Italians who had COVID-19 throughout the early waves in 2015 were at considerable threat of revealing ongoing intestinal signs long after recuperating from the infection– specifically those who experienced diarrhea throughout the intense stage, a scientist reported.
Some 18%of COVID-19 survivors in the Lombardy area who reacted to a study stated they were still having loose stools, and a variety of other GI signs appeared more serious in these people than in controls who had actually prevented infection, stated Daniele Noviello, MD, of the University of Milan.
Furthermore, one-third of the COVID survivors reported persistent tiredness, compared to 14%of controls, Noviello informed guests at the virtual Gastrointestinal Illness Week yearly conference
Due to the fact that diarrhea and other GI problems are amongst the trademark non-respiratory signs of COVID-19, and due to the fact that Italy was an early hotbed for the infection– focused in the area around Milan– Noviello and coworkers looked for to analyze how their clients were faring in regards to ongoing signs.
The group emailed a study to clients dealt with for COVID-19 at Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico in Milan throughout the very first 2 waves of the pandemic there, in March and Might 2020, and likewise to employees at the healthcare facility who had actually checked unfavorable for COVID, who would function as controls. The study inquired about the existence and seriousness of particular GI problems, along with others consisting of neuropsychiatric and basic signs.
After omitting participants with pre-existing medical diagnoses of irritable bowel syndrome, inflammatory bowel illness, or celiac illness, the scientists had 347 finished studies for analysis (showing a reaction rate of 12%, a considerable restriction of the research study), of which 164 were from COVID survivors and 183 from uninfected controls. These were sent a mean of 4.8 months after acute-phase healing.
Mean ages of survivors and controls were 44 and 40, respectively. About 40%of survivors were ladies versus 61%of controls. Unusually, maybe, almost 20%of controls were existing cigarette smokers, compared to 7%of the COVID survivors.
Throughout the survivors’ severe COVID stage, half had actually experienced diarrhea; about 25%reported having queasiness, and 20%had actually had stomach discomfort. Rates of other signs resembled those reported in other places.
Loose stool was the primary GI sign that appeared more regularly amongst survivors versus controls– numerically practically two times as typical, in reality (changed relative danger 1.88, 95%CI 0.99 -3.54). Noviello didn’t report rates of other signs, however suggest intensity of stomach pain/discomfort, diarrhea/incontinence, and gastroesophageal reflux on basic scoring instruments were all numerically higher by 50%, though these distinctions fell simply except analytical significance.
To name a few domains examined, persistent tiredness was plainly more typical in survivors, with an adjusted relative threat of 2.24(95%CI 1.48 -3.37). So-called somatoform signs, as examined with concerns obtained from the 12- product Sign List, were reported more regularly, with overall ratings of 54.6 in survivors versus 50.5 for controls ( P< 0.05).
Noviello likewise reported that dangers for relentless signs were higher in the subset of survivors who had diarrhea in the severe stage. Completely one-third of this group would get approved for a medical diagnosis of irritable bowel syndrome by Rome IV requirements at follow-up, based upon the participants’ self-reports, and 21%were still having loose stools. Amongst survivors without acute-phase diarrhea, the matching figures were 19%and 10%, respectively.
” Secret takeaways” from the research study consist of that clients with diarrhea throughout severe COVID-19 are specifically most likely to reveal relentless signs after healing, Noviello stated. These findings recommend a three-way interaction amongst SARS-CoV-2 and the GI and main nerve systems, he included.
Besides the low study reaction rate, restrictions to the analysis consisted of the dependence on individual self-report and the sample’s constraint to northern Italy.
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Covid-19 vaccines were not available to most people in the United States when Blanca Macias went to get her shot back in March. While there, she was asked for her ID and health insurance — even though the vaccines are available at no cost.
“That’s when a bell just kind of went off in my head. This is why our community is not getting vaccinated,” Macias, who lives in Las Vegas, said. “It was a deterrent.”
While she was able to get her shot that day, she noticed a Spanish-speaking man in his 60s seeming discouraged as he was trying to get information but no one could help him.
“I started talking to him in Spanish, like trying to get him to stay, to get vaccinated, but he left,” she said. “It was upsetting.”
That’s when Macias, the director of operations for the immigrant rights organization Make The Road Nevada, pivoted from her usual work and started advocating for vaccine accessibility in her community. Shortly after, the nonprofit Immunize Nevada reached out to her to see what they could do to help get more Latinos vaccinated. “I was like, ‘I have an office. Let’s do a pop-up clinic,’” she said.
Both groups are coming together to host a vaccination clinic Saturday during the Memorial Day weekend at the Make The Road headquarters. They are partnering with Walmart to get 300 Pfizer vaccine shots. “But if we find out that 300 is not enough, we have 200 on reserve,” she said.
So far, about a quarter of Latinos living in Nevada have received at least one dose of a Covid-19 vaccination, an increase from last month’s 15 percent. Sen. Catherine Cortez Masto, D-Nev., the first and only Latina in the Senate, attributes the rise in Latino vaccination rates to growing efforts to meet Latinos where they are and help them overcome language barriers, as well as provide time flexibility in order to be able to take time off work to get vaccinated.
“I know in my community, that if you bring the resources into the community, and you overcome that language barrier, then they’re willing to participate. They will make sure that they’re getting access to the information that they need for themselves and their families. And that’s exactly what we saw,” Cortez Masto told NBC News.
Nevada is on its final stretch to get as many Latinos as possible vaccinated as the state gets ready to fully reopen June 1, and to speed up the process they are putting in place lessons learned about initial vaccine hesitancy and lack of accessibility.
Pivoting from DACA guidance to Covid issues
When the pandemic first hit the U.S. last year, the immigrant rights organization Dream Big Nevada started doing weekly Facebook Live videos to provide updates ahead of the Supreme Court’s decision on the Deferred Action for Childhood Arrivals program, or DACA.
But the group quickly realized that the immigrant community it serves, many of whom are Latino, was looking to them for information that could help them figure out where to get food if they lost their jobs, if they could get tested for Covid-19, and answer their questions about the vaccines.
“Our job was immigration, it was ‘Dreamers,’ it was DACA, but we saw that there was a strong need within our community for them to receive information about the vaccine,” Dulce Valencia, deputy director of Dream Big Nevada, said. “So then, we really just rose to the challenge of meeting our community where their needs were.”
The initial vaccination process for Nevadans included getting an appointment to go to a mass vaccination facility at a convention center or a baseball field, options that seem intimidating to many immigrants and Latinos, she said.
“Those places are humongous. You have the National Guard there, people in uniforms. You have nowhere where people can sit if they’re elderly and there was no one translating,” she said. They were able to resolve these issues when they hosted their own vaccine clinic inside the community center they work from.
Latinos wanted to get the vaccine, it was about access
The Dream Big Nevada headquarters became a pop-up clinic for the entire month of March. Up to 500 people would line up outside their offices daily to get vaccinated.
“They had spent a year watching our Facebook Lives, so when the vaccine opened up, they knew that they could come here,” Valencia said. “What you were hearing in the news, was that Latinos didn’t want the vaccine, that Latinos didn’t want to get it. And what we were finding is that Latinos wanted to get the vaccine, they just didn’t know if or where they could get it.”
Dream Big Nevada helped administer about 4,000 doses in total.
“It’s important for me to share with my colleagues that part of this is making these mobile sites, going into the communities where Latinos live, educating them, talking to them, overcoming the barrier, overcoming their time constraints, because they will get vaccinated,” Cortez Masto said.
Sen. Catherine Cortez Masto attends the City of Las Vegas’ Cinco de Mayo celebration vaccine clinic.Courtesy Sen. Catherine Cortez Masto
Dream Big Nevada participated in two additional pop-up clinics ahead of Cinco De Mayo, including one created as part of the City of Las Vegas’ Cinco de Mayo celebration. According to Cortez Masto, the event can serve as a model for getting Latinos and other communities of color vaccinated. Of about 600 who attended the celebration — which had food, music and dancing — nearly 150 Nevadans were vaccinated for the first time.
“They were not only getting the vaccine, but they were also getting a taste of normalcy with the event, because for many, it was the first time in over a year that they were able to gather in a larger group than just our immediate family members,” Valencia said.
Combating misinformation — through “mom”
Getting more Latinos vaccinated caused a ripple effect that helped combat misinformation falsely claiming that the Covid-19 vaccine was unsafe.
Macias thought that after getting her shot, she could convince her mother to get vaccinated by sharing her experience with her. But her mother, who is originally from Mexico, was still worried about all the misinformation she had seen on social media and on TV claiming that the vaccine was unsafe.
So Macias grabbed the fact sheets she got when she received her vaccination and created a Spanish-language presentation for her mother based on that information. Her efforts to convince her mother were successful, and to make her feel more comfortable at the mass vaccination center, they made it a family event. Macias’ mother, stepdad and her two siblings went to get the shots at the same time.
Now, Macias’ mother is helping her promote Make The Road Nevada’s upcoming pop-up vaccination clinic in an effort to get Covid-19 shots for unvaccinated Latinos in their community.
Lizbeth Alvarez, a public relations coordinator with KPS3, took this a step further and helped design the Spanish-language outreach campaign “Pongamos de nuestra parte” (“Let’s do our part”) for Latinos in Nevada’s Washoe County. She did it in a way that spoke to the values that characterize the community locally.
Alvarez, who grew up in Reno, is featured in the campaign, alongside other trusted Latinos who are known in the community for being leaders, business owners and entrepreneurs. That triggered reactions from people in the community who started sharing their own experiences with campaign organizers, from wearing a mask to inspire others to do the same to opening up about contracting Covid-19.
Campaign organizers shared these stories on social media, particularly on Facebook. Alvarez said the information became crucial to the community which had no local Spanish news station.
“It really resonated with the people, even if it wasn’t them or their family member. But it could have been. And that ‘could have been’ is what kind of drove everybody to start sharing their message.”
The group also put Spanish-language billboards featuring Latinos in the community across northern Nevada. “If you’ve ever been here, we don’t have billboards in Spanish,” Alvarez said. “So seeing ‘Pongamos de nuestra parte’ somewhere outside of a casino when you’re driving to work, that was huge for our community.”
Against this backdrop, Cortez Masto recently reintroduced an updated version of the Covid-19 Health Disparities Action Act that would support targeted and culturally competent public awareness campaigns about Covid-19 vaccines.
“We have to find how we can go into these communities where there’s relationships with leaders that can tell the truth and get that information out there,” she said. “That is a lesson learned, and that’s what we should always be doing.”
As we continue to roll out COVID-19 vaccination here in the U.S. and, far too slowly, around the world, our next potential challenge is already looming on the horizon: the potential need for booster vaccinations. As we gather and weigh evidence on the necessity of boosters, we must not lose sight of the COVID-19 vaccine strategy that will protect us best and save the most lives.
Vaccine makers have suggested that we will need boosters and the Biden administration is reportedly working to ensure they will be available if necessary. And although it is absolutely right to prepare for the possibility that we may need boosters, in reality, we don’t yet know if we’ll need them and, if so, when. It appears that COVID-19 vaccines licensed in the U.S. provide excellent protection against mild and severe disease and against hospitalization and death, and the protection offered by both the Moderna and Pfizer vaccines reportedly lasts for many months.
Determine the Right Vaccine Schedule
Different vaccines need to be given on different schedules to have the greatest protective effect. For seasonal influenza, we give a new vaccine every year because different strains of flu — which are more genetically different from one another than current SARS-CoV-2 variants are from each other — circulate each year, and because immunity conferred by influenza vaccines may wane rapidly.
Recommendations on when to boost vaccines may be guided by evidence on immunity generated by initial vaccine doses or by a person’s risk of exposure or severe disease. We boost some vaccines if exposure has potentially occurred (e.g., tetanus) or if exposure may occur due to travel to an endemic area (e.g., typhoid) or during an outbreak (e.g., measles). We boost other vaccines if underlying medical conditions put someone at higher risk of severe disease (e.g., meningitis). In some circumstances, antibody titers may be checked to assess for evidence of immunity from prior vaccination or infection (e.g., rubella among pregnant women or hepatitis B among healthcare workers).
Gather More Data on COVID-19 Vaccines
Just as we have done for other vaccines, to establish clear guidelines for whether and when to boost, we need: a better understanding of the duration of protection against COVID-19 after vaccination; evidence on how markers of immunity change after COVID-19 vaccination over time; and robust data on how those markers correlate with protection. Levels of neutralizing antibodies against SARS-CoV-2 may decay over time, as they can after other vaccines. However, we don’t know what levels of antibodies correlate with protection against COVID-19. In part, this is because it’s not just antibodies that offer protection after vaccination: T cells may also offer robust, long-lasting immunity.
We will improve our understanding of post-vaccination protection by monitoring and thoroughly investigating breakthrough cases — infections among people who have received vaccine — over time.
A tiny minority of those vaccinated against COVID-19 in the U.S. have experienced breakthrough infections, and most have had only mild symptoms. No vaccine is 100% effective; breakthrough cases are expected and are not necessarily evidence that we need boosters. However, if waning immunity results in deadly infections as time goes on, then we would need boosters, and if variants emerge against which original vaccines are less effective, we may need variant-specific boosters.
Evidence from across the globe suggests that vaccines authorized for use in the U.S. are highly protective against SARS-CoV-2 infection and severe COVID-19 caused by the new variants we are tracking, including the B.1.1.7 variant (first identified in the U.K.). A recent analysis showed that two doses of the Pfizer or AstraZeneca vaccines are highly protective against COVID-19 caused by the B.1.617.2 variant (first identified in India). Some vaccines appear to be less protective against certain variants, as suggested by results of vaccine trials from South Africa and limited data on breakthrough infections caused by the B.1.351 variant (first identified in South Africa).
More robust studies on real-world vaccine effectiveness are needed. Data on the effectiveness of certain vaccines against some variants (in particular P.1, thought to have originated in Brazil) are lacking. Some data are from small studies and are thus of limited value for decision-making.
Focus on Vaccinating the World’s Most Vulnerable
New variants emerge when there are high levels of transmission, and highly transmissible variants further accelerate disease spread. Variants spread around the world rapidly; stopping the emergence of variants will save lives here in the U.S. and globally. If we are to control transmission, we should vaccinate as many people as possible, not give booster doses of unclear necessity to some while others have yet to receive a single dose. None of us are safe until we are all safe.
Just about everyone who is hospitalized or dying from COVID-19 has one thing in common: they’re unvaccinated. It’s crucial that we reach those who are still unvaccinated before the virus reaches them — and we need to protect those at highest risk first.
Make Evidence-Based Vaccine Decisions
Evidence from clinical trials and the real world — not announcements from manufacturers at shareholder meetings — must inform our vaccine decisions. The only basis for a decision on boosters must be scientific evidence, considered by independent panels with no conflicts of interest. We need to vaccinate widely with vaccines that are safe and effective. This applies to vaccines currently available now, and to boosters if and when needed.
The mRNA vaccine technology in particular allows us to be proactive as SARS-CoV-2 evolves. For example, Moderna has produced a new vaccine that is more targeted to the B.1.351 variant and is reported to induce a good immune response against the P.1 variant; a multivalent vaccine targeted to multiple variants is being evaluated. The Johnson & Johnson vaccine offers the advantage of a single dose and has also been shown to be highly effective against B.1.351.
And mRNA vaccines are not just effective but also scalable. Technology transfer is critical, but will take time. In the meantime, Americans will be most protected if vaccines are available globally. Right now, there is not nearly enough vaccine for the world, and we certainly don’t have enough to vaccinate the world and also boost those who have already been vaccinated.
American taxpayers paid for the development of the Moderna, Johnson & Johnson, and other COVID-19 vaccines. These vaccines are a great insurance policy as long as we use them wisely: by expanding vaccination globally as quickly as possible to save lives and prevent the emergence of new variants. We must not lose sight of this goal as we learn more about the possible need for COVID-19 vaccine boosters.
Shama Cash-Goldwasser, MD, MPH, an infectious diseases physician and epidemiologist, is senior technical advisor on the Prevent Epidemics team at Resolve to Save Lives, an initiative of Vital Strategies.
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In a May 17 meeting, the group presented reports of the heart condition, called myocarditis, to the CDC’s Advisory Committee on Immunization Practices from safety data collected by the Department of Defense, the Vaccine Adverse Event Reporting System (VAERS), and Vaccine Safety Datalink (VSD).
The news comes a few weeks after the Food and Drug Administration authorized Pfizer’s COVID-19 vaccine for minors 12 and older. Moderna’s vaccine is currently authorized for people 18 and older. The safety group did not specify which vaccine was given in these cases.
“It’s terrific that things are being transparent. … It shows the surveillance systems are working,” said Dr. Lawrence Kleinman, professor and vice chair of the department of pediatrics at Rutgers Robert Wood Johnson Medical School.
While little is known, here’s what health experts say about these cases.
What we know
The vaccine safety group says the “relatively few” reports of myocarditis “appear to be mild” and are below the expected baseline rates.
Among the cases, the heart condition appeared in adolescents and young adults, and more often in men than women. Symptoms typically appeared within four days after the second dose. Follow-up on the cases is ongoing, the work group said.
“Information about this potential adverse event should be provided to clinicians to enhance early recognition and appropriate management of persons who develop myocarditis symptoms following vaccination,” the work group concluded.
What is myocarditis and what are the symptoms?
Myocarditis is inflammation in the heart muscle that can affect the heart’s electrical system, reducing its ability to pump, according to the Mayo Clinic.
Signs and symptoms of myocarditis in children may include fever, fainting, breathing difficulties, rapid breathing and rapid or abnormal heart rhythms, called arrhythmias.
“It’s not common (in children) but neither is it a rare thing where its presence can be said to be definitively associated with the vaccine,” Kleinman said.
Myocarditis can be caused by a whole host of viruses, including COVID-19, said Dr. Federico Laham, medical director for Orlando Health Arnold Palmer Hospital for Children Infectious Diseases.
During the pandemic, some cases of myocarditis appeared in children with Multisystem Inflammatory Syndrome in Children, or MIS-C, which is another serious condition that occurs after COVID-19 infection where some organs and tissues become severely inflamed.
CLOSE
The White House is pushing a new reason to swipe right: vaccination badges and “super swipes” for people who’ve gotten their coronavirus shots. (May 21)
Health experts say it’s possible the few cases reported by the vaccine safety group may not be related to the vaccine at all. The myocarditis could have been caused by an asymptotic infection of SARS-CoV-2 or any other virus seasonally more present in the spring and summer.
Last year, pediatricians saw a decrease in myocarditis during the spring and summer as children follow public health guidance to wear masks and socially distance, Laham said.
“It’s logical that we’re going to see a rebound (this year),” he said.
What comes next?
Health experts say it’s unlikely the CDC will recommend a pause of the mRNA vaccines as it did with the Johnson & Johnson vaccine when the agency was investigating possibly associated rare blood clots.
Most of the vaccinations administered in the U.S. are mRNA vaccines, with nearly 155 million doses of Pfizer and 122 million doses of Moderna given to Americans as of May 24, according to the CDC.
“We don’t have the luxury of being able to take a full time out because the dynamic of COVID spread is still very real and children remain a large unvaccinated reservoir,” Kleinman said.
Laham agreed.
“The cases have been very few and I don’t think there’s any reason to stop and change the course of the vaccine recommendations,” he said.
Follow Adrianna Rodriguez on Twitter: @AdriannaUSAT.
Health and patient safety coverage at USA TODAY is made possible in part by a grant from the Masimo Foundation for Ethics, Innovation and Competition in Healthcare. The Masimo Foundation does not provide editorial input.
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A photo obtained by Breitbart News showed Whitmer, a Democrat, at the Landshark Bar and Grill in East Lansing alongside her chief operations officer Tricia Foster and 11 others who were presumably friends of the governor’s, all maskless and sitting in close proximity to one another.
Here’s the photo:
Michigan Gov. Gretchen Whitmer (D) hit the bar this weekend and violated her own coronavirus orders, according to a photo Breitbart News has exclusively obtained. https://t.co/7udfIRYfBn
Though restaurants are open for business in Michigan, there are still not only capacity limits (50%), but also limits on the number of people who can be seated together and how close they are allowed to get, per Whitmer’s May 15th Gatherings and Face Mask order:
Gatherings are prohibited at food service establishments, whether indoor or outdoor, unless: 1. Consumption of food or beverages is permitted only in a designated dining area where patrons are seated, groups of patrons are separated by at least 6 feet, no more than 6 patrons are seated together (at a table, booth, or group of fixed seats), and groups of patrons do not intermingle;
2. At establishments offering indoor dining: 1. The number of patrons indoors (or in a designated dining area of a multipurpose establishments) does not exceed 50% of normal seating capacity, or 100 persons, whichever is less, provided, however, that this limitation does not apply to soup kitchens and shelters …
After getting caught, Whitmer’s office issued this statement straight from the Governor herself:
“Throughout the pandemic, I’ve been committed to following public health protocols,” Whitmer said Sunday in a statement. “Yesterday, I went with friends to a local restaurant. As more people arrived, the tables were pushed together. Because we were all vaccinated, we didn’t stop to think about it.
“In retrospect, I should have thought about it. I am human. I made a mistake, and I apologize.”
That’s… just embarrassing, especially coming from a leader who has banged the hammer for over a year now on the “need” for people to follow the rules and guidelines she put in place in what she has repeatedly claimed were efforts at containing the coronavirus outbreak. Would an apology have sufficed for anyone in her state who was fined, publicly shamed, or jailed for disobeying the orders local and/or state officials put in place over the last year? No, it wouldn’t have. Why should it suffice for her?
I should point out Whitmer’s rules violation was on top of the Michigan Department of Health and Human Services vacationing in Alabama last month “which came days after Gov. Gretchen Whitmer’s administration levied public warnings about out-of-state travel.” Also, Whitmer’s chief operations officer Tricia Foster vacationed in Florida in April.
Whitmer herself went out of state as well in March to visit her sick father in Florida.
Also, I should note that normally not one person would give a rip about Whitmer being out with a dozen friends maskless and not social distancing because getting back to normal is where everyone wants to be at this point. But these are rules she put in place, and once again the Governor has shown that when it comes to the rules, she believes they do not apply to her nor members of her staff or administration.
It’s a familiar sight for those of us who remember some of the other instances of Democrats not practicing what they preach when it comes to COVID rules and recommendations:
Rumor has it that there will be more changes to the rules coming soon. Maybe the next time around Whitmer will demonstrate that she’s not above them, although I sincerely doubt it – because as we’ve seen time and time again in blue states from California to New York to Michigan, these so-called “leaders” think the rules only apply to the little people, not to the people making them.
For the first time since start of the Big Four era in broadcast TV, two of the four networks, NBC and Fox, will have no live-action comedies on the fall schedule amid a challenging period for the genre and efforts to redraw the decades-old broadcast comedy model for the streaming age. Meanwhile, the networks are leaning heavily on franchise-driven, linear viewing-friendly procedural dramas with new installments of NBC’s Law & Order and CBS’ NCIS, CSI and FBI, as well as aspirational fare such as Fox’s ballet dramedy The Big Leap.
These were some of the major takeaways from the 2021 broadcast upfronts, which capped a pandemic-impacted two-year development cycle that saw more off-cycle pilot production and straight-to-series orders than we have ever seen.
In interviews with Deadline, the heads of the major TV studios shared their take on the upfronts and 2021-22 broadcast schedules, networks’ newfound openness to outside suppliers, their (mostly) symbiotic relationship with in-house streamers, what Covid-related changes to TV development and production could be permanent, and how the drive for more diversity and inclusion is shaping studios’ development and overall deal strategy.
Nets Warming Up To Indies, Cooling Off On Comedy
One shift, which started more than a year ago and was likely accelerated by the pandemic, involves the vertical integration loosening its grip on the broadcast business.
Once heavily favoring fully owned series, amid falling linear ratings and diminishing off-network/international returns, the broadcast networks have become more open to “leasing” versus “owning,” especially on series with limited downstream potential like most comedies.
Outside of NBC, all new live-action comedy series that premiered on the broadcast networks this season came from an outside studio. Home Economics and Call Your Mother at ABC, B Positive and United States of Al at CBS, and Call Me Kat at Fox. All but Call Your Mother have been renewed for a second season.
“I do feel that there is certainly an openness to working with third parties in broadcast,” said Channing Dungey, chairman of Warner Bros Television Group, the only studio to have a series on all five networks. (It actually has at least three series on each network, including unscripted fare.)
“What’s happened most recently is that, as the vertically integrated conglomerates are prioritizing streaming a little bit more, the broadcasters for the first time in several years have been more open to third-party suppliers in a very meaningful way,” Lionsgate TV chairman Kevin Beggs said.
Lionsgate TV’s three 2020 pilots, all comedy, went to series: Home Economics at ABC, Ghosts at CBS and This Country at Fox. All are co-productions with the network’s affiliated studios. WBTV also saw all of its produced 2020-21 comedy pilots — B Positive and United States of Al at CBS, Abbot Elementary at ABC and Pivoting at Fox — go to series. Except for the Chuck Lorre shows, WBTV’s comedies are co-productions.
“We are working with our fellow studios to make that work, sometimes that requires very strategic dealmaking,” Dungey said. “I have found that people are willing to be collaborative. We ended up striking a very positive deal for both of our companies with 20th TV on Abbot.“
Beggs also spoke of “essentially reinventing some of the models that can make it more favorable for both parties” as key for the indie’s studio’s sudden foray into broadcast.
“Ghosts” CBS
One indie studio that put the breaks on producing comedy series for broadcast is Sony Pictures TV, which is behind the hit ABC comedy series The Goldbergs. Last summer, the studio informally notified networks that it will not be selling comedies within the current financial model, which was created at a time television viewing choices consisted of three over-the-air broadcast networks. At the time of Sony TV’s decision, the studio had one comedy pilot, Call Your Mother, which went to series and was canceled after a brief midseason run riddled by frequent preemptions.
“We are cautiously observing what is going on in the broadcast side, but right now the standard broadcast deficit model does not make sense for us still, so if we can develop a different broadcast model, I think it would be something we would absolutely entertain and get back into that business,” Sony Pictures TV Studios president Jeff Frost said this week.
He noted that “There have been discussions along those lines” and while “we haven’t been able to break through for anything that makes sense for us yet, they are definitely headed in the right direction.” Like his indie studio counterparts, he did acknowledge that “we are seeing more willingness for the networks to work with outside suppliers,” pointing to the straight-to-series orders Sony TV received at Fox for dramas The Accused and Fantasy Island.
But, along with that, networks this year have gotten “more aggressive on digital, taking more digital rights, owning it for multiple platforms especially as some of these broadcast networks now have AVOD platforms that they are affiliated with,” Frost said. “It’s taking rights that chip away at our ability to monetize them downstream.”
Dungey also acknowledged the challenges making the broadcast model work for comedy in the current environment but stressed that the studio is staying in the broadcast comedy business.
“I still feel bullish about broadcast, particularly in the drama space; comedy is harder right now,” she said. “The market internationally for comedy is more challenging than it has been in the past but we are doing quite well with all of our Chuck Lorre shows that we do for CBS, so I think we are still going to be in that game for some time to come.”
CBS Studios president David Stapf, 20th Television president Karey Burke, Universal TV president Erin Underhill as well as ABC Signature president Johnnie Davis, who comes from comedy development background, all stressed their commitment to the comedy genre.
“You have to be strategic in what comedies you’re developing, and make sure that they’re cost-effective,” Stapf cautioned. “Multi-cams are more cost-effective than single-camera, but we’re not going to run away from single-camera either. We just have to be smart about the efficiencies that we build in as to how to shoot it so it isn’t just cost-ineffective.”
CBS Studios produced two comedy presentations for CBS this season: the multi-camera Smallwood, which was picked up to series, and the single-camera Sarah Cooper/Cindy Chupack project, which wasn’t.
There are only two new comedy series on the fall schedule, Ghosts and ABC’s The Wonder Years, from 20th TV. The studio also received a series order from ABC for comedy pilot Maggie. ABC opted for all single-camera new comedy series, passing on its multi-camera prospects including the Alec Baldwin/Kelsey Grammer series (from 20th TV) and pilot Black Don’t Crack (ABC Signature).
“We are absolutely in love with The Wonder Years and Maggie and Abbot Elementary, both of which are midseason, and I believe, as we’ve seen over the course of decades, the different genres ebb and flow in terms of their popularity with the audience, but I don’t believe the comedy genre is going away on broadcast television in any way,” Burke said. “A show like The Wonder Years is not a traditional comedy. It’s actually quite dramatic and occupies a lane that’s different than what we’ve seen before, and I think it will resonate because of that, because it feels like an evolution and not cookie-cutter, and that’s what the form needs to keep doing, being challenged to evolve.”
“The Wonder Years” ABC/Erika Doss
Davis noted that before Modern Family, which he developed at 20th TV, launched with a splash, broadcast TV had been ruled by multi-camera sitcoms.
“That was really what was in the air, and then all of a sudden Modern Family came and then you had The Middle and you had Fresh off the Boat and all those single-camera well-written family comedies, so I feel optimistic,” he said. “Comedy’s really hard and it’s subjective, and it’s all about that voice but our foot is firmly on the gas pedal.”
Underhill said she is not alarmed by NBC’s decision to have no comedies on the fall schedule for the first time in three decades and instead hold the network’s half-hours — all produced by Universal TV — or midseason, when it will have the Super Bowl and the Winter Olympics.
“NBC is showing their commitment to our comedies by launching them off of some of the biggest TV events of the year,” she said. “Who doesn’t want to ride the wave of the Olympics and Super Bowl?”
Expanding Franchises & Diversity, Ramping Up Aspirational Content
One thing there is a lot of on the fall schedule is franchise procedurals, with Dick Wolf adding new offshoots to his Law & Order and FBI franchises and controlling three consecutive nights of broadcast TV with an all-FBI Tuesday lineup on CBS, as well as One Chicago Wednesday and Law & Order Thursday on NBC. Wolf’s slate, which established a standard for an integrated character universe and frequent crossovers that is being adopted across broadcast, is produced by Uni TV, where he has been based for a long time.
“As you can imagine, we’re elated at the success Dick Wolf’s shows are having across the board, and that’s an area we’ll continue to explore with Dick and his team,” Underhill said.
The FBI franchise is co-produced by CBS Studios, which also is behind the NCIS and CSI franchises, both of which will also be introducing new installments this coming fall with NCIS: Hawai’i and CSI: Vegas.
“When you create a new show out of a beloved franchise, or you bring back nostalgic, beloved IP, you can’t just rely on the name and hope you get viewers. You really got to deliver on the creative, and what’s been so exciting about CSI: Vegas and NCIS: Hawai’i is, the writers and casting has really stepped up, to where they’re going to, the mantra is, these need to appeal to people that have never heard of NCIS or CSI,” Stapf said.
NCIS: Hawai’i is the first NCIS series to have a female lead and a star, Vanessa Lachey, who has Asian heritage.
It is one of a number of new series for next season that have characters of color front and center including ABC’s The Wonder Years (20th TV), Queens (ABC Signature) and Abbott Elementary (WBTV/20th TV), Fox’s Our Kind of People (20th TV/Fox Entertainment) and The Cleaning Lady (WBTV/Fox Entertainment), and the CW’s Naomi and All American: Homecoming. Also headlined by non-white leads are Fox’s summer series Fantasy Island (Sony TV) and NBC drama pilot At That Age (Uni TV).
“I personally am encouraged in looking at some of the new shows that have been ordered across the board, including on our own slate,” said Dungey, who, as an ABC executive, helped the breakthrough of on-screen representation years ago with such shows as Scandal, the first broadcast drama in 35 years to have a Black woman as its lead. “I feel really positive about the fact that we have more diverse shows, more inclusive shows. I look at something like Abbot Elementary, which Quinta Brunson is toplining, and are super proud and excited about. The Cleaning Lady at Fox, which has a fantastic newcomer, Elodie Yung, an Asian woman, as our lead.”
“Abbot Elementary” ABC/Prashant Gupta
Dungey, Burke, Davis, Stapf, Underhill and Frost all underscored their companies’ deep commitment to diversity and inclusion in development, casting as well as overall deal strategy, working to attract, cultivate and retain authentic underrepresented voices. All of them also acknowledged that, as Burke put it using the popular phrase, “this is a movement, not a moment,” and they can — and have to — do better.
Increased inclusivity is a thread that connects many of the new offerings, along with an uplifting, optimistic tone as the nation emerges from the coronavirus pandemic.
“I believe the need for escape, hope, unity, positive portrayals of family and friendship and inclusion are winning the day, and I think broadcast television, in particular ABC, is built for that,” Burke said. “I think that we are all collectively nationally experiencing a moment in which we want to go towards the light. We are turning our back on darkness, and we want new lenses on storytelling that are more hopeful and positive.”
While he remains open to any great idea that comes in the door, “I think that, coming out of this pandemic, we’re going to see shows — my favorite shows always have these ingredients anyway — with more joy, optimism, romance, hopefulness,” Davis said. “That doesn’t mean there won’t be drama and everything inside all of that, but I think it’s about looking up to the sky and all of us collectively feeling like the future is bright and how can we reflect that in our shows.”
ABC Signature has a drama hopeful at ABC that is escapist/aspirational fare personified with literal blue skies — fairytale drama pilot Epic, from the creators of Once Upon a Time, which is currently filming in Ireland.
“I do think broadcast networks – and quite frankly all networks because of Covid – are looking for lighter and more uplifting fare. That seems to be resonating with their audiences more so than some of the heavier content we may have seen in the past,” Frost said. “We have definitely seen more interest from buyers along those lines.”
While not the sole reason, he said the trend was “an important aspect” of Fox’s decision to order the studio’s Fantasy Island reboot.
“We’ll always strive to tell a multitude of different stories – procedurals, serialized shows and escapist fare,” Underhill said. “There seems to be a desire for all of it on broadcast as well as on other platforms. I hate to go in one direction that seems popular because that’s when you see something very different strike big.”
TV Production Post-Pandemic
After an unprecedented six-month industry shutdown because of the pandemic, TV production started coming back last fall with strict Covid protocols. While those restrictions will eventually begin relaxing as infection levels plummet across the country, some of the aspects of TV production — and the mind-set approaching the making of shows — may have been altered for good.
“I believe going forward you will see a sustained commitment to health and safety on set — how we deal with big crowds on set, how we deal with food and water on set, and how we deal with making people feel comfortable and safe in what are always very, very populous environments,” Burke said. “I think there are a lot of learnings that came out of this that will make sets safer places going forward.”
Added Dungey, “I don’t think we will ever go back to a huge craft-service table where everybody is digging into the M&Ms with their bare hands which, if you think about in broad strokes, wasn’t the best plan from the beginning.”
Adjusting to Covid was a short-term financial hit that may have long-term financial benefits for studios.
“What we learned through Covid is that you can produce more efficiently with potentially fewer people on set and utilize resources in a way we hadn’t utilized them in the past,” Frost said. “That’s the great learning that we will definitely take forward and become more efficient with production in the future.”
Davis agrees. “We were really flexible and nimble. If you imagine, a show like Grey’s Anatomy, it’s a bustling ER room. Doctors coming in and out, nurses, patients coming in, love scenes. But yet we figured it out, and we figured it out with less people on the set. We figured it out with making creative deals to get this going.”
He gave some examples of areas we could see lasting changes. “As we look at what modern production looks like, I think we’ve learned a lot. Does that mean owning more of our own studios, our own warehouses, use of LED screens, the amount of people on a set?”
“Grey’s Anatomy” ABC
All studio chiefs are looking forward to TV production going almost back to normal in the near future, giving Deadline their projections when that may happen.
“My hope is that it is later this year, more likely the top of next year where we don’t have to be quite so vigilant about the zones,” Dungey said.
Currently, the talent has been in the central, Zone 1, and then everything radiating out from there with minimum interaction between the zones.
“It makes things complicated when you have writers for example, who want be able to walk onto the set and give an adjustment to a cast member. The hoops that we are jumping through to make sure that everybody stays safe, I hope that we will reach a point where that can be a little bit more casual,” said Dungey, who joined WBTV during the pandemic last fall.
“I’m really excited to get back to the point where we will be able to have more live audiences on a regular basis in our multi-cam comedies, and just personally I look forward as an executive to the opportunity to stop by the set and say hello and watch for a couple of hours.”
Bringing Down Covid Production Costs
Through the rigorous Covid protocols, TV productions have been extremely safe with virtually no on-set transmission. But it has come at a cost.
As Deadline reported in November, implementing the safety measures has added about $200,000-$300,000 an episode to the budget of a multi-camera comedy series, $300,000-$400,000 an episode for single-camera comedy, and $400,000-$500,000 and beyond for a drama. That represents about 10% on top of already hefty production budgets for high-end series. Add to that the cost of shutting down production; each day a production is idle during a Covid outbreak carries a price tag of as much as $100,000.
When would those costs start to go down?
“I don’t think it will subside right away; I think it will be gradual,” Burke said. “Next season, we’re still looking at staying close to as vigilant as we were this year and in terms of our spend to make sure that the sets are safe, and then I think we’ll reevaluate midseason or close to the end of next season.”
Added Davis, “I don’t anticipate the costs we’re paying right now for Covid to stay the same next year, I think they’ll decrease. I think we’ll get back to something, but I do think that health will be top of mind. It’s shining a brighter light on health on our sets [and that] will be something that we will take into the future with us.”
Are Year-Round Development & Straight-To-Series Orders Here To Stay?
When the pandemic hit, it obliterated the 2020 broadcast pilot season. The networks, which had been talking about breaking the traditional development cycle for years but had largely stuck to the status quo, were suddenly forced to forge a new path. We saw a slew of straight-to-series orders for shows like ABC’s Rebel and Call Your Mother; NBC’s Debris, La Brea and Law & Order: For the Defense; CBS’ The Equalizer, Clarice, CSI: Vegas, NCIS: Hawai’i and FBI: International; and the CW’s Kung Fu, The Republic of Sarah and The 4400.
Fox last summer reevaluated its development strategy and introduced a straight-to-series model that involves the opening of a writers room. It yielded two drama series pickups, for Our Kind of People and Monarch.
“We didn’t know what to expect when emerging from Covid and were pleasantly surprised by the number of shows that were picked up straight-to-series as we benefited from that,” said Frost, referring to Sony TV’s straight-to-series order from Fox for The Accused and Fantasy Island.
Additionally, “I definitely think year-round development is something that is getting traction,” he said. “Everything we have seen indicates that broadcasters are very willing to think outside of the traditional broadcast schedule and develop year-round.”
Stapf, who argued that studios have to develop year-round regardless of the networks’ preferred timetable, talked about the studio’s straight-to-series orders since the start of the pandemic: Clarice, The Equalizer, FBI: International (a co-production with Uni TV) as well as The Republic of Sarah and The 4400.
“As a studio, I loved the straight-to-series model, because it’s great, you’re already picked up,” he said. Still, “there are challenges with that. You learn a lot from the pilot system, but if you do it right, straight-to-series can work, and benefit everyone. It allows you to plan better as to how to mount the show.”
“The Equalizer” Michael Greenburg/CBS
Broadcast-Streaming Ties
Former ABC Entertainment president Dungey watched the broadcast upfronts this year for the first time since she left Disney for Netflix in November 2018.
“What has been interesting for me watching it this [past] week, it is so much about the portfolio,” she said. “NBC, Disney going across the board. Fox was really the only one that was still primarily focused on what is happing at the network, and even they spent a lot of time talking about Tubi. What is interesting for someone who grew up in the broadcast business is seeing how interconnected now all of these different channels, streamers, brands are across the portfolio. Now you are looking at things in a much broader perspective.”
Being part of a large portfolio has allowed broadcast networks to develop a relationship with their streamers, from which in-house studios can benefit.
Paramount+ just stepped in to pick up CBS Studios’ drama series SEAL Team and Evil (it is also in negotiations on Clarice) as they were facing possible cancellations at CBS. As a studio, that makes for an easier conversation with creators about doing an out-of-the-box show for the linear network, knowing that even if something happens there, there’s another way to keep the series going, Stapf said.
“As a studio, having the various platforms that are within the same ecosystem just creates more opportunity,” he said. “I don’t necessarily know if those three shows would’ve been canceled on CBS, but it didn’t really have to be a discussion, because within our own wheelhouse, we had a platform that they might’ve been more appropriate for.”
While HBO Max ended up not picking up WBTV’s sophomore drama Prodigal Son after its cancellation by Fox, Dungey noted that “we have an amazing partnership with Max. We do so much content straight for Max like The Flight Attendant, our new deal for the CW means that all of our CW shows will go through Max.”
She mentioned a recent move to put up episodes of Superman & Lois on the streamer to help tune-in for the show on the CW upon its return from hiatus. And, as Deadline reported earlier this month, WBTV’s Pennyworthis eyeing a move from Epix to HBO Max.
One of NBC’s drama pilots, The Lost Symbol, from CBS Studios and Uni TV, got a series order on Peacock as both the streamer and the network are overseen by the the same content team.
“The best thing about having the content team working across our internal platforms is that they can strategically position shows for the best success using their arsenal of brands,” Underhill said.
Health officials in India are scrambling to contain a potentially fatal fungal infection affecting people being treated for or who’ve recovered from COVID-19, as the official coronavirus death toll surpassed 300,000 on Monday.
Why it matters: Mucormycosis, the “black fungus” infection, is still quite rare, with some 9,000 cases as of Saturday, per NDTV. But Indian health services are overstretched treating COVID-19 patients, with oxygen and other supplies running out in many places amid sluggish vaccine deliveries, AP notes.
Mucormycosis has been declared an “epidemic” by health officials in four states, the Times of India reports.
The mucormycosis death toll has not been disclosed, but local media have reported that 250 people have lost their lives to the infection, according to AP.
The big picture: India’s health ministry confirmed the coronavirus had killed 4,454 more people in the past 24 hours, taking the total COVID-19 death toll to 303,720 — the third-highest in the world after the U.S. (589,893 deaths) and Brazil (449,068 deaths), per Johns Hopkins.
The ministry reported 222,315 new COVID-19 cases, taking India’s official total to almost 27 million since the pandemic began.
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During a Sunday appearance on New York City WABC 770 AM radio’s “The Cats Roundtable,” Sen. Rand Paul (R-KY) announced he would not receive a COVID-19 vaccine.
Paul, a physician, acknowledged that people have the right to make their own decision regarding the vaccine. The Kentucky senator explained he has natural immunity from having been diagnosed with COVID.
“You know, I think medical decisions in a free society each individual assesses their own risk,” Paul advised. “The thing is if someone chooses not to be vaccinated and you are vaccinated, they are not a risk to you. They are taking a risk for themselves. So I think, really, medical decisions should be private. In fact, we used to all believe that. There is a law called HIPPA that really says we’re … not supposed to pry into the medical affairs of our employees.”
He added, “[U]Until they show me evidence that people who have already had the infection are dying in large numbers or being hospitalized or getting very sick, I just made my own personal decision that I’m not getting vaccinated because I’ve already had the disease and I have natural immunity now. … In a free country, you would think people would honor, you know, the idea that each individual would get to make their medical decisions, that it wouldn’t be a big brother coming in telling me, you know, what I have to do. Are they also going to tell me I can’t have a cheeseburger for lunch? Are they going to tell me that I have to eat carrots only and, you know, cut my calories? All that would probably be good for me, but I don’t think big brother ought to tell me to do it.”
Total number of virus-related deaths climbs to 303,720, the third-highest toll in the world after US and Brazil, as the country battles a second wave of infections.
India has crossed 300,000 coronavirus deaths, the third country after the United States and Brazil to hit the grim figure, as it battles a huge second wave of infections now affecting the poorer countryside.
India’s health ministry on Monday reported 4,454 coronavirus-related deaths over the last 24 hours, with the total death toll now standing at 303,720 after adding 50,000 deaths in just under two weeks.
Daily coronavirus infections rose by 222,315, taking the country’s caseload to 26.75 million, according to the health ministry data.
The milestone came as slowed vaccine deliveries mar the country’s fight against the pandemic, forcing many to miss their shots, and a rare “black fungus” infection affecting COVID-19 patients worrying the doctors.
Many experts however believe the real toll is much higher, particularly as the disease spreads into rural areas where the majority of the 1.35 billion population lives and where health facilities and record-keeping is poor.
Al Jazeera’s Elizabeth Puranam, reporting from New Delhi, said Indian journalists, doctors and crematoriums all say many deaths are not being counted.
“The official death toll only takes into account people who are dying in hospitals, but most Indians don’t die in hospitals, they die at home. And only around 22 percent of deaths in the country are medically certified,” she said.
States halt vaccination due to shortage
Several Indian states have halted the COVID-19 vaccination drive for those in the 18-44 age group due to a shortage of vaccine supplies, regional officials confirmed on Sunday.
States where vaccinations for this age group have been stopped include Chhattisgarh, New Delhi, Karnakata, Maharashtra and Rajasthan – all among the worst-affected by a current second wave of the pandemic.
“The vaccination drive is not going well at all. There are very severe shortages of vaccines and the (federal) government has told states to make their own arrangements with vaccine manufacturers, both local and foreign,” said Al Jazeera’s Puranam.
People aged 45 and above are also finding it difficult to get their second dose in several regions, with a number of vaccination centres remaining closed in cities like New Delhi, Mumbai and Pune. Signs posted outside these centres said supplies had run out.
“Delhi is also running short of Covaxin doses for the 45-plus age group, we have supplies for just one more day, we have a week’s supply of Covishield,” said Atishi of Delhi’s ruling Aam Aadmi Party.
The country began inoculating its 1.3 billion population on January 16 with the two vaccines approved by its drugs regulator.
These are Covishield, which is the name under which the AstraZeneca vaccine is produced in India by the Pune-based Serum Institute of India, and Covaxin, manufactured by Hyderabad-based Bharat Biotech.
The government had planned to vaccinate 300 million people by July but a little more than 195 million shots have been administered so far. Only 43 million people have received the required two shots.
The number of vaccines being administered daily has dropped during the past month from 3.2 million doses on April 26 to 2.4 million on May 11 and to 1.5 million on Saturday, government data showed.
“Vaccination is really the only answer and Indians are already paying a heavy price for the way the government has gone about planning, pricing and the rollout,” said virologist Dr T Jacob John.
Federal government representatives have said the glitch in vaccine supplies was temporary and there would be around two billion doses of vaccines available between June and December.
However experts say the government is not likely to hit that goal, pointing out that four of the vaccines the government was basing its projections on are still in the clinical trials stage.
“We don’t know whether those would be licenced and when,” epidemiologist Dr Chandrakant Lahariya was quoted as saying by The Hindu newspaper.
Lahariya said a realistic estimate of vaccine availability between August and December this year would be around 1.3 billion doses.
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