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When a vaccine is approved, who will get it? How will it get to them?Johns Hopkins has a plan to make front line workers and those most vulnerable first in line. Other experts say that may not be the best approach.“It may be better to immunize people who are at high risk of transmitting the virus both because of jobs, living situations and other circumstances,” said Dr. Ezekiel Emanuel while speaking with the head of the Journal of the American Medical Association. “And that I think we have to leave an open mind and look at some detailed modeling about what the best way is to reduce the premature mortality.”Emanuel says transmission between health care workers and patients is basically zero where he is. He says effective PPE use is the reason.The groups Johns Hopkins said should get a vaccine first could be as big as 90 million people.Emanuel says there won't be enough doses out of the gate to get all of any initial groups.“You don’t actually distribute it evenly among countries,” he said. “You concentrate on countries that at the moment when you have the vaccine have severe hot spots and where the vaccine is going to make the biggest difference in terms of reducing premature death.”Johns Hopkins experts say a vaccine's effectiveness is measured on preventing disease. That doesn't mean it prevents infection and transmission. We won’t know how effective it will be until after it’s in use.“A disease transmission strategy makes a lot of sense, but we need a lot more information before we can know who to prioritize,” said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security. “It’s quite possible we will go to a strategy like that.”The World Health Organization said younger people in their 20s, 30s and 40s are increasingly driving spread.The first vaccines will likely be two doses. Experts say that means double the syringes, needles, vials and other supplies, along with getting people to come back for a second dose. 1980

Winston-Salem, NC (WGHP) -- Two women were arrested on child abuse charges Tuesday, according to a news release from Winston-Salem police in North Carolina.Michaela Pearson and Candice Little are each charged with felony child abuse and three counts of contributing to the delinquency of a minor.Officers received numerous reports of a Facebook video showing multiple young children being given what appeared to be an illegal substance by two women.The children were 2 years old, 3 years old and 18 months old, according to arrest warrants. 548

When you're facing a medical emergency, you trust your life to the doctors at in the emergency room. Those doctors sometimes have just seconds to make life or death decisions. Four in Your Corner is giving you an inside look as to what it's like to be an ER doctor."I love the pace of things and it takes a certain person to be an ER doctor," Dr. Keith Burley, who works in Cape Coral Hospital's emergency room, said/ "Emergency medicine is a true team sport. It takes the whole department to really resuscitate someone who is very sick.""Say someone comes in in cardiac arrest. They come in right through our trauma bay doors. They're dropped into one of our resuscitation rooms. Our team organizes very quickly. Everyone knows their jobs," Dr. Burley said.\In cases like this, techs will be running IVs; nurses will be hooking up defibrillation pads. Pharmacists will be running drugs. Staff will be trying to find out a patient's name. Dr. Burley said it's all about balancing quickness with efficiency while making sure patients are safe during triage."It's very important we triage effectively, making sure we point out and pick up the really sick people early on so we dedicate most of our resources to those sick people," Dr. Burley said. "We do need to triage because we have limited resources we need to effectively implement."Dr. Burley said when he sees a patient, he's trained to think worst case-scenario first."So someone coming in with a headache, we think, could this be a stroke? Could this be a subarachnoid hemorrhage? Could this be something else going on? Before we think it's just a headache," he said.Dr. Burley has known he's wanted to be a doctor since he was four years old after he was in a life-changing, dangerous situation."Like a good Canadian, I was tobogganing down a hill. We were going down the hill and my brother bailed. We continued to go down the hill and I hit a tree with my head," he said.He had a fractured skull and lost hearing in his left ear."I was seen by ER doctors, trauma doctors, a pediatric neurologist, had multiple MRIs," he said. "From that point on, as a young child, I always wanted to be a doctor."He said one of his most bizarre cases was just hours before Hurricane Irma hit. A dog was brought into the ER with it's eye hanging out."I'm not a veterinarian and I don't pretend to be one. I have a dog but it's a little out of my realm," Dr. Burley said. "We placed a pressured dressing and one of the staff members was able to call around to get a vet to see that dog just before the storm."For that dog and family, it was a happy ending, but Dr. Burley said the hardest part about emergency medicine are the days he deals with death and dying."It takes a certain person to deal with death and dying every day and then come back. It's a resiliency characteristic that all the ER staff have," Dr. Burley said.Whether their patients survive or not, the doctors have to learn to compartmentalize -- going from patient to patient until the end of their eight to 10 hour shift."We'll see a pediatric drowning, and then the next case we'll see someone with an eyeball injury, or someone with a simple laceration, and we have to give that patient the same amount of attention we gave the other patient and reset," he said."It's a privilege to be in a discipline where you get to see someone on their worst day of their entire life, and if you can make that a little better, you've done your job," he said.Dr. Burley said to unwind, he spends a lot of time at the beach and kite surfing. 3562

When it comes to voting in-person, Election Day in Tennessee went off without a hitch and some say election workers had much to do with that.Two of the many election workers who helped make it happen were a husband and wife who have worked the polls for more than 30 years.Tuesday was a busy day for Ira and Norma Hendon, voters got in line in Clarksville at 7 a.m.But the Hendon's work started even earlier at 5:30 a.m. And it lasted until about 8 p.m. as they and others made sure every voter who wanted to cast their ballot did so with no problems.Ira and Norma have been election workers for decades, starting in Stewart County and now Montgomery County."But when they ask you how long you've been there, it’s kind of embarrassing," said Norma.They say in the many years since they began working the polls in 1988, a lot has changed including the voting machines themselves."They were the huge machines that looked like photography things with curtains in the front."Ira is 88 years old and Norma is 86 years old and they say there's no slowing down, not even for COVID-19. They say they felt safe the entire time with their masks and gloves.From former President George H.W. Bush to President Donald Trump, this couple has never stopped helping a first-time or long-time voter on Election Day.And even during a pandemic, they say they were encouraged by the turnout this year's large turnout."It was so inspiring to see so many people who had medical and physical issues. They came in wheelchairs, walkers, and everything and they just defied the odds to be able to vote," Norma said.They're not sure what they'll be doing come 2024 but when asked why they do it, the Hendon's say it's because it brings them joy."It’s good to meet wonderful people, that's the best part of it, you meet wonderful people all the time," said Ira.The couple says many voters come back each election and know them by name,This story was first reported by Kelsey Gibbs at WTVF in Nashville, Tennessee. 1993

When it comes to voting in-person, Election Day in Tennessee went off without a hitch and some say election workers had much to do with that.Two of the many election workers who helped make it happen were a husband and wife who have worked the polls for more than 30 years.Tuesday was a busy day for Ira and Norma Hendon, voters got in line in Clarksville at 7 a.m.But the Hendon's work started even earlier at 5:30 a.m. And it lasted until about 8 p.m. as they and others made sure every voter who wanted to cast their ballot did so with no problems.Ira and Norma have been election workers for decades, starting in Stewart County and now Montgomery County."But when they ask you how long you've been there, it’s kind of embarrassing," said Norma.They say in the many years since they began working the polls in 1988, a lot has changed including the voting machines themselves."They were the huge machines that looked like photography things with curtains in the front."Ira is 88 years old and Norma is 86 years old and they say there's no slowing down, not even for COVID-19. They say they felt safe the entire time with their masks and gloves.From former President George H.W. Bush to President Donald Trump, this couple has never stopped helping a first-time or long-time voter on Election Day.And even during a pandemic, they say they were encouraged by the turnout this year's large turnout."It was so inspiring to see so many people who had medical and physical issues. They came in wheelchairs, walkers, and everything and they just defied the odds to be able to vote," Norma said.They're not sure what they'll be doing come 2024 but when asked why they do it, the Hendon's say it's because it brings them joy."It’s good to meet wonderful people, that's the best part of it, you meet wonderful people all the time," said Ira.The couple says many voters come back each election and know them by name,This story was first reported by Kelsey Gibbs at WTVF in Nashville, Tennessee. 1993