#oral health in COVID-19

[wellhealthhub]

Efficient Solutions for Tonsillitis White Patches: A Comprehensive Guide

Discover the underlying reasons behind white spots on tonsils, grasp their symptoms, and explore a spectrum of treatment options in this comprehensive guide that balances medical insights with patient-centered perspectives. Tonsils, those guardians of our throats, occasionally present an unsettling spectacle with the appearance of white spots. The interplay between the discomfort caused by these…

[gumjrop]

Make your voice heard and ask the CDC to:

Recommend COVID vaccines for all ages and health statuses at least twice a year (spring vaccine access for all) AND

Support more frequent updates to the vaccines, adjusted for the latest variants.

Submit a public comment using our sample language below.

The committee is anticipated to vote on the following topic on day 1 of the meeting (October 23): “Use of additional doses of COVID-19 vaccine in immunocompromised individuals and older adults following an initial dose of 2024–2025 vaccine”

Your comments make a difference. At this committee’s June 2024 meeting, public comments from our community led to the committee’s decision to make fall COVID vaccines available to people of all ages, rather than limiting eligibility to specific risk groups. Please join us in making your voice heard for spring COVID vaccine access for all, and at least twice a year access going forward.

Submit Written Comment

You can also register to give Oral Public Comment at the upcoming online CDC ACIP Meeting October 23-24 at: https://www2.cdc.gov/vaccines/acip/acip_publiccomment.asp 

Submit written comments and/or register to make oral comments at the meeting by Friday October 18 at 11:59pm Eastern Standard Time.

It’s important to submit a personalized comment, which can be brief. Ideas for a personalized comment:

How you, your family, or your community would be impacted by spring vaccine eligibility being restricted to only high risk groups (such as older age or immunocompromised status)

Barriers to vaccination your have faced, particularly if your eligibility was questioned or misinterpreted by a vaccine provider

How out-of-pocket costs are a barrier to getting the latest vaccines

Also feel free to take inspiration from or borrow the language in our sample public comment below.

Step-By-Step Submission Instructions:

Step 1. Go to the Regulations.gov to submit your comment.

Step 2. Type in your comment under the field, “Comment.”

Step 3 (optional). Submit a PDF or Word version of your comment under, “Attach Files.”

Step 4. Select either “Individual” or “Anonymous” depending on if you want to share your personal identifiable information that will be publicly available on the Federal Register.

Step 5. If selecting “Individual,” minimally provide your first and last name. If selecting “Anonymous” you can directly submit the comment without sharing your personal identifiable information. Click “Submit Comment.”

Example Comment:

Docket No. CDC-2024-0072-0001 COVID vaccination at least twice a year (at least every six months) must be recommended for people of all ages, regardless of health status. A restrictive approach to eligibility creates undue barriers for vulnerable people and discourages high risk people from getting needed vaccine boosters. People of all ages, including those who are aged 65 and older or immunocompromised, should have the opportunity to receive another COVID vaccine in the spring of 2025. The vaccine schedule should address waning efficacy in the months following vaccination [1-3] as well as emergence of new SARS-CoV-2 strains by recommending updated vaccination for all ages, at least every six months. Waning efficacy is seen with all COVID vaccine types, and recent research into the biological mechanisms of waning [4] supports that this effect occurs regardless of age or immunocompromised status. Recent vaccination is associated with a lower risk of developing Long COVID following a COVID infection [5] as well as a lower risk of Multisystem Inflammatory Syndrome in children (MIS-C) [6].  The CDC’s clear and unequivocal recommendation of COVID vaccination at least twice a year for all ages will influence recommendations by healthcare providers, and coverage by health insurance. Moreover, it will improve public awareness in people of all ages about the importance of recent vaccination (within the last six months) to provide the best protection as part of a multilayered approach to preventing illness. The CDC must ensure equitable and affordable access to updated vaccines and prevent limited access because of financial constraints or demographics. The CDC’s Bridge vaccine access program ended in August 2024 [7], leaving many uninsured and underinsured adults without COVID vaccine access. We ask you to advocate for free COVID vaccine access for all of us to reduce barriers and hesitation to vaccination. References: 1. Link-Gelles R. Effectiveness of COVID-19 (2023-2024 Formula) vaccines. Presented at: FDA VRBPAC Meeting; June 5, 2024. Accessed June 12, 2024. https://www.fda.gov/media/179140/download 2. Wu N, Joyal-Desmarais K, Vieira AM, et al. COVID-19 boosters versus primary series: update to a living review. The Lancet Respiratory Medicine. 2023;11(10):e87-e88. doi:10.1016/S2213-2600(23)00265-5 3. Menegale F, Manica M, Zardini A, et al. Evaluation of Waning of SARS-CoV-2 Vaccine–Induced Immunity: A Systematic Review and Meta-analysis. JAMA Netw Open. 2023;6(5):e2310650. doi:10.1001/jamanetworkopen.2023.10650 4. Nguyen DC, Hentenaar IT, Morrison-Porter A, et al. SARS-CoV-2-specific plasma cells are not durably established in the bone marrow long-lived compartment after mRNA vaccination. Nat Med. Published online September 27, 2024:1-10. doi:10.1038/s41591-024-03278-y 5. Fang Z, Ahrnsbrak R, Rekito A. Evidence Mounts That About 7% of US Adults Have Had Long COVID. JAMA. Published online June 7, 2024. doi:10.1001/jama.2024.11370 6.  Yousaf AR. Notes from the Field: Surveillance for Multisystem Inflammatory Syndrome in Children — United States, 2023. MMWR Morb Mortal Wkly Rep. 2024;73. doi:10.15585/mmwr.mm7310a2 7. https://www.cdc.gov/vaccines/programs/bridge/index.html 

Full instructions for written and oral comment and meeting information can be found at: https://www.cdc.gov/acip/meetings/

You can also register to give Oral Public Comment at the upcoming online CDC ACIP Meeting October 23-24 at: https://www2.cdc.gov/vaccines/acip/acip_publiccomment.asp 

You must register by October 18 at 11:59pm Eastern Standard Time

CDC’s ACIP meeting information on the Federal Register: https://www.federalregister.gov/documents/2024/09/30/2024-22357/meeting-of-the-advisory-committee-on-immunization-practices 

Full Statement:

Vaccination with the latest updated vaccines continues to be foundational to a multilayered approach to COVID, providing protection against both acute disease and Long COVID. Far too few Americans have received the latest vaccines. As of October 11, 2024, only 11.2% of all adults and 26.7% of adults aged 65 and older had received an updated 2024-2025 COVID vaccine. Data for children were unavailable at the time of this writing (October 15, 2024). COVID vaccination rates continue to lag behind influenza vaccination rates. As of July 27, 2024, only 9% of adults aged 65 and older received the recommended two doses of last year’s 2023-2024 vaccine.

Vaccine efficacy wanes significantly four to six months following vaccination, making updated vaccination important for all people as COVID continues to spread in our communities. Vaccine approaches that restrict access based on age or risk status put all of us at risk and leave those at high risk of severe consequences of COVID infection confused about whether they qualify to receive additional doses. These high risk patients may also face barriers as vaccine providers misunderstand the guidelines. A more frequent vaccination approach providing vaccination at least every six months as well as frequent updates to match current variants is needed to better protect all of us amid year-round COVID spread.

Recent vaccination is associated with a lower risk of developing Long COVID following a COVID infection as well as a lower risk of Multisystem Inflammatory Syndrome in children (MIS-C). Waning efficacy is seen with all COVID vaccine types, and recent research into the biological mechanisms of waning supports that this effect occurs regardless of age or immunocompromised status. 

The CDC’s Bridge Access Program, which previously provided COVID vaccines to uninsured and underinsured adults free of charge, ended in August 2024. The end of this program without replacement coverage puts people at risk, and public health officials must advocate for free vaccine access for all of us, including those who are uninsured and underinsured.

Submitted written comments or registration to make oral comments at the meeting must be received by the CDC no later than October 18 at 11:59pm Eastern Standard Time

[covid-safer-hotties]

Also preserved on our archive (Daily updates!)

An older (published in January 2024) but interesting and comprehensive look at long Covid's effect on Latino families and communities in the US.

By Lygia Navarro and Johanna Bejarano

Editor’s note: This story first appeared on palabra, the digital news site by the National Association of Hispanic Journalists. It is part of a series produced in partnership between palabra and Northwest Public Broadcasting (NWPB) with the collaboration of reporters Lygia Navarro and Johanna Bejarano. *Some people interviewed for this article requested anonymity to discuss private health issues.

Victoria* is already exhausted, and her story hasn’t even begun. It’s late January 2021 in rural Sunnyside, Washington. The town of 16,000 people is a sleepy handful of blocks flecked with pickup trocas, churches on nearly every corner, and the twangs of Clint Black and Vicente Fernández. Geometric emerald chunks of farmland encircle the town.

Thirty-nine-year-old Victoria drags herself back and forth to her parents’ bedroom in a uniform of baggy burgundy sweatpants, scarf, knit hat and mask. Always a mask. As the eldest sibling, her unspoken job is to protect the family. But COVID-19 hits before they can get vaccinated.

When Victoria’s mamá got sick and quickly infected her papá, Victoria quarantined them. She shut them in their room, only cracking the door briefly to slide food in before retreating in a fog of Lysol.

Working in the health field, Victoria knows if they make it through the first 14 days without hospitalization, they will likely survive. Yet, caregiving drains her: Keeping track of fevers. Checking oxygen saturation. Making sure they’re drinking Pedialyte to stay hydrated. Worrying whether they will live or die.

Five days in, COVID comes for Victoria. Hard. Later, when she repeatedly scrutinizes these events, Victoria will wonder if it was the stress that caused it all — and changed her life forever.

At the pandemic’s onset, Victoria’s family’s work dynamics fit the standard in Sunnyside, where 86% of residents are Latino. “Keeping the members of your household safe — it was hard for a lot of families,” Victoria says. Living in multigenerational homes, many adult children, who’d grown up in the United States with access to education, had professional jobs, and switched to working from home. Their immigrant elders, who’d often only been able to finish fourth grade, braved the world to toil in fields, produce packing plants, supermarkets, or delivery trucks. As Leydy Rangel of the UFW Foundation puts it: “You can’t harvest food through Zoom.”

More than three decades ago, when 6-year-old Victoria’s family migrated from rural northern Mexico to this fertile slip of land cradling the zigzagging Yakima River, their futures promised only prosperity and opportunity.

According to oral histories of the Confederated Tribes and Bands of the Yakama Nation — who white colonizers forced out of the Yakima Valley in 1855 — the valley’s fecund lands have fed humans since time immemorial. Soon after the Yakamas’ removal to a nearby reservation, settler agriculture exploded.

By World War II, employers were frantic to hire contracted bracero laborers from Mexico — themselves descendants of Indigenous ancestors — to harvest the valley’s bounty of asparagus, pears, cherries and other cornucopia. This was how Victoria’s family arrived here: her abuelo and his brother had traveled back and forth to Washington as braceros decades before.

Victoria’s path took similar twists, in a 21st century, first-gen way. She moved all over the country for her education and jobs, then returned before the pandemic, bringing a newfound appreciation for the taste of apples freshly plucked from a tree that morning, and for the ambrosial scent of mint and grapes permeating the valley before harvest.

Today, agriculture is the largest industry fueling the Yakima Valley, the country’s twelfth-largest agriculture production area. Here, 77% of the nation’s hops (an essential ingredient in beer) and 70% of the nation’s apples are grown. Latinos, who constitute more than half of Yakima County’s population, power the agricultural industry.

While the area’s agricultural enterprises paid out $1.1 billion in wages in 2020, 59% of the low-wage agriculture jobs are held by undocumented folks and contracted foreign seasonal laborers doing work many Americans spurn. Latinos here live on median incomes that are less than half of white residents’, with 16% of Latinos living in poverty. Also in 2020: as they watched co-workers fall ill and die, Latino farmworkers repeatedly went on strike protesting employers’ refusals to provide paid sick leave, hazard pay and basic COVID protections like social distancing, gloves and masks.

“Every aspect of health care is lacking in the valley,” Yakima Herald-Republic health reporter Santiago Ochoa tells me.

In interview after interview, Yakima Valley residents and health care workers sketch in the details of a dire landscape:

The state’s busiest emergency room. Abrupt shutdowns of hospital facilities. Impoverished people without transportation or internet access for telehealth. Eight-month waits for primary care appointments. Nearly one in five Latinos uninsured. More than half of residents receive Medicaid. Resident physicians cycling in and out, never getting to know their patients. Not enough specialists, resulting in day-long trips for specialized care in bigger cities. With its Latino essential workforce risking their lives to feed their families — and the country — by summer 2020, COVID blazed through Yakima County, which quickly became Washington’s most scorching of hot spots. Not only did Yakima County tally the highest per-capita case rate of all West Coast counties (with Latinos making up 67% versus, 26% for white people), it also saw more cases than the entire state of Oregon. Ask Latinos here about 2020, and they shiver and avert their gazes, the trauma and death still too near.

Their positive tests marked just the beginning of terrifying new journeys as COVID slammed Victoria and many other Yakima Valley Latinos. Mix in scanty rural health care, systemic racism and a complicated emerging illness, and what do you get? Chaos: a population hardest hit by long COVID, but massively untreated, underdiagnosed, and undercounted by the government and medicine itself.

It won’t go away The cough was the first clue something wasn’t right. When Victoria had COVID, she’d coughed a bit. But then, three months later, she started and couldn’t stop.

The Yakima Valley is so starved for physicians that it took five months to see a primary care doctor, who attributed Victoria’s incessant cough to allergies. Victoria tried every antihistamine and decongestant available; some brought relief for three, maybe four weeks, and then returned spasms of the dry, gasping bark. A few minutes apart, all day long. The worst was waking up coughing, at least hourly.

Victoria had chest x-rays. An ear, nose and throat specialist offered surgery on her nose’s deviated septum. As months passed, the black hair framing Victoria’s heart-shaped face started aging rapidly, until it was grayer than her mother’s.

Over a year after the cough began, an allergist prescribed allergy drops, and Victoria made a chilling discovery. Once the drops stopped the cough for a month, then two, Victoria realized that the extreme fatigue she’d thought was sleep deprivation from coughing all night persisted.

“The exhaustion comes from within your soul, it overpowers you,” she says. “It’s intolerable.”

And her mind was foggy. When interrupted at work every 10 minutes by a coughing jag, Victoria hadn’t realized COVID had substantially altered her brain. “There are things in my brain that I should have access to, like words, definitions, memories,” she says. “I know that they’re there but I can’t access them. It’s like a filing cabinet, but I can’t open it.”

Before long, the cough resurfaced. Sometime in 2021, reading COVID news for work, Victoria learned of long COVID: new or lingering health issues persisting at least three months after COVID infection.

How to get help if you think you might have long COVID Talk to your doctor, and if your doctor doesn’t listen to your concerns, bring a loved one to advocate for you at your next appointment. Bring this article (or other materials on long COVID) to show your doctor. Ask your doctor about seeing specialists for long COVID symptoms, such as a cardiologist (for dysautonomia symptoms like dizziness, heart palpitations and shortness of breath), a gastroenterologist (for digestive problems), or a neurologist (for chronic nerve pain). Ask to be referred to a long COVID clinic (if there is one in your area). Now four years into the pandemic, there is still no treatment or cure for long COVID. COVID long-haulers (as they call themselves) have reported over 200 varied symptoms, with fatigue, dizziness, heart palpitations, post-exertion exhaustion, gastrointestinal issues, and brain dysfunction among the most common.

Long COVID is far from a mysterious illness, as it’s often called by the medical establishment and some media. There are precedents: for at least a century, historical documentation has shown that, while most recover, some people remain sick after viral or other illnesses. Yet funds for research have been severely limited, and sufferers ignored. Myalgic Encephalomyelitis – sometimes called Chronic Fatigue Syndrome, or ME/CFS — is a prime example. Like ME/CFS, long COVID afflicts many more women (and people assigned female at birth) than men, with women comprising as many as 80% of COVID long-haulers. Most long-haulers are in their 30s, 40s and 50s — the busiest years for women with children, who often put their own needs last.

What should have been instantly clear, given how disproportionately Black and Brown communities were hit by COVID, was that long COVID would wallop Americans of color. Yet, the U.S. government waited until June 2022 to begin tracking long COVID. Even now, with 18 months of data showing Latinos are the population most impacted by long COVID, palabra is among the very few media outlets to report this fact. Are the nation and the medical community willfully ignoring Latino long-haulers — after sending them into clouds of coronavirus to keep society’s privileged safe?

Fighting for a diagnosis When Victoria mentioned long COVID, her doctor didn’t exactly ignore her: she listened, said “OK,” but never engaged on the topic. Same with Victoria’s allergist and the ear, nose and throat specialist. All they could do, the doctors said, was treat her symptoms.

“I’m highly educated and I know that you have to be your own advocate. But I kept asking, kept going on that line of thought, and they had nothing to say to me. Absolutely nothing,” she laments.

Victoria understood science on long COVID was limited, but still expected more. “All of the treatments we tried, it was as if COVID hadn’t existed. They should at least say that we need to investigate more, not continue acting like it wasn’t a factor. That was what was most frustrating.”

Just as Victoria fought to have her illness validated by doctors, 30 miles away in the northern Yakima Valley town of Moxee, 52-year-old María* waged a parallel battle. Both felt utterly alone.

When the pandemic began, María became the protector of her husband and children, all asthmatics. When she fell ill New Year’s Day 2021, she locked herself in her room, emerging weeks later to find her life unrecognizable.

Recounting her struggles, María reads deliberately from notes, holding back tears, then pushes her reading glasses atop her head. (María moved here from northern Mexico as an adult, and feels most comfortable in Spanish.) Her dyed brown hair, gold necklace and lightly made-up face project convivial warmth, but something intangible behind her expression belies a depth of grief María refuses to let escape. When I tell her I also have long COVID, and fell ill the exact same month, she breathes out some of her anxiety.

María’s long COVID includes chronic, full-body pain; memory lapses so severe she sometimes can’t remember if she’s eaten breakfast; such low energy that she’s constantly like a battery out of juice; unending shortness of breath; joint inflammation; and blood flow issues that leave her hands a deep purple. (The only time María ventured to the hospital, for her purple hands, she says staff attempted to clean them, thinking it was paint.) Like Victoria, María used to enjoy exercise and hiking in the valley’s foothills, but can do neither anymore.

María has no insurance, and receives care at the Yakima Valley Farm Workers Clinic, created in 1978 out of the farmworkers’ movement. The clinic’s multiple locations are the valley’s main providers of care irrespective of patients’ ability to pay.

Whereas Victoria’s doctors expressed indifference to the idea of COVID causing her health complaints, María’s doctors not only discounted this connection, but made serious errors of misdiagnosis.

“Every week I went to see my doctor. She got so stressed out (at not knowing what was wrong with me) that she stressed me out,” María says. “My doctor told me, ‘You know what? I think you have multiple sclerosis.’” María saw specialists, and afterwards, even without confirmation, María says her doctor still insisted she had MS. “I told her, ‘No. No, I don’t have multiple sclerosis. It’s COVID. This happened after COVID.’ I was really, really, really, really, really, really insistent on telling them that all of this was after COVID.”

Latinos uncovering the connections between their ill health and COVID is rare, partially due to the plummet in COVID coverage on Spanish-language news, says Monica Verduzco-Gutierrez, a long-hauler and head of the University of Texas Health Science Center San Antonio long COVID clinic. There has been no national public education on long COVID, in any language.

“It’s hard for people to understand what the real impact of long COVID is now and in the future,” says Lilián Bravo, Yakima Health District director of public health partnerships and the face of COVID updates on Yakima Valley television early in the pandemic. “We’re looking at a huge deficit in terms of people’s quality of life and ‘productivity.’”

Eventually, María’s doctor sent her to another specialist, who said that if she didn’t improve within a month, he’d operate on her hip. María’s never had hip problems. “He said, ‘Well, I don’t know what you’re going to do,’” and then put her on a strong steroid medication that made her vomit horribly, María says. She hasn’t tallied what she’s spent on medical bills, but after paying $1,548 for a single test, it must be many thousands of dollars.

Meanwhile, María’s family and friends kept insisting her maladies were psychological. “I never accepted that. I told them: ‘It’s not in my head. It’s in my body.’” It wasn’t until more than a year after becoming ill that María finally saw a rheumatologist who diagnosed her with long COVID and other immune dysfunctions. “I told her, ‘Yes, I knew that my body wasn’t working. I knew that something was wrong.’ I felt like I could relax. Finally someone is telling me that it’s not all in my head.” Once María was diagnosed, her extended family switched to asking how she was feeling and sympathizing with her.

Victoria, on the other hand, has never received a long COVID diagnosis. At Victoria’s request, her doctor referred her to the state’s only long COVID clinic, at the University of Washington in Seattle, but Victoria’s insurance, Kaiser Permanente, refused to pre-approve the visit — and the clinic wouldn’t accept cash from her. At present, the clinic isn’t even accepting patients from the Yakima Valley or any other part of Washington — they are only accepting patients in King County, which includes Seattle.

Victoria’s family hasn’t accepted her health struggles either. “I’d say, ‘I know that you think I’m crazy,’” Victoria says, chuckling, as she often does to lighten her discomfort. “My mom would fight with me: ‘You forgot to do this! Why are you so spacey?’ ‘Mami, it’s not that I forgot. In reality, I completely lost track of it.’” If Victoria is fatigued, her family asks how that’s possible after a full night’s sleep. “I’ve found that I have to defend myself. When I try to explain to people, they hear it as excuses from a lazy person — especially being Latinos.”

Karla Monterroso, a 42-year-old California Latina long-hauler since March 2020 who spent her first year bedbound, says, “(With long COVID), we have to rest in a way that, in our culture, is very difficult to achieve. We really judge exhaustion.” In fact, pushing physically or mentally for work can make long-haulers much sicker. Karla says Latino ethics of hard work like those of Victoria’s parents “aren’t the principles that are going to serve us with this illness.”

Long COVID diagnoses in Latinos are still too rare, due to untrained family medicine physicians and medical stereotypes, says Verduzco-Gutierrez. (Doctors might see blood sugar changes, for example, and assume that’s just because of Latinos’ high rates of diabetes, rather than long COVID.) She says “misinformation on long COVID” is rampant, with physicians claiming long COVID is a fad, or misdiagnosing the bone-deep exhaustion as depression. When Verduzco-Gutierrez’s own doctor invited her to speak to their practice, the assembled physicians weren’t aware of basic research, including that the drugs Paxlovid and Metformin can help prevent long COVID if taken at infection. In Washington, physicians must complete training on suicide, which takes 1,200 to 1,300 lives in the state yearly, but there’s no state-wide training on long COVID, which currently affects at least 498,290 Washingtonians.

Cultural skepticism about medicine — and entrenched stigmas about illness and disability — mean Sunnyside conversations about aftereffects don’t mention COVID itself. Victoria’s relatives push traditional herbal remedios, assuming that anyone still sick isn’t doing enough to recover. “(People suffering) feel like they’re complaining too much if they try to talk about it,” Victoria says. Meanwhile, her parents and others in her community avoid doctors out of stubbornness and mistrust, she says, “until they’re bleeding, when they’re super in pain…, when it’s gotten to the worst that they can handle.”

“People in this community use their bodies for work,” Victoria says. “If you’re Latino, you’re a hard worker. Period,” says Bravo. “What’s the opposite of that, if you’re not a hard worker? What are you? People don’t want to say, ‘I came to this country to work and all of a sudden I can’t anymore.’”

Victoria sees this with her parents, who’ve worked since the age of 10. Both have health issues inhibiting their lives since having COVID — her dad can’t take his daily hour-long walks anymore because of heart palpitations and shortness of breath, and her mom began getting headaches and saw her arthritis worsen dramatically — yet neither will admit they have long COVID. Nor will their friends and family. “If they noticed the patterns of what they themselves are saying and what their friends of the same age are suffering after COVID,” Victoria says of her community, “they’d hear that almost everyone is suffering some type of long COVID.”

Long COVID’s deep impact on Latinos The “back to normal” ethos is most obvious in the absence of long COVID messaging while as many as 41 million adults now have — or have recovered from — long COVID nationwide. “The way that we’re talking about the pandemic is delegitimizing some of (long COVID’s) real impacts,” says Bravo of the Yakima Health District.

Even with limited demographic data, statistics show a nationwide reality similar to Victoria’s Sunnyside. Through a recurring survey, the Census Bureau estimates that 36% of Latinos nationally have had long COVID — likely a vast underestimate, given that the survey takes 20 minutes to complete online (Latinos have lower rates of broadband internet), and reaches only a sliver of the U.S. population. Experts like Verduzo-Gutierrez believe that true rates of long COVID in Latinos are higher than any reported statistic. California long-hauler Karla Monterroso agrees: “We are underdiagnosed by a severe amount. I do not believe the numbers.”

This fall, a UC Berkeley study reported that 62% of a group of infected California farmworkers developed long COVID. Weeks later, a survey from the University of Washington’s Latino Center for Health found that, of a sample group of 1,546 Washington Latinos, 41% of those infected became long-haulers. The Washington results may also be an undercount: many long-haulers wouldn’t have the energy or brain clarity to complete the 12-page survey, which was mailed to patients who’d seen their doctor within the prior six months. Meanwhile, many long-haulers stop seeing doctors after tiring of the effort and cost with no answers.

“Our community has not bounced back,” says Angie Hinojos, executive director of Centro Cultural Mexicano, which has distributed $29 million in rent assistance in Washington and hasn’t seen need wane. “That is going to affect our earning potential for generations.” The United Farm Workers’ philanthropic sister organization, the UFW Foundation, says union organizers hear about long COVID, and how it’s keeping people out of work, frequently.

Cultural and linguistic disconnects abound between doctors and Latinos on long COVID symptoms, some of which, like brain fog and fatigue, are nebulous. If doctors lack patient rapport — or don’t speak their language — they’ll miss what patients aren’t sharing about how long COVID changed their lives, work and relationships. That’s if Latinos actually go to the doctor.

“If you’re working in the orchards and your muscles are always sore, it’s just part of the day-to-day reality,” says Jesús Hernández, chief executive officer of Family Health Centers in north-central Washington. “If you’re constantly being exposed to dust and even chemicals in the work environment, it’s easy to just say, ‘Well, that’s just because of this or that,’ and not necessarily be readily willing to consider that this is something as unique as long COVID.”

Even Victoria says if not for the cough, she wouldn’t have sought medical advice for her fatigue. “There are a lot of people out there that are really tired, in a lot of pain and have no idea why. None,” says Karla, who was a nonprofit CEO when she became sick. “I have heard in the last three-and-a-half years the most racist and fatphobic things I have ever heard in my life. Like, ‘Oh, sometimes you got to lay off the beans and rice.’ I have a college education. I’m an executive. I am in the top 10% of wage earners in my community. If this is my experience, what is happening to the rest of my people?”

Conspiracy theories and misinformation As Yakima Valley’s Latino vaccination rates continue dropping, I hear all the COVID conspiracy theories: the vaccine has a chip that’ll track you; the vaccine makes you and your children infertile; COVID tests are rigged to all be positive; that hospitals get paid more for COVID patients. Victoria laughs at the most absurd one she’s heard. Her mom’s explanation for her health problems nearly three years after COVID: the vaccine.

Across the Latino United States, social media algorithms and WhatsApp threads promoting COVID disinformation proliferate. Last summer, Latino Center for Health co-director Dr. Leo Morales did a long COVID community presentation just south of Yakima Valley. The audience’s first question: Are vaccines safe? “This is where we’re still at,” Morales says. “That’ll be a big stumbling block for people…in terms of getting to talking about long COVID.”

One morning in early November, Morales and his team gather in Toppenish at Heritage University, where 69% of students are Latino, to present their survey data. Neither presenters nor attendees wear masks, an essential tool for preventing COVID transmission and long COVID. “The only conversation that I’m having about COVID is in this room,” says María Sigüenza, executive director of the Washington State Commission on Hispanic Affairs.

Yakima Valley health institutions are also ignoring long COVID. Of the two main hospital systems, Astria Health declines interview requests and MultiCare reports that of 325,491 patients seen between January and November 2023, 112 — or 0.03% — were diagnosed with long COVID. The Yakima Valley Farmworkers Clinic, where María’s doctor works, refuses to let me speak to anyone about long COVID, despite providing patient information for the Latino Center for Health’s survey. Their doctors simply aren’t seeing long COVID, the clinic claims. Same with the other main community provider, Yakima Neighborhood Health Services, whose media officer responds to my interview requests with: “It’s not going to happen.”

“I think they’re not asking, they’re not looking,” Verduzco-Gutierrez says. “Do the doctors just…look at your diabetes or your blood pressure, but not ask you, ‘Did your diabetes get worse when you had COVID? Did your blood pressure get worse? Did you not have blood pressure problems before? And now do you get dizzy? Do you get headaches? Do you have pains?’” She believes that many, if not most, Latinos with long COVID aren’t getting care, whom she calls “the ones that we’re missing.”

An uncertain future The outlook for Latinos with long COVID is grim. Cultural stigma and ableism cause now-disabled long-haulers to feel shame. (Ableism is societal prejudice and discrimination against disabled people.) Disability benefits are nearly impossible to get. Long-haulers are losing their homes, jobs and insurance. Latinos’ overrepresentation in sectors that don’t offer sick pay and are heavily physical — cleaning, service, agriculture, construction, manufacturing, homecare and healthcare among them — may automatically put them at higher long COVID risk, given ample anecdotal evidence that pushing through a COVID infection instead of resting can lead to long COVID. Latino care providers will become ill in greater numbers, imperiling the healthcare industry.

But Latinos may not be clear on these factors, says long-hauler Karla Monterroso. “My tío had said…'We must be defective because we get sick more than the white people.’ And I’m like ‘No, tío. We are exposed to the illness more. There’s nothing defective about our bodies.’ I’m afraid for us. It’s just going to be disability after disability after disability. We have to start in our small communities building caring infrastructure so that we can help each other. I am clear: No one is coming to save us. We’ve got to save us.”

Disability justice advocates worry about systems unable to cope with inevitable disabling waves of COVID in the future. “(Latinos) aren’t taking it as serious as they should,” says Mayra Colazo, executive director of Central Washington Disability Resources. “They’re not protecting each other. They’re not protecting themselves.” Karla sees the psychology behind this denial: “I have thought a lot about how much it takes to put yourself in danger every single day. (You have) to say ‘Oh, it’s fine. People are exaggerating,’ or you get that you’re in existential hell all of the time.”

Reinfection brings additional risk of long COVID, research shows, and Verduzco-Gutierrez says, “We still don’t know the impact of what is going to happen with all these reinfections. Is it going to cause more autoimmune disease? Is it going to be causing more dementia? Is it going to be causing more cancer?” She believes that every medical chart should include a COVID history, to guide doctors to look for the right clues.

“If we were to be lucky enough to capture everybody who has long COVID, we would overwhelm our (health) system and not be able to do anything for them,” Victoria says. “What’s the motivation for the medical field, for practitioners to find all those people?” For now, Victoria sees none. “And until that changes, I don’t think we will (properly count Latino long-haulers),” she adds.

Flashes of hope do exist. In September 2023, the federal government granted $5 million each to multiple long COVID clinics, including three with Latino-specific projects. In New York City, Mt. Sinai Hospital will soon open a new long COVID clinic near largely-Latino East Harlem, embedded in a primary care clinic with staff from the community to reach Latino long-haulers. Verduzco-Gutierrez’s San Antonio clinic will teach primary care providers across largely rural, Latino South Texas to conduct 15-minute low-tech long COVID examinations (the protocol for which is still being devised), and will deploy community tools to educate Latinos on long COVID.

Meanwhile, at the University of Washington long COVID clinic, staff are preparing a patient handbook, which will be adapted for Latinos and then translated into Spanish. They will also train primary care physicians to be local long COVID experts, and will return to treating patients from the whole state rather than just the county containing Seattle. After palabra’s inquiry, the UFW Foundation now has plans to survey United Farm Workers members to gauge long COVID pervasiveness, so the Foundation can lobby legislators and other decision makers to improve Latino long-hauler care.

Back at the Yakima Valley survey presentation, attendees brainstorm new care models: Adding long COVID screening to pediatric checkups, given that long COVID most impacts child-bearing-age women, so moms can bring information to their families and community. Using accessible language for long COVID messaging, or, as Heritage University nursing faculty member Genevieve Aguilar puts it: “How would I talk to my tía, how would I talk to my abuelita? If they can understand me, we’re good to go. If they can’t, olvídate. We have to reframe.”

More than anything, personal narratives will be the key to open people’s minds about long COVID — although that path may be challenging. In Los Angeles, Karla has dealt with a lack of full family and community support, in part, she believes, because her body represents COVID. “I am living, breathing proof of a pandemic no one wants to admit is still happening, and that there is no cure for what I have. That is a really scary possibility.”

While Karla does identify as disabled, Victoria and María don’t. Victoria has learned to live and move within her physical limits. At work, she sometimes feels inhibited by her cognitive issues. “I tell my boss all the time, ‘Oh man, you guys hired such a smart person. But what you got was after COVID, so it’s not the same.’” At times, she worries about the trajectory of her career, about how her work’s intense problem-solving wears out her brain. Will she be able to pursue larger challenges in work in the future? Or will long COVID ultimately make her fail?

Victoria tells me she “remains hopeful that there is a solution.” In a surprising twist, her cough completely disappeared eight months ago — when she became pregnant. (Other long-haulers have seen their symptoms improve with pregnancy, as well, likely due to immune system changes allowing a pregnant person’s body to not reject their baby’s growing cells). Victoria is optimistic that her other symptoms might disappear after she gives birth. And that, maybe someday, her parents will admit they have long COVID, too.

[newlevant]

¡Aquí tenemos! Sobre el COVID y cómo puedes protegerte: edición de 2024

Traducción al castellano por Maru Florián Padrón (twitter: @unlocalizedling). ¡Todes pueden imprimir estas zines gratis!

Reportes nacionales semanales sobre la concentración efectiva de SARS-CoV-2 virus en las aguas residuales: https://pmc19.com/data/

biobot.io/data/covid-19

La Red Española de Investigación en COVID persistente: reicop.org

Las vacunas contra el covid actualizadas intentan coincidir con las variantes del covid que circulan actualmente, por lo que vale la pena adquirirlas. Simplemente no te hacen invencible.

Encuentre vacunas en los EEUU: https://vacunas.gov

Pide pruebas de covid gratuitas (si están incluidas en la cobertura de tu seguro médico): fastlabtech.com

Encuentra puntos gratuitos dónde realizarte una prueba: https://testinglocator.cdc.gov/homees

Cómo obtener una muestra: https://ontariohealth.ca/sites/ontariohealth/files/2022-05/RAT-Oral-nasal-collection-instructions-Spanish.pdf

Pruebas de ajuste facial y ajuste respiratorio por 3M: 3m.com.es

Compre un respirador 3M Aura: stauffersafety.com

Resultados de la prueba de talla: testtheplanet.org

Cómo hacer un filtro HEPA casero: https://renovablesverdes.com/filtro-hepa-casero/

Precaución: ¡el xilitol es venenoso para perros y gatos! Mantenga el aerosol nasal alejado de ellos.

Estudios sobre los sprays nasales (en inglés) aquí: https://newlevant.com/covidzine/es

Qué hacer si tiene COVID por el People's CDC: peoplescdc.org/es/2023/01/10/what-to-do-if-you-have-covid/…

Qué hacer cuando tengo COVID por Clean Air Club, con información relevante si vives en España: https://dropbox.com/scl/fi/999mutp

Encontrar un sitio de Pruebas para Tratar o un sitio del Programa de Asistencia a Pacientes de Paxlovid: https://treatments-es.hhs.gov

Virtual ExpressCare en NY: https://ondemand.expresscare.video/landing

Suplementos recomendados por RTHM Health (inglés): https://rthm.com/articles/youve-got-covid/

Gracias por leer. ¡Puedes imprimir y distribuir tus propias copias de este zine!

Referencias y más recursos aquí: http://newlevant.com/COVIDzine/es

Cualquier error en español es mío porque utilicé el traductor de Google. Maru tradujo muy bien el zine.

[patriottruth]

The tulsi gabbard Appointment and The 2024 U.S. Elections Aren't The Only Times donald j. trump and his Russian Asset Republicans Worked With Russians Against United States' Interests: COVID-19, USA Patriot Act/USA Freedom Act Sabotage, The Massive Russian SolarWinds Hack of 33,000 U.S. Government and Private Sector Computer Networks, and Russian 2024 Election Day Interference (compiled from Wikipedia):

In November 2019, a security researcher notified SolarWinds that credentials to a third party FTP server had a weak password of "solarwinds123", warning that "any hacker could upload malicious [code]" that would then be distributed to SolarWinds customers. The New York Times reported SolarWinds did not employ a chief information security officer and that employee passwords had been posted on GitHub in 2019.

December 1, 2019: COVID-19 pandemic: First known human case of Coronavirus disease 2019, in Wuhan, Hubei, China.

December 5, 2019: Speaker of the U.S. House of Representatives Nancy Pelosi asks the House Judiciary Committee to begin drafting the articles of impeachment against U.S. President Donald Trump.

December 9, 2019: The World Anti-Doping Agency votes unanimously to ban Russia from international sport for four years for doping offences, meaning it will be excluded from the 2020 Summer Olympics in Tokyo, the 2022 Winter Olympics in Beijing and the 2022 World Cup in Qatar.

December 10, 2019: Democrats in the United States House of Representatives announce formal charges against President Donald Trump, accusing him of abusing power and "obstructing Congress"; he becomes the third U.S. president in history to face impeachment.

December 18, 2019: The U.S. House of Representatives approves two articles of impeachment against President donald trump, making him the third president to be impeached in the nation's history.

December 29, 2019: The Taliban's ruling council agrees to a temporary cease-fire in Afghanistan, opening a door to a peace agreement with the United States.

In January and February 2020, U.S. intelligence agencies delivered over a dozen classified warnings in the President's Daily Brief about COVID-19, including its potential to inflict severe political and economic damage. President Donald Trump typically did not read daily briefs and often has "little patience" for oral summaries, The Washington Post reported. Each brief was also shared with other officials in the administration. The Office of the Director of National Intelligence, which produces the President's Daily Brief, denied that there were repeated mentions of COVID-19.

On January 8, 2020, the U.S. Centers for Disease Control and Prevention (CDC) released a health advisory regarding an outbreak of pneumonia in Wuhan, Hubei Province, China, which was being caused by a yet-unidentified virus.

January 16, 2020: The first impeachment trial of the President of the United States, Donald Trump, begins in the U.S. Senate.

On January 27, 2020, Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, predicted that "things are going to get worse before they get better". Three days later, Fauci stated that the COVID-19 outbreak "could turn into a global pandemic".

On February 10, 2020, Trump stated that "a lot of people think that [COVID-19] goes away in April with the heat … Typically, that will go away in April" (later, on April 3, he denied ever having given "a date" for the departure of the virus)

On February 13, 2020, CDC director Robert Redfield contradicted Trump, saying that the "virus is probably with us beyond this season, beyond this year". Redfield also predicted that it "will become a community virus at some point in time, this year or next year".

On February 16, 2020, Anthony Fauci warned that it was not necessarily true that COVID-19 would "disappear with the warm weather."

February 25, 2020, was the day that the CDC first warned the American public to prepare for a local outbreak. That day, Nancy Messonnier, head of the CDC's National Center for Immunization and Respiratory Diseases, said that "We are asking the American public to work with us to prepare for the expectation that this is going to be bad." Messonnier predicted that "we will see community spread in this country", and it was only a matter of time. As a result, "disruption to everyday life might be severe". Messonnier stated that the CDC is preparing, and "now is the time for hospitals, schools and everyday people to begin preparing as well."

On February 25, 2020, Anthony Fauci declared that given how COVID-19 was spreading in other nations, it was "inevitable that this will come to the United States" as well. On February 26, CDC Director Robert Redfield said it would be "prudent to assume this pathogen will be with us for some time to come".

On February 26, 2020, Trump contradicted Messonnier, stating: "I don't think it's inevitable" that a U.S. outbreak would occur, "It probably will, it possibly will … Whatever happens, we're totally prepared." Trump additionally declared that the number of infected was "going very substantially down, not up".

On February 27, 2020, The chairman of the Senate Intelligence Committee, Richard Burr, who helped to write the Pandemic and All-Hazards Preparedness Act (PAHPA), which forms the framework for the federal response, warned a private group of his constituents that COVID-19 is much more aggressive in its transmission than anything that we have seen in recent history, and is probably more akin to the 1918 Spanish Flu pandemic. "There will be, I'm sure, times that communities, probably some in North Carolina, have a transmission rate where they say, 'Let's close schools for two weeks. Everybody stay home,' We're going to send a military hospital there; it's going to be in tents and going to be set up on the ground somewhere, It's going to be a decision the president and DOD make."

On February 27, 2020, Trump said of the virus: "It's going to disappear. One day it's like a miracle, it will disappear. And from our shores, you know, it could get worse before it gets better. Could maybe go away. We'll see what happens. Nobody really knows." Also on February 27, Trump declared that the risk to the American public from COVID-19 "remains very low".

February 27, 2020 stock market crash: Triggered by fears of the spreading of COVID-19, the Dow Jones Industrial Average (DJIA) plunges by 1,190.95 points, or 4.4%, to close at 25,766.64, its largest one-day point decline at the time. This follows several days of large falls, marking the worst week for the index since the 2007–2008 financial crisis.

On February 29, 2020, Trump said that "additional cases in the United States are likely", but "there's no reason to panic at all." When a reporter asked Trump: "How should Americans prepare for this virus?" Trump answered: "I hope they don't change their routine".

February 29, 2020: A conditional peace agreement is signed between the United States and the Taliban. The U.S. begins gradually withdrawing combat troops from Afghanistan on March 10.

On March 4, 2020, donald trump appeared on Fox News's Hannity by phone, where he claimed a 3.4% mortality rate projected by the World Health Organization (WHO) was a "false number", and stated his "hunch" that the true figure would be "way under 1%". Trump also predicted that many people infected with COVID-19 would experience "very mild" symptoms, "get better very rapidly" and thus they "don't even call a doctor". Thus, there may be "hundreds of thousands of people that get better just by, you know, sitting around and even going to work—some of them go to work, but they get better."

From March 6 to March 12, 2020, donald trump stated on four occasions that the coronavirus would "go away". On March 10, Surgeon General Jerome Adams stated that "this is likely going to get worse before it gets better."

March 2020: The nightmare of empty grocery shelves begins. Stores capping/limiting purchases.

By March 11, 2020, the virus had spread to 110 countries, and the WHO officially declared a pandemic. The CDC had already warned that large numbers of people needing hospital care could overload the healthcare system, which would lead to otherwise preventable deaths. Director of the National Institute of Allergy and Infectious Diseases Anthony Fauci said the mortality from COVID-19 was ten times higher than the common flu. By March 12, diagnosed cases of COVID-19 in the U.S. exceeded a thousand. Trump declared a national emergency on March 13. On March 16, the White House advised against any gatherings of more than ten people. Three days later, the United States Department of State advised U.S. citizens to avoid all international travel.

The USA Freedom Act, which became law on June 2, 2015, reenacted the expired USA Patriot Act sections through 2019. However, Section 215 of the law was amended to disallow the National Security Agency (NSA) to continue its mass phone data collection program. Instead, phone companies will retain the data and the NSA can obtain information about targeted individuals with a federal search warrant.

On August 14, 2019, the outgoing Director of National Intelligence sent a letter to Congress stating the Trump Administration's intention to seek permanent extension of the provisions of FISA that under the terms of the USA FREEDOM Act are scheduled to expire on December 15, 2019, namely the "lone wolf" authority allowing surveillance of a suspected terrorist who is inspired by foreign ideology but is not acting at the direction of a foreign party, the roving wiretap authority regarding surveillance of a terrorist who enters the United States and the authority to allow the Federal Bureau of Investigation to obtain certain business records in a national security investigation, as well as the call detail records program undertaken by the NSA. In reference to the latter authority, the letter announced that "The National Security Agency has suspended the call detail records program that uses this authority and deleted the call detail records acquired under this authority."

Jurisdiction over the reauthorization of the expiring FISA provisions is shared by the Judiciary and Intelligence committees in the U.S. Senate and the U.S. House of Representatives; the House Committee on the Judiciary and the Senate Committee on the Judiciary held separate public hearings on the reauthorization in September 2019 and November 2019, respectively. Opposition to the call detail records program has led to some Congressional demands that the authority for the program not be renewed. Additional complications hindering reauthorization arose from a report of the US Department of Justice Inspector General finding fault with certain FISA applications in connection with the 2016 presidential campaign, which led some members of Congress to insist on reforms to FISA as a condition of reauthorizing the expiring USA FREEDOM Act provisions.With Congressional attention focused on dealing with the COVID-19 pandemic in the United States in 2020, the House of Representatives passed a long-term extension of the USA FREEDOM Act on March 11, 2020, just four days before the scheduled expiration of the Act on March 15, 2020, by a wide, bipartisan margin that kept the protections of the Act largely the same. Two months later, in May of 2020, the Senate passed an extension of the Act by an 80-16 vote that expanded some privacy protections, but the Senate version did not include protection of Americans’ internet browsing and search histories from warrantless surveillance, which was proposed by Sens. Ron Wyden (D-Ore.) and Steve Daines (R-Mont.) and failed by one vote.

According to former KGB major Yuri Shvets, donald trump became the target of a joint Czech intelligence services and KGB spying operation after he married Czech model Ivana Zelnickova and was cultivated as an "asset" by Russian intelligence since 1977: "Russian intelligence gained an interest in Trump as far back as 1977, viewing Trump as an exploitable target." Luke Harding writes that documents show Czechoslovakia spied on donald trump during the 1970s and 1980s, when he was married to Ivana Trump, his Czechoslovakia-born first wife. Harding writes that the Czechoslovakian government spied on donald trump because of his political ambitions and notability as a businessman. It is known that there were close ties between Czechoslovakia's StB and the USSR's KGB. Harding also describes how, already since 1987, the Soviet Union was interested in Trump. In his book Collusion, Harding asserts that the "top level of the Soviet diplomatic service arranged his 1987 Moscow visit. With assistance from the KGB." Then-KGB head Vladimir Kryuchkov "wanted KGB staff abroad to recruit more Americans". Harding proceeds to describe the KGB's cultivation process, and posits that they may have opened a file on Trump as early as 1977, when he married Ivana. "According to files in Prague, declassified in 2016, Czech spies kept a close eye on the couple in Manhattan, … [with] periodic surveillance of the trump family in the United States."

donald j. trump and His Republican Allies Allowed the USA PATRIOT ACT/FREEDOM ACT to Expire on March 15, 2020 and They Didn't Reinstate It until May of 2020.

March 2020: SolarWinds's Orion software hotfixes were released to 33,000 Orion customers.Hackers acquired superuser access to SAML token-signing certificates. This SAML certificate was then used to forge new tokens to allow hackers trusted and highly privileged access to networks. The attack used a backdoor in a SolarWinds library; when an update to SolarWinds occurred, the malicious attack would go unnoticed due to the trusted certificate. APT29, aka Cozy Bear, working for the Russian Foreign Intelligence Service (SVR), was reported to be behind the 2020 attack. Victims of this attack include the cybersecurity firm FireEye, the US Treasury Department, the US Department of Commerce's National Telecommunications and Information Administration, as well as the US Department of Homeland Security. Prominent international SolarWinds customers investigating whether they were impacted include the North Atlantic Treaty Organization (NATO), the European Parliament, UK Government Communications Headquarters, the UK Ministry of Defence, the UK National Health Service (NHS), the UK Home Office, and AstraZeneca.

December 13, 2020: SolarWinds begins notifying customers, including a post on its Twitter account, “SolarWinds asks all customers to upgrade immediately to Orion Platform version 2020.2.1 HF 1 to address a security vulnerability.”

December 15, 2020 SolarWinds Victims named and timeline moves back — Wall Street Journal reported that the U.S. Commerce and Treasury Departments, the Department of Homeland Security (DHS), the National Institutes of Health, and the State Department were all affected. Various security officials and vendors expressed serious dismay that the attack was more widespread and began much earlier than expected. The initial attack date was now pegged to sometime in March 2020, which meant the attack had been underway for months before its detection.

December 17, 2020: New SolarWinds victims revealed — The Energy Department (DOE) and National Nuclear Security Administration (NNSA), which maintains the U.S. nuclear weapons stockpile, were publicly named as victims of the attack.

On December 21, 2020, Attorney General William Barr, Secretary of State Mike Pompeo, the FBI, the Cybersecurity and Infrastructure Security Agency, or CISA, and the Office of the Director of National Intelligence all agreed that Russia was engaged in “a significant and ongoing cybersecurity campaign” against the United States. Russian asset, donald j. trump, immediately replied: “The Cyber Hack is far greater in the Fake News Media than in actuality,” Trump wrote. “I have been fully briefed and everything is well under control. Russia, Russia, Russia is the priority chant when anything happens because Lamestream is, for mostly financial reasons, petrified of discussing the possibility that it may be China (it may!).”

March 16, 2020: stock market crash: The the Dow Jones Industrial Average (DJIA) falls by 2,997.10, the single largest point drop in history and the second-largest percentage drop ever at 12.93%, an even greater crash than Black Monday (1929). This follows the U.S. Federal Reserve announcing that it will cut its target interest rate to 0–0.25%.

On March 19, 2020, donald trump told journalist Bob Woodward that he was deliberately downplaying the risk when communicating with the public. "I wanted to always play it down," Trump said. "I still like playing it down, because I don't want to create a panic."

On March 24, 2020, donald trump argued that: "We lose thousands and thousands of people a year to the flu … But we've never closed down the country for the flu." On March 27, he stated: "You can call it a flu. You can call it a virus. You know you can call it many different names. I'm not sure anybody even knows what it is."

On March 24, 2020, donald trump declared that "we begin to see the light at the end of the tunnel"; a day later the U.S. surpassed 1,000 COVID-19 deaths.

Throughout March and early April, several state, city, and county governments imposed "stay at home" quarantines on their populations to stem the spread of the virus. By March 26, The New York Times data showed the United States to have the highest number of known cases of any country. By March 27, the country had reported over 100,000 cases.

From March 30 to April 7, 2020, Trump stated on four occasions that COVID-19 would "go away".

On March 31, 2020, contradicting his many previous comparisons of COVID-19 to the flu, Trump said: "It's not the flu … It's vicious". When reporters asked him if his initial dismissive comments on the virus had misled Americans, he replied: "I want to give people a feeling of hope. I could be very negative … You know, I'm a cheerleader for the country." Asked further if he had known—despite his claims that the outbreak was under control—that the situation would turn out so severe, Trump replied: "I thought it could be. I knew everything. I knew it could be horrible, and I knew it could be maybe good."

On November 5, 2024, during the official Election Day, several non-credible bomb threats that originated from Russia briefly disrupted voting in two polling places in Fulton County, Georgia. Both re-opened after about 30 minutes. Republican Georgia Secretary of State Brad Raffensperger said Russian interference was behind the Election Day bomb hoaxes. In a statement, the FBI said it was aware of non-credible bomb threats to polling locations in several states, with many of them originating from Russian email domains. The bomb threats were solely made against Democratic-leaning areas. On the same day, U.S. federal officials again reported that Russian sources were actively engaged in "influence operations", citing disinformation in specific videos that falsely claimed Kamala Harris had taken a bribe and false news stories about the Democratic Party and election fraud in Georgia.

On November 8, 2024 it was reported that one of the Russian email addresses behind Election Day bomb threats was used in June 2024 bomb threats targeting LGBTQ+ events in Massachusetts, Minnesota and Texas.

If you're an American who wants this matter and the anti-American traitors responsible investigated by the U.S. Department of Justice, please contact Democratic Leaders Schumer and Jeffries, Marc Elias and Democracy Docket, and Citizens for Responsibility and Ethics in Washington regarding enforcing donald j. trump's insurrectionist disqualification and electing Kamala Harris as the 47th President of the United States. If you want this matter investigated and prosecuted, the best person to do it is an experienced criminal prosecutor sitting as the U.S. President.

[mariacallous]

On Tuesday, the Supreme Court of the United States will hear oral arguments in a challenge to abortion pill access across the country, including in states where abortion is legal. The stakes for abortion rights are sky-high, and the case is the most consequential battle over reproductive health care access since Roe v. Wade was overturned in 2022.

At the center of this fight is mifepristone, a pill that blocks a hormone needed for pregnancy. The drug has been approved by the US Food and Drug Administration for more than two decades, and it’s used to treat some patients with Cushing’s syndrome, as well as endometriosis and uterine fibroids. But its primary use is the one contested now—mifepristone is the first of two pills taken in the first 10 weeks of pregnancy for a standard medication abortion, along with the drug misoprostol.

If the justices side with the antiabortion activists seeking to limit access to mifepristone, it could upend nationwide access to the most common form of abortion care. A ruling that invalidates mifepristone’s approval would open the door for any judge to reverse the FDA approval of any drug, especially ones sometimes seen as controversial, such as HIV drugs and hormonal birth control. It could also have a chilling effect on the development of new drugs, making companies wary of investing research into medicines that could later be pulled from the market.

Pills are now the leading abortion method in the US, and their popularity has spiked in recent years. More than six in 10 abortions in 2023 were carried out via medication, according to new data from the Guttmacher Institute. Since rules around telehealth were relaxed during the Covid-19 pandemic, many patients seeking medication abortions have relied on virtual clinics, which send abortion pills by mail. And it keeps getting more popular: Hey Jane, a prominent telemedicine provider, saw demand increase 73 percent from 2022 to 2023. It recorded another 28 percent spike comparing data from January 2023 to January 2024.

“Telemedicine abortion is too effective to not be in the targets of antiabortion folks,” says Julie F. Kay, a longtime reproductive rights lawyer and director of the advocacy group Abortion Coalition for Telemedicine.

Tomorrow’s argument comes after a long, tangled series of legal disputes in lower courts. The Supreme Court will be hearing two cases consolidated together, including FDA v. Alliance for Hippocratic Medicine, in which a coalition of antiabortion activists filed a suit challenging the FDA’s approval of mifepristone, asking for it to be removed from the market. The Alliance for Hippocratic Medicine is represented by the Alliance Defending Freedom, a right-wing Christian law firm that often takes politically charged cases.

Despite decades of scientific consensus on the drug’s safety record, the Alliance for Hippocratic Medicine has alleged that mifepristone is dangerous to women and leads to emergency room visits. A 2021 study cited by the plaintiffs to back up their claims was retracted in February after an independent review found that its authors came to inaccurate conclusions.

In April 2023, the Trump-appointed judge Matthew Kacsmaryk of the Northern District of Texas issued a preliminary ruling on the FDA case invalidating the agency’s approval of mifepristone. The ruling sent shock waves far beyond the reproductive-rights world, as it had major implications for the entire pharmaceutical industry, as well as the FDA itself; the ruling suggested that the courts could revoke a drug’s approval even after decades on the market.

The US 5th Circuit Court of Appeals narrowed Kacsmaryk’s decision a week later, allowing the drug to remain on the market, but undid FDA decisions in recent years that made mifepristone easier to prescribe and obtain. That decision limited the time frame in which it can be taken to the first seven weeks of pregnancy and put telemedicine access, as well as access to the generic version of the drug in jeopardy.

Following the 5th Circuit ruling, the FDA and Danco Laboratories sought emergency relief from the Supreme Court, asking the justices to preserve access until it could hear the case. In its legal filing, Danco aptly described the situation as “regulatory chaos.”

SCOTUS issued a temporary stay, maintaining the status quo; the court ultimately decided to take up the case in December 2023.

As all this was unfolding, pro-abortion-rights states across the country were passing what are known as shield laws, which protect medical practitioners who offer abortion care to pregnant patients in states where abortion is banned. This has allowed some providers, including the longtime medication-abortion-advocacy group Aid Access, to mail abortion pills to people who requested them in states like Louisiana and Arkansas.

Though the oral arguments before the Supreme Court begin on Tuesday, it will likely be months before a ruling. Court watchers suspect a decision may be handed down in June. With the US presidential election in the fall, the ruling may become a major campaign issue, especially as abortion access helped galvanize voters in the 2022 midterms.

If the Supreme Court agrees with the plaintiffs that mifepristone should be taken off the market, some in the pharmaceutical industry worry that it will undermine the authority of the FDA, the agency tasked with reviewing and approving drugs based on their safety and efficacy.

“This case isn't about mifepristone,” says Elizabeth Jeffords, CEO of Iolyx Therapeutics, a company developing drugs for immune and eye diseases. Jeffords is a signatory on an amicus brief filed in April 2023 that brought together 350 pharmaceutical companies, executives, and investors to challenge the Texas district court’s ruling.

“This case could have easily been about minoxidil for hair loss. It could have been about Mylotarg for cancer. It could have been about measles vaccines,” Jeffords says. “This is about whether or not the FDA is allowed to be the scientific arbiter of what is good and safe for patients.”

Greer Donley, an associate professor of law at the University of Pittsburgh and an expert on abortion on the law, doesn’t think it’s likely that the court will revoke mifepristone’s approval entirely. Instead, she sees two possible outcomes. The Supreme Court could dismiss the case or could undo the FDA’s decision in 2023 to permanently remove the in-person dispensing requirement and allow abortion by telehealth. “This would be an even more narrow decision than what the 5th Circuit did, but it would still be pretty devastating to abortion access,” she says.

The Supreme Court could also decide that the plaintiffs lack a right to bring the case to court, says David Cohen, a professor of law at Drexel University whose expertise is in constitutional law and gender issues. “This case could get kicked out on standing, meaning that the plaintiffs aren't the right people to bring this case,” he says. “If most of the questions are about standing, that will give you a sense that that's what the justices are concerned about.”

As the current Supreme Court is considered virulently antiabortion, reproductive-health-care workers are already preparing for the worst. Some telehealth providers have already floated a backup plan: offering misoprostol-only medication abortions. This is less than ideal, as the combination of pills is the current standard of care and offers the best results; misoprostol on its own can cause additional cramping and nausea. For some providers who may have to choose between misoprostol-only or nothing, it’s better than nothing.

Abortion-rights activists have no plans to give up on telehealth abortions, regardless of the outcome of this particular case. “Let us be clear, Hey Jane will not stop delivering telemedicine abortion care, regardless of the outcome of this case,” says Hey Jane’s CEO and cofounder, Kiki Freedman.

“They’re not going to stuff the genie back in the bottle,” Kay says.

[spooniestrong]

Make your voice heard and ask the CDC to:

Recommend updated 2024-2025 COVID vaccines for all ages AND

Strengthen our vaccine drive by recommending more frequent boosting (at least every six months) and more frequent updates to the vaccines, adjusted for the latest variants.

Submit a public comment using our sample language below.

You can also register to give Oral Public Comment at the upcoming June 26-28 online CDC ACIP Meeting at: https://www2.cdc.gov/vaccines/acip/acip_publiccomment.asp 

Submit written comments and/or register to make oral comments at the meeting by Monday, June 17 at 11:59pm Eastern Standard Time.

It’s important to submit a personalized comment, which can be brief. Ideas for a personalized comment:

How you, your family, or your community would be impacted by fall vaccine eligibility being restricted to only high risk groups (such as older age or immunocompromised status)

Barriers to vaccination your have faced, particularly if your eligibility was questioned or misinterpreted by a vaccine provider

How out-of-pocket costs are a barrier to getting the latest vaccines

Also feel free to take inspiration from or borrow the language in our sample public comment below.

Docket No. CDC–2024–0043

Updated 2024-2025 COVID vaccines must be recommended for people of all ages, regardless of health status. A restrictive approach to eligibility would create undue barriers for vulnerable people and discourage high risk people from getting needed vaccine boosters.

The vaccine schedule should address waning efficacy in the months following vaccination [1-3] as well as emergence of new SARS-CoV-2 strains by recommending updated vaccination for all ages, at least every six months. Recent vaccination is also associated with a lower risk of developing Long COVID following a COVID infection [4] as well as a lower risk of Multisystem Inflammatory Syndrome in children (MIS-C) [5]. 

The CDC’s clear and unequivocal recommendation of updated COVID vaccination for all ages will influence what healthcare providers recommend, and what health insurances cover. Moreover, it will improve public awareness regarding the need for updated vaccination.

The CDC must ensure equitable and affordable access to updated vaccines and prevent limited access because of financial constraints or demographics. The CDC’s Bridge vaccine access program is slated to end August 2024 and must be extended to ensure uninsured and underinsured people have access to the updated vaccines this fall [6].

References:

1. Link-Gelles R. Effectiveness of COVID-19 (2023-2024 Formula) vaccines. Presented at: FDA VRBPAC Meeting; June 5, 2024. Accessed June 12, 2024. https://www.fda.gov/media/179140/download

2. Wu N, Joyal-Desmarais K, Vieira AM, et al. COVID-19 boosters versus primary series: update to a living review. The Lancet Respiratory Medicine. 2023;11(10):e87-e88. doi:10.1016/S2213-2600(23)00265-5

3. Menegale F, Manica M, Zardini A, et al. Evaluation of Waning of SARS-CoV-2 Vaccine–Induced Immunity: A Systematic Review and Meta-analysis. JAMA Netw Open. 2023;6(5):e2310650. doi:10.1001/jamanetworkopen.2023.10650

4. Fang Z, Ahrnsbrak R, Rekito A. Evidence Mounts That About 7% of US Adults Have Had Long COVID. JAMA. Published online June 7, 2024. doi:10.1001/jama.2024.11370

5.  Yousaf AR. Notes from the Field: Surveillance for Multisystem Inflammatory Syndrome in Children — United States, 2023. MMWR Morb Mortal Wkly Rep. 2024;73. doi:10.15585/mmwr.mm7310a2

6. https://www.cdc.gov/vaccines/programs/bridge/index.html 

Full instructions for written and oral comment and meeting information can be found at: https://www.cdc.gov/vaccines/acip/meetings/index.html

You can also register to give Oral Public Comment at the upcoming June 26-28 online CDC ACIP Meeting at: https://www2.cdc.gov/vaccines/acip/acip_publiccomment.asp 

You must register by June 17 at 11:59pm Eastern Standard Time

CDC’s ACIP meeting information on the Federal Register: https://www.federalregister.gov/documents/2024/05/24/2024-11439/meeting-of-the-advisory-committee-on-immunization-practices 

Vaccination with the latest updated vaccines continues to be foundational to a multilayered approach to COVID, providing protection against both acute disease and Long COVID. Far too few Americans have received the latest vaccines. Only approximately 22.6% of adults and 14.8% of children have received the latest 2023-2024 vaccines (as of June 1, 2024), which have been available since Fall 2023. COVID vaccination rates in both groups lags far behind influenza vaccination rates. Only 7.1% of adults aged 65 and older received the recommended two doses of the 2023-2024 vaccine (as of April 27, 2024).

Vaccine efficacy wanes significantly four to six months following vaccination, making updated vaccination important for all people as COVID continues to spread in our communities. Vaccine approaches that restrict access based on age or risk status put all of us at risk and leave those at high risk of severe consequences of COVID infection confused about whether they qualify to receive additional doses. A more frequent vaccination approach providing vaccination at least every six months as well as frequent updates to match current variants is needed to better protect all of us amid year-round COVID spread.

The CDC’s Bridge Access Program, which provides COVID vaccines to uninsured and underinsured adults free of charge, is due to end August 2024. The end of this program will unnecessarily put vulnerable people at risk, and public health officials must advocate for continuation and expansion of this program.

Submitted written comments or registration to make oral comments at the meeting must be received by the CDC no later than June 17 at 11:59pm Eastern Standard Time

[genderqueercultureis]

For what it's worth I really do feel like high risk groups do deserve to be more well protected than someone with only typical risk

Context: I reblogged a post saying that the CDC is going to "limit" access to the newest COVID vaccine to only the elderly, pregnant, and immunocompromised, and calling on people to submit public comments.

The post in question actually seems to be OP jumping to conclusions completely. I think I'll delete it after I post this. The CDC is not "restricting" the latest vaccine to "high-risk" groups; what they're doing is not recommending it to people who aren't "high-risk," which is also very bad, but is not the same thing. If you go to the doctor and ask for a COVID vaccine, they are not going to say "No, you can't have it because you're not high-risk."

In general, yes, the higher a person's risk, the more protection they should have... but first you have to agree on what "typical risk" and "high risk" mean, and what the appropriate, corresponding protection levels are. People at "typical risk" from COVID-19 are still at pretty high risk! Besides which, a huge part of how protections against disease work is by mass participation. A healthy person who lives in an area with a 20% vaccination rate is at much higher risk of infection than an equally healthy person living in an 80% vaccinated area. The problem with the CDC only recommending vaccines to limited groups is not that they're providing more protection to people who need more protection, it's that they're not providing enough protection for anyone. Even vaccinated "high-risk" people are less safe if the "low-risk" people around them aren't vaccinated, and even "low-risk" people are way higher risk than the CDC is willing to acknowledge!

Anyway, tell the CDC that all ages need updated vaccine access.

PCDC's sample public comment:

Docket No. CDC–2023–0060 Scientific evidence indicates the updated vaccines should ideally be allowed, available, and fully covered by public funds or insurance, for people of all ages at least every six months.  The vaccine schedule should address waning efficacy in the months following vaccination [1] as well as new variants. The CDC’s decision will affect everything about the current and future vaccine approach including what healthcare providers recommend, what health insurance covers, and what the public decides is needed.  Restricting vaccinations to only annual updates misses an opportunity to update vaccines on a more frequent basis as divergent variants are identified, given that there is the potential to quickly update mRNA vaccines to better match perpetually emerging variants. The recommendation for only annual vaccination also creates barriers for vulnerable people and discourages high risk people from getting needed boosters. The CDC must ensure equitable access to updated vaccines and prevent limited access because of financial constraints or demographics by expanding and indefinitely extending the COVID Vaccine Bridge Access Program [2]. References: 1. https://www.fda.gov/media/169536/download  2. https://www.cdc.gov/vaccines/programs/bridge/index.html

CDC’s ACIP Meeting Information (Including how to register to make an Oral Public Comment): https://www.cdc.gov/vaccines/acip/meetings/index.html

Submit a written comment: https://www.regulations.gov/document/CDC-2023-0060-0001

[darkmaga-returns]

Remember that the Supreme Court threw out Murthy v Biden. This past week Kennedy and CHD were at the 5th Circuit providing oral arguments before 3 judges about why they had standing for their First Amendment censorship case.

But the other side needs to kill free speech in order to take over, so the stakes are very high. Here is Tedros (today) who in his eloquence talks about trust, and how to get it back—by killing free speech, of course. See how he twists the free speech story.

Internet and social media platforms have given people unprecedented access to health information. But they have also turbo charged the spread of mis- and disinformation, which has contributed to mistrust in vaccines and other health interventions, fuelled stigma and discrimination, and even led to violence against health workers and marginalized groups. During the COVID-19 pandemic, falsehoods about masks, vaccines and “lockdowns” spread as fast as the virus itself, and were almost as deadly. Just as mis- and disinformation undermined the response to the pandemic itself, so it continues to undermine negotiations on the WHO Pandemic Agreement. Media, celebrities, social media influencers and politicians have spread false claims that the Agreement will cede national sovereignty to WHO and give it the power to impose “lockdowns” or vaccine mandates on countries. As you know, these claims are, of course, entirely false. Sovereign governments are negotiating the agreement; and sovereign governments will implement it, in accordance with their own national laws. It’s easy to blame, dismiss, ridicule or insult those who believe or spread mis- or disinformation. To be sure, governments and internet and social media companies have a responsibility to prevent the spread of harmful lies and promote access to accurate health information. WHO is working with a range of companies and researchers and partners to understand how misinformation and disinformation spreads, who is targeted, how they’re influenced, and what we can do to counter this problem. But we must also make sure that when we seek the trust of others, we are ourselves trustworthy. We cannot assume or expect trust; we must earn it. [Good luck with that—Nass]

[gumjrop]

The FDA, between now and May 8, is accepting public comments for their upcoming vaccine committee meeting. Let them know that all of us need access to COVID vaccines at least twice a year.

Make your voice heard and ask the FDA Vaccines and Related Biological Products Advisory Committee Meeting to:

Ensure vaccine manufacturers anticipate the upcoming dominant strain of SARS-CoV-2.

Recommend updated COVID vaccines for all ages AND

Strengthen our vaccine drive by recommending more frequent boosting (at least every six months) and more frequent updates to the vaccines, adjusted for the latest variants.

Submit a public comment. Feel free to use our sample language below.

You can also register to give Oral Public Comment at the upcoming May 16 online FDA Vaccines and Related Biological Products Advisory Committee Meeting at: CBERVRBPAC@fda.hhs.gov on May 1, 2024. THAT’S TONIGHT!

Submitted written comments for the meeting must be received by the FDA via the Federal Register no later than May 8, 2024 at 11:59 Eastern Daylight Time. 

It’s important to submit a personalized comment, which could include the importance of anticipating the next dominant viral strain, the lack of vaccine access that has impacted or would impact you, or how out-of-pocket costs are a barrier in your family or community. Feel free to take inspiration from or borrow the language in our sample public comment below.

Docket No. FDA–2024–N–0970 Scientific evidence indicates updated vaccines are needed to address the ongoing changes in COVID variants, and they should ideally be allowed, available, and fully covered by public funds and/or insurance, for people of all ages at least every six months. The vaccine schedule should address waning efficacy in the months following vaccination [1-3] as well as emergence of new SARS-CoV-2 strains. The FDA’s decision will affect the current and future vaccine approach including what healthcare providers recommend, what health insurance covers, and level of public engagement. It is of utmost importance that the FDA anticipates the newest viral variants and provides recommendations that anticipates the next dominant strain in the next six months. This requires that the FDA ensure that manufacturers anticipate the newest variants. Restricting vaccinations to only annual updates misses an opportunity, given that there is the potential to update the vaccines to better match perpetually emerging variants. Updates to all vaccine types are needed, and mRNA vaccines are particularly suited to frequent updates. The recommendation for only annual vaccination also creates barriers for vulnerable people and discourages high risk people from getting needed vaccine boosters. The FDA must ensure support equitable and affordable access to updated vaccines and prevent limited access because of financial constraints or demographics by advocating for programs such as the CDC’s bridge program that ensures no cost access. [4] References:

Link-Gelles R. COVID-19 vaccine effectiveness updates. Presented at: FDA VRBPAC Meeting; June 15, 2023. Accessed February 9, 2024. https://www.fda.gov/media/169536/download

Wu N, Joyal-Desmarais K, Vieira AM, et al. COVID-19 boosters versus primary series: update to a living review. The Lancet Respiratory Medicine. 2023;11(10):e87-e88. doi:10.1016/S2213-2600(23)00265-5

Menegale F, Manica M, Zardini A, et al. Evaluation of Waning of SARS-CoV-2 Vaccine–Induced Immunity: A Systematic Review and Meta-analysis. JAMA Netw Open. 2023;6(5):e2310650. doi:10.1001/jamanetworkopen.2023.10650

https://www.cdc.gov/vaccines/programs/bridge/index.html 

Full instructions for written and oral comment and meeting information can be found at: https://www.fda.gov/advisory-committees/advisory-committee-calendar/vaccines-and-related-biological-products-advisory-committee-may-16-2024-meeting-announcement

FDA Vaccines and Related Biological Products Advisory Committee Meeting on the Federal Register: https://www.federalregister.gov/documents/2024/03/04/2024-04523/vaccines-and-related-biological-products-advisory-committee-notice-of-meeting-establishment-of-a

[covid-safer-hotties]

Also preserved in our archive (Daily updates!)

By Mary Van Beusekom, MS

New findings from two studies have tied use of the antiviral drug nirmatrelvir-ritonavir (Paxlovid) to a reduction in COVID-19 hospitalizations and death, as well as to faster resolution of symptoms and less use of healthcare resources.

Benefit seen only in older patients For the first study, published in Clinical Microbiology and Infection, a Medical University of Vienna–led research team compared the effectiveness of Paxlovid with that of the antiviral drug molnupiravir (Lagevrio)—and with that of not receiving an antiviral—against hospitalization and all-cause death from January 2022 to May 2023. Participants were adults with mild to moderate infections and one or more risk factors for severe illness caused by the SARS-CoV-2 Omicron variant.

"The oral antivirals nirmatrelvir-ritonavir and molnupiravir are the mainstay treatment for Covid-19 in non-hospitalised adults at increased risk of severe disease," the study authors wrote. "Both oral antivirals were approved at the time of the study period (2022/2023) for the treatment of non-hospitalised patients with mild-to-moderate Covid-19, but the current National Institute of Health guidelines favour nirmatrelvir-ritonavir over molnupiravir."

Of the 113,399 eligible COVID-19 patients in the retrospective cohort study, 10.7% received Paxlovid, 9.5% received molnupiravir, and 80.0% served as untreated controls. Over 96% of participants were previously infected with or vaccinated against COVID-19.

A total of 0.43% of Paxlovid recipients, 1.4% of molnupiravir users, and 1.13% of controls were hospitalized within 28 days (risk difference [RD], -0.7%; Paxlovid vs control RD, 0.26%). No Paxlovid recipients and 0.13% each of molnupiravir users and controls died.

The estimated risk of hospitalization was 0.57% in Paxlovid users and 1.09% in controls (adjusted RD [aRD], -0.53%). The estimated risk of death was 0.0% in the Paxlovid group and 0.13% in controls (aRD, -0.13%).

The number of patients needed to treat to prevent hospitalization and death was 190 in Paxlovid recipients and 792 in controls, respectively. These statistically significant aRDs were seen only among patients 60 years and older.

The estimated risk of hospitalization in the molnupiravir analysis was 1.36% in the molnupiravir group and 1.16% among controls (aRD, 0.2%). The estimated risk of death was 0.12% in molnupiravir recipients and 0.14% in controls (aRD, -0.01%).

"Among outpatients aged ≥60 years with Covid-19 in an Omicron-dominated era, treatment with nirmatrelvir-ritonavir was associated with a lower risk of hospitalisation and all-cause death within 28 days, albeit with wide confidence intervals and high numbers needed to treat," the study authors wrote.

"This finding was not observed in molnupiravir users and younger nirmatrelvir-ritonavir users. Future studies are needed to better define target populations that show greater benefit from treatment with nirmatrelvir-ritonavir," they concluded.

Proportion of patients seeking care slashed 73% The second study, a phase 2/3 randomized clinical trial published today in Clinical Infectious Diseases, also found protection against COVID-19 hospitalization and death in adults receiving Paxlovid and demonstrated a faster resolution of symptoms and lower use of healthcare resources compared with a placebo in high-risk patients.

The research was led by researchers from Pfizer, which developed Paxlovid. The drug was given to 977 symptomatic COVID-19 patients, while 989 were given a placebo, at 343 sites in 21 countries from July 2021 through December 2021, a Delta-predominant period.

Paxlovid significantly shortened the time to symptom relief (median, 13 vs 15 days; hazard ratio, 1.27) and resolution (16 vs 19 days; HR, 1.20) through 28 days and cut the number of COVID-related medical visits by 64.3% and the proportion of patients seeking care by 73.2%.

In total, 0.9% of Paxlovid recipients and 6.4% in the placebo group were hospitalized, for a relative risk reduction of 85.5%. Hospitalized Paxlovid recipients had briefer hospital stays, and none required intensive care or mechanical ventilation. Fewer patients in the Paxlovid group needed other COVID-19 treatments, and none died by 6 months, compared with 15 in the placebo group.

"The importance of having effective COVID-19 treatments such as NMV/r [Paxlovid] to reduce burden on healthcare systems, both ambulatory and hospital based, should not be underestimated," the authors wrote.

Study Links: www.clinicalmicrobiologyandinfection.com/article/S1198-743X(24)00508-1/fulltext

academic.oup.com/cid/advance-article/doi/10.1093/cid/ciae551/7889107

[beardedmrbean]

Parents in Oregon are calling to replace a local school board following reports of a sexually explicit book in the curriculum and at least two instances where a teacher organized activities discussing sexual acts.

Fox News Digital previously reported how health class students who missed coursework at Churchill High School in Eugene, Oregon, were asked via Canvas, an online learning management system, to complete a 10-point assignment titled "Fantasy Story."

"For those students who were absent, you will write a short story of a paragraph or two. This story is a sexual fantasy that will have NO penetration of any kind or oral sex (no way of passing an STI)."

The assignment from teacher Kirk Miller also asked students to choose three items, such as candles, massage oil, feathers and flavored syrup, to use in the story.

But parent Justin McCall said his older daughter, who is in the 10th grade at Churchill High School, revealed the assignment had also been conducted in class and that the teacher had asked students to pick the sexual items written on a piece of paper out of a hat that he passed around.

Further scrutiny of the "Health 2 Human Sexuality" class found that students were also allegedly given an assignment called "With Whom Would You Do it." The project involved a virtual spinning wheel labeled with sexual categories. Students were allegedly instructed to respond when the wheel stopped and write the initials of the person they would engage in the sex act with.

"My daughter told me it was literally up on the board and it mentioned you know who are you going to have anal penetration with, oral sex, licking of the ear, kissing and vaginal sex," McCall said, calling the assignment "disgusting and wrong."

A Title VI and IX coordinator attempted to speak with McCall's daughter about the incidents but was directed to the family's legal counsel.

The Eugene 4J School District did not return Fox News Digital’s request for comment.

The above allegations, as well as a flurry of other complaints from parents, have prompted calls for new leadership on the Eugene School Board, which is holding elections in May. In the event leadership stays the same, a group of parents is in the process of knocking on doors and setting up tables outside the district schools to gather signatures for a recall.

Beth Ball, a 4J alumni who met her husband at Churchill High School in the 1990s, intentionally enrolled her children in the 4J school district following her positive educational experience. Her issues began when her child entered sixth grade at the Arts & Technology Academy in Eugene.

At home, Ball noticed a form that said she could opt her child out of health class if she disagreed with the contents of the syllabus or curriculum. However, after correspondence with the teacher, Ball was told the syllabus and curriculum had not yet been created and waited at the school for two days to get a meeting with the principal.

The principal informed her they could not access the syllabus and curriculum, but her child needed to be enrolled in health class to graduate. Given the lack of information, Ball instructed her child to wait in the office daily during health class. Her child received a "no pass" in the class, but because of COVID-19 school closures, the "no-pass" became a non-issue.

Once her child entered the ninth grade at Churchill, the same school Ball attended, he was assigned a novel called "I'll Give You the Sun."

"The first five pages of it the book talks about how [the main character] is getting beat up and he's turned on by it. He gets a boner," Ball said. "For me, that's completely unacceptable because it's saying that if you're getting abused or picked on, it's normal and in fact you should like it."

A review of the book by Fox News Digital found the scene described by Ball and takes place early in the book when the main character wrestles with another student. 

After contacting the school to ask why the book was placed in the curriculum, she was simply told that it got great reviews and spurred conversation on complex topics. She then pulled her child out of Churchill and began homeschooling him.

"And then this sexual essay hit, and I wasn't surprised in the least," Ball said.

Following the backlash, school principal Missy Cole said, "the district has begun the process of reviewing and selecting a new health curriculum to replace the OWL content that will be completed by the end of the school year."

According to the board, the changes to the curriculum were not related to complaints from parents and had already been on the docket for the 2023 school year.

During a March 16 school board meeting, citing "failures in our practices," Eugene School District Superintendent Andy Dey said they had identified "shortcomings" in their curriculum and recommended that the sexual fantasy's lesson not be administered again.

Dey also said the rumors of "spinning wheels" with "salacious acts" had not been substantiated or reflected in the materials the teachers used. However, Dey did confirm an "online virtual randomizer wheel" that did not have sexual acts on it.

He also said that the sexual fantasy's assignment was given out due to "inadequate oversight" and that future lessons will follow the curriculum verbatim and refrain from using supplemental materials, as was done in this case.

In a statement to the New York Post, OWL program manager Melanie Davis said the district was following an "unauthorized" and "out-of-context" facilitated group activity currently out of print.

The United Church of Christ and the Unitarian Universalist Association claimed the material was not part of the comprehensive OWL curriculum it helped to develop.

Emails provided to Fox News Digital showed that McCornack Elementary asked McCall to sign paperwork agreeing to only correspond with the school over email and only through his wife and noted McCall was trespassed off the property "due to hostile behavior towards other McCornack parents, students, and staff that created fear."

McCall was allowed to speak at the March 16 board meeting despite his ban from the elementary school. Following his public comments at the meeting and his move to recall the board, McCall was banned from all 4J district property. The district said they contact McCall no later than April 20 about his formal complaints and trespass appeal.

At the meeting, McCall claimed the school was lying about the spinning wheel assignment and suggested the teacher had not yet been fired because he is also the football coach and the team was doing well.

"If you do not remove him, I'm giving you my word today that tomorrow morning I will go down to the County Clerk's office and I will file for the removal of every single one of you," he said as the room erupted in cheers.

Miller has been placed on administrative leave.

Dr. Michael Bratland, a local dentist and conservative running for school board in the May elections, said that he wants a comprehensive review of the situation but stopped short of supporting the termination of the teacher or board members. He also credited Superintendent Dey for his leadership and handling of the situation but was more critical of the current board.

"The school board's the top and they need to take responsibility and when I was at that school board meeting last week, I didn't really hear anybody take accountability," he said.

[patriottruth]

The 2024 U.S. Elections Weren't The Only Time donald j. trump Worked With Russians Against United States' Interests: COVID-19, USA Patriot Act Sabotage, The Massive Russian SolarWinds Hack of the U.S. Government and Private Sector, and Russian 2024 Election Day Interference (compiled from Wikipedia):

In November 2019, a security researcher notified SolarWinds that credentials to a third party FTP server had a weak password of "solarwinds123", warning that "any hacker could upload malicious [code]" that would then be distributed to SolarWinds customers. The New York Times reported SolarWinds did not employ a chief information security officer and that employee passwords had been posted on GitHub in 2019.

December 1, 2019: COVID-19 pandemic: First known human case of Coronavirus disease 2019, in Wuhan, Hubei, China.

December 5, 2019: Speaker of the U.S. House of Representatives Nancy Pelosi asks the House Judiciary Committee to begin drafting the articles of impeachment against U.S. President Donald Trump.

December 9, 2019: The World Anti-Doping Agency votes unanimously to ban Russia from international sport for four years for doping offences, meaning it will be excluded from the 2020 Summer Olympics in Tokyo, the 2022 Winter Olympics in Beijing and the 2022 World Cup in Qatar.

December 10, 2019: Democrats in the United States House of Representatives announce formal charges against President Donald Trump, accusing him of abusing power and "obstructing Congress"; he becomes the third U.S. president in history to face impeachment.

December 18, 2019: The U.S. House of Representatives approves two articles of impeachment against President donald trump, making him the third president to be impeached in the nation's history.

December 29, 2019: The Taliban's ruling council agrees to a temporary cease-fire in Afghanistan, opening a door to a peace agreement with the United States.

In January and February 2020, U.S. intelligence agencies delivered over a dozen classified warnings in the President's Daily Brief about COVID-19, including its potential to inflict severe political and economic damage. President Donald Trump typically did not read daily briefs and often has "little patience" for oral summaries, The Washington Post reported. Each brief was also shared with other officials in the administration. The Office of the Director of National Intelligence, which produces the President's Daily Brief, denied that there were repeated mentions of COVID-19.

On January 8, 2020, the U.S. Centers for Disease Control and Prevention (CDC) released a health advisory regarding an outbreak of pneumonia in Wuhan, Hubei Province, China, which was being caused by a yet-unidentified virus.

January 16, 2020: The first impeachment trial of the President of the United States, Donald Trump, begins in the U.S. Senate.

On January 27, 2020, Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, predicted that "things are going to get worse before they get better". Three days later, Fauci stated that the COVID-19 outbreak "could turn into a global pandemic".

On February 10, 2020, Trump stated that "a lot of people think that [COVID-19] goes away in April with the heat … Typically, that will go away in April" (later, on April 3, he denied ever having given "a date" for the departure of the virus)

On February 13, 2020, CDC director Robert Redfield contradicted Trump, saying that the "virus is probably with us beyond this season, beyond this year". Redfield also predicted that it "will become a community virus at some point in time, this year or next year".

On February 16, 2020, Anthony Fauci warned that it was not necessarily true that COVID-19 would "disappear with the warm weather."

February 25, 2020, was the day that the CDC first warned the American public to prepare for a local outbreak. That day, Nancy Messonnier, head of the CDC's National Center for Immunization and Respiratory Diseases, said that "We are asking the American public to work with us to prepare for the expectation that this is going to be bad." Messonnier predicted that "we will see community spread in this country", and it was only a matter of time. As a result, "disruption to everyday life might be severe". Messonnier stated that the CDC is preparing, and "now is the time for hospitals, schools and everyday people to begin preparing as well."

On February 25, 2020, Anthony Fauci declared that given how COVID-19 was spreading in other nations, it was "inevitable that this will come to the United States" as well. On February 26, CDC Director Robert Redfield said it would be "prudent to assume this pathogen will be with us for some time to come".

On February 26, 2020, Trump contradicted Messonnier, stating: "I don't think it's inevitable" that a U.S. outbreak would occur, "It probably will, it possibly will … Whatever happens, we're totally prepared." Trump additionally declared that the number of infected was "going very substantially down, not up".

On February 27, 2020, The chairman of the Senate Intelligence Committee, Richard Burr, who helped to write the Pandemic and All-Hazards Preparedness Act (PAHPA), which forms the framework for the federal response, warned a private group of his constituents that COVID-19 is much more aggressive in its transmission than anything that we have seen in recent history, and is probably more akin to the 1918 Spanish Flu pandemic. "There will be, I'm sure, times that communities, probably some in North Carolina, have a transmission rate where they say, 'Let's close schools for two weeks. Everybody stay home,' We're going to send a military hospital there; it's going to be in tents and going to be set up on the ground somewhere, It's going to be a decision the president and DOD make."

On February 27, 2020, Trump said of the virus: "It's going to disappear. One day it's like a miracle, it will disappear. And from our shores, you know, it could get worse before it gets better. Could maybe go away. We'll see what happens. Nobody really knows." Also on February 27, Trump declared that the risk to the American public from COVID-19 "remains very low".

February 27, 2020 stock market crash: Triggered by fears of the spreading of COVID-19, the Dow Jones Industrial Average (DJIA) plunges by 1,190.95 points, or 4.4%, to close at 25,766.64, its largest one-day point decline at the time. This follows several days of large falls, marking the worst week for the index since the 2007–2008 financial crisis.

On February 29, 2020, Trump said that "additional cases in the United States are likely", but "there's no reason to panic at all." When a reporter asked Trump: "How should Americans prepare for this virus?" Trump answered: "I hope they don't change their routine".

February 29, 2020: A conditional peace agreement is signed between the United States and the Taliban. The U.S. begins gradually withdrawing combat troops from Afghanistan on March 10.

On March 4, 2020, donald trump appeared on Fox News's Hannity by phone, where he claimed a 3.4% mortality rate projected by the World Health Organization (WHO) was a "false number", and stated his "hunch" that the true figure would be "way under 1%". Trump also predicted that many people infected with COVID-19 would experience "very mild" symptoms, "get better very rapidly" and thus they "don't even call a doctor". Thus, there may be "hundreds of thousands of people that get better just by, you know, sitting around and even going to work—some of them go to work, but they get better."

From March 6 to March 12, 2020, donald trump stated on four occasions that the coronavirus would "go away". On March 10, Surgeon General Jerome Adams stated that "this is likely going to get worse before it gets better."

March 2020: The nightmare of empty grocery shelves begins. Stores capping/limiting purchases.

By March 11, 2020, the virus had spread to 110 countries, and the WHO officially declared a pandemic. The CDC had already warned that large numbers of people needing hospital care could overload the healthcare system, which would lead to otherwise preventable deaths. Director of the National Institute of Allergy and Infectious Diseases Anthony Fauci said the mortality from COVID-19 was ten times higher than the common flu. By March 12, diagnosed cases of COVID-19 in the U.S. exceeded a thousand. Trump declared a national emergency on March 13. On March 16, the White House advised against any gatherings of more than ten people. Three days later, the United States Department of State advised U.S. citizens to avoid all international travel.

The USA Freedom Act, which became law on June 2, 2015, reenacted the expired USA Patriot Act sections through 2019. However, Section 215 of the law was amended to disallow the National Security Agency (NSA) to continue its mass phone data collection program. Instead, phone companies will retain the data and the NSA can obtain information about targeted individuals with a federal search warrant.

On August 14, 2019, the outgoing Director of National Intelligence sent a letter to Congress stating the Trump Administration's intention to seek permanent extension of the provisions of FISA that under the terms of the USA FREEDOM Act are scheduled to expire on December 15, 2019, namely the "lone wolf" authority allowing surveillance of a suspected terrorist who is inspired by foreign ideology but is not acting at the direction of a foreign party, the roving wiretap authority regarding surveillance of a terrorist who enters the United States and the authority to allow the Federal Bureau of Investigation to obtain certain business records in a national security investigation, as well as the call detail records program undertaken by the NSA. In reference to the latter authority, the letter announced that "The National Security Agency has suspended the call detail records program that uses this authority and deleted the call detail records acquired under this authority."

Jurisdiction over the reauthorization of the expiring FISA provisions is shared by the Judiciary and Intelligence committees in the U.S. Senate and the U.S. House of Representatives; the House Committee on the Judiciary and the Senate Committee on the Judiciary held separate public hearings on the reauthorization in September 2019 and November 2019, respectively. Opposition to the call detail records program has led to some Congressional demands that the authority for the program not be renewed. Additional complications hindering reauthorization arose from a report of the US Department of Justice Inspector General finding fault with certain FISA applications in connection with the 2016 presidential campaign, which led some members of Congress to insist on reforms to FISA as a condition of reauthorizing the expiring USA FREEDOM Act provisions.With Congressional attention focused on dealing with the COVID-19 pandemic in the United States in 2020, the House of Representatives passed a long-term extension of the USA FREEDOM Act on March 11, 2020, just four days before the scheduled expiration of the Act on March 15, 2020, by a wide, bipartisan margin that kept the protections of the Act largely the same. Two months later, in May of 2020, the Senate passed an extension of the Act by an 80-16 vote that expanded some privacy protections, but the Senate version did not include protection of Americans’ internet browsing and search histories from warrantless surveillance, which was proposed by Sens. Ron Wyden (D-Ore.) and Steve Daines (R-Mont.) and failed by one vote.

According to former KGB major Yuri Shvets, donald trump became the target of a joint Czech intelligence services and KGB spying operation after he married Czech model Ivana Zelnickova and was cultivated as an "asset" by Russian intelligence since 1977: "Russian intelligence gained an interest in Trump as far back as 1977, viewing Trump as an exploitable target." Luke Harding writes that documents show Czechoslovakia spied on donald trump during the 1970s and 1980s, when he was married to Ivana Trump, his Czechoslovakia-born first wife. Harding writes that the Czechoslovakian government spied on donald trump because of his political ambitions and notability as a businessman. It is known that there were close ties between Czechoslovakia's StB and the USSR's KGB. Harding also describes how, already since 1987, the Soviet Union was interested in Trump. In his book Collusion, Harding asserts that the "top level of the Soviet diplomatic service arranged his 1987 Moscow visit. With assistance from the KGB." Then-KGB head Vladimir Kryuchkov "wanted KGB staff abroad to recruit more Americans". Harding proceeds to describe the KGB's cultivation process, and posits that they may have opened a file on Trump as early as 1977, when he married Ivana. "According to files in Prague, declassified in 2016, Czech spies kept a close eye on the couple in Manhattan, … [with] periodic surveillance of the trump family in the United States."

donald j. trump and His Republican Allies Allowed the USA PATRIOT ACT/FREEDOM ACT to Expire on March 15, 2020 and They Didn't Reinstate It until May of 2020.

March 2020: SolarWinds's Orion software hotfixes were released to 33,000 Orion customers.Hackers acquired superuser access to SAML token-signing certificates. This SAML certificate was then used to forge new tokens to allow hackers trusted and highly privileged access to networks. The attack used a backdoor in a SolarWinds library; when an update to SolarWinds occurred, the malicious attack would go unnoticed due to the trusted certificate. APT29, aka Cozy Bear, working for the Russian Foreign Intelligence Service (SVR), was reported to be behind the 2020 attack. Victims of this attack include the cybersecurity firm FireEye, the US Treasury Department, the US Department of Commerce's National Telecommunications and Information Administration, as well as the US Department of Homeland Security. Prominent international SolarWinds customers investigating whether they were impacted include the North Atlantic Treaty Organization (NATO), the European Parliament, UK Government Communications Headquarters, the UK Ministry of Defence, the UK National Health Service (NHS), the UK Home Office, and AstraZeneca.

December 13, 2020: SolarWinds begins notifying customers, including a post on its Twitter account, “SolarWinds asks all customers to upgrade immediately to Orion Platform version 2020.2.1 HF 1 to address a security vulnerability.”

December 15, 2020 SolarWinds Victims named and timeline moves back — Wall Street Journal reported that the U.S. Commerce and Treasury Departments, the Department of Homeland Security (DHS), the National Institutes of Health, and the State Department were all affected. Various security officials and vendors expressed serious dismay that the attack was more widespread and began much earlier than expected. The initial attack date was now pegged to sometime in March 2020, which meant the attack had been underway for months before its detection.

December 17, 2020: New SolarWinds victims revealed — The Energy Department (DOE) and National Nuclear Security Administration (NNSA), which maintains the U.S. nuclear weapons stockpile, were publicly named as victims of the attack.

On December 21, 2020, Attorney General William Barr, Secretary of State Mike Pompeo, the FBI, the Cybersecurity and Infrastructure Security Agency, or CISA, and the Office of the Director of National Intelligence all agreed that Russia was engaged in “a significant and ongoing cybersecurity campaign” against the United States. Russian asset, donald j. trump, immediately replied: “The Cyber Hack is far greater in the Fake News Media than in actuality,” Trump wrote. “I have been fully briefed and everything is well under control. Russia, Russia, Russia is the priority chant when anything happens because Lamestream is, for mostly financial reasons, petrified of discussing the possibility that it may be China (it may!).”

March 16, 2020: stock market crash: The the Dow Jones Industrial Average (DJIA) falls by 2,997.10, the single largest point drop in history and the second-largest percentage drop ever at 12.93%, an even greater crash than Black Monday (1929). This follows the U.S. Federal Reserve announcing that it will cut its target interest rate to 0–0.25%.

On March 19, 2020, donald trump told journalist Bob Woodward that he was deliberately downplaying the risk when communicating with the public. "I wanted to always play it down," Trump said. "I still like playing it down, because I don't want to create a panic."

On March 24, 2020, donald trump argued that: "We lose thousands and thousands of people a year to the flu … But we've never closed down the country for the flu." On March 27, he stated: "You can call it a flu. You can call it a virus. You know you can call it many different names. I'm not sure anybody even knows what it is."

On March 24, 2020, donald trump declared that "we begin to see the light at the end of the tunnel"; a day later the U.S. surpassed 1,000 COVID-19 deaths.

Throughout March and early April, several state, city, and county governments imposed "stay at home" quarantines on their populations to stem the spread of the virus. By March 26, The New York Times data showed the United States to have the highest number of known cases of any country. By March 27, the country had reported over 100,000 cases.

From March 30 to April 7, 2020, Trump stated on four occasions that COVID-19 would "go away".

On March 31, 2020, contradicting his many previous comparisons of COVID-19 to the flu, Trump said: "It's not the flu … It's vicious". When reporters asked him if his initial dismissive comments on the virus had misled Americans, he replied: "I want to give people a feeling of hope. I could be very negative … You know, I'm a cheerleader for the country." Asked further if he had known—despite his claims that the outbreak was under control—that the situation would turn out so severe, Trump replied: "I thought it could be. I knew everything. I knew it could be horrible, and I knew it could be maybe good."

On November 5, 2024, during the official Election Day, several non-credible bomb threats that originated from Russia briefly disrupted voting in two polling places in Fulton County, Georgia. Both re-opened after about 30 minutes. Republican Georgia Secretary of State Brad Raffensperger said Russian interference was behind the Election Day bomb hoaxes. In a statement, the FBI said it was aware of non-credible bomb threats to polling locations in several states, with many of them originating from Russian email domains. The bomb threats were solely made against Democratic-leaning areas. On the same day, U.S. federal officials again reported that Russian sources were actively engaged in "influence operations", citing disinformation in specific videos that falsely claimed Kamala Harris had taken a bribe and false news stories about the Democratic Party and election fraud in Georgia.

On November 8, 2024 it was reported that one of the Russian email addresses behind Election Day bomb threats was used in June 2024 bomb threats targeting LGBTQ+ events in Massachusetts, Minnesota and Texas.

[harrispharmacy]

Independent Community Pharmacy serving Luton and it's surrounding areas. We go out of our way to ensure every customer leaves our pharmacy with a smile on their face. Our pharmacy stocks many items including cosmetics, aftershaves, perfumes, toiletries, baby accessories and food and many pharmacy medications. We offer travel vaccinations for all patients. If you are travelling to anywhere give us a call or pop in store and we will offer all travel advice to make your trip that much better! We also have a free delivery service for all of our patients.

Services: COVID-19 TESTING

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NEW MEDICATION SERVICE

SEASONAL FLU SERVICE

SEASONAL HEALTH SERVICES: Flu Jab / Vaccinations, Flu test n' treat, Hayfever, Pneumococcal Vaccine, Respiratory Issues, Salbutamol Inhaler, Strep A.

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SUBSTANCE DEPENDENCE

VACCINATIONS: Chicken Pox, Flu, Hepatitis B, HPV, Meningitis ACWY, Meningitis B, MMR, Pneumonia, Shingles, Tuberculosis

WOMEN'S HEALTH: Chlamydia, Facial Hair Removal, Morning After Pill, Oral Contraception, Period Delay, Thrush, Urinary Tract Infection, Weight Loss

Website: https://www.harrischemist.co.uk

Address: 165 a/b Dunstable Road, Luton, Bedfordshire, LU1 1BW

Phone Number: 01582 400851

Business Contact Email ID: harrispharmacy165@gmail.com

Business Hours: Monday - Friday : 09:00 AM - 07:00 PM Saturday : 09:30 AM - 01:00 PM