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This has been a rough year. Feeling so frustrated you could scream? Maybe scream in a vast open wilderness? Iceland wants to help you.The tourism-based website lookslikeyouneediceland.com is offering people the chance to record their scream.“Record your scream and we’ll release it in Iceland’s beautiful, wide-open spaces. And when you’re ready, come let it out for real. You’ll feel better, we promise,” the website explains. 435

To end the pandemic, there need to be enough people immune to COVID-19 and there are two ways to do that: immunity through infection or from a vaccine."I think racing to herd immunity is the dangerous thing that I’m concerned about," said Dr. Stuart Ray, a professor of medicine at Johns Hopkins University School of Medicine.Herd immunity is when the spread of the infection cannot be sustained because the number of people who are immune is high enough. Some countries are considering it as a strategy to combat COVID-19.But Ray said it could not work in the US unless much more effective treatments are developed.He says on average, a newly infected person infects two others, so to have herd immunity from COVID-19 about 60 percent of people would have to become immune."We would have something like another 100 million people, maybe more, infected. 150 million more and even if the major complication rate is a fraction of 1 percent, we will still have huge numbers of deaths," said Ray.He said we also don’t know if just having had the infection once will create lasting immunity to control the spread."It possible that you could be immune enough not to get sick and still not immune enough to prevent that spread and so herd immunity is a tough bar for us to aim for because not only do we need 60 percent of people to be immune but we need them to be immune in a way that prevents them from infecting other people," said Ray.The other way to achieve herd immunity would be through a vaccine."Vaccines can work better, provide better immunity than the natural infection does. The new shingles vaccine provides great immunity and protects more than 95 percent of people from getting shingles," said Ray.Several vaccines are still going through the last phase of clinical trials to see if any also creates enough immunity to prevent passing the virus along.This story was first reported by Abby Isaacs at WMAR in Baltimore, Maryland. 1946

There's an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs.In America, experienced nurses are retiring at a rapid clip, and there aren't enough new nursing graduates to replenish the workforce. At the same time, the nation's population is aging and requires more care."It's really a catch 22 situation," said Robert Rosseter, spokesman for the American Association of Colleges of Nursing."There's tremendous demand from hospitals and clinics to hire more nurses," he said. "There's tremendous demand from students who want to enter nursing programs, but schools are tapped out."There are currently about three million nurses in the United States. The country will need to produce more than one million new registered nurses by 2022 to fulfill its health care needs, according to the American Nurses Association estimates.That's a problem.In 2017, nursing schools turned away more than 56,000 qualified applicants from undergraduate nursing programs. Going back a decade, nursing schools have annually rejected around 30,000 applicants who met admissions requirements, according to the American Association of Colleges of Nursing."Some of these applicants graduated high school top of their class with a 3.5 GPA or higher," said Rosseter. "But the competition to get into a nursing school right now is so intense."Because of the lack of openings, nursing programs across the board -- in community colleges to undergraduate and graduate schools -- are rejecting students in droves.Erica Kay is making her third attempt to get into a nursing program offered in a community college near where she lives in southern California.Kay, 35, already is a certified surgical technician and a certified medical assistant."I've been working in health care since I was 21. This is my passion," she said. "I know I will be a great nurse and I'm studying very hard to get accepted into a program," she saidShe's taken the standardized admissions test for nursing schools twice and applied to three community colleges. She didn't get in."One school responded in a letter they had 343 applications and only accepted 60 students," she said. Another school had 60 slots for 262 applications."Some programs won't even consider you if you score less than 80% even if you meet all other criteria," she said. Kay is retaking the nearly four-hour-long test next month, hoping to better her score."It shocks and upsets me that there are so many hurdles to get into nursing school when we have a nursing shortage," said Kay. "But I am going to keep trying."Jane Kirschling, dean of the University of Maryland School of Nursing in Baltimore, said her school admits new students in the undergraduate program twice a year."We're averaging 200 applications each time for 55 slots," she said. "So we're turning away one student for every student we accept."She said the nursing profession has surged in popularity for a few reasons. "Nursing offers an entry-level living wage with which you can support a family," said Kirschling.There's built-in flexibility and mobility. "You can work three 12-hour shifts and get four days off," she said. And nurses aren't locked into a specific location, employer or specialty for the rest of their lives. "There's tremendous growth opportunity," said Kirschling.But Kirschling said increasing school class size to accommodate more students isn't easy or practical.For one thing, nursing schools are struggling to hire more qualified teachers. "The annual national faculty vacancy rate in nursing programs is over 7%. That's pretty high," said Rosseter. "It's about two teachers per nursing school or a shortage of 1,565 teachers."Better pay for working nurses is luring current and potential nurse educators away from teaching. The average salary of a nurse practitioner is ,000 compared to an average salary of ,575 for a nursing school assistant professor, according to the American Association of Nurse Practitioners.Mott Community College in Flint, Michigan, last year reduced its new admissions from 80 to 64 students accepted twice a year into its two-year associate degree in nursing program.The move was partly in response to a decision by the Michigan Board of Nursing to shrink the nursing student-to-faculty ratio for clinical training in hospitals and clinics. This was aimed at improving safety and avoiding crowded clinical settings."It changed from 10 students for one educator to 8 students. So we had to adjust our class size accordingly," said Rebecca Myszenski, dean of the division of Health Sciences at Mott Community College.Kirschling's school in Baltimore has made similar adjustments. "We used to send eight to 10 nursing students per instructor to hospitals for clinical rotations. Now it's six students," she said.Pediatrics, obstetrics and mental health are the areas where nursing students have the most unmet demand for clinical training," said Kirschling. "As we try to increase the number of nursing students, these three areas will be bottlenecks for nursing programs."Rosseter agrees that class size presents another challenge for nursing schools. "There's not enough available clinical space to train students," he said.Despite the constraints, nursing programs are thinking of ways to accommodate more students."We're expanding our program to new campuses, we're looking at new models of partnering with hospitals to allow [their] nursing staff to [be able] to teach," said Tara Hulsey, dean of West Virginia University's School of Nursing.For example, Anne Arundel Community College in Arnold, Maryland, offers an accelerated associate nursing program that allows qualified paramedics or veterans to be admitted straight into the second year of the two-year program.In Flint, Mott Community College has partnered with University of Michigan's accelerated 16-month undergraduate program designed for veterans with medical experience who want to transition into a nursing career."These bridge programs could really help with the [nursing] shortage," said Myszenski. "You have to address the nursing shortage by thinking out of the box."  6239

Three of America's largest grocery chains, Kroger, Walmart and Wegmans, have joined ALDI and Target in issuing a recall for peaches in connection with a nationwide Salmonella outbreak.On Saturday, Prima Wawona expanded a recall of peaches shipped by the company to include those bagged and loose peaches that had been sold across the country.The new recall includes Kroger stores and its affiliates — including Jay-C, King Soopers, City Market. Fry's, Ralphs, Food 4 Less, Foods Co. and Smiths — as well as peaches sold at Walmart and Wegmans.The possibly contaminated fruit was sold between June 1 and Aug. 3Consumers should not eat the peaches. Instead, the CDC says to throw them away, even if some of them were eaten and no one has gotten sick.Once the peaches have been discarded, health officials suggest washing and sanitizing the places where the produce was stored, like countertops, refrigerator drawers and shelves. The CDC also urged restaurants, retailers, suppliers and distributors not to sell or ship the recalled peaches.The FDA also advises that anyone who doesn't remember when they purchased Prima Wawona peaches or those that aren't sure who supplied their peaches should throw away peaches in their fridge out of an abundance of caution.As of August 19, 2020, CDC is reporting a total of 68 Salmonella cases across nine states.The CDC is investigating to find the source of contamination and to identify other retailers that may have sold tainted peaches.Symptoms of Salmonella infection include:Most people infected with Salmonella develop diarrhea, fever, and stomach cramps six hours to six days after being exposed to the bacteria.The illness usually lasts four to seven days, and most people recover without treatment.In some people, the illness may be so severe that the patient needs to be hospitalized. Salmonella infection may spread from the intestines to the bloodstream and then to other places in the body.Children younger than five years, adults 65 years and older, and people with weakened immune systems are more likely to have a severe illness.If you have Salmonella symptoms, talk to your health care provider, write down what you ate in the week before you got sick, and report the illness to your local health department.Click here to learn more about the recalled products. 2324

TODAY, President @realDonaldTrump is taking ACTION to preserve America's democratic principles and ensure law-abiding American citizens are fairly represented in Congress.https://t.co/fcRgFqQU87— Karoline Leavitt (@KLeavitt45) July 21, 2020 248