Canada's health officials spoke about the recent change in guidance from the National Advisory Committee on Immunization (NACI) on the time between two COVID-19 vaccine doses, and how that may contribute to vaccine hesitancy in Canada.
LIVERPOOL, England — Liverpool’s woeful home form is developing into a full-blown crisis after Chelsea’s 1-0 victory on Thursday inflicted a fifth straight league loss at Anfield on the Premier League champions — the worst run in the club’s 128-year history. With Liverpool's title defence already over, this was billed as a battle for a Champions League place and Mason Mount’s 42nd-minute goal lifted Chelsea back into the top four. Chelsea’s previous win at Anfield, in 2014, effectively ended the title hopes of Brendan Rodgers’ side. This one was a blow to Liverpool’s chances of a top-four finish under Jurgen Klopp. Klopp’s side is four points adrift of Chelsea and with Everton and West Ham also ahead. Liverpool has now gone more than 10 hours without a goal from open play at Anfield. The hosts failed to register an effort on target until the 85th minute and Georginio Wijnaldum’s weak header was never going to beat Edouard Mendy. They have taken one point from the last 21 on offer at home since Christmas and scored just two goals, one of which was a penalty. None of Liverpool's established front three — Mohamed Salah, Sadio Mane or Roberto Firmino — impressed but the sight of Salah, the Premier League’s leading scorer, being substituted just past the hour mark was baffling. The Egypt international certainly thought so as he sat shaking his head, having been replaced by Alex Oxlade-Chamberlain. Chelsea, by contrast, looked full of threat with Timo Werner — a player Liverpool was interested in but decided it could not afford last summer — a constant problem. Despite one goal in his previous 17 league outings, he caused problems with his movement, drifting out to the left then popping into the middle to give Fabinho a real headache on his return to the side. The Brazil midfielder, replacing Nat Phillips after he became the latest centre back to pick up an injury, was partnering Ozan Kabak in Liverpool’s 15th different central-defensive starting partnership in 27 league matches. Faced with a statistic like that, it is perhaps understandable why there was a lack of cohesion at the back and Werner should really have profited. He fired one early shot over and then failed to lift his effort over Alisson Becker, back in goal after the death of his father in Brazil last week. Even when Werner did beat Alisson, VAR ruled the Germany international’s arm had been offside 20 yards earlier in the build-up. Liverpool’s one chance fell to Mane but Salah’s first-time ball over the top got caught under his feet and Mane missed his shot with only Mendy to beat. Chelsea was still controlling the game and caught Liverpool on the counterattack when N’Golo Kante quickly sent a loose ball out to the left wing, from where Mount cut inside to beat Alisson having been given far too much time to pick his spot. All five of Mount’s league goals have come away from home. Chelsea manager Thomas Tuchel spent the first five minutes of the second half screaming at his players to press harder and play higher up the pitch but Liverpool’s players were equally vocal when Firmino’s cross hit the raised arm of Kante from close range. No penalty was awarded. Andy Robertson cleared off the line from Hakim Ziyech after Alisson parried Ben Chilwell’s shot as Chelsea continued to look more dangerous. Klopp’s attempt to change the direction of the game saw him send on Diogo Jota for his first appearance in three months, along with Oxlade-Chamberlain. Jota’s first touch was a half-chance from a deep cross but he was not sharp enough to take it. Werner, meanwhile, was doing everything but score as Alisson’s leg saved another shot as he bore down on goal. ___ More AP soccer: https://apnews.com/hub/soccer and https://twitter.com/AP_Sports The Associated Press
ST. JOHN'S, N.L. — Newfoundland and Labrador is reporting five new COVID-19 cases today, four of which are in the eastern health region that includes St. John's. Health officials say the four cases in the eastern region involve people between the ages of 40 and 69; three involve close contacts of prior cases while the fourth is related to domestic travel. Officials say the fifth case is located in the western health region, involves a person between the ages of 20 and 39 and is related to international travel. Eight people are in hospital with the disease, including two in intensive care. Officials say they are still investigating the source of an infection involving a health-care worker at a hospital in the rural town of St. Anthony, located on the Northern Peninsula. Newfoundland and Labrador has 121 active reported COVID-19 infections. This report by The Canadian Press was first published March 4, 2021. The Canadian Press
SAN FRANCISCO — Financial technology company Square, Inc. said Thursday that it has reached an agreement to acquire majority ownership of Tidal, the music streaming service partly owned by Jay-Z. Under the deal, Square will pay $297 million in cash and stock for Tidal, Jay-Z will be named to Square's board of directors, and he and other artists who currently own shares in Tidal will remain stakeholders. Tidal will operate as a distinct entity alongside the point-of-sale hardware and software offerings of San Francisco-based Square, the payments company founded by CEO Jack Dorsey, who is also co-founder and chief executive of Twitter. Tidal has presented itself as the artist-friendly alternative to other music streamers, and Square says it will take that phenomenon further for musicians just as it has for businesses with its financial systems. “It comes down to one simple idea: finding new ways for artists to support their work,” Dorsey said in the statement announcing the deal. . Jay-Z said in the statement that the “partnership will be a game-changer for many.” I look forward to all this new chapter has to offer!" The Associated Press
One of Canada's top public health officials sought to reassure Canadians today that a recommendation from a federal vaccine advisory committee to stretch out the time between COVID-19 vaccine doses is a sound one. Yesterday, the National Advisory Committee on Immunization (NACI) recommended that the maximum interval between the first and second doses of all three COVID-19 vaccines approved for use in Canada should increase to four months due to limited supplies. Deputy Chief Public Health Officer Dr. Howard Njoo said the advice is based on real-world data that shows doing so would lead to more people being protected from COVID-19 in a shorter time period. "This recommendation is based on clinical trial reports and emerging real-world evidence from around the world. Data shows that several weeks after being administered, first doses of vaccines provide highly effective protection against symptomatic disease, hospitalization and death," Njoo told a technical briefing today. Confusion over conflicting advice Njoo's comments appeared to be addressing the confusion created by the fact that NACI's recommendation conflicts with those issued by Health Canada when it granted regulatory approvals for the Pfizer-BioNTech, Moderna and AstraZeneca vaccines. Regulatory documents provided by Health Canada upon approval of each vaccine state that the second dose of the Pfizer-BioNTech should be taken three weeks after the first, the second Moderna shot should come four weeks after the first, and the second AstraZeneca dose should be delivered between four and 12 weeks after the first. All of those recommendations are in line with the product monograph provided by the manufacturers. Adding to the confusion, NACI recommended on Monday against giving the AstraZeneca-Oxford vaccine to people 65 and older, although Health Canada has authorized it for use in adults of all ages. But Njoo said the discrepancies can be explained by the fact that Health Canada is a regulator and NACI is an advisory body made up of medical experts. "You have likely noticed that NACI's recommendations are sometimes different, possibly broader or narrower than the conditions of vaccine use that Health Canada has authorized. As the regulator, Health Canada authorizes each vaccine for use in Canada according to factors based on clinical trial evidence, whereas NACI bases its guidance on the available and evolving evidence in a real-world context, including the availability of other vaccines," Njoo said. "What we expect is that NACI recommendations will complement — not mirror — those of Health Canada." WATCH: Njoo comments on NACI recommendation to delay second COVID-19 vaccine doses The issue burst into the open on Monday when B.C.'s Provincial Health Officer Dr. Bonnie Henry announced that the province would be extending the interval between doses of the Moderna, Pfizer and Oxford-AstraZeneca vaccines to 16 weeks. Some medical experts questioned that decision. Canada's chief science adviser, Mona Nemer, said doing so without proper clinical trials amounts to a "population level experiment." Dr. Anthony Fauci, the top infectious disease expert in the U.S., told the Washington Post that the science doesn't support delaying a second dose for the Pfizer-BioNTech and Moderna vaccines. He said there isn't enough evidence to determine how much protection is provided by one dose of those vaccines, and how long it lasts. Despite those warnings, several provinces followed Henry's lead and even more have indicated they intend to stretch the dosage interval. While it appeared to some at the time that Henry was moving faster than the science, Njoo said that NACI's experts briefed provincial medical officers of health over the weekend on the results of their analysis before releasing their recommendations publicly. NACI concluded that stretching the dosing interval to four months would allow up to 80 per cent of Canadians over the age of 16 to receive a single dose of COVID-19 vaccine by the end of June, without compromising vaccine effectiveness. "While studies have not yet collected four months of data on vaccine effectiveness after the first dose, the first two months of real world effectiveness are showing sustained high levels of protection," NACI said. As for the AstraZeneca-Oxford vaccine, Njoo said it is safe and that evidence shows it provides protection against very serious disease and death in people of all ages. He said Health Canada has a rigorous scientific review process and only approves vaccines that meet high standards for safety, efficacy and quality. Dr. Supriya Sharma, Health Canada's chief medical adviser, said expert advice will continue to change as more data becomes available from ongoing mass vaccination campaigns, and she urged provinces and territories to consider recommendations and evidence from both bodies when making decisions about their vaccine strategies. "The messaging would be simpler if we had one set of data and we had one message and it never changed, but that's not what science does," said Sharma. Decision on Johnson and Johnson imminent At today's briefing, health officials also indicated that a regulatory decision on whether to approve Johnson & Johnson's COVID-19 vaccine is expected soon. "The review of the Johnson & Johnson submission is going very well, it's progressing, and we're expecting to have that completed and a decision in the next few days. I would say in the next seven days or so," said Sharma. The company has said its vaccine is 66 per cent effective at preventing moderate to severe illness in a global clinical trial, and much more effective — 85 per cent — against the most serious symptoms. Canada has agreed to purchase up to 38 million doses if it is approved. The U.S. Food and Drug Administration approved it for use in that country last Saturday. The approval of a fourth vaccine would give a significant boost to Canada's vaccine rollout. Johnson and Johnson's vaccine is widely seen as one of the easiest to administer because it requires only one dose and can be stored for long periods of time at regular refrigerator temperatures. Njoo said additional vaccines, coupled with the NACI recommendation on dosage intervals, could allow Canada to meet the goal of inoculating all adults who want a vaccine "several weeks" before the current target date of the end of September. Maj.-Gen. Dany Fortin, the military commander leading Canada's COVID-19 vaccine logistics, said that while more vaccines would be good news, the current target remains the end of September.
People returning to the Northwest Territories will now be able to isolate in Norman Wells and Fort Simpson, says the territorial government. Premier Caroline Cochrane and Dr. Kami Kandola, the territory's chief public health officer, made the announcement during a news conference on Thursday. The changes come into effect at 5 p.m. Previously, anyone arriving in the N.W.T. had to self-isolate for 14 days in Fort Smith, Hay River, Inuvik or Yellowknife, with few exceptions. The self-isolation rules differ for essential workers. "Allowing the residents of Fort Simpson and … Norman Wells to safely isolate in their home communities will address some of the challenges that come with self-isolation," Cochrane said, adding that this includes having better access to family and isolating in a more familiar setting. "We've been in this for over a year and people are past COVID fatigue, they're COVID exhausted. So being able to open it up will help improve it with mental health issues we are seeing across the Northwest Territories." Missed the update? Watch it here: Kandola says the territory had been reviewing exemption requests over the months since the travel restrictions were in place, and many came from those two communities. They also got correspondence from leaders there. Kandola says the territory was, in part, waiting for wastewater surveillance to be added to Norman Wells and for the second dose clinics to roll out, which are set to be complete by end of day Thursday, before changing isolation rules. She added both communities have adequate medical resources to support potential COVID-19 patients, including the stabilization of any severe cases, pending transport to another centre. Cochrane says there are local enforcement officers in each community to ensure people comply with self-isolation rules. Restrictions could be further eased later in Spring There were three active COVID-19 cases and 66 recovered as of Thursday. These numbers include cases in residents and non-residents. Kandola says the territory is still in phase 2 of its Emerging Wisely plan, but that it could move to phase 3 in late spring. She says that depends on vaccination uptake and if it's safe to do so. So far, 44 per cent of the territory's adult population has received at least one dose of the vaccine. The territory's goal is to get at least 75 per cent of the adult population vaccinated. "We won't get to phase 3 all at once," she said, "and maybe it's not happening as quickly as some would like, but we are getting there."
A benefit program meant to help vulnerable households with rent will leave most recipients still living in unaffordable, crumbling, or overcrowded housing because of a mismatch between what the benefit provides and the depth of need, Ontario’s financial watchdog says. In a report released on Thursday morning, the Financial Accountability Office of Ontario projected that 45,200 households will use the Canada-Ontario Housing Benefit — a portable rent supplement announced in late 2019 — by 2027-28. But the report estimates that just 12,000 of those recipients will be able to access housing that has enough bedrooms for their household, that isn’t in need of major repairs and costs less than 30 per cent of their income. “Certainly, if you look at a top level, it would appear that more funding might make a difference,” Financial Accountability Officer Peter Weltman told reporters, while cautioning that his office didn’t analyze specific solutions for those left in housing need. To access the benefit, which pays the difference between 30 per cent of the household’s income and the average market rent in the area, households must be either living in community housing, on a social housing waitlist or be eligible for a spot on those lists. The payments continue if a household moves addresses, and are based on income, household size and local market rent — with a focus on vulnerable groups like domestic violence survivors, seniors and those with disabilities. The report considers the benefits’ focus on especially high-needs households, and an estimate that vulnerable households in Ontario will require an average of $7,600 a year — or $630 per month — in order to afford acceptable housing by 2027-28. By that year, the FAO projects the average annual level of support provided to households through the joint housing benefit will fall short — to $6,600, or $550 per month. To Alejandra Ruiz Vargas, who chairs an East York chapter of the low-and-moderate income community group ACORN, the report speaks to a lack of adequate, affordable housing supply, even with a supplement to bring monthly costs down. “It’s not enough,” she said Thursday. While the FAO projects the benefit won’t lift most recipients out of housing need, it does expect the benefit to reduce the number of Ontarians at heightened risk of homelessness. By 2025, the FAO estimates the benefit will bring down the number of households spending more than half their income on shelter costs by 19,600, leaving an estimated 159,800 still at risk. Asked about the FAO’s findings, Ontario Housing Minister Steve Clark’s office said it was “excited about the difference” the benefit made, and called on Ottawa to accelerate rollout. The federal government did not respond to a request for comment by the time of publication. Victoria Gibson, Local Journalism Initiative Reporter, Toronto Star
It was promoted as a way help residents “reconnect” with their food and, in some ways, get back to nature. But a motion which would have looked into the feasibility of Aurora adopting a backyard hen program pilot project, one which would have allowed property owners to raise chickens and collect their own eggs, was scrambled on arrival last week. On a vote of 4 – 3, lawmakers defeated a motion from Councillor Rachel Gilliland which would have tasked staff to report back to Council by the end of next month on the feasibility of such an initiative and the implications any programs might have on the community. “It has been proven to work in other municipalities such as Toronto, Newmarket and Georgina,” said Councillor Gilliland, kicking off the debate. “Let’s find out why this worked. I was skeptical too at first, so I decided to do a little digging and came across this quote from Toronto City Staff [on their pilot] which said, ‘None of the predicted blights have materialized. The predicted chorus of neighbours [with] complaints, not a peep. There aren’t any complaints about noise or unsanitary conditions in any of these locations with registered hens. We have made a couple of educational visits about coop sizes, but everything seems to be going smoothly.” Making her pitch to colleagues, Councillor Gilliland said that hens are great for keeping pests such as mosquitos, ticks and fleas under control, help homeowners keep down unwanted vegetation and, of course, are organic fertilizers. “This is what led me to believe that raising chickens [for eggs] is something people can do in a healthy and safe way,” she said. “These urban backyard hens will produce sustainable, organic, non-GMO foods, offer an educational and therapeutic value for both kids and adults. It is not about raising roosters or chickens for meat.” Prior to the discussion itself, the motion received a boost from residents at large who submitted written delegations to Council supporting the initiative, including from Marc Mantha, a former resident of Newmarket, who said he saw the benefits of backyard hens firsthand. “It is wonderful how we’re reconnecting with food and healthy lifestyles,” he said. “People are gardening in record numbers and backyard hens enrich a progressive community. Pilot projects are the best path to due diligence and being able to observe and report firsthand a very manageable sampling. A pilot project also provides everyone the opportunity to learn and better understand backyard hens. It was a wonderful experience.” Aurora resident Miriam Klein Leiher expressed similar sentiments, adding that within online community discussion forums the interest level is high. “Many of us have done our research and feel Aurora would greatly benefit from hen coops in private backyards,” she said. “Many of our neighbouring towns and cities have successfully launched pilot projects in their backyards with great success. Myself and my family are not keen on factory farms. Urban hens are a more ecological answer to how we get our food to the table. Hens in the community bring citizens and families together as well. This year has been challenging and this will help my family start a wonderful life-changing project. We all want to do it. Plus, they make great little companions.” The Councillor’s motion received support from Councillors John Gallo and Wendy Gaertner who said it was worth exploring some of the positives. “I think it is a great idea,” said Councillor Gallo. “I am actually quite excited about it. The benefits to us are far and wide, especially for children and how much they can learn. There are many, many good reasons to do this.” Added Councillor Gaertner: “It doesn’t sound like [a feasibility] report would be onerous or a huge amount of time for staff to put together. I would like it to be on a public report what the findings are and then vote on it as a Council.” Others, however, disagreed and nixed the feasibility report before it was able to get off the ground. Councillor Harold Kim, for instance, said he did not question the merits of backyard hens, dubbing it a “noble cause” but he said he believed “the vast population of our Town are not ready and do not want chickens at this time.” “People are just not ready to live next to a house where their backyard has chickens running around,” he said. “Perhaps within a few years of public education and marketing and communication we will get people’s buy-in.” In Toronto, Newmarket and other communities that have put a similar program in place, the feasibility studies are already out there, he argued, and there is enough information to make a decision. “I don’t want to waste more time on studies. They are available. We either do this or we don’t,” he concluded. In stating his opposition, Councillor Michael Thompson said there are already pockets of the community, primarily in more rural areas, that are currently zoned for backyard hens, but he too said the feedback he had received since a hen program was first floated at Council this winter by resident Darryl Moore has been largely negative. “The conversations I have had with residents, I have simply said to them, ‘How would you feel if your neighbour put up a coop?’ The vast majority of the people I have spoken to don’t want it next to them,” he said. “Many of our [residents] don’t want to see it in their neighbourhood. I am cognizant of that. I am also concerned with the health risk. I have seen a number of different reports and studies with regards to health risks. The most relevant one I found for myself was put out by Public Health Ontario [which] talks about health risks associated with backyard chickens… we are living in the midst of a pandemic and even though everyone takes as much precaution as they can, there is still a risk associated with it. Based on all that I have read and looked at, I don’t see a report changing my mind.” Also opposed, but for a very different reason, was Councillor Sandra Humfryes who said that specific lot sizes would be required for backyard hens and, with that in mind, such a program would not be “inclusive” for the whole community. “They all said it is a great idea, but not beside my house,” she said, instead stating that emphasizing garden boxes and other means to grow food would be a better fit for Aurora. Similarly, in stating his opposition, Mayor Tom Mrakas cited the complaints the Town generally receives from abutting properties when community gardens are proposed. “I agree that a lot of people think it is a great idea, but not beside them. I think we will run into those issues,” she said. “Also, with the issues as far as how big of a yard you need, it wouldn’t be inclusive to everybody in our Town. The program wouldn’t be available to everyone. I think as Councillor Thompson mentioned, as we do have areas that do allow for hens…in a chicken coop, that we continue to look at those areas. Maybe we have staff report back to us on any findings from the areas that are allowed currently in our Town and if there is anything in those areas that can show us how things are happening, if there are chicken coops right now being utilized in those areas, and you can see the information that comes from that… I don’t think that there is anything that would come back in a report that would change my mind, so I won’t be in favour of asking staff to move forward in working on this and bringing us back a report.” Although it was clear by the end of the discussion the matter wouldn’t move forward, Councillor Gilliland said it was important for a report to look at “what is good for Aurora.” “The point is allowing people to [have] that option,” she said. “I don’t know who this vast majority is because I haven’t seen the vast majority [of communications cited by the rest of Council]. Part of the process in each municipality is for public consultation and I don’t take that lightly. If the public says, ‘That’s not what I want,’ I would like to listen to what the public has to say.” Brock Weir, Local Journalism Initiative Reporter, The Auroran
HALIFAX — A compensation agreement has been reached between Glen Assoun and the Nova Scotia and federal governments for his wrongful conviction and the almost 17 years he spent in prison. Nova Scotia Justice Minister Randy Delorey said today the recently signed deal is confidential, and Assoun's lawyers Sean MacDonald and Phil Campbell said the amount of the settlement and its details are not being released. Assoun's lawyers, however, praised the two levels of government for the settlement, and Campbell said federal Justice Minister David Lametti had done all that can be expected. Campbell says he hopes the deal serves as an example for similar cases in the future. Assoun lived under strict parole conditions for nearly five years after he was released from prison, before a Nova Scotia Supreme Court ruling in March 2019 reversed his 1999 conviction for the murder of Brenda Way in Halifax. The 1995 killing has never been solved. Assoun suffered mental illness in prison, and he said he was diagnosed with a heart condition that required the insertion of stents — small mesh tubes that are placed in a narrowed coronary artery. This report by The Canadian Press was first published March 4, 2021. The Canadian Press
Heart inflammation is uncommon in pro athletes who’ve had mostly mild COVID-19 and most don’t need to be sidelined, a study conducted by major professional sports leagues suggests. The results are not definitive, outside experts say, and more independent research is needed. But the study published Thursday in JAMA Cardiology is the largest to examine the potential problem. The coronavirus can cause inflammation in many organs, including the heart. The research involved professional athletes who play football, hockey, soccer, baseball and men's and women's basketball. All tested positive for COVID-19 before October and were given guideline-recommended heart tests, nearly 800 total. None had severe COVID-19 and 40% had few or no symptoms — what might be expected from a group of healthy elite athletes with an average age of 25. Severe COVID-19 is more common in older people and those with chronic health conditions. Almost 4% had abnormal results on heart tests done after they recovered but subsequent MRI exams found heart inflammation in less than 1% of the athletes. These five athletes all had COVID-19 symptoms. Whether their heart problems were caused by the virus is unknown although the researchers think that is likely. They were sidelined for about three months and returned to play without any problems, said Dr. Mathew Martinez of Morristown Medical Center in New Jersey. He's the study’s lead author and team cardiologist for football's New York Jets. Two previous smaller studies in college athletes recovering from the virus suggested heart inflammation might be more common. The question is of key interest to athletes, who put extra stress on their hearts during play, and undetected heart inflammation has been linked with sudden death. Whether mild COVID-19 can cause heart damage ‘’is the million-dollar question,’’ said Dr. Richard Kovacs, co-founder of the American College of Cardiology’s Sports & Exercise Council. And whether severe COVID-19 symptoms increase the chances of having fleeting or long-lasting heart damage ‘’is part of the puzzle,’’ he said. Kovacs said the study has several weaknesses. Testing was done at centres affiliated or selected by each team, and results were interpreted by team-affiliated cardiologists, increasing the chances of bias. More rigorous research would have had standardized testing done at a central location and more objective specialists interpret the results, he said. Also, many of the athletes had no previous imaging exams to compare the results with, so there is no way to know for certain if abnormalities found during the study were related to the virus. ’’There is clearly more work to do but I think it is very helpful additional evidence,” said Dr. Donald Lloyd-Jones, president-elect of the American Heart Association. Dr. Dial Hewlett, a member of a COVID-19 task force at the National Medical Association, which represents Black physicians, said the study ‘’is extremely timely.’’ Hewlett is a deputy health commissioner for New York's Westchester County and advises high schools and colleges on when to allow young athletes to return to play after COVID-19 infections. ‘’I’m grateful that we are starting to get some data to help guide us in some of our decisions,’’ Hewlett said. ___ Follow AP Medical Writer Lindsey Tanner at @LindseyTanner. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. Lindsey Tanner, The Associated Press
Vancouver's parks board is taking action to control the increasing numbers of messy and aggressive Canada geese. A statement from the Vancouver Board of Parks and Recreation says it is developing a management plan to reduce the number of geese in city parks, beaches and on the seawall. The board is particularly concerned about humans feeding the birds, saying it brings flocks of geese to high-traffic areas such as Stanley Park and the beaches of English Bay and Sunset Beach. A key part of the management plan asks residents to identify Canada goose nests on private property so they can be removed or the eggs can be addled, and left in the nest so adults continue to brood, rather than lay again. The board estimates Vancouver's population of more than 3,500 Canada geese grows every year because the habitat is ideal and the birds have no natural predators. Several Okanagan cities are asking permission to cull growing flocks of Canada geese that foul area beaches and parks, but Vancouver's board says egg addling, a measure supported by the SPCA, is its only control measure. In addition to calling for public help in identifying nests, which can be on roofs, balconies or in tall, topped trees, the park board is urging people not to feed Canada geese. “Supplemental feeding by humans can also contribute to geese being able to lay more than one clutch of eight eggs per season; meaning that if one clutch does not hatch, they can replace it," the statement says. "In nature, without food from humans, this wouldn’t happen." Canada geese have inefficient digestive systems and the parks board says the birds produce more excrement for their size than most other species. The park board says it hopes to step up egg addling, saying wildlife specialists believe the practice must be tripled in order to cut Vancouver's goose populations. A web page has been created on the City of Vancouver website to report the location of nests so they can be removed or the eggs can be addled. This report by The Canadian Press was first published March 4, 2021. The Canadian Press
OTTAWA — The Supreme Court of Canada will review a decision to order a new trial for an Alberta man convicted of murder. Russell Steven Tessier was charged with first-degree murder in 2015, eight years after Allan Gerald Berdahl's body was found in a ditch near Carstairs. Berdahl died from gunshot wounds to the head, and there were tire tracks, footprints and two cigarette butts near the scene. Tessier was convicted in 2018 but Alberta's Court of Appeal later ordered a new trial. The appeal court said the trial judge made legal errors concerning the voluntariness of statements Tessier made to police. As usual, the Supreme Court gave no reasons for agreeing to hear the case. This report by The Canadian Press was first published March 4, 2021. The Canadian Press
Highlands East council approved its budget March 2 with a 2.23 per cent increase to its portion of the tax rate. Council reviewed its final budget, which is expected to be formalized with a bylaw March 9. It amounts to approximately $184,000 more in tax revenue than budgeted in 2020. The increase will add $11.04 to residential tax bills per $100,000 of assessment value. Coun. Suzanne Partridge praised the budget and the efforts of CAO Shannon Hunter. “I know it’s been very challenging and taken you days and days and weeks and hours of work,” Partridge said. “You’ve done an excellent job, that we haven’t had to go back and forth.” The budget features several new capital projects, including $1.4 million for the South Wilberforce Bridge project principally funded through grants, $385,000 for a Cardiff Pool repair with $200,000 carried forward from the 2020 budget and an additional $148,487 in parks for the Herlihey Park and a new tractor. For the park improvement project, Hunter said planning has occupied a lot of time. She said staff hope to have the park completed this year and may put it out to tender if the work cannot be done internally. At a minimum, she said the park’s parking lot and walking trails would be finished in 2021. The municipality is also spending approximately $50,000 to add a junior planning position. The department has seen an increase in revenue, offset by rising costs. It currently uses a third-party planner, but Hunter said it is hoped a new staff member could help process applications more efficiently and handle work currently divided among three other staff members. Deputy mayor Cec Ryall said Highlands East needs the planner given the volume of people moving into the area from cities. “We’re going to end up with a lot more people applying for a lot more stuff up here,” he said. “I firmly believe it’s something we have to do.” The municipality is also budgeting an additional $30,000 in wages and benefits for its roads department as it hires for public works supervisor and roads operation manager positions. Other noted expenses included $40,900 for municipal office maintenance and $25,000 for a County-wide climate initiative to add electric vehicle charging stations. Ryall said the 2.23 per cent tax rate increase puts the municipality in an “awesome position.” “It doesn’t sound like we’ve compromised anything,” Ryall said. Joseph Quigley, Local Journalism Initiative Reporter, The Highlander
NASA's Perseverance Mars rover has continued to send stunning images of the red planet back to Earth. In this moment, an incredible shot of the Sun from the Martian surface was captured. Credit to "NASA/JPL-Caltech".
Most of us are familiar with the three Rs associated with limiting our waste: reduce, reuse and recycle. As it turns out, there’s a fourth R: renew the recycling licence. During the Feb. 22 regular council meeting for the Town of Pincher Creek, Coun. Scott Korbett formally announced the town would not be renewing its recycling contract with KJ Cameron Service Industries. Come June 30, only empty beverage containers will be accepted at the bottle depot. “The Town of Pincher Creek intends to continue to offer a recycling program,” the town’s official statement reads. “We are currently working with our regional partners to have a smooth transition to a new program by the end of June.” While understanding the town is obligated to make economic decisions when it comes to contracts, Weston Whitfield, owner and manager of KJ Cameron, worries consolidating services on a regional basis might result in an inefficient service to taxpayers. The process of gathering, transporting, then re-sorting material, Mr. Whitfield adds, might decrease the price recycling facilities are willing to pay. “My concern is in the past, places that have done collaborations like that end up with a little bit of contamination and it can affect the resale of the product,” he says. Although no official details have been released, the plan for future recycling appears to involve the Crowsnest/Pincher Creek Landfill Association. Discussion recorded in the minutes of the Jan. 20, 2021, regular meeting of the landfill association includes “Recycling Update” as an agenda item. The minutes describe proposals being sent to each of the municipalities and note that, despite no reply being received, each of the municipal representatives — Coun. Dean Ward from Crowsnest Pass, Coun. Brian McGillivray from Pincher Creek and Reeve Brian Hammond from the MD of Pincher Creek — indicated their respective councils are still considering or interested in the landfill’s recycling proposal. Recycling was also a topic during last week’s council meetings for both the MD of Pincher Creek and Crowsnest Pass. During the MD of Pincher Creek’s Feb. 23 council meeting, chief administrative officer Troy MacCulloch updated council on plans to move collection bins from outside the MD office to a site off Bighorn Avenue and Highway 507, near the Co-op lumberyard. The site will cover recycling needs for residents from both the MD and town. “This will be a site that the MD will build,” said CAO MacCulloch. “We will cost-share it with the town, and then going forward it would be operated and manned by the Crowsnest/Pincher Creek Landfill.” Plans for the new recycling site are still tentative as the MD is working with the current landowner to develop a lease that would permit the property to be used as a transfer station for garbage and recyclables. The garbage bins by the MD office, he added, could also be removed. This will allow for further development and easier access of the standpipe, which will remain at the location. Meetings with Pincher Creek administration have discussed the possibility of the MD taking over the composting facility, which would be included on the site. Crowsnest Pass council also voted Feb. 23 to direct administration to find a location for their own recycling bin. Ease of access, along with being sheltered from the weather and from travellers’ field of vision, were identified as main priorities. Administration was asked to present a location at the March 16 council meeting with hopes that users could begin dropping off recycling by the end of the month. The goal is to eventually have three sites in the municipality to gather recycling. Beginning with one, said CAO Patrick Thomas, was a good place to “at least start and see what the challenges are,” especially to “see how [building] the fencing and screening goes.” The Town of Pincher Creek’s full official statement regarding the recycling licence can be found online at http://bit.ly/PC-Recycle. More information on Pincher Creek Bottle Depot and Recycling can be found at www.facebook.com/pcbottledepot. Sean Oliver, Local Journalism Initiative Reporter, Shootin' the Breeze
A mechanical whir fills the room as a sling slowly lifts a patient out of her hospital bed. "Wow, it's fun to see you like that," says nurse Caroline Brochu, as the woman is lowered into a chair. After spending nearly two weeks on a ventilator, severely sick with COVID-19, the patient had been extubated a few days earlier. She's slowly being weaned off the oxygen and has regained enough strength to start physiotherapy. In her early 70s, the woman was admitted to the intensive care unit at Cité-de-la-Santé hospital in Laval in early February. Like many of the patients the hospital has treated, she was generally healthy before she contracted the virus. "No comorbidities," said Dr. Joseph Dahine, an intensive care specialist. "Just high blood pressure and a little bit of asthma." Psychologists regularly check in with the ICU staff to see how they are coping with the exhaustion and emotional strain of COVID-19.(Dave St-Amant/CBC) The unknown road ahead In mid-February, CBC Montreal was granted exclusive access to the hospital's intensive care unit. A year into the pandemic, it's still difficult to predict who will only need a few days of oxygen to bounce back and who will be on a ventilator for weeks. But what is clear is the virus spares no one. The ICU has treated severely ill patients as young as 24. Back in January, about two-thirds of the patients were under 60. At the time of CBC's visit, there were five patients. Over the past 11 months, the ICU has treated a total of 175 patients. Twenty-five have died. During that time, the ICU has worked in uncharted territory, with personnel at times risking their own health to ensure those suffering the most severe COVID-19 complications get care. WATCH | Staff inside the ICU talk about the cases that still haunt them and the unknown road ahead: "Trying to keep the morale has been the hardest aspect of all of this," said Joanie Bolduc-Dionne, the ICU's head nurse. "Right now, we have some fantastic psychologists that come day, evening, night to support the team." The psychologists visit to get a sense of how staff are coping, and what they might be struggling with, she said. Family has to stay at a distance Life inside the ICU can be an emotional roller-coaster — for the staff, the patients and their families. The daughter of the woman who was recently extubated has arrived for a visit but she has to stay outside the room because her mother could still be contagious. The distance is painful for both of them. Exhausted from the effort of sitting and eating, the woman is back in her bed. Her eyes fill with tears as she looks at her daughter through the glass door. "It's harder to see her now, like this," said the daughter, turning to a nurse. "When she was intubated that was bad, but at least she didn't realize she was in that situation. Now, she knows what's going on. Dr. Joseph Dahine, pictured at right, consults with the ICU team at Cité-de-la-Santé Hospital in Laval. Treating COVID-19 patients requires constant re-calibration to pinpoint what may be causing a patient's deterioration.(Dave St-Amant/CBC) Startling deterioration Following CBC's visit, the woman had an unexpected setback overnight. During her sleep, her heart started to race. The ICU team managed to bring her heart rate back down, but the doctor on shift is concerned about her breathing, which is rapid and shallow. "If we can't give you enough oxygen and you are tired with the mask, and if we don't intubate you, well, it's death," Dr. Dahine tells the woman. With a resigned nod, she agrees to be re-intubated as a last resort. As she continues to deteriorate over the next few days, doctors have no choice but to put her back on a ventilator. It's a sobering reminder of just how unpredictable this virus can still be. At the beginning of March, the patient was brought out of the induced coma, but still needs a ventilator to breathe. She had to undergo a tracheotomy. She can only communicate with her family and the staff by blinking. "She still has a long way to go to recovery but at least she is no longer in a coma," said Bolduc-Dionne. At the height of the first wave, Cité-de-la-Santé Hospital had 22 COVID-19 patients in the ICU. The week CBC visited, there were five. Although the number of cases appears to be stabilizing, health officials are worried variants of the coronavirus could trigger a third wave.(Dave St-Amant/CBC) Although the number of COVID-19 cases may appear stable, the volume of cases linked to variants of the coronavirus is rising rapidly. 'The fight is not over' On Tuesday, Quebec's health minister continued to warn people to remain vigilant over the March break. This week, Laval's ICU accepted two new patients to the red zone, which is strictly for those who are severely ill with COVID-19. "The fight is not over," said Bolduc-Dionne. As the vaccination effort in Quebec gathers steam, staff here hope people don't forget there's a parallel battle being fought in the ICU, a battle the public doesn't see. "I hope they realize that [the virus] is really dangerous and that you can infect people you love," said nurse Caroline Brochu.
Rails End Gallery and Arts Centre seeks to help bridge the gaps between people with its first-ever online exhibition launched Feb. 27. Titled “Connection,” the show presents submissions from its members, featuring a wide array of mediums. Besides a physical gallery still viewable at the centre under additional public protocols, it is also available on the centre’s website, with a guided virtual tour. Curator Laurie Jones said she learned about the format from the Ontario Society of Artists and it was a way to improve access. “Not everybody’s comfortable yet with being around, especially in public spaces,” Jones said. The exhibition is an annual salon show, drawing from local talent, Jones said. The pandemic prompted the move to an online addition – and the theme for the show itself. “It came up out of my own cravings for connections and missing people,” Jones said. “In many ways, we’re looking for alternate ways to connect.” Artist Rosanna Dewey’s exhibition piece depicts one of those ways. It is an oil painting entitled “Zoom Room” depicting a call on the online meeting platform. She said the show’s theme was poignant. “It’s so hard to be connected,” Dewey said. “It really made me think about what was going on and what my connections were.” She said she had some skepticism about the online concept but found it turned out appealing. “You want to be able to get up close to the artwork and you get more of a sense of the piece,” Dewey said. “But I found that people were still interested. People still needed to go and experience art, even if it was through a Zoom format.” Arts and Crafts Festival on pause But the community will miss one big way to connect with art in the summer. The Haliburton Art and Craft Festival – the gallery’s flagship event and fundraiser – is cancelled for the second straight year due to the pandemic, Jones said. She said it would be too logistically challenging to ensure safety amidst the pandemic. “We don’t want to introduce any risk to our volunteers or staff or vendors or patrons,” Jones said. “Maintaining sanitary conditions would be impossible.” Jones said the centre needs to decide early to inform artists and give them time to plan. She said there might be alternate programming, but that is being worked out. For now, the Rails End is still putting on exhibitions and bringing arts to the community. “We’re not trying to sell anything. We’re trying to provide an experience,” Jones said. “Hopefully, they feel the connection with the creative arts.” “Connection” runs until April 17 and is available at the centre itself or railsendgallery.com. Joseph Quigley, Local Journalism Initiative Reporter, The Highlander
OTTAWA — The debate over the safety of schools during the COVID-19 pandemic is coming under researchers' microscopes. Three new projects are aiming determine how many teachers and school staff in Canada have had COVID-19, to help inform prevention strategies in neighbourhoods, schools and daycares. About $2.9 million will be spent on the research in British Columbia, Ontario, and Quebec as part of the work of the national COVID-19 immunity task force. All three projects will ask teachers for blood samples to determine how many have antibodies to SARS-CoV-2, which would indicate a previous COVID-19 infection. In Ontario, researchers are hoping for 7,000 teachers and education workers to enrol, while in B.C. the study will focus on the Vancouver School District. In Quebec, the work will build on an existing study looking at the spread of the novel coronavirus in children in four Montreal neighbourhoods. The research will also delve into the question of teachers' mental health, a key area of concern for educators in recent months. While the number of confirmed COVID-19 cases is released daily, the true number of how many people in Canada have been infected can't actually be known without widespread surveillance testing. "Although daycare and school staff may have been exposed to SARS-CoV-2 in their work settings, we don’t have much data on how many school staff have had asymptomatic infections, meaning they had no symptoms but potentially could transmit the virus,” said Dr. Catherine Hankins, co-chair of the task force. The CITF was set up by the federal government to understand the factors in immunity to COVID-19. A piece of that will be the vaccines, now rolling out across the country and teachers participating in the research will also be tracked post-vaccination to see whether their antibody levels change over time. But so far, vaccines have not been approved for use in children, which will likely leave the debate about the safety of schools raging for months to come. This report by The Canadian Press was first published March 4, 2021. Stephanie Levitz, The Canadian Press
NEW YORK — Even in a crazy year with so many ups and downs, consider the last 12 months of Aaron Tveit. The Broadway star was wowing fans in “Moulin Rouge! The Musical” when it was suddenly shuttered by the coronavirus. Then he contracted COVID-19 himself. He recovered to lend his voice to relief efforts, got a few high-profile acting gigs and then landed his first Tony nomination. “It’s hard to have perspective,” he said. “I just think that’s going to need a little bit of time and a little bit of a 25,000-foot view to see what actually happened in the last year.” Two back-to-back blows came within weeks last March when his show was shuttered and then Tveit became one of the first Broadway actors to speak publicly about contracting COVID-19. "I wanted to kind of say, ‘Look, I’m somebody that really takes care of my health and I’d like to think I’m in good shape.’ I was basically trying to say, ‘This can affect anyone. Please take this seriously,’” he said. Tveit, 37, says he now suspects he was sicker than he thought at the time. For several weeks, he slept 13 hours a day but thankfully, his lungs weren't affected. “It was like a terrible, terrible sinus infection.” A few weeks later, he had a flare-up. “In terms of lasting effects, I think I’ve been OK,” he said. “I know a lot of people that really, really suffered. So I consider myself very lucky that I got by with as mild a case as I did.” Tveit summoned the strength to lend his support for out-of-work actors — joining stars like Sutton Foster and Jeremy Jordan for a benefit concert hosted by Rosie O’Donnell and later singing “Marry Me a Little” for a Stephen Sondheim birthday celebration. “It felt so meaningful to me to be included but also the message behind it: We can still be a community, we can still learn how to come together even under these circumstances," he said. With “Moulin Rouge!” grounded, Tveit found work elsewhere. Over the summer, he shot a Hallmark Channel Christmas movie with Laura Osnes and flew to Vancouver to work on the Apple TV+ series “Schmigadoon!” “Gratitude doesn’t even describe how I feel,” he said of the employment. “I think about it every day because I know so many people who have not been able to work at all. The question of paying rent, of being able to support families and pay bills — it’s it’s truly devastating.” Tveit's first big gig was in a “Rent” tour and he made his Broadway debut as a replacement in “Hairspray” and then “Wicked.” He then had three starring roles in “Next to Normal,” “Catch Me If You Can” and now “Moulin Rouge!” His film work includes the adaptation of "Les Misérables" and on TV he was in “Graceland,” “BrainDead” and “Grease Live!” A bright spot in a dark year was when “Moulin Rouge!” earned more than a dozen Tony nominations, which the company celebrated with a Zoom toast. “I’d like to think that our show would have done as well in any year. So I’m very proud of the work that we’ve done,” he said. Tveit was the only actor nominated in the category of best leading actor in a musical for his role as Christian and it marks his first nomination. Unopposed, he’s poised to win, as long as 60% of Tony voters vote for him in the category. “It’s the most wild thing that it just worked out that way. But I’m just so grateful and I take it as nothing but as a recognition of the hard work that I put into the show,” he said. Producer Carmen Pavlovic calls Tveit a unique musical theatre actor whose vocal talent “just blows you away,” spanning ballads and all-out rock numbers. "I’m thrilled he’s received his first Tony nomination for his performance, which reflects not only his work on ‘Moulin Rouge!’ but also Aaron’s vast body of work that brings his career journey to this special moment,“ she said. Tveit sees something of a silver lining in the Broadway shutdown: Long unaddressed social issues are being examined, top among them racial representation on both sides of the curtain. While urging donations to the national services group The Actor's Fund, he also champions Black Lives Matter groups, anti-racism organizations, bail relief and transgender resources. “I’ve done a lot of listening,” he said. “I've tried to just shut my mouth and listen to everything around me and what people need and what people feel and then look at how personally I may or may not be helping.” When Broadway restarts, he hopes the hard work can continue of ensuring all people have equal access to theatre work, not just friends or those recommended. “I think that if that means for a while making a concentrated effort to look beyond the norm, then maybe five or 10 years from now hopefully we'll be in a much better place,” he said. ___ Mark Kennedy is at http://twitter.com/KennedyTwits Mark Kennedy, The Associated Press
PORTLAND, Ore. — Jean Andrade, an 88-year-old who lives alone, has been waiting for her COVID-19 vaccine since she became eligible under state guidelines nearly a month ago. She assumed her caseworker would contact her about getting one, especially after she spent nearly two days stuck in an electric recliner during a recent power outage. It was only after she saw a TV news report about competition for the limited supply of shots in Portland, Oregon, that she realized no one was scheduling her dose. A grocery delivery service for homebound older people eventually provided a flyer with vaccine information, and Andrade asked a helper who comes by for four hours a week to try to snag her an appointment. “I thought it would be a priority when you’re 88 years old and that someone would inform me," said Andrade, who has lived in the same house for 40 years and has no family members able to assist her. “You ask anybody else who's 88, 89, and don’t have anybody to help them, ask them what to do. Well, I’ve still got my brain, thank God. But I am very angry.” Older adults have top priority in COVID-19 immunization drives the world over right now, and hundreds of thousands of them are spending hours online, enlisting their children’s help and travelling hours to far-flung pharmacies in a desperate bid to secure a COVID-19 vaccine. But an untold number like Andrade are getting left behind, unseen, because they are too overwhelmed, too frail or too poor to fend for themselves. The urgency of reaching this vulnerable population before the nation's focus turns elsewhere is growing as more Americans in other age and priority groups become eligible for vaccines. With the clock ticking and many states extending shots to people as young as 55, nonprofits, churches and advocacy groups are scrambling to find isolated elders and get them inoculated before they have to compete with an even bigger pool — and are potentially forgotten about as vaccination campaigns move on. An extreme imbalance between vaccine supply and demand in almost every part of the United States makes securing a shot a gamble. In Oregon, Andrade is vying with as many as 750,000 residents age 65 and older, and demand is so high that appointments for the weekly allotment of doses in Portland are snapped up in less than an hour. On Monday, the city's inundated vaccine information call line shut down by 9 a.m., and online booking sites have crashed. Amid such frenzy, the vaccine rollout here and elsewhere has strongly favoured healthier seniors with resources “who are able to jump in their car at a moment’s notice and drive two hours” while more vulnerable older adults are overlooked, said James Stowe, the director of aging and adult services for an association of city and county governments in the bistate Kansas City area. "Why weren’t they the thrust of our efforts, the very core of what we wanted to do? Why didn’t it include this group from the very outset?” he said of the most vulnerable seniors. Some of the older adults who have not received vaccines yet are so disconnected they don't even know they are eligible. Others realize they qualify, but without internet service and often email accounts, they don't know how to make an appointment and can't get to one anyway — so they haven't tried. Still others have debilitating health issues that make leaving home an insurmountable task, or they are so terrified of exposure to COVID-19 that they'd rather go unvaccinated than risk venturing out in public to get a shot. In Kansas City, Missouri, 75-year-old Pat Brown knows she needs the vaccine because her asthma and diabetes put her at higher risk of serious COVID-19 complications. But Brown hasn’t attempted to schedule an appointment and didn’t even know if they were being offered in her area yet; she says she is too overwhelmed. “I don’t have no car, and it’s hard for me to get around places. I just don’t like to go to clinics and have to wait because you have to wait so long,” Brown said, adding that she is in constant pain because of spinal arthritis. “I couldn’t do it. My back would give out...and I don’t have the money to take a cab.” The pandemic has also closed senior centres, libraries and churches — all places where older Americans might remain visible in their communities and get information about the vaccine. And some public health departments at first relied on mass emails and text messages to alert residents they were eligible, thereby missing huge chunks of the senior population. “Do you think everyone has internet access? Do you really think everyone has email?” Denise LaBuda, spokeswoman for the Council on Aging of Central Oregon, said. “We just don’t know where they all are. They have to raise their hand — and how do they raise their hand?” To counter access disparities, the Biden administration said Wednesday that it will partner with health insurance companies to help vulnerable older people get vaccinated for COVID-19. The goal is to get 2 million of the most at-risk seniors vaccinated soon, White House coronavirus special adviser Andy Slavitt said. Slavitt says insurers will use their networks to contact Medicare recipients with information about COVID-19 vaccines, answer questions, find and schedule appointments for first and second doses and co-ordinate transportation. The focus will be on reaching people in medically underserved areas. Non-profits, churches and advocates for older people have already spent weeks figuring out how to reach disadvantaged Americans over age 65 through a patchwork and grassroots effort that varies widely by location. Some are partnering with charities like Meals on Wheels to distribute vaccine information or grocery-delivery programs like the one which alerted Andrade. Others are mining library card rosters, senior centre membership lists and voter registration databases to find disconnected older people. Reaching out through organizations and faith groups that marginalized older Americans already trust is key, said Margaret Scharle, who developed a vaccine outreach toolkit for her Roman Catholic parish in Oregon. The “low-tech” approach, which other charities started using, relies on door-knocking, paper brochures and scripted phone calls to communicate with residents over 65. “Once you’ve been blocked so many times in trying to make an appointment, you might give up. So we are working as hard as we can to penetrate the most marginalized communities, to activate networks that are already existing,” said Scharle, who after the initial contact offers assistance with scheduling appointments and transportation. In Georgetown, South Carolina, a rural community where many of the 10,000 residents are the descendants of slaves, the local NAACP chapter is using its rolls from a November get-out-the-vote drive to get the oldest citizens out for the vaccine. Chapter president Marvin Neal said they are trying to reach 2,700 people to let them know they are eligible for a shot and to offer help booking appointments. Many of those individuals don’t have internet service or transportation, or suffer from medical issues like dementia, he said. “Some are not even aware that the vaccine is even in their community, that’s the challenge,” Neal said. “It’s like they’re just throwing up their hands in the air and hoping somebody steps in. Because all the ones I have talked to want the vaccine. I haven’t had one yet that didn’t say, ‘Sign me up.’” Outreach workers are also identifying holes in the system that prevent the most vulnerable seniors from accessing shots. For example, a dial-a-ride service in a rural part of Oregon doesn't take passengers beyond their town limits, meaning they can't get to their county's mass vaccination site. In the same region, only the largest city has a public bus system. Such obstacles underscore what outreach workers say is a huge demand for mobile vaccine clinics. Some local governments and non-profit organizations are partnering with paramedics and volunteer groups that specialize in disaster response to inoculate the hardest-to-reach seniors. In South Carolina, pharmacist Raymond Paschal purchased a van and a $3,000 refrigerator to start a mobile clinic for underserved areas, but his independent pharmacy in Georgetown can't get ahold of any vaccine. “There’s a lot of people falling through the cracks,” Paschal said. “These older people who have still not received their vaccine, they’re going to have all this younger generation they have to compete with. So we’ve got to get to these older people first.” ____ Hollingsworth reported from Kansas City, Missouri. Bynum reported from Savannah, Georgia. Associated Press reporter Sara Cline in Portland, Oregon contributed to this report. Gillian Flaccus, Heather Hollingsworth And Russ Bynum, The Associated Press