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Shelving CDC Guidelines, Economy Prioritized

by Oui Thu May 14th, 2020 at 11:38:26 AM EST

Judges making more political decisions ... armed groups putting pressure on State Legislators ... the Fascist brown-shirts are part of "Lockdown Protest" across America today. The SCOTUS to decide on Separation of Powers in a Democracy and the Power of the Executive or Immunity (not corona) of President Trump and the Office he holds.

Emails Show Trump Nominee Involved in Shelving CDC Virus Guide to Reopening | TIME |


President Donald Trump arrives at a press briefing in the Rose Garden of the White House on May 11, 2020.

A former chemical industry executive nominated to be the nation's top consumer safety watchdog was involved in sidelining detailed guidelines to help communities reopen during the coronavirus pandemic, internal government emails show.

Now the ranking Democrat on the Senate Commerce, Science and Transportation Committee is questioning the role played by nominee Nancy Beck in the decision to shelve the guidelines. Beck is not a medical doctor and has no background in virology.

Continued below the fold ...


President Donald Trump has nominated Beck to be chairwoman and commissioner of the U.S. Consumer Product Safety Commission, a position that requires Senate confirmation. Beck is scheduled to appear before the Senate committee later this month.

Emails obtained by The Associated Press show that Beck was the U.S. Centers for Disease Control and Prevention 's main point of contact in the White House about the proposed recommendations. At issue was a 63-page guide created by the CDC that would give community leaders step-by-step instructions for reopening schools, day care centers, restaurants and other facilities.

On April 10, CDC Director Robert Redfield emailed the guidance to a group that included some of the president's closest White House advisers, including Trump son-in-law Jared Kushner, and counselor Kellyanne Conway, and Dr. Anthony Fauci, the government's top infectious disease expert. Redfield wrote that he wanted White House review and clearance to post the documents on the CDC website.

By the time the administration had released its "Opening Up America Again" plan on April 17, the process had stalled.

Trump's effort to discredit his top Health advisor Dr. Fauci, a torch carried by Fox News outlets and Talk Radio hosts, NOT by the White House nasty journalists of the Fake News media. The tenure of Apprentice President Trump ... will it end in 2020?

Republican Greg Gianforte 'body slams' Guardian reporter in Montana - audio

Republican candidate charged with assault after 'body-slamming' Guardian reporter

The Republican candidate for Montana's congressional seat has been charged with misdemeanor assault after he is alleged to have slammed a Guardian reporter to the floor on the eve of the state's special election, breaking his glasses and shouting: "Get the hell out of here."

Ben Jacobs, a Guardian political reporter, was asking Greg Gianforte, a tech millionaire endorsed by Donald Trump, about the Republican healthcare plan when the candidate allegedly "body-slammed" the reporter.

"He took me to the ground," Jacobs said by phone from the back of an ambulance. "I think he whaled on me once or twice ... He got on me and I think he hit me ... This is the strangest thing that has ever happened to me in reporting on politics."

Fox News reporter Alicia Acuna, field producer Faith Mangan and photographer Keith Railey witnessed the incident at Gianforte's campaign headquarters in Montana, according to an account published on the Fox News website. After Jacobs asked Gianforte his question, Acuna wrote: "Gianforte grabbed Jacobs by the neck with both hands and slammed him into the ground behind him.

"Faith, Keith and I watched in disbelief as Gianforte then began punching the man, as he moved on top the reporter and began yelling something to the effect of `I'm sick and tired of this!' ...

Asian reporter thrown to the wolves by an agitated Trump on HIS premises ...

Don't ever call Donald Trump an bigot ... he'll be a hero to his broad fan base in America Today.  ☹

Man wears KKK hood while grocery shopping; mayor calls it a 'sad reminder of intolerance' | LA Times |

Lockdown Protest, Trump Support, White Supremacist

Americans know what kind of gangster-style politics is harboured in the White House. Is the America that was exceptional and suppose to lead the "Free World" into a new era of Climate Change, Green Energy and Sustainability. Three years Trump has been fighting for his survival taking the Republican Party along. It will be the voters' decision this fall ...

SC Wisconsin Decision to Open Bars

Wisconsin county officials decide whether to extend safer-at-home rules after Supreme Court allows bars, businesses to reopen

The Wisconsin Economic Development Corporation has come out with a Guidance Memo for taverns, restaurants and supper clubs for reopening.

Wisconsin Supreme Court strikes down Wisconsin's stay-at-home order that closed businesses to limit spread of coronavirus | Milwaukee Journal Sentinel |

So America, you thought the COVID-19 Pandemic was bad!!

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'Sapere aude'
by Oui (Oui) on Thu May 14th, 2020 at 01:39:35 PM EST


'Sapere aude'
by Oui (Oui) on Thu May 14th, 2020 at 01:43:19 PM EST
Why would they want to stay in the U.S. and risk getting COVID? (Unless they are from Russia or England, that is).
by gk (gk (gk quattro due due sette @gmail.com)) on Thu May 14th, 2020 at 02:15:25 PM EST
[ Parent ]
And why would they want to stay in a country on the brink of a fascist take-over?


"It is not necessary to have hope in order to persevere."
by ARGeezer (ARGeezer a in a circle eurotrib daught com) on Thu May 14th, 2020 at 08:14:10 PM EST
[ Parent ]
The report from Rick Bright, who was ousted from his job as director of the Biomedical Advanced Research and Development Authority (BARDA), a division of Health and Human Services, in April, also provides a new villain in the tragic saga of the Trump administration's mismanagement of the coronavirus crisis: Robert Kadlec. [Source: The Intercept]

After I watched the first hour of testimony, I heard more than enough. A very respectable public servant basing decisions on science ... he was not listened to and ousted. Thought I would look back at my first diary about COVID-19 on Feb. 28 at a moment in time the spread in China had been successfully halted. Number of indicated cases and deaths ...

    Chinese officials reported 327 new cases of the coronavirus and 44 new deaths Friday morning. That announcement brings the global death toll to more than 2,800, and the total number of cases in China to more than 78,000.

Coronavirus: Chinese Xi Ping and Donald Trump

Trump blames Monday and Tuesday's stock market slide on Dem debate that happened Tuesday night | Vox News |

Pres. Trump defends administration's coronavirus response | CBS News |

COVID-19 RESPONSE: THE BUCK STOPS ...

Vice President Mike Pence, who was tapped by President Trump to lead the nation's coronavirus response, announced a new coronavirus response coordinator.

Ambassador Debbie Birx, a global health official and physician who was instrumental in combating the HIV/AIDS epidemic, is being detailed to Pence's office to help address the outbreak. Birx will also join the coronavirus task force led by Health and Human Services (HHS) Secretary Alex Azar.

President Trump with Coronavirus Task Force Briefing | C-Span - Feb. 26, 2020 |

Trump pre-occupied with boasting of his achievements, places Larry Kudlow of the China Trade Deal Phase 1 success on the Coronavirus Task Force. The virus is from China, so Kudlow should look into it as argument?

Leon Cooperman says Bernie Sanders is a bigger threat to the stock market than the coronavirus | CNBC |



'Sapere aude'
by Oui (Oui) on Thu May 14th, 2020 at 06:16:33 PM EST


'Sapere aude'
by Oui (Oui) on Thu May 14th, 2020 at 08:11:05 PM EST


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by Oui (Oui) on Thu May 14th, 2020 at 08:24:47 PM EST

FDA Cautions About Accuracy Of Widely Used Abbott Coronavirus Test | NPR |

The Food and Drug Administration is cautioning the public about the reliability of a widely used rapid test for the coronavirus. The test, made by Abbott Laboratories, has been linked with inaccurate results which could falsely reassure patients that they are not infected with the virus.

The Trump Administration has promoted the test as a key factor in controlling the epidemic in the U.S. and is used for the daily testing that is going on at the White House.

As first reported on NPR, as many as 15 to 20 out of every 100 tests may produce falsely negative results. A subsequent study released this week indicated that the test could be missing as many as 48% of infections.

See my earlier post about origin of this test and machine ...

Formerly AlereiTM. New and Improved Speed, Performance and Efficiency. Plus a new name.

'Sapere aude'

by Oui (Oui) on Fri May 15th, 2020 at 05:55:03 AM EST


'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 06:32:52 AM EST
Ramping up domestic production ain't so sophisticated, even the Dutch succeeded in a matter of weeks ... 😖 🌷 🌷 🈯️



'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 06:36:39 AM EST


'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 06:40:05 AM EST


'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 06:46:30 AM EST
Every day the president is performantie his PR show ... quite similar to his predecessor George Bush -- sending warriors into Iraq hotbed of battle with insufficient protection. It's an OUTRAGE. Visiting a PPE plant with highest officials of his administration from HHS, FEMA, etc. Not doing their task at hand ...

Remarks by President Trump at Owens & Minor, Inc. Distribution Center | Allentown, PA

From the moment this terrible virus reached our shores, each of you has worked relentlessly to get the vital supplies to our healthcare warriors.  And they are warriors, aren't they?  When you see them going into those hospitals and they're putting the stuff that you deliver.  But they're wrapping themselves, and the doors are opening, and they're going through the doors, and they're not even ready to go through those doors.  They probably shouldn't.  But they can't get there fast enough.

And they're running into death just like soldiers run into bullets, in a true sense.  I see that with the doctors and the nurses and so many of the people that go into those hospitals.  It's incredible to see.  It's a beautiful thing to see.  But I really call them "warriors."  We're all warriors; everyone in our country is a warrior.  We have to be because of what happened.  And it should have never happened.  It should have been stopped at the source.

Must be tiresome, every day the same message: "Look at me, I'm so very great, everybody around be think I'm doing a great job. Rick Bright? Never heard if him, must be a disgruntled, unhappy employee ... should not be working for our government."

Mr. Trump going to Washington ... creating a worse swamp!

'Sapere aude'

by Oui (Oui) on Fri May 15th, 2020 at 07:06:21 AM EST

COVID-19 in the USA: a question of time | The Lancer - Apr. 18, 2020 |

The increasing gravity of the situation in the USA has drawn public health and infectious disease experts, policy makers, and partisans across state and federal government into a fitful clash for control and direction of the COVID-19 response. Putting the USA at odds with the international community and global pandemic strategy efforts, President Trump announced his intention to withdraw funding from WHO (about 22% of its budget).

Caught amid the chaos are the American people grappling with the fear of a deadly and poorly understood virus, conflicting messaging around their protection and safety, fear of financial fallout, absence of a cohesive national strategy, and volatile, incompetent leadership.



'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 10:41:13 AM EST
Offline: Don't let COVID-19 divert us completely | The Lancet |

At The Lancet, we had planned to give child and adolescent health particular attention in 2020. In February, we published a WHO-UNICEF-Lancet Commission on "A future for the world's children?", which was launched at WHO's headquarters in Geneva. Dr Tedros Adhanom Ghebreyesus, WHO's Director-General, chaired the launch.

...
All of this while establishing a new platform of work on migration and health, Lancet Migration, and continuing to advance the programme we began last year on the synergies between diet, disease, and planetary ecosystems. But since the end of January, and under lockdown in London, our gaze has been fixed firmly on the emergence and control of the COVID-19 pandemic.

...
Extreme poverty, gender inequity, safe water and sanitation, and the promotion of peace through health have all become casualties of the pandemic.

Responding to COVID-19 must not be a zero-sum game. Somehow, we have to integrate our response with the existing landscape of global health. To use a medical metaphor: we are facing an acute-on-chronic health emergency. This coronavirus is exploiting and accentuating existing health crises worldwide.

Health systems are under pressure, political leadership has been tested and found wanting, and a thoroughly unjustified attack on WHO by President Trump has threatened the ability of the agency to fulfil its responsibilities.

On the same day that we should have marked the anniversary of smallpox eradication, and the remarkable global collaboration it stood for, President Trump blocked a vote at the UN Security Council calling for a global ceasefire in zones of conflict. The reason? The resolution cited support for "specialist health agencies", meaning WHO. The US Government will not sign up to any endorsement of an agency that its president sees as complicit in endangering his re-election in November.



'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 10:59:13 AM EST
[ Parent ]


'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 11:17:13 AM EST
The poll in the article you cite shows that a mere 57% of Americans have a positive opinion of Obama. That's actually relatively low for an ex-President. For example, a Gallup poll of 2014 shows 64% approve of Clinton, and 63% approve of the first Bush.
by gk (gk (gk quattro due due sette @gmail.com)) on Fri May 15th, 2020 at 12:37:32 PM EST
[ Parent ]


'Sapere aude'
by Oui (Oui) on Sat May 16th, 2020 at 06:31:42 AM EST
[ Parent ]
I might have mentioned yesterday, when "Maryland Gov. ["Mag-lev"] Hogan lifts stay-at-home order, allows limited retail to resume",

The CDC Guidelines prioritize The Economy
Implementing Safety Practices for Critical Infrastructure Workers Who May Have Had Exposure to a Person with Suspected or Confirmed COVID-19, 20 April 2020

The situation here is pretty psychotic
Mag-lev is not the only governor lifting "stay-at-home" orders, formerly known as "lockdown" orders limiting "mass gatherings". Feb - Mar national media human interest stories swiveled between state-sanctioned "normal" activities in locales such as FL, CA, TX, LA, NY, domestic air travel for "Spring Breaks" (US Lunar New Year) and select brand-name businesses, adversely affecting homeland CPI, or stock indices "tied to" global capital trades. Pubic intellectuals offered diverse, uninformed opinions on the sanctity of liberty and credibility of the AUTHORITARIAN regime and war PROPAGANDA spread by CCP droplets.

Mag-lev pronounced the first in a long series of equivocal "containment" orders, restricting public accommodations, 6 Mar - 20 Apr. Opprobrium vested in IMPEACHMENT of The Donald's AUTHORITARIAN graft schemes (Jan-Feb) glided over The Donald's inexplicable LEADERSHIP in the "BATTLE AGAINST COVID-19", epitomized by the Defense Production Act procurement orders and "playbook" on infectious disease containment overseas.

The first US unemployment claims shock hit w/e 9 April as gravitas of int'l death tolls (ES, IT, FR  AP, REUTERS photo) washed US shores. "Policy makers" adopted differential "essential" and "nonessential" employee regulation for purposes of maintaining actual and marginal public services--ie. local patronage and broadcast publicity, respectively. Total initial and continuing UI claims, topped 20M w/e 8 May, despite or because of congressional appropriations for "stim-checks" and expansion of benefits eligibility in four (4) acts. Great Depression "jobless" have supplanted "influenza-like" Covid analogies to Spanish flu mortality in the America-first numerical scale of daily "historic!" catastrophe.

Mag-lev became embroiled in market-failure, both ontoward PPE purchases, health care outcome "disparities", and UE benefit tech bottle-neck, despite regular "cautiously optimistic" recovery updates, obits, and awards ceremonies. Now, given "freedom" to choose between data visualization and their balanced, county executives have decided to discount Hogan's credential as head-of-state for the time being. Being captured in another election cycle, an MD General Assembly (D) delegate professes astonishment, perhaps embarrassment. MD assembly adjourned, sine die, 19 Mar, leaving Mag-lev to veto the entire 2019 session, basically.

Here's where Maryland counties stand on reopening as state's coronavirus stay-at-home order lifts
guesstimate: "Big 8"/23 counties represent ≥ 50% confirmed cases/total tests, all counties  

 

by Cat on Fri May 15th, 2020 at 04:21:37 PM EST

gallery of chart pr0n
by Cat on Fri May 15th, 2020 at 04:45:58 PM EST
[ Parent ]
The funniest tweet this week was the prediction, based on DJT's ahh dictatorial #OPENAMERICA management style, the buck will be passed down to each board of education.

(double-entendre: Hogan just vetoed Kirwan act--10 yrs of "study"-- appropriation for public schools' CapEx)

On that note, the "Big 8" counties, which elected not once but twice (final term ends '22) Mag-lev's no-new-taxes-balanced-budget platform, pass the buck from WaPo to Baltimore Sun.

Gov. Hogan washes his hands of coronavirus decision-making

After two months of smart and measured, if at times unpopular [!], decisions to protect Marylanders from being overwhelmed by coronavirus, Gov. Larry Hogan's launch of his reopening plan Wednesday -- two weeks after we hit a peak hospitalization [!] rate -- felt reckless by comparison.

He threw open the doors on "Stage One" with a broader scope than he'd initially telegraphed and little, if any, coordination with Maryland's most populous counties [!], where the battle against COVID-19 is still very much raging. Not to mention, he set it to take effect two days later on a warm Friday afternoon -- leaving local jurisdictions no real time to plan [?!].

It was not a good look [!] for Maryland's Republican governor, who's been heralded as a sort of anti-Trump [!] when it comes to coronavirus [?!]: rational and decisive to the president's rash and dithering....


by Cat on Fri May 15th, 2020 at 06:40:11 PM EST
[ Parent ]
by Cat on Fri May 15th, 2020 at 07:21:21 PM EST
[ Parent ]
Bumbling Joe Biden gaffes his way through COVID-19 round-table as he claims '85,000 jobs have been lost in the US and millions of Americans have died' since pandemic began

'Binders full of women' anyone? Biden blasted for 'calendar model' VP search

"Mr. Biden has likened running-mate evaluation to deciding among calendar models," The Times wrote , going on to describe a three category process that includes "'Mr. August' (a shot of momentum in the summer), a 'Mr. October' (a reliable and effective campaigner for the fall) or a 'Mr. January' (a governing partner, politics notwithstanding)."

The "Mr." part isn't really relevant to the presumptive Democrat Party's presidential nominee since Biden has vowed on multiple occasions to pick a female running mate, with names like Senators Kamala Harris and Elizabeth Warren rumored as the top choices.

The party whose candidate catches the virus and dies, wins.

by das monde on Sat May 16th, 2020 at 09:51:44 AM EST
[ Parent ]
"subliminal" advertising, eastern shore MD opening weekend
by Cat on Fri May 15th, 2020 at 07:55:06 PM EST
[ Parent ]
ReOpen Maryland runs Antietam Battlefield v Hogan atty fee fundraisers.

by Cat on Sat May 16th, 2020 at 01:24:18 AM EST
[ Parent ]
With the world average coming in at 8.36% for % positive tests (confirmed cases/tests)
[Source: frontpage Frank Schnittger]

Data set is truly worthless to make any comparison between nations. Having followed closely the Dutch, Belgians, Germans, British and Washington DC policy it is expected that the "herd immunity" states have a similar awful death count and a poor testing record. Starting late, being unprepared, not only were these states behind the curve making it difficult to catch up with PPE: hospitals overwhelmed and not ready to start tests. In all these countries the frontline doctors and nurses paid the ultimate price. Once the outbreak is out of control (month of March) the death count will be insurmountable. Other states who were prepared, only needed to do containment in the primary clusters and therefore have a low number of tests.

Deaths /1M and Tests/1M
Belgium (773-56) - Dutch (329-17) - UK (501-35) - USA (263-32) - Germany (95-38). Both for the Dutch and the USA the death count is underrated. Should be adjusted for the deaths at home and in the nursing homes. The Dutch number will be near 500 deaths /M. The US were fortunate the governors of Blue States were firm on the lockdown, therefore transmission to the rural areas (Red States) was limited ... up till now.

The South-East Asia nations have a quite remarkable testing regime and a policy of early containment and tracking of infection spread. These nations were well prepared, not because they had more lead-time, but they were well prepared due to the earlier SARS Outbreak in 2003. The combined states of Thailand, Singapore, South Korea, Taiwan, Japan and Hong Kong have a combined total of ...

Countries     Deaths  Cases/1M  Deaths/1M  Tests/1K  Pop.M
Japan          697      127         6         1.8    126.5
HK               4      141         0.5      22.5      7.5
Singapore       21     4601         4        38.4      5.8
South Korea    260      215         5        14.2     51.2
Taiwan           7       18         0.3       2.9     23.8
Thailand        56       43         0.8       4.1     69.8

Totals
Population 285 million
Number of deaths  1045

In comparison USA - UAE

States   Deaths  Cases/1M  Deaths/1M  Tests/1K  Pop.M    
NY       27,426    18,151    1,410      67.0    19.5
NJ        9,946    16,216    1,120      50.8     8.9
CT        3,219     9,947      903      41.9     3.6  
MT        5,482    48,888      795      61.6     6.9
DC          368     9,736      521      48.7     0.7
....
CA        3,052     1,897       77      27.9    39.5
---
UAE         210     2,211       21     158.1     9.9 [For comparison only]


'Sapere aude'

by Oui (Oui) on Fri May 15th, 2020 at 06:48:01 PM EST
Leading the world from the alternate Universe of Fox News, Tucker Carlson, party loyalists and hosts Talk Radio USA. If you don't belief what Trump advocates, we have some militia as back-up to do the convincing. After the chloroquine drug promo and injecting Clorox/Lysol ... another gem from the chief. The shipwreck in the making, pushing for a speedy voyage to New York - 1912.

Trump: Without Coronavirus Testing `We Would Have Very Few Cases,' Here Is The Reaction | Forbes |

In a speech at Owens and Minor, a medical supply distributor located in Allentown, PA, President Donald Trump wondered whether testing for Covid-19 coronavirus is "overrated." He then proceeded to say, "And don't forget, we have more cases than anybody in the world. But why? Because we do more testing."

Next, he clarified: "When you test, you have a case. When you test, you find something is wrong with people. If we didn't do any testing, we would have very few cases."

Whoa, is that how it works? That would change everything. The sound that you are hearing might be that of minds blown around the country. Perhaps, it's sort of like when you first heard that Santa Claus is not the one who delivered those presents to your living room. Although you knew that the chimney in your house led to the furnace, it took a little time for you to put two-and-two together.

The French Renegade Scientist Behind Chloroquine, Donald Trump's Miracle Coronavirus Cure | Esquire |

'Sapere aude'

by Oui (Oui) on Fri May 15th, 2020 at 06:49:07 PM EST
[ Parent ]


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by Oui (Oui) on Sat May 16th, 2020 at 04:19:04 PM EST
[ Parent ]


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by Oui (Oui) on Fri May 15th, 2020 at 06:51:37 PM EST
[ Parent ]

Press Release: "Shadowland": A New Project From The Atlantic on the Power and Danger of Conspiracy

Conspiracy thinking has shaped the world for centuries, destroying great institutions, eradicating knowledge, endangering democracies, and ending lives. These theories threaten not just individual facts, but the idea that empirical truth exists at all. And now, with a president of the United States who advances conspiracy thinking about a pandemic that has led to 82,000 reported deaths in America, it becomes an existential threat.

In an effort to better understand how we got here, and how we might find a way out, The Atlantic today launches "Shadowland," an exploration of how conspiracy theories have shaped America, and why they are more powerful, and dangerous, now than ever.

Shadowland takes you down the rabbit hole through an interactive project portal, built with the mobile reader in mind; the product and visuals are central to the storytelling. It represents some of the most ambitious work of the year, even as The Atlantic continues to apply the full weight of its newsroom to cover the biggest stories of our age: the global pandemic, the Trump presidency, and the spread of illiberalism across the planet.

Immersive series, launching with Adrienne LaFrance's cover story on the prophecies of QAnon, explores how conspiracy theories captured the American mind.

The Prophesies of Q | The Atlantic |

'Sapere aude'

by Oui (Oui) on Fri May 15th, 2020 at 07:16:19 PM EST


'Sapere aude'
by Oui (Oui) on Fri May 15th, 2020 at 08:23:46 PM EST


'Sapere aude'
by Oui (Oui) on Sat May 16th, 2020 at 03:00:50 PM EST
After sneak peak at early data, Operation Warp Speed head Slaoui 'confident' in COVID-19 vaccine by year's end

Already, based on early data for one undisclosed program, Slaoui said he's confident the group can deliver. The GSK vet now serves on the board of Moderna, whose mRNA vaccine candidate is in human testing against COVID-19.

Slaoui joined the board of the buzzy biotech--and other life sciences companies--after leaving GSK. Moderna's shot is now among the leading candidates. Slaoui will now leave the board, however, as he takes on the broader vaccine-leadership role, Moderna said Friday.

Aside from Moderna's vaccine, programs from Pfizer, AstraZeneca, Sanofi, Johnson & Johnson and many other companies are racing ahead. Even as researchers advance the programs through development, teams are also working to scale up massive manufacturing systems to deliver hundreds of millions--or billions--of doses quickly if the candidates show efficacy.



'Sapere aude'
by Oui (Oui) on Sat May 16th, 2020 at 08:17:47 PM EST


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