Health News
Wang Ying/Xinhua via Getty Images

(NEW YORK) -- Anyone hoping to catch a Broadway show as the Great White Way reopens this fall will need proof of vaccination along with their ticket.

The Broadway League announced Friday that theater owners and operators of all 41 New York City theaters will require all theater attendees to be vaccinated against COVID-19 for all performances through October 2021. Additionally, this also applies to all performers, backstage crew and theater staff.

Masks will also be required for audience members while inside the theater "except while eating or drinking in designated locations."

Theatergoers will need to be fully vaccinated with an Food and Drug Administration or World Health Organization-approved vaccine and must show proof of vaccination at their time of entry with a valid ticket. For those who took Pfizer or Moderna vaccine, the performance they attend must fall at least 14 days after their second dose. For those who opt for Johnson & Johnson, the show they attend must be 14 days after their single dose.

The Broadway League also said that ticket holders for performances through Oct. 31 will be notified of the new rules and be kept abreast of an anticipated review of the policies in September. The organization said the future review "may include a relaxation of certain provisions if the science dictates."

Charlotte St. Martin, the president of the Broadway League, said "a uniform policy across all New York City Broadway theatres makes it simple for our audiences and should give even more confidence to our guests about how seriously Broadway is taking audience safety."

Exceptions will be made for children under 12 and those with medical conditions or religious reasons for not getting vaccinated. These individuals must instead provide proof of a negative COVID-19 PCR test taken within 72 hours of a show's start time or a negative COVID-19 antigen test taken within 6 hours of the start time.

This news comes amid rising concerns over the delta variant of COVID-19.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



MarsBars/iStock

(NEW YORK) -- The nation's two leading health organizations focused on the care of pregnant people have issued new guidelines calling on all pregnant people to get vaccinated against COVID-19.

The new joint recommendation from the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) comes as the United States faces both a low vaccination rate and a summer surge of COVID-19 cases as the more contagious delta variant spreads.

Just 16% of pregnant people in the U.S. had received more than one dose of a COVID-19 vaccine as of May, compared to the nearly 58% of Americans ages 12 and up who are fully vaccinated against COVID-19, according to data from the Centers for Disease Control and Prevention (CDC).

"ACOG is recommending vaccination of pregnant individuals because we have evidence of the safe and effective use of the vaccine during pregnancy from many tens of thousands of reporting individuals, because we know that COVID-19 infection puts pregnant people at increased risk of severe complications, and because it is clear from the current vaccination rates that people need to feel confident in the safety and protective value of the COVID-19 vaccines,” ACOG president Dr. J. Martin Tucker said in a statement. “Pregnant individuals should feel confident that choosing COVID-19 vaccination not only protects them but also protects their families and communities.”

Both ACOG, a national membership organization for more than 60,000 OBGYNs, and SMFM, a global organization with more than more than 5,000 physicians, scientists and women's health professionals, previously recommended that pregnant people have access to vaccines and should "engage in shared decision-making" about the vaccine with their doctors.

“COVID-19 vaccination is the best method to reduce maternal and fetal complications of COVID-19 infection among pregnant people,” Dr. William Grobman, president of SMFM, said in a statement announcing the new recommendation, also noting the vaccines are safe before, during and after pregnancy.

Here is what pregnant and breastfeeding people may want to know about the COVID-19 vaccines to help them make informed decisions.

1. When can pregnant people get a COVID-19 vaccine?

Everyone 12 years of age and older, including pregnant people, is now eligible to get a COVID-19 vaccination, according to the U.S. Centers for Disease Control and Prevention (CDC).

Pregnant people can get the COVID-19 vaccine at any point in their pregnancy, and the vaccine does not need to be spaced from other vaccines, like the flu shot or Tdap booster.

2. What is the science behind the COVID-19 vaccine?

Both the Pfizer and Moderna vaccines use mRNA technology, which does not enter the nucleus of the cells and doesn’t alter the human DNA. Instead, it sends a genetic instruction manual that prompts cells to create proteins that look like the virus a way for the body to learn and develop defenses against future infection.

They are the first mRNA vaccines, which are theoretically safe during pregnancy, because they do not contain a live virus.

The Johnson & Johnson vaccine uses an inactivated adenovirus vector, Ad26, that cannot replicate. The Ad26 vector carries a piece of DNA with instructions to make the SARS-CoV-2 spike protein that triggers an immune response.

This same type of vaccine has been authorized for Ebola, and has been studied extensively for other illnesses -- and for how it affects women who are pregnant or breastfeeding.

The CDC has concluded that pregnant people can receive the Johnson & Johnson one-shot vaccine after reviewing more than 200 pages of data provided by the company and the U.S. Food and Drug Administration (FDA).

Vaccine experts interviewed by ABC News said although pregnant women are advised against getting live-attenuated virus vaccines, such as the one for measles, mumps and rubella, because they can pose a theoretical risk of infection to the fetus, the Johnson & Johnson vaccine doesn't contain live virus and should be safe.

3. Are there studies on pregnant women and the COVID-19 vaccine?

Two recent studies found Pfizer and Moderna's COVID-19 vaccines appear to be "completely safe" and effective for pregnant people, according to Dr. Francis Collins, director of the National Institutes of Health (NIH).

Collins wrote in a blog post that the Pfizer and Moderna vaccines, which both use mRNA technology, were found to provide in pregnant people the levels of antibodies and immune cells needed to protect them against COVID-19.

The vaccines were also found to likely offer protection as well to infants born to a vaccinated person, according to Collins.

"Overall, both studies show that COVID-19 mRNA vaccines are safe and effective in pregnancy, with the potential to benefit both mother and baby," he wrote, later adding, "While pregnant women are urged to consult with their obstetrician about vaccination, growing evidence suggests that the best way for women during pregnancy or while breastfeeding to protect themselves and their families against COVID-19 is to roll up their sleeves and get either one of the mRNA vaccines now authorized for emergency use."

One study cited by Collins in his blog post was led by researchers at Northwestern University studying people who had been fully vaccinated during pregnancy.

The study, published May 11 in the journal Obstetrics & Gynecology, is believed to be the first to examine the impact of the COVID-19 vaccines on the placenta, according to the university. Researchers found the vaccine had no impact on pregnancy and no impact on fertility, menstruation and puberty.

The second study cited by Collins, led by researchers at Beth Israel Deaconess Medical Center and Harvard Medical School, looked at more than 100 women who chose to get either the Pfizer or Moderna vaccines. Researchers found that the women's antibodies against COVID-19 after being fully vaccinated were also present in infant cord blood and breast milk, "suggesting that they were passed on to afford some protection to infants early in life," according to Collins.

An earlier study, a study published in the American Journal of Obstetrics & Gynecology in March found the Pfizer and Moderna vaccines are safe and effective in pregnant and lactating people and those people are able to pass protective antibodies to their newborns.

Researchers studied a group of 131 reproductive-age women who received the Pfizer or Moderna vaccine, including 84 pregnant, 31 lactating and 16 non-pregnant women and found antibody levels were similar in all three groups. No significant difference in vaccine side effects were found between pregnant and non-pregnant study participants.

The study had some limitations. It was small and participants were primarily white health care workers from a single city. On the other hand, it's the largest study of a group that was left out of initial vaccine trials.

4. What are health groups saying about the COVID-19 vaccine?

In addition to ACOG and SMFM, other health organizations have also said COVID-19 vaccines are safe for pregnant people.

The World Health Organization (WHO) says pregnant people at high risk of exposure to COVID-19 and those at risk of severe disease should be vaccinated.

"While pregnancy puts women at higher risk of severe COVID-19, very little data are available to assess vaccine safety in pregnancy," WHO said in a statement. "Nevertheless, based on what we know about this kind of vaccine, we don’t have any specific reason to believe there will be specific risks that would outweigh the benefits of vaccination for pregnant women. For this reason, those pregnant women at high risk of exposure to SARS-CoV-2 (e.g. health workers) or who have comorbidities which add to their risk of severe disease, may be vaccinated in consultation with their health care provider."

The CDC says people who are pregnant and breastfeeding "may choose to be vaccinated" and should talk with their health care provider, noting that breastfeeding is an important consideration but "is rarely a safety concern with vaccines."

"Getting a COVID-19 vaccine during pregnancy can protect you from severe illness from COVID-19," the CDC states on its website. "If you have questions about getting vaccinated, a conversation with your healthcare provider might help, but is not required for vaccination."

5. What will clinical trials be like for pregnant people?

Pfizer's phase 2/3 trial will enroll approximately 4,000 women within weeks 24-34 of their pregnancy, the company announced in a press release.

Half will get the vaccine, and half will get a placebo.

The study will include healthy, pregnant woman age 18 and older in the U.S., Canada, Argentina, Brazil, Chile, Mozambique, South Africa, the United Kingdom and Spain.

Participants in the vaccine group will receive two doses at 21 days apart -- and each woman will be followed for at least 7-10 months in order to continuously assess for safety in both participants and their infants.

Infants will also be assessed, up until 6 months of age, for transfer of protective antibodies from their vaccinated mother.

Women enrolled in the trial will be made aware of their vaccine status shortly after giving birth to allow those women who originally received placebo to be vaccinated while staying in the study.

6. Why weren't pregnant people included in early clinical trials?

Not recruiting parents-to-be in clinical trials and medical research is nothing new, according to Dr. Ruth Faden, the founder of the Johns Hopkins Berman Institute of Bioethics and a bioethicist who studies the ethics of pregnancy and vaccines.

"For a very long time, pregnant women were not included in biomedical research evaluation efforts or clinical trials, both for concerns about fetal development and what would be the implications of giving a pregnant women an experimental drug or vaccine and also for legal liability worries from manufacturers and pharmaceutical companies," Faden told "GMA" last month. "There’s a huge gap between what we know about the safety and effectiveness of a new drug or a new vaccine for the rest of the population and what we know about it specific to pregnancy."

In the case of the COVID-19 vaccines, health experts have only one of the three sources of evidence that are used to evaluate safety and efficacy during pregnancy: the data on non-pregnant people who were enrolled in the clinical trials, according to Faden.

From that, Faden said, health experts can try to glean what side effects may happen to people who are pregnant, but it is not an exact science.

However, it's considered typical -- and many argue ethically appropriate -- to study an unknown substance first in healthy adults and then progressively in broader and broader populations. Pregnant people and children are often tested later down the line because of concerns about potential long-term harm.

Some of the volunteers in prior COVID-19 vaccine trials that didn’t include pregnant women directly may still become pregnant during the trial. This will also give researchers some insights about the vaccine's safety among this group.

7. What risk factors should pregnant people consider?

At this time, the CDC recommends that pregnant women be prioritized for vaccinations and encourages them to speak to their doctors about the risks and benefits of a vaccination.

The question of whether an expecting parent should receive a COVID-19 vaccine will eventually come down to a number of factors, including everything from the trimester, risk factors for COVID-19, ability to remain socially distanced in their lifestyle and occupation, guidance from federal and state officials and recommendations from a person's own physicians, experts say.

Similar to the flu vaccine, which was not tested on pregnant people in clinical trials, health experts will need to rely on continuously incoming data to make decisions around how safe the COVID-19 vaccines are during pregnancy.

Officials are doing the same for the general population, considering the speed at which the COVID-19 vaccines were developed, according to Faden, who noted that people who are pregnant should not be "unnecessarily alarmed."

The COVID-19 vaccines can be taken during any trimester. Since other vaccines are recommended during pregnancy, the CDC currently recommends spacing out vaccine appointments a few weeks apart, if possible.

8. Is COVID-19 more dangerous for pregnant people?

Even now, more than one year into the coronavirus pandemic in the U.S., some questions remain about how pregnant people are impacted by COVID-19.

The CDC has shared data showing that pregnant people infected with COVID-19 are at an increased risk for "intensive care unit admission, invasive ventilation, extracorporeal membrane oxygenation, and death," compared to nonpregnant people.

Health experts say that with or without the vaccine, pregnant people need to continue to remain on high alert when it comes to COVID-19 by following safety protocols, including face mask wearing, social distancing and hand washing.

ABC News' Sony Salzman and Eric Strauss contributed to this report.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



tuachanwatthana/iStock

(TAMPA, Fla.) -- A jarring reality check is taking place in intensive care units across the country as thousands of COVID-19 positive patients, nearly all of them unvaccinated, are streaming into hospitals in need of care.

This is particularly true in Florida, where virus-related hospitalizations have skyrocketed in recent weeks. The situation has escalated rapidly, now nearing peak levels, with nearly 7,900 patients hospitalized with the virus across the state, up by more than 320% in the last month, according to data from the Centers for Disease Control and Prevention.

"It feels like it's an impending storm ... there's no off ramp to this getting worse," Dr. David Wein, an emergency room physician at Tampa General Hospital in Florida, told ABC News on Wednesday.

On Tuesday this week, more than 1,450 patients with COVID-19 were admitted to hospitals across the state, marking the highest number of patients seeking care within a 24-hour period in Florida since the onset of the pandemic.

"Right now, at Tampa General Hospital, we are really feeling the crush of this increase incidence of COVID-19, and so the delta area has really brought many patients to our emergency room, requiring treatment and admission," Peggy Dugan, the executive vice president and chief medical officer at the hospital, told ABC News in an exclusive interview.

It was just six weeks ago that some of the team thought they may be out of the woods, with metrics steadily trending down across the country.

"It felt like we were ready to move in the right direction and start seeing it plateau. And it was a surprise to see it trend up like it did," said Erika Mergl, nurse manager for the Tampa General Hospital's Global Emerging Diseases Institute.

However, virus-related hospitalization levels are now nearing peak levels.

"We're getting to numbers that were as high as last summer. In early July, we were down to 12 COVID-19 patients in the hospital, and today we have 80. So we're really just seeing an escalation over a short span of time," Duggan said.

The situation in Tampa is not an anomaly. Nearly every state in the country is now experiencing case, and COVID-19 hospitalization increases. Virus-related hospitalizations levels are now at their highest point since April, with nearly 33,700 patients receiving care -- about 10,000 more patients than a week ago.

Many of the patients at Tampa General are younger, Dugan said, some as young as 22 or 23 years old, and "almost" all of them have been unvaccinated, the hospital said.

One of the hospital's unvaccinated patients is 64-year-old patient Gerard Considine, who spent nine days intubated after he tested positive for the virus.

"I'm not used to being scared of anything, but this scared the hell out of me," Considine told ABC News.

Considine said he didn't get the COVID-19 vaccine because he had experienced adverse reactions to other vaccines, but despite his ordeal, he does not think he will choose to be vaccinated, believing that he has developed some antibodies, at this point.

However, said Duggan, "we're seeing people who are recovering now very regretful that they didn't get the vaccination in the first place."

Many of the patients coming to the hospital are already quite ill when they arrive, said Wein.

"Unfortunately, we're seeing people who are coming in days, or several days, into their disease and sicker, with difficulty breathing, needing to be admitted to the hospital. So it feels more like that winter surge that we had," Wein said, adding that a number of these patients end up on ventilators.

"This is heartbreaking because all this could have been avoided, this is unnecessary human suffering that we are witnessing right now," Dr. Seetha Lakshmi, the medical director of the Global Emerging Diseases Institute at Tampa General Hospital, told ABC News.

Several front-line workers at Tampa General Hospital expressed to ABC News their deep concern and fear about the next several weeks for their teams, given the state's and the hospital's exponential increase in infections and virus-related hospitalizations, stressing that their message to Americans is that vaccinations are key to controlling the pandemic and ending the suffering.

The difference in getting vaccinated, or not getting vaccinated is ultimately akin to "the difference between having a cold and dying," said Wein. "If a vaccinated patient gets this, they're most likely going to be just fine, and not going to end up in the hospital. Unfortunately, the unvaccinated person has a really high likelihood that he will end up hospitalized on a ventilator."

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



xavierarnau/iStock

(NEW YORK) -- A flurry of new scientific findings is prompting renewed concern among doctors about the long-term cognitive impacts of COVID-19 in some patients.

Several new studies presented at the Alzheimer's Association International Conference, being held this week in Denver, have found that many COVID-19 patients experience "brain fog" and other cognitive impairments months after recovery. This adds to a growing body of research on COVID-19's apparent long-haul symptoms, which can include confusion, forgetfulness and other worrying signs of memory loss.

"This research features the first data from an international consortium, which includes the Alzheimer's Association, investigating the long-term consequences of COVID-19 on the brain," Heather Snyder, the vice president of medical and scientific relations for the Alzheimer's Association said in prepared remarks.

Not enough time has passed for researchers to know if these worrying symptoms eventually clear up. However, they're pointing to these studies as renewed evidence that everyone -- especially older people who are already vulnerable to cognitive decline -- should get vaccinated.

"While we work together to further understand the lasting impacts of COVID-19 on the brain, the take home message is simple: don't get COVID-19. And the best way to do that is by getting vaccinated," Maria Carrillo, chief science officer for the Alzheimer's Association, said in prepared remarks.

Researchers at the University of Texas Health Science Center studied the cognition and olfactory senses of 300 older adult Amerindians from Argentina who contracted COVID and found that 50% had persistent problems with forgetfulness and 25% had additional problems with language and executive dysfunction.

"A large portion of our patients in the COVID Recovery Program exhibit cognitive signs and symptoms long after the inflammatory phase of COVID has passed. We typically see many patients with naso-pharyngeal predominant illness come back to us with more neurocognitive deficits," Dr. Thomas Gut, director of the Post-COVID Recovery Center at Staten Island University Hospital, told ABC News. Gut was not involved in any of the studies presented at the conference.

Researchers at the New York University Grossman School of Medicine studied blood samples of 310 patients admitted to NYU Langone Health with COVID for the presence of biomarkers that would indicate brain inflammation and damage. High levels of certain biomarkers were strongly associated with inflammation in the brain. Damage to the blood-brain barrier caused by inflammation can result in the brain's inability to send messages from the brain to other parts of the body.

"So far, our efforts offering supportive therapies have shown improvement, but the recovery time is still measured in months. Finding a cause and mechanism for these inflammatory changes in the brain would be the first place to start in addressing how to reverse or prevent these inflammatory changes," said Gut.

Researchers from the University of Thessaly reviewed the cognitive function and overall health of 32 patients with mild to moderate COVID infection two months post-hospitalization and found that more than 50% experienced cognitive decline, particularly with short-term memory. They also found that poorer memory and thinking scores were associated with lower level of oxygen saturation during a short walk test.

"Many of the cognitive changes that we see mirror in many ways Alzheimer's disease or PTSD," said Gut. "What is becoming clearer, is that the severity of acute infection does not directly predict neurocognitive changes after the acute phase has passed. We have many patients that had mild infection or illness struggle severely with memory or behavior changes."

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



Lubo Ivanko/iStock

(NEW YORK) -- As COVID-19 cases surge across much of the United States and many vaccinated people return to indoor masking, a pattern appears to be emerging -- the same states that are seeing the biggest increases in COVID-19 infections also have high rates of residents who don't have health insurance.

While COVID-19 data changes daily, as of Wednesday, the 12 states with the highest seven-day new case rates also had higher than average uninsured rates, according to data from the American Community Survey and the Centers for Disease Control and Prevention.

"​​It lines up with everything we've seen during the pandemic," said John Brownstein, Ph.D., the chief innovation officer at Boston Children's Hospital and an ABC News contributor. "Uninsured communities have less access to testing, less access to vaccines and less access to care. So of course, you're going to have increased overall risk among those populations," he added.

"It's playing out as we would have anticipated in a pandemic."

COVID-19 Cases Surging in States with Higher Uninsured Rates

Florida, where Gov. Ron DeSantis has mocked the use of masks and issued an executive order to block government entities from requiring COVID-19 vaccines, has emerged as a cautionary tale. Along with Louisiana, Florida now has the country's highest COVID-19 case rate, with more than 400 new cases per 100,000 residents as of Wednesday, according to CDC data.

"Florida is in the worst spot right now," said David Radley, a senior scientist for The Commonwealth Fund, a New York City-based foundation that promotes better access to quality health care. "It has the highest emerging case rate and it has a high level of uninsured."

Florida might hold the dubious distinction of having among the highest new COVID-19 case rates coupled with a 19% uninsurance rate, but a number of other states are struggling with increasing COVID burdens and a health system that's not set up to easily handle -- or pay for them.

Any state in the upper right quadrant of the graph is "in a tough spot," Radley said.

Importantly, a correlation between high uninsurance rates and an increasing COVID-19 burden does not mean below-average insurance coverage is driving infections. Instead, a complex constellation of overlapping factors, including politics, might be at play.

"When we think about the policy choices states have made, which would leave a state in a place to have high uninsured rate -- things like not expanding Medicare and Medicaid programs and having more restrictive Medicaid programs in the first place -- are political choices that tend to align on the right side of the political spectrum," Radley said.

"I think there are a lot of undercurrents that are driving high uninsured rates and the high case rate," Radley added.

The reality of being uninsured during a pandemic

Having a high rate of uninsured residents is bad enough during normal times, experts say, but it's especially harrowing during a pandemic.

Hospitals providing intense levels of COVID-19 care to uninsured patients won't be reimbursed at the same rate that they would be for patients with insurance. Assuming they survive, those uninsured patients will likely face medical bills for their hospital stays, whether they can afford them or not, Radley explained.

There's also a circular phenomenon in which people without insurance, or who are underinsured, may be less likely to seek timely care or get tested in the first place.

"I can see a scenario where it would create a spiral," Radley said.

Compounding that delayed care is the fact that people who don't have health insurance are more likely to be in high-risk groups, Brownstein explained. He pointed to a preprint study he worked on, which has not yet been published in a peer-reviewed journal, which found that "vaccine deserts have more residents with self-reported COVID-19 exposures and pre-existing conditions as well as more individuals who lack health insurance."

"If you have increased risk in those populations, it's not just about increased cases, it's increased hospitalizations and deaths," Brownstein said.

The most current data available on insurance rates from the American Community Survey data is from 2019, meaning it doesn't include the pandemic. But while experts feared that job loss during the pandemic would lead to higher uninsurance rates, Radley said that based on informal surveys, it doesn't appear that those fears have come to pass. He expects 2020 rates to reinforce similar patterns to the 2019 rates.

"I would bet you that these are vast underestimates, because those that are uninsured are unlikely to get testing -- either have access or be able to get testing covered," Brownstein said. "The patterns that you're witnessing might be even stronger if testing was equitable."

"If we're not taking care of fundamental issues of access to care at the most basic levels, and then you have worse outcomes among those patients because they didn't have that care or access to testing, and they end up in hospitals," Brownstein said. The end result: overflowing hospitals, which impact patients of all socioeconomic groups.

"Everyone suffers when you don't do the right thing in terms of equitable access to care."

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



halbergman/ iStock

(NEW YORK) -- Bars and restaurants are once again at the forefront of a polarizing business decision 16 months into the pandemic: Whether or not they should require patrons to wear masks inside or show vaccination status in order to dine safely.

Parts of the country are bracing for change after the Centers for Disease Control and Prevention (CDC) recommended Wednesday that vaccinated Americans wear masks indoors in areas with high COVID-19 transmission rates due to the increasing spread of the delta variant. The agency did not publish new research but cited, “CDC COVID-19 Response Team, unpublished data, 2021."

From coast to coast the restaurant industry has been hard-pressed to follow ever-changing health protocols throughout the pandemic to keep both staff and customers safe, but even with 49.5% of the country fully vaccinated, according to the Mayo Clinic, there is not a one-size-fits-all solution.

Restaurateur Danny Meyer, CEO and founder of Union Square Hospitality, announced Thursday that his restaurants in Washington, D.C., and New York City will require patrons dining and drinking inside to show they have been fully vaccinated starting Sept. 7. Guests can bring the physical COVID-19 vaccine card, a New York State Excelsior Pass, relevant state-provided vaccine pass, or a photo of their vaccination card to share upon arrival.

Although it's also part of his group, the Shake Shack founder said the policy does not yet extend to the popular burger chain.

"As everything opened up, there was a lot of reason for cautious optimism, but the increase of the delta variant infection rates is causing alarm for many," Andrew Rigie, executive director of the NYC Hospitality Alliance, told ABC News. "Some restaurants have or will implement vaccination policies for workers and in some cases customers, but that poses challenges."

Proof of a vaccine or facial coverings are ultimately up to the business owners who are looking out for the best interests of workers and the communities they serve.

For specific restaurants such as ones in a community with lower vaccination rates, Rigie said "different restaurants are situated differently and have different abilities. If most of your customer base is vaccinated and you have resources to check vaccination status, it's not easy, but it's easier than being a small business in a community with hesitancy or lower vaccine rates."

He added, "Collectively I think we understand we need to do everything possible not to revert to new mandates and restrictions after the restaurant industry has been economically devastated so far."

For first-time restaurant owner Patricia Howard, who opened an intimate seafood restaurant Dame to rave reviews in June, she said she has "anxiously watched the infection rate creep back up" and wants to remain vigilant for both diners and staff.

"We can't control whether the person next to us on the subway is wearing a mask, but we can control who gets to come through our doors at Dame," she told ABC News. "With two members of our staff immunocompromised and the very small size of our space, it is better to air on the side of caution. We were nervous about potential backlash, but once the city announced all municipal workers are required to be vaccinated, we felt more confident that it's the right thing to do regardless of the response."

The small team at Dame emailed diners who had upcoming reservations earlier this week about requiring proof of vaccination and Howard said they "only had to cancel a few reservations, due to one or more guests being unvaccinated thus far." She added that nearly all guests have been appreciative and supportive with hundreds of unexpected replies "thanking us for keeping our community safe, saying it makes them even more excited to dine at Dame, and hoping other restaurants follow suit."

In California, even before the latest CDC guidance, some bars in Los Angeles County, as well as the Bay Area, have taken preventative steps, asking for proof of vaccination or a negative COVID test 72 hours before dining.

Starting Thursday, bars that are part of The San Francisco Bar Owner Alliance may ask customers who wish to be inside to show proof of vaccination. While not mandated by the government, Ben Bleiman, president of the local industry group and owner of Soda Popinski's and Teeth bars, said this is a step they needed to take "to protect our staff and families."

Other industry leaders like Oregon-based Erika Polmar, executive director of the Independent Restaurant Coalition, stressed that this new wave of rules and recommendations could become "confusing and burdensome" for both restaurants and diners.

"It's really challenging to walk into one place and not see a mask mandate and then just a block or two away the mask rules are different," Polmar explained. "The requirements vary county to county and the public doesn't know where a county line is."

Polmar emphasized that if diner attendance dips again, government financial assistance will be crucial and she is imploring Congress to quickly allocate money again for the Restaurant Revitalization Fund.

"I think if you were to talk to any restaurant owner across the country they would be even more heartbroken that they're not seeing the replenishment of the RRF" despite support in the House and Senate, she said. "The urgency isn’t being acted upon."

She continued, "Restaurants are accepting the hard truth that Congress might not act until September and that's amplifying the devastation they're feeling."

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



Georgiy Datsenko/iStock

(NEW YORK) — With the country in the midst of a new nationwide resurgence of coronavirus infections and hospitalizations, misinformation about the effectiveness of the vaccines has been proliferating on social media, with increased attention falling on the rare number of vaccinated people ending up in the intensive care unit (ICU). However, according to dozens of hospitals across the nation surveyed by ABC News, very few fully vaccinated people are actually ending up severely ill and in the ICU with COVID-19.

And experts say that those that do, tend to be frail or have conditions that interfere with the vaccine's effectiveness at producing protection.

ABC News contacted 50 hospitals in 17 states, and asked them to share data on their ICU wards' current COVID-19 patients, including their vaccination status. In the surveyed hospitals, ABC News found that the overwhelming majority of COVID-19 patients currently being treated in ICUs were unvaccinated.

Of the 271 total COVID patients in the surveyed ICUs, 255 patients, or approximately 94%, were unvaccinated against COVID-19 in ABC News' snapshot in time.

Further, of the 16 vaccinated individuals receiving care in the ICU, almost all suffered from comorbidities and other health problems, such as cancer or weakened immune systems. ABC News only heard of one otherwise healthy and fully vaccinated individual, with no reported underlying conditions, who was in the ICU.

According to the CDC, "vaccine breakthrough cases are expected," and, as a result, "there will be a small percentage of fully vaccinated people who still get sick, are hospitalized, or die from COVID-19." But data about ICU patients' vaccination status is not regularly reported or readily available on the federal or state level.

"The current surge of COVID-19 is driven by those who have elected not to be immunized. We will continue to see the lopsided impact of COVID among the unvaccinated, as they represent the vast majority of severe illnesses, hospitalizations and deaths," said ABC News contributor Dr. John Brownstein, chief innovation officer at Boston Children's Hospital.

The hospital sampling also appears to be reflective of a national trend. According to the White House COVID-19 Task Force, severe breakthrough infections remain uncommon, and nearly all of the patients who are currently hospitalized with COVID-19 -- 97% -- are unvaccinated.

Dr. Lew Kaplan, past president of the Society of Critical Care Medicine and professor of surgery at the University of Pennsylvania's Perelman School of Medicine, said that the ABC News survey data "provides crystal clear guidance regarding the SARS-CoV-2 delta variant -- that vaccines work.”

Furthermore, said Kaplan, the very fact that "the overwhelming majority of hospitalized critically ill patients with this viral variant are unvaccinated, should drive our nation to relentlessly pursue vaccination of every eligible individual."

"It is our duty and our privilege to save lives," Kaplan said. "The COVID-19 vaccine is staggeringly effective in helping us keep people at home and alive."

Front-line workers support the numbers

ABC News' findings are also supported by local data. In Springfield, Missouri, county health officials reported this week that since vaccines became available, 96.5% of those who have died of COVID in the community were not fully vaccinated.

Mercy Hospital nurse Emily McMichael said the county's findings are supported by what she's been seeing.

"These patients are a lot sicker and a lot younger than what we saw the last go around, so it's just really sad to see," McMichael said. "And a lot of the population is unvaccinated."

In Alabama, which has the lowest vaccination rate in the country, 94% of current COVID-19 hospitalized patients are unvaccinated according to state statistics -- and hospital admissions are six times higher than they were just a month ago, as health care workers report an influx of COVID-positive patients in need of care.

The University of Alabama at Birmingham Hospital has seen "an explosion of cases," with the number increasing tenfold in the last three weeks, according to Dr. Kierstin Kennedy, chief of hospital medicine.

The patients who are currently hospitalized, Kennedy said, are younger than those who were hospitalized during the last surge -- but unfortunately, they are just as sick. The vast majority of those patients are unvaccinated, she said.

Similarly, in Florida, state statistics show virus-related hospitalizations are nearly at their highest point since the onset of the pandemic, with more than 1,200 COVID-19 patients being admitted to the hospital every day.

"This is heartbreaking because all this could have been avoided; this is unnecessary human suffering that we are witnessing right now," said Dr. Seetha Lakshmi, medical director of the Global Emerging Diseases Institute at Tampa General Hospital, where she said "almost all" patients are currently unvaccinated.

Another Florida physician said he believes low vaccination rates are one of the driving factors behind the state's significant increase in COVID-19 patients.

"The vaccine is really protective in terms of being hospitalized or in terms of dying, and the people we're seeing that are sick, ending up on ventilators and ending up hospitalized, are unvaccinated patients," Dr. David Wein, emergency room physician at Tampa General, told ABC News.

Few severe hospitalizations for fully vaccinated individuals

Just a month ago, 37-year-old Amanda Spencer, an unvaccinated mother of two from Ohio, became infected with the virus while on a family vacation in Florida. She spent 16 days in a Florida hospital, 11 of them in a medically induced coma.

"I never dreamed that I would go through what I did, and that I would be that close to leaving my family," Spencer told ABC News.

Spencer said that prior to her illness, she had not necessarily been against getting the vaccine, but had found it difficult to make time to get the shot -- and to some extent had been afraid of the side effects.

However, her illness has shifted her perspective.

"Having gone through what I've gone through, I would have much rather gotten the vaccine, and maybe had a couple of side effects," said Spencer, adding she now plans to get the vaccine as soon as she is able. "Everybody has a right to decide what's best for them, but my advice is that if you have an underlying condition, whether it be asthma or any type of respiratory issue, I would definitely consider getting the vaccine.”

Although patients with underlying conditions are typically at higher risk, Dr. Kennedy said that from what she has seen, "the patients that have comorbidities and are vaccinated are not getting sick enough to require intubation."

And several hospitals contacted by ABC News reported that often, vaccinated COVID-19 patients in the ICU are being hospitalized for reasons other than COVID-19.

"You may see COVID-vaccinated patients in the ICU, but many of them are not in the ICU for severe COVID," Dr. Jennifer Leonard, an ICU physician at Missouri's Barnes Jewish Hospital, told ABC News. "They have mild or asymptomatic COVID and they require an ICU bed for another disease or indication.”

Overall, Kaplan said the ABC News survey data demonstrates that "even if you are vaccinated you can still become ill, but it is so much less common that the benefit of being vaccinated is vast. It is incredibly protective and it protects you, the people you love, and the people with whom you work."

Although the vaccine may not prevent 100% of illness, it lessens the impact for most, Kaplan said.

"Fully vaccinated individuals are less likely to become severely ill because they've prepared their immune system," he said.

Kennedy said that she combats vaccine hesitation by explaining to patients that, at this point, there are millions of people around the world who have received the vaccines, with minimal side effects. The long-term side effect of vaccination, she tells her patients, is that they are not dying from COVID-19.

And what about the commonly stated concern of people who are waiting to get the vaccine because they don't want to be guinea pigs?

Kennedy said she tells her patients that "if you don't want to be a guinea pig, then don't get COVID."

ABC News' Sony Salzman, Eric Strauss, Dr. Alexis E. Carrington, Dr. Chidimma J. Acholonu, Dr. Odelia Lewis, Dr. Priscilla Hanudel, and Dr. Jay Bhatt contributed to this report.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



Flickr/The White House

(WASHINGTON) -- The Biden administration’s vaccine mandate for federal workers could set the groundwork for more private sector organizations to follow along. But it also is likely to trigger an avalanche of lawsuits from those who say required vaccinations infringe on the civil liberties of Americans.

President Joe Biden is expected to announce on Thursday a plan requiring all federal workers to be vaccinated or comply with "stringent COVID-19 protocols like mandatory mask wearing -- even in communities not with high or substantial spread -- and regular testing."

The U.S. Equal Employment Opportunity Commission says that employers can require their employees to be vaccinated with exceptions being granted for religious and medical reasons.

Federal law does not bar organizations from mandating coronavirus vaccines even as the publicly available vaccines have yet to receive full authorization from the Food and Drug Administration, according to a Justice Department memo.

But some legal scholars say that full approval from the FDA would give companies increased legal cover from employees who refuse to comply with a vaccine mandate.

“There are many companies that are worried about pushback litigation and are waiting for full FDA approval,” said Larry Gostin, a professor of global health law at the Georgetown University Law Center and director of the World Health Organization Center on Public Health Law and Human Rights.

Full FDA vaccine approval is expected in September, according to a federal official. Normally, full approval takes up to a year following the submission of all required data.

Gostin added that employers also have the right to terminate employees who do not comply with their company’s vaccine mandate.

“A worker doesn’t have a legal or ethical entitlement to go unvaccinated or unmasked in a crowded workplace,” he said. “They can make decisions for their own health and well-being, but they can’t pose risk to others. Somebody who is unvaccinated and isn’t tested and unmasked poses a very substantial risk of transferring a very dangerous, if not deadly, disease.”

Similar to the legal arguments over state mask mandates, the debate surrounding vaccine mandates is an issue widely expected to end up in court.

“America is a very litigious society and there will be lawsuits,” said Gostin. “But employers and particularly hospitals are on very firm legal grounding and will win those lawsuits.”

While the Biden administration’s vaccine mandate for federal workers could inspire similar moves from large employers to local governments, some states are taking offensive measures.

Several states including Arkansas, Tennessee, Utah, and Montana have already passed legislation banning COVID-19 vaccine mandates and vaccine passports, according to the National Academy for State Health Policy.

And with return to school quickly approaching for millions of U.S. students, some legislatures have even sought to prohibit required COVID-19 vaccines for school attendance.

The Federal Law Enforcement Officer’s Association, which consists of FBI agents and U.S. Marshalls, however, sees the Biden administration’s vaccine mandate for federal employees as an attack on civil liberties.

“Forcing people to undertake a medical procedure is not the American way and is a clear civil rights violation no matter how proponents may seek to justify it,” said Larry Cosme, the association’s president, in a statement.

The idea of employer vaccine mandates is something that many public health experts increasingly agree on. A large number of companies are still allowing employees back to the office based entirely on voluntary employee disclosure of vaccination status as opposed to requiring actual proof of vaccination.

“An honor system can work in a situation where you don’t have an epidemic,” said Dr. Wafaa El-Sadr, a professor of epidemiology and medicine at Columbia Mailman School of Public Health. “We need to realize that we are in an emergency, and we have to do everything possible to ensure that the vast majority of people get vaccinated.”

Google, Apple and Facebook all postponed their return to office plans for mid-October as the delta variant continues to drive a dramatic rise in COVID-19 cases and hospitalizations nationwide.

Google's decision to require staff in their offices to be vaccinated comes after similar announcements impacting government workers in New York and California to curb the spread of the delta variant.

“The timing for these vaccine mandates is right and it’s actually a bit long overdue,” said El-Sadr.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



iStock/CarmenMurillo

(NEW YORK) -- With the country in the midst of a new nationwide resurgence of coronavirus infections and hospitalizations, misinformation about the effectiveness of the vaccines has been proliferating on social media, with increased attention falling on the rare number of vaccinated people ending up in the intensive care unit (ICU). However, according to dozens of hospitals across the nation surveyed by ABC News, very few fully vaccinated people are actually ending up severely ill and in the ICU with COVID-19.

And experts say that those that do, tend to be frail or have conditions that interfere with the vaccine's effectiveness at producing protection.

ABC News contacted 50 hospitals in 17 states, and asked them to share data on their ICU wards' current COVID-19 patients, including their vaccination status. In the surveyed hospitals, ABC News found that the overwhelming majority of COVID-19 patients currently being treated in ICUs were unvaccinated.

Of the 271 total COVID patients in the surveyed ICUs, 255 patients, or approximately 94%, were unvaccinated against COVID-19 in ABC News' snapshot in time.

Further, of the 16 vaccinated individuals receiving care in the ICU, almost all suffered from comorbidities and other health problems, such as cancer or weakened immune systems. ABC News only heard of one otherwise healthy and fully vaccinated individual, with no reported underlying conditions, who was in the ICU.

According to the CDC, "vaccine breakthrough cases are expected," and, as a result, "there will be a small percentage of fully vaccinated people who still get sick, are hospitalized, or die from COVID-19." But data about ICU patients' vaccination status is not regularly reported or readily available on the federal or state level.

"The current surge of COVID-19 is driven by those who have elected not to be immunized. We will continue to see the lopsided impact of COVID among the unvaccinated, as they represent the vast majority of severe illnesses, hospitalizations and deaths," said ABC News contributor Dr. John Brownstein, chief innovation officer at Boston Children's Hospital.

The hospital sampling also appears to be reflective of a national trend. According to the White House COVID-19 Task Force, severe breakthrough infections remain uncommon, and nearly all of the patients who are currently hospitalized with COVID-19 -- 97% -- are unvaccinated.

Dr. Lew Kaplan, past president of the Society of Critical Care Medicine and professor of surgery at the University of Pennsylvania's Perelman School of Medicine, said that the ABC News survey data "provides crystal clear guidance regarding the SARS-CoV-2 delta variant -- that vaccines work."

Furthermore, said Kaplan, the very fact that "the overwhelming majority of hospitalized critically ill patients with this viral variant are unvaccinated, should drive our nation to relentlessly pursue vaccination of every eligible individual."

"It is our duty and our privilege to save lives," Kaplan said. "The COVID-19 vaccine is staggeringly effective in helping us keep people at home and alive."

Front-line workers support the numbers

ABC News' findings are also supported by local data. In Springfield, Missouri, county health officials reported this week that since vaccines became available, 96.5% of those who have died of COVID in the community were not fully vaccinated.

Mercy Hospital nurse Emily McMichael said the county's findings are supported by what she's been seeing.

"These patients are a lot sicker and a lot younger than what we saw the last go around, so it's just really sad to see," McMichael said. "And a lot of the population is unvaccinated."

In Alabama, which has the lowest vaccination rate in the country, 94% of current COVID-19 hospitalized patients are unvaccinated according to state statistics -- and hospital admissions are six times higher than they were just a month ago, as health care workers report an influx of COVID-positive patients in need of care.

The University of Alabama at Birmingham Hospital has seen "an explosion of cases," with the number increasing tenfold in the last three weeks, according to Dr. Kierstin Kennedy, chief of hospital medicine.

The patients who are currently hospitalized, Kennedy said, are younger than those who were hospitalized during the last surge -- but unfortunately, they are just as sick. The vast majority of those patients are unvaccinated, she said.

Similarly, in Florida, state statistics show virus-related hospitalizations are nearly at their highest point since the onset of the pandemic, with more than 1,200 COVID-19 patients being admitted to the hospital every day.

"This is heartbreaking because all this could have been avoided; this is unnecessary human suffering that we are witnessing right now," said Dr. Seetha Lakshmi, medical director of the Global Emerging Diseases Institute at Tampa General Hospital, where she said "almost all" patients are currently unvaccinated.

Another Florida physician said he believes low vaccination rates are one of the driving factors behind the state's significant increase in COVID-19 patients.

"The vaccine is really protective in terms of being hospitalized or in terms of dying, and the people we're seeing that are sick, ending up on ventilators and ending up hospitalized, are unvaccinated patients," Dr. David Wein, emergency room physician at Tampa General, told ABC News.

ABC News' Sony Salzman, Eric Strauss, Alexis Carrington, Chidimma Acholonu, Odelia Lewis, Priscilla Hanudel, and Dr. Jay Bhatt contributed to this report.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



iStock/Chaz Bharj

(NEW YORK) -- While authorized vaccines have proven safe and effective in holding the line against COVID-19, they are not 100% effective. Reports of uncommon breakthrough cases among fully vaccinated Americans, coupled with the delta variant tearing through the country, threaten to undermine the fiercely fought wins against the pandemic.

For the fully vaccinated who do test positive, if you are at high risk for severe infection, health experts are now turning to Food and Drug Administration authorized, virus-fighting monoclonal antibodies in some cases. They are saying it's safe and beneficial for those who have been vaccinated, but get infected with COVID-19 nonetheless.

"Receiving antibody treatments in a timely manner could be the difference of ending up in the hospital or getting over COVID (quickly)," Dr. Shmuel Shoham, infectious disease physician at Johns Hopkins University School of Medicine, told ABC News.

Monoclonal antibodies are synthetic versions of the body's natural line of defense against severe infection, now deployed for after the virus has broken past the vaccine's barrier of protection. The therapy is meant for COVID patients early on in their infection and who are at high risk of getting even sicker to help keep them out of the hospital. This risk group includes people 65 and older, who have diabetes, high blood pressure, cardiac disease, obesity, asthma or who are immunocompromised.

It can be administered through an intravenous infusion, or a subcutaneous injection, which is less time-consuming and labor-intensive, and more practical in an outbreak situation.

The therapies still in use across the U.S., like Regeneron's antibody cocktail, has shown to hold up against the variants of concern, including delta.

It's a new use for a therapy whose authorization predates that of the vaccines.

"The trick is to proverbially cut the virus off at the pass," Dr. William Schaffner, professor of preventive medicine and infectious diseases at Vanderbilt University Medical Center, told ABC News. "An ounce of prevention is worth a pound of cure."

Though a fraction of breakthrough cases have symptoms, the few that do may need backup to fight off the infection, experts say.

"There are exceptions. Everyone has seen a handful of patients who are vaccinated, you get very, very sick. Those are by and large, people with many risk factors, and perhaps people were vaccinated longer ago, with people in whom we don't expect the vaccine to work as well," Dr. Andrew Pavia, Infectious Diseases Society of America fellow, NIH COVID treatment guidelines panel member and chief of pediatric infectious diseases at the University of Utah School of Medicine said.

Clinical trials for monoclonal antibody therapies were conducted prior to vaccines' authorization, before shots started going into arms and far before breakthrough infections were a part of daily discussion. But the Centers for Disease Control and Prevention specifies that for vaccinated people who have subsequently contracted COVID, a vaccine should not preclude seeking further treatment.

The chances of an allergic or adverse reaction is low, experts said. Regeneron's product targets the virus, not a protein produced by the body, a company spokesperson said -- so, it likely wouldn't trigger a haywire immune response with an antibody "overdose" from both the vaccine and the monoclonal therapy. And clinical trial data has shown authorized monoclonal antibody therapies can sharply reduce hospitalizations and deaths by as much as 70%.

A Regeneron spokesperson said as long as a patient has tested positive for COVID and meets the other criteria to receive the treatment, they can receive the therapy.

"We are not screening those patients out. If they have been vaccinated and come in testing positive and are at high risk for a more severe infection we are giving them monoclonals," Schaffner said. "I think that was decided pretty quickly."

It's a question of targeting the appropriate group of infected patients, experts said and it's not for anyone who has symptoms after testing positive. Doctors prescribe the therapy for patients with specific risk factors that make them unlikely candidates for fighting off the virus on their own. With your antibodies already being made to combat coronavirus, experts said another helping won't do as much good.

But Shoham calls it a "missed opportunity" for patients eligible to receive it -- who don't.

"If they had gotten a monoclonal antibody, their chance for hospitalization would have been significantly reduced," Shoham said.

"The vaccines are so good, that most people who have one or two risk factors that are vaccinated are less likely to become infected, and if they are -- the vast majority have done very well," Pavia said. "What we're trying to do is identify that small sliver of people with breakthrough infection that may get quite sick."

The antibody cocktail medications work best if it is delivered within days of a positive test or onset of symptoms. So, doctors recommend acting quickly after getting a positive test to seek treatment, if the high-risk criteria fit -- whether you have been vaccinated or not.

"This is a targeted treatment that is not for everyone -- it's not 'spaghetti at the wall' for when vaccines don't work," Schaffner said. "But this is good news on the therapeutic side."

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



Alejandro Castellon/iStock

(NEW YORK) -- Jamie Manning says she was excited earlier this month for a day of solo shopping in small towns outside her hometown of Washington, D.C.

It was something she would do frequently before the coronavirus pandemic, but this particular Saturday marked the first time she had done something like this in over one year.

As she sat down for lunch alone at a local restaurant and waited for her food, Manning said "my mind started to wander and I began to spiral."

Describing the thoughts that raced through her mind, Manning, 32, explained: "There are a lot of people here. It's really loud. I feel a little woozy. I hope my food gets here soon. I probably just need to eat something. I feel like I need to get out of here. I can't leave because I need to eat. What if I pass out? I don't know anyone here. DC feels so far away. Why did I come here alone? I can't catch my breath."

The panic attack Manning experienced was not one she expected. But as she recovered and thought about it later, she realized it was due simply to trying to reenter the world after more than a year spent socially distanced and isolated from people during the pandemic.

"I kind of felt sensory overload," Manning told Good Morning America. "It wasn't that I was as nervous about getting sick, it was more like, 'Wow, I haven’t been in an environment for a very long time and it’s a lot to take in.'"

Manning shared her experience in a post on Instagram and received dozens of replies from people describing similar experiences.

"It used to be really normal for me, so I was surprised I had the reaction that I did, and I was surprised by the amount of messages I got," said Manning. "Anything we can do to normalize these feelings and help people feel like they’re not alone is important."

The struggle some people have faced as the country has reopened over the past several months is to be expected, according to Divya Robin, a New York City-based psychotherapist.

"For the last year to year-and-a-half we’ve been repeatedly told to stay home, wear a mask, social distance," said Robin. "That’s been the message that’s completely wired in our brain. We were almost trained to be fearful of seeing people, fearful of the virus."

"Now we have to give our brain time to adapt again, to shift again what we’re doing," she said. "We have to think back to March, and the time it took then."

The increased anxiety felt by many people mostly stems from the uncertainty and lack of control around the pandemic, according to Robin.

Those feelings may be even more intense now as the United States faces a COVID-19 summer surge as the delta variant spreads.

"We all have a fear system in our brains and that's where anxiety stems from," she explained. "We’re used to day-to-day there being a few times that it’s activated, like if you’re walking on the street and a car comes near you."

"Over the past year of the pandemic and what’s going on now with the uncertainty around new variants coming and cases rising, it's been activated nearly constantly," Robin added. "That’s one of the reasons anxiety has shown up for more people."

Anxiety can show up in different ways for different people, from overwhelming and worrisome thoughts to physical symptoms like chest tightness, fatigue, brain fog and difficulty concentrating and focusing, according to Robin.

While it's important to know and expect that anxiety may arise, it's just as important to have tools to handle it, she noted.

Here are five tips from Robin to help handle anxiety in a post-pandemic world.

1. Be patient with yourself:

Robin says to think of preparing yourself for a return to the office and social events in the same way you would think about getting back in shape after time away from the gym. In other words, patience.

"Two or three years ago, we’d be able to go three or four happy hours a night, and now many of us don't have the energy," she said. "It’s like if you go to the gym every day and run five miles and lift weights and then you don’t do it for a year-and-a-half, it's hard to do."

"But with time and training, it comes back," added Robin.

2. Set small goals:

In order to train yourself to essentially be social again, Robin suggests setting small goals, like a new activity each weekend, or meeting a different friend weekly for coffee, for example.

"Don't feel like you need to totally jump into things," said Robin. "Start small and build your way up, just like any training program."

Manning said she learned that lesson the hard way now looking back on her own experience.

"One of the learnings I took is I tried to do much at once," she said. "It was easy to be like, ‘OK, great, everything is normal again,' but I had to acknowledge that it was a lot for me to do a whole day outing and to be more intentional and ease into it."

3. Try not to compare yourself to others:

Every person has a different perspective on and approach to post-pandemic life, so don't compare yourself to others, recommended Robin.

"Be real with yourself about what your limits are instead of comparing yourself to other people," she said. "Really resist the urge to compare, especially because that can cause more anxiety."

"Instead, think about what feels right for you."

4. Practice deep breathing:

If you feel yourself having anxiety thoughts or physical symptoms of an anxiety attack, Robin recommends practicing grounding and deep breathing techniques.

"Think about where you are in the moment," said Robin. "If you’re sitting with a friend, feeling the sensation of your feet on the ground, your back leaning on the chair. Feeling grounded in where you are."

"And for deep breathing, focus on really feeling your belly as you inhale. You want to feel like a balloon is being inflated inside your stomach."

5. Pay attention to your thoughts:

Noticing the thoughts that you’re having can help you to not give into your anxious patterns, according to Robin.

"Anxiety a lot of the time stems from thinking of things that are outside our control," she said. "Notice when those [anxious] thoughts come up and be aware of them, but don’t ruminate. Try to stay with one thought instead of ruminating and running away with all the worst case scenarios."

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



iStock/Drazen Zigic

(NEW YORK) -- With the COVID-19 delta variant surge once again prompting the Centers for Disease Control and Prevention to recommend masks indoors for teachers and other vaccinated school employees, many parents are left wondering if the new landscape of the pandemic means it's safe for their still-unvaccinated young children to return to school this fall.

Early in the pandemic, epidemiologic data showed parents a reassuring trend: children were less likely to be infected and more likely to have mild infections. However, as COVID-19 vaccines were rolled out and the country made progress toward herd immunity, there came a shift: The viral spread is now predominantly among the unvaccinated, and of the largest unvaccinated populations is children under 12, who are not yet eligible for the available vaccines.

Data from the American Academy of Pediatrics has shown that children have made up a higher proportion of overall COVID-19 infections over the past couple of weeks.

"This increase is concerning, and yet not surprising, as the virus is going to infect those who are not protected," said Dr. Amanda D. Castel, pediatrician and professor of epidemiology and pediatrics at George Washington University. "Children are still at risk for developing severe complications from COVID-19."

Fall classrooms will be ground zero for a recipe that epidemiologists fear: Unvaccinated populations combined with close proximity and limited social distancing could become an avenue for disease spread.

While children are not necessarily more vulnerable than they were before, the biology of the disease has changed. The delta variant is more transmissible regardless of age and spreads more efficiently across unvaccinated populations.

"Make no mistake, this is a virus that can cause children to suffer and die," said Dr. Paul A. Offit, pediatrician and director of the Vaccine Education Center at Children's Hospital of Philadelphia.

An important question now circulates in parent and teacher circles: how do you mitigate risk and still give kids a normal school year? The CDC updated its prior guidance on Tuesday, saying that children and teachers should be wearing masks in school this fall.

Experts agree that a nuanced approach to preventing transmission and creating herd immunity with high vaccination rates is key.

"Teachers can enforce proper social distancing practices and keep extra personal protective equipment (PPE) for themselves and students in supply," said Kamon Singleton, M.Ed, a teacher at Heyward Gibbes Elementary School in Columbia, South Carolina. "Although most schools may provide some PPE, teachers may want to keep an excess of supplies."

Castel said she believes "layers of protection" are the answer.

"The first layer is to have everyone who can receive a vaccine do so," Castel said. "Parents of children age 12 and older can make an appointment now. The shots create a bubble of protection not just for kids who have been vaccinated but also for kids who cannot get the vaccine yet. For those that can't get vaccinated, wearing masks."

While the pandemic is now largely fueled by those who decide not to vaccinate, this fall and winter, the focus will shift to keeping children from becoming the pandemic's next target until vaccines are available for all.

Nancy A. Anoruo, MD, MPH, is an internal medicine physician at Brigham & Women's Hospital and public health scientist. John Brownstein, Ph.D., is chief innovation officer at Boston Children's Hospital and an epidemiologist. Both are faculty at Harvard Medical School and contributors to ABC News' Medical Unit.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



iStock/Ridofranz

(LONDON, HONG KONG and JAKARTA) -- A perfect storm with the coronavirus appears to be brewing across the Asia-Pacific region: surges in the highly contagious delta variant combined with slow vaccination uptake.

Tight vaccine supplies are a major factor and experts caution that unless most of the global population is vaccinated, and richer countries share more of their vaccines, the world will face a far longer bout with the coronavirus than anticipated.

The issue extends from countries at the center of the current surge, like Indonesia, to those that fared relatively well with the disease early on in the pandemic, like South Korea.

Even as countries like the U.S. and U.K. face rising cases despite their largely vaccinated populations, hospitalizations and deaths have not yet risen to the same levels as 2020 due to the success of vaccination efforts, public health experts say. Yet the vast majority of the global population remains unvaccinated (just 3.7 billion out of 10-12 billion recommended doses have been distributed).

More people have died of COVID-19 since Jan. 4, 2021 than the whole of last year, according to an ABC analysis of WHO data.

The pandemic is not just far from over -- it is in a “critical moment where we are all under threat,” due to rising new variants and vaccine inequality, according to WHO spokesperson Dr. Margaret Harris. The course of the virus, she said, is that it is likely to become “endemic” -- meaning it will not disappear, but eventually could become manageable like the other coronaviruses in circulation.

But a true end to the pandemic will likely only happen with the artificial immunity conferred by mass vaccination, according to Yanzhong Huang, a senior fellow for global health at the Council on Foreign Relations.

“You have countries that are making good progress toward building an immunity shield,” he told ABC News. “When you look at the rest of the world, a very small percentage of the population [is] being vaccinated."

The stark vaccine disparity is far from lost on people in Indonesia, who in the last few months have seen the delta variant rip through their communities, overrunning hospitals, filling graveyards and leaving family and friends who’ve lost loved ones in anguish.

In scenes reminiscent of when India was at its devastating peak earlier this year, there is a clamor for oxygen canisters in Indonesia -- now the coronavirus epicenter of the region. Afflicted families, turned away from hospital wards, are taking treatment into their own hands. For two weeks, Defitio Pratama, 27, a marketing salesman based just outside Jakarta, took care of his sick mother at home.

“We had no idea what to do at that time since we did not have oxygen tank at hand,” he told ABC News in Jakarta, where there are long lines for scarce oxygen cylinders. “I started contacting friends and families for oxygen tank, I even went all the way to other city when I found my mother’s friend offering to lend theirs. We could not take my mother to hospital because they kept rejecting us, we had no choice but to treat her at home.”

While Pratama has received one dose of the AstraZeneca vaccine, his mother, who is asthmatic, remains unvaccinated. In the week ending July 19, 9,696 deaths were recorded, an increase of 36% from the week before, according to the WHO. Just under 16% of the population has received at least one dose of vaccine.

In Indonesia, a combination of a lack of supply, vaccine hesitancy and concerns over the Chinese manufactured Sinovac have contributed to the slow rollout, but the country is by no means alone in the region.

Thailand, Australia, Vietnam and South Korea -- all countries that were praised last year for their swift containment strategies -- have reintroduced restrictions to deal with outbreaks of the Delta variant, which is estimated to be 60% more transmissible than the alpha variant, in recent months. According to Harris, the world’s richest countries are “basically holding the rest of the world hostage by not insisting that their manufacturers share.”

“This is why you've got massive outbreaks going on around the world,” she told ABC News. “But people don't seem to hear it. What they're hearing is possibly what they want to hear is 'I'm vaccinated, now, I can go back to normal.' You can't. Not until you sort it out in the rest of the world.”

The Biden administration has pledged to donate more than 80 million doses to countries in need, with 23 million going to Asia. Some 3 million doses of Moderna arrived in Indonesia from the U.S. on July 11 -- but the rollout needs to significantly increase in order to meet the WHO’s target to vaccinate at least 10% of every country in the world by the end of September.

For the pandemic to end and the virus to become manageable on a global level and COVID-19 to become manageable as with other coronaviruses, between 10 and 12 billion doses need to be administered around the world, Huang said, ideally with high effectiveness. That number currently stands at around 3.7 billion, according to the WHO.

“The best case scenario is that through these vaccination efforts that by the end of next year we have produced enough vaccines that can vaccinate a majority of the population worldwide, and that vaccination is effective in terms of preventing severe cases of death,” Huang said. “Previously I was more optimistic about how and when the pandemic is going to end. “But now, with that divide in terms of vaccine access, in terms of the strategies adopted by countries, in terms of the continued emergence of the new variants, I'm not that optimistic anymore.”

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



iStock/Brianna Mancini

(NEW YORK) -- New York Governor Andrew Cuomo on Wednesday announced that all patient-facing health care workers in hospitals run by the state will be required to get vaccinated. He said, “There will be no testing option.”
 
Additionally, as of Labor Day, all state employees must either be vaccinated or get tested on a weekly basis.
 
Governor Cuomo said the decision was made due to the “dramatic action” needed to control a surge in COVID-19 cases linked to the Delta variant. He said school districts in areas of high transmission should also consider taking a more aggressive approach.
 
“I understand the politics, but I understand if we don’t take the right actions, schools can become super-spreaders in September,” Cuomo said.
 
Calling on private sector businesses, Cumo said they should incentivize vaccinations by only allowing vaccinated people in. 
 
75% of adults in New York state have been vaccinated. 

Copyright © 2021, ABC Audio. All rights reserved.

0
comments



Ergin Yalcin/iStock

(NEW YORK) -- As contentious debates over vaccine mandates continue with new coronavirus cases on the rise among the unvaccinated, elected officials are starting to fine-tune the idea of a new incentive by requiring public employees to get a coronavirus test until they get their shots.

Barun Mathema, an assistant professor of epidemiology at Columbia University's Mailman School of Public Health, told ABC News that the plan is a very effective incentive on paper, and it will have a bigger impact outside of the public sector when it comes to confidence in the vaccines.

"This is saying the government, unambiguously, supports vaccination. One can try things like lotteries to entice individuals, but to me, this is a serious and thoughtful approach," he told ABC News.

New York City Mayor Bill de Blasio announced last week that employees of the city's public hospital system, which included medical centers like Elmhurst Hospital, the epicenter of the first wave of hospitalizations in 2020, would have to show proof of vaccination or submit a weekly test until they got their shot. Exemptions are allowed for religious medical reasons.

De Blasio expanded that order on Monday to all city public employees, which included police officers, firefighters and teachers. Even though 59% of the city's entire population and 70% of its adult population has at least one dose of the vaccine as of Tuesday, the numbers were lagging among the ranks of some New York agencies, city data showed.

The NYPD had a 43% vaccination rate, the Department of Correction had a 42% vaccination rate, the FDNY had a 55% vaccination rate, and public school employees and city hospital employees each had a 60% vaccination rate, according to data from city officials. Nationally, 56% of all residents and 69% of all adults have at least one shot, according to the U.S. Centers for Disease Control and Prevention.

The testing mandate will go into effect for unvaccinated public hospital workers next week, and goes into effect on Sept. 13, the first day of schools in New York, for other public employees.

De Blasio stressed that the delta variant is causing cases to rise in unvaccinated neighborhoods in the city and he wanted to ensure New Yorkers that their public employees were vaccinated or proven safe.

"We're going to keep climbing this ladder and adding additional measures as needed mandates and strong measures, whenever needed to fight the delta variant," the mayor said during a news conference Monday.

A few hours later, California Gov. Gavin Newsom announced that he would place a similar testing mandate for any state employee who can't provide proof of vaccination. The mandate affects 249,000 employees and also provides exemptions for religious or medical reasons.

"California has committed to vaccination verification and or testing on a weekly basis," Newsom said at a news conference.

California's policy will take effect on Aug. 9.

Mathema said the policy will be most effective at swaying unvaccinated employees who were on the fence about getting the shot and needed an incentive to do so.

In this case, time spent on taking a COVID-19 test, submitting the paperwork to a boss and getting their OK week after week would take its toll, Mathema said.

"There will certainly be some people who find the constant testing inconvenient," he said.

Dr. John Brownstein, an epidemiologist at Boston Children's Hospital and an ABC News contributor, said the testing requirement will put extra pressure on an unvaccinated employee to get their shot.

"They’ll have to quarantine and put themselves out of two weeks of work," he said.

Brownstein predicted that more states will follow New York City and California's lead and there appears to be momentum at the federal level. President Joe Biden is expected to announce Thursday that all federal employees show proof of vaccination or submit to regular testing, ABC News has learned.

Brownstein added that some businesses have begun to implement rules that provide more benefits for customers. Some cruise ships, he noted, restrict their non-vaccinated passengers from the more popular dining areas and attractions.

"It’s a hybrid carrot and stick situation. You’re giving benefits to people who are vaccinated and punishing people who aren't," he said.

Mathema warned that there are likely to be a number of public employees who will submit to the weekly testing rather than get their shots. He reiterated that elected officials and businesses that implement a testing mandate for the unvaccinated needed to supplement their policy with a focused educational plan.

"I do believe this needs to be met with outreach, strong outreach and consistent outreach," Mathema said. "We do need to be tactful, show empathy and address real issues that are out there: people's concerns over the vaccine."

Anyone who needs help scheduling a free vaccine appointment can log onto vaccines.gov.

Copyright © 2021, ABC Audio. All rights reserved.

0
comments