C19 Open Discussion Week 40c

From the NYT:

The Food and Drug Administration authorized Pfizer’s Covid-19 vaccine for emergency use on Friday, clearing the way for millions of highly vulnerable people to begin receiving the vaccine within days.

The authorization is a historic turning point in a pandemic that has taken more than 290,000 lives in the United States. With the decision, the United States becomes the sixth country — in addition to Britain, Bahrain, Canada, Saudi Arabia and Mexico — to clear the vaccine. Other authorizations, including by the European Union, are expected within weeks.

Pfizer has a deal with the U.S. government to supply 100 million doses of the vaccine by next March. Under that agreement, the shots will be free to the public.

Every state, along with six major cities, has submitted to the federal government a list of locations — mostly hospitals — where the Pfizer vaccine is to ship initially. In populous Florida, the first recipients will be five hospitals, in Jacksonville, Miami, Orlando, Tampa and Hollywood. In tiny, rural Vermont, only the University of Vermont Medical Center and a state warehouse will get supplies.

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C19 Open Discussion Week 40b

From the NY Times:

Pfizer’s Covid-19 vaccine passed a critical milestone on Thursday when a panel of experts formally recommended that the Food and Drug Administration authorize the vaccine. The agency is likely to do so within days, giving health care workers and nursing home residents first priority to begin receiving the first shots early next week.

The F.D.A.’s vaccine advisory panel, composed of independent scientific experts, infectious disease doctors and statisticians, voted 17 to 4, with one member abstaining, in favor of emergency authorization for people 16 and older. With rare exceptions, the F.D.A. follows the advice of its advisory panels.

With this formal blessing, the nation may finally begin to slow the spread of the virus just as infections and deaths surge, reaching a record of more than 3,000 daily deaths on Wednesday. The F.D.A. is expected to grant an emergency use authorization on Saturday, according to people familiar with the agency’s planning, though they cautioned that last-minute legal or bureaucratic requirements could push the announcement to Sunday or later.

The initial shipment of 6.4 million doses will leave warehouses within 24 hours of being cleared by the F.D.A., according to federal officials. About half of those doses will be sent across the country, and the other half will be reserved for the initial recipients to receive their second dose about three weeks later.

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C19 Open Discussion Week 40

From NJ Business Magazine:

NJBIA’s 62nd Annual Business Outlook Survey

In last year’s Business Outlook Survey, most respondents said they were anticipating an economic downturn. 

But no one saw this coming in their 2020 vision. 

The onset of the COVID-19 pandemic resulted in an economic meltdown, with unforeseen closures of operations and record unemployment, to say nothing of consumer confidence as masked shoppers treaded lightly throughout the nation. 

Nowhere has this been more felt than in New Jersey, the state that maintained its shutdown for the longest period and has been a national outlier in terms of pace of reopening and capacity levels. 

Many of the results of NJBIA’s 2021 Business Outlook Survey are what you might expect for such a devastating plunge of New Jersey’s economy. Revenue losses were severe, with a whopping 76% of respondents experiencing decreased earnings through the first eight months of 2020 – including some deeper losses in healthcare and transportation.

Moreover, 77% said they believe they will continue to incur losses as the survey was being fielded in September – with 27% saying they would continue to lose revenue through the rest of 2020 and 33% forecasting continued losses through the first half of 2021.

There certainly was no shortage of efforts by employers to right the ship during the stormy seas of 2020. Some 56% said they sought additional or alternative funding sources through federal and state loans and grants, while 59% reduced expenses and overhead. Among those decreased expenses were reduced salaries (20%), furloughed employees (22%), and laid-off workers (23%). 

Recovery-wise, 47% said they will either take more than a year, or never will, generate profits lost during non-essential business closures. 

And, looking ahead to 2021, healthcare coverage could certainly be impacted as a result of this reduced revenue. Out of the 72% of respondents who offered health insurance in 2020, 28% of them said they’ll discontinue that coverage in 2021. 

Concerns about increasing the minimum wage and the potential legal impacts of recreational cannabis were also raised, as in years past. But with the onset of the coronavirus, a new worry has emerged in the form of litigation brought by those who claim they contracted the disease while at the workplace. 

With all of this, there was the expected negative outlook for New Jersey’s economy in 2021, particularly compared to the forecast for the national economy. 

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C19 Open Discussion Week 39c

Interesting piece on the lone dissenter at the CDC:

CDC advisory panel’s lone dissenter on why long-term care residents shouldn’t receive Covid-19 vaccine first

When a Centers for Disease Control and Prevention advisory committee voted Tuesday to recommend residents of long-term care facilities should be at the front of the line — with health care providers — for Covid-19 vaccines, the lone dissenting voice came from a researcher who studies vaccines in older adults.

Helen Keipp Talbot — who is known by her middle name — raised serious concerns during the meeting of the Advisory Committee on Immunization Practices about using the vaccines in the frail elderly, noting there are no data yet to suggest the vaccines work in this population.

All the U.S.-based Phase 3 trials of Covid vaccines have to include people 65 and older. But none has specifically tested the vaccines in people who are in long-term care. One can’t assume findings in people over age 65 who are healthy enough to be accepted for a clinical trial are indicative of everyone in that demographic, she said.

At an earlier ACIP meeting, Talbot warned that vaccinating this population at the start of the vaccine rollout is risky, because long-term care residents have a high rate of medical events that could be confused as side effects of vaccination and undermine confidence in the vaccines. “And I think you’re going to have a very striking backlash of, ‘My grandmother got the vaccine and she passed away,’” she said at the time.

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C19 Open Discussion Week 39b

From Science:

CDC advisory panel takes first shot at prioritizing who gets the first shots of COVID-19 vaccines

Health care workers and elderly people living in long-term care facilities should receive top priority for COVID-19 vaccines in the United States if, as expected, one or more becomes available next month in limited supply. That’s what a group that advises the U.S. Centers for Disease Control and Prevention (CDC) on such fraught issues decided today in a near unanimous vote.

After hearing detailed presentations from CDC scientists who explained the rationale for this specific prioritization scheme, the Advisory Committee on Immunization Practices (ACIP) voted 13 to 1 to support their proposal. Under the scheme,  the first phase of vaccination, known as 1a, would begin with about 21 million healthcare workers and about 3 million adults who live longterm care facilities. As spelled out in the four-hour long virtual meeting, these groups are at highest risk of becoming seriously ill or even dying from COVID-19, and protecting them first, in turn, reduces the burden on society.

“I agree strongly with the decision of the committee,” says Stanley Perlman, a veteran coronavirus researcher and clinician at the University of Iowa who advised the ACIP but is not part of it. “The discussions were incredibly thoughtful with everyone recognizing that we needed to make difficult choices. Of course these allocation issues will become irrelevant once there are enough doses of useful vaccines.”

CDC representatives spelled out the allocation plans for Phase 1b and 1c, but the advisory committee did not discuss those today. The proposed phase 1b would target “essential workers”—for example, school staff, police, grocery workers, and bus drivers–while phase 1c would target adults over 65 and adults of any age who have high-risk medical conditions. The CDC now must decide on whether to accept the phase 1a recommendation, and then states and local jurisdiction will make the final decisions about this and later prioritizations.

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C19 Open Discussion Week 39

Stay Home Thanksgiving Illustrated:

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C19 Open Discussion Week 38b

From the Star Ledger:

N.J. scraps COVID-19 state-by-state travel advisory, calls for all travelers to quarantine

With coronavirus cases rising across the country, New Jersey is abandoning the state-by-state formula it has used the last five months to determine its quarantine travel advisory, Gov. Phil Murphy announced Wednesday.

Instead, a day before Thanksgiving, the state is now asking people who travel from any U.S. state or territory except immediate neighbors New York, Connecticut, Pennsylvania, and Delaware to voluntarily self-quarantine for 14 days after arriving.

Murphy is also urging people to avoid all unnecessary travel to and from the state.

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C19 Open Discussion Week 38

From CNN:

Pfizer and BioNTech apply for FDA emergency use authorization for coronavirus vaccine

Pfizer and BioNTech on Friday submitted to the US Food and Drug Administration for emergency use authorization for their coronavirus vaccine candidate.

This is the first coronavirus vaccine to seek regulatory clearance in the United States. 

“It is with great pride and joy and even a little relief that I can say that our request for emergency use authorization for our Covid-19 vaccine is now in the FDA’s hands,” Pfizer CEO Albert Bourla said in a video shared on Friday. “This is a historic day, a historic day for science and for all of us. It took just 248 days to get from the day we announced our plans to collaborate with BioNTech to our FDA submission day.

“We have operated at extraordinary speed in our clinical development program, from concept to regulatory filing, while always maintaining our focus on safety.”

The vaccine, known as BNT162b2, could potentially be available for use in high-risk populations in the United States by the middle to end of December, Pfizer and BioNTech said in a statement earlier Friday. The vaccine requires two doses a few weeks apart, and protection is achieved 28 days after the first shot. 

The submission to the FDA is based on results from the Phase 3 clinical trial of Pfizer’s vaccine, which began in the United States on July 27 and enrolled more than 43,000 volunteers.

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C19 Open Discussion Week 37b

From the Star Ledger:

N.J. small businesses struggled to pay November rent, study says 

Small businesses in New Jersey struggled to pay their November rent at a higher rate than businesses across the country, according to a new study.

And it’s even worse for minority-owned businesses.

Sixty-seven percent of minority-owned businesses surveyed in the state couldn’t afford to pay their full November rent. That compares to 44% of minority-owned businesses nationwide, said the November Rent Poll by Alignable, an online network of small business owners with more than 5 million members.

The survey questions showed New Jersey businesses — in many categories — are faring worse than the national average:

  • 35% of New Jersey business couldn’t pay their full rent in November compared to 32% nationally
  • 37% of women-owned businesses in the state couldn’t pay their full rent compared to 35% nationally

When it comes to cash reserves, small businesses in New Jersey are also doing hurting more, the study said.

In New Jersey, 42% of small businesses reported that their cash reserves will run out by the end of the year. That number compares to 22% nationally.

The survey also found 16% of New Jersey small business owners are already out of cash reserves. Nationally, it’s 12%.

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C19 Open Discussion Week 37

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C19 Open Discussion Week 36c

From the Star Ledger:

N.J. counties, towns may order 8 p.m. curfew on nonessential businesses to fight coronavirus hot spots, Murphy says

New Jersey counties and municipalities now have the authority to order nonessential businesses to close at 8 p.m. to help slow the spread of the coronavirus under a new rule Gov. Phil Murphy signed Thursday as the state deals with a second wave of the pandemic.

The announcement came the same day new restrictions go into effect for Garden State bars and restaurants that limit the hours of operation for indoor service and also for interstate indoor school sports.

New Jersey on Thursday reported 3,517 more COVID-19 casesand 18 additional deaths.

“Municipalities and counties do not have to impose additional operating-hours restrictions if they do not wish to do so,” Murphy said after he announced his plans to sign the new executive order at his latest coronavirus briefing in Trenton.

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C19 Open Discussion Week 36b

9 Months in – So much for that…

N.J. hits ‘devastating’ 6-month high in new cases with 3,877 positive tests. Death toll rises by 21 fatalities.

New Jersey health officials reported 3,877 new coronaviruscases on Tuesday – the highest daily positive tests since the April peak of the outbreak – and 21 additional deaths as the state prepares for a new curfew on indoor dining set to take effect on Thursday to slow the second wave surge.

Some of the new cases reported on Tuesday, however, may reflect a computer glitch that caused a delay in reporting on Monday when health officials announced 2,075 new positive tests. The state reported 3,207 positive tests on Saturday.

Still, the seven-day rolling average for new cases is now 2,568, an increase of 55% from a week ago, and a 233% increase from a month ago. The seven-day average hasn’t been that high since May 4 when unprecedented lockdown restrictions were still in place and the state was just emerging from the outbreak peak. New Jersey’s highest day for new daily cases was 4,391 on April 17.

“These numbers are devastating,” Gov. Phil Murphy said in a Tweet announcing the latest numbers. “We are still in the midst of a pandemic. Wear a mask. Social distance. Stay safe.”

Essex County reported a staggering 675 new cases as Newark’s mayor took steps to tighten restrictions in the city and in specific zip codes considered hot spots. Fourteen of 21 counties had more than 100 new cases.

Hospitalizations also increased for the 11th straight day to 1,645, the highest level since June 9, but still down from the more than 8,000 of the April peak.

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C19 Open Discussion Week 36

From the AP:

Biden defeats Trump for White House, says ‘time to heal’

Democrat Joe Biden defeated President Donald Trump to become the 46th president of the United States on Saturday, positioning himself to lead a nation gripped by a historic pandemic and a confluence of economic and social turmoil.

His victory came after more than three days of uncertainty as election officials sorted through a surge of mail-in votes that delayed processing. Biden crossed the winning threshold of 270 Electoral College votes with a win in Pennsylvania.

Trump refused to concede, threatening further legal action on ballot counting.

Biden, 77, staked his candidacy less on any distinctive political ideology than on galvanizing a broad coalition of voters around the notion that Trump posed an existential threat to American democracy. The strategy proved effective, resulting in pivotal victories in Michigan and Wisconsin as well as Pennsylvania, onetime Democratic bastions that had flipped to Trump in 2016.

Biden’s victory was a repudiation of Trump’s divisive leadership and the president-elect now inherits a deeply polarized nation grappling with foundational questions of racial justice and economic fairness while in the grips of a virus that has killed more than 236,000 Americans and reshaped the norms of everyday life.

Biden, in a statement, declared it was time for the battered nation “to unite and to heal.”

“With the campaign over, it’s time to put the anger and the harsh rhetoric behind us and come together as a nation,” he said. “There’s nothing we can’t do if we do it together.”

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So Who Is The President – Week 1

From the Washington Post:

A stomach-churning night of counting leaves the outcome in the balance

Whatever people thought they knew about the state of the presidential race a few weeks ago went out the window on Tuesday, turning Election Day into a tense night of counting and indecision and proving once again that there are no easy elections in a divided America.

Instead of President Trump prematurely declaring victory based on incomplete results from Election Day voting, or former vice president Joe Biden blowing out the electoral map on the strength of a massive blue wave of early votes, Election 2020 instead produced a night of nail-biting, stomach-churning results — with the possibility that the outcome would not be known for days.

With so many states undecided, it wasn’t clear whether this election would be a repeat of 2016, a shocker to the world and demoralizing to the Democrats, or something closer to 2018, when the Democrats’ seemingly slow start eventually became a wave that flipped the House. Either outcome seemed possible with so many states not called. As the night went on, the prospect for a close outcome in the electoral college continued to grow.

There was one clear echo from 2016: The three Northern states that secured Trump’s victory — Pennsylvania, Michigan and Wisconsin — appeared poised to play the decisive role again this year. But unlike many other states, none of the three began counting the massive numbers of early votes until Tuesday, meaning it could be days before the identity of the winner is known.

With the election in the balance, the counting of the mail ballots in those Northern states likely will result in legal challenges that could affect which ballots are and are not counted. The president has complained about mail ballots, claiming falsely that they are rife with fraud, and Republicans have sought to limit the time for ballots to arrive to be eligible for counting.

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C19 Open Discussion Week 34b

From the Star Ledger:

Election 2020: When could we know the election results in N.J.?

While New Jersey isn’t a swing state when it comes to the hotly contested presidential election, there are plenty of races that voters will be watching closely.

So how long will it take election officials to count ballots?

“The more people who cast the ballot that was mailed to them,the more likely we are to have completed results sooner,” said Alicia D’Alessandro, spokeswoman for the secretary of state. “The more people who vote in person, the longer the ballot counting process will extend beyond Election Day.”

And people are voting in droves.

New Jersey election officials have received more than 3.5 million mail-in ballots as of Monday. That’s more than half of the 6 million mail-in ballots that were sent out to active registered voters.

The counties have already started counting, thanks to a new law that allows them to start 10 days before Election Day,helping to speed up the process.

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