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Corruption Crime Human Traficking Politics

Record Number of Illegal Immigrants Waiting in Mexico for ‘Magic Day’: Immigration Expert

Senior National Security Fellow at the Center for Immigration Studies (CIS) Todd Bensman in an interview with EpochTV’s “Facts Matter” program on April 2022. (The Epoch Times)
By Masooma Haq and Roman Balmakov for EPOCH TIMES  April 18, 2022

With U.S. intelligence officials estimating a massive increase in the number of illegal immigrants inundating illegal entry points at the southern border, Todd Bensman of the Center for Immigration Studies (CIS) in Washington said many who have been temporarily held off in Mexico will flood the border after Title 42 ends.

“Now you have Title 42 people coming in, who are just saying, ‘I’m coming to wait for the magic day,’” Bensman, senior national security fellow at CIS, told EpochTV’s “Facts Matter.”

Title 42 is a federal health statute that allows the government to impose health control measures to limit the number of people seeking asylum from entering the country during a health emergency. It’s slated to end on May 23.

During the Trump presidency, “everybody [who] gets caught crossing the border goes back immediately to Mexico. That drove the numbers down to kind of historic low levels,” Bensman said.

He said that although Biden was forced to keep Title 42, he carved out “huge exemptions in it for family groups and unaccompanied minors, that … created the mass migration crisis that we have today.”

With the Biden carve-outs, record numbers of illegal immigrants are entering the United States, but intelligence officials are predicting that after Title 42 is lifted, between 12,000 and 18,000 illegal immigrants will flood the southern border each day.

“That’s on the outer limits of the estimates, [which] are coming from the American intelligence community. … This is what they’re expecting,” Bensman said. “They’re saying it could be as low as 12,000 a day. But to give you some context, we’re at [6,000] and 7,000 a day right now, which is just too big to handle at present.”

Secretary of Homeland Security Alejandro Mayorkas directed the Federal Emergency Management Agency in March to support Customs and Border Patrol (CBP) officers over the following three months to help process families and children who enter illegally more quickly.

“They’re bringing in fleets of aircraft to be able to quickly move people off the riverbanks into other places, other cities, other towns. They’re doing expansions of existing facilities, like kind of soft-sided tent-like facilities. They’re probably going to be bringing in the army to help with crowd control. And they’re working closely with the Mexicans to see if the Mexicans can control things on their side,” Bensman said.

their side,” Bensman said.

Epoch Times Photo
Illegal immigrants gather by the border fence after crossing from Mexico into the United States in Yuma, Arizona, on Dec. 9, 2021. (Charlotte Cuthbertson/The Epoch Times)
He said of how the country’s migrant advocate-driven asylum system currently functions, “All you have to do is cross, say ‘I declare asylum,’ and you have this off-ramp into the American interior, pretty much forever. … [The migrant advocacy industry] want this to be available to everybody.”CIS estimates that the Biden administration has helped 1.3 million illegal immigrants resettle in the United States during President Joe Biden’s term with an honor system for court dates or notices to appear later to have their asylum cases adjudicated.

Bensman said Biden has all but abolished the Immigration and Customs Enforcement agency and almost no deportations are being conducted, which won’t change until another administration comes in. Noting that even if someone is a terrorist or murderer, it would still take a long process for that person to be deported.

“The number of deportations are at the lowest that they’ve been in memory and maybe in history. The number of deportations of criminal aliens with records is at a nadir,” he said.

Using Inspections to Control Border

“The state of Texas has this muscle that they’ve never used, that I don’t think anybody’s even thought to use before, which is to put its vehicle inspection officers at the bridges—more of them—and to ‘inspect’ every single truck coming off of these bridges with freight,” Bensman said.

This action forced Mexican governors to do immigration control on their side, he said. Four governors signed immigration deals with Texas to hold back immigrants as long as trucks can pass through entry points efficiently. Texas Gov. Greg Abbott has said if the immigration deals aren’t enforced, he’ll put the inspection patrols back.

“These cause a huge amount of pain on both sides actually, a lot of Texans are feeling that pain: businesses, a lot of Abbott’s constituents. It’s politically risky, but it shows the desperation of Texas about Title 42 and what’s about to happen, to do whatever, pull out whatever stops,” Bensman said.

Trucks wait in a long queue for border customs control to cross into U.S. at the World Trade Bridge in Nuevo Laredo
Trucks wait in a long queue for border customs control to cross into the United States at the World Trade Bridge in Nuevo Laredo, Mexico, on April 2, 2019. (Daniel Becerril/Reuters)

Bensman said this type of diplomacy around immigration is really the job of the federal government, but seeing that nothing was happening, Abbott bypassed the Biden administration.

“This is something that the Biden administration should have done,” Bensman said. “Trump did this type of thing. He threatened economic pain if the Mexicans didn’t go along with his plan. And it worked when he did it.”

He said if he was put in charge of the crisis at the southern border, he would overhaul the asylum law: “Just take it off the table and come up with something else. It’s going to take bipartisan support. And in the meantime, we need to leverage Costa Rica, Colombia, and Panama to shut their borders down.”

 

Categories
Back Door Power Grab Corruption Elections Faked news Politics The Courts

“None of Them Should Be in Jail. They Should All Be Out On Bail…It Is an American Gulag” – Judge Napolitano

By Joe Hoft for Gateway Pundit April 14, 2022 at 7:25pm

Judge Napolitano was on The Joe Hoft Show at the Real Talk radio network today.  He discussed the Jan 6 incident and the horrors of the abuse taking place in DC.

Judge Napolitano was on The Joe Hoft Show at the Real Talk radio network today. He discussed the Jan 6 incident and the horrors of the abuse taking place in DC.

The judge shared the following about those being held in the DC jail due to their actions on Jan 6.

None of them should be in jail.  They should all be out on bail. Most jails are garbage, particularly inner city jails.  There’s no political support for spending an nickele in there.  Politicians don’t care because the public doesn’t care.  So it shouldn’t be a surprise.

But what’s surprising is that they have been attacked violently and that they’ve been subjected to a disgusting environment for more than a few hours and that they’re in jail to begin with.  I mean none of these people is a threat to society and all of them would gladly come back at time of trial and most of them shouldn’t be charged anyway because most of them are there to partake in 1st Amemdment protected behavior.

The judge then talked about reading a piece by Roger Stone about the heartbreaking stories in the DC jail and then the Virginia state jail system.

The Feds are trying to wear these people down.  They’re way overcharging them so they can get guilty pleas and they’re making their lives miserable so that the defendants will say to their lawyers, ‘get me out of here’, or ‘I’ll agree to testify to anything, just so I can have a decent night sleep and a decent shower and a decent meal.’  It shouldn’t be that way.  It is an American Gulag.  

Judge Nap went on to say:

Judges don’t like to tell jailers how to do their jails but when it’s a violation of a constitutional right, the judges should.  The judges should be releasing these people, like I said.  They should be released on a moderate amount of bail because the Constitution prohibits requiring an unreasonable amount of bail…The overwhelming majority are not accused of an act of violence…There’s every indication that these people should be given bail and they’re not…Judges are not doing their job.  This stuff should make its way to the Supreme Court of the United States which rarely hears matters involving bail or conditions in prison unless a cause of death.  But it needs to be exposed and it needs to be corrected.

Original here (includes video)

Categories
Corruption Elections Politics The Courts

Zuckerberg Ends Controversial Grants to Election Offices

Facebook Chairman and CEO Mark Zuckerberg testifies before the House Financial Services Committee on “An Examination of Facebook and Its Impact on the Financial Services and Housing Sectors” in the Rayburn House Office Building in Washington, DC on October 23, 2019. (Photo by Nicholas Kamm / AFP) (Photo by NICHOLAS KAMM/AFP via Getty Images)
By Matthew Vadum for Epoch Times  April 13, 2022

Facebook founder Mark Zuckerberg, who in the 2020 election cycle flooded election offices across the United States with hundreds of millions of dollars in grants, won’t be participating in such grantmaking this year, according to a spokesman.

Zuckerberg and his wife, Priscilla Chan, made $419.5 million in donations to nonprofits—“Zuckerbucks” or “Zuckbucks,” as some have called the money—$350 million of which went to the “Safe Elections” Project of the left-wing Center for Technology and Civic Life (CTCL). The other $69.5 million went to the Center for Election Innovation and Research. The CTCL reportedly distributed grants to upward of 2,500 election offices.

Zuckerberg spokesman Ben LaBolt, who was previously spokesman for Barack Obama’s 2008 presidential campaign, said the donations were a one-time deal.

“As Mark and Priscilla made clear previously, their election infrastructure donation to help ensure that Americans could vote during the height of the pandemic was a one-time donation given the unprecedented nature of the crisis,” LaBolt told The New York Times on April 12. “They have no plans to repeat that donation.”

The money was supposed to be used to buy personal protective equipment and new ballot-counting equipment, train poll workers, and expand mail-in voting.

But critics have a less charitable take on what happened. They say the Zuckerbergs helped buy the presidency for presidential candidate Joe Biden by improperly influencing election officials and artificially driving up turnout in Democrat, but not Republican, strongholds across the nation.

Author J.D. Vance, who’s seeking the Republican nod for the Ohio U.S. Senate seat, said on April 12 on the campaign trail that he believed the 2020 presidential election was stolen through fraud. Illegal ballot harvesting and Zuckerberg putting money into Democratic turnout in battleground states were also key in the election, he said.

The donations spawned a series of lawsuits across the country. For example, last month, the Thomas More Society filed a complaint with the Wisconsin Elections Commission claiming that Milwaukee officials were involved in an election bribery scheme for accepting election-assistance money from CTCL, as The Epoch Times reported.

Grants to election administrators created “a two-tiered election system that treated voters differently depending on whether they lived in Democrat or Republican strongholds,” Phill Kline, director of the Amistad Project of the Thomas More Society, wrote in a report in late 2020.

“This privatization of elections undermines the Help America Vote Act (HAVA), which requires state election plans to be submitted to federal officials and approved, and requires respect for equal protection by making all resources available equally to all voters,” Kline wrote.

Several states, including Florida, subsequently banned private donations to election offices.

In May 2021, Gov. Ron DeSantis, a Republican, signed the state’s new election integrity law, which, in addition to prohibiting the use of private funds to administer elections, also banned ballot harvesting and mass mailing of ballots, and strengthened voter identification requirements.

“Florida took action this legislative session to increase transparency and strengthen the security of our elections,” DeSantis said at the time, as The Epoch Times reported. “Floridians can rest assured that our state will remain a leader in ballot integrity. Elections should be free and fair, and these changes will ensure this continues to be the case in the Sunshine State.”

Public Interest Legal Foundation (PILF) President J. Christian Adams, a former U.S. Justice Department civil rights attorney whose group frequently files election integrity lawsuits, said at the time that the Zuckerbergs’ money had a huge influence on the 2020 elections.

“Zuckbucks were the biggest factor, juicing blue areas in 2020,” Adams said around the time Florida cracked down on private money being used in election administration.

“A private citizen should not be allowed to influence how our elections are run. At the Public Interest Legal Foundation, we are proud to have played a role in ensuring that this money will not be spent to influence the Florida elections in 2022.”

CTCL Executive Director Tiana Epps-Johnson said earlier this week that her group is launching a new five-year, $80 million program called the U.S. Alliance for Election Excellence to assist election offices across the United States.

Bolt said the Zuckerbergs won’t be involved in the new project.


So why isn’t he in Jail? Answer: $$$$$$$

Categories
Biden Pandemic Economy Faked news Food Politics

US inflation jumped 8.5% in past year, highest since 1981. No, it’s not “Putin’s inflation.”

Yesterday, (4/11/22) Psaki telegraphed this news during a presser, but called it “Putin’s inflation.” Did Putin close down the Keystone XL pipeline construction on his first day in office? No? Hmm.

Naturally the left leaning Associated Press won’t blame Biden and his master’s policies directly, although if you read carefully you can see the back handed acknowledgements below.

Thanks, Joe.


WASHINGTON (AP) — Inflation soared over the past year at its fastest pace in more than 40 years, with costs for food, gasoline, housing and other necessities squeezing American consumers and wiping out the pay raises that many people have received.

The Labor Department said Tuesday that its consumer price index jumped 8.5% in March from 12 months earlier, the sharpest year-over-year increase since December 1981. Prices have been driven up by bottlenecked supply chains, robust consumer demand and disruptions to global food and energy markets worsened by Russia’s war against Ukraine. From February to March, inflation rose 1.2% , the biggest month-to-month jump since 2005.

Across the economy, the year-over-year price spikes were widespread in March. Gasoline prices have rocketed 48% in the past 12 months. Used car prices have soared 35.3%, though they actually fell in February and March. Bedroom furniture is up 14.7%, men’s jackets suits and coats 14.5%. Grocery prices have jumped 10%, including 18% increases for both bacon and oranges.

Even excluding volatile food and energy prices, which have driven overall inflation, so-called core inflation jumped 6.5% over the past 12 months, the biggest such increase since 1982.

“The inflation fire is still out of control,″ said Christopher Rupkey, chief economist at the economic research firm FWDBONDS LLC.

The March inflation numbers were the first to capture the full surge in gasoline prices that followed Russia’s invasion of Ukraine on Feb. 24. Moscow’s brutal attacks have triggered far-reaching Western sanctions against the Russian economy and have disrupted global food and energy markets. According to AAA, the average price of a gallon of gasoline — $4.10 — is up 43% from a year ago, though it has fallen back in the past couple of weeks.

The escalation of energy prices has led to higher transportation costs for the shipment of goods and components across the economy, which, in turn, has contributed to higher prices for consumers.

The latest evidence of accelerating prices will solidify expectations that the Federal Reserve will raise interest rates aggressively in the coming months to try to slow borrowing and spending and tame inflation. The financial markets now foresee much steeper rate hikes this year than Fed officials had signaled as recently as last month.

“The Fed will be pressing firmly on the brake pedal — not just pumping the brakes — in an effort to slow demand and bring the inflation rate back down,” said Greg McBride, chief financial analyst at Bankrate.

Even before Russia’s war further spurred price increases, robust consumer spending, steady pay raises and chronic supply shortages had sent U.S. consumer inflation to its highest level in four decades. In addition, housing costs, which make up about a third of the consumer price index, have escalated, a trend that seems unlikely to reverse anytime soon.

Economists point out that as the economy has emerged from the depths of the pandemic, consumers have been gradually broadening their spending beyond goods to include more services. A result is that high inflation, which at first had reflected mainly a shortage of goods — from cars and furniture to electronics and sports equipment — has been emerging in services, too, like travel, health care and entertainment. Airline fares, for instance, have soared an average of nearly 24% in the past 12 months. The average cost of a hotel room is up 29%

The expected fast pace of the Fed’s rate increases will make loans sharply more expensive for consumers and businesses. Mortgage rates, in particular, though not directly influenced by the Fed, have rocketed higher in recent weeks, making home buying costlier. Many economists say they worry that the Fed has waited too long to begin raising rates and might end up acting so aggressively as to trigger a recession.

For now, the economy as a whole remains solid, with unemployment near 50-year lows and job openings near record highs. Still, rocketing inflation, with its impact on Americans’ daily lives, is posing a political threat to President Joe Biden and his Democratic allies as they seek to keep control of Congress in November’s midterm elections.

The American public’s expectation for inflation over the next 12 months has reached its highest point — 6.6% — in a survey the Federal Reserve Bank of New York has conducted since 2013.

Once public expectations for inflation rise, they can be self-fulfilling: Workers typically demand higher pay to offset their expectations for price increases, and businesses, in turn, raise prices to cover their higher labor costs. This can set off a wage-price spiral, something the nation last endured in the late 1960s and 1970s.

Economists generally express doubt that even the sharp rate hikes that are expected from the Fed will manage to reduce inflation anywhere near the central bank’s 2% annual target by the end of this year. Luke Tilley, chief economist at Wilmington Trust, said he expects year-over-year consumer inflation to still be 4.5% by the end of 2022. Before Russia’s invasion of Ukraine, he had forecast a much lower 3% rate.

Inflation, which had been largely under control for four decades, began to accelerate last spring as the U.S. and global economies rebounded with unexpected speed and strength from the brief but devastating coronavirus recession that began in the spring of 2020.

Many Americans have been receiving pay increases, but the pace of inflation has more than wiped out those gains for most people. In February, after accounting for inflation, average hourly wages fell 2.5% from a year earlier. It was the 11th straight monthly drop in inflation-adjusted wages.

Still, for now anyway, with the job market robust, inflation has yet to dampen overall consumer spending. Levi Strauss & Co., for example, says its price increases don’t seem to have fazed its customers.

That said, Adrian Mitchell, chief financial office at Macy’s, cautions that chronically high inflation will likely lead consumers to be choosier: They may spend less on department store goods and more on services like travel and dinners out.

“We do believe that the consumer is going to be spending,” Mitchell said. “But are they going to be spending on discretionary items that we sell, or are they going to be spending on an airline ticket to Florida or air travel or going out to restaurants more?”

Categories
Corruption Elections Politics

OUTSTANDING! Alabama Governor Kay Ivey Shares the Greatest Campaign Ad of the Season and the Far-Left Goes Crazy

Alabama Governor Kay Ivey dropped the most accurate and succinct campaign ad to date.  She’s starting the 2022 election off with fire. 

Alabama Governor Kay Ivey shared what she has done for Alabama and what she will continue to do – protect the election process from being stolen like President Trump’s election was stolen in 2020.

Governor Ivey shares:

The fake news, Big Tech and blue state liberals stole the election from President Trump.”

“But here in Alabama, we are making sure that never happens,” she continues. “We have not, and will not, send absentee ballots to everyone and their brother. We banned corrupt curbside voting, and our results will always be audited. I’m Kay Ivey. The Left is probably offended. So be it. As long as I’m governor, we’re going to protect your vote.”

See full video below and on Youtube

Categories
Corruption COVID Drugs How sick is this?

FOIA Request Unearths that Pfizer Planned to Hire 1,800 Employees to Deal with Reporting on Adverse Effects from COVID Vaccine

Pfizer hired 600 employees with a plan to hire a total of 1,800 employees when side effects from its COVID vaccine started showing up.  The employees were hired to address the flood in adverse effects reporting. 

Posted by Jim Holt for The Gateway Pundit April 10, 2022 at 4:00pm

Zerohedge shared a report Authored by Zachary Stieber via The Epoch Times

Pfizer hired 600 employees in the months after its COVID-19 vaccine was authorized in the United States due to the “large increase” of reports of side effects linked to the vaccine, according to a document prepared by the company.

Pfizer has “taken a multiple actions to help alleviate the large increase of adverse event reports,” according to the document. “This includes significant technology enhancements, and process and workflow solutions, as well as increasing the number of data entry and case processing colleagues.”

At the time when the document—from the first quarter of 2021—was sent to the U.S. Food and Drug Administration (FDA), Pfizer had onboarded about 600 extra full-time workers to deal with the jump.

“More are joining each month with an expected total of more than 1,800 additional resources by the end of June 2021,” Pfizer said.

Pfizer tried to hide the information

In addition, Zerohedge reported:

The analysis of adverse event reports was previously disclosed to the health transparency group, but certain portions were redacted (pdf), including the number of workers Pfizer onboarded to deal with the jump in adverse event reports.

“We asked that the redactions on page 6 of this report be lifted and the FDA agreed without providing an explanation,” Aaron Siri, a lawyer representing the plaintiffs, told The Epoch Times in an email.

After the document was produced, the FDA determined that the three redactions on that page “could be lifted,” an FDA spokesperson told The Epoch Times via email.

The redactions had been made under (b) (4) of the Freedom of Information Act, which lets agencies “withhold trade secrets and commercial or financial information obtained from a person which is privileged or confidential.”

The unredacted version of the document also now shows that approximately 126 million doses of Pfizer were shipped around the world since the company received the first clearance, from U.S. regulators, on Dec. 1, 2020. The shipments took place through Feb. 28, 2021.

It was unclear how many of those doses had been administered as of that date.

As TGP reported previously, after the courts ordered Pfizer to release data on its COVID vaccine, documents showed over 1,200 vaccine deaths in the first 90 days after taking the vaccine.

TGP has reported many additional reports of deaths or injuries caused by the Pfizer vaccine.  The information to date does not look good for the Pfizer vaccine.

Categories
Corruption Elections Politics The Courts

Here’s hoping: Durham Asks Court to Compel Production From Clinton Campaign, DNC

https://nypost.com/wp-content/uploads/sites/2/2020/09/john-durham.jpg?quality=90&strip=all&w=1200

Crossfire Hurricane

By Zachary Stieber for the Epoch Times April 7, 2022

Special counsel John Durham’s team on April 6 asked a federal judge to force Hillary Clinton’s presidential campaign and two other parties to hand over documents they claim are protected by attorney–client privilege.

The campaign, the Democratic National Committee (DNC), and research and intelligence firm Fusion GPS appear to be withholding documents that aren’t actually protected by the privilege, Durham’s team said in the filing, entered in the case against ex-Clinton lawyer Michael Sussmann.

Of the withheld materials, almost all “appear to lack any connection to actual or expected litigation or the provision of legal advice,” prosecutors told U.S. District Judge Christopher Cooper, an Obama appointee who is overseeing the case.

In fact, of the 1,455 documents being withheld by Fusion GPS, only 18 emails and attachments are said to involve an attorney.

The Clinton campaign, the DNC, and Fusion didn’t respond to requests for comment.

The documents in question are being sought for the upcoming trial of Sussmann, who was charged with lying to the FBI for going to a bureau lawyer in 2016 and falsely stating he didn’t hand over unsubstantiated claims about then-candidate Donald Trump on behalf of a client.

The claims were compiled with funding from the campaign and the DNC by former British spy Christopher Steele and Fusion GPS, which was founded by former reporters.

Sussmann and his lawyers have been pressing the judge to dismiss the case prior to trial, arguing that the lie about not bringing the information on behalf of a client wasn’t material to the information itself.

Attorney–client privilege protects many communications between a client and their lawyer. Disclosure to third parties usually undercuts privilege claims.

In the new filing, Durham’s team pointed out that Fusion GPS co-founders Glenn Simpson and Peter Fritsch penned a book published in 2019, which means even if a valid privilege did once exist, it might have since been waived.

Prosecutors also noted that Fusion GPS operatives regularly communicated with reporters about their work, resulting in several stories before the 2020 election and a spate of others after voters hit the polls.

Further, the Clinton campaign (HFA) and the DNC have claimed privilege over communications sent between Rodney Joffe, whom Sussmann was also representing at the time, and a Fusion operative, “despite the fact that no one from either the DNC or HFA is copied on certain of these communications,” prosecutors said.

The government subpoenaed information from the parties in 2021.

Fusion GPS was paid by the Democratic entities through Perkins Coie, a law firm. The agreement was introduced as an exhibit in the case.

Many if not most of the actions taken by Fusion GPS employees “do not appear to have been a necessary part of, or even related to” Perkins Coie’s legal advice to the campaign and the DNC, Durham’s team said.

Prosecutors want to examine the communications in a private, in-camera setting “in order to resolve these issues and ensure that only legitimately privileged and/or attorney work product-protected communications and testimony be withheld from the otherwise admissible evidence and testimony that is presented to the jury at trial.”

The trial is currently set to start on May 16.

Categories
Child Abuse COVID Drugs Science

Protect your kids: Persistent Cardiac MRI Findings in a Cohort of Adolescents with post COVID-19 mRNA vaccine myopericarditis —Actual science

By:Jenna Schauer, MD  Sujatha Buddhe, MD, MS  Avanti Gulhane, MD, DNB, FSCMR Sathish Mallenahalli Chikkabyrappa, MD Yuk Law, MD Michael A. Portman, MD et al for The Journal of Pediatrics

Published:March 25, 2022 DOI:https://doi.org/10.1016/j.jpeds.2022.03.032
Abbreviations:

Late gadolinium enhancement (LGE), Coronavirus disease of 2019 (COVID-19), Nonsteroidal anti-inflammatory drugs (NSAIDs), Intravenous immunoglobulin (IVIG), Left ventricle (LV), Left ventricular ejection fraction (LVEF), Global Longitudinal Strain (GLS)

Myopericarditis, , has emerged as an important adverse event following COVID-19 mRNA vaccination, particularly in adolescents

Patients typically exhibit chest pain and an elevated serum troponin level in the days following the COVID-19 mRNA vaccine. They usually are hemodynamically stable, and symptoms and cardiac biomarkers normalize within a few days cardiac magnetic resonance studies, when performed early, frequently demonstrate abnormalities such as edema and late gadolinium enhancement (LGE), meeting Lake Louise Criteria for diagnosing myocarditis noninvasively ,

In classical myocarditis LGE can be predictive of a poor outcome

Little is known about the prognostic value or expected evolution of these CMR abnormalities associated with post-COVID-19 mRNA vaccine myopericarditis. In this case series we report the evolution of CMR imaging compared with initial, acute phase, CMR in our cohort of patients with myopericarditis post COVID-19 mRNA vaccine.

Methods

This case review includes patients younger than 18 years of age presenting to Seattle Children’s Hospital with chest pain and elevated serum troponin level from April 1, 2021 to January 7, 2022 within one week of receiving the second dose of the Pfizer COVID-19 mRNA vaccine. Institutional Review Board approval was obtained. All patients were evaluated by a pediatric cardiologist, underwent ECG and echocardiogram, and were admitted for observation with telemetry, serial troponin measurements, and repeat cardiac testing as needed. All patients underwent CMR within 1 week of initial presentation and had repeat CMR imaging at 3-8 months follow up. CMR was performed on a 1.5 T Siemens scanner. CMR analysis was performed using CVI42 (version 5.11.4, Circle Cardiovascular Imaging Inc., Alberta Canada). Patients were excluded if they did not undergo CMR or did not have a follow up CMR. Initial and follow up CMR data for each patient were reviewed and compared using paired Student t-test. Statistical significance was defined as a p < 0.05. Statistical analysis was performed using SPSS 27 (SPSS Inc., Chicago, IL).

Results

A total of 35 patients with the diagnosis of myopericarditis associated with Pfizer COVID-19 mRNA vaccine are followed at our institution. Twelve patients were excluded as they never had CMR due to delayed presentation after initial symptoms resolved or admission to other centers. Six patients were excluded as they did not have a follow up CMR, either because they followed up out of state or a study is still pending. One patient was excluded as initial CMR was performed 3 weeks after presentation. Sixteen patients who had both acute phase and follow-up CMR available for review comprised the final cohort. This group had a median age of 15 years (range, 12-17), were mostly male (n=15, 94%), white and non-Hispanic (n= 14, 88%). One patient was Asian and one patient was American Indian. Median time to presentation from the second dose of the Pfizer COVID-19 mRNA vaccine was 3 days (range 2-4 days). All patients had chest pain. The most common other presenting symptoms were fever (n=6, 37.5%) and shortness of breath (n=6, 37.5%). All patients had elevated serum troponin levels (median 9.15 ng/mL, range 0.65-18.5, normal < 0.05 ng/mL). Twelve patients had c- reactive protein (CRP) measured with median value 3.45 mg/dL, range 0-6.5 mg/dL, normal < 0.08 mg/dL.
Ten (62.5%) patients had an abnormal electrocardiogram (ECG), with the most common finding being diffuse ST segment elevation. All patients had an echocardiogram on admission; 14/16 patients had normal left ventricular (LV) systolic function; two patients demonstrated mildly reduced LV systolic function with no dilation. Left ventricular ejection fraction (LVEF) for these two patients was 45% and 53% (normal > 55%). Median left LVEF was 59% (range 45-69%). No patients had pericardial effusion.

The initial CMRs were performed within 1 week of presentation (median 2, range 0-7 days). All were abnormal; all showed evidence of edema by T2 imaging and 15/16 had LGE in a patchy subepicardial to transmural pattern with predilection for the inferior LV free wall. Distribution of LGE can be seen in Figure 1. LV regional wall motion abnormalities were noted in 2 patients. CMR median LVEF% was 54%, range 46-63%. CMR LVEF was mildly decreased in 7 patients. CMR global longitudinal strain (GLS%) measurements were abnormal in 12 patients (median -16.1%, range -13.2% to -18.1%, normal <-18%).

Figure thumbnail gr1

Figure 1Distribution of Late Gadolinium Enhancement (LGE) in American Heart Association Myocardial Segments Figure shows segment with number of patients and percent of cohort.

All patients were treated with nonsteroidal anti-inflammatory drugs (NSAIDs): 75% (n=12) received scheduled dosing (mostly, 10 mg/kg ibuprofen every 8 hours) with the remaining 4 receiving NSAIDs as needed for pain. The median time from vaccination to NSAID initiation was 2.5 days (range 0-4 days) and from symptom onset to NSAID initiation was 1 day (range 0-4 days). The two patients who presented with echocardiographic LV dysfunction were treated with intravenous immunoglobulin (IVIG) plus a corticosteroid per our institutional pathway for treatment of myocarditis

One additional patient received IVIG without corticosteroids. Median hospital length of stay was 2 days (range 1-4 days) with no ICU admission and no significant morbidity or mortality. All patients had resolution of chest pain and down-trending serum troponin level prior to discharge.

All patients underwent follow up CMR at 3-8 months after their initial study (median 3.7 months, range 2.8-8.1 months). The results are compared in Table I. Follow up CMR LVEF (57.7 ±2.8%) was significantly improved from initial (54.5 ± 5.5%, p < 0.05), and none of the patients had regional wall motion abnormalities. LVEF by echocardiogram was normal for all patients at the time of follow up. Eleven patients (68.8%) had persistent LGE, although there was a significant decrease in the quantifiable LGE% (8.16± 5.74%) from the initial study (13.77± 8.53%, p <0.05). Cardiac edema resolved in all but one patient. GLS% remained abnormal in most patients (75%, mean -16.4 ± 2.1%) at follow up without significant change from the initial study (-16.0 ± 1.7, p = 0.6). Examples of initial and follow up CMR images are shown in Figure 2. The patient who received IVIG alone and one patient who received IVIG plus corticosteroid had resolution of LGE, and the other had persistence of LGE.

Table 1Covid Vaccine-Associated Myopericarditis Findings in 16 patients
Initial (Mean±SD)Follow up (Mean±SD)P value
Echocardiographic LVEF %59.4±6.062.6±2.8<0.05
Electrocardiogram

Abnormal

Normal

10 (62.5%)

6 (37.5%)

Peak Serum Troponin (ng/mL)9.0± 5.2
CMR LVEF %54.5 ± 5.557.7 ±2.7<0.05
CMR LGE % (n=15*)13.5± 8.37.7 ± 5.7<0.001
CMR global longitudinal strain % (n=15*)-16.0 ± 1.7-16.4 ± 2.10.5
*Initial source images were not available for reanalysis for one patient.
LVEF% = LV ejection fraction
LGE %= percentage of late gadolinium enhancem
ent
CMR = Cardiac MRI
Figure thumbnail gr2
Figure 2CMR images from 3 days after admission of a 16-year-old male who presented to emergency room with chest pain and elevated troponin 3 days after receiving Pfizer COVID-19 mRNA vaccine. Initial CMR. 1a and 1b. subepicardial to midmyocardial LGE in inferior and inferolateral LV wall from base to apex (arrows). 1c shows T2 hyper-intensity in similar segments, consistent with edema. 1d, 1e and 1f. Follow up CMR 4.4 months later. LGE still persistent but decreased from 26% to 19.84% (arrows), LVEF remained stable at 58%. There is improved T2 hyperintensity.
Eight patients (5 of whom had persistent LGE) underwent 24-hour cardiac rhythm monitoring, all of which studies were normal. Six patients, all with persistent LGE, underwent exercise tests, all of which were normal. Four patients complained of intermittent chest pain at follow up with no identifiable abnormality on evaluation; no therapy or intervention was required. No patient received heart failure medication.

DISCUSSION

We previously reported 15 patients with clinically suspected SARS-CoV-2 mRNA vaccine induced myopericarditis. All patients had an abnormal CMR, with edema and or LGE in addition to clinical symptoms and troponin elevation, and some had abnormal ECG or echocardiogram

We have since established a clinical protocol for serial CMR performance in these patients consistent with the 2021 American Heart Association (AHA) statement that stressed the risk of sudden cardiac death, particularly with exercise, while active inflammation is present.

our patients were restricted from exercise on discharge. Repeat CMR was performed within 3-6 months to guide next clinical decision-making steps; timing was modified in some individuals based on scanner accessibility and safety precautions during the COVID-19 pandemic. Although symptoms were transient and most patients appeared to respond to treatment (soley with NSAIDS), we demonstrated persistence of abnormal findings on CMR at follow up in most patients, albeit with improvement in extent of LGE.
CMR has increasingly been identified as an important diagnostic tool for myocarditis given its ability to identify subclinical injury and fibrosis by markers of LGE and edema. CMR also has been utilized in longitudinal follow up of patients with myocarditis to help therapeutic management, although exact screening protocols remain controversial
The presence of LGE is an indicator of cardiac injury and fibrosis and has been strongly associated with worse prognosis in patients with classical acute myocarditis. In a meta-analysis including 8 studies, Yang et al found that presence of LGE is a predictor of all cause death, cardiovascular death, cardiac transplant, rehospitalization, recurrent acute myocarditis and requirement for mechanical circulatory support]Similarly, Georgiopoulos et al found presence and extent of LGE to be a significant predictor of adverse cardiac outcomes in an 11 study meta-analysis
The persistence of LGE over time and its prognostic value is less well established. Malek et al found that in a cohort of 18 patients with myocarditis, nearly 70% had persistent CMR changes at a median follow-up time of 7 months Dubey et al found similar findings in their cohort of 12 pediatric patients, with persistence of LGE in all patients despite resolution of edema.
Prognostic meaning of LGE in vaccine associated myopericarditis requires further study.
Strain analysis by CMR also has been shown to have prognostic utility in myocarditis even in the setting of normal LV functionStrain testing can be performed without use of contrast material and can be particularly useful in situations where contrast administration is challenging or contraindicated. Notably, in our cohort, though there was significant reduction in LGE at follow up, abnormal strain persisted for the majority of patients at follow up.
This study has certain limitations. Patients who did not seek medical attention during acute illness or did not present with significant symptoms and require hospitalization were not captured, and their disease course may be different. Incomplete CMR data on other patients precludes extrapolation of our CMR findings to all who experienced mRNA vaccine-related myopericarditis. In addition, follow-up CMR timeframes varied from patient to patient making it difficult to predict the timing of CMR changes over time. the total number of patients reported is small, limiting ability to draw conclusions about the effect of treatment modalities or to generalize regarding outcomes of vaccine-associated myopericarditis.
In a cohort of adolescents with COVID-19 mRNA vaccine-related myopericarditis, a large portion have persistent LGE abnormalities, raising concerns for potential longer-term effects. Despite these persistent abnormalities, all patients had rapid clinical improvement and normalization of echocardiographic measures of systolic function. For patients with short acute illness, no dysfunction demonstrated by echocardiogram at presentation and resolution of symptoms at follow up, return to sports was guided by normalization of CMR alone. In patients with persistent CMR abnormalities we performed exercise stress testing prior to sports clearance per myocarditis recommendations We plan to repeat CMR at 1 year post-vaccine for our cohort to assess for resolution or continued CMR changes.
The CDC notes that even though the absolute risk for myopericarditis following mRNA COVID-19 vaccine is small, the relative risk is higher for particular groups, including males 12-39 years of age.

Some studies have suggested that increasing the interval between the first and second dose may reduce the incidence of myopericarditis in this population

These data led to an extension in CDC recommended dosing interval between dose 1 and dose 2 to 8 weeks. Further follow up assessment and larger multicenter studies are needed to determine the ultimate clinical significance of persistent CMR abnormalities in patients with post COVID-19 vaccine myopericarditis

Uncited reference

REFERENCES

  1. Gargano JW, Wallace M, Hadler SC, Langley G, Su JR, Oster ME, et al. Morbidity and Mortality Weekly Report Use of mRNA COVID-19 Vaccine After Reports of Myocarditis Among Vaccine Recipients: Update from the Advisory Committee on Immunization Practices-United States, June 2021 2021;70. https://doi.org/10.1161/CIR.0000000000000239?url_.
  2. mRNA Coronavirus-19 Vaccine–Associated Myopericarditis in Adolescents: A Survey Study.

    The Journal of Pediatrics. 2021; https://doi.org/10.1016/j.jpeds.2021.12.025

  3. Clinically Suspected Myocarditis Temporally Related to COVID-19 Vaccination in Adolescents and Young Adults.

    Circulation. 2021; https://doi.org/10.1161/circulationaha.121.056583

  4. Myopericarditis After the Pfizer Messenger Ribonucleic Acid Coronavirus Disease Vaccine in Adolescents.

    Journal of Pediatrics. 2021; 238: 317-320https://doi.org/10.1016/j.jpeds.2021.06.083

  5. The prognostic value of late gadolinium enhancement in myocarditis and clinically suspected myocarditis: systematic review and meta-analysis.

    European Radiology. 2020; 30: 2616-2626https://doi.org/10.1007/s00330-019-06643-5

  6. Diagnosis and Management of Myocarditis in Children: A Scientific Statement from the American Heart Association.

    Circulation. 2021; (E123–35)https://doi.org/10.1161/CIR.0000000000001001

  7. Prognostic Impact of Late Gadolinium Enhancement by Cardiovascular Magnetic Resonance in Myocarditis: A Systematic Review and Meta-Analysis.

    Circulation: Cardiovascular Imaging. 2021; : 55-65https://doi.org/10.1161/CIRCIMAGING.120.011492

  8. Children With Acute Myocarditis Often Have Persistent Subclinical Changes as Revealed by Cardiac Magnetic Resonance.

    Journal of Magnetic Resonance Imaging. 2020; 52: 488-496https://doi.org/10.1002/jmri.27036

  9. Persistence of Late Gadolinium Enhancement on Follow-Up CMR Imaging in Children with Acute Myocarditis.

    Pediatric Cardiology. 2020; 41: 1777-1782https://doi.org/10.1007/s00246-020-02445-5

  10. Diagnostic and Prognostic Value of Cardiac Magnetic Resonance Strain in Suspected Myocarditis With Preserved LV-EF: A Comparison Between Patients With Negative and Positive Late Gadolinium Enhancement Findings.

    Journal of Magnetic Resonance Imaging. 2021; https://doi.org/10.1002/jmri.27873

  11. Moulia D. Myocarditis and COVID-19 vaccine intervals: international data and policies. n.d.
  12. Standardized Myocardial Segmentation and Nomenclature for Tomographic Imaging of the Heart.

    Circulation. 2002; 105: 539-542https://doi.org/10.1161/hc0402.102975

Footnotes

No funding was received for this research

The authors declare no conflicts of interest.

Abstract

We describe the evolution of Cardiac MRI (CMR) findings in 16 patients, 12-17 years of age, with myopericarditis after the second dose of the Pfizer mRNA COVID-19 vaccine. Although all patients showed rapid clinical improvement, many had persistent CMR findings at 3-8 month follow up.

Figures

  • Figure thumbnail gr1
    Figure 1Distribution of Late Gadolinium Enhancement (LGE) in American Heart Association Myocardial Segments

    . Figure shows segment with number of patients and percent of cohort.

          • Figure thumbnail gr2
            Figure 2CMR images from 3 days after admission

Categories
Back Door Power Grab Corruption Elections Politics

Trump Lost AZ by 10,457 Votes but Look at Eerie Number of AZ Federal-Only Voters Who Voted Without ID

Another item can be added to the list of those who have concerns about the integrity of the 2020 general election in Arizona.

President Joe Biden won the state by 10,457 votes (0.3 percent of the 3.4 million cast), which was the narrowest margin of any of the swing states that went for him.

Further, it was only the second time in the previous 70 years the state has sided with the Democratic candidate for president.

Last week, Arizona Gov. Doug Ducey signed House Bill 2492 into law, which requires those who are only eligible to vote in federal elections in Arizona to provide documentary proof of citizenship.

“If they do not, they will not be eligible to vote in a presidential election or by mail,” Ducey’s office said in a Wednesday news release. “In 2020, more than 11,600 Federal Only Voters in Arizona participated in the general election without providing proof of citizenship. In Maricopa County alone, there are currently 13,042 active registered voters who have not provided evidence of citizenship to vote through use of the federal form.”

In other words, more people voted without being required to provide proof of citizenship — 11,600 — than the margin of Biden’s win in the Grand Canyon State — 10,457 votes.

In February, state GOP Rep. Jake Hoffman told Courthouse News that HB 2492 was intended to address a concerning trend in the number of “federal only” voters.

“In 2018, there were only 1,700 individuals who didn’t have documentary proof of citizenship on file,” Hoffman said. “In 2020, there were almost 12,000. So clearly, this is a trend that is increasing. This bill ensures that there is maximum flexibility to provide documentary proof of citizenship, but we don’t want foreign interference in our elections.”

And many of those federal-only votes likely came from Maricopa County, which encompasses the Phoenix metropolitan area and accounts for over 60 percent of the voters in the state.

In 2020, it was the only county in the state to flip from red to blue. Biden carried it with about the same 45,000-vote margin Republican Donald Trump did in 2016.

In a letter explaining his support for HB 2492, Ducey said, “Election integrity means counting every lawful vote and prohibiting any attempt to illegally cast a vote.”

This bill “is a balanced approach that honors Arizona’s history of making voting accessible without sacrificing security in our elections,” he added. “Federal law prohibits non-citizens from voting in federal elections. Arizona law prohibits non-citizens from voting for all state and local offices, and requires proof of citizenship.”

Democratic state Sen. Sally Ann Gonzales said the law creates a barrier to vote.

“I think [Republicans] hope is that not everybody is going to jump through those hoops and their hope is that the groups that are going to be impacted more are going to be the groups that are likely to vote against them,” Quezada told Governing.

In 2013, the U.S. Supreme Court ruled 7-2 that Arizona could not require proof of citizenship beyond an oath for those seeking to vote in federal elections. However, the state could continue to have ID requirements to register to vote for state and local elections. The Court held that Arizona’s law at the time was pre-empted by the National Voter Registration Act of 1993.

Federal law “precludes Arizona from requiring a Federal Form applicant to submit information beyond that required by the form itself,” then-Justice Antonin Scalia wrote for the majority.

“Arizona may, however, request anew that the [Election Assistance Commission] include such a requirement among the Federal Form’s state-specific instructions, and may seek judicial review of the EAC’s decision under the Administrative Procedure Act,” he added.

The Associated Press reported that two lawsuits had already been filed challenging HB 2492, including one by Democratic election attorney Marc Elias on behalf of Mi Famila Vota.

Elias played a very active role during the 2020 campaign season suing in multiple battleground states to get election procedures changed.

Last month, the Election Systems Integrity Institute released a report concluding that the Maricopa County mail-in ballot signature verification process used during the 2020 general election was deeply flawed.

The study, overseen by systems engineer Shiva Ayyadurai, found that the county allowed approximately 200,000 ballot envelopes with mismatched signatures to be forwarded for counting without adequate additional review.

ESII researchers reported that 11.3 percent of the approximately 1.9 million mail-in ballots should have gone through the curing process, rather than the 1.31 percent — or about 25,000 — that actually did.

Ultimately, only 587 ballots were rejected, or 0.03 percent.

It should be noted that no information has been disclosed regarding whom any of these ballots was cast for. Therefore, even if all 200,000 ballots in question were to be thrown out — a highly unlikely proposition — there is no way to know whether the outcome of the Arizona election would be changed.

Based on the findings of the study, the Arizona Attorney General’s Office sent a letter to the Maricopa County recorder and the Maricopa County Board of Supervisors requesting the voter signature files.

Categories
Corruption Politics Reprints from others. Stupid things people say or do.

Joe Biden’s Teleprompter Is Taking over His Special White House Studio Set

By Jim Hoft for TGP April 2, 2022 at 12:45pm

It’s alive!

As his dementia worsens Joe Biden is in desperate need of a good visual tool to keep him on topic.

Unfortunately, it didn’t work so well in Europe last weekend where he went off script and nearly started World War III.

The White House is working to resolve this problem.

Biden’s handlers recently added an ENORMOUS teleprompter into his White House look-alike studio.

It’s HUGE.


Of course, he still has to read what is there…….