gain the cdc. as always we will update everyone about the final recommendations of bacon i'll make informed decisions about our health and the health of our loved ones and i will turn it back to jeff for questions. >> thank you doctor. we'll open it up for questions. >> a reminder to keep your questions to one question and will engage in pr. >> thank you for taking my question but have a question about airline pilots pre- commercial airline pilots are held to high fitness standards and they undergo medical dilutions to obtain their medical certificate to fly a in pilots at american and southwest airlines a particular are arguing pilots may be reluctant to get back to because of potential for granting side effects. they know that the -- has awarded pilots 48 hours after a shot because of the immediate side effects and they are concerned there could be long-term side effects that could cause them to lose their medical certification and their livelihood. is that a concern whether the potentials if the

ready, but the decision on the authorization is clearly with the fda and the cdc. i think this is a best practice.way to do things to be operationally ready. at the same time, obviously defer to the science and the the fda. and i think we learned that lesson, as i said earlier from the prior administration where the decision was made by the fda and cdc and the operations weren't ready. and that meant that adults at the time were not able to receive their vaccines as efficiently, equitably as possible. and this will enable us to be ready for kids. on vaccinations for kids and requirements, first i'll just start by that's really about schools and vaccinations and practicing, as dr. walensky said, proven health measures including masking, distancing, and ventilation is the best way to keep scho have been around for decad at the state and local level. we know that in general requirements work and we support states and school districts taking actions to ensure that vaccinated. but again, those decisions should be made at the state and local level. one more question, kevi

data is available at the county level. recently, cdc added new data on our covid data tracker that reports covid-19 outcomes by vaccination status. here you can see some of the data that we are now posting to covid data tracker. in august, as we were experiencing the peak of the delta surge, 16 jurisdictions provided data on cases and deaths stratified by vaccination status. unvaccinated people had 6.1 times greater risk of testing positive for covid-19, shown on the left, and 11.3 times greater risk of dying from covid-19, shown on the right, when compared of those who are fully vaccinated shown by the light blue line at the bottom. as you've heard me say before, vaccination prevents hospitalizations due to covid-19. on covid data tracker, we are also displaying the age adjusted rates of covid-19 associated hospitalizations by vaccination status in adults over the age of 18. for the week ending august 28th, 2021, the hospitalization rate in fully vaccinated people was 4.5 per 100,000, showing by the green line. while the hospitalizatio

we won't get a consensus about how toreform the cdc and how to empower it . if we don't have enough of the public saying if public health does right in the setting of a crisis. it is the right vehicle to respond and we need public health officials empowered to make these decisions . >> i wonder if you're going farther because it would be uncomfortable giving that much public power to help official but they won't be uncomfortable with making an agency of government more effective operationally which the cdc was clearly not. >> you can't do one without the other. it's the cdc to be properly, for it to be sort of reformed and effective is also going to need to be empowered. >> that whole obsession with protecting intellectual property. they wouldn't turn over commercial manufacturers. >> we've got to fix those messages but that's doesn't get us the deeper reforms of what needs to behappen . >>. >> i was going to ask you about fda but i wanted to talk about the who. a lot of discussion in the book is getting so much attention about treating this as a national secu

in criticism of the cdc they didn't raise their hand to say we don't have this. at some point there should have been self-awareness organized around this mission . eventually the trump organization was no one agency capable of diving a response that was operation warp speed, a marriage between the regulators and logistical capability of the department of defense to scale the manufacturing and development of a vaccine. we didn't do that early on. we had this mixed misguided expectation that the cdc was going to lead a national response but they didn't have the authority or culture to be able to do it. >> you make that case strongly and effectively in the book and it's clear . but people knew the cdc has been around for years. was it so hard tosee that they work up to that challenge, that they were set up to be this operational agency ? >> part of it was people involved in policymaking didn't recognize what the limitations work and also i think there was a failure of vision early on to recognize how this was going to unfold that if this became a global pandemic ther

the fda and the cdc. e first committee to meet is the fda's vaccine and related biological products advisory committee. it holds a public meeting were scientific experts weigh in on the data and discuss key scientific questions. the fda synthesizes the committee's proceedings and then makes an official decision that can be implemented by our health care system. a similar process has been conducted by the cdc. the cdc advisory committee on immunization practices holds a public meeting were scientific experts weigh in on the data and answer key questions. and following that meeting, the cdc takes their input into account and makes a clinical recommendation for health care providers. to summarize, advice is offered and then the fda makes a decision. and this cdc makes a decision off of the other meeting's advice. helpful guidance is provided to the fda and cdc as the agencies themselves make their ultimate decision. this process is not new. it has been around long before covid-19. during the pandemic, this sa

but the cdc will have to make the final decision. their advisory panel is expected to meet in early november. mona? >> faith, thank you. >>> the effort to strike a deal on president biden's massive spending package appears to be getting more contentious. sources say senator bernie sanders pushed to keep the bill's price tag at $3.5 trillion and senator joe manchin fired back saying he would be comfortable doing nothing at all. senator kyrsten sinema remains opposed to paying for the bill with tax increases on the wealthy. president biden acknowledged last night that raising corporate tax rates is now unlikely. the president also said he's open to ending the senate filibuster for voting rights and maybe more, which would allow democrats to pass bills with a simple majority vote. during a town hall last night, biden said senators will have to fundamentally alter the filibuster at some point. >>> the justice department must decide whether to prosecute former president trump's long time ally steve bannon. nine house republicans joined de

the cdc in georgia not finding an impact. we need to recognize that providing a false sense of security is not detecting the impact. that remains an unknown until we have clinical trials. we have a trial from bangladesh that surgical masks can protect masks with increased distancing. >> do you feel that isolating and quarantining children affects mental health and increases mental health issues like anxiety and suicide in children? dr. hoeg: yes, i do. i believe from what we have seen, we have watched children rise in the rates of mental health disorders coincides with keeping children in remote learning, children are by nature creatures, and by disrupting we are taking a chance with their mental health. >> finally, do you think the spike in bmi especially in kids age five to 11, are we facing future long-term impact in pediatric health? dr. hoeg: absolutely. we saw a doubling in the increase of bmi among three to 11-year-olds, they were the most highly impacted in the study released by the cdc. obesity during childhood has a

here are the number according to the cdc. it's a rate of around0.008%. 139 kids 5 to 17 died of the flu in 2019 and 2020. does it make sense to vaccinate children with little risk? there are negativee consequences that we need to take into consideration. when it comes to mandates many americans have made up their mind. hundreds of thousands of americans in all walks of life are willing to be fired from their job and give up their income and benefits and give up their pensions and they made up their mind. there is nothing that flip flop fauci or biden or kamala harris will change the minds of hundreds of thousands of americas in key jobs. they made up their minds. in other words, for many people we had the debate about vaccineh or not vaccine. they are not changing their mind.. for whatever reason. prominent democrats and experts said he's mandates would never happen. people like pelosi and fauci and biden and so many others. we won't mandate this. look at your screen. that's new york city workers with police, fires and first r

how soon before the fda and the cdc could give this the okay?aying tonight on the flu shot. how soon should you be getting it? >>> also tonight, abortion and the right to choose and the legal battle unfolding right now in texas. a judge now halting that state's new controversial law banning nearly all abortions in that state. but where this heads next and why many clinics are hesitate to reopen in texas. >>> the u.s. attack submarine in an underwater collision in the pacific. martha raddatz standing

>> we have a nice relationship with the cdc, and talk very regularly. we have good communication and collaboration. >> i'm sure you have a good relationship but the question was did the cdc consult with the academy of pediatrics before the guidance was released? >> we talk on a regular basis and share information on a regular basis. talking to each other and sharing information, we take each other's expertise into account all the time. >> is that a yes or no? >> i can only assume they took our expertise into account because we talk so regularly. >> i would assume they didn't because they didn't follow it. tracy hoeg and lee salvio beers, i'm not going to leave you alone yet. do you think any scientific recent the children should have been in the classroom last semester? >> i don't think on a broad scale, scientific reason we should have been keeping children out of school based on the results of our study on the results of the north carolina study. there was flip-flopping from the messaging we were getting that doctor fauci was saying schools are safe ba

>> i think the cdc missed yet another opportunity to be clear with the public. what i've been telling my patients is the following. if you haven't had any issues with your first do doses of an mrna vaccine, stick with the mrna. >> the mrna is pfizer and moderna. >> pfizer and moderna. >> if you've had pfizer, get a pfizer booster. you've had moderna, get the moderna booster which is actually a reduced dose. it's half dose. if you've had j&j, i think most people would benefit from getting mrna booster, not the j&j booster, particularly women under the age of 50 where we saw that rare but serious complication of cerebral venus thrombosis. to keep it simple, if you've had one dose of the j&j, get either the pfizer or moderna vaccine as a booster. >> most importantly, talk to your doctor if you've had any sort of side effect one way or the other. >> probably the first thing to do is talk to your doctor. >> you heard alexandra mention this study that shows a quarter of patients had brain fog. a quarter. worse for people who had been hospitalized with covid but also h

santa cruz county has lifted its mandate based on the cdc's new designation. santa cruz county has now substantial transmission rate. it's orange. that's down from high transmission rate. you can see most of the bay area is in orange. now, doctors and scientists still say the best way to combat the virus is through vaccines and masks. the cdc did a study on how effective masks are in stopping the spread of covid-19. and it looked at k-12 schools? two counties in arizona. maricopa and pima counties in arizona. schools without mask mandates were 3 1/2 times more likely to spread the virus. to determine transmission rates, the cdc looks at case rates and positivity rates. overall, the state's positivity rate is good. it's at 2.6%. santa cruz county has a 1% positivity rate. and joining me now is dr. monica ghandi, and dr. david ducci. thank you for being on the program. let's begin with your headline. what other factors went into the lifting of the mask mandates in most places in the county? >> we felt with the cdc downgrading us yesterday, we were actually yellow

it needs to reside in the cdc but in a much different component of the cdc. we also did not have the base of manufacturing we thought we would have. we couldn't scale up quickly the amount of drugs, like the new merck drug filed today, and even the vaccine. there was a perception that you would have facilities you would sort of overbuild and mothball and ready in times of crisis, and what we learned is that does not work, that in order to keep a facility ready for a time of crisis, it has to be in constant operation. so we need to figure out how to operate certain components of our manufacturing base for maximum resiliency, building more resiliency into the system. finally, on the data question, we did not have the capacity to collect information in a real-time fashion to inform ourselves what is going on and do the quick analytical work that would help us ascertain how this virus was spreading, what the associated geographic parts of spread work, so we were wiping down our groceries, thinking this was spreading through contaminated surfaces, when it was real

if it's authorized by the fda and cdc, we will be ready. we have the supply i want to emphasize it's a different supply for kids is a different dose so they will be getting supply to providers and we will bring that vaccine as we talked about and we will work as we have throughout the trusted messengers who can answer questions for parents and kids. we have the supply and we will be ready. >> last question. i was hoping to follow up on what the doctor felt she was saying. what is that threshold that would mean it's under control? i think you said may be 10,000 cases per day that might be 100 deaths per day which would make it similar to the flu but does that mean we are kind of perpetually living with it what is thatt threshold? >> i can't give you the precise number. i mean, i've said in the past, and i think it's a reasonable assumption i said less than 10,000. i would hope that it would be considerably less than 10,000 regarding it being like the flu, people have spoken in those terms and i don't know if we can definitively say that. one

it needs to reside in the cdc but in a much different component of the cdc.e also did not have the base of manufacturing we thought we would have. we couldn't scale up quickly the amount of drugs, like the new merck drug filed today, and even the vaccine. there was a perception that you would have facilities you would sort of overbuild and mothball and ready in times of crisis, and what we learned is that does not work, that in order to keep a facility ready for a time of crisis, it has to be in constant operation. so we need to figure out how to operate certain components of our manufacturing base for maximum resiliency, building more resiliency into the system. finally, on the data question, we did not have the capacity to collect information in a real-time fashion to inform ourselves what is going on and do the quick analytical work that would help us ascertain how this virus was spreading, what the associated geographic parts of spread work, so we were wiping down our groceries, thinking this was spreading through contaminated surfaces, when it was really

guest: the cdc data little bit. california is doing the best of any of the states right now and the bay area doing well. i don't have an answer for why still orange but i can tell you that i am optimistic. anchor: the condition is not yet met. second condition you set today, covid-19 hospitalizations in the jurisdiction are low and stable in the judgment of the health officer. has san francisco met that condition? guest: we are meeting that condition. this is somewhat subjective. it is about making sure we keep our hospital capacity, a big reason why we put in all the health orders to date. we have been averaging about 65 people in the hospital with covid. we would love for those people not to be there but our hospitals can handle that level. if we stay at or below that level, we will meet that criteria. anchor: one of two conditions met. the third condition -- 80% of the total population needs to be fully vaccinated or eight weeks have passed since the vaccination has been authorized. let's break this down. let's ta

the cdc sort of walked back on that. obviously was not involved in the emails with the teachers unions but it was a bit [inaudible] as to why they change their recommendations. >> doctor, while i have, you i will move quickly, because i have little time left. but are you aware of any studies on the impact of wearing a mask that -- the impact that wearing a mask has on children, particularly on those in kindergarten through fifth grade? >> in terms of preventing covid or in terms of other impacts? >> other impacts. and [inaudible] both. >> so again, in terms of preventing covid, we only have observational and not randomized studies with children. we have not found the mask mandates on children have had an impact on covid. and then in terms of the negative impacts of masking, we need better studies. but in scandinavia they are not having masks for those under 12 because they need proof that it works. we have taken the opposite approach. we will mask them until we find proof and we -- >> but you do agree that there are some

and tonight you what the cdc director, dr. rochelle walensky, is now saying about the flu s shot, as well. and how soon you should get it. abc's erielle reshef leading us off tonight. >> three, four -- >> reporter: tonight, a critical step on the road to vaccinating younger children. pfizer asking for emergency authorization for 5 to 11-year-olds after reporting the shots were safe and generated a robust antibody response with one-third of the adult dose. >> the immune response or protection that you get from the vaccine appears to be just as good as it is in adolescents and young adults. >> reporter: side effects similar too, like fever, headache and sore arm. all eyes now on an fda panel which will review the data on october 26th. and within days, the cdc could sign off on the vaccine for 28 million more children. >> after everything is reviewed and looks good, i'm hopeful that we'll see something in november. >> reporter: 9-year-old luke moore wanted to join the pfizer trial after his parents and friends volunteered. >> hone

well-informed by information in analytical work by the cdc, the cdc put out guidance to maintain 6 feet themselves that was a costly of guidance through the whole pandemic, enforcement and schools to remain shut and forced many businesses to remain shut because they could not allow for 6 feet of distance between the customers or students that was not based on sound science it was based on old science looking a droplet transmission and influenza we know the coronavirus bread primarily through aerosol and respiratory particles, the guidance wasn't revised louis finally revises spring with the biden administration put pressure on cdc to revisit the guidance they recognize the six-foot requirement was forcing schools to remain shut cdc settled on a conclusion as long as children are wearing masks they can maintain 3 feet of distance and that would be appropriate they based on a study last fall where they looked at mass individuals and found that two people wearing masks and 3 feet apart you can reduce transmission by 70% which begs the question if they had the result, the study result in th

the cdc investigating. >>> and the incredible rescue.illion os cheering the video of a doege pulled from the open ocean off the florida coast. >>> good evening. it's great to have you with us on a busy friday night. i'm whit johnson in for david. and we begin with that deadly movie set tragedy. actor alec baldwin firing a prop gun, killing the movie's cinematographer and wounding the director. tonight, production has been halted and the investigation is under way. baldwin is one of the producers of the western called "rust", filming in the desert on the outskirts of santa fe new mexico. the projectile striking the director of photography, who was air lifted to the hospital, but did not survive. she leaves behind a husband and son. the director treated at a hospital and released. images of a distraught alec baldwin after the incident. today he tweeted, there are no words to convey my shock and sadness and saying he reached out to hutchens' husband. we're learning the crew complained about safety on the set, saying there were at least two

reveal the coordination between the white house, the cdc and teachers unions on covid policy. the more emails are released the more we see this is all politics and no science. the latest emails show the teachers unions were writing the school reopening guidance just hours before it was released and before the cdc made the guidance public, everything passed the teachers union one last time. they didn't want anything by the scientists at the last minute or the parents and certainly didn't run anything by the bipartisan group that would have to implement it. the more emails are released the more we see outside influences behind the supposedly science-based decisions. >> this made a lot of people mad because it didn't fall in line with the science of those recommendations especially because evidence showed schools are not the primary source of covid contraction. do you share the sentiments with that? or any science-based possibility with what they were doing in cahoots with the teachers union? >> you are right that people are mad especially parents. it is important to remember the

but we really need to have some sort of message and transparency from the cdc about what the natural effects are, especially in kids when we're looking at cdc data put out in may, there expected effects of natural immunity are, especially in kids when we're looking at based on cdc data put out in may that there may be over 40% of kids in the united states have been infected. i know when it comes to the safety signal with the myocarditis among boys with the second dose, you know, a lot of parents would like to know what is the benefit of giving a second dose of the vaccine especially in the kids who already have been affected. and so i think these are sort of basic questions that a lot of people in the united states would like to know and we haven't really had, you know, messaging about this from the cdc. >> i think that's low-hanging fruit to get that knowledge. it is a simple test that is available. we all know how to interpret it. we have experience with that. it certainly bore out in the sars cov 1 epidemic years ago. you set the record straight on the research findings that were a

guidance was put up on the cdc website sometime friday night and saturday morning. out there for two and a half days with people thinking they would have to virtually celebrate the holidays again this year, and now two and a half days later, the cdc says, no, technical problem. we'll have your holiday guidance soon. is that a big mess-up or what? >> hallie, i'm flabbergasted by this. this is not the first time there has been misunderstanding about messages and misstated messages coming from the cdc and other agencies. i think the administration has to get its act together on this. we cannot have this. for one thing it really undermines the credibility of the public in these cdc guidelines and in the messages about controlling the pandemic. but the other problem, of course, politically for president biden is that he's got a lot of other irons in the fire, very complicated political agendas around the debt ceiling and international issues and the budget and everything else. he does not need to have the public scratching their heads about what it is they're trying to sa

the cdc is expected to weigh in today. in the meantime, we're seeing a troubling trend in the uk where covid cases are spiking in the wake of restrictions being lifted. doctors say it's an example of why we just can't let our guard down. alex is here with more on the push for two more booster shots. alex, good morning. >> reporter: good morning, andrew. with the fda authorizations, the cdc still needs to sign off. but health experts are saying that this is a major development in the fight against covid. this morning, major green lights, the fda officially authorizing covid boosters for moderna and johnson & johnson. the moderna booster for the same population as pfizer after six months for people 65 and older and those at high risk due to health or where they work. j&j boosters after two months for anyone over 18. the other news, the fda allowing americans to mix and match any of the three vaccines as a booster. >> and this is important because it's going to provide additional protection to a large portion of this populatio

. >> and the cdc out with new guidelines ahead of the holidays. it may be time to rethink the plans for a large holiday gathering. new advice on that and holiday travel just ahead. >>> there you have the opening bell at the new york stock exchange where the dow sheds 350 points as investors ditch technology stocks. nasdaq also dropping 2% out there. >>> johnson & johnson this week will reportedly ask the fda to approve a covid booster shot. sources tell "the new york times" the agency will meet october 15th. this is one day after the meeting to weigh a possible moderna booster shot. johnson & johnson last month announced the second dose eight weeks after the initial dose provides 100% protection against severe illness. j&j not commenting on the times' report. >>> as we approach thanksgiving, the cdc is advising americans to not celebrate the holidays with large in-person gatherings. >> nbc bay area's bob redell reporting that even as covid-19 cases are dropping, this is being the advice given. >> reporter: even though covid case rates are down mor

what we know plus, new guidelines just out from the cdc over celebrating the holidays and the battle over vaccine mandates heating up the major u.s. city that could soon be without half its police force. >>> also former president bill clinton hospitalized for an infection said to be unrelated to covid his condition tonight. >>> the capitol police officer accused of telling a january 6th rioter to delete evidence the charges he faces. >>> the move by the justice department taking the battle over texas' abortion law back to the supreme court. the shocking attack. a lawmaker in the u.k. stabbed to death at a church while meeting with voters. was it an act of terror? >>> news on the gunman charged in the high school massacre in parkland, florida. planning to change his plea >>> and the supply chain gridlock and the major impact on holiday shopping what to do now to get those toys on time >>> this is nbc "nightly news" with lester holt. >> good evening and welcome. mixed news tonight for those who got the johnson & johnson covid vaccination. an fda safety panel tonight endorsing booster s

tonight, the cdc with a new timeline for vaccinations for children 5 to 11. this could start in less than a month. we have the timeline tonight and how this will work. how much of the vaccine in each dose, and those two doses three weeks apart. and tonight why authorities say even as we appear to turn the corner, why we have to be vigilant in protecting children. tonight, the rare covid complication affecting some children that can include fever, rash, and inflammation of the heart. >>> also tonight, president biden rejecting a request from former president trump. biden refusing to block the release of trump white house documents to the january 6th committee. the former president had argued executive privilege. jon karl is here. >>> the verdict tonight in the college admissions cheating scandal. the first parents to stand trial, two fathers, two separate families. tonight, both fathers found guilty. and you will hear the audio recordings right here. the recordings jurors heard before finding them guilty. >>> tonight, the weather in the east. heavy rain and dan

even the cdc does not recommend measles vaccines if you have measles immunity. the same was true for smallpox. you ignore history and science to shame the flat earthers, as you've called them. you should be ashamed of yourself and apologize to the american people for being dishonest about naturally acquired immunity. you want more people to choose vaccination? so why. we want to lessen vaccine hesitancy? so i. you want that to happen? stop lying to people at nationally acquired immunity. is top luring it over people as if these people are deplorable and on washed. try persuasion instead of government. try humility instead of arrogance. try freedom instead of coercion. most of all, try understanding that there is no more basic medical right then deciding what we inject into our bodies. moretoday, after hearing millis of people in the study proved show without a doubt that there is a great deal of immunity from getting it naturally. do you want to apologize to the hundred million americans who suffered through covid, survived, have immunity, and yet you want to hol

why isn't the cdc and fda doing this? got $50 billion, seven staff in research funding, we will see with the results show. they will be forthcoming in the next several weeks, this will be questions we need to inform the public when they have good questions. >> shannon: you have been pushing the cdc to release some of this information and address the idea of natural immunity, what have you found? >> this summer we formally petition to the cdc on behalf of one of our clients, demanding that they support their position that those that have natural immunity cannot afford the same liberties that the cdc says those with vexing immunity can have. they didn't respond for months, they conducted a study of a few hundred individuals in kentucky and finally responded. failing to address the over 50 studies that show's natural immunity is better than vaccine immunity and put into a single study that had nothing to do with comparing those natural immunity, we now responded to the cdc. if they refuse to lift the restrictions on the natur

the cdc director will then have the final say. and we could see the first shots going into arms as early as next wednesday. david? >> little sooner than they thought. all right, whit johnson, thank you. >>> now to that major headline on president biden's domestic agenda on the eve of his trip to europe. word coming in late today that a key part of the bill and a popular one, paid family and medical leave, may now be out. senator joe manchin against it. rachel scott on the hill. >> reporter: as democrats scramble to make a deal before president biden heads out to europe, tonight, word his plan for paid family and medical leave will likely be out of the final bill. it's something the president has promoted for months. >> we're one of the few industrial countries in the world that doesn't have paid leave. so that when you stay home to help that person, to take care of that person, you're still getting your pay. >> reporter: but west virginia senator joe manchin, who has the power to kill the entire bill, is firmly opposed. >> to expa

the big decision made by the cdc. >>> and remains identified. the manhunt for brian laundrie is officially over. how officials say hey were able to identify his remains. >>> good morning, everyone. really good to see you. i'm anne-marie green. we're going to begin with breaking news overnight. a tragic scene on the set of the latest alec baldwin movie in new mexico. one woman is dead and another person is wounded. the santa fe county sheriff's office says baldwin discharged a prop firearm that killed the director of photography, halyna hutchins, and injured the director of the film, joel soza. production has been halted on the western film while an investigation takes place into just what type of projectile was fired and how it happened. no charges have been filed yet, though. here you can see baldwin who is starring and producing in the movie clearly distraught. pictures show him outside of the sheriff's office after being questioned about the incident. >>> in the meantime, tens of millions of americans are eligible to receive a covid booster do