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Unvaccinated teens in L.A. are more likely to test positive for coronavirus than adults

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Unvaccinated teenagers have been more likely to test positive for the coronavirus than unvaccinated adults in Los Angeles County, officials said.

The trend illustrates how a group less likely to have been vaccinated in the nations most populous county is playing an outsize role in continuing transmission of the highly contagious Delta variant.

The highest case rates have been among unvaccinated teens, who were eight times more likely than vaccinated teens to test positive for COVID and are important drivers of transmission across our communities, L.A. County Public Health Director Barbara Ferrer said in a recent briefing.

Previously, health officials had noted that it was younger adults who were most likely to contract the coronavirus.

But the possibilities for contracting the coronavirus have climbed as social gatherings and extracurricular activities for teenagers have resumed. L.A. Countys unvaccinated youths ages 12 to 17 have a monthly coronavirus case rate 32% worse than that of unvaccinated residents younger than 50, according to data collected between Sept. 16 and Oct. 15.

Not coincidentally, its young L.A. County residents who are least likely to be vaccinated. While 80% of L.A. County residents eligible for vaccination have received at least one shot, only 70% of 12- to 15-year-olds have done so, as have 76% of those age 16 to 17. By comparison, 98% of residents age 65 to 79 have received at least one shot.

Even though all high-school-age residents have been eligible for the vaccine since May, the relatively high proportion of unvaccinated teens is contributing to reported outbreaks in L.A. Countys schools. Of nearly 1,000 coronavirus cases linked to outbreaks in K-12 schools since August, nearly half were related to youth sports, and all but one of the 21 outbreaks tied to such activities were among high school students.

Outbreaks among youth sports teams and high schools result in a lot more transmission, Ferrer said.

Relatively high coronavirus case rates among teens are only more reason to get them and other children vaccinated when they become eligible, said Dr. George Rutherford, an epidemiologist and infectious-disease expert at UC San Francisco. Coronavirus transmission rates in much of California are still substantial or high, the worst two categories in the U.S. Centers for Disease Control and Preventions four-tier scale.

The chances of becoming infected are real, said Rutherford, who is also a board-certified pediatrician. And thats because not everybodys vaccinated.

This is true even in Californias most highly vaccinated counties. In the San Francisco Bay Area, more than 20% of people of all ages are not fully vaccinated; in L.A. and Orange counties, more than 30% are not fully vaccinated, and thats plenty to sustain transmission, Rutherford said.

This is not a disease that you want to have in childhood or in adulthood. You just dont want to have it, period, Rutherford said. While this epidemic is at full tilt, you need to protect your kids as best as you can. And vaccination is a very important way to do that.

According to the CDC, 791 people under age 18 have died from COVID-19 nationwide, and more than 5.4 million have tested positive for the coronavirus. The American Academy of Pediatrics says that at least 24,000 children have been hospitalized for COVID-19 since the start of the pandemic in 24 states and New York City, which release data on hospitalizations by age group.

There is one significant post-vaccination side effect that officials have been monitoring: myocarditis, an inflammation of the heart.

There have been rare instances of the condition following vaccination, notably among males age 12 to 17. A clinical trial involving a few thousand 5- to 11-year-olds found no reports of myocarditis among those who received the Pfizer vaccine, but because the trial was relatively small, more monitoring will be needed to determine whether post-vaccination myocarditis will end up emerging as the vaccine is distributed more broadly.

Available data show that getting myocarditis from the vaccine is much less likely than getting it from COVID-19, Rutherford said.

Rutherford also cited data showing that among children younger than 16 who had contact with hospitals from March 2020 to January 2021, those suffering from COVID-19 were 36.8 times more likely to suffer from myocarditis than those who did not have COVID-19.

The CDC says that as of Oct. 20, federal agencies had confirmed 963 reports of myocarditis among vaccinated people age 30 and younger, most commonly among those who got either the Pfizer or Moderna vaccine, particularly in males. Those low numbers indicate that post-vaccination myocarditis is rare, and other data suggest that even when it does happen, it appears to be far more benign than other forms of myocarditis, Rutherford said, and goes away quickly with rest.

The median length of hospitalization is six days for COVID-19 and one day for vaccine-related myocarditis, according to the U.S. Food and Drug Administration.

Vaccine-associated myocarditis is less severe, and patients recover quickly without intervention. So, yes, I think the calculus for vaccination is far, far in favor of vaccinating, and I strongly recommend it, Rutherford said.

Of six scenarios considered by the FDA of the potential benefits and risks of the vaccine for those age 5 to 11, five clearly showed that vaccinations result in the benefit of more children avoiding hospitalization from COVID-19 than might potentially contract post-vaccine myocarditis.

The one scenario that was debatable involved a projection that COVID-19 hospitalizations would fall to very low levels just 10% of what was reported in mid-September. In that scenario, the model found that vaccinations would cause more cases of vaccine-related myocarditis than would avert hospitalizations due to COVID-19.

However, even in that scenario, when one considers how COVID-19 hospitalization in children causes far more severe illness than vaccine-related myocarditis, the overall benefits of the vaccine may still outweigh the risks, Hong Yang, a senior advisor for benefit-risk assessment for the FDA, told an advisory committee to the agency.

Rutherford said the assumptions in that scenario that hospitalizations would fall to a very low level are unlikely to occur in the near future. I find that preposterous, he said.

For the scenarios that he considered more plausible, the risk of myocarditis from naturally acquired infection is higher than the rare risk from vaccine.

Children who get infected with the coronavirus also have a rare risk of developing a serious condition that usually requires hospitalization. Of children who are hospitalized for the rare COVID-related condition Multisystem Inflammatory Syndrome in Children, or MIS-C, preliminary data suggest that 8% to 9% are diagnosed with myocarditis.

Nationally, there have been 5,217 reports of MIS-C, 46 of which have resulted in death. In California, there have been 677 reports of MIS-C, six of which have resulted in death. Between 60% and 70% of patients with MIS-C require intensive care.

Some experts were hopeful that the lowered vaccination dosage for young children, who will be given one-third as much vaccine as those 12 and older, will reduce the chance of side effects like post-vaccination myocarditis.

Dr. Regina Chinsio-Kwong, a deputy health officer for Orange County, concurred that post-vaccination myocarditis, when it happens, usually results in minor symptoms that last only a couple of days and can be treated with Motrin.

Chinsio-Kwong said she is far more worried about the long-term health consequences should unvaccinated children get COVID-19.

My concern is that you would be looking at a more severe impact on your heart and your cardiovascular system that would have more long-term consequences, Chinsio-Kwong said.

Its those kinds of concerns that caused her to get one of her sons vaccinated as soon as the Pfizer vaccine was eligible for him, and why she is eager to get a younger son vaccinated as soon as he becomes eligible.

The last thing I want is for any of my kids to get COVID, Chinsio-Kwong said. When you hear from the pediatricians of the Multisystem Inflammatory Syndrome that can occur months after exposure to COVID, it is very scary. We want our children to really do well.

Chinsio-Kwong said there is concern that some children who have survived COVID-19 have higher rates of depression or anxiety, difficulty concentrating in school or long-term headaches.

Theres obviously many other consequences that can occur beyond the COVID infection itself. And we really dont know how long that affects that child if it goes all the way to their adulthood, Chinsio-Kwong said.

Illness that lasts a month or more after a coronavirus infection known as long COVID can happen in children. A study recently published in the journal Lancet Child and Adolescent Health said that among more than 1,700 British children age 5 to 17 with symptomatic COVID, 4.4% had symptoms that persisted for 28 days or more, and 1.8% had symptoms that persisted for at least 56 days. Common long COVID symptoms included headache and fatigue.

Vaccinations reduce the likelihood not only of coming down with COVID-19 but of suffering from long COVID, Dr. Anthony Fauci, the U.S. governments top infectious-disease expert, said recently. Fauci cited a study in the journal Lancet Infectious Diseases that said that fully vaccinated people were half as likely as unvaccinated people to report long COVID symptoms.

Dr. Robert Wachter, chair of UC San Franciscos Department of Medicine, said allowing a population of kids to remain unvaccinated only increases the probability of ongoing coronavirus spread.

Wachter said we cannot count on COVID-19 disappearing any time soon, and were likely to enter into a state of relatively stable, and fairly high, levels of infection.

There are simply too many unvaccinated people, too many regions where precautions are out the window, and then you have waning immunity from both vaccination and from natural infection all of this makes counting on COVID going away a fools errand, Wachter wrote in an email. Itll be with us, and so the justification for childhood vaccination will remain robust.

Shane Crotty, a professor at the La Jolla Institute of Immunology, said in a tweet that if he had children age 5 to 11, he would get them the Pfizer vaccine as soon as they became eligible.

Crotty, too, wrote that the myocarditis associated with vaccination is transient and mild, with most patients hospitalized for observation, rather than treatment. So, not super concerning, compared to viral infection myocarditis which can have severe long term consequences, Crotty wrote.

Meanwhile, Dr. Seira Kurian, interim regional health officer for the L.A. County Department of Public Health, said it is important that children who have survived a coronavirus infection get vaccinated.

Based on what we know so far, the immunity that we receive from natural infection may not be as stable as immunity that we receive from vaccination, Kurian said. The immunity that you receive from vaccination provides you a much more robust and consistent protection than natural immunity alone does.

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Coronavirus

South Korea accused of discrimination over vaccine recognition | Coronavirus pandemic News

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Seoul, South Korea Imagine two people.

Both live in South Korea. Both got their COVID-19 vaccinations in July when they were overseas one in the United States, and the other in France.

Both had to go through quarantine when they returned to Korea, but the authorities accepted the fully vaccinated status of only one of them, which meant that while that person was allowed to go to high-risk venues like clubs and bars, and avoid future quarantines, the other found their daily life severely restricted.

The first is a South Korean citizen and the other a foreigner.

It feels like its kind of unfair and in some way discrimination, said Laurane Batany, a French national who arrived in Korea recently and was vaccinated in her home country in July.

And her Korean counterpart agrees.

I cannot find or understand any rational reason to treat foreign residents differently from Koreans for exactly the same certificate. Its as if they think foreigners are more likely to lie. Its a disgrace and clear discrimination, Choi Il-woo said, a Korean national who was vaccinated in the US in July.

Vaccine recognition is crucial in a South Korea that this month revised pandemic-related restrictions under a policy of what it calls living with COVID-19.

The new rules include a COVID-19 pass that allows the fully-vaccinated entry to facilities such as night clubs, bars, gyms, and sport venues. This is the pass an app called COOV from which foreigners vaccinated outside Korea are excluded.

The COOV app is crucial for access to sports venues, gyms and other places considered high risk [Ahn Young-joon/AP Photo]

Korean officials have raised concerns about the credibility of vaccinations done beyond its borders and require that foreigners go to the Korean consulate in the country where they have been vaccinated to get a quarantine waiver before they can enter South Korea. That exemption means their vaccine can be registered in the COOV app.

As there is difficulty in verifying the authenticity of a vaccination certificate issued from abroad, a vaccination certificate issued from abroad is recognised by the Korean government only when a quarantine exemption issued from diplomatic offices of Korea overseas is submitted in the case of a foreign citizen, said a statement from the Korea Disease Control and Prevention Agency that was given to international journalists.

South Korea also has a list of 16 countries, including Myanmar, South Africa and Chile, from which no quarantine exemption is even possible.

Confusing and complicated

As the world slowly opens back up and international travel shows signs of a rebound, countries are adopting their own and sometimes contradictory policies, despite the WHO advising governments to avoid exclusionary policies and recognise vaccines equally across borders.

Some other countries, have also placed limitations on which vaccines they are willing to accept, with some not recognising those inoculated with the Chinese vaccines Sinovac and Sinopharm or the Russian vaccine Sputnik-V.

Some of the COVID-19 policies in South Korea right now are literally as bat s**t crazy as the ones in North Korea, Chad OCarroll, journalist and founder of the North Korea-focused media organisation NKnews.org, posted on Twitter.

Complicating the issue, some foreigners in South Korea are not even eligible for the waiver. Students are among them.

Well, because Im here as a student, and students when they arrive have to go through quarantine, I couldnt get a quarantine exemption, Batany told Al Jazeera.

Students simply are NOT eligible to apply for quarantine exemption, as the Korean embassy in Finland puts it in bright red letters on their website.

Unable to be registered in the Korean system and download the COOV app to prove her status as double-jabbed, Batany has been shut out from certain parts of Korean society.

I tried to enter a kind of dance club and bar, and the person at the entrance told us that we couldnt enter with our foreigner proof of vaccination, we had to get the COOV app. We couldnt get our vaccinations recognised, she said.

South Korea is battling a surge of cases as it moves towards living with the coronavirus [Yonhap via EPA]

The fact that the rules only apply to foreigners living in South Korea and not citizens has upset many.

In a press conference last week, health officials tried to explain the best they could that the restrictions were not xenophobic but of a practical nature.

Its hard to carry out the confirmation process, some countries have standardised formats for verification, while other countries accept various proofs from clinics, hospitals, or local governments, said Sohn Youngrea, a spokesperson for the ministry of health and welfare. That is why were asking for waivers issued by our offices overseas.

Not everyone agrees, however.

Foreigners singled out

The British ambassador has criticised the logic of the Korean system.

If evidence produced by a Korean national of an overseas vaccination is good enough for that vaccination to be registered for the vaccine pass, the same evidence should be good enough to register the overseas vaccinations of foreign nationals too, Simon Smith, the British Ambassador to South Korea, said in a video uploaded to his embassys official Twitter account.

The vaccine pass policy has rekindled concerns about official discrimination against foreigners in a country, where only about three percent of the population are of non-Korean origin.

Earlier this month, it emerged that the small city of Gimhae ordered that all foreign children had to be tested for coronavirus after a rise in cases connected to kindergartens. The online backlash prompted the city to retract the order and apologise.

We are sorry for causing inconvenience to the parents of foreign children, the local government said in a statement, according to the South Korean news service Yonhap.

There are currently no laws in South Korea against discrimination on the grounds of ethnicity, race, or sexual orientation.

Legislation has been proposed numerous times since 2007 but has failed to make headway because of resistance from conservative politicians and religious groups.

This law is very common and basic law, its a law based on equal rights given in the Korean constitution, said Lee Jong-geol, co-chief of the South Korean Coalition for Anti-Discrimination Legislation. [The vaccination controversy] will help Korean people to garner more interest, to understand why they need an anti-discrimination law.

South Korea has been easing restrictions for the fully vaccinated, but people must use an app to show their status and check in to venues such as restaurants and bars [File: Yonhap via EPA]

As the British ambassador noted, the discrimination against foreigners over COVID-19 vaccinations is something that affects not only business and investors, but people who are actively contributing to Korean society.

But any change in the law is likely to be too late for Betany and other foreigners who are residents in South Korea and were vaccinated elsewhere.

For now, they must follow the rules for those who have had no jab at all submitting a negative PCR test carried out within the previous 48 hours in order to get into a gym, club or other large venue.

Some are getting vaccinated all over again, but Betany is simply hoping for the best and that the government will change its policies.

I guess we will have to wait, she says with a laugh.

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Indiana coronavirus updates Friday November 26, 2021

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The latest updates on the coronavirus pandemic from Friday, Nov. 26, 2021.

INDIANAPOLIS Here are Friday’s latest updates on the coronavirus pandemic, including the latest news on COVID-19 vaccinations and testing in Indiana.

Registrations for the vaccine are now open for Hoosiers 5 and older through the Indiana State Department of Health. This story will be updated over the course of the day with more news on the COVID-19 pandemic.

RELATED: Here’s where you can get a COVID-19 booster shot

RELATED: Far from ‘back to normal’: Go inside the ICU as Indiana frontline medical workers continue the fight against COVID-19

WHO calls omicron a ‘variant of concern’

A new coronavirus variant identified in South Africa is leading to a new round of travel restrictions just as many had finally begun to ease. 

The risks of the variant, called omicron, are largely unknown. But, the World Health Organization has called it a “variant of concern” and governments around the world are not waiting for scientists to better understand the variant to impose flight bans and other travel restrictions.

On Friday, European Union nations agreed to impose a ban on travel from southern Africa to counter its spread. The 27-nation bloc acted within hours upon the advice of the EU executive, which said all countries needed to be extra cautious in dealing with the variant until it was clear how serious a threat the variant posed.

The U.K. also banned flights from South Africa and five other southern African countries and announced that anyone who had recently arrived from those countries would be asked to take a coronavirus test.

The moves have renewed a debate over whether flight bans and other travel restrictions work to prevent the spread of new variants. Some say at best the restrictions can buy time for new public health measures to be put in place. At worst, they do little to stop the spread and give a false sense of security. 

The Africa Centers for Disease Control and Prevention said it strongly discouraged imposing travel bans on people coming from countries where the variant was reported.

FDA: Merck COVID pill effective, experts will review safety

U.S. health officials say Merck’s experimental COVID-19 pill is effective but they raised questions about its safety during pregnancy. The Food and Drug Administration posted its review Friday ahead of a public meeting next week where outside experts will debate the drug’s benefits and risks. 

If FDA authorizes the drug it would be the first pill for U.S. patients infected with the virus. All FDA-authorized drugs currently used against coronavirus require an IV or injection. 

The FDA will ask its experts whether the drug’s benefits outweigh its risks.

WHO hosts special meeting on worrying new COVID-19 variant

Advisers to the World Health Organization are holding a special session to flesh out information about a worrying new variant of the coronavirus that has been detected in South Africa, though its impact on COVID-19 vaccines may not be known for weeks. 

The technical advisory group on the evolution of COVID-19 was meeting virtually to discuss the so-called B.1.1.529 variant that has caused stock markets to swoon and led the European Union to recommend a pause in flights to southern Africa. 

The group could decide if it’s a “variant of concern” the most worrying type, like the well-known delta variant or a “variant of interest,” and whether to use a Greek letter to classify it.

Stores kick off Black Friday but pandemic woes linger

Retailers are expected to usher in the unofficial start to the holiday shopping season Friday with bigger crowds than last year in a closer step toward normalcy. But the fallout from the pandemic continues to weigh on businesses and shoppers’ minds. 

Buoyed by solid hiring, healthy pay gains and substantial savings, customers are returning to stores and splurging on all types of items. But the spike has also resulted in limited selection across the board as suppliers and retailers have been caught flat-footed. 

Shortages of shipping containers and truckers have helped to delay deliveries, while inflation continues to creep. 

The combination of higher prices and lack of inventory could make for a less festive mood. 

What is this new COVID variant in South Africa?

South African scientists have identified a new version of the coronavirus this week that they say is behind a recent spike in COVID-19 infections in Gauteng, the countrys most populous province. It’s unclear from where the new variant actually arose, but it was first detected by scientists in South Africa and has also been seen in travelers to Hong Kong and Botswana. 

Health minister Joe Phaahla said the variant was linked to an “exponential rise” of cases in the last few days, although experts are still trying to determine if the new variant is actually responsible. 

Latest US, world numbers

There have been more than 48.12 million confirmed cases of COVID-19 in the United States as of 3:30 a.m. Friday, according to Johns Hopkins University. There have been more than 775,790 deaths recorded in the U.S.

Worldwide, there have been more than 260 million confirmed coronavirus cases with more than 5.18 million deaths and more than 7.52 billion vaccine doses administered worldwide.

For most people, the coronavirus causes mild or moderate symptoms. For some, especially older adults and people with existing health problems, it can cause more severe illness like pneumonia, or death.

Holcomb extends COVID-19 state of emergency; lawmakers pause on vaccine mandate exemptions

Gov. Eric Holcomb announced Wednesday that the statewide COVID-19 public health emergency order will extend into the new year. It had been set to expire on Dec. 1. 

Last week I made clear what would be necessary to responsibly allow the state public health emergency to expire. However, following the announcement that the General Assembly will not return on Monday, Nov. 29, I plan to extend the state public health emergency and the executive order next week for another 30 days to preserve the necessary provisions. I will continue to work closely with Speaker Huston and Senator Bray as we move into next legislative session.

Holcomb had said that lawmakers would need to pass legislation to protect Hoosiers by allowing for the continuation of enhanced federal matching funds for Medicaid expenditures, the continuation of the enhanced benefit for those receiving federal food assistance and extend the ability to efficiently vaccinate 5- to 11-year-olds.

Lawmakers had created a draft proposal to cover those three items, but it would also force businesses to grant COVID-19 vaccination requirement exemptions without any questions and block similar immunization rules set by state universities. The issues were hotly debated during public testimony Nov. 23.

House Speaker Todd Huston (R-Fishers) released a statement saying the legislature would not return Monday, Nov. 29 to vote on the proposal. He said they would instead work on the issue through December and reconvene in January.

“Tuesday’s passionate public testimony reinforced the concerns I’ve heard from constituents and business leaders over the federal mandates. While most Indiana companies are acting in good faith, it’s unacceptable that some employers are blatantly disregarding well-established vaccine exemptions, and we’ll address these issues through legislation. Over the next month, we’ll continue to listen and talk with stakeholders about our policy proposals, and we’ll file legislation in the near future. Hoosiers can rest assured that we’ll hit the ground running come Jan. 4.”

MCPHD closed Black Friday, including vaccine clinics

The Marion County Public Health Department, as well as the COVID-19 vaccination and testing sites it operates, will be closed Black Friday. 

Three vaccination sites and a testing site will also have the following schedule changes: 

  • COVID-19 testing at 3838 N. Rural St. is closed through the weekend. You can make an appointment to be tested at this site by visiting MarionHealth.org/indycovid or calling 317-221-5515.
  • The COVID-19 vaccination site for children ages 5-11 that’s located at 3685 Commercial Drive will be closed until Monday, Nov. 29. 
  • The COVID-19 vaccination sites at the College Avenue Branch Library and Martindale-Brightwood Branch Library will be by appointment only. The vaccine will not be offered at these sites on Saturday, Nov. 27.

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Stocks and oil prices drop as the world reacts to new coronavirus variant omicron : NPR

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Specialist Meric Greenbaum, left, works at his post on the floor of the New York Stock Exchange on Black Friday. Stocks dropped after a coronavirus variant appears to be spreading across the globe.

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Specialist Meric Greenbaum, left, works at his post on the floor of the New York Stock Exchange on Black Friday. Stocks dropped after a coronavirus variant appears to be spreading across the globe.

Richard Drew/AP

Stock markets around the world tumbled on Friday after scientists in South Africa identified a new, fast-spreading variant of the coronavirus, with the Dow Jones Industrial Average recording its biggest single-day drop of the year.

At one point, the Dow fell more than 1,000 points before recovering slightly to close down 905 points, or about 2.5%, for the session. Oil prices dropped more than 10%, their steepest one-day decline since early in the pandemic.

Virologists are rushing to learn more about the variant of the virus that causes COVID-19 that was first identified in Botswana, and which is rapidly outcompeting other versions of the virus in the region of South Africa that includes Johannesburg.

The United States said it will restrict travelers from South Africa and seven other countries starting Monday. It joined at least 10 other countries restricting travel from the region, including Belgium, Britain, France, Germany, Israel, Italy, Japan, Malta, the Netherlands, the Philippines and Singapore, The New York Times reported.

The variant, currently denominated B.1.1.529, reportedly could have far more mutations than those displayed by the delta variant, which became the dominant variant in most of the world over the summer.

It’s not clear yet whether the mutations make this variant more infectious or whether it causes more severe illness, but researchers say the high number of mutations to the “spike proteins” the focus of a body’s immune response may make it more able to get past the body’s defenses.

Despite the spread of this variant, the number of COVID-19 cases in South Africa is still well below the delta surge earlier this year. But numbers are beginning to tick up again.

The European Commission recommended its members block travel from countries where the variant has been found, as Belgium reported a case, according to the BBC. The broadcaster said in addition to Botswana and South Africa, cases have also shown up in Hong Kong and Israel.

The World Health Organization called an emergency meeting on Friday, where it named the new variant omicron, after the 15th letter of the Greek alphabet, and designated it a “Variant of Concern.”

“This news is putting the handbrake on markets,” Peter Rutter, the head of equities at Royal London Asset Management, told Reuters.

“There is a huge range of outcomes that can happen. We could have serious lockdowns or we get no lockdowns and a booming economy,” Rutter said. “The very fact we don’t know, is what’s concerning the market.”

The Nasdaq and the S&P 500 were also down more than 2% on Friday, as U.S. markets closed early for the holiday.

Even after the global selloff, U.S. stock markets remain in positive territory for the year. The Dow is up more than 15% since the beginning of 2021, while the S&P 500 and the Nasdaq are both up more than 20%.

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