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Needs and Challenges for COVID-19 Boosters and Other Vaccines in the U.S.

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Credit: Florida Atlantic University/Getty Images
Of the 10 richest countries in the world, the U.S. ranks last in vaccination rates and first in both numbers and rates of COVID-19 deaths.
« Needs and Challenges for COVID-19 Boosters and Other Vaccines in the U.S.

Newswise — The United States Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA), which was immediately endorsed by the U.S. Centers for Disease Control and Prevention (CDC), for new booster shots created to combat the most recent and highly prevalent omicron variants of COVID-19, specifically BA.4 and BA.5. Fortunately, these most recent and very highly prevalent variants, while more communicable, are less lethal.

In a commentary published in The American Journal of Medicine, researchers from Florida Atlantic University’s Schmidt College of Medicine and collaborators, provide the most updated guidance to health care providers and urge how widespread vaccination with these boosters can now avoid the specter of future and more lethal variants becoming a reality. 

“Of the 10 richest countries in the world, the U.S. ranks last in vaccination rates and first in both numbers and rates of COVID-19 deaths,” said Charles H. Hennekens, M.D., Dr.PH, senior author, first Sir Richard Doll Professor of Medicine and senior academic advisor, FAU Schmidt College of Medicine. “The dedicated health care professionals in communities and hospitals across the nation continue to try to address  existing and new challenges of COVID-19. We must redouble our efforts to promote evidence-based clinical and public health practices, which should include vaccination of all U.S. adults and eligible children based on the most recent FDA and CDC guidance.”

The authors point out that, compared with influenza, the mortality rate from COVID-19 is about 30 times higher. Further, a positive COVID-19 patient is likely to transmit to about six people compared with one or two for influenza. Finally, the boosters will reduce the risk of dying and hospitalization by more than  90 percent.

“The most simple and straightforward newest guidance we can now offer to health care providers is that all individuals ages 5 and older should receive a booster shot,” said Alexandra Rubenstein, first author, clinical research coordinator, Department of Neurology, Boston Medical Center, and an aspiring physician. “Specifically, based on the recent EUAs issued by the FDA and CDC, those 5 and older may receive Pfizer bivalent boosters, and those ages 6 and older may receive bivalent boosters from Moderna. While the absolute risks of severe COVID-19 are low in youths, the benefit-to-risk ratio was deemed to be favorable in a 13-to-1 vote of independent external advisers to the FDA.”

According to the authors, vaccines to prevent common and serious infectious diseases have had a greater impact on improving human health than any other medical advance of the 20th century. Nonetheless, since 2019, the percentages of children in the U.S. vaccinated against common and serious childhood diseases has decreased.

“In the U.S., diphtheria-pertussis-tetanus or DPT immunizations have decreased from 85 percent in 2019 to 67 percent in 2021,” said co-author Sarah K. Wood, M.D., professor of pediatrics and interim chair, Department of Women’s and Children’s Health and vice dean for medical education, FAU Schmidt College of Medicine. Recently, a young adult unvaccinated against polio in a neighborhood in Rockland County, New York, contracted a paralytic disease raising concerns that the loss of herd immunity may portend new epidemics of avoidable serious morbidity and mortality in the U.S. and worldwide.”  

Ironically, the authors note, virtually all Americans would seek effective and safe therapies for any communicable diseases. Most individuals routinely accept major surgery, toxic chemotherapy and/or radiation therapy for cancer, which result in a far greater number of side effects than are caused by vaccinations. The authors encourage health care providers to recommend a COVID-19 booster vaccine to all eligible patients to protect individuals and communities.

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Other co-authors are Vama Jhumkhawala, a first-year FAU medical student; and Mark DiCorcia, Ph.D., associate professor of obstetrics and gynecology and assistant dean for medical education, FAU Schmidt College of Medicine, as well as Dennis G. Maki, M.D., Ovid O. Meyer professor of medicine, director of the COVID-19 Intensive Care Unit and an internationally renowned infectious disease clinician and epidemiologist from the University of Wisconsin School of Medicine and Public Health.  

Maki and Hennekens served together for two years as lieutenant commanders in the U.S. Public Health Service as epidemic intelligence service (EIS) officers with the CDC. They served under Alexander D. Langmuir, M.D., who created the EIS and epidemiology program at the CDC, and Donald A. Henderson, M.D., chief of the virus disease surveillance program at the CDC. Langmuir and Henderson made significant contributions to the eradication of polio and smallpox using widespread vaccinations and public health strategies of proven benefit. 

– FAU –

About the Charles E. Schmidt College of Medicine:

FAU’s Charles E. Schmidt College of Medicine is one of approximately 156 accredited medical schools in the U.S. The college was launched in 2010, when the Florida Board of Governors made a landmark decision authorizing FAU to award the M.D. degree. After receiving approval from the Florida legislature and the governor, it became the 134th allopathic medical school in North America. With more than 70 full and part-time faculty and more than 1,300 affiliate faculty, the college matriculates 64 medical students each year and has been nationally recognized for its innovative curriculum. To further FAU’s commitment to increase much needed medical residency positions in Palm Beach County and to ensure that the region will continue to have an adequate and well-trained physician workforce, the FAU Charles E. Schmidt College of Medicine Consortium for Graduate Medical Education (GME) was formed in fall 2011 with five leading hospitals in Palm Beach County. The Consortium currently has five Accreditation Council for Graduate Medical Education (ACGME) accredited residencies including internal medicine, surgery, emergency medicine, psychiatry, and neurology. The college’s vibrant research focus areas include healthy aging, neuroscience, chronic pain management, precision medicine and machine learning. With community at the forefront, the college offers the local population a variety of evidence-based, clinical services that treat the whole person. Jointly, FAU Medicine’s Primary Care practice and the Marcus Institute of Integrative Health have been designed to provide complete health and wellness under one roof.

About Florida Atlantic University: Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University serves more than 30,000 undergraduate and graduate students across six campuses located along the southeast Florida coast. In recent years, the University has doubled its research expenditures and outpaced its peers in student achievement rates. Through the coexistence of access and excellence, FAU embodies an innovative model where traditional achievement gaps vanish. FAU is designated a Hispanic-serving institution, ranked as a top public university by U.S. News & World Report and a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. For more information, visit www.fau.edu.

Source: Florida Atlantic University

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Lifestyle

Keep Cold and Flu Season at Bay

During cold and flu season, preparation and proper treatment are crucial for recovery, minimizing illness spread, and maintaining overall health.

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Cold and Flu

(Family Features) It doesn’t take much for cold and flu symptoms to take over. Even a mild case of the sniffles can make it difficult to navigate the demands of everyday life. It’s virtually impossible to avoid germs altogether, but you can make sure you’re ready to fight off an infection, whether it’s a minor cold or a full-blown case of the flu.

Cold and Flu Tips

“I always share a few easy and simple methods with my patients when cold and flu season comes back around to keep them in the best shape,” said Dr. Tim Tiutan, board-certified internal medicine physician. “Not only does getting ahead offer protection, but knowing what to do when symptoms start to come on, and what to have in your medicine cabinet, can help ease the burden of an oncoming illness.”

Preparation and prevention play important roles before a bug hits, but it’s also valuable to know how to effectively treat an illness and keep your loved ones from getting sick.

Prevent
Short of stashing yourself away in a bubble, there aren’t many failsafe ways to fully avoid germs. However, some basic hygiene and preventive care can go a long way toward minimizing your risk. Regularly washing your hands can help get rid of germs before you accidentally introduce them to your eyes, mouth or nose. Be especially diligent after spending time in crowded places.

Maintaining an overall healthy lifestyle also helps ensure you’re in optimal condition if you do get sick. That means eating a nutritious, well-rounded diet and keeping up with your exercise routine. Also be sure to talk to your doctor or pharmacist about getting a flu shot; while it may not fully prevent you from getting sick, in most cases it helps your body fight back and keeps your symptoms manageable.

Prepare
Knowing you can’t completely eliminate your exposure to germs, it’s a good idea to ensure you have everything you need to fight a cold or flu on hand. At least once a year, give your medicine cabinet a thorough cleaning. Discard any expired medications and replace products that have run low, especially those designed to help fight symptoms like pain relievers, fever reducers, decongestants, antihistamines and cough syrups.

It’s also a good time to restock items like tissues, cough drops, hand sanitizer and antibacterial soap. Medical supplies like thermometers and humidifiers also come in handy when you’re under the weather; check to be sure yours are in good working order and consider adding any supplies you don’t already have, such as a blood pressure cuff or home oximeter.

Treat
Once you’re sick, sleep is one of the best remedies. Your body can redirect energy toward healing when you’re sleeping, which helps boost your immune system, so give yourself permission to rest when you’re feeling down.

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In addition to getting enough rest, it’s important to treat your symptoms, not just mask them. Because symptoms like fever, runny nose, chest congestion, cough and more can indicate a more serious problem, finding the root cause of the symptoms can be a more effective treatment strategy.

For example, some common remedies for chest congestion only mask the symptoms. Many doctors recommend an option like Mucinex 12-Hour because it treats the cause of chest congestion by thinning and loosening excess mucus. One dose lasts up to 12 hours, helping you clear mucus and relieve chest congestion.

Contain
Getting rest and managing your symptoms are easier when you stay at home, but it’s also the best way to prevent spreading germs to others. It’s not always practical, but if you can, limit yourself to one area of the house, away from family members. Cough into your elbow or a tissue, never your hands. Use antibacterial hand sanitizer and wipe down surfaces to minimize others’ contact with your germs.

Be especially wary of spending time with anyone who has a compromised immune system while you’re contagious, including those with pre-existing conditions, older adults and pregnant women. Take advantage of delivery or curbside services for essentials like groceries and talk with your employer about working remotely or using sick time until you’re feeling better.

Find more advice to help fight this cold and flu season at Mucinex.com. https://www.youtube.com/embed/zUpFn6VhRTM?feature=share/?utm_source=familyfeatures&utm_medium=referral&utm_campaign=#17187-Mucinex

When to Call for Help if You’re Feeling Lousy

If you’re experiencing cold symptoms, you might wonder when it’s appropriate to see a doctor for further evaluation. While most colds resolve on their own within a week or two, there are certain instances when seeking medical attention is advisable.

High Fever: If your fever persists for more than three days or reaches 102 F or higher, consult a health care provider.

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Persistent or Severe Headaches: If you experience persistent or severe headaches that are not alleviated by over-the-counter medication, it’s advisable to consult a health care provider, as this could indicate a more serious underlying issue.

Persistent Symptoms: If your symptoms worsen or don’t improve after a week, seek medical advice.

Unusual Symptoms: If you experience uncommon or concerning symptoms during a cold, such as extreme fatigue, confusion, dehydration or a high fever that doesn’t respond to treatment, consult your doctor promptly for a proper diagnosis and treatment plan.

Trouble Breathing: Difficulty breathing, chest pain or wheezing can indicate a more severe respiratory condition and warrant medical attention.

High-Risk Individuals: For individuals at high risk of complications from colds, such as pregnant women, the elderly or individuals with conditions like diabetes or heart disease, it’s important to seek advice early to prevent any potential complications.

Remember, your health care provider can offer guidance tailored to your specific situation, helping you manage your cold effectively and ensure optimal recovery.

Photos courtesy of Shutterstock

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Visit our Food & Drink section to get the latest on Foodie News and recipes, offering a delightful blend of culinary inspiration and gastronomic trends to elevate your dining experience.

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Lifestyle

Self-forgiveness is more than self-comfort − a philosopher explains

Self-forgiveness requires confronting negative emotions, acknowledging wrongdoing, and is essential for moral growth and healthier relationships.

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forgiveness
Forgiving yourself can be a sign of moral growth − but only if you put in the work. Stephanie Verhart/E+ via Getty Images

Mordechai Gordon, Quinnipiac University

As the Jewish High Holidays approach, which begin with Rosh Hashanah and continue with Yom Kippur, the theme of forgiveness keeps coming to my mind.

The 10 days from Rosh Hashanah to Yom Kippur are referred to in the Jewish tradition as the days of repentance, or the days of awe. During this period, Jews who observe the holidays implore God to respond to their sins with mercy, while also requesting forgiveness from anyone those individuals may have wronged in the past year.

Most conversations about forgiveness focus on the meaning and value of forgiving others. Douglas Stewart, a philosopher of education who has researched forgiveness extensively, writes that to forgive implies a willingness to let go of our negative emotions or hard feelings and to adopt in their place a more generous and compassionate attitude toward our wrongdoers.

Other philosophers have pointed out that the benefits of forgiveness include overcoming resentment, restoring relationships and setting a wrong to rest in the past – without vengeance. As such, to forgive should be considered morally valuable and admirable.

But what about self-forgiveness? Is it morally valuable, or just something we do to make ourselves feel better? And what is self-forgiveness, anyway?

As a philosopher of education, some of my own research has wrestled with these questions.

A man with white hair and a red polo shirt throws small white pieces of bread over a wooden bridge into a stream below.
During Tashlich, a ceremony on Rosh Hashanah, people symbolically cast away their sins by throwing bits of bread into flowing water. Bill Greene/The Boston Globe via Getty Images

Defining self-forgiveness

Self-forgiveness means managing to work through painful feelings such as guilt, shame and deep disappointment with ourselves. It entails transforming negative attitudes, such as contempt, anger and shame, into more positive emotions such as respect and humility.

It is important to recognize, however, that a wrongdoer cannot simply reject shame: They must confront it. Moral philosophers such as Byron Williston assert that people who have deeply wronged others, such as betraying a loved one, need to experience shame and take responsibility for their actions – such as asking for forgiveness. Otherwise, an attempt at self-forgiveness is not likely to be meaningful.

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Finally, we need to keep in mind that self-forgiveness does not imply someone has extinguished all the negative feelings directed at themselves or is done with self-reproach. This would amount to an impossible goal.

Rather, as philosopher Robin Dillon pointed out, self-forgiveness suggests that someone is no longer being consumed or overwhelmed by those negative feelings. In short, it is possible to forgive ourselves and still view ourselves with a demanding and critical eye.

Moral development

Getting there, though, is not easy. Self-forgiveness entails working through a rigorous process of coming to terms with wrongdoing.

According to ethicist Margaret Holmgren, that process includes at least four steps: acknowledging that what we did was wrong; coming to terms with why it was wrong; allowing ourselves to experience grief and self-resentment at having injured another person; and, finally, making a genuine effort to correct the attitudes that led to the harmful act and making amends to the victim.

In other words, confronting negative emotions, attitudes and patterns is essential prior to attempting to restore relationships with others. Only once we are able to relax the preoccupation with guilt and shame, and to genuinely forgive ourselves, can we meaningfully contribute to relationships as liberated and equal partners – especially in ongoing ones, such as with family and friends.

A close-up photo of two people clutching both of each other's hands.
Self-forgiveness isn’t just self-serving. Jasmin Merdan/Moment via Getty Images

Of course, there are cases in which the offense is so vast, such as genocide, that no individual can make full restitution or provide an adequate apology for the wrong.

There are other times when an apology is impossible. Perhaps victims are dead; perhaps a direct apology would retraumatize them or do more harm than good.

In those cases, I would argue, an offender can still attempt to work toward self-forgiveness – acknowledging not only the victim’s intrinsic worth but their own, regardless of their ability to make amends. This in itself is moral growth: appreciating that neither is a mere object that can be manipulated or abused.

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The take-home point, I would argue, is that going through the process of self-forgiveness is morally beneficial. It can not only liberate people who tend to reproach themselves incessantly, but it can enhance their ability to relate ethically toward others – to acknowledge wrongdoing, while simultaneously affirming their own value.

Most people have experienced at least one situation in which they inflicted pain on someone else and recognized that their words or actions caused harm. In such situations, we also often feel ashamed of ourselves and attempt to apologize or make amends.

Yet I hope that during this High Holiday season we keep in mind that self-forgiveness should also be considered essential. If moral development means a process in which our self-awareness and character mature, then acknowledging wrongdoing and experiencing shame, followed by self-forgiveness, are indispensable for that process.

Mordechai Gordon, Professor of Education, Quinnipiac University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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health and wellness

Protecting Your Lung Health at Any Age

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Lung Health

(Family Features) Chronic obstructive pulmonary disease, or COPD, is a serious lung condition that makes breathing difficult. Whether you’re a younger adult, middle-aged or over 60, you can take steps to protect your lungs or manage your COPD to feel better, be more active and breathe easier. Follow these tips from the National Heart, Lung, and Blood Institute to bring your lung health into focus – at any age. Learn more at nhlbi.nih.gov/BreatheBetter.


SOURCE:
National Heart, Lung, and Blood Institute

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.


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