The Washington Post - USA (2022-05-07)

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A2 EZ RE THE WASHINGTON POST.SATURDAY, MAY 7 , 2022


CORRECTIONS


l An article in the May 8
Magazine section, which was
printed in advance, about
Georgia political hopeful and
former athlete Herschel Walker
incorrectly said that Donald
Trump tweeted “Run Herschel,
run!” in March 2021. Trump, who
had been banned from Twitter
two months earlier, said it in a
statement released in March



  1. The article also incorrectly
    said that Trump admonished
    Georgia Gov. Brian Kemp to find
    11,780 votes to reverse Georgia’s
    electoral results. Trump
    pressured Georgia Secretary of
    State Brad Raffensperger.


l A p hoto caption accompanying
a May 4 Style article about a
Garth Brooks concert in
Louisiana misspelled the title of
one of Brooks’s songs. It is
“Callin’ Baton Rouge.”


l An April 30 Real Estate article
about how the Washington-area
housing market fared in 2021
included a chart provided by
Bright MLS that gave incorrect
percentages for homes that sold
in 10 days or fewer in six of the 12
suburban Virginia jurisdictions
listed: Alexandria, Arlington
County, Fairfax County, Fairfax
City, Falls Church and Loudoun
County. Because of a production
error, a separate chart showing
median home sale prices and
sales by Zip code in Prince
George’s County, Md., was
misaligned and gave incorrect
Zip codes. Corrected versions of
both charts appear on Page T8 of
today’s Real Estate section.


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the January 6 insurrection in
preparation for the January 20
inauguration; and spearheading
efforts to create disability
education programs that have
reached 300,000 children
around the world.”
The winners will be
congratulated at a K ennedy
Center gala in September.
“This year’s Sammies finalists
show the tremendous breadth
and deep impact of federal
workers — at home and abroad.
With the many challenges that
face our country and the global
community, we should take pride
and comfort knowing that
dedicated public servants — our
friends and neighbors — are
working tirelessly to serve the
public and make our world a
better place,” said Max Stier, the
partnership’s president and CEO.
“These and all federal workers
deserve recognition and praise,
and we gladly take this
opportunity to honor them.”

and critical improvements to
physical and IT infrastructure; a
Department of Homeland
Security official who was
instrumental in the building of
the first-ever, risk-based
passenger screening system —
TSA PreCheck — which now has
over 10 million enrolled travelers
... and a member of the Health
and Human Services Office of
Inspector General who helped
developed a robust [anti-fraud]
network ... resulting in
thousands of criminal and civil
actions over the past five years,
as well as over $19 billion in
fines, penalties, and restitutions.”
Similarly, the partnership said
the accomplishments of the 2022
Sammies finalists include
“coordinating housing and
services for Afghan refugees
after the U.S. withdrawal from
Afghanistan — the largest
refugee resettlement in modern
U.S. history; successfully
restoring the U.S. Capitol after

Monday and as his policies
demonstrate, is a big fan of
federal workers. Recalling his
message to career civil servants
shortly before he was
inaugurated, Biden said, “I told
them that we’re a team. One
team. One America. And I meant
it....
“It was my honor to
reestablish these awards last
year after the previous
administration made the
decision to cancel them,” he
added. “Because these awards
are about more than individual
recognition. They’re a reminder
to all of us — to everyone — of
the extraordinary capacity,
creativity, diversity, and
dedication of our federal
workforce and a reminder — a
reminder of ... all the work you
do matters so much.”
The honorees this year
include, according to OPM, “a
Department of Commerce
employee who led significant

nicknamed the “Sammies” and
organized by the Partnership for
Public Service, a good-
government group that focuses
on federal employees and
agencies.
The two awards programs
each make a claim to fame.
“A Presidential Rank Award is
one of the most prestigious
awards in the federal career civil
service,” says the Office of
Personnel Management (OPM).
The Sammies are “affectionately
referred to as the ‘Oscars’ of
government service,” says the
partnership.
There were no 2020 rank
awards because former president
Donald Trump canceled them.
Unlike Biden, Trump’s
relationship with the federal
workforce was icy. The workers
resented being included in his
“drain the swamp” rhetoric and
his attempts to cut their
compensation.
Biden, as he reaffirmed

With Russia’s
horrific invasion
of Ukraine raging,
covid-19 deaths
nearing
1 million in the
U.S. and toxic
political divisions
surging, it’s time
for some good
news.
The good news
is the appreciation being shown
to public servants, including 2
million federal employees, who
are being honored separately
with Presidential Rank Awards
and the Samuel J. Heyman
Service to America medals
during this week’s Public Service
Recognition Week.
“America’s dedicated public
servants are the lifeblood of our
democracy,” President Biden
wrote in a proclamation. “Every
day, millions of public workers at
all levels of government do
extraordinary things to make our
lives better and our country
stronger. During Public Service
Recognition Week, we honor the
dedicated Federal, State, Tribal,
and local public servants who
embody the spirit of service and
endless possibilities that define
America.”
As he recognized public
employees generally, Biden
hailed the accomplishments of
230 winners of the 2021
Presidential Rank Awards during
a virtual ceremony Monday.
They were selected in
December but honored by Biden
now to kick off this week of
recognition.
The 1978 Civil Service Reform
Act created the awards in two
categories for members of the
Senior Executive Service. Other
senior leaders were included
later. The categories are
Distinguished Rank Recipients
and Meritorious Rank
Recipients. Only 1 percent of the
senior leaders may get the
distinguished honor, “for
sustained extraordinary
accomplishment,” which
includes a cash award of 35
percent of their base salary. No
more than 5 percent of senior
leaders may receive the
meritorious award, “for
sustained accomplishment,” and
its cash award of 20 percent of
base salary.
Also celebrated this week are
the 44 finalists, including some
teams, for the Samuel J. Heyman
Service to America Medals,

Federal
Insider
JOE
DAVIDSON

Biden and ‘Sammies’ honor federal workers


DEMETRIUS FREEMAN/THE WASHINGTON POST
In his comments, President Biden said the awards given this week are a r eminder “ of the extraordinary capacity, creativity, diversity, and
dedication of our federal workforce,” adding that “all the work you do matters so much.”

BY FRANCES STEAD SELLERS
AND KATIE SHEPHERD

The Centers for Disease Con-
trol and Prevention is investigat-
ing 109 cases of severe hepatitis
of unknown cause in children,
officials said Friday. Five of the
children have died.
Jay Butler, the CDC’s deputy
director for infectious diseases,
said the cases date back to
October and were found in 24
states and one territory. More
than 90 percent of the patients
were hospitalized, and 14 per-
cent received liver transplants,
he said. The majority have recov-
ered, he said.
The cases, which have been
discovered in at least 20 coun-
tries, continue to mystify scien-
tists, who have been unable to
pinpoint the cause. Officials say
severe hepatitis in young chil-
dren remains rare and urge
parents not to panic but be on
alert for unusual signs including
jaundice — which causes yellow-
ing of the skin and whites of the
eyes — dark urine and light
stool.
“Although rare, children can
have serious hepatitis and it’s
not uncommon for the cause to
be unknown,” Butler said. He
said there has not been a “signif-
icant increase” in the number of
pediatric hepatitis cases or liver
transplants, including before
the pandemic.
A chief suspect is the adenovi-
rus — a common family of some
50 viruses that cause symptoms

ranging from colds and stomach
upsets to pinkeye and, in rare
cases, to conditions that affect
the brain or spinal cord. About
half the U.S. children whose
hepatitis cases are under investi-
gation had a confirmed adenovi-
rus infection, Butler said, but
officials do not yet know if it is
the cause of the illnesses.
Officials said some of the
more common causes of viral
hepatitis — such as hepatitis A,
B, C, D and E — have not been
found. Officials do not yet know
what role other factors, such as
environmental exposure, medi-
cations or other infections might
play in the illnesses.
“This is a very rare presenta-
tion of a common scenario,” said
Helena Gutierrez, a pediatric
gastroenterologist at Children’s
of Alabama.
Nine children were diagnosed
at the hospital between October
and February, all of whom were
previously healthy and had the
adenovirus in their blood, offi-
cials said. Some of them had
adenovirus 41, which typically
causes stomach illness and can
cause hepatitis in immunocom-
promised children — though
none of the children in Alabama
were immunocompromised, of-
ficials said.
“Kids get sick, they get virus-
es,” she said.
Gutierrez, who was involved
in treating all nine cases, said
there have been no cases since
February at Children’s. Although
two of the nine children needed

liver transplants, all have recov-
ered or are recovering.
CDC officials said the children
sickened in Alabama had a me-
dian age of 2. None of them were
infected with covid-19 or had a
history of having had covid-19,
officials said. Officials are work-
ing to determine through blood
tests whether some of the chil-
dren had prior unknown corona-
virus infections.
None of the children in Ala-
bama had received a coronavi-
rus vaccine, officials said.
“Covid-19 vaccination is not
the cause of these illnesses,”
Butler said. “We hope that this
information helps clarify some
of the speculation circulating
online.”
Butler said cases have been
found in the following states and
territories: Alabama, Arizona,
California, Colorado, Delaware,
Florida, Georgia, Idaho, Illinois,
Indiana, Louisiana, Michigan,
Minnesota, Missouri, North
Carolina, North Dakota, Nebras-
ka, New York, Ohio, Pennsylva-
nia, Puerto Rico, Tennessee, Tex-
as, Washington and Wisconsin.
As of May 1, the World Health
Organization has recorded more
than 220 cases in 20 countries in
children ages 1 month to 16
years. An additional 50 cases are
under investigation, according
to a WHO media briefing
Wednesday.
WHO officials said that notifi-
cations of new cases, together
with more extensive searches,
would lead to more cases being

detected before the cause could
be determined. Officials in Brit-
ain first alerted the WHO to
cases of severe hepatitis in Scot-
land in early April; the CDC
issued an alert on U.S. cases on
April 21.
Officials urged clinicians to be
alert for cases.
“Typically we don’t report cas-
es of acute liver failure to any
kind of public agency,” Gutierrez
said. “Because it is under investi-
gation, cases are going to come
to the surface; people are going
to be testing for adenovirus.”
Under normal circumstances,
doctors may miss cases of adeno-
virus-related hepatitis, because
with mild cases they don’t typi-
cally order up viral studies be-
yond looking for the common
hepatitis A, B o r C, said Ryan
Fisher, a pediatric gastroenterol-
ogist and transplant hepatolo-
gist at Children’s Mercy in Kan-
sas City.
“It could be that we miss
many cases of adenovirus-asso-
ciated hepatitis in otherwise
healthy kids because we don’t
check for it and the children
recover uneventfully,” Fisher
said.
Doctors may now go back to
earlier cases that resolved and
check samples to see whether
there is evidence of the virus,
further boosting the numbers.
Leina Alrabadi, a pediatric
gastroenterologist at Stanford
Children’s Health, had a case of
hepatitis in a 4-year-old in
March and reported it a couple

of weeks ago, after the CDC’s
April 21 alert. That particular
case did not result in liver
failure.
“We’ve always had children
that progress to transplant of
unknown etiology,” Alrabadi
said, adding that it’s too early to
know what is causing the out-
break of severe cases.
Still, WHO scientists said they
do not believe the adenovirus
alone accounts for the severity of
the liver inflammation. Investi-
gators in the United Kingdom
and elsewhere are looking into
other factors, including whether
young children have become
more susceptible to the adenovi-
rus after having less exposure
during the pandemic; whether a
novel adenovirus may have
emerged; and whether co-infec-
tion with the coronavirus could
be a factor, though that seems
unlikely: Although some chil-
dren tested positive for the coro-
navirus, according to the WHO,
the infection rate is only slightly
higher than in the general popu-
lation.
Doctors advised to see a pedi-
atrician if children are exhibit-
ing any unusual symptoms and
said the pandemic reinforced
the lessons of keeping kids safe
from the adenovirus and other
pathogens.
“Continue to enforce hand
hygiene,” Gutierrez said, “before
eating, after playing at the play-
ground, and before touching a
younger sibling who hasn’t been
at school or day care.”

CDC probes 109 cases of hepatitis among children, five deaths


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