Rick Bright, ousted director of vaccine agency, warns that administration lacks ‘centralized, coordinated plan’

https://www.cnn.com/2020/05/14/politics/coronavirus-whistleblower-testimony/index.html?fbclid=IwAR0KfVp-njw8vqKFdaLbBC4r4NAx3KeS4rFg2vmFbSneW7PcqOwVYult9rc

Virus whistleblower tells lawmakers US lacks vaccine plan | Where ...

Rick Bright, the ousted director of a crucial federal office charged with developing countermeasures to infectious diseases, testified before Congress on Thursday that the US will face an even worse crisis without additional preparations to curb the coronavirus pandemic.

“Our window of opportunity is closing,” Bright said. “Without better planning, 2020 could be the darkest winter in modern history.”
Bright criticized the Trump administration for failing to implement a “standard, centralized, coordinated plan” to combat the virus and questioned its timeline for a vaccine. His testimony came a week after filing a whistleblower complaint alleging he was fired from his job leading the Biomedical Advanced Research and Development Authority for opposing the use of a drug frequently touted by President Donald Trump as a potential coronavirus treatment.
About an hour before Bright’s hearing, Trump tweeted that he had “never met” or “even heard of” Bright, but considers the NIH senior adviser a “disgruntled employee, not liked or respected by people I spoke to and who, with his attitude, should no longer be working for our government!”
Before the House Committee on Energy and Commerce’s health subcommittee, Bright urged the Trump administration to consider a number of actions, including increasing production of essential equipment and establishing both a national test strategy and a national standard of procurement of supplies. He calls on top officials to “lead” through example and wear face coverings and social distance.
Bright claimed that the administration missed “early warning signals” to prevent the spread of the virus. He said that he would “never forget” an email from Mike Bowen, the hearing’s other witness and the vice president of the medical supply company Prestige Ameritech, indicating that the US supply of N95, the respirator masks used by health care professionals, was at a perilous level.
“He said, ‘We’re in deep shit,'” testified Bright. “‘The world is.'”
Bright said he “pushed” that warning “to the highest levels” he could at Health and Human Services but received “no response.”
“From that moment, I knew that we were going to have a crisis for health care workers because we were not taking action,” said Bright. “We were already behind the ball.”
In his written statement, Bright blamed the leadership of HHS for being “dismissive” of his “dire predictions.” Bright wrote that he knew the US had a “critical shortage of necessary supplies” and personal protective equipment during the first three months of the year and prodded HHS to boost production of masks, respirators, syringes and swabs to no avail. He alleged that he faced “hostility and marginalization” from HHS officials after he briefed White House trade adviser Peter Navarro and members of Congress “who better understood the urgency to act.”
And he charged that he was removed from his post at BARDA and transferred to “a more limited and less impactful position” at NIH after he “resisted efforts to promote” the “unproven” drug chloroquine.
A Department of Health and Human Services spokesperson responded that it was “a personnel matter that is currently under review” but said it “strongly disagrees with the allegations and characterizations.”
Bright is seeking to be reinstated to his position as the head of BARDA. The Office of Special Counsel, which is reviewing Bright’s complaint, has determined that was a “substantial likelihood of wrongdoing” in removing him from his post, according to Bright’s attorneys.
Rep. Anna Eshoo, a California Democrat and the panel’s chairwoman, said Bright “was the right person, with the right judgment, at the right time.”
“We can’t have a system where the government fires those who get it right and reward those who get it completely wrong,” added Eshoo.
In his testimony, Bright also cast doubt on the Trump administration’s goal of manufacturing a vaccine in 12 to 18 months as overly optimistic, calling it “an aggressive schedule” and noting that it usually takes up to 10 years to make a vaccine.
“My concern is if we rush too quickly, and consider cutting out critical steps, we may not have a full assessment of the safety of that vaccine,” Bright said. “So, it’s still going to take some time.”
Some Republicans on the subcommittee said that the hearing shouldn’t have been held at all.
Rep. Michael Burgess of Texas, the top Republican on the panel, said “every whistleblower needs to be heard,” but added the hearing was “premature” and a “disservice” to the Special Counsel’s investigation since Bright’s complaint was filed only a week ago.
And Republican Rep. Richard Hudson of North Carolina claimed that the hearing was not about the whistleblower complaint but “undermining the Administration during a national and global crisis.”
Thursday’s subcommittee meeting comes two days after a blockbuster hearing in the Senate that featured Dr. Anthony Fauci, who leads the National Institute of Allergy and Infectious Diseases. Fauci said that access to a vaccine in time for the fall school year would be “a bit of a bridge too far” and warning against some schools opening too soon, which Trump later called “not an acceptable answer.”
Fauci testified from his modified quarantine at home since he had made contact with a White House staffer who tested positive. But Bright appeared masked and in-person for his hearing on Capitol Hill, as did the lawmakers who questioned him. Many members of the House have steered clear of Capitol Hill since the onset of the outbreak, although they are expected to return on Friday to vote on a multi-trillion dollar Democratic bill responding to the crisis.

 

 

The pandemic broke America

https://www.axios.com/coronavirus-america-broken-2baa69e4-60e6-49a5-932a-5d118441ae20.html

The coronavirus pandemic broke America - Axios

Eight weeks into this nation’s greatest crisis since World War II, we seem no closer to a national strategy to reopen the nation, rebuild the economy and defeat the coronavirus.

Why it matters: America’s ongoing cultural wars over everything have weakened our ability to respond to this pandemic. We may be our worst enemy.

  • The response is being hobbled by the same trends that have impacted so much of our lives: growing income inequality, the rise of misinformation, lack of trust in institutions, the rural/urban divide and hyper-partisanship.
  • We’re not even seeing the same threat from the virus. Democrats are far more likely than Republicans to be worried about getting seriously ill, while Republicans — including the president — are more likely to think the death counts are too high.

Without even a basic agreement on the danger of the pandemic and its toll, here’s how we see the national response unfold:

  • The Centers for Disease Control and Prevention, the crown jewel of the globe’s public health infrastructure, has been sidelined, its recommendations dismissed by the White House.
  • President Trump declares the U.S. has “prevailed on testing” at a time when health experts say we still need far more daily tests before the country can reopen safely.
  • Distribution of the promising coronavirus drug remdesivir was initially botched because of miscommunication between government agencies.
  • More than two thirds of Americans say it’s unlikely they would use a cell phone-based contact tracing program established by the federal government, a key component of a testing regime to control the virus.
  • The second phase of a program to aid small businesses isn’t fully allocated because firms are either concerned about its changing rules, confused about how to access it, or find the structure won’t help them stay in business.
  • With the unemployment rate at a post-Depression record last month, and expected to go higher, there is no meaningful discussion between the parties in Congress on aid to the out-of-work.
  • States and local governments are facing billions in losses without a strategy for assistance.
  • The virus is literally inside the White House. Aides have tested positive for coronavirus, leading to quarantines for some of the nation’s top public health officials and a new daily testing regime for White House staff and reporters who enter the West Wing.
  • The No. 1 book on Amazon for a time was a book by an anti-vaxxer whose conspiracy-minded video about the pandemic spread widely across social media, leading to takedowns by platforms like YouTube and Facebook.

The other side: There’s better news at the state level. “Governors collectively have been winning widespread praise from the public for their handling of the coronavirus outbreak,” the Washington Post reports.

Between the lines: Nationwide, 71% of Americans approve of the job their governor is doing, according to the Post. For Trump, the figure is 43%.

  • And former presidents we often expect to help rally the nation in trying times are scarce.
  • George W. Bush released a video, in which his face barely appeared, calling for unity in the fight against the virus. Barack Obama was recorded in leaked remarks to former staffers calling Trump’s coronavirus response “an absolute chaotic disaster.” Trump attacked both of them on Twitter.

The bottom line: An existential threat — like war or natural disaster — usually brings people together to set a course of action in response. Somehow, we’ve let this one drive us apart.

 

 

 

 

Guns in Michigan Capitol: Defense of liberty or intimidation?

https://www.csmonitor.com/USA/Politics/2020/0504/Guns-in-Michigan-Capitol-Defense-of-liberty-or-intimidation

Guns in coronavirus protests: Defense of liberty or intimidation ...

WHY WE WROTE THIS

Bringing assault weapons to the Michigan Legislature for a protest against coronavirus restrictions? To one group, it’s why the Second Amendment exists. To many others, it’s unfathomable.

It was a first for Michigan state Sen. Sylvia Santana. Before heading to the statehouse in Lansing last Thursday, she slipped into a bulletproof vest.

Ms. Santana’s husband, a sheriff’s deputy, warned her about potential trouble at a rally to protest the decision to extend a coronavirus lockdown.

A group of armed white men entered the Capitol and shouted at lawmakers. To Ms. Santana, some were dressed like they were “going to war.” Several Confederate flags, a swastika, and a misogynistic sign aimed at Gov. Gretchen Whitmer could be seen outside.

“I thought that was very scary,” says Ms. Santana, an African American who represents parts of Detroit and all of neighboring Dearborn. “We’re there to do a job, and it’s not to dodge bullets as we try to do our jobs in a bipartisan fashion to make sure we’re keeping all Michiganders safe.”

Four days on from the protest, her concern lingers. The pandemic has intensified many societal fault lines – from health care inequities to political polarization – and gun control is no exception. Feeling that state officials are overreaching, a tiny minority of protesters are flexing their Second Amendment rights in Michigan and beyond.

But at a time of crisis, their crusade against the perceived tyranny of government is seen by many as tyrannical in its own right – recklessly using their liberties to intimidate others.

The core question is: Where should the line be drawn? For protesters, guns in statehouses is one of the purest expressions of the power the Second Amendment invests in citizens. But no constitutional right is absolute.

“Where do people who see no problem with guns downtown or near a hospital or in the legislature, where do they draw the line?” Sanford Levinson, co-author of “Fault Lines in the Constitution.” “That’s an interesting question both politically and legally, because courts are really receptive to line drawing. I don’t think you’d find any judge who says, ‘Yeah, I welcome guns in my courtroom.’”

In that way, the struggle over whether to allow firearms in legislatures “is part of the culture war,” he adds.

Are hard-line tactics effective?

Today, 21 state capitols allow guns in some form, according to a Wall Street Journal report. But only a few, including Michigan, allow citizens to openly carry under the rotunda. Many Republican-led states balk at open carry in the people’s hall for personal safety reasons, and courts have upheld bans in places like legislatures and polling places, holding that guns can chill other people’s rights.

Elements of race have long played a role. The modern gun control movement is linked to the signing of the Mulford Act in 1967, which banned open carry in California. The bill gained momentum after two dozen Black Panthers legally brought firearms to the state capitol to protest against it. The National Rifle Association backed the bill.

Incidents like the one in Michigan, however, could do more to damage gun rights than advance them. “It’s really now an open question to what extent hard-line pro-gun policies are politically advantageous,” says Mr. Levinson, also a visiting professor at Harvard Law School in Cambridge, Massachusetts.

Ms. Santana was certainly not persuaded. “I, as a state lawmaker, want to hear your concerns and your position on the issue. But I don’t feel that bringing assault weapons to the capitol and using symbols of hatred will make me understand your issue better.”

The scenes in Michigan, which has been hit hard by COVID-19, only make it harder to have already difficult conversations, others say. Part of self-defense is respecting the preferences other people have for their own security, which might mean leaving guns at home when overtones of intimidation are possible.

“When your eyes look at these pictures of groups of people … in a public building that is supposed to be a center of democratic exchange and debate, and you see a group of people carrying military weapons, that is not a vision of democracy,” says Hannah Friedman, a staff attorney at Giffords Law Center to Prevent Gun Violence in San Francisco. “That’s a vision of intimidation by a minority of people.”

Such concerns were heightened further this weekend, when employees at businesses in Stillwater, Oklahoma, faced a threat of violence with a gun while trying to force customers to wear masks, as mandated by the local government.

“I think we were heard”

But Ashley Phibbs has a different view.

Ms. Phibbs, a project manager and mother who helped organize the Michigan rally, acknowledged with regret that many in attendance didn’t abide by social distancing rules. She also confirmed the display of hate symbols. But she insisted those were agitators and not part of her group, Michigan United for Liberty, which has sprung up to oppose what members see as repressive COVID-19 restrictions.

“I know how it can seem to people who aren’t active in rallies and who are looking at it from the outside in, and I try to be very understanding of that,” says Ms. Phibbs. “But … I don’t think that anyone was there to really make anyone fearful. I didn’t see anything that would have really caused fear, aside from loud noises from the people yelling. But a lot of people are also sometimes afraid of guns in general.”

In the end, she says, “I think we were heard. I think overall [the rally] was positive.”

Knowing your audience

Other gun-rights advocates saw problems with the optics.

As he watched news from Michigan Thursday, Caleb Q. Dyer saw some familiar faces. The New Hampshire barista and former state legislator had been a keynote speaker at a Michigan Libertarian Party event last year.

But he worried that his friends in Michigan were sending “mixed messages” by failing to abide by public health rules.

In fact, he usually brings witty protest gear – such as a sign that says “arm the homeless” – to disarm fear. It’s a fine line, he says, between free speech and armed intimidation.

“People aren’t ready to have the discussion that a lot of these gun-carrying protesters want to have, which is that none of these laws are even remotely effective or just,” says Mr. Dyer. “But they’re not going to have that discussion if they cannot carry themselves in such a way that the opposition won’t think … that they’re murderous and violent.”

 

 

 

 

 

Window of Opportunity is Closing for Coronavirus Response

https://www.axios.com/rick-bright-testimony-opening-statement-6817ae7a-5196-4357-b83c-d3ff96990efd.html?stream=health-care&utm_source=alert&utm_medium=email&utm_campaign=alerts_healthcare

Window of opportunity – definition and meaning – Market Business News

A top vaccine doctor who was ousted from his position in April is expected to testify Thursday that the Trump administration was unprepared for the coronavirus, and that the U.S. could face the “darkest winter in modern history” if it doesn’t develop a national coordinated response, according to prepared testimony first obtained by CNN.

The big picture: Rick Bright, the former head of the Biomedical Advanced Research and Development Authority (BARDA), will tell Congress that leadership at the Department of Health and Human Services ignored his warnings in January, February and March about a potential shortage of medical supplies.

  • He will testify that HHS “missed early warning signals” and “forgot important pages from our pandemic playbook” early on — but that “for now, we need to focus on getting things right going forward.”
  • Bright’s testimony also reiterates claims from a whistleblower report he filed last week that alleges he was ousted over his attempts to limit the use of hydroxychloroquine — an unproven drug touted by President Trump — to treat the coronavirus.

What he’s saying: Bright will testify he urged HHS to ramp up production of
masks, respirators and medical supplies as far back as January. Those warnings were dismissed, Bright says, and he was “cut out of key high-level meetings to combat COVID-19.”

  • “I continue to believe that we must act urgently to effectively combat this deadly disease. Our window of opportunity is closing. If we fail to develop a national coordinated response, based in science, I fear the pandemic will get far worse and be prolonged, causing unprecedented illness and fatalities.”

Bright will call for a national strategy to combat the virus, including “tests that are accurate, rapid, easy to use, low cost, and available to everyone who needs them.”

  • “Without clear planning and implementation of the steps that I and other experts have outlined, 2020 will be darkest winter in modern history.”

Read Bright’s prepared statement.

 

 

 

 

Fed chair Powell warns of “lasting” economic damage without more stimulus

https://www.axios.com/fed-jerome-powell-coronavirus-spending-e71d88c5-09ec-4410-b08f-3d4ad6304db0.html

Fed chair Powell warns of "lasting" economic damage without more ...

Federal Reserve Chairman Jerome Powell said Congress may need to do more to prevent a worse economic downturn triggered by the coronavirus pandemic, in an interview with the Peterson Institute’s Adam Posen on Wednesday.

Why it matters: Powell warned of dire economic consequences without additional stimulus. While the Fed has responded to the pandemic with the most aggressive policy actions in the central bank’s history, it doesn’t have the power to get money directly in the hands of Americans and businesses in the form of grants like Congress does.

The backdrop: The coronavirus has pushed the economy into a downturn not seen since the Great Depression, with a record number of Americans out of work.

  • Congress and the Fed have unleashed trillions of dollars in coronavirus aid to support the economy.
  • House Democrats proposed another $3 trillion in stimulus this week, but more spending is facing resistance from Republican members of Congress.

What they’re saying: “Additional fiscal support could be costly, but worth it if it helps avoid long-term economic damage and leaves us with a stronger recovery,” Powell said.

  • “It’s not the time to prioritize” concerns about fiscal spending, Powell said.

Powell warned about the long-lasting damage a steep, prolonged downturn could have on the economy, including permanent scarring to the most vulnerable workers in the labor force.

  • In a Fed survey set to be released tomorrow, Powell said 40% of people making less than $40,000/year who were employed in February, lost their job in March.

 

 

 

 

COVID-19 by the numbers: 51 stats, dollar figures and dates for hospital leaders to know

https://www.beckershospitalreview.com/hospital-management-administration/covid-19-by-the-numbers-51-stats-dollar-figures-and-dates-for-hospital-leaders-to-know.html?utm_medium=email

Coronavirus death rate in US compared to countries like Italy ...

In recent months, hospitals and health systems across the U.S. have made dramatic changes to quickly respond to the COVID-19 pandemic. To help provide a more detailed picture of the COVID-19 pandemic and response efforts, Becker’s Hospital Review has compiled key stats, dollar figures and dates for hospital and health system leaders to know.

COVID-19 relief aid 

Congress has allocated $175 billion in relief aid to hospitals and other healthcare providers to cover expenses or lost revenues tied to the COVID-19 pandemic. 

The first $50 billion in funding from the Coronavirus Aid, Relief and Economic Security Act was delivered to hospitals in April. HHS distributed $30 billion based on Medicare fee-for-service reimbursements and another $20 billion based on hospitals’ share of net patient revenue.

In addition, HHS is sending $12 billion to 395 hospitals that provided inpatient care for 100 or more COVID-19 patients through April 10 and disbursing another $10 billion to hospitals, clinics and health centers in rural areas.

HHS recently provided a list of hospitals that received payments from the general distribution and rural targeted allocation of the provider relief fund as well as hospitals that received COVID-19 high-impact payments.

Below are the 10 health systems that received the most funding from the general distribution and rural targeted allocation of the provider relief fund based on data updated May 12. Each health system received payments and agreed to the terms and conditions for receiving relief aid as of May 6. 

1. Dignity Health: $180.3 million

2. NewYork-Presbyterian Hospital: $119 million

3. Cleveland Clinic: $103.3 million

4. Stanford Health Care: $102.4 million

5. Intermountain Healthcare: $97.9 million

6. Memorial Hermann Health System: $92.4 million

7. NYU Langone Hospitals: $92.1 million

8. Sutter Health: $82.7 million

9. County of Los Angeles: $80.8 million (County operates four hospitals)

10. Hackensack Meridian Health: $76.8 million

 

Below are the 10 hospitals that received the most funding from the $12 billion COVID-19 high-impact fund based on data updated May 8. 

1. Long Island Jewish Medical Center (New Hyde Park, N.Y.): $277.7 million

2. Holy Name Medical Center (Teaneck, N.J.): $213.4 million

3. Tisch Hospital (New York City): $203.2 million

4. Montefiore Hospital-Moses Campus (New York City): $156.7 million

5. Columbia University Irving Medical Center (New York City): $152.7 million

6. NewYork-Presbyterian Queens (New York City): $143.3 million

7. Mount Sinai Medical Center (New York City): $140.8 million

8. Sandra Atlas Bass Heart Hospital (Manhasset, N.Y.): $137.5 million

9. Maimonides Medical Center (New York City): $131.5 million

10. Weill Cornell Medical Center (New York City): $118.6 million

 

COVID-19 vulnerability 

Every state in the U.S. will be affected by COVID-19, but some are more vulnerable due to limited ability to mitigate and treat the virus, and to reduce its economic and social impacts, according to a COVID-19 vulnerability index created by the Surgo Foundation.

The Surgo Foundation, a privately funded think tank, created an index that combines indicators specific to COVID-19 with the CDC’s social vulnerability index, which measures the expected negative impact of disasters of any type. The Surgo Foundation’s index takes into account factors that fall into one of several categories, including socioeconomic status, minority status, housing type, epidemiologic factors and healthcare system factors. Each state and the District of Columbia received a score in each category and an overall score, with a higher score indicating that the state is more vulnerable. Read more about the methodology here.

Below are the 10 states with the highest composite scores based on the vulnerability index. 

1. Mississippi: 1

2. Louisiana: 0.98

3. Arkansas: 0.96

4. Oklahoma: 0.94

5. Alabama: 0.92

6. West Virginia: 0.9

7. New Mexico: 0.88

8. Nevada: 0.86

9. North Carolina: 0.84

10. South Carolina: 0.82

 

Where COVID-19 cases, deaths are decreasing most

An analysis from The New York Times based on county-level data shows some U.S. cities are seeing sustained decreases in COVID-19 cases and deaths.

Below are the top five metro areas where COVID-19 cases have decreased the most (relative to population) in the past week. The list reflects The New York Times‘ rankings as of May 13 at 6:30 a.m. CDT. 

1. Grand Island, Neb.
Change rate: -394 cases per 100,000 population

2. Waterloo-Cedar Falls, Iowa
Change rate: -265 cases per 100,000 population

3. Pine Bluff, Ark.
Change rate: -197 per 100,000 population

4. New York City area
Change rate: -184 cases per 100,000 population

5. Boston
Change rate: -139 cases per 100,000 population

 

Below are the top five metro areas where COVID-19 deaths have decreased the most in the past week. 

1. Grand Island, Neb.
Change rate: -11.8 deaths per 100,000 population

2. New York City area
Change rate: -11.1 deaths per 100,000 population

3. Fairfield County (Conn.)
Change rate: -9.7 deaths per 100,000 population

4. Hartford, Conn.
Change rate: -9.7 deaths per 100,000 population

5. Springfield, Mass.
Change rate: -9.5 deaths per 100,000 population

 

States resuming elective surgeries 

Below are the states that have allowed or announced plans to allow healthcare providers to resume elective surgeries as of May 13. There are different restrictions in each state, which are detailed in executive orders and other documents from the state. 

April 22
California
Texas
Utah

April 24
Oklahoma

April 26
Colorado

April 27
Arkansas
Indiana
Iowa
Kentucky
Louisiana
Mississippi
Pennsylvania

April 28
New York
West Virginia

April 30
Alabama
Tennessee

May 1
Arizona
Illinois
Ohio
Oregon
Virginia

May 4
Alaska
Florida
Nebraska

May 15
Vermont

May 18
Washington

May 31
South Dakota

 

 

 

 

The latest in the U.S.

https://www.axios.com/newsletters/axios-vitals-72173ec6-3383-4391-afbb-a5ed682e5d7a.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

COVID-19 in the U.S.

As of May 12, 2020, 11pm EDT

Deaths       Confirmed Cases

82,376           1,369,574

Trump and some top aides question accuracy of coronavirus death ...

 

The U.S. will “without a doubt” have more coronavirus infections and deaths in the fall and winter if effective testing, contact tracing and social distancing measures are not scaled up to adequate levels, NIAID director Anthony Fauci testified on Tuesday.

  • He also said that the “consequences could be really serious” for states and cities that reopen without meeting federal guidelines.

Sen. Mitt Romney (R-Utah) criticized the Trump administration’s coronavirus testing coordinator Adm. Brett Giroir at a Senate hearing Tuesday, accusing him of framing U.S. testing data in a politically positive light: “I find our testing record nothing to celebrate whatsoever.”

Millions of Americans are risking their lives to feed us and bring meals, toiletries and new clothes to our doorsteps — but their pay, benefits and working conditions do not reflect the dangers they face at work, Axios’ Erica Pandey reports.

House Democrats released Tuesday their phase 4 $3 trillion coronavirus relief proposal that would provide billions of additional aid to state and local governments, hospitals and other Democratic priorities.

The American Federation of Teachers launched several capstone lesson plans Tuesday to help K-12 teachers measure student progress during school closures and overcome the challenges of a remote learning setting.

Grocery staples in the U.S. cost more in the last month than in almost 50 years, according to new data out Tuesday from the U.S. Bureau of Labor Statistics.

A new study by economists at the University of Illinois, Harvard Business School, Harvard University and the University of Chicago projects that more than 100,000 small businesses have permanently closed since the coronavirus pandemic was declared in March, the Washington Post reports.

 

 

 

 

 

New urgency surrounding children and coronavirus

https://www.axios.com/newsletters/axios-vitals-72173ec6-3383-4391-afbb-a5ed682e5d7a.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

CDC adds 6 new possible coronavirus symptoms - Axios

Solving the mystery of how the coronavirus impacts children has gained sudden steam, as doctors try to determine if there’s a link between COVID-19 and kids with a severe inflammatory illness, and researchers try to pin down their contagiousness before schools reopen.

Driving the news: New York state’s health department is investigating 100 cases of the illness in children, Gov. Andrew Cuomo said at a Tuesday press briefing, Axios’ Orion Rummler reports.

  • Three children in the state have died: an 18-year-old girl, a 5-year-old boy, and a 7-year-old boy. The state’s hospitals had previously reported 85 cases on Sunday.

Doctors have described children “screaming from stomach pain” while hospitalized for shock, Jane Newburger of Boston Children’s Hospital told the Washington Post.

  • In some, arteries in their hearts swelled, similar to Kawasaki disease, a rare condition most often seen in infants and small children that causes blood vessel inflammation, she said.
  • Researchers remain uncertain if this is being caused by COVID-19, but most children appear to have a link. Some affected children have tested positive for coronavirus antibodies, suggesting that the inflammation is “delayed,” Nancy Fliesler of Boston Children’s Hospital wrote on Friday.

What’s next: The CDC is funding a $2.1 million study of 800 children who have been hospitalized after testing positive for the coronavirus through Boston Children’s Hospital. The study aims to understand why some children are more vulnerable to the disease.

 

 

 

 

Coronavirus likely forced 27 million off their insurance

https://www.axios.com/newsletters/axios-vitals-72173ec6-3383-4391-afbb-a5ed682e5d7a.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

The coronavirus pandemic is hitting Main Street and triggering ...

Roughly 27 million people have likely have lost job-based health coverage since the coronavirus shocked the economy, according to new estimates from the Kaiser Family Foundation.

Why it matters: Most of these people will be able sign up for other sources of coverage, but millions are still doomed to be uninsured in the midst of a pandemic, Axios’ Bob Herman reports.

By the numbers: For the 27 million people who are losing their job-based coverage, about 80% have other options, said Rachel Garfield, a health policy expert at the Kaiser Family Foundation and lead author of the report.

  • Roughly half are eligible for Medicaid or the Children’s Health Insurance Program.
  • Another third are eligible for subsidized health plans on the Affordable Care Act’s marketplaces.
  • The remaining 20% are pretty much out of luck because they live in a state that didn’t expand Medicaid or are ineligible for other kinds of subsidized coverage.
  • House Speaker Nancy Pelosi’s latest coronavirus relief bill would fully subsidize the cost of maintaining an employer plan through COBRA — an option that would otherwise be prohibitively expensive for many people. But that’s a long way from becoming law.

The bottom line: The coronavirus is blowing up health insurance at a time when people need it most.

 

 

 

 

Germany’s daily coronavirus cases nearly TRIPLE – states bring back tougher measures

https://www.express.co.uk/news/world/1281241/germany-coronavirus-cases-jump-lockdown-lift-tougher-lockdown-rules-angela-merkel?fbclid=IwAR0D6VbvvxIu4PUwUwMOu7AAKePOdxcUhZFyQybDdJTvEmosNZlrDeodLnM

coronavirus

CORONAVIRUS cases in Germany have almost trebled in the past 24 hours sparking fears of a second wave of COVID-19 infections.

Health authorities in Germany have reported more than 900 new cases of the deadly coronavirus less than a week after lockdown restrictions were relaxed by German Chancellor Angela Merkel. The Robert Koch Institute for public health and disease control has reported 933 new COVID-19 infections on Tuesday – an increase from just 357 on Monday.

According to the Institute the infection rate – the so-called “R” rate – has been above one for the past three days.

The rate means on average one person will potentially transmit the virus to one other individual.

The Institute for public health estimated the “R” rate was at 1.07 on Monday and 1.13 on Sunday.

The number indicates that 100 infected people would on average infect 107 others.

Today, the R rate once again dipped just below one with an estimated value of 0.94, but the latest spike in cases will worry some.

Despite the rise in the rate in recent days, the Robert Koch Institute said: “So far, we do not expect a renewed rising trend.”

Last Thursday Ms Merkel outlined a scenario at which the country would need to apply an “emergency brake” and re-impose restrictions.

The lockdown measures would be introduced again if a second wave of new infections were reported at a rate of 50 per 100,000 people.

Since Ms Merkel’s announcement, however, three districts across Germany have used the emergency measures to halt the virus.

The states of North Rhine-Westphalia and Schleswig-Holstein were forced to re-introduce lockdown after outbreaks of coronavirus at meat processing plants.

One district in the state of Thuringia is also understood to have implemented the emergency measures after outbreaks in care homes.

Just six days ago the German Chancellor announced measures to lift the lockdown by opening more shops and outlining the gradual re-opening of schools.

Shops and gyms have been allowed to begin trading providing social distancing measures were enforced.

The Chancellor also announced most Germans will be allowed to meet people from outside their households for the first time.

Top flight Bundesliga matches are also set to begin behind closed-doors this upcoming weekend.

Ms Merkel has been under increasing pressures to kick-start the faltering German economy with widespread protests taking place at the weekend in major cities including Munich.