Including when the health officials of the United States say that it is time for learn to live with the coronavirusa chorus of detached investigators assuring that messages are confusing about the evacuations of the vacancies he has grave grave to millions of mayors.
According to the Centers for Disease Control and Prevention (CDC), approximately 1 in 3 major mayors from 65 years of age completed their initial round of evacuation without having received the first emergency evacuation. These numbers are related to the investigators, who are aware that this group is holding the most serious grave death and death by covid-19.
The mayor of 65 years represents approximately 75% of the deaths by covid in the country. It would be a success, including to complete the initial series of doses of the Modern or Pfizer vaccine, or to receive one of the Johnson & Johnson vaccine vaccines.
Among the major adults who murmured covid in January, the 31% completed a first round of evacuation but did not receive the refunds, so a KFF analysis of the data of the CDC.
There is no administrator who needs an este group that has resulted in a decenas decenas de miles de vidas, expresó by Dr. Eric Topol, fundador and head of the Scripps Research Translational Institute. “The refurbishment program has failed since the first day”, said Topol. “This is one of the most important issues for the stadium pandemic and has been handled poorly”.
“Si los CDC dijeran: ‘Esto podría salvarle la vida'”, agrego, “eso ayudaría mucho”.
Although the initial cycle of evacuation of one dose is effective in preventing hospitalization and death, the immunity varies with time. The refurbishments, which are renewed by this protection, are especially important to the major people now that the covid cases are constantly being renewed, more submarine transmissions of omicrons and the stadiums are in place.
For some mayors, prior to the initial vacancy in early 2021, there has been more than one year since his last vacancy. Increasing Confusion: The CDC defines “totally evacuated” as persons who completed an initial course of one or two doses, although the first refusal was considered to be extended to extend the treatment against covid.
Numerous studies have confirmed that the first injection injection is a critical army against covid. U.N study of veteran mayors published in April found that those who received a third of an ARNm vacancy had a 79% lower chance of dying because those who had received only two.
A central question for the scientists defending the referees is why the bags were stored between the persons of 65 years and more. The inquiries have revealed that the policy and information received by a paper in the vacancy that the general public has about vacancies, but there is no case between the major people, who have the old vacancy rate and the vacancy rate. . more than 90% of the mayadadididenses mayors have completed an initial course of one or two of the 8th of May.
However, only 69% of these vacancies mayors have received their first dose of reflux.
In general, menos de la mitad de los estadounidenses elegibles of all the edades he received a refund.
The discrepancy for the mayors is likely to be debated in the form in which the federal government distributes the vacancies, said David Grabowski, professor of attenuation medicine at the Harvard School of Medicine.
Although the Biden administration coordinates the admission of vacancies to senior adults, football stadiums and other places specific to the past year, the federal governor has drafted a very small paper on the entry fee, to reimburse refunds.
Today, the adult majors are responsible for offering the refunds to their residents, and depend on the pharmacies that are traditionally contracted to administer the flu vaccine, Dijo Grabowski said. In addition to the high ones, the people generally have to find their proposed proposals, there are clinics, local pharmacies or primary care providers.
The doctor Thomas Frieden, ex director of the CDC, dijo que, in theory, redirects the responsibility of the immunization against covid of the clinics patronized by the governor and the individual providers to appear logical, given the design of privatization m of ladica Estados .
However, in reality, dijo Frieden, this encoque is not working because “our primary health care system is not configured to easily assume a public health mission”.
The majority of medical attention providers do not have the technology to screen the manner in which patients are evacuated, and program follow-up, Frieden said. Tampoco has financial incentives for vacancies and administrators to be referred to their patients. Including antandema of the pandemic, el 28% of stadium status not contaba with a regular source of medical attention.
Grabowski dijo que los hogares de adultos mayores en særild necesitan más apoyo. Although less than 1% of the population living in hogares live assistance centers, representan more than 20% of deaths by covid.
The expert said that the Biden administration would coordinate the integration of refuges in the hogs during the massive evacuation efforts. “It is important that these clinics centralize volvieran and administer resuscitation to residents and staff over time,” said Grabowski. “I look forward to seeing you”.
The Biden administration has promoted its continuous efforts to evacuate the mayors. For example, los Medicare and Medicaid Service Centers (CMS) he sent teams of the highest quality to assess the hogares with bad bags of evacuation.
The Medicare program has sent cards by mail to the 63 million beneficiaries to receive the refunds, and has sent millions of recorders in e-mails and text messages. However, many health advocates coincide with the fact that the country has lost the impetus for the first months of the cohabitation holiday campaign.
“We do not have the urgency that we have with the initial doses”, said Lori Smetanka, head of the National Consumer Voice for Quality Long-Term Care, a defense group.
Some investigators attribute this deceleration to the initial disagreement between the health leaders regarding the value of the referees, following an escalation implementation. The referees are approved in stages for different groups of editions, without the fanfare that normally comes with a single change of important politics.
The CDC recommends travel vacancies for individuals with debilitated systems in August; lie for the mayors in October; for all adults in November; and for children of 12 years in advance in January. Moreover, although the vacancies in Paris are still a year old, government agencies are less expressive of the need to reduce refusal rates.
“I feel like we’ve been bombarded with notices, and that all the fireplaces are on the windows,” said Grabowski. “Now, you have to find your own truck”.
For many mayors, barriers that can make access to private medical attention difficult in normal times also exist for refusals. For example, many adult mayors prefer to receive a vaccine without a quote, or make quotes by phone, including when the pharmacies use the most quotes online, which require them to navigate a site.
Some high-income people do not have transportation, a major obstacle particularly in rural areas where health clinics can be 20 or 30 miles away. “If the people have to pick up the buses or pick up a free time of work, or take care of their family, it is less likely that they will be evacuated”, says Smetanka.
Doctor LaTasha Perkins, family physician in Washington, DC, a physician to convince the Mississippi family that is the vacuna. Your current accedio will receive its first vacancies during the season, just in case the CDC approves referees for all adults. “Finally, we learn that the people receive the injections, and we say: ‘Oh, for sure, we need a third'”, says Perkins. “It’s confusing for many communities.”
Aggregate that, although national leadership is important, local connections can be more powerful. Perkins har dado charlas sobre vacunas en su iglesia. It is most likely that the feligreses confine in their medical council, dijo, porque is a member to the one who comes to all the domingos.
Some communities have done a great deal of work to improve the reputation that others have. Minnesota has administered refusals to 83% of residents resettled for 65 years or more, a proportion greater than any other state, según from CDC.
The state of Dakota in Minnesota has administered refertoire to mayor percentage of persons aged 65 years or more than any other state of the country, at least 50,000 major adults, according to a KHN analysis of CDC data.
Christine Lees, epidemiologist and public health supervisor of the Dakota State Department, said her department had contracted an agency to provide emergency evacuation services to residents and staff at residential and residential care centers. The health department has evacuation clinics at the time of death and some still facilitate access to those who work.
The Department uses Coronavirus Aid, Relief, and Economic Security (CARES) to compare the vacancies clinic with lifesaving clinics and mobile home parks. “We execute during every step we take and we want to stop marching”, says Lees.
“We have rooms and libraries. Salíamos al menos una vez a la semana para mantener esos números altos ”. Health care workers walk the truck to the evacuation clinics to visit the residents with anticipation and answer questions, said Lees. The US rescue plan is a fund of 50 USD per person to get incentives for the first vacunas and refuerzos, such as Lees.
These incentives are “really important for the people who can afford to pay a little more to get to a vacancy”, says Lees. Topol, de Scripps, dijo que no es demasiado tarde para que los federal leaderes analytes lo que funciona y lo que no, y relansar el esfuerzo para que más gente reciba los refuerzos.
It will be difficult to rename now. For an aggressive and total campaign for the mayors, what he did, he did the right thing, ”said Topol. “These people are the most fragile”.
Phillip Reese, professor of periodism at the Universidad Estatal de California-Sacramento, contributes the history.
This story was produced by KHN (Kaiser Health News), the editorial board of KFF (Kaiser Family Foundation), which produces profound periodism on health topics. Together with the Analysis of Policies and Investigations, KHN is one of the three main programs of KFF. KFF is an organization without finesse that brings information on health topics to the nation.
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism on health issues. Together with Policy Analysis and Polling, KHN is one of the three major operational programs KFF (Kaiser Family Foundation). KFF is a non-profit organization that provides information on health issues to the nation.
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