Connect with us

News

States Close Mass Test and Vaccine Sites, but Uptick in Virus May Loom

Published

on

States Close Mass Test and Vaccine Sites, but Uptick in Virus May Loom

CHICAGO — As People shed masks and return to places of work and eating places, native and state officers are scaling again probably the most seen public well being efforts to deal with the coronavirus pandemic.

States like Illinois are shuttering free Covid-19 testing websites after practically two years of operation. Arizona, Nevada, Hawaii and Ohio have stopped releasing day by day information on virus hospitalizations, infections and deaths. And, maybe most notably, some locations are diminishing their campaigns to vaccinate residents whilst federal authorities introduced on Tuesday that individuals 50 and older might get a second booster shot.

The slowing of state and native efforts comes because the virus in america seems, no less than for now, to be in retreat, with instances falling swiftly in current weeks.

However the cutbacks additionally arrive at a second when a extra transmissible model of the Omicron variant of the coronavirus, often called BA.2, is spreading via Europe, Asia and is now the dominant model of latest virus instances in america. New coronavirus infections are edging upward as soon as once more in a number of states, together with New York.

And People are nonetheless lagging behind many different international locations in vaccination. Solely about 65 % of People have obtained preliminary pictures, and fewer than one-third of People have had a primary booster shot.

Advertisement

If one other surge within the pandemic is forward, public well being officers mentioned, it might be a problem to rapidly ramp up the vaccination and testing websites and different measures that at the moment are being shut down.

“Now we have to be cautious in how we transfer ahead,” mentioned Dr. Ben Weston, chief well being coverage adviser for Milwaukee County, Wis., the place he has saved vaccine clinics open. “Think about that we’re a ship at sea and we simply bought off the most important tidal wave we’ve ever been on. It will be an odd time to throw out the life jackets.”

Some well being officers mentioned that they had been merely shifting their efforts within the face of dwindling demand for each Covid exams and vaccines, with fewer than 225,000 pictures administered throughout the nation every day.

Dr. Allison Arwady, Chicago’s high well being official, mentioned that two fashionable vaccination initiatives — a $50 present card incentive and a program to vaccinate Chicagoans of their houses any day of the week — can be pared down in April.

“It’s positively the time to be pulling again on some assets,” Dr. Arwady mentioned. Demand for vaccines has waned, she defined, and he or she is attempting to save cash as she anticipates cuts in federal funding due to an deadlock in Washington over Covid spending.

Advertisement

In San Antonio, with a majority of residents already immunized and case numbers at a low, demand for vaccines on the mass web site exterior the town’s Alamodome has dropped, mentioned Miguel Cervantes, the town’s public well being administrator. The location closed on Friday after 15 months of steady operation and greater than 200,000 Covid-19 vaccine doses. At its peak, it administered roughly 3,500 vaccinations a day. Final week, it averaged fewer than 50.

“We haven’t seen the numbers to assist a necessity for a web site,” Mr. Cervantes mentioned.

The excessive value of sustaining the location’s staffing and tools is a much less cost-effective use of these assets than smaller, community-based occasions, he added. And with the 64,000-seat Alamodome stadium now internet hosting a full slate of sports activities and concert events, the car parking zone has returned to its prepandemic use.

“If folks aren’t strolling within the door, it burns a variety of money to have a completely staffed testing middle,” mentioned Andrew Noymer, a public well being professor on the College of California, Irvine. “So I can perceive why states and localities are closing them. We’re going to should discover a approach to be versatile.”

Federal {dollars} for the Covid pandemic have been dwindling in current days, as a fund designated to reimburse exams and therapy for the uninsured is not accepting claims. State and native officers, alarmed by debates in Washington over the way forward for Covid funding, have anticipated that they are going to face tighter budgets within the close to future if federal funds are minimize.

Advertisement

Focused, community-based occasions are more practical at reaching those that stay unvaccinated, mentioned Dr. Desmar Walkes, medical director for the town of Austin, which has shut down all however one in every of its mass vaccination websites.

“We’re at that time the place the one-on-one conversations and being able to have group companions go in and educate on the protection of vaccine and reply questions is giving us just a little higher acceptance,” Dr. Walkes mentioned. Her division is seeing a better charge of uptake via cell clinics at long-term care amenities, colleges, workplaces, and even soccer video games than at mass vaccination websites, she mentioned.

If demand for vaccines, testing and therapy will increase amid a looming wave of the BA.2 subvariant, well being officers say, they’ll simply restart these packages. It will take just some days to take action in Austin, Dr. Walkes mentioned.

Advertisement

However some consultants expressed doubt that resuming operations at testing and therapy websites might occur as rapidly as wanted within the occasion of a surge.

Adriane Casalotti, the chief of presidency and public affairs for the Nationwide Affiliation of County and Metropolis Well being Officers, mentioned that in lulls when instances are low, well being departments might be taking the time to plan and put together for what’s subsequent. Shuttering larger-scale efforts like testing websites follows a sure logic — however leaves a group susceptible.

“In a state of affairs the place you don’t have lengthy testing traces, folks assume, We will do away with this testing web site,” she mentioned. “That may work for this week and subsequent week, however ramping one thing like that again up — if the state of affairs modifications on the bottom — is de facto arduous.”

Public well being consultants fear that People have moved on from the pandemic earlier than it’s over and that america might be unprepared for an additional wave. The virus continues to be inflicting the deaths of greater than 700 People every day.

“We’re on this section of the pandemic the place we’re transitioning,” mentioned Aubree Gordon, an infectious illness epidemiologist on the College of Michigan. “It’s nonetheless actually vital that testing is available — you’ll be able to’t know what’s occurring for those who’re not it.”

Advertisement

On the identical time that vaccination and testing efforts are falling more and more on group well being facilities and native clinics, these suppliers are seeing their funding disappear. For months, Kintegra Well being, which operates well being facilities throughout central North Carolina, has relied on cash from Well being Assets & Providers Administration. A federal program, it gives reimbursements for Covid-19 testing, therapy and vaccine administration for uninsured sufferers, facilitating hundreds of exams and vaccinations a day, primarily in cell clinics.

However that program stopped accepting claims this week due to lack of funding, forcing the well being middle to halt its cell clinics.

“I’m involved about what’s subsequent, as a result of once I shut it down and all these folks go discover different jobs and the following variant comes alongside, will I be prepared?” mentioned Robert Spencer, chief government of Kintegra Well being.

In lots of states, companies that native and state governments administered are shifting to conventional well being care suppliers.

By mid-April, pharmacies and well being care suppliers will ship all vaccines in Vermont because the state authorities winds down its vaccine websites. Demand for vaccines from the state-run websites has plummeted by 77 % within the final 30 days. The one suppliers that reported a modest uptick in vaccinations had been primary-care places of work.

Advertisement

“The reintegration again into the well being care system of vaccination is de facto the trail ahead,” mentioned Dr. Mark Levine, commissioner of the state’s Division of Well being. “Individuals aren’t going to these different websites; they’re displaying drop-off. And so they’re going to the well being care system, the place they belong and the place immunization has all the time occurred.”

In Vermont, the state has additionally transitioned its state-run testing websites primarily into distribution facilities for fast at-home exams, somewhat than PCR exams. That signifies that the state has a blurrier image of the variety of Covid instances within the state, however Dr. Levine mentioned state well being officers had already moved away from specializing in case counts, relying as an alternative on wastewater surveillance and genome sequencing to maintain observe of the virus.

The state nonetheless posts a report of latest day by day Covid instances 5 days every week on its web site however is planning to quickly comply with the lead of many different states in posting a weekly report as an alternative.

Many states have switched to weekly from day by day reporting of latest instances on public dashboards. Officers say it’s time-intensive to publicly replace information each day and that day by day variation within the information makes it much less significant than weekly studies. As an alternative, some are releasing it on public dashboards solely as soon as every week, in line with studies on different illnesses, just like the flu.

In Chicago, Dr. Arwady mentioned the town was nonetheless attempting to vaccinate each Chicagoan — maintaining its at-home vaccine possibility open 4 days every week as an alternative of seven, telephoning residents who’re eligible for boosters and tracing contacts in high-risk settings equivalent to prisons and nursing houses.

Advertisement

Even at a time when Covid infections are low, she worries that cuts in federal funding might be detrimental in the long term and threaten the nation’s skill to face future surges of the pandemic.

“I’m involved about this concept that ‘Covid’s over, we are able to cease funding public well being,’” she mentioned. “That can put us proper again the place we had been.”

News

Congress avoids a shutdown but leaves 'a big mess' for Trump and Republicans in 2025

Published

on

Congress avoids a shutdown but leaves 'a big mess' for Trump and Republicans in 2025

WASHINGTON — Congress struck an 11th-hour deal to avert a government shutdown during the holidays, but in the process, it lengthened an already extensive to-do list for the first year of President-elect Donald Trump’s return to office.

The funding bill keeps the government open until March 14. Even though Republicans will control the White House, the House and the Senate, they’ll again need Democratic votes to stop a shutdown in less than three months.

In addition, Trump’s demand that Congress extend or abolish the debt ceiling to take it off his plate next year failed dramatically. On Wednesday, he threatened electoral primary challenges against “any Republican” who voted to fund the government without dealing with the debt limit. On Friday, 170 House Republicans defied him and did just that.

The turmoil of the week previews the legislative chaos that awaits Washington in the second Trump administration when the incoming president faces a wide range of major deadlines and ambitions.

Sen. Ron Johnson, R-Wis., said Republicans made a mistake by punting funding to March 14, and instead should have approved a stopgap bill through the end of next September to clear their plate for Trump’s agenda.

Advertisement

“I think it’s kind of stupid,” he said of the new deadline. “Don’t ask me to explain or defend this dysfunction.”

Rep. Andy Barr, R-Ky., said late Friday that the “lesson” of the last few days is: “Unity is our strength. Disunity is the enemy of the conservative cause.”

He advised Trump and his team to avoid such a situation in the future by presenting legislative demands “early” so the GOP can “air out whatever differences there are” well before a deadline.

“The House needs to over-communicate within our various factions,” Barr said. “The House needs to over-communicate with [incoming Senate] Majority Leader [John] Thune, and House and the Senate both need to over-communicate with the administration.”

In the last four days, the communication was particularly poor. A day after Speaker Mike Johnson released an initial bipartisan deal, Trump and his billionaire confidant Elon Musk blew it up. The speaker went through three additional iterations of his plan to prevent a shutdown, ultimately succeeding after nixing Trump’s most consequential — and last-minute — demand.

Advertisement

“I’m concerned,” said Sen. Gary Peters, D-Mich., who faces re-election in 2026. “Obviously, we’ve seen this kind of chaos for the last two years. So I would fully expect we’ll see that continue in the next two years and probably get even worse.”

On Thursday night, Rep. Derrick Van Orden, R-Wis., downplayed what he called a “disjointed process,” saying it’s a natural way for House Republicans and Trump’s team to understand “how to communicate with each other.”

“It’s going to be awesome. You know why it’s going to be awesome? Because now we know how to work together,” Van Orden said just before Speaker Johnson’s Plan B went down in flames in the House.

Van Orden’s fellow Wisconsinite, Sen. Johnson, was less bullish about smoothly plowing through the early part of the 2025 agenda.

“We got a big mess on our hands, no doubt about it,” Johnson said. “That’s why I’m trying to underpromise and hopefully over-deliver.”

Advertisement

In addition to another government funding deadline and a debt limit that must be addressed by mid-2025 to avert a calamitous default, Trump and Republicans need to confirm his personnel through the Senate, and they want to pass major party-line bills to beef up immigration enforcement and extend his expiring 2017 tax law.

“It’s not going to be boring,” Sen. Ted Cruz, R-Texas, deadpanned when asked about the tasks facing Congress next year.

There’s also the question of Musk’s role after his part in scuttling the original bipartisan funding deal raised hackles across Capitol Hill.

“A lot of people on both sides of the aisle are deeply disturbed by a billionaire threatening people if they don’t vote the right way,” Rep. Debbie Dingell, D-Mich., said.

The tumult of the last week “foretells something very ominous about next year,” Rep. Gerry Connolly, D-Va., said after the House vote, noting that the Republican majority in the lower chamber will be even smaller next year.

Advertisement

“I think we’re in for a lot of turbulence on the Republican side of the House because of the instability and chaos and disruption that Trump embraces,” Connolly said.

He also wondered whether Republicans will be able to elect a speaker on Jan. 3 with a wafer-thin majority; it took 15 rounds of voting to elect a speaker at the beginning of the last Congress and some hard-right Republicans are wobbly on Speaker Johnson after his handling of the shutdown threat this week.

“So I leave very unsettled tonight in terms of what we just experienced,” Connolly said before the House adjourned for the holidays. “I think it’s very ominous, and it is portentous.”

Continue Reading

News

US House votes through last-gasp bill to keep government open

Published

on

US House votes through last-gasp bill to keep government open

Unlock the White House Watch newsletter for free

The US House passed a stop-gap funding measure with just hours to spare on Friday, paving the way for Congress to avert a government shutdown after days of fighting on Capitol Hill.

The bill that passed the House did not include any change to the debt ceiling, defying Donald Trump’s call for the mechanism to be scrapped or increased.

But the measure gained bipartisan support in the chamber, with Democrats joining Republicans to pass the bill 366-34 just after 6pm in Washington — six hours before the deadline.

Advertisement

The Democratic controlled Senate must now vote on the law before it heads to the desk of President Joe Biden, who will support the legislation, according to the White House press secretary.

Enacting the bill will end a week of volatility in Washington as Trump and his ally Elon Musk flexed their influence over hardline Republicans, pushing them to reject what they said were “giveaways” to Democrats.

Before the bill passed on Friday, Musk expressed his continued disdain for the bill: “So is this a Republican bill or a Democrat bill?”

The measure passed was House Speaker Mike Johnson’s third attempt to get a deal through the chamber after Trump torpedoed the first bipartisan agreement earlier in the week.

The new bill was almost identical to Johnson’s second one, but stripped out any move to raise or suspend the debt ceiling, despite Trump’s demands. It extends government funding at current levels, and provides aid for natural disaster relief and farmers.

Advertisement

Johnson said after the bill passed that he had been in “constant contact” with Trump and spoken to Musk shortly before the vote and received their blessing.

Trump “knew exactly what we were doing and why and, and this is a good outcome for the country. I think he certainly is happy about this outcome as well”, he told reporters on Capitol Hill.

Johnson said he asked Musk: “‘Hey, you want to be Speaker of the House?’ . . . He said, ‘this may be the hardest job in the world’. It is.”

The passage in the House marked a victory for Johnson, who had vowed earlier in the day that the US would “not have a government shut down”.

A shutdown would temporarily close parts of the government and suspend pay for federal employees. Previous government shutdowns have forced hundreds of thousands of federal workers to be furloughed.

Advertisement

Democrats also claimed victory, with House minority leader Hakeem Jeffries saying his party “stopped extreme Maga Republicans from shutting down the government”.

He added: “House Democrats have successfully stopped the billionaire boys club, which wanted a $4tn blank cheque by suspending the debt ceiling.”

Trump’s looming presence over the debate has been the biggest complicating factor in frantic negotiations to find a last-minute deal.

But as soon as the vote began, Musk changed his tune, saying that Johnson “did a good job here, given the circumstances. It went from a bill that weighed pounds to a bill that weighed ounces. Ball should now be in the Dem court.”

Democrats, angry that the earlier bipartisan deal was ditched, have blamed Musk for inserting himself in the process this week, triggering more turmoil in Congress just ahead of the US holiday season.

Advertisement

“At the behest of the world’s richest man who no one voted for, the US Congress has been thrown into pandemonium,” said Democrat Rosa DeLauro about Musk on Thursday.

Some top Republicans also appeared to criticise the interventions by Trump and Musk.

“I don’t care to count how many times I’ve reminded . . . our House counterparts how harmful it is to shut the government down and how foolish it is to bet your own side won’t take the blame for it,” Mitch McConnell, the outgoing Senate Republican leader, said on Friday.

“That said, if I took it personally every time my advice went unheeded, I probably wouldn’t have spent as long as I have in this particular job.”

Advertisement
Continue Reading

News

What a government shutdown could mean for your holiday travel plans

Published

on

What a government shutdown could mean for your holiday travel plans

Holiday travelers wait in line to check their bags at the JetBlue terminal at Boston’s Logan Airport on Friday.

Charles Krupa/AP


hide caption

toggle caption

Advertisement

Charles Krupa/AP

With Christmas and Hanukkah just days away, millions of Americans are packing their bags and preparing to hit the road. Meanwhile, Congress is trying — so far unsuccessfully — to find a way to continue funding the government.

The federal government will begin shutdown operations at midnight on Friday if lawmakers can’t pass a stopgap funding bill before then. That would grind certain services, programming and pay for federal workers to a halt, eventually affecting everyday Americans in all sorts of ways.

Could a government shutdown be the Grinch that spoils holiday travel?

Advertisement

While many federal employees involved in areas like air travel and border control are considered essential and are expected to keep working, a prolonged shutdown could complicate things.

Here’s what to know about planes, trains, automobiles and more.

Air travel could eventually face disruptions

The Transportation Security Administration (TSA) was already bracing for a busy holiday travel season. It expects to screen more than 39 million passengers at airports nationwide between Dec. 19 and Jan. 2.

A shutdown could throw a wrinkle in travelers’ plans, since the TSA is part of the federal government: the Department of Homeland Security.

TSA Administrator David Pekoske said Thursday that about 59,000 of the agency’s more than 62,000 employees are considered essential and would continue working without pay in the event of the shutdown.

Advertisement

That’s true — at least in theory.

During a five-week partial government shutdown over the 2018-2019 holiday season, scores of TSA employees — as many as 10% of the nationwide workforce — called in sick, prompting long security lines and shuttered checkpoints at some airports.

Pekoske hinted that similar problems could arise if a shutdown persists.

“While our personnel are prepared to handle high volumes of travelers and ensure safe travel, please be aware that an extended shutdown could mean longer wait times at airports,” he tweeted.

Advertisement

The Federal Aviation Administration (FAA), which is part of the Department of Transportation, says that more than 12,000 air traffic controllers would continue working without pay in the event of a government shutdown.

Hiring and training would be paused, however, according to its operational guidance. The FAA is already experiencing a shortage of air traffic controllers, which experts say strains the system and can exacerbate delays.

Passengers can monitor flight information online and through their airline.

In addition to the standard tips for packing and security, the TSA says travelers can prepare for potential holiday chaos by placing gifts in bags instead of wrapping them and making a plan for traveling with food — especially if they’re hoping to travel with only carry-on luggage, as many experts recommend.

Roads will be busy 

AAA predicts that 119.3 million people across the country will travel more than 50 miles from home between Saturday and Jan. 1, narrowly breaking a record previously set in 2019.

Advertisement

It projects that 90% of those travelers — amounting to more than 107 million people — will be making their trip by car. And because both Christmas and New Year’s Day fall on a Wednesday, it warns that traffic is likely to be especially bad on the weekends.

“There’s no set one day that’s going to be the busiest at the airports or the worst on the roads, but it’s going to be those two weekends for sure,” AAA’s Aixa Diaz told NPR’s Morning Edition this week.

That said, AAA has a list of the best and worst times to drive during the holiday period (unsurprisingly, Tuesdays and Wednesdays are the winners). And regardless of timing, it urges drivers to follow posted speed limits, slow down and move over for emergency responders, and drive only when alert.

“Driving on 4-5 hours of sleep is as dangerous as driving with a 0.08 BAC (legal intoxication),” it warns. “Less than 4 hours of sleep? The risk doubles.”

AAA advises avoiding overnight drives, heavy meals, medications that cause drowsiness and alcohol. It encourages drivers to take breaks every two hours or 100 miles, using those pauses to take a 20-30 minute nap or switch drivers if possible.

Advertisement

Train service is expected to continue 

While Amtrak is a for-profit company, it does receive some funding from federal and state governments. That’s not likely to be disrupted in the event of a government shutdown.

“Passengers planning to travel on Amtrak trains in the Northeast Corridor and across the country in the coming days and weeks can be assured that Amtrak will remain open for business,” Amtrak spokesperson W. Kyle Anderson told NPR over email Friday.

However, Amtrak can’t operate indefinitely without receiving disbursements of funding, the Rail Passengers Association said in a statement this week. It warns that a prolonged shutdown “will degrade service, while also slowing down upgrades being funded by the Bipartisan Infrastructure Law.”

Passport processing and border security will be largely unaffected 

The inspection and law enforcement personnel at Customs and Border Protection are considered essential, meaning that ports of entry will be open and processing of passengers will continue as usual, according to the American Immigration Lawyers Association (AILA).

While Americans still waiting on passport renewals are cutting it close for Christmas, a shutdown is not likely to further prolong that process.

Advertisement

The State Department’s visa and passport operations are funded by fees and therefore “not normally impacted by a lapse in appropriations,” the AILA explains.

The department’s 2023 contingency plans say that consular operations — both domestically and abroad — will remain “100% operational as long as there are sufficient fees to support operations.”

However, it says access to passport services could be suspended in certain government buildings run by agencies that have been put on pause. Luckily, Americans can now renew their passports online.

Continue Reading
Advertisement

Trending