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At least eight members of the same family were among the 26 people killed Sunday when a man armed with a rifle burst into the sanctuary of a church in Texas and started firing.The mass shooting left about 20 others wounded at the First Baptist Church in Sutherland Springs, about 30 miles east of San Antonio.The massacre killed about 4% of the small town's population. And no one at the church was left unscathed, Wilson County Sheriff Joe Tackitt said."I think nearly everyone had some type of injury," the sheriff told reporters Monday.Texas Gov. Greg Abbott called the slaughter "the largest mass shooting" in the state's history. But it's still unclear what motivated the killer.Latest developments-- The killer had in-laws who attended the church, but they were not present at the time of the massacre, the sheriff said.-- The shooter was first shot by an armed resident who confronted the gunman outside the church. The suspect then turned the gun on himself, authorities said. He was dressed in all-black tactical gear, including a ballistic vest, and was later found dead in his vehicle.-- The victims ranged in age from 5 to 72 years old, said Freeman Martin, a regional director with the Texas Department of Public Safety. The visiting pastor was among those killed, Tackitt said.-- The 14-year-old daughter of the church's regular pastor was among those killed, said Sherri Pomeroy, the girl's mother. Her parents were traveling out of state when the shooting occurred.-- At least eight of the people killed were members of one family, according to a relative and a community leader. Those relatives span three generations and include a woman who was about five months pregnant and three of her children.-- A witness told CNN affiliate KSAT that he and the armed resident pursued the gunman in a car chase for about 11 miles.-- Speaking from Japan, President Donald Trump expressed condolences for the victims during a Monday news conference and said he believes the shooting was caused by a "mental health problem," not an issue with US gun laws.Who was the shooter?The gunman has been identified as 26-year-old Devin Patrick Kelley, according to two law enforcement sources who have been briefed on the investigation.But police have not officially named Kelley as the shooter. They described the gunman as a white man in his 20s. Authorities have not said what the motive was.Kelley was a member of the US Air Force and served at Holloman Air Force Base in New Mexico from 2010 until his discharge, according to Air Force spokeswoman Ann Stefanek.He was court-martialed in 2012 for assault on his spouse and assault on their child, according to Stefanek. He served a year in confinement, received a bad conduct discharge and had his rank reduced, she said.In April 2016, Kelley purchased the Ruger AR-556 rifle he allegedly used in the shooting from a store in San Antonio, Texas, a law enforcement official said. There was no disqualifying information in the background check conducted as required for the purchase, a law enforcement official told CNN.At one point, the shooter tried to get a license to carry a gun in Texas but was denied by the state, Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott said. "So how did this happen?"How the attack unfoldedThe gunman was first spotted at a Valero gas station across the street from the church at about 11:20 a.m. (12:20 p.m. ET).He drove across the street, got out and began firing even before he entered the church, Martin said.David Flores told CNN that his father saw the shooter."My dad saw the gunman run into the church building and then he heard shots and saw people running," Flores told CNN. "People covered in blood and screaming. It was pandemonium everywhere."As the shooter left the church, a local resident used his own rifle to engage him, Martin said. The gunman dropped his weapon and fled.Johnnie Langendorff said he was driving to his girlfriend's house when he saw the shootout between the shooter and the armed resident.The gunman took off in a Ford Explorer, Langendorff told CNN affiliate KSAT.The resident "briefed me quickly on what had just happened and said we had to get him, and so that's what I did," Langendorff said.They gave chase in his truck and called police. As they sped after him, Langendorff said, the shooter "eventually lost control on his own and went off into the ditch" in neighboring Guadalupe County."The gentleman that was with me got out and rested his rifle on my hood and kept it aimed at him [shooter], telling him to get out. There was no movement, there was none of that. I just know his brake lights were going on and off, so he might've been unconscious from the crash or something like that. I'm not sure."Law enforcement later found the suspect dead of a gunshot wound inside his vehicle.A law enforcement official briefed on the investigation said multiple weapons were found in the shooter's car. The FBI and the Bureau of Alcohol, Tobacco, Firearms and Explosives are involved in the investigation.The victims and griefHours after the shooting, residents of Sutherland Springs hugged one another, held candles and sang hymns in a vigil Sunday night. Abbott attended the event, in which faith leaders offered words of solace and prayers.Sutherland Springs is the kind of place where "everybody knows everybody," said Gloria Rodriguez Ximenez, who attended the vigil."This is a small, Christian town, a very small community," she said. "Everybody's united. Everybody's so close to everybody."She knows the First Baptist Church's pastor and his family, including their daughter who died."I can feel the pain everybody's going through. There's so much hurt for a small town," Ximenez said.Others echoed the feeling of shock and heartache."My heart is broken," Wilson County Commissioner Albert Gamez Jr. told CNN. "We never think where it can happen, and it does happen. It doesn't matter where you're at. In a small community, real quiet and everything, and look at this."Twenty-three people died inside the church, which has a small sanctuary with wooden pews and red carpeting. Two died outside the church, and one at the hospital.The wounded are being treated at three hospitals including the Connally Memorial Medical Center in Floresville, University Hospital and Brooke Army Medical Center in San Antonio.The-CNN-Wire 6515

ATLANTA (AP) — Georgia’s governor, who has opposed local mask mandates and even sued over one in Atlanta, has signed a new executive order that allows local governments to enact mask requirements to help fight the coronavirus pandemic.As with previous orders, the one issued by Gov. Brian Kemp on Saturday says residents and visitors of the state are “strongly encouraged” to wear face coverings when they are outside of their homes, except when eating, drinking or exercising outside.But unlike previous orders, this one allows local governments in counties that have reached a “threshold requirement” to require the wearing of masks on government-owned property.A county meets that threshold if it has had 100 or more confirmed cases of COVID-19 per 100,000 people over the past two weeks. Very few of the state’s counties are below that threshold.The order says mask mandates can’t lead to fines, fees or penalties against private businesses or organizations. For individuals, the order says penalties cannot include a fine more than or prison time.The order also extends shelter-in-place requirements for people who are considered to be at a higher risk of severe illness from the coronavirus.It also bans gatherings larger than 50 people if individuals are closer than 6 feet apart. 1299

As novel coronavirus cases soar across the country, states are struggling to keep up with the demand for testing. Some states are reporting big backlogs and difficulty getting tests.“We need to actually continue doing a bunch of work in America to figure out additional approaches to do testing,” said Dr. Bob Kocher.Dr. Kocher is the former co-chair of California's Testing Task Force. The state formed the team back in March to figure out how to get everyone tested. Back then, they were struggling to do 2,000 tests a day. Now, they're doing more than 100,000 a day.“California, and most states, had giant shortages of the world’s most expensive Q-tips, called swabs, that you need to collect the samples and the people who make them couldn’t make more of them,” Dr. Kocher explained. “We worked with companies to 3-D print them and to source those from other places in the world and buy them and bring them to California.”They worked to find labs that could do high-capacity testing and expanded the number of testing sites. But as cases increased across the state and nation, five months into the pandemic, testing turnaround time is an issue.“It’s something I’m concerned about as demand for testing grows everywhere in the country and on the earth, the labs are going to sporadically have backlogs, and over time, they could have backlogs because it’s hard to make more supply of the test,” Dr. Kocher said.Dr. Kocher says it depends on where the test is sent. Some labs have backlogs and it’s a logistics issue. If the lab your test site is using is in another part of the country, it'll likely take longer to get results.In a statement, Quest Diagnostics said, "We are grappling with surging demand that is outpacing capacity. This is due to surging cases of COVID-19 across much of the United States, particularly the West, Southwest and South. We have a prioritization program to help direct testing to patients most in need. Our turnaround time for priority one patients is 1 day on average."In a recent press conference, California's Health and Human Services Agency Secretary Dr. Mark Ghaly said supply chain challenges forced the state to prioritize who gets tested first.“Surges across the nation have created challenges of getting tests processed, not just collected, and ensuring our guidelines not only say who needs to be tested but give guidance to labs on which specimens to process first,” Dr. Kocher said.Right now, priority means those who are hospitalized, healthcare workers, first responders, social service employees, those who are 65 and older and those with chronic medical conditions. But, we simply need more tests.“The challenge with COVID-19 is that each person infects two, three more people and that leads to exponential growth of people who are infected and exponential growth in demand for testing,” Dr. Kocher said. “The companies who manufacture tests have been extraordinary scaling up their capacity to manufacture tests they can grow them by 10, 30 maybe a 100 percent, but the demand for COVID testing is growing 1,000 percent.”The American Clinical Laboratory Association which represents Quest and other labs released a statement saying many labs are getting more test orders than they're able to process in a single day.In a statement, the company said, "We can’t do it alone. Laboratories, diagnostic manufacturers, ordering providers, public health officials, states and importantly, the federal government – including Congress and the Administration – all have a role to play in addressing the challenges hampering our nation’s response to this public health crisis."The test, Dr. Kocher says, only tells you if you're infectious at the time you were tested. It's yet another hurdle for states to tackle."So, we need to figure out what is the mechanism to test people at the right frequency to make us all safe and fell confident in going to work, school, nursing home or being an essential worker,” he said. “It’s really important.”Figuring out what that looks like means looking at new technologies, getting the government involved and working on our manufacturing sector so we have more tests and fewer logistical problems as we consistently try to keep up with the virus that seems to be one step ahead of us all. 4276

ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) announced Thursday that it has expanded its list of people who are at an increased risk of getting severely ill from COVID-19.While everyone is at risk of contracting the novel coronavirus, some people are more likely than others to become severely ill, meaning they may require hospitalization, intensive care or a ventilator to help them breathe, or they may even die.Older adults and people with underlying medical conditions remain at increased risk for severe illness, but now the CDC has further defined age- and condition-related risks.Before, the CDC said those 65 and older were at an increased risk of severe illness. Now, the CDC says it has removed the specific age threshold from the older adult classification. The agency now warns that among adults, risk increases steadily as you age, and it’s not just those over the age of 65 who are at increased risk for severe illness.The CDC says age is an independent risk factor for severe illness, but risk in older adults is also in part related to the increased likelihood that older adults also have underlying medical conditions.The CDC has also updated its list of underlying medical conditions that increase risk of severe illness. After reviewing reports, studies and various other data sources, the CDC found there is consistent evidence these specific conditions increase a person’s risk of severe COVID-19 illness:· Chronic kidney disease· COPD (chronic obstructive pulmonary disease)· Obesity (BMI of 30 or higher)· Immunocompromised state (weakened immune system) from solid organ transplant· Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies· Sickle cell disease· Type 2 diabetesThe CDC says these changes increase the number of people who fall into higher risk groups. An estimated 60% of American adults have at least one chronic medical condition and obesity is one of the most common underlying conditions that increases one’s risk for severe illness – with about 40% of U.S. adults considered obese.The more underlying medical conditions people have, the higher their risk.The CDC also clarified the list of other conditions that “might” increase a person’s risk of severe illness, including additions such as asthma, high blood pressure, neurologic conditions such as dementia, cerebrovascular disease such as stroke, and pregnancy.A report published Thursday further adds to the growing body of research on the risk for pregnant women. Researchers found pregnant women were significantly more likely to be hospitalized, admitted to the intensive care unit, and receive mechanical ventilation than non-pregnant women. However, pregnant women were not at greater risk for death from COVID-19.“Understanding who is most at risk for severe illness helps people make the best decisions for themselves, their families, and their communities,” said CDC Director Robert Redfield MD. “While we are all at risk for COVID-19, we need to be aware of who is susceptible to severe complications so that we take appropriate measures to protect their health and well-being.”Protecting yourself, your family, and your communityThe CDC says every activity that involves contact with others has some degree of risk right now. Knowing if you are at increased risk for severe illness and understanding the risks associated with different activities of daily living can help you make informed decisions about which activities to resume and what level of risk you will accept. This information is especially critical as communities begin to reopen.Officials recommend that everyone do their part to implement prevention strategies, such as focusing on activities where social distancing can be maintained, washing your hands frequently, limiting contact with and disinfecting commonly touched surfaces or shared items, and wearing a cloth face covering when you are around people you do not live with, especially when it is difficult to stay 6 feet apart or when people are indoors."By taking these steps, you can help protect yourself, your loved ones, and others around you, including those most vulnerable to severe illness," the CDC writes. 4219

As our country works to rebound, companies are managing the pressure of keeping workplaces safe.Employers are taking precautions ahead of Thanksgiving with concerns about the coronavirus spreading over the holiday.Companies are doing everything from issuing memos, reminding workers about the public health guidance on gatherings and travel, to asking workers to sign pledges they'll keep gatherings small.But there are limits to how much say your boss has on what you're doing outside of work.“They are allowed to inquire about what their travel plans might be, what their off-duty conduct might be and they can ask employees to disclose that information,” said Christine Lamb, an employment attorney with Fortis Law Partners.Lamb says many states prevent employers from discriminating against workers who are doing things outside of work that are lawful.But if you aren't following policies your work put in place for COVID-19, they can ask you to go through some type of coaching or counseling.Lamb advises companies against checking in on their workers on social media.“You might have an employee who is at a gathering of 50 people and they're not posting anything on social media. The employer might not know what's going on and another employee that posts a photograph of them with 10 people on social media, there's just a risk of that unequal application of the rules,” said Lamb.She says one thing employers should be thinking about now is what does next week look like for the company post-Thanksgiving. That includes having a plan for people to work from home if that's possible.One drug maker told the Wall Street Journal that it's offering workers a paid 2-week quarantine if they need it after the holiday, where they'll be expected to work from home. 1773