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White House staff just got an email telling them not to come to work if they have symptoms. If they develop them, they’re told to go home and contact their primary care provider. “Staff should not go to the White House Medical Unit clinic for any Covid-19 testing inquiries.”— Kaitlan Collins (@kaitlancollins) October 5, 2020 334

Who gets to be first in line for a COVID-19 vaccine? U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr. Francis Collins, director of the National Institutes of Health, recently told one of the advisory groups the government asked to help decide. “There will be many people who feel that they should have been at the top of the list.”Traditionally, first in line for a scarce vaccine are health workers and the people most vulnerable to the targeted infection.But Collins tossed new ideas into the mix: Consider geography and give priority to people where an outbreak is hitting hardest.And don’t forget volunteers in the final stage of vaccine testing who get dummy shots, the comparison group needed to tell if the real shots truly work.“We owe them ... some special priority,” Collins said.Huge studies this summer aim to prove which of several experimental COVID-19 vaccines are safe and effective. Moderna Inc. and Pfizer Inc. began tests last week that eventually will include 30,000 volunteers each; in the next few months, equally large calls for volunteers will go out to test shots made by AstraZeneca, Johnson & Johnson and Novavax. And some vaccines made in China are in smaller late-stage studies in other countries.For all the promises of the U.S. stockpiling millions of doses, the hard truth: Even if a vaccine is declared safe and effective by year’s end, there won’t be enough for everyone who wants it right away -- especially as most potential vaccines require two doses.It’s a global dilemma. The World Health Organization is grappling with the same who-goes-first question as it tries to ensure vaccines are fairly distributed to poor countries -- decisions made even harder as wealthy nations corner the market for the first doses.In the U.S., the Advisory Committee on Immunization Practices, a group established by the Centers for Disease Control and Prevention, is supposed to recommend who to vaccinate and when -- advice that the government almost always follows.But a COVID-19 vaccine decision is so tricky that this time around, ethicists and vaccine experts from the National Academy of Medicine, chartered by Congress to advise the government, are being asked to weigh in, too.Setting priorities will require “creative, moral common sense,” said Bill Foege, who devised the vaccination strategy that led to global eradication of smallpox. Foege is co-leading the academy’s deliberations, calling it “both this opportunity and this burden.”With vaccine misinformation abounding and fears that politics might intrude, CDC Director Robert Redfield said the public must see vaccine allocation as “equitable, fair and transparent.”How to decide? The CDC’s opening suggestion: First vaccinate 12 million of the most critical health, national security and other essential workers. Next would be 110 million people at high risk from the coronavirus -- those over 65 who live in long-term care facilities, or those of any age who are in poor health -- or who also are deemed essential workers. The general population would come later.CDC’s vaccine advisers wanted to know who’s really essential. “I wouldn’t consider myself a critical health care worker,” admitted Dr. Peter Szilagyi, a pediatrician at the University of California, Los Angeles.Indeed, the risks for health workers today are far different than in the pandemic’s early days. Now, health workers in COVID-19 treatment units often are the best protected; others may be more at risk, committee members noted.Beyond the health and security fields, does “essential” mean poultry plant workers or schoolteachers? And what if the vaccine doesn’t work as well among vulnerable populations as among younger, healthier people? It’s a real worry, given that older people’s immune systems don’t rev up as well to flu vaccine.With Black, Latino and Native American populations disproportionately hit by the coronavirus, failing to address that diversity means “whatever comes out of our group will be looked at very suspiciously,” said ACIP chairman Dr. Jose Romero, Arkansas’ interim health secretary.Consider the urban poor who live in crowded conditions, have less access to health care and can’t work from home like more privileged Americans, added Dr. Sharon Frey of St. Louis University.And it may be worth vaccinating entire families rather than trying to single out just one high-risk person in a household, said Dr. Henry Bernstein of Northwell Health.Whoever gets to go first, a mass vaccination campaign while people are supposed to be keeping their distance is a tall order. During the 2009 swine flu pandemic, families waited in long lines in parking lots and at health departments when their turn came up, crowding that authorities know they must avoid this time around.Operation Warp Speed, the Trump administration’s effort to speed vaccine manufacturing and distribution, is working out how to rapidly transport the right number of doses to wherever vaccinations are set to occur.Drive-through vaccinations, pop-up clinics and other innovative ideas are all on the table, said CDC’s Dr. Nancy Messonnier.As soon as a vaccine is declared effective, “we want to be able the next day, frankly, to start these programs,” Messonnier said. “It’s a long road.”___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5581

WINCHESTER, Calif. (KGTV) -- A brush fire that erupted in Riverside County Thursday afternoon has so far scorched hundreds of acres.The brush fire, which was named the Patterson Fire, is burning north of Temecula in Riverside County. So far, one home was destroyed by the blaze and six others are being evacuated.So far, there are no reports of injuries. The fire has so far scorched 1,200 acres and is 40 percent contained, Cal Fire reports.  471

WINDSOR, Ontario — Caesars Windsor Hotel and Casino is temporarily closed due to a labor dispute with a local union.According to the company's website, the closure is the result of a labor disruption. A message on the site says, "At this time, hotel reservations booked between Friday, April 6 until Thursday, April 12 have been canceled."The Unifor Local 444 Facebook page says there was a tentative deal in place as of April 3 but that fell through.On Thursday night, only 41 percent of union members voted in favor of the new deal, which caused the strike. The 444 handles everything from janitors and food/waitstaff to hotel clerks.The casino says that Friday’s Johnny Reid concert has been postponed. Ticketholders can use their tickets when the show is rescheduled, or get a refund. However, tickets purchased at the Caesars box office will not be refunded until it reopens following the labor dispute. Right now, the casino says all other shows are scheduled until further notice.It's not clear how long the employee strike will last. The last strike at the casino happened in April of 2004 and lasted about 40 days.The casino released this statement: 1166

Where and how Americans work has forever changed because of COVID-19. If you have the type of job that can be done remotely, you can do it wherever you can find internet.Some are taking the opportunity to work from new and exotic locations. As we all approach the fall, parents are realizing that kids can learn from anywhere too.When the pandemic hit, and everyone went remote, David Wells and his girlfriend hatched a plan. It was time to leave Brooklyn.“It’s a wonderful place, that said it’s an urban metropolis and we are people who love to be outside and Idaho is a different type of location that offers various outdoor activities that are important to us,” Wells said.So, they left. After all, all they really need is an internet connection.“The traditional work day has totally changed with our present situation and it’s taken some time to get used to it,” Wells said. “The ability to work remote and see new parts of the country and it makes you happier and ultimately a more productive employee.”Now, they fish, horseback ride, explore and hike. They've even taken up archery.“We’ve hiked in the Tetons, we’ve horseback with a number of outfitters, we’ve taken day trips to other cities like Ashton in St. Anthony. We saw the dunes in St. Anthony,” Wells said.All while keeping their day jobs.“They understand as long as you’re present and you have internet access that you’re able to do whatever it is you need to do, whether you’re in an office or remote,” Wells said.Property managers say it's a trend they're seeing a lot of.“The 30-day rental used to be more of a unicorn than it is now,” Danessa Itaya, president of Property Management Inc., said.PMI has 260 franchises across the United States.“We hear from our franchisees that they’re getting these 2-3 month rentals, but they’re asking for upgrading internet so I can work remotely (and) how easy can I access the grocery store and the beach,” Itaya said.San Antonio, Texas, Austin, Texas, Naples, Florida, and Idaho are destination hot spots.“Driggs, Idaho, is a feeder into Yellowstone, into Jackson Hole, Wyoming, and they’re regularly looking at 1-3 month rentals. You don’t usually get that, especially in Driggs, Idaho,” Itaya said.Now, as fall approaches, the other inquiry is about school, and internet bandwidth to support both distance learning and remote employees.“They need high-speed internet which is not common,” Itaya said. “You don’t normally get that request from a vacation rental. They need reliable internet and they need cleaning services and laundry services so they’re looking for longer stays.”Proof that people are finding the coronavirus quarantine as an opportunity to do something you would otherwise never do.Wells and his girlfriend are planning on making it a tradition. 2783