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NEW YORK — An influential scientific panel on Tuesday voted to recommend to the CDC that when a COVID-19 vaccine becomes available, both front line health care workers and residents in long-term care facilities should be prioritized first. The Advisory Committee on Immunization Practices voted 14-1 in favor of adopting the following recommendation: When a COVID-19 vaccine is authorized by FDA and recommended by ACIP, vaccination in the initial phase of the COVID-19 vaccination program (Phase 1a) should be offered to both 1) health care personnel and 2) residents of long-term care facilities.Watch the meeting live here."About one (American) dies every minute from COVID-19. During this ACIP meeting, about 120 people will die," Dr. Beth Bell said during initial remarks at the beginning of the virtual meeting Tuesday.The ACIP met Tuesday afternoon in an open-to-the-public, virtual meeting to vote on the proposal that gives priority to health care workers and patients in nursing homes and other long-term care facilities. The two groups together represent around 23 million Americans out of a population of about 330 million; about 21 million in health care professions and less than 3 million adults living in long-term care facilities.Current estimates project around 40 million doses combined available by the end of 2020. And each vaccine product requires two doses.The CDC said Tuesday they expect 5-to-10 million doses available each week after a vaccine is authorized by the FDA. They say these numbers necessitate the need for sub-group prioritizing, since not all health care workers or long-term care facilities can be vaccinated at once. Another consideration the panel discussed is not having an entire unit or group get vaccinated at once; if there are side effects like fatigue or other symptoms that necessitates taking a day or two off, this could leave a unit critically short-staffed. During Tuesday's presentation, Dr. Kathleen Dooling talked about statistics from COVID-19 patients in the US and how it lead to health care workers and long-term facility staff and patients to be at the top of the vaccine list. Long-term care facilities are responsible for six percent of COVID-19 cases and 40 percent of COVID-19 deaths in this country, she said. Later this month, the Food and Drug Administration will consider approval of two vaccines made by Pfizer and Moderna. The panel meeting Tuesday said they hope to learn more about the safety and effectiveness of the vaccines as more information is released by the FDA.Dr. Dooling said one of the questions they hope to ask about the Phase 3 trial data of both Pfizer and Moderna is how effective one dose of the vaccine has shown to be. They will also be taking a deeper look at the age groups of those included in the trial, and the efficacy of the vaccines on older people. Some of the comments during the public comment section referenced the lack of transparency released at this time about the vaccines and the panel trying to make vaccination decisions without it. However, the panel, while voting, expressed faith in the FDA's process of approving the vaccine as safe for all Americans. Once vaccines are given, the CDC and FDA will be asking all health care providers and facilities to use the existing Vaccine Adverse Event Reporting System, VAERS, to monitor any side effects and adverse reactions to the COVID-19 vaccines. The advisory panel will meet again at some point to decide who should be next in line. Among the possibilities: teachers, police, firefighters and workers in other essential fields such as food production and transportation; the elderly; and people with underlying medical conditions.Experts say the vaccine will probably not become widely available in the U.S. until the spring.ACIP is a 15-member panel of outside scientific experts, created in 1964, that makes recommendations to the director of the Centers for Disease Control and Prevention, who almost always approves them. Childhood vaccine schedules are one example of the work of this group. The recommendations are not binding, but for decades they have been widely heeded by doctors, and they have determined the scope and funding of U.S. vaccination programs.It will be up to state authorities whether to follow the guidance. It will also be left to them to make further, more detailed decisions if necessary — for example, whether to put emergency room doctors and nurses ahead of other health care workers if vaccine supplies are low. 4517

NEW YORK (AP) — Carl Reiner, the ingenious and versatile writer, actor and director who broke through as a “second banana” to Sid Caesar and rose to comedy’s front ranks as the creator of “The Dick Van Dyke Show” and straight man to Mel Brooks’ “2000 Year Old Man,” has died. He was 98.Reiner’s assistant Judy Nagy said he died Monday night of natural causes his home in Beverly Hills, California.He was one of show business’ best-liked men, the tall, bald Reiner was a welcome face on the small and silver screens, in Caesar’s 1950s troupe, as the snarling, toupee-wearing Alan Brady of “The Dick Van Dyke Show” and in such films as “The Russians Are Coming, the Russians Are Coming” and “It’s a Mad, Mad, Mad, Mad World.”In recent years, he was part of the roguish gang in the “Ocean’s Eleven” movies starring George Clooney and appeared in documentaries including “Broadway: Beyond the Golden Age” and “If You’re Not in the Obit, Eat Breakfast.”Films he directed included “Oh, God!” starring George Burns and John Denver; “All of Me,” with Steve Martin and Lily Tomlin; and the 1970 comedy “Where’s Poppa?” He was especially proud of his books, including “Enter Laughing,” an autobiographical novel later adapted into a film and Broadway show; and “My Anecdotal Life,” a memoir published in 2003. He recounted his childhood and creative journey in the 2013 book, “I Remember Me.”But many remember Reiner for “The Dick Van Dyke Show,” one of the most popular television series of all time and a model of ensemble playing, physical comedy, and timeless, good-natured wit. It starred Van Dyke as a television comedy writer working for a demanding, eccentric boss (Reiner) and living with his wife (Mary Tyler Moore in her first major TV role) and young son in suburban New Rochelle, New York.“The Van Dyke show is probably the most thrilling of my accomplishments because that was very, very personal,” Reiner once said. “It was about me and my wife, living in New Rochelle and working on the Sid Caesar show."Reiner is the father of actor-director Rob Reiner.His death was first reported Tuesday by the celebrity website TMZ. 2134

NEW ORLEANS, La. – A critically endangered gorilla that was born at a New Orleans zoo just six days ago has died.The Audubon Zoo says its animal care staff noticed Wednesday evening that the infant western lowland gorilla seemed lethargic and weak in the arms of its mother, 13-year-old Tumani. The young gorilla was transferred to the zoo’s animal hospital, but the veterinarian team could not revive it.The zoo says Tumani is currently being monitored by the veterinary team and the entire troop was given the opportunity to grieve the loss of the infant.The zoo says it took extra precautions leading up to the birth, working with Tumani on maternal training to prepare her to be comfortable with the possibility of staff assisting her with feeding or caring for the infant.“There are many risks involved with gorilla births and unfortunately, it is not unusual for a first-time gorilla mom to lose an offspring,” said Dr. MacLean, Audubon’s Senior Veterinarian, in a press release. “Our veterinary team worked with outside medical experts on site including Species Survival Plan Gorilla Birth Management Team, OB-Gyns, and neonatologist to help us prepare and manage this birth.”The mother and baby initially appeared to be doing very well, according to the zoo. Animal care staff were closely monitoring the infant’s health to ensure that mother and baby received the care needed. The infant reportedly appeared to be feeding and progressing well.The zoo says the cause of death is underdetermined at this time. Initially, officials say it appears that there was a lack of adequate lactation from Tumani to support the infant, but they plan to perform a necropsy to determine cause of death. Results will be available in a few weeks.“We are heartbroken over the loss,” said Ron Forman, Audubon Nature Institute President and CEO. “This has been a work in progress for many years, from the introduction of the new troop members to the announcement of the birth, everyone involved has worked tirelessly. I am incredibly proud of our team. We will continue to contribute to the conservation of this amazing species.”Many gorilla populations have declined or disappeared over the past few decades. Western lowland gorillas have been assessed by the International Union for Conservation of Nature as critically endangered, with a population decline of more than 80%, mainly due to illegal hunting, disease, habitat loss, and an increase in poaching. 2457

NEW PALESTINE, Ind. -- A huge snake spotted on a tree along a nature trail in New Palestine, Indiana is making people's skin crawl. Sandi Whitaker said she spotted the giant black snake while walking along the trail in the back of her neighborhood Sunday.  WATCH | Huge rattlesnake spotted at Brown County State ParkIt is unclear what type of snake it is at this time, but a spokesperson with the Department of Natural Resources told Scripps station WRTV in Indianapolis it appears to be a large rat snake or a grey rat snake. Both of those species can grow to be four to five feet long and are good climbers. Neither are venomous.   671

NEW YORK (AP) — The Cooper Hewitt, Smithsonian Design Museum has acquired two emoji that have helped broaden diversity for users of the tiny pictures. It becomes the third museum to add emoji to their digital collections. The New York museum acquired the “person with headscarf” and “inter-skintone couple” emoji for its burgeoning collection of digital assets. The museum plans an exhibition explaining the significance of the two through interviews and images, but the pandemic has put an opening date in limbo, said Andrea Lipps, Cooper Hewitt’s associate curator of contemporary design.“The desire to acquire these particular emoji arose from what we were seeing as the desire for inclusion and representation of various groups and communities and couples on the emoji keyboard,” Lipps told The Associated Press in an interview ahead of the announcement.The emoji are commonly known as “woman in hijab” and “interracial couple.”The hijab emoji, as it’s informally known, was submitted in 2016 to the Unicode Consortium, a nonprofit that oversees emoji standards with voting members from the world’s top digital companies. A then 15-year-old Saudi Arabian girl, Rayouf Alhumedhi, attracted worldwide attention as she campaigned for its inclusion. She was selected as one of Time magazine’s most influential teens of 2017.The interracial couple emoji was submitted to Unicode in 2018 and arrived on devices last year, giving people their first chance to combine multiple skin tones in a single emoji. It builds on the advocacy work of Katrina Parrott, a Black, Houston-based entrepreneur inspired to create diverse skin tones in emoji after her daughter lamented she couldn’t properly represent herself on keyboards. 1726