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When a Minnesota teacher learned that her school's custodian was in dire need of a new kidney, she didn't hesitate to step up to the plate.According to the Minneapolis Star Tribune and CNN, teacher Erin Durga and custodian Part Mertens have been co-workers at Kimball Elementary School in Kimball, Minnesota, for nine years.The two were well acquainted — they often exchanged pleasantries in the hall, and Durga's children attended a daycare ran by Merten's wife.Recently, Mertens had been leaving school early three days a week to attend dialysis treatments. Earlier this year, the school organized a "Hats for Pat" fundraiser to help pay for his treatments. But school officials didn't realize how dire Mertens' situation was until his daughter posted a plea for help on Facebook.According to Mertens' daughter, Kayla Matten, none of her fathers' relatives was a match for a kidney transplant."We are now in the process of trying to find someone with an O blood type and someone who is willing to donate their kidney," she wrote, according to CNN.When Durga saw the post, she didn't hesitate. She knew she wanted to donate her kidney to a co-worker in need."Why wouldn't you [do it]?" she told the Star Tribune.In late spring, Durga and Mertens found out they were a match."It brought a few tears to my eyes," Mertens told the Star Tribune. "I'm not much for expressing myself."Despite the COVID-19 pandemic, the two underwent the transplant surgery on July 3. Months later, Mertens is doing well, and the Star Tribune reports that he is no longer "tethered" to dialysis treatments."I can live again," Mertens told the Star Tribune. 1642

When the COVID-19 pandemic first prompted shelter-in-place restrictions, daycares across the country quickly saw families withdraw their children from their centers. Many lost valuable tuition dollars that keeps their doors open."We've done the best we can in staying open and supporting our community. We are a locally private-owned school so our enrollment really depends on the survival of the school and we’re struggling. I mean, as probably all childcare centers are, we’re struggling with enrollment, we’re struggling with our numbers," says Debbie Bradford, the director of education at Milton Montessori in Georgia.Bradford says the last few months have been very challenging as many families are worried about the coronavirus."The (coronavirus) numbers are on the rise so it’s definitely affecting the end of our school year, our summer and as we look to relaunch in August, we still see light enrollment," says Bradford.The school, which has two locations, has been able to stay open due to a number of parents who are essential workers. Bradford says, "These are front-line families. Some of them are workers on the front line and some of them are workers at home but need the income to make ends meet for our families."Primrose Schools has more than 400 locations across the country, providing infant daycare through private kindergarten. Primrose says the pandemic has dropped enrollment numbers at their facilities significantly."What we are seeing across the country is a very unsettling situation, where a lot of the family home cares that used to be accessible to families are closing. And the childcare centers, those individually owned and operated childcare centers, because of the shelter in place situation, many of them haven't been able to survive them," says Jo Kirchner, the CEO of Primrose Schools.Kirchner has been meeting regularly with other national daycare facilities and says many are concerned about the future of the childcare industry."It is a potential crisis that is going to escalate significantly in the next eight to 10 weeks as the districts decide what they're going to do," says Kirchner.One glimmer of hope is the boost of private kindergarten enrollment, which some parents have deemed a safer alternative than their local public school. Many hope private kindergarten enrollment can be kind of a saving grace for some private childcare centers."It will be somewhat of a saving grace in terms of bringing in base revenue to cover their fixed costs while we get through this pandemic and the families with the younger children will begin to come back,” Kirchner said.For Milton Montessori, the owners are hopeful they will be able to ride out this pandemic."We hope that at some point, families get comfortable with the new requirements for cleaning and for health and safety. And as things return to a normal, it's going to be a new normal," says Bradford.Bradford says they're hoping families start feeling safe enough to enroll their children and continue to support locally-owned childcare centers. 3055

While we’re still waiting on a comprehensive COVID-19 vaccine distribution plan, the Johns Hopkins Center for Health Security released an ethics framework Wednesday for who it says should be prioritized.There are two tiers of groups it says should go before the general public. No surprise, the first tier includes front line health care workers taking care of coronavirus patients, people over 65, those with underlying health conditions and their caregivers.Also noted are people who work in the vaccine industry and those who will be administering them. Also, school, food supply and public transportation workers.One issue with that first tier is that's a lot of people, more than 90 million by some estimates.“So, it’s quite possible when a vaccine is available, there won’t be enough available for everybody in this top tier and so there may need to be prioritization within this top tier,” said Dr. Eric Toner, senior scholar at the Johns Hopkins Center for Health Security.The second-tier group includes other health care workers, people living in remote locations without access to quality care, and other essential workers like delivery, military, and first responders.It also includes people who live in places where they can’t socially distance, so inmates and people in shelters.The framework also mentions this is a decision that shouldn't only be made by experts and officials.“The public needs an opportunity to weigh in on this because, after all, they are the ones who are the recipients of the vaccines and whether they get it or not,” said Toner.The good news is the scholars don't see cost as a barrier to the vaccine. And while a vaccine is the best hope for controlling the pandemic, it will not be a magic bullet right away.“If we have a vaccine sometime this winter that’s authorized, it will be many months before everybody has access to it,” said Toner.Some decisions about who gets the vaccine first can't be made until one is ready, because you need to know how it may impact groups like the elderly or pregnant women. 2055

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

WILMINGTON — President-elect Joe Biden has announced top White House staff positions Tuesday, drawing from the senior ranks of his campaign and some of his closest confidants. Biden confirmed that former campaign manager Jen O’Malley Dillon will serve as a deputy chief of staff. Campaign co-chair Louisiana Rep. Cedric Richmond and campaign adviser Steve Ricchetti will also play senior roles in the new administration. Richmond will leave his Louisiana congressional seat to fill the White House job. A former chair of the Congressional Black Caucus, Richmond was among Biden’s earliest high-profile supporters and served as his campaign co-chair.Anthony Bernal, who was Chief of Staff to Dr. Jill Biden on the campaign trail was named her Senior Advisor. Dr. Biden's Chief of Staff will be Julissa Reynoso Pantaleon. Other hires announced Tuesday include: Mike Donilon as the new Senior Advisor to the President, Dana Remus as Counsel to the President, Julie Rodriguez as Director of the White House Office of Intergovernmental Affairs, and Annie Tomasini as Director of Oval Office Operations. The new hires represent an initial wave of what will ultimately be hundreds of new White House aides hired in the coming weeks. The latest round reflects his pledge to have diversity in his staff — the team includes four people of color and five women. 1358