Surgeon general warns misinformation an ‘urgent threat’ to public health

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(WASHINGTON) — The surgeon general is warning Americans about the “urgent threat of health misinformation” amid the government’s current push to boost stalling vaccination rates.

Dr. Vivek Murthy’s advisory — the first under the Biden administration — addresses an epidemic of misinformation and disinformation, and its pernicious impact on public health — specifically threatening the U.S. response to COVID-19. It frames misinformation as having hindered vaccination efforts, sown mistrust, caused people to reject public health measures, use unproven treatments, prolonged the pandemic and put lives at risk.

The advisory says combatting misinformation is a “moral and civic responsibility” on an individual and institutional level.

The decision to elevate this issue in his first official advisory comes as some Republicans have used the government’s coronavirus response and vaccine messaging as a political wedge.

While Murthy doesn’t call out by name any of the Republican elected officials who have criticized a distorted interpretation of the Biden administration’s vaccine push, he does suggest accountable “stakeholders” in the fight against misinformation include public officeholders as important public messengers.

“Misinformation tends to flourish in environments of significant societal division, animosity, and distrust,” the advisory says. “Distrust of the health care system due to experiences with racism and other inequities may make it easier for misinformation to spread in some communities. Growing polarization, including in the political sphere, may also contribute to the spread of misinformation.”

The advisory also digs into social media platforms as having greatly contributed to the “unprecedented speed and scale” of misinformation’s spread and Murthy calls on technology and social media companies to “take more responsibility to stop online spread of health misinformation.”

“Health misinformation is an urgent threat to public health. It can cause confusion, sow mistrust, and undermine public health efforts, including our ongoing work to end the COVID-19 pandemic,” Murthy said in a statement. “As Surgeon General, my job is to help people stay safe and healthy, and without limiting the spread of health misinformation, American lives are at risk … tackling this challenge will require an all-of-society approach, but it is critical for the long-term health of our nation.”

The advisory lays out how to better identify and avoid sharing health misinformation, engage with the community on the issue and develop local strategies against misinformation:

  • Health professionals and health organizations can proactively engage with patients and the public by listening with empathy and correcting misinformation in personalized ways. The advisory suggests using social media and partnering with community groups to get out accurate information.
  • Governments can prevent and address misinformation by finding “common ground on difficult questions,” increasing investment in research, fact checking and engaging in rumor control. Murthy advised partnering with trusted messengers, using proactive messaging and community engagement strategies. Health teams should identify local misinformation patterns and train public health misinformation researchers.
  • Technology platforms can assess benefits and harms of how their products are built and “take responsibility for addressing the harms;” strengthen their monitoring of misinformation and improve transparency; and proactively address information deficits. The companies could also prioritize early detection of misinformation “super-spreaders” or repeat offenders, and amplify trusted messenger, prioritizing protecting health professionals, journalists and others from online harassment.
  • Journalists and media organizations can make sure their teams are trained in recognizing, debunking and avoiding amplification of misinformation by carefully reviewing materials that have not been peer reviewed.
  • Educators and schools can shore up evidence-based programs that build a “resilience” to misinformation by teaching people how to be more discerning about it and talk to friends and family who are sharing misinformation.
  • Foundations can provide training and resources for grantees working in communities that are disproportionately affected by misinformation, including areas with lower vaccine confidence, and monitoring health misinformation across multiple languages.
  • Researchers and research institutions can strengthen their monitoring of health questions and concerns, assess the impact that misinformation might be having and tailor interventions to the needs of specific populations, with an understanding of how people are exposed to and affected by misinformation.

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Why vaccine incentives may not have been the best answer to hesitancy: Experts

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(NEW YORK) — After more than two months of trying to woo hesitant Americans to get COVID-19 vaccines with cash, free beer and other prizes, health data and experts suggest those incentives failed to move the needle forward appreciably in many cases, and in some had no impact at all.

“A small proportion responds to the incentives, but they are definitely not a panacea,” Dr. Kevin Schulman, a professor of medicine and economics at Stanford University’s School of Medicine and Graduate School of Business, told ABC News of the national vaccine situation.

There was some initial thought that lotteries, in particular, would be effective given their appeal to some people who were also hesitant to get vaccines, experts told ABC News. But since incentives started widely being offered beginning on May 12, the number of first does given in the U.S. briefly increased but then tailed off.

The country did not meet President Joe Biden’s goal of 70% of Americans getting one dose by July 4 and only 48% of the entire population has been fully vaccinated as of July 13, according to data from the U.S. Centers for Disease Control and Prevention (CDC). The situation is more urgent in some states, like Arkansas and Louisiana, where vaccinations levels are below 50% despite well-funded incentive programs.

Schulman and health experts are recommending governors and health officials refocus their efforts on outreach rather than incentivizing if they want to avoid another wave of cases, hospitalization and deaths brought upon by low vaccination numbers.

Ohio’s ‘Vax-a-Million’ — an outlier?

Ohio, the first state to offer a lottery to vaccinated residents, was seen as an early test case. Gov. Mike DeWine used federal stimulus money to offer a $1 million prize and one full college scholarship to teen entrants once a week for five weeks.

One week after the “Vax-a-Million” sweepstakes was announced, an additional 113,000 Ohio residents had received their first dose, according to the state’s health department. That increase represented a week to week 53% jump, the state’s health officials said.

“This exceeded the governor’s expectations,” Dan Tierney, a spokesman for DeWine, told ABC News.

While the state credited the lottery for the jump, there has been no direct study or data to show it was the impetus, aside from some anecdotal evidence, according to the state’s health officials. The data did show that the increase was short-lived.

Since May 12, the number of residents who received their first shot increased by 770,000, according to the Ohio Health Department.

While this represents 13.5% of the 5.7 million Ohio residents who have received their first shot as of July 13, the state only has 48.8% of its population with one dose.

Roughly 55.6% of the total U.S. population has received one dose as of July 13, according to the CDC.

John Brownstein, Ph.D., an epidemiologist at Boston Children’s Hospital and an ABC News contributor, said Ohio’s case demonstrated that vaccine health incentives are really just a stop-gap and true solutions lie in increasing access to a vaccine center and education about efficacy.

“The incentives only really worked for people who were on the fence,” Brownstein said of the Ohio lottery program. “You saw that slight bump, but there are still thousands of people who aren’t signing up and the incentives didn’t work on them.”

Tierney said the Ohio lottery campaign organizers acknowledged that the campaign was most effective at convincing residents who were planning on getting vaccinated but held out due to scheduling time around school, work or vacations.

But Tierney also maintained that those hundreds of thousands of newly vaccinated residents still make a difference in the state’s goal.

“I think Vax-a-Million forced a lot of people to think about their calculations about when they wanted to get the vaccine,” he said.

Others lagging behind

Brownstein and health experts warned that Ohio’s increase following its lottery was an outlier.

Eighteen other states, including Maryland and New York, came up with their own vaccine lotteries or cash giveaways following Ohio, according to the National Governor’s Association. Their combined efforts appeared to only make a small and short-lived dent in vaccination numbers.

The seven-day average of new first doses given initially climbed from 1.79 million on May 12 after the states offered their programs to 1.88 million a week later but has steadily declined to 421,000 on July 7, according to the data. The average peaked at 3.4 million doses on April 11, according to the CDC.

Several states with already lagging vaccine numbers saw no jump after their programs were announced, according to health data.

In Louisiana, where only 39% of the entire population has one dose of the vaccine, the seven-day average of new daily doses administered has remained level at around 10,000 for the last month, according to Louisiana Health Department. A lottery for vaccinated residents was announced on June 17.

In Arkansas, the seven-day average of new vaccine shots administered declined by over 3,500 after the state announced its scratch-off game incentive for vaccinated residents on May 25, according to the Arkansas Health Department.

“I don’t know if we’re going to be able to buy our way out of this,” Col. Robert Ator, the program director of the Arkansas vaccine incentive program, told ABC affiliate KATV on June 28.

A representative for the Arkansas Health Department told ABC News the state is looking at other options including a request to businesses to offer incentives to people.

Don’t focus on incentives: Experts

Schulman co-authored a report in the New England Journal of Medicine in January arguing that the best ways to promote the COVID-19 vaccination among the populace is for state leaders to rethink their approaches and focus on marketing rather than rewards

Specifically, Schulman said states should prepare and launch marketing and advertising campaigns aimed at Americans who think it’s OK not to get a shot because hospitalizations and deaths are down from the winter and they’ll be fine.

“They are a really important group to address now. They’re more likely to respond to a good marketing campaign,” he said.

Informing those unvaccinated members about the dangers of the virus, particularly the growing threat of variants, and the effects on their families and businesses will go a longer way than a cash prize, Schulman argued.

“I would go back to those lottery states and ask how much did you spend on the lottery and how much could you have spent on Facebook ads that could appeal to those populations,” he said.

Tierney noted that the Vax-a-Million sweepstakes generated a form of publicity for the vaccine because of news articles, social media posts and word of mouth. His office has estimated that the coverage was the equivalent of $50 million in advertising.

“We could not have bought this word of mouth,” he said.

Schulman said it is promising that state leaders are working to close the vaccination gap, but reiterated that they’ll need more precise targeting to pick up the pace.

“The fact that these governors sounded the alarm early and said, ‘We have a problem,’ is encouraging,” he said. “They must not give up.”

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Students will head back to school amid rising COVID cases, again

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(NEW YORK) — “Sicker, younger, quicker” is how hospital executive Steve Edwards explained a sudden explosion this month in COVID patients in Springfield, Missouri.

It’s against this backdrop — rising COVID cases due to an aggressive new variant and lagging vaccination numbers — that the nation’s estimated 56 million students grades K-12 return to the classroom full-time in the coming weeks, many of them for the first time since the pandemic shuttered schools in March 2020.

Here’s what to know about schools reopening:

Only of a quarter of children ages 12-15 are fully immunized

The U.S. Food and Drug Administration lowered the age of people eligible to receive the vaccine from 16 to 12 in May, citing evidence from clinical trials that the two doses were safe and effective in kids in preventing the symptoms caused by COVID-19. Studies also have shown that vaccination prevents the chances a teen could spread the virus.

But U.S. teens have been slow on the uptake.

According to the Centers for Disease Control and Prevention, more than 86% of people over age 75 are fully vaccinated. That’s compared to nearly 25% of children ages 12-15 and 37% of young people 16-17 who are fully vaccinated.

That leaves large populations of high schools and middle schools — which are often overcrowded, making social distancing difficult — unprotected against the virus, particularly as daily COVID cases have jumped 86% in the last three weeks.

For younger children, ages 5-11, Pfizer said its clinical trials are under way now to see if a smaller dose of the vaccine would be as effective. Company officials said they plan to seek authorization for kids younger than 12 in September or October, paving the way for elementary-age children to be fully immunized by the end of the year.

Several states are prohibiting schools from requiring masks

Last year, schools were found not to be super-spreaders so long as students and staff consistently wore masks and took other steps to prevent transmission.

The CDC now says vaccinated students and staff can forgo masks unless they are riding a school bus or if their school tells them otherwise. But verifying who is vaccinated will be up to schools and local officials — and many states don’t appear to be eager to mandate proof of vaccination.

According to the school tracker Burbio, seven states are prohibiting schools from mandating masks. Schools in Utah, Arizona, Texas, Oklahoma, Arkansas, Iowa, Vermont and South Carolina can only recommend masks to unvaccinated staff and students.

In Arizona, Chandler Unified School District, which welcomes back students July 21 — one of the earliest start dates in the nation — already decided masks would be voluntary when Republican Gov. Doug Ducey signed a law that prohibits local counties and school districts from requiring students or staff to wear face coverings.

In most states though, including Missouri, school districts have the option of requiring masks come fall — a decision that could change as COVID case numbers fluctuate.

In Springfield, Missouri, for example, the city had lifted the mask mandate in schools only to reinstate it for its July summer program when COVID case numbers climbed. The superintendent there has yet to say whether masks will be required when the district reopens full-time on Aug. 23, welcoming back more than 23,000 students into its classrooms.

Biden designated $10B for testing in schools, but not every state wants it

President Joe Biden has designated $10 billion in federal money as part of his $1.9 trillion COVID relief plan so schools can test students and staff. Under the program, states are required to report back how many tests are used and how many turn up positive.

Several of the nation’s largest school districts — Los Angeles, New York City and Chicago — plan to reopen with routine surveillance testing for students. Colorado’s health department also announced it wants to use federal dollars to implement a routine testing program.

But other parts of the country — including Idaho and Iowa — plan to forgo entirely their share of federal funding to test students for COVID-19.

Last April, Iowa’s Republican Gov. Kim Reynolds announced that she would reject the $95 million in federal funds offered to the state for in-school coronavirus testing.

“I think he (Biden) thinks that COVID just started,” Reynolds said in a Fox News interview. “I just returned $95 million because they sent an additional $95 million to the state of Iowa to get our kids back in the classroom by doing surveillance testing. And I said we’ve been in the classroom since August. Here’s your $95 million back.”

The CDC and Biden’s top health officials are still suggesting schools embrace the idea of routine testing, particularly if they want schools to stay open.

“Our nation’s top public health scientists are recommending that school districts consider adding screening programs into their overall strategy for protecting their kids and their staff from outbreaks of COVID and the administration is supporting that recommendation with this testing program,” said Tom Inglesby, a senior COVID-19 response adviser at the Department of Health and Human Services.

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German Chancellor Angela Merkel to visit White House before she leaves office

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(WASHINGTON) — German Chancellor Angela Merkel is set to visit the White House Thursday for talks with President Joe Biden.

After deciding not to seek another term in office, her trip will likely mark a farewell to Biden. It’s a chance for the longtime acquaintances and partners to reaffirm the strong U.S.-Germany bond in the face of global challenges, such as the coronavirus pandemic and rising autocratic influences.

“Chancellor Merkel has been a true friend to the United States, a strong advocate for the transatlantic partnership for multilateral cooperation, as well as for our shared priorities,” a senior administration official said ahead of the meeting. “In their meeting, I expect that President Biden will convey gratitude for her leadership role, in Europe and around the world, as she prepares to depart the German political stage, following their elections this September.”

The visit with also be an opportunity for the pair to hash out some areas of concern ahead of the end of Merkel’s tenure.

Merkel kicks off her visit having breakfast with Vice President Kamala Harris. In the afternoon, Merkel attends both a one-on-one and a larger group meeting at the White House with Biden. Merkel and Biden hold a press conference in the late afternoon and then in the evening, Biden will host a dinner for her and “a range of individuals who have long been strong supporters of Germany and the bilateral relationship, which will further demonstrate the close and continuing ties between our countries,” a senior administration official said.

Despite the warm welcome, challenges remain.

One sticking point between the two countries is Nord Stream 2, a pipeline to move gas directly from Russia, under the Baltic Sea and into Germany. Biden is opposed to the pipeline, as are many Republicans in Congress, because it could give Russia increased influence in Europe and more control over energy reserves. The pipeline will likely deprive other countries, such as Ukraine, of badly-needed oil revenues and some experts fear Russia could shut off the gas supply to certain countries in retaliatory moves.

Biden lifted U.S. sanctions on companies helping to build the pipeline in May as a goodwill gesture to European allies, as he worked to get them on board with his tough-on-Russia policies and in a tacit admission that U.S. sanctions ultimately failed to halt construction. That was a move some Republicans, including Sen. Ben Sasse of Nebraska, criticized.

“Instead of treating Putin like a gangster who fears his own people, we’re giving him his treasured Nord Stream 2 pipeline and legitimizing his actions with a summit,” Sasse said.

It’s a topic Biden is expected to bring up with Merkel on Thursday.

“I do expect that President Biden will raise his long-standing concerns with Chancellor Merkel during their meeting about Russia’s geopolitical project and about the importance of developing concrete mechanisms to ensure that energy is not used as a coercive tool against Ukraine, our eastern flank allies or any other country. We believe that the sanctions waivers that we announced in May have given us diplomatic space to be able to work with Germany to have these conversations to try and find ways to address the negative impacts of the pipeline,” the official said.

However, the official did not anticipate any formal announcement on Nord Stream out of the meeting.

The official did preview that Biden and Merkel will release a so-called Washington Declaration, “which will outline their common vision for cooperation to confront policy challenges,” and provide guiding principles for years ahead, even as Merkel’s successor takes the helm. The official also anticipated a climate and energy partnership to be announced, though they provided no further details on what that will look like.

Another area of difference between the two leaders is China’s rising global influence. While Biden has seen China as a competitor that must be curtailed, Merkel is friendlier towards a rising China, believing their success and a balanced trade relationship between the two countries will benefit Germany.

Other agenda items include the pandemic and security challenges in Afghanistan.

Copyright © 2021, ABC Audio. All rights reserved.

2021 Child Tax Credit calculator: How much could you receive?

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(NEW YORK) — The vast majority of American families with children will automatically receive up to $300 per month, per child, beginning Thursday, the IRS and Treasury Department have announced.

The IRS said families who qualify for the Child Tax Credit, which was expanded as part of President Joe Biden’s $1.9 trillion American Rescue Plan, will receive monthly payments without taking any further action. Initial eligibility will be based on 2019 or 2020 tax returns.

The changes increased the child tax credit from $2,000 to $3,000 for children over 6, and to $3,600 for children under 6.

According to the IRS: “For tax year 2021, the Child Tax Credit is increased from $2,000 per qualifying child to: $3,600 for children ages 5 and under at the end of 2021; and $3,000 for children ages 6 through 17 at the end of 2021.”

In a nutshell: Families making less than $150,000 a year and single parents making less than $112,500 are now eligible for a credit of up to $3,600 per child. Payments will be going out to 39 million households, according to the IRS.

The IRS also added on its website: “The $500 nonrefundable Credit for Other Dependents amount has not changed.”

Biden will mark the rollout of checks and direct deposits from the child tax credit with a White House event featuring Americans who will benefit.

“We have seen projections that the child tax credit, the implementation or the extension of child tax credit could reduce — could cut child poverty in half,” press secretary Jen Psaki said Wednesday. “And this is just extra money that’s going into people’s bank accounts who need help the most. So, the president felt it was important to elevate this issue, to make sure people understand this is a benefit that will help them as we still work to recover from the pandemic and the economic downturn.”

In a June 21 statement, the president called the program the “largest-ever child tax credit.”

“For parents working to make ends meet and raise their children with greater security, dignity, and opportunity, help is here,” Biden said.

The Biden administration also launched a website with details about the tax credit.

The benefits will be paid monthly, according to the IRS. People can register for the program even if they did not fully file taxes.

Set to expire after a year, Biden has proposed extending the program through 2025.

In the meantime, this calculator from ABC News’ data journalism team tells you how much you may receive from the Child Tax Credit program using the guidelines spelled out in the bill based on your most recent tax form. The information you enter will not be stored or saved in any way.

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911 calls from Surfside residents convey panic, disbelief in wake of collapse

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(SURFSIDE, Fla.) — Nearly two dozen 911 calls released by the Miami-Dade Police Department Wednesday convey the confusion, panic and disbelief among residents and neighbors after the partial collapse of the 12-story Champlain Towers South condominium in the beachside town of Surfside, Florida, in the early hours of June 24.

“I’m in the Champlain Towers, something is going on here. You gotta get us out of here.”

“It seemed like there was an earthquake.”

“Oh my God, the whole building collapsed.”

Frantic 911 calls came in from residents who were trapped inside after approximately 55 of the oceanfront complex’s 136 units were destroyed in the collapse at around 1:15 a.m.

“Half the building’s gone!” a panicked woman told the operator from her apartment.

A woman calling from the second floor told the operator that she couldn’t find an exit.

“We didn’t know which stairs we can get out,” she said.

A man on the same call told the operator he heard people yelling from the collapsed portion of the building.

“There’s people yelling, saying that they’re stuck,” he said.

“Is it safe for us to stay here?” he later asked.

The operator stayed with him on the phone as he and his family went down to the basement looking for a way out.

“The entire garage is flooded,” he said, updating the operator that they were going to try to go back to the second floor and that other people had joined his family.

“There are people in the rubble yelling, by the way,” he later said, softly.

One person called 911 from the flooded garage.

“A bunch of us are in the garage but we cannot get out,” the caller said. “We’re going back up the stairwell, the garage is inundated with water. We don’t know where the water is coming from.”

A distressed woman called from outside the parking garage asking to be rescued.

“Can somebody help me get out?” she asked. “I was able to escape but I’m in the parking lot. If the building comes down it will come down on my head.”

Other calls came in from family members of those who lived in the condo begging for help.

“My sister lives there,” one person said. “I don’t know, something happened to it. I don’t know, half of the building isn’t there anymore. She is alive and she is there, she’s in apartment [muted]. If someone can get her out through the balcony.”

Witnesses who heard the collapse and saw the aftermath also called 911.

“What are you seeing sir because we are getting a lot of calls over there?” an overwhelmed operator asked in one call.

“A very large building collapse, like the building next to us is gone,” the caller replied.

Another caller a block and a half away reported hearing an explosion.

Others reported seeing smoke and flames following the collapse.

“A building collapsed a block away from me and there is major smoke everywhere. We don’t know if anybody is hurt,” a caller said. “I heard the explosion all the way and the building is collapsing.”

Several callers described hearing what sounded like an earthquake, as well as an explosion from the garage.

“I woke up because I was hearing some noise,” one caller said. “I looked outside and the patio area started sinking down.”

“The building just went into the sinkhole,” the caller said a few seconds later. “There will be many, many people dead.”

The full toll of the disaster still remains to be seen; after nearly three weeks of search efforts, at least 95 people have been confirmed dead, while 14 people remain unaccounted for, officials said Tuesday. The cause of the partial collapse is under investigation.

Documents released by the city of Surfside show there was structural damage to the concrete slabs on the condo building’s pool deck and failed waterproofing in parts of the tower, and that the pool deck and the ceiling of the underground parking garage beneath it had needed repairs as early as 1996.

ABC News’ Benjamin Stein contributed to this report.

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Mississippi health officials warn about delta ‘surge’ as 7 children in ICU due to COVID-19

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(JACKSON, Miss.) — As the delta variant spreads rapidly across the U.S., Mississippi officials are warning about hospitalizations of children with severe cases of COVID-19.

Of the seven children currently in the intensive care unit due to COVID-19, two are on ventilators, according to State Health Officer Dr. Thomas Dobbs.

“Delta Surge – be careful,” Dobbs said in a terse tweet Tuesday, while sharing the updates on the latest hospitalizations.

Dobbs initially said 12 children statewide were in the ICU due to COVID-19, though later revised that to a smaller number after a hospital corrected its report.

“Please be safe and if you are 12 or older – please protect yourself,” he said.

The ages ranged from under 1 to 17, Dobbs said in a statement to ABC News Wednesday.

Children are less likely than adults to have serious COVID-19 infections. Most have mild symptoms, if any, according to the Centers for Disease Control and Prevention, though in rare instances, they have developed severe cases that led to hospitalization or death.

It is not clear if any of the seven chilidren have underlying health conditions that would put them at greater risk for severe illness from COVID-19.

Dr. Alan Jones, associate vice chancellor for clinical affairs at the University of Mississippi Medical Center in Jackson, told ABC News Wednesday that his facility was seeing a “significant increase” in pediatric patients over the last several weeks.

The medical center is currently treating five children with confirmed COVID-19 cases, two of whom are in the ICU. Two other children at the hospital are being investigated for potential COVID-19 infections, he said.

The children, who are in stable condition, range from infants to teenagers, Jones said. He could not share any further details about the cases but said that many patients within his hospital who are currently in the ICU do have some chronic, underlying comorbidity diseases that would put them at a higher risk of having a more severe illness associated with COVID-19.

The state has been seeing a “pretty alarming” increase in the number of COVID-19 cases and hospitalizations, Dobbs said during a press briefing last Friday, as the highly contagious delta variant, which was initially identified in India, has quickly become the dominant variant in the state.

“We have seen pretty much an entire takeover of the delta variant for our transmission,” Dobbs said during the briefing, noting that the current cases in the state are “pretty much all delta.”

Between June 15 and July 9, the delta variant accounted for 80% of all specimens sequenced in the state, according to Dobbs.

Hospital systems are not currently overwhelmed, but Dobbs said there are “concerns about it going forward, as has been seen in other states” due to delta, which has become the dominant variant nationwide.

Mississippi’s daily COVID-19 case average has more than doubled in the last three weeks. Less than three weeks ago, there were under 100 patients receiving care for COVID-19 in Mississippi. As of July 11, there were nearly 200. Hospital admissions have also increased by 26.7% in the last week.

The state has seen an increase in COVID-19 outbreaks as well, particularly among youth, in summer activities and nursing homes, Dobbs said.

Jones said his hospital’s pediatric patients seem to be more symptomatic than the children who became ill earlier in the pandemic, which he attributed to the delta variant.

“These seem to be more classic COVID symptoms — fever, cough, respiratory illness,” he said. “I suspect that’s probably because this delta variant is importing a little more severe illness in the pediatric population than those earlier strains that were circulating.”

The delta variant is surging as Mississippi has the second-lowest vaccination rate in the country, with approximately one-third of the state’s total population fully vaccinated, according to the CDC. The “vast majority” of cases, hospitalizations and deaths in the state now are in unvaccinated people, Dobbs said.

Due to the low vaccination rate, the state health department advised Friday that those who are ages 65 and older or have chronic medical conditions avoid mass indoor gatherings for several weeks.

“Our collective under-vaccination in the state has put us all at risk, especially the most vulnerable,” Dobbs said.

Editor’s Note: A state health officer has issued a correction revising the number of children hospitalized with severe COVID-19 cases from 12 to seven.

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Biden rallies Democrats behind $3.5 trillion budget plan

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(WASHINGTON) — President Joe Biden lunched with Democrats on Capitol Hill Wednesday as the party proceeds with the delicate task of crafting two separate pieces of legislation worth a combined $4.1 trillion in new spending.

Biden’s attendance at the lunch comes following a late-night announcement from Democratic Senate leaders that they had agreed on a $3.5 trillion budget resolution, the first step in unlocking a process that could allow Democrats to pass some of Biden’s American Families plan priorities without any Republican support.

In an hour-long lunch meeting behind closed doors, Senate Democrats peppered Biden with questions about the new budget blueprint and the $1.2 trillion bipartisan infrastructure package, according to numerous attendees.

Senate Majority Leader Chuck Schumer, along with the chairman of the Budget Committee, Sen. Bernie Sanders, I-Vt., and panel member Sen. Mark Warner, D-Va., who has fought to reign in the broader legislation, walked the president and caucus through the outlines of the $4.1 trillion in proposed new spending.

According to a senior Democratic aide, the budget proposal includes an extension of the child tax credit expansion first carved out in March’s COVID-19 relief bill. Families with children under 6 years old receive $3,600 per year per child under that expansion and families of older children receive $3,000 per child.

The resolution also includes funding for a variety of climate initiatives, support for universal Pre-K, affordable child care, community college and paid family leave, and investments in affordable housing and small businesses, among other provisions.

Sanders said there is also “at least $120 billion” for immigration reform expected in the final product.

To pay for the massive package, Democrats are proposing raising taxes on the wealthy and big corporations, but won’t tax families making under $400,000, the aide said.

Sanders praised the resolution Wednesday as “the most consequential program in modern history of this country,” but the plan does fall significantly short of the $6 trillion he initially insisted on.

One senator who attended lunch with the president said Sanders gave an effusive speech regarding his former rival, saying he never imagined Biden would be “so progressive.”

“It was a freaking lovefest,” the senator told ABC News Congressional Correspondent Rachel Scott of the speech.

During the lunch Sen. Sherrod Brown, D-Ohio, who seriously contemplated jumping into the 2020 Democratic presidential primary, thanked Biden for using the word “union” repeatedly, though the context was not clear, according to the Democratic senator.

“You are the first president in the 30 years I’ve been in Washington that I still like. He said, ‘You haven’t sold us out yet’,” the senator paraphrased Brown as saying.

Biden addressed both the bipartisan and reconciliation infrastructure deals, but most senators were struck by the broader, sweeping message — that the president doesn’t want his neighbors in Scranton, Pennsylvania, being hurt by anything they would do. Sen. Chris Murphy, D-Conn., said Biden “made an incredibly compelling case that this is the moment to go big.”

But not all Democrats are on board with the plan yet, and details of the budget proposal are still coming together.

Sen. Joe Manchin, D-W.Va., told reporters he has a number of concerns with the proposal.

“I’m concerned about inflation. And so I want to see more of the details of what’s going on. I’m concerned also about maintaining the energy independence of the United States of America,” the moderate Democrat said.

And Murphy, a progressive, said he’s concerned that the $3.5 trillion is not big enough, particularly to take care of modernizing the northeastern corridor rail service.

Any single Democratic defection could be a serious obstacle for Democratic leadership. Reconciliation requires a simple majority, which means every Democratic vote plus the tie-breaking vote of Vice President Kamala Harris will be required to move this bill over the finish line.

Republicans have been clear from the onset they won’t support spending beyond the bipartisan infrastructure package being negotiated separately.

“To me that $3.5 trillion that was announced last night really is the extreme Democrats’ freight train to socialism,” said Sen. John Barrasso, the number three Senate Republican. “This is something that they are going to need every Democrat to pass because there is not a single Republican in the House or in the Senate who is going to support this level of taxing and spending.”

Despite the Republican blowback to the budget resolution, members of the bipartisan group working on negotiating the separate, $1.2 trillion bipartisan plan, said they are not concerned about the budget proposal throwing their package off course.

“There are two very different bills that are totally separate tracks — one is bipartisan, responsible, no tax increases, the other is, you know, a huge spending spree at a time when we’re already at record levels of deficit and debt,” said Sen. Rob Portman, R-Ohio, who has been leading bipartisan negotiations on behalf of Republicans. “So I’m concerned about it, but they don’t relate to one another.”

“I think it’s a real mistake what they’re doing but it doesn’t affect us at all,” Portman said.

Sen. Bill Cassidy, R-La., another member of the bipartisan group, said their efforts are “totally separate.”

“They’re not linked, it is going to increase our debt or else increase taxes, but in terms of our effort it shouldn’t have an impact,” he said.

Bill text is not yet available for either the budget deal or the bipartisan infrastructure plan and senators face fast-approaching deadlines, set by Biden, for swift action before the August recess.

Schumer has said he intends to hold a vote on both the bipartisan deal and the budget package before the Senate takes its summer break.

ABC News’ Congressional Correspondent Rachel Scott contributed to this report.

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Biden administration to begin evacuating Afghans who aided US in late July

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(WASHINGTON) — The Biden administration will begin evacuation flights in late July for Afghans who have aided the U.S. military and diplomatic missions, according to a senior administration official.

President Joe Biden earlier this month said all U.S. combat forces will be out of Afghanistan by Aug. 31 and defended his decision to leave the country in the face of Taliban gains in the area.

The top U.S. general in Afghanistan, Scott Miller, returned from Afghanistan to Joint Base Andrews on Wednesday after he handed over his command at a ceremony in Kabul on Monday.

The evacuation effort, dubbed Operation Allies Refuge, will relocate Afghans who have applied for a U.S. Special Immigrant Visa and their families to a safe third country, but it is still unclear how many of these translators, guides and other contractors will be moved and to exactly where.

“Our objective is to get individuals who are eligible relocated, out of the country, in advance of the removal — of the withdrawal of troops at the end of August,” White House press secretary Jen Psaki said Wednesday.

The administration also has not specified when flights will depart, citing security concerns, but the senior administration official told ABC News that they will meet Biden’s commitment to begin flights by late July.

“Our message to those women and men is clear: There is a home for you in the United States if you so choose, and we will stand with you just as you stood with us,” Biden said in an address on Afghanistan on Thursday.

Earlier this month, a U.S. official told ABC News that Kazakhstan, Uzbekistan and Tajikistan — Afghanistan’s neighbors to the north — have all been under consideration as third-country options, while a second official said the list includes the United Arab Emirates and Qatar, both of which are home to U.S. military facilities where Afghans could be brought.

Pentagon spokesperson John Kirby confirmed that the administration is also now considering using U.S. military installations in the continental U.S. “for short-term use,” as well as U.S. military installations in other countries that have “appropriate temporary residences and associated support infrastructure,” he said.

At this point in time, however, no final decision has been made yet, Kirby added.

This week, the president’s homeland security adviser Dr. Elizabeth Sherwood-Randall and Zalmay Khalilzad, the special representative for Afghanistan, are leading a delegation to Uzbekistan to discuss security and economic development opportunities for Afghanistan and other countries in the region, the White House announced Wednesday.

There are approximately 18,000 Afghans who have applied for Special Immigrant Visas, with many of them now fearing for their lives as the Taliban gain more districts in a summer offensive against the Afghan government. Within that group, 9,000 still have to complete their applications while the other half are having their cases adjudicated now, according to a State Department spokesperson.

At least 300 Afghan interpreters have been killed since 2014 because they worked for the U.S., according to the advocacy group No One Left Behind, although the Taliban have said in recent weeks that they will not harm them as they pursue power.

In April, Biden announced the withdrawal of all remaining U.S. forces from Afghanistan before the 20th anniversary of the Sept. 11 attacks that brought them there — although last Thursday he bumped that deadline up to Aug. 31.

But as U.S. and NATO forces exit, the Taliban have seized dozens of districts in a summer offensive that has killed hundreds of Afghan service members or seen them surrender. The Pentagon said this week it seems apparent the militant group is intent on taking power by force, even as the State Department calls for them to return to negotiations with the Afghan government, hosted by Qatar in its capital Doha.

The Biden administration has tried to reinvigorate those talks, which have been all but dead since the two sides agreed on an agenda late last year.

The senior administration official said Wednesday that the U.S. “remains confident that Afghanistan’s Armed Forces have the tools and capability to defend their country and that the conflict will ultimately have to be resolved at the negotiating table.”

But advocates say that time is running out for these Afghan interpreters and other contractors, while analysts warn that the country could be headed for civil war. The United Nations refugee agency warned Tuesday that the country is facing “imminent humanitarian crisis,” calling for an urgent end to violence.

The White House’s announcement Wednesday is “a vital step forward in honoring the promise we made to Afghan allies who faithfully served our mission,” said Krish O’Mara Vignarajah, president and CEO of Lutheran Immigration and Refugee Service, one of the country’s largest refugee resettlement agencies.

But “there are still far too many questions left unanswered, including who exactly and how many people are eligible for evacuation,” she added. “With partners estimating that 49% of those at risk reside outside of Kabul, how will those outside the capital access safety?”

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Democratic senators move toward ending the federal prohibition on cannabis

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(WASHINGTON) — For the first time in history, some Senate Democrats on Wednesday moved to decriminalize marijuana at the federal level, proposing to the remove cannabis from the federal list of controlled substances.

Senate Majority Leader Chuck Schumer, one of the leaders of the effort, promised to use his “clout” to make decriminalization a Senate priority.

“This is monumental,” Schumer told reporters. “At long last we are taking steps in the Senate to right the wrongs of the failed war on drugs.”

While Schumer conceded that Democrats do not yet unanimously support the draft decriminalization bill he unveiled, he said the announcement marks an important step in combatting injustice, especially among communities of color.

“The war on drugs has really been a war on people, particularly people of color,” Schumer said. “The waste of human resources because of the historic over-criminalization has been one of the great historical wrongs for the last decades and we are going to change it.”

Schumer said the draft bill, being proposed with Senate Finance Committee Chairman Ron Wyden and Sen. Cory Booker, D-N.J. also aims to expunge criminal records and create banking systems that give small and minority businesses a seat at the table.

Wyden called the bill, “cannabis common sense.”

Booker, who has long advocated for decriminalization, said the need for such a bill is urgent.

“Lives are being destroyed every single day and the hypocrisy of this is that, right here in the Capitol now, people running for Congress, people running for Senate, people running for president of the United States, who readily admit that they’ve used marijuana, but we have children in this country people all over this nation, our veterans, black and brown people, low income people, now bearing the stain of having a criminal conviction for doing things that half of the last four presidents admitted to doing,” he said.

To date, some 18 states have legalized the recreational use of marijuana and 37 states, along with the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands, now allow the medical use of the drug.

“The Cannabis Administration and Opportunity Act will ensure that Americans — especially Black and Brown Americans — no longer have to fear arrest or be barred from public housing or federal financial aid for higher education for using cannabis in states where it’s legal,” the discussion draft reads. “State-compliant cannabis businesses will finally be treated like other businesses and allowed access to essential financial services, like bank accounts and loans. Medical research will no longer be stifled.”

But a number of Republicans, led by Senate Republican Leader Mitch McConnell, R-Ky., oppose legalization.

“I do not have any plans to endorse the legalization of marijuana,” McConnell said in 2018 when he announced his support for legalizing hemp, noting that they are “entirely separate plants.”

The federal legislation would allow states to craft their own cannabis laws, just as states do with alcohol. It would end the confusion in some states that have legalized the product in various forms, but where consumers of marijuana could face potential civil and criminal penalties.

A new federal excise tax would also be created by the legislation similar to alcohol and tobacco.

Cannabis would be taxed at 10% in the first year after the legislation becomes law. That rate “would increase annually to 15 percent, 20 percent, and 25 percent in the following years. Beginning in year five and thereafter, the tax would be levied on a per-ounce rate in the case of cannabis flower, or a per-milligram of THC rate in the case of any cannabis extract,” according to the discussion draft.

The legislation, if approved, would have an immediate effect on the lives of many, freeing some in prison for non-violent offenses.

“The bill automatically expunges federal non-violent marijuana crimes and allows an individual currently serving time in federal prison for non-violent marijuana crimes to petition a court for resentencing,” the draft states.

It would also reinvest new federal tax revenue into minority communities most affected by the 1980’s “War on Drugs” and ensure that no past marijuana-related crimes are used to refuse someone federal public assistance.

The proposed legislation would incentivize states and localities with federal aid to expunge criminal records for cannabis offenses in exchange for funding under two new Small Business Administration programs designed to help hard-hit communities.

“The Cannabis Opportunity Program will provide funding to eligible states and localities to make loans to assist small businesses in the cannabis industry owned by socially and economically disadvantaged individuals. The Equitable Licensing Grant Program will provide funding to eligible states and localities to implement cannabis licensing programs that minimize barriers for individuals adversely affected by the War on Drugs,” the draft says of the two new SBA programs.

Research into the effects of marijuana would be improved, as well, according to sponsors.

“Researchers have stated that the cannabis produced for research is not comparable to cannabis used in adult-use and medicinal markets nationwide, and that the (Drug Enforcement Agency)’s past failures to expand federally-approved production of cannabis have further limited the productivity of their research,” the draft states.

The House passed legislation last year removing marijuana from the controlled substances list and the legislation was reintroduced in May.

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