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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 steady gust of a late autumn's wind is about the only thing moving quickly in rural corners of this country. But Pamela Curry has learned that the solitude she loves about her home in this remote part of Maryland can come at a price.It was 2017 when the Curry family's home in rural Maryland caught fire. Curry, her husband and kids happened to be on vacation at the time."Everything you worked for, everything you had, was gone," the mother of four said while sitting on the front porch of the home she now lives in.The first firefighters who arrived were from the Denton Volunteer Fire Company, a 10-mile drive from the Curry's home in Caroline County.Todd Berneski was there that night and serves as the department's president."We’re here to provide a service to the community," Berneski said.That service that Curry's and others in rural communities across the country depend on though has been struggling lately. Since COVID-19, this volunteer fire department and others nationwide suddenly lost revenue from yearly fundraisers. Denton Volunteer Fire Company is looking at a ,000 budget shortfall right now.What that means is that volunteer fire agencies nationwide are struggling to keep up with maintenance on equipment. While there are no salaries to pay, it still costs hundreds of thousands of dollars to run these departments.All of it is putting the public at risk."If we show up and pumps don’t work or we don’t have tools, there’s nobody else to call," Berneski said about the constant struggle to keep aging equipment running.Across the country, there are close to 25,000 volunteer fire departments, most of which serve as critical lifelines to rural communities. In Denton, they were able to hold their annual Christmas tree farm fundraiser, but their budget is still off by 25 percent."People want to give. We know they want to give, but if someone can’t afford to give, I don’t want to take a meal off of somebody’s table because they can’t afford it," Berneski added.The National Volunteer Fire Council is worried about the long-term implications the funding gap could create. They've successfully lobbied Congress for millions of dollars in aid for volunteer departments, but the money is held up in the current stimulus bill.The concern is that some agencies may be forced to close if they don't get help."You’re probably not going to know you have a problem until you have a very big problem," said David Finger, who works with the National Volunteer Fire Council.As for Pamela Curry, she knows firsthand how vital these volunteer fire departments are and how critical it is to keep them running."Their equipment has to be running. If their equipment isn’t running and it’s not in good order, we won’t have machines to help us out,” Curry said. 2779

A New York City judge has dismissed a claim by Donald Trump’s brother that sought to halt the publication of a tell-all book by the president’s niece. In a ruling Thursday, Judge Peter Kelly said the Surrogates Court lacked jurisdiction in the case. Mary Trump is the daughter of Fred Trump Jr., the president’s elder brother, who died in 1981. An online description of her book, “Too Much and Never Enough: How My Family Created the World’s Most Dangerous Man," says it reveals “a nightmare of traumas, destructive relationships, and a tragic combination of neglect and abuse.”Mary Trump's book was the second book Trump's league team attempted to stop from publishing in recent weeks. The president also tried to block the publication of former National Security Adviser John Bolton's book. Trump lost the suit, as his legal team claimed that the book contained classified information. 895

A plan to raise San Diego's hotel tax to expand the convention center appears to be headed to the March 2020 ballot. The City Council voted 5-4 Monday to formalize its intention to place the tourist tax hike on next year's primary election. The measure, called "Yes! For a better San Diego," would raise the transient occupancy tax by as much as 3.25 percent per night, depending on location. Hotels closest to the heart of the city would see the tax rate increase the most. The revenue would fund a convention center expansion, homeless services and road repair. The council was split on its decision because voters passed Measure L in 2016. Measure L called for citizens initiatives to be placed on November general elections, when turnout is highest. However, the measure gave the City Council the option to move votes to different elections if it sees fit. It is still unclear whether the measure needs a simple majority or two-thirds support. The City Council is expected to formally place the tourist tax increase on the March ballot when it calls for the election in the fall. 1092

A Republican state lawmaker in South Dakota has apologized after she shared a meme that advocated violence against protesters.KSFY-TV reports that Rep. Lynne DiSanto shared an image on her Facebook page on Sept. 7 that depicted a car plowing through a crowd of protesters with the caption “All Lives Splatter.”“Nobody cares about your protest, keep your a** out of the road,” the meme says.  404