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Some of the COVID-19 vaccine candidates call for more than one shot, so how do we make sure patients come back?Three experts all tell us preparing people for the side effects will be critical.A nursing researcher described those side effects in a JAMA article. She suspects she had the experimental vaccine as part of Pfizer’s Phase III clinical trials.After the second shot, she said she was light-headed, nauseous, had a headache, ran a fever, and was hardly able to lift her arm from muscle aches. She wasn't warned and it scared her into thinking she might have COVID-19.“The immune system is revving up,” said LJ Tan, Chief Strategy Officer at the Immunization Action Coalition. “It's responding to that vaccine, and I think we need to tell our patients that so that they expect that. Otherwise, they're going to say, ‘wow that thing hurt, I'm not coming back for that second dose.’”For comparison, a recent shingles vaccine also requires more than one dose and can be painful. Providers and advocates lead education efforts on what to expect. The return rate after the first shot for shingles is about 80%, which is considered high.One suggestion is to put information on side effects in COVID-19 vaccine distribution kits.The Centers for Disease Control and Prevention (CDC) has already said it plans to include index cards that tell patients what they had and when their next dose is due. That's on top of electronic reminders like email or texts.The federal government has also promised to cover most costs for the vaccine.One doctor says he'd take that a step further.“I feel extremely strongly that we should do everything we can in terms of customized, personalized patient support programs, and even recommend that the federal government go beyond free and provide small rewards or incentives for people who complete the two-dose program,” said Dr. A. Mark Fendrick, Director of the University of Michigan's Center for Value-Based Insurance Design.There's some protection for people who only get one dose of the Pfizer vaccine, but nearly full protection is better. The second dose also boosts antibodies.“That's important because of waning immunity. The higher your antibodies when you start, the longer it takes for that to decrease over time, and potentially make you more susceptible,” said Dr. Gregory Poland, Director of the Mayo Clinic's Vaccine Research Group.That means the best thing is to get both doses as was tested in the study. 2463

Several people were hurt in an "inmate-on-inmate" disturbance at CoreCivic's Red Rock Correctional Facility in Eloy, Arizona on Sunday morning.Twelve inmates were taken to outside medical facilities for treatment of non-life-threatening injuries, and one staff member was treated and released for minor injuries sustained in the incident, according to Jonathan Burns, CoreCivic's Director of Public Affairs.Burns says the disturbance happened just after 8:30 a.m. local time.The facility has been secured and all inmates and staff are accounted for, Burns said. CoreCivic is working with the Arizona Department of Corrections and local law enforcement as they continue to investigate.   724

Social media has changed how campaigns reach voters before an election. It has also changed how news is spread.Websites known as “pink slime” organizations use computer-generated algorithms to produce content. These sites, unlike traditional news outlets which are funded by advertisements or subscriptions and maintain an editorial protocol, are generally funded for the purpose of promoting an agenda.The Tow Center for Digital Journalism at Columbia University found in late 2019 a total of 450 websites it described as “pink slime” organizations. Of these, 189 were designed in a way to appear to be local news outlets.The Tow Center said in 2020, that number has grown considerably to over 1,000 such sites.While many local newspapers have folded in recent years, the opportunity for news stories driven by algorithms to get traction with a community has grown.A New York Times investigation spotlighted groups such as Metric Media, Locality Labs, Newsinator, Franklin Archer and Interactive Content Services. These organizations run hundreds of sites that appear to look like traditional news outlets.“It is becoming an increasingly common campaign strategy for PACs and single-interest lobbyists to fund websites that borrow credibility from news design to help advance particular agendas,” according to a report by the Tow Center. “The proliferation of politically-funded local news sites across the political spectrum raises questions about how these entities represent themselves to the public, and how they are categorized by search engines and social platforms.”Adding to the concern of these outlets, according to the Tow Center, is that 90% of these stories are “algorithmically generated using publicly available data sets or by repurposing stories from legitimate sources.”The remaining 10% of these stories?“Many of the stories are directed by political groups and corporate P.R. firms to promote a Republican candidate or a company, or to smear their rivals,” according to a New York Times report.Not only are these sites growing while a number of legitimate news outlets are struggling to stay open, but they are increasing during an era of misinformation.Just last week, the FBI and intelligence community officials warned Americans of growing foreign influence in US elections. These foreign actors, according to leaders from the FBI and national intelligence agencies, say misinformation is being weaponized in hopes of influencing the election.And with misinformation spreading on the internet, trust in the news media as a whole has dropped significantly in recent years. According to Gallup polling, the number of Americans who say they trust the news had dropped from 72% in 1976, to a low of 32% in 2016. More recent polling places the proportion of Americans who trust the media at 40%.But one area of the media that Americans say they trust is their local news. In 2019, 67% of Americans said they can trust their local paper, which is up from 61% in 1998. Gallup also found last year that 74% say they trust their local TV news, and 65% say they trust their local radio news, both up slightly from 1998.While most Americans trust their local news, according to Penny Abernathy, nearly 1,800 local newspapers have closed since 2004. Worse, Abernathy told Poynter that these closures have created “news deserts” in small communities.“And when you lose a small daily or a weekly, you lose the journalist who was gonna show up at your school board meeting, your planning board meeting, your county commissioner meeting,” Abernathy told Poynter.With local newspapers getting the ax across the US, these pink slime sites have been able to take advantage of the credibility of local outlets, even though their reporters are not local to the areas they serve, and that’s assuming the story was not written by a computer.The Tow Center published a list of these so-called pink slime sites. To see the list, click here. 3947

So many people have expressed an interest in attending President Donald Trump’s rally Saturday in Tulsa, Oklahoma, that the governor said he’s asked the campaign to consider a larger, outdoor venue to accommodate them.Gov. Kevin Stitt said Monday after talking with Trump and Vice President Mike Pence that nearly one million people have requested tickets to the event. Some Trump supporters have already started waiting in line outside the 19,000-seat BOK Center in downtown Tulsa.“We’re excited we’re being recognized as one of the first states to safely and measurably reopen,” Stitt told reporters Monday. “I’m looking for a potential other venue that maybe we could move it outside. It’s still kind of in the works.”Stitt, who plans to introduce Trump at Saturday’s rally, said he also asked Trump and Pence to join him on a tour of the city’s Greenwood District, once home to a prosperous African American community dubbed Black Wall Street that was burned to the ground during a racially motivated massacre in 1921 that left as many as 300 people dead.The Trump campaign initially planned to hold the rally on Friday, which is Juneteenth, a celebration of the end of slavery in the United States, but agreed to move the date to Saturday at the request of Stitt and others.The Trump campaign didn’t immediately respond to a request for comment on whether they’re considering moving the event to a larger venue, and the White House didn’t respond to a request for comment on accepting Stitt’s invitation to tour the Greenwood District.Health officials, including Tulsa County Health Department Director Bruce Dart, have voiced concerns about having so many people in a confined space, noting both the state and Tulsa have seen daily highs in the number of positive cases in recent days.Oklahoma County Republican Party Chairman David McLain said Monday that the Trump campaign intends to fill every one of the venue’s seats. He said the campaign also intends to provide masks to every person who attends, although he said there won’t be a requirement to wear one.“I haven’t heard of any policy of mandatory mask wearing at this point,” McLain said, “but that’s fluid and could possibly change.”Social distancing is still encouraged in Oklahoma but there’s no prohibition on large gatherings.There have been more than 8,400 confirmed positive cases of COVID-19 and 359 total deaths in Oklahoma from the disease, more than half of which have been residents of nursing homes or long-term care facilities.Oklahoma began allowing some businesses, like hair salons, pet groomers and spas, to reopen on April 24 during its first phase of reopening. The state has since moved into its third phase of reopening, with virtually no restrictions on businesses.While acknowledging the state has seen a recent surge in the number of people testing positive for the coronavirus, Stitt said much of that is due to an increase in testing. He also said only 150 people are currently hospitalized due to COVID-19 and that the state has plenty of hospital capacity.“We need to continue to be vigilant and continue to take precautions,” Stitt said, “but we also have to learn how to deal with COVID, because it’s in the United States, it’s in Oklahoma, and we can’t let it dictate our lives.” 3284

Starbucks announced in a press release Tuesday that it will close 8,000 company-owned stores in the United States on May 29 in order to provide its staff with mandatory racial-bias education.The stores will be closed during afternoon hours that day. At that time, employees will be required to attend a training session that will address "implicit bias, promote conscious inclusion, prevent discrimination and ensure everyone inside a Starbucks store feels safe and welcome."The press release states that the program will be developed with "national and local experts on confronting racial bias," along with NAACP officials and former Attorney General Eric Holder.The announcement comes just days after two black men were arrested at a Philadelphia Starbucks. The police were called because the men chose not to order anything. The men were later released when the company chose not to press charges.Starbucks CEO Kevin Johnson apologized for the arrest on Monday, calling the situation "reprehensible.""Starbucks stands firmly against discrimination or racial profiling," Johnson said. 1109