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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 U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr.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 unofficial vote count totals show that Joe Biden has won the 2020 election and will become the 46th President of the United States, President Donald Trump has yet to concede. In fact, the Trump administration has so far blocked the transition process from getting underway.Trump has falsely claimed victory in the election on the unproven basis of widespread voter fraud. The campaign has filed several lawsuits in states where vote counts are tight, but it's unlikely that those lawsuits will result in a massive swing in votes needed to change the outcome of the election.However, there are a handful of Republican lawmakers that have recognized Joe Biden as the President-elect, and more still that have said the transition process should get underway while courts hear Trump's challenges.Below is a list of high-ranking Republicans currently in office that have congratulated Biden or called for the transition process to begin.Sen. Mike Rounds, South DakotaIn an interview with NBC News, Rounds, who won re-election earlier this month, did not directly respond to questions about Trump's claims of widespread voter fraud. However, he did say that "certain parts" of the transition team should "move forward."Sen. Marco Rubio, FloridaWhile Rubio has echoed the Trump administration's unsubstantiated claims of widespread voter fraud, falsely claiming that Republicans should be suspicious about mail-in voting. However, in an interview with Bloomberg News, Rubio said that the General Services Administration (GSA) should open up transition funds."We need to have that contingency in place," Rubio said. "I don't think allowing the GSA to move forward on some of the transition work prejudices in any way any of the legal claims the president intends to make."Sen. Ben Sasse, NebraskaAnother moderate Republican who won re-eleciton earlier this month, Sasse congratulated Biden in a statement issued to the Omaha World-Herald."Melissa and I congratulate the next president, Joe Biden, and the next vice president, Kamala Harris," the Nebraska Republican said in a statement. "Today in our house we pray for both President Trump and President-Elect Biden, that both would be wise in the execution of their respective duties during this important time in our nation."Sen. Pat Toomey, PennsylvaniaOn Nov. 10, the Republican senator told a Pittsburgh-area TV station that he thinks the Trump administration should begin the transition process."We're on a path it looks likely Joe Biden is going to be the next president of the United States. It's not 100% certain but it is quite likely. So I think a transition process ought to begin," Toomey told WTAE-TV.Gov. Mike DeWine, OhioIn an interview with CNN on Thursday, DeWine said that he recognizes Biden as President-elect, but added that the Trump administration has every right to challenge the results of the election."Look, I think that we need to consider the former vice president as the President-elect. Joe Biden is the President-elect," DeWine said. "The White House has every — the president and his campaign has every right to go into court. Our courts are open. Our courts are the best place, frankly, to adjudicate facts. We just all need to take a deep breath. There is a process for all of this. You need to follow the process. And we need to move this country forward."Sen. Mitt Romney, Utah 3371

White House communications director Hope Hicks is not answering questions about her time in the White House during her closed-door House Intelligence Committee testimony Tuesday, but she has started to answer some questions about the presidential transition, according to lawmakers on the committee.A source familiar with her testimony says the attorney for Hicks told the committee that she will not discuss matters after the campaign in accordance with the White House request. When asked about certain matters, her attorney says she will "take it under advisement" but not answer those questions, the source said.When former White House chief strategist Steve Bannon appeared before the committee last month and didn't answer questions about similar time frame beyond the 2016 campaign, he was hit with a subpoena during the interview. Republicans said Bannon's claim that he could invoke executive privilege?during the presidential transition did not have merit.Hicks, however, did respond to some questions regarding the transition, according to Rep. Tom Rooney, a Florida Republican.Rooney said her answers weren't prompted by a subpoena threat, but because she apparently had responded to similar questions during her previous interview before the Senate Intelligence Committee. The committee made the case they were entitled to the same answers as the Senate panel, and the White House apparently agreed."It had more to do with what she testified to the Senate, and what was fair to the House to ask the same questions," Rooney said.It's unclear whether Hicks is answering all questions about the transition or just those that she previously answered in her Senate testimony.Earlier on Tuesday, Democrats were pushing for the committee to subpoena Hicks for not responding to the panel's questions."We got Bannon-ed," said Rep. Denny Heck, a Washington state Democrat."I have less hope we'll get to all the answers," said Rep. Mike Quigley, an Illinois Democrat. "As with anyone who doesn't answer questions, they ought to be subpoenaed."Rooney and other lawmakers said Hicks still was not answering questions about her time in the Trump White House."There are some questions that she's not going to answer. I think anything dealing with the administration, from the time of the inauguration," GOP Rep. Chris Stewart of Utah told reporters.Rep. Mike Conaway, the Texas Republican leading the House Intelligence Committee's Russia investigation, told CNN ahead of the meeting that he expected Hicks to answer all of the committee's questions. He declined to comment Tuesday afternoon on Hicks' testimony or a possible subpoena, saying he would wait until the interview had concluded.Bannon returned under subpoena earlier this month to the committee to continue he testimony, and he told the panel he had been instructed by the White House to invoke executive privilege on behalf of the President.California Rep. Adam Schiff, the top Democrat on the House Intelligence Committee, has called for Bannon to be held in contempt of Congress for refusing to answer questions, as well as former Trump campaign manager Corey Lewandowski, who also limited the scope of questions he would answer. But Conaway said Tuesday that he still has to discuss the matter with House Speaker Paul Ryan before deciding how to proceed.Quigley said Hicks had not asserted privilege Tuesday, but she was "following the orders of the White House not to answer certain questions."Hicks did not answer reporter questions on her way into the interview Tuesday morning. She was initially scheduled to appear before the committee last month as part of the panel's investigation into Russian meddling into the US election, but her interview was delayed over questions about the scope of her testimony.Hicks has already been interviewed by the Senate Intelligence Committee, a source familiar with the matter told CNN. Hicks also met last year with?special counsel Robert Mueller as part of his investigation.Hicks, a trusted Trump aide for years, was one of then-candidate Trump's first hires as he put together an improbable run for the White House. During the campaign, she was often by Trump's side and attended nearly every rally, while she was in frequent communication with other senior officials as they coordinated their tactics to win the White House.The House panel plans to interview her about any knowledge she has of contacts that occurred between other Trump associates and Russians. And she is bound to be questioned about other controversies as well, namely the White House's involvement in crafting a misleading response last summer once a June 2016 meeting between Russians and Donald Trump Jr. was revealed in the press.Hicks appears to have firsthand knowledge of a number of key events that have shaped the first year of the Trump White House, including being on Air Force One when the initial misleading statement about Trump Jr.'s meeting with Russians was crafted. 4977

When Jeff Hill returned to his neighborhood in Paradise, California, after evacuating during the Camp fire, he came across a wayward horse -- in a backyard swimming pool. The horse appeared to have jumped in to escape the flames, and was caught in the pool cover.He had been checking on a neighbor's house to see if it was still standing when he discovered the horse, Hill wrote in a Facebook post."We scrambled to unhook the pool cover and pulled her to the shallow end where we guided her up the steps." The horse got out, shook off, and "loved on us for a few minutes as a thank you, and walked off," he wrote.Hill called for help, and waited with the horse until resources could escort the horse out from the fire zone.As wildfires raged in different parts of California, residents were forced to evacuate -- some without getting the chance to go home and grab their four-legged friends.Searchers combing through the charred areas have rescued hundreds of animals -- including dogs, cats, horses, donkeys, ducks, and a tortoise.Now, community organizations and good Samaritans are rallying to shelter the displaced animals and reunite them with their owners. 1170

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

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