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September 24, 2020 09:21 AM

Live updates on COVID-19: September 1-15

Modern Healthcare
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    Companies testing vaccines pledge safety, high standards

    2:13 PM CT on 9/8/20

    The top executives of nine drugmakers likely to produce the first vaccines against the new coronavirus signed an unprecedented pledge meant to boost public confidence in any approved vaccines.

    The companies said Tuesday that they will stick to the highest ethical and scientific standards in testing and manufacturing and will make the well-being of those getting vaccinated their top priority.

    The announcement comes amid worries that President Donald Trump will pressure the U.S. Food and Drug Administration to approve a vaccine before it's proven to be safe and effective.

    The president has repeatedly said a vaccine could be ready by the end of the year, or even as early as October. His administration also is pressing ahead with what it calls "Operation Warp Speed," a program meant to accelerate the development and manufacture of vaccines.

    Meanwhile, public health officials have expressed doubt that adequate data on vaccine safety and effectiveness would be available before November. They also worry if Americans stay away from the vaccine because they don't trust it, COVID-19 will be harder to control.

    The pledge announced Tuesday was signed by the chief executive officers of American drugmakers Johnson & Johnson, Merck, Moderna, Novavax and Pfizer, and European companies AstraZeneca, BioNTech, GlaxoSmithKline and Sanofi. BioNTech has partnered with Pfizer on one of the three vaccines now in the final round of human testing.

    The companies said they will seek approval or authorization for emergency use only after they have confirmed the vaccines work and are safe through a large, final round of human testing.

    "We believe this pledge will help ensure public confidence in the rigorous scientific and regulatory process by which COVID-19 vaccines are evaluated and may ultimately be approved," the pledge states.

    The CEOs also promised to "ensure a sufficient supply and range of vaccine options, including those suitable for global access." The statement noted the nine companies previously created more than 70 new vaccines against deadly diseases, helping to eradicate some of them.


    Stress-related migraines rise in hard-hit states

    12:00 PM CT on 9/8/20

    Reports of stress-related migraines rose 30% to 50% compared to the holiday season in states with high numbers of coronavirus cases during the onset of the pandemic, according to data from Healint.

    Researchers analyzed data from more than 300,000 users of a migraine tracking app between Dec. 20, 2019, and July 31, 2020. Sixty-one percent of those surveyed said their migraines had become more frequent since the start of the pandemic, and 44% said the severity of their migraines had worsened.

    “As the United States faces the possibility of a potential second wave, the added responsibility of children at home, challenges to work life balance and a change in routine, migraine sufferers will need to be mindful of how to manage stress to prevent further attacks and lost productivity,” said said Healint CEO and co-founder Francois Cadiou in a prepared statement.


    New York marks a month of fewer than 1% virus tests positive

    5:42 PM CT on 9/7/2020

    (AP) New York state marked a milestone of progress in fighting coronavirus infections on Monday, with a full month of fewer than 1% of virus tests coming back positive.

    Gov. Andrew Cuomo announced the 30-day stretch of good news while urging people to remain cautious during Labor Day weekend get-togethers. He attributed the state’s progress to its statewide mask mandate and an approach to reopening that’s been slower than in many other states.

    “It took the work of all of us to get here, and to protect this progress we will need to all continue to wash our hands, wear our masks, remain socially distant and above all, stay New York tough,” Cuomo said in a statement.

    There is concern that case counts could rise as schools, college campuses and more businesses reopen. The State University of New York at Oneonta canceled in-person instruction less than two weeks into the fall semester because more than 500 students tested positive for the virus after some large parties were held.

    Throughout New York’s 64-campus state university system, more than 900 students and employees have tested positive on campuses over the last two weeks, and nearly 400 students are currently in precautionary or mandatory quarantine, according to a new online dashboard that the university system debuted Sunday.

    New York was the epicenter of the nation’s COVID-19 pandemic in April, with nearly 800 people dying a day from the virus at one point. On Monday, the state recorded 413 people hospitalized with COVID-19 and two deaths.

    More than 25,000 coronavirus deaths have been recorded in the state since March.


    The Summer of COVID-19 ends with health officials worried

    3:21 PM CT on 9/7/20

    (AP) The Lost Summer of 2020 drew to a close Monday with many big Labor Day gatherings canceled across the U.S. and health authorities pleading with people to keep their distance from others so as not to cause another coronavirus surge like the one that followed Memorial Day.

    Downtown Atlanta was quiet as the 85,000 or so people who come dressed as their favorite superheroes or sci-fi characters for the annual Dragon Con convention met online instead. Huge football stadiums at places like Ohio State and the University of Texas sat empty. Many Labor Day parades marking the unofficial end of summer were called off, and masks were usually required at the few that went on.

    "Please, please do not make the same mistakes we all made on Memorial Day weekend. Wear your masks, watch your distance and wash your hands,” said Dr. Raul Pino, state health director in Orange County, Florida, which includes the Orlando area.

    The U.S. had about 1.6 million confirmed COVID-19 cases around Memorial Day, before backyard parties and other gatherings contributed to a summertime surge. It now has more than 6.2 million cases, according to the count kept by Johns Hopkins University. Deaths from the virus more than doubled over the summer to nearly 190,000.

    In New Orleans, which had one of the largest outbreaks outside of New York City this spring, city officials reminded residents that COVID-19 doesn't take a holiday after they received 36 calls about large gatherings and 46 calls about businesses not following safety rules on Friday and Saturday.

    "This is not who we are, and this is not how we — as a community — get back to where we want to be," the city said.

    In South Carolina, which was a hot spot of contagion over the summer before cases started to decline in early August, 8,000 fans, including Gov. Henry McMaster, were allowed to attend the NASCAR race at the Darlington Raceway on Sunday. State officials approved a socially distant attendance plan at the track, which can hold 47,000 people.

    It was the biggest gathering in the state since the outbreak started six months ago. Many rows and seats were kept empty to keep groups of fans apart, and people were asked to wear masks.

    Debbie Katsanos drove down from New Hampshire with her husband, her father and a friend. It was their first trip out of state since COVID-19 started spreading. They had time off because the Labor Day weekend fair where they typically sell concessions canceled this year.

    Katsanos said they wore masks at all times when they were away from their motor home, ate in a restaurant only once on the way down and tried to stay socially distant when visiting with other people at their campground.

    “It's probably our only chance to get somewhere before the summer ends, ” Katsanos said Monday as she sat in traffic on Interstate 95 in North Carolina on the long trip home. “I saw it as the turning of the corner. We survived this. Let's live life a little.”


    Spain reports half a million COVID-19 cases

    12:56 PM CT on 9/7/20

    (AP) Fueled by a sharp surge of coronavirus contagion just as the school year opens, Spain has now officially more than half a million confirmed coronavirus cases since the beginning of the pandemic.

    The health ministry on Monday reported 26,560 new infections since its last report on Friday — or an average of 8,800 daily_, bringing the total since February to 525,549. Most new cases show new symptoms and the spike is so far not overwhelming hospitals.

    During the same period 29,516 people have died in Spain with the new coronavirus, although the real death toll is believed to be much higher given insufficient testing in March and April.

    More than 8 million undergraduate students are heading to school starting from Monday under strict safety measures including mandatory masks, frequent hand-washing, classroom ventilation and smaller student groups.


    India surges to world's 2nd-worst virus caseload

    9:20 AM CT on 9/7/20

    (AP) India’s coronavirus cases surged to 4.2 million, the second-highest total in the world, on Monday as urban metro trains partially resume service in the capital New Delhi and other states.

    The 90,802 cases added in the past 24 hours pushed India’s total to 4,204,614, passing Brazil, which has more than 4.1 million, according to a tally by Johns Hopkins University. More than 6.2 million people in the United States have been infected.

    India’s Health Ministry on Monday also reported 1,016 deaths from COVID-19 in the past 24 hours, taking fatalities to 71,642, the third-highest national death toll.

    Amid a surge in cases, India continues to reopen, except in high-risk areas, to heal the battered economy which is still reeling from the effects of a prolonged lockdown.

    The Delhi Metro transit system that serves India’s sprawling capital New Delhi and adjoining areas resumed operations Monday after five months. Masks, social distancing and temperature checks were mandatory.

    India says it is now conducting 1 million tests daily, but the virus is reaching cities and towns previously spared, offsetting marginal declines in some states.

    India has been recording the world’s largest daily coronavirus caseload for almost a month even as the government pushes to open businesses to revive a contracting economy.


    Texas reports 2,800 new coronavirus cases, 64 deaths

    7:05 PM CT on 9/6/20

    (AP) Texas health officials reported 2,800 new coronavirus cases Saturday and 64 additional deaths due to COVID-19, the illness caused by the virus.

    There have been 638,310 total confirmed cases in the state and 13,472 deaths, up from 635,315 cases and 13,408 deaths on Saturday, according to he Texas Department of State Health Services. The true number of cases in Texas is likely higher because many people haven’t been tested and studies suggest people can be infected and not feel sick.

    The health department reported 81,426 estimated active cases and that an estimated 543,412 people have recovered.


    As virus cases drop, governors may gamble on bars. Again.

    4:40 PM CT on 9/6/20

    (AP) A guy walks into a bar, which still isn't allowed in Texas.

    But Jeff Brightwell owns this bar. Two months into an indefinite shutdown, he's just checking on the place — the tables six feet apart, the “Covid 19 House Rules” sign instructing drinkers not to mingle. All the safeguards that didn't keep the doors open because Dot's Hop House & Cocktail Courtyard is a bar under Texas law. And bars, in a pandemic? “Really not good," Dr. Anthony Fauci, the nation's infectious disease expert, told Congress in June.

    But some governors are warming up to good enough. Thousands of bars forced to close after massive virus outbreaks swept across the U.S. this summer could be starting to see an end in sight as cases drop off and the political will for continuing lockdowns fades. For some states, it is a gamble worth trying, only a few months after a rush to reopen bars in May and June ended in disaster.

    “Our governor waved the magic wand, put us out of business and offered us nothing,” said Brightwell, whose Dallas bar typically employs around 50 people. He says his industry has been scapegoated.

    Bars remain under full closure orders in more than a half-dozen states, including hard-hit ones like Texas but also Connecticut, which has one of the nation’s lowest positivity rates. And even in states already letting bars operate, restrictions vary from one county to the next and can tighten or loosen abruptly, reflecting the unease among governors even as reopening movie theaters and amusement parks create a look of getting over the hump.

    Arkansas has one of the highest infection levels in the U.S. and is letting bars operate with partial capacity. Republican Gov. Asa Hutchison's defense: No spread has been linked to bars.

    Experts say outbreaks nationwide have proven otherwise. Even in recent weeks, new outbreaks tied to college students returning to campus have resulted in bars shutting down again from Alabama to Iowa, undermining confidence that the time is right.

    Still, governors are looking for a way. California began letting some bars in a few small counties reopen, though not where the vast majority of the population lives. Next might be Florida, where bars have been closed since June and Republican Gov. Ron DeSantis, a top ally of President Donald Trump, has mused whether bar closings even work since restaurants are serving alcohol anyway. “Everything’s open except the nightclubs and the pubs, and that’s something we’re going to address,” DeSantis said this week.

    In Texas, where three in four of the state’s 13,400 deaths blamed on COVID-19 have occurred since July, the infection rate has dipped below the 10% positivity rate that Republican Gov. Greg Abbott has set as one criteria for letting bars back in business. He has teased that an another announcement about next steps in reopening could come early as this week, which won't come soon enough for the right wing of his party, which for months has blasted him over the lockdowns and a statewide mask mandate.

    The decision is dicey for governors who, pressure from bar owners aside, have faced less blowback from keeping bars shut than other sectors. Polls showed about half of Americans favored requiring bars and restaurants to close when cases surged, and experts say the high risks of bars are by now proven — the combination of cozy spaces, loud music forcing people to lean in close and rounds of drinks relaxing even the best intentions to social distance.

    Videos of crowded clubs have made bars avatars of rowdy rule-breakers, the ones ruining a return to normal for the rest of us.

    “It’s way too soon. And it’s going to be too soon until we have a vaccine,” said Esmeralda Guajardo, the public health administrator in Cameron County on the Texas border, where hard-partying booze cruises on South Padre Island this summer drew fury from local officials.


    Israel imposes overnight curfews as virus deaths pass 1,000

    2:40 PM CT on 9/6/20

    (AP) Israeli Prime Minister Benjamin Netanyahu on Sunday announced overnight curfews on some 40 cities and towns hit hard by the coronavirus, but backed away from reported recommendations for full lockdowns after an uproar by politically powerful religious politicians.

    The measures were announced late Sunday after hours of consultations with decision-makers. The government has been forced to take new action after failing to contain an outbreak that has claimed more than 1,000 lives and remains at record levels of new infections.

    The curfews will go into effect Monday night at 7 p.m. and will last until 5 a.m. It was not known how long they will remain in place. People will not be allowed to venture more than 500 meters (yards) from their homes, and nonessential businesses will have to close.

    The announcement came less than two weeks before the Jewish New Year. The outbreak has raised concerns that the country could be forced to declare a nationwide lockdown during the upcoming holiday period, a time of widespread travel and large family gatherings.

    Under heavy public pressure, Netanyahu in July appointed Dr. Ronni Gamzu, a respected hospital director and former Health Ministry director, as the national “coronavirus project manager.”

    Gamzu has been pushing for full lockdowns on areas that have the worst outbreaks. These “red” cities have been heavily concentrated in Israel’s Arab and ultra-Orthodox Jewish communities.

    But ultra-Orthodox leaders have strongly resisted calls for lockdowns and threatened not to obey new orders. Orthodox parties are key partners in Netanyahu's governing coalition.

    In an apparent compromise, Netanyahu said these red areas would have nighttime curfews, schools would be closed and there would be restrictions on public gatherings — but a full lockdown was avoided.

    “I know these measures are not easy, but in the current circumstances, there is no escaping them," he said. “We will continue to take responsible steps that are required to protect public health, lives and the economy.”

    Israel had earned praise last spring for its early handling of the virus crisis, moving quickly to seal the country's borders and appearing to bring an outbreak under control.


    Colleges combating coronavirus turn to stinky savior: sewage

    11:10 AM CT on 9/6/20

    (AP) Days after he crossed the country to start college, Ryan Schmutz received a text message from Utah State University: COVID-19 had been detected at his dorm.

    Within 10 minutes, he dropped the crepes he was making and was whisked away by bus to a testing site.

    “We didn’t even know they were testing,” said Schmutz, who is 18 and from Omaha, Nebraska. “It all really happened fast.”

    Schmutz was one of about 300 students quarantined to their rooms last week, but not because of sickness reports or positive tests. Instead, the warning bells came from the sewage.

    Colleges across the nation — from New Mexico to Tennessee, Michigan to New York — are turning tests of waste into a public health tool. The work comes as institutions hunt for ways to keep campuses open despite vulnerabilities like students' close living arrangements and drive to socialize. The virus has already left its mark with outbreaks that have forced changes to remote learning at colleges around the country.

    The tests work by detecting genetic material from the virus, which can be recovered from the stools of about half of people with COVID-19, studies indicate. The concept has also been used to look for outbreaks of the polio virus.

    Sewage testing is especially valuable because it can evaluate people even if they aren’t feeling sick and can detect a few cases out of thousands of people, experts say. Another wastewater-flagged quarantine of 300 students at Arizona State University, for example, turned up two cases. Both were students who were asymptomatic, but they could potentially still have spread the virus.

    “That’s just tremendously valuable information when we think about the setting of a college dorm, and how quickly this disease can spread through that population,” said Peter Grevatt, CEO of The Water Research Foundation, which promotes studies of water and wastewater to ensure water quality and service.

    Wastewater tests also flagged the possible presence of the virus at University of Colorado residence halls.

    Utah has used the method more widely, including to track an outbreak at a meatpacking plant. The British, Italian and Dutch governments have also announced similar monitoring programs, and the Massachusetts-based company Biobot tests wastewater from cities around the country.

    The method remains imprecise, though. It can spot infection trends, but it can’t yet pinpoint how many people have the virus or the stage of infection. That means it's not yet quite as useful on a larger scale in cities, which don’t always have a university’s scientific resources or ability to require people to get tested.

    The technology is being closely studied, though, and it is evolving rapidly, Grevatt said, adding that it's best used along with other methods like contact tracing.


    Nevada COVID-19 deaths rise

    8:36 AM CT on 9/6/20

    (AP) Nevada health officials on Saturday reported 390 additional COVID-19 cases and 13 new deaths, bringing the statewide totals to 71,102 confirmed cases and 1,388 deaths.

    The vast majority of cases and deaths in Nevada have occurred in Clark County, which includes metro Las Vegas.

    In other developments, Reno officials said a one-day closure of a small section of a downtown street for limited on-street food and drink service would be a test for helping restaurants whose operations are crimped by restrictions on mass gatherings.

    Reno’s experiment Saturday follows the lead of other cities.


    U.S. debt will soon exceed size of entire economy

    9:31 PM CT on 9/5/20

    (AP) The U.S. government's war against the coronavirus is imposing the heaviest strain on the Treasury since America's drive to defeat Nazi Germany and imperial Japan three-quarters of a century ago.

    The Congressional Budget Office has warned that the government this year will run the largest budget deficit, as a share of the economy, since 1945, when World War II ended. Next year, the federal debt — the sum of the year-after-year gush of annual deficits — is forecast to exceed the size of the entire American economy for the first time since 1946. Within a few years, it's on track to set a new high.

    It might be surprising to hear that most economists consider the money well-spent — or at least necessary. Few think it's wise to quibble with the amount of borrowing deemed necessary to sustain American households and businesses through the gravest public health crisis in more than 100 years. That's especially true, economists say, when the government's borrowing costs are super-low and investors still seem eager to buy its debt as fast as the Treasury issues it.

    The annual deficit — the gap between what the government spends and what it collects in taxes — will hit $3.3 trillion in the budget year that ends Sept. 30, the CBO projects. That amounts to 16% of America’s gross domestic product, which is the broadest measure of economic output. Not in 75 years has a deficit been that wide.

    The federal debt, reflecting the accumulated deficits and the occasional surplus, is forecast to reach 100% of GDP next year. Then it is predicted to keep climbing to $24.5 trillion — 107% of GDP — in 2023. That would snap the record of 106% of GDP set in 1946. (The percentage does not include debts that the government agencies owe one another, including the Social Security trust fund.)


    Crowds pack beaches as California bakes in weekend heat wave

    7:54 PM CT on 9/5/20

    (AP) California is sweltering under a dangerous heat wave Labor Day weekend that was spreading triple-digit temperatures over much of the state, raising concerns about power outages and the spread of the coronavirus as throngs of people packed beaches and mountains for relief.

    Officials urged people to conserve electricity to ease strain on the state's power grid and to follow distancing and mask requirements when they hit recreational areas.

    Numerous parking lots to San Diego, Orange and Los Angeles County beaches closed after they filled to capacity and lifeguards reported seeing large crowds.

    Because of the pandemic, L.A County beaches were closed during the Fourth of July weekend. But other counties kept their shores open. Holiday gatherings were blamed, in part, for COVID-19 spikes in some counties.

    Health authorities warned that beaches could be closed if they become too crowded.

    Campgrounds in the popular San Bernardino National Forest east of Los Angeles were also full, and rangers were out in force on “marshmallow patrols" — keeping an especially close watch for campfires and barbecues outside of designated sites that pose a potential risk of setting a wildfire. They also were worried that the surge of people could overwhelm mountain roads.


    Massachusetts reports 15 newly confirmed coronavirus deaths

    5:26 PM CT on 9/5/20

    (AP) — Massachusetts reported 15 newly confirmed coronavirus deaths and more than 400 newly confirmed cases Saturday, pushing the state’s confirmed COVID-19 death toll to more than 8,900 and its confirmed caseload to more than 120,000.

    The seven-day weighted average of positive tests was less than 1%. The true number of cases is likely higher because many people have not been tested, and studies suggest people can be infected and not feel sick.

    There were more than 320 people reported hospitalized Wednesday because of COVID-19, and nearly 50 in intensive care units.

    The number of confirmed and probable COVID-19 related deaths at long-term care homes rose to nearly 5,850 or about 64% of all confirmed and probable deaths in Massachusetts attributed to the disease.


    India coronavirus caseload crosses 4M, stretching resources

    2:28 PM CT on 9/5/20

    (AP)  India’s coronavirus caseload surpassed 4 million on Saturday, deepening misery in the country's vast hinterlands, where surges have crippled the underfunded health care system.

    Initially, the virus ravaged India’s sprawling and densely populated cities. It has since stretched to almost every state, spreading through villages and small towns.

    With a population of nearly 1.4 billion, India’s massive caseload isn’t surprising experts. The country’s delayed response to the virus forced the government to implement a strict lockdown in late March. For more than two months, the economy remained shuttered, buying time for health workers to prepare for the worst.

    But with the cost of the restrictions also rising, authorities saw no choice but to reopen businesses and everyday activities.

    Most of India’s cases are in western Maharashtra state and the four southern states of Tamil Nadu, Andhra Pradesh, Telangana and Karnataka. But new surges are popping up elsewhere.

    The 86,432 cases added in the past 24 hours pushed India’s total to 4,023,179. Brazil has confirmed 4,091,801 infections, while the U.S. has had 6,200,186 cases, according to Johns Hopkins University.

    India's Health Ministry on Saturday also reported 1,089 deaths for a total of 69,561.

    Even as testing in India has increased to over a million a day, a growing reliance on screening for antigens or viral proteins is creating more problems. These tests are cheaper and yield faster results but aren’t as accurate. The danger is that the tests may falsely clear many who are infected with the virus.

    In Uttar Pradesh, India’s most populous state with a limited health care system, the situation is already grim. With a total 253,175 cases and 3,762 deaths, the heartland state is staring at an inevitable surge and with the shortage of hospital beds and other health infrastructure.

    Sujata Prakash, a nurse in the state capital, Lucknow, recently tested positive for the coronavirus. But the hospital ward where she worked diligently refused her admission because there was no empty bed. She waited for over 24 hours outside the surgical ward, sitting on patients’ chairs, before she was allotted one.

    “The government can shower flower petals on the hospitals in the name of corona warriors, but can’t the administration provide a bed when the same warrior needs one?” said Prakash’s husband, Vivek Kumar.

    Others haven’t been so lucky.

    When journalist Amrit Mohan Dubey fell sick this past week, his friends called the local administration for an ambulance. It arrived two hours late and by the time Dubey was taken to the hospital, he died.

    “Had the ambulance reached in time, we could have saved Amrit,” said Zafar Irshad, a colleague of the journalist.

    In rural Maharashtra, the worst-affected state with 863,062 cases and 25,964 deaths, doctors said measures like wearing masks and washing hands had now largely been abandoned.

    “There is a behavioral fatigue now setting in,” said Dr. S.P. Kalantri, the director of a hospital in the village of Sevagram.

    He said that the past few weeks had driven home the point that the virus had moved from India’s cities to its villages.

    “The worst is yet to come,” said Kalantri. “There is no light at the end of the tunnel.”


    Colleges using COVID dorms, quarantines to keep virus at bay

    12:07 PM CT on 9/5/20

    (AP) With the coronavirus spreading through colleges at alarming rates, universities are scrambling to find quarantine locations in dormitory buildings and off-campus properties to isolate the thousands of students who have caught COVID-19 or been exposed to it.

    Sacred Heart University has converted a 34-room guest house at the former Connecticut headquarters of General Electric to quarantine students. The University of South Carolina ran out of space at a dormitory for quarantined students and began sending them to rooms it rented in hotel-like quarters at a training center for prosecutors. The Air Force Academy sent 400 cadets to hotels to free up space on its Colorado base for quarantines.

    The actions again demonstrate how the virus has uprooted traditional campus life amid a pandemic that has killed nearly 200,000 people in the U.S. and proven to be especially problematic for universities since the start of the school year. Many colleges quickly scrapped in-person learning in favor of online after cases began to spike, bars have been shut down in college towns, and students, fraternities and sororities have been repeatedly disciplined for parties and large gatherings.

    Health officials such as White House coronavirus task force member Dr. Deborah Birx have been urging colleges to keep students on campus to avoid them infecting members of their family and community.

    Isolating students seems to be working in states like Connecticut, where the infection rate at UConn on Thursday was 1.34% among residential students tested for the virus.

    But the results haven’t been as good elsewhere.

    The University of Alabama recently informed students in half of a five-story complex that they had to move to other housing to make room for infected or potentially infected students, because two other quarantine-and-isolation facilities would reach capacity.

    So far, more than 1,000 students on the Tuscaloosa campus have tested positive since mid-August. As of Thursday, the system’s online dashboard showed its quarantine housing was 36% full.


    Medicaid enrollment climbs in New Mexico

    9:32 AM CT on 9/5/20

    (AP) New Mexico officials say enrollment in Medicaid has increased by nearly 7% in the state since the outset of the coronavirus pandemic, with employers shedding jobs and more families entering into poverty.

    In a briefing Friday for state legislators, Human Services Secretary David Scrase praised federal legislation that increases the federal matching rate for Medicaid health care and allows the state to quickly extend no-cost coronavirus testing to the poor and undocumented immigrants.

    At the same time, he says the current 6.2% boost in federal matching funds is inadequate to keep up with rebounding demand for medical services under Medicaid and could end abruptly at the discretion of federal health regulators.


    Brazil leader rapped for stirring doubt on COVID-19 vaccine

    8:18 PM CT on 9/4/20

    (AP) Critics of Brazilian President Jair Bolsonaro are again speaking out against the leader's stance on the coronavirus pandemic, this time rejecting his view that vaccination for the virus shouldn't be mandatory.

    Bolsonaro's first such comments came Monday, when he told a supporter, "No one can force anyone to get a vaccine." He repeated it Thursday night during a live broadcast on Facebook, adding his opposition to administering vaccines that are yet to be proven on Brazilian soil.

    "It has been proven in other countries, but not here in Brazil," he said, without specifying to which potential vaccine he was referring. "We cannot be irresponsible and put a vaccine into people's bodies. As I said, nobody can oblige someone to take a vacccine."The comments were swiftly rebuked by opponents on social media. Sao Paulo state Gov. João

    Doria, a former Bolsonaro ally turned foe, said in an interview with The Associated Press on Friday that immunization cannot be viewed as a personal decision. Sao Paulo, with 46 million residents, is the pandemic's epicenter in Brazil, with its more than 30,000 dead from COVID-19 accounting for about a fourth of the country's death toll from the illness.

    "It is sad that once again Brazil's president is setting a denialist example," Doria said in a video call. "It should be obligatory, except in special cases or under health circumstances that justify not taking a vaccine. An infected person infects others, and makes possible the death of others."

    Brazil's Workers' Party, an adversary of both Bolsonaro and Doria, said in a statement that the president's efforts to create an air of doubt about a future vaccine "ignores the importance of the shots to protect the health of the entire population."

    The national health council, which is a branch of Bolsonaro's own health ministry, said in a statement that the government should not be talking about vaccination against COVID-19 not being mandatory.


    Report: Hospital procedures may have worsened outbreak

    6:24 PM CT on 9/4/20

    (AP) Aerosol-generating procedures may have contributed to the spread of the coronavirus at a Bremerton, Wash., hospital, which has confirmed at least 70 infections, according to a new report from the state Department of Health.

    According to the findings, the outbreak at St. Michael Medical Center — one of CHI Franciscan's 10 hospitals in Washington — could possibly be traced to procedures performed on asymptomatic COVID-19 patients, The Seattle Times reported.

    The report, which said 54 cases had been confirmed when the findings were finalized, also said hospital staff were using personal protective equipment longer than recommended by current national guidelines.

    The report also cites the timing of room turnover as another possible reason for exposure."Some staff present for (aerosol generating procedures) were not wearing N95s, only surgical masks and eye protection," the report said. "Shorter than recommended room turnover may have exposed patients and staff."

    While it wasn't immediately clear what kinds of procedures were potentially at fault at St. Michael, aerosol-generating procedures often include intubation, extubation, transesophageal echocardiography or endoscopy, according to University of Washington Medicine. It was also not immediately clear from hospital officials Thursday why PPE had been used for longer periods than recommended.

    The report, finalized over the past week, also identified several areas "requiring immediate action," including considering admitting oncology patients to hospitals without outbreaks, prioritizing testing staff members with the most vulnerable patients and providing additional staffing resources to assist with employee case investigations and infection prevention.

    "We sincerely value our ongoing partnership with the Washington State Department of Health and Kitsap County Public Health as we continue to care for our patients and staff during the recent outbreak of COVID-19 at St. Michael Medical Center," wrote Cary Evans, CHI Franciscan vice president for communication and government affairs, in a statement Thursday. "We are working to address any concerns in implementing CDC and state guidelines."


    Biden confirms virus test, says he'll be tested regularly

    4:31 PM CT on 9/4/20

    (AP) Joe Biden said Friday that he's been tested at least once for the COVID-19 virus and promised he will be tested regularly during his general election campaign against President Donald Trump.

    The Democratic presidential nominee told reporters of his testing protocol during a wide-ranging news conference in which he blasted Trump for downplaying the coronavirus and thus ensuring that it will continue to kill Americans and ravage the economy.

    For much of the summer, Biden's advisers deflected questions about whether the former vice president was being tested himself as he anchored his campaign almost exclusively from his Delaware home, traveling sparingly as a precaution.

    "They're going to do it on a regular basis," Biden said of the testing.

    He noted that the Secret Service agents assigned to protect him and "everyone" else who comes into his home are tested already. Biden said he didn't know specifically when his next test would be.

    "I just, 'yes, sir,' show up and put my head back," Biden said. "I imagine it'll be sometime this week, but it will be on a regular basis."

    Biden and Trump offer voters a sharp contrast on the pandemic and its economic fallout.

    In the Oval Office on Friday, Trump hailed a new jobs report and repeated his optimism that a COVID-19 vaccine could be available even before the Nov. 3 election.

    Hours later, during a fundraiser, Biden said, "I hope like hell they have a vaccine," but questioned Trump's timeline and ability to distribute it. "We've got to make sure they're not just hyping … that they actually finish all the testing," Biden said, adding that Trump's public questioning of scientists and medical experts will reduce confidence in a vaccine whenever it comes online.

    "People don't trust a damn thing he says," Biden quipped.


    Will long Labor Day weekend mean another coronavirus spike?

    2:05 PM CT on 9/4/20

    (AP) Americans headed into Labor Day weekend — the unofficial end to the Lost Summer of 2020 — amid warnings from public health experts that backyard parties, crowded bars and other gatherings could cause the coronavirus to come surging back.

    "I look upon the Labor Day weekend really as a critical point," said Dr. Anthony Fauci, the government's top infectious-disease expert. "Are we going to go in the right direction and continue the momentum downward, or are we going to have to step back a bit as we start another surge?"

    The rise in infections, deaths and hospitalizations over the summer, primarily in the South and West, was blamed in part on Americans behaving heedlessly over Memorial Day and July Fourth.

    The landscape has improved in recent weeks, with the numbers headed in the right direction in hard-hit states like Florida, Arizona and Texas, but there are certain risk factors that could combine with Labor Day: Children are going back to school, university campuses are seeing soaring case counts, college football is starting, more businesses are open, and flu season is around the corner.

    And a few states are heading into the holiday with less room in hospitals than they had over Memorial Day and the Fourth of July. Alabama, for example, had about 800 people hospitalized with the virus on July 1. This week, it has just under 1,000.

    More beaches will be open on Labor Day than on Memorial Day, but Fauci said that is not cause in itself for concern, as long as people keep their distance.

    "I would rather see someone on a beach, being physically separated enough, than someone crowded in an indoor bar," he said.

    Americans, cooped up for months, appeared more than ready to venture out and socialize — though with some precautions.

    In New York City, once of the epicenter of the outbreak in the U.S., Jennifer Bolstad of Brooklyn picked up the keys to a rented minivan with plans to drive with her two children to Maryland this weekend to visit family she hasn't seen in a year.

    "I monitored the quarantine list pathologically, and they are finally a place I can visit," she said, referring to the list of states that New York has advised are safe to travel to. "I think a lot of people are going stir-crazy and are going somewhere this weekend and possibly not be as cautious as they should about not bringing their germs back with them."

    In Cicero, Indiana, 40-year-old Matt McInnis planned to continue with tradition by getting together with about 15 neighborhood friends for a barbecue. And forget wearing masks.

    "With the picnic being outdoors, we feel that we can space enough, and with the fresh air that we are going to be safe with it being outdoors and in the wide open," McInnis said. He said they won't be asking the eight children at the picnic to socially distance either.

    Dawn Love of Bolton, Connecticut, decided to host an outdoor breakfast Saturday for her running group, The Crazy Legs, at her cottage on a lake. The 20 members normally run the local roads together every weekend but haven't seen each other since March.

    Love, 62, said she expects just a few people to show up, with some deciding it was still too risky and begging off.

    "Everyone is bringing their own breakfast, their own beverage and a mask," she said. "We're going to meet and have the chairs 6 feet apart. Wearing the mask will depend on the comfort level with the person you're talking to. I have a bathroom inside the cottage, with paper towels and a basket, so there is no shared towels."


    Drugmaker gets money from Germany for vaccine

    12:06 PM CT on 9/4/20

    German pharmaceutical company CureVac says it is receiving a further 252 million euros ($298 million) to develop a coronavirus vaccine.

    The company says its request for additional funding has been approved by Germany’s Ministry for Education and Research, provided certain milestones are reached.

    Germany’s state-owned KfW bank has already taken a 23% stake in CureVac for 300 million euros.

    The company launched an initial public offering of shares, but its main shareholder remains Dietmar Hopp, the co-founder of German software giant SAP.

    CureVac is among a small number of companies that aim to develop a COVID-19 vaccine using mRNA technology that experts say could allow rapid inoculation on a larger scale than traditional forms of vaccination.


    Indiana urges caution as IU seeks fraternity closures

    9:30 AM CT on 9/4/20

    (AP) Indiana health officials are warning residents to take coronavirus precautions seriously over the Labor Day weekend, even as new statewide COVID-19 risk ratings show most counties have minimal or moderate virus spread.

    Indiana University officials have asked all 40 fraternity and sorority houses on its Bloomington campus to shut down because of high rates of coronavirus infections, but say they have no authority to force them to close.

    Testing at some Indiana University fraternity and sorority houses found infection rates above 50%, according to a statement released by the school, but university officials said Thursday that they were unaware of any infected students who needed hospitalization. The shared bathrooms and living spaces in those houses make preventing virus spread difficult.

    The county health department has already ordered 30 of the 40 houses to quarantine due to the coronavirus. University officials said they can't order the houses to close because they're owned by the fraternity and sorority organizations, but they urged everyone living in them to move out.

    "We do not consider, based on our best public health advice, these houses to be safe living environments at this point," campus Provost Lauren Robel said.

    The North American Interfraternity Conference, a organization representing college fraternities, said the IU houses were following public health guidelines.

    "Facilities should remain open with quarantine protocols in place to isolate members within chapter houses to minimize further coronavirus exposure," the group said in a statement. "We believe it is wrong to move students from their current quarantined locations and risk spreading infection to different places in the community."

    About 2,600 students live in the houses or other forms of communal housing. Testing has not found significant coronavirus spread among students living in residence halls or linked to classrooms on the 42,000-student campus, officials said.


    Tenn. governor won't say whether he would get COVID vaccination

    8:10 PM CT on 9/3/20

    (AP) Tennessee Gov. Bill Lee on Thursday would not say whether he would be vaccinated against COVID-19 when a vaccine becomes available. His comments came during a news conference at which he also announced that the Education Department will provide information on COVID cases in public schools.

    Public health departments are being told to prepare to distribute COVID-19 vaccines as early as Nov. 1. and Lee said the state is working to develop a distribution plan.

    But the Republican also called a decision to vaccinate a personal choice and said he would do what he would want all Tennesseans to do. “I'll determine if I believe it is safe and effective and talk to my doctor," Lee said.

    Tennessee Health Commissioner Lisa Piercey said at the news conference that the Nov. 1 date should be taken as a loose timeframe for when some of the first doses might be available. Piercey said she expects a phased rollout of the vaccine and has heard there may be two different vaccines distributed.

    With regard to COVID cases in the public schools, Lee had initially said the state would not collect that data but he soon reversed course and said his administration was asking for federal guidance about what could be disclosed without violating student privacy laws.

    Education Commissioner Penny Schwinn announced the plan on Thursday, saying the Department has developed a dashboard on its website where citizens can find information about COVID-19 cases in the public schools.

    The dashboard will go live on Tuesday and will provide information about new COVID cases in students and staff at both the district level and the individual school level. New cases numbers will be uploaded by the close of business on Monday for the previous week.

    In order to not violate student privacy, schools with fewer than 50 students will not be included on the dashboard, Schwinn said. Schools reporting fewer than five positive student or employee cases will be listed as having active cases but without specific numbers.

    Also at the Thursday news conference, Health Commissioner Piercey said the department has made a change to how it counts active cases. Instead of assuming that cases are active for 21 days, the department is switching to a 14-day limit.

    Because of the change, every county will show a drop in active case numbers and an increase in the number of inactive cases, Piercey said. The change was being rolled out Thursday afternoon. In addition, 1,700 cases that had been assigned to the wrong counties were being reassigned. Around two dozen counties will see their numbers rise or fall because of that change, Piercey said.


    Texas surpasses 13K virus deaths; hospitalizations fall

    5:36 PM CT on 9/3/20

    (AP) Texas surpassed 13,000 confirmed coronavirus deaths Thursday as hospitalizations continued falling to the lowest levels since June.

    State health officials reported nearly 3,900 new cases and 221 additional deaths blamed on COVID-19, the disease caused by the virus. Hospitalized patients were just over 4,000.

    Republican Gov. Greg Abbott hinted this week that looser restrictions may be coming as trends improve. On Twitter, Abbott singled out hospitalizations as the most important decline in numbers but has not elaborated on what steps may be next. Bars remain closed in Texas, and restaurants are still operating under partial capacity.


    Milwaukee's health commissioner steps down

    4:09 PM CT on 9/3/20

    Milwaukee’s health commissioner is quitting to take a new job, citing the partisan battles management of the coronavirus.

    Jeanette Kowalik is joining a national health policy think tank in Washington, D.C. The Milwaukee Journal Sentinel reports Kowalik noted obstacles to testing, public health orders, mask messaging during the pandemic response.

    Republican lawmakers brought a successful lawsuit before the state Supreme Court this spring ending Democratic Gov. Tony Evers’ “safer at home” order designed to slow the spread of the virus. A conservative law firm has filed a lawsuit seeking to end the Evers mask mandate, which the Republican Senate majority leader has denounced.

    Milwaukee has reported more than 17,700 positive cases and more than 275 deaths. Wisconsin has reported 1,142 deaths, according to the state Department of Health Services.


    Can I get the coronavirus twice?

    2:43 PM CT on 9/3/20

    It seems possible, though how often it happens isn’t known.

    Researchers in Hong Kong recently reported evidence of a person who got the coronavirus a second time, months after an initial infection.

    The finding has not yet been published in a journal. But scientists said the 33-year-old man had mild symptoms the first time and none the second time, suggesting his immune system may have provided some protection against serious illness even if it could not prevent a reinfection. His more recent infection was detected through screening and testing at the Hong Kong airport, and researchers said genetic tests revealed different strains of the virus.

    Several other possible cases have been reported, including a U.S. man who was sicker the second time than the first.

    Even if people can get reinfected, the World Health Organization says it likely wouldn't happen regularly.

    Health experts generally believe people who had COVID-19 will have some immunity against a repeat infection. But they don’t know how much protection, or how long it would last.

    This is important because if immunity wears off, it could pose a challenge for vaccines. Some experts say booster shots may be needed.

    It's also unclear whether reinfected people would be able to spread the virus to others. That's another reason scientists say people should continue to wear masks, social distance and practice good hygiene.


    Critics say eviction ban may only delay wave of homelessness

    11:55 AM CT on 9/3/20

    (AP) Housing advocates say the Trump administration's surprise national moratorium on evictions only delays a wave of crushing debt and homelessness, and an attorney representing landlords questions whether the measure is aimed at voters ahead of the November election.

    The White House announced Tuesday that the Centers for Disease Control and Prevention would act under its broad powers to prevent the spread of the coronavirus. The measure would forbid landlords from evicting anyone for failure to pay rent, providing the renter meets four criteria.

    Critics call it everything from an empty stall tactic to an outright political ploy.

    "My first reaction was, 'Thank God,'" said Matthew Hill, an attorney with the Public Justice Center in Baltimore. But he noted that tenants will be expected to repay their rent when the moratorium expires on Jan. 1, and without some kind of rental assistance, "we are just going to be kicking the can down the road."

    Richard Vetstein, the lead attorney representing landlords who are challenging an eviction moratorium in Massachusetts, called the CDC order "convoluted" and poorly drafted.

    "It's a pretty blatant political play by Trump in an election year," Vetstein said. "It purports to apply nationwide to every residential situation for nonpayment of rent, so that would be many, many millions of rental properties."

    The move is a good first step, said Bill Faith, executive director of the Coalition on Homelessness and Housing in Ohio. But the order just "puts the problem on pause."

    "In January, when this would cease to be in place, all of those tenants would still owe all of the rent they owed to start with," Faith said. "If they are covered by the moratorium and don't pay what rent they can pay, their hole is thousands of dollars deep."

    Faith also said implementing the order could be "messy," since it would often fall to local judges to determine if a tenant qualifies. In Ohio alone, that would involve hundreds of housing courts.

    The CDC order covers only people who:
    — Have an income of $198,000 or less for couples filing jointly, or $99,000 for single filers.
    — Demonstrate they have sought government assistance to make their rental payments.
    — Are unable to pay rent because of COVID-19 hardships.
    — Are likely to become homeless if they are evicted.


    Nevada 'COVID Trace' should pair with Google-Apple, official says

    9:39 AM CT on 9/3/20

    (AP) A Nevada coronavirus contact tracing application called "COVID Trace" launched last week should work well with a similar tool that Google and Apple are rolling out to alert people who might have been exposed to COVID-19, officials said Wednesday.

    "They actually run in parallel and complementary," Julia Peek, deputy Nevada health administrator, said after reporting 20,000 downloads since the state app  debuted Aug. 24 for Apple and Android phones.

    The free app is designed to let phones anonymously and automatically exchange data by Bluetooth and notify a phone user if they've been near someone who tested positive for COVID-19, if that person has granted permission and added their phone ID to a database of positive cases.

    Officials say the system does not share names or user identification with other users or companies like Google and Apple. They also said that people who receive proximity alerts will be offered testing and health advice to prevent the potential spread of the virus.

    Peek told reporters that widening the notification net should also help reach visitors to Nevada from states that don't have similar COVID-19 tracing technology.


    COVID-19 seven times more prevalent in poor New Mexico areas

    8:03 PM CT on 9/2/20

    (AP) A top state health official is warning that COVID-19 infections are far more prevalent in low-income areas of the New Mexico, potentially straining Medicaid health care.

    Human Services Secretary David Scrase said Wednesday that an analysis of infection rates by census tract shows that highly impoverished areas have infection rates seven times higher than the most affluent zones. Scrase and Children Youth and Families Secretary Brian Blalock gave a briefing on public health trends and the state's coronavirus response.

    State health officials are wary that festivities over the Labor Day holiday weekend could lead to renewed surges in COVID-19 infections.


    Iowa Gov. Reynolds: Wait to see if virus cases drop before new moves

    6:08 PM CT on 9/2/20

    (AP) — As Iowa sees some of the highest rates of coronavirus cases in the nation, Gov. Kim Reynolds said Wednesday that she will wait to determine whether her move to close bars in six counties slows the virus' spread before considering additional steps.

    Reynolds said the soaring number of confirmed virus cases is largely due to infections among young people, especially those in the college towns of Iowa City and Ames. That trend prompted her last week to order the closure of bars in Johnson, Story and Black Hawk counties — home to the University of Iowa, Iowa State University and the University of Northern Iowa — as well as Dallas, Linn and Polk counties.

    Now, it's best to wait to see if those moves will cause numbers to drop, Reynolds said. "If they don't, then we'll take additional steps," she said.

    State data indicated 740 new confirmed coronavirus cases in the past 24 hours as of Wednesday morning, pushing the state past 66,000 known positive cases. Four additional deaths increased the fatality total to 1,125.


    Florida announces it will lift ban on nursing home visits

    4:30 PM CT on 9/2/20

    (AP) Florida Gov. Ron DeSantis announced Tuesday that he will lift the state's ban on visiting nursing homes that has cut off vulnerable seniors from family since mid-March over fears of spreading the new coronavirus.
    With his voice cracking at times, he wondered aloud if his actions might have contributed to suffering in his state as he made his announcement during a round table in Jacksonville.

    "Part of having a healthy society is understanding that human beings seek affection," DeSantis said. "Many of the folks understand that they have loved ones who are in the last stage of their life. They're not demanding a medical miracle. They're not having unrealistic expectations. They just would like to be able to say goodbye or to hug somebody."

    The visibly emotional governor paused to collect himself, and silence filled the room for about 20 seconds.
    DeSantis said he would lift the ban on visitations in an executive order later Tuesday, following recommendations from a nursing home task force.

    The governor's order is expected to allow family members to visit their loved ones no more than two at a time, wearing protective gear including masks. Facilities would need to go 14 days without any new cases of COVID-19 among staff or residents to allow the visits. Children under the age of 18 are not yet allowed.

    The task force appointed by the governor recommended a lengthy set of rules last week, giving wide leeway for wary nursing homes on how to implement them. Critics were quick to express concern over what will likely be a patchwork approach, varying greatly among facilities statewide.

    In Florida, nearly two-thirds of facilities have not had new cases since Aug. 11, said Mary Mayhew, who led the task force and heads the state's Agency for Health Care Administration.

    The biggest sticking point was over physical contact, with gut-wrenching debates between the task force's health experts and an advocate for families. The task force ultimately recommended that essential caregivers be allowed to touch and hug loved ones. But some members, including state Surgeon General Dr. Scott Rivkees, repeatedly expressed grave concerns during task force meetings.

    "The more people that are coming in, that really increases the risk," Rivkees said last week.


    Health officials worry nation not ready for COVID-19 vaccine

    2:14 PM CT on 9/2/20

    (AP and KHN) Millions of Americans are counting on a COVID-19 vaccine to curb the global pandemic and return life to normal.

    While one or more options could be available toward the end of this year or early next, the path to delivering vaccines to 330 million people remains unclear for the local health officials expected to carry out the work.

    "We haven't gotten a lot of information about how this is going to roll out," said Dr. Umair Shah, executive director of Texas' Harris County Public Health department, which includes Houston.

    In a four-page memo this summer, the federal Centers for Disease Control and Prevention told health departments across the country to draft vaccination plans by Oct. 1 "to coincide with the earliest possible release of COVID-19 vaccine."

    But health departments that have been underfunded for decades say they currently lack the staff, money and tools to educate people about vaccines and then to distribute, administer and track hundreds of millions of doses. Nor do they know when, or if, they'll get federal aid to do that.

    Dozens of doctors, nurses and health officials interviewed by Kaiser Health News and The Associated Press expressed concern about the country's readiness to conduct mass vaccinations, as well as frustration with months of inconsistent information from the federal government.

    The gaps include figuring out how officials will keep track of who has gotten which doses and how they'll keep the workers who give the shots safe, with enough protective gear and syringes to do their jobs.

    With only about half of Americans saying they would get vaccinated, according to a poll from AP-NORC Center for Public Affairs Research, it also will be crucial to educate people about the benefits of vaccination, said Molly Howell, who manages the North Dakota Department of Health's immunization program.

    The unprecedented pace of vaccine development has left many Americans skeptical about the safety of COVID-19 immunizations; others simply don't trust the federal government.

    "We're in a very deep-red state," said Ann Lewis, CEO of CareSouth Carolina, a group of community health centers that serve mostly low-income people in five rural counties in South Carolina. "The message that is coming out is not a message of trust and confidence in medical or scientific evidence."


    Task force makes 28 nursing home recommendations to Mich. governor

    11:48 AM CT on 9/2/20

    (AP) Michigan should modify a system in which nursing home residents infected with the coronavirus can be treated and isolated in those facilities and take steps to improve life for all long-term care residents amid the pandemic, a task force urged Gov. Gretchen Whitmer in a report released Tuesday.

    The 20-member group was created by the governor to prepare for a potential second surge of COVID-19 after deaths and cases spiked in the spring. Nursing home residents account for 2,088, or 31%, of the state's 6,767 confirmed or probable deaths related to the virus.

    Of the 28 recommendations, nearly half involve ways to better the quality of life inside 442 homes that have had to stop communal dining and restrict visits and other activities during the outbreak. To reduce the effects of isolation, the panel urged allowing outdoor and window visits, limited communal dining and optional "pod"-like arrangements in which residents could spend time together in small groups.

    Other recommendations include prioritizing nursing homes for personal protective equipment and testing supplies, lessening data-reporting requirements and designating labs that give priority to specimens from the homes.

    The task force said homes continue to face challenges finding qualified staff, especially in the pandemic. It recommended improving a state licensing website for people interested in becoming nursing assistants and making public service announcements about the shortage.

    The group split on one recommendation, which involves the controversial issue of placing recovering individuals with COVID-19 in nursing homes. Whitmer, who has faced criticism for the policy, has let infected residents who are medically stable return to their facility if it has a dedicated coronavirus unit or go to a designated "hub" home — both of which have uninfected residents.

    The panel said hospitals should, "whenever possible," not discharge patients with the COVID-19 virus to their nursing home if they have less than 72 hours in their overall isolation period. If that is not an option, then the hub program should be changed to ensure consideration is given to a home's quality and inspection history before it becomes a "care and recovery center" with a wing, unit or building to care for infected residents.

    The group had some dissent over a recommendation that facilities not deemed as care and recovery centers still be able to admit people with the coronavirus in "exceptional circumstances" if they have experience caring for such residents. The state was urged to prioritize placing infected patients in hospitals and the special care centers.

    It should continue exploring the possibility of creating dedicated facilities for such patients despite the Democratic governor's veto, a month ago, of a Republican-sponsored bill that would have required such places to be available by Tuesday, according to the report.


    CDC directs halt to renter evictions to prevent virus spread

    9:29 AM CT on 9/2/20

    (AP) The Trump administration has issued a directive halting the eviction of certain renters though the end of 2020 to prevent the spread of the novel coronavirus.

    Federal, state and local governments have approved eviction moratoriums during the course of the pandemic for many renters, but those protections are expiring rapidly. A recent report from one think tank, the Aspen Institute, stated that more than 20 million renters live in households that have suffered COVID-19-related job loss and concluded that millions more are at risk of eviction in the next several months.

    The administration's action stems from an executive order that President Donald Trump issued in early August. It instructed federal health officials to consider measures to temporarily halt evictions. The Centers for Disease Control and Prevention followed up Tuesday by declaring that any landlord shall not evict any "covered person" from any residential property for failure to pay rent.

    Senior administration officials explained that the director of the CDC has broad authority to take actions deemed reasonably necessary to prevent the spread of a communicable disease.

    Renters covered through the executive order must meet four criteria. They must:
    — Have an income of $198,000 or less for couples filing jointly, or $99,000 for single filers.
    — Demonstrate they have sought government assistance to make their rental payments.
    — Affirmatively declare they are unable to pay rent because of COVID-19 hardships.
    — Affirm they are likely to become homeless if they are evicted.

    Officials said local courts would still resolve disputes between renters and landowners about whether the moratorium applies in a particular case.


    HHS cancelling ventilator contracts, says stockpile is full

    8:34 PM CT on 9/1/20

    (AP) The Trump administration announced Tuesday it is canceling some of its remaining orders for ventilators, after rushing to sign nearly $3 billion in emergency contracts as the COVID-19 pandemic surged in the spring.

    The Department of Health and Human Services issued a statement affirming that the national stockpile has now reached its maximum capacity for the life-saving breathing machines, with nearly 120,000 available for deployment to state and local health officials if need. Though billed as a cost-saving measure, Democrats said the cancellations show the White House vastly overspent in its quest to fulfill President Donald Trump’s pledge to make the United States the “King of Ventilators.”

    The agency didn't have an estimate for how much taxpayers would save by canceling the contracts because the terms and potential penalties for the early terminations were still being negotiated with the companies involved.

    HHS confirmed it was terminating contracts with ventilator manufacturers Hamilton Medical and Vyaire Medical, which will result in the reduction of 38,000 ventilators that had been scheduled for delivery to the National Strategic Stockpile by the end of 2020.

    An agency spokesperson declined to comment on the status of its largest ventilator contract, a massive $647 million deal with Philips that is now the subject of an internal HHS investigation and legal review.

    But Steve Klink, a spokesman for Philips at the company's headquarters in Amsterdam, confirmed that its contract had also been canceled and that it will not deliver the remaining 30,700 ventilators on its order to the U.S. stockpile.

    Klink said HHS had not yet given the company any “formal reason” for the cancellation.

    “Unlike typically in the private sector, the U.S. government does not need any reason to terminate an agreement,” Klink said. “We can confidently say that we have delivered on our commitments. While we are disappointed in light of our massive efforts, we will work with HHS to effectuate the partial termination of this contract.”

    The Philips contract has been under scrutiny because the company had signed a 2019 agreement to deliver 10,000 basic emergency ventilators to the national stockpile by 2022 at a cost of about $3,280 each. But once the COVID pandemic hit, the company inked a new deal with the Trump administration to provide 43,000 of its more complicated and expensive hospital-grade models at an average cost of about $15,000 each.

    The company has said it still plans to deliver the 10,000 low-cost ventilators over the next two years under its earlier contract.

    House Democrats said they would expand their probe into the White House's handling of the Phillips contract, which they said was negotiated by Trump trade adviser Peter Navarro.

    “American taxpayers deserve to have their money well spent," said Rep. Raja Krishnamoorthi, chairman of the House Subcommittee on Economic and Consumer Policy. “Incompetent negotiations by top Trump Administration officials, like Peter Navarro, wasted hundreds of millions of taxpayer dollars.”

    As the virus took hold and began to spread widely across the U.S. in March, governors and mayors of big cities urged Trump to use his authority under the Defense Production Act to direct private companies to ramp up production of ventilators. At the time, the national stockpile had only about 16,660 ventilators ready to deploy.

    Trump initially resisted calls to invoke the Korean War-era production act, but at the end of March he promised to deliver 100,000 new ventilators within 100 days. The president then tasked his son-in-law, White House adviser Jared Kushner, with leading the effort. During the month of April, HHS issued a flurry of emergency contracts to established ventilator companies, as well as U.S. automakers Ford and General Motors.

    “We became the king of ventilators, thousands and thousands of ventilators,” Trump boasted in an April 29 speech.


    Experts won't vouch for plasma therapy

    6:19 PM CT on 9/1/20

    (AP) A group of medical experts advising the National Institutes of Health says there is not enough evidence to recommend for or against the use of plasma therapy for patients hospitalized with COVID-19.

    The non-endorsement by government advisers comes a week after the Food and Drug Administration granted emergency authorization to the treatment. That decision followed threats from President Donald Trump about the slow pace of FDA’s review, raising concerns that the agency felt pressure to greenlight the therapy.

    So-called convalescent plasma is taken from patients who have recovered from the coronavirus and is rich in disease-fighting antibodies. But its use against COVID-19 has not been studied in rigorous patient trials.

    The NIH panel says the plasma shouldn’t be considered “standard of care” treatment, due to the lack of data confirming its safety and effectiveness.

    The FDA granted its emergency use based on preliminary results gathered from tens of thousands of patients tracked by the Mayo Clinic. The decision merely means that the treatment’s potential benefits outweigh its risks.

    But the Mayo study doesn’t have the type of controls needed to draw conclusions about clinical benefits, including overall survival. FDA Commissioner Stephen Hahn was forced to backtrack last week after he overstated the potential life-saving effect suggested by the data.

    NIH’s experts urged doctors and patients to enroll in proper studies of the plasma.


    HHS, FCC, USDA sign rural telehealth memorandum

    4:25 PM CT on 9/1/20

    HHS, the Federal Communications Commission and the Agriculture Department have signed a memorandum of understanding to establish a program dubbed the Rural Telehealth Initiative.

    The memorandum follows through on a directive President Donald Trump signed as part of an executive order in August, ordering the agencies to lead a rural healthcare taskforce that would "improve rural health by improving the physical and communications healthcare infrastructure available to rural Americans," according to the order.

    The Rural Telehealth Initiative will collaborate and share information to address geographic health disparities and promote broadband services and technology in rural America. Rural areas, which already suffer from shortages of specialty physicians, also tend to lack access to wired broadband that meets the FCC's speed benchmark.

    HHS, FCC and USDA plan to stand up an inter-agency Rural Telehealth Initiative Task Force, composed of representatives from the three groups, which will offer recommendations.

    "Better access to telehealth in rural America means better health for some of our most vulnerable and greater resilience at times of crisis like the COVID-19 pandemic," HHS Secretary Alex Azar said in a statement. "We look forward to working with our colleagues at the FCC and USDA to expand access through telehealth to quality, affordable care for the 57 million Americans living in rural areas."

    The Rural Telehealth Initiative builds on existing programs at the agencies.

    FCC operates the Rural Health Care Program, which distributes millions of dollars each year to rural healthcare providers to offset costs associated with purchasing broadband and telecommunications services. USDA's Rural Broadband ReConnect program offers loans and grants to deploy high-speed broadband in rural communities.


    Apple, Google offer states new option for COVID-19 alert system

    2:10 PM CT on 9/1/20

    Apple and Google on Tuesday said they're expanding their COVID-19 exposure notification program so that state public health agencies can use it without developing their own app.

    Apple and Google in April announced plans to team up on a project using application programming interfaces, Bluetooth technology and smartphones to warn people who may have had contact with someone diagnosed with COVID-19. The program, launched in May, required states to create their own custom apps that use the companies' software.

    To date, just six states have created apps that link up to the companies’ COVID-19 exposure notification system.

    Apple and Google officials on Tuesday said they think offering states the option to enable the exposure notification system, without having to develop their own app, could speed adoption of the technology, according to the Washington Post.


    Pandemic brings hard times for farmers, worsening hunger

    11:56 AM CT on 9/1/20

    (AP) The coronavirus pandemic has brought hard times for many farmers and has imperiled food security for many millions both in the cities and the countryside.

    United Nations experts are holding an online conference beginning Tuesday to brainstorm ways to help alleviate hunger and prevent the problems from worsening in the Asia-Pacific region — a challenge made doubly difficult by the loss of many millions of jobs due to the crisis.

    The U.N. Food and Agriculture Organization forecasts that the number of undernourished people will increase by up to 132 million in this year, while the number of acutely malnourished children will rise by 6.7 million worldwide due to the pandemic.

    "We must come to terms with what is before us and recognize that the world and our region has changed," said Jong-Jin Kim, the FAO's assistant director-general and regional representative for Asia and the Pacific.

    "We must find new ways to move forward and ensure sustainable food security in the face of these twin pandemics, as well as prepare for threats that can and will evolve in the future," Kim said.

    Disruptions due to outbreaks of the illness and restrictions on businesses and travel to control them run the gamut, from crops going unharvested by migrant workers unable to reach their jobs to transport problems to farm families selling livestock and equipment to survive, the FAO said in a report prepared ahead of the meeting.

    The combined impacts of COVID-19, natural disasters such as typhoons and drought, diseases and pests such as locusts have highlighted the need to build stronger capacity to "manage multiple risks to food systems," the report said.

    The FAO is urging faster deployment of high-tech tools such as drones and smartphone apps to monitor crops, pests and other farming conditions as part of a transformation of food systems to make them more resilient and reduce risks, especially for the most vulnerable small farmers in poor countries.


    Russia's virus cases exceed 1 million, globally 4th highest

    9:32 AM CT on 9/1/20

    (AP) Russia's tally of confirmed coronavirus cases surpassed 1 million on Tuesday as authorities reported 4,729 new cases.

    With a total of 1,000,048 reported cases, Russia has the fourth largest caseload in the world after the U.S., Brazil and India. Over 815,000 people have so far recovered, authorities said, and more than 17,000 have died.

    Experts say the true toll of the pandemic is much higher than all reported figures, due to limited testing, missed mild cases and concealment of cases by some governments, among other factors.

    As of Tuesday, Russia has lifted most lockdown restrictions in the majority of the country's regions.

    Last month, Russian authorities announced approval of the first ever COVID-19 vaccine — a move that Western experts met with skepticism and unease as the shots were only tested on a few dozen people. Last week, officials announced starting advanced trials of the vaccine among 40,000 people.

    It remains unclear whether vaccination of risk groups — such as doctors and teachers — announced earlier this year will be part of the trials or carried out in parallel.

    Russian President Vladimir Putin said last month one of his daughters had already been vaccinated.


     

    2 dead of virus at US prison where executions are scheduled

    8:26 PM CT on 9/15/20

    (AP) Two inmates have died in as many days from coronavirus at the federal prison complex where the U.S. government plans to carry out two executions next week.

    The virus deaths are likely to raise alarm with advocates and lawyers for the condemned men over the spread of coronavirus at the Federal Correctional Complex in Terre Haute, Indiana. As of Tuesday, more than 40 inmates had confirmed cases of COVID-19, according to the agency's statistics.

    The executions of Christopher Andre Vialva and William Emmett LeCroy are scheduled to be carried out  at the prison complex next week. The government carried out three executions in July and two executions in August.

    The Bureau of Prisons said a 53-year-old inmate, Tim Hocutt, died Monday at the Terre Haute facility.
    Hocutt, who was serving a 13-year sentence for conspiracy to distribute methamphetamine, had reported that he was suffering from a "mild cough, congestion and nausea" and had previously tested negative for COVID-19, the Bureau of Prisons said. But Hocutt tested positive on Monday after he alerted medical staff to his condition and was pronounced dead the same day at the complex's medium-security prison.

    His death came a day after the death of another inmate, Byron Dale Bird, who was serving a sentence at the high-security penitentiary on the prison grounds.

    The 65-year-old Bird was taken to a local hospital on Aug. 27 after testing positive for the virus and was admitted to an intensive care unit. He died at the hospital on Sunday. Bird was serving a 74-year prison sentence after being convicted of sexual abuse of a minor, witness tampering, failing to register as a sex offender and other charges.

    Witnesses to the federal executions are required to undergo security screening at the high-security penitentiary, where Bird was housed. The witnesses are required to wear masks, and their temperatures are taken before they are permitted on the prison grounds.The spiritual advisers for two of the men who were executed in July and the family of one of the men's victims had fought unsuccessfully  to delay their executions over coronavirus concerns.

    The federal prison system has struggled to combat the coronavirus pandemic behind bars, where social distancing is nearly impossible. As of Tuesday, 13,477 inmates had tested positive for COVID-19 at facilities across the U.S.; 11,623 had recovered. Officials said 120 inmates have died since late March.


    Legislators decry slow spending of Indiana's federal virus aid

    6:24 PM CT on 9/15/20

    (AP) Indiana officials are still holding back on spending more than half of the $2.4 billion state government received in federal coronavirus relief funding.

    Democrats on the State Budget Committee questioned Tuesday why there wasn't more urgency in spending the money on the immediate needs of people around the state, while Republican Gov. Eric Holcomb's top budget adviser blamed some of that on confusion over federal rules.

    State Office of Management and Budget Director Cristopher Johnston presented a report to committee members showing that only $225 million, or less than 10%, of that money had been spent by the end of August. The report showed nearly $1.1 billion in total had been spent or committed toward programs or expenses related to the COVID-19 pandemic that shut down much of Indiana's economy through the spring and has killed nearly 3,500 people.

    Congress approved $150 billion for states and local governments in March. That money was targeted to cover coronavirus-related costs by the end of this year, not to offset declining revenue resulting from the recession.

    Holcomb is among some governors pushing for greater flexibility in spending the money on the state's existing budget even though Congress and the Trump administration have been deadlocked on a new coronavirus relief package.

    Holcomb has said his administration is being deliberate with spending decisions, while Johnston said Tuesday an unknown was whether states would gain any flexibility. "Based on last four months, I'm not going to predict anything," Johnston said.

    Democratic Rep. Carey Hamilton of Indianapolis said the state needed to address serious concerns for residents, including some 300,000 rental households facing possible evictions, widespread small business closings and people struggling to buy food and pay utility bills.

    "We're just kind of waiting to hear, waiting to hear — it's now the middle of September," Hamilton said. "The more we can help Hoosiers from falling behind significantly, the quicker our economy will be able to rebound from this crisis."


    Apple to study whether new smartwatch can detect signs of COVID-19, flu

    4:09 PM CT on 9/15/20

    Apple's latest smartwatch, the Apple Watch Series 6, includes a sensor to measure wearers' blood oxygen levels, the tech giant announced Tuesday.

    Apple is planning to study whether the Apple Watch's blood oxygen and heart rate measurements can detect early signs of respiratory conditions, such as COVID-19 or influenza.

    The Seattle Flu Study at the Brotman Baty Institute for Precision Medicine and faculty from the University of Washington School of Medicine are working with Apple on the study.

    Blood oxygen levels, typically measured with pulse oximeters, have been used by some hospitals to help COVID-19 patients monitor symptoms at home. Pulse oximeters aren't used as a screening method for COVID-19; while COVID-19 has been linked with low oxygen levels, there are some patients who test positive for the disease without that symptom.

    The new Apple Watch's blood oxygen sensor, for now, is only meant to be used to provide wearers with insight into "their overall wellness," according to Apple.

    The smartwatch will periodically take blood oxygen measurements in the background while a user is wearing it; users will also have the option to take on-demand measurements.

    The Series 6 smartwatch retails starting at $399.

    Apple also is partnering with the University of California, Irvine, and Anthem to study whether measuring blood oxygen can help users manage asthma. A third study from the company involves working with the Ted Rogers Centre for Heart Research and the Peter Munk Cardiac Centre at the University Health Network to study whether blood oxygen levels can help with managing heart failure.


    House to stay in session until COVID-19 rescue pact, Pelosi says

    2:10 PM CT on 9/15/20

    (AP) Speaker Nancy Pelosi said Tuesday the House will remain in session until lawmakers deliver another round of COVID-19 relief.

    "We are committed to staying here until we have an agreement, an agreement that meets the needs of the American people," Pelosi said on CNBC.

    Pelosi told her Democratic colleagues on a morning conference call that "we have to stay here until we have a bill." That's according to a Democratic aide speaking on condition of anonymity but authorized to quote her remarks.

    Pelosi's comments came as moderate Democrats signed on to a $1.5 trillion rescue package endorsed by the bipartisan Problem Solvers Caucus, a group of about 50 lawmakers who seek common solutions to issues.

    The plan contains many elements of COVID rescue packages devised by both House Democrats and Republicans controlling the Senate, including aid to schools, funding for state and local governments, and renewal of lapsed COVID-related jobless benefits.

    The price tag is significantly less than the $2.2 trillion figure cited by Pelosi but it's also well above an approximately $650 billion Senate GOP plan that failed last week due to Democratic opposition.

    Talks between Pelosi and the Trump administration broke down last month and there had been little optimism they would rekindle before Election Day. And last week, Senate Democrats scuttled a scaled-back GOP coronavirus rescue package.

    Pelosi has maintained a hard line in negotiations and has been at odds with White House chief of staff Mark Meadows. She orchestrated passage of a $3.4 trillion COVID rescue package back in May, but the effort was immediately dismissed by Senate Republicans and the Trump administration.

    Tuesday's remarks, said Pelosi spokesman Drew Hammill, don't mean that the speaker is adopting a more flexible position. She instead seems to be signaling continued determination to press ahead and won't adjourn the House without an agreement with the administration.

    Success is by no means guaranteed and many people on Capitol Hill remain very skeptical that an agreement between the White House and Democrats is likely before the election.

    "My sense is the clock is running out," said Senate GOP Whip John Thune of South Dakota. "I don't see any intention or desire on the part of the Democrat leadership at the moment — regardless of what their members are saying — to cooperate and to work together on a solution. I think they feel like they've got the issue and they want to try and ride it in November."


    Germany boosts own pharma companies in race for COVID-19 vaccine

    12:06 PM CT on 9/15/20

    (AP) Germany says it is providing up to 750 million euros ($892 million) to support three domestic pharmaceutical companies that are developing vaccines against the new coronavirus.

    Science Minister Anja Karliczek said Tuesday that the government has already agreed to provide BioNTech and CureVac with 375 million euros and 230-million euros respectively to develop their mRNA-based vaccines.

    Talks with a third company, IDT Biologika, are expected to conclude soon, she said. The company is developing a vector-based vaccine that delivers a coronavirus protein into cells to stimulate the body's immune response.

    The agreement with the three companies, which is tied to specific milestones, would guarantee Germany 40 million doses of vaccine. The amount comes on top of other vaccine supply agreements concluded through the European Union, of which Germany is a member.

    Karliczek said Germany wouldn't cut corners when it comes to testing vaccines, meaning most of the population may have to wait until mid-2021 to be inoculated.

    "Safety is an absolute priority," she said.

    Health Minister Jens Spahn echoed that stance, saying that only vaccines which have been tested on "thousands, ideally many thousands of volunteers in phase 3" would be approved.

    Spahn complained that reports from Russia and China about vaccines being developed in the two countries "aren't always such that one feels there's absolute transparency."

    Spahn dismissed suggestions that Germany might consider making COVID-19 vaccinations compulsory.

    "We need 55-60% of the population to be vaccinated," he said. "I'm firmly convinced we will achieve this voluntarily."

    Spahn added that Germany also doesn't intend to hoard vaccines.

    "I'm happy to give other countries in the world some of the vaccines we're been contractually assured," he said, "if we find in the end that we have more than we need."


    Shortage of virus tests in U.K. hurts effort to fight 2nd wave

    9:34 AM CT on 9/15/20

    (AP) Hospitals in England say a shortage of COVID-19 tests in the U.K. is jeopardizing medical staffing and preparations for a potential surge in coronavirus cases this winter.

    Inadequate testing is leading to increased absences in the National Health Service as medical workers are forced to self-isolate while they and their family members wait for test results after possible exposures, according to NHS Providers, a group that represents hospitals. Last weekend hospital leaders in three different cities raised concerns about testing, said Chris Hopson, the group's CEO.

    "The problem is that NHS trusts are working in the dark — they don't know why these shortages are occurring, how long they are likely to last, how geographically widespread they are likely to be and what priority will be given to healthcare workers and their families in accessing scarce tests,'' Hopson said Tuesday. 

    The shortage comes amid a surge in COVID-19 cases across the U.K. that has pushed daily new infections to levels not seen since late May and has forced the Conservative government to impose new limits on public gatherings. 

    Widespread testing is seen as crucial to controlling the spread of coronavirus because it allows those who are infected to self-isolate while helping health officials to identify hot spots and trace those who are infected.

    The problem is that the "second wave'' of the virus is hitting Britain earlier than anticipated, said John Bell, a professor of medicine at the University of Oxford. Authorities have underestimated the speed at which more testing capacity is needed, Bell said, warning that the problem could get worse.

    "I think what's going wrong is the second wave,'' Bell told the BBC. "A month ago, they had spare capacity in testing —significant spare capacity — but I think what has been underestimated was the speed at which the second wave would arrive."

    He also said new testing pressures are arising from children returning to school.

    The government says it can process about 243,000 coronavirus tests a day, up from 220,000 at the end of August. Over the past week, many people have complained that they were being sent to testing centers far from their homes, sometimes hundreds of miles away.


    Nevada city fines Trump rally venue $3,000 in COVID-19 flap

    8:20 PM CT on 9/14/2020

    (AP) The Nevada city where President Donald Trump held an indoor campaign rally said Monday the venue owner is being fined $3,000 for violating coronavirus prevention mandates imposed by the state’s Democratic governor.

    Henderson officials told Xtreme Manufacturing owner Donald Ahern that the event that drew thousands of people to a warehouse in suburban Las Vegas violated Gov. Steve Sisolak’s coronavirus emergency directives.

    State rules prohibit gatherings larger than 50 people, require “social distancing” of 6 feet (1.8 meters), and mandate masks or face coverings in public to prevent the spread of COVID-19.

    Ahern’s attorney, Michael Van, acknowledged receiving a notice from the city and said Ahern will decide whether to challenge it. He has 30 days.

    “It’s interesting that if it’s a demonstration, it’s OK. If it’s a rally, it’s not OK,” Van said, casting the dispute as a First Amendment fight. “There’s just inconsistent application of that declaration.”

    Ahern, a local heavy equipment rental mogul and hotel owner has a separate lawsuit pending against Sisolak after being fined more than $10,000 for hosting an “Evangelicals for Trump” rally and a separate beauty pageant last month at his renovated casino-turned-convention hall.

    In an interview with CNN's Erin Burnett, Sisolak accused Trump of knowingly violating coronavirus directives and endangering Nevada residents.

    “He knew what the rules were. He chose to show callous disregard in a reckless, selfish, irresponsible way. There’s no other way to put it,” the governor said. He added that it was “absurd for him to think that the rules didn't apply to him."

    Trump campaign spokesman Tim Murtaugh on Monday called the rally crowd, “great Americans who supported their fellow citizens in wanting to hear from the president of the United States.”

    Henderson city spokeswoman Kathleen Richards said that Ahern was warned verbally and in writing before the event. A business compliance officer observed six violations amounting to fines worth $500 each among the mostly maskless crowd.

    During the rally, Trump derided Sisolak, with whom he has clashed in the past, as “a political hack,” and urged Nevada residents to “tell your governor to open up your state.”

    Trump’s campaign is suing Nevada's Republican secretary of state in federal court to try to block a new state law and prevent mail-in ballots from going to all active Nevada voters amid the coronavirus pandemic.

    Nevada wants the court to throw out the lawsuit, arguing that vote-by-mail does not lead to election fraud and the virus could make voting in person dangerous.

    Trump told his supporters the governor was “playing around" with ballots. He blamed Sisolak for forcing the Trump campaign to abandon plans to hold two outdoor rallies last weekend at a private air facility at McCarran International Airport and at an airport hangar at Reno-Tahoe International Airport.

    The northern Nevada event was moved to an outdoor airport venue in Minden, more than a one-hour drive from Reno, where Nevada GOP party Chairman Michael McDonald made a point of calling the event a protest. Trump told the crowd that Sisolak “tried very hard to stop us from having this event.”

    “They can have riots and they can all sorts of things and that’s OK. You can burn up the house, that’s OK,” Trump said. “If you call it a protest, you’re allowed to have it. So, if anybody asks you outside, this is called a `friendly protest.’”

    ouglas County, where Trump held that rally, could also face punishment.

    Nevada agreed to allocate the county $8.9 million in federal relief dollars on the condition that safety directives be enforced. Nevada COVID-19 response chief Caleb Cage told reporters Monday he didn’t know whether the state would withhold or claw back relief given to Douglas County.


    South Carolina's lieutenant governor contracts COVID-19

    6:06 PM CT on 9/14/2020

    (AP) South Carolina Lt. Gov. Pamela Evette was diagnosed with COVID-19 on Friday and is recovering in isolation with her family at home, officials said.

    Evette had a sore throat and headache Thursday and was tested for the virus. She has stayed at her family's home near Greenville since noting the symptoms, said Brian Symmes, the spokesman for Gov. Henry McMaster.

    “She is feeling better now," said Symmes, adding Evette plans to stay out of the public for two weeks.

    Evette's positive test prompted McMaster and his wife to get COVID-19 tests, which both came back negative Sunday. It was the fifth negative test since the pandemic began for the governor and the third for his wife, Symmes said.

    Two members of Evette's staff and some of her security detail are also isolating but have not tested positive for COVID-19, Symmes said.

    South Carolina's rate of COVID-19 infection has dropped significantly since it nearly led the country in July. The state is currently seeing an average of about 870 cases a day, down from the seven-day average peak of nearly 1,950 cases in mid-July.

    But since students have returned to schools and colleges, the state has seen the decline in cases stop and begin rising again.

    Evette joins a rising number of state officials across the U.S. to get COVID-19. Oklahoma Gov. Kevin St itt announced his positive test in July. Hawaii Lt. Gov. Josh Green said Saturday he had COVID-19. Mississippi Lt. Gov. Delbert Hosemann and House Speaker Philip Gunn tested positive in July along with a number of other lawmakers after a legislative session.

    Evette released a statement Monday saying her infection shows how easily the virus is spread and asking people to keep wearing masks, social distancing and getting tested if they have any reason to think they might have COVID-19.

    “I’m fortunate to have had only mild symptoms and I’m already feeling much better. David has taken GREAT care of me!” Evette wrote on social media, thanking her husband for his help.


    Michigan launches $5M ad campaign to urge mask use

    4:14 PM CT on 9/14/20

    (AP) Michigan on Monday launched a $5 million advertising campaign to urge people to wear a mask to fight the coronavirus, with a focus on appealing to those who believe the state's requirement infringes on their rights.

    The "spread hope, not COVID" message includes three public service announcements. Two feature military members saying they wear a face covering to protect their freedom and the freedom of others, saying it can reduce the chance of spreading COVID-19 by 70%. A sergeant shown in both ads puts on a mask showing the American flag.

    "The more we wear masks, the sooner this is going to end, the sooner we can return to normal. Whether we wear masks is going to have a direct effect," Robert Gordon, director of the state Department of Health and Human Services, said in an interview. "We want to speak to folks who are skeptical in a way that's respectful, that honors their perspective and says, 'Yes, freedom's important. But wearing masks protects freedom and gets us close to day when this is over.'"

    The ads are based on a survey of about 2,000 residents and are being funded with federal virus relief aid.

    The goal, Gordon said, is to "reinforce in a hopeful way" the importance of social distancing and wearing a face covering even if it is a burden. The ad campaign is separate from one, known as "Rona," that targets young adults and is funded primarily by businesses.

    "This campaign is geared toward all Michiganders," he said.

    Democratic Gov. Gretchen Whitmer's order requires face coverings in enclosed public spaces and crowded outdoor places where distancing cannot be consistently maintained. Masks also are mandated in many organized sports.


    In defiance of Nevada governor, Trump holds indoor rally

    2:12 PM CT on 9/14/20

    (AP) In open defiance of state regulations and his own administration's pandemic health guidelines, President Donald Trump hosted his first indoor rally since June, telling a packed, nearly mask-less Nevada crowd that the nation was "making the last turn" in defeating the virus.

    Eager to project a sense of normalcy in imagery, Trump soaked up the raucous cheers inside a warehouse Sunday night. Relatively few in the crowd wore masks, with a clear exception: Those in the stands directly behind Trump, whose images would end up on TV, were mandated to wear face coverings.

    Not since a rally in Tulsa, Oklahoma, that was blamed for a surge of coronavirus infections has he gathered supporters indoors. 

    "We are not shutting the country again. A shutdown would destroy the lives and dreams of millions of Americans," said Trump, before using his inflammatory moniker for the coronavirus. "We will very easily defeat the China virus."

    He didn't mention the pandemic's death toll — it's killed nearly 200,000 Americans and is still claiming about 1,000 lives a day.

    The rally in Tulsa, which was his first in three months after the coronavirus reached American shores, was a disaster for the campaign, a debacle that featured a sea of empty seats and a rise in COVID-19 cases, including on his own staff. One prominent Trump supporter at the rally, businessman and former presidential candidate Herman Cain, died of COVID-19 weeks later, though it was not clear if he contracted the virus in Tulsa. 

    Recognizing that many supporters were uncomfortable to gather in a large group indoors, where the virus spreads more easily, the Trump campaign shifted to holding smaller, outdoor rallies, usually at airplane hangers. But those rallies have grown in size in recent weeks, with little social distancing and few masks.

    And on Sunday, they returned indoors, in part as a nod to the Las Vegas-area heat. Temperature checks were given to all upon entrance at the industrial site in Henderson and while masks were encouraged, few wore them.

    Nevada Gov. Steve Sisolak, a Democrat, has limited in-person gatherings indoors and outdoors to 50 people since May, a recommendation based on White House reopening guidelines. In a statement released just before the rally began, Sisolak said Trump was "taking reckless and selfish actions that are putting countless lives in danger here in Nevada."

    "To put it bluntly: he didn't have the guts to make tough choices," Sisolak said of Trump's handling of the virus. "He left that to governors and the states. Now he's decided he doesn't have to respect our State's laws. As usual, he doesn't believe the rules apply to him."

    The city of Henderson informed Xtreme Manufacturing on Sunday that the event as planned was in direct violation of the governor's COVID-19 emergency directives and that penalties would follow.

    The Trump campaign pushed back against the restrictions with the president saying he would support those in attendance "if the governor came after you."


    Anti-inflammatory drug may shorten COVID-19 recovery time

    11:55 AM CT on 9/14/20

    (AP) A drug company says that adding an anti-inflammatory medicine to a drug already widely used for hospitalized COVID-19 patients shortens their time to recovery by an additional day.

    Eli Lilly announced the results Monday from a 1,000-person study sponsored by the U.S. National Institute of Allergy and Infectious Diseases. The results have not yet been published or reviewed by independent scientists.

    The study tested baricitinib, a pill that Indianapolis-based Lilly already sells as Olumiant to treat rheumatoid arthritis, the less common form of arthritis that occurs when a mistaken or overreacting immune system attacks joints, causing inflammation. An overactive immune system also can lead to serious problems in coronavirus patients. 

    All study participants received remdesivir, a Gilead Sciences drug previously shown to reduce the time to recovery, defined as being well enough to leave the hospital, by four days on average. Those who also were given baricitinib recovered one day sooner than those given remdesivir alone, Lilly said.

    Lilly said it planned to discuss with regulators the possible emergency use of baricitinib for hospitalized COVID-19 patients.

    It would be important to know how many study participants also received steroid drugs, which have been shown in other research to lower the risk of death for severely ill, hospitalized COVID-19 patients, said Dr. Jesse Goodman, former U.S. Food and Drug Administration chief scientist now at Georgetown University who had no role in the study.

    Figuring out how to best use the various drugs shown to help "is something we're going to have to work at," he said.


    Indonesia's capital under virus order, hospitals nearly full

    9:40 AM CT on 9/14/20

    (AP) Main streets were less crowded as Indonesia's capital began two weeks of social restrictions Monday to curb a rise of coronavirus infections that has pushed its critical-care hospital capacity to unsafe levels.

    Jakarta Gov. Anies Baswedan announced the restrictions Sunday, to last from Monday to Sept. 27, in what he described as an emergency decision to control a rapid expansion in coronavirus cases in Jakarta.

    Social, economic, religious, cultural and academic activities will be restricted, with 11 essential sectors, like food, construction and banking, allowed to operate with health protocols and 50% of usual staffing levels.

    Schools, parks, recreation sites and wedding reception venues must close entirely. Restaurants and cafes are limited to takeaway and delivery service. Shopping centers must limit the number of visitors and their hours. Only religious places at residential areas are able to open.

    Jakarta previously imposed large-scale social restrictions from April to June, then eased them gradually with businesses reopening and using health protocols.

    But the virus has spread significantly since June, and medical facilities are filling with sick patients. Seven of 67 COVID-19 referral hospitals in Jakarta are 100% occupied, while 46 are more than 60% occupied.

    Baswedan said last week the hospital capacity for isolation and intensive-care rooms has exceeded the safe limit and is estimated to reach the maximum capacity on Thursday, after which Jakarta health facilities will collapse.

    "From the death rate, the use of isolation beds, the use of the special ICU for COVID-19 shows that the outbreak situation in Jakarta is in an emergency situation," he added.

    Indonesia's virus task force said more than 54,000 of the nation's 218,000 cases of COVID-19 are in Jakarta. The city also has recorded 1,391 deaths of the nation's toll of 8,723.


    Nebraska loosens COVID-19 restrictions

    8:37 PM CT on 9/13/2020

    Nebraska Governor Pete Ricketts' move to loosen COVID-19 restrictions across most of the state takes place this week.

    Outdoor venues can operate at 100% occupancy while indoor venues can increase to 75% capacity.

    Ricketts considers large events to be 500 or more people.

    Those large-scale events will still need approval from their local health director.

    State officials said they made the decision based on the availability of hospital beds and ventilators, in keeping with the Republican governor's goal of not overwhelming medical facilities.

    “The goal has always been to protect hospital capacity, and capacity remains stable,” said Ricketts spokesman Taylor Gage.

    Nebraska's hospitals have 36% of their regular beds, 31% of their intensive care unit beds and 81% of their ventilators available, according to the state's online tracking portal. Those numbers have changed little in the last few months.


    Birx ‘very encouraged’ by COVID-19 trends in Mid-South

    6:08 PM CT on 9/13/2020

    (WMC5) A top member of the White House Coronavirus task force visited the Mid-South this weekend and recognized progress the region is making in the fight against COVID-19.

    “We have eyes on every city, every county, every town in every state in America and our territories, and we’re tracking that very closely,” Dr. Deborah Birx, the White House Coronavirus Response Coordinator, said.

    Birx says while the battle against COVID-19 is not over, she’s “very encouraged” with how far the Mid-South has come.

    She says Mississippi in particular has come a long way since her last visit several weeks ago and that social distancing and mask mandates are working.

    “We see the trend lines in every county look quite good. You went from almost 60-plus red counties down to 23,” Birx said. “The numbers are important to us, but the trends are important to us also.”


    Cdoronavirus pandemic takes harsh toll on young adults’ mental health, poll finds

    3:21 PM CT on 9/13/2020

    (AP) The coronavirus pandemic has taken a harsh toll on the mental health of young Americans, according to a new poll that finds adults under 35 especially likely to report negative feelings or experience physical or emotional symptoms associated with stress and anxiety.

    A majority of Americans ages 18 through 34 — 56% — say they have at least sometimes felt isolated in the past month, compared with about 4 in 10 older Americans, according to the latest COVID Response Tracking Study conducted by NORC at the University of Chicago. Twenty-five percent of young adults rate their mental health as fair or poor, compared with 13% of older adults, while 56% of older adults say their mental health is excellent or very good, compared with just 39% of young adults.

    The study found that younger Americans also consistently show higher rates of psychosomatic symptoms, like having trouble sleeping, getting headaches or crying, compared to other age groups. The likelihood of experiencing such symptoms decreases with age.

    The survey found 67% of young adults, but just 50% of those older, say they have at least sometimes felt that they were unable to control the important things in life. And 55% of 18 to 34 year olds say they have felt difficulties piling up too high to overcome, compared with 33% of older adults.


    Federal regulators have issued only modest fines at U.S. meat plants

    11:48 AM CT on 9/13/2020

    (Washington Post) More than 200 meat plant workers in the U.S. have died of covid-19. Federal regulators just issued two modest fines, the Washington Post reports.

    Federal regulators took six months to issue citations to two plants, despite knowing that dozens of the nation’s meat plants had become coronavirus hot spots this spring.

    The fines leveled against a Smithfield Foods plant in South Dakota and a JBS plant in Colorado last week total about $29,000.

    Meat plant workers, union leaders and worker safety groups told the Washington Post that they were outraged that the two plants, with some of the most severe outbreaks in the nation, were only cited for a total of three safety violations and that hundreds of other meat plants have faced no fines.


    S.C. public health officials roll out vaccine system upgrade

    9:31 AM CT on 9/13/20202

    (AP) As officials make plans for the future dissemination of a coronavirus vaccine, South Carolina’s public health department is rolling out a new network to help manage all of the state’s vaccine-related information.

    In a release Sunday, the Department of Health and Environmental Control said that the Statewide Immunization Online Network would help immunization providers keep track of inventory and give state officials the ability to address coverage rates. Officials said the system would also provide patient reminders and a portal where patients can access their immunization records.

    Interim public health director Dr. Brannon Traxler said the upgrade comes at a good time, given the ongoing coronavirus pandemic. On Thursday, public health officials announced that a plan was in the works for distributing a COVID-19 vaccine when it becomes available, to prioritize high-risk individuals, frontline health care workers and critical infrastructure employees when limited doses of the vaccine first arrive.

    Officials also stressed that there is no confirmed date for when such a vaccine will be available to the general public.

    As of Saturday, state public health officials had reported more than 127,600 confirmed positive tests for coronavirus in South Carolina, and at least 2,891 deaths attributable to COVID-19.


    Missouri has topped 100,000 confirmed cases of the coronavirus

    8:30 PM CT on 9/12/20

    (AP) The Missouri Department of Health and Senior Services’ coronavirus dashboard cited 1,974 new confirmed cases of COVID-19 on Saturday, bringing the total since the pandemic began to 101,134. The true number is likely much higher since many people with the virus go undiagnosed.

    The state also added three new deaths. All told, 1,704 Missourians have died from COVID-19.

    The number of cases in the state is growing at a rate faster than most places. Data from the U.S. Centers for Disease Control and Prevention shows that over the seven-day period of Sept. 4-10, Missouri saw the nation’s sixth-highest number of new cases.

    In other state news: 

    • Arizona Department of Health Services officials on Saturday reported more than 600 additional confirmed COVID-19 cases and 27 additional deaths as the state’s coronavirus outbreak continues to slow.
    • Nevada health officials on Saturday reported 414 additional confirmed COVID-19 cases and 10 additional deaths, increasing the statewide totals to 73,220 cases and 1,439 deaths.
    • Health officials in Michigan are strongly recommending Michigan State University students living on or near the school’s East Lansing campus self-quarantine because of an outbreak of the coronavirus.

    Kentucky 'front line hero' dies of virus

    6:23 PM CT on 9/12/20

    (AP) A prominent Kentucky infectious disease specialist who was hailed by the governor as a “front line hero” has died after a nearly four-month battle against COVID-19.

    Dr. Rebecca Shadowen, who tested positive for the virus on May 13, died on Friday night, Med Center Health in Bowling Green said. Gov. Andy Beshear tweeted Saturday that he was “heartbroken” to hear of her death and urged people to follow her advice and “wear a mask in her honor.”

    Connie Smith, president and CEO of Med Center Health, said Shadowen “will forever be remembered as a nationally recognized expert who provided the very best care for our patients and community. She was a dear friend to many.”

    Before contracting the virus, Shadowen led Med Center Health’s work in National Institute of Health trials of patients’ treatment for the virus, according to media reports.

    Shadowen had said she believed she contracted the virus after an elderly family member received care at home from an infected caregiver.

    “COVID-19 does not discriminate in its ability to penetrate our homes and communities,” Shadowen said when announcing in the spring that she had tested positive for the virus.

    While battling the virus, she surprised members of the Bowling Green–Warren County Coronavirus Workgroup by joining in a conference call, telling the group: “It’s a great day to be alive.” She stressed the importance of wearing a mask in public.

    In his social media tribute Saturday, Beshear referred to Shadowen as a “front line hero who worked tirelessly to protect the lives of others.”


    Harshmallow: Virus prompts pause for Peeps holiday treats

    3:23 PM CT on 9/12/20

    (AP) Peeps treats are going on hiatus for several months — another consequence of the coronavirus pandemic.

    Just Born Quality Confections said it won’t be producing the popular marshmallow sweets for Halloween, Christmas or Valentine’s Day as the Bethlehem, Pennsylvania-based company prepares for next Easter, PennLive.com reports.

    Production of the holiday-shaped candies was suspended in the spring as the coronavirus spread across the state. Limited production resumed in mid-May with protocols in place to protect employees, Just Born said.

    “This situation resulted in us having to make the difficult decision to forego production of our seasonal candies for Halloween, Christmas and Valentine’s Day in order to focus on meeting the expected overwhelming demand for Peeps for next Easter season, as well as our everyday candies,” the company said.

    For confectioners, Easter is one of their biggest and busiest times of the year as children — and adults — use the holiday as an excuse to indulge in candy eggs and chocolate bunnies.

    Just Born, which has been in business since 1923, said its other seasonal confections are expected to return to store shelves by Halloween 2021.


    Minnesota reports 929 new COVID-19 cases, 9 deaths

    2:09 PM CT on 9/12/20

    (AP) Minnesota heath officials reported 929 positive COVID-19 tests and nine additional deaths on Saturday.

    The newly reported positive cases bring the statewide to 83,588. Health officials said 9,077 health care workers have tested positive for the virus since the pandemic began.

    More than 76,600 people were marked as no longer needing isolation.

    Minnesota’s death toll from the coronavirus was 1,906 on Saturday. Officials report that 1,389 of deaths have been among residents of long-term care or assisted living facilities.

    A total of 6,899 people have required hospitalization. Of those, 247 remain in those facilities, with 140 in intensive care.

    For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia.


    Dakotas lead US in virus growth as both reject mask rules

    12:01 PM CT on 9/12/20

    (AP) Coronavirus infections in the Dakotas are growing faster than anywhere else in the nation, fueling impassioned debates over masks and personal freedom after months in which the two states avoided the worst of the pandemic.

    The argument over masks raged this week in Brookings, South Dakota, as the city council considered requiring face coverings in businesses. The city was forced to move its meeting to a local arena to accommodate intense interest, with many citizens speaking against it, before the mask requirement ultimately passed.

    Amid the brute force of the pandemic, health experts warn that the infections must be contained before care systems are overwhelmed. North Dakota and South Dakota lead the country in new cases per capita over the last two weeks, ranking first and second respectively, according to Johns Hopkins University researchers.

    The states have also posted some of the country's highest positivity rates for COVID-19 tests in the last week — nearly 22 percent in North Dakota — an indication that there are more infections than tests are catching.

    Infections have been spurred by schools and universities reopening and mass gatherings like the Sturgis Motorcycle Rally, which drew hundreds of thousands of people from across the country.

    “It is not a surprise that South Dakota has one of the highest (COVID-19) reproduction rates in the country,” Brookings City Council member Nick Wendell said as he commented on the many people who forgo masks in public.

    North Dakota Gov. Doug Burgum and South Dakota Gov. Kristi Noem have resisted mask requirements. Burgum promotes personal choice but tried to encourage masks with a social media campaign. Noem has discouraged mask requirements, saying she doubts a broad consensus in the medical community that they help prevent infections.


    Texas reports nearly 3,500 new virus cases

    9:52 AM CT on 9/12/20

    (AP) The Texas Department of State Health Services reported 3,488 new coronavirus cases Friday and 144 deaths.

    That brought the total confirmed cases to 653,356 and nearly 14,000 confirmed deaths, state health official say. However, the true number of cases in Texas is likely higher because many people haven’t been tested and studies suggest people can be infected and not feel sick.

    Health officials estimated 71,292 cases are now active, with 3,475 requiring hospitalization. The number of hospitalizations has been decreasing since peaking in July at 10,893.


    New Mexico rolls out new supplemental unemployment benefit

    8:24 PM CT on 9/11/20

    (AP) New Mexico labor officials say they have started paying out supplemental federal unemployment benefits of $300 a week.

    The Workforce Solutions Department announced Friday that it has begun processing supplemental benefits for the five week period starting on July 26. That is when a larger $600 weekly federal supplement to unemployment benefits expired.

    Recipients for the new payments must already qualify for state unemployment benefits of at least $100 a week. They could receive up to $1,500 in a separate payment from standard benefits.

    New Mexico was among the first state's to receive approval for the new unemployment benefits channeled through the Federal Emergency Management Agency.

    Since March 15, the state Workforce Solutions Department has paid out more than $2 billion in assistance to more than 200,000 residents.

    The statewide unemployment rate surged to 12.7% in July — a rate surpassed in just seven other states, according to the U.S. Bureau of Labor Statistics. The tourism, hospitality, arts and energy sectors have been especially hard hit.

    Democratic Gov. Michelle Lujan Grisham has taken an aggressive approach to reducing COVID-19 infections and positivity rates in testing with an active health order that mandates masks in public, limited occupancy at most businesses, a 10-person cap on public gatherings and quarantine provisions for travelers arriving from most states.

    More than 26,500 people have tested positive for COVID-19 statewide since the start of the pandemic, with 818 related deaths as of Friday.

    Out of 137 newly confirmed cases on Friday, 40 were in rural Chavez County where the return to classroom learning is on hold because of high positivity rates for the coronavirus.

    Two new virus deaths included a woman in her 30s in Lea County with prior underlying health conditions who died after being hospitalized.

    For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some — especially older adults and people with existing health problems — it can cause more severe illness, including pneumonia, and death.


    UN General Assembly adopts pandemic resolution

    6:31 PM CT on 9/11/20

    (AP) The U.N. General Assembly has overwhelmingly approved a resolution on tackling the coronavirus pandemic over objections from the United States and Israel, which protested a successful last-minute Cuban amendment that strongly urges countries to oppose unilateral economic, financial or trade sanctions.

    The world body adopted the resolution Friday by a vote of 169-2. It was a strong show of unity by the U.N.’s most representative body in addressing the coronavirus, though many countries had hoped for adoption by consensus.

    The resolution is not legally binding. It “calls for intensified international cooperation and solidarity to contain, mitigate and overcome the pandemic” and it urges member states “to enable all countries to have unhindered timely access to quality, safe, efficacious and affordable diagnosis, therapeutics, medicines and vaccines.”


    Study finds kids infected at day care spread virus at home

    4:18 PM CT on 9/11/20

    (AP) Children who caught the coronavirus at day cares and a day camp spread it to their relatives, according to a new report that underscores that kids can bring the germ home and infect others.

    Scientists already know children can spread the virus. But the study published Friday by the Centers for Disease Control and Prevention "definitively indicates — in a way that previous studies have struggled to do — the potential for transmission to family members," said William Hanage, a Harvard University infectious diseases researcher.

    The findings don't mean that schools and child-care programs need to close, but it does confirm that the virus can spread within those places and then be brought home by kids. So, masks, disinfection and social distancing are needed. And people who work in such facilities have to be careful and get tested if they think they may be infected, experts said.

    Earlier research from the U.S., China and Europe has found that children are less likely than adults to be infected by the virus and are less likely to become seriously ill when they do get sick.

    There also was data suggesting that young children don't spread the virus very often, though older kids are believed to spread it as easily as adults.

    In the new study, researchers from Utah and the CDC focused on three outbreaks in Salt Lake City child care facilities between April and July. Two were child-care programs for toddlers, and the other was a camp for older kids. The average age of kids at all three programs was about 7.

    At two of the facilities, investigators were able to establish that an infected adult worker unknowingly introduced the virus.

    The study concluded 12 children caught the coronavirus at the facilities, and spread it to at least 12 of the 46 parents or siblings that they came in contact with at home. Three of the infected children had no symptoms, and one of them spread it to a parent who was later hospitalized because of COVID-19, the researchers said.

    That kind of rate of spread — about 25% — is on par with studies of spread in households that have included both children and adults. It also shows that children with no symptoms, or very mild symptoms, can spread the infection, just like adults can.

    Hanage cautioned that it's not clear whether the findings at the three programs are broadly applicable. Also, the study didn't involve genetic analysis of individual infections that might have given a clearer picture of how the disease spread.

    But many infected kids experience mild illnesses and testing of children has been very limited, so it's likely that more than 25% of the outside contacts were infected, Hanage added.

    The epidemic could get worse and more complicated this fall, said Dr. David Kimberlin, a pediatric infectious diseases specialist at the University of Alabama at Birmingham.

    "This should be another wake up call to all of us that we need to be diligent and all do our part," he said.


    Daily U.S. virus deaths decline, but trend may reverse in fall

    2:03 PM CT on 9/11/20

    (AP) The number of daily U.S. deaths from the coronavirus is declining again after peaking in early August, but scientists warn that a new bout with the disease this fall could claim more lives.

    The arrival of cooler weather and the likelihood of more indoor gatherings will add to the importance of everyday safety precautions, experts say.

    "We have to change the way we live until we have a vaccine," said Ali Mokdad, professor of health metrics sciences at the University of Washington in Seattle. In other words: Wear a mask. Stay home. Wash your hands.

    The U.S. has seen two distinct peaks in daily deaths. The nation's summertime surge crested at about half the size of the first deadly wave in April.

    Deaths first peaked on April 24 at an average of 2,240 each day as the disease romped through the dense cities of the Northeast. Then, over the summer, outbreaks in Texas, California and Florida drove daily deaths to a second peak of 1,138 on Aug. 1.

    Some states — Florida, Georgia, Mississippi, Nevada and California — suffered more deaths during the summer wave than during their first milder run-in with the virus in the spring. Others — Michigan, Pennsylvania, Maryland and Colorado — definitely saw two spikes in infections but suffered fewer deaths the second time around.

    Now about 700 Americans are dying of the virus each day. That's down about 25% from two weeks ago but still not low enough to match the early July low of about 500 daily deaths, according to an Associated Press analysis of data compiled by Johns Hopkins University.

    The number of people being treated for COVID-19 in hospitals in the summertime hot spots of Florida and Texas has been on a steady downward trend since July.

    In Florida, the number of COVID-19 patients Thursday morning was less than 3,000 after peaking at more than 9,500 on July 23. Two weeks later, the state reached its highest seven-day average in daily reported deaths.

    In Texas, about 3,500 people were hospitalized with COVID-19 on Thursday, a measure that's been improving since peaking July 22 at 10,893.

    Worryingly, a dozen states are bucking the national downward trend. Iowa, North Carolina, West Virginia and Kansas are among states still seeing increases in daily deaths, although none is anywhere near the death rates seen in the spring in the Northeast. Back then, the virus caught New York off guard and claimed 1,000 lives per day in that state alone, or five deaths per 100,000 people.

    "Often, it's hard to understand the trends when looking at the whole country," said Alison Hill, an infectious disease researcher at Harvard University. She noted that daily deaths are still rising in some metro areas, including Memphis, Sacramento, San Francisco and San Jose.

    "We're at a really critical point right now," Hill said. "Schools are reopening. The weather is getting colder, driving people indoors. All those things don't bode particularly well."


    Poll: Pandemic takes toll on mental health of young adults

    11:50 AM CT on 9/11/20

    (AP) The coronavirus pandemic has taken a harsh toll on the mental health of young Americans, according to a new poll that finds adults under 35 especially likely to report negative feelings or experience physical or emotional symptoms associated with stress and anxiety.

    A majority of Americans ages 18 through 34 — 56% — say they have at least sometimes felt isolated in the past month, compared with about 4 in 10 older Americans, according to the latest COVID Response Tracking Study conducted by NORC at the University of Chicago. Twenty-five percent of young adults rate their mental health as fair or poor, compared with 13% of older adults, while 56% of older adults say their mental health is excellent or very good, compared with just 39% of young adults.

    In the midst of the pandemic, young adults are navigating life transitions such as starting college and finding jobs, all without being able to experience normal social activities that might be especially essential for people who are less likely to have already married and started their own families. Some young people are just beginning their adult lives amid a recession, and older members of the group are already experiencing their second.

    Christina Torres, 32, a middle school teacher in Honolulu, had to postpone her June wedding and was not able to travel to her grandmother's funeral in California because of the pandemic. She misses being able to deal with stress by going to the gym and getting together with friends.

    "And so it's hard to not feel really hopeless sometimes, especially because the numbers keep going up," she said.

    The study found that younger Americans also consistently show higher rates of psychosomatic symptoms, like having trouble sleeping, getting headaches or crying, compared to other age groups. The likelihood of experiencing such symptoms decreases with age.

    One possible explanation for the age gap could be that young adults have less experience dealing with a public health crisis, said Tom Smith, who has directed NORC's General Social Survey since 1980. Smith, 71, says he grew up being told not to play in the dirt because of the risk of contracting polio.

    "This experience facing a pandemic is completely new for most younger adults," he said.


    India adds 96K virus cases, orders some retests

    9:27 AM CT on 9/11/20

    India edged closer to recording nearly 100,000 coronavirus cases in 24 hours as it ordered retesting of many people whose first results were from the less reliable rapid antigen tests being widely used.

    There were a total of 96,551 confirmed cases, taking the tally to over 4.56 million. The Health Ministry on Friday also reported another 1,209 deaths for a total of 76,271.

    India has the second-highest caseload behind the United States, where more than 6.39 million people have been confirmed as infected.

    The Health Ministry has asked states to allow testing on demand without a doctor’s prescription. It also said some negative rapid antigen tests should be redone through the more reliable RT-PCR method, the gold standard of coronavirus tests that looks for the genetic code of the virus.

    The retesting order applied to people who had negative results but had fever, coughing or breathlessness, or those who developed the COVID-19 symptoms within three days of their negative test results.

    The order was meant to ensure that infected people did not go undetected and to help check the spread the disease among their contacts.

    Using the rapid antigen, or viral protein, tests has allowed India to dramatically increase its testing capacity to more than 1.1 million a day, but the quicker, cheaper test is less reliable and retesting is often recommended.

    The directive came as 60% of India's cases have been reported from only five of the country's 28 states. However, experts caution that India’s outbreak is entering a more dangerous phase as the virus spreads to smaller towns and villages.

    With the economy contracting by a record 23.9% in the April-June quarter leaving millions jobless, the Indian government is continuing with relaxing lockdown restrictions that were imposed in late March.


    Trump revels in packed Michigan crowd amid book fallout

    8:40 PM CT on 9/10/20

    (AP) Reeling from another crisis of his own making, President Donald Trump tried to refocus attention on his Democratic rival at a rally in battleground Michigan Thursday as he pushed to move past revelations that he purposefully played down the danger of the coronavirus last winter.

    But the virus controversy followed him as he faced new pushback from local officials worried about the growing size of his rallies and his campaign's repeated flouting of public health guidelines intended to halt the COVID-19 spread. That includes Michigan’s Democratic Gov. Gretchen Whitmer, who raised alarms about Thursday’s event, warning it would make recovery harder.

    Trump, however, reveled in the crowd of several thousand, packed shoulder-to-shoulder in a cavernous airport hangar, mostly without masks — with Air Force One on display as his backdrop.

    “This is not the crowd of a person who comes in second place,” Trump declared to cheers as he railed against Whitmer for current state restrictions.

    “Tell your governor to open up your state!” he demanded, saying Michigan would be better if it “had a governor who knew what the hell she was doing."

    Before departing the White House, Trump denied he had lied to the nation as he continued to grapple with fallout from a new book by Washington Post journalist Bob Woodward. In a series of interviews with Woodward, the president spoke frankly about the dangers posed by the virus — even as he downplayed them publicly — and admitted he had tried to mislead the public.


    US will end current health screening of some travelers

    6:20 PM CT on 9/10/20

    (AP) The United States plans to end enhanced health screening of travelers from certain countries next week, and those visitors will no longer be funneled through 15 large U.S. airports.

    Those requirements were imposed in January to prevent the spread of COVID-19. The Centers for Disease Control and Prevention said the government will remove those edicts beginning Monday.

    The CDC said the current screening, which includes temperature checks and questioning travelers about COVID-19 symptoms, “has limited effectiveness” because some infected people have no symptoms or only minor ones. Travelers go through customs only after the health screening.

    The health agency said that of the 675,000 travelers who went through the process, fewer than 15 were found to have COVID-19 because of the extra screening.

    The health agency said that instead it will focus on other measures, including a stronger response to reports of illness at airports, collecting passenger-contact electronically to avoid long lines, and “potential testing to reduce the risk of travel-related transmission” of the virus.

    The extra health screening applies to people who have been in China, Iran, most countries in continental Europe, the United Kingdom, Ireland and Brazil. Most people coming from those countries who aren’t U.S. citizens have been barred entry to the country.


    U.K.'s 'Moonshot' mass virus test plan met with skepticism

    4:20 PM CT on 9/10/20

    (AP) Health experts on Thursday expressed strong skepticism about the British government's ambitious plans to carry out millions of coronavirus tests daily in a bid to help people resume normal lives in the absence of a vaccine.

    Prime Minister Boris Johnson said Wednesday he wanted to roll out much simpler, faster mass testing "in the near future" to identify people who don't have the virus so that they can "behave in a more normal way in the knowledge they can't infect anyone else." Johnson said people with such negative "passports" could then attend events at places like theaters, and he said he was "hopeful" that the plan will be widespread by springtime.

    Health professionals were quick to question the mass testing claims, with one expert calling the strategy — known as "Operation Moonshot" — "fundamentally flawed."

    "It is being based on technology that does not, as yet, exist," said Dr. David Strain, clinical lecturer at the University of Exeter. Johnson's suggestion of new tests that can give rapid results like a pregnancy test is "unlikely if not impossible" by the spring, he said, and the technology is far from reliable.

    "Existing technology has been demonstrated to miss up to one-third of people who have COVID-19 in early disease. After a second test 48 hours later, we still miss over a quarter of people," he said.

    Dr. Chaand Nagpaul, council chairman of the British Medical Association, echoed the concerns, particularly given the problems Britain is already experiencing with laboratory capacity to process tests.

    "The notion of opening up society based on negative tests of those without symptoms needs to be approached with caution — both because of the high rate of 'false negatives' and the potential to miss those who are incubating the virus," he said.

    Jonathan Ashworth, the opposition Labour party's health spokesman, said Thursday that many are "fed up of undelivered promises." In response, Health Secretary Matt Hancock said he's "absolutely determined that we will get there."

    Officials say Britain currently has the capacity to process about 370,000 tests a day, and aim to ramp this up to 500,000 daily by the end of October. Government data show that about 176,000 tests are actually processed each day.


    Vaccine trial stopped after neurological symptoms detected

    2:03 PM CT on 9/10/20

    (AP) A woman who received an experimental coronavirus vaccine developed severe neurological symptoms that prompted a pause in testing, a spokesman for drugmaker AstraZeneca said Thursday.

    The study participant in late-stage testing reported symptoms consistent with transverse myelitis, a rare inflammation of the spinal cord, said company spokesman Matthew Kent.

    "We don't know if it is (transverse myelitis)," Kent said. "More tests are being done now as part of the follow-up."

    On Tuesday, AstraZeneca said its "standard review process triggered a pause to vaccination to allow review of safety data." It did not provide any details other than to say a single participant had an "unexplained illness." The vaccine was initially developed by Oxford University after the coronavirus pandemic began this year.

    Kent said an independent committee was reviewing the study's safety data before deciding if and when the research could continue.

    The study was previously stopped in July for several days after a participant who got the vaccine developed neurological symptoms; it turned out to be an undiagnosed case of multiple sclerosis that was unrelated to the vaccine.

    Late last month, AstraZeneca began recruiting 30,000 people in the U.S. for its largest study of the vaccine. It also is testing the vaccine in thousands of people in Britain, and in smaller studies in Brazil and South Africa. Several other COVID-19 vaccine candidates are in development.

    Dr. Soumya Swaminathan, the World Health Organization's chief scientist, said the U.N. health agency wasn't overly concerned by the pause in the Oxford and AstraZeneca vaccine trial, describing it as "a wake-up call" to the global community about the inevitable ups and downs of medical research.

    Temporary holds of large medical studies aren't unusual, and investigating any serious or unexpected reaction is a mandatory part of safety testing. AstraZeneca pointed out that it's possible the problem could be a coincidence; illnesses of all sorts could arise in studies of thousands of people.


    N.Y. eases restrictions on visits at assisted-living homes

    11:55 AM CT on 9/10/20

    (AP) New York is now allowing visitors to see loved ones at assisted living homes that are COVID-free for 14 days, up from 28 days under previous guidance.

    Family members and friends of residents at the state's nursing homes and assisted living homes have been urging the state for months to ease its March 13 ban on most visits. The state's guidance has allowed visits for medically necessary or end-of life services.

    New York announced July 10 that it would begin allowing restricted visits at nursing homes and assisted living facilities that haven't had a COVID-19 case among residents or staffers for 28 days.

    Visits are limited to outdoor areas with weather permitting, though visits of no more than 10 individuals in a well-ventilated space can be allowed in "certain limited circumstances."

    But loved ones of residents at homes housing the state's elderly that have yet to meet the benchmark have expressed frustration and questioned why the state's threshold was above the federal 14-day incubation period for COVID-19.

    The 28-day threshold for restricted visits still applies to nursing homes.

    State Department of Health spokesperson Jonah Bruno said the state is easing the policy just for assisted-living homes because outbreaks are "less common" than at nursing homes.

    "We understand how difficult the pandemic-related lockdowns have been for all New Yorkers, especially for children in nursing homes and their families," Bruno said. "Outbreaks in pediatric nursing homes and adult care facilities have fortunately been less common and acute than at adult nursing homes, which has allowed us to expand visitation at these facilities."

    State Health Commissioner Howard Zucker has defended the visitation policy as protecting a vulnerable population from the risk of infection by outside visitors. Employees of nursing homes and adult care facilities must be tested once or twice a week under a May 10 executive order.


    Senate GOP's virus relief bill expected to fall in vote

    9:25 AM CT on 9/10/20

    (AP) A GOP coronavirus relief package faces dire prospects in a Senate test vote, and negotiators involved in recent efforts to strike a deal that could pass before the November election say they see little reason for hope.

    Instead, it's looking increasingly likely that all Congress will do before the election is pass legislation that would avoid a federal shutdown as lawmakers head home to campaign.

    Senate Majority Leader Mitch McConnell, R-Ky., said he was "optimistic" that Republicans would deliver strong support for the GOP's $500 billion slimmed-down COVID-19  rescue package in Thursday's procedural vote, but a Democratic filibuster is assured. Democrats have indicated they will shelve the Republican measure as insufficient, leaving lawmakers at an impasse.

    There's no indication yet that bipartisan talks that crumbled last month will restart.

    "Unless something really broke through, it's not going to happen," said Sen. Richard Shelby, R-Ala., chairman of the Senate Appropriations Committee.

    The stalemate is politically risky for all sides heading into the fall election, which will decide not only the presidency, but also control of Congress.

    While nationwide coronavirus cases appear to be at a plateau, there is still widespread economic hardship and social unease in homes, schools and businesses affected by closures. Experts warn that infections are expected to spike again if Americans fail to abide by public health guidelines for mask-wearing and social distancing, especially amid colder weather and flu season.

    McConnell said Democrats have not backed off what he said were unreasonable demands. He accused Democrats of acting as though it is to their political advantage to deny Republicans and President Donald Trump a victory on the virus so close to Election Day. Without Democratic votes, the GOP bill cannot reach the threshold needed to advance the aid plan.

    "They do not want any bipartisan relief," McConnell said.

    But the top Democrat, Sen. Chuck Schumer of New York, said Republicans are "so out of touch." He predicted Republicans and the White House "may yet be forced to come back to the table because COVID is the major issue that's facing the American people."


    Meatpacking plants have highest number of active COVID cases

    8:29 PM CT on 9/9/20

    (AP) Meatpacking plants and correctional facilities continue to be the main sites of active COVID-19 clusters in Kansas, with each reporting thousands of cases, according to data released  Wednesday by the state health department.

    It was the first time the Kansas Department of Health and environment publicized specific active COVID-19 clusters. The state identified 117 active clusters, involving 5,099 cases, 192 hospitalizations and 63 deaths.

    The information was released hours after several large Kansas business groups released a letter to Gov. Laura Kelly asking her not to identify specific clusters, saying it could harm businesses as they try to recover from the pandemic.

    "We are unsure what the benefit of this disclosure offers, other than a public shaming of businesses where an outbreak occurs," Kansas Chamber President and CEO Alan Cobb said in the letter.

    State health department director Dr. Lee Norman said the state decided to release specific active cluster cases in response to continuing requests from citizens who want to make informed decisions and to assess their personal risk and reduce the virus spread. 

    "We want (businesses) to be successful and have safe environments for people to go," he said. "Whether it's working or shopping or eating, we want people to be safe." 

    Seven active clusters were identified at meatpacking plants, with 2,159 cases leading to 76 hospitalizations and 12 deaths. The largest outbreaks were in Dodge City, with 647 cases at a National Beef plant and 594 cases at a Cargill plant there.


    HHS asks labs about increased testing capacity with more instruments, reagents

    6:32 PM CT on 9/9/20

    HHS wants to know how much more COVID-19 testing capacity labs could realistically provide if additional testing instruments and reagents from Thermo Fisher Scientific were available, according to a request for information Wednesday.

    The agency asks Clinical Laboratory Improvement Amendments—CLIA—certified or accredited commercial, academic, medical center and public health laboratories to respond to the RFI by September 19.

    “Because HHS is seeking to significantly expand testing capability, responses that propose substantial increases in capability, and provide adequate justification … are preferred,” HHS said in the RFI.


    Pharmacists can administer COVID vaccines to people three and older, HHS says

    4:40 PM CT on 9/9/20

    State-licensed pharmacists can order and administer COVID-19 vaccinations to people three or older, according to HHS guidance on Wednesday.

    Pharmacy interns can also administer the vaccines if they’re working under the supervision of a qualified pharmacist. According to the agency, its guidance takes precedence over state or local laws that “prohibit or effectively prohibits those who satisfy these requirements from ordering or administering COVID-19 vaccines.”

    “The authorization does not preempt state and local laws that permit additional individuals to administer COVID-19 vaccines to additional persons,” HHS said in a statement.

    Expanding clinicians’ scopes of practice have been a key part of the Trump administration’s COVID-19 response. Federal policymakers hope the changes will improve access to care and, eventually, lower healthcare costs.


    'I wanted to always play it down,' Trump said of virus in Woodward book

    2:13 PM CT on 9/9/20

    (AP) President Donald Trump seemed to understand the severity of the coronavirus threat even as he was telling the nation that the virus was no worse than the seasonal flu and insisting that the U.S. government had it totally under control, according to a new book by journalist Bob Woodward.

    "You just breathe the air and that's how it's passed," Trump said in a Feb. 7 call with Woodward. "And so that's a very tricky one. That's a very delicate one. It's also more deadly than even your strenuous flu."

    "This is deadly stuff," the president repeated for emphasis.

    Trump told Woodward on March 19 that he deliberately minimized the danger. "I wanted to always play it down," the president said.

    The Washington Post, where Woodward serves as associate editor, reported excerpts of the book, "Rage" on Wednesday, as did CNN. The book also covers race relations, diplomacy with North Korea and a range of other issues that have arisen during the past two years.

    The book is based in part on 18 interviews that Woodward conducted with Trump between December and July.

    "Trump never did seem willing to fully mobilize the federal government and continually seemed to push problems off on the states," Woodward writes. "There was no real management theory of the case or how to organize a massive enterprise to deal with one of the most complex emergencies the United States had ever faced."

    White House press secretary Kayleigh McEnany said the president's words to the public were designed to express confidence and calm at a time of insurmountable challenges.

    "The president has never lied to the American public on COVID. The president was expressing calm and his actions reflect that," McEnany said.

    McEnany took questions about the book during a briefing at the White House on Wednesday. She said his actions reflect that he took COVID-19 seriously.


    Verily Life Sciences COVID test gets FDA emergency use authorization

    11:28 AM CT on 9/9/20

    (GenomeWeb) The U.S. Food and Drug Administration on Tuesday granted Emergency Use Authorization for Verily Life Sciences’ molecular SARS-CoV-2 test.

    The Verily COVID-19 RT-PCR Test is designed to detect the ORF1ab, N, and S genes of SARS-CoV-2 in upper respiratory specimens and can be used with pooled samples containing up to 12 individual specimens collected by healthcare providers.

    The test is a modified version of Thermo Fisher Scientific's authorized TaqPath COVID-19 Combo Kit that uses a matrix 2D-pooling strategy for which samples are pooled in a 96-well plate and includes procedural modifications that compensate for sample dilution during the pooled testing, according to the FDA.

    RNA extraction is performed using Thermo Fisher's MagMax Viral/Pathogen Nucleic Acid Isolation Kit and KingFisher Flex Magnetic Particle Processor, and the test runs on Thermo Fisher's Applied Biosystems 7500 Dx Fast Real-Time PCR System or Applied Biosystems QuantStudio 5 Real-Time PCR System.

    The test may be performed only by South San Francisco-based Verily, a sister company to Google. Both firms are owned by parent company Alphabet.


    Florida high school closes for 2 weeks due to virus cases

    9:43 AM CT on 9/9/20

    (AP) A central Florida high school is shutting its doors for two weeks after it had six confirmed cases and one suspected case of the coronavirus, and health officials said more than a dozen students who attend the high school had been at a birthday party together.

    Officials with Orange County Public Schools said over the weekend that Olympia High School's campus will be closed to students until Sept. 21 and all students will take online classes. There will be no athletic events or extracurricular activities during the two weeks, the school said on Twitter.

    The decision to temporarily close the school comes more than two weeks after in-person classes resumed for the Orlando-area school district.

    More than a third of Olympia's 3,300 students were taking classes on campus, with the rest of the student body taking online classes.

    "This decision to pivot is out of an abundance of caution after several positive COVID-19 cases have been confirmed," the school said on Twitter.

    At least 13 Olympia High School students had attended a birthday party together in late August, said Dr. Raul Pino, the Orange County health officer for the Florida Department of Health.

    More than 150 students and staff were quarantined because of possible exposure to the virus, said Scott Howat, a spokesman for Orange County Public Schools.

    "We knew that a school closure at some point was going to happen and we were prepared," Howat said at a news conference.


    Some call for end to COVID-19 rules as Arizona cases decline

    8:19 PM CT on 9/8/20

    (AP) Arizona health officials reported Tuesday just over 80 newly confirmed COVID-19 cases and two deaths, fueling some business owners to call for an end to operating restrictions.

    The Department of Health Services reported an 81 additional cases statewide. The last time the state saw a daily case count below 100 was in March, according to online data.

    So far, 5,221 people in the state have died of the disease caused by the coronavirus, and there have been 206,045 confirmed cases. The state, once a national hot spot for infections, continues to see a downward trend in infections and hospitalizations.

    The number of reported infections is thought to be far higher because many people have not been tested, and studies suggest people can be infected with the virus without feeling sick.

    Despite the decline in case and hospitalization numbers, officials warned the public to keep up preventive measures over the Labor Day weekend.

    About 100 people including local business owners held a demonstration on Monday at the state Capitol, calling for an end to all COVID-19 restrictions, the Republic reported. Among them was Republican State Rep. John Fillmore, who compared mask mandates to Holocaust victims in Nazi Germany “when people on their own bodies were tattooed.”

    Attorney General Mark Brnovich recently challenged Gov. Doug Ducey’s executive order allowing some businesses to partially reopen. Brnovich has argued it arbitrarily discriminates against some businesses.


    AstraZeneca COVID-19 vaccine study paused after one illness

    6:37 PM CT on 9/8/20

    (AP) Late-stage studies of AstraZeneca’s COVID-19 vaccine candidate are on temporary hold while the company investigates whether a patient suffered a serious side effect or if the illness had nothing to do with the shot.

    In a statement issued Tuesday evening, the company said its “standard review process triggered a pause to vaccination to allow review of safety data.”

    AstraZeneca didn't reveal any information about the possible side effect except to call it “a potentially unexplained illness.” The health news site STAT first reported the pause in testing, saying the possible side effect occurred in the United Kingdom.

    An AstraZeneca spokesperson confirmed the pause in vaccinations covers studies in the U.S. and other countries. Late last month, AstraZeneca began recruiting 30,000 people in the U.S. for its largest study of the vaccine. It also is testing the vaccine, developed by Oxford University, in thousands of people in Britain, and in smaller studies in Brazil and South Africa.

    Two other vaccines are in huge, final-stage tests in the United States, one made by Moderna Inc. and the other by Pfizer and Germany's BioNTech. Those two vaccines work differently than AstraZeneca's, and the studies already have recruited about two-thirds of the needed volunteers.

    Temporary holds of large medical studies aren't unusual, and investigating any serious or unexpected reaction is a mandatory part of safety testing. AstraZeneca pointed out that it's possible the problem could be a coincidence; illnesses of all sorts could arise in studies of thousands of people.

    “We are working to expedite the review of the single event to minimize any potential impact on the trial timeline,” the company statement said.

    Dr. Ashish Jha of Brown University said via Twitter that the significance of the interruption was unclear but that he was “still optimistic” that an effective vaccine will be found in the coming months.

    “But optimism isn’t evidence,” he wrote. “Let’s let science drive this process.”

    During the third and final stage of testing, researchers look for any signs of possible side effects that may have gone undetected in earlier patient research. Because of their large size, the studies are considered the most important phase of study for picking less common side effects and establishing safety.

    The trials also assess effectiveness by tracking who gets sick and who doesn’t between patients getting the vaccine and those receiving a dummy shot.

    The development came the same day that AstraZeneca and eight other drugmakers issued an unusual pledge, vowing to uphold the highest ethical and scientific standards in developing their vaccines.

    The announcement follows worries that President Donald Trump will pressure the U.S. Food and Drug Administration to approve a vaccine before it’s proven to be safe and effective.

    The U.S. has invested billions of dollars in efforts to quickly develop multiple vaccines against COVID-19. But public fears that a vaccine is unsafe or ineffective could be disastrous, derailing the effort to vaccinate millions of Americans.

    Representatives for the FDA did not immediately respond to requests for comment Tuesday evening.

    AstraZeneca’s U.S.-traded shares fell more than 6% in after-hours trading following reports of the trial being paused.


    CommonSpirit opens COVID-19 lab hub

    4:26 PM CT on 9/8/20

    CommonSpirit Health on Monday launched a laboratory hub that could process up to 70,000 tests per week.

    The reference lab in Scottsdale, Ariz. will process molecular COVID-19 diagnostic tests and provide results through patients’ electronic medical records within 36 hours. CommonSpirit care sites in 21 states will work with the lab.

    CommonSpirit’s more than 130 hospitals will still test for COVID-19 and the lab will provide added capacity, according to system vice president of laboratory services Karen Smith. That will allow hospitals to focus more on severely ill patients.

    “As the coronavirus will affect the health of our communities for the foreseeable future, we all have a role to play in increasing COVID-19 testing capacity across the U.S.,” Smith said in a statement.

    Coronavirus testing across the country is slowing down. As of Sept. 5, the seven-day case average nationwide was down to more than 45,000 new daily new infections, according to the Centers for Disease Control and Prevention, compared to more than  53,000 on Aug. 5. The number of tests performed for every 1,000 individuals as of Sept. 8 has gone down in 23 states compared to the previous week, according to data compiled by Johns Hopkins Medicine’s Coronavirus Resource Center.

    Overall, the positive COVID-19 test rate is at 8%, well above the World Health Organization’s recommended 5% threshold before mass reopenings.


    Researchers estimate 250,000 COVID cases tied to Sturgis Motorcycle Rally

    We estimate that over 250,000 of the reported cases between August 2 and September 2 are due to the Sturgis Rally. Roughly 19 percent of the national cases during this timeframe. https://t.co/6tCCV6aXYf

    — Andrew Friedson (@FriedsonAndrew) September 6, 2020
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