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发布时间: 2025-05-24 04:13:54北京青年报社官方账号
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  濮阳东方医院看早泄评价好收费低   

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 U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr.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

  濮阳东方医院看早泄评价好收费低   

When Dan Margenau bought his new house, he found squatters making a big mess.“Footprints all over; carpet is dirty,” the new homeowner said. “They’re troublesome little creatures.”That’s right, creatures -- a family of racoons living rent free in his attic.“It’s frustrating to deal with,” Margenau said.Frustrating, costly and potentially dangerous.That’s when Margenau called Whitmore Pest and Wildlife Control.Worker Jonathan Mulder says his company has received a massive spike in calls lately. He believes the increase is linked to more people staying home due to the coronavirus pandemic.“Unfortunately, COVID happened at a time when we were already knowing that we were going to get a higher call volume,” Mulder said.Across the country, more people are seeing an increase in pest problems.In New York City, the Centers for Disease Control and Prevention issued a warning about aggressive rats starving for food scraps as restaurants shutdown during the pandemic.Down south in Hoover, Alabama, veterinarians have seen an uptick in snakes biting dogs.“Pets have kind of been couch potatoes for a long time," said Dr. Jessica Caver, medical director for Steel City Emergency Vets.She says over the past two months, her staff has seen a 40% increase of dogs bitten by snakes compared to last year.“The biggest thing that I can attribute that to right now is that a lot of people are out you know get some break from the quarantine from COVID-19,” Caver said.Back at Margenau’s house, Mulder is working to evict the unwanted visitors.He understands that there’s an unemployment problem during the pandemic, but says if you’re dealing with a pest problem, it’s best to get it taken care of immediately. If not, it could end up costing you a lot more in the long run. 1776

  濮阳东方医院看早泄评价好收费低   

While Election Day is still 19 days away, voters were already forced to make a decision on Thursday: Donald Trump or Joe Biden.While the decision will not show up on an official ballot or election, the choice Americans were forced to make was on which presidential town hall to watch. While having debates on competing networks might have made things challenging for swing voters, there are not many undecided voters left, according to polls. In a national poll released by "The Hill" yesterday, the survey found that 7% of voters remain undecided. On one network, Joe Biden calmy responded to questions from a socially-distanced audience in Pennsylvania. Meanwhile, President Donald Trump sparred with NBC News host Savannah Guthrie in a competing town hall there.The dueling town halls were held in lieu of a traditional town hall debate. The debate was scrapped after the Commission on Presidential Debates said that tonight’s debate would be held virtually. Trump opted out of a virtual debate, prompting Biden to schedule a forum on ABC News. Yesterday, Trump announced he too would hold a network-televised debate, this time on the NBC family of networks.Trump and Biden plan on debating next week in person for the final time. Biden said he would like to see Trump tested for the coronavirus at the next debate.“Yeah," Biden said when asked if Trump should be tested. "By the way, before I came up here, I took another test, I've been taking it every day, the deep test, you know, the one, they go in both [noses]. Because I wanted to be able to — if I had not passed that test, I didn't want to come here and not expose anybody."White House press secretary Kayleigh McEnany originally stated that Trump was tested multiple times a day. But Trump has acknowledged that he wasn’t tested every day, and said during Thursday’s town hall he was unsure when his last negative test was before announced he was infected with the coronavirus on Oct. 2.“I don't know, I don't even remember,” Trump said. “I test all the time. I can tell you this. After the debate, like, I guess, a day or so, I think it was Thursday evening, maybe even late Thursday evening, I tested positive. That's when I first found out,While Biden answered questions on tax policy, Trump responded to a New York Times story on his personal taxes, and was pressed on details that he reportedly owes 0 million in taxes in the coming years. "I'm treated very badly by the IRS,” Trump said. “They treat me very, very badly. You have people in there from previous administrations. They treat me very badly. But we're under audit. It's very routine in many ways. But we're under audit. They like to change the game, change the rules, do everything,"Biden was pushed on whether he would raise taxes amid a pandemic and higher unemployment.“When I said the Trump tax cuts, about .3 trillion of the trillion in his tax cuts went to the top one tenth of 1%,” Biden said. “That’s what I’m talking about eliminating. Not all the tax cuts that are out there.” 3033

  

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

  

White House chief of staff John Kelly has been locked in an internal struggle with President Donald Trump's son-in-law and senior adviser Jared Kushner over his access to highly classified information for weeks now, a confrontation that has escalated amid a recent policy overhaul and the resignation of a staff secretary who was accused of spousal abuse.The dispute has deepened a growing rift between Kelly and Kushner, who initially welcomed the new system of rigor instituted by the chief of staff but has since grown frustrated by what he views as attempts to limit his access to the President.Kelly distributed a five-page memo Friday announcing that the White House will no longer allow some employees with interim security clearances to access to top secret information if their background investigation has been pending since before last June -- a category Kushner falls into.  899

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