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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

White House physician Ronny Jackson will not return to his role as President Donald Trump's personal physician, Politico reports, citing two senior administration officials.The move comes after Jackson, a Navy rear admiral, withdrew his nomination for secretary of veterans affairs following a string of allegations that included he loosely handled prescription pain medications, was intoxicated during an overseas trip, and created a toxic work environment. Jackson has denied the allegations.The White House did not immediately respond to CNN's request for comment. 575

We've all faced challenges communicating during the pandemic, whether it be a shaky Zoom call or asking someone to repeat what they said through their mask. But for people who are deaf or hard of hearing, communication has been even tougher. “First thing I did was start carrying a pad with paper and pen and I'd have to ask people to write things down. I can’t understand, when I walk into a store sometimes, what people are saying," said Michael Conley.Born deaf, Conley relies on reading lips to communicate and says others in the deaf community rely on facial expressions, both of which are often hidden behind a mask now in public. Conley says while many people are understanding, others get frustrated when he can't understand them. Conley decided not to go to his aunt's funeral due to the communication challenges he would face while at the airport, renting a car, and at the funeral itself. “As a deaf person, I think I’ve been isolated a lot anyway, and this just adds to it," said Conley.And after losing his job, Conley faced other communication challenges at home.“So many of us working from home, we’ve lost our jobs or something has happened where we have to make phone calls we didn’t have to before," he said.But the tech world is helping improve accessibility, with companies like Zoom and Google enabling live captioning for video calls, transcribing conversations within seconds.Conley’s also relied on an app that provides real-time captioning for phone calls. Called InnoCaption, calls are captioned by either a stenographer or automated speech recognition software.“It really changes everything," said Conley. "Before, I used to dread making phone calls. Now, it’s not a problem; it’s freed me completely.”Funded by the Federal Communications Commission, the app is available at no cost for the deaf and hard of hearing."It’s very intuitive," said Conley. "Everything is converted into text in real-time."Conley says in-person communication would be easier if people wore clear masks, but right now, that’s not happening much, making the innovations in his hand that much more of a lifeline. 2123

Whether you hate tootsie rolls or licorice, the truth is we've all received Halloween candy we don't like. But this year, Reese's is coming to the rescue with their very own candy exchange machine."Reese's Halloween Candy Converter Machine" was first released to the public on Sunday, October 28, during a Halloween parade in Tarrytown, New York.The machine allows people to trade in the candy they don't want for Reese's Peanut Butter Cups.But why is Reese's helping us with our candy struggles this year?Well, according to a recent survey commissioned by Reese's, 90% of Americans say that they have traded, or wish they could have traded, their unwanted candy on Halloween, Anna Lingeris, a spokeswoman for Reese's distributor Hershey, told CNN. 756

While not as many Americans are expected to travel for Thanksgiving as usual, 56% of Americans are intending on traveling according to data from Tripadvisor. Tripadvisor says that this year's figures are down from an estimated 70% of Americans travelling in 2019.Tripadvisor surveyed Americans from October 16 to 20, so it is possible increased travel restrictions associated with a rise in cases could scare off some from traveling by Thanksgiving. Many states are telling travelers to quarantine for two weeks before coming into contact with others. The vast majority of those traveling, 76%, say they will drive to their Thanksgiving destination, compared to just 11% who say they will fly.The survey found that 22% are staying in a hotel or vacation rental to practice social distancing from friends and family."Despite COVID-19 concerns, the majority of Americans are still traveling this Thanksgiving. The way in which consumers travel, however, will look very different from past years," said Christopher Hsi, Consumer Market Research Lead Analyst for Tripadvisor. "This year, we can expect shorter trips with smaller groups of people for more intimate, close knit gatherings. Many are taking day trips (24%) or spending one night at their destination. Americans are also continuing to avoid big cities, instead opting for warm weather and beach destinations in southern states. We do see, however, that Boomers are less likely to travel this year compared to last (29% vs. 51%)."Whether Americans can safely travel for the holidays remains up for debate, as many public health experts warn that informal gatherings have contributed to the spread of the virus, which has been killing roughly 1,000 Americans per day in recent days.“Unfortunately, the COVID-19 epidemic is worsening, and small household gatherings are an important contributor to the rise in COVID-19 cases,” the CDC said.The CDC issued guidance for holiday gatherings. Part of the recommendations say masks should be worn at holiday gatherings involving people who are not from the same household, and that guests stay 6 feet apart. The CDC also advises against handshakes and hugs.One public health expert says following these guidelines is dependent on your risk tolerance.“I am very risk tolerant,” Dr. Amesh A. Adalja, a senior scholar at the Johns Hopkins Center for Health Security, said in August. “I am an infectious disease physician. I have taken care of people with the coronavirus. Both of my parents are physicians. I don’t take any special precautious with my parents. I don’t think they take any special precautious with me.“I think physicians might be risk tolerant, but I have not changed my behaviors with people I see regularly, other than if they’re telling me they have a fever, and then I might say ‘stay away’ because I don’t want to be quarantined and not be able to work.”Adalja agrees, however, that there is a risk in attending family gatherings, and while face coverings are effective, they're not a panacea.If you ask Dr. Christopher Murray, the director of the Institute for Health Metrics and Evaluation at the University of Washington, he is opting not to see extended relatives amid the pandemic.“Personally, in our family, we will not have our family get together,” Murrays said about Thanksgiving. “I am particularly cautious. That would be our strategy. Certainly, we have avoided, on a personal level, we have avoided any indoor exposure to friends or family and have restricted any exposure at all to outdoor interaction where we can maintain 6 feet or more.” 3579