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When a vaccine is approved, who will get it? How will it get to them?Johns Hopkins has a plan to make front line workers and those most vulnerable first in line. Other experts say that may not be the best approach.“It may be better to immunize people who are at high risk of transmitting the virus both because of jobs, living situations and other circumstances,” said Dr. Ezekiel Emanuel while speaking with the head of the Journal of the American Medical Association. “And that I think we have to leave an open mind and look at some detailed modeling about what the best way is to reduce the premature mortality.”Emanuel says transmission between health care workers and patients is basically zero where he is. He says effective PPE use is the reason.The groups Johns Hopkins said should get a vaccine first could be as big as 90 million people.Emanuel says there won't be enough doses out of the gate to get all of any initial groups.“You don’t actually distribute it evenly among countries,” he said. “You concentrate on countries that at the moment when you have the vaccine have severe hot spots and where the vaccine is going to make the biggest difference in terms of reducing premature death.”Johns Hopkins experts say a vaccine's effectiveness is measured on preventing disease. That doesn't mean it prevents infection and transmission. We won’t know how effective it will be until after it’s in use.“A disease transmission strategy makes a lot of sense, but we need a lot more information before we can know who to prioritize,” said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security. “It’s quite possible we will go to a strategy like that.”The World Health Organization said younger people in their 20s, 30s and 40s are increasingly driving spread.The first vaccines will likely be two doses. Experts say that means double the syringes, needles, vials and other supplies, along with getting people to come back for a second dose. 1980

WILMINGTON, Del. — President-elect Joe Biden fractured his foot while playing with one of his dogs, according to the former vice president's doctor.Biden's office says he suffered the injury on Saturday and visited an orthopedist in Newark, Delaware, for an examination Sunday afternoon.A subsequent CT scan “confirmed hairline (small) fractures of President-elect Biden’s lateral and intermediate cuneiform bones, which are in the mid-foot,” according to a statement from his doctor, Kevin O’Connor.O’Connor says Biden will likely be wearing a walking boot for several weeks as his foot heals.The Associated Press reports that Biden was injured while playing with Major, one of his two dogs. The future first family has another dog, Champ, and they say they plan to also get bring a cat into the White House. 817

White House chief of staff John Kelly was interviewed by special counsel Robert Mueller's team in recent months, three people with knowledge of the matter told CNN.Kelly responded to a narrow set of questions from special counsel investigators after White House lawyers initially objected to Mueller's request to do the interview earlier this summer, the sources said. Kelly is widely expected to leave his position in the coming days and is no longer on speaking terms with President Donald Trump, CNN reported earlier Friday.Kelly is the latest high-ranking White House official known to provide information for Mueller's investigation, though his interview marks a departure of sorts since Kelly didn't join the White House until July 2017. Most of the dozens of other interviews have been with people who were associated with the Trump campaign, were part of the transition or served in the early part of the administration.The Mueller questions to Kelly centered on a narrow set of issues in the investigation of potential obstruction of justice, chiefly Kelly's recollection of an episode that took place after new reporting emerged about how the President had tried to fire Mueller. The President was angry at then-White House counsel Don McGahn about what had been reported by The New York Times. McGahn had refused to publicly deny the reporting. The special counsel wanted to try to corroborate McGahn's version of events.The White House counsel's office had initially fought the Mueller request. One source familiar with the matter said that Emmett Flood wanted to make sure "ground rules" were negotiated."In order to question a government official about things that happened during the course of government business, you've got to show that it's highly important and you can't get it anywhere else," the source said.The source noted that the Kelly request came at a sensitive time, following raids of the home and office of Michael Cohen, the President's now-former lawyer.The resistance to Kelly doing an interview represented a key turn by the President and his attorneys who had previously allowed the special counsel to interview current and former White House staff and handed over hundreds of thousands of documents.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 2339

While shooting #NeowiseComet I turned and got a shot of the Milky Way. Nothing special here and full of planes but if you want to feel tiny on this little blue dot look at all those stars. pic.twitter.com/hxU5hKl8T4— Mike Vielhaber (@MVielhaber) July 14, 2020 267

White House national security adviser Lt. Gen. H.R. McMaster could leave his position in the White House by the end of the month, according to an administration official.Multiple sources familiar with the matter have said McMaster's departure is likely in the near future.The administration official and a source familiar with the matter say it is becoming more likely that McMaster will not return to the military and ultimately will retire as a three-star general.Among the names being considered to replace him are: 526

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