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While the teams on the field at Super Bowl LV are yet to be determined, the halftime performance has been decided: The Weeknd. 134

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 U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr.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

While performing at a concert near San Bernardino, California on Sunday, rock star Marilyn Manson pointed a fake rifle at concertgoers.Manson, who was performing Sunday at a venue in Devore — a town 10 miles north of San Bernardino — mounted a microphone atop an orange-tipped rifle and performed a song while pretending to spray the crowd with bullets, according to video published by TMZ.  409

When it comes to eating healthy we tend to think about weight loss. But the impact on our blood pressure and cholesterol is just as important.Just ask a young woman who's survived not one, but two heart attacks. She talks about overcoming the odds, and how a heart-healthy diet is helping her fight back.In a small room, it's dinner time. But it's more than a love of food that's bringing these people together. It's a love and appreciation for life."So my name is Michelle," says one woman seated at the table. "I've had two heart attacks."Michelle Melvin and everyone at the table has had at least one close call with their hearts."What did you think when the doctor told you you'd had a heart attack?" The NOW's Kumasi Aaron asked Melvin. "It was disbelief," she responded.Melvin was 41, active and healthy overall when she felt a pain in her temples and her forearms went numb."But, did I ever think heart attack?" Melvin recalls. "No. I was 41 years old. That doesn't happen happen when you're 41." Her first thoughts? Her 8 and 10 year old sons.Melvin says, "It was just more of that sacredness of I can't, I can't die. With these babies at home still."She changed her diet and lifestyle but five years later, she had another heart attack."It wasn't supposed to happen again you know?" Melvin says. "You're not supposed to get it twice."Doctors diagnosed her with SCAD, a rare heart disease that mostly affects young women."The patients that it affects frequently are super healthy patients," says Kasier Permanente Cardiac Registered Nurse Amanda Bloom. "These are women who are out there doing marathons, they really take good care of themselves that's kind of what's so scary about it."Bloom started the support group. She wanted to make healthy eating a big part of it, because of its impact."It can really greatly reduce your risk of having another heart incident," Bloom says. "And for someone who hasn't had one it really reduces the risk of ever having one."Bloom prepares the dishes herself. Kale apple and pecan salad, and butternut squash and lentil soup. When it comes to eating heart healthy, Bloom says fruits, dark leafy greens and vegetables are key.For Melvin, the guidance she gets from Bloom about eating heart healthy is giving her important confidence."It kind of like jump starts," Melvin says. "It's like okay I can do this. I can go back and I can be strong again."Becoming stronger with each bite, for whatever life might bring.You can find more more healthy recipes from Kaiser Permanente here. If you want to try the heart healthy dishes Bloom made for her patients, the recipes are below:Kale, Apple and Pecan SaladIngredients:2 bunches laccinato Kale-tear into bite size pieces, remove ribs-Also called Dinosaur Kale2 apples, chopped into  bite size pieces.1 cup pecans, toasted, roughly chopped? cup dried Cranberries or datesScant lemon juiceDressing:? cup Dijon mustard? cup apple cider vinegar? cup honeyDirections:Place kale in a bowl and sprinkle with a pinch of salt. Drizzle with one teaspoon of olive oil. Massage kale for a couple minutes to tenderize.Sprinkle a little lemon juice over apples to keep them from browning.Mix together kale, apple, pecans, and cranberries.Toss with dressing and serve. Start with ? cup of dressing then add more as needed to taste. Butternut Squash and Lentil SoupIngredients:1?4 cup olive oil4 cloves garlic, finely chopped3 medium carrots, finely chopped2 stalks celery, finely chopped1 medium white onion, finely chopped1 tsp. ground cumin1 small butternut squash (about 1 lb.) peeled, seeded, and finely choppedKosher salt and freshly ground black pepper, to taste6 cups diluted low sodium veggie stock1 cup red lentilsFinely chopped parsley, for garnishYogurt sauce:? cup non-fat Greek yogurt? tsp smoked paprika2 TBSP of olive oilPepper, salt to tasteDirections:Heat oil in a 6-qt. saucepan over medium-high heat. Add garlic, carrots, celery, and onion; cook, stirring occasionally, until slightly caramelized, 12–14 minutes. Stir in cumin, chile flakes, squash, salt, and pepper; cook until squash is soft, about 15 minutes. Add stock and lentils; bring to a boil. Reduce heat to medium-low; cook, slightly covered, until lentils are very tender, about 20 minutes. Let soup cool slightly, then, working in batches, purée soup until smooth. Stir paprika and 2 TBSP olive oil into yogurt to make sauce. Ladle soup into bowls and garnish with parsley and paprika.  Add a dollop of yogurt sauce and swirl in.  4532

While we can’t speak to these specific allegations due to student confidentiality laws, we can share that we regularly work in collaboration with parents to evaluate and place students in special education services as needed, and have been recognized at both the state and national level for our special education program. Additionally, complaints of bullying or harassment that are reported to school or district leadership are investigated and addressed. 465

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