Author: SeniorWomenWeb

  • Quarantined By Adrienne G. Cannon: After a 10 Day Waiting Period, I Test “Negative!”

    By Adrienne G. Cannonchalboard quarantine

    It is 5:00PM and time to meet my friend for our evening dinner together in the Cork and Fork. 

    I am looking forward to the date as I have not seen my friend for a while and the pub-like restaurant is my favorite restaurant on campus.  The phone rings; I answer as the LCD screen identifies the call with a main Greenspring number.  “Mrs. Cannon?,” asks the caller.  I identify myself, and then she tells me her message: “Through contact tracing, we have identified you as having been in close contact with a person who has Covid symptoms.”

    I tell the caller I am sorry to hear that someone is ill, and then freeze, wordless and in shock, when she tells me, “You are in quarantine for 10 days.”

    I have to think for a moment.  Okay, I have always followed the rules of masking and social distancing since the pandemic started.  I can handle that.  But wait!  Quarantined means staying within my apartment with no social contact until the medical center can schedule a virus test for me. I have activities on my calendar.  I can’t do any of that?  “No,” she instructs me, “not until you have negative test.”  My mind starts to calculate.   I am dressed for dinner, nobody knows, if I had left a minute earlier, I wouldn’t know.  Shall I go to dinner? 

    Good sense prevails and I sit down and try to understand what my life will be for the next few days.  I can swim in an outdoor pool. No! too risky for fellow swimmers.  I can take a walk outside.  No! Not in a community of older friends and neighbors. I see I have a special date on the calendar — the first rehearsal of the concert band that has been shut down for a year.  I play a woodwind instrument and I calculate immediately that I will have to miss that event — I play a “wind” instrument that I translate into “aerosol droplet spread.” 

    I have to accept that I am quarantined within my walls for the duration.  I have heard of societies and religions that shun individuals for one reason or another.  When my food is delivered with a knock on the door, my trash bags gathered by a masked and PPE protected person and a clearly marked sign is posted on my door announcing that my visitors are restricted and need an N95 mask, gown and gloves, I am humbled …. and feel shunned.

    So I wait until I get tested. It will be my first test ever, a new experience for me. I have no symptoms and hope that the contact was harmless. And throughout, I have a silent mutual connection to the others who were with me at the event that resulted in our being quarantined.  I am separated; but I am not alone.

    Epilogue:  After a 10 day waiting period, I test “Negative!” I am free again!

    ©2021 Adrienne G. Cannon for SeniorWomen.com

  • Journalist’s Resource: Religious Exemptions and Required Vaccines; Examining the Research

    religious exemption covid-19 vaccine mandate research
    People protest vaccine mandates in New York City in September 2021. (Pamela Drew/Flickr)
     
    Even as national surveys show Americans drawing away from religion, a growing share of American children have sought religious exemptions to required school vaccinations. 

    Even before some California school districts ordered students in certain age groups to get immunized against COVID-19, research showed the percentage of kindergarteners whose parents claim vaccines conflict with their religious beliefs was on the rise.

    December 2019 analysis published in Pediatrics finds an estimated 1.7% of kindergarteners nationwide received religious exemptions to vaccination during the 2017-18 academic year. Four years earlier, 1.1% of kindergarteners did.

    Schools, employers and higher education institutions with vaccination mandates typically permit exemptions based on religion or medical reasons. In many states, public and private schools serving kids in kindergarten through 12th grade also allow exemptions based on personal beliefs or philosophies, which generally allow parents to opt out of vaccines simply because they oppose them.

    The American Academy of Pediatrics supports the elimination of childhood vaccine exemptions, except for those given for medical reasons. Six states — California, Connecticut, Maine, Mississippi, New York and West Virginia — prohibit K-12 schools from granting exemptions on religious grounds, according to the National Conference of State Legislatures.

    Research, however, suggests that banning one type of exemption leads to an increase in another.

    States that offer religious exemptions but do not provide personal belief exemptions are four times as likely to have kindergartners with religious exemptions, compared with states that grant both types of exemption, the December 2019 paper in Pediatrics reveals.  

    The authors of that paper note that after Vermont eliminated personal belief exemptions in schools in 2016, the share of kindergartners with religious exemptions increased sevenfold to 3.7%. Scholars call this a “replacement effect,” meaning families seek a different exemption when one is no longer available.

    “Religious exemptions may be an increasingly problematic or outdated exemption category, and researchers and policy makers must work together to determine how best to balance a respect for religious liberty with the need to protect public health,” write the authors, led by Joshua T. B. Williams, a pediatrician at Denver Health Medical Center and assistant professor of pediatrics at the University of Colorado School of Medicine.

    Researchers from Emory University in Atlanta found evidence of a replacement effect when schools prohibit all “nonmedical” exemptions — an umbrella term that applies to religious, philosophical and personal belief exemptions. In 2016, California enacted a law banning nonmedical exemptions in schools. By the second year, medical exemption rates jumped.

    “The unintended consequence of an increase in medical exemption rates — which notably tripled in California — highlights a potential pitfall with this approach,” researchers write in the Expert Review of Vaccines in 2019.  

    They add that it appears students’ parents and legal guardians “may seek out physicians who are more willing to attest to medical contraindications in the absence of a non-medical exemptions allowance.”

    In the wake of the coronavirus pandemic, an increasing number of schools and higher education institutions are ordering students to get immunized against COVID-19. Dozens of companies, including Delta Airlines, Facebook, Uber and Walmart, have mandated COVID-19 vaccinations for employees.

    Government officials nationwide also have announced COVID-19 immunization requirements for government workers. Earlier this month, President Joe Biden signed an executive order directing federal employees to get COVID-19 shots.

    Immediately after mandates were announced, students and employees started seeking religious and medical exemptions to the new requirement, even as high-ranking faith leaders worldwide urge people to get their shots.

    This week, the Los Angeles Police Department drew criticism after news outlets reported that 2,651 of its employees plan to file for religious exemptions to its new vaccine requirement.

    In Oregon, 2,284 state employees requested exemptions to the governor’s COVID-19 vaccine mandate — about 5% of the 42,000 employees affected by the requirement. About 90% of those requests were for religious exemptions.

    Administrators at hospitals and nursing homes across the country worry the new immunization requirement will lead to staffing shortages as some employees might quit or let themselves be fired rather than get COVID-19 shots. Earlier this month, a hospital in upstate New York announced it planned to shut down its maternity ward because dozens of staff members quit over the vaccine mandate.

  • New York Historical Society Presents Exhibition Honoring Supreme Court Justice Ruth Bader Ginsburg

     

    Notorious RBG: The Life and Times of Ruth Bader Ginsburg to feature 3D re-imaginings of her childhood Brooklyn home, the Supreme Court bench, and the desk in her chambers,
    among other highlights

    October 1, 2021–January 23, 2022

      


    Image credits: Ruth Bader Ginsburg teaching at Columbia Law School, 1972. Courtesy of Columbia Law School.

    Official portrait of United States Supreme Court Justice Ruth Joan Bader Ginsburg. Courtesy Steve Petteway, Collection of the Supreme Court of the United States.

    Justice Antonin Scalia and RBG riding an elephant, 1994. Collection of the Supreme Court of the United States. 

    The New-York Historical Society honors the late Ruth Bader Ginsburg (RBG)—the trailblazing Supreme Court justice and cultural icon— with a special exhibition this fall. On view October 1, 2021 – January 23, 2022, Notorious RBG: The Life and Times of Ruth Bader Ginsburg is based on the popular Tumblr and bestselling book of the same name. A traveling exhibition organized by the Skirball Cultural Center in Los Angeles, the show takes an expansive and engaging look at the justice’s life and work, highlighting her ceaseless efforts to protect civil rights and foster equal opportunity for all Americans.

     https://gothamist.com/arts-entertainment/photos/ruth-bader-ginsburg-exhibit-new-york-historical-society?image=1

    Notorious RBG features archival photographs and documents, historical artifacts, contemporary art, media stations, and gallery interactives spanning RBG’s varied roles as student, wife to Martin “Marty” Ginsburg, mother, lawyer, judge, women’s rights pioneer, and internet phenomenon. Highlights include a robe and jabot from RBG’s Supreme Court wardrobe; the official portraits of RBG and Sandra Day O’Connor — the first two women to serve on the Supreme Court — on loan from the National Portrait Gallery; and QR-code listening stations where visitors can hear RBG’s delivery of oral arguments, majority opinions, and forceful dissents in landmark Supreme Court cases on their own devices.  Marty and Ruth with daughter

    The exhibition also displays 3D re-imaginations of key places in RBG’s life — such as her childhood Brooklyn apartment; the kitchen in RBG and Marty’s home, with some of Marty’s favorite recipes and cooking utensils; and the Supreme Court bench and the desk in her chambers.

    RBG and Marty with their daughter, Jane, 1958.

    COLLECTION OF THE SUPREME COURT OF THE UNITED STATES

    Personal materials range from home movies of RBG with Marty on their honeymoon and in the early years of their marriage to yearbooks from RBG’s academic life—from her Brooklyn high school to Harvard, Columbia, and Rutgers Universities—to a paper that she wrote as an eighth grader exploring the relationship between the Ten Commandments, the Magna Carta, the Bill of Rights, the Declaration of Independence, and the recently formed United Nations Charter.

    Special to New-York Historical’s presentation are remembrances from RBG’s visit to the Museum in 2018 to officiate a naturalization ceremony of new citizens after she learned about New-York Historical’s Citizenship Project which teaches U.S. history and civics to green card holders, a video featuring a map and photographs of key places in her life as a New Yorker, and an overview of the memorials that cropped up around her hometown in the wake of her passing. As part of New-York Historical’s upcoming public program series, on December 8, Supreme Court expert Linda Greenhouse looks at where the courts stand following Justice Ginsburg’s death. Families can explore the exhibition with a specially created family guide, and themed story times will take place throughout the exhibition’s run.

  • Testimony of Secretary of the Treasury Janet L. Yellen before the Senate Committee on Banking, Housing, and Urban Affairs: “The debt ceiling has been raised or suspended 78 times since 1960”

    September 28, 2021

    As deliveredJanet Yellen

    Chairman Brown, Ranking Member Toomey, members of the committee: It’s a pleasure to testify today. 

    We are in the midst of a fragile, but rapid recovery from the pandemic-induced recession. While our economy continues to expand and recapture a substantial share of the jobs lost during 2020, significant challenges from the Delta variant continue to suppress the speed of the recovery and present substantial barriers to a vibrant economy. Still, I remain optimistic about the medium-term trajectory of our economy, and I expect we will return to full employment next year.  

    A rebound like this was never a foregone conclusion. In fact, the American recovery is stronger than those of other wealthy nations. One key factor for our overperformance is the policy choices that Congress has made over the past 18 months. Those choices include the passage of the CARES Act, the Consolidated Appropriations Act, and the American Rescue Plan.

    Treasury, as you know, was tasked with administering a large portion of the relief dollars in those bills, and when we last met, our Department was busy standing up programs to help individual families, state governments, and organizations of every size in between. While we still have much more work to do, we have made significant progress, and I wanted to give you an update.

    Let’s start with families. In July, our Department started sending the monthly expanded Child Tax Credit payments to the families of nearly 60 million children across the country.  To date, $46 billion dollars in payments have been made, and we’re already seeing the impact. Analysis by the Census Bureau found that after the first payments in July, food insecurity among families with children dropped 24 percent. 

    As for state, local, tribal, and territorial governments, COVID-19 decimated their budgets. There were mass layoffs, and to end the health and economic emergencies, we knew that communities would need funding to hire educators to bring kids back to school, for example, or frontline workers to administer the vaccine. The American Rescue Plan included $350 billion to that end, and those dollars are indeed helping the machinery of local governments get up-and-running. States and localities can rely on relief money that is available instead of resorting to painful budget cuts.

    Congress rightly designed the state and local program with flexibility in mind. I think many of us knew the recovery could run up against some unforeseen challenges, and we wanted communities to be able to devote resources where and when they saw fit.  I want to note that this flexibility is paying off now, especially with the spread of the Delta variant. Harris County, Texas, for instance, has used this funding to boost its immunization rate, offering $100 to each person who gets their first vaccine dose. 

    For the relief dollars not yet out the door, Treasury is doing everything it can to expedite their delivery.  The Emergency Rental Assistance Program is one example. Prior to the pandemic, there was essentially no national infrastructure to get money from government coffers to renters and landlords. Building that infrastructure has been a massive undertaking for states, localities, and tribes.

    The program is scaling up quickly, with 1.4 million payments made to help struggling renters keep a roof over their heads. Still, too much of the money remains bottlenecked at the state and local levels. That’s why our Treasury team has worked to eliminate every piece of red tape possible in order to ensure more payments can get to renters and landlords, but states and localities must also work to remove barriers that can speed up distribution of rental assistance funds.

    I’ll end my remarks there except to say this: It is imperative that Congress address the debt limit. If not, our current estimate is that Treasury will likely exhaust its extraordinary measures by October 18. At that point, we expect Treasury would be left with very limited resources that would be depleted quickly.  America would default for the first time in history. The full faith and credit of the United States would be impaired, and our country would likely face a financial crisis and economic recession as a result.

    We must address this issue to honor commitments made by this – and prior – Congresses, including those made to address the health and economic impact of the pandemic.  It’s necessary to avert a catastrophic event for our economy.

    Senators, the debt ceiling has been raised or suspended 78 times since 1960, almost always on a bipartisan basis. My hope is that we can work together to do so again; and to build a stronger American economy for future generations.

    Thank you, and I’m pleased to take your questions.

  • Kaiser Family Foundation: Wildfire Smoke Is Here to Stay. Here’s How to Clean the Air Inside Your Home

    images of booklet on wildfire smoke

    September 28, 2021

    The fierce wildfires that broke out across much of the western United States this summer, spreading smoke across hundreds of miles, continue to pose a serious health hazard to millions.

    Right: https://www.airnow.gov/wildfire-smoke-guide-publications/

    More are expected this fall. That’s a major health concern because microscopic particles in wildfire smoke, carried by the wind, can penetrate deep into your lungs and travel into your bloodstream. One study linked wildfire smoke exposure to a twofold increase in the rate of asthma and a 40% rise in strokes and heart attacks. Other research tied smoke to hospital admissions, ER visits and premature deaths.

    The standard advice is to stay inside when heavy smoke is in the air. But the smoke can get into your house or apartment. So you might want to consider investing in equipment to clean the air inside your home, especially with climate change likely to continue escalating the scope and intensity of the fires.

    “I think we have fires enough now that people should think of this as something they want to buy,” says Deborah Bennett, a professor of public health at the University of California-Davis. “Even if they only turn it on during the fires, there’s going to be plenty of times when they’re going to have it turned on.”

    There are many options for cleaning the air in your home, depending on your circumstances and — of course — your budget.

    If you have an HVAC system, it likely recirculates air that’s inside the house rather than drawing in air from outside. But if you have an air conditioner with a “fresh air” system that brings in outside air, you should turn off the fresh air setting on heavy smoke days. If you don’t know how, seek professional advice.

    And be sure to close all doors and windows; otherwise, your efforts will be in vain.

    You can convert your HVAC unit or furnace into a better air-cleaning system by installing a higher-efficiency filter capable of catching a large proportion — though it won’t get 100% — of the tiny smoke particles.

    To cope with wildfire smoke, many public health and air quality experts recommend what’s known as a MERV 13 filter. MERV, or “minimum efficiency reporting value,” is a scale from 1 to 20 that rates a filter’s ability to capture particles. MERV 1 is the lowest rating, indicating the least impact on air quality, while filters rated MERV 17 or higher are used in hospital operating rooms and clean rooms.

    You can buy MERV 13 filters at large stores such as Costco, the Home Depot and Lowe’s or online from multiple vendors. A MERV 13 should cost around $20, or substantially less if you buy packages of them.

    Before you install a new filter, check first with an HVAC professional to make sure your system can accommodate it. The more efficient the filter, the more it reduces airflow, diminishing the cooling capacity of an air conditioner and requiring more energy to run the heater.

  • CDC Statement on ACIP Booster Recommendations: Dr. Rochelle Walensky

    Press Release, Friday September 24, 2021

    CDC Statement on ACIP Booster Recommendations

     

    Today, CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the CDC Advisory Committee on Immunization Practices’ (ACIP) recommendation for a booster shot of the Pfizer-BioNTech COVID-19 vaccine in certain populations and also recommended a booster dose for those in high risk occupational and institutional settings. The Food and Drug Administration’s (FDA) authorization and CDC’s guidance for use are important steps forward as we work to stay ahead of the virus and keep Americans safe.

    This updated interim guidance from CDC allows for millions of Americans who are at highest risk for COVID-19 to receive a Pfizer-BioNTech COVID-19 booster shot to help increase their protection.

    CDC recommends:

    • people 65 years and older and residents in long-term care settings should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series,
    • people aged 50–64 years with underlying medical conditions should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series,
    • people aged 18–49 years with underlying medical conditions may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks, and
    • people aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional setting may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks.

    Many of the people who are now eligible to receive a booster shot received their initial vaccine early in the vaccination program and will benefit from additional protection. With the Delta variant’s dominance as the circulating strain and cases of COVID-19 increasing significantly across the United States, a booster shot will help strengthen protection against severe disease in those populations who are at high-risk for exposure to COVID-19 or the complications from severe disease.

    CDC will continue to monitor the safety and effectiveness of COVID-19 vaccines to ensure appropriate recommendations to keep all Americans safe. We will also evaluate with similar urgency available data in the coming weeks to swiftly make additional recommendations for other populations or people who got the Moderna or Johnson & Johnson vaccines.

    The following is attributable to Dr. Walensky:

    As CDC Director, it is my job to recognize where our actions can have the greatest impact. At CDC, we are tasked with analyzing complex, often imperfect data to make concrete recommendations that optimize health. In a pandemic, even with uncertainty, we must take actions that we anticipate will do the greatest good.

    I believe we can best serve the nation’s public health needs by providing booster doses for the elderly, those in long-term care facilities, people with underlying medical conditions, and for adults at high risk of disease from occupational and institutional exposures to COVID-19. This aligns with the FDA’s booster authorization and makes these groups eligible for a booster shot. Today, ACIP only reviewed data for the Pfizer-BioNTech vaccine. We will address, with the same sense of urgency, recommendations for the Moderna and J&J vaccines as soon as those data are available.

    While today’s action was an initial step related to booster shots, it will not distract from our most important focus of primary vaccination in the United States and around the world. I want to thank ACIP for their thoughtful discussion and scientific deliberation on the current data which informed my recommendation.

    ###
    U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESexternal icon

    CDC works 24/7 protecting America’s health, safety and security. Whether disease start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC responds to America’s most pressing health threats. CDC is headquartered in Atlanta and has experts located throughout the United States and the world.

  • Federal Reserve Issues A Federal Open Market Committee Statement: Committee Will Aim to Achieve Inflation Moderately Above 2% For Some Time

    September 22, 2021Fed Listens note

    For release at 2:00 p.m. EDT

    The Federal Reserve is committed to using its full range of tools to support the U.S. economy in this challenging time, thereby promoting its maximum employment and price stability goals.

    With progress on vaccinations and strong policy support, indicators of economic activity and employment have continued to strengthen. The sectors most adversely affected by the pandemic have improved in recent months, but the rise in COVID-19 cases has slowed their recovery. Inflation is elevated, largely reflecting transitory factors. Overall financial conditions remain accommodative, in part reflecting policy measures to support the economy and the flow of credit to U.S. households and businesses.

    The path of the economy continues to depend on the course of the virus. Progress on vaccinations will likely continue to reduce the effects of the public health crisis on the economy, but risks to the economic outlook remain.

    The Committee seeks to achieve maximum employment and inflation at the rate of 2 percent over the longer run. With inflation having run persistently below this longer-run goal, the Committee will aim to achieve inflation moderately above 2 percent for some time so that inflation averages 2 percent over time and longer‑term inflation expectations remain well anchored at 2 percent. The Committee expects to maintain an accommodative stance of monetary policy until these outcomes are achieved. The Committee decided to keep the target range for the federal funds rate at 0 to 1/4 percent and expects it will be appropriate to maintain this target range until labor market conditions have reached levels consistent with the Committee’s assessments of maximum employment and inflation has risen to 2 percent and is on track to moderately exceed 2 percent for some time. Last December, the Committee indicated that it would continue to increase its holdings of Treasury securities by at least $80 billion per month and of agency mortgage‑backed securities by at least $40 billion per month until substantial further progress has been made toward its maximum employment and price stability goals. Since then, the economy has made progress toward these goals. If progress continues broadly as expected, the Committee judges that a moderation in the pace of asset purchases may soon be warranted. These asset purchases help foster smooth market functioning and accommodative financial conditions, thereby supporting the flow of credit to households and businesses.

    In assessing the appropriate stance of monetary policy, the Committee will continue to monitor the implications of incoming information for the economic outlook. The Committee would be prepared to adjust the stance of monetary policy as appropriate if risks emerge that could impede the attainment of the Committee’s goals. The Committee’s assessments will take into account a wide range of information, including readings on public health, labor market conditions, inflation pressures and inflation expectations, and financial and international developments.

    Voting for the monetary policy action were Jerome H. Powell, Chair; John C. Williams, Vice Chair; Thomas I. Barkin; Raphael W. Bostic; Michelle W. Bowman; Lael Brainard; Richard H. Clarida; Mary C. Daly; Charles L. Evans; Randal K. Quarles; and Christopher J. Waller.

    Implementation Note issued September 22, 2021

    Last Update: September 22, 2021
  • How Rape Affects Memory, and Why Police Need to Know About That Brain Science

    September 1, 2021     
                                       Interview illustration

    Annie Walker woke up one morning in 2019 with little recollection of the night before. She had bruises on her arms, legs, wrist and lower abdomen.

    “But I literally had no idea what had happened,” she said. “And, for days, I was trying to put the pieces together.”

    She remembered she was drinking with people she knew at a Sacramento, California, bar and restaurant and recalled being left alone with the man she’d later identify as her rapist. But not much else.

    Memories she couldn’t summon that first morning gradually came into focus over days and weeks, she said. The emerging details included what the man had been wearing, and the way he shoved her against the bar. One week after the attack, she reported the crime to the Sacramento County Sheriff’s Department.

    Then, in the days after making the report, another wave of memories surfaced — she recalled, vividly, that the man had raped her and had a weapon.

    “I knew that there was a gun at my neck, at my back,” she said. “It was just clear.”

  • Immediate Release: Statement by Secretary of Defense Lloyd J. Austin III on the 10th Anniversary of the Repeal of ”Don’t Ask, Don’t Tell” SEPT. 20, 2021

    IMMEDIATE RELEASE

    Center for American Progress

    The 10th anniversary today of the repeal of “Don’t Ask, Don’t Tell” reminds us that when we strive for greater inclusivity, we help strengthen our nation’s defenses.  By insisting on standards of merit and allowing to serve in uniform all those who are qualified, we avail ourselves of more talent, better leaders and innovative solutions to the security challenges we face around the world. 

    We are also reminded today that we have more work to do, particularly as it relates to righting old wrongs.  No veteran should bear a less than honorable discharge based solely on sexual orientation or gender identity.  So, for those who believe they were unjustly discharged or retain an error in a service record, please contact your military department’s Board for Correction of Military/Naval Records or Discharge Review Board. 

    As Secretary of Defense, I am committed to improving diversity, equity, and inclusion across the force.  It makes us more representative of the nation we defend.  It makes us wiser.  And, without question, it makes us stronger.  On behalf of the entire Department, I thank our LGBTQ+ service members — and your families — for the service you render each and every day.

  • KHN (Kaiser Health News): How Fauci and the NIH Got Ahead of the FDA and CDC in Backing Boosters

    UPDATED at 12:30 p.m. ET]Fauci and Walinsky testifying

    In January — long before the first jabs of covid-19 vaccine were even available to most Americans — scientists working under Dr. Anthony Fauci at the National Institute of Allergy and Infectious Diseases were already thinking about potential booster shots.

    Right, Dr. Anthony Fauci, the nation’s top infectious disease expert, and Centers for Disease Control and Prevention Director Dr. Rochelle Walensky are sworn in before testifying at a House Select Subcommittee hearing on April 15 … pool photo

    Los Angeles Times logo

    A month later, they organized an international group of epidemiologists, virologists and biostatisticians to track and sequence covid variants. They called the elite group SAVE, or SARS-Cov-2 Variant Testing Pipeline. And by the end of March, the scientists at NIAID were experimenting with monkeys and reviewing early data from humans showing that booster shots provided a rapid increase in protective antibodies — even against dangerous variants.

    Fauci, whose team has closely tracked research from Israel, the United Kingdom and elsewhere, said in an exclusive interview with KHN on Wednesday that “there’s very little doubt that the boosters will be beneficial.” But, he emphasized, the official process, which includes reviews by scientists at the Food and Drug Administration and the Centers for Disease Control and Prevention, needs to take place first.

    “If they say, ‘We don’t think there’s enough data to do a booster,’ then so be it,” Fauci said. “I think that would be a mistake, to be honest with you.”

    The support for an extra dose of covid vaccine clearly emerged, at least in part, from an NIH research dynamo, built by Fauci, that for months has been getting intricate real-time data about covid variants and how they respond to vaccine-produced immunity. The FDA and CDC were seeing much of the same data, but as regulatory agencies, they were more cautious. The FDA, in particular, won’t rule on a product until the company making it submits extensive data. And its officials are gimlet-eyed reviewers of such studies.

    On boosters, Americans have heard conflicting messages from various parts of the U.S. government. Yet, Fauci said, “there is less disagreement and conflicts than seem to get out into the tweetosphere.” He ticked off a number of prominent scientists in the field — including Surgeon General Vivek Murthy, acting FDA Commissioner Janet Woodcock and covid vaccine inventor Barney Graham — who were on board with his position. All but Graham are members of the White House covid task force.

    Another task force member, CDC Director Rochelle Walensky, said her agency was tracking vaccine effectiveness and “we’re starting to see some waning in terms of infections that foreshadows what we may be seeing soon in regard to hospitalizations and severe disease.” As to when so-called boosters should start, she told PBS NewsHour on Tuesday, “I’m not going to get ahead of the FDA’s process.”

    Differences in the scientific community are likely to be voiced Friday when the FDA’s vaccine advisory board meets to review Pfizer-BioNTech’s request for approval of a third shot. Indeed, even the FDA’s official briefing paper before the meeting expressed skepticism. “Overall,” agency officials noted, “data indicate that currently US-licensed or authorized COVID-19 vaccines still afford protection against severe COVID-19 disease and death.” The agency also stated that it’s unclear whether an additional shot might increase the risk of myocarditis, which has been reported, particularly in young men, following the second Pfizer and Moderna shots.

    Part of the disagreement arose because President Joe Biden had announced that Americans could get a booster as soon as Sept. 20, a date Fauci and colleagues had suggested to him as practical and optimal in one of their frequent meetings just days before — though he cautioned that boosters would need CDC and FDA approval.

    Now it appears that that decision and the timing rest with the FDA, which is the normal procedure for new uses of vaccines or drugs. And Fauci said he respects that process — but he thinks it should come as quickly as possible. “If you’re doing it because you want to prevent people from getting sick, then the sooner you do it, the better,” Fauci said.

    Researchers at the NIH typically focus on early-stage drug development, asking how a virus infects and testing ways to treat the infection. The job of reviewing and approving a drug or vaccine for public use is “just not how the NIH was set up. NIH does relatively little research on actual products,” said Diana Zuckerman, a former senior adviser to Hillary Clinton and president of the nonprofit National Center for Health Research in Washington, D.C.

    “It’s no secret that FDA doesn’t have the disease experts in the way that the NIH does,” Zuckerman said. “And it’s no secret that the NIH doesn’t have the experts in analyzing industry data.”