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A US advisory panel has released their recommendations on how a future COVID-19 vaccine should be distributed, and is now seeking public comments on their draft plan.The National Academies of Science, Engineering and Medicine published their discussion draft Tuesday afternoon on their website. It is meant to “assist policymakers in planning for equitable allocation of a vaccine against COVID-19.”The draft plan has a four-phased approach to handle the intense demand for and limited supply of the vaccine when it is first developed.“While major efforts are being made to have a significant supply of COVID-19 vaccine as soon as possible, the committee has been tasked with considering the tough choices that will need to be made for allocating the tightly constrained initial supplies,” said committee co-chair Helene Gayle, president and CEO of the Chicago Community TrustThe plan states in the first phase “would be ‘frontline’ health workers—health professionals who are involved in direct patient care, as well as those in transport, environmental services staff, or other health care facility services, who risk exposure to bodily fluids or aerosols. Under conditions of such scarcity, access should not be defined by professional title, but rather by the individual’s actual risk of exposure to COVID-19.”Their plan also gives higher priority to older Americans living in group settings. They cite data showing about 80 percent of all COVID-19 deaths in the US occurred in people over the age of 65, and a significant proportion of them were people living in long-term care facilities.“Recognizing the importance of education and child development,” tier 2 includes teachers and school staff, as well as those with pre-existing conditions that put them at a heightened risk of severe complications from COVID-19 and those living in group housing situations not included in tier 1.The group states that by the time there is enough of the vaccine to reach tier 4, “ideally, these individuals would be willing to participate in an egalitarian process (such as a lottery) if there are persistent local or regional shortages in this phase.”The group that developed this draft was formed in July at the request of the National Institutes of Health and the Centers for Disease Control and Prevention.“We are pleased to help inform the government’s decision-making process and provide our expert advice for priority-setting for the equitable allocation of potential COVID-19 vaccines,” said National Academy of Medicine President Victor J. Dzau. “Input from the public on this draft framework, especially from communities disproportionately affected by COVID-19, is essential to produce a final report that is objective, balanced, and inclusive.”The public comment period will be open until 11:59 p.m. on Friday, September 4. Commenters will be able to download and review the draft before submitting a comment at nationalacademies.org/VaccineAllocationComment.A final recommendation will be published this fall to include any changes following public comment. 3069

A Russian journalist and Kremlin critic, reported to have been shot dead in Ukraine, has appeared alive at a news conference.Arkady Babchenko was earlier reported to have been killed in his apartment building in the Ukrainian capital Kiev,.Ukrainian state news agency Ukrinform had said that Babchenko, 41, was shot in the back and died in an ambulance, citing his friend and supervisor, Ayder Muzhdabaev, deputy general manager of Ukrainian TV channel ATR.Police in Kiev said Babchenko's wife found him outside their apartment.But Ukrinform later reported that Babchenko was alive.This is a developing story - more to comeThe-CNN-Wire 643

A report from the Department of Veterans' Affairs inspector general found that the Washington DC VA Medical Center has for years "suffered a series of systemic and programmatic failures to consistently deliver timely and quality patient care," and heightening the potential for waste, fraud and abuse of government resources.The report released Wednesday found that the main health care facility for veterans in Washington lacked consistently clean areas for medical supplies, had staffing issues across multiple departments and that approximately million in supplies and equipment were purchased over a two-year period without "proper controls to ensure the purchases were necessary and cost-effective."According to the report, VA Secretary David Shulkin said he "does not recall senior leaders' bringing issues at the medical system related to supplies, instruments and equipment to his attention" while he was the undersecretary of health.The VA has been rocked by the IG report and Shulkin's belief that Trump administration political appointees, including a top aide, have been working toward his ouster.The report did not find any patient harm, but VA Inspector General Michael Missal said that was "largely due to the efforts of many dedicated health care providers that overcame service deficiencies to ensure patients received needed care."In the report detailing the troubling conditions at the VA hospital, Missal faults "failed leadership at multiple levels within VA that put patients and assets ... at unnecessary risk." The report follows an interim report released in April 2017, which Missal took the rare step of issuing because he had a "lack of confidence" in the Veterans Health Administration to properly deal with the issues, some of which they had known about for some time.The report made 40 recommendations, all of which the Department of Veterans Affairs said it accepts. "On behalf of the senior leaders at DC VAMC, Veterans Integrated Service Network (VISN) 5 and the Veterans Health Administration (VHA), we concur with OIG's findings and recommendations and provide the attached action plans," the Office of the Undersecretary for Health said in response to the report.The investigation into the Washington DC VA Medical Center, which provides care to almost 100,000 veterans and employs more than 2,000 people, began in March 2017 after a confidential complaint, according to the inspector general's report.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 2547

A new poll finds broad support for special counsel Robert Mueller's investigation into President Donald Trump and his campaign.Almost 7 in 10 (69%) of respondents in the ABC News/Washington Post poll said they support the special counsel's probe into potential collusion between the Trump campaign and Russia. Sixty-four percent said they support looking into Trump's business dealings. Nearly 6 in 10 (58%) said they back the special counsel investigating allegations that Trump paid hush money to women who alleged affairs with him.The polling took place from April 8-11 -- meaning it took place largely in the aftermath of Monday's FBI raids of Trump personal lawyer Michael Cohen's home, office and hotel room. FBI agents removed Cohen's computer, cell phone, business files and financial documents, and also sought communications related to the "Access Hollywood" tape that captured Trump making lewd remarks about women, sources familiar with the matter have told CNN.The poll results come amid mounting concerns about the future of the Mueller investigation. The President and his aides have discussed firing Mueller for months and believe they have the power to do so, according to a source. Trump is also considering ousting Deputy Attorney General Rod Rosenstein, sources have told CNN, a move that could limit the special counsel probe.The poll also finds that a majority (51%) think "the question of whether or not Trump has engaged in a pattern of sexual misconduct" is an important issue; 46% don't feel it is important.Asked about fired FBI Director James Comey, 48% of respondents said they find him to be more believable than Trump. A little more than a third (32%) said the President is the more believable of the pair.Views of the former FBI director were about evenly split -- 30% had a favorable opinion; 32% had an unfavorable one. Thirty-eight percent of the respondents had no opinion about Comey. Nonetheless, nearly half (47%) disapprove of Trump's decision to fire Comey.The poll was conducted prior to the release of excerpts from Comey's tell-all memoir. It was conducted with a group of 1,002 adults with a margin of error of +/-3.5 percentage points.  2195