(ATLANTA) — The gap in COVID-19 vaccination uptake between rural and urban Americans is continuing to widen, a federal report published Thursday found.
As of Jan. 31, 2022, 75.4% of people aged five and older living in urban counties have received at least one dose of the vaccine, according to the Centers for Disease Control and Prevention.
By comparison, just 58.8% of those living in rural areas had been given at least an initial shot — a nearly 17% difference.
However, a previous report by the federal health agency found that, in April 2021, the gap was smaller with 45.7% of urban residents given at least one dose of the COVID vaccine compared to 38.9% of rural residents.
This means that in the span of nine months, disparities based on geographic location have more than doubled.
The authors say the large gap is likely due to less access to health care and increased vaccine hesitancy in rural areas.
“Addressing barriers to vaccination in rural areas is critical to achieving vaccine equity, reducing disparities, and decreasing COVID-19-related illness and death in the United States,” the authors wrote.
According to the new report, 46 states had higher COVID vaccine uptake in urban areas than in rural areas with just one state — Arizona — having higher coverage in rural areas.
Three states: Delaware, New Hampshire and Rhode Island, and Washington, D.C., have no rural counties so differences in vaccination coverage could not be evaluated.
In both rural and urban counties, women were more likely to be vaccinated than men.
Data showed 77.4% of urban women and 61.4% of rural women had received at least one dose by the end of January compared to 73.2% of urban men and 55.7% of rural men, respectively.
This is similar to the CDCs report looking at April 2021 vaccination rates, which also showed more women getting vaccinated.
Among all age groups, vaccination uptake was higher in urban counties with the largest difference being among 12-to-17-year-olds.
The report showed just 38.7% of rural teenagers had received at least an initial vaccine dose compared to 64.9% of urban teenagers.
However, the researchers found that there was relatively no difference in the percentage of people in rural or urban areas who received booster or additional doses, both being similarly low.
About 50.4% of fully vaccinated urban residents had received a booster shot as of Jan. 31, 2022 as had 49.7% of rural residents.
The CDC authors noted Americans living in rural counties tend to be aged 65 or older and have more pre-existing conditions.
This puts them at high risk of severe COVID-19 complications and is why rates of death from the virus are higher in rural areas than in urban areas.
Dr. Matt Feeley, part of ABC News’ Medical Unit, contributed to this report.
(NEW YORK) — In the early days of the coronavirus pandemic, as hospitals became overrun, a group of doctors began touting an anti-parasitic medicine called ivermectin as a viable treatment for COVID-19, one going as far as calling it a “miracle cure” for the coronavirus, despite experts in the medical community urging caution and warning that science so far did not support its use in the treatment of COVID-19 outside of a clinical trial.
“There is a drug that is proving to be a miraculous impact, and when I say miracle, I do not use that term lightly,” Dr. Pierre Kory, a critical care physician, said at a congressional hearing in December 2020. “And I don’t want to be sensationalized.”
Major health institutions like the FDA and CDC issued warnings urging against the use of ivermectin as a COVID-19 treatment, even as a group called the Front Line COVID-19 Critical Care Alliance, co-founded by Kory, and another group called America’s Frontline Doctors, continued to promote the drug on their websites, on social media and at speaking engagements — making ivermectin one of the most controversial topics related to the pandemic.
The drug, commonly used for livestock and pets in an animal-grade formula, is also FDA-approved in a human formula to treat parasitic infections and skin conditions such as scabies. In 2020, as the medical community was furiously looking for ways to treat coronavirus patients, and vaccines still seemed like a distant dream, a study in Australia suggested that ivermectin could “stop the SARS-CoV-2 virus growing in cell culture” in a laboratory.
But what happened in that test tube didn’t prove that the drug could heal a person sick with COVID-19 or prevent COVID-19 in people, and the university website where the study is posted warns that “whilst shown to be effective in the lab environment, ivermectin cannot be used in humans for COVID-19 until further testing and clinical trials have been completed to establish effectiveness of the drug.”
Ivermectin advocates often cite “dozens” of studies that show benefits of ivermectin in combating COVID-19, but a closer look at the studies shows that some of them have been retracted for flawed or fabricated data and analysis, while many randomized trials have shown no benefits. There have been some small studies that did suggest positive effects of ivermectin on treating COVID-19 patients, but no large, rigorous, randomized controlled trial has shown that COVID-19 is effective at treating or preventing COVID-19, medical experts say.
The general consensus in the medical community now is that there’s not enough data to recommend ivermectin for routine use as a COVID-19 treatment, said Dr. Adrian Hernandez, professor of medicine and vice dean and executive director of Duke Clinical Research Institute, who is leading a nationwide clinical trial on potential treatments for COVID-19. And doctors point out that there are side effect risks with any pharmaceuticals, so using the medication for unintended purposes may be dangerous.
And even with the arrival of highly effective treatments and vaccines, support for ivermectin has continued among some vaccine skeptics, including Kory, who have championed the drug as a COVID-19 cure and a key part of early treatment, and have urged Americans to stock up on it.
In August, prescriptions for ivermectin jumped to nearly 25 times the normal rate, to 88,000 per week, up from just 3,600 per week before the pandemic, according to the CDC.
“Let me just say very clearly that ivermectin is not a recommended treatment for COVID-19,” U.S. Surgeon General Vivek Murthy said in August. “It is not a recommended drug to prevent COVID-19.”
At your doorstep within days
Despite the warnings from health agencies about unproven COVID-19 treatments, several physicians groups have partnered with telemedicine platforms and pharmacies to offer easy access to drugs like ivermectin. But the easy access comes at a cost, with a telemedicine visit and the cost of the prescription typically ranging from $90-$300.
ABC News was able to obtain 28 pills of ivermectin for a total of $339, including a $90 telemedicine consultation fee and a charge of $249 from an online pharmacy — which included a $25 shipping fee for overnight delivery — after filling out an application and providing a medical history through a telemedicine platform, and having a brief conversation with someone who claimed to have no knowledge about the drug or COVID-19.
It was an unusual process for obtaining a medicine: Georgia-based ABC News Senior National Correspondent Steve Osunsami first spoke with a woman who said she was calling from Alabama and described herself as a technical nurse, while a Florida-based nurse practitioner — who didn’t speak with Osunsami but had a license to practice in Georgia — sent the prescription for the pills to a New York pharmacy that then shipped the pills to Georgia.
Osunsami began the process by registering online, after which he was contacted by the woman in Alabama. “Which one of the medications are you interested in?” she asked Osunsami, who told her he was interested in ivermectin. The woman then asked him if he had high blood pressure or allergies, and took some additional information.
“All right, that’s all the information I need,” the woman said. “So let’s send this to the pharmacy.”
Asked if there was anything else to know about the drug, the woman directed Osunsami to the pharmacy that would fill his prescription.
“I don’t have any medical knowledge as far as medicine or even about COVID,” said the woman. “I don’t have any medical knowledge at all. I’m so sorry, but I really don’t.”
But no matter, because the prescription was already on its way.
Osunsami was not asked if he wanted a consultation with a doctor or a pharmacist. He did receive some guidance including how to use the medicine and what side effects to look out for with the drug.
‘Millions of dollars being made’
One year after his congressional testimony, Kory doubled down on the anti-parasitic drug, calling ivermectin the “single greatest solution to the pandemic” in a blog post earlier this month — even though top health agencies have said ivermectin is not yet proven to be effective against the coronavirus.
And just days ago, Kory launched his own telemedicine platform that offers ivermectin as part of its treatment protocols. For $250, his website offers a 15-minute “‘Meds on Hand’ Treatment Kit” consultation with a nurse practitioner through text or telephone — and for a premium of $950, you can even arrange a personalized visit with Kory himself. The website doesn’t say whether the platform sends the drugs to a pharmacy or it sells them directly. It says ivermectin is part of their treatment protocol.
The website offers ivermectin and a few other drugs like hydroxychloroquine, a once-promising COVID-19 treatment that had its FDA emergency authorization revoked after it failed to show a benefit in large studies, as part of its COVID-19 treatment protocols.
Neither Kory, representatives for his new telemedicine platform, or members of the Front Line COVID-19 Critical Care Alliance responded to ABC News’ multiple requests for comment regarding promoting the use of drugs for the treatment of COVID-19 that have not been proven to be effective treatments for the disease.
Critics say that at least one other group is capitalizing on the interest in ivermectin — apparently by leveraging a network of doctors available to write the prescriptions.
ABC News obtained an email sent by Encore Telemedicine, an entity that was connecting patients to telemedicine services for people seeking consultation through the physicians group America’s Frontline Doctors. In the email, Encore Telemedicine sought to entice physicians to “become part of an ivermectin ‘COVID-19 project'” with the potential to receive “tens of thousands of dollars per month” from prescribing ivermectin and hydroxychloroquine.
“We can send you as many patients per day at $30 per patient per encounter as you would like,” the email stated. “We have physicians making tens of thousands of dollars per month.”
Neither Encore Telemedicine nor America’s Frontline Doctors responded to ABC News’ requests for comment. Encore Telemedicine’s website has been down for several months.
The booming online industry of telemedicine offering unproven COVID-19 treatments like ivermectin has caught the attention of lawmakers, who have launched an investigation into America’s Frontline Doctors and SpeakWithAnMD.com, a telemedicine platform.
In a letter sent by the House Subcommittee on the Coronavirus Crisis to America’s Frontline Doctors, House investigators refer to Encore Telemedicine, the company that ABC News obtained the email from, as the parent company of SpeakWithAnMD.com.
The House probe, launched in October, is investigating the entities for allegedly “spreading misinformation and facilitating access to disproven and potentially hazardous coronavirus treatments, such as hydroxychloroquine and ivermectin.”
“Attempts to monetize coronavirus misinformation have eroded public confidence in proven treatments and prevention measures and hindered efforts to control the pandemic,” Rep. James E. Clyburn (D-S.C.), chairman of the House Subcommittee on the Coronavirus Crisis, wrote in a letter to Dr. Simone Gold, the leader of America’s Frontline Doctors, over the fall.
“We think there are millions of dollars being made by various groups selling misinformation,” Clyburn told ABC News. “[We’re] doing what we think is necessary to try to get to the bottom of this.”
(NEW YORK) — The United States marked a new stage in the government’s response to the COVID-19 pandemic when President Joe Biden announced in his State of the Union address Tuesday that “COVID-19 no longer need control our lives.”
The World Health Organization declared a global pandemic in March 2020 due to rapid spread of COVID-19 all across the globe.
However, as many experts believe the virus that causes COVID-19 will never be eradicated, the world must at some point transition away from “pandemic” and toward an “endemic” phase.
Pandemics are a widespread, rapid spread of disease, with exponentially rising cases over a large area. Endemic viruses, meanwhile, are constantly present and have a fairly predictable spread. That predictability allows health care systems and doctors to prepare and adapt, reducing loss of life.
For a pandemic to reach an endemic phase, it would need to be “a situation where you have a background level” of disease, said Dr. Daniel McQuillen, president of the Infectious Diseases Society of America and a senior physician in the division of infectious diseases at Beth Israel Lahey Health in Massachusetts.
This means that, while some people would still get infected, it wouldn’t be an unbearable number with devastating consequences that overwhelms the public, hospital systems and providers.
The seasonal flu, or influenza, is an example of an endemic virus. H1N1 influenza has had pandemic spread of variants in the past, such as the Spanish flu in 1918 and swine flu in 2009. Variants of these are now part of respiratory viruses that we encounter regularly.
“There’s not a hard and fast rule for when a pandemic becomes an endemic,” said Dr. Paul Goepfert, a professor of medicine in the University of Alabama at Birmingham’s division of infectious diseases.
Without knowing if there may be another variant on the horizon and without a predictable pattern of disease, it’s still too soon to tell if the nation has reached an endemic phase.
That’s why many Americans are concerned it’s too soon to lift mask mandates. There is still a lot of transmission, and young children and immunocompromised people are still vulnerable.
However, McQuillen said the new guidelines from the Centers for Disease Control and Prevention are a reasonable shift, as they focus on local transmission and capacity.
“We’re going from trying to prevent disease completely to going more to how do we deal with preventing severe illness and hospitalizations and how do we prevent our health care system from getting so swamped that we can’t take care of even normal problems,” he said.
This must be determined at a local level.
“I think [the new CDC guidance] reflects this need to be flexible in how to respond to the pandemic,” said Dr. Natasha Chida, assistant professor in the division of infectious diseases at Johns Hopkins University.
Pandemics are “not a static experience,” she said. Some places in the country still have very low hospital capacity, so they would struggle to handle additional cases and thus would benefit from masking. But when numbers are low, we should “be able to have a normal type of experience,” she said.
Despite the new guidelines, many experts are hesitant to say the nation has entered an endemic phase just yet, as only time will tell if a new variant will arise and cause similar upheaval.
“Endemic is where you are seeing consistently low numbers, the health care system is able to manage it [and] people are able to get the care they need,” Chida said.
While the U.S. is getting close, numbers have dropped before and then new variants emerged, so it’s “too soon to say” if we are in this phase yet, she said.
To prepare for and prevent another wave, McQuillen, Goepfert and Chida each emphasized the importance of building better infrastructure for public health initiatives. This includes equitable vaccine distribution across the globe and increasing supply of treatments and testing — items currently outlined in the White House’s new pandemic policy agenda.
Goepfert also noted the importance of supporting primary care providers, both in allowing them to administer vaccines in their clinics and ease of access to treatment.
“What the pandemic laid bare was that public health has been massively under-resourced for decades, and people suffered because of that,” Chida said.
Now, with more than 75% of Americans vaccinated, experts are hopeful that the country can move toward better control of the disease and toward a new endemic phase — where we can control the disease, and it doesn’t control us.
(NEW YORK) — Russian forces are continuing their attempted push through Ukraine from multiple directions, while Ukrainians, led by President Volodymr Zelenskyy, are putting up “stiff resistance,” according to U.S. officials.
The attack began Feb. 24, when Russian President Vladimir Putin announced a “special military operation.”
Russian forces moving from neighboring Belarus toward Ukraine’s capital, Kyiv, don’t appear to have advanced closer to the city since coming within about 20 miles, although smaller advanced groups have been fighting gun battles with Ukrainian forces inside the capital since at least Friday.
Russia has been met by sanctions from the United States, Canada and countries throughout Europe, targeting the Russian economy as well as Putin himself.
Here’s how the news is developing. All times Eastern:
Mar 03, 6:50 am
Russian foreign minister declines to comment on civilian deaths in Ukraine
Russian Foreign Minister Sergey Lavrov wouldn’t comment on civilian deaths from Russia’s invasion of Ukraine when pressed during an interview Thursday with ABC News’ George Stephanopoulos on Good Morning America.
“I cannot comment,” Lavrov said, adding that there are “a great deal” of “conjectures.”
Mar 03, 6:36 am
Russia says talks with Ukraine will resume Thursday
A second round of talks between Russian and Ukrainian negotiators will be held at the previously planned venue in neighboring Belarus on Thursday at around 3 p.m. local time (7 a.m. ET), according to Vladimir Medinsky, head of the Russian delegation and aide to Russian President Vladimir Putin.
“The talks will take place — we are now in contact with the Ukrainian side — at the same venue where they were planned, on the territory of the Brest region of Belarus,” Medinsky told reporters Thursday, adding that Russian negotiators are “waiting calmly.”
“I think the talks will begin at 3 p.m.,” he said.
Mar 03, 6:08 am
Ukraine claims to have raised flag over town outside Kyiv
Ukraine claimed Thursday to have raised its flag over the town of Bucha, close to the Ukrainian capital where some of the most intense fighting has been taking place in recent days and where Russia’s push south on Kyiv appears to have stalled.
A video posted on the official Facebook page of the Ukrainian Armed Forces’ ground troops purportedly shows soldiers hoisting the national flag outside Bucha’s town hall. The town is just a few miles north of the edge of Kyiv and about 15 miles from the center of the capital. Fighting is reported to be ongoing nearby and, in the video, an explosion can be heard in the distance as they raise the blue and yellow flag.
Mar 03, 5:34 am
Ukraine requests no-fly zone over Chernobyl
Ukraine is asking the International Atomic Energy Agency (IAEA) to call on NATO to close access to the airspace over the country’s Chernobyl nuclear power plant and the surrounding exclusion zone.
The deserted exclusion zone around the Chernobyl nuclear power plant, where the world’s worst nuclear accident took place in 1986, was seized by Russian forces last week.
A joint appeal to the IAEA was signed Wednesday by Ukrainian Energy Minister Herman Galushchenko, Oleh Korikov, head of the State Nuclear Regulatory Inspectorate of Ukraine, and Petro Kotin, head of Ukraine’s state nuclear energy company Energoatom.
“The fact of the seizure of the world-famous Chernobyl nuclear power plant has all the hallmarks of an act of nuclear terrorism committed against Chernobyl nuclear facilities and its personnel by Russian military units,” they said in the appeal.
Mar 03, 5:06 am
Russia claims to have hit another TV tower in Kyiv
Russia claimed Thursday that its forces have “disabled” another television tower in Ukraine’s capital.
Russian troops fired precision-guided weapons at a TV and radio center in the Lysa Hora region of Kyiv, according to Russian Ministry of Defense spokesman Igor Konashenkov.
“A strike delivered by a long-range precision-guided weapon disabled a reserve TV and radio center in the Lysa Hora area in Kyiv which the Ukrainian Security Service has been using for psychological operations against Russia,” Konashenkov said at a press briefing Thursday. “There are no casualties and there is no damage done to residential buildings.”
There were reports of more explosions in Kyiv on Thursday morning, but Ukrainian officials have yet to confirm that a second TV tower was hit.
A Russian missile struck Kyiv’s main TV tower in the heart of the capital on Tuesday.
Ukrainian Defence Minister Oleksii Reznikov has said that Russia is aiming to cut off a large part of Ukraine from the internet and communications.
Mar 03, 4:37 am
Russia claims to have seized eastern Ukrainian city
Russia claimed Thursday that its forces have seized the eastern Ukrainian city of Balakliya.
Russian troops worked together with Russia-backed separatist forces on the “successful offensive,” according to Russian Ministry of Defense spokesman Igor Konashenkov.
“The city of Balakliya has been freed from nationalist battalions,” Konashenkov said at a press briefing Thursday.
Balakliya is about 55 miles southeast of Kharkiv, Ukraine’s second-largest city, where heavy shelling continued Thursday.
Mar 02, 11:25 pm
US condemns Kremlin’s ‘full assault’ on ‘truth’ in media
The U.S. State Department is condemning Moscow’s attack on the media, saying the Kremlin “is engaged in a full assault on media freedom and the truth, and Moscow’s efforts to mislead and suppress the truth of the brutal invasion are intensifying.”
“The people of Russia did not choose this war. Putin did,” Ned Price, State Department spokesman, said in a statement. “They have a right to know about the death, suffering and destruction being inflicted by their government on the people of Ukraine. The people of Russia also have a right to know about the human costs of this senseless war to their own soldiers.”
The statement comes 24 hours after the Russian government blocked the country’s only two major independent news broadcasters, Dozhd TV and Radio Ekho Moskvy, accusing them of spreading “false information” about Moscow’s invasion of Ukraine.
“Ekho Moskvy has been respected for its even-handed treatment of breaking news since its founding 32 years ago, and, until yesterday, its broadcasts reached some 1.8 million daily listeners throughout Russia and beyond,” the State Department said in a statement Wednesday night. “Dozhd, which has been operating for more than a decade, is similarly known for high-quality reporting.”
Russian state channels, such as RT and Sputnik, are banned from using the word “war” or “invasion” in relation to Russia’s assault on Ukraine. Russian President Vladimir Putin instead has referred to it as a “special military operation.”
The State Department said the Russian Parliament will consider a bill Friday to make “unofficial” reporting on the invasion punishable by up to 15 years in prison.
(NEW YORK) — As the Russian invasion of Ukraine intensifies, children are experiencing devastating consequences of being caught up in the war zone.
At least seven children have been killed, according to United Nations High Commissioner for Human Rights, and several more have been injured during air strikes and blasts.
Dozens of children are hiding in bomb shelters, basements, metro stations and other underground areas while others have fled their homes for neighboring countries.
Psychologists and other experts say there are also mental health concerns these children face and that it’s important they have as much structure as possible to keep a sense of stability in their lives.
And adults can better provide for their children by taking care of their own mental health needs.
“Children are extremely vulnerable to insecurity, not only the physical trauma but the psychological trauma, and it can reverberate and have repercussions for a long time,” Dr. Paul Wise, a professor of pediatrics at Stanford University, told ABC News.
Mental health risks for children in war zones
There are physical risks for children that come with living in war zones, such as breathing in smoke and ash from fires and blasts that can affect the nose and lungs. But there are also mental health risks.
Studies have shown that children and families living in or fleeing war regions have an increased risk of suffering from mental health problems.
“We’ve seen past war situations like what is happening in Ukraine, an increase in depression, anxiety,” Dr. Monica Barreto, a clinical psychologist at Orlando Health Arnold Palmer Hospital for Children, told ABC News.
And while not all children will be traumatized, they may react differently to the traumatic situations they’re witnessing.
“Some children may be more agitated, they may be harder to calm down, just more unsettled,” said Dr. Jack Shonkoff, director for the Center of the Developing Child at Harvard University. “Some children in these circumstances tend to be more withdrawn, they’re not crying as much, they’re not demanding much attention.”
He continued, “Sometimes people might look at that and say, ‘This child is managing pretty well.’ Sometimes that’s a sign of the things to worry about the most because these children are withdrawing, they’re internalizing a lot of what’s going on.”
Taking care of adults’ needs helps children
Shonkoff, who is also a professor of child health and development, said one way to ensure a good outcome for children in a war zone is by making sure the adults are being taken care of too.
“The most important factor that determines how children are going to basically survive and go forward after a war experience is the nature of the adults who are caring for them,” he said. “If the parents and the caregivers are significantly traumatized, they can’t provide that sense of support. The adults’ needs become critically important to protect the children.”
He likens it to a safety presentation on a flight, when flight attendants tell passengers to secure their own oxygen masks before helping others.
“That’s not a way of saying you’re more important than your child. It’s a way of saying if you pass out, your child won’t be OK,” Shonkoff said.
As for babies, he explained they are highly attuned to what’s going on and if adults are not engaging with them, it can hurt the babies’ development.
“If the parent is so traumatized or depressed, they can’t coo back, can’t smile back. That signals danger to the brain even though the baby doesn’t know what’s going on. That can create excessive stress in the body, raise inflammation and blood pressure levels,” Shonkoff said.
Wise adds that children look to adults not only for protection but also for how frightened they should be and “for understanding what’s happening to them in a time of profound insecurity, and children will feel the best protected with a strong, coherent community life and family life.”
Children need as much as structure as possible
The experts say it’s important to make sure that children are provided structure as much as possible while living in war zones to help with their development and well-being.
Barreto mentioned videos she’s seen online of Ukrainian families in bunkers trying to provide play and teachers trying to teach lessons.
“Children are no longer in school, they’re no longer in a safe environment,” she said. “Maintaining some of that structure can be very helpful and protective during these times.”
Barreto added that the same recommendations apply for children in refugee camps, making sure they are set up with their families and that some time is provided so they can experience “normality” whether that is playtime or having lessons.
(NEW YORK) — A North Carolina woman who had been unable to eat solid foods for over a decade due to a rare condition underwent a life-changing multiorgan transplant that gave her a new stomach, pancreas and intestines.
Sarah Granados, a mom of three from Gastonia, North Carolina, waited 444 days for the transplant, which took place in November at Indiana Health University Hospital, more than 500 miles away from her home.
“It gave my kids their mom back. It gave my husband back his wife,” Granados, 36, said of the transplant. “It gave me the chance to dream about things I haven’t dreamt about in years because I was too scared to.”
Granados has faced life-threatening medical complications since 2012, when she underwent what was considered a routine surgery to remove her gallbladder because of a potentially cancerous spot.
Though the surgery did not have complications, Granados said doctors believe she was uniquely affected by it because she has Hypermobile Ehlers-Danlos syndrome, an inherited connective tissue disorder that can cause gastrointestinal dysfunction.
After the surgery, Granados said she was unable to eat solid foods and had to be placed on a feeding tube.
Doctors diagnosed her with severe gastroparesis, a disorder that “slows or stops the movement of food from your stomach to your small intestine,” according to the National Institutes of Health.
After spending six years on a feeding tube, Granados underwent a second surgery, a gastrectomy, in 2018 to remove her stomach and part of her small intestines. Complications from that surgery, she said, sent her into intestinal failure and she was diagnosed with intestinal pseudo-obstruction, a rare condition when the intestines appear blocked, according to the NIH.
Granados, whose youngest child was around 4 years old at the time, was then placed on total parenteral nutrition, a lifesaving measure that delivers nutrients intravenously.
“I ran into complications almost immediately,” said Granados. “It was at that time that [doctors] said, ‘You’re either going to need a transplant or your life expectancy is probably only a few years.”
Doctors determined that Granados needed a transplant of her gastrointestinal system, a rare procedure that only occurs in around 100 patients worldwide each year, according to Dr. Richard Mangus, surgical director of the IU Health intestine transplant program and the doctor who performed Granados’ transplant.
Granados went on the transplant list in 2020, during the coronavirus pandemic, and spent much of the time leading up to the transplant in the hospital.
She was hospitalized in North Carolina in November 2021 when she got the call that a donor had been found with a stomach, pancreas and small and large intestines deemed a “perfect match” for Granados.
“At that point I was having conversations with my family about having my lines actually removed and going into hospice because I was ready to be done,” said Granados. “And not because I don’t love my life, and not because I wouldn’t give anything and everything, but because my body was really, really tired and couldn’t stand the thought of living in a hospital anymore.”
“I essentially had to have a perfect donor to make this this match happen,” she said.
Within 24 hours of getting the call, Granados was transported by plane to Indiana Health University Hospital in Indianapolis.
At the same time, Mangus flew to the location of the deceased donor to oversee the removal of the organs.
Once back in Indianapolis, on Nov. 14, 2021, Mangus oversaw a complex, 10-hour transplant procedure that involved several doctors.
“Usually there are a couple of surgeons taking her organs out, while a couple of surgeons are preparing the organs on a separate table, and then when her organs are out, we go ahead and bring the the new organs and put them into her abdomen,” Mangus explained. “We have to connect the blood vessels … and then we have to connect back to the intestinal tract .. and then distally we have to connect into her large intestine as well.”
Granados said she has thought every day since her transplant about the donor, whom she calls her “angel donor.”
“I can’t change that they had an untimely death, but I truly believe that there are angels that are made to save other people,” she said. “And in my case, the doctors were saying there was a one-in-a-million chance, so I’m very fortunate that I got my one-in-a-million.”
Granados continued, “There’s not an hour that goes by that I’m not very keenly aware that I’m now carrying somebody else. It’s a privilege but it’s also something I take very, very seriously.”
Both Granados and Mangus stressed the importance of organ donation, for which there is a critical need in the United States. More than 106,000 people are currently on the transplant waiting list, and 17 people die each day waiting for an organ transplant, according to U.S. government data.
“They ultimately had to be willing to share five organs with me,” Granados said of her own donor, whose identity she does not know but whose family she said she prays she can one day meet.
“I’m making the choice to honor the beauty of organ donation by talking about it,” she said. “Now every person I walk by, I’m like, ‘You have the potential to save a life or I have the potential to save yours.'”
Granados has had to stay in Indianapolis since November as doctors oversee her recovery. She had a brief visit with her husband and kids, now ages 18, 16 and 14, when the hospital allowed them to visit on Christmas Day.
“We had our first official family meal,” said Granados, who was able to sit and eat with her family for the first time in her kids’ memory. “My oldest daughter couldn’t even hardly eat her food because she was crying because she couldn’t believe that we were having a family dinner.”
In late February, Granados was also allowed to drive to North Carolina to again see her kids, whom she surprised at a local park.
“Getting to surprise them and the look on their faces when they realized it was me might be the best moment of my life,” she said, adding that the visit home gave her “the boost and the strength to go back and continue fighting.”
Granados said she is now on a regimen of 33 prescription medications daily as she fights for her body to continue to accept the transplanted organs.
She said that though her fight is far from over and though there are many hard days in the process, she is for the first time in years allowing herself to dream of a future, which includes swimming with her kids, eating meals with them and fulfilling her dream of opening an animal sanctuary.
“I owe it to my angel donor and to my family to live as best as I possibly can, and I think that means sharing hope and sharing joy wherever I possibly can, so that’s what my goal is,” said Granados. “Like I tell my kids, ‘As long as we have air in our lungs, there’s hope.'”
(WASHINGTON) — The House committee investigating the Jan. 6 Capitol attack said Wednesday it has evidence that former President Donald Trump and some of his associates may have illegally tried to obstruct Congress’ count of electoral votes and “engaged in a criminal conspiracy to defraud the United States” in their efforts to overturn the 2020 election results.
The committee argued in a federal court filing Wednesday that Trump may have committed two crimes as it challenged a bid by former Trump lawyer John Eastman to block investigators from obtaining thousands of pages of emails.
The panel argued that the records should not be protected by attorney-client privilege under the crime fraud exception, given that Eastman’s legal advice may have helped Trump commit multiple crimes.
“The facts we’ve gathered strongly suggest that Dr. Eastman’s emails may show that he helped Donald Trump advance a corrupt scheme to obstruct the counting of electoral college ballots and a conspiracy to impede the transfer of power,” Reps. Bennie Thompson, D-Mississippi, and Liz Cheney, R-Wyoming, the leaders of the panel, said in a statement.
Eastman’s lawyer, Charles Burnham, said in a statement to ABC News that Eastman “has a responsibility to protect client confidences, even at great personal risk and expense.”
“The Select Committee has responded to Dr. Eastman’s efforts to discharge this responsibility by accusing him of criminal conduct,” Burnham said. “Because this is a civil matter, Dr. Eastman will not have the benefit of the Constitutional protections normally afforded to those accused by their government of criminal conduct. Nonetheless, we look forward to responding in due course.”
Representatives for Trump did not respond to requests for comment.
The new filing marks the first time the committee has formally accused Trump of specific criminal activities, by working to disrupt the joint session of Congress on Jan. 6 and by waging a campaign to overturn the results in key states and promote unfounded claims of widespread voter fraud.
“As the courts were overwhelmingly ruling against President Trump’s claims of election misconduct, he and his associates began to plan extra-judicial efforts to overturn the results of the election and prevent the president-elect from assuming office,” the committee wrote in its filing.
“At the heart of these efforts was an aggressive public misinformation campaign to persuade millions of Americans that the election had in fact been stolen. The president and his associates persisted in making ‘stolen election’ claims even after the president’s own appointees at the Department of Justice and the Department of Homeland Security, along with his own campaign staff, had informed the president that his claims were wrong,” it stated.
While lawmakers on the panel cannot formally charge Trump with a crime, they have suggested their investigation would result in a criminal referral to the Justice Department, which would then decide whether to prosecute the former president.
In making their case that Trump and key allies tried to stop the counting of electoral votes and pressure former Vice President Mike Pence “to manipulate the results in his favor,” the committee cited several interviews with senior White House officials and aides to Pence, including his attorney and chief of staff.
“The evidence supports an inference that President Trump, plaintiff and several others entered into an agreement to defraud the United States by interfering with the election certification process, disseminating false information about election fraud, and pressuring state officials to alter state election results and federal officials to assist in that effort,” the committee wrote in the filing.
Eastman was subpoenaed by the committee in January for his role in crafting two legal memos that argued Pence had the authority to overturn the election results on Jan. 6.
He continued making the case for Pence to overturn the results even as pro-Trump rioters clashed with Capitol Police and sent the vice president into hiding on Capitol Hill.
“We are now under siege,” Pence’s counsel Greg Jacob wrote to Eastman, placing blame on him in a Jan. 6 email released by the committee Wednesday.
“The ‘siege’ is because YOU and your boss did not do what was necessary to allow this to be aired in a public way so that the American people can see for themselves what happened,” Eastman replied to Jacob in the middle of the riot.
Later that evening, Eastman again wrote to Jacob, “I implore you to consider one more relatively minor violation [of the Electoral Count Act] and adjourn for 10 days to allow the legislatures to finish their investigations, as well as to allow a full forensic audit of the massive amount of illegal activity that has occurred here,” according to another email released by the committee.
In the court filing, the committee wrote that this email correspondence suggests Eastman “knew what he was proposing would violate the law, but he nonetheless urged the vice president to take those actions.”
Earlier this week, the State Bar of California announced an investigation into whether Eastman violated state ethics laws for attorneys in his work with Trump challenging the 2020 election results.
Exhibits released as part of Wednesday’s court filings also included excerpts of depositions from several key witnesses the committee interviewed over the last few months, including Trump adviser Jason Miller, former Pence Chief of Staff Marc Short, and former Pence national security advisor Keith Kellogg. The interviews show what kinds of conversations took place among key figures within the Trump circle leading up to and on Jan. 6.
According to one exhibit, Miller, a senior advisor to Trump described that, “soon after the election, a campaign data expert told the President ‘in pretty blunt terms’ that he was going to lose.”
But Trump disagreed with the campaign data expert, Miller said, according to the exhibit.
In another exhibit released on Wednesday, then-Acting Deputy Attorney General Richard Donoghue told the Jan. 6 committee that Trump repeatedly pressed the Justice Department to “publicly say that the election is corrupt or suspect or not reliable” even though Donoghue himself had “personally informed” Trump “in very clear terms” that the Justice Department concluded that there’s no evidence to support major allegations of voter fraud.
Another exhibit shows a text message from Ben Williamson, an aide to Trump’s former Chief of Staff Mark Meadow on Jan. 6 warning Meadows: “Would recommend POTUS put out a tweet about respecting the police over at the Capitol — getting a little hairy over there.”
Thiago Prudencio/SOPA Images/LightRocket via Getty Images
(NEW YORK) — The Russian invasion of Ukraine has displaced thousands of people, many of whom are fleeing to nearby Poland and elsewhere. Now Airbnb.org — the non-profit wing of the popular home-sharing company — is stepping up to help.
Airbnb.org’s Open Homes Initiative got its “unofficial” start in 2012, and has since spread all over the world, Joe Gebbia, co-founder and chairman of Airbnb.org tells ABC Audio.
“[W]hen Hurricane Sandy hit…the Eastern seaboard and displaced a lot of people, the next day we get an email from one of our hosts who says, ‘Dear Airbnb, how do I offer my five guest rooms, my Brooklyn loft for free to those displaced by the hurricane?'” Gebbia recalls. “At the time, we had no way to actually facilitate that.”
“But after a 48-hour engineering marathon [fueled by] Red Bull and pizzas,” Gebbia says, they reconfigured their site and “within about a day or so” had hundreds of rooms available.
“For the last 10 years, we’ve been active in well over 100 countries supporting people fleeing typhoons, wildfires, hurricanes, floods,” he says. “It’s been incredible to see how our host community has to date housed over 100,000 people already all over the world.”
As for Ukraine, Gebbia says, “[S]o many lives have been disrupted with these scenes unfolding of the violence happening there. And I think this will likely produce one of the largest humanitarian crises since likely since World War II.”
Gebbia says the non-profit has offered governments of neighboring countries to help house Ukrainian refugees in hosts’ homes, with the goal of housing up to 100,000 people fleeing Ukraine.
“We’re doing everything we can to use our infrastructure to help, but we need more hosts,” he says.
(WASHINGTON) — The push to support military veterans plagued with health issues caused by toxic exposure to burn pits got a significant boost during President Joe Biden’s State of the Union address Tuesday — his support coming just before the House was set to vote Thursday on a bill that would expedite health care and disability payments for millions of veterans.
“I’m calling on Congress: pass a law to make sure veterans devastated by toxic exposures in Iraq and Afghanistan finally get the benefits and comprehensive health care they deserve,” Biden said, calling it part of “a sacred obligation to equip all those we send to war and care for them and their families when they come home.”
Biden lamented the dangers of the toxic smoke from burn pits, which have resulted in enduring health issues for military veterans stationed overseas in Iraq, Afghanistan and Southwest Asia.
The open-air combustion of trash and other waste in burn pits is a common practice of military operations. Common materials incinerated in burn pits included human waste, paint, metal cans, food waste, unexploded ordnance, lubricant products, plastics, rubber, wood and even jet fuel.
Active-duty service members who have been exposed to these toxic chemicals are often plagued with life-threatening diseases and illness.
“And they come home, many of the world’s fittest and best-trained warriors in the world, never the same,” Biden told lawmakers. “Headaches. Numbness. Dizziness. A cancer that would put them in a flag-draped coffin.”
Biden poignantly recalled the memory of his late son, Beau Biden, who died from brain cancer in 2015.
“We don’t know for sure if a burn pit was the cause of his brain cancer, or the diseases of so many of our troops,” Biden said. “But I’m committed to finding out everything we can.”
Approximately 82% of post-9/11 veterans who served in Iraq and Afghanistan reported being exposed to burn pits and/or airborne toxic materials during their service, according to Iraq and Afghanistan Veterans of America, a nonprofit organization.
About half of those exposed believe they have symptoms associated with the exposure, and another 41 percent are unsure if their symptoms are related.
“My eyes burned. It was hard to take a deep breath when I coughed and it made chest hurt and it made me cough,” Katie Purswell, a former veteran and director of health policy at the American Legion, said during a press conference on Capitol Hill Wednesday.
“I choked on the odor from the winds when they would pick up after a while. I started waking up with bloody noses. It was difficult and painful to breathe. After I got home, I had bronchitis for a year. I don’t think my runtime has ever recovered. I just can’t take a deep breath anymore,” she said, describing the symptoms she faced following prolonged exposure to toxic burn pits while stationed overseas.
Purswell was joined by former veterans, advocates, members of Congress, and comedian Jon Stewart at the Capitol Wednesday in support of a bill the House intends to pass Thursday.
Stewart and fellow advocate and 9/11 first responder John Feal have long lobbied Congress for veterans and first responder health care, often challenging lawmakers in emotional testimony — protesting what they believe is inadequate care for the nation’s veterans.
“Last night, they were seen,” Stewart said of the president’s national address. “The president of the United States saw their struggle.”
The group is calling on Congress to pass the bill, Honoring Our PACT Act, that aims to improve health care and benefits for veterans exposed to toxic substances.
The bill would specifically designate 23 respiratory illnesses and cancers as likely linked to toxic exposures related to military burn pits and airborne hazards exposure.
Currently, the Department of Veterans Affairs decides these exposure claims on a case-by-case basis, with the exception of those filed for asthma, rhinitis or sinusitis. The burden of proving one’s illness is related to a burn pit exposure falls on the veteran, leading to delays in health care.
“There is no other toxic exposure legislation in Congress like it in scope or soundness,” Rep. Mark Takano, chairman of the House Veterans’ Affairs Committee, said Wednesday.
The California Democrat authored the legislation that has bipartisan support in the House.
“Without hesitation, our veterans raised their right hand to protect and defend this nation. And many are now sick as a result of that service. We made a pact with these individuals — a pact I’m afraid to say we have not yet honored,” Takano said.
Takano said his bill will address the full gamut of issues affecting toxic exposed-veterans, access to health care and benefits, while also reforming the VA’s “presumptive” decision-making process to provide health care to more than 3.5 million veterans who have been exposed.
The White House on Monday announced that the Department of Veterans Affairs is also making efforts to rework their policies — the VA proposed a rule that would recognize nine new respiratory illnesses as conditions that are presumed linked to a veterans’ military service, which would help fast track them for payouts and medical care.
Dennis McDonough, secretary of Veterans Affairs, alluded to the proposed changes during an interview with ABC News last month.
McDonough, acknowledging the “cumbersome” process veterans must go through to prove their illnesses are linked to exposure to burn pits, told ABC News that the department is working to establish the evidence to suggest even more illnesses are linked to burn pit exposure that he hopes the department will soon recognize.
The Senate Veterans Affairs Committee is undertaking its own effort to address the issue of toxic exposure for veterans as part of a three-step, bipartisan approach. But advocates, including Stewart and Feal, say the Senate’s effort doesn’t go as far in scope.
Some senators, however, are concerned that the House’s version of the bill is too pricey: the House bill calls for nearly $300 billion in spending over 10 years.
House Speaker Nancy Pelosi, standing next to Stewart and Feal during Wednesday’s press conference, defended the price tag.
“Don’t even talk to us about the price,” Pelosi said. “This is a cost of war that we should recognize … it’s going to be worth it. But it’s going to have a big price tag.”
“Because what we are looking at is the value of what this does for our country,” she said.
Sources familiar with the process told ABC News that members of the House and Senate will have to figure out their policy differences and take their respective bills to conference in the coming months to reach a final compromise.
The process could delay passage in the Senate for months to come before it would eventually reach Biden’s desk for his signature.
Stewart and Feal had a stark message for members of the Senate.
“Once this is done, make no mistake, then the battle shifts to the Senate. And as you know, they are excellent at killing things that are necessary. And we cannot allow it to happen,” Stewart said. “And you cannot allow this feeling of unity and hope and finally being seen to dissipate. We need all of your help to put the pressure on to make sure that the comprehensive needs that they have are passed.”
Feal warned Senate Majority Leader Chuck Schumer that he plans to lobby him hard.
“Let Schumer know that we want a bill compatible to the honorable PACT Act. If he does not do that, then I will make his life miserable,” Feal said.
A spokesman to Schumer said in a statement to ABC News: “Leader Schumer believes strongly in this bill and will do everything he can to pass it.”
(NEW YORK) — It’s no secret that your waist size today might not have the same exact measurements tomorrow, and that’s one reason why one of Old Navy’s latest denim launches is getting a lot of attention.
The brand’s FitsYou jeans feature a unique technology: one pair can fit up to three sizes.
The innovative “one-size-fits-three” technology adjusts to your size by using a unique yarn and fabric construction that enables the jeans to grow with your body as your weight fluctuates.
Falling in line with Old Navy’s commitment to “BODEQUALITY” announced last year, the jeans feature 70% stretch, Lycra-free technology which allows the fabric to expand over your body without feeling compressive.
According to the brand, there’s also a “Never-Quit Shape Retention” feature that works to hold the shape of the jeans over a period of time.
Old Navy’s FitsYou denim styles are available in sizes 00 – 30 and in several different colors. Right now, the brand is offering an extra 30% off when you use code HURRY at checkout.
