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

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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.

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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.

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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.

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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.

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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.”

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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.

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“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.

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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.”

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Israel pounds Lebanon in fierce wave of strikes

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Israel pounds Lebanon in fierce wave of strikes

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Israel continued to pound Lebanon with a fierce wave of air strikes overnight, as Israeli forces stepped up their air campaign against Hizbollah, hitting what they said were targets linked to the militant group.

The bombardment lit up Beirut’s skyline on Sunday, as powerful blasts rocked the city throughout the night. Targets included a building near the road to Beirut’s airport, where the strikes set off huge fires. Smoke was still seen rising from the area in the morning. 

The explosions began around midnight, after Israel’s military warned residents to evacuate neighbourhoods in Beirut’s southern suburbs, which Hizbollah dominates, including Haret Hreik and Choueifat. Another powerful blast was heard on Sunday morning.

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The more intense bombing followed a day of sporadic air strikes and the constant buzz of reconnaissance drones, both of which have become almost routine for residents of the capital. 

Israel’s military said it had struck weapons storage facilities and other infrastructure linked to Hizbollah in Beirut. It also said Hizbollah launched projectiles across the border, some of which were intercepted.

Hizbollah said it successfully struck a group of Israeli soldiers with a salvo of rockets. It is not possible to verify the battlefield claims on either side. 

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Israel has intensified its assault against Hizbollah over the past two weeks as it has shifted its focus from Gaza to the northern front. It has killed Hizbollah leader Hassan Nasrallah, launched air strikes across Lebanon and sent troops into Lebanon’s south for the first time in almost two decades.  

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More than 2,000 people have been killed in Lebanon in the conflict, the majority in the past two weeks, according to data from the Lebanese health ministry. More than 1.2mn people have also been displaced from their homes because of the fighting. 

This includes about 375,000 people who fled to Syria in recent days, some of whom made the journey on foot. Israel bombed one of the roads leading up to a major crossing point, saying it was targeting Hizbollah’s supply routes from Syria.

Foreigners have also continued to flee Lebanon, with multiple nations chartering planes to help repatriate their citizens in recent days. 

Israel on Saturday struck a Palestinian refugee camp in the northern city of Tripoli for the first time, targeting a Hamas commander. There were also indications that Israel was widening its offensive to include Hizbollah’s civil infrastructure. 

Lebanese authorities said Israeli bombardment had killed 50 health workers in the past four days, as Israeli fighter jets continued to attack medical facilities, mosques and other buildings it says are used by Hizbollah militants. 

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People standing on a street near damaged buildings following an Israeli air strike in the  Dahieh district in Beirut, Lebanon on October 6 2024
A street with damaged buildings following an Israeli air strike in the Dahieh district in Beirut © STR/EPA-EFE/Shutterstock

The WHO’s director-general warned that the capacity of Lebanon’s health system — already on the brink after five years of a dire economic crisis — was deteriorating and that the UN agency’s “medical supplies cannot be delivered due to the almost complete closure of Beirut’s airport”.

While Lebanon’s only airport remained open, most airlines have suspended flights in and out of the country because of the heavy bombardment in the nearby southern suburbs. 

Israel has issued multiple evacuation orders in recent days, warning people in towns and villages across the south to move north. It gave similar orders during its war against Hamas in Gaza ahead of big offensives. 

The escalation has pushed the Middle East closer to all-out war. The region is bracing for Prime Minister Benjamin Netanyahu’s response to an Iranian missile barrage fired at Israel on Tuesday. 

Tehran said the missile attack was in response to the assassination of Nasrallah and the killing of Hamas’s political leader Ismail Haniyeh in Tehran in July.

Israel also carried out further strikes in Gaza overnight, including bombing a mosque and a school in Deir al-Balah. Palestinian health officials said 26 people had been killed and “dozens” had been injured in the strikes. The Israeli military said it had targeted Hamas militants using the sites to direct operations against its forces.

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Israel also launched a new offensive in Jabalia in the north of the enclave, with warplanes carrying out a heavy bombardment of the area before it was encircled by ground forces. The military said it had launched the assault because militants had regrouped in the vicinity.

French President Emmanuel Macron on Saturday renewed his calls for a ceasefire in Gaza, saying weapons shipments to Israel for its campaign in the enclave should be suspended, and warning against further escalation in Lebanon.

“The Lebanese people must not in turn be sacrificed, Lebanon cannot become another Gaza,” he said in an interview with the France Inter radio station.

Netanyahu hit back, branding those supporting an arms embargo a “disgrace”. “Shame on them,” he said. “Israel will win with or without their support. But their shame will continue long after the war is won.”

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Tropical Storm Milton approaches Florida, likely to become a hurricane

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Tropical Storm Milton approaches Florida, likely to become a hurricane

Weather satellite image of the U.S. taken on Saturday afternoon ET shows stormy conditions brewing in the Gulf Coast.

NASA George C. Marshall Space Flight Center Earth Science Branch


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NASA George C. Marshall Space Flight Center Earth Science Branch

Less than two weeks after Hurricane Helene left a devastating and deadly trail across the Southeast, another storm is forecast to reach Florida next week — bringing threats of heavy rain, strong winds and flash flooding to the already-storm battered state.

The National Weather Service said Saturday that a tropical storm, named Milton, has formed in the Gulf of Mexico. The storm is heading toward the west coast of the Florida Peninsula. It is forecast to strengthen rapidly into a hurricane on Sunday night and become a major hurricane as it approaches the Florida coast, according to a 5 p.m. ET update from the NWS.

Forecasters said the storm is expected to bring potentially life-threatening storm conditions, including storm surge and strong winds, starting late Tuesday or Wednesday. Meanwhile, some parts of Florida will be drenched by heavy rainfall as soon as Sunday or Monday.

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Parts of South Florida were already experiencing heavy rainfall on Saturday. South Florida was expected to receive up to 7 inches of rain through Thursday. The NWS plans to issue a flood watch for parts of Palm Beach, Broward and Miami-Dade counties starting Sunday morning through Thursday morning.

Gov. Ron DeSantis on Saturday issued a state of emergency for 35 counties, including all of central Florida, in preparation for Milton’s arrival.

The governor’s order activates the Florida National Guard as needed and expedites debris cleanup from Hurricane Helene.

The prospect of another major storm comes as communities across the Southeast continue to uncover the full extent of Helene’s damage. Six states — Florida, Georgia, North Carolina, South Carolina, Tennessee and Virginia — were hit the hardest. Helene’s death toll has surpassed 200.

In Florida, at least 19 people have died as a result of the storm, according to USA Today.
Helene is considered one of the deadliest hurricanes to have hit the continental U.S. since Hurricane Katrina in 2005.

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Trump holds rally with Elon Musk at site of assassination attempt

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Trump holds rally with Elon Musk at site of assassination attempt

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Donald Trump was joined on stage by billionaire backer Elon Musk for a rally in the Pennsylvania town where he survived an assassination attempt, as the neck-and-neck US election campaign heads into its final month.

Musk, the Tesla founder who has donated to a super Pac associated with the Republican campaign, leapt on to the stage to urge voters to support Trump, repeating the candidate’s claim that the November vote was the “most important election of our lifetime”.

“The true test of someone’s character is how they behave under fire and we had one president who couldn’t climb a flight of stairs, and another who was fist-pumping after getting shot: ‘Fight, fight, fight’,” said Musk, in his first appearance alongside the former president.

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Musk claimed the Democrats were a threat to the American constitution, adding that if Trump did not win it would be the “last election”.

He said the Democrats wanted “to take away your freedom of speech, they want to take away your right to bear arms, they want to take away your right to vote, effectively.”

In an hour and half-long speech, Trump said that his return to Butler, where a shot from a would-be assassin almost killed him, showed that the gunman “did not break our spirit”.

“I return to Butler in the aftermath of tragedy and heartache to deliver a simple message to the people of Pennsylvania and to the people of America — our movement to make America great again stands stronger, prouder, more united, more determined and nearer to victory than ever before,” said Trump.

But since his first appearance in Butler, vice-president Kamala Harris has replaced Biden and the polls have narrowed. Harris leads Trump in the popular vote and the races in the seven swing states are practically a dead heat, according to an FT analysis of FiveThirtyEight polling data. Pennsylvania is the closest of all races, with Harris leading Trump by just an average of 0.6 percentage points.

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“Over the past eight years, those who want to stop us from achieving this future have slandered me, impeached me, indicted me, tried to throw me off the ballot, and, who knows, maybe even tried to kill me,” Trump told the crowd. “But I’ve never stopped fighting for you, and I never will.”

Tens of thousands of supporters, many of whom had been present at the July event, in which a Trump supporter was killed and two others were injured, gathered in Butler from the morning of the rally. They chanted “Fight, fight, fight” — the words proclaimed on stage by Trump in the moments after the shooting.

In front of the firefighter’s uniform belonging to Corey Comperatore, the supporter who was killed that day, Trump deployed his typical rhetoric, making overblown claims about immigration and crime rates, promising to allow fracking, a key industry in Pennsylvania, and repeating false assertions that the 2020 election was stolen. Comperatore’s family, Trump’s running mate JD Vance, and hedge fund billionaire John Paulson also attended the rally.

Trump also deployed his newest attack line against Harris — that she had bungled the response to tropical storm Helene.

Helene was a “Katrina for them”, he said, adding that “they say it’s the worst job ever done in helping people through the ravages of a hurricane” and falsely claiming that the only help the administration was offering those affected was a $750 emergency payment.

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The candidates have been criss-crossing the country as the election race reaches its apogee. On Saturday, Harris visited North Carolina for an update on recovery efforts for tropical storm Helene, which has devastated the south-east of the US, leaving at least 223 dead at the latest count.

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