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CDC panel recommends health care staff and long term facility residents receive first COVID-19 vaccines

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An advisory committee to the U.S. Centers for Disease Control and Prevention (CDC) voted Tuesday to designate health care workers and long-term care (LTC) facility residents and staff as the first groups to receive COVID-19 vaccines.

The motion passed with a 13 -1 vote, setting the stage for vaccines to be distributed immediately this month, once one is authorized. The U.S. Food and Drug Administration (FDA) has two meetings set, the first of which is December 10, to review vaccine emergency use filing.

The meeting to vote on the group deemed “Phase 1a,” according to the CDC’s anticipated priority designations, has been highly anticipated for weeks, and two emergency use authorization filings in the past week have cranked up the pressure on ensuring equitable allotment of vaccines as they become available.

The committee defined health care workers as “paid and unpaid persons serving in health care settings who have the potential for direct or indirect exposure to patients or infectious materials.” The committee also defined long-term care residents to include anyone in medical long term recovery in a correctional facility.

The CDC’s Dr. Kathleen Dooling said the agency estimates that 21 million health workers are eligible for the vaccine, including support staff serving food and nurses’ aides with access to patients. The CDC identified roughly 3 million eligible recipients among long-term care facility residents.

High patient turnover is one one obstacle to ensuring full vaccination of long-term care center residents. While some residents live in nursing homes, others are patients for shorter periods. If those individuals leave the facility before the second of two vaccine doses is administered, they could be left to wait until vaccines are more widely available, experts said.
‘We need to ask, especially in the initial phase, for everyone to be rowing together’

Dr. Nancy Messonnier, the CDC’s top vaccine expert, said during the meeting that health facilities are operationally preparing to vaccinate all staff in 3 weeks or less.

Messonnier said that the CDC is going to hold itself “to an exceedingly high standard of monitoring” adverse events after the vaccines are authorized and require that reporting systems rely on a variety of individuals, even if it requires extra time, to ensure the necessary data is captured.

With little known about potential issues with the vaccine in the real world, the CDC will also be monitoring various adverse event platforms for long-term care facilities and Department of Veterans Affairs facilities.

“We need to ask, especially in the initial phase, for everyone to be rowing together,” she said.

How distribution will work at the local level and whether there will be enough doses to vaccinate health care workers and the elderly, however, remains to be seen.

Dr. Joshua Lesko, an emergency physician at Naval Medical Center Portsmouth, wrote Monday, “The anticipated (40 million) doses … are not enough to adequately cover even these two groups.”

Both Moderna (MRNA) and Pfizer (PFE)/BioNTech (BNTX) are expecting reviews of their vaccine applications this month, with Pfizer testing the ultra-cold chain shipping and storage in recent weeks.

Both companies used messenger RNA technology, which has never before been approved or authorized on the market, and both require colder storage than usual. Moderna was able to keep its vaccine stable at temperatures near that of a home freezer, while Pfizer’s requires extra-cold temperatures, spurring concerns about the ability of rural areas to receive the vaccine.
Looking ahead at general public access

Meanwhile, the U.S. Health and Human Services Department (HHS) is working, via Operation Warp Speed, to provide broad retail access at pharmacies to alleviate pressure on health facilities. It is also working to ensure vaccine distribution in tribal communities.

On Tuesday, HHS announced that all tribal health programs and Urban Indian Organizations have made their decisions on how to receive a vaccine, a result of communicating with tribal leaders in September. The Indian Health Services released a guide and plan for vaccinations in November.

“By offering Indian health providers a choice in how COVID-19 vaccines are delivered, the Trump administration will ensure that vaccines are effectively delivered throughout Indian Country in ways that make sense for tribal communities,” said HHS Sec. Alex Azar. “Tribal nations have been a key part of our planning for the vaccine rollout so that American Indians and Alaska Natives will have equitable access to safe and effective COVID-19 vaccines as soon as they become available.”

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Saudi bank chief resigns after Credit Suisse comment

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Shares of the Swiss bank tumbled after Ammar Al Khudairy warned of a funding cut-off

The chairman of Saudi Arabia’s largest lender, the Saudi National Bank (SNB), Ammar Al Khudairy, has resigned his position, the bank announced on Monday. The resignation, officially “due to personal reasons,” came mere days after his comments triggered a share price collapse of Switzerland’s second-largest bank, Credit Suisse.

When asked in an interview with Bloomberg TV whether the SNB would be open to providing additional capital to Credit Suisse, Al Khudairy responded, “The answer is absolutely not, for many reasons outside the simplest reason which is regulatory and statutory.”

Earlier this month, the SNB rejected a plea from Credit Suisse to provide more funding because, according to the lender, owning more than a 10% stake in the Swiss bank would have caused a “regulatory issue” with the Saudi government.

The banker’s comments sent shares of Credit Suisse plummeting to their lowest level on record. They also caused more turmoil in a global banking sector still reeling from the recent failures of three US lenders. Credit Suisse narrowly avoided insolvency itself, saved by a government-brokered rescue acquisition by rival UBS.

While Al Khudairy’s statement was not the only source of Credit Suisse’s troubles – the bank has been plagued by deposit outflows since last year surrounding a series of scandals and regulatory issues – it exacerbated the crisis of confidence in the bank, analysts say.

SNB, which is 37% owned by the Saudi sovereign wealth fund, has suffered significant losses on its investment in Credit Suisse, which has plunged by about $1 billion in a matter of months. The Saudi bank has itself lost more than $26 billion in market value since the start of the turmoil.

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Wall Street up in premarket after Dow slips into bear market

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NEW YORK (AP) — U.S. futures jumped Tuesday morning one day after a selloff on Wall Street put the Dow Jones Industrial Average into what’s known as a bear market.

Futures for the Dow Jones Industrial Average climbed 1.2% and futures for the S&P 500 were up 1.4%. The S&P 500 slid into bear market territory in June.

The end of the third quarter is approaching and with the next round of earnings reports, investors will get a better sense of how companies are dealing with persistent inflation.

Several economic reports are on tap for this week that will give more details on consumer spending, the jobs market and the broader health of the U.S. economy.

The latest consumer confidence report, for September, from the business group The Conference Board will be released on Tuesday. The government will release its weekly report on unemployment benefits on Thursday, along with an updated report on second-quarter gross domestic product.

On Friday, the government will release another report on personal income and spending that will help provide more details on where and how inflation is hurting consumer spending.

Seeking to make borrowing more expensive and crimp spending, the Fed raised its benchmark rate, which affects many consumer and business loans, again last week. It now sits at a range of 3% to 3.25%. It was near zero at the start of the year. The Fed also released a forecast suggesting its benchmark rate could be 4.4% by the year’s end, a full point higher than envisioned in June.

The U.S. economy is already slowing, raising worries that rate hikes might cause a recession. The Dow was the last of the major U.S. stock indexes to fall into what’s known as a bear market on Monday, falling 1.1% to 29,260.81.

The Dow is now 20.5% below its all-time high set on Jan. 4. A drop of 20% or more from a recent peak is what Wall Street calls a bear market.

The S&P 500 fell 1% to 3,655.04. The Nasdaq dropped 0.6% to 10,802.92, while the Russell 2000 dropped 1.4% to close at 1,655.88.

At midday in Europe, Germany’s DAX climbed 0.5% and the CAC 40 in Paris rose 0.6%. In London, the FTSE 100 was unchanged.

In Asian trading, Tokyo’s Nikkei 225 index picked up 0.5% to 26,571.87 and the S&P/ASX 200 added 0.4% to 6,496.20. In Seoul, the Kospi rebounded from earlier losses, edging 0.1% higher to 2,223.86.

Hong Kong’s Hang Seng added just 5 points, to 17,860.31. The Shanghai Composite index jumped 1.4% to 3,093.86 after China’s central bank on Tuesday moved to maintain cash flow for banks by buying securities from commercial lenders, with an agreement to sell them back in the future.

The official Xinhua News Agency said the People’s Bank of China carried out 175 billion yuan (about $24.7 billion) in reverse repos “to maintain liquidity in the banking system.”

Global stocks have been sagging under concerns over stubbornly hot inflation and the risk that central banks could trigger recessions as they try to cool high prices for everything from food to clothing.

Investors have been particularly focusing on the Federal Reserve and its aggressive interest rate hikes. But volatility in currency markets has further roiled markets.

The British pound dropped to an all-time low against the dollar on Monday and investors continued to dump British government bonds in displeasure over a sweeping tax cut plan announced in London last week. It had stabilized by early Tuesday.

The Japanese yen edged toward 145 to the dollar early Tuesday. Last week, the Bank of Japan intervened in the market as the yen slipped past 145, gaining a brief reprieve. But the dollar’s surge against other currencies is putting pressure on the BOJ and other central banks, especially in developing economies facing growing costs for repaying foreign loans.

On Tuesday, the pound was at $1.0810, up from $1.0686 late Monday. The dollar bought 144.35 yen, down from 144.65 yen, and the euro rose to 96.35 cents from 96.10 cents.

In other trading on Tuesday, U.S. benchmark crude added 90 cents to $77.61 per barrel in electronic trading on the New York Mercantile Exchange. It sank $2.03 to $76.71 on Monday.

Brent crude, used for pricing international oils, rose 97 cents to $83.83 per barrel.

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Zuckerberg loses OVER $6 BILLION as Facebook-empire outage drags into HOURS

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Mark Zuckerberg is facing some major financial consequences, according to Forbes, losing billions of dollars, as well as his No.5-richest man rank as users continue to be shut out of Facebook, Messenger, Instagram, and WhatsApp.

After mass complaints about the various platforms in the Facebook family being down, and users getting error messages when trying to log on, the company said it was working to resolve the issue.

With all four now off-air for several hours, Zuckerberg has faced a pile-on on rival social media platforms, and habitual Facebook users have taken to other apps that aren’t experiencing issues, such as Twitter and Telegram, to express their dissatisfaction. Many have even temporarily celebrated the absence of Facebook.

Zuckerberg has lost billions as a result of the outage, according to real-time tracking by Forbes. Its list of “today’s winners and losers” tracks from the close of business the previous day, meaning the CEO’s massive losses have clearly occurred since users began experiencing technical issues.

Other leaders in Big Tech have also seen recent losses, according to the data, with Amazon’s Jeff Bezos and Microsoft’s Bill Gates both losing billions, too, though those losses are still comparatively minor in the shadow of Zuckerberg’s $6.7 billion hit, as of the time of writing. The loss has put Zuckerberg at sixth on Forbes’ list of the world’s top billionaires, with Elon Musk at the zenith.

Facebook, WhatsApp & Instagram ALL down in major worldwide outage

Facebook stock has dropped multiple percentage points in the wake of not only the aforementioned technical difficulties, but also a ‘60 Minutes’ interview with a whistleblower from the company that aired on Sunday night.

Data scientist Frances Haugen came forward as the source of a recent report claiming the company had been aware of the negative effects its services could have on users, and its censorship ‘measures’ had been used to increase only its profits, rather than to fight misinformation, as it had claimed.

Haugen will appear before Congress this week for a hearing titled ‘Protecting Kids Online,’ which will focus on the alleged negative effects of Facebook’s algorithms on youths.

 ‘Betrayal of democracy’? Whistleblower blasts Facebook for prioritizing profits over fighting ‘hate speech & misinformation’

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