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CHICAGO — Millions of frontline healthcare workers are rolling up their sleeves for the first of a two-dose COVID-19 vaccine. First out is Pfizer’s vaccine, and now, an FDA panel has recommended Moderna’s vaccine for emergency use authorization. The available Pfizer shot requires a complex and precise procedure for it to work.Before the needle even breaks the skin, a strict protocol must be followed precisely.“We're going to put it take it from the negative 80 ultra-low storage and we're gonna defrost it to refrigerator temperatures,” explained Erin Shaughnessy, director of pharmacy at Rush University Medical Center in Chicago. “That's gonna give us five days of stability for the vaccine.”It’s like something out of Mission Impossible.“We installed additional security cameras and we have additional security protocols,” said Shaughnessy.She’s charged with ensuring the vaccine is securely handled and properly prepped before it’s injected.“We don't want to risk wasting any of the drugs,” she said. “The stuff is liquid gold right now.”That liquid gold must be stored at 80 below zero, in a secure location that only a few pharmacists have access to.“We have to take it out of the ultra-low freezer and move it to a refrigerator just to thaw for three hours.”Once thawed, it cannot be re-stored.“You can't put the medication back into the freezer,” said Shaughnessy. “Once inside, you have to use it or you're going to lose it. It's gonna have a five-day refrigerated expiration.”Pfizer’s vaccine protocol also requires the vaccine to be protected from UV light and the dilution must be gently inverted exactly 10 times. Shaken too hard, says Shaughnessy, and it could go bad.“It's very, very specific," she explained.That’s when the clock starts ticking.“Once they're thawed and reconstituted, basically diluted down to make the actual doses, then that's when we have six hours on the clock going from that dilution point into someone's arm,” said Luke Hvass, a clinical pharmacist at Rush.Each dose is recorded and logged. It’s a symphony of procedures that must come together like clockwork.“It's a lift for a lot of hospitals, a lot of organizations, but I think it's a challenge everybody is ready to rise to because everyone is so excited about getting this vaccine process started,” said Shaughnessy.The Department of Health and Human Services has expanded the scope of who can act as vaccinators. In addition to pharmacists, interns, pharmacy students and pharmacy technicians who complete 20 hours of training will be added to the vaccination workforce to help handle the massive undertaking. 2619

CARLSBAD (KGTV) - In response to a four year construction project that recently kicked off, California Highway Patrol has lowered the speed limit on a stretch of interstate 5 by 10 miles per hour. The stretch is about eight miles long, through Encinitas and Carlsbad. The entire project will eventually go all the way to the 78. The project with add HOV lanes over the next four years. The new speed limit will help to protect workers in the area working closely to the passing vehicles. California Highway Patrol officer Mark Latulippe tells 10News, "the days of well we just put the signs up and we’re giving you a grace limit, are over". They've put up dozens of signs to warn people of the change, dropping the speed limit to 55 miles per hour. Despite the many signs drivers are ignoring the change and sticking to their normal speeds upwards of 70 miles per hour. The signs have been up for about a month but Latulippe says, "we are sending enforcement units out now to start that ticketing process of trying to slow this down". Drivers can now expect to get pulled over and ticketed from here on out. Because the area is a work zone, the tickets will be double the normal speeding fine. 1202

California political activist and billionaire megadonor Tom Steyer joined a group of protestors outside Republican Congressman Darrell Issa's Vista office Tuesday morning. Just days ago Steyer made headlines and drew criticism from President Trump himself  after he used  used million of his own money to start running television ads calling for Trump's impeachment.  399

CARLSBAD, Calif. (KGTV) — Many business owners are paying big bucks to move outdoors and comply with state and county health orders. One business owner in Carlsbad said she had to fork up more than ,500 to provide outdoor dining."They said your option is to pay this or you don't get to go outside," said Annie Rammel, owner of Oak + Elixir in the Carlsbad Village.The City of Carlsbad charges 1 for businesses to move onto sidewalks, but it wasn't that simple for Rammel."We were told that the fee would be 1. That's doable for us; we were willing to spend the money to build a beautiful patio where people felt safe."Rammel said she needed to expand into public street parking spaces to make outdoor dining work because there wasn't enough space on the sidewalk. She saw other cities across the county moving quickly to offer low cost or no cost permits for businesses to do the same. She was hoping Carlsbad would follow suit.The Carlsbad City Council voted to approve moving into public spaces on July 28, and Rammel got a permit days later. That came after four weeks of being shut down and working with the city to find a solution."We didn’t want to just put tables on the concrete that are in parking spots next to cars driving by," she said. "We wanted to create a safe space for customers to feel like they could come in relax."Then, the unexpected happened."We got a phone call from the city saying that we actually needed to pay ,500," she said.The city is charging ,200 per parking space plus extra fees. Rammel requested to utilize four spaces."The fee for a curb café is 1 but also includes ,200 per parking space into a fund that is used to create new parking to compensate for the loss of the parking that is converted into a dining area," said David Graham, the Director of Economic Development and Innovation for the City of Carlsbad. "Allowing one business to remove parking means the loss of convenient parking that the nearby shops, restaurants, offices, and personal care services rely upon to draw customers."Despite the circumstances, Rammel got the permit to use four parking spots and built a deck."I begged and pleaded, 'please can we get a prorated amount, can we do month to month, is there any way you can work with us because you are depleting our cash flow at a time where we desperately need cash flow to survive this,'" she said.She paid the fees in full and spent an additional ,000 to have the temporary deck built."When Governor Newsom tells us we can go back inside, we have to tear it down," she said. "We don't get to keep it."The painful costs during an already difficult time were the only solution to keeping way Rammel's business running."We had to pull that ,500 from our savings," she said. "If we're not serving customers, we're not making profits, and we cannot pay our bills."She said leaders from other cities in the county that have waived permitting costs have personally reached out to her to show support.There may be some hope left."We understand that these are not normal times. So, when Oak + Elixer raised the issue of the total cost of the fee due to the ,200 per stall payment into the parking fund, we started working on options. Whether or not that would include retroactivity for those who have already paid will be evaluated," said Graham."On Monday, August 10, we will bring a discussion of any fees associated with an outdoor business operation on public property like sidewalks and streetlights to the city's subcommittee on COVID-19 economic revitalization.""I'm in a big hole, and I've gotta dig myself out of that hole, and I'm not giving up," said Rammel. "We're requesting that the city reimburse us that money, so we have that cash flow." 3742

CAMP PENDLETON, Calif. (KGTV) - Hundreds of Marines recovering from injuries are at Camp Pendleton this week for the Warrior Games Trials. They're competing to represent the Marines at the National Games, but also finding new ways to heal from their injuries."It helps you know you're not alone," says Lance Corporal Jay Alan Davis, who was diagnosed with Major Depressive Disorder while on duty.This is LC Davis' first time at the games. He says it's been uplifting to find a sense of camaraderie among the athletes."If you're able to sit there and talk to somebody about it, they're more likely to go to you," he says. "Then you don't have to feel alone. You don't have to be alone."That's the same sentiment that brought Tisha Knickerbocker to the games in 2012. Tisha was a life-long athlete until she broke her back. Finding a way to compete still has helped her mental recovery."It improved everything," she says. "It was great. I really can't find a word that accurately describes the feeling that it gave me to get an old part of myself back."The games run from March 4-12 at Camp Pendleton. Many of the athletes will advance to the National Department of Defense Warrior Games in September in San Antonio. 1222

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