States take back hundreds of thousands of vaccine doses held in federal long-term care program
3 years, 11 months ago

States take back hundreds of thousands of vaccine doses held in federal long-term care program

CNN  

CNN — Hundreds of thousands of Covid-19 vaccine doses are shifting to states after they weren’t used by the federal program to vaccinate long-term care facility residents and staff. “ On Tuesday, Walgreen’s Chief Medical Officer Dr. Kevin Ban told CNN’s Chris Cuomo, “We found ourselves in a situation where we had more vaccine than we needed – the last thing we would do was ever hold it – and so immediately what we did was get in touch with the states to make sure that we were compliant with their wishes. “ But the federal program reported directly to the CDC, and states say they were often in the dark about progress at long-term care facilities, said Lori Freeman, CEO of the National Association of County and City Health Officials. In a call with governors last week, Biden administration officials told states that they should be reallocating vaccines that had been earmarked for the federal program that hadn’t been used within a week of delivery.

States Care New Jersey West Virginia State Cnn Federal Utah Cdc Freeman Partnership Vaccine Program Cvs Walgreens Doses  longterm  vaccine  state  partnership  program  states  hundreds  held  federal  care  cnn  doses  thousands

History of this topic

‘Most people are confused’: What to know about the latest Covid shot
4 months, 1 week ago

‘Most people are confused’: What to know about the latest Covid shot

Politico  

Even the Democratic National Convention turned into a superspreader event. And despite the virus’ prevalence — and the persistent threat of long Covid — public health officials are contending with a myriad of obstacles as they try to boost the population’s defenses, including dwindling enthusiasm for the shots, lackluster testing and the end of a program meant to help the …

As COVID-19 ticks up in some places, US health officials recommend a fall vaccination campaign
6 months, 1 week ago

As COVID-19 ticks up in some places, US health officials recommend a fall vaccination campaign

Associated Press  

NEW YORK — With fresh COVID-19 cases bubbling up in some parts of the country, health officials are setting course for a fall vaccination campaign. What’s more, health officials have reported upticks this month in COVID-19-associated emergency room visits and hospitalizations, and a pronounced increase in positive test results in the southwestern U.S. It’s not clear whether that’s a sign …

Newest COVID shots are 54% effective in preventing symptoms, CDC finds
11 months, 1 week ago

Newest COVID shots are 54% effective in preventing symptoms, CDC finds

Associated Press  

NEW YORK — The latest versions of COVID-19 vaccines were 54% effective at preventing symptomatic infection in adults, according to the first U.S. study to assess how well the shots work. The 54% finding is similar to what’s been reported in other countries, and it’s also about what was reported for an earlier vaccine version, said the Ruth Link-Gelles of …

New COVID vaccines are here: Now’s the time to get one, officials say
1 year, 2 months ago

New COVID vaccines are here: Now’s the time to get one, officials say

LA Times  

With Halloween just days away, and the wider autumn and winter holiday season fast approaching, now is the time for most everyone to get their updated COVID-19 vaccine, officials say — especially since initial supply shortages have eased. “We have a good supply of COVID-19 and flu vaccines in Los Angeles County and there are options for everyone 6 months …

2% of kids and 7% of adults have gotten the new COVID shots, US data show
1 year, 2 months ago

2% of kids and 7% of adults have gotten the new COVID shots, US data show

Associated Press  

NEW YORK — A month after federal officials recommended new versions of COVID-19 vaccines, 7% of U.S. adults and 2% of children have gotten a shot. One expert called the rates “abysmal.” The numbers, presented Thursday at a meeting held by the Centers for Disease Control and Prevention, come from a national survey of thousands of Americans, conducted two weeks …

Booking a COVID-19 vaccine? Watch out for insurance issues and canceled appointments
1 year, 3 months ago

Booking a COVID-19 vaccine? Watch out for insurance issues and canceled appointments

LA Times  

People seeking the newest COVID-19 vaccine are running into problems getting it due to high demand, insurance headaches and supply delays coast to coast. Some people seeking the newest COVID-19 vaccine are running into high demand, insurance headaches and supply delays coast to coast. “We are aware of isolated incidences at a small number of locations where appointments had to …

Booking a COVID-19 vaccine? Some are reporting canceled appointments or insurance issues
1 year, 3 months ago

Booking a COVID-19 vaccine? Some are reporting canceled appointments or insurance issues

Associated Press  

MILWAUKEE — Some people seeking the newest COVID-19 vaccine are running into high demand, insurance headaches and supply delays coast to coast. Some pharmacies have a limited supply of the shots, Alaska Department of Health spokesperson Alex Huseman said, but order backlogs and slow shipments have prevented the vaccines from being widely available. “We are aware of isolated incidences at …

New COVID-19 vaccinations are coming, CDC says. The shots will likely be available this week
1 year, 3 months ago

New COVID-19 vaccinations are coming, CDC says. The shots will likely be available this week

LA Times  

Allan Fernandez, 7, middle, is vaccinated by Dr. David Bolour, left, as CDC Director Dr. Rochelle Walensky looks on in Ted Watkins Memorial Park last year. “Although hospitalization rates are currently low in some age groups, we have seen rates increase in recent weeks, and anticipate further increases as we enter respiratory virus season.” CDC Director Dr. Mandy Cohen on …

US to lift most federal COVID-19 vaccine mandates next week
1 year, 8 months ago

US to lift most federal COVID-19 vaccine mandates next week

Associated Press  

WASHINGTON — The Biden administration will end most of the last remaining federal COVID-19 vaccine requirements next week when the national public health emergency for the coronavirus ends, the White House said Monday. “But our healthcare system or public health resources are far more able to respond to the threat that COVID poses to our country and do so in …

Health care vaccine mandate remains as some push for an end
1 year, 10 months ago

Health care vaccine mandate remains as some push for an end

Associated Press  

— At Truman Lake Manor in rural Missouri, every day begins the same way for every employee entering the nursing home’s doors — with a swab up the nose, a swirl of testing solution and a brief wait to see whether a thin red line appears indicating a positive COVID-19 case. An inspector subsequently cited it for violating the federal …

Health care vaccine mandate remains as some push for an end
1 year, 10 months ago

Health care vaccine mandate remains as some push for an end

Associated Press  

— At Truman Lake Manor in rural Missouri, every day begins the same way for every employee entering the nursing home’s doors — with a swab up the nose, a swirl of testing solution and a brief wait to see whether a thin red line appears indicating a positive COVID-19 case. “Their regulations are making it harder to give care …

Health care vaccine mandate remains as some push for an end
1 year, 10 months ago

Health care vaccine mandate remains as some push for an end

The Independent  

For free real time breaking news alerts sent straight to your inbox sign up to our breaking news emails Sign up to our free breaking news emails Sign up to our free breaking news emails SIGN UP I would like to be emailed about offers, events and updates from The Independent. An inspector subsequently cited it for violating the federal …

New Law Ends COVID-19 Vaccine Mandate For US Troops
2 years ago

New Law Ends COVID-19 Vaccine Mandate For US Troops

Huff Post  

LOADING ERROR LOADING WASHINGTON — U.S. military forces around the world will no longer be required to get the COVID-19 vaccine, after the mandate was lifted under an $858 billion defense spending bill passed by Congress and signed into law Friday by President Joe Biden. The new law effectively ends those exemption requests, but questions remain about whether any limited …

New law ends COVID-19 vaccine mandate for US troops
2 years ago

New law ends COVID-19 vaccine mandate for US troops

Associated Press  

WASHINGTON — U.S. military forces around the world will no longer be required to get the COVID-19 vaccine, after the mandate was lifted under an $858 billion defense spending bill passed by Congress and signed into law Friday by President Joe Biden. Biden had opposed the Republican-backed provision, agreeing with Defense Secretary Lloyd Austin that lifting the mandate was not …

Covid vaccines have averted THREE MILLION deaths in America
2 years ago

Covid vaccines have averted THREE MILLION deaths in America

Daily Mail  

Two years ago tomorrow the first person in the US got the shot outside a trial The report likely underestimates the full impact of vaccines, the researchers said More than 120 million Covid infections were prevented by the shots, it found Covid vaccines have averted more than three million deaths in the US during the pandemic, a report has found. …

As COVID-19 spikes in California, booster shots could make all the difference
2 years, 1 month ago

As COVID-19 spikes in California, booster shots could make all the difference

LA Times  

With coronavirus cases and hospitalizations rising in Los Angeles County, officials are voicing new confidence in the effectiveness of the updated COVID-19 booster shot. New data has found that the updated COVID-19 vaccines offer “significant additional protection” against symptomatic infection in people who were previously vaccinated or boosted with the older formula. “We have seen very low uptake of the …

US offers more monkeypox vaccine to states and cities
2 years, 4 months ago

US offers more monkeypox vaccine to states and cities

Associated Press  

NEW YORK — U.S. officials said they are able to ship out more monkeypox vaccine doses than previously planned — because of a strategy shift that allows more shots to be drawn from each vial. But officials said they would release 442,000 doses for order by state, local and territorial health departments. The accelerated release was only possible because U.S. …

COVID-19: Over 7.20 crore unutilized vaccine doses available with States, Union Territories says health ministry
2 years, 5 months ago

COVID-19: Over 7.20 crore unutilized vaccine doses available with States, Union Territories says health ministry

Firstpost  

The vaccination drive has been ramped up through the availability of more vaccines, advance visibility of vaccine availability to States and UTs for enabling better planning by them, and streamlining the vaccine supply chain New Delhi: The Ministry of Health and Family Welfare on Sunday informed that more than 7.20 crore balance and unutilized COVID-19 vaccine doses are still available …

US signs off on 800,000 more doses of monkeypox vaccine
2 years, 5 months ago

US signs off on 800,000 more doses of monkeypox vaccine

Associated Press  

WASHINGTON — After weeks of delays, nearly 800,000 doses of the monkeypox vaccine will soon be available for distribution, U.S. health regulators said Wednesday. The head of the U.S. Department of Health and Human Services said Wednesday officials would announce more vaccine allocations on Thursday. Officials at the San Francisco Department of Health welcomed the news, saying they need many …

President Biden to visit Washington, DC, site offering Covid-19 vaccines to kids under 5
2 years, 6 months ago

President Biden to visit Washington, DC, site offering Covid-19 vaccines to kids under 5

CNN  

CNN — President Joe Biden and first lady Jill Biden will visit a Washington, DC, vaccine clinic offering Covid-19 vaccinations to children under the age of 5 on Tuesday, a White House official told CNN, in an effort to highlight the rollout of the newly authorized vaccines for the youngest Americans. The White House official previewing the visit to CNN …

Officials: Millions of COVID-19 shots ordered for youngest
2 years, 7 months ago

Officials: Millions of COVID-19 shots ordered for youngest

Associated Press  

NEW YORK — Millions of COVID-19 vaccine doses have been ordered for small children in anticipation of possible federal authorization next week, White House officials say. The government allowed pharmacies and states to start placing orders last week, with 5 million doses initially available — half of them shots made by Pfizer and the other half the vaccine produced by …

Biden administration lays out its plan for Covid-19 vaccinations for children under 5
2 years, 7 months ago

Biden administration lays out its plan for Covid-19 vaccinations for children under 5

CNN  

CNN — The White House has announced a highly anticipated Covid-19 vaccine rollout plan for children under 5. The administration “has made 10 million vaccine doses available for states, Tribes, territories, community health centers, federal pharmacy partners, and others to pre-order,” according to a White House fact sheet shared with CNN Wednesday. “Our experience is that the longer the ordering …

Biden administration moves to make COVID-19 antiviral drug Paxlovid more available
2 years, 7 months ago

Biden administration moves to make COVID-19 antiviral drug Paxlovid more available

LA Times  

About 25,000 to 30,000 courses of the COVID-19 antiviral drug Paxlovid are being prescribed each day. The White House announced more steps Thursday to make the antiviral treatment Paxlovid more accessible across the U.S. as it projects that COVID-19 infections will continue to spread over the summer travel season. It’s the first time in the course of the pandemic that …

Rate of COVID-19 cases is on the rise in Washington state
2 years, 7 months ago

Rate of COVID-19 cases is on the rise in Washington state

Associated Press  

SPOKANE, Wash. — The rate of COVID-19 cases is rising in Washington. The statewide average of cases over the past seven days is 228 per 100,000 people, keeping Washington in the state Department of Health’s highest-risk category for the spread of COVID-19, The Spokesman-Review said Saturday. Jay Inslee said Wednesday the best projections from health officials show there is likely …

COVID: Over 193.53 crore vaccine doses provided to states, UTs
2 years, 7 months ago

COVID: Over 193.53 crore vaccine doses provided to states, UTs

India TV News  

Highlights Over 1,93,53,58,865 vaccine doses have been provided to States/UTs so far through Govt. of India Ministry said that 16,67,39,155 balance & unutilized COVID vaccine doses are still available Central Govt is committed to accelerating pace of COVID vaccination throughout nation Over 193.53 crore COVID-19 vaccine doses have been provided to States and UTs so far through free of cost …

White House says COVID-19 vaccines, treatments could be rationed without more funds
2 years, 7 months ago

White House says COVID-19 vaccines, treatments could be rationed without more funds

LA Times  

The White House is planning for “dire” contingencies that could include rationing supplies of vaccines and treatments this fall if Congress doesn’t approve more money for fighting COVID-19. “But we’re looking at all the scenarios and planning for all of them.” He said the administration was “getting much more into the scenario-planning business to make sure that we know what …

White House: Without Funding U.S. Will Lose COVID Treatments
2 years, 8 months ago

White House: Without Funding U.S. Will Lose COVID Treatments

Huff Post  

LOADING ERROR LOADING WASHINGTON — For much of the past two years, America has been first in line for COVID-19 vaccines and treatments. Japan, Vietnam, the Philippines, and Hong Kong have all placed orders for treatments and vaccine doses that the U.S. can’t yet commit to, according to the White House. “We know companies are working on additional, promising life-saving …

How many California lives were saved by COVID-19 vaccines? Scientists have an answer
2 years, 8 months ago

How many California lives were saved by COVID-19 vaccines? Scientists have an answer

LA Times  

The arrival of the first COVID-19 vaccines in December 2020 marked the start of a new, safer phase of the pandemic. In the first 10 months of their availability, COVID-19 vaccines prevented an estimated 1.5 million coronavirus infections, nearly 73,000 hospitalizations, and almost 20,000 deaths in California, according to a study published Friday in the journal JAMA Network Open. Each …

Where the US stands on Covid-19 vaccines for children under 5
2 years, 9 months ago

Where the US stands on Covid-19 vaccines for children under 5

CNN  

CNN — A month after the US Food and Drug Administration delayed key steps toward authorizing Covid-19 vaccines for children under 5, many parents are more eager for the shots than ever. Moderna has said that it expects to report trial data in children 2 to 5 years of age in March, and it may seek sign off from the …

As vaccine demand falls, states are left with huge stockpiles
2 years, 10 months ago

As vaccine demand falls, states are left with huge stockpiles

LA Times  

Boxes of the Johnson & Johnson COVID-19 vaccine are loaded into a truck. “Pivoting to what’s happening now, you have much more production and distribution to low-income countries,” said Dr. Joseph Bresee, who directs the COVID-19 Vaccine Implementation Program at the Task Force for Global Health in Decatur, Ga. “The issue of some stockpiles in the U.S., Germany and Japan …

AP sources: White House seeks another $30B for COVID battle
2 years, 10 months ago

AP sources: White House seeks another $30B for COVID battle

Associated Press  

WASHINGTON — The Biden administration is telling Congress that it needs an additional $30 billion to press ahead with the fight against COVID-19, officials said. Two people familiar with the administration’s plan confirmed key details on Tuesday: $17.9 billion for vaccines and treatments, $4.9 billion for testing, $3 billion to cover coronavirus care for uninsured people, and $3.7 billion to …

US plans to roll out initial 10 million Covid-19 vaccine doses for children under 5 following FDA authorization, CDC document says
2 years, 11 months ago

US plans to roll out initial 10 million Covid-19 vaccine doses for children under 5 following FDA authorization, CDC document says

CNN  

CNN — If the Pfizer/BioNTech coronavirus vaccine receives emergency use authorization from the US Food and Drug Administration for children 6 months to 5 years old, the tentative plan is to roll out about 10 million vaccine doses initially, according to a US Centers for Disease Control and Prevention document posted online. The document, an updated pediatric Covid-19 vaccination planning …

Montana Republicans seek leniency on vaccine mandates
2 years, 11 months ago

Montana Republicans seek leniency on vaccine mandates

Associated Press  

— Montana’s governor and its two Republican members of Congress are asking the Biden administration to grant exemptions from the COVID-19 vaccine mandate to federally funded health care facilities where losing unvaccinated staff might jeopardize access to medical care. “Like many states across the nation, Montana is already facing labor shortages, especially in the healthcare industry, which severely threaten patient …

COVID: Over 12.79 crore unutilized vaccine doses available with States, UTs
2 years, 11 months ago

COVID: Over 12.79 crore unutilized vaccine doses available with States, UTs

India TV News  

Highlights Over 160.58 cr vaccine doses have been provided to States, UTs so far: Centre Over 12.79 crore balance, unutilized COVID vaccine doses are still available with states, UTs The nationwide COVID vaccination started on January 16, 2021 More than 12.79 crore balance and unutilized COVID-19 vaccine doses are still available with States and Union Territories, the Ministry of Health …

US Supreme Court to hear challenges to COVID vaccine mandates
3 years ago

US Supreme Court to hear challenges to COVID vaccine mandates

Raw Story  

The US Supreme Court is to hear challenges on Friday to President Joe Biden's bid to impose Covid vaccination mandates on millions of American workers. The Democratic president made Covid vaccinations compulsory at businesses that employ 100 workers or more, as well as for health care workers at facilities receiving federal funding. Republican-ruled states led by Missouri said forcing health …

Victoria records 8,577 new COVID-19 cases, three deaths as hospitalisations rise
3 years ago

Victoria records 8,577 new COVID-19 cases, three deaths as hospitalisations rise

ABC  

Victorians are being urged to book in their booster and child vaccinations as soon as possible, in a bid to suppress a wave of hospitalisations as Omicron infections surge to record levels. Key points: Around one in five COVID-19 PCR tests are now returning positive results There are 38,118 active cases of the virus and 718 people have died during …

One year of vaccines: Many lives saved, many needlessly lost
3 years ago

One year of vaccines: Many lives saved, many needlessly lost

Associated Press  

One year ago, the biggest vaccination drive in American history began with a flush of excitement in an otherwise gloomy December. National Institutes of Health Director Francis Collins said scientists and health officials may have underestimated how the spread of misinformation could hobble the “astounding achievement” of the vaccines. Despite all that, Dowdy said, “we’re going to look back and …

One year of vaccines: Many lives saved, many needlessly lost
3 years ago

One year of vaccines: Many lives saved, many needlessly lost

LA Times  

Boxes of COVID-19 vaccine are prepared to be shipped at the Pfizer Global Supply Kalamazoo manufacturing plant in Portage, Mich., on Dec. 13, 2020. Despite all that, Dowdy said, “we’re going to look back and say the vaccines were a huge success story.” On the very day that an eager nation began rolling up its sleeves, Dec. 14, 2020, the …

COVID cases spike even as US hits 200M vaccine milestone
3 years, 1 month ago

COVID cases spike even as US hits 200M vaccine milestone

Associated Press  

PROVIDENCE, R.I. — The number of Americans fully vaccinated against COVID-19 reached 200 million Wednesday amid a dispiriting holiday-season spike in cases and hospitalizations that has hit even New England, one of the most highly inoculated corners of the country. “And that’s critical progress as we head into the winter and confront the new omicron variant,” White House coronavirus adviser …

State Must Not Drag Its Feet and Make Covid Vaccination Mandatory for All Adults
3 years, 1 month ago

State Must Not Drag Its Feet and Make Covid Vaccination Mandatory for All Adults

News 18  

We live in times when the state is expected to be decisive, unyielding and uncompromising in national interest. Take for instance, the curious service charge price cap of Rs 150 for the private sector, taking away any incentive the market may have to join the vaccination drive. There is no reason people will pay for vaccines in private sector hospitals …

US drugstores squeezed by vaccine demand, staff shortages
3 years, 1 month ago

US drugstores squeezed by vaccine demand, staff shortages

Associated Press  

A rush of vaccine-seeking customers and staff shortages are squeezing drugstores around the U.S., leading to frazzled workers and temporary pharmacy closures. “There’s crazy increased demand on pharmacies right now,” said Theresa Tolle, an independent pharmacist who has seen COVID-19 vaccine demand quadruple since the summer at her Sebastian, Florida, store. Burns said many pharmacies already had relatively thin staffing …

White House announces 95% of federal workforce in compliance with vaccine mandate
3 years, 1 month ago

White House announces 95% of federal workforce in compliance with vaccine mandate

CNN  

CNN — The White House on Monday announced that 95% of the federal workforce is in compliance with the Biden administration’s vaccine mandate. “Ahead of tonight’s deadline, the federal government has achieved 95% compliance, and 90% of the 3.5 million federal workers are already vaccinated,” White House Coronavirus Response Coordinator Jeff Zients said during a press briefing, confirming previous CNN …

More than 90% of federal workers have had a shot by the COVID-19 vaccine deadline
3 years, 1 month ago

More than 90% of federal workers have had a shot by the COVID-19 vaccine deadline

NPR  

More than 90% of federal workers have had a shot by the COVID-19 vaccine deadline Enlarge this image toggle caption Kevin Dietsch/Getty Images Kevin Dietsch/Getty Images More than 90% of federal employees will have had at least one COVID-19 vaccine dose by the end of Monday, the deadline for the largest workforce in the country to get vaccinated under a …

Cases surge in new COVID hot spots of Michigan, Minnesota
3 years, 1 month ago

Cases surge in new COVID hot spots of Michigan, Minnesota

Associated Press  

Hospitals in Michigan and Minnesota on Tuesday reported a wave of COVID-19 patients not seen in months as beds were filled with unvaccinated people and health care leaders warned that staff were being worn down by yet another surge. It “should be alarming to all of us,” Bob Riney, chief operating officer at Henry Ford Health System in Detroit, said …

States challenge Biden’s vaccine mandate for health workers
3 years, 1 month ago

States challenge Biden’s vaccine mandate for health workers

Associated Press  

— A coalition of 10 states sued the federal government on Wednesday to try to block a COVID-19 vaccine requirement for health care workers, marking a new front in the resistance by Republican-led states to the pandemic policies of President Joe Biden’s administration. The lawsuit filed in a federal court in Missouri contends that the vaccine requirement threatens the jobs …

COVID vaccine inequity persists in Americas, PAHO warns
3 years, 2 months ago

COVID vaccine inequity persists in Americas, PAHO warns

Al Jazeera  

The Pan American Health Organization says less than half of people in the Americas are fully vaccinated. Following two consecutive months of decline, COVID-19 infections are rising again in some countries in the Americas, the Pan American Health Organization has said, cautioning that uneven vaccination rates across the region continue to be a problem. Concerns have been rising that despite …

Over 116.50 crore COVID-19 vaccine doses provided to states/UTs, says Centre
3 years, 2 months ago

Over 116.50 crore COVID-19 vaccine doses provided to states/UTs, says Centre

Firstpost  

Union health ministry said more than 15.54 crore balance and unutilised vaccine doses are still available with the states and Union Territories to be administered New Delhi: More than 116.50 crore COVID-19 vaccine doses have been provided to states and Union Territories so far through the Centre and direct state procurement category, the Union health ministry said on Friday. More …

Far fewer Californians getting COVID-19 booster shots than expected, bringing new alarms
3 years, 2 months ago

Far fewer Californians getting COVID-19 booster shots than expected, bringing new alarms

LA Times  

Demand for COVID-19 booster shots in California has been slower than some health officials anticipated, according to data obtained by The Times, sparking new concerns of at-risk populations losing immunity as the risky holiday season approaches. “Where it’s really showing up as a problem is in the increased ability for people to end up more seriously ill,” L.A. County Public …

More than 116.50 crore Covid-19 vaccine doses provided to states/UTs: Centre
3 years, 2 months ago

More than 116.50 crore Covid-19 vaccine doses provided to states/UTs: Centre

India Today  

More than 116.50 crore COVID-19 vaccine doses have been provided to states and Union territories so far through the Centre and direct state procurement category, the Union health ministry said on Friday. More than 15.54 crore balance and unutilised vaccine doses are still available with the states/UTs to be administered, it said. The vaccination drive has been ramped up through …

Effectiveness of Covid vaccines declining somewhat
3 years, 2 months ago

Effectiveness of Covid vaccines declining somewhat

NL Times  

The effectiveness of the Covid-19 vaccines in protecting vaccinated people against severe illness and transmission is declining somewhat, RIVM director Jaap van Dissel said to parliament on Wednesday, NOS reports. The vaccines' effectiveness in protecting against transmission dropped from 75 percent in June to 50 percent now, Van Dissel said. More people are being hospitalized in the big cities, Van …

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