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A pedestrian photographs the White House through a fence covered in protest signs, Monday, Nov. 2, 2020, on a section of 16th Street renamed Black Lives Matter Plaza in Washington, on the day before the U.S. election. (AP Photo/John Minchillo) 251

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 report from the Tucson Police Department is revealing new details about the death of Carlos Adrian Ingram-Lopez while in TPD custody in April.The police department began its investigation into the incident hours after it happened on April 21. Nearly two months later, on June 19, the department finished its report and handed it off to TPD Chief Chris Magnus. After a news conference about the incident Wednesday, TPD released the full report to members of the news media.TIMELINE: What happened after Carlos Ingram-Lopez died while in TPD custodyThe report recommends termination for officers Samuel Routledge, Ryan Starbuck, and Jonathan Jackson, who had resigned the day before the investigation was completed.The discipline report focuses on how officers are supposed to treat someone in a state of “excited delirium," how it greatly increased the risk of dangerous physical distress and how the three officers failed to meet their standards and training.The report draws a number of conclusions about the officers involved in the incident. It says:The initial report of Ingram-Lopez's behavior should have prepared the officers to deal with excited delirium before they even saw him.Ingram-Lopez's behavior at the scene made excited delirium very clear.The report documents dates of when the officers had training on excited delirium at the academy and in other training sessions after that.Excited delirium and the likelihood of drug intake make overheating and rapid heartbeat something officers should anticipate.The fact that he was calling for water confirms they should have been more aware of his physical distress.The officers were trained on, and should have been alert to, signs of breathing trouble, like wheezing, and simply saying “I can’t breathe." Ingram-Lopez did both.The officers had been trained on the “recovery position” designed to reduce physical distress on a restrained suspect.One of the officers who arrived later said within 15 seconds, “Shouldn’t he be in the recovery position?” That officer is not being disciplined.The officers put a “spit sock” over Ingram-Lopez's face because of his choking and clearing his throat made them fear he would spit and spread COVID-19. The spit sock was available to officers even before the COVID outbreak.While officers did not use prohibited methods like neck holds, they noted Ingram-Lopez was a large man and one of the officers kneeled on his back for a sustained period.Officer Jonathan Jackson was Lead Police Officer -- slightly more senior than the other officers who first arrived at the scene. He was expected to take command and organize the other officers. The report says he failed to command adequately and organize the police response.Other officers either reacted appropriately or were with the grandmother, where they were not well aware of what was happening with Ingram-Lopez.Overall, the report concluded the officers ignored their training and were unaware or indifferent to Ingram-Lopez's situation and physical distress.Click here to read TPD's full report.KGUN's Craig Smith first reported this story. 3106

A new rule change will allow parents to get their children vaccinated at pharmacies in all 50 states.“Her pediatrician wanted her to have a pneumonia vaccine because of what’s going on with COVID. Unfortunately, the pediatrician doesn’t stock it, it’s expensive to order,” said Theresa Tolle, who owns a pharmacy in Florida.She was recalling a story involving one of her customers who needed to get her daughter a vaccine.“The Health Department didn’t have it and the mom was losing her mind. Calling everywhere and nobody, no pharmacy can give it because of the laws in our state,” said Tolle.It’s a story a lot of parents can relate to, especially around back-to-school time. Because of the laws in Florida and many states, Tolle, who is licensed to administer vaccines to adults, wasn’t able to do the same for this young girl.“Ultimately, what I ended up doing is ordering it for mom, ran it through her insurance, she picked it up, had it taken to the pediatrician to administer,” said Tolle.For many busy parents, making an additional appointment and taking time off to get their kids a shot can be a headache.But the Department of Health and Human Services just made a rule change that might make things easier. It allows for pharmacies in every state to administer vaccines to kids aged three to 18.According to the Centers for Disease Control and Prevention, after kids turn three, they should still get major immunizations like second doses of the measles, mumps, rubella, polio, tetanus, diphtheria and others. And don’t forget to add an annual flu shot.“As long as it increases vaccination rates, I think it’s fantastic,” said Dr. Malcolm Anderson.Anderson works in the Pediatric ICU at the Rocky Mountain Hospital for Children in Colorado. He’s very supportive of the rule change.“In the pediatric ICU, we only see the children that don’t get vaccinated and then when they get one of the illnesses they would have been protected against. That’s when we see them. So, I think anything that would help them get one of those bad illnesses would be amazing and help the parent avoid the stress and hardship of going through an ICU admission and seeing their kid very ill,” said Anderson.Before the rule change, 30 states had restrictions on vaccines being administered by pharmacies. Three states, including Florida, did not allow it at all.But now, pharmacies in all states can give flu shots to kids and adults.“This fall, they are heavily trying to promote flu shots to try and help protect all patients, all ages,” said Tolle.“If you’re at the pharmacy refilling your meds every three months or every month, then it’s nice to be like, oh, you’re offering flu shots here, I’m already getting my meds,” said Anderson.Theresa says she thinks that the rule change could also get the country ready for mass distribution of a COVID-19 vaccine.“Just COVID vaccine coming. We know little about that right now, but this order in theory would prepare pharmacists to be able to do that,” said Tolle.Until a COVID-19 vaccine comes, Tolle says she’s just happy to be able to give kids the immunizations they need to stay healthy. 3137

A pro-growth group's sweeping victory this week could smooth the road for more dense housing in San Diego's uptown neighborhoods.The group, Rise Up Town, won all seven open seats on the city's Uptown Planning Group. The all-volunteer board makes official recommendations to the City Council on proposals in Hillcrest, Bankers Hill, Mission Hills and parts of University Heights. Rise Up Town campaigned on "taller, well designed buildings," with support for affordable development, faster approval, and more walkable and bikeable neighborhoods, with lower speed traffic. It also said the current board members weren't doing enough to support growth in a time that San Diego needs it. "We thought that we could address the problems that we saw in terms of housing affordability, in terms of bike and pedestrian infrastructure within the community," said Clint Daniels, one of the newly elected members. "We got together, we were passionate about it, and we thought those passionate ideas that we could serve the community well."About 500 people voted in the election, held Tuesday before the Uptown Planning Group's meeting. The vote unseated three incumbents, including board chair Leo Wilson. Mat Wahlstrom, who lost his bid for re-election, said he's concerned the new members could serve as a rubber stamp for developers. "None of us have said anything against appropriate density," he said. "We definitely don't want to put all of uptown under saran wrap."There are 17 members on the Uptown Planning Group. Another seven seats are up for re-election next year. 1573