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While experts are encouraged by early vaccine data, many still say there is a way to go before life returns to normalcy."Operation Warp Speed," is a Trump administration effort to develop and deliver a safe and effective COVID-19 in the coming months. The administration's goal is to make initial doses available by January 2021.The vaccine will initially be rationed while drugmakers produce more doses. Healthcare workers, people in nursing homes, first responders and those with high-risk health conditions will likely be the first people eligible to receive the vaccine. According to Dr. Anthony Fauci, the director of the National Insitute for Allergies and Infectious Diseases, the rest of the general population won't be able to receive the vaccine until later in 2021.Pfizer and Moderna have both announced that their vaccines are on track for potential emergency authorization from the Food and Drug Administration. But there are several other candidates that could also get approval soon — and could potentially overtake the market.Both Pfizer's and Moderna's vaccine candidates require two shots, which need to be taken 28 days apart. But health experts believe that if a single-dose vaccine gets approval, it could quickly become the standard for worldwide vaccination."So, if you can get a vaccine out there that actually requires only one dose, it could quickly overtake the market," said Dr. Marcus Schabacker the President & CEO, of Emergency Care Research Institute.Health experts are also encouraged that there are several vaccine candidates in the final stages of testing — they believe that more potential vaccines reduce safety risks."We have a lot of people in the world. We need to vaccinate in different countries under different criteria, and you always run the risk that there's something in the Pfizer vaccine that someone's allergic to that isn't in the Madonna vaccine," said Dr. Jill Roberts, an associated professor as USF Health.One question that hasn't yet been answered is how the vaccines will stand up to the newly infected."So if you're turning positive today, we know you are exposed to somebody that had COVID, and we vaccinate you today — will that actually prevent you from developing severe disease?" Roberts said.Merck is another U.S. based pharmaceutical company that is working on a single-dose COVID-19 vaccine. That vaccine is currently in early testing overseas. 2422
Who gets to be first in line for a COVID-19 vaccine? U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr. Francis Collins, director of the National Institutes of Health, recently told one of the advisory groups the government asked to help decide. “There will be many people who feel that they should have been at the top of the list.”Traditionally, first in line for a scarce vaccine are health workers and the people most vulnerable to the targeted infection.But Collins tossed new ideas into the mix: Consider geography and give priority to people where an outbreak is hitting hardest.And don’t forget volunteers in the final stage of vaccine testing who get dummy shots, the comparison group needed to tell if the real shots truly work.“We owe them ... some special priority,” Collins said.Huge studies this summer aim to prove which of several experimental COVID-19 vaccines are safe and effective. Moderna Inc. and Pfizer Inc. began tests last week that eventually will include 30,000 volunteers each; in the next few months, equally large calls for volunteers will go out to test shots made by AstraZeneca, Johnson & Johnson and Novavax. And some vaccines made in China are in smaller late-stage studies in other countries.For all the promises of the U.S. stockpiling millions of doses, the hard truth: Even if a vaccine is declared safe and effective by year’s end, there won’t be enough for everyone who wants it right away -- especially as most potential vaccines require two doses.It’s a global dilemma. The World Health Organization is grappling with the same who-goes-first question as it tries to ensure vaccines are fairly distributed to poor countries -- decisions made even harder as wealthy nations corner the market for the first doses.In the U.S., the Advisory Committee on Immunization Practices, a group established by the Centers for Disease Control and Prevention, is supposed to recommend who to vaccinate and when -- advice that the government almost always follows.But a COVID-19 vaccine decision is so tricky that this time around, ethicists and vaccine experts from the National Academy of Medicine, chartered by Congress to advise the government, are being asked to weigh in, too.Setting priorities will require “creative, moral common sense,” said Bill Foege, who devised the vaccination strategy that led to global eradication of smallpox. Foege is co-leading the academy’s deliberations, calling it “both this opportunity and this burden.”With vaccine misinformation abounding and fears that politics might intrude, CDC Director Robert Redfield said the public must see vaccine allocation as “equitable, fair and transparent.”How to decide? The CDC’s opening suggestion: First vaccinate 12 million of the most critical health, national security and other essential workers. Next would be 110 million people at high risk from the coronavirus -- those over 65 who live in long-term care facilities, or those of any age who are in poor health -- or who also are deemed essential workers. The general population would come later.CDC’s vaccine advisers wanted to know who’s really essential. “I wouldn’t consider myself a critical health care worker,” admitted Dr. Peter Szilagyi, a pediatrician at the University of California, Los Angeles.Indeed, the risks for health workers today are far different than in the pandemic’s early days. Now, health workers in COVID-19 treatment units often are the best protected; others may be more at risk, committee members noted.Beyond the health and security fields, does “essential” mean poultry plant workers or schoolteachers? And what if the vaccine doesn’t work as well among vulnerable populations as among younger, healthier people? It’s a real worry, given that older people’s immune systems don’t rev up as well to flu vaccine.With Black, Latino and Native American populations disproportionately hit by the coronavirus, failing to address that diversity means “whatever comes out of our group will be looked at very suspiciously,” said ACIP chairman Dr. Jose Romero, Arkansas’ interim health secretary.Consider the urban poor who live in crowded conditions, have less access to health care and can’t work from home like more privileged Americans, added Dr. Sharon Frey of St. Louis University.And it may be worth vaccinating entire families rather than trying to single out just one high-risk person in a household, said Dr. Henry Bernstein of Northwell Health.Whoever gets to go first, a mass vaccination campaign while people are supposed to be keeping their distance is a tall order. During the 2009 swine flu pandemic, families waited in long lines in parking lots and at health departments when their turn came up, crowding that authorities know they must avoid this time around.Operation Warp Speed, the Trump administration’s effort to speed vaccine manufacturing and distribution, is working out how to rapidly transport the right number of doses to wherever vaccinations are set to occur.Drive-through vaccinations, pop-up clinics and other innovative ideas are all on the table, said CDC’s Dr. Nancy Messonnier.As soon as a vaccine is declared effective, “we want to be able the next day, frankly, to start these programs,” Messonnier said. “It’s a long road.”___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5581

Wildlife biologists with the Conservancy of Southwest Florida shared a shocking python find in Collier-Seminole State Forest on Thursday. An invasive Burmese python's eyes were a little bigger than its stomach when it decided to devour a white-tailed deer fawn. Officials say pythons have been known to kill and ingest large prey and this was a record breaking meal. Officials stumbled upon the python with the massive prey inside. The biologists removed the python out of the wild into an open area and the python was stressed so it pushed the deer out of its mouth. In the photo below you can see the breathing tube and tongue of the python as it has its mouth wrapped around the deer. Biologists believe it is the largest python-to-prey ratio documented. The python was 31.5 pounds and the deer was 35 pounds; 111% of the python's mass. The findings will be published in the March 2018 issue of the Herpetological Review.“This observation is another important piece of evidence for the negative impact invasive Burmese pythons are having on native wildlife across the Greater Everglades Ecosystem” said Ian Bartoszek, Conservancy of Southwest Florida wildlife biologist. “Imagine the potential consequences to the state and federally protected Florida panther if Burmese pythons adversely affect the number of white-tailed deer, a panther’s primary prey.”Biologists are focused on the impact the python is having across the food chain. Since 2013, the Conservancy and its research partners have been conducting research to document the invasive Burmese python's biology and behavior in Collier County, including the tracking, removal and necropsy of captured pythons.Kelly Bazzle is the Digital Executive Producer at Scripps Station WFTS. Follow Kelly on Twitter. 1831
When talking about veteran mental health, much of the conversation is centered on post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). While both are widespread and debilitating, the mental health-related challenges veterans face go beyond these conditions.Dependable, courageous, and in peak physical shape, Theresa Larson chased perfection when joining the Marine Corps.“I wanted to be the exemplary Marine," said Larson. "To the T. What does a good Marine officer do? I had to do that.”A stellar student and Division 1 college athlete, she had been training for a challenge like this her entire life. With two older brothers in the military, Larson was well aware of the unique challenges she'd face as a female leader. “You have to be really fit and healthy. You have to be fitter than them. They're going to look at you physically and see how you perform," said Larson.Leader of a platoon, Larson was responsible for more than 50 Marines, working to earn their respect while training them for war. “You already fit in if you’re a male, if you’re a female, it's what is she going to do for me? Kind of attitude. And I was prepared for that," said Larson.But chasing perfection would come at a cost; her own well-being was no longer a priority. As the 12 to 15-hour days and mounting pressure felt out of her control, Larson latched onto what she could control. “The drug was food for me, so it ended up turning into the bulimia end of the first year," said Larson.With rigid fitness standards and weight requirements, the National Eating Disorders Association says service members are at especially high risk for eating disorders.“Abuse of fitness and nutrition tends to be the thing. It might not be full-blown bulimia or anorexia, or anything like that, but it can be a lot of disordered eating. Obviously, with yo-yo dieting, too much exercise or too little exercise can affect your focus," said Larson.Before deploying to Iraq, Larson sought help from a friend but didn’t disclose her illness to the military, fearing she’d lose her job.“I tried to make everyone realize I would be OK because I didn’t want to let the Marines down. You know, mission accomplishment and troop welfare are kind of the things we thrive on as Marines, especially Marine leaders," said Larson. No longer at a desk, leading operations and landmine missions, the responsibility to protect her platoon had never felt greater."It dawned on me, 'gosh, I’m really not OK. And this is not about me. It's about all the Marines I’m taking care of. So yeah, I’m sick, and I’m going to affect someone else.' It was a wake-up call," said Larson.Larson was sent home and said she had to fight to get treatment in the military. While grateful they covered 12 weeks of care in an outpatient rehabilitation clinic, Larson says she was on her own to continue getting help.“Anyone knows that has an addiction, it’s not just a, 'OK, you're done.' It's a continuous, daily decision and practice. And so, I ended up paying for my own care after that for a while," said Larson. "It was a couple of years until I stopped the symptoms of bulimia, and then was just dealing with what was left-- the depression, the anxiety, and managing that.”She says getting healthy became her job. And after the military, Larson helped others do the same. She wrote a memoir about her military experience and has since been contacted by countless service members and veterans struggling with similar challenges. “As a leader, there's a fine line of when you push yourself and when you need to ask for help. And asking for help, I’ve learned, is not a weakness. It’s a strength," said Larson.After earning a doctorate in physical therapy, Larson and her husband founded Movement Rx, a program helping people around the country uncover the root cause of their pain and injuries. “Just because someone is in a wheelchair, that’s not the only thing going on. Or if someone looks like they’re fine, it doesn’t mean they don’t have something going on," said Larson. In addition to free online resources for veterans, Movement Rx has free in-person training for veterans in San Diego. “We have our health care platform that veterans can use, offering mindfulness and meditation, nutrition support, fitness, as well as movement, working through injuries," said Larson. While there's more help now for struggling veterans and service members, Larson knows asking for it is still just as hard. “You asking for help, it's going to open more doors and more growth than you can ever imagine, but you have to take that vulnerable leap, and that's when life really happens." 4633
While traveling with his parents on route to Virginia from New Jersey, James Murray made an attempt to get on I-95 and make a smooth sailing trip to his destination.But, Maryland's weather and high winds had other plans."The rain was okay, and getting out of New Jersey was fine, but then we got into and crossed over Maryland and they closed I-95 down, it was crazy," said Murray.In a Facebook Live, Murray goes into detail about his tense situation.Murray says he recalls the traffic being stand still and officials forcing all the vehicles off of the interstate into a little town called Port Deposit.It was starting to hit the late hours of midnight and Murray's parents, who were also in the vehicle, began to feel worried that they wouldn't be able to find their way. With no hotels and no opened restaurants in the area, they all started to feel concerned while driving through the unknown town for hours.That's when Murray saw an opened restaurant called Jumbo Jimmy's and immediately pulled into the parking lot to enter the restaurant. He was then greeted by a woman behind the counter who told him that the restaurant's kitchen was closed. After the woman took a second glimpse at Murray and recognized who he was, she immediately told him that they'll be more than happy to open the kitchen to serve him."The people were so lovely, so lovely in this place, not just the people that worked there, but the patrons were so nice and friendly, and they treated my parents like a million bucks." Murray also goes on to share that many people in the restaurant extended their generosity and were willing to open their homes to him and his parents. Murray says him and his parents stayed overnight with a local nurse named Ruthie who accommodated them.During his Facebook Live video, Murray got emotional while expressing his gratitude towards the people, town, and restaurant who turned his uncomfortable situation into a very memorable and comforting one."I guess what I am trying to say is, there's good out there in the world," said Murray, "If ever you think that the world is [bad] don't worry there's lots of good people." 2181
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