What Do Vaccine Efficacy Numbers Actually Mean?

Link: https://www.nytimes.com/interactive/2021/03/03/science/vaccine-efficacy-coronavirus.html

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Efficacy depends on the details of a trial, such as where it took place. Johnson & Johnson ran trials at three sites: in the United States, Latin America and South Africa. The overall efficacy was lower than that in the United States alone. One reason for that appears to be that the South Africa trial took place after a new variant had swept across that country. Called B.1.351, the variant has mutations that enable it to evade some of the antibodies produced by vaccination. The variant didn’t make the vaccine useless, however. Far from it: In South Africa, Johnson & Johnson’s efficacy was 64 percent.

Efficacy can also change when scientists look at different outcomes. Johnson & Johnson’s vaccine had an 85 percent efficacy rate against severe cases of Covid-19, for example. That’s important to know, because it means that the vaccine will prevent a lot of hospitalizations and deaths.

Author(s): Carl Zimmer, Keith Collins

Publication Date: 3 March 2021

Publication Site: New York Times

New COVID-19 cases among nursing home residents fell 80 percent in a month

Link: https://thehill.com/homenews/news/540614-new-covid-19-cases-among-nursing-home-residents-fell-80-percent-in-a-month?rl=1

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New coronavirus cases among nursing home residents have plummeted by nearly 80 percent from late December to early February, according to The New York Times.

In an analysis of federal data, the news outlet found that outbreaks at long-term care facilities have dropped at a rate almost double that of the general population.

“I’m almost at a loss for words at how amazing it is and how exciting,” David Gifford, the chief medical officer for the American Health Care Association, told the Times. “If we are seeing a robust response with this vaccine with the elderly with a highly contagious disease, I think that’s a great sign for the rest of the population.”

Author(s): Cameron Jenkins

Publication Date: 25 February 2021

Publication Site: The Hill

Virus Did Not Bring Financial Rout That Many States Feared

Link: https://www.nytimes.com/2021/03/01/business/covid-state-tax-revenue.html

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Throughout the debate over stimulus measures, one question has repeatedly brought gridlock in Washington: Should the states get no-strings federal aid?

Republicans have mostly said no, casting it as a bailout for spendthrift blue states. Democrats have argued the opposite, saying that states face dire fiscal consequences without aid, and included $350 billion in relief for state and local governments in President Biden’s $1.9 trillion federal stimulus bill, which narrowly passed the House this past weekend. It faces a much tougher fight in the Senate.

As it turns out, new data shows that a year after the pandemic wrought economic devastation around the country, forcing states to revise their revenue forecasts and prepare for the worst, for many the worst didn’t come. One big reason: $600-a-week federal supplements that allowed people to keep spending — and states to keep collecting sales tax revenue — even when they were jobless, along with the usual state unemployment benefits.

Author(s): Mary Williams Walsh, Karl Russell

Publication Date: 1 March 2021

Publication Site: New York Times

7 Virus Variants Found in U.S. Carrying the Same Mutation

Link: https://www.nytimes.com/2021/02/14/health/coronavirus-variants-evolution.html

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As Americans anxiously watch variants first identified in the United Kingdom and South Africa spread in the United States, scientists are finding a number of new variants that originated here. More concerning, many of these variants seem to be evolving in the same direction — potentially becoming contagious threats of their own.

In a study posted on Sunday, a team of researchers reported seven growing lineages of the novel coronavirus, spotted in states across the country. All of them have evolved a mutation in the same genetic letter.

“There’s clearly something going on with this mutation,” said Jeremy Kamil, a virologist at Louisiana State University Health Sciences Center Shreveportand a co-author of the new study.

Author(s): Carl Zimmer

Publication Date: 14 February 2021, updated 25 February 2021

Publication Site: NY Times

U.K. Virus Variant Is Probably Deadlier, Scientists Say

Link: https://www.nytimes.com/2021/02/13/world/europe/covid-uk-variant-deadlier.html

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British government scientists are increasingly finding the coronavirus variant first detected in Britain to be linked to a higher risk of death than other versions of the virus, a devastating trend that highlights the serious risks and considerable uncertainties of this new phase of the pandemic.

The scientists said last month that there was a “realistic possibility” that the variant was not only more contagious than others, but also more lethal. Now, they say in a new document that it is “likely” that the variant is linked to an increased risk of hospitalization and death.

The British government did not publicly announce the updated findings, which are based on roughly twice as many studies as its earlier assessment and include more deaths from Covid-19 cases caused by the new variant, known as B.1.1.7. It posted the document on a government website on Friday.

Author(s): Benjamin Mueller, Carl Zimmer

Publication Date: 13 February 2021, updated 17 February 2021

Publication Site: NY Times

Opera Singers Help Covid-19 Patients Learn to Breathe Again

Link: https://www.nytimes.com/2021/02/16/arts/music/opera-singers-covid-19-treatment-eno-breathe.html

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Called E.N.O. Breathe and developed by the English National Opera in collaboration with a London hospital, the six-week program offers patients customized vocal lessons: clinically proven recovery exercises, but reworked by professional singing tutors and delivered online.

While few cultural organizations have escaped the fallout of the pandemic, opera companies been hit especially hard. In Britain, many have been unable to perform in front of live audiences for almost a year. While some theaters and concert venues managed to reopen last fall for socially distanced shows between lockdowns, many opera producers have simply gone dark.

But the English National Opera, one of Britain’s two leading companies, has been trying to redirect its energies. Early on, its education team ramped up its activities, and the wardrobe department made protective equipment for hospitals during an initial nationwide shortage. Last September, the company offered a “drive-in opera experience,” featuring an abridged performance of Puccini’s “La Bohème” broadcast over large screens in a London park. That same month, it started trialing the medical program.

Author(s): Andrew Dickson

Publication Date: 16 February 2021

Publication Site: NY Times

N.Y.C. Covid Vaccine Disparities Revealed in ZIP Code Data: Officials

Link: https://www.nytimes.com/2021/02/16/nyregion/nyc-covid-vaccine-zip-codes.html

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Officials in New York City released new data by ZIP codes on Tuesday that they said underscored troubling disparities in the city’s vaccination effort, with the share of residents who are fully vaccinated in some wealthier Upper West and East Side ZIP codes, which have high proportions of white residents, reaching up to eight times the rate in parts of predominantly Black neighborhoods like East New York.

The figures for individual ZIP codes provided one of the most granular pictures of the city’s vaccination effort to date. And it added more evidence suggesting that across the country, the vaccine appears to be flowing disproportionately toward areas with wealthy and white residents, even though low-income communities of color remain the hardest hit by the coronavirus.

Still, questions remained. The new city data does not break down vaccine recipients by race in each ZIP code, nor does it account for how many people in each ZIP code are eligible to be vaccinated.

Author(s): Mihir Zaveri

Publication Date: 16 February 2021

Publication Site: NY Times

To Plug a Pension Gap, This City Rented Its Streets. To Itself.

Link: https://www.nytimes.com/2021/02/16/business/dealbook/pension-borrowing-retirement.html

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That hasn’t deterred governments. Nationwide, cities and states issued $6.1 billion in pension obligation bonds in 2020, more than in any year since 2008, according to data compiled by Municipal Market Analytics, a research firm. States with significant new pension borrowings last year included Arizona, Florida, Illinois, Michigan and Texas. In California, cities borrowed more than $3.7 billion to squirrel away at various public pension funds, breaking the old state record of $3.5 billion, set in 1994.

It’s a major comeback for this type of debt, said Matt Fabian, a partner at Municipal Market Analytics who has been writing about the deals for years. “They’re borrowing money and basically putting it into the market and gambling,” he said.

Mr. Fabian said his firm’s tally almost certainly missed the borrowing by municipalities that took West Covina’s approach, because those bonds used different names. Flagstaff rented its City Hall, libraries and fire stations last year to back a pension deal marketed as “certificates of participation.” In January, Tucson did the same, leasing two police helicopters, a zoo conservation center, five golf courses and the bleachers at its rodeo grounds, among other things. And a Chicago suburb, Berwyn, used “conveyed tax securitization bonds” to help fund police pensions.

Author(s): Mary Williams Walsh

Publication Date: 16 February 2021

Publication Site: New York Times

Cuomo Accepts Some Blame in Nursing Home Scandal but Denies Cover-Up

Link: https://www.nytimes.com/2021/02/15/nyregion/cuomo-nursing-homes.html

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More than 15,000 people have died from the coronavirus in New York’s nursing homes and long-term care facilities. But as recently as late January, the state was reporting only about 8,500 fatalities, excluding virus-related deaths that occurred physically outside of those facilities, such as in hospitals.

About two weeks ago, the state’s attorney general, Letitia James, accused the Cuomo administration of severely undercounting those deaths connected to nursing homes. Hours later, the state updated those numbers, adding thousands of deaths to the official tally. Since then, a court order has resulted in more updates, further increasing the number of deaths.

Ms. James’s assertion of an undercount of total deaths of nursing home residents fueled accusations that the Cuomo administration may have artificially depressed the number of those deaths to try to deflect blame for a policy set early in the pandemic: sending nursing home residents who had been hospitalized with the coronavirus back to the nursing homes.

The governor has said the state was following federal guidelines in returning the residents and trying to increase hospital capacity, assertions that he repeated on Monday, while also denying any suggestion that he was making any decision because of political calculations. “These decisions are not political decisions,” he said.

Author(s): Jesse McKinley

Publication Date: 15 February 2021

Publication Site: NY Times

The Question Some Company Owners Don’t Want to Deal With

Link: https://www.nytimes.com/2021/02/12/your-money/company-owners-succession.html

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Besides a succession plan, a type of life insurance policy on a person crucial to a business — what’s known as key person insurance — can provide a lifeline to the business.

C. John Bongiovanni, who has been president of Bon Tools since his father, Carl, died of a heart attack in 2017, said he had also dealt with a lack of a succession plan. But what made the initial transition especially difficult, he said, was the lack of insurance, which would have given him some breathing room to sort through the company’s finances and tend to its 70-plus employees.

“The toughest thing at first was to circle the wagons and figure out what was what,” he said. Key person insurance would have also relieved him of some of the pressure he feels to buy other parts of the business, like its real estate, from his mother and to begin to compensate his two sisters, who are not part of the business.

Author(s): Paul Sullivan

Publication Date: 12 February 2021

Publication Site: NY Times

New Allegations of Cover-Up by Cuomo Over Nursing Home Virus Toll

Link: https://www.nytimes.com/2021/02/12/nyregion/new-york-nursing-homes-cuomo.html

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In a conversation first reported on by the New York Post, DeRosa told a group of top lawmakers Wednesday during a call to address the nursing home situation that “basically, we froze,” after being asked over the summer for information by the Trump administration’s Department of Justice.

At the time, the governor’s office was simultaneously facing requests from the state Legislature for similar information.

“We were in a position where we weren’t sure if what we were going to give to the Department of Justice, or what we give to you guys, and what we start saying, was going to be used against us, and we weren’t sure if there was going to be an investigation,” DeRosa told lawmakers, according to a partial transcript obtained by The New York Times.

Author(s): McKinley, Jesse; Ferré-Sadurní, Luis.

Publication Date: 12 February 2021

Publication Site: NY Times