Sunday, 24 Nov 2024

Coronavirus Briefing: What Happened Today

This is the Coronavirus Briefing, an informed guide to the pandemic. Sign up here to get this newsletter in your inbox.

The Food and Drug Administration is expected to authorize Moderna’s vaccine for emergency use tonight.

This week, the United States surpassed 17 million known cases. It also recorded more than 3,600 deaths on Wednesday, shattering the previous record, and set a national case record, with more than 245,000 new infections.

Emmanuel Macron, the president of France, says Covid-19 symptoms have slowed him down.

Get the latest updates here, as well as maps and vaccines in development.

No matter how you slice it, the restaurant industry is in trouble. By some estimates, nearly 110,000 restaurants have permanently closed.

“People in the industry I’ve talked to seem to be in despair,” Pete Wells, a New York Times restaurant critic, told me.

Everyone has struggled, small and large. Independent restaurants have closed and reopened (and then closed again), built outdoor dining areas and bolstered takeout menus, along with other creative solutions.

Dine-in chains have a different set of problems. Outposts in cities with more relaxed regulations can tide over those that are under lockdown. But large restaurant companies have struggled to develop a coordinated approach. Several dining chains — including Chuck E. Cheese, California Pizza Kitchen and some Il Mulino restaurants — were compelled to file for bankruptcy.

The pressure is on now that we’ve officially entered the holiday season, usually the industry’s busiest time of year. But big company dinners and intimate family meals will be largely absent in 2020.

Diners were already hesitant to eat out, but indoor bans have dealt another blow. And temperatures have dropped, shortchanging outdoor options.

“It’s just so brutal right now,” Pete said. “We can see the light at the end of the tunnel, finally. All of these vaccines are flooding in. And at the same time, things in restaurants are worse than they’ve been at anytime since April.”

The government could still take steps to bail out restaurants, as has happened in many other countries. And the CARES Act did keep many unemployed restaurant workers afloat. But Pete says that within the industry, “no one really expects to see a bill that specifically addresses the industry’s needs, at least not until after the inauguration.”

If you want to help, or if you’re tired of cooking, it’s always good to order in from a favorite spot. Pete suggested focusing on one or two neighborhood places that you really want to support. And please, if you can, tip as if you had remarkable in-person service all meal long.

Taking a shot in public

Vice President Mike Pence got the coronavirus vaccine today on live television. He sat in front of a giant blue poster declaring in white block letters: “SAFE and EFFECTIVE.”

“I didn’t feel a thing,” he said.

Speaker Nancy Pelosi and Senator Mitch McConnell, the majority leader, quickly followed. President-elect Joseph Biden Jr. and Dr. Anthony Fauci will soon join them as part of a crucial effort to build confidence and trust in the vaccines.

Even more than shortages and supply chain glitches, mistrust could hold up the effort to vaccinate enough people to create herd immunity in the United States. (Experts say that would require participation from about 60 to 70 percent of the population.)

Some of the skepticism comes from unfounded conspiracy theories about vaccines. But many communities in the United States have good reason to mistrust the government — including a well-documented history of unethical medical research carried out on African-Americans, Latinos and Native Americans.

Covid-19 Vaccines ›

Answers to Your Vaccine Questions

With distribution of a coronavirus vaccine beginning in the U.S., here are answers to some questions you may be wondering about:

    • If I live in the U.S., when can I get the vaccine? While the exact order of vaccine recipients may vary by state, most will likely put medical workers and residents of long-term care facilities first. If you want to understand how this decision is getting made, this article will help.
    • When can I return to normal life after being vaccinated? Life will return to normal only when society as a whole gains enough protection against the coronavirus. Once countries authorize a vaccine, they’ll only be able to vaccinate a few percent of their citizens at most in the first couple months. The unvaccinated majority will still remain vulnerable to getting infected. A growing number of coronavirus vaccines are showing robust protection against becoming sick. But it’s also possible for people to spread the virus without even knowing they’re infected because they experience only mild symptoms or none at all. Scientists don’t yet know if the vaccines also block the transmission of the coronavirus. So for the time being, even vaccinated people will need to wear masks, avoid indoor crowds, and so on. Once enough people get vaccinated, it will become very difficult for the coronavirus to find vulnerable people to infect. Depending on how quickly we as a society achieve that goal, life might start approaching something like normal by the fall 2021.
    • If I’ve been vaccinated, do I still need to wear a mask? Yes, but not forever. Here’s why. The coronavirus vaccines are injected deep into the muscles and stimulate the immune system to produce antibodies. This appears to be enough protection to keep the vaccinated person from getting ill. But what’s not clear is whether it’s possible for the virus to bloom in the nose — and be sneezed or breathed out to infect others — even as antibodies elsewhere in the body have mobilized to prevent the vaccinated person from getting sick. The vaccine clinical trials were designed to determine whether vaccinated people are protected from illness — not to find out whether they could still spread the coronavirus. Based on studies of flu vaccine and even patients infected with Covid-19, researchers have reason to be hopeful that vaccinated people won’t spread the virus, but more research is needed. In the meantime, everyone — even vaccinated people — will need to think of themselves as possible silent spreaders and keep wearing a mask. Read more here.
    • Will it hurt? What are the side effects? The Pfizer and BioNTech vaccine is delivered as a shot in the arm, like other typical vaccines. The injection into your arm won’t feel different than any other vaccine, but the rate of short-lived side effects does appear higher than a flu shot. Tens of thousands of people have already received the vaccines, and none of them have reported any serious health problems. The side effects, which can resemble the symptoms of Covid-19, last about a day and appear more likely after the second dose. Early reports from vaccine trials suggest some people might need to take a day off from work because they feel lousy after receiving the second dose. In the Pfizer study, about half developed fatigue. Other side effects occurred in at least 25 to 33 percent of patients, sometimes more, including headaches, chills and muscle pain. While these experiences aren’t pleasant, they are a good sign that your own immune system is mounting a potent response to the vaccine that will provide long-lasting immunity.
    • Will mRNA vaccines change my genes? No. The vaccines from Moderna and Pfizer use a genetic molecule to prime the immune system. That molecule, known as mRNA, is eventually destroyed by the body. The mRNA is packaged in an oily bubble that can fuse to a cell, allowing the molecule to slip in. The cell uses the mRNA to make proteins from the coronavirus, which can stimulate the immune system. At any moment, each of our cells may contain hundreds of thousands of mRNA molecules, which they produce in order to make proteins of their own. Once those proteins are made, our cells then shred the mRNA with special enzymes. The mRNA molecules our cells make can only survive a matter of minutes. The mRNA in vaccines is engineered to withstand the cell’s enzymes a bit longer, so that the cells can make extra virus proteins and prompt a stronger immune response. But the mRNA can only last for a few days at most before they are destroyed.

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