Studies Find Having COVID-19 May Protect Against Reinfection

Two new studies give encouraging evidence that having COVID-19 may offer some protection against future infections. Researchers found that people who made antibodies to the coronavirus were much less likely to test positive again for up to six months and maybe longer.

The results bode well for vaccines, which provoke the immune system to make antibodies — substances that attach to a virus and help it be eliminated.

Researchers found that people with antibodies from natural infections were “at much lower risk … on the order of the same kind of protection you’d get from an effective vaccine,” of getting the virus again, said Dr. Ned Sharpless, director of the U.S. National Cancer Institute.

“It’s very, very rare” to get reinfected, he said.

The institute’s study had nothing to do with cancer — many federal researchers have shifted to coronavirus work because of the pandemic.

Both studies used two types of tests. One is a blood test for antibodies, which can linger for many months after infection. The other type of test uses nasal or other samples to detect the virus itself or bits of it, suggesting current or recent infection.

One study, published Wednesday by the New England Journal of Medicine, involved more than 12,500 health workers at Oxford University Hospitals in the United Kingdom. Among the 1,265 who had coronavirus antibodies at the outset, only two had positive results on tests to detect active infection in the following six months and neither developed symptoms.

That contrasts with the 11,364 workers who initially did not have antibodies; 223 of them tested positive for infection in the roughly six months that followed.

The National Cancer Institute study involved more than 3 million people who had antibody tests from two private labs in the United States. Only 0.3% of those who initially had antibodies later tested positive for the coronavirus, compared with 3% of those who lacked such antibodies.

“It’s very gratifying” to see that the Oxford researchers saw the same risk reduction — 10 times less likely to have a second infection if antibodies were present, Sharpless said.

His institute’s report was posted on a website scientists use to share research and is under review at a major medical journal.

The findings are “not a surprise … but it’s really reassuring because it tells people that immunity to the virus is common,” said Joshua Wolf, an infectious disease specialist at St. Jude Children’s Research Hospital in Memphis who had no role in either study.

Antibodies themselves may not be giving the protection, they might just be a sign that other parts of the immune system, such as T cells, are able to fight off any new exposures to the virus, he said.

“We don’t know how long-lasting this immunity is,” Wolf added. Cases of people getting COVID-19 more than once have been confirmed, so “people still need to protect themselves and others by preventing reinfection.”

___

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.

Trump’s Call For $2,000 Checks Leaves GOPers Senators Squirming

WASHINGTON (AP) — Threatening to tank Congress’ massive COVID relief and government funding package, President Donald Trump’s demand for bigger aid checks for Americans is forcing Republicans traditionally wary of such spending into an uncomfortable test of allegiance.

On Thursday, House Democrats who also favor $2,000 checks will all but dare Republicans to break with Trump, calling up his proposal for a Christmas Eve vote. The president’s last-minute objection could derail critical legislation amid a raging pandemic and deep economic uncertainty. His attacks risk a federal government shutdown by early next week.

“Just when you think you have seen it all,” House Speaker Nancy Pelosi wrote Wednesday in a letter to colleagues.

“The entire country knows that it is urgent for the President to sign this bill, both to provide the coronavirus relief and to keep government open.”

Republicans led by Senate Majority Leader Mitch McConnell have resisted $2,000 checks as too costly. House Republicans are expected to block the vote, but Democrats may try again Monday.

The president’s last-minute objections are setting up a defining showdown with his own Republican Party in his final days in office.

Rather than take the victory of the sweeping aid package, among the biggest in history, Trump is lashing out at GOP leaders over the presidential election — for acknowledging Joe Biden as president-elect and rebuffing his campaign to dispute the Electoral College results when they are tallied in Congress on Jan. 6.

The president’s push to increase direct payments for most Americans from $600 to $2,000 for individuals and $4,000 for couples splits the party with a politically painful loyalty test, including for GOP senators David Perdue and Kelly Loeffler, fighting to retain their seats in the Jan. 5 special election in Georgia.

Republican lawmakers traditionally balk at big spending and many never fully embraced Trump’s populist approach. Their political DNA tells them to oppose a costlier relief package. But now they’re being asked to stand with the president.

GOP leaders were mostly silent Wednesday, with neither McConnell nor Rep. Kevin McCarthy, the House minority leader, speaking publicly.

On a conference call, House Republican lawmakers complained that Trump threw them under the bus, according to one Republican on the private call and granted anonymity to discuss it. Most had voted for the package and they urged leaders to hit the cable news shows to explain its benefits, the person said.

McCarthy later sent a letter to colleagues suggesting Republicans would offer their own proposal, picking up on Trump’s own complaints about foreign aid to “reexamine how our tax dollars are spent overseas.”

Democrats were taking advantage of the Republican disarray to apply pressure for a priority. Jon Ossoff, Perdue’s Democratic opponent, tweeted simply on Tuesday night: “$2,000 checks now.”

As Congress left town for the holidays, the year-end package was part of a hard-fought compromise, a massive 5,000-plus page bill that includes the COVID aid and $1.4 trillion to fund government agencies through September and address other priorities.

The relief bill Trump is criticizing would establish a temporary $300 per week supplemental jobless benefit, along with a new round of subsidies for hard-hit businesses, restaurants and theaters and money for schools, health care providers and renters facing eviction.

Even though Treasury Secretary Steven Mnuchin represented the White House in negotiations, Trump assailed the bipartisan effort in a video he tweeted out Tuesday night, suggesting he may not sign the legislation.

Railing against a range of provisions in the broader government funding package, including foreign aid mainstays included each year, Trump called the bill a “disgrace.”

Trump did not specifically vow to use his veto power, and there may be enough support in Congress to override him if he does. But the consequences would be severe if Trump upends the legislation. It would mean no federal aid to struggling Americans and small businesses, and no additional resources to help with vaccine distribution. To top it off, because lawmakers linked the pandemic relief bill to an overarching funding measure, the government would shut down on Dec. 29.

The final text of the more than 5,000-page bill was still being prepared by Congress and was not expected to be sent to the White House for Trump’s signature before Thursday or Friday, an aide said.

That complicates the schedule ahead. If Trump vetoes the package, or allows it to expire with a “pocket veto” at the end of the year, Americans will go without massive amounts of COVID aid.

A resolution could be forced Monday. That’s when a stopgap funding bill Congress approved to keep the government funded while the paperwork was being compiled expires, risking a federal shutdown.

Democrats are considering another stopgap measure to at least keep government running until Biden is sworn into office Jan. 20, according to two aides granted anonymity to discuss the private talks.

The House was already set to return Monday, and the Senate Tuesday, for a vote to override Trump’s veto of the must-pass defense bill. Democrats may try again at that time to pass Trump’s proposal for $2,000 checks, as well as the temporary government funding measure to avert a shutdown, the aides said.

The push for bigger payments to Americans drew rare common cause between Trump and some of the most liberal members of Congress. Pelosi and Democrats said they fought for the higher stipends during protracted negotiations only to settle on the lower number when Republicans refused.

Pelosi is set to offer the president’s proposal Thursday under a procedure that allows just one lawmaker to object to its consideration. It will be pushed forward during a so-called pro forma session, with few lawmakers expected to attend. McCarthy and Republicans are poised to object.

Republicans have been reluctant to spend more on pandemic relief and only agreed to the big year-end package as time dwindled for a final deal. Sen. Chuck Schumer, the Senate Democratic leader, said that “Trump needs to sign the bill to help people and keep the government open,” and Congress would step up for more aid after.

The Senate cleared the huge relief package by a 92-6 vote after the House approved it by 359-53. Those votes totals would be enough to override a veto should Trump decide to take that step.

Biden applauded lawmakers for their work. He described the package as far from perfect, “but it does provide vital relief at a critical time.”

He also said more relief would be needed in the months ahead.

Inside Trump and Barr’s Last-Minute Killing Spree

This story was originally published by ProPublicaProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

In its hurry to use its final days in power to execute federal prisoners, the administration of President Donald Trump has trampled over an array of barriers, both legal and practical, according to court records that have not been previously reported.

Continue reading “Inside Trump and Barr’s Last-Minute Killing Spree”

Jail Break! Trump Pardons Manafort And Stone In Latest Clemency Blitz

The White House on Wednesday night announced President Trump’s latest slew of pardon recipients, which included Paul Manafort, Roger Stone and Charles Kushner, the father of Jared Kushner.

Continue reading “Jail Break! Trump Pardons Manafort And Stone In Latest Clemency Blitz”

The Trump Administration’s Final Push to Make It Easier for Religious Employers to Discriminate

This story first appeared at ProPublica. ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

It was the hectic week before Thanksgiving, and Amrith Kaur — the legal director of an advocacy group called the Sikh Coalition — was not prepared for a surprise update from the Equal Employment Opportunity Commission that could have dramatic consequences for her clients.

With little warning, the EEOC published a 112-page overhaul of its guidance on religious discrimination in the workplace. The feedback period was proceeding with no time to spare — she would have to file any comments by Dec. 17.

“To my knowledge, that was the first time that pretty much everybody heard about it,” said Kaur, who was busy handling home schooling for her children, ages 8 and 10, when the announcement popped up. “There’s so much happening, and I think it’s very strategic the way this was brought out.”

The guidance is among scores of last-minute actions that ProPublica is tracking on their way through the approval process, many of them accelerating as it became clear that President Donald Trump’s time in office would end on Jan. 20.

The EEOC’s guidance explains the complicated statutes and legal precedent that govern how employers must deal with religious freedom issues in the workplace. It doesn’t have the force of law, but it can be cited in lawsuits, and it serves as a manual for managers navigating thorny situations.

As she dug into the document’s dense language and footnotes, Kaur was particularly distressed because of what she found to be a slant toward large Christian employers like colleges and social service agencies, rather than smaller religions like Sikhism, which face widespread prejudice. For example, in recent days, she’s had to focus on advising health care workers who keep long beards as part of their religious practice. Some hospitals and nursing homes ban facial hair to ensure a proper fit for face masks, but Kaur has been able to work out accommodations that are both COVID-19-safe and allow medical staff to observe their faith — which the new guidance doesn’t address.

As the comment period ended, dozens of other civil rights groups and Democratic leaders filed letters appealing for more time and agreeing that the new guidance could allow for more discrimination under the guise of religious freedom, rather than less.

Unlike many midnight regulations that President-elect Joe Biden could roll back, the EEOC commissioners have multiyear terms, so the Biden administration won’t be able to change the board’s composition until 2022. Meanwhile, Kaur fears that adverse case law could accumulate. “It is our belief that these proposed changes in the manual, and what I think is a clear bias towards Christian viewpoints at the expense of all others, it’s just going to have profound negative effects for years to come,” she said.

Most administrations kick rule-making into high gear once they know their party is leaving the White House, and Trump’s is no exception. A flood of new entries in the Federal Register includes several rules and guidance documents that widen lanes for religious institutions to exclude those who do not share their faith, or narrow the options for beneficiaries of federal programs who feel uncomfortable receiving services in a religious context.

Some of the freshly finalized rules codify an executive order that Trump issued in 2018 declaring that faith-based organizations should have full access to government grant programs without having to modify their operations. They deliver on the promises that Trump made to evangelical Christians during his presidential run, and which he and Vice President Mike Pence campaigned on again in 2020 — the White House’s website contains 228 mentions of “religious freedom,” in posted speeches, press releases and other official statements.

Earlier in the term, Trump’s religious freedom agenda focused on the Department of Health and Human Services, which adopted a rule that protects health care providers who object to certain procedures — namely abortion — on religious grounds, among a host of other actions. Even now, HHS is witholding funds from states that require their insurance plans to cover abortion.

Later, Trump moved on to further integrating religious organizations into the operations of government itself.

In an October interview with the Religion News Service, Trump touted his administration’s work to install religious freedom liaisons in every Cabinet agency. “Led by Pastor Paula White, this Initiative is working to remove barriers which have unfairly prevented faith based organizations from working with or receiving funding from the federal government,” Trump said in a written Q&A.

On that front, the first big change finalized Dec. 7 was at the Office of Federal Contract Compliance Programs, an agency within the Labor Department that enforces compliance with civil rights laws among recipients of federal dollars. The new rule clarifies that private companies can qualify as “religious employers” under certain conditions, and that religious employers may deny positions to people who do not subscribe and adhere to their faith. That could include not hiring people in same-sex relationships or someone of a different religion.

Advocates for marginalized communities say that the rules open the door for religious institutions to use faith as a pretext for firing or simply declining to hire people whom they would prefer not to employ because of other factors — such as sexual orientation or medical disability — even though discriminating on those bases is still illegal.

“If that employer just throws up their hands and says ‘RFRA!’ it’s like a get out of jail free card,” said Human Rights Campaign legal director Sarah Warbelow, referring to the Religious Freedom Restoration Act, a 1993 law that strengthened the test for what can be considered a burden on the free exercise of religion.

Religious employers say that situation likely won’t occur often, but they still supported the change. Jamison Coppola, legislative director of the American Association of Christian Schools, said that most people who work for his member institutions accept that abiding by faith-based principles is part of the deal.

“It’s a rare occurrence where people enter an employment decision and then realize, ‘Oh, I guess we have some difference of opinion about this,’” Coppola said. “I just think that we don’t run into it that often, because of how we approach the totality of what we’re trying to do as an assembly of believers.”

Among the largest supporters of the rule was Catholic Charities, which, according to USAspending.gov, received approximately $189 million in federal contracts and grants in 2020 across all of its affiliated organizations.

The second change, finalized a few days later after a lightning-fast trip through the Office of Management and Budget, was a joint effort of nine agencies that elaborated on the religious freedom exemptions for recipients of their own spending. It gets rid of the earlier requirement that religious providers of federally funded social services, from food banks to job training, provide referrals to secular alternatives. In the case of “indirect” aid that travels with the beneficiary, like child care and housing vouchers, it eliminates the requirement that there must be a secular option available.

The concerns with those rules center around the possible exclusion of people who may feel uncomfortable getting aid in an explicitly religious setting, even if providers are not allowed to proselytize as part of the programming.

“They are really putting what they believe are the interests of these large social service providers ahead of the people who receive the service,” said Maggie Garrett, vice president of public policy at Americans United for Separation of Church and State. “Their priority is not the LGBTQ youth who is seeking services because they were kicked out of their home.”

Not all religious organizations — or even Christian organizations — support the changes. Some have recommended that the requirements for secular alternatives be kept because of the delicate political balancing that has gone into these rules over the years.

“It eased peoples’ conscience or concerns about having more faith-based groups be involved in these services,” said Stanley Carlson-Thies, founder and senior director of the Institutional Religious Freedom Alliance, which represents Christian employers. Now, he fears a backlash.

“I personally don’t know of anybody who was asking for this change, but there it is, and I don’t think it’s a good change,” Carlson-Thies said. “And I think that one thing that’s going to happen is that the next administration is going to go through a regulatory process and take those out, and they’ll do other things too that to my mind won’t be so positive.”

Finally, the Trump administration is moving forward with its guidance for all employers, whether they contract with the federal government or not, through the EEOC.

The last time the agency updated its religious freedom guidance, in 2008, it went through an expansive, yearslong process that incorporated feedback from a panoply of groups that represent faith communities and those impacted by them, such as advocates for LGBTQ people and women’s reproductive rights.

Trump’s EEOC has shifted its emphasis toward supporting the rights of religious employers and employees. For example, it took up the case of two Kroger employees who were fired after they objected to wearing a rainbow heart emblem on their uniforms, which they interpreted as a symbol of support for gay rights.

In a November online forum hosted by the conservative Federalist Society, EEOC General Counsel Sharon Fast Gustafson articulated the new focus. “The EEOC has an interest in the courts getting all aspects of employment discrimination right, whether getting it right helps the employee, or whether getting it right helps the employer,” she said. “Religious liberty has been a high priority for the current administration, where everyone I have spoken with has been unequivocally supportive of religious liberty for all.”

However, many religious groups felt left out of the process that led to the EEOC’s new guidance.

The updates were put together in the wake of a landmark Supreme Court decision in June that declared gender identity and sexual orientation to be protected classes in an employment context, making it much more difficult to discriminate against gay, lesbian or transgender people in the workplace. EEOC spokeswoman Christine Nazer said the new guidance was drafted by the agency’s office of legal counsel, with no input from external stakeholders.

Many groups that closely track religious freedom issues found out about the updates during a three-day listening session convened by the commission’s Religious Freedom Work Group, which is led by Assistant General Counsel Christine Lambrou Johnson. According to her LinkedIn profile, Lambrou Johnson is a member of the Christian Legal Society, which describes itself as “a fellowship of Christians dedicated to serving Jesus Christ through the practice and study of law, the defense of religious freedom and life, and the provision of legal aid to the needy.”

Nazer said the Religious Freedom Work Group’s duties are separate from the development of the guidance, and that the commission voted to publish the guidance for public comment on Nov. 9, giving additional time for discussion. But at that meeting, the body’s two Democratic commissioners said that they hadn’t had enough time to provide input or that it was rejected by the commission’s Republican members. The Democratic commissioners also raised questions about the legal soundness of some of the guidance’s interpretations and pleaded for the vote to be delayed. It wasn’t.

In addition to liberally interpreting exemptions from Title VII of the Civil Rights Act for religious employers to hire and fire on religious grounds, the guidance also raises the bar for intervention when one employee might be harassing another on religious grounds. And it says little about some of the common questions raised by the COVID-19 pandemic, such as the Sikh nurses that Kaur has been helping negotiate accommodations with hospitals, which would be easier if the EEOC had set out a clear position.

In response to these concerns, Nazer said that the commission is “carefully considering all of the comments provided to us by our stakeholders as we finalize the guidance.”

Kaur is not comforted.

“Manuals like this, that are sort of taken as law even though they’re not, are what our government is going to rely on to make a decision on whether discrimination took place,” Kaur said. “We have the Title VII protections in the Civil Rights Act for a reason, and to try and decimate it in a way that’s not supported by the law is a sad and disappointing attempt at getting around having to be fair to everybody.”

 

Americans’ Trust In The Vaccine Has Fallen. Here’s How The Gov’t Could Frame The Rollout To Restore Trust.

This article is part of TPM Cafe, TPM’s home for opinion and news analysis.

Biden’s cabinet picks so far have been hailed as “a return to diplomacy and process.” but nominating trustworthy people won’t be enough to lead America’s government out of its trust crisis, and may even make it worse. Much as with the focus on which leaders get vaccinated, we must focus instead on the trustworthiness of processes and institutions, rather than the trustworthiness of individuals.

My research on trust shows that appointing trustworthy people to lead institutions that are distrusted will greatly hamper their effectiveness. In order to raise trust in the government, the Biden administration instead will have to identify and lean into parts of the government that are already highly trusted to shore up those parts of the government that are distrusted.

Currently, only 20 percent of Americans trust the federal government, according to Pew’s recent survey. While this isn’t the lowest it’s ever been — that honor belongs to 2011 — it is a far cry from the high of 77 percent in the 1960s. But this lack of trust is not monolithic. We trust some areas of the government more than others. In the Pew survey, these areas are posed as functions, but they represent different departments of the federal government.

The most trusted functions of government are keeping us safe from terrorism (Homeland Security, Department of Defense, our military); responding to natural disasters (FEMA); ensuring safe food and medicine (the FDA), and strengthening the economy (Treasury and Commerce). The least trusted areas are creating access to health care (Health and Human Services), protecting the environment (EPA), responding to threats to public health (HHS, COVID-19 response) and addressing poverty (HHS and Housing and Urban Development).

This is not simply an intellectual exercise or parlor game of ranking government agencies. Trust is part of the equation when Americans decide whether or not to vote, or whether to turn to the government for help when they lose a job. It also factors into American attitudes toward the government’s ongoing execution of its plan for distributing the COVID-19 vaccines.

From May to September, the percentage of U.S. adults who said they would definitely or probably get vaccinated if the vaccine were available today dropped from 72 percent to 51 percent, and JAMA published an October report showing that political endorsements from either Trump or Biden would negatively impact American’s support for the vaccine. It is not enough for political elites to tell us the vaccine is safe. In order to build confidence, the government must lean in on the most highly trusted parts of the development and distribution plan and target early vaccinations at the most trusting part of the population. This will build early trust and create momentum behind the vaccine as distribution is underway.

Americans trust the FDA, even if they may not trust the President or the Department of Health and Human Services. And they trust the military more than business leaders, the news media, or elected officials (80 percent vs. 45, 40, and 25 percent, respectively). Everyone wants credit, but in this case, it makes sense to minimize the visibility of the least trusted parts of this equation — HHS, business, elected officials — and maximize the visibility of the most trusted part of the equation. Perhaps the stress on vaccinating elected officials should not be our top priority.

Concerns about trust may also inform not only how we distribute the vaccine, but who gets the vaccine first. Operation Warp Speed’s plans to vaccinate older Americans first make sense not only because they are most highly at risk of COVID-19, but also because research shows they are the most trusting demographic. It may also be wise to make a public effort to vaccinate the military early in the process.

Why? Because when skeptical younger adults witness the vaccine deployed with higher trust populations and institutions they will become more likely to trust less trusted ones that may be involved later in the vaccine roll-out.

A trust-sensitive rollout of the COVID-19 vaccine shows how we can use trusted institutions to raise up mistrusted ones: use higher trust institutions to get the work done, while emphasizing the contributions of less trusted institutions when they succeed.

Embracing this general principle is the first step to take if we are to restore trust in a polarized age.

 


Kevin Vallier is Associate Professor of Philosophy at Bowling Green State University, where he directs the program in Philosophy, Politics, Economics, and Law. He is the author of Trust in a Polarized Age (OUP, 2020).

Dominion Lawyers Tell Giuliani, White House To Retain Records Related To ‘Smear Campaign’

White House Counsel Pat Cipollone and President Trump’s personal attorney Rudy Giuliani were both told by a law firm representing the election vendor Dominion to preserve documents related to the company. Continue reading “Dominion Lawyers Tell Giuliani, White House To Retain Records Related To ‘Smear Campaign’”

Trump Tells Congress He’s Vetoing Defense Bill That Would Strip Confederate Names From Bases

President Donald Trump on Wednesday officially informed Congress that he was vetoing the year-end defense package, citing, among other things, Congress’ insistence on renaming military installations named after generals in the Confederacy.

Continue reading “Trump Tells Congress He’s Vetoing Defense Bill That Would Strip Confederate Names From Bases”