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As hospitals are becoming overwhelmed with COVID-19 patients, North Dakota is permitting coronavirus-positive health care workers to continue assisting patients.The guidance stipulates that the health care workers must remain asymptomatic and take enhanced precautions in order to stay on the job. This comes as travel nurses are stretched thin as dozens of states are reporting record hospitalizations.Given the situation in North Dakota and elsewhere, it is possible more states will have to follow suit and continue using infected staff members in order to provide care. The CDC has spelled out guidance in these situations.The CDC says hospitals must exhaust a number of other guidelines, including adding travel nurses, postponing elective medical procedures, and postpone elective time off, before going into a crisis staffing situation.“If shortages continue despite other mitigation strategies, consider implementing criteria to allow HCP (health care personnel) with suspected or confirmed COVID-19 who are well enough and willing to work but have not met all Return to Work Criteria to work,” the CDC’s guidance states. “If HCP are allowed to work before meeting all criteria, they should be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) and facilities should consider prioritizing their duties in the following order:1. If not already done, allow HCP with suspected or confirmed COVID-19 to perform job duties where they do not interact with others (e.g., patients or other HCP), such as in telemedicine services.2. Allow HCP with confirmed COVID-19 to provide direct care only for patients with confirmed COVID-19, preferably in a cohort setting.3. Allow HCP with confirmed COVID-19 to provide direct care for patients with suspected COVID-19.4. As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19.”North Dakota Gov. Doug Burgum spelled out the challenges facing his state.“Our hospitals are under enormous pressure now,” Burgum said. “We can see the future two, three weeks out, and we know that we have severe constraints.”Despite Burgum’s warning, his state is among the ones not to issue an order requiring masks in public places.In update CDC guidance, the agency says that masks can reduce the viral load for the wearer, in addition to prevent the spread of the virus.Steven Weiser, MD, president of Altru Health System in Grand Forks, North Dakota,, wrote in an op-ed about the toll the virus is having on workers. "Your neighbors in healthcare are pleading with you – they are tired, they are covering shifts for their colleagues who cannot work, they are working in new areas and rallying together to ensure that our promise of providing care to our community is upheld," Weiser wrote. "I ask you, on behalf of our team of healthcare workers, to please take the recommendations... very seriously. This is about protecting our at-risk community members and friends. We need your partnership to stop the spread, now. Doing so will save lives." 3105

An explosion rocked a United Parcel Service freight facility in Kentucky on Wednesday morning, injuring at least two people, but authorities say they doubt that the blast stemmed from a terror attack. Instead, it appears to be accidental, they said.The incident took place in Lexington. UPS spokesman Glenn Zaccara told CNN that 12 employees were at the site. Two people were taken to the hospital with minor injuries.In a message on Twitter, the Lexington Fire Department said, "Nothing leads us to believe this is anything other than an accidental explosion."Fire officials also tweeted that six people were taken to the hospital for observation.Initial reports indicate the cause may have been a leak from materials contained in a trailer, Zaccara said.Lt. Jessica Bowman, the fire department's public information officer, said the building is used for truck and trailer maintenance and that there are other UPS buildings in the area that are still in use."There was significant damage to the building. A large area of the roof was blown out and interior walls were knocked down, as well as exterior damage. There's pieces of the roof and insulation on the ground," Bowman said. "There is no life hazard. Crews are on the scene stabilizing the building."UPS is working with local authorities and won't provide additional details while there is an ongoing investigation, officials said.An FBI statement obtained by CNN Law Enforcement Analyst Josh Campbell said the agency "is aware of the incident and is working with our local and state partners to assist as needed. At this time, it does not appear to be a criminal or terrorist act. It appears accidental."CORRECTION: An earlier version of this story incorrectly identified the facility where the explosion happened. It occurred at a United Parcel Service freight facility.The-CNN-Wire 1849

ARTESIA, Calif. (CNS) - Facing possible expulsion from the state Legislature over sexual harassment allegations, Artesia Democrat Tony Mendoza resigned from the state Senate. 182

An obituary for a Kansas man who died of COVID-19 this week skewers those who have chosen not to wear masks in public throughout the pandemic.According to his obituary, Marvin Farr died of COVID-19 on Tuesday in western Kansas. Born in 1939 amid the Great Depression and just ahead of World War II, the remembrance says that Farr was born into times where Americans banded together for common causes — "times of loss and sacrifice difficult for most of us to imagine."However, the obituary says that's not the case today."He died in a world where many of his fellow Americans refuse to wear a piece of cloth on their face to protect one another," his obituary reads.Farr's obituary also says that his final days were "harder, scarier and lonelier than necessary" and that "he died in a room not his own, being cared for by people dressed in confusing and frightening ways." It adds that he was not surrounded by friends and family at the time of his death.Farr's obituary describes him as a farmer, veterinarian and a religious man, a person who "would look after those who had harmed him the deepest, a sentiment echoed by the healthcare workers struggling to do their jobs as their own communities turn against them or make their jobs harder."In a Facebook post on Thursday, Farr's son Courtney said he was "in shock" to see how widely the obituary had spread online. He said that while the response has been overwhelmingly positive, he has seen some negative comments, including claims that he had made his father's death about politics."Well, his death was political," Courtney Farr wrote. "He died in isolation with an infectious disease that is causing a national crisis. To pretend otherwise or to obfuscate is also a political decision."Courtney Farr says his father tested positive for the virus last week and had been in isolation since Thanksgiving."I've spent most of this year hearing people from my hometown talk about how this disease isn't real, isn't that bad, only kills old people, masks don't work, etc," Courtney Farr said in a Facebook post. "And because of the prevalence of those attitudes, my father's death was so much harder on him, his family and his caregivers than it should have been. Which is why this obit is written as it is." 2268

An orca whale believed to be grieving her dead calf has carried it with her for five days now.The calf died a half-an-hour after its birth, scientists said. They are monitoring the whale as she has carried the calf on her nose and dives to pick it up when it falls off.Officials said it is a rare occurrence for a whale to keep its dead calf with it. This is the first calf in three years born to endangered orcas.On Saturday evening, the whale and her calf were spotted in Canadian waters. 503