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21A244 046 Dec 30 2021 Main Document 20211230135726547 For Filing Scotus Osha Ets Amicus - Scotus

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                            Nos. 21A244, 21A247

               In the Supreme Court of the United States
            NATIONAL FEDERATION OF INDEPENDENT BUSINESS, ET AL.,
                                                                   Applicants,
                                      v.
DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, ET AL.,
                                                             Respondents.
                              OHIO, ET AL.,
                                                               Applicants,
                                   v.
DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, ET AL.,
                                                             Respondents.
ON APPLICATIONS FOR STAY OF ADMINISTRATIVE ACTION AND PETITIONS FOR A WRIT OF
   CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

  MOTION FOR LEAVE TO FILE AND BRIEF OF AMERICAN MEDICAL
  ASSOCIATION, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN
    ACADEMY OF FAMILY PHYSICIANS, AMERICAN ACADEMY OF
     PEDIATRICS, AMERICAN COLLEGE OF CHEST PHYSICIANS,
 AMERICAN COLLEGE OF CORRECTIONAL PHYSICIANS, AMERICAN
  COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS, AMERICAN
GERIATRICS SOCIETY, AMERICAN MEDICAL WOMEN’S ASSOCIATION,
 AMERICAN PSYCHIATRIC ASSOCIATION, AMERICAN SOCIETY FOR
         CLINICAL PATHOLOGY, AMERICAN SOCIETY OF
   ECHOCARDIOGRAPHY, AMERICAN SOCIETY OF HEMATOLOGY,
   AMERICAN THORACIC SOCIETY, ASSOCIATION OF ACADEMIC
PHYSIATRISTS, AND AMERICAN LUNG ASSOCIATION AS AMICI CURIAE
          IN OPPOSITION TO APPLICATIONS FOR STAY
                                                RACHEL L. FRIED
                                                 Counsel of Record
                                                JESSICA ANNE MORTON
                                                JEFFREY B. DUBNER
                                                JOANN KINTZ
                                                SEAN A. LEV
                                                DEMOCRACY FORWARD FOUNDATION
                                                P.O. Box 34553
                                                Washington, DC 20043
                                                (202) 448-9090
                                                rfried@democracyforward.org

                           Counsel for Amici Curiae
    The American Medical Association, American College of Physicians, American

Academy of Family Physicians, American Academy of Pediatrics, American College

of Chest Physicians, American College of Correctional Physicians, American College

of Obstetricians and Gynecologists, American Geriatrics Society, American Medical

Women’s Association, American Psychiatric Association, American Society for

Clinical Pathology, American Society of Echocardiography, American Society of

Hematology, American Thoracic Society, Association of Academic Physiatrists, and

American Lung Association respectfully move for leave to file the enclosed brief as

amici curiae in opposition to Applicants’ applications for stay of administrative

action, including leave to file in 8½- by 11-inch format.

    Amici include fifteen national medical societies and an organization representing

patients and the public health. Amici have a strong interest in promoting public

health and reducing the spread of COVID-19. The attached brief reflects Amici’s

extensive review of medical literature supporting the efficacy and safety of COVID-

19 vaccines authorized or approved by the U.S. Food and Drug Administration.

Accordingly, the proposed brief will assist the Court because it sets forth medical and

scientific information demonstrating that a stay of OSHA’s Emergency Temporary

Standard requiring vaccination or testing among large employers would cause severe

and irreparable harm to the public interest.

    Courts have repeatedly granted leave for one or more of Amici to file briefs as

amici curiae in cases related to federal vaccination policies. This includes the court of

appeals below, which accepted an amicus curiae brief on behalf of the American
Medical Association. See Order, In re MCP No. 165, OSHA Rule on COVID-19

Vaccination and Testing, 86 Fed. Reg. 61402, No. 21-7000 (6th Cir. Dec. 3, 2021), Dkt.

No. 299 (granting motion of American Medical Association to file amicus curiae brief );

see also Instanter Order, Indiana v. OSHA, No. 21-3066 (7th Cir. Nov. 18, 2021), Dkt.

No. 22, (same); Court Order, BST Holdings v. OSHA, No. 21-60845 (5th Cir. Nov. 11,

2021) (same); Clerk Order, Missouri v. Biden, No. 21-3725 (8th Cir. Dec. 13, 2021)

(granting motion of several Amici to file amicus curiae brief).

    Counsel for Amici have consulted with the parties’ counsel, with ten days’ notice

before this filing. Counsel for the Business Association Applicants do not oppose this

motion. Counsel for the State Applicants consent to this motion. Counsel for

Respondents take no position.

    To the extent that leave is required, Amici respectfully move for leave to file the

attached brief on 8½- by 11-inch paper, rather than in booklet form, given the

expedited nature of the briefing. Should the Clerk’s Office, the Circuit Justice, or the

Court so require, Amici commit to re-filing expeditiously in booklet format. See S. Ct.

Rule 21.2(c).

    For the foregoing reasons, Amici respectfully move for leave to file the attached

amicus curiae brief in opposition to Applicants’ applications for stay of administrative

action.
Dated: December 30, 2021

                           Respectfully submitted,
                                       Rachel L. Fried
                                         Counsel of Record
                                       Jessica Anne Morton
                                       Jeffrey B. Dubner
                                       JoAnn Kintz*
                                       Sean A. Lev
                                       DEMOCRACY FORWARD FOUNDATION
                                       P.O. Box 34553
                                       Washington, DC 20043
                                       (202) 448-9090
                                       rfried@democracyforward.org

                                       Counsel for Amici Curiae

                                       * Not admitted in the District of Columbia;
                                       practicing  under the supervision of
                                       Democracy Forward lawyers.
                            Nos. 21A244, 21A247

               In the Supreme Court of the United States
            NATIONAL FEDERATION OF INDEPENDENT BUSINESS, ET AL.,
                                                                   Applicants,
                                   v.
DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, ET AL.,
                                                             Respondents.
                                OHIO, ET AL.,
                                                                   Applicants,
                                      v.
DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, ET AL.,
                                                             Respondents.
ON APPLICATIONS FOR STAY OF ADMINISTRATIVE ACTION AND PETITIONS FOR A WRIT OF
   CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

BRIEF OF AMERICAN MEDICAL ASSOCIATION, AMERICAN COLLEGE
  OF PHYSICIANS, AMERICAN ACADEMY OF FAMILY PHYSICIANS,
  AMERICAN ACADEMY OF PEDIATRICS, AMERICAN COLLEGE OF
   CHEST PHYSICIANS, AMERICAN COLLEGE OF CORRECTIONAL
    PHYSICIANS, AMERICAN COLLEGE OF OBSTETRICIANS AND
  GYNECOLOGISTS, AMERICAN GERIATRICS SOCIETY, AMERICAN
    MEDICAL WOMEN’S ASSOCIATION, AMERICAN PSYCHIATRIC
  ASSOCIATION, AMERICAN SOCIETY FOR CLINICAL PATHOLOGY,
AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, AMERICAN SOCIETY
OF HEMATOLOGY, AMERICAN THORACIC SOCIETY, ASSOCIATION OF
 ACADEMIC PHYSIATRISTS, AND AMERICAN LUNG ASSOCIATION AS
    AMICI CURIAE IN OPPOSITION TO APPLICATIONS FOR STAY

                                                RACHEL L. FRIED
                                                 Counsel of Record
                                                JESSICA ANNE MORTON
                                                JEFFREY B. DUBNER
                                                JOANN KINTZ
                                                SEAN A. LEV
                                                DEMOCRACY FORWARD FOUNDATION
                                                P.O. Box 34553
                                                Washington, DC 20043
                                                (202) 448-9090
                                                rfried@democracyforward.org

                           Counsel for Amici Curiae
                                            TABLE OF CONTENTS

Table of Authorities ...................................................................................................... ii
Interest of Amici Curiae ............................................................................................... 1
Introduction and Summary of Argument .................................................................... 7
Argument ...................................................................................................................... 8
I. COVID-19 Poses A Grave Danger To The Health Of Workers. ............................. 8
II. Vaccines Provide A Safe And Effective Way To Help Reduce Transmission Of
    COVID-19 In The Workplace. ............................................................................... 11
III.The More Workers Who Get Vaccinated, The Safer Workplaces Become. .......... 13
IV. Widespread Vaccination Is The Most Effective Way To Protect Workers From
    COVID-19. ............................................................................................................. 16
Conclusion .................................................................................................................. 18




                                                               i
                                          TABLE OF AUTHORITIES

Other Authorities                                                                                                    Page(s)

American Medical Ass’n, AMA, AHA, ANA urge vaccinations as U.S.
  reaches 750,000 COVID-19 deaths, https://bit.ly/3C07CIS .................................. 13

American Medical Ass’n, Digital Vaccine Credential Systems and
  Vaccine Mandates in COVID-19 H-440.808 (last visited Dec. 30,
  2021), https://bit.ly/3yUZf19 ................................................................................. 15

Marissa G. Baker et al., Estimating the burden of United States
  workers exposed to infection or disease: A key factor in containing
  risk of COVID-19 infection, PLoS ONE (Apr. 28, 2020),
  https://bit.ly/3BWDoq8 .......................................................................................... 11

Yinon M. Bar-On et al., Protection of BNT162b2 Vaccine Booster
   against Covid-19 in Israel, 385 New Eng. J. Med. 1393 (Oct. 7,
   2021), https://bit.ly/327ijh2 ................................................................................... 12

Rajaie Batniji, Historical Evidence to Inform COVID-19 Vaccine
   Mandates, 397 Lancet 791 (Feb. 27, 2021), https://bit.ly/3Fl2ykM ..................... 14

Catherine H. Bozio et al., Laboratory-Confirmed COVID-19 Among
   Adults Hospitalized with COVID-19-Like Illness with Infection-
   Induced or mRNA Vaccine-Induced SARS-CoV-2 Immunity — Nine
   States, January–September 2021, 70 Morbidity & Mortality Weekly
   Rep. 1539 (Nov. 5, 2021), https://bit.ly/3kvoBwR ................................................. 16

Alyson M. Cavanaugh et al., Reduced Risk of Reinfection with SARS-
   CoV-2 After COVID-19 Vaccination — Kentucky, May–June 2021,
   70 Morbidity & Mortality Weekly Rep. 1081 (Aug. 13, 2021),
   https://bit.ly/306e4Bg ............................................................................................ 16

Appendices, CDC (Nov. 12, 2021), https://bit.ly/3nbxAos .......................................... 17

CDC, Benefits of Getting a COVID-19 Vaccine (last updated Nov. 29,
  2021), https://bit.ly/3H6BsiF ................................................................................. 11

CDC, CDC Endorses ACIP’s Updated COVID-19 Vaccine
  Recommendations (Dec. 16, 2021), https://bit.ly/3yzUTfJ.................................... 11

CDC, COVID Data Tracker, https://bit.ly/3Du7Glz (last visited Dec. 30,
  2021) ........................................................................................................................ 8




                                                               ii
CDC, COVID Data Tracker: Variant Proportions (last visited Dec. 30,
  2021), https://bit.ly/3snnhk7 ................................................................................... 9

CDC, COVID Data Tracker Weekly Review, Centers for Disease Control
  and Prevention (Dec. 17, 2021), https://bit.ly/3EYAdAb ........................................ 8

CDC, Delta Variant: What We Know About the Science (Aug. 26, 2021),
  https://bit.ly/3plAmcy .............................................................................................. 9

CDC, Disease Burden of Flu (Oct. 4, 2021), https://bit.ly/3ocAuZA ............................ 8

CDC, Investigating and Responding to COVID-19 Cases in Non-
  Healthcare Work Settings (Oct. 25, 2021), https://bit.ly/3qC74XN ........................ 9

CDC, Omicron Variant: What You Need to Know (last updated Dec. 20,
  2021), https://bit.ly/327xwyr ................................................................................... 9

CDC, Rates of laboratory-confirmed COVID-19 hospitalizations by
  vaccination status, (last updated Dec. 21, 2021),
  https://bit.ly/3oIwsZ4 ............................................................................................ 13

CDC, Science Brief: Community Use of Masks to Control the Spread of
  SARS-CoV-2 (last updated Dec. 6, 2021), https://bit.ly/30inWYx .......................... 9

CDC, Vaccination to Prevent COVID-19 Outbreaks with Current and
  Emergent Variants — United States, 2021 (July 27, 2021),
  https://bit.ly/3oFcakp ............................................................................................ 13

CDC, Vaccine Effectiveness: How Well Do Flu Vaccines Work? (last
  visited Dec. 30, 2021), https://bit.ly/3HifLMP ...................................................... 12

COVID-19 Vaccination and Testing; Emergency Temporary Standard,
  86 Fed. Reg. 61,402 (Nov. 5, 2021) ..................................................................13, 17

Carlos del Rio et al., Confronting the Delta Variant of SARS-CoV-2,
   Summer 2021, 326 JAMA 1001 (Aug. 18, 2021),
   https://bit.ly/3bVL5Cj ............................................................................................ 14

FDA, FDA Approves First COVID-19 Vaccine (Aug. 23, 2021),
  https://bit.ly/3ySIrYG ............................................................................................ 15

FDA, COVID-19 vaccine safety surveillance (Dec. 7, 2021),
  https://bit.ly/3y1dDET ........................................................................................... 11




                                                           iii
Kiva A. Fisher et al., Telework Before Illness Onset Among
   Symptomatic Adults Aged ≥18 Years With and Without COVID-19
   in 11 Outpatient Health Care Facilities — United States, July 2020,
   69 Morbidity & Mortality Weekly Rep. 1648 (Nov. 6, 2020),
   https://bit.ly/3F5Ybt8 ............................................................................................ 10

Ashley Fowlkes et al., Effectiveness of COVID-19 Vaccines in
   Preventing SARS-CoV-2 Infection Among Frontline Workers Before
   and During B.1.617.2 (Delta) Variant Predominance — Eight U.S.
   Locations, December 2020–August 2021, 70 Morbidity & Mortality
   Weekly Rep. 1167 (Aug. 24, 2021), https://bit.ly/3px2OGB ................................. 12

Paul A. Gastañaduy et al., A Measles Outbreak in an Underimmunized
  Amish Community in Ohio, New Eng. J. Med. 1343, 1349 (Oct. 6,
  2016), https://bit.ly/3Cm0RkY .............................................................................. 15

Charisse Jones & Matt Wynn, Coronavirus and the Workplace: The
  Virus Causes Record Numbers of Job Absences in 2020, USA Today
  (Jan. 21, 2021), https://bit.ly/3C39lgx ................................................................... 10

Kathy Katella, Comparing the COVID-19 Vaccines: How Are They
  Different?, Yale Med. (Dec. 16, 2021), https://bit.ly/307jEU5 .............................. 12

Nicola P. Klein et al., Surveillance for Adverse Events After COVID-19
   mRNA Vaccination, 326 JAMA 1390 (Sept. 3, 2021),
   https://bit.ly/3F1XQYM ......................................................................................... 11

Katherine Lontok, How Effective Are COVID-19 Vaccines in
  Immunocompromised People, Am. Society for Microbiology (Aug. 12,
  2021), https://bit.ly/3F24HBh ............................................................................... 14

Kevin M. Malone & Alan R. Hinman, Vaccination Mandates: The
  Public Health Imperative and Individual Rights, in Law in Public
  Health Practice 262 (1st ed., 2003), https://bit.ly/3BUviyg .................................. 15

Apoorva Mandavilli, C.D.C. Internal Report Calls Delta Variant as
  Contagious as Chickenpox, N.Y. Times (July 30, 2021),
  https://nyti.ms/3EtJXTb .......................................................................................... 9

Brian E. McGarry et al., Nursing Home Staff Vaccination and Covid-
   19 Outcomes, New Eng. J. Med., Correspondence (Dec. 8, 2021),
   https://bit.ly/3pQ7O9H .......................................................................................... 14

Tahmina Nasserie et al., Assessment of the Frequency and Variety of
  Persistent Symptoms Among Patients With COVID-19: A Systematic
  Review, JAMA Network Open (May 26, 2021), https://bit.ly/3qocFkk .................. 8


                                                           iv
New Mexico Environment Department, Rapid Response COVID-19
  Watchlist (last updated Dec. 29, 2021), https://bit.ly/3FwIWu5 .......................... 10

New Mexico Environment Department, Rapid Response COVID-19
  Watchlist: Frequently Asked Questions (last visited Dec. 30, 2021),
  https://bit.ly/3Js3gPK ............................................................................................ 10

Long H. Nguyen et al., Risk of COVID-19 among front-line health-care
   workers and the general community: a prospective cohort study, 5
   Lancet e475 (July 31, 2020), https://bit.ly/31ABwY2 ........................................... 10

Oregon Health Authority, COVID-19 Weekly Outbreak Report —
   December 22, 2021, https://bit.ly/3pBEYdW ........................................................... 9

Pfizer, Pfizer and BioNTech Announce Phase 3 Trial Data Showing
   High Efficacy of a Booster Dose of Their COVID-19 Vaccine (Oct. 21,
   2021), https://bit.ly/3EXQa9K ............................................................................... 12

Donatella Sarti et al., COVID-19 in Workplaces: Secondary
  Transmission, 65 Annals of Work Exposures & Health 1145 (Nov.
  2021), https://bit.ly/3Cj6oJ3 .................................................................................. 17

Maxime Taquet et al., 6-month neurological and psychiatric outcomes
  in 236379 survivors of COVID-19: a retrospective cohort study using
  electronic health records, The Lancet Psychiatry (Apr. 6, 2021),
  https://bit.ly/3DXTbGo ............................................................................................ 8

Sara Y. Tartof et al., Effectiveness of mRNA BNT162b2 COVID-19
   Vaccine Up to 6 Months, 398 Lancet 1407 (Oct. 4, 2021),
   https://bit.ly/3ouPvqS ............................................................................................ 12

Mark W. Tenforde, Association Between mRNA Vaccination and
  COVID-19 Hospitalization and Disease Severity, 326 JAMA 2043
  (Nov. 4, 2021), https://bit.ly/3bZBHhb .................................................................. 12

Michelle A. Waltenburg et al., Coronavirus Disease among Workers in
   Food Processing, Food Manufacturing, and Agriculture Workplaces,
   27 Emerging Infectious Diseases 243 (Jan. 2021),
   https://bit.ly/3kp3Lip............................................................................................. 10

Washington State Department of Health, Statewide COVID‐19
  Outbreak Report (Dec. 15, 2021), https://bit.ly/3FAV11u ..................................... 10

World Health Organization, Preventing and mitigating COVID-19 at
  work (May 19, 2021), https://bit.ly/3wMJ451 ....................................................... 17




                                                           v
World Health Organization, Update 64 — COVID-19 Prevention at the
  Workplace (Jul. 28, 2021), https://bit.ly/307J1V6 ................................................... 9

Stanley Xu et al., COVID-19 Vaccination and Non–COVID-19
   Mortality Risk — Seven Integrated Health Care Organizations,
   United States, December 14, 2020–July 31, 2021, 70 Morbidity &
   Mortality Weekly Rep. 1520 (Oct. 29, 2021), https://bit.ly/3D1ZRn4.................11

Carl Zimmer & Sheryl Stolberg, New Studies Raise Hopes That
   Vaccines Prevent Severe Disease From Omicron, N.Y. Times (Dec.
   15, 2021), https://nyti.ms/3H3uCd4 ...............................................................13




                                                   vi
                                INTEREST OF AMICI CURIAE

    Amici are associations representing medical professionals and patients and the

public health across disciplines. They accordingly have a strong interest in promoting

public health and reducing the spread of COVID-19. 1

    The American Medical Association is the largest professional association of

physicians, residents, and medical students in the United States. Additionally,

through state and specialty medical societies and other physician groups seated in its

House of Delegates, substantially all physicians, residents, and medical students in

the United States are represented in the AMA’s policy-making process. The AMA was

founded in 1847 to promote the art and science of medicine and the betterment of

public health, and these remain its core purposes. AMA members practice in every

medical specialty and in every state. The AMA joins this brief on its own behalf and

as a representative of the Litigation Center of the American Medical Association and

the State Medical Societies. The Litigation Center is a coalition among the AMA and

the medical societies of each state and the District of Columbia. Its purpose is to

represent the viewpoint of organized medicine in the courts.

    The American College of Physicians is the largest medical specialty organization

in the United States. Its membership includes 161,000 internal medicine physicians,

related subspecialists, and medical students. Internists apply scientific knowledge

and clinical expertise to the diagnosis, treatment, and compassionate care of adults



        1 This brief is filed with the written consent or non-opposition of Applicants; Respondents took

no position on the filing of this brief. Pursuant to Supreme Court Rule 37.6, counsel for Amici authored
this brief in whole; no party’s counsel authored, in whole or in part, this brief; and no person or entity
other than Amici and their counsel contributed monetarily to preparing or submitting this brief.
across the spectrum from health to complex illness. ACP and its physician members

lead the profession in education, standard-setting, and the sharing of knowledge to

advance the science and practice of internal medicine.

    Founded in 1947, the American Academy of Family Physicians is one of the

largest national medical organizations, representing 133,500 family physicians and

medical students nationwide. AAFP seeks to improve the health of patients, families,

and communities by advocating for the health of the public and by supporting its

members in providing continuous comprehensive health care to all.

    The American Academy of Pediatrics was founded in 1930 and is a national, not-

for-profit professional organization dedicated to furthering the interests of child and

adolescent health. The AAP’s membership includes over 67,000 primary care

pediatricians, pediatric medical subspecialists, and pediatric surgical specialists.

Over the past year-and-a-half, the AAP has devoted substantial resources to

researching the scientific literature regarding how to treat COVID-19 and reduce its

spread so that the AAP can provide up-to-date, evidence-based guidance for

pediatricians and public health officials.

    The American College of Chest Physicians, known as CHEST, is comprised of

more than 19,000 physicians, advance practice providers, respiratory therapists, and

other front line health care professionals who provide patient care in pulmonary,

critical care, and sleep medicine. CHEST serves as an important connection to clinical

knowledge, research, and resources, including through its highly respected peer-

reviewed journal, clinical practice guidelines, and consensus statements. CHEST is




                                             2
interested   in   providing   evidence-based    guidance    on   respiratory   disease-

related public health issues and advocating for best practices in patient care.

    The American College of Correctional Physicians, formerly known as The Society

of Correctional Physicians, was founded in 1993. Its purpose is to support the

interests of the providers who care for those incarcerated in correctional facilities of

all types. This includes jails, juvenile facilities, and state and federal prisons. They

have dedicated their medical careers to ensure those incarcerated receive the quality

of medical, mental, and dental care mandated by the United States Constitution.

ACCP members are united through the goal of improving public health by examining

issues specific to the incarcerated and identifying solutions for medical professionals.

ACCP meets those goals through education, advocacy, networking, and avenues of

communication.

    The American College of Obstetricians and Gynecologists is the nation’s leading

group of physicians providing health care for women. With more than 60,000

members—representing more than 90% of all board certified obstetricians-

gynecologists in the United States—ACOG advocates for quality health care for

women, maintains the highest standards of clinical practice and continuing education

of its members, promotes patient education, and increases awareness among its

members and the public of changing issues facing women’s health care.

    The American Geriatrics Society is a nationwide, not-for-profit society of

geriatrics healthcare professionals founded in 1942 and dedicated to improving the

health, independence, and quality of life of older people. AGS’s more than 6,000




                                           3
members include geriatricians, geriatrics nurse practitioners, social workers, family

practitioners, physician assistants, pharmacists, and internists who are pioneers in

advanced-illness care for older individuals, with a focus on championing

interprofessional teams, eliciting personal care goals, and treating older people as

whole persons. AGS advocates for policies and programs that support the health,

independence, and quality of life of all of us as we age. AGS has a strong interest in

policies to prevent and mitigate COVID-19 infection as an important public health

intervention for the health and safety of our nation—but most critically for our

vulnerable populations.

   The American Medical Women’s Association is the oldest multispecialty

organization dedicated to advancing women in medicine and improving women’s

health. With a mission to advance women in medicine, advocate for equity, and

ensure excellence in health care, AMWA envisions a healthier world where women

physicians achieve equity in the medical profession and realize their full potential

and where patients receive unbiased care.

   The American Psychiatric Association, with more than 37,400 members, is the

nation’s leading organization of physicians who specialize in psychiatry. APA

members engage in research into and education about diagnosis and treatment of

mental health and substance use disorders, and are front-line physicians treating

patients who experience mental health and/or substance use disorders. APA has

participated in numerous cases in this Court and in the United States Courts of

Appeals.




                                          4
    The American Society for Clinical Pathology is a 501(c)(3) non-profit medical

specialty society representing more than 100,000 members. ASCP is one of the

nation’s largest medical specialty societies and the world’s largest organization

representing the field of laboratory medicine and pathology. ASCP membership is

uniquely diverse, consisting broadly of board-certified pathologists, other physicians,

clinical scientists, certified medical technologists and technicians, and educators.

Together, ASCP’s mission is to provide excellence in education, certification, and

advocacy on behalf of patients, pathologists, and laboratory professionals to advance

medicine and improve patient care. ASCP has on several occasions this year outlined

its unwavering support for vaccine uptake and related mandates. See, e.g., Statement

Supporting     OSHA’s     COVID      Vaccine    Requirement      (Nov.    17,   2021),

https://bit.ly/3dun6uS; To End the Pandemic, ASCP Urges that All Americans Be

Vaccinated (Aug. 11, 2021), https://bit.ly/3IvV6VS; Joint Statement in Support of

COVID-19 Vaccine Mandates for All Workers in Health and Long-Term Care (July

29, 2021), https://bit.ly/3IvV6VS.

    The American Society of Echocardiography is the Society for Cardiovascular

Ultrasound ProfessionalsTM. Founded in 1975, ASE is the largest global organization

representing cardiovascular ultrasound imaging. ASE is the leader and advocate for

physicians, sonographers, scientists, veterinarians, students, and all those with an

interest in echocardiography, setting practice standards and guidelines for the field.

ASE is committed to advancing cardiovascular ultrasound to improve lives.




                                          5
    The American Society of Hematology is the world’s largest professional society of

hematologists, including approximately 18,000 clinicians and researchers, who are

dedicated to furthering the understanding, diagnosis, treatment, and prevention of

disorders affecting the blood. ASH believes that vaccinations offer the best protection

against contracting COVID-19, prevent severe illness and hospitalization, and will

help save lives.

    The American Thoracic Society is an international, nonprofit, nonpartisan

organization with more than 15,000 physicians, scientists, nurses, and respiratory

therapists dedicated to improving the health and wellbeing of patients suffering from

critical care illness, pulmonary disease and sleep disordered breathing. ATS’s

members are on the front lines of the COVID-19 response, treating patients with

COVID-19 in hospital intensive care units and inpatient hospital wards, and caring

for patients with long-COVID-19. Given ATS’s close and daily interaction with

COVID-19 patients, ATS’s members are also at significant risk for occupational

exposures to COVID-19. As such ATS has a compelling interest in seeing the federal

government establish and enforce science-based vaccination and testing policy to

protect the American public from further spread of COVID-19.

    The Association of Academic Physiatrists is a nonprofit medical society

representing over 2,600 physical medicine and rehabilitation physicians, residents,

and medical students interested in maximizing human function. The AAP is

concerned about the health and safety of the AAP membership, residents/fellows,

medical students, patients, and the public health in general.




                                          6
    The American Lung Association is the nation’s oldest voluntary health

organization committed to a world free of lung disease. SARS-CoV-2 (COVID-19) is a

respiratory disease that has a dramatic impact on people with lung diseases including

lung cancer and chronic obstructive pulmonary disease. The American Lung

Association strongly supports vaccinations and has created public education and

information to increase access and overcome vaccine hesitancy. The American Lung

Association has also invested significant resources in research, education and public

policy advocacy regarding the adverse health effects caused by COVID-19.

               INTRODUCTION AND SUMMARY OF ARGUMENT

    The United States is in an unprecedented and ongoing public health crisis as it

battles COVID-19—a battle that can be won only with widespread vaccination.

SARS-CoV-2, the causative agent of COVID-19, has wreaked havoc in communities

across the country, taxed hospitals to the point of rationing care, upended the lives of

countless families, and killed over 818,000 Americans. More than 65,000 Americans

have died from COVID-19 just since the American Medical Association filed its

amicus curiae brief in this case in the Fifth Circuit on November 11, 2021 2; the ETS

was stayed during most of the intervening time. Widespread vaccination is essential

to ending the COVID-19 pandemic and preventing thousands more needless deaths.

    Amici’s extensive review of the medical literature demonstrates that COVID-19

vaccines authorized or approved by the U.S. Food and Drug Administration are safe




       2 See Brief of the American Medical Association as Amicus Curiae in Opposition to Petitioners’

Motions for Stay of Emergency Temporary Standard at 1–2, BST Holdings, L.L.C. v. Occupational
Safety & Health Admin., No. 21-60845 (5th Cir. Nov. 11, 2021).


                                                 7
and effective, and the widespread use of those vaccines is the best way to keep

COVID-19 from spreading within workplaces. Enjoining OSHA’s Emergency

Temporary Standard requiring vaccination or testing for employees of large

employers would therefore severely and irreparably harm the public interest.

                                            ARGUMENT

I.   COVID-19 Poses A Grave Danger To The Health Of Workers.

     COVID-19 presents a severe risk to public health. Although most people infected

with the virus will experience mild to moderate symptoms, individuals with COVID-

19 can become seriously ill or die at any age. As of December 30, 2021, there have

been more than fifty-three million confirmed cases of COVID-19 in the United

States, 3 leading to more than 3,529,000 hospitalizations 4 and more than 818,000

deaths—more than twenty-two times the number of people in the United States who

die from influenza in the average year. 5 Even those who recover from COVID-19 may

experience debilitating symptoms lasting for several months or more after the acute

phase of infection. A systematic review of forty-five studies found that 73% of infected

individuals experienced at least one long-term symptom. 6 Studies also indicate that

COVID-19 is associated with increased risk of adverse neurological and psychiatric

outcomes. 7



       3 COVID Data Tracker, CDC, https://bit.ly/3Du7Glz (last visited Dec. 30, 2021).
       4 COVID Data Tracker Weekly Review, CDC (Dec. 17, 2021), https://bit.ly/3EYAdAb.
       5 Disease Burden of Flu, CDC (Oct. 4, 2021), https://bit.ly/3ocAuZA.
       6 Tahmina Nasserie et al., Assessment of the Frequency and Variety of Persistent Symptoms

Among Patients With COVID-19: A Systematic Review, JAMA Network Open (May 26, 2021),
https://bit.ly/3qocFkk.
         7 Maxime Taquet et al., 6-month neurological and psychiatric outcomes in 236379 survivors of

COVID-19: a retrospective cohort study using electronic health records, The Lancet Psychiatry (Apr. 6,
2021), https://bit.ly/3DXTbGo.


                                                    8
    SARS-CoV-2 is highly transmissible. The original strain was more contagious

than the flu, and the Delta variant of SARS-CoV-2, the leading strain until recent

days, is more than twice as contagious as previous variants. 8 The surging Omicron

variant—which now accounts for more than half of new cases in the United States—

appears to be more contagious still. 9 Crucially, more than 50% of the spread of the

virus may be from individuals who have no symptoms at the time of transmission.10

       Workplace transmission has been a major factor in the spread of COVID-19.

COVID-19 outbreaks have occurred among workers in numerous industries,

including service and sales, education, hospitality, construction, domestic work,

meat-processing, transportation, prison, and, of course, healthcare.11 For example, as

of December 22, 2021, the State of Oregon reports more than fifty active workplace

outbreaks, including at retail distribution facilities, correctional facilities, and food

production facilities, with several outbreaks resulting in hundreds of cases. 12 In the

State of Washington, between December 5 and December 11, 2021, eighty new

COVID-19 outbreaks were reported in workplace settings outside of health care,

including in education, manufacturing and construction, childcare and youth



       8 Delta Variant: What We Know About the Science, CDC (Aug. 26, 2021), https://bit.ly/3plAmcy;

Apoorva Mandavilli, C.D.C. Internal Report Calls Delta Variant as Contagious as Chickenpox, N.Y.
Times (July 30, 2021), https://nyti.ms/3EtJXTb.
         9 Omicron Variant: What You Need to Know, CDC (last updated Dec. 20, 2021),

https://bit.ly/327xwyr; COVID Data Tracker: Variant Proportions, CDC (last visited Dec. 30, 2021),
https://bit.ly/3snnhk7.
         10 Science Brief: Community Use of Masks to Control the Spread of SARS-CoV-2, CDC (last

updated Dec. 6, 2021), https://bit.ly/30inWYx.
         11 Update 64 — COVID-19 Prevention at the Workplace, World Health Organization (Jul. 28,

2021), https://bit.ly/307J1V6; Investigating and Responding to COVID-19 Cases in Non-Healthcare
Work Settings, CDC (Oct. 25, 2021), https://bit.ly/3qC74XN.
         12 COVID-19 Weekly Outbreak Report — December 22, 2021, Oregon Health Authority, at 77–

82, https://bit.ly/3pBEYdW.


                                                9
programs, correctional facilities, food industry, and retail.13 And in New Mexico, as

of December 29, 2021, the State has 159 workplaces (including retail, food industry,

hospitality, manufacturing, and healthcare facilities) on its “rapid response COVID-

19 watchlist,”14 a designation indicating that at least two employees have tested

positive for COVID-19 in a fourteen-day period. 15 Studies have also found widespread

COVID-19 outbreaks in meat- and poultry-processing facilities and “identified high

proportions of asymptomatic or presymptomatic infections.”16 Another study found

that frontline health care workers had a three-fold risk of contracting SARS-CoV-2

compared to the general population. 17

    Forty-five percent more people reported missing work for medical reasons during

2020 than the previous twenty-year average. 18 Another study found that adults who

tested positive for SARS-CoV-2 were significantly more likely to report going to an

office or school setting than adults who tested negative. 19 Protecting workers from

COVID-19 is especially important given that “a large proportion of the United States




       13 Statewide COVID‐19 Outbreak Report, Washington State Department of Health, at 3–4 (Dec.

15, 2021), https://bit.ly/3FAV11u.
         14 Rapid Response COVID-19 Watchlist, New Mexico Environment Department (last updated

Dec. 29, 2021), https://bit.ly/3FwIWu5.
         15 Rapid Response COVID-19 Watchlist: Frequently Asked Questions, at 1, New Mexico

Environment Department (last visited Dec. 30, 2021), https://bit.ly/3Js3gPK.
         16 Michelle A. Waltenburg et al., Coronavirus Disease among Workers in Food Processing, Food

Manufacturing, and Agriculture Workplaces, 27 Emerging Infectious Diseases 243 (Jan. 2021),
https://bit.ly/3kp3Lip.
         17 Long H. Nguyen et al., Risk of COVID-19 among front-line health-care workers and the

general community: a prospective cohort study, 5 Lancet e475 (July 31, 2020), https://bit.ly/31ABwY2.
         18 Charisse Jones & Matt Wynn, Coronavirus and the Workplace: The Virus Causes Record

Numbers of Job Absences in 2020, USA Today (Jan. 21, 2021), https://bit.ly/3C39lgx.
         19 Kiva A. Fisher et al., Telework Before Illness Onset Among Symptomatic Adults Aged ≥18

Years With and Without COVID-19 in 11 Outpatient Health Care Facilities — United States, July 2020,
69 Morbidity & Mortality Weekly Rep. 1648 (Nov. 6, 2020), https://bit.ly/3F5Ybt8.


                                                 10
workforce, across a variety of occupational sectors, are exposed to disease or infection

at work more than once a month.”20

II. Vaccines Provide A Safe And Effective Way To Help Reduce
    Transmission Of COVID-19 In The Workplace.

    COVID-19 vaccines are safe. Before FDA authorized/approved and the Centers

for Disease Control and Prevention recommended use of the COVID-19 vaccines in

the population, scientists conducted extensive clinical trials. FDA, CDC, and their

advisory committees then conducted rigorous reviews of the data, and continue to

monitor the vaccines’ safety. 21 A study of more than six million people who received

the Pfizer or Moderna vaccines found that serious side effects are very rare. 22 Another

study concluded that there is no increased risk for mortality among recipients of any

of the COVID-19 vaccines, and that vaccine recipients had lower non-COVID-19

mortality risks than did unvaccinated people. 23

    COVID-19 vaccines are also effective. First, each of the three vaccines greatly

reduces the likelihood of contracting SARS-CoV-2. The Pfizer, Moderna, and

J&J/Janssen vaccines are 91.3%, 90%, and 72% effective against infection,


       20 Marissa G. Baker et al., Estimating the burden of United States workers exposed to infection

or disease: A key factor in containing risk of COVID-19 infection, PLoS ONE (Apr. 28, 2020),
https://bit.ly/3BWDoq8.
         21 Benefits of Getting a COVID-19 Vaccine, CDC (last updated Nov. 29, 2021),

https://bit.ly/3H6BsiF; Nicola P. Klein et al., Surveillance for Adverse Events After COVID-19 mRNA
Vaccination, 326 JAMA 1390 (Sept. 3, 2021), https://bit.ly/3F1XQYM; COVID-19 vaccine safety
surveillance, FDA (Dec. 7, 2021), https://bit.ly/3y1dDET.
         22 Klein et al., supra note 21.
         23 Stanley Xu et al., COVID-19 Vaccination and Non–COVID-19 Mortality Risk — Seven

Integrated Health Care Organizations, United States, December 14, 2020–July 31, 2021, 70 Morbidity
& Mortality Weekly Rep. 1520 (Oct. 29, 2021), https://bit.ly/3D1ZRn4. Although the CDC recently
recommended the Pfizer or Moderna vaccines over the J&J/Janssen vaccine, the CDC’s advisory
committee made clear that “receiving any vaccine is better than being unvaccinated.” Press Release,
CDC, CDC Endorses ACIP’s Updated COVID-19 Vaccine Recommendations (Dec. 16, 2021),
https://bit.ly/3yzUTfJ.


                                                 11
respectively. 24 A study of vaccine effectiveness between December 14, 2020 and

August 14, 2021 found that vaccines were 80% effective at preventing SARS-CoV-2

infection among frontline workers.25 Although the vaccines’ efficacy wanes over time,

initial data on Pfizer booster shots, during a time when Delta was the prevalent

variant, show that they may boost the vaccine efficacy to more than 95%. 26 For

comparison, the flu vaccination reduces the risk of flu illness by between 40% and

60%. 27

    Second, each of the three vaccines is even more effective against serious illness

and death. Studies have estimated the Pfizer, Moderna, and J&J/Janssen vaccines

as 95.3%–97%, 95%, and 86% effective against severe disease, respectively. 28 The

vaccines are likewise highly effective against hospital admissions, “even in the face

of widespread dissemination of the delta variant.” 29 According to one analysis,

between March 11 and August 15, 2021, unvaccinated people accounted for 84.2% of

patients hospitalized for COVID-19, including those infected with the Delta variant. 30


       24 Kathy Katella, Comparing the COVID-19 Vaccines: How Are They Different?, Yale Med. (Dec.

16, 2021), https://bit.ly/307jEU5.
         25 Ashley Fowlkes et al., Effectiveness of COVID-19 Vaccines in Preventing SARS-CoV-2

Infection Among Frontline Workers Before and During B.1.617.2 (Delta) Variant Predominance —
Eight U.S. Locations, December 2020–August 2021, 70 Morbidity & Mortality Weekly Rep. 1167 (Aug.
24, 2021), https://bit.ly/3px2OGB.
         26 Pfizer and BioNTech Announce Phase 3 Trial Data Showing High Efficacy of a Booster Dose

of Their COVID-19 Vaccine, Pfizer (Oct. 21, 2021), https://bit.ly/3EXQa9K. A study comparing people
in Israel 60 years old and older who have and have not received third-dose boosters also provides
support for the increased efficacy of booster shots. See Yinon M. Bar-On et al., Protection of BNT162b2
Vaccine Booster against Covid-19 in Israel, 385 New Eng. J. Med. 1393 (Oct. 7, 2021),
https://bit.ly/327ijh2.
         27 Vaccine Effectiveness: How Well Do Flu Vaccines Work?, CDC (last visited Dec. 30, 2021),

https://bit.ly/3HifLMP.
         28 Katella, supra note 24.
         29 Sara Y. Tartof et al., Effectiveness of mRNA BNT162b2 COVID-19 Vaccine Up to 6 Months,

398 Lancet 1407, 1407 (Oct. 4, 2021), https://bit.ly/3ouPvqS.
         30 Mark W. Tenforde, Association Between mRNA Vaccination and COVID-19 Hospitalization

and Disease Severity, 326 JAMA 2043 (Nov. 4, 2021), https://bit.ly/3bZBHhb.


                                                 12
As of November 27, 2021, the age-adjusted rate of COVID-19-associated

hospitalizations in unvaccinated adults was more than 17 times that of fully

vaccinated adults. 31 Although research regarding vaccine efficacy against the

Omicron variant is still developing, initial reports suggest that vaccination, including

a booster, remains efficacious against severe disease. 32

    Third, as OSHA acknowledged, evidence suggests that those who are fully

vaccinated are contagious for shorter periods than unvaccinated people. 33 Most

importantly, “[r]egardless of viral loads in vaccinated and unvaccinated individuals,

the fact remains clear that unvaccinated people pose a higher risk of transmission to

others than vaccinated people, simply because they are much more likely to get

COVID-19 in the first place.”34

III. The More Workers Who Get Vaccinated, The Safer Workplaces Become.

    The more workers who get vaccinated, the closer we are to slowing the spread of

the virus and creating a safer environment. As the American Medical Association has

explained, “[t]he only way to truly end this pandemic is to ensure widespread

vaccination.”35 “By limiting viral spread, vaccination also minimizes opportunities for

the introduction of more infectious variants through random mutation.” 36



       31 See Rates of laboratory-confirmed COVID-19 hospitalizations by vaccination status, CDC

(last updated Dec. 21, 2021), https://bit.ly/3oIwsZ4.
        32 See Carl Zimmer & Sheryl Stolberg, New Studies Raise Hopes That Vaccines Prevent Severe

Disease From Omicron, N.Y. Times (Dec. 15, 2021), https://nyti.ms/3H3uCd4.
        33 See COVID-19 Vaccination and Testing; Emergency Temporary Standard, 86 Fed. Reg.

61,402, 61,419 (Nov. 5, 2021).
        34 Id.
        35 Press Release, American Medical Ass’n, AMA, AHA, ANA urge vaccinations as U.S. reaches

750,000 COVID-19 deaths (Nov. 4, 2021) (emphasis added), https://bit.ly/3C07CIS.
        36 Vaccination to Prevent COVID-19 Outbreaks with Current and Emergent Variants — United

States, 2021, CDC (July 27, 2021), https://bit.ly/3oFcakp.


                                               13
Widespread vaccination is the only practical way to push the effective reproduction

rate of the SARS-CoV-2 virus below one, the rate at which endemic transmission

begins to die out.

    Widespread vaccination reduces the likelihood of infections among both

vaccinated and unvaccinated people. During the wave of Delta infections, “states with

high vaccination rates (>70% of the population) are reporting lower numbers of

vaccine breakthrough cases as well as hospitalizations and deaths from COVID-19.” 37

An analysis found that “[i]n the presence of high community prevalence of Covid-19,

nursing homes with low staff vaccination coverage had higher numbers of cases and

deaths than those with high staff vaccination coverage.”38 Widespread vaccination is

particularly important for people who cannot get vaccinated due to age or medical

condition, as well as immunocompromised people, who remain particularly

susceptible to infection even after vaccination.39

    History has shown that vaccine requirements are critical to achieving the degree

of vaccination necessary to curb or eradicate infectious disease. Countries or states

that mandated smallpox vaccination saw 10 to 30 times fewer smallpox cases than

those that declined to do so.40 Before compulsory school vaccination laws were in place

throughout the United States, states with strict vaccination requirements had



       37 Carlos del Rio et al., Confronting the Delta Variant of SARS-CoV-2, Summer 2021, 326 JAMA

1001, 1002 (Aug. 18, 2021), https://bit.ly/3bVL5Cj.
        38 Brian E. McGarry et al., Nursing Home Staff Vaccination and Covid-19 Outcomes, New Eng.

J. Med., Correspondence (Dec. 8, 2021), https://bit.ly/3pQ7O9H.
        39 Katherine Lontok, How Effective Are COVID-19 Vaccines in Immunocompromised People?,

Am. Soc’y for Microbiology (Aug. 12, 2021), https://bit.ly/3F24HBh.
        40 Rajaie Batniji, Historical Evidence to Inform COVID-19 Vaccine Mandates, 397 Lancet 791

(Feb. 27, 2021), https://bit.ly/3Fl2ykM.


                                               14
incidence rates of measles less than half those of states that did not. 41 More recently,

Ohioans exposed to measles abroad resulted in “the largest outbreak documented in

the United States in more than two decades. 42 Approximately 89% of those who

contracted measles were unvaccinated, but “high baseline vaccination coverage in the

general community was probably effective against further spread of measles.” 43

COVID-19 spreads in communities with fewer vaccinated individuals, even if they

are within or adjacent to communities with a higher proportion of vaccinated

individuals. The more people who share a workspace who are vaccinated, the better

protected all workers—vaccinated and unvaccinated alike—will be.

    Applicants suggest that OSHA cannot establish the necessity of the ETS simply

because OSHA did not require vaccines sooner. See Business Association Applicants’

Mot. at 15. The timing of the ETS, however, does not undermine its necessity. OSHA’s

decision to issue the ETS within three months of FDA’s full approval of a COVID-19

vaccine     was    consistent      with     the    American       Medical     Association’s      policy

recommendation that vaccine requirements are appropriate only after a vaccine has

received full authorization, the vaccine is widely publicly available, and there has

been a reasonable amount of time allotted for voluntary uptake of the authorized

vaccine. 44 Far from undermining the ETS’s necessity, the timing shows that OSHA



        41 Kevin M. Malone & Alan R. Hinman, Vaccination Mandates: The Public Health Imperative

and Individual Rights, in Law in Public Health Practice 262, 269 (1st ed., 2003), https://bit.ly/3BUviyg.
        42 Paul A. Gastañaduy et al., A Measles Outbreak in an Underimmunized Amish Community

in Ohio, New Eng. J. Med. 1343, 1349 (Oct. 6, 2016), https://bit.ly/3Cm0RkY.
        43 Id. at 1350.
        44 See FDA Approves First COVID-19 Vaccine, FDA (Aug. 23, 2021), https://bit.ly/3ySIrYG;

Digital Vaccine Credential Systems and Vaccine Mandates in COVID-19 H-440.808, American Medical
Ass’n (last visited Dec. 30, 2021), https://bit.ly/3yUZf19.


                                                  15
made a considered decision consistent with medical best practices and its obligations

under the law.

IV. Widespread Vaccination Is The Most Effective Way To Protect Workers
    From COVID-19.

    The statistics on COVID-19 vaccine efficacy speak for themselves. No other

measure has been shown to reduce the risk of infection, hospitalization, and death to

the degree that vaccination does. The science is clear: no arguments against the need

for vaccination are medically valid, other than to accommodate a medical

contraindication.

    Natural immunity—the immunity against SARS-CoV-2 that develops following

recovery from infection—is not an adequate substitute for vaccination. 45 Infection,

unlike vaccination, carries a significant risk of death or serious illness. Moreover,

vaccination better protects previously infected people against reinfection. Studies

have shown that unvaccinated people are at least twice as likely to become reinfected

as are vaccinated people. 46 There is no evidence that vaccination is harmful to people

who were previously infected.

    Other mitigation measures, such as mask wearing and social distancing, remain

important. They do not, however, provide the same level of protection against COVID-

19 as vaccination. Although masks can be highly effective at limiting the


       45 See Catherine H. Bozio et al., Laboratory-Confirmed COVID-19 Among Adults Hospitalized

with COVID-19-Like Illness with Infection-Induced or mRNA Vaccine-Induced SARS-CoV-2 Immunity
— Nine States, January–September 2021, 70 Morbidity & Mortality Weekly Rep. 1539 (Nov. 5, 2021),
https://bit.ly/3kvoBwR (finding 5.49 times higher odds of laboratory-confirmed COVID-19 among
previously infected, unvaccinated patients than among fully vaccinated patients).
         46 Alyson M. Cavanaugh et al., Reduced Risk of Reinfection with SARS-CoV-2 After COVID-19

Vaccination — Kentucky, May–June 2021, 70 Morbidity & Mortality Weekly Rep. 1081 (Aug. 13, 2021),
https://bit.ly/306e4Bg.


                                               16
transmission of SARS-CoV-2, many people choose not to wear masks, even when

encouraged or legally required to do so. Noncontinuous mask-wearing has been

shown to result in the spread of COVID-19 in the workplace.47

    Even for those who work remotely or outdoors at times, vaccination provides the

best protection against COVID-19. The virus spreads through respiratory droplets or

aerosols when an infected individual talks, breathes heavily, sings, coughs, or

sneezes. Particles containing the virus can spread more than six feet, and infection

can occur in a matter of minutes. 48 Although rare, transmission may even occur

through touching objects upon which viral droplets have landed, followed by touching

the mouth, nose, or eyes. 49 Workplace infection can thus occur even in environments

that are outdoors, where employees’ use of shared spaces is staggered or reduced, or

where employees are in physical proximity to each other only rarely. 50

    The ETS’s alternative to vaccination—testing at regular intervals—protects

workers better than no requirement at all. It does not, however, rise to the level of

protection that widespread uptake of vaccinations would provide. The ETS is

appropriately structured to “strongly encourag[e] vaccination.”51 Immediate,

widespread vaccination against COVID-19 is the surest way to protect the U.S.

workforce and the public and to end this costly pandemic.



       47 Donatella Sarti et al., COVID-19 in Workplaces: Secondary Transmission, 65 Annals of Work

Exposures & Health 1145 (Nov. 2021), https://bit.ly/3Cj6oJ3.
         48 Appendices, CDC (Nov. 12, 2021), https://bit.ly/3nbxAos.
         49 Preventing and mitigating COVID-19 at work, World Health Organization (May 19, 2021),

https://bit.ly/3wMJ451.
         50 Indeed, the World Health Organization considers remote workers at “lower risk[],” not no

risk, of infection. Id. at 2.
         51 86 Fed. Reg. at 61,402.




                                                17
                                   CONCLUSION

    For the reasons stated above and in Respondents’ filings, Amici urge this Court

to deny Applicants’ applications for stay.

                                                  Respectfully submitted,

                                                  RACHEL L. FRIED
                                                   Counsel of Record
                                                  JESSICA ANNE MORTON
                                                  JEFFREY B. DUBNER
                                                  JOANN KINTZ*
                                                  SEAN A. LEV
                                                  DEMOCRACY FORWARD FOUNDATION
                                                  P.O. Box 34553
                                                  Washington, DC 20043
                                                  (202) 448-9090
                                                  rfried@democracyforward.org

                                                  * Not admitted in the District of Columbia;
                                                  practicing under the supervision of
                                                  Democracy Forward lawyers.

                                                  Counsel for Amici Curiae
DECEMBER 2021




                                             18


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