Day: July 21, 2022

Why Aren’t More Americans Getting COVID-19 Booster Shots?

New cases of COVID-19 have been sweeping across the United States in recent weeks. On Thursday, President Joe Biden tested positive. His symptoms of tiredness, a runny nose and dry cough are considered mild.

The highly infectious and transmittable BA.5 subvariant of the coronavirus’s omicron variant is making up nearly 80% of new cases, according to the latest figures from the U.S. Centers for Disease Control and Prevention (CDC) COVID Data Tracker.

Although the initial vaccinations are effective at preventing hospitalization and death, their immunity weakens over time.

“So, more people, even those who might have protection from past infection or vaccination, have gotten COVID-19,” according to the CDC.

That’s why the CDC is recommending that immunized adults and children 5 years and older follow up with a vaccination booster in five months, and those 50 and older get a second booster shot for renewed protection. But so far, the CDC reports that only about half of adults have gotten a booster and just 28% of those age 50 and older have received a second dose, which provides even further protection from the illness.

This leaves millions of people more vulnerable to the most recent variants of omicron.

“It’s very concerning that many individuals who are eligible for boosters are choosing not to get them,” David Grabowski, a professor of health care policy at Harvard Medical School, told VOA. “There’s really strong research suggesting the protective effects of these boosters against COVID.”

The White House issued a warning this week about the spike in BA.5 subvariant cases and urged Americans over the age of 50 to get the booster shots.

“It could save your life,” said Dr. Ashish Jha, the administration’s COVID response coordinator.

Many health advocates are alarmed that public momentum over COVID-19 has waned.

Some people “don’t feel a sense of urgency to get booster shots even though they are available in most parts of the country,” Grabowski said.

Part of the reason may be a lack of communication by public health officials that is confusing to the public, said Dr. William Schaffner, a professor of infectious diseases at Vanderbilt University School of Medicine.

“Public health officials have not communicated clearly when you should get a booster and that it is an important step,” Grabowski told VOA.

Dr. David Aronoff, chair of the Department of Medicine at Indiana University’s School of Medicine, explained that in some instances, “people may have had a booster shot and not have realized they were eligible for another in several months.”

There is also the idea that since the symptoms from BA.5 are usually mild for people who are vaccinated, then why bother getting a booster, said Tina Runyan, a professor of family medicine and community health at the University of Massachusetts Medical School. With a highly contagious strain going around, some people think they will get COVID anyway, so getting a booster won’t protect them that much, she said.

But Dr. Anthony Fauci, the nation’s top infectious disease expert, said that’s not true.

“If you are not vaccinated to the fullest, namely, you have not gotten boosters according to what the recommendations are, then you’re putting yourself at an increased risk that you could mitigate against by getting vaccinated,” he said during a July 12 press briefing with the White House COVID-19 response team and public health officials.

Despite that warning, health experts say COVID-19 fatigue is causing a lack of response.

“People are ready to put COVID behind them and they just want to return to a more normal way of life,” explained Schaffner.

Going back to normal may be fleeting as new subvariants continue to pop up.

“We have to start thinking about the booster as something we might do annually to protect ourselves and others,” said Keri Althoff, an associate professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health in Maryland.

Meanwhile, new vaccines are in the works to target omicron subvariants BA.4 and BA.5.

“Getting vaccinated now will not preclude you from getting a variant-specific vaccine later this fall or winter,” said Jha, the White House COVID response coordinator.

“We’re hoping we get new vaccines in the future that will target particular variants as they come up,” Aronoff said, but the currently available vaccines, which include boosters, “are keeping people out of hospitals and from dying from COVID.”

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New York State Reports First US Polio Case in Nearly a Decade

An unvaccinated young adult from New York recently contracted polio, the first U.S. case in nearly a decade, health officials said Thursday. 

Officials said the patient, who lives in Rockland County, had developed paralysis. The person developed symptoms a month ago and did not recently travel outside the country, county health officials said. 

It appears the patient had a vaccine-derived strain of the virus, perhaps from someone who got live vaccine — available in other countries, but not the U.S. — and spread it, officials said. 

The person is no longer deemed contagious, but investigators are trying to figure out how the infection occurred and whether other people may have been exposed to the virus. 

Most Americans are vaccinated against polio, but unvaccinated people may be at risk, said Rockland County Health Commissioner Dr. Patricia Schnabel Ruppert. Health officials scheduled vaccination clinics nearby soon and encouraged anyone who has not been vaccinated to get the shots. 

“We want shots in the arms of those who need it,” she said at a Thursday press conference announcing the case. 

Feared disease

Polio was once one of the nation’s most feared diseases, with annual outbreaks causing thousands of cases of paralysis, many of them in children. 

Vaccines became available starting in 1955, and a national vaccination campaign cut the annual number of U.S. cases to fewer than 100 in the 1960s and fewer than 10 in the 1970s, according to the U.S. Centers for Disease Control and Prevention. 

In 1979, polio was declared eliminated in the U.S., meaning there was no longer routine spread. 

Rarely, travelers have brought polio infections into the U.S. The last such case was in 2013, when a 7-month-old who had recently moved to the U.S. from India was diagnosed in San Antonio, Texas, according to federal health officials. That child also had the type of polio found in the live form of vaccine used in other countries. 

There are two types of polio vaccines. The U.S. and many other countries use shots made with an inactivated version of the virus. But some countries where polio has been more of a recent threat use a weakened live virus that is given to children as drops in the mouth. In rare instances, the weakened virus can mutate into a form capable of sparking new outbreaks. 

U.S. children are still routinely vaccinated against polio with the inactivated vaccine. Federal officials recommend four doses: to be given at 2 months of age; 4 months; at 6 to 18 months; and at age 4 through 6 years. Some states require only three doses. 

According to the CDC’s most recent childhood vaccination data, about 93% of 2-year-olds had received at least three doses of polio vaccine. 

How it spreads

Polio spreads mostly from person to person or through contaminated water. It can infect a person’s spinal cord, causing paralysis and possibly permanent disability and death. The disease mostly affects children. 

Polio is endemic in Afghanistan and Pakistan, although numerous countries in Africa, the Middle East and Asia have also reported cases in recent years. 

Rockland County, in New York City’s northern suburbs, has been a center of vaccine resistance in recent years. A 2018-19 measles outbreak there infected 312 people. 

Last month, health officials in Britain warned parents to make sure children have been vaccinated because the polio virus had been found in London sewage samples. No cases of paralysis were reported. 

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Juggernaut SpaceX Poised to Shatter Launch Record

A private spaceflight company launches its way into history. Plus, a look back at the start of what is now a tenuous stellar partnership, and we remember the first manned mission to the moon. VOA’s Arash Arabasadi brings us The Week in Space.

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US Congress Moves Toward $52 Billion in Subsidies for Semiconductor Firms

The Senate this week took a key step toward passing a bill meant to provide $52 billion in subsidies to the semiconductor industry in the United States, part of an effort that lawmakers have characterized as protecting the country from supply shortages such as those that struck during the coronavirus pandemic.

The bill, called the CHIPS for America Act, also seeks to make the U.S. more competitive with China.

Semiconductors, commonly known as chips, are essential elements of modern manufacturing. They are used in computers, cellphones and automobiles as well as in various other capacities. During the pandemic, chip shortages slowed manufacturing in multiple industries to a crawl.

The legislation would create incentives for semiconductor manufacturers to build chip fabrication plants in the U.S. to bring back domestic production levels, which have fallen from more than one-third of total global capacity three decades ago to less than 12% now.

Discussing the legislation on the Senate floor, Senator Rob Portman, a Republican, said, “It is a plan to make America more competitive with China, and a plan to bring good jobs back to America.”

In a 64-34 procedural vote Tuesday, with more than a dozen Republicans voting with the overwhelming majority of Democrats, the Senate cleared the way for the legislation to come to a vote as soon as this week. The House of Representatives would need to pass the bill — which is still not in its final form — before President Joe Biden could sign it into law.

Making the case

Before the vote Tuesday, Senate Majority Leader Chuck Schumer told his colleagues that the bill “will fight inflation, boost American manufacturing, ease our supply chains and protect American security interests.”

He added: “America will fall behind in so many areas if we don’t pass this bill, and we could very well lose our ranking as the No. 1 economy and innovator in the world if we can’t pass this.”

Senator John Cornyn, the most senior Republican to vote in favor of advancing the bill, used Twitter to make his case ahead of the vote.

“If the US lost access to advanced semiconductors (none made in US) in the first year, GDP could shrink by 3.2 percent and we could lose 2.4 million jobs,” he tweeted. “The GDP loss would 3X larger ($718 B) than the estimated $240 B of US GDP lost in 2021 due to the ongoing chip shortage.”

The money in the bill comes with significant strings attached. Companies accepting the subsidies must agree not to use the funds for to buy back stock, pay shareholder dividends, or expand manufacturing in certain countries identified in the bill. Provisions allow the government to “claw back” the funds if a recipient violates any of the bill’s conditions.

Second try

If the bill advances to the House, it would mark the second time a bipartisan group of senators tried to secure money for the semiconductor industry. Last year, the Senate passed a $250 billion package that included broader research and development funding.

When the House received the bill, it waited nearly a year to pass its own version and made a number of additions that Senate Republicans would not agree to. The bill never advanced.

Now, however, things might be different. In a letter circulated to members of the House Democratic caucus on Wednesday, House Speaker Nancy Pelosi wrote in favor of the bill.

“With this package, the United States returns to its status as a world leader in the manufacturing of semiconductor chips,” Pelosi wrote, noting that the bill would create an estimated 100,000 well-paid government contracting jobs in the industry.

“Doing so is an economic necessity to lower costs for consumers and to win in the 21st Century Economy, as well as a national security imperative as we seek to reduce our dependence on foreign manufacturers,” Pelosi wrote.

Industry reacts

In an email exchange with VOA, Ajit Manocha, president and CEO of Semi, a global industry trade group, said, “We are pleased to see action to reverse the decline in the U.S. share of global semiconductor manufacturing capacity, which has fallen by 50 percent in the last 20 years and is forecast to shrink further.”

“The availability of robust incentives in other countries and the lack of a federal U.S. incentive have been key factors driving the location of more overseas manufacturing facilities,” Manocha added. “If the United States wants to maintain or increase its share of global semiconductor manufacturing capacity, the federal government absolutely needs to get in the game.”

Semiconductor Industry Association President and CEO John Neuffer said in a statement, “The Senate CHIPS Act would greatly strengthen America’s economy, national security, and leadership in the technologies that will determine our future.”

He added, “This is America’s window of opportunity to re-invigorate chip manufacturing, design, and research on U.S. shores, and Congress should seize it before the window slams shut.” 

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