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On Johns Hopkins University's graph of countries' daily confirmed COVID-19 cases, the U.S. is currently at the top.“The United States does have a tremendous outbreak that is the world’s worse currently,” said Dr. Amesh Adalja, a senior scholar at Johns Hopkins Center for Health Security and a practicing Infectious Disease Critical Care and Emergency Medicine Physician.Dr. Adalja says parts of the northeast have the virus largely under control, but other states--primarily in the south and southwest--have an increase in the number of new cases, an increase in the percent of positive tests, and reports of hospitals being under pressure for capacity.He says the surge is related to multiple factors, but the primary one is social interaction.“Many states lifted their stay-at-home orders, and when they did that, a lot of individuals thought this was a green light that things were safe, that this virus was contained, that the pandemic was largely over. And that wasn’t the case," Dr. Adalja said. "The virus established itself in the human population and is not going to go anywhere until there is a vaccine.”Dr. Adalja says any amount of social interaction will be taken advantage of by a virus like this, especially if people aren’t wearing masks. Studies show a growing number of people can get infected and spread the virus without showing any symptoms. But he says the key to preventing more outbreaks is contact tracing.“There’s no way that we can move forward unless we determine where these undetected chains of transmission are and halt that, and you can only do that with robust contact tracing,” Dr. Adalja said.Other countries in Asia and Europe have had effective efforts in contact tracing. So the question is, why does the U.S. fall short? Experts say there are several reasons. Dr. Sandy Johnson directs the Global Health Affairs program at the Josef Korbel School of International Studies at the University of Denver. He says the U.S. has a fairly complex political system.“We have national government. We have state government. We have local government. So, there are different rules and regulations that come into play and that can make it difficult to coordinate a consistent response,” Dr. Johnson said.Even if one area has done a good job at controlling the spread of the virus, Dr. Johnson explains a neighboring area may not have followed the same guidelines. As people start to travel, so does the virus, and those eager to believe the virus doesn’t pose a major threat only add to the fire. We’ve seen that in another country that isn’t too far behind the U.S. in its increase in cases.“The biggest similarity with Brazil is that there was an evasion from the federal government in Brazil about the danger of this virus which is put a complacency into the public. The same thing happened to us in January, February and March and is still really occurring in many parts of the United States,” Dr. Adalja said.Dr. Adalja and Dr. Johnson agree there has been a lack of clear and consistent communication in the U.S. Opposite of that, Dr. Johnson says Germany has been successful in keeping its numbers down, due in part to Chancellor Angela Merkel’s communication approach.“She was speaking to the public. She was talking to her health and science advisors and she was sharing the science with the public. And from day one, she was very clear that there were hard times ahead,” Dr. Johnson said.However, it’s not just up to national leaders and policymakers. Dr. Johnson says the population of a country must also have the willingness to look at and rely on science.“While I would say by and large people are doing incredibly well in this country and taking collective action to take care of each other and are eager for scientific information, we’ve also seen these little clusters that are simply plugging their ears and going ‘la la la la la la’,” Dr. Johnson said.Both doctors say what we can do as citizens does make a difference. It’s important to realize many people are making smart decisions for the greater good instead of only thinking about themselves.“Think about what happened in early March and how many people almost overnight went into lockdown, and were taking action to take care of each other,” Dr. Johnson said. 4269

OCEANSIDE, Calif. (KGTV) -- North County residents are frustrated over a rise in the number of homeless people in their community and Oceanside’s police department is reaching out.A team is working to get homeless people help. The team works to build trust among their homeless clients in hopes the trust will lead to them accepting help.Their client Joel relapsed after nine months. He wants help but can’t get a prescription after losing his ID. They help the most vulnerable, those with serious mental illness and other substance abuse issues with barriers to getting care.RELATED: Spring Valley residents upset over homeless population at popular parkThe HOT team gets help from Interfaith Social Worker Curtis Torres, who goes out with officers every day. Thanks to recent city funding, a second social worker was hired to the team.A separate team works to tackle homeless encampments in the riverbed. They give out citations and enforce cleaning out encampments.RELATED: San Diego Homelessness Czar to go on leave to open Mormon temple 1064

One winter afternoon last year, Duane Engebretson sat in his stepdaughter's hospital room at the Mayo Clinic in Rochester, Minnesota, trying to figure out how she could escape.Alyssa Gilderhus, 18 and a senior in high school, had been a patient at Mayo for about two months, ever since having a ruptured brain aneurysm on Christmas Day.Mayo neurosurgeons saved her life, but she and her parents were unhappy with the care she was receiving in the rehabilitation unit, and they say they repeatedly asked for her to be transferred.But they say Mayo refused to let her transfer to another hospital, even after a lawyer wrote a letter asking Mayo to make the arrangements.Alyssa and her family began to suspect that Mayo was trying to get a guardian appointed to make medical decisions for her. They were right: Hospital staffers would later tell police that they had gone to two county adult protection agencies to make guardianship arrangements.Duane and his wife, Amber Engebretson, weren't sure how to get their daughter out of Mayo. Two nurses had been assigned to watch over her at all times. 1102

OCEANSIDE, Calif. (KGTV) - A man was hit by a train and killed Tuesday night near Surfrider Way and North Cleveland Street in Oceanside just before 8 p.m. The San Diego County Sheriff's Department told 10News the pedestrian was declared dead at the scene.At 8 p.m., Metrolink Orange County tweeted that the Amtrak 591 train hit a person on the tracks. They then tweeted that the tracks were closed and they were working on alternate transportation for passengers.  497

OCEAN BEACH (KGTV) - People in Ocean Beach have hatched a (not-so) secret plan to bring a popular mermaid statue back to town."We’re go-getters. We’re not going to give in. This is going to be a mission," says Claudia Jack, the self-proclaimed leader of Team Mermaid.For three weeks in May and June, a mermaid statue sat atop Ross Rock near Sunset Cliffs. Nicknamed 'Marina', the statue brought tourists and locals to the area to take pictures.For some, it was a nuisance, bringing more traffic and trash. Jack says that's one reason they don't plan to put the mermaid back on the rock."It's my goal to get her repaired and put her somewhere that she'll be appreciated," she says.The mermaid was secretly removed in June by a group calling themselves the Cliffs Crew. For a while, no one knew what had happened to it. Jack says she knows where Marina is located but won't reveal her location."I have not revealed any names or whatever," she says. "It's very hush-hush. But it will come out in the end. In a happy way."Jack has enlisted the help of a few friends and artists to repair some minor damage to Marina. She's also trying to get the entire community involved. Earlier this month, she sent out 300 postcards with a picture of the mermaid on the front. The back simply read "Save the OB Mermaid" and had an email address.She says the response has been overwhelming."What little girl doesn't want to be a mermaid?" she asks.Jack plans to unveil Marina as a statue at the Ocean Beach Holiday Parade in December. After that, she plans to let local businesses bid for the rights to host the statue for a few months at a time. She says the money raised would be used for upkeep.Jack says she already has two local businesses who have expressed interest. After that, she wants to commission a bronze replica that can be a permanent statue near the Ocean Beach Pier.The hope is that Marina can become a local icon like the Cardiff Kook or the Lemon Grove Lemon."She's alive," says Jack. "She's just taking a little rest right now. But we'll get it done." 2087

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