FDA advisers review third vaccine
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Important developments in the pandemic.
 
 
Ben Guarino   By Ben Guarino
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The latest

There is a good chance that by summer, America will look and feel very different from our current isolated lives. 

"The probability of a great summer is really increasing.” That's the take from Children’s Hospital of Philadelphia epidemiologist David Rubin. Helping the case for sunny-season optimism, as Health reporter William Wan points out, are the recent and steep drops in hospitalizations and deaths in the United States and elsewhere on the planet.

There are necessary steps to get there, such as an extra-cautious spring should more contagious variants circulate. But it could be this summer comes with warm weather, fewer infections and aspects of normalcy – say, even, cookouts. 

Increasing the rate of vaccinations is another requirement to make this optimistic prediction a reality. But as more people get the vaccine, some are experiencing anxiety over when they will receive a second dose. Complicating matters is the ongoing debate over how to allocate a limited vaccine supply: Does it makes sense to give as many people as possible one dose, or fully inoculating people who have had the first one?

In Congress, Democratic lawmakers are forging ahead to pass a $1.9 trillion stimulus package. On Friday night, the House of Representatives is expected to approve the plan, with Democrats winning over Republican opposition. Along with $1,400 relief payments and other aid, the bill includes a provision to raise the minimum wage to $15, setting up a potential showdown over the minimum wage in the Senate. The bigger fights await there.

The Centers for Disease Control and Prevention released guidelines to reopen schools safely, one of President Biden's campaign promises. But some school districts are more cautiously returning to in-school learning based on those CDC recommendations. 

Other important news

A panel of advisers convened by the Food and Drug Administration assessed Johnson & Johnson's coronavirus vaccine in advance of its expected authorization Saturday.

Staff at a vaccination clinic in Texas refused to administer shots to undocumented immigrants. “Vaccines here are exclusive for American citizens and legal residents of this country,” one Mexican immigrant was told.

Digital health passports that collect test results and other travel requirements in one place may sound appealing. In practice, they are a complicated mix of platforms and apps. 

Millions of American adults have medical conditions placing them at increased risk for severe covid-19. But their access to vaccines is spotty, varying wildly by state. 

 

Guide to the pandemic

Track confirmed cases, hospitalizations and deaths in the U.S. and the spread around the world.

U.S. vaccine distribution and delivery, tracked by state.

Guides: Finding vaccine appointments | Vaccines | Variants | Masks 

Follow live updates about the pandemic from Post reporters across the globe.

Submit a question and we may answer it in a future story or newsletter. 

 

Your questions, answered

“Mask-wearing is non-negotiable, and I sew and use and donate cloth masks by the dozens, but I’m also worried about the environmental disaster that might be the inevitable consequence of billions of disposable masks. Are any of the recommended disposable masks fully biodegradable? Is the question of environmental impact under discussion by the CDC and other specialists who formulate recommendations and policies? I’ve seen almost no mention of these questions.” — Lynn in New Hampshire

You are correct on both counts: Yes, disposable masks help protect the wearer and those nearby from coronavirus transmission. And, yes, masks designed to be worn once and tossed away are not the most environmentally friendly option. They're made of polymers that have the potential to become sources of microplastic fiber contamination, as this study of mask degradation notes.

In December, Washington Post reporter Scott Wilson documented mask pollution along California's coast. He wrote: “Many are careless with the new accessory, and in windy places like many along this state’s 840-mile coast, the masks and other products are ending up on sidewalks, skittering into storm drains, blowing onto beaches and ending up in the Pacific Ocean and its bays.”

An annual statewide cleanup effort, sponsored by the California Coastal Commission, found in September that personal protective items such as masks were the 12th most numerous out of 50 types of recovered trash. That was the first time such gear warranted its own category, Wilson reports.

What's the eco-conscious mask-wearer to do? Though the CDC recently recommended double-masking, such as layering a thin cloth mask with a disposable one, that guidance is most relevant to people who must spend time indoors among crowds, or where rates of infection are high. 

In other scenarios, cloth face coverings made with multiple layers are acceptable. Per mask, that's a more expensive option. But those face coverings can be washed and used again, and some are made with metal nose wires for a snug, safe fit. 

This policy paper from the University of College London's Plastic Waste Innovation Hub warned almost a year ago about the environmental dangers of trashed masks. It noted that hospitals have ways to incinerate or otherwise safely dispose of protective gear not available to the public. The authors of that paper compared machine-washing cloth masks to single-use face masks, and estimated single-use masks generate much more waste. N95 and similar respirators, which shouldn't be layered, can also be sanitized – such as in an electric cooker – to be worn multiple times.

For tips on finding the cloth mask that might work for you, here's the Post's mask FAQ.

 

Today’s top reads

Find more stories, analysis and op-eds about the pandemic on our coronavirus page.

‘Nobody came, nobody helped’: Fears of anti-Asian violence rattle the community

By Marian Liu and Rachel Hatzipanagos ●  Read more »

 

Mexico is vaccinating its poorest citizens first — against the advice of health experts

By Kevin Sieff and Paulina Villegas ●  Read more »

 

Unprecedented numbers of students have disappeared during the pandemic. Schools are working harder than ever to find them.

By Moriah Balingit ●  Read more »

 

Pandemic grief could become its own health crisis

Opinion ●  By Hope Edelman ●  Read more »

 

A small town in denial comes face to face with the virus

By Will Englund ●  Read more »

 
 

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