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Thursday, August 26, 2021

COVID-19 vaccinations required for most green card applicants

 Immigrants in the U.S. applying for legal permanent residence must show proof of being vaccinated against COVID-19 under a new policy beginning Oct. 1, according to the Centers for Disease Control and Prevention.

The agency said it now classifies COVID-19 as a “Class A inadmissible condition,” and failure to vaccinate against a vaccine-preventable disease would render a person ineligible for a visa. 

Other Class A conditions include tuberculosis, syphilis and quarantinable diseases designated by a presidential order.

In its guidance, the CDC said proof of vaccination must be provided as part of a green card applicant’s medical exam. It explained that a negative COVID-19 test is not sufficient to prove an immigrant does not pose a public risk of spreading the disease.

“A negative screening for COVID-19 at the time of the medical evaluation does not guarantee the applicant will not have COVID-19 at the time the applicant becomes a Lawful Permanent Resident,” the CDC said.

The guidance allows for medical and religious exemptions, as well as exemptions for children and people living in areas without wide vaccine distribution, but vaccine refusal without an adequate reason would be grounds for inadmissibility.

“If an applicant refuses one or more doses of a COVID-19 vaccine series that is medically appropriate for the applicant, it should be documented that the vaccine requirements are not complete and that the applicant refuses vaccination. This applicant is Class A and is inadmissible to the United States,” the agency said.

Under U.S. immigration law, foreign nationals who apply for permanent residency are also required to receive vaccinations to prevent other diseases, including mumps, measles, rubella, and hepatitis A and B.

So far, the new guidance exists only for immigrants inside the United States seeking adjustment of status, the process through which an immigrant applies for a green card without needing to return to their home country.

“It’s a very, very welcomed guidance, and I just think it’s a matter of time before it is rolled to overseas petitioners,” said Nicolette Glazer, an immigration lawyer based in California.

Republicans for months have raised concerns about the possibility of immigrants spreading COVID-19, particularly along the U.S.-Mexico border. GOP lawmakers have pushed the Biden administration to uphold Title 42, a Trump-era public health directive under which most single adults and some families are turned away at the border.

But the CDC guidance would only apply to immigrants living in the U.S. seeking permanent legal status, not those attempting to enter the country.

https://www.rollcall.com/2021/08/26/covid-19-vaccinations-required-for-most-green-card-applicants/

No Masks Or Proof Of Vaccination Required For US Open

 Masks will not be required when the US Open tennis tournament gets underway next week in Flushing Meadows, Queens.

Fans won’t need to mask up or show proof of vaccination to attend.

“The goal is not to prevent all cases of COVID. The goal, really, is to be certain that we don’t have an outbreak of COVID that’s going to be unusual or that we would regret,” Dr. Brian Hainline, a U.S. Tennis Association first vice president and member of its medical advisory group, said on a conference call with reporters on Wednesday. “We’re still relying on the goodwill of people. The unvaccinated — although it’s not going to be enforced — they really should be wearing masks. I expect many vaccinated individuals are going to be wearing masks, as well.”

The decision is drawing some criticism. City Councilmember Mark Levine called it “extraordinarily reckless,” saying it “needs to be fixed.”

Last year, fans were banned from the Open due to COVID, but this year, the tournament will be operating at full capacity.

The U.S. Tennis Association says it is following virus protocols from the Centers for Disease Control and Prevention and the New York City Department of Health.

While players and their team members are allowed to go out in the city during the tournament, a graphic distributed by the USTA reads in bold lettering: “It is highly recommended that everyone exercise caution, especially given the delta variant. Try to avoid large, crowded indoor settings. Socialize only among your team when indoors. Keep masks on indoors even with other fully vaccinated persons who are not in your support team.”

Players don’t need to be vaccinated to compete; they will be tested for COVID-19 when they arrive in New York and then every four days. A positive result will force the player to isolate for 10 days and withdraw from the tournament.

Spectators won’t need to fill out health questionnaires and will not have their temperatures taken to access the Billie Jean King National Tennis Center. To eat indoors there, anyone 12 and older will need to show proof they’ve had at least one dose of a vaccine. All courts are considered outdoor venues — including, thanks to their air-filtration systems, Arthur Ashe Stadium and Louis Armstrong Stadium, even if their retractable roofs are closed because of rain.

That was also the case this year for the two arenas with roofs that can be closed at Wimbledon. But for much of that tournament, held in June and July, capacity was reduced to 50%, fans had to show proof of a recent negative COVID-19 test and they were told to wear masks while wandering the grounds of the All England Club.

https://newyork.cbslocal.com/2021/08/26/us-open-2021-no-masks/

NYC Public Schools Will Only Conduct Random COVID Tests On Unvaccinated Students This Fall

 New York City plans to randomly test 10% of each school’s unvaccinated population twice a month this school year to prevent COVID-19 transmission, Mayor Bill de Blasio and Schools Chancellor Meisha Porter announced Thursday.

The updated testing strategy is considerably dialed back from the previous protocol that held weekly testing of each school’s entire school population, but it does fall in line with recommendations from the Centers for Disease Control and Prevention.


This year, the city is also not setting a threshold number of COVID cases to close a school. Instead, the city will only consider closures if there is “widespread transmission” in a school, the Department of Education said. Last year, schools closed whenever there were two or four reported cases of COVID-19 in different classrooms within a week that were traced to a known exposure inside the school.


Emily Rubinstein, a parent of two children, ages 8 and 4, said she objects to shuttering an entire elementary school classroom when there’s just one positive case. She noted that CDC guidance only calls for quarantining close contacts within classrooms if the students weren’t consistently wearing masks when exposed. She said any closure will be especially difficult for her 8-year-old son.


“He has a very hard time with Zoom,” she said. “He has OT [Occupational Therapy], he’s dyslexic. And what we’re doing is giving him less of an education.


Now, school closures will be on a “case by case basis,” de Blasio said, but a summary released by the DOE did not specify a definition for widespread transmission. The CDC doesn't offer a specific cutoff for unplanned school closures, but all five boroughs are currently experiencing more than 100 cases per 100,000 residents. The CDC classifies this as a "high" rate of community transmission.


The city also plans to limit the disruption of classroom closures and quarantines with updated protocols, including acknowledging that quarantined students will receive remote learning.


The unvaccinated populations in city schools will likely be comprised mostly of students. All education employees, including school-based staff, will be required to take vaccines. But kids under 12 are still ineligible, and the city isn't requiring them for adolescents yet. The city hasn't said if medical or religious exemptions would be allowed for the staff mandate.


Porter said there are several strategies when a COVID-19 case occurs in a student this fall:

  • For elementary schools, with younger students under the age of 12 who are not currently eligible to get vaccinated, a positive COVID-19 diagnosis in a classroom will mean all students will be quarantined for ten days while receiving remote learning.

  • For middle and high school classes, fully vaccinated students and staff who are exposed to confirmed cases but remain asymptomatic can continue to attend school and will be “encouraged” to take a COVID-19 test three to five days after potential exposure.

  • Fully vaccinated students and staffers who are showing symptoms will be directed to quarantine for ten days and will have access to remote learning while in quarantine.

  • Unvaccinated middle and high school students will be directed to quarantine for 10 calendar days. But they can exit it after seven days with proof of a negative COVID-19 test taken on the fifth day of quarantine.


Elementary students will receive “live online instruction” by their classroom teachers provided full-time while they are quarantining, Porter said.


Middle and high school students will have “access to remote learning” while they are in quarantine, though it was not immediately clear if the instruction will be asynchronous or synchronous with in-person classes. It was also not immediately clear who will be teaching either the "live online instruction" or "remote learning" to the quarantined middle and high school kids if their classrooms have some kids who are vaccinated and could continue going to school.


Rubinstein said she would prefer the school system allow younger students with negative COVID-19 tests to return to the classroom before 10 days. “When a kid gets sick they should definitely go home, and the rest of the kids should definitely keep going to school,” she said.


But parents and teachers who have called for additional precautions given the spread of the highly contagious delta variant said they don’t believe the safety measures go far enough.


Teacher Annie Tan called the new reduced testing policy “inadequate.”

“It really throws me off that there's only gonna be testing every two weeks...because cases can rise and fall within that time period,” she said. “That really makes no sense,” … If you're not testing, then you can't quarantine a class, because you don't know what cases are there.”


For students with medical conditions, the DOE has expanded an existing Home Instruction program, Porter said. The program can include individual in-person instruction or “individual and small group instruction by certified teachers through digital platforms,” she said.


The expanded list of eligible conditions include: active cancer, chronic renal diseases, sickle cell, gastro/Crohn’s disease, thalassemia, leukemia, metabolic disorders, heart conditions, muscular dystrophy, adrenal disorder, cystic fibrosis, liver disease, tumor, congenital lung disease, congenital heart condition, lymphoma, cerebral ataxia, seizures, stroke and multiple sclerosis.


One parent, Latoya Reed, said she was glad to hear that children with certain health conditions would be eligible for a remote option. Her oldest daughter is vaccinated and able to attend high school, but she’s worried about her two younger children who are unvaccinated. One has sickle cell disease and would be eligible for instruction at home. The other who has severe asthma would not.


“How can I send one child or two children [to] school and keep one home?” Reed said. “That means they would have the chance of possibly bringing [COVID] home for her to catch.”


De Blasio repeatedly pointed to the city's COVID-19 protocols in schools and vaccines as the key to a successful school year, including a sizable increase in the number of eligible kids getting vaccinated this summer. He said Thursday 66% of New Yorkers 12 and older have taken COVID-19 vaccines.


These and other details coincided with the release of a Department of Education-issued handbook for parents and caregivers of students, called, "DOE Homecoming 2021: Our Commitment to Your Health and Safety."


City officials said they would be releasing more details on school reopening in the coming weeks. The city’s public school system opens its doors to students on September 13th.


https://gothamist.com/news/nyc-public-schools-will-only-conduct-random-covid-tests-unvaccinated-students-fall

Rural Covid-19 Infections Rise for Eighth Straight Week

 New cases of Covid-19 have risen for the eighth consecutive week, reaching levels not seen since the end of January.

In the past two weeks, new Covid-19 infections in rural counties have nearly doubled, from about 70,000 three weeks ago to 137,204 new cases last week.

The surge that first emerged in Missouri in early July and spread into the Southeast is now affecting states from coast to coast. Seventy percent of the nation’s nonmetropolitan counties had higher infection rates last week than they did two weeks ago.

This week’s Daily Yonder analysis of Covid-19 in rural America covers Sunday, August 8, through Saturday, August 14. Data is from USA Facts.

  • Three quarters of the nation’s rural (nonmetropolitan) counties are now on the red-zone list, meaning they have weekly infection rates of 100 or more new cases per 100,000 population in a single week. The White House coronavirus response team states that counties that are on the red-zone list should take additional measures to contain the virus.
  • More than 400 of the nation’s red-zone counties have infection rates in the “very high” category -- 500 or more new cases per 100,000 in a single week. Those counties are shown in black (rural) and gray (metropolitan) on the map above.
  • The new epicenter of the current surge has shifted to rural Mississippi, which accounted for nearly 10% of all new rural infections last week. Every county in the state has been on the red-zone list for two weeks in a row. And the number of counties with very high infection rates (shown in gray and black on the map) grew from 26 to 68 last week.
  • Besides Mississippi, six states had all of their nonmetropolitan counties in the red zone. These were Arizona, Arkansas, Florida, Hawaii, Louisiana, and South Carolina.
  • All but a handful of counties in the nation’s Southern states were in the red zone last week. States outside the South with at least 90% of their rural counties in the red zone were Illinois, Indiana, Oregon, and Wyoming.
  • Eleven states, all in the South, accounted for 60% of the new rural infections last week. In addition to Mississippi, which had 12,643 new infections in rural counties, those states are Texas (11,006 new rural cases), Kentucky (8,722 new rural cases), North Carolina (8,433 new rural cases), Florida (6,103 new rural cases), Tennessee (6,084 new rural cases), Arkansas (6,018 new rural cases), Missouri (5,778 new rural cases), Georgia (5,755 new rural cases), Louisiana (5,611 new rural cases), and Alabama (5,591 new rural cases).  
  • Connecticut and South Dakota had the lowest rural infection rates in the nation.

  • After months of nearly identical levels, the rural infection rate grew faster than the metropolitan infection rate last week. The rural rate of new infections was 298 cases per 100,000 for the week, slightly higher than the metro rate of 261 new cases per 100,000.
  • The rural death rate has been higher than the metro death rate since the end of the May. The gap has widened during the current surge. Last week, the rural death rate from Covid-19 was 90% higher than the metro rate (1.9 deaths per 100,000 vs. 1.0 deaths per 100,000).
  • The current surge in the pandemic is still accelerating, but not quite as quickly. New cases nationally increased 23% last week, compared to 37% two weeks ago and 52% three weeks ago.

Florida COVID update: 901 added deaths, largest single-day rise in pandemic history

 Florida on Thursday reported 21,765 more COVID-19 cases and 901 deaths to the Centers for Disease Control and Prevention, according to Miami Herald calculations of CDC data.

All but two of the newly reported deaths occurred after July 25, with about 78% of those people dying in the past two weeks, according to Herald calculations of data published by the CDC. The majority of deaths happened during Florida’s latest surge in COVID-19 cases, fueled by the delta variant.

It is the largest single-day increase to the death total in the state’s COVID pandemic history.

The jump in the number of reported cases and deaths is due to the newest way deaths and cases are counted. The CDC implemented the change earlier this month, causing occasional one-day aberrations like the 901 additional deaths on Thursday and 726 more deaths reported Monday.

In all, Florida has recorded at least 3,151,909 confirmed COVID cases statewide and 43,632 deaths.

BEHIND OUR REPORTING

The Herald publishes the number of new COVID-19 cases and deaths reported by the Centers for Disease Control and Prevention after each update by the agency.

On Aug. 10, the Florida Department of Health changed the way it reported new cases and deaths to the CDC. Cases and deaths used to be logged as total new cases reported on a single day. Now, Florida is reporting cases by the “case date,” according to the CDC, rather than the date the case was logged into the system. The result of this change is a lag in cases by date and a number of cases back-filling over time.

The Herald will continue to report the difference in total cases and deaths from one day to the next in stories about daily new cases and deaths, as this is consistent with the way data have been presented in daily stories since the beginning of the pandemic.

FLORIDA COVID-19 VACCINE RATES

As of the Thursday report, 11,138,433 eligible Floridians — 51.9% of the state’s population — had completed the two-dose series of Pfizer-BioNTech or Moderna, or have completed Johnson & Johnson’s single-dose vaccine, according to the CDC.

COVID-19 VACCINES IN SOUTH FLORIDA

The CDC reports that every county’s level of community transmission is high. Here’s how many people have been fully vaccinated in South Florida, according to the CDC.

▪ In Miami-Dade County about 1,779,732 people, or 65.5% of the county’s total population, are fully vaccinated.

▪ In Broward County about 1,077,319 people are fully vaccinated, or 55.2% of the county’s population.

▪ In Palm Beach County about 795,090 people are fully vaccinated, or 53.1% of the county’s population.

▪ In Monroe County about 45,789 people are fully vaccinated, or 61.7% of the county’s population.

▪ In Manatee County about 196,121 people are fully vaccinated, or 48.6% of the county’s population.

COVID-19 HOSPITALIZATIONS IN FLORIDA

There were 16,833 people hospitalized for COVID-19 in Florida on Thursday, according to data reported to the U.S. Department of Health & Human Services from 256 Florida hospitals. That is 331 fewer patients than Wednesday’s COVID patient population.

COVID-19 patients also accounted for 28.76% of all hospital patients.

Of the hospitalized in Florida, 3,688 people were in intensive care unit beds, an increase of 54. That represents 55.28% of the state’s ICU hospital beds from 256 hospitals reporting data.

Thursday’s Miami-Dade County report said there were 1,692 COVID patients in the county’s hospitals on Tuesday, a decrease of 201 from the previous day’s report. Of the 152 new COVID patients, 131 (86.2%) had not been vaccinated.

https://www.miamiherald.com/news/coronavirus/article253766203.html

Children now account for 36% of Tennessee’s virus cases

 Children now make up 36% of Tennessee’s reported COVID-19 cases, marking yet another sobering milestone in the state’s battle against the highly contagious delta variant, Health Commissioner Lisa Piercey said Wednesday.

“We had 14,000 pediatric cases in the last seven days, which is a 57% increase over the week prior,” Piercey told reporters. “Right now, 36% of all of our cases in the state are among children when it’s historically been in the 10 to 15% range.”

According to researchers from Johns Hopkins, Tennessee ranks sixth in the country for new cases per capita. The rolling average number of daily new cases has increased by about 2,200, an increase of 75%, over the past two weeks.

Piercey said the biggest increase has been among school-age children just as many are kicking off the new school year.

This spike has raised calls from some health officials for the state to take more forceful protective measures to prevent the spread the virus among young children, teachers and other staffers.

However, Gov. Bill Lee has thus far resisted such suggestions. Instead, he recently signed an executive order letting parents opt their children out of coronavirus-related mask mandates in K-12 schools just as a few school districts issued mask requirements for students and others.

When pressed Wednesday if the Republican was considering giving schools more flexibility to hold virtual learning, Lee said no.

“We don’t have any plans to do that yet,” he said.

Currently, students can only attend remote learning if their district has adopted a specific virtual school — which not every district has implemented. Lee could authorize an emergency order allowing schools to expand their virtual learning options, but thus far chosen has not to do so.

Numerous schools have since been forced to close their doors for days at a time due to the increasing amount of students and teachers testing positive for the virus or having to quarantine.

“If you want to protect your kid from the virus or from quarantine, the best way to do that is to have your kid in school with a mask. At the same time, I fundamentally believe parents should individually make that decision for their children,” Lee said. “It’s a way forward that will provide for parental choice but encourage the safety of our children moving forward.”

Few school districts have adopted a mask mandate as Tennessee’s vaccination rates remain among the lowest nationally. Those districts include Nashville and Shelby County, the latter the largest school district in the state. Some smaller school districts have as well.

Public health experts say masks are a key coronavirus-prevention tool that does not pose health risks for children older than toddler age and are most effective when worn by a larger number of people. The U.S. Centers for Disease Control and Prevention has again recommended them for schools. Currently, only those 12 and older are eligible for COVID-19 vaccines.

https://www.wkrn.com/news/children-now-account-for-36-of-tennessees-virus-cases/

Spain's Rovi probing possible Moderna vaccine contamination, no safety issues so far

 No safety or efficacy issues have been identified in relation to the Moderna vaccine so far, Spanish pharmaceutical firm Rovi said on Thursday, after Japan suspended the use of 1.63 million Moderna doses due to reports of contamination.

Rovi said in a statement the origin of this incident may be in one of its manufacturing lines and it was conducting an investigation following the standard procedure for such cases. It said two adjacent lots had been put on hold as a precaution.

https://www.marketscreener.com/quote/stock/MODERNA-INC-47437573/news/Moderna-Rovi-investigating-possible-Moderna-vaccine-contamination-no-safety-issues-so-far-36258379/