China has announced it will allow access by international scientists to its massive radio telescope — the Five-hundred-meter Aperture Spherical Telescope, or FAST, in southwestern Guizhou province. It is now the largest and only instrument of its kind in the world following the recent collapse of a Puerto Rico-based observatory.Ahead of the announcement, Chinese officials last week allowed international journalists access to the instrument, built in a natural basin between mountains in a remote area of Guizhou.  Work on the FAST began in 2011 and it started full operations in January this year, at a cost of about $170 billion. The telescope specializes in capturing the radio signals emitted by celestial bodies, in particular pulsars — rapidly rotating dead stars.  The work it does is even more crucial since the December 1 collapse of the U.S.-owned Arecibo Observatory in Puerto Rico. That radio telescope — second in size to FAST — was destroyed when its suspended 900-ton receiver platform came loose and plunged 140 meters onto the radio dish below.  FAST’s chief inspector of operations, Wang Qiming, told the French news agency, AFP, a team had visited Arecibo and drew a lot of inspiration from that structure. But Chinese officials say FAST is two- to three times more sensitive than the Arecibo instrument and has five to ten times the surveying speed. Plus, it can rotate, allowing access to a wider area of the sky.Officials say they hope to open access to the telescope and its unique capabilities in 2021. Scientists using the Arecibo Observatory won a 1993 Nobel Prize in Physics for their work proving the existence of gravitational waves by monitoring a binary pulsar. China hopes to attract similar scientific talent to the FAST telescope. 
 
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With inoculations of a second COVID-19 vaccine set to begin Monday across the United States, federal health regulators have issued new guidelines of who should be prioritized in the next round of inoculations.An advisory panel of the U.S. Centers for Disease Control and Prevention voted 13-1 Sunday to make Americans 75 and older, along with so-called “frontline essential workers,” the first in line to receive coronavirus vaccines. The essential workers  include first responders such as police and firefighters, teachers, employees of the U.S. Postal Service, public transportation employees, and workers in food and agriculture, manufacturing and grocery stores.The panel’s vote came as hundreds of delivery trucks began fanning out across the nation to deliver nearly 6 million doses of the vaccine developed by U.S.-based drug maker Moderna and the National Institutes of Health.Moderna Begins COVID-19 Vaccine Distribution in US The US Food and Drug Administration on Friday approved Moderna for emergency useThe new vaccine shipped out just two days after the Food and Drug Administration granted it emergency use authorization, which itself came just days after agency regulators confirmed Moderna’s claims of the vaccine’s safety and effectiveness.The Moderna-NIH vaccine adds to the 2.9 million doses of the Pfizer-BioNTech vaccine shipped last week that began the vaccination effort in the U.S., starting with frontline health care workers and nursing home residents.U.S. President-elect Joe Biden and his wife, Jill, will receive the Pfizer vaccine Monday during a publicly televised event. The 78-year-old Biden is at high risk of contracting the virus due to his age. A spokesman for Biden’s transition team says Vice President-elect Kamala Harris and her husband, Douglas Emhoff, will be vaccinated sometime next week.Vice President Mike Pence and his wife, Karen, along with Surgeon General Jerome Adams, received the Pfizer vaccine during a televised event last Friday in Washington.COVID Travel and Transport Bans Prompt Emergency Meeting Monday in BritainMeasures triggered by spread of new coronavirus variant in the country as scientists look for evidence whether it is deadlierMeanwhile, a growing list of nations banned most travel from Britain in response to a dramatic rise of infections due to a new strain of COVID-19, the disease caused by the coronavirus, sweeping across southern Britain.At least 14 European nations, including Denmark, France, Finland, Germany, Italy, Ireland and the Netherlands, announced a ban on all flights from Britain on Sunday. France also banned all travel from Britain at the iconic English Channel, forcing Britain to shut down all passenger and freight travel at the crucial port city of Dover, leaving scores of trucks carrying tons of goods stranded.Other nations have also banned flights from Britain, including Canada, which announced Sunday night that it was halting flights from Britain for 72 hours. Argentina, Chile, El Salvador, Iran and Israel are among the other countries who have also announced a ban on flights from Britain.British Prime Minister Boris Johnson is set to hold an emergency meeting of his Cabinet Monday to discuss the travel bans. Johnson announced new restrictions for both London and southern Britain on Saturday, including the closure of all nonessential businesses, such as gyms and hair salons, a limit on the number of people gathering indoors for the upcoming Christmas holidays, and a ban on nonessential travel.As the continent struggles to blunt the spread of the new COVID-19 variant, the European Union’s drug regulation agency is meeting Monday to decide whether to grant emergency authorization of the Pfizer-BioNTech vaccine. The European Medicines Agency (EMA) was scheduled to meet on December 29 to discuss the vaccine, but it moved it a week earlier under heavy pressure from Germany and other EU nations. If the EMA grants emergency use as expected, the first vaccinations could begin December 27. French Health Minister Olivier Veran announced Monday during a television interview the country will begin vaccinations that day, beginning with “the most vulnerable among us first of all.”South Korean health authorities reported 24 COVID-19 related deaths Sunday, its biggest single-day death toll since the start of the pandemic. South Korea now has a total of 698 deaths out of 50,591 total infections, including 926 new cases on Sunday.The South Korean capital Seoul and the surrounding areas of Gyeonggi Province and Incheon city have issued an order prohibiting gatherings of five or more people effective Wednesday and lasting until January 3.And in Australia, a cluster of COVID-19 infections in Sydney’s northern beaches has risen to 83 after 15 new cases were detected on Sunday. The new cases were discovered after health authorities in New South Wales province tested a record 38,578 residents in Sydney. The northern beach suburbs have been placed under a strict lockdown until Christmas Eve. 
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An expert committee put people 75 and older and essential workers like firefighters, teachers and grocery store workers next in line for COVID-19 shots as a second vaccine began rolling out Sunday to hospitals, a desperately needed boost as the nation works to bring the coronavirus pandemic under control.The developments occurred as the nation seeks to ramp up a vaccination program that only began in the last week and so far has given initial shots to about 556,000 Americans, according to the Centers for Disease Control and Prevention.The vaccines from Pfizer Inc. and Germany’s BioNTech, as well as the one from Moderna Inc., which was approved by regulators last week go first to health care workers and residents of long-term care homes, based on the advice of the Advisory Committee on Immunization Practices.The committee voted 13-1 on Sunday to put people 75 and older as well as certain front-line workers next in line for the vaccines.Those essential workers include firefighters and police officers; teachers and school staff; food and agriculture workers; manufacturing workers; corrections workers; U.S. Postal Service workers; public transit and grocery store workers.The committee also voted that behind those groups should be other essential workers; people ages 65 to 74; and those aged 16 to 64 who have certain medical conditions — like obesity and cancer — that put them at higher risk for severe disease if they get infected with COVID-19.The expert panel’s recommendation next goes to the CDC director and to states as guidance to put together vaccination programs. CDC directors have almost always signed off on committee recommendations. No matter what the CDC says, there will be differences from state to state, because various health departments have different ideas about who should be closer to the front of the line.Pfizer’s shots were first shipped out a week ago and started being used the next day, kicking off the nation’s biggest vaccination drive.Earlier Sunday, trucks left the Olive Branch, Mississippi, factory, near Memphis, Tennessee, with the vaccine developed by Moderna and the National Institutes of Health. The much-needed shots are expected to be given starting Monday, just three days after the Food and Drug Administration authorized their emergency rollout.In Louisville, Kentucky, UPS driver Todd Elble said his vaccine shipment was the “most important load that I’ve hauled” in a 37-year career. His parents contracted COVID-19 in November, and his 78-year-old father died. He said the family speculates that his father got infected while traveling on a hunting trip with four other relatives to Wyoming, and some are still sick.“I’m going to take the vaccine myself. I’m going to be first in line for my father — I’ll tell you that much — and any others that should follow,” he said. “I feel in my heart that everybody should, to help get this stopped.”He added: “To bring this back, I feel Dad was in the truck with me today.”Dr. Moncef Slaoui, the chief science adviser to the federal government’s vaccine distribution effort, said on CNN’s “State of the Union” that nearly 8 million doses will be distributed Monday, about 5.9 million of the Moderna vaccine and 2 million of the vaccine from Pfizer Inc. He said the first Moderna shots should be given Monday morning.Public health experts say the shots — and others in the pipeline — are the only way to stop a virus that has been spreading wildly. Nationwide, more than 219,000 people per day on average test positive for the virus, which has killed over 316,000 in the U.S. and nearly 1.7 million worldwide.Slaoui also predicted the U.S. will experience “a continuing surge,” with larger numbers of coronavirus cases possible from gatherings for Christmas.“I think, unfortunately, it will get worse,” he said.There won’t be enough shots for the general population until spring, so doses will be rationed at least for the next several months. President-elect Joe Biden pledged earlier this month to have 100 million doses distributed in his first 100 days in office, and his surgeon general nominee said Sunday that it’s still a realistic goal.But Vivek Murthy, speaking on NBC’s “Meet the Press,” said it’s more realistic to think it may be midsummer or early fall before coronavirus vaccines are available to the general population, rather than late spring. Murthy said Biden’s team is working toward having the shots available to lower-risk individuals by late spring but doing so requires “everything to go exactly on schedule.”“I think it’s more realistic to assume that it may be closer to mid-summer or early fall when this vaccine makes its way to the general population,” Murthy said. “So, we want to be optimistic, but we want to be cautious as well.”Meanwhile, Trump’s surgeon general, Jerome Adams, defended the administration’s handling of the Pfizer vaccine Sunday, a day after the Army general charge of getting COVID-19 vaccines across the U.S. apologized Saturday for “miscommunication” with states over the number of doses to be delivered in the early stages of distribution. At least a dozen states reported they would receive a smaller second shipment of the Pfizer vaccine than they had been told previously.Gen. Gustave Perna told reporters in a telephone briefing that he made mistakes by citing numbers of doses that he believed would be ready. Slaoui said the mistake was assuming vaccines that had been produced were ready for shipment when there was a two-day delay.“And unless it’s perfectly right, we will not release vaccine doses for usage,” he said. “And, sometimes, there could be small hiccups. There have been none, actually, in manufacturing now. The hiccup was more into the planning.”But Adams, speaking on CBS’ “Face the Nation,” said that “the numbers are going to go up and down.”“It absolutely was not poor planning,” he said. “There’s what we plan. There’s what we actually allocate. There’s what’s delivered, and then there’s what’s actually put in people’s arms.”Adams, who is Black, said he understands that mistrust of the medical community and the vaccine among Blacks “comes from a real place,” the mistreatment of communities of color. He cited the decades-long Tuskegee experiment in Alabama, where Black men with syphilis were not treated so the disease could be studied.He also said immigrants in the U.S. illegally should not be denied the vaccine because of their legal status because “it’s not ethically right to deny those individuals.”“I want to reassure people that your information when collected to get your second shot, if you get the Pfizer or Moderna vaccine, will not be used in any way, shape or form to harm you legally,” Adams said. “That is something that I have been assured of.”Both the Moderna vaccine and the Pfizer-BioNTech shot require two doses several weeks apart. The second dose must be from the same company as the first. Both vaccines appeared safe and strongly protective in large, still unfinished studies.
 
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As a second vaccine against the novel coronavirus is being rolled out across the United States ahead of the Christmas holiday, Britain is shutting down out of concern that a new mutation of the virus is highly contagious. VOA’s Michelle Quinn has more.
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As COVID-19 cases skyrocketed before the Thanksgiving holiday weekend, Dr. Deborah Birx, coordinator of the White House coronavirus response, warned Americans to “be vigilant” and limit celebrations to “your immediate household.”For many Americans that guidance has been difficult to abide, including for Birx herself.The day after Thanksgiving, she traveled to one of her vacation properties on Fenwick Island in Delaware. She was accompanied by three generations of her family from two households. Birx, her husband Paige Reffe, a daughter, son-in-law and two young grandchildren were present.  The Centers for Disease Control and Prevention has asked Americans not to travel over the holidays and discourages indoor activity involving members of different households. “People who do not currently live in your housing unit, such as college students who are returning home from school for the holidays, should be considered part of different households,” the CDC said.  Even in Birx’s everyday life, there are challenges meeting that standard. She and her husband have a home in Washington. She also owns a home in nearby Potomac, Maryland, where her elderly parents, and her daughter and family live, and where Birx visits intermittently. In addition, the children’s other grandmother, who is 77, also regularly travels to the Potomac house and returns to her 92-year-old husband near Baltimore.Birx’s own experiences underline the complexity and difficulty of trying to navigate the perils of the pandemic while balancing a job, family and health, especially among essential workers like her.  Yet some of Birx’s peers in public health say she should be held to a higher standard given her prominent role in the government’s response to the pandemic and the current surge in COVID-19 deaths across the country.  Birx has expressed a desire to maintain a significant role on the White House coronavirus task force when President-elect Joe Biden is inaugurated next month, according to a person familiar with the Biden team’s personnel deliberations and a Trump administration coronavirus task force official. Neither was authorized to publicly discuss internal deliberations and both spoke on condition of anonymity.”To me this disqualifies her from any future government health position,” said Dr. Angela Rasmussen, a virologist at the Georgetown Center for Global Health Science and Security. “It’s a terrible message for someone in public health to be sending to the American people.”After The Associated Press raised questions about her Thanksgiving weekend travels, Birx acknowledged in a statement that she went to her Delaware property. She declined to be interviewed.She insisted the purpose of the roughly 50-hour visit was to deal with the winterization of the property before a potential sale — something she says she previously hadn’t had time to do because of her busy schedule.  “I did not go to Delaware for the purpose of celebrating Thanksgiving,” Birx said in her statement, adding that her family shared a meal together while in Delaware.  
Birx said that everyone on her Delaware trip belongs to her “immediate household,” even as she acknowledged they live in two different homes. She initially called the Potomac home a “3 generation household (formerly 4 generations).” White House officials later said it continues to be a four-generation household, a distinction that would include Birx as part of the home.  Birx’s job makes her an “essential worker” by federal guidelines, in a position that requires extensive travel to consult with state and local officials on the pandemic response. She has traveled to 43 states, driving 25,000 miles, (40,000 kilometers), she said, often to coronavirus hot spots. Birx also has an office in the White House, where numerous COVID-19 infections have been revealed.  Through it all, she said she has kept herself and her family safe through isolating, wearing a mask and regular testing.  Birx has not said how long she isolates for before visiting family. Medical experts say people who only recently became infected often do not test positive. They say wearing a mask has limited efficacy in an environment such as the White House, where few others use them.  Margaret Flynn, the children’s other grandmother, comes to the Potomac home to provide child care, then returns to her husband, who has health complications. Birx said that she hasn’t seen the other grandmother since the beginning of the pandemic and does not know how frequently she visits the Potomac house.  Flynn confirmed that she hasn’t spoken to Birx in months. Flynn declined to say how frequently she visits the home to look after the grandchildren.  From the podium at the White House, Birx has spoken about how she comes from a multigenerational family with her parents and her daughter’s family, including grandchildren, all living under one roof. Many saw that as a relatable family dilemma.FILE – President Donald Trump speaks during a meeting as White House coronavirus response coordinator Dr. Deborah Birx looks on, in the Oval Office of the White House in Washington, Aug. 5, 2020.In early April, she said she understood the sacrifices many were making and explained that she couldn’t visit her Potomac home when one of her grandchildren had a high fever.  “I did not go there,” she said, while standing next to President Donald Trump. “You can’t take that kind of risk.” 
She has resumed her visits to the house since then.Numerous elected officials, including prominent Democrats, have been forced to acknowledge that they have not heeded their own stern warnings to the public about the dangers of spreading the virus.But Birx occupies a position of far greater authority when it comes to the pandemic. Many Americans rely on the advice that she and the government’s top infectious disease expert, Dr. Anthony Fauci, have given.  Kathleen Flynn, whose brother is married to Birx’s daughter who lives in the Potomac house, said she brought forward information about Birx’s situation out of concern for her own parents, and acknowledged family friction over the matter.”She cavalierly violated her own guidance,” Flynn said of Birx.  Richard Flynn, her father, confirmed details of Birx’s Thanksgiving holiday gathering and visits to the Potomac house, but said he trusted the doctor and believes she’s doing what’s right. He said Birx’s visits to the house have occurred only every few weeks of late.  “Dr. Birx is very conscientious and a very good doctor and scientist from everything I can see,” Richard Flynn said during a recent interview.  Medical experts say public health officials such as Birx need to lead by example, including personal conduct that’s beyond reproach.”We need leadership to be setting an example, especially in terms of things they are asking average Americans to do who are far less privileged than they are,” said Dr. Abraar Karan, a global health specialist at Brigham and Women’s Hospital and Harvard Medical School, about the high-profile lapses in judgment.Birx came to the White House coronavirus task force with a sterling reputation. A public servant since the Reagan administration, Birx has served as a U.S. Army physician and a globally recognized AIDS researcher. She was pulled away from her ambassadorial post as the U.S. global AIDS coordinator to assist the task force in late February.Birx, however, has faced criticism from public health experts and Democratic lawmakers for not speaking out forcefully against Trump when he contradicted advice from medical advisers and scientists about how to fight the virus.  While she stayed in Trump’s good graces far longer than Fauci, who frequently contradicted Trump, the president by late summer had sidelined Birx, too.Kathleen Flynn said she urged her brother and sister-in-law not to allow her mother to babysit, arguing it put her mother at risk by spending so much time in a household other than her own, while also posing a danger to Birx’s elderly parents. Flynn, who said she has long had a strained relationship with her brother, is currently not on speaking terms with him and has never met Birx.Flynn said her mother waited about a week after Birx’s Thanksgiving trip before returning to the Potomac home to provide child care help.  Lawrence Gostin, a public health expert at Georgetown University’s law school who has known Birx professionally for years, said that he’s confident that Birx took all necessary precautions to minimize risks in her Thanksgiving travel. Still, he said it undercuts her larger goal to get Americans to cooperate with government officials’ efforts to minimize the death and suffering caused by the virus.”It’s extraordinarily important for the leaders of the coronavirus response to model the behavior that they recommend to the public,” Gostin said. “We lose faith in our public health officials if they are saying these are the rules but they don’t apply to me.”
 
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Johns Hopkins Coronavirus Resource Center said early Sunday there are 76.3 million global COVID-19 cases.The U.S. continues to lead the world in case numbers at 17.6 million, followed by India with 10 million and Brazil with 7.2 million.U.S. lawmakers are expected to vote Sunday on a nearly $1 trillion COVID-19 economic relief package. The package includes, among other things, $300 supplemental unemployment benefits and $600 direct stimulus payments to many Americans.“We can’t continue with Christmas as planned,” British Prime Minister Boris Johnson said Saturday as he announced new restrictions for London and southern England, where a mutant strain of the coronavirus is spreading and where there is now a virtual lockdown, with people urged to stay home.All nonessential stores in the region are set to close, and people should not enter or leave the British capital or large parts of southeastern England.South Korea recorded 1,097 new infections Sunday, the fifth consecutive day it recorded more than 1,000 new cases.A South Korean Justice Ministry official said an outbreak at a prison in Seoul has infected 184 prisoners and one worker.Starting Monday, the Australian states of Victoria and Queensland are banning people arriving from Sydney, where a 70-person coronavirus cluster has emerged in its northern beach suburbs which have now been placed under a strict lockdown until Christmas Eve.Thailand said Sunday it will test more than 10,000 people in the southwestern province of Samu Sakhon after a daily surge of more than 500.
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In China’s Wuhan, the original epicenter of the COVID-19 outbreak, the city’s residents are returning to normal life, even as they continue to grapple with memories of the early outbreak, which struck fear in the city.It’s been almost seven months since the city recorded a locally transmitted case of the disease due to a strict city-wide lockdown and a mass testing event of almost all the city’s 11 million residents.Today, restaurants, shopping streets and bars are crowded, but locals are still experiencing the lasting impact of the lockdown on mental health and work.Reuters asked people throughout Wuhan to share images and videos they took during their outbreak, as well as their hopes for 2021, as the city approaches the one-year anniversary of the outbreak. City health officials released the first public notice of the then-unknown virus on Dec. 31, 2019.Like the city itself, most people are enduringly optimistic, even as they reflect on the city’s toughest year in recent memory.An Junming, Wuhan volunteerAn worked as a volunteer during the city’s strict 76-day lockdown, delivering food to people trapped in their homes.“At that time, I could only eat one meal a day, because there was indeed a lot of work to do, but there were very few people doing this, so I was very anxious.“I hope that the entire city will prosper in 2021.“It can be said that in 2020 there were no people on the streets of the whole Wuhan – only animals were active outside.”An Junming poses for a picture on a street, almost a year after the global outbreak of the coronavirus disease (COVID-19) in Wuhan, Hubei province, China, Dec. 15, 2020.Zhang Xinghao, lead singer Of Wuhan band Mad Rat“At that time, I couldn’t do anything at home. It was very boring, so I thought I needed to write some music and sing some songs to find some fun in my life.“It made me reflect on a lot of things, and it is the first time in my life that I have experienced such a disaster.“The epidemic must not be ignored. I see that the news about foreign countries has a lot of infections, so this must not be ignored. We should not think that we are very powerful. In fact, I think we humans are quite fragile.”Duan Ling, 36, businesswomanDuan’s husband, Fang Yushun, caught COVID-19 in February while working as a surgeon.“I had my birthday on the day he was hospitalized during the epidemic, and he spent a day editing and sent a video to me. So I felt very moved.“We have experienced a lot of things in the year 2020, and I want to say goodbye to the 2020. But in the new year, I wish we could have a baby.”Lai Yun, 38, Japanese restaurant owner“At this time, every one of us in Wuhan feels like time flies very fast. Like closing the city only feels like yesterday.”Lai said he cherished memories of his children putting on performances in the family living room.“I think the inspiration that COVID-19 gives us is that a healthy body is more important than anything else.”Student Wu Mengjing, 22, right, poses with her friend on a street, almost a year after the global outbreak of the coronavirus disease (COVID-19) in Wuhan, Hubei province, China, Dec. 16, 2020.Wu Mengjing, 22, design student“I think the Wuhan epidemic has affected too many people. Many companies went bankrupt and residents were unemployed. This has a great impact on the entire development of Wuhan.“I am very worried that there will be a second wave in Wuhan, because there were some recurrences of the epidemic in various parts of the country, and the number of college students in Wuhan is particularly large.”Jiang Honghua, 34, street food vendor“During the epidemic, our whole family is together, and this time like this is very rare, and I felt very happy,” said Jiang, sharing photos of her son and daughter playing.“I thought my year in 2020 was actually OK – I felt lucky that I could maintain the livelihood of the whole family. I hope in year 2021 I can have good business.”Liu Runlian, 58, street dancer“2021 is coming, and I don’t expect much from myself. But I want to live a peaceful life, and then I hope everyone is safe.”
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In October, Indonesian diplomats and Muslim clerics stepped off a plane in China. While the diplomats were there to finalize deals to ensure millions of doses reached Indonesian citizens, the clerics had a much different concern: Whether the COVID-19 vaccine was permissible for use under Islamic law.As companies race to develop a COVID-19 vaccine and countries scramble to secure doses, questions about the use of pork products — banned by some religious groups — has raised concerns about the possibility of disrupted immunization campaigns.Pork-derived gelatin has been widely used as a stabilizer to ensure vaccines remain safe and effective during storage and transport. Some companies have worked for years to develop pork-free vaccines: Swiss pharmaceutical company Novartis has produced a pork-free meningitis vaccine, while Saudi- and Malaysia-based AJ Pharma is currently working on one of their own.But demand, existing supply chains, cost and the shorter shelf life of vaccines not containing porcine gelatin means the ingredient is likely to continue to be used in a majority of vaccines for years, said Dr. Salman Waqar, general secretary of the British Islamic Medical Association.Spokespeople for Pfizer, Moderna and AstraZeneca have said that pork products are not part of their COVID-19 vaccines. But limited supply and preexisting deals worth millions of dollars with other companies means that some countries with large Muslim populations, such as Indonesia, will receive vaccines that have not yet been certified to be gelatin-free.This presents a dilemma for religious communities, including Orthodox Jews and Muslims, where the consumption of pork products is deemed religiously unclean, and how the ban is applied to medicine, he said.”There’s a difference of opinion amongst Islamic scholars as to whether you take something like pork gelatin and make it undergo a rigorous chemical transformation,” Waqar said. “Is that still considered to be religiously impure for you to take?”‘Greater harm’The majority consensus from past debates over pork gelatin use in vaccines is that it is permissible under Islamic law, as “greater harm” would occur if the vaccines weren’t used, said Dr. Harunor Rashid, an associate professor at the University of Sydney.There’s a similar assessment by a broad consensus of religious leaders in the Orthodox Jewish community as well.”According to the Jewish law, the prohibition on eating pork or using pork is only forbidden when it’s a natural way of eating it,” said Rabbi David Stav, chairman of Tzohar, a rabbinical organization in Israel.If “it’s injected into the body, not (eaten) through the mouth,” then there is “no prohibition and no problem, especially when we are concerned about sicknesses,” he said.Yet there have been dissenting opinions on the issue — some with serious health consequences for Indonesia, which has the world’s largest Muslim population, some 225 million of the world’s nearly 2 billion Muslims.In 2018, the Indonesian Ulema Council, the Muslim clerical body that issues certifications that a product is halal, or permissible under Islamic law, decreed that the measles and rubella vaccines were “haram,” or unlawful, because of the gelatin. Religious and community leaders began to urge parents to not allow their children to be vaccinated.”Measles cases subsequently spiked, giving Indonesia the third-highest rate of measles in the world,” said Rachel Howard, director of the health care market research group Research Partnership.A decree was later issued by the Muslim clerical body saying it was permissible to receive the vaccine, but cultural taboos still led to continued low vaccination rates, Howard said.”Our studies have found that some Muslims in Indonesia feel uncomfortable with accepting vaccinations containing these ingredients,” even when the Muslim authority issues guidelines saying they are permitted, she said.Vaccine hesitancy on the riseGovernments have taken steps to address the issue. In Malaysia, where the halal status of vaccines has been identified as the biggest issue among Muslim parents, stricter laws have been enacted so that parents must vaccinate their children or face fines and jail time. In Pakistan, where there has been waning vaccine confidence for religious and political reasons, parents have been jailed for refusing to vaccinate their children against polio.But with rising vaccine hesitancy and misinformation spreading around the globe, including in religious communities, Rashid said community engagement is “absolutely necessary.””It could be disastrous,” if there is not strong community engagement from governments and health care workers, he said.In Indonesia, the government has already said it will include the Muslim clerical body in the COVID-19 vaccine procurement and certification process.”Public communication regarding the halal status, price, quality and distribution must be well-prepared,” Indonesian President Joko Widodo said in October.While they were in China in the fall, the Indonesian clerics inspected China’s Sinovac Biotech facilities, and clinical trials involving some 1,620 volunteers are also underway in Indonesia for the company’s vaccine. The government has announced several COVID-19 vaccine procurement deals with the company totaling millions of doses.Sinovac Biotech, as well as Chinese companies Sinopharm and CanSino Biologics — which all have COVID-19 vaccines in late-stage clinical trials and deals selling millions of doses around the world — did not respond to Associated Press requests for ingredient information.In China, none of the COVID-19 vaccines has been granted final market approval, but more than 1 million health care workers and others who have been deemed at high risk of infection have received vaccines under emergency use permission. The companies have yet to disclose how effective the vaccines are or possible side effects.Pakistan is late-stage clinical trials of the CanSino Biologics vaccine. Bangladesh previously had an agreement with Sinovac Biotech to conduct clinical trials in the country, but the trials have been delayed due to a funding dispute. Both countries have some of the largest Muslim populations in the world.While health care workers on the ground in Indonesia are still largely engaged in efforts to contain the virus as numbers continue to surge, Waqar said government efforts to reassure Indonesians will be key to a successful immunization campaign as COVID-19 vaccines are approved for use.But, he said, companies producing the vaccines must also be part of such community outreach.”The more they are transparent, the more they are open and honest about their product, the more likely it is that there are communities that have confidence in the product and will be able to have informed discussions about what it is they want to do,” he said.”Because, ultimately, it is the choice of individuals.”
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U.S. distribution of Moderna Inc.’s COVID-19 vaccine began Saturday, with more than 3,700 sites scheduled to start receiving and administering shots as soon as Monday, vastly widening the rollout started last week by Pfizer Inc.Amid record coronavirus infections and deaths, Moderna has moved vaccine supplies from its manufacturing plants to warehouses operated by distributor McKesson Corp.Workers on Saturday were packing vaccines into containers and loading them onto trucks, U.S. Army Gen. Gustave Perna said during a news conference. Trucks will set out Sunday and shipments will start reaching health care providers as soon as Monday, he said.Doses of vaccine must travel with security guards, including U.S. Marshals, and will be stored in locked refrigerators. U.S. plans call for at-risk groups, such as elderly people in nursing homes and medical workers, to receive injections first.The Food and Drug Administration on Friday approved an emergency use authorization for Moderna’s vaccine, the second COVID-19 vaccine to receive approval.Moderna said a panel of outside advisers to the U.S. Centers for Disease Control and Prevention voted Saturday to recommend its vaccine for use in people age 18 and older. The Advisory Committee on Immunization Practices panel voted 11-0 in favor of the vaccine.The shot developed by Pfizer and its German partner BioNTech SE was authorized Dec. 11.Pharmaceutical services provider Catalent Inc.’s facility in Bloomington, Indiana, is filling and packaging vials with Moderna vaccine and handing them to McKesson. The company is shipping them from its facilities, including those in Louisville, Kentucky, and Memphis, Tennessee, which are close to air hubs for United Parcel Service Inc. and FedEx Corp.Pfizer organized its own distribution system. The U.S. government’s vaccine program, dubbed Operation Warp Speed, is in charge of logistics for Moderna’s distribution under Perna.Reduced number of dosesPerna apologized to U.S. governors for confusion on the vaccine’s availability after the U.S. government reduced the number of doses states would receive in the upcoming week.States including Oregon and Washington, which are ramping up to get front-line health care workers vaccinated as quickly as possible, said their allocation had dropped by as much as 40%.Perna said he made an error estimating the number of doses that would actually be cleared by regulators for shipment, which was fewer than the number of doses produced.A spokesperson for the U.S. Department of Health and Human Services said 7.9 million doses of Pfizer and Moderna vaccines would be delivered nationally this week.The Moderna delivery system will have some of the same players as Pfizer’s but will differ in ways.Transportation companies UPS and FedEx are giving priority to vaccines on planes and trucks that are moving holiday gifts and other cargo. Their drivers will handle the bulk of the last-mile Moderna vaccine deliveries. They are going directly to vaccination sites, unlike Pfizer’s, which was sent to large hubs and redistributed.“We added a lot of aircraft, a lot of temporary workers. (Vaccines) are a very small fraction of total volumes,” said Wes Wheeler, a UPS executive in charge of vaccine shipments.Moderna’s vaccine is available in quantities as small as 100 doses and can be stored for 30 days in standard-temperature refrigerators, while the inoculations from Pfizer come in boxes of 975 doses, must be shipped and stored at -70 Celsius, and can be held for only five days at standard refrigerator temperatures. Initial doses were given to health professionals.Programs by pharmacies Walgreens and CVS to distribute the Pfizer vaccine to long-term care facilities are expected to start Monday. A CDC advisory panel Sunday will consider which groups should get vaccinated next.Perna said the United States is on track to have enough doses of Pfizer and Moderna vaccines by the end of the year to inoculate 20 million people, as the government projected, but deliveries of those doses may continue into first week of January. Health care experts forecast it will take well into 2021 for a significant portion of Americans to be inoculated.Both vaccines were about 95% effective at preventing illness in clinical trials that found no serious safety issues.
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Even as new infections slip to the lowest levels in three months, on Saturday, India crossed the 10 million mark of total infections since the pandemic began, second behind the U.S. mark of 17 million, according to Johns Hopkins Coronavirus Resource Center.India’s falling infections, down from its record of about 100,000 new cases daily to about 25,000 cases reported Saturday, give health experts some reason to hope. India has suffered more than 145,000 deaths, Johns Hopkins says.”If we can sustain our declining trend for the next two to three months, we should be able to start the vaccination program and start moving away from the pandemic,” Dr. Randeep Guleria, a government health expert, told The Associated Press.Some of the world’s biggest vaccine makers are located in India, and there are five vaccines in clinical trials. Two vaccines, by Oxford University-AstraZeneca and India’s Bharat Biotech, are nearing authorization for emergency use. The South Asian nation with a population of 1.3 billion people hopes to vaccinate 250 million people by July.As India’s cases are waning, Canada was approaching 500,000 cases Saturday, an increase of 25% since two weeks ago, when the North American country surpassed 400,000 cases.”COVID-19 is spreading among people of all ages, with high infection rates across all age groups,” Canada’s chief medical officer Theresa Tam said.Cases surging in CanadaCanada is to receive 500,000 doses of the Pfizer-BioNTech vaccine in January, Prime Minister Justin Trudeau said. And about 168,000 doses of the Moderna vaccine should arrive soon. It is expected to receive emergency-use approval by Canadian health officials soon.However, Minister of Public Services and Procurement Anita Anand said there will not be enough shots for every Canadian who wants one until September.Santa ‘good to go’One person who won’t have to wait for his shot is Santa Claus, thanks to Anthony Fauci, the top U.S. infectious disease expert.”I took care of that for you because I was worried that you’d all be upset,” he said Saturday during a CNN and “Sesame Street” coronavirus town hall for families, after worried youngsters asked whether Santa could safely enter homes on Dec. 25.”I took a trip up there to the North Pole; I went there, and I vaccinated Santa Claus myself. I measured his level of immunity, and he is good to go,” Fauci said.”He can come down the chimney, he can leave the presents … you have nothing to worry about,” he said.US general apologizesGen. Gustave Perna, the U.S. Army general in charge of distributing COVID-19 vaccine across the U.S., apologized Saturday to the governors of more than a dozen states that will be getting fewer doses of the Pfizer-BioNTech vaccine than they expected.”I want to take personal responsibility for the miscommunication,” he told reporters during a telephone briefing. “I know that’s not done much these days. But I am responsible. … This is a Herculean effort, and we are not perfect.”Perna said he mistakenly cited the number of doses he believed would be ready, not understanding the difference between manufactured doses and those ready to be released.Between the Pfizer vaccine and the Moderna Inc. vaccine, Perna said the government is expecting to deliver 20 million doses to the states by the first week of January.Moderna and its partners have started distributing its vaccine, the second approved for emergency use in the country. Trucks will begin shipping the vaccine to more than 3,700 U.S. locations on Sunday, Perna said Saturday during the virtual news conference.Perna said the Moderna vaccine will reach health care workers as early as Monday, but that the delivery of some of the first 20 million doses of vaccines from Moderna and Pfizer Inc. could be delayed until the first week of January.Nearly 76 million people around the world contracted the coronavirus as of midday Saturday, according to the Johns Hopkins Coronavirus Resource Center.The U.S. tops the list as the country with the most cases, with 17.6 million; India is second, with more than 10 million, followed by Brazil, with 7.1 million, according to Johns Hopkins.Zeng Yixin, vice minister of China’s National Health Commission, said Saturday the country would focus on vaccinating high-risk groups over the next several months before beginning to vaccinate the general public.”During the winter and spring seasons, carrying out novel coronavirus vaccination work among some key population groups is of great significance to epidemic prevention,” Zeng, who also is director of State Council’s vaccine R&D working group, said.The World Health Organization (WHO) said it has gained access to 2 billion doses of several coronavirus vaccines.WHO Director-General Tedros Adhanom Ghebreyesus said access to the vaccines ensures that some 190 countries will be able to inoculate their populations “during the first half of next year.”
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