to the fact of the thousands of added births envisioned as a consequence of the state’s ban.

    A proposed protection expansion died in the Mississippi House last session, but Lt. Gov. Delbert Hosemann claimed the Senate will revive the measure, in accordance to Mississippi These days.

    Previous yr, federal officers approved a Medicaid waiver for Missouri that will allow the condition to lengthen postpartum eligibility. But state officials delayed employing the modify to determine how enrollment would be affected by Missouri voters’ choice in August 2020 to develop Medicaid eligibility to more persons. The hold off prompted a invoice to be filed previous session that would have prolonged postpartum protection by a 12 months. That measure died, but a point out lawmaker has pre-submitted a monthly bill that will bring again the discussion in the impending session.

    In Idaho, a children’s advocacy team stated it will push lawmakers to approve a postpartum eligibility extension, between other steps, following the point out banned approximately all abortions this calendar year.

    KHN Montana correspondent Katheryn Houghton contributed to this report.

    This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health and fitness problems and a significant running method at KFF (Kaiser Family Foundation). It has been republished with permission.

  • Months in, Medicaid transition still confusing patients

    Months in, Medicaid transition still confusing patients


    By Clarissa Donnelly-DeRoven

    About 1.7 million people in the state have experienced a change to their insurance in the seven months since North Carolina began its switch from a Medicaid system administered by the state to one managed by five for-profit organizations (and one by the Eastern Band of Cherokee Indians for tribal members). 

    Despite a marketing push and outreach efforts, a quarter of people with Medicaid didn’t know about the transition back in July according to a study from an advocacy group. And now, more than half a year in, data from the Medicaid Ombudsman’s office — which fields and investigates questions from people with Medicaid — show that thousands are still confused about the technically public insurance, which now looks and acts a lot like private insurance.

    Issues with education, access to care

    From June 27 through Nov. 27, the Medicaid Ombudsman’s office received more than 10,000 calls. This specific office is designed to support patients. A different agency helps providers, but it is also called the Medicaid Ombudsman — meaning, the 10,000 calls likely represent a mix of both patients and providers calling for help. 

    The Ombudsman opened cases for about 6,200 callers. Around 2,800 of those people reached out for general educational information, or to make a complaint. A good chunk called to change their plan, while nearly 10 percent called to discuss “access to care” issues and 184 people called about problems with non-emergency medical transport. 

    Bumps were expected during the start of the transition. Those at the state level have argued the change will be worth it for the budget predictability and improved health outcomes they believe will come under managed care. With the new system, the private plans receive a flat per-person rate, which state health officials argue will encourage the organizations to invest in whole-person health and lead to better health outcomes for patients.

    Still, some providers worry cuts to reimbursement rates will come in the future, which will lead fewer providers to accept Medicaid. Stacy Kozlowski, a pediatric occupational therapist in Johnston County, said she’s had increasing issues with service denials. 

    “Things were supposed to be unchanged for the first year. Already we’re seeing that’s not the case,” she wrote in a text.

    More than anything, people are worried that the neediest Medicaid recipients will be lost in the shuffle. 

    “From a business perspective we can survive,” Kozlowski said. “The increased overhead is burdensome, but the kids will suffer.”

    Geographic distribution

    Judging from the numbers to the Ombudsman, people across the state are struggling with the transition at similar rates, some rural residents more than others. Of Hyde county’s 696 managed care beneficiaries, 9 called the Ombudsman’s office — meaning, 1.3 percent of enrollees, the highest call rate. Similar rates are seen in Martin (1.15 percent) and Mecklenburg (1 percent) counties. 

    While some calls involved multiple managed care organizations, when broken down to include only calls involving individual plans, the greatest percentages came from those enrolled with UnitedHealthcare (.18 percent) and WellCare (.18 percent). The complaints represent a very small portion of overall members, though they are higher than complaint rates from the other managed care organizations across the state.

    The N.C. Department of Health and Human Services has documented other issues with UnitedHealthcare’s MCO plan. In September 2021, the department reported that 15 percent of people enrolled in United’s plan who live in eastern North Carolina do not have an in-network hospital within 30 minutes, putting it out of step with the standard plan network adequacy standards. 

    The state’s Medicaid dashboard lists each MCO and the top three reasons the organizations denied claims in November 2021. The data is broken down into claims submitted by smaller medical offices or solo practitioners (listed as professional claims), institutions, and pharmacies. Some of the most common reasons include failure to obtain prior authorization, service billed for not included within the contract, billing provider not enrolled in Medicaid and many more.

    There are two Medicaid Ombudsman: one helps patients navigate the transition to managed care, while the other helps providers. People with Medicaid can call 877-201-3750 on weekdays from 8 a.m. to 5 p.m. 

    Health care providers should contact [email protected] or 919-527-6666 with any questions.

    Of the denials listed, UnitedHealthcare, which covers the entire state, has the highest number at about 130,100 — nearly 30,000 more than the denials listed from the next highest MCO, Amerihealth Caritas, which also insures people statewide. 

    ‘Raise Your Hand’

    Before the transition, health advocates honed in on one predictable issue with the transition.  They were concerned that the 1 million people who are supposed to stay on the state-run Medicaid Direct — those with significant mental health needs, developmental disabilities, children in foster care, and people on certain Medicaid waivers — might be incorrectly switched to a managed care plan.

    “When we were working with the department on the implementation of all this, one of the things I raised with them was, how are you going to identify all these people?” said Doug Sea, the director of the Family Support and Health Care department at the Charlotte Center for Legal Advocacy. He’s worked in public benefit law since the 1980s. 

    One answer is the “Raise Your Hand” process: if a person was incorrectly switched to a managed care plan, they or their health care provider needs to fill out a form and request to be switched back. The Medicaid Enrollment Broker — another child of the managed care transition — is supposed to help beneficiaries with this process, along with any other person on Medicaid who has questions about how to choose a plan. 

    “Their job is to help people decide which plan to choose, or to help people change between plans, or to help people navigate this process of moving back and forth,” Sea explained. “Your circumstances could change — one day you’re in foster care, the next day you’re back with your parents. One day you need enhanced mental health services, the next day you don’t.”

    Do you have Medicaid? Send an email to [email protected] and tell me how it’s going: What questions do you have? What services are you struggling to get covered? Are there enough doctors in your area who accept your plan? I want to hear it all.

    Maximus, a for-profit company that earned $4.2 billion in revenue last year, was awarded a base $17 million contract with DHHS to be the Enrollment Broker in 2018. According to the company’s 2021 filings with the Securities and Exchange Commission, 39 percent of its revenue comes from state agencies.

    During the five months for which NC Health News reviewed data, 169 callers to the Ombudsman’s office requested to stay on Medicaid Direct, and 94 were referred to the “Raise Your Hand” process. 

    It’s not a huge number, but those who were supposed to be exempt from the managed care transition are those with significant needs, meaning that figuring out how to switch one’s self back to Medicaid Direct is yet another thing to do on a long list of needs. Luckily, once the process is initiated, a spokesperson from DHHS said the switch happens within 24 hours. 

    But, there’s still one more barrier: if a person’s Medicaid eligibility will soon be under review — as happens once a year — the automated system does not allow their transfer to be processed. 

    The Medicaid Enrollment Broker can be reached at 1-833-870-5500. This brochure lists the different agencies people with Medicaid can contact about various issues.

    “Beneficiaries who have not been redetermined [as] eligible are unable to make that change until after their redetermination is complete,” wrote DHHS spokesperson Summer Tonizzo. 

    “The way North Carolina [has] set up this system is very complicated,” Sea said. “We’ve seen a lot of cases where people are not in the right place, or their request to move back doesn’t get processed, or they don’t get written notice that their request has been denied, or their request got lost, or their request can’t be processed in time for them to get the services they need.

    “There’s just a whole host of ways this can go wrong,” he said.

    Republish our articles for free, online or in print, under a Creative Commons license.

    X

    Republish this article

    As of late 2019, we’re changing our policy about reprinting our content.

    You are free to use NC Health News content under the following conditions:

    • You can copy and paste this html tracking code into articles of ours that you use, this little snippet of code allows us to track how many people read our story.




    • Please do not reprint our stories without our bylines, and please include a live link to NC Health News under the byline, like this:

      By Jane Doe

      North Carolina Health News



    • Finally, at the bottom of the story (whether web or print), please include the text:

      North Carolina Health News is an independent, non-partisan, not-for-profit, statewide news organization dedicated to covering all things health care in North Carolina. Visit NCHN at northcarolinahealthnews.org. (on the web, this can be hyperlinked)

    1

  • Covid News: New Zealand Will Reopen to Foreign Tourists Within Months

    Covid News: New Zealand Will Reopen to Foreign Tourists Within Months

    ImageNew Zealand has announced it will reopen to the world in coming months.
    Credit…Hannah Peters/Getty Images

    New Zealand plans to allow most fully vaccinated travelers into the country by the end of April without a mandatory hotel quarantine, as it slowly emerges from what has been one of the world’s longest lockdowns.

    But those entering the country next year will face significant restrictions, with a mandatory seven-day home isolation period, as well as tests on departure and arrival. The border will open in stages to different countries, with fully vaccinated New Zealanders and visa holders able to travel from Australia from Jan. 16 and from elsewhere in the world starting Feb. 13. Foreign nationals will follow from April 30.

    Experts have for weeks questioned the need for requiring new arrivals to quarantine when the virus is already in the community, and experts say international arrivals seem to pose no additional risk. No fully vaccinated travelers from Australia, for example, have tested positive in New Zealand’s hotel quarantine system since Aug. 23.

    Some 84 percent of people in New Zealand age 12 and up are fully vaccinated against the coronavirus. And representatives from the country’s tourism industry, which has struggled to contend with the long absence of foreign visitors, decried the seven-day isolation requirement.

    New Zealand has been on edge since August, when an outbreak of the Delta variant erupted in Auckland and put an end to the country’s “zero Covid” approach.

    “It’s very encouraging that we as a country are now in a position to move towards greater normality,” Chris Hipkins, the minister responsible for New Zealand’s pandemic response, said at a news conference on Wednesday. “I do want to emphasize, though, that travel in 2022 won’t necessarily be exactly the same as it was in pre-2020 travel.”

    For over a year, New Zealand has operated a lottery system for citizens and permanent residents who want to return, locking people out of the country and creating a large backlog. The system has faced legal challenges from people desperate to return home from overseas and be reunited with their families.

    New Zealand is waiting until April to fully open to permit time for airlines to plan, he said, as well as to allow a transition to the country’s new “traffic light” pandemic management system that starts Dec. 2. That system will end lockdowns and place significant restrictions on the unvaccinated, Prime Minister Jacinda Ardern announced at a news conference on Monday.

    On Dec. 15, Auckland — where the country’s outbreak is concentrated — will open its border to the rest of the country.

    Before the pandemic, tourism was a big part of the New Zealand economy, employing nearly 230,000 people and contributing 41.9 billion New Zealand dollars ($30.2 billion) a year. About 3.8 million foreign tourists visited between 2018 and 2019, with the majority coming from Australia. Though domestic tourism has surged while borders have been closed, the industry has struggled to make up its losses, as international tourists spend about three times as much per person as their domestic peers.

    Defending New Zealand’s caution, Mr. Hipkins pointed to the new virus wave that is crashing through Europe. “As we move into 2022, we know that the pandemic is not over,” he said. “It’s not going to suddenly end, and we only need to look at Europe to know that the path out of the pandemic is not a straightforward one.”

    Credit…Hannah Beier/Reuters

    In the largest revision of state vaccination numbers to date, the Centers for Disease Control and Prevention updated those for Pennsylvania, which had counted about 1.2 million more doses than had actually been administered.

    The C.D.C. said the data, updated almost every day on its website, had been corrected. As of Tuesday evening, about 81 percent of people in Pennsylvania had received at least one shot of a vaccine, according to C.D.C. data, whereas on Monday the data indicated that about 84 percent of people in the state had gotten a shot.

    The agency has been periodically revising vaccination numbers in states since July 14. Altogether, the C.D.C. and the states have reduced the number of reported doses in the U.S. by about 2 million.

    The C.D.C. has posted on its website that the revisions are part of a collaboration with states to gather their most “complete and accurate” data. Sometimes the revisions result in more shots being added to a state’s tally. Other times they result in a drop. Illinois, for example, revised its data to add about 316,000 doses in late October only to subtract about 214,000 doses a few weeks later.

    Barry Ciccocioppo, communications director for Pennsylvania’s Department of Health, said that the department “continues to update and refine our vaccination data throughout the commonwealth to ensure duplicate vaccination records are removed and dose classification is correct.” He said that the C.D.C. had now begun to “rectify” the data.

    “This is not a practice specific to Pennsylvania and the C.D.C. is going through a similar process with other states across the country,” he said.

    Cindy Prins, a professor of epidemiology at the University of Florida, said she feared that people might jump to the conclusion that there were deliberate errors in the initial reporting, but she did not believe that was the case. “I think it’s just a process of cleaning up and making sure what is in there is accurate to the best of our ability to know that,” Dr. Prins said.

    Still, without fully accurate and up-to-date vaccination rates, it is difficult for counties to make informed health recommendations, she said. If vaccination rates are overreported, that could give counties a false sense of confidence that more people are vaccinated than actually are.

    More than 230 million people across the United States have received at least one shot of a coronavirus vaccine, according to the C.D.C. Last week, the agency authorized booster shots for all adults. Across the U.S., Covid-19 infections have been rising, with more than 90,000 cases reported on average each day.

    Credit…Kenny Holston for The New York Times

    This was supposed to be the year vaccines brought the pandemic under control. Instead, more people in the United States have died from Covid-19 this year than died last year, before vaccines were available.

    As of Tuesday, the Centers for Disease Control and Prevention had recorded 386,233 deaths involving Covid-19 in 2021, compared with 385,343 in 2020. The final number for this year will be higher, not only because there is more than a month left but because it takes time for local agencies to report deaths to the C.D.C.

    Covid-19 has also accounted for a higher percentage of U.S. deaths this year than it did last year: about 13 percent compared with 11 percent.

    Experts say the higher death toll is a result of a confluence of factors: most crucially lower-than-needed vaccination rates, but also the relaxation of everyday precautions, like masks and social distancing, and the rise of the highly contagious Delta variant.

    Essentially, public health experts said, many Americans are behaving as though Covid-19 is now a manageable, endemic disease rather than a crisis — a transition that will happen eventually but has not happened yet.

    Yet many are also refusing to get vaccinated in the numbers required to make that transition to what scientists call “endemicity,” which would mean the virus would still circulate at a lower level with periodic increases and decreases, but not spike in the devastating cycles that have characterized the pandemic. Just 59 percent of Americans are fully vaccinated, the lowest rate of any Group of 7 nation.

    “We have the very unfortunate situation of not a high level of vaccine coverage and basically, in most places, a return to normal behaviors that put people at greater risk of coming in contact with the virus,” said Jennifer Nuzzo, an epidemiologist and senior scholar at the Johns Hopkins Center for Health Security. “If you take no protections whatsoever, you have a virus that is capable of moving faster and you have dangerous gaps in immunity, that adds up to, unfortunately, a lot of continued serious illness and deaths.”

    Dr. Celine Gounder, an infectious disease specialist at Bellevue Hospital Center, estimated that roughly 15 percent of the U.S. population might have immunity from prior infection, which is not as strong or durable as immunity from vaccines.

    Many of those people have also been vaccinated, but even assuming the two groups didn’t overlap and so 74 percent of Americans had some level of immunity, that still would not be enough to end the pandemic, said Dr. Gounder. It would probably take an 85 to 90 percent vaccination rate to make the coronavirus endemic, she said.

    “When vaccines rolled out, people in their minds said, ‘Covid is over,’” Dr. Gounder said. “And so even if not enough people are vaccinated, their behavior returned — at least for some people — to more normal, and with that changing behavior you have an increase in transmission.”

    Some news outlets reported last week that confirmed 2021 deaths had surpassed 2020 deaths. Those reports stemmed from counts of deaths based on when the deaths were reported, not when they happened — meaning some deaths from late 2020 were counted in early 2021. The C.D.C. counts, which did not show that mark being reached until this week, are more accurate because they are based on the dates on death certificates.

    Credit…Libby March for The New York Times

    With daily coronavirus case rates reaching record numbers and area hospitals more than 90 percent full, local officials in the Buffalo area reinstituted a mask mandate for all indoor public spaces that went into effect on Tuesday.

    “We really need to keep the hospitals from being inundated,” Mark Poloncarz, the Erie County executive, said on Monday in a news conference announcing the new policy. “These numbers are not good.”

    The mask mandate applies to all staff and patrons at stores, restaurants, bars, salons, and other public indoor spaces in the county, regardless of their vaccination status. It is the first phase of what Mr. Poloncarz warned would be increasing restrictions if virus numbers do not begin to stabilize.

    Erie County, which encompasses the city of Buffalo, is the first New York county to impose a blanket mask mandate for public indoor spaces since May, when the Centers for Disease Control and Prevention recommended that vaccinated people could safely take off their masks in most settings.

    Federal officials eventually reversed that recommendation as the Delta variant spiked, but New York did not reinstitute a statewide mask mandate. Currently, most of the state, including New York City, only requires masks in specific locations such as in schools, on public transportation, and in medical settings.

    Western New York, a bustling five-county region of some 1.4 million people along the Canadian border and the Great Lakes, has seen cases spike dramatically in recent weeks. In Erie County, cases have doubled in the last month. Hospitalizations are up 50 percent in the last two weeks.

    Vaccination rates have not been high enough to head off the surge, even though about 75 percent of adults in Erie County have received at least one dose. County officials said that local case numbers now are actually higher than they were at this time last year. Rates among children and staff in schools are also at the highest levels since the start of the pandemic, Mr. Poloncarz said.

    “Until we can get through this, masking is necessary,” he said.

    Erie County decided to institute a mask mandate instead of requiring people to show proof of vaccination for entering most indoor public places, after hearing concerns from local business leaders that requiring masks would be less harmful to trade.

    But if the mask rule fails to curb virus rates, the county will require vaccination for indoor dining and entertainment, as New York City has. If that fails to work, it will bring back capacity restrictions in restaurants and other indoor public settings. And if that also fails, shutdowns will occur, Mr. Poloncarz said.

    Local officials said they were most closely watching the load in hospitals, which are already strained because of staff shortages. The wait time at emergency rooms for people who are not critically ill has risen to eight hours or more, officials said. And seasonal flu has yet to hit hard in New York State, according to the latest data from the Centers for Disease Control and Prevention.

    “Our hospitals are in dire straits,” the Erie County health commissioner, Dr. Gale Burstein, said.

    Credit…Christopher Lee for The New York Times

    The Department of Health and Human Services has begun distributing billions of dollars to rural health care providers to ease the financial pressures brought by the coronavirus pandemic and to help hospitals stay open.

    The agency said on Tuesday that it had started doling out $7.5 billion to more than 40,000 health care providers in every state and six U.S. territories through the American Rescue Plan, a sprawling relief bill that Congress passed in March. The infusion of funds will help offset increased expenses and revenue losses among rural physicians during the pandemic, the agency said.

    Xavier Becerra, the health and human services secretary, said that the coronavirus pandemic had made clear the importance of having timely access to quality medical care, especially in rural America.

    “When it comes to a rural provider, there are a number of costs that are incurred, that sometimes are different from what you see with urban providers or suburban providers,” Mr. Becerra said. “And oftentimes, they’re unique only to rural providers.”

    Rural physicians serve a disproportionate number of patients covered by Medicaid, Medicare or the Children’s Health Insurance Program, which often have more complex medical needs. Many rural hospitals were already struggling before the pandemic; 21 have closed since 2020, according to data from the Cecil G. Sheps Center for Health Services Research at the University of North Carolina.

    Under the program, every eligible provider that serves at least one Medicare, Medicaid, or C.H.I.P. beneficiary in a rural part of the country will receive at least $500. Payments will range up to $43 million, with an average of $170,700; the size is based on how many claims a provider submitted for rural patients covered by these programs from January 2019 through September 2020.

    Rural America is home to some of the country’s oldest and sickest patients, many of whom were affected by the pandemic.

    The new funding is supposed to help rural hospitals stay open in the long run and improve the care they provide, building on efforts the Biden administration has already made to help improve access to health care in rural communities, which it considers crucial to its goal of addressing inequities in access to care.

    The money can be put toward salaries, recruitment, or retention; supplies such as N95 or surgical masks; equipment like ventilators or improved filtration systems; capital investments; information technology and other expenses related to preventing, preparing for or responding to the pandemic.

    The administration has also allocated billions of dollars through the American Rescue Plan for coronavirus testing for the uninsured, increased reimbursement for Covid vaccine administration, improving access to telehealth services in rural areas, and a grant program for health care providers that serve Medicare patients.

    On Monday, Vice President Kamala Harris said that the administration would be investing $1.5 billion to address the shortage of health care workers in underserved tribal, rural and urban communities. The funds — which will provide scholarships and pay off loans for clinicians who commit to jobs in underserved areas — come on the heels of a report from the White House’s Covid Health Equity Task Force that made recommendations on how inequalities in the health care system could be fixed.

    Credit…Oded Balilty/Associated Press

    JERUSALEM — Israel began a campaign to vaccinate 5- to 11-year-olds against the coronavirus on Tuesday ahead of expected gatherings over next week’s Hanukkah holiday, but the initial response from parents appeared to be slow.

    By Monday night, parents had made appointments for only a little over 2 percent of children in that age group, according to figures published by the country’s main health services. Health officials said they were trying to persuade parents of the benefits of vaccinating their children without applying pressure or any form of coercion.

    In a bid to reassure the public, Prime Minister Naftali Bennett accompanied his son David, 9, to a vaccination center of the Clalit Health Services in the seaside town of Herzliya, north of Tel Aviv.

    “I call on all Israeli parents to come and have their children vaccinated,” Mr. Bennett said. “It is safe and it safeguards our children.” In a video posted on the prime minister’s official Twitter account, David said he had agreed to be filmed to encourage other children to get vaccinated. He said he was a little afraid at first but assured other children that “it really didn’t hurt.”

    Earlier this month, the United States also began vaccinating 5- to 11-year-old children. A number of countries have approved vaccinations for children starting at 12 years old, but few aside from China, Israel and the United States are vaccinating younger children.

    Israel has emerged in recent weeks from a fourth wave of the virus, with new daily cases dropping to several hundred from a peak of 11,000 in mid-September. Israeli officials attribute the sharp decrease in cases to a booster shot campaign, suppressing a wave driven by a combination of waning immunity five or six months after the second injection, together with the spread of the highly infectious Delta strain.

    At least 80 percent of Israelis ages 16 and older have been vaccinated against the virus, but the numbers are lower in the younger age groups. More than four million Israelis have received a booster shot since August, out of a total population of nine million.

    In the Palestinian-administered territories, after a late start and some early hesitancy, about three million doses have been administered, enough to cover about a third of the population with two doses.

    Credit…Evgeniy Maloletka/Associated Press

    Europe’s death toll from Covid will exceed two million people by next spring, the World Health Organization projected on Tuesday, adding that the continent remained “firmly in the grip of the Covid-19 pandemic.”

    Covid is now the leading cause of death in Europe, the W.H.O. said in a statement, with almost 4,200 new deaths a day, double the number at the end of September. To date, Europe, including the United Kingdom and Russia, has reported 1.5 million deaths. Between now and spring, hospital beds in 25 countries and intensive care units in 49 countries are predicted to experience “high or extreme stress,” the W.H.O. said.

    Dr. Hans Kluge, a regional director for the W.H.O., said Europe faces a challenging winter. “In order to live with this virus and continue our daily lives, we need to take a ‘vaccine plus’ approach,” he said.

    That means getting vaccinations or booster shots if offered and taking other preventive measures to avoid the reimposing of lockdowns, like calling on the public to wear masks and maintain physical distance, he said.

    Over one billion vaccine doses have been administered in Europe; about 53 percent of the population is fully vaccinated. But countries have gaping disparities in vaccination rates, the organization said, and it was essential to drive the lagging rates up, the officials said.

    In recent days, European countries have imposed restrictions to try to curb the highest surge of new cases in the region since the pandemic began. Austria on Monday began its fourth lockdown and Germany is pressuring its citizens to get vaccinated. Slovakia, Liechtenstein and the Czech Republic have the world’s highest rates of new cases compared to their populations.

    The W.H.O. considers Europe to include not only the countries of the European Union, but also the United Kingdom, Iceland, Norway, Switzerland, Turkey, Israel, Russia, Ukraine, and several countries in the Balkans and Central Asia.

    Credit…Emily Elconin for The New York Times

    Coronavirus cases in children in the United States have risen by 32 percent from about two weeks ago, a spike that comes as the country rushes to inoculate children ahead of the winter holiday season, pediatricians said.

    More than 140,000 children tested positive for the coronavirus between Nov. 11 and Nov. 18, up from 107,000 in the week ending Nov. 4, according to a statement on Monday from the American Academy of Pediatrics and the Children’s Hospital Association.

    These cases accounted for about a quarter of the country’s caseload for the week, the statement said. Children under 18 make up about 22 percent of the U.S. population.

    “Is there cause for concern? Absolutely,” Dr. Sean O’Leary, the vice chair of the academy’s infectious diseases committee, said in an interview on Monday night. “What’s driving the increase in kids is there is an increase in cases overall.”

    Children have accounted for a greater percentage of overall cases since the vaccines became widely available to adults, said Dr. O’Leary, who is also a professor of pediatrics at the University of Colorado School of Medicine and Children’s Hospital Colorado.

    Though children are less likely to develop severe illness from Covid than adults, they are still at risk, and can also spread the virus to adults. Experts have warned that children should be vaccinated to protect against possible long-Covid symptoms, Multi-system Inflammatory Syndrome and hospitalization.

    At the end of October, about 8,300 American children ages 5 to 11 have been hospitalized with Covid and at least 172 have died, out of more than 3.2 million hospitalizations and 740,000 deaths overall, according to the Centers for Disease Control and Prevention.

    At a news conference on Friday, Dr. Janet Woodcock, the acting commissioner of the Food and Drug Administration, said hospitalizations and deaths among 5- to 11-year-olds were “really startling.”

    Dr. O’Leary said it did not help that many schools had softened their safety protocols in the last few months.

    “So any protection that might be happening in schools is not there,” he said.

    Vaccinations of younger children are likely to help keep schools open. Virus outbreaks forced about 2,300 schools to close between early August and October, affecting more than 1.2 million students, according to data presented at a C.D.C. meeting on Nov. 2.

    Dr. O’Leary said that he was especially concerned about case increases in children during the holiday season.

    With the pace of inoculations stagnating among U.S. adults, states are rushing to encourage vaccinations for children 5 through 11, who became eligible earlier this month after the C.D.C. authorized the Pfizer-BioNTech vaccine for that age group. In May, the federal government recommended making the Pfizer-BioNTech vaccine available to children ages 12 to 15. Teenagers 16 and older became eligible in most states a month earlier.

    The White House estimated on Nov. 10 that nearly a million young children had gotten vaccinated; 28 million are eligible. They receive one-third of the adult dose, with two injections three weeks apart.

    All of the data so far indicates that the vaccines are far safer than a bout of Covid, even for children.

    Still, about three in 10 parents say they will definitely not get the vaccine for their 5- to 11-year-old child, according to a recent poll by the Kaiser Family Foundation. Only about three in 10 parents said they would immunize their child “right away.”

    Credit…Alisha Jucevic for The New York Times

    The Biden administration has asked a federal appeals court to let the government proceed with a federal mandate that all large employers require their workers to get vaccinated against the coronavirus or submit to weekly testing starting in January.

    In a 52-page motion filed on Tuesday, the Justice Department urged the U.S. Court of Appeals for the Sixth Circuit, in Cincinnati, to lift a judicial stay on proceeding with the rule while it is being challenged in court, saying the requirement would “save thousands of lives and prevent hundreds of thousands of hospitalizations.”

    The Occupational Safety and Health Administration, or OSHA, issued the “emergency” rule earlier this month at the direction of President Biden as one of several vaccine mandates he announced in September. The OSHA rule applies to employers with at least 100 workers, although it exempts those who work at home or exclusively outdoors.

    The rule was immediately challenged by employers around the country and several Republican-controlled states. In court papers, they argued that the rule exceeded the agency’s authority under law to issue regulations to protect workers from toxic hazards at work, arguing the law was meant to address dangerous substances like asbestos but not exposure to the virus.

    Earlier this month, a three-judge panel on the Court of Appeals for the Fifth Circuit, in New Orleans, agreed with the plaintiffs in several of those cases and temporarily blocked the government from proceeding with the rule. But since then, those cases and many others from around the country have been reassigned to the Sixth Circuit in order to consolidate the litigation.

    “The Fifth Circuit’s stay should be lifted immediately,” the Justice Department said in its filing. “That court’s principal rationale was that OSHA allegedly lacked statutory authority to address the grave danger of COVID-19 in the workplace on the ground that COVID-19 is caused by a virus and also exists outside the workplace. That rationale has no basis in the statutory text.”

    Credit…Brett Gundlock for The New York Times

    As the pandemic heads into a third year, a global battle for the young and able has begun. With fast-track visas and promises of permanent residency, many of the wealthy nations that drive the global economy are sending a message to skilled immigrants all over the world: Help wanted. Now.

    In Germany, where officials recently warned that the country needs 400,000 new immigrants a year to fill jobs in fields ranging from academia to air-conditioning, a new Immigration Act offers accelerated work visas and six months to visit and find a job.

    Canada plans to give residency to 1.2 million new immigrants by 2023. Israel recently finalized a deal to bring health care workers from Nepal. And in Australia, where mines, hospitals and pubs are all short-handed after nearly two years with a closed border, the government intends to roughly double the number of immigrants it allows into the country over the next year.

    The global drive to attract foreigners with skills, especially those that fall somewhere between physical labor and a physics Ph.D., aims to smooth out a bumpy recovery from the pandemic.

    Covid’s disruptions have pushed many people to retire, resign or just not return to work. But its effects run deeper. By keeping so many people in place, the pandemic has made humanity’s demographic imbalance more obvious — rapidly aging rich nations produce too few new workers, while countries with a surplus of young people often lack work for all.

    New approaches to that mismatch could influence the worldwide debate over immigration. European governments remain divided on how to handle new waves of asylum seekers. In the United States, immigration policy remains mostly stuck in place, with a focus on the Mexican border, where migrant detentions have reached a record high.

    Still, many developed nations are building more generous, efficient and sophisticated programs to bring in foreigners and help them become a permanent part of their societies.

    “Covid is an accelerator of change,” said Jean-Christophe Dumont, the head of international migration research for the Organization for Economic Cooperation and Development, or O.E.C.D. “Countries have had to realize the importance of migration and immigrants.”

    Credit…Brendan Mcdermid/Reuters

    Seeking to increase the supplies of coronavirus vaccines, treatments and diagnostic tests needed to quell the pandemic around the globe, 15 human rights groups have asked President Biden to apply maximum pressure on the World Trade Organization to grant an intellectual property exemption for the vaccines.

    The exemption would mean that any country or company that has the ability to produce a vaccine could do so without having to worry about running afoul of the world economic body’s property right protections. Some public health experts see a W.T.O. exemption as key to bolstering the production of vaccine in developing countries, allowing drugmakers around the world access to closely guarded trade secrets on how viable vaccines have been made.

    “The stakes could not be higher,” the groups wrote in a letter to the White House dated Nov. 19. “Failure to enact a waiver will prolong the pandemic leading to more death, illness, economic hardship, and social and political disruption.”

    Only 5 percent of people in low-income countries have received at least one dose of a coronavirus vaccine, according to the Our World in Data project at the University of Oxford, a figure that is dwarfed by rates in wealthier countries.

    Public Citizen, Oxfam, Amnesty International, Human Rights Watch, Doctors Without Borders and Partners in Health are among the organizations listed on the two-page letter.

    “There are people talking about whether or not we should take boosters,” Dr. Joia Mukherjee, chief medical officer of Partners In Health, a global public health nonprofit, said at a news conference on Tuesday. “This, to me, is even a false argument because that plays into the narrative that this is a scarce commodity.”

    “It is only a scarce commodity because Pharma wants it to be a scarce commodity so that they can maximize profit,” she said, using shorthand for the pharmaceutical industry. “And we just need to say enough is enough. This is the time for us to show leadership.”

    The increase in pressure on the Biden administration comes one week before hundreds of officials converge on Geneva for the W.T.O.’s major ministerial conference on Nov. 30.

    In May, the White House said that it supported waiving intellectual property protections for coronavirus vaccines, as it sought to bolster production amid concerns about vaccine access in developing nations.

    But the rights groups said in their letter that they were disappointed that the administration had since “been unwilling to take further leadership.” They noted that more than 100 W.T.O. member nations supported a waiver.

    Six times as many booster shots of coronavirus vaccine are being administered in wealthy countries around the world each day than primary doses are being given in low-income countries, according to the World Health Organization. The group’s director general, Dr. Tedros Adhanom Ghebreyesus, has called that disparity “a scandal that must stop now.”

    The Biden administration said last week that it planned to spend billions of dollars to expand vaccine manufacturing capacity, with the goal of producing at least one billion additional doses a year beginning in the second half of 2022.

    Most public health experts agree that it’s OK to make holiday plans with your favorite people, as long as you’re taking precautions. Answering a few simple questions can help you make safer decisions.

    You can take the quiz by clicking below, or keep reading for an overview.

    Will everyone be vaccinated?

    If yes — or if the only unvaccinated people are young children — that will make the party safer for everyone, though if you want to reduce the risk even further, you may want to encourage every adult to get a booster shot. If unvaccinated adults will be there, on-the-spot rapid tests are a great way to lower risk. You can also improve ventilation by opening windows, using exhaust fans, adding portable air cleaners or moving the event outdoors if weather allows.

    Are any guests at higher risk from Covid?

    If everyone is at relatively low risk, you may decide that being vaccinated is enough, and that additional precautions aren’t needed. But if any of your guests are older or have underlying conditions that put them at higher risk, it’s important to plan the event around the most vulnerable person. That could mean using rapid tests and improving ventilation, or having the party at their home so they don’t have to travel.

    Are you traveling?

    Staying local is the lowest-risk option, and if you’re traveling farther, driving is safer in terms of Covid risk than taking public transportation.

    If you have to fly or take a bus or train, you should take extra precautions. A high-quality medical mask like an N95, KN95 or KF94 can keep you safer; if those aren’t available, double mask with a surgical mask and quality cloth mask. If possible, you should keep it on the whole time. At airports and train or bus terminals, try to avoid crowds, keep your distance in screening lines and use hand sanitizer often.

    What’s the Covid situation where you’re celebrating?

    Check local Covid conditions like you would the weather, looking at vaccination rates, case counts and hospitalizations. If you’re headed to a Covid hot spot, it’s best to wear a mask in public spaces, and you may want to avoid indoor dining, especially if someone in your group is at high risk.

    What’s it like where you live?

    If you live in a Covid hot spot, the chance of bringing the virus with you when you travel is higher. Be vigilant about masking and avoid crowds in the days before you leave. Using rapid tests can also reassure everyone that you’re not infectious.

    How big is the gathering?

    When you limit a gathering to two households, it’s easier to keep track of risky behaviors and potential exposures. This doesn’t mean large families shouldn’t gather, but you may want to take extra precautions if more than two households will be present. Those precautions could include opening windows, turning on exhaust fans and using portable air cleaners. And the bigger the party, the more useful it is to have rapid tests on hand for everyone.

    How long until your event?

    Risk is cumulative. The choices you make before the party can help lower the risk for everyone. If you’ve been invited to other gatherings before you leave, consider skipping them, and be vigilant about reducing your exposures during travel.

  • Longview police provide update on first three months with behavioral health unit | Government and Politics

    Longview police provide update on first three months with behavioral health unit | Government and Politics

    In the very first a few months the Longview Law enforcement Office has experienced a behavioral wellness group, the counselors have answered almost 200 calls from men and women going as a result of a crisis.

    Chief Robert Huhta gave a presentation to the Longview City Council on Thursday night about the gains the software has presented. Two users of the behavioral wellbeing unit attended the council meeting and shared a bit of their experience performing with the police.

    The Longview police work with three behavioral health and fitness professionals contracted by Columbia Wellness, two paid out for by the metropolis and 1 paid out for with a grant from the Washington Association of Sheriffs and Law enforcement Chiefs. The grant also compensated for a behavioral wellness expert who is doing the job with the Kelso Police Division.

    In between Aug. 16 and Oct. 31, the behavioral wellbeing unit labored with 131 unique folks on 185 individual situations.

    Original responses to phone calls commonly entail law enforcement officers and the health and fitness device, but the the greater part of the counselors’ call with the group came via abide by-up visits devoid of law enforcement. Huhta explained those responses totally free up a large amount of an officer’s time when dealing with people today who are often the subject of 911 phone calls.

    “If (the wellness unit) wasn’t functioning carefully with this personal, those would be calls for service that patrol officers would be working with,” Huhta mentioned.

    Individuals are also reading…

    About a dozen of the people today make up a substantial share of the observe-up phone calls and contact visits with the behavioral health device. Laura Eastwick, a single of the psychological wellness responders, stated a lot of of these repeated contacts had serious psychological sicknesses, have been regularly homeless, or both.

    “It’s really tough because you are performing with an specific who does not have a residence foundation,” Eastwick mentioned. “We’re definitely facilitating that engagement with them to make guaranteed that link is taken care of.”

    Through the presentation, Huhta highlighted a handful of situations the behavioral health and fitness unit experienced worked on, including a single in September, the place the device assisted de-escalate a circumstance involving a person who threatened to commit suicide by cop. And, a psychological well being professional was included in the reaction to Sunday’s bomb danger referred to as into PeaceHealth St. John Medical Centre.

    Four further behavioral health and fitness authorities shortly will be included to companies across Cowlitz County as a result of a mental health tax. Huhta stated a small expansion of the device could be practical in order to have two behavioral overall health gurus accessible every working day.

    Longview law enforcement system to keep the to start with community stakeholder assembly for the device in December, enabling the council and members of the community to support shape how the psychological overall health responses will work likely forward.