Service workers now have another thankless job: Checking vaccine statuses
https://www.vox.com/recode/22652766/service-workers-vaccine-passports-customers-mask-mandates
Tag: Vaccine
In Portugal, There Is Virtually No One Left to Vaccinate
“Portugal’s health care system was on the verge of collapse. Hospitals in the capital, Lisbon, were overflowing and authorities were asking people to treat themselves at home. In the last week of January, nearly 2,000 people died as the virus spread.
The country’s vaccine program was in a shambles, so the government turned to Vice Adm. Henrique Gouveia e Melo, a former submarine squadron commander, to right the ship.
Eight months later, Portugal is among the world’s leaders in vaccinations, with roughly 86% of its population of 10.3 million fully vaccinated. About 98% of all of those eligible for vaccines — meaning anyone over 12 — have been fully vaccinated, Gouveia e Melo said.”
How political polarization broke America’s vaccine campaign
“That polarization has now opened political rifts in vaccination rates, with people’s decision to get a shot or not today a better predictor of states’ electoral outcomes than their votes in prior elections. It’s led the US’s vaccination campaign to hit a wall, missing President Joe Biden’s July 4 goal. Meanwhile, the more infectious delta variant is spreading, raising the risk of infections, hospitalizations, and deaths in unvaccinated — and often heavily Republican — areas.
To put it bluntly: Polarization is killing people.”
If Texas Businesses Are Free To Require Face Masks, Why Can’t They Require Proof of Vaccination?
“there is ample evidence that vaccines sharply reduce the risk of infection and are even more effective at preventing life-threatening symptoms. Furthermore, schools have a long history of requiring that students be vaccinated against other diseases. Abbott’s order nevertheless says “state agencies and political subdivisions shall not adopt or enforce any order, ordinance, policy, regulation. rule, or similar measure that requires an individual to provide, as a condition of receiving any service or entering any place, documentation regarding the individual’s vaccination status for any COVID-19 vaccine administered under an emergency use authorization.” That prohibition also applies to “any public or private entity that is receiving or will receive public funds through any means, including grants, contracts, loans, or other disbursements of taxpayer money.””
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“a state law that Abbott signed on June 16 goes further, saying “a business in this state may not require a customer to provide any documentation certifying the customer’s COVID-19 vaccination or post-transmission recovery on entry to, to gain access to, or to receive service from the business.” It says any business that violates this provision is ineligible for state contracts, and it allows state agencies to “require compliance with that subsection as a condition for a license, permit, or other state authorization necessary for conducting business in this state.””
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“”Texas is open 100 percent, and we want to make sure that you have the freedom to go where you want without limits,” Abbott declared after signing the law banning proof-of-vaccination requirements. That position sacrifices private property rights and freedom of association in the name of an unlimited “freedom” that has never been legally recognized: the freedom of any given customer to dictate the terms on which businesses offer products or services.”
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“assuming that school vaccine mandates are justified with respect to other communicable diseases, it is hard to see why COVID-19 should be treated differently—leaving aside the lack of full FDA approval, which is expected to be remedied soon. One counterargument is that COVID-19, which rarely causes life-threatening symptoms in children and teenagers, poses a less serious danger to them than other diseases for which vaccination is required.* Still, requiring teachers and students to be vaccinated certainly seems like a more cost-effective policy than requiring them to wear masks all day.”
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“it hardly makes sense to say that private businesses should be free to require face masks, on the theory that customers who don’t like that rule can go elsewhere, while prohibiting them from requiring proof of vaccination, which likewise is not tantamount to a legal requirement.”
Alabama governor says ‘it’s time to start blaming the unvaccinated folks’ as pandemic worsens
“Alabama Gov. Kay Ivey issued an impassioned plea for residents of her state to get vaccinated against Covid-19, arguing it was “time to start blaming the unvaccinated folks” for the disease’s continued spread.
“I want folks to get vaccinated. That’s the cure. That prevents everything,” Ivey, a Republican, told reporters in Birmingham, Ala., on Thursday.”
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“Alabama remains the state with perhaps the lowest vaccination rate in the country, according to the CDC: Only 39.6 percent of its residents 12 and older have been fully vaccinated, compared to the 48.8 percent of Americans nationally who have gotten their shots.”
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“The Delta variant now represents more than 83 percent of the virus circulating in the United States, according to the CDC, and unvaccinated people account for 97 percent of coronavirus-related hospitalizations and deaths nationally.”
Why Is There Such A Gender Gap In COVID-19 Vaccination Rates?
“the Centers for Disease Control and Prevention reported that nearly 9.5 million more women than men have been vaccinated in the U.S.,1 and in the 42 states2 that collect gender data, a greater share of women are getting the vaccine as well. The magnitude of the gender gap varies from state to state but has hovered just below 10 percentage points on average over the past month.”
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“The simplest explanation for the vaccine gender gap is that women got a head start. Among older Americans, who had early access to the vaccine, women outnumber men”
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“those early restrictions on who could get the vaccine are gone now. The numbers remain imbalanced, however, so other factors must be contributing to the disparity as well.”
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“COVID-19 isn’t the only health matter that men are less likely to be proactive about. Compared with women, they tend to see a doctor less often and use harmful substances like alcohol and illicit drugs more often; men also tend to eat less fiber and fruit, and they are even less likely to use sunscreen when compared to women. According to Dr. Jonathan Metzl, director of the Center for Medicine, Health, and Society at Vanderbilt University, men’s shorter lifespans are the result of the cumulative effects of poor health decisions, not physiology. “There’s no real biological reason that men die earlier,” said Metzl. “The things that make you a successful, cool, tough man in America are also inversely related to health and longevity.”
Researchers are nearly unanimous in their assertion that traditional masculinity — the idea that men should be self-reliant, physically tough and emotionally stoic — is a risk factor for men’s health. James Mahalik, an expert on masculinity and health outcomes at Boston College, studies how traditional masculinity gets in the way of health-promoting behaviors. His lab’s research on mask-wearing indicates that men who conform to traditional masculine norms have lower levels of empathy toward people who are vulnerable to COVID-19, and they are less likely to trust the scientific community. Mahalik suspects the same is true for their views about the vaccine.”
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“women are typically held responsible for the health of others in ways that men are not: “Women know that if members of their family become sick, they’re the ones who will be responsible for caregiving.” Although vaccine distributors don’t track the gender of people who schedule vaccine appointments for family members, sociologists are concerned that women are taking on the brunt of this work — an extension of what has been called women’s “second shift.” Women’s greater responsibility for maintaining not just their own health but the health of others makes Reich suspect that women are more likely to be in contact with health services and seek out health-related information. Social expectations that women care for others and vigilantly monitor their reproductive health demand it of them.”
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“gender differences in susceptibility to COVID-19 misinformation: Early in the pandemic, men — particularly those who identified as conservatives — were more likely than women to subscribe to COVID-19 conspiracy theories.”
How to supercharge vaccine production for the next pandemic
“But it’s one thing to come up with a vaccine, and entirely something else to manufacture it on a mass scale. That’s where the world has stumbled and where concerted planning now can make sure we’re prepared for the future. If we’re to have a better chance to fight the next pandemic — and there will be a next one — the US needs to build on these vaccine tech innovations and make investments to establish permanent facilities producing mRNA and adenovirus vaccines.”
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“that slack won’t arrive naturally.
Weber, the former assistant secretary of defense for biodefense, has pushed for what he dubs a “10 + 10 Over 10” plan to prevent biological threats in the future. It is essentially a big government investment that could enable the kind of infrastructure necessary to have gotten to full vaccine availability in the US in, say, one or two months, not five.
The plan calls for $10 billion in additional annual funding for the Department of Defense, and another $10 billion per year for the Department of Health and Human Services, devoted to anticipating pandemic and other biological risks, for at least 10 years.
With that funding, government could finance the infrastructure for year-round vaccine manufacture.”
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“The key is that these facilities need to be active during non-pandemic times, otherwise their expertise and readiness could deteriorate.”
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“Pharmaceutical companies are not going to go this big on their own, and there’s no guarantee that the government will fund them sufficiently without pressure. In 2020 — during the pandemic — the Trump administration cut the DOD’s chemical and biodefense programs by 10 percent, with much of the cuts going to the vaccine component of the budget. To set this vision in motion, the US needs to not just reverse cuts like that but spend much more, in line with Weber’s $20 billion per year proposal.”
Biden agreed to waive vaccine patents. But will that help get doses out faster?
“The Biden administration has announced that it will work with the World Trade Organization (WTO) to negotiate a deal to suspend intellectual property rights associated with the Covid-19 vaccines — a surprise move for the administration, which had initially resisted taking such a step.”
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“There is unanimous agreement on one thing: There is a lot of work to be done to speed up vaccine manufacturing and vaccinate the world. As the WTO’s General Council meets this week, patents have risen to the top of the agenda. India and South Africa have asked the WTO to waive intellectual property (IP) rules relating to the vaccines so that more organizations can make them.
The case for waivers is simple: Waiving IP rights might enable more companies to get into the vaccine-manufacturing business, easing supply shortages and helping with the monumental task of vaccinating the whole world. The case against them: Taking IP rights from vaccine makers punishes them for work that society should eagerly reward and disincentivizes similar future investment. Opponents have also argued this step would do very little to address the vaccine supply problem, which has largely been the result of factors such as raw material shortages and the incredible complexity and tight requirements of the vaccine-manufacturing process.”
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“debates over intellectual property can also distract the world from the policy measures that could really end the pandemic: building our vaccine-manufacturing capacity, committing to purchase the doses the rest of the world needs, and working directly with manufacturers to remove every obstacle in their path.”
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“Experts I spoke with emphasized that, generally speaking, the world’s entire supply of critical raw materials is already going into vaccines, and there are no factories “sitting idle” waiting for permission to start making them. What’s more, changing a factory’s processes to produce a new kind of vaccine is a difficult, error-prone process — which went wrong, for example, when a plant converted to make Johnson & Johnson vaccines spoiled millions of doses.
Moderna is an instructive example here. The pharmaceutical company made a splashy announcement in the fall that it would not enforce its Covid-19 vaccine patents. Despite that move, there is still no generic Moderna vaccine, and none of the experts I talked to believed one was on the horizon. (It turned out well for Moderna — get the PR bump from the announcement without suffering the financial drawbacks.)”
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“Although the Biden administration’s announcement is a win for the pro-waiver side, the US isn’t the only country that needs to be persuaded for the WTO to agree on a patent waiver. For their part, the EU, the UK, Japan, and Switzerland have expressed opposition. But the US is influential in these debates, and the Biden administration’s about-face may well be decisive.”
Kids Can’t Get The COVID-19 Vaccine Yet. How Much Of A Risk Do They Pose To The Rest Of Society?
“Young children do transmit the virus, and variants like the more-transmissible B.1.1.7 lineage increase how likely kids are to spread COVID-19. It’s also important to note that those low rates of children transmitting COVID-19 are very dependent on behavioral modifications — in particular, wearing masks indoors. A brand-new study out on Thursday found that risk-reduction strategies like teachers wearing masks, kids wearing masks, checking symptoms daily and canceling extracurricular activities like sports made the difference between in-person schooling that spread COVID-19 from kids through their families and in-person schooling that didn’t significantly increase the spread of COVID-19.”
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“kids going unmasked outdoors — unless they’re in a large, closely packed group — is probably fine. But masking indoors remains an important way to keep COVID-19 from spreading among unvaccinated people of all ages.”
3 reasons most public masking is still important — even if you’re vaccinated
“We know the vaccines authorized in the US are extremely effective and safe — but not perfect — at preventing Covid-19 illness. Newer data suggests they are also very good (though also not perfect) at keeping people from getting infected, thus likely drastically reducing the chances they could spread it to others.
Even with the small risks of these “breakthrough infections,” there are much more pressing reasons to keep masking in public — especially indoors in places like gyms, stores, and airports — and, according to the new CDC guidance, in most outdoor gatherings as well. Masking remains one of the least intrusive interventions we can take to keep putting the brakes on Covid-19 spread.
From variant wild cards to protecting unvaccinated kids, the reasons we should keep masking in crowded public spaces at least into the summer are strong. We talked to experts to better understand them and to get a glimpse of when we might finally be able to leave our masks at home.”
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“The majority of people in the US are still susceptible to infection from Covid-19. “There are folks around us who will not or cannot get the vaccine, and we have to keep thinking, as a community, of ways to protect them, too,””
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“a subset of people — roughly 3 percent in the US — have compromised immune systems that might do a poor job of mounting a robust response to the vaccine, leaving them vulnerable to infection even after getting shots.
There are also some people who aren’t able to wear masks to protect themselves in public. This includes some adults and children with disabilities or rare health conditions, as well as babies and toddlers”
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“Although the vaccines authorized for use in the US appear to be very effective against the variants that are circulating, it is possible future strains will be better at evading vaccine protection (as the B.1.351 variant, first detected in South Africa, is against the AstraZeneca/Oxford vaccine). Vaccine companies are working to keep pace with variants, testing their vaccines against them and formulating potential boosters. But, says Guthrie, “it may be a bit of a game of whack-a-mole as new variants come up.””
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““These variants — especially ones that have mutations that make them more transmissible — can pop up and then spread quite quickly,” Guthrie says. “If you combine that with a variant that could evade the current vaccines, you’re not going to get a lot of advance warning.” Which means a widespread outbreak, including some people who had already gotten their shots, could get going before we were able to contain it.
Masking can not only prevent a new variant from spreading but could also help prevent new variants from emerging, as the more people the virus infects, the greater the opportunity it has to mutate.”
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“Even if we can’t drop our masks indoors for a little while longer, outdoors is a different story. The rates of public outdoor transmission of Covid-19 are incredibly low, and most known cases of outdoor infection spread have occurred from long conversations, yelling, or exercising together.”