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When a vaccine is approved, who will get it? How will it get to them?Johns Hopkins has a plan to make front line workers and those most vulnerable first in line. Other experts say that may not be the best approach.“It may be better to immunize people who are at high risk of transmitting the virus both because of jobs, living situations and other circumstances,” said Dr. Ezekiel Emanuel while speaking with the head of the Journal of the American Medical Association. “And that I think we have to leave an open mind and look at some detailed modeling about what the best way is to reduce the premature mortality.”Emanuel says transmission between health care workers and patients is basically zero where he is. He says effective PPE use is the reason.The groups Johns Hopkins said should get a vaccine first could be as big as 90 million people.Emanuel says there won't be enough doses out of the gate to get all of any initial groups.“You don’t actually distribute it evenly among countries,” he said. “You concentrate on countries that at the moment when you have the vaccine have severe hot spots and where the vaccine is going to make the biggest difference in terms of reducing premature death.”Johns Hopkins experts say a vaccine's effectiveness is measured on preventing disease. That doesn't mean it prevents infection and transmission. We won’t know how effective it will be until after it’s in use.“A disease transmission strategy makes a lot of sense, but we need a lot more information before we can know who to prioritize,” said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security. “It’s quite possible we will go to a strategy like that.”The World Health Organization said younger people in their 20s, 30s and 40s are increasingly driving spread.The first vaccines will likely be two doses. Experts say that means double the syringes, needles, vials and other supplies, along with getting people to come back for a second dose. 1980

While active-shooter training is not new to houses of worship, the massacre this month at a Texas church has renewed attention to their vulnerability and the fine line religious leaders walk as they try to create a welcoming atmosphere that doesn't tempt a would-be shooter."One of the responsibilities I have as a pastor, as a shepherd of the church, is to protect the people, and that includes spiritually, but it also includes the physical protection," said Pastor Jack Graham of Prestonwood Baptist Church in Plano, Texas.The deadliest-ever mass shooting in Texas -- in which a gunman walked among pews at First Baptist Church in Sutherland Springs, killing 25 parishioners and an unborn child -- has become the latest in a string of attacks directed at religious institutions. 789

WEST PALM BEACH, Fla. — The hurricane season continues to be active with the formation of a new tropical storm and a depression in the last 12 hours.Tropical depression 17 formed Sunday night in the Atlantic and became Tropical Storm Paulette just before 11 a.m. Monday.The storm has 40 mph winds with higher gusts and is moving west, northwest at 3 mph.Paulette is the earliest forming 16th named storm on record, breaking an old record set by Philippe on September 17, 2005, according to hurricane expert Philip Klotzbach.A slow-motion toward the northwest or north-northwest is expected tonight. Paulette is then forecast to move a little faster and generally westward on Tuesday and Wednesday.Early indications are it may curve before it reaches the Bahamas, but we will keep an eye on it just in case. It may interact with tropical depression 18, located behind it, which also formed Monday morning.Paulette's path and/or intensity might change because of its proximity to tropical depression 18. 1009

White House press secretary Sarah Sanders maintained Wednesday that President Donald Trump "did nothing wrong" relating to the hush money payments made to women who claimed affairs with him during the 2016 campaign."As the President has said and we've stated many times, he did nothing wrong. There are no charges against him and we've commented on it extensively," Sanders said. "Just because Michael Cohen made a plea deal, doesn't implicate the President on anything."Sanders declined to answer additional questions about what the President knew about the payments and when he knew it.Asked whether the President has lied to the American people, Sanders called the accusation "ridiculous.""I think that's a ridiculous accusation. The President, in this matter, has done nothing wrong and there have been no charges filed against him," she said.She responded to inquiries about the President's tweets about Cohen from earlier in the day, in which he said Cohen "broke" and recommended no one use Cohen as a lawyer, saying, "The President has expressed his views on that, I don't have anything further to add."Asked whether Trump would pardon Paul Manafort, Sanders sought to distance the former campaign chairman from the President."The Manafort case doesn't have anything to do with the President, it doesn't have anything to do with his campaign, doesn't have anything to do with the White House," Sanders said.She added that she was "not aware" of any conversations regarding a Manafort pardon beyond when the President was asked about it last week. 1562

While many businesses shut down temporarily due to COVID-19, zoos and aquariums couldn’t fully close because animals still need to be taken care of.However, with little to no visitors during what’s normally the busiest time of the year, some are facing tough times and getting creative.“It’s a lot of work,” said Patty Wallace, an Animal Keeper at the Cheyenne Mountain Zoo.“We feed all of them about three times a day, about 40 pounds each of grass hay, about six pounds of grain per hippo, and also some fruits and vegetables for training and nourishment. So they get lots of variety,” Wallace explained. That’s just the hippos, which are part of a new exhibit the zoo opened during the shutdown.“Opening a brand new exhibit is normally hard enough,” said Bob Chastain, the President and CEO of the zoo.With large groups and traditional presentations considered unsafe, the zoo pivoted. “Now, what we do instead is we’re grabbing random people and taking them back behind the scenes, letting them help us with the everyday things we’re doing,” Chastain said.Letting kids help feed the hippos and other animals, up close and personal.“We are trying to adjust and we would like to share our hippos,” Wallace said. “But because we don’t want crowds, we do it in small bursts.”Back in spring, zoos and aquariums were told to close.“All of them have had a period of two to four months of closure. Some are still closed,” said Dan Ashe, President and CEO of the Association of Zoos and Aquariums. AZA is a nonprofit that represents over 240 of these businesses.“When they’re closed they’re not really closed, because they have to continue caring for the animals,” Ashe said. That’s what makes zoos and aquariums unique.“The essential ingredient in success is a guest,” he said. Even with no guests, the work doesn’t stop, which has put some in financial distress. “We have had some that have been on the verge of closure.”Ashe said about 20% of its members are in a weak financial position, so zoos got creative to keep guests interested. “The San Antonio Zoo started with the idea of a drive-thru zoo,” Ashe said.At Cheyenne Mountain Zoo, they made use of social media. “Our social media team, like many around the country, really ramped up,” Chastain said.Now as they begin to reopen their gates, they face a whole new set of challenges. “Almost every zoo in the country had to revamp and figure out how to do timed tickets, because it was one of the major requirements,” Chastain said.Timed ticketing, one way traffic, cashless exchange -- these were all concepts zoos and aquariums had to adapt to.“All over the zoo there are marks that help people stay away from each other,” Chastain said.Even with sold out tickets, the crowds are nothing like they used to be. And many fundraising events had to be canceled or postponed with new capacity limits.“Our guess is for the next 12 months, we won’t have those large crowds,” he said.But families continue to come to see the giraffes, look at the penguins, or feed Zambezi and Kasai, the hippos.“It’s been a challenge, but a lot of fun,” Wallace said. 3105

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