A health care worker draws up a dose of the Moderna COVID-19 vaccine in Novato, California.David Paul Morris/Bloomberg/Getty
As the Delta variant spreads across the country, and breakthrough cases among vaccinated people are on the rise, health officials in the United States are rolling out plans for booster shots—even as much of the world waits for their chance at the first shot.
The Biden administration announced that boosters should be available to those who have received the Pfizer or Moderna vaccine as soon as September 20. Studies are underway to determine the importance of supplemental doses for those who received Johnson & Johnson, with experts thinking boosters for the single-dose shot will likely be needed, too. Which means that more than 5 million Americans—with priority given to health care workers, nursing home residents, and elderly adults—might be eligible to receive third shots later next month, and even more Americans are soon to follow after that. Already, in Israel, extra doses are available to many immunocompromised individuals as well as people over 50; Germany, France, and the UK have begun to make plans to offer boosters this fall.
As wealthier nations race to roll out boosters, many global health experts have cautioned against the rush. Only 1.3 percent of people in low-income countries have received at least one dose.
Administering boosters in the US while much of the world cannot access vaccines isn’t just ethically dubious. Experts say this could drag the pandemic on even longer, especially while Delta and other variants continue to travel. As long as vaccination rates are low in other parts of the world, more robust variants will continue to crop up.
It’s possible that some of these evolutionarily fit viruses could evolve to escape immunity acquired through prior infection or vaccines. Biden’s former chief COVID-19 adviser, Andy Slavitt, explained it well in this thread:
COVID Update: The debate on whether Americans should be offered 3rd shots as boosters in not a simple one.
Some experts say the boosters could delay the pandemic by at least another year:
Predictable, somewhat understandable & 100% will prolong global pandemic another year. Our struggle is not getting protected individuals more protected as we have no indication it will lower case rates. Our struggle is vaccinating unprotected individuals so they do not die https://t.co/LX80SgR7GY
Earlier this month, WHO Director General, Tedros Adhanom Ghebreyesus called for a global moratorium on vaccine boosters at least until September. On Monday he cautioned that “vaccine injustice and vaccine nationalism” in wealthier countries will allow more time for variants to mutate and spread. The organization’s Africa director, Matshidiso Moeti, blasted wealthy countries that have begun administering extra shots, saying the decision “makes a mockery of vaccine equity.”
While #COVID19 vaccine shipments seem to be taking off, Africa is encountering headwinds. Moves by some countries to introduce booster shots threaten the promise of a brighter tomorrow for Africa.
Michael Ryan, the emergencies chief at the WHO, added that “we’re planning to hand out extra life jackets to people who already have life jackets while we’re leaving other people to drown.”
Pitting boosters against global equity is simply a “false choice,” said White House Press Secretary Jen Psaki. She noted that the US has donated more than 110 million vaccines to other countries.
What’s more important might be that five days after the initial announcement about pursuing boosters, the White House released data that showed that protection from vaccines against symptomatic infection wanes after six months. With that information available, some experts have argued, it would have been hard for the Biden administration not to justify boosters for Americans.
Even before Biden announced that the US will begin administering boosters, many Americans were taking extra inoculation into their own hands, often with a “mix and match” approach, despite WHO’s advice against making your own vaccine cocktail. The CDC reported that around 1.1 million people have already received unauthorized third doses of Pfizer or Modern vaccines.
But with a limited global supply of vaccines, Madhukar Pai, a global health researcher at McGill, said it really is a “zero-sum game.”
In many other countries, barely 1 million have been able to receive vaccines. In Cameroon, for example, a country with 26 million people, only a little over 395,000 have gotten vaccinated. Or take Bangladesh, one of the world’s most populous countries, where less than 10 percent of the population has gotten the jab.
“The most vulnerable everywhere in the world should be kept safe from COVID as soon as reasonably possible,” Jerome Singh, a professor of public health who specializes in ethics in global health at the University of Toronto told me.
Singh noted that previous policies, like the United States’ ban on exporting raw materials needed for vaccine production in April (which has since been lifted), had a “paralyzing impact” on vaccine availability worldwide.
“It’s ethically problematic to suggest that vulnerable people in the US should be prioritized for a third dose when equally vulnerable people in many low- and middle-income countries have yet to receive their first dose. The lives of vulnerable people everywhere have equal moral worth.”
People wait for a distribution of masks and food from the Rev. Al Sharpton in the Harlem neighborhood of New York. Bebeto Matthews/AP
During the COVID pandemic, life expectancy for Black Americans fell by 2.9 years. Latinx Americans, who typically live longer than Black Americans and whites, lost three years of their lives. Now, a new Centers for Disease Control and Prevention study published Friday found that Black, Latinx, and Native Americans/Alaskan Native adults have died at startlingly higher rates during the COVID pandemic than in typical years, illuminating the disparate suffering communities of color have faced in the last year and a half.
In the CDC’s Morbidity and Mortality Weekly Report, researchers looked at the excess mortality incidence rates, a wonky term that means the number of people who have died in a population above their community’s expected number of deaths. They assessed the number of excess deaths per 100,000 people across the US between December 2019 and January 2021 by race and age and observed changes in death trends over the course of the pandemic.
The researchers found that for adults older than 65 years old, Black Americans died at an excess rate of 1,033 per 100,000 people while Latinx adults died at an excess rate of 1,007 per 100,000—a far cry from white Americans, who died at an excess rate of 500.1 per 100,000. And for Black adults over 65 years old, 78.7 percent of excess deaths were directly attributed to COVID. For Latinx adults over 65, the percentage was 85 percent. And for white Americans over 65, that percentage stood at 93 percent.
As researchers zoomed in on younger adults, though, the disparities in excess death rates became starker. While white Americans between 25 years old and 64 died at an excess rate of 51.2 per 100,000, Latinx Americans died at nearly 99 per 100,000 and Black Americans died at a startling excess rate 133 per 100,000. What’s more, excess deaths among Alaskan Natives and Native American adults between 25 and 64 occurred at a staggering rate of 221 per 100,000.
This is a lot to digest. Let me share a graph with you.
The numbers are complicated, but the resulting message isn't. Researchers concluded that the findings could help "guide targeted public health messaging and mitigation efforts to reduce [COVID] disparities" and "highlight the importance of timely data to address inequities in social determinants of health that increase the risk for death from COVID-19 among racial/ethnic minority groups." The CDC study affirmed what Black, Latinx, and Native American/Alaskan Native communities have experienced since early 2020: Unprecedented death and despair, thanks in large part to a pandemic that has exposed just how unequal the country is.
Passengers wait in a long line to get a COVID-19 test to travel overseas at Fort Lauderdale-Hollywood International Airport. Marta Lavandier/AP
In recent weeks, hospitals across the country have felt overwhelmed with the surge of coronavirus cases. On Saturday, Florida reported nearly 24,000 new cases, an all-time single-day record for the state. Meanwhile, in the last seven days, Louisiana, at 693 cases per 100,000 people, has the highest number of new cases per capita in the United States, followed by Florida (627) and Arkansas (502). Dr. Joe Kanter, the state’s top health officer, told the Associated Press that 1 percent of Louisiana’s population contracted COVID-19 in the past two weeks.
Zoom out, and one can see an even more troubling trend: When compared to other countries with populations over 1 million people in the last seven days, Louisiana is tied with Botswana for the highest daily case average per capita in the world—at 99 cases per 100,000 people, according to the New York Times‘ coronavirus case tracker for the United States and the world. Florida, meanwhile, is not far behind with a daily average of 90 per 100,000 people, ahead of nearby Cuba (81 per 100,000). “If Louisiana and Florida were countries, and not states, Louisiana would be the highest incidence country in the world and Florida would be the fourth one,” epidemiologist Michael Osterholm said on MSNBC last week.
If Louisiana was a country, it would be #2 on Earth in COVID cases per capita this week to Fiji. Florida not far behind. pic.twitter.com/xzfd48w1JU
The troubling surge comes as GOP governors like Florida’s Ron DeSantis and Texas’s Greg Abbott have imposed statewide bans on mask mandates in schools as their states’ hospitals grapple with the surge in COVID cases. In Louisiana, where just 37 percent of people are fully vaccinated, Democratic Gov. John Bel Edwards has reissued a statewide mask mandate, even as his Republican attorney general undermined it.
But some Republican lawmakers have shifted gears as their states suffered from the Delta variant. On Sunday, more than three months after he signed a law barring local mask mandates, Arkansas Gov. Asa Hutchinson said on CBS’s Face the Nation that his decision was an “error,” adding: “Facts change, and leaders have to adjust to the new facts and the reality of what you have to deal with.” And Louisiana Republican Sen. Bill Cassidy, a physician who contracted COVID, told CNN’s Dana Bash on State of the Union that he disagreed with DeSantis’s ban, noting: “When it comes to local conditions, if my hospital is full and my vaccination rate is low and the infection rate is going crazy, we should allow local officials to make those decisions best for their community.”
The United States has returned to the grim milestone of 100,000 new coronavirus infections per day. As the highly transmissible Delta variant surges and vaccination rates remain low in some parts of the country, infection rates are returning to levels not seen since last winter, before vaccines were available.
Fifty percent of Americans are vaccinated and 70 percent of adults have at least received one dose of the vaccine. Children under 12 are still not eligible for the vaccine. But despite widely available vaccines, many states across the south, such as Florida and Tennessee, have dismal vaccine uptake, leaving their populations vulnerable to the new variant.
This latest surge comes right as the school year is set to begin. Adults refusing to get vaccinated combined with officials weary of imposing mask mandates at schools across the country has created a nightmare for parents, teachers, and students attempting to stay safe from the virus. DeSantis threatened to withhold funding from Broward County schools after the district tried to implement a mask mandate for the school year. In Tennessee, the state House Speaker Cameron Sexton threatened to call a special legislative session to provide vouchers for parents to change schools if any district shuts down or imposes a mask mandate. Meanwhile, the number of children infected with coronavirus is on the rise.
It’s not just new infections. The vaccines have so far proven to largely prevent serious illness and hospitalization, but the unvaccinated are causing a surge in hospitalizations too. The Southeast has seen a 50 percent increase in hospitalizations, leaving health care workers overworked and hospitals overrun. Florida, Georgia, Louisiana, and Mississippi account for 40 percent of hospitalizations—in those states doctors are worried about running out of beds and turning patients away eerily reminiscent of the early days of the pandemic. “We are seeing a surge like we’ve not seen before in terms of the patients coming,” Dr. Marc Napp, a Florida doctor told the Associated Press earlier this week. “It’s the sheer number coming in at the same time. There are only so many beds, so many doctors, only so many nurses.”
As the spread of the highly contagious Delta variant shatters coronavirus case records in Arkansas, its Republican governor is scrambling to reverse a ban on local mask mandates he signed into law just months ago. But as Gov. Asa Hutchinson admitted in a press conference Monday, rolling it back will be difficult—and something he probably can’t do without broader support from his party’s lawmakers.
“In hindsight, I wish that had not become law,” Hutchinson told reporters. “But it is the law and the only chance we have is either to amend it or for the courts to say it has an unconstitutional foundation.” The governor, who last week declared a public health emergency amid surging COVID cases, is now calling for a special legislative session to amend the ban. But Hutchinson’s admission of regret may not be enough to convince the state’s GOP-controlled legislature.
Resistance to vaccines has exacerbated the crisis, with Arkansas communities accounting for some of the country’s lowest vaccination rates. Last week, Hutchinson faced vaccine hesitancy firsthand when he was roundly booed on stage after challenging the lie that vaccines cause fertility issues.
While Hutchinson was just one of many GOP governors to enthusiastically embrace a ban on mask mandates earlier in the pandemic, he is the first to try to roll back such an order. His move stands in stark contrast to other Republican governors still doubling down on them, as in Florida, Mississippi, and Texas, even as their states see cases explode. As I wrote earlier:
On Saturday, Florida recorded 21,683 new cases of COVID-19, breaking its one-day record for new cases. But even as the state swells with fresh infections, Republican Gov. Ron DeSantis remains hellbent on his war against mask mandates. He even recently barred school districts from instituting mask mandates when classes reconvene in August.
DeSantis is far from alone in his bitter fight against mask-wearing, a measure health officials say is critical in the fight to contain the highly contagious Delta variant. In Mississippi, where ICU beds are nearing capacity with a surge of unvaccinated individuals, Republican Gov. Tate Reeves blasted the CDC’s mask guidelines as “foolish” and claimed that it reeked of “political panic.”
“It has nothing, let me say that again: It has nothing to do with rational science,” Reeves said on Thursday.
On Monday, President Biden directly called out Republican governors who are blocking schools and businesses in their states from instituting mask mandates, telling them to “get out of the way.”
“Some governors aren’t willing to do the right things to make this happen,” Biden told reporters. “I say to these governors, please help. If you aren’t going to help, at least get out of the way of the people who are trying to do the right thing. Use your power to save lives.”
The rollout of children’s COVID vaccines has begun: On Monday, the FDA approved the Pfizer shot for 12- to 15-year-olds. That’s just the beginning—last week, the New York Timesreported that children as young as 2 could be eligible as soon as September. The mass vaccination of children could herald the end of the most catastrophic social costs from the pandemic in the United States: Schools and day care facilities will be able to resume normal operations, which means parents will no longer have to perform the nearly impossible act of juggling simultaneous work demands and child care. Cue the collective sigh of parental relief: It’s the moment we’ve all been waiting for!
Well, maybe not all of us. According to an April poll by the Kaiser Family Foundation, nearly a quarter of parents surveyed said they definitely wouldn’t get their child vaccinated, and an additional 15 percent said they would only have their child vaccinated if their school required it. About a third said they didn’t plan to get their children vaccinated right away; instead they planned to wait and monitor for side effects.
In some ways, this was to be expected. The vaccines are new, and they were approved under an emergency-use authorization during a historic pandemic. Nathan Chomilo, a pediatrician in Minnesota and a spokesperson for the American Academy of Pediatrics, told me that parents of his patients have expressed very understandable concerns—that the trials seemed rushed, for instance (they weren’t), and questions about whether kids really need the vaccine, given their relative unlikelihood of severe COVID. (Most experts agree they do.) Chomilo notes the importance of language in describing what’s going on. “I’ve really tried to use the term ‘vaccine deliberation’ when it comes to the COVID-19 vaccine versus lumping it in with this broader, longer-term issue of ‘vaccine hesitancy,’” he said.
But where Chomilo sees a need for nuanced conversations, anti-vaccine advocates likely see a grand opportunity to broaden their base with a group of parents—people who may never have thought twice about keeping up with the standard schedule of vaccines for infants and children but now are questioning the safety of a new shot. Experts have observed an uptick in anti-vaccine organizing over the last year. Rupali Limaye, a Johns Hopkins public health researcher who studies vaccine hesitancy, told me via email that she is “worried about the growing following behind some prominent antivaxx groups.” She sees these forces not only as barriers to mass vaccination against COVID but also as direct threats to herself and her colleagues. She added, “There seems to be more coordination among those that have these attitudes, and this has led to coordinated attacks/take downs of public health officials.”
Even before the COVID vaccines were approved for teens, anti-vaccine groups were already out in force in online parenting communities. A few viral posts round up entries from the Vaccine Adverse Event Reporting System, the federal database where people can report any symptoms they’ve experienced after a vaccine. These posts are compelling—like this one from an anti-vaccine advocate purporting to find a pattern of heart problems in 16-year-olds who have received a COVID vaccine.
What the people behind the posts don’t disclose is that VAERS reports aren’t verified independently, nor are they official medical reports: Anyone can submit an entry. But this is a perfect template for how misinformation works: Its spreaders omit key context or details and hope readers will have an emotional reaction without thinking too hard about the veracity of what they’re reading.
That’s just one tactic, of course. Throughout the pandemic, I’ve reported on the proliferation of anti-vaccine sentiment in online parenting communities. I’ve examined how anti-vaxxers took over homeschool moms’ groups, and how coronavirus deniers and QAnon conspiracy theorists won over moms’ communities on social media. As the year wore on, I’ve noticed a few patterns of misinformation that are repeated in these groups, and I expect to see them crop up again during the rollout of vaccines for children. In the coming weeks, you’re likely to see posts designed to appeal to the Whole Foods shopper types (“Do you really know what’s in those vaccines?”), the anti-corporate types (“Big pharma’s making bank on these vaccines!”), and the Libertarians (“Don’t let the government tell you what to put in your kid’s body!”).
You’ll see more subtle posts, too, which will appeal to one’s sense of identity as a caring and vigilant parent. Are you the kind of parent who will unquestioningly do what you’re told? Or are you the more savvy kind who will rely on your own intuition about what’s best for your family? Aren’t you the kind of parent who will do your own research?
This last category of these posts may be the most important because psychologically it can be the most effective. The reasons that moms’ groups are particular targets of anti-vaxxers are complex, but there’s one dynamic that I think deserves more attention. I’m going to go on a little tangent here, but bear with me—I promise this is relevant to vaccines. A few weeks back, Katie J.M. Baker wrote in Lux about the proliferation of anti-trans sentiment in UK moms’ groups. Baker observed members seeing trans people who bore children as a threat to their burgeoning identity as moms, as if moms’ group members required exclusive ownership of the physicality of motherhood. Baker quotes one group member: “Carrying my child and birthing my child was not a fucking social construct.” She chronicles how this kind of outrage gets whipped up in the groups with trans people becoming the scapegoats.
Of course, Baker is writing about something entirely different, but vaccine misinformation can follow a similar pattern. In these groups, the physical acts of motherhood—like unmedicated childbirth and breastfeeding—are powerful markers of identity. These acts are often talked about as “superpowers.” Many mothers, and perhaps especially the ones who spend a lot of time in Facebook groups, can feel vulnerable, lonely, and overwhelmed. They may have scant family leave and little help at home. Sometimes, their real concerns about their own health and their babies’ wellbeing have been dismissed by doctors.
For years, purveyors of misinformation about alternative health have exploited these forums to promote theories and practices that aren’t backed by science and can be dangerous. Some of the greatest hits: Ultrasounds can harm your developing fetus; Tamiflu will kill your toddler; a mere sip of formula will destroy your infant’s microbiome; and you should eat your placenta to ward off postpartum depression. The unifying theme for all of them is that the savvy parent “does her own research” to guard against profiteering hospitals and pharma-aligned doctors. It’s not a big intellectual leap to get from that mindset to vaccine skepticism.
Much of this misinformation can be found interspersed with inspirational feel-good messages in the public Facebook group Natural Parenting Mommas. With 143,000 followers, the group lists among its subjects of interest attachment parenting, baby-wearing, holistic health, and natural birth methods. Typical posts range from TikTok videos defending the right to breastfeed in public to memes criticizing standard obstetric practices such as cervical exams. Many of the posts have a feminist vibe; there are countless memes about the thankless work of mothering. You can imagine readers murmuring tearfully, “I feel so seen!” “What men don’t understand is…nobody cooks for her,” reads one. “Nobody cleans for her. Nobody makes her meals. Nobody does her laundry. Nobody makes sure she’s okay. Nobody caters to her, period. A woman is always instantly looked at as someone who needs to take care of everyone.” Some of the memes that the group shares are full of cathartic anger about sexual violence. One recent post:
I wish men understood that when women are talking about feminism and rape culture and shit, it’s not just a political conversation. It’s not about being a “social justice warrior” or whatever. It’s about our actual lives being shaped by misogyny since childhood, and the daily reality of living in fear of violence. This isn’t a fucking game or philosophical debate. This is our fucking lives.
An overarching theme is the paramount importance of parenting. “Your job will forget you ever worked there,” reads one post. “Your child will never forget you weren’t there.”
Over the last year, though, ominous messages about public health during the pandemic have been woven into posts about the sanctity of motherhood. Recent posts warn members about the psychological damage that mask mandates will cause in children. “Protecting kids from dangerous things like forced masking, traumatizing isolation, toxic injections, harmful foods & oppressive government isn’t a #conspiracy theory, that’s just called good parenting,” one March post read. Another recent post is a message in a frame of brightly colored feathers reminiscent of a Native American dreamcatcher. It reads: “Your daily reminder: Don’t take the COVID vaccine.” (When asked about the group’s stance on COVID vaccines and mask mandates, a spokesperson for Natural Parenting Mommas wrote back, “Considering there are multiple admins for the page, all with varying degrees of opinions on the COVID vaccines and mask mandates, we will be unable to confirm anything for you at this moment in time.”)
Women come to moms’ groups for the reassuring memes about how hard and lonely parenting can be, and they stay for the righteous indignation about the government presuming that it knows what’s best for their families. “New parents are left alone, without meaningful conversations from trusted, credible sources,” Seema Yasmin, a Stanford physician who studies medical misinformation, told me this week. Many people are drawn into social media groups in the vulnerable postpartum period, when they’re just forming their identity as parents. That early influence is powerful, and it can persist for years. “That’s how you end up with people really deeply entrenched in a parenting groups on Facebook, with conspiracy theories about everything from ‘if you eat your placenta, you won’t get postpartum depression’ to ‘don’t vaccinate your kid.’”
The pressure on parents is even greater with the added burden of the coronavirus, said Jennifer Reich, a sociologist at the University of Colorado, Denver, who studies the anti-vaccine movement. “During the pandemic, as people have felt more isolated, online communities have become more important than ever,” she told me. “Parents in general and mothers specifically have relied on online communities for a long time for advice and support.”
Katy Strang, who moderates a Facebook moms’ groups in Camarillo, California, told me she has observed this dynamic in her own group. She and her fellow moderators try to remove posts that pass on unverified information, but as she told me last fall, during the pandemic, it’s become a nearly impossible task. When I caught up with her this week, she said the incredible strain of pandemic parenting has made the situation worse. “To our detriment,” she wrote me in an email, “the isolated, exhausted mamas who look to these groups for support at all hours of the days and nights may be susceptible to internalizing misinformation that is being shared by armchair experts.”
The slow cascade in online groups from alternative health to COVID misinformation is not easy to fix, especially since its very proliferation serves to normalize the content. It won’t go away if social media platforms simply label posts as misinformation. The moderators I’ve interviewed have told me that even their efforts to delete misinformation haven’t worked; the deleted posts just pop up in the comments section on seemingly unrelated posts. The fundamental reason these tactics won’t work is that they’re not addressing the right problem, which is not a lack of knowledge, but a lack of support.
There are some things that might actually counteract misinformation, and they have nothing to do with offering facts as an argument. Instead, programs such as paid family leave, affordable and accessible child care, and universal basic income for women who choose to remain home could be antidotes to all the alienation at the core of these groups. Yasmin notes that simply improving postpartum care and training doctors to take parents’ concerns seriously could also diminish the roles that online forums play in parents’ lives. “Historically, we’ve not done a great job of supporting new parents, especially when it comes to health areas that all are already stigmatized,” she said. “I worry that we’ll just lose many more people. And we will foster more distrust against the medical field.”
In the context of the pandemic, that distrust is intensified, and it’s evident in the spaces I report on. As the world gears up for children’s COVID vaccines, this will persist. You’ll hear people blaming online moms’ groups for being anti-science, for being hotbeds of misinformation. When you do, remember this: It’s not that the mothers are dumb or overly credulous—it’s that they’re desperate.
Researchers have long known that the coronavirus is airborne, lingering in floating particles that spread whenever an infected person coughs, sneezes, or simply exhales. It’s the reason public health authorities have been urging schools to improve ventilation as part of their reopening plans: Bringing in more clean outside air can dilute the virus in classrooms, hallways, and cafeterias, helping to prevent spread. But thousands of schools across the country have gone a step further, using high-tech air cleaning systems in an attempt to fight COVID-19—often paying for air purifiers with federal CARES Act money intended to make schools safer during the pandemic.
Now, a top seller of one of the most popular high-tech air purification technologies among schools is facing a federal class action lawsuit claiming that its devices could produce toxic chemicals in classroom air and do not work as advertised to fight COVID, according to a court filing.
“Global Plasma Solutions Inc. preys on people desperate to cleanse the air and protect themselves from ailments including the COVID-19 virus,” alleges the complaint filed in US District Court in Delaware on May 7. “Defendant’s ‘profits over people’ scheme won the company acclaim, publicity, and generated hundreds of millions of dollars in sales.”
Global Plasma Solutions (GPS) is one of the country’s top manufacturers of purifiers that use a technology called bipolar ionization: small machines, usually installed in air ducts, that zap passing air molecules and give them a positive or negative electrical charge. According to the company, those charged molecules, called ions, spread through the room, destroy pathogens, and eliminate other harmful contaminants. GPS claims its devices can eliminate 99.4 percent of the coronavirus from surfaces in 30 minutes and 98.3 percent of the coronavirus from the air in 60 minutes. Schools have found the pitch compelling: GPS says over 1,300 K-12 schools have installed its devices, and demand has only increased over the last year. The lawsuit, which was filed by Robert Garner, a Maryland resident who bought a GPS ionizer for $750.67 in March, estimates that GPS has sold “tens of thousands of units” at minimum.
The company’s claims about COVID are “deceptive,” overstating the purifiers’ ability to fight COVID and “instilling customers with a false sense of security through misleading claims,” according to the lawsuit. Testing that GPS touts as “independent” is actually paid for by the company itself and employs unrealistic experimental conditions, the complaint adds. It cites an investigation published last week by Kaiser Health News, which found that one of the company’s COVID tests amounted to blasting the virus with 27,000 ions per cubic centimeter in a chamber the size of a shoebox. (In a full-sized room, the complaint adds, the machine would generate a concentration of 13 times fewer ions.) A GPS spokesperson says that further tests in larger chambers, with lower ion concentrations, still reduced airborne coronavirus by more than 90 percent. While 2,000 ions per cubic centimeter is a “minimum goal,” she adds, some real world spaces using the company’s technology reach more than 40,000 ions per cubic centimeter.
All in all, the lawsuit paints a picture of an air purification company whose products make the air worse, not better. “Defendant’s misrepresentations and false statements were woven into an extensive and long-term advertising campaign,” the complaint says, citing company webpages and other marketing portraying the ionizers as safe and effective. “The misleading representations grew like a virus.”
Back in March, I interviewed Delphine Farmer, a chemist at Colorado State University who was at the time working with other scientists on one of the only peer-reviewed studies on bipolar ionization in real-life environments. Farmer warned about the unintended consequences of using what she described as an unproven technology:
As an environmental chemist, I think about the precautionary principle, where you say, “Well, if this might do harm, and you don’t need to do it, then you just shouldn’t use it.” You have to prove that something is benign—that it’s not going to hurt the environment, and it’s not going to hurt people before you use it. And I think this rush to market these air cleaning devices is very concerning. I think we’re creating devices that might—not guaranteed—but they might create some some dangerous byproducts. And they certainly haven’t been proven to be effective.
Farmer’s study, which was published in the journal Building and Environment later that month, tested GPS devices in an experimental chamber and an occupied office building. While the experimenters didn’t test for the coronavirus, they found the machines did little to remove particulate matter from the air and actually appeared to produce some concerning byproducts. The class-action lawsuit filed Friday argued that GPS machines are not as safe as the company’s advertising would make it seem, because the gaseous byproductsdetected by researchers included “harmful toxins including Acetone, Ethanol, Toluene, and Butyraldehyde.”
The study by Farmer and her collaborators had immediate consequences for communities struggling with how to safely open schools: During a school board meeting in Montclair, New Jersey, last month, it fueled questions from parents worried about the GPS ionizers recently installed in local schools. (According to the local newspaper, the district has decided to turn off the machines until they can be researched further.)
GPS, meanwhile, has gone on the offensive, publishing a rebuttal to the Building and Environment study and pointing to what the company says are flaws in the experimental design. Since March, GPS also filed defamation and product disparagement lawsuits against two indoor air engineering consultants who have publicly criticized the company’s products and testing, including one who likened the air purifiers to cigarettes. “We intend to aggressively defend our technology and claims,” a GPS spokesperson told me. “Testing in independent labs and feedback from thousands of installations demonstrate that GPS technology works, is safe and can play an important role in making comprehensive air cleaning and filtration systems even more effective. We will review the complaint and respond accordingly.”
A judge has yet to rule on whether the lawsuit, which claims more than $5 million in damages for consumers nationwide, can proceed as a class action. Yet it all but ensures that the question of whether GPS bipolar ionizers work—and whether they are dangerous—will be litigated in court, with potentially devastating results for GPS. After all, the company now finds itself standing in the same shoes once occupied by the Sharper Image, whose signature product (along with massage chairs) was an ionizing air purifier called the Ionic Breeze, which used an earlier version of the technology now employed by GPS’s devices. In 2005, a series of articles in Consumer Reports claimed that the Ionic Breeze did little to clean particulates from the air, but produced harmful byproducts—in this case, ozone. Like GPS, the Sharper Image fought back with a defamation and product disparagement lawsuit. It lost. And soon, like GPS, Sharper Image was facing a nationwide class action lawsuit that helped drive it into bankruptcy.
This story has been updated to provide more context about GPS’s coronavirus testing.
A man walks past tents housing the homeless in Los Angeles.Frederic J. Brown/AFP/Getty
This story was originally published by Gristand is reproduced here as part of the Climate Deskcollaboration.
Two weeks after the United States began its first coronavirus lockdown in March 2020, then-President Donald Trump instructed the Federal Emergency Management Agency, or FEMA, to reimburse cities, counties, and tribes for 75 percent of costs related to housing homeless people in unoccupied hotels, as well as administering COVID-19 tests to those without housing. When Joe Biden assumed the presidency in January, he increased coverage to include fees related to vaccinating homeless populations and also guaranteed that reimbursements would now retroactively cover 100 percent of related expenses.
In theory, the program would both curb the spread of the novel coronavirus and also protect the more than 580,000 people experiencing homelessness at any given time from the variety of threats that come without steady access to housing. For the 225,000 homeless people living without formal shelter of any kind on a given night, encounters with extreme weather events, pollution, and policing can be uniquely deadly.
Texas wasn’t the only place where localities neglected the program. According to reimbursement request records released to Grist after a Freedom of Information Act request, one year into the program only 23 local governments, including one federal tribe, had submitted funding requests. Roughly 80 percent of the requests, which altogether total just over $600 million, came from just four major urban counties: Los Angeles County, California; Denver County, Colorado; Cook County, Illinois; and King County, Washington. (The data is current as of April 7; a comprehensive list of the requesters is available here.)
Of the top 10 major metropolitan areas with the highest levels of homelessness per capita, according to data from the Department of Housing and Urban Development, only three submitted reimbursement requests.
Officials from New York City, where nearly 15 percent of all unhoused people in the U.S. shuffle through the city’s vast shelter system, did not respond to Grist’s requests for comment about why the city did not participate in the program to relieve the threats posed by congregate living during the pandemic. But leaked reports show that dysfunction within city leadership led to the city passing on funds while COVID-19 spread through at least 94 percent of the city’s shelters, and 60 people living in the facilities died.
In San Francisco, where there are more than 8,000 people experiencing homelessness on a given night, county leaders hinted at the possibility of taking advantage of the funding following Biden’s increased coverage, but no requests had been submitted as of April 7. San Francisco officials did not respond to Grist’s requests for comment.
The program and its funding were made available through the 1988 Stafford Act, a federal law designed to help facilitate a uniform federal approach to state and local disaster relief. Unlike other coronavirus funding, the program is not earmarked for a certain dollar amount, so FEMA resources can be scaled to meet all eligible needs. But like other coronavirus relief programs, this particular deployment of the Stafford Act is a temporary fix, set to end on September 30.
Interviews with policy experts and municipal leaders suggest that poor governing relationships between federal and local governments, a difficult reimbursement process, and decentralized planning left the program to be largely ignored—and the country’s unsheltered population unprotected from the spread of COVID-19 and a slew of recent severe weather events.
John Beard, a former city council member in Port Arthur, Texas, learned the inner workings of FEMA’s reimbursement process while helping to lead his city out of the destruction caused by Hurricane Harvey in 2017. He said the processes to obtain federal funding favor large cities and undermines the reason the money was made available in the first place: to help people no matter where they live. Larger cities that have regular communication with the federal government are more likely to know of the many different funding options available, he told Grist.
“It’s a failure at the federal level to not get [the money] out to the cities, because they know which cities need it the most,” Beard said. “And it’s a failure by cities for not amplifying their needs and making the requests.”
“A lot of cities simply don’t have the wherewithal or resources,” he added. “Bigger cities can afford consultants who spend every day searching for funding opportunities, but smaller cities don’t have anybody watching the clock, so everyday paperwork expires and funds dry up.”
Steve Sanders, a former director of the sustainable communities program at the nonprofit Institute for Local Government, said that, with too many issues and not enough resources, many localities prioritize areas where there is a widely understood economic benefit or a powerful constituency to satisfy—neither of which is obviously the case when it comes to providing housing to those without.
“The reality is development decisions are based on return on investment—and these aren’t flashy investments,” Sanders said. “When there is scarce political power for the key actors who care about the underlying issues of environmental justice and housing justice, don’t bet on seeing positive outcomes.”
Three jurisdictions with some of the country’s highest rates of homelessness—Honolulu, Hawaii, and California’s San Diego and Santa Cruz Counties—told Grist that they were either unaware of the FEMA program’s existence or declining to use it. All three jurisdictions had locally funded homeless projects in place during the pandemic. In Santa Cruz County, people qualifying for California’s public assistance program were offered subsidized hotel rates if they were experiencing homelessness.
In Honolulu and San Diego County, leaders used the federal Coronavirus Aid, Relief, and Economic Security Act, or CARES Act—which appropriated $12 billion to be used for homelessness and rent support—to extend their shelter services and make COVID-19 testing and vaccination more accessible to unhoused residents. However, the $12 billion was spread over a wide range of activities, including everything from mortgage assistance and home rehabilitation to the maintenance of traditional shelters, meaning it’s unclear how much actually went toward providing safe, private housing for those without shelter. After Grist’s correspondence with San Diego County, reports surfaced that the county plans to utilize the FEMA program to “free up” CARES money to be used for other social services.
For other cities, a complex reimbursement process has made it extremely difficult to receive funds, according to Rajan Bal, a campaign manager at the National Homelessness Law Center.
“It’s a complicated application process that hasn’t necessarily been conveyed as best and easy as it should be, especially under Trump,” Bal told Grist. Bal said that initially there was confusion around which populations of people qualified for housing; it was unclear if those temporarily displaced by disasters or people experiencing temporary, transitional homelessness qualified for support. (Current guidelines say they do.) FEMA and White House officials did not respond to Grist’s requests for comment.
While Bal believes the FEMA program has had some effectiveness as a temporary solution, he said that municipalities should be “using the opportunity to inject local communities with cash to provide more housing solutions for people right now, as a springboard to combat the long term homelessness crisis and protect this vulnerable population from freezing or melting on the streets.”
This way, he said, jurisdictions can follow San Diego County’s lead and free up other funding streams, such as CARES funding, to pay for other social services and move toward funding more permanent housing solutions such as supportive housing, which allows people experiencing chronic homelessness the opportunity to have their own space while still receiving social support services.
“There are elected officials actively pursuing the criminalization of homelessness and are actively choosing not to use available funding sources like FEMA reimbursement for shelters,” he said. “They’re spending taxpayer dollars to criminalize people instead of relying on these options that address homelessness.”
“At the end of the day, there is money to help people and it’s going unclaimed,” the former politician said. “Elected officials are chosen to look out for people, but there is help readily available and they let it slip past.
Since the arrival of COVID-19, our lives have shifted in ways big and small. Most likely, the pandemic will not end with a bang—we’ll be dealing with some version of it for years to come. As we slowly adapt to our new normal, we’ll embrace some changes and resent others. A few of us at Mother Jones wrote about some of the shifts we’ve noticed in our personal lives and the world around us—from the “love it” to the “leave it” to the we’re-still-figuring-it-out. Read the rest of the essays here.
For the first time in my life, I understand why so many people who make their livings in front of the camera—reality show personalities, news anchors, movie stars—get plastic surgery. I empathize with them. I get it. I, too, have had the experience of spending an inordinate amount of time looking at myself—not with millions of others on Bravo, but with a select group of colleagues on Zoom.
When I first installed Zoom, I didn’t think too much about the personal implications. As with much of the rest of the world, the pandemic forced my work life online, so I got the tool that allowed me to have meetings and see co-workers while we stayed physically apart. But I could never have imagined how hours and hours of looking at myself would affect me psychologically. I’m someone whose makeup routine takes five minutes max, who doesn’t wear high heels as a matter of principle, and who avoids taking selfies or looking at photos of myself. For most of my life, this hasn’t been a problem.
But slowly, during my Zoom-focused, quarantined life I’ve felt my occasionally ambivalent but generally self-confident sense of my appearance erode. Day in and day out I was forced to stare at the puffy bags under my eyes, the unfortunate spattering of adult acne on my chin, the way my face looks when I laugh too hard (which I usually do). It became impossible not to critically dissect my appearance, to silence my hectoring inner Anna Wintour. After one particularly Zoom-heavy day, I googled eye-lift procedures and how much they cost. (Around $3,000 with a recovery time of two weeks.)
Why not merely select the “hide self” function on Zoom, you might reasonably ask. Because now that I have the option to stare at myself in action, I need to know what everyone else sees my face do. During the pre-pandemic days of uncomplicated indoor dining, when I found myself eating at a restaurant with a mirror on the wall opposite my seat, I couldn’t help checking myself out. It’s too tempting to try to plumb the depths of that impossible question: What do other people see when they see me? And how can I fix it so that what they see looks like I want it to?
Turns out, I’m not alone.
Plastic surgeons are reporting that interest in plasticsurgery has markedly increased during the pandemic, especially for the whole menu of facial procedures, from rhinoplasty to face lifts, cheek implants, ear surgery, eye lifts, forehead lifts, neck lifts, botox, and fillers. They’ve even given the phenomenon a name: the “Zoom Boom.”
The market research firm Equation Research surveyed more than 1,000 women across the United States and found that interest in plastic surgery has gone up by 11 percent among women over the last year, though we don’t know the age breakdown. (The absence of men in the survey is glaring—certainly they’re not exempt.) Although almost all cosmetic procedures decreased overall during the pandemic due to office closures, facial procedures decreased by the smallest percentage.
A survey conducted by the American Society of Plastic Surgeons (ASPS) of their nearly 8,000 members revealed that nose reshaping (352,555 procedures), eyelid surgery (352,112 procedures), and face lifts (234,374 procedures) were the top three cosmetic surgical procedures in 2020. When accounting for the fact that most plastic surgeon were closed for an average of eight weeks in the year, the demand for each of these procedures actually rose by 12 percent, 7 percent, and 4 percent respectively. Demand for the most popular body-focused procedures, by contrast, dropped. Breast augmentation surgeries were down by 18 percent, liposuction was down by 5 percent, tummy tucks were down by 2 percent, and breast lifts were down by 6 percent. During these days spent sitting and staring at the screen, why bother fixing anything from the neck down? (Though demand for butt implants has notably soared!)
I decided to talk to some experts about this—just as a reporter of course. So I tracked down Dr. Lynn Jeffers, a plastic surgeon and chief medical officer at the St. John’s Pleasant Valley Hospital in Camarillo, California, to ask what this Zoom Boom is all about. (Jeffers has also been working overtime running the vaccine rollout at her hospital.) She thinks there are three main factors. People had more disposable income during the pandemic because they were saving money on things like travel and dining out. Also, working from home made recovering from surgery easier and more discreet. And the only factor I could personally relate to: “We were suddenly all on Zoom, and our faces were so big in front of us, and most of us didn’t have great lighting or great webcams and so forth,” says Jeffers. “A number of people attributed the increased interest in facial procedures, as well as Botox and fillers, because that’s what everybody was seeing.”
While Zoom fatigue has been a struggle for many of us, the effects have been especially distressing for the roughly 2 to 3 percent of Americans who struggle with body dysmorphic disorder (BDD). “Skin, nose, lots of different facial features tend to be the focus of concern in BDD,” says Dr. Hilary Weingarden, a practicing psychologist and clinical researcher at Massachusetts General Hospital who specializes in OCD and related disorders, such as BDD. She explained to me that any concerns I might have about my facial appearance can take on a heightened, or even distorted, presence in my self-perception when I see myself on Zoom for long periods of time.
“When you sit on Zoom, you’re staring at them all day long, and so we can tend to over-focus on that body part of concern,” she says. “When we look at ourselves in that way, we can start to actually distort our perception. And it starts to look more blown out of proportion.”
Weingarden points out that when people focus on small flaws about themselves, they are seeing a very different picture from what other people see, which is more holistic. Also, Zoom is a particularly strange and unforgiving vehicle in that it literally lines our faces up next to other faces, which creates a situation that’s ripe for unflattering comparisons—a dangerous rabbit hole, as anyone with a propensity for late-night Instagram scrolling will tell you.
Of course, there are lots of reasons to want to tweak or alter appearance, but my own obsessive dissection of my face just made me feel bad. Self-conscious about laughing or smiling. Deflated by a bad hair day. But more than anything, I’ve felt disappointed in myself that I can be troubled by an issue that is so damn superficial when, yes, I have much to be grateful for. I don’t value other people based on their appearance. Why can’t I extend that same courtesy to myself?
But I think it goes deeper than that. OCD disorders like body dysmorphia have strong ties to anxiety and depression. The obsessive checking and rituals around perceived issues are a channel for anxieties around much bigger things: like the fear of social exclusion, or illness, or dying, or other catastrophic, irreparable calamities—that the pandemic brought to all of our lives to a certain extent. It should be noted that BDD is a severe disorder with high rates of co-morbid depression, high rates of suicidal thoughts and suicidal attempts, and, in severe cases, a paralyzing fear of leaving the house. I do not have OCD or BDD, but I think the ties to anxiety are interesting.
“Most of us have aspects of our physical appearance that we don’t like, that we worry about. And that’s normal to being human,” says Weingarden. “So that experience of worrying about physical appearance, and even engaging in some of these ritual behaviors—we all do some of that to some extent. It can vary anywhere from very mild to full-blown BDD, and everything in between.”
If someone had offered to install a mirror in my computer so that I can stare at myself all day, I never would have agreed to it. Yet somehow that’s what I got. That’s what we’ve all got. Among the innumerable aspects of the pandemic that have been unnatural, add functioning under the constant surveillance of a virtual mirror.
Flow theory posits that people achieve peak performance when they are engrossed in an activity to the point that they lose their sense of self. It’s like being in the zone, or in a groove. For me the best feeling is when my self-awareness fades into the background and I am fully immersed in editing, or reading a good book, or listening to a friend’s story.
When I confided to a friend about my Zoom Appearance Crisis (ZAC!), she pointed out that Narcissus stared at himself all day every day and it didn’t work out so well for him. Sitting at the edge of a lake and engrossed in his own reflection, he ultimately lost all interest in his worldly surroundings and turned into a flower. Clearly, this is not an ideal picture of engagement with the world—much less baseline productivity.
But maybe we got the message from the myth all wrong. Maybe Narcissus didn’t expire because he loved looking at himself. Maybe he just couldn’t look away.
The Paycheck Protection Program was supposed to help small businesses struggling from the crippling financial effects of the coronavirus pandemic. But the benefits, as with other government responses to the crisis, flowed disproportionately to white communities.
A newinvestigation from Reveal, which analyzed the distribution of more than five million PPP loans, found that the program was plagued with widespread racial disparities. The findings show a persistence of the type of structural racism—exemplified by the racial covenants and redlining policies of 20th century—that has long prevented communities of color from thriving. Reveal found, for example, that in the “vast majority” of major metropolitan regions, businesses in majority-white neighborhoods were approved for loans at much higher rates than those in majority Latino, Black, or Asian ones. According to the investigation, published in partnership with the Los Angeles Times:
Los Angeles had some of the worst [disparities] in the nation. Although communities of color were hit far harder by COVID-19, businesses in majority-White areas received loans at twice the rate that majority-Latinx tracts received, one and a half times the rate of businesses in majority-Black areas and 1.2 times the rate in Asian areas.
The New York metro area, which includes Newark and Jersey City in New Jersey, saw equally striking disparities, with White areas receiving loans at twice the rate of Latinx areas, 1.8 times the rate for Black areas and 1.2 times the rate in Asian areas.
In other metro areas, including Dallas, San Francisco, San Diego, Las Vegas and Phoenix, businesses in majority-White areas also received loans at about twice the rate as those in majority-Latinx areas.
The first batch of loans, totaling $349 billion, went out last spring, days after Congress passed the CARES Act. But amid the hasty rollout, a lack of federal guidance meant that, as Reveal put it, “any obstacle, such as missing paperwork or a lack of an existing relationship with a bank, risked leaving a business last in line.”
In early April, Malik Muhammad, the owner of a Los Angeles bookstore specializing in African American literature, reached out to Wells Fargo—a bank that“effectively starved communities of color of PPP money,” Reveal reports. Muhammad heard nothing about his loan request for weeks. In early June, he received a form letter: “We cannot confirm that all applications will be submitted and processed by the SBA before the funds are depleted, and we anticipate that demand will exceed available funding.” He never received any follow-up communication from Wells Fargo, though he later managed to get a small loan from Square. “I know we’re not big business, but we deserve a call,” he said.
The CARES Act had instructed the federal Small Business Administration to prioritize “socially and economically disadvantaged individuals,” according to an October 2020 congressional subcommittee report cited by Reveal. But the SBA, the Treasury Department, and the big banks administering the PPP loans ignored that guidance. In fact, the subcommittee found, Treasury had privately encouraged the banks to limit their initial loans to existing customers, excluding many minority and women-owned businesses.
None of the lenders the subcommittee interviewed recalled any guidance from the Trump administration on how to prioritize underserved communities, and several set up lending programs in which large commercial clients enjoyed a “separate, faster process.” In some cases, PPP loans for wealthier clients were processed at twice the speed of loans for truly needy small businesses.
Reveal had reported back in April 2020 that the owners of small businesses in Republican states without stay-at-home orders were more likely to have gotten PPP loans than those in Democratic states where COVID hit hard first. In December, the New York Times and Washington Post both reported that the majority of PPP money had flowed to big businesses, including dozens of national chains, many publicly traded. The same month, when Congress passed its second COVID relief package, the legislation included a bipartisan provision that helped all PPP recipients, but was most beneficial for the companies with the biggest loans, resulting in an estimated $120 billion tax break for America’s richest business owners.
The botched rollout of a program supposedly intended to help small businesses and their employees has proved devastating for many—particularly Black owners, who are far more likely to be sole proprietors. Reveal cites a study by the Federal Reserve Bank of New York, which found that from February through April 2020, the number of active businesses plummeted by 22 percent, but the number of Black and Latino businesses dropped by 41 percent and 32 percent, respectively.
The Centers for Disease Control and Prevention on Tuesday released new guidelines on outdoor mask-wearing, greenlighting fully vaccinated people to engage in outdoor activities, including running, hiking, and walking—without a mask—if they are alone or with members of their household. Attending small outdoor gatherings and dining outdoors without a mask are also considered safe, federal officials said.
But in situations where crowds are likely and social distancing presents a challenge, masking, even if fully vaccinated, is still recommended.
“Today is another day we can take another step to the normalcy of before,” CDC Director Rochelle Walensky said in a White House news conference.
“The examples today show that when you are fully vaccinated, you can return to many activities safely,” Walensky added. “And most of them, outdoors and unmasked, can begin to get back to normal. The more people who are vaccinated, the more steps we can take toward spending time with people we love, doing the things we love to enjoy.”
The updated guidance comes as nearly half of the country reports being vaccinated with at least the first dose. But public health experts remain cautious, with vaccination rates slowing recently following months of rapid growth, while some areas of the country continue to see alarming surges of the virus and its new variants.
It’s been long established that outdoor contact poses significantly less risk in the spread of COVID-19 than indoors. But in recent weeks, questions over the necessity of outdoor mask-wearing have sparked some debate, with those on the right expressing special hostility towards the measure. On Monday, before the CDC’s announcement, Fox News’ Tucker Carlson went so far as to instruct viewers to contact child protective services if they see a kid wearing a mask outdoors. He also compared the practice of children wearing masks outside to child abuse.
“What you’re looking at is abuse,” Carlson said, “it’s child abuse and you are morally obligated to attempt to prevent it. If it’s your own child being abused, then act accordingly.” (Just to be clear: unnecessarily calling child protective services, in situations where the child is not in direct danger, can have long-lasting, traumatizing effects on both children and families.)
But Tucker and similarly-minded conservatives who are now professing outrage over outdoor masks appear to deliberately misinterpret the CDC’s previous guidelines, which never mandated strict outdoor mask-wearing. Instead, the CDC has always acknowledged that the outdoors provides greater ventilation—a key component to reducing COVID transmission—and wearing a mask while you are outside by yourself or with others in your household may not be necessary.
Even though roughly half of the United States population has received at least one COVID shot, coronavirus cases have surged in states such as Michigan, prompting concerns among some public health officials that parts of the nation may be reopening too quickly.
Dr. Michael Osterholm, an epidemiologist and director of the Center for Infectious Disease Research and Policy (CIDRP) at the University of Minnesota, used to advocate strongly for the return of in-person learning. But with new outbreaks largely fueled by the B.1.1.7 variant first detected in the United Kingdom, which seems to affect children at a higher rate than other strains do, Osterholm has changed his tune. I caught up with Osterholm to ask about transmission among kids and the path to herd immunity for the rest of us.
How does our current vaccination rate bode for school reopenings this fall?
I think it’s going to be a mixed situation. And what I mean by that is that we’re going to see, hopefully, vaccines available down to as young as age 12, maybe 10. So when we look at transmission, it’s one of those things where how much vaccine is there is going to make a determination of how big the problems are going to be.
Do you think vaccines for children will have to be fully FDA approved, or will they be able to get emergency use authorization?
I think they will get emergency use authorization. Part of the challenge we have right now is the issue of just how much infection is in the community. Because that’s going to drive how well the studies are going to be able to determine how well the vaccine works, and the safety issues. None of us wants to have people get infected, but frankly, that’s how we get vaccines approved: with efficacy and safety data. And so, if we see substantial transmission in kids, then we’re going to have a much faster timeline to understanding what these vaccines could do and can’t do.
Once this is in schools, the challenge is in the community and the schools. Right now, trying to get kids back in with quarantine, we’re seeing many in-person learning experiences abbreviated quickly, because all you need is just to have a few of these [infected] kids in the school and you have large numbers of people quarantined at home. From an intervention standpoint, there just hasn’t been any data yet to support that cloth face coverings on young kids do anything to prevent transmission. That’s never been studied or addressed.
Why would that be different for children than adults?
Even in the rest of the population, we don’t really have any good studies showing face cloth coverings work. [Centers for Medicare and Medicaid Services] actually has an ongoing evaluation of studies looking at cloth face coverings, and they basically say there’s no discernible data yet to show that they reduce transmission.
With N-95 respirators, you get less than 1 percent leakage in or out. If you look at surgical masks, it’s anywhere from 30 to 50 percent leakage in and out. You get to cloth face coverings, it’s in the 60 to 70 percent range. You know, they’re like seatbelts. They can surely reduce your likelihood of having a bad outcome, but it’s all about dose and time. For example, the recent CDC study looking at double masking was criticized for several reasons, but one of them was that they didn’t do anything about dose and time. It’s like an instantaneous hit and that’s it.
Environments such as school kids today, where we’re now using three feet [social distancing]—which we also challenge—means you double the number of people in the schoolroom. What does your HVAC system do to handle that? And cloth face coverings would have no biological reason to filter out or stop the small aerosol particles. So that’s one of the other things that has been kind of accepted as a fait accompli, and it’s not true.
The other thing is, hygiene theater has to stop. That has been such a big challenge. The CDC, finally, after a year, came out and said that this week. I’ve watched millions and millions of dollars be spent on these deep sanitizings that had nothing to do with reducing COVID-19 transmission. I’ve been saying this since last spring.
How can we overcome the partisan divide on willingness to get vaccinated?
First of all, you have to understand who it is you’re concerned about with vaccine hesitancy or reluctance. I’m part of a group that’s led by Dr. Stephen Thomas, one of the most prominent Black public health professors in the country. He works in Maryland, and he started a program there called the Black Barbers and Beauty Shop program. It’s basically taking barbers and beauticians and really educating them on a number of aspects of health, hypertension, diabetes, etc. And they have served as a major source of information on COVID-19 in their communities. And they are highly trusted; they’re very, very good. And when you actually have a peer like that, or someone that people look up to, explaining to them about this, the number of people willing to take the vaccines goes up dramatically. I think that is an example of the kind of programs we need. That’s not going to work if I’m a pregnant health care worker who is fearful of getting the vaccine. That’s a whole separate issue, and a critical one. And so you need to have the data and the programs to address that group, too.
One of the challenges we have is the billboard that just says “get vaccinated” really has little to no impact. Almost all the time, it’s really about answering specific questions and messages. That’s one where you can surely help them turn around. But I don’t have an answer on this partisan political issue.
The average number of vaccines administered per day is starting to fall. How big of a risk does vaccine hesitancy pose in terms of generating new vaccine-resistant variants?
We have to be very careful. Michigan’s immunization levels are among some of the higher in the country. The Southern Sun Belt states, which have been through this twice now—big waves, one last July, once in January—still have many, many people that are highly vulnerable. The vaccination rate in those states is significantly lower than what we’re seeing in many other states.
Well, if Michigan can have the problem it has, there are a number of states that can have the same problem. People often say, “Well, the vaccine is going to knock it down.” Surely it has an impact, but the amount of vaccination we have right now, as demonstrated in Michigan, is not enough to keep infections from surging. And I think that’s a big challenge for people. They don’t still believe that. And so we can’t get enough people vaccinated quickly enough right now, from my perspective, to try to deal with what is still the potential for other Michigans to occur in the country. It’s a huge issue. We think about this all the time here at CIDRAP.
What sort of public health surveillance systems do we have to detect breakthrough infections in people who have already been vaccinated?
A lot of our surveillance right now is held together by baling wire and twine. I mean, the number of locations still using fax machines to support case reporting! It is really a serious challenge, and if there’s no other lesson from the pandemic, it’s the fact that how critical real-time information is from a public health perspective, and how it has to be made a priority to get systems in place to do that.
Second, you have to have the systems in place to work with private sector and public sector organizations, such that right now we’re seeing a problem where somebody goes and gets tested, they’re positive. Turns out, they’re a breakthrough case but the lab testing them didn’t know that. By the time the health department gets the information and identifies this person as a breakthrough, they contact the lab and the sample has already been thrown away. It’s as simple as that, yet as complicated as that. How do you get that sample for sequencing? Who does the sequencing? When? We’re seeing in many locations two to four weeks before you get sequencing data back. If you’re trying to look at breakthroughs, and you’re trying to understand, is it due to the virus? Or is it just due to the natural experience you’re going to have with a vaccine that is 90, 95 percent effective for most people? What’s happening? We don’t have a good system in place for that.
I know that the administration knows that, but now’s the time where we’ve got to really work with state and local health departments. We’ve got to work with our laboratories, whether they be private or public. And we’ve got to have a much better system in place to identify and capture these samples before they’re lost. And then we got to have quick turnaround on them getting sequenced.
It’s not sequence capacity. We have sequence capacity in this country! It’s the system to get it done. Imagine if every time you tried to use your bank card, you had to run a mile around the bank before you could use it. It’d be a big challenge to get your money out.
I got my second shot of Pfizer yesterday, and although I did not get the jab at a particularly memorable, Only-In-New-York place—at the Javits Center, say, or Citi Field, or under the whale at the Museum of Natural History—it felt, nonetheless, quite momentous. I had a bacon, egg, and cheese on a scallion pancake to celebrate, went for a long walk, and promptly slept for 10 hours. I had been waiting for this day ever since I got my first shot, three week earlier, and I had been waiting for that day ever since I started working from home last March 15th. The side effects, for me, were annoying in a pleasant sort of way, like I’d gone for a very long run without drinking enough water. I call that “pleasant,” because I know this means it’s working.
But according to the New York Times, an alarming number of Americans have missed out on their second doses of Pfizer or Moderna:
More than five million people, or nearly 8 percent of those who got a first shot of the Pfizer or Moderna vaccines, have missed their second doses, according to the most recent data from the Centers for Disease Control and Prevention. That is more than double the rate among people who got inoculated in the first several weeks of the nationwide vaccine campaign.
The piece offers a number of reasons for why this is. There is some apprehension about the side-effects or a false sense security about much protection one shot provides. Logistical hassles inevitably arise in people’s lives—car trouble, or an issue with work or childcare, can mean the difference between making and missing a date with Moderna. And according to the Times, there’s also been another factor outside of people’s control—some people who have signed up for their second doses have been let down by the places that were supposed to provide them. For instance, “Walgreens, one of the biggest vaccine providers, sent some people who got a first shot of the Pfizer or Moderna vaccine to get their second doses at pharmacies that only had the other vaccine on hand.” Woof.
Earlier in the vaccination campaign, some experts were arguing for prioritizing first doses and delaying second doses in order to get more people some degree of resistance faster. But that was back when scheduling a vaccine appointment was still a bit like getting good seats on Ticketmaster. Right now, the United States has a ton of shots, and the benefits of two shots over one are clear. While the first shot of Pfizer and Moderna does provide some temporary protection against Covid, studies found that two shots gave a much fuller immunity, by helping the body produce a lot more antibodies and T-cells. It’s designed to be a two-part process; your body has to learn how to respond. Per The Ohio State University Medical Center:
It’s not unusual for vaccines to require back-to-back doses to be most effective. The first dose primes the immune system while the second dose induces a vigorous immune response and production of antibodies. The bottom line is that you want your immune system to produce a robust enough level of antibodies that if you’re exposed to a virus, your body can effectively fight it. Sometimes that means taking two vaccine doses.
The good news is that if you missed your second shot appointment for whatever reason, you might still have a window to fix it—although the CDC recommends getting the second shot as soon as it’s allowed, you can get it up to 42 days after the first shot, and it’s never been easier. So check with your doctor, and as always, check in on your loved ones. And if you got a shot from Johnson & Johnson, congratulations and ignore all of this—you’re good with just one.
Darryl Answer knows a lot of entrepreneurs in the majority-Black East Side of Kansas City, Missouri, people running companies or side gigs. But the local pastor couldn’t think of even one who’s received help from the federal government’s pandemic lifeline for small businesses.
That’s because most hadn’t.
In Kansas City neighborhoods seared by decades of government-imposed racial discrimination, the Paycheck Protection Program’s forgivable loans arrived last year at lower rates than in the rest of the city. East Side areas “redlined” in the 1930s because Black people lived there—a federal decision that effectively blocked investment—received 17% fewer PPP loans than if they’d gotten an amount proportionate to their share of the city’s small employers. Affluent, largely white ZIP codes given preferential treatment by redlining received 23% more.
“Sometimes we look at this as an isolated situation,” saidAnswer, who is active in community development in addition to his work with New Community Church. “But I think all of these things have to be experienced in light of history.”
At the same time, most of the government incentives intended to combat blight and joblessness in Kansas City flow downtown rather than to the East Side. Variations on that theme keep happening around the nation, too, an eerie—and legal—echo of what the 1930s federal Home Owners’ Loan Corp. wrought with its red pen.
“You can’t call it anything but redlining: public sector reinforcing private-sector discrimination,” said Greg LeRoy, executive director of Good Jobs First, which tracks and researches economic subsidies. “The net effect is reverse Robin Hood. You’re favoring places that need help the least.”
In Kansas City, people determined to put a stop to this may be making some headway. In 2017, Black community leaders convinced voters to earmark a slice of sales-tax revenue for economic development and stability efforts in a portion of the East Side. Some of that money has flowed as COVID-19 relief to small businesses that largely missed out on the federal help.
But what happened with the Paycheck Protection Program is just the latest reminder that equal opportunity remains miles off. Congress asked the Small Business Administration toprioritize small firms in “underserved” markets for PPP loans, which should have quickly boosted places like Kansas City’s East Side. And yet assumptions in the program design—about business owners’ access to banking or certain documents or even clear information about who qualifies—didn’t account for the reality that many firms in such markets face, according to interviews with several dozen experts and entrepreneurs.
Sixty-three percent of eligible applicants for the East Side coronavirus relief grants from Kansas City sales tax revenue did not get a PPP loan. A handful were turned down for PPP help, according to a survey by LISC Greater Kansas City, a field office of the Local Initiatives Support Corp., which administered the city’s grants. Ten percent applied and got no response. Many didn’t apply at all, in most cases because they hadn’t heard about it.
It’s a finding that LISC said befuddled some regional business leaders. Never heard of the much-discussed PPP?
But that’s west-of-Troost thinking. For people living and working east of Troost, the LISC survey results show what officials should have known from the start: A program that isn’t designed to counteract the effect of decades-long discrimination will probably replicate it.
“You can write it in the law that you’re supposed to [beneficially] target Black and brown businesses, but then it gets out into the system,” said Melissa Patterson Hazley, vice chair of the board overseeing the economic development sales tax. “And the system isn’t designed to do that.”
Darrian Davis co-founded a fledgling industrial hemp business and an urban farm cooperative. He also owns a construction contracting business, holds rental properties in a limited liability corporation and runs a side effort buying items from auctions to resell.
He received a PPP loan for none of them.
“I remember thinking that I wasn’t going to be eligible,” he said. He kept hearing references to payroll, and he doesn’t have employees, so he didn’t apply.
It’s possible he could have gotten PPP money. One-person operations can qualify, and the SBA tweaked the programin January andagain in February and March to try to make it more equitable. Even so, Davis might have fallen through the eligibility cracks — or ended up like a small dessert maker near him who jumped through the hoops last year and received just $416.
The East Side ZIP code where Davis lives, 64128, was one of the few places in Kansas City where Black people were permitted to live during the redlining era. Even today, there’s just one bank branch. Nearly a third of residents live below the poverty line. Home values are low, making it hard to build generational wealth.
When the SBA handed out PPP loans last year, only 59 made it to 64128. Compared with its share of small employers, that’s one of the lowest levels in the city.
Public Integrity, which itself received PPP loans, sued the SBA last year to release the information about recipients that made this analysis possible. The newsroom melded that dataset with Census Bureau figures and redlining-map information from a team led by the University of Richmond. It’s not a perfect measure because the federal government doesn’t track the universe of potentially PPP-eligible businesses at a local level, but comparing loans to the share of small employers helps show which areas are getting more or less than expected.
For some very small businesses in 64128, both a lack of assistance and a process that seemed to be continually changing acted as barriers. As she attempted to keep renovations going on a transitional house for women leaving prison, Monecia Smith contacted the SBA for help. She said she didn’t get anywhere. Then she reached out to Bank of America, but at that point last year the PPP funding was gone.
“I don’t know anyone that applied for it,” said Answer, the pastor, who lives in that ZIP code. Some “have multiple hustles, whether it be lawn care, catering, different things to survive. No one’s making a ton of money.”
About two-and-a-half miles southwest, across the Troost Avenue divide, sits the 64113 ZIP code. Here, prohibitions on Black residents were written into deeds in a pre-redlining practice that Kansas City developer J.C. Nichols helped spread around the country. The Home Owners’ Loan Corp. graded these neighborhoods highly desirable in the 1930s, a stand-out green on a map pockmarked with red.
Today, 90 percent of residents in 64113 are white. The typical household makes$138,000, five times the figure in Davis’s community. And 64113’s access to PPP loans, 262 in all, was among the highest in Kansas City compared with its share of small employers — 92 loans more than would have been expected.
Davis was not surprised to hear it. Just as the consequences of redlining still linger in his neighborhood, he said, marking some communities green has also compounded over time.
“Any disparity you can think of,” he said, “you’ll see the same pattern.”
In fact, only one Kansas City ZIP code that was predominantly redlined with Black residents in the 1930s did not have worse-than-average access to the PPP last year. A key secret to its success: It’s almost entirely west of Troost Avenue, benefiting from years of investments in and around downtown.
The stark differences between neighborhoods in Kansas City can be found throughout America. That’s why Bruce Katz, director of the Nowak Metro Finance Lab at Drexel University, said the federal government must stop assuming that programs like the PPP are enough. What’s often missing in communities is a robust small-business support system to make sure people without banking connections or much money get the help, too.
“Unless you’re thinking about delivery of this locally, it falls flat,” Katz said. “We’re trying to get it embedded in every part of Biden policy that we can.”
Michael L. Barrera, director of the SBA’s Kansas City district office, said that since he stepped into the job in February, he’s been on an outreach tear. A former president of both the Hispanic Chamber of Commerce of Greater Kansas City and U.S. Hispanic Chamber of Commerce, he’s been repeatedly talking to local business groups—including the Asian, Black and Hispanic chambers—about the PPP and other pandemic assistance programs.
“We can’t contact every business in our district, so we have to rely on our partners to do that,” he said. “And having relationships with these partners is going to be critical going forward.”
PPP data for January through March shows the once-redlined areas of Kansas City’s East Side still falling short, though the gap has narrowed. City Councilwoman Melissa Robinson, whose district includes 64128, traces those better results to all-hands-on-deck efforts by people on the East Side. She said she pressed to get funding for the local Prospect Business Association so it could help more firms with PPP applications.
And the Heartland Black Chamber of Commerce, headquartered in Kansas City and covering four Midwestern states, pieced together government funding and donations to launch its own program in February. By the third day, about 100 businesses had applied for the help.
“The need is so great,” said Kim Randolph, chief executive of the organization.
Kansas City Mayor Quinton Lucas, who grew up on the East Side, said the local experience with the PPP illustrates a broader national problem: The federal government keeps relying on local advocates to fix inequities that should have been anticipated from the start. “Rarely are there ever exceptions, particularly when you see the initial rollout of programs,” he said. “It is, as a Black man, incredibly frustrating.”
Not many of Randolph’s members obtained a PPP loan last year, when quick help was most needed. It was clear last spring that the pandemic was hitting U.S. communities of color particularly hard and fast — thenumber of Black small business owners dropped 41 percent nationally between February and April 2020, compared with 17 percent for white entrepreneurs. Randolph thinks the country should be ashamed of how the PPP rolled out.
“When the dust settles, we’re going to have a desert,” she said. “If we don’t do something about it now, we’re going to be in a worse situation than we ever thought we could be.”
For every dollar on which Kansas City collects sales tax, half a cent goes to parks. A quarter-cent flows to public-safety services. In two of the city’s counties, an eighth of a cent goes to the zoo.
Leaders of the local Urban Summit wondered: What if an eighth of a cent also went to economic development east of Troost?
Among the people posing that question was Karen E. Curls, president of a real estate services company. Her father, one of the city’s first African American real estate brokers, founded the firm in 1952—four years after the U.S. Supreme Court declared racist restrictions in deeds legally unenforceable and 16 years before Congress passed the federal Fair Housing Act.
Those bans on real estate discrimination did not redress the damage already done. Areas like 64128 are caught in a vicious cycle, unable to get much investment because they were blocked from it for so long.
In theory, the city’s tax incentives for economic development could disrupt that cycle. But a2018 report for Kansas City pointed out what East Side residents knew years earlier: Most incentives go to projects in already “high-value” parts of the city, particularly downtown.
If Kansas City voters agreed to charge themselves an eighth-of-a-cent sales tax for East Side efforts, that money couldn’t get diverted. It would be a step, Urban Summit leaders thought, toward banishing redlining’s ghosts.
“Let’s say that: a step,” Curls said. “But this staircase is very long.”
That’s generated more than $32 million over three-and-a-half years for an area that stretches from a street just east of Troost to the western quarter of 64128. Money is flowing toprojects ranging from a shopping center renovation to a new childcare center, filling gaps in financing.
“The one-eighth-cent sales tax is really a godsend for us,” said Marquita Taylor, president of the Santa Fe Area Council, whose neighborhood is receiving $610,000 to help residents fix roofs and make other home repairs. What Santa Fe pieced together for the project isn’t enough, Taylor said, but still, “the impact is going to be so great.”
The sales tax is an idea people in other cities could try. But it’s no cure-all, as Curls warned. It runs out in 2027 unless voters reauthorize it for another decade. Work was painfully slow to get started. And the amount of money pales compared with development needs, frustrating residents as proposed projects lose out.
The city tax incentives that largely go elsewhere, meanwhile, are far larger.
Those incentives drained nearly $100 million in revenue from the city in 2019 alone, according to a calculation by Good Jobs First. That’s mostly through programs that let developers put money they would have paid in taxes toward project costs instead.
The Kansas City Public Schools district serves a portion of the city that includes both the heavily subsidized downtown and the 64128 ZIP code. Its officials calculated that the district lost $1,069 per student to tax abatements in the 2018-19 school year — far more than other, mostly whiter districts in the city.
“Enough is enough,” Superintendent Mark T. Bedell wrote in a2020 letter after a firm that had its property tax wiped out for two decadesasked for 13 years more. That “speaks loudly to the systemically racist real estate practices we have allowed to exist here.”
Amid growing outrage, the City Council denied the firm’s request and recentlyreduced the level of incentives developers can get. The council also tweaked rules to better target tax breaks to the distressed neighborhoods that keep missing out. But exceptions in the new law could undermine that goal.
Robinson, the councilwoman, wants more reform because she sees no practical difference between redlining and modern-day decisions about where to funnel investment. “It’s just much more covert,” she said.
Ajia Morris, an East Side resident who rehabs houses locally, would like efforts that invest “directly in the people who live there.” Support for small businesses, for instance, or a mortgage pool to help renters buy. Her company, The Greenline Initiative, named in reaction to redlining, finds that East Side rents are just as high as — or higher than — a mortgage would be.
Morris, a lawyer and former school board member, said what gets classified as “investment” in the area often extracts money from the people there rather than going to them.
One program launched by the city’s health department and a local community development corporation last year does get funds into the hands of startups on the East Side, though the grants are small—$2,000 maximum. Kansas City and the Community Capital Fund see entrepreneurship as a way to increase well-being in an area where, in the case of 64128, people die nearly 18 years younger on average than in the greenlined 64113. (The reason for that disparity, the health department says in ablunt assessment: racism, including the “devastating & lasting impact” of redlining and later practices.)
Megan Crook, who led the Community Capital Fund when the program launched, said residents “know what’s going on in their neighborhood, they want to address it, they have the energy and ideas to address it. There’s just a lack of resources, a lack of a platform.”
Davis, whose industrial hemp startup received one of those microgrants, said lack of resources is exactly what makes the PPP harder to get in his community. Businesses without a lawyer or an accountant are at a disadvantage—and it’s no accident that his community has so many like that.
He sees redlining at the root.
“Access to capital is the main thing,” he said. “Access to capital. That’s what we need.”
Jamie Smith Hopkins is a senior reporter and editor at the Center for Public Integrity, a nonprofit investigative news organization in Washington, D.C. She can be reached at email@example.com. Public Integrity data journalist Pratheek Rebala contributed to this article.
About the data analysis
The Center for Public Integrity, a nonprofit newsroom based in Washington, D.C., relied on multiple datasets for the analysis in this story.
The key comparison uses Paycheck Protection Program data from the Small Business Administration by ZIP code alongside small employer figures from the Census Bureau’sZIP Codes Business Patterns. We calculated each area’s share of Kansas City small employers, firms with fewer than 500 employees. Then we determined how many more — or fewer — PPP loans each ZIP code received than it would have gotten had it received the same share of loans as its share of small employers.
There’s no way to determine what percentage of eligible businesses received a loan. That’s because entrepreneurs without employees can apply for help from the PPP, too, and the Census Bureau doesn’t track their numbers by ZIP code. But our comparison shows which areas got a lot of access to the program, or just a little, compared with their employer base.
Public Integrity also relied oncensus demographic figures and “redlining” maps from theUniversity of Richmond, which led a team that digitized documents from the federal Home Owners’ Loan Corp. These detail the U.S. government’s Depression-era redlining grades around the country.
This practice hardened patterns of real estate discrimination, with long-lasting effects. As the University of Richmond notes on its “Mapping Inequality” site, “HOLC assumed and insisted that the residency of African Americans and immigrants, as well as working-class whites, compromised the values of homes and the security of mortgages.”
As a result, the university said, the federal government “directed both public and private capital to native-born white families and away from African American and immigrant families.”
Areas colored green on HOLC maps, graded “A,” were deemed a good risk for bank investment. Areas given the lowest grade, “D,” were colored red and declared “hazardous” for investment. In Kansas City, not all redlined areas had Black residents. But all areas with more than a handful of Black residents were redlined. Black residents still make up many of the residents in these investment-starved neighborhoods today.
Public Integrity determined which ZIP code each graded area fell into, then identified each ZIP with a recorded number of Black residents at the point of redlining (that is, more than “few”) and more than half of the land area graded “D.” Four of the five are on the city’s East Side, the geographic focus of our story, and together these four received substantially less access to the PPP than if the loans had been equally distributed around the city. ZIP codes where more than half the land area was graded “A” or “B” —both west of Troost—received markedly more.
So, what about that single ZIP code, 64108, that sits against the city’s western boundary but was also largely graded D and had a recorded number of Black residents at the time? All but a small piece is west of Troost Avenue, which became the city’s de facto racial dividing line, and it’s had a different trajectory than the East Side—with far easier access to lending, including the PPP.
We may have moved on from the time of obsessively disinfecting our groceries before we brought them inside, but hyper-vigilance over germs has been one of the major side-effects of the global pandemic. Even with the knowledge that the airborne coronavirus is less likely to be transmitted on what we touch, the many surfaces in our lives—from our hands to airplanes—have spent the last year being scrubbed like never before.
But that may not necessarily be a good thing. In fact, as science journalist Markham Held writes in the New York Times today:
…We continue to annihilate every microbe in our midst, even though most are harmless. The New York City subway, for example, has been undergoing a 24-hour cleaning protocol that includes ultraviolet light and a variety of disinfecting solutions. Survey data shows most subway riders feel safer because of it.
But some health experts are watching this ongoing onslaught with a mounting sense of dread. They fear that many of the measures we’ve employed to stop the virus, even some that are helpful and necessary, may pose a threat to human health in the long run if they continue.
Their worries center on the human microbiome—the trillions of bacteria that live on and inside our bodies. They say that excessive hygiene practices, inappropriate antibiotic use and lifestyle changes such as distancing may weaken those communities going forward in ways that promote sickness and imperil our immune systems. By sterilizing our bodies and spaces, they argue, we may be doing more harm than good.
The microbiome exists in all parts of our bodies—famously our guts, but also our mouths, noses, skin, lungs, brains, and, among many people, vaginas. Our bodies’ interaction with them serves an essential purpose in keeping our systems sufficiently strong to keep dangerous external bacterial invaders at bay as well as helping to mitigate or prevent diabetes, asthma, obesity, and autoimmune diseases. But, as with most things, this system needs to be exercised to remain robust, and therein lies the problems with pandemic cleanliness. Held writes:
In January, a global consortium of health researchers published a paper in the Proceedings of the National Academy of Sciences (PNAS) in which they raise the alarm about the microbial fallout that may follow in the pandemic’s wake. “We’re starting to realize that there’s collateral damage when we get rid of good microbes, and that has major consequences for our health,” says B. Brett Finlay, first author of the PNAS paper and a professor in the department of microbiology and immunology at the University of British Columbia.
So what is the alternative? Put simply, Held notes, “[W]e’re going to have to live with germs again.” But balancing the urgency of doing so, with the urgency of controlling a global pandemic is not so easy. Given what we’ve gone through over the last year, it may be worth starting to nurture our depleted microbiomes by indulging in some nice, unwashed, organic carrots.
A Centers for Disease Control and Prevention advisory panel recommended Friday that distribution of the Johnson & Johnson coronavirus vaccine resume.
The CDC and the Food and Drug Administration recommended halting J&J inoculations on April 13 following reports of rare, serious blood clots in people who had received the vaccine. Out of nearly 8 million vaccines administered, there have been 15 confirmed cases of blood clots, all in women. Three have died, and seven remain hospitalized.
As my colleague Kiera Butler reported last week, although the J&J pause came as a blow to vaccination efforts, it was ultimately the right decision:
My reporting on vaccine hesitancy and public health messaging has taught me that trying to hide bad news from the public not only doesn’t work but is seriously counterproductive. As infectious disease expert Monica Gandhi told me last week, we learned during the HIV/AIDS epidemic that people thrive when they have access to nuanced and accurate information. We learned from other vaccine rollouts that downplaying side effects has a way of coming to back to bite you. For example, in 2002, when the George W. Bush administration rolled out a smallpox vaccine, it sought to downplay rare but serious side effects, which included potentially fatal inflammation of the heart. Naturally, the news got out anyway. The result was that the administration ended up vaccinating just 10 percent of its goal.
The CDC’s Advisory Committee on Immunization Practices determined that vaccination should resume and that the vaccine should carry a warning about the risk of blood clots. CDC director Rochelle Walensky will need to give final approval before vaccinations can begin again.
Certified medical assistant Vernest Lacy administers a second dose of the Moderna COVID-19 vaccine to Theodore Heggler, of Benton Harbor, Michigan. Don Campbell/The Herald-Palladium/AP
Michigan is in the midst of a brutal surge of COVID-19 infections. ICUs are nearing capacity, and thousands of infections are hitting each day. The B.1.1.7 variant has driven this surge: The more transmissible variant accounts for 99 percent of new cases in the state. Though the increase in new cases seems to have slowed in the last few days, the state still leads the country in new cases per capita in the last week, and Centers for Disease Control and Prevention head Rochelle Walensky recently said the state should impose restrictions to curtail the virus’ spread once again—a move the state’s governor, Gretchen Whitmer, has resisted.
As the state races to vaccinate residents and reopen its economy and schools, it appears that, like the beginning of the pandemic, Black communities across generations are getting infected and dying of COVID at higher rates than their white peers, according to a Mother Jones analysis of state data. Likely because older residents received the early share of vaccinations, this surge has unevenly afflicted younger residents—young Black men and women in particular.
Last March, Black Michigan residents, who made up 14 percent of the state’s population, accounted for 41 percent of deaths. A year later, as of April 12, Black Michiganders account for 22 percent of deaths.
The latest outbreak is especially acute among children and young adults. A Mother Jones analysis found that in Michigan, residents between 20 and 39 years old account for the highest case rates statewide, and people under 19 years old have contracted COVID at a rate higher than any other time during the pandemic.
Younger Black residents are also dying at disproportionately higher rates than white residents, taking years of life from an entire generation of Black Michigan residents. In the last year, Black Michiganders between 20 and 39 years old account for around 17 percent of the state’s Black residents but 44 percent of deaths. It reflects a startling national trend that Black and Latino Americans throughout the pandemic have died of COVID at younger ages than their white peers.
Because of the surge, in mid-April, Governor Whitmer called on schools to pause in-person learning and youth sports and pleaded with residents to avoid eating indoors at restaurants and bars. Her power to impose stricter restrictions was limited, thanks to a state Supreme Court ruling last October curtailing her executive authority.
On NBC’s Meet the Press this week, Whitmer conceded that she lacked the “exact same tools” she had a year earlier after being sued by Republicans. “At the end of the day this is going to come down to whether or not everyone does their part,” Whitmer said on Sunday.
But for some cities, the race for vaccinations and personal responsibility plea only goes so far. Dr. Lawrence Reynolds, a pediatrician in Flint who has been chief health adviser to Flint mayor Sheldon Neeley since last March, points to the state’s dedication to “home rule,” the notion that every school district and city government operates on its own, even as the state offers resources and direction. Reynolds, who sits on the Greater Flint Coronavirus Taskforce on Racial Inequities, saw Flint’s high coronavirus burden as an example of how home rule can perpetuate segregation and the unequal allocation of resources. That, along with Republican resistance against Whitmer, creates a “recipe for moving backward and not responding appropriately” to the pandemic, he added.
Flint is in Genessee County, which has a daily case rate of 89.2 per 100,000 people—the second-highest rate of all metropolitan areas in the United States over the last two weeks, according to the New York Times. During the pandemic’s early days, Black Flint residents, who make up 53 percent of the city’s population, were nearly four times more likely to get infected by COVID than their white peers and six times more likely to die, according to county data provided to Mother Jones.
By the end of last summer, through a concerted effort to eliminate testing barriers, expand community testing sites, impose a moratorium on water shutoffs, and leverage pre-existing networks of community groups, activists, church leaders, public health officials, philanthropists, and business leaders for aid, among other initiatives, the city managed to close that gap in infections and deaths between white and Black residents. So did the rest of the state: An interim report from the state’s Coronavirus Task Force on Racial Disparities noted that in March and April 2020, Black residents averaged 176 new confirmed cases for every million residents per day—a stark departure from 39 per day for white residents.
By September and October, the trend nearly flipped: Black residents accounted for 59 cases per million while white residents made up 130 per million. Nationally, although disparities in COVID infections and deaths among communities have narrowed over time, Black, Latino, Native American, and Pacific Islander people are still dying of COVID at at least twice the rate of white people when adjusted for age, according to APM Research Lab.
But sadly, much of that progress has been undermined in the most recent surge. As COVID sweeps through cities shaped by pre-existing inequities and political division, it takes advantage of structurally unequal systems that disproportionately afflict communities of color, many of whom are so-called essential workers who risk exposure in ways their peers don’t. The trajectory in Flint and the surrounding county is no different. Even the vaccine rollout has unfolded unequally. Though Black residents account for 14 percent of the state’s population, just 8 percent of all vaccinated people in Michigan so far are Black as of April 12. White people, who make up 80 percent of the population, account for 79 percent of vaccinated Michiganders.*
Debra Furr-Holden, a Flint epidemiologist and professor of Public Health at Michigan State University, told Mother Jones that the state’s decision to reopen in February, just as the B.1.1.7 variant collided with the state’s hopes for returning to normalcy, was a “big mistake.”
“It’s a really unfortunate state of affairs—despite people’s desire to return to business as usual, and what many are calling the new normal, we weren’t ready,” she says. “We didn’t give enough time for vaccinations to outpace spread and the impact of variants and communities. So now we are where we are. I’m pretty sure we ruined summer.”
This article has been updated to correct a mischaracterization of the racial breakdown of fully vaccinated Michigan residents.
All adults ages 16 and up in the United States are now eligible to receive the COVID vaccine, meeting the April 19 deadline set by President Biden last month. That critical milestone comes as the White House announced on Sunday that half of all US adults—about 128 million people—have received at least one dose of the vaccine, yet another stat that captures how quickly the rate of vaccinations in the US has ramped up in recent weeks. That pace is particularly striking when compared internationally; earlier this month, CNN reported that the US was vaccinating people at five times the global average.
But significant challenges persist. Vaccines are going unused in large pockets across the country, particularly in regions with strong evangelical communities. Almost half of Republicans, according to a poll released last week, say they will decline to receive the vaccine if possible. As I wrote last week, all this resistance poses a real threat to the US ever achieving herd immunity as highly contagious COVID variants continue to spread.
Still, the expansion of vaccine eligibility today is a real success for the Biden administration. To anyone 16 and over who had been waiting to get the jab, get out there!
Half of all adults in the United States have received at least one dose of a COVID-19 vaccine, White House senior adviser Andy Slavitt announced on Sunday. The news came one day before all Americans 16 and over become eligible for vaccination.
The Centers for Disease Control and Prevention reported that 50.4 percent of American adults—128 million people—had received at least one dose of a vaccine. The country crossed the 50 percent mark on Sunday after nearly 4 million new shots were reported. Among Americans 65 and older, the age group that has accounted for the large majority of COVID-19 deaths, more than 80 percent have gotten their first shot and nearly tw0-thirds are fully vaccinated.
Despite this country having one of the world’s highest vaccination rates, COVID-19 cases have increased by 5 percent over the past two weeks, according to a New York Times database. About 750 Americans are dying of COVID-19 infections each day, about as many as before cases started surging in the fall.
That could soon change. In Israel, one of the few countries with a higher vaccination rate than the United State, cases have plummeted in the past month and fewer than 1 percent of tests are coming back positive. In response to that news, Israeli public health officials ended the country’s outdoor mask mandate this weekend.
In a series of Sunday show interviews, Dr. Anthony Fauci said he expects the pause on the Johnson & Johnson COVID-19 vaccine to end when the Centers for Disease Control and Prevention’s independent vaccine advisory committee meets on Friday to discuss the issue.
“I would be very surprised if we don’t have a resumption in some form by Friday,” Fauci said. “I don’t really anticipate that they’re going to want it stretch it out a bit longer.”
On Tuesday, the CDC and Food and Drug Administration recommended that states temporarily stop using the J&J vaccine following reports that six women who had received the vaccine developed a rare blood clot. Potential complications from the vaccine, which is highly effective at protecting people from COVID-19, have been extremely rare. More than seven million Americans have received the J&J vaccine, and only one person is known to have died of a blood clot that may have been linked to it. Public health officials said this week that the pause was made “out of an abundance of caution.”
Fauci defended the initial pause, saying that it was important “to make sure that you have all the information that you need.” He explained that the pause provided additional time to study potential complications and inform physicians about how to treat them.
The CDC committee, not Fauci, who serves as President Joe Biden’s chief medical adviser, will decide whether to recommend resuming use of the J&J vaccine. In an appearance on CNN’s State of the Union, Fauci stressed that he didn’t want to get ahead of the CDC and Food and Drug Administration. But he did say, “I would imagine that what we will say is: that it would come back and it would come back in some sort of either warning or restriction.” On NBC’s Meet the Press, Facui told Chuck Todd that there would would probably be guidelines recommending caution about using the vaccine under soon to be specified circumstances.
“My estimate is that we will continue to use it in some form,” he said. “I doubt very seriously if they just cancel it. I don’t think that’s going to happen.”