Day: September 4, 2021

Florida Struggling With COVID-19’s Deadliest Phase Yet 

Funeral director Wayne Bright has seen grief piled upon grief during the latest COVID-19 surge. A woman died of the virus, and as her family was planning the funeral, her mother was struck down. An aunt took over arrangements for the double funeral, only to die of COVID-19 herself two weeks later. “That was one of the most devastating things ever,” said Bright, who also arranged the funeral last week of one of his closest friends. Florida is in the grip of its deadliest wave of COVID-19 since the pandemic began, a disaster driven by the highly contagious delta variant. While Florida’s vaccination rate is slightly higher than the national average, the Sunshine State has an outsize population of elderly people, who are especially vulnerable to the virus; a vibrant party scene; and a Republican governor who has taken a hard line against mask requirements, vaccine passports and business shutdowns. As of mid-August, the state was averaging 244 deaths per day, up from 23 a day in late June and eclipsing the previous peak of 227 during the summer of 2020. (Because of the way deaths are logged in Florida and lags in reporting, more recent figures on fatalities per day are incomplete.) Hospitals have rented refrigerated trucks to store more bodies. Funeral homes have been overwhelmed. This 2016 photo provided by Cristina Miles shows her and her husband, Austin, in Palm Coast, Fla. Cristina’s husband died after contracting COVID-19, and less than two weeks later, her mother-in-law succumbed to the virus.’Weird dream state’Cristina Miles, a mother of five from Orange Park, is among those facing more than one loss at a time. Her husband died after contracting COVID-19, and less than two weeks later, her mother-in-law succumbed to the virus. “I feel we are all kind of in a weird dream state,” she said, of herself and her three children. Hospitals have been swamped with patients who, like Miles’ husband and mother-in-law, hadn’t gotten vaccinated. In a positive sign, the number of people in the hospital with COVID-19 in Florida has dropped over the past two weeks from more than 17,000 to 14,200 on Friday, indicating the surge is easing.  Florida made an aggressive effort early on to vaccinate its senior citizens. But Dr. Kartik Cherabuddi, a professor of infectious diseases at the University of Florida, said the raw number of those who have yet to get the shot is still large, given Florida’s elderly population of 4.6 million. “Even 10% is still a very large number, and then folks living with them who come in contact with them are not vaccinated,” Cherabuddi said. “With delta, things spread very quickly.” Cherabuddi said there is also a “huge difference” in attitudes toward masks in Florida this summer compared with last year. This summer, “if you traveled around the state, it was like we are not really in a surge,” he said. FILE – Florida Gov. Ron DeSantis speaks at a news conference at Orlando Regional Medical Center, June 23, 2020, in Orlando, Fla.DeSantis’ stancesGovernor Ron DeSantis has strongly opposed certain mandatory measures to keep the virus in check, saying people should be trusted to make decisions for themselves. He has asserted, too, that the spike in cases is seasonal as Floridians spend more time indoors to escape the heat. At his funeral home in Tampa, Bright is working weekdays and weekends, staying past midnight sometimes. “Usually we serve between five and six families a week. Right now, we are probably seeing 12 to 13 new families every week,” he said. “It’s nonstop. We are just trying to keep up with the volume.” He had to arrange the burial of one of his closest friends, a man he had entrusted with the security code to his house. They used to carpool each other’s kids to school, and their families would gather for birthday and Super Bowl parties. “It is very, very difficult to go through this process for someone you love so dearly,” he said. Pat Seemann, a nurse practitioner whose company has nearly 500 elderly, homebound patients in central Florida, had not lost a single patient to COVID-19. Then the variant she calls “the wrecking ball” hit. In the past month, she lost seven patients in two weeks, including a husband and wife who died within days of each other. “I cried all weekend. I was devastated, angry,” she said. Elderly hit hardestOverall, more than 46,300 people have died of COVID-19 in Florida, which ranks 17th in per capita deaths among the states. The majority of the deaths this summer — like last summer — are among the elderly. Of the 2,345 people whose recent deaths were reported over the past week, 1,479 of them were 65 and older, or 63%. “The focus needs to be on who’s dying and who’s ending up in the hospital,” Seeman said. “It’s still going after the elderly.” But the proportion of under-65 people dying of COVID-19 has grown substantially, which health officials attribute to lower vaccination rates in those age groups. Aaron Jaggi, 35, was trying to get healthy before he died of COVID-19, 12 hours after his older brother Free Jaggi, 41, lost his life to the virus. They were overweight, which increases the risk of severe COVID-19 illness, and on the fence about getting vaccinated, thinking the risk was minimal because they both worked from home, said Brittany Pequignot, who has lived with the family at various times and is like an adopted daughter. After their death, the family found a whiteboard that belonged to Aaron. It listed his daily goals for sit-ups and push-ups. “He was really trying,” Pequignot said. 

more

Brazil Starts Booster Shots While Many Still Await 2nd Jab

Some cities in Brazil are providing booster shots of the COVID-19 vaccine, even though most people have yet to receive their second jabs, in a sign of the concern in the country over the highly contagious delta variant.Rio de Janeiro, currently Brazil’s epicenter for the variant and home to one of its largest elderly populations, began administering the boosters Wednesday. Northeastern cities Salvador and Sao Luis started on Monday, and the most populous city of Sao Paulo will begin Sept. 6. The rest of the nation will follow the next week.France, Israel, China and Chile are among those countries giving boosters to some of their older citizens, but more people in those countries are fully vaccinated than the 30% who have gotten two shots in Brazil. A U.S. plan to start delivery of booster shots by Sept. 20 for most Americans is facing complications that could delay third doses for those who received the Moderna vaccine, administration officials said Friday.About nine out of 10 Brazilians have been vaccinated already or plan to be, according to pollster Datafolha. Most have gotten their first shot but not their second.Brazil’s cases and deaths have been falling for two months, with 621 deaths reported in the seven days through Sept. 2 — far below April’s peak of more than 3,000 reported deaths over a seven-day period. Older Brazilians have expressed concern about the efficacy of the Chinese Sinovac vaccine against the delta variant, prompting authorities to offer the booster shots.Diana dos Santos, 71, received two shots of the Sinovac vaccine even after President Jair Bolsonaro spent months publicly criticizing it. Dos Santos, who lives Rio’s low-income Maré neighborhood, is diabetic and was hospitalized for a heart condition. She refuses to leave home until she gets her booster.“I can’t go out like before and I’m still afraid of all of this,” dos Santos said. “I will feel safer (with a booster).”Because of the variant, some experts say the government should slow the rollout of boosters and focus on distributing second doses. Delta is the most contagious variant identified, and many studies have suggested that one dose doesn’t protect against it.Two shots provide strong protection, with nearly all hospitalizations and deaths among the unvaccinated.Ethel Maciel, an epidemiologist and professor at the Federal University of Espirito Santo, said pushing boosters at this early stage recalls the lack of concern given the gamma variant that overwhelmed Amazonian city Manaus earlier this year, only to feed a new wave nationwide. Brazil has seen more than 580,000 deaths from COVID-19, making it home to world’s eighth-highest toll on a per capita basis.Elderly residents wait for a dose of the Pfizer COVID-19 vaccine, during a booster shot campaign for the elderly in long-term care institutions, at Casa de Repouso Laco de Ouro nursing home, in Rio de Janeiro, Brazil, Sept. 2, 2021.“It seems we’re in the same movie, repeating the same errors,” Maciel said. “It’s only a matter of time until what’s happening in Rio leads to a greater number of more serious cases in the rest of the country.”The delta variant already is dominant in Rio de Janeiro state, detected in 86% of the samples collected from COVID-19 patients, according to the Ministry of Science, Technology and Innovation. Intensive care units have reached full capacity in eight municipalities, although only a small rise in deaths have been recorded so far.Authorities in Sao Paulo state expect a similar scenario within weeks. It registered its first confirmed death from the delta variant on Tuesday, a 74-year-old woman who had received two Sinovac shots.Globally, doubts have plagued Chinese vaccines, especially as the delta variant has gained hold in many countries. Chinese officials have maintained the vaccine protects against delta, particularly preventing hospitalizations and severe cases.Still, Brazil’s Health Minister Marcelo Queiroga said Aug. 25 that people aged 70 or older or who have a weak immune system will be eligible for a third dose, starting Sept. 15 — preferably with the Pfizer vaccine. He said that people over 18 will have received their first doses by then, although he didn’t address their vulnerability to the delta variant without a second shot.He also criticized governors and mayors who sought to deliver booster shots earlier, saying it could lead to vaccine shortages.Carla Domingues, former coordinator of Brazil’s national immunization program, agrees with the need to provide the elderly boosters, but not for people aged 70 and up right away. Shots should first go to nursing homes and people who are bed-ridden, she said, then people 80 and above, with the age slowly decreasing as supply allows.“Certainly, there will be problems with shortage, because there won’t be enough vaccine,” Domingues said.Japan and South Korea both wrestled with slow vaccine rollouts, and under half their populations are fully vaccinated; their governments are only planning booster shots in the fourth quarter of this year. Malaysia also is considering boosters, but Health Minister Khairy Jamaluddin said the priority is those who haven’t received a first dose.Aloysio Zaluar, 84, is injected with a dose of the Pfizer COVID-19 vaccine during a booster shot campaign for elderly residents in long-term care institutions in Rio de Janeiro, Brazil, Sept. 1, 2021.Thailand began giving booster shots even as most people wait to be vaccinated — but only for health and front-line workers who received two Sinovac shots. The decision came after a nurse died of COVID-19 in July.Russia, Hungary and Serbia also are giving boosters, although there has been a lack of demand in those countries for the initial shots amid abundant supplies.In addition to doubts over boosters, the issue is sensitive due to implications for global vaccine distribution. World Health Organization Director-General Tedros Adhanom Ghebreyesus has called for a moratorium on boosters “to allow those countries that are furthest behind to catch up.”Epidemiologist Denise Garrett, vice president of the Sabin Vaccine Institute, which advocates for expanding global vaccine access, said in an interview there is no doubt about the need for two jabs, but she sees no scientific or moral justification for a third.“Authorities giving a third dose are prioritizing protection against light disease instead of shielding people in poor countries from death,” said Garrett, who is Brazilian. “That is shameful, immoral, and this vaccine inequity must end.”That doesn’t sway 97-year-old Maria Menezes, who wants to spend time outside her home where she has lived for the last seven decades in Rio’s western region. Her two daughters say Menezes wants to a booster shot.“She asked us to take her for the third vaccine,” said daughter Cristina França, 38. “It will be important to beef up her immunity to reduce her risks. Her life won’t change much after the third dose, because she is more frail now, but she would live with more calm.”

more

Coronavirus Can Cause ‘Severe Illness’ in Children, CDC Warns

A U.S. Centers for Disease Control and Prevention report released Friday says the coronavirus can cause “severe illness” in children and adolescents.From late June to mid-August, when there was an “increased circulation” of the highly contagious delta variant of the coronavirus, weekly COVID-associated hospitalization rates for children and adolescents rose nearly fivefold. Hospitalization rates, however, were “10 times higher among unvaccinated than among fully vaccinated adolescents,” the study said.India’s health ministry said Saturday morning that 42,618 new COVID cases were reported in the previous 24-hour period and 330 deaths.India is second only to the United States in COVID tolls. India has almost 33 million COVID-19 infections and 440,225 deaths, according to Johns Hopkins Coronavirus Resource Center. The U.S., Johns Hopkins says, has nearly 40 million infections and close to 650,000 deaths. Public health officials have warned, however, that India’s tolls are likely undercounted.The COVID-related death of a woman in her 90s is the first COVID-related death in New Zealand in more than 200 days.In addition to COVID, doctors say the women had several underlying health problems.Fighter Oscar de la Hoya has been hospitalized with COVID-19, forcing him to drop out of a comeback fight scheduled for next month.Johns Hopkins Coronavirus Resource Center said early Saturday that it had recorded nearly 219.8 million global COVID infections and 4.5 million deaths. The center said 5.4 billion vaccines have been administered.

more

Cuba Starts Vaccinating Children in Order to Reopen Schools Amid COVID Surge

Cuban authorities on Friday launched a national campaign to vaccinate children ages 2-18 against COVID-19, a prerequisite set by the communist government for schools to reopen amid a spike in infections.Children 12 and older will be the first to receive one of the two domestically produced vaccines, Abdala and Soberana, followed by younger kids.Schools have mostly been closed in Cuba since March 2020, and students have been following lessons on television. With the school year starting Monday, they will continue learning remotely until all eligible children are vaccinated.Laura Lantigua, 17, got the first of three injections at Saul Delgado high school in the Cuban capital, Havana.”I always wanted to be vaccinated,” Lantigua told AFP. She said that doctors measured her blood pressure and temperature before giving her the shot, then told her to wait for an hour to ensure she didn’t have any side effects.”I felt normal, fine,” Lantigua said.Late Friday, the Medicines Regulatory Agency (Cecmed) announced that it authorized the emergency use of the Soberana 2 vaccine for minors between the ages of 2 and 18.The composition of Cuban vaccines, which are not recognized by the World Health Organization, is based on a recombinant protein, the same technique used by the U.S. company Novavax.With the delta variant spreading across the island of 11.2 million, the country’s health care system has been pushed to the brink.Of the 5,300 novel coronavirus deaths recorded since the outbreak started, nearly half were in August, as were almost a third of all reported cases.The government said it plans to gradually reopen schools for in-person instruction in October after the vaccination campaign among children is completed.

more