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In a memo sent to state governors, the federal government says that states should be prepared to begin distribution of COVID-19 vaccines to the public this fall.The memo signed by CDC head Robert Redfield told governors that the federal government has contracted with the McKesson Corporation to assist in distributing the vaccine to local and state health departments, medical facilities, doctor officers, and other vaccine providers.In the letter, Redfield requested governors to waive any regulatory barriers that would prevent McKesson from operating distribution facilities. Redfield said the goal is to have these facilities operational by November 1.According to McKesson, the company provides “next-day deliveries” to pharmacies and has a nationwide network of distribution centers.While there is urgency for both public health and economic reasons for a vaccine, some experts have expressed concern over the speed of a vaccine and whether the expedited timeline is long enough to demonstrate efficacy. Dr. Anthony Fauci told NBC News on Wednesday that he believes a “safe and effective” vaccine could be ready by the end of the year."I believe that by the time we get to the end of this calendar year, that we will feel comfortable that we do have a safe and effective vaccine," he told NBC News.On Monday, a third vaccine candidate entered “Phase 3” trials in the US. AstraZeneca is testing its COVID-19 vaccine candidate for 30,000 participants. The AstraZeneca vaccine would come in two separate doses, according to the National Institutes of Health.Even though a vaccine could be ready by year’s end, trials will be expected to continue for over a year to monitor for possible side effects.According to the FDA, a typical Phase 3 trial would take one to three years.“NIH is committed to supporting several Phase 3 vaccine trials to increase the odds that one or more will be effective in preventing COVID-19 and put us on the road to recovery from this devastating pandemic,” said NIH Director Francis S. Collins, M.D., Ph.D. “We also know that preventing this disease could require multiple vaccines and we’re investing in those that we believe have the greatest potential for success.” 2208

If you're planning on voting with an absentee or mail-in ballot, chances are you feel pretty protected from COVID-19 while voting this year. But what if you're voting in-person? Experts weigh in on staying safe when heading to your polling place. The first piece of advice is to have a plan."The example I would give would be going to the grocery store. That's something that caused people a lot of anxiety when we first were dealing with the pandemic back in March, and I think for many of us, it’s becoming relatively routine. It's not how we shopped for groceries back in January but it's something that we’ve learned to do. I think voting can be the same," said Dr. Jay Varkey, an infectious disease doctor and Associate Professor at Emory University.Dr. Varkey says to know the COVID-19 transmission rates in your community, as well as your own personal risk, if you were to become infected with COVID-19."To give some specific examples, masking is absolute, and I would want to make sure that there is a universal mask mandate in place and not just those that are going to cast their votes but workers as well," said Dr. Varkey.Dr. Varkey says wearing a mask that has at least two layers and wearing it properly is key. Also, ensure your polling place allows you to socially distance from other voters. Dr. Varkey says standing more than 6 feet away from others is preferred. Also, it’s great if your polling place is keeping doors and windows open to increase airflow."The other thing, and I know this is hard to do, the more we can actually limit the amount of talking, or certainly yelling or singing or anything else going on, is the more we can reduce our chances of passing these infectious droplets that can aerosolize, and that tends to really occur when people are talking. Masks reduce that risk, but we can really reduce it more by, well, talking less," says Dr. Varkey.In Madison, Wisconsin, poll workers will be ensuring voters are socially-distanced and frequently disinfecting all voting booths, pens and other frequently touched items. City Clerk Maribeth Witzel-Behl has been working closely with their local health department."We will have plexiglass glass set up for stations where poll workers have to interact with voters within 6 feet of each other, and for other poll workers who are not at those stations, they’ll have access to face shields if they like," said Witzel-Behl.Poll workers are also being told to follow a strict set of health guidelines in order to volunteer."If they've had a fever within the last few days or taken a fever-reducing medication in the past few days, they can’t work at the poll. If they've had any COVID-19 symptoms or been exposed to someone with COVID-19 or had a cough within the past week they can’t work at the polls," said Witzel-Behl.So, do you need to bring a container of disinfecting wipes with you to the polls?"I put the priority first on the masks and keeping your distance but that last part on how to take a relatively safe activity, like voting and make it extra safe, there’s two things I would bring with me into the voting booth. One is my own pen the other is hand sanitizer," said Dr. Varkey. 3182

In a scene that could be straight out of a children's book, around a ton of liquid chocolate flowed out of a factory and caked a street in a west German town on Monday.Firefighters said a storage tank overflowed at DreiMeister's chocolate factory in West?nnen, a suburb of the town of Werl, running out of the gates and solidifying on the chilly sidewalk."About a ton of chocolate ran out into the yard and from there onto the street, " a spokesman for the Werl fire brigade said in a statement. "A ten-square-meter choco-pancake formed," the statement added.Firefighters then worked to remove the chocolate, prying the "sweet danger with shovels and muscle power," the brigade wrote.DreiMeister's boss Markus Luckey told German newspaper Soester Anzeiger that if the spill happened closer to Christmas it "would have been a disaster."Luckey added that the factory would be back in action on Wednesday.According to the paper, around 25 firefighters were on scene to help with the clean-up.A specialist company was brought in to assist after the incident and the brigade assured locals that a chocolate-free Christmas would not be "imminent in Werl."The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 1253

In an industry like cosmetology, where all services revolve around hair, skin and nails, getting up close and personal to people is a big part of the job.For those looking to make a career in the beauty business, the pandemic is taking a toll. “I had 84 students pre-COVID,” said Donna Kramer, executive director at Empire Beauty School. “I have 72 right now.”Kramer says COVID-19 initially caused the campus to close.It’s recently reopened with new restrictions set by the local health department. Class sizes are smaller, fewer clients can come in due to social distancing and all students have to wear masks.The area that’s taken the biggest hit, however, is attendance.“It’s kind of toying with people’s personal lives,” Kramer said. “We’ve had students that have had to miss a lot of school because of daycare issues. We’ve had students that have had to actually stay away temporarily because their spouses.”According to the U.S. Bureau of Labor Statistics, employment of hairstylists and cosmetologists is projected to drop by 1% by the end of the decade, which is leaving many students concerned that their career opportunities might be going down the drain.“I know a lot of students kind of have that fear of not being able to find a job now with COVID,” said Alexis Lovato, a cosmetology student at Empire Beauty School.Lovato says many of her classmates are concerned about their employment options once their training is complete.“I think a lot of its just worried about being placed and what’s going to be available for them after their graduation,” she said.Kramer says despite the challenges, students are still getting their hours in and while hands-on training may be a little different, it’s a style they can adapt to.“This industry is going to really flourish once we can get through this,” she said. 1826

Hurricane Maria caused an estimated 2,975 deaths in Puerto Rico, according to a new report from George Washington University -- 46 times more than the official toll given by the government.Researchers calculated excess deaths that occurred in the US commonwealth between September 2017 and February 2018.The study was commissioned by the Puerto Rican government after the September 2017 storm.The latest estimated death toll is far higher than the current official toll of 64.A key unanswered question: Will the Puerto Rican government now revise its official tally as a result?Another uncertainty: Will this new study, conducted at the request of Puerto Rican officials, provide any closure to families who've long argued their loved ones died because of the storm, but haven't received any official acknowledgment? 824