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2025-06-03 00:40:11
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With news of two highly effective COVID-19 vaccines on the horizon, health officials and scientists are giving us new insight into how we could gain herd immunity."If we think of the population as a single group of people with all similar risks and susceptibilities and behaviors, we need 60% of people to be immune, meaning that not only they don’t get sick, but also they don't pass on the virus to other people," says Dr. Stuart Ray, an infectious disease professor and herd immunity expert at Johns Hopkins University.Dr. Ray says achieving herd immunity with the help of a COVID-19 vaccine would mean enough people would either get the vaccine or already have recovered from the virus and be immune to help stop the spread of the virus."It's a little bit like this notion that if you’re going to pass on a message from a lot of people in a group, they have to speak the same language. And the more people don't speak the language, the harder it's going to be to pass that message and there’s a threshold at which the message just gets stopped," says Dr. Ray.Still, it would take a certain number of people to get the vaccine and have that immunity last in order to reach herd immunity. Stanford University's Dr. Bali Pulendran hopes that we can achieve herd immunity, even though there are a certain number of people who are still hesitant to take the vaccine."I think we should remember that a vaccine that is 95% effective is only effective if the majority of people in a population take it. If only half the population or only 60% of the population take it, then we are unlikely to have achieved the level of herd immunity that you need for curbing the disease," says Dr. Pulendran.And if the new COVID-19 vaccine requires two doses, how crucial will it be to make sure people receive that second round of immunization?Asked whether follow up will be a concern, Dr. Ray says, "I think it is a possible concern. We’re going to do a lot of learning. So, one of the things we’ve learned is that some vaccines we thought you needed multiple doses, one dose works pretty well."Doctors say research will be ongoing on the vaccine and the virus itself to ensure people will be protected as much as possible, because so many are hopeful for an end to COVID-19. 2268

  濮阳东方医院治疗早泄收费标准   

When you leave the big cities and head out to lesser populated areas of the United States, you realize President-elect Joe Biden may have won but President Donald Trump still enjoys plenty of support. "Since I was 18, I voted for Democrats, every time, but this year I voted for Trump," Scott Will, a new Trump voter in Westmoreland County, Pennsylvania, said. "My dad, he is a Joe Biden fan. He is calling me and teasing me about," Will said jokingly. While Trump is projected to lose the 2020 election, he did set voting records. Thus far, Trump has received more than 10 million more votes than four years ago. That is more votes than any American presidential candidate in history, except Biden. CHANGING REGIONS POLITICALLY While he lost the election, Trump did improve his margins in several key areas around the country. In Kenosha County, Wisconsin, Trump did 3% better. In Miami-Dade County, Florida, Trump did `12% better. And in Mahoning County, Ohio Trump actually flipped this county for the first time since Eisenhower. For perspective, this county, which includes Youngstown, Ohio, went for the Obama/Biden ticket in 2008 by 30 points. "The funny thing here is Trump stole the Democratic message. Can the Democrats steal it back?" Paul Sracic, a political scientist at Youngstown State University, said. Sracic said in defeat, Trump's legacy maybe forever changing politically places like Youngstown. Sracic said old trade deals, like NAFTA, were particularly toxic in this part of Ohio and voters rewarded Trump for getting rid of it and promising old jobs would come back. "Trump didn’t create these voters, they were waiting for Trump," Sracic said.WILL THESE VOTERS RESPECT BIDEN? At Thanos Restaurant in Mahoning County, Ohio, diners here know how Trump changed this area's politics. Ken Morrow eats here twice a day. In 2016, he voted for Bernie Sanders. In 2020 he voted for Trump. "For me, it's confusing," Morrow said, commenting on the election results and Trump's refusal to concede. His advice to Biden? "We need a lot of good paying jobs around here, everything is gone," Morrow said. Every Trump voter we spoke with said they would respect Biden come January 20th."I am very conservative," Jean Hasey said. "He’s going to be my president because I'm an American and a patriot," Hasey added. But she said -- uniting the country may be a tall task. "I think it’s going to be hard, very very hard," Hasey added. 2447

  濮阳东方医院治疗早泄收费标准   

WILMINGTON, Del. – In a prime-time speech after the Electoral College vote, President-elect Joe Biden is set to declare that “not even ... an abuse of power” can stop a peaceful transition of power in the U.S. after last month’s election.That’s an overt swipe at President Donald Trump’s refusal to accept defeat and the top Republicans who have continued to stand by him.Biden is set to speak in Wilmington at about 7:30 p.m. ET Monday after the Electoral College formally votes to declare him president.According to excerpts released ahead of time by his campaign, Biden plans to call for unity and again express his intentions to be a president for everyone, regardless of whether they voted for him.“As I said through this campaign, I will be a president for all Americans,” Biden will say. “I will work just as hard for those of you who didn’t vote for me, as I will for those who did.But he also will say that “In America, politicians don’t take power — the people grant it to them.”“The flame of democracy was lit in this nation a long time ago,” Biden is set to say. “And we now know that nothing — not even a pandemic —or an abuse of power — can extinguish that flame.”As electors gathered in all 50 states and the District of Columbia on Monday to formally vote for the next president, the U.S. reached two major milestones in the COVID-19 pandemic. The nation’s death toll from the coronavirus surpassed 300,000 people and the first doses of Pfizer’s COVID-19 vaccine were administered to health care workers in several states.During his remarks, Biden is also expected to touch on the state of the pandemic and what he’ll do to help get the country through it.“There is urgent work in front of all of us. Getting the pandemic under control to getting the nation vaccinated against this virus. Delivering immediate economic help so badly needed by so many Americans who are hurting today — and then building our economy back better than ever,” Biden is set to say. 1983

  

Wisconsin Republicans moved overnight to strip power from newly elected Democratic leaders, advancing legislation that would limit early voting, enact Medicaid work requirements and potentially block the incoming attorney general from withdrawing the state from a lawsuit over Obamacare.The measures are all expected to be signed by lame-duck Republican Gov. Scott Walker, effectively preventing his successor, Gov.-elect Tony Evers, and Attorney General-elect Josh Kaul from delivering on the promises that lifted them to victory in November.Nearly a day after the legislature's "extraordinary session" began, the state Senate and Assembly concluded their work, passing a raft of legislation designed to curtail authorities enjoyed by Walker and outgoing Republican Attorney General Brad Schimel. Democrats are expected to challenge a number of the measures in court.There is no indication when Walker will take up the legislation, but pending his approval, Wisconsin is now expected to reduce its number of early voting days, restrict gubernatorial influence over a powerful economic agency Evers sought to disband, and require legislative backing for certain decisions traditionally made by the attorney general and governor -- a move that would likely block Kaul from pulling the state out of a federal lawsuit against Obamacare.The legislature will also be able to hire its own lawyers to defend state law in court, diminishing the attorney general's power.During the campaign, both Evers and Kaul took their Republican opponents to task over healthcare issues, in particular the state's participation in the legal challenge which would end coverage protections for people with pre-existing medical conditions. Walker had promised to call a special legislative session to reimplement the rule on a statewide level if the suit succeeded, but questions lingered over how robust those new protections would be. A GOP measure that included lifetime coverage caps was rejected by Senate Democrats and a pair of Republicans early Wednesday.One of the bills passed earlier in the session would require permission from the legislature before the state's executive branch could make waivers or changes to public assistance programs, including work- and drug-testing requirements for "able-bodied" adults, putting into effect Walker's controversial Medicaid work requirements and requiring Evers to get Republican support if he sought to end them.Divided along party lines, the GOP-run state budget committee in Wisconsin had a day earlier advanced many of the controversial measures after less than 12 hours of debate and amid growing protests in and around the capitol in Madison.As the Senate session opened Monday, the public gallery was packed. After some muted laughter, the entire gallery was kicked out -- resulting in more protests."They can only win by cheating. That's what they're doing in there right now," Kathy Kennedy, a state employee who took the day off to protest in Madison, told CNN. "They're a bunch of cowards."Before the committee vote, Evers, in prepared testimony, called the legislation and the process behind it "unfettered attempts to override and ignore what the people of Wisconsin asked for this November.""This is rancor and politics as usual," Evers said. "It flies in the face of democratic institutions and the checks and balances that are intended to prevent power-hungry politicians from clinging to control when they do not get their way."Walker denied on Monday that the moves were a partisan power grab."Much of what we did over the last eight years is work with the Legislature," he told reporters, "not at odds with the Legislature."State Senate Majority Leader Scott Fitzgerald, a Republican, has been more open about the partisan machinations in play."I don't have any problem highlighting that right now," Fitzgerald said on Monday. "I want people to understand that, that there's going to be a divide between the legislative and executive branch."In a statement Tuesday, Democratic Legislative Campaign Committee Executive Director Jessica Post called the GOP lawmakers' actions "shameful.""Just because Republicans in Wisconsin and Michigan don't like the outcome of the election does not give them (the) right to put power over people and disregard the will of the voters," Post said. "After years of voter suppression laws enacted by Republican legislators who were elected on their own gerrymandered lines, this partisan gamesmanship has reached a new low."Republicans are pulling from a playbook popularized in North Carolina two years ago, when Republicans in the Legislature responded to GOP Gov. Pat McCrory's defeat by taking action -- after the election but before his replacement could be sworn in -- to reduce incoming Democratic Gov. Roy Cooper's appointees and require his Cabinet picks to be confirmed by lawmakers.The American Civil Liberties Union excoriated North Carolina Republicans at the time, calling their actions then "a shameful partisan trick." But the lawmakers ignored the backlash and McCrory signed off on a plan to curtail his successor's authorities, setting a precedent for Midwestern Republicans, who suffered heavy defeats in 2018.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 5314

  

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

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