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The race for a COVID-19 vaccine appears to be on the horizon. But without large numbers of Americans getting the vaccine, the notion of herd immunity could be a challenge. Some are pondering whether people should be required to get a vaccine.Coronavirus cases are spiking across most of the country. Hospital ICU beds are becoming scarce, and a number of states are warning of potential lockdowns.“If they don’t start to bend this curve, then it is clear that we’re going to have to take more difficult measures and go to a stay-at-home order,” said Illinois Governor JB Pritzker.But there was some good news this week. Pfizer concluded phase three of its vaccine study. The two-shot course they say is 95 percent effective against COVID-19. Earlier in the week, Moderna said its vaccine is 94.5 percent effective.“Based upon the preliminary data that is out there, these vaccines appear to be quite safe and very, very effective at preventing COVID,” said Dr. Tina Tan, a professor of infectious disease at Northwestern University’s Feinberg School of Medicine and a pediatrician at the Ann & Robert H. Lurie Children’s Hospital in Chicago.If green-lit by the FDA, one question that may arise is whether Americans should be mandated to get vaccinated. In August, Dr. Anthony Fauci weighed in.“You don’t want to mandate and try and force anyone to take the vaccine. We’ve never done that,” said Fauci.According to a Pew Research survey in September, about half of U.S. adults (49 percent) said they definitely or probably would not get vaccinated. That was up from 27 percent in May.“I think it's going to be really important to build public trust before we talk about mandating vaccines for adults or even for children,” said Tan.Tan points out that none of the vaccines have been tested in children, and so, school mandated vaccinations could be years away.Still, legal scholars say local vaccine mandates have historically had solid legal precedent for enforcement for more than a century.“The short answer is yes, a vaccine can be mandated under the law,” said Juliet Sorensen, a professor of health and human rights at Northwestern University’s Pritzker School of Law.Sorensen says it’s still a complex question, not just about whether a vaccine can be mandated, but whether it should be.“The Constitution empowers state and local governments to take measures in furtherance of the public health as long as there is a basis in science for doing so,” she explained.And while few are endorsing a vaccination mandate right now, as the death toll climbs without universal mask-wearing and social distancing, it could be up for further debate. 2655

The number of US citizens seeking refuge in Canada skyrocketed last year.Exactly 2,550 Americans applied for asylum in Canada in 2017, according to data from Immigration, Refugees and Citizenship Canada. That's more than a sixfold increase from the 395 Americans who applied in 2016.It's believed that the hard-line immigration policies of President Donald Trump have fueled the increase in the number of Americans fleeing to Canada.The United States supplied the third-highest number of asylum-seekers to Canada in 2017, topped by Haiti (7,785 applicants) at No. 1 and Nigeria (6,005 applicants) at No. 2.There's a large number of asylum-seekers this year as well, with 1,215 Americans requesting refuge in Canada through the end of August.Canadian officials said that while Canada remains an open, welcoming country, crossing into it is not "a ticket for permanent residence.""Coming to Canada, asking for asylum in Canada is not a guarantee for permanent residence in Canada," Louis Dumas, a spokesman for the immigration ministry, said last year. 1063

The individual is currently being treated and will be transported to a medical facility. There are no other injuries reported at this time. This incident is under investigation. (2/2)— U.S. Marines (@USMC) July 7, 2020 226

The pandemic is coinciding with flu season, which is a potentially dangerous scenario doctors and nurses have given much thought to as the winter months approach.“How much is [the flu] going to play into things, and is it just going to make everything worse?” said Dr. Michelle Barron. “Is it going to comingle with COVID, and actually make people double sick or doubly ill?”Dr. Barron is the senior medical director of infection prevention and control at one of Colorado’s largest hospitals. She says staff has come up with contingency plans to deal with an influx of patients who might be battling serious flu symptoms.“We’ve been really encouraging our patients to get their flu shots and make sure they have that on their list,” she said. “We understand that there are some years that you’re debating whether or not it’s worth it, and we’re like this is the year you need to get it.”The CDC estimates around 196 million flu shots are available this year, a 13 percent increase from last year’s record-setting dosage of 175 million. It is an important number as last year 400,000 people were hospitalized for the flu, a potential burden hospitals have prepared for as bed space is now at a premium.“We’ve already surpassed the numbers of the first surge, so now, we’re like what’s next,” said Maddie Smith, a nurse at UCHealth in Colorado.Smith works in the hospital’s COVID ICU. She says while her unit has not reached a tipping point, it is expecting more flu patients to come in. Her unit has made plans to allocate more bed space to the seriously ill, regardless of cause, and treat them with whatever drugs are necessary. The good news, she says, is the flu has been treated for years, so doctors have a good plan of attack, and the measures we have taken to reduce the spread of COVID-19 are having a positive effect on the spread of the flu.“We usually are able to use the southern hemisphere as a good way to figure out what our flu season is going to look like,” said Dr. Barron. “They actually had a pretty mild flu season but COVID hit at the exact same time.”Dr. Barron says 3 to 5 percent of COVID-19 patients have had co-infection with another virus, showing complications are possible as flu season hits its stride, but not guaranteed.“I don’t think it’s anything that we can’t manage that we already haven’t thought about,” said Dr. Barron. 2367

The Miami Marlins announced Friday that they had hired Kim Ng as their new general manager, making Ng the first female GM in MLB history.According to ESPN, Ng is now the highest-ranking woman employed by any of the 30 MLB teams and is likely the first woman to hold the title of general manager for any major pro sports team — though other women, like former Oakland Raiders CEO Amy Trask and Los Angeles Lakers President Jeanie Buss have held executive roles with pro sports teams.Ng is also the second person of Asian descent to lead the baseball operations of an MLB team, following in the footsteps of Giants president of baseball operations Farhan Zaidi."This challenge is one I don't take lightly. When I got into this business, it seemed unlikely a woman would lead a Major League team, but I am dogged in the pursuit of my goals," Ng said in a statement. "My goal is now to bring championship baseball to Miami. I am both humbled and eager to continue building the winning culture our fans expect and deserve."Ng has worked in the MLB commissioner's office since 2011. Prior to that, she served as the assistant general manager of the Los Angeles Dodgers (2002-2011) and the New York Yankees (1998-2001). She also was a longtime staffer for the Chicago White Sox (1990-1996).During her years with the Yankees, Ng oversaw a roster that included shortstop Derek Jeter, who is now a part of the Marlins' ownership group. 1433