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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) — The owner of Eskimo Pie is changing its name and marketing of the nearly century-old chocolate-covered ice cream bar. It is the latest brand to reckon with racially charged logos and marketing.The treat was patented by Christian Kent Nelson of Ohio and his business partner Russell C. Stover in 1922, according to Smithsonian Magazine. Eskimo Pie joins a growing list of brands that are rethinking their marketing in the wake of the Black Lives Matter protests in recent weeks triggered by the death of George Floyd. Quaker Oats announced Wednesday that it will retire the Aunt Jemima brand, saying the company recognizes the character's origins are "based on a racial stereotype." 705

Noblesville Schools announced today that Mark Booth will no longer serve as the district's director of special education, following Booth's recent sharing online of a "meme" offensive to special education.The district denounced the post and formally disciplined Booth prior to communicating that he will not return to the special education director role. Booth will shift from the leadership role to one focused on analytical compliance for the district.Booth has been Noblesville's special education director since 2004, championing several innovative and award-winning special education practices including placement of special education students in general education classrooms, strategies to better meet state academic standards, a successful work-study program and leadership in unified athletics.The district will begin the recruiting process for Booth's replacement immediately and a new director will be announced at a later date. In the meantime, assistant special education director Erin Rood will serve as interim special education director. 1060

Negotiations on a new coronvirus stimulus package are set to continue Monday between lawmakers and White House officials.Congressional leaders are expected to meet with Trump administration officials to resume discussions. A swift, bipartisan agreement seems unlikely.House Speaker Nancy Pelosi and Treasury Secretary Steven Mnuchin dug in on their opposing positions Sunday. Each doubled down on what has been the main sticking point: The extension of federal enhanced unemployment benefits that expired Friday.Pelosi said the amount could go down as unemployment drops, but for now, benefits need to stay at 0 a week. Mnuchin argued that the White House had proposed a one-week 0 unemployment benefits extension as negotiations continued, but said Democrats rebuffed that offer. 794

North Korea outlined steps Saturday to dismantle its nuclear testing site -- and confirmed that international journalists, including from the United States and the United Kingdom, would be invited to watch this month as its tunnels are blown up.The announcement, by the Ministry of Foreign Affairs as reported by state news agency KCNA, came a day after Pyongyang pledged no longer to carry out unannounced missile tests or other activities that put flights at risk, according to a United Nations aviation agency.North Korean leader Kim Jong Un previously had announced the conclusion of North Korea's nuclear testing program and the intended shuttering of the Punggye-ri complex. He said on April 20 that his nation already had "completed its mission" to test its weapons capability.The statement Saturday gave greater details of the "technical measures" North Korea would take to dismantle the test site and "ensure transparency of discontinuance of the nuclear test."International journalists will be invited to conduct "on-the-spot coverage in order to show in a transparent manner" how the nuclear site is being put out of use, with a dismantlement "ceremony" scheduled for as early as May 23, depending on weather, the news agency said.Since space is limited, only journalists from China, Russia, South Korea, the United States and the United Kingdom will be allowed access, according to KCNA.First, explosives will be used to collapse the tunnels, KCNA said. Then, entries to the site will be blocked and all observation facilities, research institutes and guard structures will be removed. Guards and researchers will be withdrawn, and the area surrounding the test site will be closed.Located in mountainous terrain in the northeast of the country, Punggye-ri is less than 100 miles (160 kilometers) from China.South Korea's presidential office said last month that Kim planned to shut down his nuclear test site in May, following landmark talks between Kim and South Korea's President Moon Jae-in. Kim refuted claims by Chinese scientists that parts of the site had been so badly damaged by previous explosions, particularly its sixth and last test in September, that it may now be unusable, Moon's office added.The latest developments come a day after US Secretary of State Mike Pompeo told reporters that he'd had "warm" and "good" conversations with Kim. His talks in North Korea were part of preparations for a planned summit between US President Donald Trump and Kim on June 12 in Singapore.  2520