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SAN DIEGO (KGTV) — As Pfizer’s COVID-19 vaccine begins circulating, there is another big logistical challenge ahead: reminding people to get the second dose.Both vaccines developed by Pfizer and Moderna require two doses spaced several weeks apart. People who get immunized often feel fatigue or soreness shortly after the shot and may experience fever, particularly after the second dose, according to clinical trial data.Doctors say those immediate, short-term side effects are a positive sign the immune system is revving up production.The side effects are similar to that of the shingles vaccine. But studies show about 20 percent of the people who get the shingles vaccine skip the second dose.Experts say if that happens with the COVID vaccines, there could be consequences.The worst-case-scenario is that skipping the second shot could allow the virus to spread and mutate, and potentially build resistance to the vaccines, according to Penn State University biologist David Kennedy.That outcome is considered unlikely, but the World Health Organization announced Monday it detected a new variation of the virus in England, showing the virus is already mutating without the evolution pressure of a mass vaccine program.“Does this make the virus more serious? Does it allow the virus to transmit more easily? Does it interfere with diagnostics? Would it interfere with vaccine effectiveness? These are questions. None of these questions have been addressed yet,” said Dr. Michael Ryan, director of the WHO Health Emergencies Program.When administered in two doses, Pfizer’s vaccine is 95 percent effective at preventing COVID-19 symptoms. The FDA’s review showed the vaccine could be up to 52 percent effective after a single dose, but the data was limited.“I think you could probably say you’re going to have short-lived but incomplete protection,” said vaccine expert Dr. Paul Offit. “Protection from disease but possibly not asymptomatic shedding.”It remains unclear whether people who are fully immunized against the virus can still spread it to others asymptomatically but someone who is only partially immunized may be especially prone to silent spread, according to Offit.When Americans roll up their sleeves to get the COVID-19 vaccine, they’ll get a 4 by 6 inch index card from the CDC noting which brand they got, the lot number, and when they’re due for the second shot.People who get Pfizer’s vaccine need to get a second shot 21 days later. People who get Moderna’s need to wait 28 days for round two.The CDC is encouraging people to photograph their card with their cell phone as a backup, because beyond the index card, the logistics of reminding people about their second dose will vary by state and healthcare provider.In California’s draft vaccination plan from October, the state said it was exploring ways to "systematically text, email, and/or auto-call individuals when their second dose is needed." The California Department of Public Health did not immediately respond to a request for comment about its latest plans.Much of the work may fall to the healthcare providers who administer the shots. Although the vaccine will be free for individuals, the government is paying providers for every first dose they give and for every second dose, a way to incentivize providers to keep close tabs on patients.However, only about 25 percent of the nation’s vaccination providers have systems that can send automated reminders, according to L.J Tan, the chief strategy officer of the Immunization Action Coalition. 3552

SAN DIEGO (KGTV) -- As Gloria Rickerd flipped through the pages of her wedding album in her Mira Mesa home, she said the chemotherapy medications her husband takes has kept him alive longer than doctors anticipated.But like many Americans -- nearly one in eight, according to a recent Kaiser Family Foundation study -- she thinks the cost of those drugs is unreasonable."I walked into the pharmacy at UC San Diego, and they looked at me said that will be 0. It was like four or five pills," she said. "It’s like, ok so, this is what you want me to pay and if I can’t do that, I guess he’ll just die?"On Friday, Gov. Gavin Newsom laid out several healthcare proposals designed to lower prescription drug costs, including a plan to make California the first state to make its own generic prescription drugs.The Democratic governor wants the nation’s most populous state to contract with generic drug companies to make medications on its behalf so it could sell them to its nearly 40 million residents. The goal is to lower prices by increasing competition in the generic drug market, Newsom said.The state is still determining which drugs it will manufacture, but Newsom hinted that insulin was "top of mind."His proposal also would create a single market for drug pricing in California, with companies having to bid to sell their medicine at a uniform price. One expert said that piece would have the bigger impact."Other countries control or negotiate the price of drugs, and if there is one state that could do it, it’s California, which is the size of a country,” said Larry Levitt, executive vice president of health policy for the Kaiser Family Foundation. “A drug company could walk away from Rhode Island. It’s much harder to walk away from California.”Lawmakers would have to approve the proposals before they could become law. A legislative leader in charge of reviewing the plan gave a tentative endorsement Thursday.“If Costco can have a Kirkland brand, why can’t California have our own generic brand?” said Democratic Assemblyman Joaquin Arambula, an emergency room doctor from Fresno who chairs the House Budget Subcommittee on Health and Human Services. “I really do think there is quite a bit of merit in having us produce the medications."Priscilla VanderVeer, vice president of the Pharmaceutical Research and Manufacturers of America, which represents brand-name drug companies, said she’s waiting for more details from Newsom before commenting.A representative from the Association for Accessible Medicines, which represents generic drug manufacturers, did not respond to a request for comment."I have more questions than I do have answers," said Tatiana Fassieux of California Health Advocates. "It is a very good first step but I would not see any end result coming up soon because it is going to take time."The drug plan is part of Newsom’s budget proposal, which he presented to lawmakers Friday.Newsom’s office did not say how much the drug proposal would cost, prompting criticism from some Republican lawmakers who said the state should not compete with private companies.“When the state runs it, it costs more money,” said Republican Assemblyman Devon Mathis, who’s also on the health subcommittee. “The money is coming out of families’ pockets paying all those crazy taxes.”California law requires drug companies to report any price increases to the state. Generic drugs saw a three-year median increase of 37.6%, according to a report from the Office of Statewide Health Planning and Development. That analysis was based on the list prices of the drugs and did not include discounts or rebates.But the report doesn’t include generic drugs that decreased in price because companies are not required to report that. Nationally, generic drug prices have been decreasing overall, according to a report that AARP produced with the University of Minnesota.Supporters say California’s generic drug label could help lower the cost of a common drug that has steadily increased in price — insulin for diabetes patients. Three drug companies control most of the market for insulin.“Consumers would directly benefit if California contracted on its own to manufacture much-needed generic medications like insulin — a drug that has been around for a century yet the price has gone up over tenfold in the last few decades,” said Anthony Wright, executive director of Health Access California.Jon Roth, CEO of the California Pharmacists Association, said the state might be surprised, however, at how much it ends up charging for its own generic drugs because of factors beyond its control, including raw material shortages and disruptions in the supply chain.“There are other factors in the actual manufacturing that the state may not be able to escape,” he said.While most Americans get generic prescriptions, they only account for a small part of the total drug spending in the U.S. That’s because unlike the name-brand drug market, generics are very competitive, said Jeff Joyce, chairman of the Department of Pharmaceutical and Health Economics at USC’s School of Pharmacy. "What he is proposing to do would help in specific cases, but it’s not a panacea by any means,” Joyce said.The proposal is another step in Newsom’s effort to overhaul California’s prescription drug market. Last year, in one of his first acts in office, Newsom ordered the state to take over the Medicaid program’s prescription drug benefits, which affects 13 million people. 5477

SAN DIEGO (KGTV) - Costco is reaching out to active-duty troops and veterans with a special military shopping event.The warehouse chain will have a Military Hour on Saturday, March 24 at all 117 Costco stores nationwide.Military community members will have a chance to shop hours before the stores open to all members.The first 100 attendees will receive a free swag bag, according to the Costco website.Costco is asking anyone interested in the Military Hour to RSVP here. 486

SAN DIEGO (KGTV) -- Chula Vista City Councilman Steve Padilla, who last week announced he contracted coronavirus, has been hospitalized at UCSD Medical Center after experiencing difficulty breathing, his family announced Thursday.Ashleigh Padilla, Padilla's daughter, said her father "was admitted to UCSD Thornton Hospital ICU where he is receiving additional treatment, including a respirator to aid with difficulty breathing associated with COVID-19."“I know his amazing doctors and nurses are doing everything they can to send him home healthy when this is all over," said Ashleigh Padilla.No further details about his condition were given at this time, but Padilla did issue a warning to the public through his daughter.“My father asked me to pass on a message: Everyone needs to take COVID-19 seriously. Please follow the advice of our public health professionals to reduce spread of the virus and take precautions to keep your families and our community safe," said Ashleigh Padilla.Padilla, who represents Chula Vista's District 3, made the announcement in video last Saturday that was published on his Facebook page."After recently experiencing symptoms, I was diagnosed as being positive for the COVID-19 virus, also known as the coronavirus," he said last Saturday.Padilla appeared in the video to be in good spirits as he told viewers that he was doing "very well" and "feeling well."In a follow up statement later that night, he described having a fever, body aches, headaches, chills, that "came on very rapidly." He noted he had come into contact with friends, colleagues, and the public over the last week."I’m in close coordination with County Public Health officials who are taking all precautions to ensure the health of people I’ve been in contact with," he said.Padilla previously served as Mayor of Chula Vista from 2002-2006, and is a former officer and detective with the Chula Vista Police Department.On the Chula Vista city website, Padilla is noted for being the first person of color ever elected to City office in Chula Vista history, the first Latino Mayor, and the first openly LGBT person to serve or be elected to city office. 2167

SAN DIEGO (KGTV) - As businesses continue to reopen, it's becoming the newest requirement for entry: your signature.Step into any of three Gila Rut salons in the county, and you'll see COVID-19 safety is being taken seriously. Clients' temperatures are taken. Their hands are sanitized. Their personal effects are placed in a bag. In another bag is everything needed for their appointment, from combs to scissors."So they can feel comfortable that when they sit down, everything has been sanitized for them," said Gila Rut President Keri Davis-Duffy.Inside the salon: masks, social distancing, and capes disposed of after each appointment. The owners are intent on protecting clients, staff and also, the business. A day head of an appointment, clients are emailed a waiver."They have to sign a waiver releasing Gila Rut of any liability should anybody contract COVID-19," said David-Duffy.Davis-Duffy is hardly alone. At the Point Loma Sports Club, set to open Friday, a liability waiver is also required before you can enter. Across the county and country, at salons, gyms, offices and even the New York Stock Exchange, waivers are quietly becoming the new normal. It's unclear how much they're really needed. Attorneys tell us it would be hard to prove a business caused an illness. and the waivers don't protect a business against 'gross neglience.'"If someone signs a waiver, that means they agree not to hold someone else responsible for any damages. What we're seeing here are businesses trying to avoid liability when a patron is exposed to covid-19 at their place of business. Waivers are not, however, ironclad. For a business to be protected, the business must show that such a waiver was signed and that it covers the potential claim. Even if a business shows that, a waiver is invalid if the business was grossly negligent or reckless. Also, a person could challenge a waiver by claiming it was signed under duress or that it was unconscionable," said attorney Evan Walker.For Davis-Duffy, the waiver is simply another precaution."We're in a vulnerable business ... We just want to make sure we're protecting are business and create some sense of sustainability," said David-Duffy.Davis-Duffy says all but a handful of clients have agreed to sign the waiver. 2279