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Soothe COVID-19 vaccine side effects with these tips.
USA TODAY
Brian Caswell, owner of Wolkar Drug in Baxter Springs, Kansas, has been eager for his independent pharmacy to help with the COVID-19 vaccine rollout.
He bought a specially equipped freezer for storage purposes, certified additional employees to administer vaccines and bought scheduling software to gear up for the push.
“Everybody stepped up to do everything that the CDC asked,” he said. “The only thing that we couldn’t get was vaccines.”
So far, drugstore giants CVS and Walgreens and big-box stores like Walmart and Kroger have been getting the lion’s share of vaccines from the initial allotment devoted to retail pharmacies, independent pharmacists say.
But community pharmacies, they argue, can play a critical role in delivering COVID-19 shots, so they’re frustrated that they aren’t receiving as many vaccines proportionally as major chains are getting from the federal, state and local governments. They say their personal relationships with their customers are crucial to a successful vaccine rollout, and they reject the suggestion that they don’t have the technology necessary to handling the scheduling process.
If local pharmacies are left out, that threatens to prevent Americans in low-income communities and people of color from getting vaccinated quickly since community pharmacies are more likely to be located in what the federal government considers to be socially vulnerable areas, independent pharmacists say.
The number of family-owned pharmacies is still significant, despite a decline in recent years. About 1 in 3 of the nation’s 60,000 pharmacies are independently owned and operated.
“There’s been, in our opinion, an over-weighted focus on two big chains: CVS and Walgreens,” said B. Douglas Hoey, CEO of the National Community Pharmacists Association (NCPA). “The rollout of the vaccine will not be successful without incorporating local pharmacies into the distribution and administration.”
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President Biden toured a Pfizer vaccine manufacturing plant in Kalamazoo, Michigan as severe winter weather deters COVID-19 vaccine rollout plans.
USA TODAY
The CDC did not respond to a request seeking comment. But the agency has acknowledged that since supplies are currently still limited while manufacturing ramps up, “many pharmacies may not have a vaccine or may have very limited supply” for now.
Chain pharmacies have had an edge in the vaccine race from the start, said Arun Sundaram, an equity analyst for CFRA Research who tracks Walgreens and Rite Aid.
“Obviously these larger pharmacies have the infrastructure in place or they can build the infrastructure,” he said. “All of them have been playing a huge role in the COVID-19 testing and now they’re also partnering with the government to administer vaccines.”
Local pharmacies want in
In the 63 major jurisdictions identified by the CDC for distribution of vaccines, locally-owned pharmacies were initially allotted shots in only 17, according to the NCPA.
More than half of locally owned pharmacies are based in communities with a “high” or “very high” rating on the CDC’s social vulnerability index.
“Local pharmacies have to be involved,” the NCPA’s Hoey said.
Advocates for chains say they are best suited to negotiate the federal contracts required to accept vaccines, establish digital scheduling systems and quickly accelerate distribution.
Locally owned pharmacies say they can keep up, in part because many of them are able to obtain joint contract language through organizations like the Community Pharmacy Enhanced Services Network (CPESN), which represents the interest of about 3,500 independent pharmacies and provides shared services to them. In its initial rollout, the CDC listed CPESN as one of 21 retail pharmacy partners for distribution of the vaccines, a list that included giants like CVS, Walgreens, Walmart and Kroger
But of CPESN’s thousands of pharmacies, only 82 received vaccines – 100 doses each – in the first week of distribution in mid-February, and none received doses in the second week due largely to bad weather. In the third week, 116 were due to receive more than 35,000 doses, according to CPESN.
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A public service ad campaign unveiled Thursday aims to convince Americans to get vaccinated against COVID-19, telling them “It’s Up to You.” The campaign by the Ad Council and its partners is focused on those who may be hesitant to get the shots. (Feb. 25)
AP Domestic
To be sure, the CDC does not control all aspects of the rollout. The agency is distributing most doses directly to the states, which then direct doses to retail pharmacies, local health departments and others.
State and local officials appear to bear most of the responsibility for decisions to distribute vials to which pharmacies, said CPESN spokesman Jay Williams. One reason may be because chains often have the most locations and the most recognizable brands.
But local pharmacies that have gotten vaccines are handling the process efficiently, he said.
“If they got 100 doses, they got 100 doses in arms in a couple days,” Williams said. “That’s the real story.”
Some are getting more than others. Drug distributor AmerisourceBergen said it’s allocating more than 13,000 doses weekly in the early going to more than 100 independent pharmacies in Texas, Nebraska, Kentucky and Kansas. By comparison, CVS said it’s prepared to eventually handle up to 25 million per month, while Walmart said it can handle up to 13 million.
Hoey acknowledged that digital scheduling systems can present challenges for local pharmacies, but he pointed out that even Walgreens’ system temporarily crumpled when it first rolled out. So he rejected the suggestion that the major chains are somehow best suited to handle the situation.
“It is a big challenge for everybody,” he said. But “the technology is there – there’s a number of different scheduling platforms that are available.”
Michele Belcher, owner of Grants Pass Pharmacy in Grants Pass, Oregon, said she carefully surveyed her technology options before selecting scheduling software. She said mom-and-pop pharmacies have been hurt by their image as friendly but too old-fashioned to help in a modern health crisis where millions of doses are sent out across the nation and individual shots are often scheduled online.
“We have some of the best technology that there is out there,” she said. “The feedback that I have had is overwhelming on how easy it was to use,” she said, adding that most small pharmacies have robots to help with the packaging or dispensing of medicines and advanced technology for billing customers.
Personal relationships matter
Local pharmacists say they’re more likely than chains to have long-running personal relationships with their customers, making it easier to schedule appointments with hard-to-reach customers – especially at a time when many Americans remain skeptical of the vaccines and need to be convinced that they’re safe.
Those relationships are especially important for Americans who are not able or comfortable with technology to schedule appointments online.
“They may not utilize the technology because they can’t, but they know they have the old-school technology of calling up or stopping by,” Caswell said.
Caswell, who is also currently serving as president of the NCPA, owns four pharmacies in Kansas and Missouri. As of the end of the second week of distribution to pharmacies, two had received vaccines, while the others had not. One of his locations, for example, got 100 doses and administered those in less than a week.
“I feel like the rural areas have been not as high of a priority as the more urban centers,” Caswell said. “If independent pharmacies were treated equally with everyone else, we could take care of entire counties fairly easy.”
In some cases, local pharmacies are getting vaccines because they have good relationships with local health officials.
Belcher, owner of Grants Pass Pharmacy, said her drugstore is proving that local pharmacies can play a crucial role in the vaccine rollout. Due to her established relationships with local health officials, she has been receiving enough vaccines to administer 50 to 75 shots per day.
“It’s been a very positive relationship and I feel very fortunate because I definitely have heard my colleagues across the country talk about that’s not necessarily the relationship that exists in every county unfortunately,” she said.
A lot to gain
There’s a side benefit to pharmacies in the vaccine rollout: foot traffic. If hundreds of millions of Americans walk through their doors to get vaccinated – two times each for the Moderna and Pfizer vaccines – that can translate into sales of unrelated products.
“We think that the direct profits from administering the vaccine – that’s going to be minimal,” Sundaram said. “But the indirect benefits are going to be much larger for these pharmacies.”
Nick Shields, a consumer sector analyst at research firm Third Bridge, said he was recently shopping at a CVS in Rhode Island where he saw this firsthand.
“There were a lot of people who were standing in line for their COVID vaccines who had paper towels in their hands and personal products like shampoo,” he said. “In that sense, it is a big foot-traffic driver.”
Local pharmacies may face another hurdle: Consumers might trust brand-name companies more to handle something as serious as the COVID-19 vaccine, Shields said.
“I think a lot of consumers are much more willing to trust a Walgreens or a CVS than your local pharmacy, as disappointing as that can be in some instances because these are independently owned and family-owned pharmacies,” Shields said.
But local pharmacists say it’s the opposite – and that patients who have gotten vaccinations from them so far prove the point.
“It’s been a very rewarding experience – one I’ll absolutely never forget,” said Belcher, a second-generation pharmacist. “The emotions of the individuals receiving the vaccine – they are so appreciative of the service and hopeful that they’re going to be able to see grandchildren. It’s very moving.”
Follow USA TODAY reporter Nathan Bomey on Twitter @NathanBomey.
Read or Share this story: https://www.usatoday.com/story/money/2021/03/01/cvs-walgreens-covid-vaccines-local-pharmacies-walmart-cdc/6785615002/
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Toronto Raptors forward Pascal Siakam was also placed in the health and safety protocols and is expected to miss at least three games, perWojnarowski.
Losing any depth could be an issue for the Nuggets, who are looking to keep pace in the Western Conference. The squad entered Sunday with an 18-15 record, good for the No. 8 seed at the moment.
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A health worker holds the Johnson and Johnson vaccine at the Chris Hani Baragwanath Hospital in Soweto in February 17, 2021.
Emmanuel Croset | AFP | Getty Images
The Food and Drug Administration has approved Johnson & Johnson‘s Covid-19 vaccine for emergency use, giving the United States a third tool to fight the pandemic as highly contagious variants start to take root across the country.
The FDA’s emergency use authorization Saturday kickstarts the federal government’s plan to distribute nearly 4 million doses of J&J’s vaccine to states, pharmacies and community health centers across the nation next week. Unlike Pfizer‘s and Moderna‘s vaccines, J&J’s one-dose regimen eliminates the need for patients to return for a second dose and it can be stored at refrigerator temperatures for months.
J&J’s vaccine “makes it operationally easier in lots of contexts,” Dr. Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases, told the Journal of the American Medical Association during a Q&A event on Friday. “I expect lots of considerations state health departments are having around these vaccines is more about the ease of use of the J&J vaccine and how it might be better suited for some populations.”
Initially, doses would be limited, J&J has said. The company expects to deliver 20 million doses by the end of March, J&J’s vice president of U.S. medical affairs, Dr. Richard Nettles, told House lawmakers on Tuesday. J&J has a deal with the U.S. government to supply 100 million doses of its vaccine by the end of June, and U.S. officials say they are working with the company to ramp up supply as quickly as possible.
In recent weeks, U.S. health officials have pushed Americans to get vaccinated as quickly as possible. Officials are growing concerned about new, emerging variants of the virus, particularly the B.1.351 strain, which has been shown to reduce the effectiveness of vaccines both on the market and under development. On Friday, the head of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky, warned the declines in Covid-19 cases reported in the U.S. since early January may be flattening as variants spread.
J&J submitted its Covid vaccine data to the FDA on Feb. 4. The vaccine’s level of protection varied by region, J&J said, with the shot demonstrating 66% effectiveness overall, 72% in the United States, 66% in Latin America and 57% in South Africa, where the B.1.351 variant is rapidly spreading. However, FDA documents show the vaccine was 64% effective in South Africa after about a month. The company said the vaccine prevented 100% of hospitalizations and deaths.
Pfizer’s vaccine was found to be 95% effective against preventing Covid-19, while Moderna’s was found to be about 94% effective. Infectious disease experts pointed out that J&J’s numbers can’t be used as a direct comparison to the other two vaccines because it’s a single dose and the company’s trial was conducted when there were more infections as well as new, more contagious variants.
The FDA has indicated it would authorize a Covid-19 vaccine that’s safe and at least 50% effective. The flu vaccine, by comparison, generally reduces people’s risk of getting influenza by 40% to 60% compared with people who aren’t inoculated, according to the CDC.
The FDA authorized J&J’s vaccine for people who are 18 years old and older. It isn’t the same as full approval, which requires more data and can typically take several months longer. J&J, like Pfizer and Moderna, has submitted only two months of safety data, but the agency usually requires six months for full approval. The FDA approved the emergency use of hydroxychloroquine to treat Covid-19 in March, only to revoke it in June after additional data showed it provided “no evidence of benefit” in coronavirus patients.
The FDA was expected to approve J&J’s vaccine for emergency use.
The agency’s announcement comes after a key panel on Friday unanimously backed the vaccine for emergency use The FDA’s Vaccines and Related Biological Products Advisory Committee plays a key role in approving flu and other vaccines in the U.S., verifying the shots are safe for public use. While the FDA doesn’t have to follow the advisory committee’s recommendation, it often does.
After the vote, Dr. Archana Chatterjee, an infectious disease expert at Chicago Medical School and a voting member of the committee, said J&J’s vaccine will help “meet the needs of the moment” as states complain there is not enough supply of Pfizer’s and Moderna’s vaccines.
“We need to get this vaccine out now,” Dr. Jay Portnoy, a professor UMKC School of Medicine and a voting member of the committee, said after the vote. He added, “we’re in a hurry” as the variants pose a threat to the nation’s progress on the pandemic.
No specific safety concerns from J&J’s vaccine were identified. Headaches, fatigue and muscle pain were some of the most common side effects among people who received the inoculation, according to an FDA report published Wednesday. There were also reports of nausea, fever and pain at the injection site, the report said.
Macaya Douoguih, head of clinical development and medical affairs for J&J’s vaccines division Janssen, told the FDA panel on Friday that two people suffered severe allergic reactions shortly after getting the vaccine. One of the people was participating in an ongoing trial in South Africa and developed anaphylaxis, a severe and life-threatening allergic reaction.
The company has said it plans to ship the vaccine, which contains five doses per vial, at 36 to 46 degrees Fahrenheit. By comparison, Pfizer’s vaccine needs to be stored in ultra-cold freezers that keep it between minus 112 and minus 76 degrees Fahrenheit, though the FDA recently allowed the company to store its vaccine for two weeks at temperatures commonly found in pharmaceutical freezers. Moderna’s vaccine needs to be shipped at 13 below to 5 degrees above zero Fahrenheit.
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Scamming has skyrocketed in the past year, and much of the increase is attributed to COVID-related scams, more recently around vaccines.
Why it matters: The pandemic has created a prime opportunity for scammers to target people who are already confused about the chaotic rollouts of things like stimulus payments, loans, contact tracing and vaccines. Data shows that older people who aren’t digitally literate are the most vulnerable.
Driving the news: New data from the Federal Trade Commission — which oversees consumer fraud and deception cases — finds that in 2020, the FTC received more than 4.7 million reports around scams from consumers, up from 3.2 million in 2019.
The agency received more than 2.2 million reports about fraud specifically, totaling $3.3 billion in consumer losses.
An overwhelming number of scams target older people, the FTC data suggests, with 60 to 69 year olds reporting losses of more than $56 million to coronavirus frauds.
Most COVID-related fraud reports are attributed to online shopping scams, which is notable given the uptick in e-commerce during the pandemic.
The Department of Homeland Security has analyzed nearly 80,000 COVID-19 domain names in its pursuit of scams.
In a blog post, the agency notes it has made 227 arrests, served 222 criminal search warrants and opened 862 investigations related to COVID scams.
As of Feb. 10, Homeland Security agents have seized more than $33 million in illicit proceeds attributed to COVID-19 scams selling counterfeit N95 masks.
Breaking news events have long been an opportunity for scammers to act, in an effort to capitalize on existing confusion.
For example, the data shows that there was a massive increase in identify theft scams the day of and the day after the Capitol insurrection on Jan. 6.
The FTC found that imposter scams — where the perpetrators disguise their identities, usually as government officials — were the most common type of scam last year.
“Government and business imposter scams were also among the top categories of COVID-19 and stimulus related reports, proving once again, that scammers follow the headlines,” an agency official wrote in a blog post.
The big picture: While social media is often thought of as the murkiest part of the internet, most scammers aren’t using social media to trick consumers, as the biggest platforms has gotten very good at weeding out bots and scam accounts.
Rather, the vast majority of scams, including COVID-19 scams, are occurring via phone calls, texts and emails.
The FTC found that there was a sharp increase in the number of text message scam reports last year. Many of the text messages were related to the pandemic, as well as other topics like stimulus relief or loans.
Facing a deluge of 365,000 reports and counting, the FTC has fired off more than 350 “warning letters” to companies related to potential coronavirus pandemic scams.
The letters are a way for the agency to quickly prod companies into taking down problematic claims, FTC attorney Christine DeLorme told Axios, adding that they have a high compliance rate.
“We think that is an incredibly good use of our resources to send a warning letter, if we can get those claims stopped in a matter of days,” she said..
More broadly, federal agencies are trying to educate consumers.
The Federal Communications Commission on Friday held a webinar aimed at helping older people avoid vaccine-related robocall and robotext scams, while the FTC is holding a cyber scams event with AARP and the Consumer Financial Protection Bureau on March 4.
For people wondering how to avoid being scammed during this period of unprecedented uncertainty, the government offers a few tips:
Anyone calling from a number you do not know asking for information about your health insurance, Social Security number or financial information are likely scammers.
People soliciting payments to help you with things like health care or vaccine enrollments are likely scammers, as those are services the government offers for free.
Scammers will often pretend to be organizations you are familiar with. It’s for this reason, as Axios has previously reported, that scam callers will often spoof D.C.-area codes pretending to be government bodies, like the IRS or HHS.
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The award of a brand-new government contract to information analytics supplier Palantir on the back of its involvement in the NHS Covid-19 data shop has provoked Open Democracy into legal action, backed up by a direct exposure of lobbying activity that pre-dates the pandemic
Media organisations Open Democracy and the Bureau of Investigative Journalism have acted in unison to put in concern the NHS and the UK state’s broader transactions with data mining company Palantir.
The Palo Alto-based company was co-founded by leading Silicon Valley venture capitalist Peter Thiel in2003 And although its co-founder and CEO, Alex Karp, is a self-described socialist, the company’s client base in the CIA and the FBI has actually made it questionable among civil libertarians.
In March 2020, the NHS verified it was dealing with Palantir, Microsoft and Google to improve its data analytics efforts and make its fight against the Covid-19 coronavirus more efficient and efficient. From that work emerged the NHS Covid-19 Data Shop
NHS England’s web page on the store explains it like this: “The NHS Covid-19 Data Store rests on a Microsoft Azure platform under agreement with NHS England and NHS Improvement. Within that safe cloud processing environment, Palantir (acting under guideline from NHS England) manage their platform which is called Foundry.
” Palantir have actually developed analytical dashboards for gain access to by NHS England and Improvement staff, together with staff in the following organisations working under agreement: Faculty AI, McKinsey and Deloitte. Information which is pseudonymised is only readily available to staff working under agreement with the organisations running collectively under the NHSX banner. Palantir does not store the information itself, which remains under the control of the NHS.”
While it was reported, in March 2020, that NHSX and NHS England’s technical teams had built a back-end data store on Microsoft’s cloud platform, Azure, to “bring multiple information sources into a single, safe and secure location”, it was Palantir Technologies UK that would supply the software, Palantir Foundry, that constitutes the front-end data platform. Palantir Foundry is said to make it possible for diverse information to be cleansed and incorporated.
” We’re taking the federal government to court because, right prior to Christmas, they quietly provided CIA-backed company [Palantir] a significant, long-term function in handling our individual health information, and in England’s treasured National Health Service”. Open Democracy
Open Democracy has now started legal proceedings versus the UK government for extending the “emergency” and virtually pro bono (a nominal cost of ₤ 1) contract struck with Palantir at the height of the very first wave of the Covid-19 pandemic.
On The Other Hand, the Bureau of Investigative Journalism has actually released a related story detailing lobbying by Palantir among senior NHS executives that pre-dates the coronavirus crisis and reaches back into 2019.
The Open Democracy organisation said, in a statement discussing why it is taking legal action against the federal government: “We’re taking the federal government to court due to the fact that, right before Christmas, they silently gave this CIA-backed company a major, long-term function in managing our personal health info, and in England’s treasured National Health Service.”
Meanwhile, the Bureau of Investigative Journalism has revealed that Palantir’s UK employer, Louis Mosley, hosted a dinner gone to by David Prior, chair of NHS England, on 2 July2019 The bureau mentioned an email of which it has acquired sight, in which Prior stated: “Louis, thank you for hosting such a fascinating dinner and also for the watermelon cocktails! If you can see ways where you could help us structure and curate our information so that it assists us deliver better care and supplies a more informative database for medical research do be in touch.”
As reported by the BBC, the legal case, which is being managed by law firm Foxglove on behalf of its client Open Democracy, switches on whether a fresh Data Protection Impact Assessment is required for the new contract.
” The government shouldn’t utilize the pandemic as a reason to embed major tech companies like Palantir in the NHS without seeking advice from the general public, Foxglove director Cori Crider informed the BBC.
” The datastore is the biggest swimming pool of client data in UK history. It’s one thing to set it up on an emergency situation basis, it’s a various kettle of fish to offer a tech firm like Palantir an irreversible function in NHS facilities.”
Sky News cited an NHS spokesperson as stating: “The business is an accredited provider to the UK public sector. The NHS finished a Data Security Impact Evaluation in April 2020, and an upgrade will be released in due course.”
Palantir is not discussing the story.
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The Pharmacy Professional Workbook and Certification Review, 7e, is an important tool to get ready for the nationwide PCTE and ExCPT certification examinations. It corresponds with The Drug store Professional, 7e textbook. This edition has actually been upgraded to line up with the Fifth Edition of the American Society of Health-System Pharmacists (ASHP) Model Curriculum for Pharmacy Service Technician Education and Training Programs and the 2020 content overview for the Pharmacy Professional Accreditation Assessment (PTCE).
Hey guys! Its Kristen Simone aka YOUR FIT DOC here with a video depicting a regular day at the pharmacy. I feel like people don’t know what goes on in the pharmacy during this pandemic and I’m here to give a little insight on what we do. I’m not a typical pharmacy technician as I spend most of my time in the IV room making intravenous drugs for patients at the hospital. I really enjoy it and I hope you guys enjoy me enjoying it! lol
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#askyourpharmacist #drsidra #healthinsurance #insuranceandbilling Health Insurance & billing for drug store techs|health insurance|insurance & billing fundamentals I am Dr. Sidra Naveed, a registered pharmacist in California and supervisor at one of the biggest retail pharmacy of USA. If there’s a subject you desire me to go over or something you ‘d like for me to react to, leave a remark down below. Instagram – https://www.instagram.com/askyourpharmacist.sid/ Youtube video link: https://youtu.be/wBKPq1v_qm0 Facebook- https://www.facebook.com/Ask-Your-PharmacistSidra-107255317687195 .Sign up for Ask Your Pharmacist YouTube Channel: www.youtube.com/channel/UC6FoUjEBNDpGqG-4VT08 ucw.
Prime Minister Jacinda Ardern purchased New Zealand’s largest city back into lockdown on Saturday as COVID-19 cases continued to be found in the neighborhood.
The latest restrictions in Auckland will last at least seven days and come less than 2 weeks after a three-day shutdown in the city.
Ardern said a brand-new coronavirus case confirmed on Saturday could not be straight connected to other favorable tests over the last two weeks, although a school in South Auckland was a common link.
From Sunday morning the city’s 1.7 million citizens should stay at house except for essential shopping and work.
Schools and non-essential stores will close, and entry in and out of the city will be limited.
The rest of the nation will be under level two constraints that include limits on the size of public gatherings.
Ardern said there was “cause for issue” that the current case involved an individual who had been infectious for a week however had not remained in isolation.
Given that the current break out initially emerged in a family of 3, numerous people have actually reported symptoms, with the school in South Auckland the linking aspect.
Ardern blamed the creeping spread of community infection on individuals not isolating when they ought to have been.
In the most recent case the person visited a doctor on Friday and then went to the fitness center.
” It’s frustrating,” Ardern stated.
Authorities have the capability to take enforcement action against rule breakers but that needed to be stabilized with guaranteeing people with signs stepped forward, the prime minister included.
” We will constantly weigh up, are we developing an environment where individuals will be open and truthful?” she stated.
” We are dealing with youths here and what we ask to do is show us their whole lives, and it’s extremely crucial that we have a situation where people are able and willing to do that.”
New Zealand has actually been widely praised for its handling of the pandemic, with just 26 deaths in a population of five million.
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#dayinthelife #pharmacytechnician #DITL Day In The Life of A Pharmacy Technician|Grocery Shopping, Cleaning More!
hi people !!!! its been an insane few months! I have numerous videos to be published & numerous amazing updates to give!!! stay tuned for all the new exciting things & enjoy my day in the life video! if you men want a more in depth video of precisely what I do and explaining stations etc as pharmacy tech remark that down below and I will get that up ASAP!!! see you people soon !! xoxo, Keana
Today I’m taking you with in a day in the life of a certified pharmacy technician. With the pandemic, every worker in the hospital has definitely felt the shift and has had to readjust. Come along with me as I hang out virtually with you guys!
In my video, I mentioned being a JuicePlus™️ Ambassador 💊. If you’re lost when it comes to finding supplements to take, PLEASE PLEASE email me! JUICEPLUS™️ are NOT supplements. Think of them as superfood capsules 🍇 🥒 🥦.. Again, for more information, contact me!
Btw, we’ve got MEDICAL SCHOOL INTERVIEWS 👩🏽💻coming up so stay tuned and SUBSCRIBE so you’ll be up to date with everything that YOUR FIT DOC has going on!
(both based on state requirements) Job: PharmacyTech Primary Location: San Antonio, Texas Facility: Baptist Medical Center… and label medications. Stock medications into pharmacy inventory. Restock automated dispensing cabinets (ADCs). Maintain… Read More
A healthcare provider in California has been barred from distributing the COVID-19 vaccination after its staffers admitted to giving it to young people ahead of older groups more susceptible to the disease.
Dozens of ineligible people in five California counties received the vaccination from One Medical staffers, ABC News reported. The figure comes after Forbes reported in early February that One Medical staffers in Los Angeles did not verify the credentials of people who said they were healthcare workers.
NPR previously reported that leaked internal communications show the provider flouted eligibility guidelines for recipients, some of whom were directly connected to One Medical’s top leadership.
The staffers who administered the vaccine to these young people have since been fired, ABC News reported.
Cases of inappropriate vaccine distribution were found in the counties of San Francisco, San Mateo, Santa Clara, Marin, and Alameda, ABC News reported.
In San Mateo, 70 people who weren’t eligible to receive the vaccine yet got it from One Medical staffers, according to ABC News. The number of young people who got the vaccine in the other four is unknown.
San Mateo, however, ended its relationship with provider One Medical, calling the actions of its staffers “disappointing.”
Officials in Marin, Santa Clara, and Alameda counties are no longer distributing vaccinations to One Medical. San Francisco is permitting One Medical to dole out the second coronavirus vaccine to all those who have already scheduled an appointment to receive one. But the county asked the provider to return about 1,600 unused doses to prevent further distribution.
When reached for comment, a One Medical spokesperson directed Insider to a published statement that said the provider has “numerous checkpoints in place.” The provider “routinely turn[s] people away who do not meet eligibility criteria,” the spokesperson said.
“We stand behind our policy that no ineligible employees, members, or business affiliates will intentionally be given an opportunity to jump the line,” a One Medical spokesperson told ABC News.
Since the Centers for Disease Control and Prevention released its guidelines for COVID-19 vaccinations, stories of ineligible people skipping the line have emerged.
In Tennessee, for example, hundreds of elderly people waiting for hours to receive a coronavirus vaccine on New Year’s Eve were told to go home because of a shortage in supplies.
And earlier this month in Pennsylvania, a hacker took control of a hotline meant to assist elderly people with scheduling coronavirus vaccination appointments. While calling into the hotline, some senior citizens were met with scammers asking for their credit card information.
It’s been almost a year since the WHO declared the coronavirus a pandemic. Since then, more than 28 million people in the United States have contracted the virus, according to the latest data compiled by Johns Hopkins University. Of that, more than 500,000 Americans have died.
– Less than 1 Year of Experience – CERTIFICATION/LICENSE/REGISTRATION – Pharmacy Technician (PHT): PharmacyTech (PHT) license…*JOB SUMMARYThe Pharmacy Technician 1, under the supervision and direction of a Pharmacist, provides pharmacy… Read More
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Argues that doctors are deliberately misinformed by profit-seeking pharmaceutical companies that casually withhold information about drug efficacy and side effects, explaining the process of pharmaceutical data manipulation and its global consequences. By the best-selling author of Bad Science.
COVID ravaged McKinley County, where roughly 74% of the population is non-Hispanic Native American — mostly Navajo and Zuni — and access to resources is scarce.
USA TODAY
For years, Betty Sigala spoke to her family about her death: she didn’t want to be put on a machine and she didn’t want to die alone.
When she was admitted in June to the COVID-19 care ward at her local hospital, her family refused a ventilator. One of her grandsons convinced the nurses to ignore the no visitors rule and let him in.
He set up an iPad so the family could speak with her, then held her hand as she died.
Her granddaughter, Leticia Aguilar, 37, lit a fire for her that lasted four days and four nights, a tradition of their Pinoleville Pomo Nation. She cut her hair in mourning, and sang and gave offerings to help her grandmother on the yearlong journey she would take to her final resting place, according to their traditions.
As Aguilar arranged for her grandmother’s burial, Liz Sigala, Aguilar’s aunt and Betty Sigala’s daughter, was admitted to emergency room care. She couldn’t breathe, gasping for air when she tried to speak.
Eleven days after her mother’s death, Liz Sigala died from COVID-19. The family held a double burial. Aguilar lit the fire once again.
Amid the ceremony and grieving, Aguilar made sure to fill out both death certificates, marking each of them “Native American.” She was proud she could do this last thing for them.
“I’m so glad that we were able to have them counted,” she recalled nearly eight months later. “It meant a lot for us as natives.”
Aguilar, who lives in Sacramento, feared that if she let hospital staff fill out the form her family would be misclassified as Latino, white or marked as “other.”
Native American leaders across California said COVID-19 deaths have shrouded their communities, yet state figures show few American Indian people have died here compared with other states with significant Indigenouspopulations. Leaders and experts fear deaths in their communities have been undercounted because of a long history of Native Americans being racially misclassified.
This damaging practice can bar native people from getting the help and resources they actually need, they said.
California has the largest number of American Indians and Alaska Natives in the United States and the largest number of American Indians and Alaska Natives living in urban centers. They are often declared white, Latino or Black on official forms by uninformed hospital workers, according to community leaders and various studies. Sometimes they are simply listed as “other.”
Nearly 9,000 American Indians in California have been sickened by COVID-19 and 163 have died, according to the state public health authority.
Native American leaders said those figures do not reflect the death and sickness they’ve seen invade their communities, both on and off reservation land. It also doesn’t reflect national data that shows Native Americans, who are especially vulnerable to COVID-19 because of chronic diseases such as diabetes, heart disease and hypertension, are dying at horrifying high rates.
Data from the Centers for Disease Control and Prevention shows American Indians and Alaska Natives are the single group hardest-hit by the pandemic. They are diagnosed with COVID-19 at nearly twice the rate of white people, hospitalized almost four times as frequently and die at a rate of two and a half times that of whites.
As of December, 2,689 non-Hispanic American Indians had died from COVID-19, according to the CDC. However, many states do not separate out American Indians into their own category, which public health experts suggest has lowered the overall tally of native deaths in the United States.
In California, native people comprise .3% of all deaths and diagnoses of COVID-19, and account for about .5% of the total population, at about 330,000.
The California Department of Public Health said it has worked to decrease instances of racial misclassification in recent years, but conceded that officials may have misclassified American Indians in an attempt to prevent double-counting cases. Under state guidance, anyone who states they have American Indian heritage in combination with another race or ethnicityis counted as Hispanic/Latino or multiracial instead.
“This approach is the national standard for reporting disease rates and has several advantages,” the health department wrote in a statement to The Salinas Californian. “However, it also has limitations. Any classification system will not be able to capture the complexity and richness of racial identity.”
Acknowledging the problem doesn’t change the fact that the data is wrong, experts said.
“The problem is in the data itself,” said Virginia Hedrick, executive director of the Consortium for Urban Indian Health, a California nonprofit alliance of service providers dedicated to improving American Indian healthcare. “I don’t trust the state data. I haven’t ever.
“For me, this is a culminating event. This is historical trauma playing out in real-time.”
Native American deaths go uncounted
For many Native Americans in California, it seems like every few weeks there’s another death. San Carlos Apache tribe member Britta Guerrero has donated to a number of funerals and attended a few via Zoom, streaming the proceedings in her living room. The familiar ceremonies and readings meant to guide her through her grief felt remote, unreal.
“I don’t think that we are able to even deal with the trauma of loss yet,” she said.
Guerrero, the executive director of the Sacramento Native American Health Center, has seen nine Native American people die in her immediate circle over the past year. Her clinic has donated or sent flowers to a dozen more funerals.
“We’ve been trying to go through the motions of grieving and burying people,” Guerrero said. “We know a lot of people are missing, and we won’t understand the gravity of that until we’re back together and we see who is gone.”
Guerrero’s own experience in the community and her work in American Indian healthcare have shown her the official tally of American Indian deaths is too low.
“There’s misclassification there,” she said, pointing to the health department’s decision to count people with multiple racial heritages as multiracial or Hispanic/Latino instead of American Indian.
That sense of loss the living suffer is heightened by fear that their loved ones might be scrubbed from American Indian history by an inaccurate document.
Aguilar made sure she was the one to fill out her grandmother and aunt’s death certificates. If she didn’t, she worried her grandmother, who was of American Indian and Filipino descent, and her aunt, who had American Indian, Filipino and Mexican heritage, wouldn’t be classified as Native American by hospital staff.
Aguilar became aware of how common racial misclassification was in the run-up to the census last spring, which motivated her to ensure her relatives’ deaths were counted. The idea that their identity and culture could have been erased by the state counting system made her sick with anger.
“That only contributes to the invisibility of our people, which makes it harder for us to even access resources because we can’t prove we exist,” she said. “There is so much more meaning behind making sure we are properly counted as native people.”
‘We’re born Indian and we die white’
Evidence of racial misclassification of American Indians stretches back decades.
A 1997 American Journal of Public Health study that compared birth certificates of American Indians in California from 1979 to 1993 with death certificates during the same time span found that at the time of death, about 75% of native children were racially misclassified.
Misclassification was more likely if the child resided in an urban county outside of Indian Health Service delivery areas.
And a 2016 report by the CDC found that nationally, American Indians were misclassified up to 40% of the time on their death certificates.
These mistakes have far-reaching consequences. In one instance, racial misclassification resulted in undercounting the transmission of STDs through Arizona’s Native American population by up to 60%, according to a 2010 Public Health Report article. An undercount can result in less funding for treatment, as well as additional unintended health consequences, such as infertility, which is associated with untreated STDs.
“We’re born Indian and we die white,” said Hedrick, of the Consortium for Urban Indian Health. “I would argue that there are likely more Native Americans in hospital beds that are racially misclassified” than we know.
Tribal members said each American Indian death needs to be counted as an American Indian death. To do otherwise is to further erase a people who have faced kidnapping and forced assimilation of their children, indentured servitude and an 1851 state-funded extermination order that killed as many as 16,000, only to find themselves uncounted, made invisible.
State and county roadblocks frustratetribal leaders
Tribal healthcare experts and leaders said they have struggled to challenge the state’s data on COVID-19 deaths because in some cases they were left in the dark by state and county governments. That left tribal leaders unable to contain the spread of the virus on their own reservations and fully understand the threat.
Concerned about the high rate of COVID-19 among the state’s native population, California State Assemblymember James Ramos of the Serrano/Cahuilla tribes, chair of the Committee of Native Affairs, held a hearing on the disparities inNovember. There, he learned some counties refused to communicate with tribal leaders even to tell them if there was a positive case on the reservation because of health privacy protections. Other governments, such as state or county governments, are able to receive such data, which is more thorough than the COVID-19 data released on public sites.
In one case, citing HIPAA laws, a county refused to divulge case and death data to the chairman of the Yurok Tribe. The chairman oversees every aspect of the tribe, including healthcare. The Yurok, whose reservation straddles Del Norte and Humboldt counties in northern California, were forced to hire a health officer before they could get the needed information.
Neither Humboldt nor Del Norte counties immediately responded to media requests.
Ramos said state and county governmentofficialsendangered native people by denying them information. He said California has a history of refusing to understand or work with tribal governments.
Ramos, the first American Indian elected to state government in California,hopes to see more native people elected at all levels of government to help improve data collection and communication between Native leaders and governments.
He worried that if these issues aren’t tackled now, they won’t be solved before the next pandemic and will end in the deathof more native people.
Ramos, too, has seen a loved one succumb to the virus. His uncle, an elder in his tribe and a source of support and inspiration for Ramos, died of COVID-19 in February.
In Central California, the Tule River Tribe in Tulare County also found itself cut off from potentially lifesaving data. Of its roughly 1,600 members living on the reservation, 179 have been diagnosed with COVID-19, or roughly 11%. Another 177 of the 357 who live off the reservation have been stricken ill.
Adam Christman, chairperson of the Tule River Indian Health Center and Tule River Tribe Public Health Authority, said California did not grant the reservation health center access to the California Reportable Disease Information Exchange, the state system all testing entities report results to.
“Having access to that system would make it easier for us to identify who should be isolating based on those test results, and monitoring them for quarantine and contact tracing,” Christman said.
After months of agitating for access, the tribe simply gave up asking.
‘Nobody’s going to help us’
Without data or consistent government support, tribal leaders and members have leaned on each other to keep each other safe by social distancing, wearing masks and getting vaccinated.
After an outbreak of six cases, the Yurok tribal council closed its reservation multiple times, suspended housing and utility payments and provided supplies such as food, PPE, firewood and emergency generators to residents. They also launched a contact-tracing team, a food sovereignty program and are working with United Health Services on vaccinating their eligible population.
“Basically the way we looked at it, nobody’s coming, nobody’s going to help us,” said Yurok Tribal Chairman Joseph James. “We’re a sovereign government. There’s things we need to work on to improve our daily lives and provide for our own people.”
Advocates and healthcare professionals at the Sacramento Native American Health Center have inoculated 72% of all American Indians 65 and older in the region eligible for the vaccine right now, far more than the state or national vaccination rate.
Ricardo Torres, a member of the Winnemem Wintu Tribe andsecretary of the health center’s board, helps manage a COVID-19 outreach campaign that has seen thousands of native community members receive masks and vaccines.
Over the last 12 months, Torres saw more than a dozen friends and acquaintances die from COVID-19. He worries more will follow, since only people 75 years and older initially had access to the vaccine in California. Native people born today have a life expectancy of just 73 years, more than five years less than the U.S. average.
“Our population is young,” said Torres. “We don’t have a lot of 75-and-over people. They’re already dead…The people that we need to get vaccinated are the younger people.”
A history of mistreatment at the hands of medical providers has led to distrust in the native community, and the swiftness of the vaccine rollout did not engender comfort.
“People can be vaccine-hesitant,” said Guerrero, of the Sacramento Native American Health Center. “There’s a lack of trust in the federal government…so now we’re really pushing a boulder up a hill.”
Until more Native Americans are vaccinated, tribal leaders said community members will continue to voluntarily social distance, wear masks and pray for good health.
“As the Indian people as a whole, as first peoples of this nation, we’ve dealt with pandemic, sickness, illness, historically since the beginning of time,” said the Yurok Tribe’s James. “Our people went through this before. We survived, and we’ll continue to survive.”
Kate Cimini is a journalist for The Californian.Share your story at (831) 776-5137 or email kcimini@thecalifornian.com. Subscribeto support local journalism.
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