Day: January 6, 2022

Former Biden Health Officials Urge New Approach to Fighting COVID

Nearly two years into the COVID-19 pandemic, six former health advisers for U.S. President Joe Biden are urging a different approach to fighting it.

Writing Thursday in The Journal of the American Medical Association, the advisers wrote three articles urging Americans to learn to live with the virus in a “new normal” as opposed to trying to eradicate it.

“Without a strategic plan for the ‘new normal’ with endemic COVID-19, more people in the U.S. will unnecessarily experience morbidity and mortality, health inequities will widen, and trillions will be lost from the U.S. economy,” Dr. Ezekiel Emanuel, Michael Osterholm and Dr. Celine Gounder, who served on Biden’s transition COVID-19 advisory board in 2020, wrote in one of the articles.

The former officials called for building a “modern data infrastructure” and more public health workers, including school nurses, among other things.

“Two years into the pandemic, the U.S. is still heavily reliant on data from Israel and the U.K. for assessing the effectiveness and durability of COVID-19 vaccines and rate of vaccine breakthrough infections,” they wrote.

They called for better access to cheap and rapid testing, as well as more monitoring of air and wastewater to get ahead of potential outbreaks.

They also called for vaccine mandates and the development of variant-specific vaccines.

Moreover, they called for a rebuilding of trust in the nation’s public health institutions, calling the initial response to the pandemic “seriously flawed.”

The three officials wrote that rather than living in “a perpetual state of emergency,” the public should live with the virus by reducing peak outbreaks, and they called for “humility” in dealing with a persistent and evolving virus.

Booster eligibility

In other U.S. pandemic news, the U.S. Centers for Disease Control and Prevention expanded COVID-19 booster shot eligibility for some adolescents to combat the highly transmissible omicron variant of the coronavirus. The move came as the agency faces criticism over messaging confusion on how to cope with infections.

In a statement late Wednesday, CDC Director Dr. Rochelle Walensky urged young people ages 12 and older to get COVID-19 boosters as soon as they’re eligible. Boosters were previously encouraged for people in the United States who were 16 and older.

The Pfizer-BioNTech vaccine is the sole option for children in the U.S. The CDC estimates that slightly more than half of 12-to-17-year-olds — 13.5 million people — have received two Pfizer shots. Boosters were first made available to 16- and 17-year-olds in December.

Wednesday’s decision made about 5 million younger adolescents who received their last shots in 2021 immediately eligible for boosters.

“This booster dose will provide optimized protection against COVID-19 and the omicron variant,” Walensky said in the statement. “I encourage all parents to keep their children up to date with CDC’s COVID-19 vaccine recommendations.”

Although children tend to not become as seriously ill from COVID-19 as adults, the omicron variant is fueling hospitalizations among children, most of whom are unvaccinated.

Some information for this report came from The Associated Press.

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Scientists Explore Thwaites, Antarctica’s ‘Doomsday’ Glacier 

A team of scientists is sailing to “the place in the world that’s the hardest to get to” so they can better figure out how much and how fast seas will rise because of global warming eating away at Antarctica’s ice. 

Thirty-two scientists on Thursday are starting a more than two-month mission aboard an American research ship to investigate the crucial area where the massive but melting Thwaites glacier faces the Amundsen Sea and may eventually lose large amounts of ice because of warm water. The Florida-sized glacier has gotten the nickname the “doomsday glacier” because of how much ice it has and how much seas could rise if it all melts — more than two feet (65 centimeters) over hundreds of years. 

Because of its importance, the United States and the United Kingdom are in the midst of a joint $50 million mission to study Thwaites, the widest glacier in the world by land and sea. Not near any of the continent’s research stations, Thwaites is on Antarctica’s western half, east of the jutting Antarctic Peninsula, which used to be the area scientists worried most about. 

“Thwaites is the main reason I would say that we have so large an uncertainty in the projections of future sea level rise, and that is because it’s a very remote area, difficult to reach,” Anna Wahlin, an oceanographer from the University of Gothenburg in Sweden, said Wednesday in an interview from the research vessel Nathaniel B. Palmer, which was scheduled to leave its port in Chile hours later. “It is configured in a way so that it’s potentially unstable. And that is why we are worried about this.” 

Thwaites is putting about 50 billion tons of ice into the water a year. The British Antarctic Survey says the glacier is responsible for 4% of global sea rise, and the conditions leading to it losing more ice are accelerating, University of Colorado ice scientist Ted Scambos said from the McMurdo land station last month. 

Oregon State University ice scientist Erin Pettit said Thwaites appears to be collapsing in three ways: 

— Ocean water is melting it from below.

— The land part of the glacier “is losing its grip” on the place it attaches to the seabed, so a large chunk can come off into the ocean and later melt.

— The glacier’s ice shelf, like a damaged car windshield, is acquiring hundreds of fractures. This is what Pettit said she feared would be the most troublesome, with 6-mile (10-kilometer) cracks forming in just a year. 

No one has stepped foot on the key ice-water interface at Thwaites before. In 2019, Wahlin was on a team that explored the area from a ship using a robotic ship but never went ashore. 

Wahlin’s team will use two robot ships — her own large one called Ran, which she used in 2019, and the more agile Boaty McBoatface, the crowdsource-named drone that could go further under the area of Thwaites that protrudes over the ocean — to get under Thwaites. 

The shipbound scientists will be measuring water temperature, the sea floor and ice thickness. They’ll look at cracks in the ice and how the ice is structured and tag seals on islands off the glacier. 

Thwaites “looks different from other ice shelves,” Wahlin said. “It almost looks like a jumble of icebergs that have been pressed together. So it’s increasingly clear that this is not a solid piece of ice like the other ice shelves are — nice smooth, solid ice. This was much more jagged and scarred.” 

 

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Peter Bogdanovich, Director of ‘Paper Moon,’ Dead at 82 

Peter Bogdanovich, the ascot-wearing cinephile and director of 1970s black-and-white classics like The Last Picture Show and Paper Moon, has died. He was 82.

Bogdanovich died early Thursday morning at his home in Los Angeles, said his daughter, Antonia Bogdanovich. She said he died of natural causes. 

Considered part of a generation of young “New Hollywood” directors, Bogdanovich was heralded as an auteur from the start, with the chilling lone shooter film Targets and soon after The Last Picture Show, from 1971, his evocative portrait of a small, dying town that earned eight Oscar nominations, won two (for Ben Johnson and Cloris Leachman) and catapulted him to stardom at age 32. He followed The Last Picture Show with the screwball comedy What’s Up, Doc?, starring Barbra Streisand and Ryan O’Neal, and then the Depression-era road trip film Paper Moon, which won 10-year-old Tatum O’Neal an Oscar as well. 

His turbulent personal life was also often in the spotlight, from his well-known affair with Cybill Shepherd that began during the making of The Last Picture Show while he was married to his close collaborator, Polly Platt, to the murder of his Playmate girlfriend Dorothy Stratten and his subsequent marriage to her younger sister, Louise, who was 29 years his junior.

Reactions came in swiftly at the news of his death. 

“Oh, dear, a shock. I am devastated. He was a wonderful and great artist,” said Francis Ford Coppola in an email. “I’ll never forgot attending a premiere for The Last Picture Show. I remember at its end, the audience leaped up all around me bursting into applause lasting easily 15 minutes. I’ll never forget, although I felt I had never myself experienced a reaction like that, that Peter and his film deserved it. May he sleep in bliss for eternity, enjoying the thrill of our applause forever.” 

Tatum O’Neal posted a photo of herself with him on Instagram, writing “Peter was my heaven & earth. A father figure. A friend. From Paper Moon to Nickelodeon he always made me feel safe. I love you, Peter.” 

Guillermo del Toro tweeted: “He was a dear friend and a champion of cinema. He birthed masterpieces as a director and was a most genial human. He single-handedly interviewed and enshrined the lives and work of more classic filmmakers than almost anyone else in his generation.” 

Born in Kingston, New York, in 1939, Bogdanovich started out as a film journalist and critic, working as a film programmer at the Museum of Modern Art, where through a series of retrospectives he endeared himself to a host of old guard filmmakers including Orson Welles, Howard Hawks and John Ford.

Clues 

“I’ve gotten some very important one-sentence clues, like when Howard Hawks turned to me and said, ‘Always cut on the movement and no one will notice the cut,’ ” he said in an interview with The Associated Press. “It was a very simple sentence but it profoundly affected everything I’ve done.” 

But his Hollywood education started earlier than that: His father took him at age 5 to see Charlie Chaplin and Buster Keaton movies at the Museum of Modern Art. He’d later make his own Keaton documentary, The Great Buster, which was released in 2018. 

Bogdanovich and Platt moved to Los Angeles in the mid-1960s, where they attended Hollywood parties and struck up friendships with director Roger Corman and Frank Marshall, then just an aspiring producer, who helped get the film Targets off the ground. And the professional ascent only continued for the next few films and years. But after Paper Moon, which Platt collaborated on after they had separated, he would never again capture the accolades of those first five years in Hollywood. 

Bogdanovich’s relationship with Shepherd led to the end of his marriage to Platt, with whom he shared daughters Antonia and Sashy, and a fruitful creative partnership. The 1984 film Irreconcilable Differences was loosely based on the scandal. He later disputed the idea that Platt, who died in 2011, was an integral part of the success of his early films.

He would go on to make two other films with Shepherd, an adaptation of Henry James’s Daisy Miller and the musical At Long Last Love, neither of which were particularly well-received by critics or audiences.

And he also passed on major opportunities at the height of his successes. He told entertainment news site Vulture that he turned down The Godfather, Chinatown and The Exorcist. 

“Paramount called and said, ‘We just bought a new Mario Puzo book called The Godfather. We’d like you to consider directing it.’ I said, ‘I’m not interested in the Mafia,’ ” he said in the interview. 

Headlines would continue to follow Bogdanovich for things other than his movies. He began an affair with Playboy Playmate Dorothy Stratten while directing her in They All Laughed, a romantic comedy with Audrey Hepburn and Ben Gazzara, in the spring and summer of 1980. Her husband, Paul Snider, murdered her that August. Bogdanovich, in a 1984 book titled The Killing of the Unicorn: Dorothy Stratten, 1960-1980, criticized Hugh Hefner’s Playboy empire for its alleged role in events he said ended in Stratten’s death. Then, nine years later, at 49, he married her younger sister Louise Stratten, who was just 20 at the time. They divorced in 2001, but continued living together, with her mother in Los Angeles. 

Relationships’ effects

In an interview with the AP in 2020, Bogdanovich acknowledged that his relationships had an impact on his career. 

“The whole thing about my personal life got in the way of people’s understanding of the movies,” Bogdanovich said. “That’s something that has plagued me since the first couple of pictures.” 

Despite some flops along the way, Bogdanovich’s output remained prolific in the 1980s and 1990s, including a sequel to The Last Picture Show called Texasville; the country music romantic drama The Thing Called Love, which was one of River Phoenix’s last films; and, in 2001, The Cat’s Meow, about a party on William Randolph Hearst’s yacht starring Kirsten Dunst as Marion Davies. His last narrative film, She’s Funny That Way, a screwball comedy starring Owen Wilson and Jennifer Aniston that he co-wrote with Louise Stratten, debuted to mixed reviews in 2014. 

Over the years he authored several books about movies, including Peter Bogdanovich’s Movie of the Week, Who the Devil Made It: Conversations with Legendary Film Directors and Who the Hell’s in It: Conversations with Hollywood’s Legendary Actors. 

He acted semi-frequently, too, sometimes playing himself (in Moonlighting and How I Met Your Mother) and sometimes other people, like Dr. Elliot Kupferberg on The Sopranos, and also inspired a new generation of filmmakers, from Wes Anderson to Noah Baumbach. 

“They call me ‘Pop,’ and I allow it,” he told Vulture.

At the time of the AP interview in 2020, coinciding with a podcast about his career with Turner Classic Movies host Ben Mankiewicz, he was hard at work on a television show inspired by Dorothy Stratten, and wasn’t optimistic about the future of cinema. 

“I just keep going, you know. Television is not dead yet,” he said with a laugh. “But movies may have a problem.” 

Yet even with his Hollywood-sized ego, Bogdanovich remained deferential to those who came before. 

“I don’t judge myself on the basis of my contemporaries,” he told The New York Times in 1971. “I judge myself against the directors I admire — Hawks, [Ernst] Lubitsch, Buster Keaton, Welles, Ford, [Jean] Renoir, [Alfred] Hitchcock. I certainly don’t think I’m anywhere near as good as they are, but I think I’m pretty good.” 

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NASA’s James Webb Space Telescope Marks Milestones

After launching its next-generation space telescope, NASA scientists mark major milestones in its progress.  Plus, a new spaceplane arrives at the Consumer Electronics Show in Las Vegas.  VOA’s Arash Arabasadi brings us The Week in Space.

Camera: YouTube NASA/ REUTERS/ SIERRA SPACE 
Produced by: Arash Arabasadi

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Australia Detains Serbian Tennis Star Djokovic Over COVID-19 Visa Breaches

World tennis No.1 Novak Djokovic has had his visa canceled by Australian authorities and is facing deportation. He had received a COVID-19 vaccination exemption to defend his title at the Australian Open but has reportedly failed to provide proper evidence to border officials.

The Serbian is the defending Australian Open champion, and a nine-time winner of the event, but the government said Thursday he’s no longer welcome.

He was detained at Melbourne airport Wednesday for several hours before border force officials announced that he had not met immigration regulations and would be deported.

Djokovic’s father had claimed his son was being held “captive.”

Serbian President Aleksander Vucic said he was a victim of “harassment.”

Australian Prime Minister Scott Morrison is standing firm, though.

“On the issue of Mr. Djokovic, rules are rules and there are no special cases,” Morrison said. “That is the policy of the government, and it has been our government’s strong border protection policies and particularly in relation to the pandemic that has ensured that Australia has had one of the lowest death rates from COVID anywhere in the world. Entry with a visa requires double vaccination or a medical exemption. I am advised that such an exemption was not in place and as a result he is subject to the same rule as anyone else.”

With his visa revoked, Djokovic is now an “unlawful non-citizen” in Australia and is being held in immigration detention, where his movements are restricted after he was driven from Melbourne airport by government officials. It is also unclear whether Djokovic is allowed to communicate with his advisers, which is standard practice according to Australian law.

His lawyers are challenging the deportation order in Australia’s Federal Circuit Court.

The 34-year-old tennis star has not publicly confirmed his COVID-19 vaccination status.

He flew to Australia after being granted a controversial medical exemption. Tennis authorities said he had not received any special treatment, but many Australians, who have lived under some of the world’s toughest coronavirus restrictions, believed Djokovic had abused the system.

Australia’s states and territories Thursday reported more than 70,000 new COVID-19 cases. A total of 612,000 infections have been diagnosed in Australia since the pandemic began, according to official figures, 2,289 people have died.

More than 90% of the eligible population have been fully vaccinated.

To curb the spread of the virus, the Northern Territory imposed lockdown restrictions Thursday on unvaccinated residents, who must adhere to stay-home orders until next Monday. 

 

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WHO Says New Coronavirus Variant in France Not a Threat – Yet

The World Health Organization says a new coronavirus variant recently detected in France is nothing to be concerned about right now.

Scientists at the IHU Mediterranee Infection Foundation in the city of Marseille say they discovered the new B.1.640.2 variant in December in 12 patients living near Marseille, with the first patient testing positive after traveling to the central African nation of Cameroon.

The researchers said they have identified 46 mutations in the new variant, which they labeled “IHU” after the institute, that could make it more resistant to vaccines and more infectious than the original coronavirus.  The French team revealed the findings of a study in the online health sciences outlet medRxiv, which publishes studies that have not been peer-reviewed or published in an academic journal.

Abdi Mahmud, a COVID-19 incident manager with the World Health Organization, told reporters in Geneva earlier this week that, while the IHU variant is “on our radar,” it remains confined in Marseille and has not been labeled a “variant of concern” by the U.N. health agency.

Meanwhile, an international team of health care advocates and experts is calling for 22 billion doses of mRNA vaccine to be administered around the world this year to stop the spread of the highly contagious omicron variant.  The team is urging the production of an additional 15 billion doses of mRNA vaccine, more than double the projected 7 billion doses.

The report says mRNA vaccines produced by Pfizer and Moderna have demonstrated the best protection against several variants by providing cross-immunity through so-called T-cells, an arm of the human immune system that kills virus-infected cells and keeps them from replicating and spreading.

The report was a collaboration among scientists at Harvard Medical School, Columbia University, New York University and the University of Saskatchewan and the advocacy groups PrEP4All and Partners in Health.

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A Season of Joy — and Caution — Kicks Off in New Orleans

Vaccinated, masked and ready-to-revel New Orleans residents will usher in Carnival season Thursday with a rolling party on the city’s historic streetcar line, an annual march honoring Joan of Arc in the French Quarter and a collective, wary eye on coronavirus statistics.

Carnival officially begins each year on Jan. 6 — the 12th day after Christmas — and, usually, comes to a raucous climax on Mardi Gras, or Fat Tuesday, which falls on March 1 this year. Thursday’s planned festivities come two years after a successful Mardi Gras became what officials later realized was an early Southern superspreader of COVID-19; and nearly a year after city officials, fearing more death and more stress on local hospitals, canceled parades and restricted access to the usually raucous Bourbon Street.

This year, the party is slated to go on despite rapidly rising COVID-19 cases driven by the omicron variant.

In what has become a traditional kickoff to the season, the Phunny Phorty Phellows will gather at a cavernous streetcar barn and board one of the historic St. Charles line cars along with a small brass band. Vaccinations were required in keeping with city regulations and seating on the streetcar was to be limited and spaced. And, in addition to the traditional over-the-eye costume masks, riders were equipped with face coverings to prevent viral spread.

Larger, more opulent parades will follow in February as Mardi Gras nears and the city attempts to leaven the season’s joy with caution.

 

“It was certainly the right thing to do to cancel last year,” said Dr. Susan Hassig, a Tulane University epidemiologist who also is a member of the Krewe of Muses, and who rides each year on a huge float in the Muses parade. “We didn’t have vaccines. There was raging and very serious illness all over the place.”

Now, she notes, the vaccination rate is high in New Orleans. While only about 65% of the total city population is fully vaccinated, according the city’s statistics, 81% of all adults are fully vaccinated. And the overall percentage is expected to increase now that eligibility is open to younger children.

And, while people from outside the city are a big part of Mardi Gras crowds, Mayor LaToya Cantrell’s anti-virus measures include proof of vaccination or a negative test for most venues. “The mayor has instituted a vaccine requirement and/or negative test to get into all the fun things to do in New Orleans — the food, the music,” said Hassig. She adds, however, that she’d like to see a federal requirement that air travelers be vaccinated.

Sharing Hassig’s cautious optimism is Elroy James, president of the Zulu Social Aid and Pleasure Club, a predominantly Black organization whose Mardi Gras morning parade is a focal point of Carnival. Early in the pandemic, COVID-19 was blamed for the death of at least 17 of Zulu’s members. Compounding the tragedy: Restrictions on public gatherings meant no traditional jazz funeral sendoff for the dead.

“I think most krewes, particularly, I know, for Zulu, we’ve been very proactive, leaning in, with respect to all of the safety protocols that have been in place since the onset of this thing,” James said Wednesday. “Our float captains are confirming our riders are vaccinated. And part of the look for the 2022 Mardi Gras season is face masks.”

Statistics still show reason for concern in a state where the pandemic has claimed more than 15,000 lives over the past two years. Louisiana health officials reported more than 1,287 hospitalizations as of Tuesday — a sharp increase from fewer than 200 in mid-December. Still, reports nationwide indicate the omicron-driven illnesses are milder than previous cases. Hassig notes that a lower percentage of patients require ventilators, a sign of less-severe illness.

And dedicated parade participants aren’t stopping precautions at masks and shots. Muses founder Staci Rosenberg said the krewe had planned to gather at a bar a couple of blocks off the streetcar route to await the passing of the Phunny Phorty Phellows’ procession. Now, they’ve moved that party to an outside parking lot.

Hassig, meanwhile, says she doesn’t plan to attend any indoor gatherings. She, is, however, determined to ride in the Feb. 24 parade — vaccinated, face covered with an N95 mask and knowing that outdoor activities are generally less likely to spread disease.

It’s important to Hassig. She rode in her first parade in 2006 as the city fought to recover from catastrophic flooding following Hurricane Katrina. And she wants to participate in the tourist-dependent, tradition-loving city’s recovery from the economic ravages of the virus.

 

“It’s incredibly important, financially, for the city that this go well,” she said.

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Australia Detains Serbian Tennis Star Over COVID-19 Visa Breaches

World tennis No.1 Novak Djokovic has had his visa canceled by Australian authorities and is facing deportation. He had received a COVID-19 vaccination exemption to defend his title at the Australian Open but has reportedly failed to provide proper evidence to border officials.

The Serbian is the defending Australian Open champion, and a nine-time winner of the event, but the government said Thursday he’s no longer welcome.

He was detained at Melbourne airport Wednesday for several hours before border force officials announced that he had not met immigration regulations and would be deported.

Djokovic’s father had claimed his son was being held “captive.”

Serbian President Aleksander Vucic said he was a victim of “harassment.”

Australian Prime Minister Scott Morrison is standing firm, though.

“On the issue of Mr. Djokovic, rules are rules and there are no special cases,” Morrison said. “That is the policy of the government, and it has been our government’s strong border protection policies and particularly in relation to the pandemic that has ensured that Australia has had one of the lowest death rates from COVID anywhere in the world. Entry with a visa requires double vaccination or a medical exemption. I am advised that such an exemption was not in place and as a result he is subject to the same rule as anyone else.”

With his visa revoked, Djokovic is now an “unlawful non-citizen” in Australia and is being held in immigration detention, where his movements are restricted after he was driven from Melbourne airport by government officials. It is also unclear whether Djokovic is allowed to communicate with his advisers, which is standard practice according to Australian law.

His lawyers are challenging the deportation order in Australia’s Federal Circuit Court.

The 34-year-old tennis star has not publicly confirmed his COVID-19 vaccination status.

He flew to Australia after being granted a controversial medical exemption. Tennis authorities said he had not received any special treatment, but many Australians, who have lived under some of the world’s toughest coronavirus restrictions, believed Djokovic had abused the system.

Australia’s states and territories Thursday reported more than 70,000 new COVID-19 cases. A total of 612,000 infections have been diagnosed in Australia since the pandemic began, according to official figures, 2,289 people have died.

More than 90% of the eligible population have been fully vaccinated.

To curb the spread of the virus, the Northern Territory imposed lockdown restrictions Thursday on unvaccinated residents, who must adhere to stay-home orders until next Monday. 

 

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Omicron Is Milder Than Delta But Nothing to Sneeze At

Omicron may not cause as much lung damage as the delta variant of the COVID-19 virus, according to new lab studies.

That, plus vaccination, may help explain why patients with omicron are not being hospitalized or dying as often as patients infected with previous variants.

But omicron is still killing an average of 1,200 people each day in the United States, about equal to the peak of the second COVID-19 wave in July and August of 2020.

“If it’s milder compared to delta; delta was horrible,” said Joe Grove, a senior lecturer at the University of Glasgow Centre for Virus Research. “This has not necessarily just turned into the common cold all of a sudden. It is still something that we should be concerned about.”

Plus, experts caution, omicron’s ferocious infectiousness means the less virulent virus can still do a lot of damage, especially among the unvaccinated who are elderly or have preexisting conditions.

Lighter on the lungs

A set of new studies in lab animals and petri dishes found that omicron did not infect lung tissue as much as previous variants. And it didn’t cause as much damage or inflammation when it did.

Omicron had no problem infecting tissues in the nose and throat. A preference for the upper airway might help explain why omicron is so infectious, Grove said.

“It’s going to be more easily coughed or sneezed out and spread more easily,” Grove said. “But I am speculating here.”

The lab results are promising, but what happens in lab animals doesn’t always translate to people, Dr. Mike Diamond, an infectious diseases professor at Washington University School of Medicine, cautioned.

“You might say, ‘Well, maybe it’s less severe,'” he said. “But we don’t fully even know that it’s less severe in humans yet.”

Doctors in South Africa said that omicron patients had not been not as sick when the variant swept through that country. Health officials in the United Kingdom reported similar observations.

But it’s not clear if those cases were milder because of the virus or because people were less susceptible.

“In the U.K. there was a very high vaccination rate,” Diamond noted. “And then in South Africa, a lot of people got infected in the first wave, so they’re naturally immune.”

Some encouraging signs are starting to come in. According to an early study in Ontario, Canada, unvaccinated people infected with omicron were 60% less likely to be hospitalized or die than those infected with delta.

Experts warn, however, that the risk of severe disease may be lower, but the odds of catching omicron are higher. The huge number of people infected cancels out the advantage of the milder virus.

Unvaccinated and hospitalized

That’s why hospitals in parts of the United States are filling up again.

In this wave, most hospitalized patients are unvaccinated, by an overwhelming margin.

In New York City, for example, where COVID-19 is spiking again, unvaccinated patients are being hospitalized at a rate 30 times that of vaccinated patients.

The highest rates of hospitalization are among those over 65.

Even if omicron is milder, “it seems to be still doing quite a bit of damage in unvaccinated people,” said University of Texas Medical Branch virologist Vineet Menachery.

“The good news is that there does seem to be a trend that this virus is less severe than previous waves, especially if you’re vaccinated,” he said. For those who got their shots, “the threat of severe disease is probably off the table for most people.”

“On the other hand, for people who are not vaccinated, I think the threat is just as big as it was in March of 2020,” Menachery added. 

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US Advisers Endorse Pfizer COVID Boosters for Younger Teens

Influential government advisers are strongly urging that teens as young as 12 get COVID-19 boosters as soon as they’re eligible, a key move as the U.S. battles the omicron surge and schools struggle with how to restart classes amid the spike. 

All Americans 16 and older are encouraged to get a booster, which health authorities say offers the best chance at avoiding the highly contagious omicron variant. Earlier this week, the Food and Drug Administration authorized an extra Pfizer shot for kids ages 12 to 15, as well — but that wasn’t the final hurdle. 

The Centers for Disease Control and Prevention makes recommendations for vaccinations and on Wednesday, its advisers voted that a booster was safe for the younger teens and should be offered to them once enough time — five months — has passed since their last shot. And while the CDC last month opened boosters as an option for 16- and 17-year-olds, the panel said that recommendation should be strengthened to say they “should” get the extra dose. 

CDC director Dr. Rochelle Walensky will weigh the panel’s advice before making a final decision soon. 

Vaccines still offer strong protection against serious illness from any type of COVID-19, including the highly contagious omicron variant, especially after a booster. But omicron can slip past a layer of the vaccines’ protection to cause breakthrough infections.

Studies show a booster dose at least temporarily revs up virus-fighting antibodies to levels that offer the best chance at avoiding symptomatic infection, even from omicron.

Fending off even a mild infection is harder for vaccines to do than protecting against serious illness, so giving teens a booster for that temporary jump in protection is like playing whack-a-mole, cautioned Dr. Sarah Long of Drexel University. But she said the extra shot was worth it given how hugely contagious the omicron mutant is, and how many kids are catching it. 

More important, if a child with a mild infection spreads it to a more vulnerable parent or grandparent who then dies, the impact “is absolutely crushing,” said Dr. Camille Kotton of Massachusetts General Hospital. 

“Let’s whack this one down,” agreed Dr. Jamie Loehr of Cayuga Family Medicine in Ithaca, New York. 

The vaccine made by Pfizer and its partner BioNTech is the only option for American children of any age. About 13.5 million children ages 12 to 17 have received two Pfizer shots, according to the CDC. Boosters were opened to the 16- and 17-year-olds last month. 

The CDC’s advisers were swayed by real-world U.S. data showing that symptomatic COVID-19 cases and hospitalizations are between seven and 11 times higher in unvaccinated adolescents than vaccinated ones. 

If the CDC agrees, about 5 million of the younger teens, those 12 to 15, would be eligible for a booster right away because they got their last shot at least five months ago.

New U.S. guidelines say anyone who received two Pfizer vaccinations and is eligible for a booster can get it five months after their last shot, rather than the six months previously recommended. 

Children tend to suffer less serious illness from COVID-19 than adults. But child hospitalizations are rising during the omicron wave — the vast majority of them unvaccinated. 

During the public comment part of Wednesday’s meeting, Dr. Julie Boom of Texas Children’s Hospital said a booster recommendation for younger teens “cannot come soon enough.” 

The chief safety question for adolescents is a rare side effect called myocarditis, a type of heart inflammation seen mostly in younger men and teen boys who get either the Pfizer or Moderna vaccines. The vast majority of cases are mild — far milder than the heart inflammation COVID-19 can cause — and they seem to peak in older teens, those 16 and 17. 

The FDA decided a booster dose was as safe for the younger teens as the older ones based largely on data from 6,300 12- to 15-year-olds in Israel who got a Pfizer booster five months after their second dose. Israeli officials said Wednesday that they’ve seen two cases of mild myocarditis in this age group after giving more boosters, 40,000. 

Earlier this week, FDA vaccine chief Dr. Peter Marks said the side effect occurs in about 1 in 10,000 men and boys ages 16 to 30 after their second shot. But he said a third dose appears less risky, by about a third, probably because more time has passed before the booster than between the first two shots. 

 

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