Category: Covid-19

SIOUX FALLS, S.D. (KELO) There were 513 new total COVID-19 cases reported by the South Dakota Department of Health on Thursday, bringing the states total case count to 173,257, up from Wednesday (172,744).

The number of active cases reported on Thursday is at 7,080, up from Wednesday (7,065).

There were 11 new deaths reported, bringing the total to 2,430. While the difference in Wednesday and Thursdays total deaths is 11, there are 8 new deaths reported in the female category and 6 new deaths in the male category.

Current hospitalizations are at 268, down from Wednesday (271). Total hospitalizations are at 8,831, up from Wednesday (8,801).

Total recovered cases are now at 163,747, up from Wednesday (163,260).

The DOH currently reports total tests each day. There have been 1,772,710 total tests reported as of Thursday, up 4,998 from 1,767,712 total tests reported on Wednesday.

The latest seven-day PCR test positivity rate for the state is 13.5% for Dec. 7 13.

Of South Dakotas 66 counties, 65 are listed as having high or substantial community spread. High community spread is 100 cases or greater per 100,000 or a 10% or greater PCR test positivity rate.

There have been 1,157 Delta variant cases (B.1.617.2, AY.1-AY.25) detected in South Dakota through sentinel monitoring. There have been 176 cases of the B.1.1.7 (Alpha variant), 3 cases of P.1. (Gamma variant) and 2 cases of the B.1.351 (Beta variant).

On November 24, the South Dakota Department of Health updated how it reports the percent of the population getting vaccinated. To align with the vaccine-eligible population, the Department of Health is including children who are 5-11 years old. The state says there was a decrease of 7% from the 12+ year old population.

As of Thursday, 66.20% the population 5-years-old and above has received at least one dose while 54.81% have completed the vaccination series. 23.13% of those eligible have completed their booster dose.

There have been 594,356 doses of the Pfizer vaccine administered, 426,050 of the Moderna vaccine and 34,986 doses of the Janssen vaccine.

There have been 168,123 persons who have completed two doses of Moderna. There have been 238,016 persons who have received two doses of Pfizer.

As for booster doses, 82,666 people have received a 3rd Pfizer shot, 65,390 have received a 3rd Moderna dose and 1,882 have received a Janssen booster.

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COVID-19 in South Dakota: 513 total new cases; Death toll rises to 2,430; Active cases at 7,080 - KELOLAND.com

This recent outbreak follows a national trend of rising Covid-19 cases before the holiday season as an average of close to 120,000 new Covid-19 cases are being diagnosed each day, according to data from Johns Hopkins University -- 50% more than a month ago.

In the DA's office, the uptick of Covid-19 cases "has caused significant staffing shortages, disruptions to the department's practice, and other challenges," Sard explained in her letter, which the office shared with CNN.

It's unclear how many staff members tested positive and a representative of the district attorney's office would not elaborate on the impact of the outbreak.

Some of the positive employees have experienced mild to moderate symptoms of Covid-19, the administrative assistant said.

Staff members who tested positive must quarantine, and numerous staff of the impacted department have been asked not to come into the office for work out of an abundance of caution, Sard said.

"The health and safety of our staff continues to be of paramount importance, and it is with this in mind that we are instructing all bureaus, units and departments to cancel any on-site holiday or social gatherings through the end of the year," the letter said.

The letter instructs employees to stay home and gets tested if they feel unwell, as well as following protective measures such as masking indoors while in the office and get vaccine boosters.

"We urge you to get a COVID-19 vaccine booster right now if you still have not received one. A number of studies emphasize the protective effect of booster vaccination against severe COVID illness and variants such as Delta and Omicron," Sard said.

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Covid-19 outbreak at Manhattan District Attorney's office after offsite holiday party causes shortages and disruptions - CNN

With the world facing the latest in a seemingly endless stream of coronavirus variants and with bullish talk from manufacturers about a need for even more vaccine shots you wouldnt be alone if you were wondering: Are Covid boosters always going to be a fixture in our future?

The simple truth is that, at this point, theres no definitive answer to that question.

But virologists, immunologists, and vaccinologists have opinions that are anchored in an understanding of how the immune system works and in emerging data on how Covid vaccines engage with this complicated enterprise that has evolved to help humans fend off disease threats.

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STAT asked a number of these experts whether they think we face a future of endless Covid boosting. In the main, their answers were more reassuring than we expected.

Some said they think three doses of vaccine may protect many people for some time against the worst of Covids potential ravages. Many said they think the benefit of the third shot, given after a six-month interval, will turbocharge immune responses.

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Interestingly, a number said they think that even if we end up needing more boosters down the line, the messenger RNA vaccines the Pfizer and Moderna vaccines that have been the cornerstone of the U.S. vaccine effort to date may not be the vaccines we use for that purpose. Vaccines that cause fewer side effects may be needed if public health authorities want to persuade people to get regular or even sporadic boosters.

Here are some observations and informed theories from nine leading experts in this field.

Ali Ellebedy, an associate professor of pathology and immunology at Washington University School of Medicine in St. Louis, studies what happens in the lymph nodes and bone marrow of people who have been vaccinated against Covid-19. Hes been amazed at how long the first two doses of mRNA vaccine act on the immune system; half a year after the second shot, the response is still maturing. He wouldnt have predicted that, Ellebedy admitted.

There is an ongoing reaction in our lymph nodes thats going for six months. And that reaction, we are showing, that it is actually enhancing the potency of the antibodies, he said. Even before the third dose.

The maturation of the immune response which would be accelerated by a third dose, given after a longer interval brings big benefits. The antibodies we make improve in quality through a process called affinity maturation. They become more capable of recognizing their viral target, even if that target has made changes to its appearance, in the way variants have done.

If you wait six months or more between a priming and boost, what you see is not just a boosting of the immunity that you got from the first vaccine, but you see a broadening of the immune response so that it recognizes other viruses or other variants. Your immune response becomes much more cross-protective, said David Topham, an immunologist at the University of Rochester Medical Center and director of the New York Influenza Center of Excellence.

Florian Krammer, a professor of vaccinology at the Icahn School of Medicine at Mount Sinai Hospital in New York, had been reluctant to get a booster shot, figuring he had solid protection from the two doses of Pfizer he received earlier this year. Better to allocate scarce doses to low-income countries that have had limited access to date to vaccine, he thought.

The emergence of the highly mutated Omicron variant has changed his thinking on the advisability of giving booster shots. But Krammer is not sure what the long-term impact of the third dose will be. We see that you get your booster and you get up to two times, three times the [antibody] level that you had after the second dose. But the question is: How long does it last? How far will it fall? Will the set point be the same? he asked.

Even with booster doses there might be breakthrough infections at some point, said Krammer. And I think the real goal is to get so much immunity in the population that the virus is annoying but not problematic.

Barney Graham has long thought that a delayed third dose would be needed to complete a Covid vaccine series.

An immunologist who was deputy director of the National Institutes of Healths Vaccine Research Center until his retirement at the end of August, Graham led the NIH team that worked on the prototype of the Covid spike protein that many vaccine manufacturers used in their vaccines.

The antibodies induced by delayed third doses will be of higher quality, generating a broader immune response that can more reliably recognize even mutated viruses, such as new variants, he said.

Once you give the [antibody-producing] B cells a chance to mature and then boost them later that type of response tends to make immunity across all these different variants more similar, he said.

Graham also believes as we go forward, our immunity against SARS-CoV-2 may be naturally topped up by occasional exposures to the virus; thats called anamnestic boosting. Neutralizing antibodies will probably decline after the third dose, as they did after the second, so we may get infected by SARS-2 from time to time. But the other facets of the immune response will kick in to stop the virus from descending into the lungs, where it can do serious damage.

So I think that the whole question about durability of immunity is going to have to be determined by three years from now, are people still getting sick or are they relatively well-protected against severe disease regardless of whatever their antibody level is in serum. Because that may wane, but you still have a lot of memory B cells that can rapidly respond, Graham said.

Anthony Fauci, Grahams former boss, agreed, though he didnt rule out the possibility of another booster down the road.

What I think could ultimately happen is that by a prime, second, and then a third boost and who knows, maybe a fourth boost, you get a level of protection that would sort of transform all of this to overwhelmingly an asymptomatic or mildly symptomatic infection. So that it starts to drift much, much more towards the common cold coronaviruses, said Fauci, director of the National Institute of Allergy and Infectious Disease.

Marion Pepper and her laboratory at the University of Washington have been working to come up with real world evidence on how well the immunity weve been acquiring protects against SARS-2. They have been following a cohort of people who were vaccinated or who were infected and in some cases were both infected and then vaccinated. Among those vaccinated, some have received two shots; some have received a third. It is an observational study; they did not randomly assign the people they are following to these groups.

Pepper said from what her group is seeing, she expects boosters to give an important window of enhanced protection. But she doesnt think there is limitless benefit from boosting again and again, using the same vaccine strain. She and her team saw, for instance, that people who had been infected, vaccinated, and then boosted did not get much additional benefit from the third dose of vaccine.I think there is a misconception that the immune system can constantly be repetitively elevated such that you dont go back to that same starting point, she said. And in some people, maybe if they didnt have a good first immune response, it will enhance their cell numbers. But for the large majority you end up hitting a set point of memory that doesnt just keep getting bigger every single time you get the same boost.

She suggested vaccinating with another strain of the virus something like the Omicron version, for example might draw new immune cells into the fray and broaden the scope of the protection the vaccine offers. There are, however, many weighty factors to consider in making a decision to change the Covid vaccine.

Other experts have concerns about whether were as far along as Graham and some others hope. Paul Bieniasz, head of the laboratory of retrovirology at Rockefeller University, said the work he and his team have done suggests there is still room to top up immunity in vaccinated people and unfortunately plenty of unvaccinated people who still need protection.Bieniasz had thought, like some of the others cited here, that with booster doses people would start to get the upper hand on the virus. But the emergence of Omicron has shaken his faith that our immune systems are going to take the lead in what he called a genetic arms race.

I was much more confident a couple of weeks ago that the antibodies would have the edge in being able to outstrip the evolutionary capacity of SARS-CoV-2. But I dont think thats completely clear now, he said.

Topham too thinks viral evolution may dictate whether we have future dates with booster shots.

If next week we see the emergence of a variant that can escape the current vaccine, then yes, were going to have to get another shot of an improved vaccine as soon as they can make it, he said.

People likely wont agree to take mRNA vaccines indefinitely

The Pfizer-BioNTech and Moderna vaccines have been game-changers in this pandemic, proving that new vaccines can be designed, tested, and mass-produced within a hitherto unthinkable time. The first syringes containing the Pfizer vaccine began to slide into arms in the United Kingdom and the U.S. about 11 months to the day from when a Chinese scientist posted the genetic sequence of the SARS-CoV-2 virus on internationally accessible databases.

The vaccines are extraordinarily protective. Theyre also reactogenic; they can come with a real kick. Some people experience no side effects of note while others have only a sore arm. But a significant portion of people experience headache, fatigue, and malaise; others spike fevers, experience muscle aches, and are wracked with chills. And of course, there is an elevated rate of myocarditis and pericarditis inflammation of heart muscle or tissue around the heart, respectively in some males in their teens and early 20s who get vaccinated with these shots.

In the throes of the pandemic, people have seen these vaccines as the best hedge against a potentially fatal encounter with Covid-19. But as our immunity against the new virus rises, experts like Ellebedy dont think folks will be willing to put up with potentially feeling lousy for a day or two after getting a booster.

People in a pandemic can accept things, but I think if youre talking about a regular vaccine thats not really needed because of a pandemic, Im not sure if people would be more accepting of that, he said.

John Wherry, director of the Institute for Immunology at the University of Pennsylvania, agreed. I dont think were going to see just a yearly wild-type spike mRNA vaccine every year ad infinitum, he said, suggesting people will likely be drawn to other types of vaccines as boosters down the road, if we need them.

Currently in the U.S. the only other vaccine option is the one manufactured by Johnson and Johnson, which has not been a popular draw. Less than 4% of vaccine doses administered in the country have been J&Js vaccine. But it is conceivable other vaccines with fewer side effects will become available here.

Novavax and the partnership of Sanofi and GSK are both producing recombinant protein vaccines that are thought to be highly promising. Novavax, which has struggled to produce vaccine at commercial scale, has been given an emergency use authorization by Indonesia and other countries are expected to follow suit. Novavax has filed with regulatory authorities in Canada and the European Union, among others, and has said it expects to file for an EUA from the Food and Drug Administration. The Sanofi-GSK vaccine is still in Phase 3 testing.

Recombinant protein vaccines are generally not as reactogenic as mRNA vaccines.

If you get two vaccines and both work and one you know makes you feel sick for a day, and the other one doesnt, you know who wins, right? Krammer said of the prospects for another type of vaccine to make inroads in the U.S. booster shot market.Akiko Iwasaki, an immunologist at Yale University, thinks we will likely need vaccines that are administered differently if we want to prevent Covid infections. She and colleagues last week published a paper in Science on pre-clinical study of an intranasally administered vaccine. Early data from Israel is showing that the third dose, even though it provides a very effective protection, it also does wane, Iwasaki said. So its not like the third dose will fix antibody response forever. Thats kind of hard to ask any vaccine to do that.Developing a vaccine that aims to arm the mucosal tissues of the upper respiratory tract with immune protection would stop SARS-2 at its point of entry, not after it is rampaging through our cells. Its really like putting the guard outside the door as opposed to inside the door, she said.

The early estimates of the efficacy of the mRNA vaccines to prevent infections in the 95% range created unrealistic expectations about what Covid vaccines would be able to do over the long-term in blocking all infections. As months pass from vaccination, weve seen declines in neutralizing antibody levels and an increase in breakthrough infections among the vaccinated a phenomenon that seems to be accelerating with the spread of the Omicron variant.

But make no mistake. The vaccines are working. In the vaccinated, hospitalizations and deaths triggered by Covid infections have plummeted. Those are the performance metrics we need to be keeping our eyes on, said Wherry.

We are currently hyper-aware hyper-aware of infections. And the reaction to these infections in at least vaccinated people is disproportionate with their consequences right now, he told STAT. To me, its the wrong mindset.

Wherry said he knows people who have been vaccinated and have later become infected. Im walking the dogs and they complain to me, Great vaccine. And I just turn and say When did you have Covid? And they said Two days ago.

His response? Really? Yeah, its a great vaccine.

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Will we always need Covid-19 boosters? Experts have theories - STAT - STAT

For immediate release: December 15, 2021(21-249)

Contact: DOH Communications

Public inquiries: State COVID-19 Information Hotline, 1-800-525-0127

Dozens of cases impacting several counties in Washington

OLYMPIA The Washington State Department of Health (DOH), in collaboration with several local public health jurisdictions, is investigating multiple outbreaks of COVID-19 among vaccinated and unvaccinated individuals, connected to high school wrestling tournaments. The number of cases linked to the events is estimated to be between 80 and 90, but as this investigation is ongoing, the total may change.As of 11 a.m. Dec. 15, DOH has confirmed three cases connected to the outbreaks are the omicron variant.

The impacted wrestling tournaments all happened on Dec. 4, 2021 and include:

Counties that had high school(s) in attendance include Clark, Cowlitz, Grays Harbor, King, Kitsap, Lewis, Mason, Skagit, Snohomish, Pierce, Thurston, Whatcom, and Yakima. A high school in Oregon also sent participants.

Over the coming days, local health jurisdictions will likely send out notifications to the impacted schools with further guidance for next steps. DOH recommends that anyone who attended these events as a participant, coach, official, support staff, or spectator should monitor for symptoms and get tested for COVID-19. Further, anyone with symptoms or who tests positive should stay home from work, school, childcare or social activities.

This outbreak serves as a clear reminder that COVID-19 continues to spread in our communities. The best protection against it is to get vaccinated, and then for those 16 years and older to get a booster shot as soon as they are eligible. Children between the ages of 5 and 11 are now eligible for the COVID-19 vaccine and should start their two-shot series immediately. COVID-19 prevention measures that are part of statewide K-12 requirements and sports guidance include consistent and proper mask wearing. These requirements state, Universal masking is required indoors at all times when not actively practicing or competing.

A team of DOH epidemiologists, in collaboration with local health jurisdiction epidemiologists, is working on gathering more information about these events and the corresponding COVID-19 cases. This is a dynamic situation and evolving investigation, and we will share updates as we learn more.

The DOHwebsite is your source for a healthy dose of information. Find us on Facebook and follow us on Twitter. Sign up for the DOH blog,Public Health Connection.

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COVID-19 outbreaks traced to high school wrestling tournaments - Washington State Department of Health

For a moment in early 2020, it seemed like we might get a break from capitalism.

A novel coronavirus was sweeping the globe, and leaders and experts recommended that the US pay millions of people to stay home until the immediate crisis was over. These people wouldnt work. Theyd hunker down, take care of their families, and isolate themselves to keep everyone safe. With almost the whole economy on pause, the virus would stop spreading, and Americans could soon go back to normalcy with relatively little loss of life.

Obviously, that didnt happen.

Instead, white-collar workers shifted over to Zoom (often with kids in the background), and everybody else was forced to keep showing up to their jobs in the face of a deadly virus. Hundreds of thousands died, countless numbers descended into depression and burnout, and a grim new standard was set: Americans keep working, even during the apocalypse.

Now its been nearly two years since the beginning of the pandemic a time that has also encompassed an attempted coup, innumerable extreme weather events likely tied to climate change, and ongoing police violence against Black Americans and weve been expected to show up to work through all of it. I dont think people are well, says Riana Elyse Anderson, a clinical and community psychologist and professor at the University of Michigans School of Public Health. We are moving along but we are certainly not well.

For some Americans, working during the apocalypse is fatal think of the transit workers who died from Covid-19 in 2020, or the Amazon warehouse workers killed by a tornado on December 10 in Illinois. All disasters are workplace disasters for some people, said Jacob Remes, a historian and the director of the Initiative for Critical Disaster Studies at New York University. For others, the effects are more of a slow burn; the chronic stress that comes with putting on a game face at work, day in and day out, as the world becomes ever more terrifying.

Of course, Americans havent all quietly accepted the demand that we work through the end times. Record numbers are quitting their jobs in search of higher pay and better conditions. After more than 20 months of being asked to keep showing up uncomplainingly while everything crumbles around them, people are demanding a more humane approach to work in the age of interlocking crises.

A disaster, whether its the pandemic or climate change or the existential threat to democracy or all of the above, can help us to understand the ordinary structures of work differently, Remes said. The conditions we find ourselves in today, dark as they are, are an opportunity to remake American culture around an ethic of care rather than productivity, so that we can face the next disaster together rather than being forced to ride it out in isolated cubicles.

Since the pandemic began, workers in America have faced compounding and continuous crises, Anderson said. Theres the threat of the virus itself, which has taken a devastating toll on front-line workers, with line cooks, warehouse employees, and agricultural workers at especially high risk of death in 2020. The first waves of the virus also brought economic hardship in the form of job insecurity, slashed hours, and depleted savings, anxieties that fell especially hard on Black and Latinx workers who had less wealth than white ones to begin with, and who were less likely to receive federal assistance in the form of PPP loans.

As Covid-19 raged, Americans witnessed the murder of George Floyd and ongoing police violence against Black Americans, a reminder that the pandemic was not the only threat to Black life, as Anderson put it. At the same time, then-President Donald Trump refused to say whether hed accept the results of the 2020 election, stoking widespread fear over the fate of American democracy. Then, when he did lose the election, his followers stormed the Capitol in an insurrection that left five people dead.

That day, a tweet asking if we were really supposed to be working during the coup went viral, as workers questioned whether we were still expected to be productive while the highest levels of American government appeared to be crumbling before our eyes.

This is the black heart of productivity culture: the maniacal focus on the individual capacity to produce elides the external forces that could (and should!) short-circuit our concentration and work ethic, Anne Helen Petersen, co-author of the book Out of Office, wrote at the time. If we had time and space to process the tragedies of daily life, if we gave ourselves permission for deep empathy then maybe wed have the fortitude and will to fight for the changes that would actually make the world less traumatic.

Then the coup was over. Some companies gave employees extra days off, or expanded mental health options, or yoga classes. But mostly, it was business as usual. The answer to whether Americans were expected to work during the coup was: basically, yeah.

Since then, the crises have kept compounding. A new variant of the coronavirus stalks the globe, stoking fear and uncertainty in leaders and ordinary people alike. Tornadoes killed at least 90 people across six states in December in what one federal official warned will be the new normal due to climate change. American democracy looks ever more at risk, with experts warning that the country is sleepwalking toward a future in which votes no longer matter.

Workers havent just been sitting still through all this: Theyve been quitting jobs in record numbers all year long. Those numbers have included many low-wage workers who left for better-paying jobs, as the Atlantics Derek Thompson reports. Indeed, workers next year could experience the biggest pay increase since 2008. Thousands are also striking or joining unions to take back at least some power from their employers. And Americans from office workers to Olympians are speaking out about the importance of prioritizing their mental health.

However, talk of the so-called Great Resignation often ignores the experiences of people who might want to quit but dont have the savings (or inherited wealth) to risk walking out on a job, Anderson noted. Meanwhile, even if wages are rising, that doesnt mean employers or the country at large have figured out how to handle work in an age of constant disaster.

At the extreme end, the expectation that people keep working no matter whats going on around them can lead to their deaths. Some workers at the Mayfield Consumer Products factory in Kentucky said they were told they would be fired if they left their posts, even as deadly tornadoes approached. They and workers at an Illinois Amazon warehouse were, in effect, compelled to work by the almost sovereign power of their respective employers, with horrific consequences for them, their families and their communities, Jamelle Bouie wrote in the New York Times.

The pressures of work in the 21st century can also have subtler effects. For example, environmental and labor economist R. Jisung Park and his team have found that extreme heat, a more common occurrence thanks to climate change, leads to an increase in workplace injuries like falls and chemical spills. If youre in a baseline dangerous working environment, temperature is just one of many variables that might just make it incrementally harder to sustain focus and avoid injury, Park said.

Thats true not just in outdoor occupations like construction or agriculture, but in workplaces like warehouses that may lack air conditioning or other climate control, Park added.

Then there are the emotional and psychological consequences of trying to get your job done, day in and day out, during unceasingly chaotic times. Because of the pandemic and climate change, people are being forced to continually evaluate and reevaluate their risk tolerance, Remes said. Is it safe to eat in a restaurant? To send a child to day care? To take the subway?

Making these kinds of calculations all the time is exhausting and takes a toll on mental health. The constant, low-level stress of slow-moving disasters like the melting polar ice caps can make everything more difficult, including work, Remes said. It makes it harder for people to be productive, because theyre worrying about their basement flooding.

Seventy percent of respondents in one September survey said they were anxious or stressed about work, and 81 percent said they were more burnt out than at the start of the pandemic. Among Americans of color, who have experienced many of the pandemics interlocking crises most acutely, depression and anxiety and stress are spiking in ways that are disproportionate to their peers, Anderson said.

Companies have made some effort to acknowledge the problem. As Petersen notes, many white-collar employers have sent out emails to workers along the lines of feel free to take some time if you need to.

Such messages can ring hollow, though, when every day is more frightening than the next after more than 20 months of a pandemic, how do we even know when we need to take time? Moreover, those who need a break the most are probably the least likely to be offered one nobody in the Mayfield factory was given the opportunity to take time.

Experts say whats needed is, at minimum, a new approach to employee well-being and, at a maximum, a full rethinking of the meaning of work in America.

Companies can start by taking the onus off individual employees and offering time off to everyone in difficult times. Even if management encourages people to take time off, employees may fear repercussions if they actually do it, Anderson pointed out plus theyll be coming back to a mountain of work on their return. A better strategy is to simply give time off to all employees without requiring them to request it. Nike, for example, gave all office employees a week off earlier this year, and Bumble and LinkedIn enacted similar policies.

Beyond time off, more companies are also offering wellness perks from art classes to visits from therapy dogs, said Rebecca Rice, a professor of communication studies at the University of Nevada Las Vegas, who studies how organizations work during emergencies. Such extras can be nice, but ultimately theyre a temporary fix to a broader feeling of everyone being overextended, Rice said.

Employers need to understand that todays slate of overlapping crises is a new normal that perhaps requires different standards, Rice explained. That means having honest conversations with employees about what work is necessary and a priority and what work is not for right now. That could mean a daily meeting happens only three days a week or never.

These conversations are starting to happen in white-collar workplaces but have yet to permeate as much into lower-wage and service-sector work. While more companies institute time off for office workers, some Amazon warehouse employees say the company uses a high-tech monitoring system to watch their every move and goad them into working faster.

Tighter labor regulations, including those governing work in extreme weather, could help protect workers whose employers have not so far shown an interest in protecting them. More broadly, the disasters of the last two years should prompt a reexamination of what work is really for, some say. For Remes, the pandemic has shown the importance of care labor, from teaching to elder care to nursing. That should actually be the essential thing that we do with our lives, he said. Everything else should support that as opposed to that care and maintenance supporting the production of consumer goods.

Reorienting the American economy around care would mean fairly compensating workers in fields like child care and elder care, which routinely pay poverty-level wages. It would also mean providing other workers with the paid leave, flexibility, and reasonable schedules necessary for them to attend to their own care responsibilities at home.

Overall, surviving the disasters of the 21st century will require a new kind of strength from Americans not the dogged persistence to keep doing our jobs while the world falls down around us, but the empathy and generosity to come together to stop the collapse. As Remes put it, nothing is possible when we all have to pretend to be independent all the time.

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From Covid-19 to climate change, Americans are still working through the pandemic - Vox.com

ASHBURN, Va. -- The Washington Football Team, already impacted by injuries, continues to add players to the reserve/COVID-19 list at a time when it can least afford to lose depth.

Washington has placed 17 players on the COVID list this week -- including eight on Wednesday and three more on Thursday -- bringing its total to 21 as it prepares to play the Philadelphia Eagles on Sunday. Both teams are 6-7, with Washington holding the seventh and final playoff spot with four games remaining. Coach Ron Rivera said he has not heard any discussions about possibly canceling the game.

Of those 21 players, 11 were possible starters Sunday. Washington also has 13 players on injured reserve (two players are on both lists), leaving the team having to piece together a lineup for a game that impacts its playoff fate.

The latest additions Thursday included starting safety Kamren Curl and starting center Tyler Larsen. Keith Ismael, Larsen's backup at center, also was placed on the COVID list.

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"We're in meetings and one of the guys told me someone else had it, it's like, 'Here's another one; there's another one,'" guard Brandon Scherff said Wednesday. "Like coach Rivera said, 'Next man up.' It's a big opportunity for them to show everyone what they've got."

Washington's strength has been its defensive line, but as of now that group is decimated. Of the top six linemen on the active roster, five are on the COVID list; only tackle Daron Payne remains fine.

Another lineman, end Montez Sweat, is also on the list but remains on injured reserve with a fractured jaw. Sweat would have played last week had he not tested positive for the coronavirus. He is eligible to come off the list Saturday, but that would require him to then play in a game for the first time since Oct. 31 without the benefit of a practice.

Several players could come off the list later this week, including defensive ends James Smith-Williams and Casey Toohill, both of whom missed Sunday's loss to Dallas. Defensive tackles Jonathan Allen and Tim Settle also could come off the list. All four players must test negative twice in a 48-hour span to return. Some of the affected players, including Allen and Settle, had not shown symptoms as of Tuesday night.

Washington signed a possible reinforcement for the defensive line Thursday, adding veteran Akeem Spence.

Rivera said he is not concerned for himself, despite the high number of positives. Rivera, who battled cancer last year, had said in August that he was immunocompromised and was frustrated with the pace of his players getting vaccinated.

But this week he said he already has received his booster shot and wears a mask when in a crowd or around other people. The current situation goes well beyond what they anticipated, Rivera said.

"Nobody expected this [Omicron] variant," he said. "Because it's spreading so quickly around the league right now, that almost feels like a matter of time. I don't think anybody expected it to be like this. Our thought might be that guys that hadn't gotten vaccinated might have come down with it at some point or another, not that it would be a crossover."

Rivera said he did not know for sure that the players testing positive have the new variant. Rather, he said he was speculating given the rapid spread.

Washington only has two healthy tight ends on the roster -- Ricky Seals-Jones and rookie John Bates. Its top corner, Kendall Fuller, will miss Sunday because he was placed on the COVID list. Two key offensive players, receiver Terry McLaurin and running back J.D. McKissic, are in the concussion protocol.

If McLaurin can't play, his replacement, Cam Sims, likely will be unavailable as well. He was put on the COVID list Wednesday. Receiver Curtis Samuel, who has been limited in his return the past three games after battling a groin injury, did not practice because of a hamstring issue.

"We've dealt with adversity all year," Washington quarterback Taylor Heinicke said. "We've had guys go down and step up and play; it's just more for this week. We have confidence in all our guys. It should be an interesting one Sunday, but I feel good about it."

Rivera said the staff focuses on teaching during the walk-through sessions to get new players caught up, although Washington should have four of its original five offensive linemen available.

"You take every able body you have and they all get opportunities to practice, get opportunities in meetings and walk-throughs to make sure they're brought up to speed," Rivera said.

And then they have to hope others don't test positive later in the week.

"I got vaccinated so I trust the vaccine," said rookie defensive end Shaka Toney, who, as of now, would make his second consecutive start Sunday. "I've seen guys come back fast from being vaccinated and their symptoms are perfectly normal. I won't say I'm not worried, but I trust my body; I have a good diet, I got vaccinated; I did the booster shot. You can't live life with fear. I will follow all the precautions and do my best to stay available."

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Washington Football Team's COVID-19 list grows to 21 players with 3 more additions Thursday - ESPN

Three Chelsea players have tested positive for COVID-19, throwing Thomas Tuchel's plans into disarray as the Blues prepare to host Everton.

It is unclear as to what implications this will have on Thursday night's clash, with a decision set to be made in due course.

As per Nizaar Kinsella, three senior players have tested positive for Coronavirus and have been mixing with the rest of the squad.

IMAGO / Sportimage

Goal reported that the Blues' pre-match plans have been severely disrupted as Chelsea are the latest Premier League side to receive positive test results.

As things stand, there is 'no indicaton' that the match will be postponed but the situation could change before the evening.

Tuchel was reportedly ready to include two of those players in his thoughts for a home date with Everton, but has seen his pre-match planning thrown up in the air.

IMAGO / Sportimage

It is believed that all of those set to sit out upcoming outings have been in contact with the rest of the Chelsea squad, with a full training session completed on Wednesday.

The last thing that Tuchel's side want is a postponement due to the congested fixture schedule that the Blues already face, with the Club World Cup set to be played in February.

It is difficult to see where a postponed fixture could be rearranged and played as Chelsea are already playing up to three matches a week during a packed festive schedule.

It remains to be seen as to whether the clash will go ahead, but as for now it is under threat.

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Report: Three Chelsea Players Test Positive for COVID-19 Ahead of Everton Clash - Sports Illustrated

Every day, Russell Kaye wakes up and thinks about how long the COVID-19 vaccine will protect him from the virus.

The 59-year-old photographer from Brooklin has been fully vaccinated practically since the option became available for his age group in Maine. He got a booster in October with the same kind of urgency, but he still checks new case numbers daily.

I think if I do get COVID, [the vaccine] will keep me out of the hospital, Kaye said. But Im not ready to test it.

It is a strange place to be on the first anniversary of the states vaccine rollout. While the shots have proven remarkably effective at preventing serious illness from the virus, a combination of factors including the highly contagious delta variant that arrived in the summer are allowing the virus to spread at record rates, far higher than when vaccines first arrived.

Although Maine is one of the most highly vaccinated states at 74 percent of residents, overall case rates over the past month are nearly three times higher than they were ahead of initial vaccine approval in December 2020. Unvaccinated people continue to account for a wide majority of cases and hospitalizations despite comprising roughly a quarter of the population.

Between Nov. 12 and Dec. 10, nearly 19,000 Mainers contracted COVID-19, according to state data, including more than 13,000 unvaccinated people and just shy of 6,000 vaccinated people. The data show about 1 out of every 160 vaccinated people tested positive for the virus compared with about 1 out every 34 unvaccinated people.

During the same period in 2020, a time that marked the beginning of Maines winter COVID-19 surge just before the first vaccine was approved, about 6,800 Mainers or about 1 out of every 200 people in the state tested positive for the virus.

Gov. Janet Mills noted the anniversary in a Wednesday statement, pointing to the states high vaccination rates and booster efforts. But with hospitalizations hitting another record high on Wednesday, she said the states work is far from done and pressed holdouts to get vaccinated.

Those figures show the vaccines are still providing good levels of protection, and cautioned that risk can vary widely across demographics, said Dr. Dora Mills, the chief health improvement officer at MaineHealth and the governors sister. An older vaccinated person is still likely safer than a younger unvaccinated person due to the potency of the delta variant, she said.

She remembered the first shipments of vaccines arriving at Maine Medical Center with a police escort, and her team crying when initial doses were administered. They could not have imagined then being in a surge now because the public did not realize how much the virus can mutate or anticipate the resistance to vaccines in some areas.

Its very discouraging, its a dark time right now, she said. Right now everyone needs to take care of their families and loved ones.

For Jordan Netzer, 49, of Princeton, that means still avoiding restaurants and keeping a mask on in public. He had relaxed doing the latter after getting a Johnson & Johnson shot in April, but started again with the delta surge. He was not sure what it might take to feel normal again.

Its been going on for so long it feels like a fact of life, he said of the pandemic.

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A year after COVID-19 shots started, unvaccinated Mainers are at higher risk than ever - Bangor Daily News

SYRACUSE, N.Y. (WSYR-TV)- Many families across Central New York are taking extra steps to make sure their loved ones stay healthy during the holidays, and pharmacies are making sure they can take those steps.

Many pharmacies in the Syracuse area have at-home COVID-19 test kits available. NewsChannel 9 stopped at Wegmans, Kinney Drugs, Walgreens, and CVS, who have them. We also called the Rite Aide in North Syracuse who said they didnt have them at the time, but they usually do. Prices vary from $10-$24.

Check with your other local pharmacies to see if they have them.

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Where to find COVID-19 at home test kits - WSYR

Leicester's game against Tottenham has been postponed.

Tottenham have already had their last two games against Rennes and Brighton delayed due to a COVID-19 outbreak. However, Leicester have also been suffering from a significant outbreak of the virus, and Thursday night's match has now been postponed.

It follows Watford's trip to Burnley being called off just two and a half hours before kick-off on Wednesday night, Manchester United's game against Brentford being postponed and Sunday's match between Spurs and Brighton also being delayed.

A statement from Leicester said: "Leicester City can confirm that the Premier League Board has decided to postpone Thursday nights fixture against Tottenham Hotspur.

"The decision was taken with guidance from medical advisors after the club resubmitted its application for postponement after confirmation this morning (Thursday) of further positive tests for COVID-19 within the first team squad. As a result, the club has an insufficient number of first team players available to fulfil the match.

"Given the increase in positive tests among first team personnel, first team operations at Seagrave will now be closed for 48 hours, serving as a circuit breaker to help reduce the risk of further infection. First team players and staff will undergo a subsequent round of testing on Saturday.

"The club regrets the inconvenience caused to Tottenham Hotspur and both sets of supporters by Thursday nights postponement."

Antonio Conte and Brendan Rodgers had both called for the game to be postponed on Wednesday.

Rodgers said: Weve still got a number of players out. Weve got nine players out through COVID and other medical issues. In terms of COVID, were still where we were.

Asked whether he wanted the game called off, he said: Weve looked at that. Unfortunately for us, we werent granted any dispensation, which was disappointing. Weve wanted to support the measures, but when we wanted support for the extreme situation we were in, its disappointing not to get the support. We were touch and go for the Newcastle game. Weve picked up a couple of injuries as well, that are COVID related because we cant rotate the team. Well put out the best team we can.

Conte similarly replied: Yeah, but for me its very difficult to speak about this topic. For sure, the Premier League didnt want to postponed the game against Leicester, maybe because we have to play against Burnley and Brighton. We postponed two games before. I can understand, we can understand.

On the other hand, I think we deserve to play our chance against Rennes to go to the next group. We dont find a good solution between UEFA and Premier League, why Tottenham has to pay for this? Its not fair we have to pay for a situation that isnt our fault?

I understand if we did something wrong but in this way, for the club, the players, the staff, its very difficult to understand whats happening.

(Photo: Gareth Copley/Getty Images)

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Leicester vs Spurs postponed due to ongoing COVID-19 outbreak - The Athletic