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For frontline healthcare workers battling COVID-19, the hospital can feel like a war room. Patients are in need of quick help. Some face life-threatening symptoms that need immediate care. Some cannot be saved.They are split-second decisions that have to be made as more patients funnel into hospital beds, and the effects can weight heavily on those tasking with making them.“The mental health symptoms tend to peak about 12 months after the actual event,” said Dr. Chris Thurstone, director of behavioral health at Denver’s largest hospital, Denver Health.In January, a few months before the pandemic hit, Denver Health implemented a program developed at Johns Hopkins called Resilience in Stressful Events (RISE) to help its employees deal with burnout symptoms, unknown to the influx that was to come.In the first few weeks of the program, the hospital’s drop-in center saw around 30 hospital employees a day. Now, months into the pandemic the same drop-in center is seeing more than 300 hospital employees a day.“[Frontline healthcare workers] describe it as this different of burnout than they’ve felt before,” said Dr. Thurstone.“We’re certainly seeing increased rates of people who are struggling and having a difficult time,” added clinical psychologist Dr. Thom Dunn.It is an unprecedented challenge among doctors, nurses, and other hospital staff that is not only being felt in the United States but globally.Researches in Wuhan found 30 to 50 percent of healthcare providers were in a burnout stage before COVID-19. Now, that number is up to 75 percent of healthcare providers.“Depression, anxiety, insomnia, substance use: those are the four things we watch out for,” said Dr. Thurstone. “As things start to settle down and people actually get a chance to breathe and think and be themselves again, they might notice that they’re not completely themselves.”The RISE program offers counseling and an area for frontline workers to take a load off, through board games and other activities that could help ameliorate the stressors they are experiencing elsewhere in the hospital.At Denver Health, calls into RISE have increased tenfold as well, proving that once COVID-19 becomes manageable, another epidemic may soon start to emerge.“We can’t just get through COVID and then pretend nothing happened,” said Dr. Thurstone. “This is placing a stress and strain on every human being, and healthcare workers are human beings and no exception.” 2458

For the first time, the FDA has given authorization for a test that will detect for both coronavirus and influenza infections.The test by Quest Diagnostics can be performed at home under doctor’s approval. Patients can collect a sample at home and ship it to a Quest Diagnostics laboratory for analysis, the FDA says.“Today’s authorization for a COVID-19 plus flu test using samples collected at home is a significant step toward FDA’s nationwide response to COVID-19. With the authorization of this test, the FDA is helping to address the ongoing fight against COVID-19 while in the middle of the flu season, which is important for many, including the most vulnerable of Americans. This is another example of the FDA working with test developers to bring important diagnostics to Americans,” said FDA Commissioner Stephen M. Hahn.“With just one swab or sample, combination tests that are authorized for use with home-collected samples can be used to get answers to Americans faster, in the comfort and relative safety of their home, which allows patients to continue to quarantine while awaiting results. This efficiency can go a long way to providing timely information for those sick with an unknown respiratory ailment,” Hahn added.The coronavirus and flu can offer similar symptoms, such as cough, fever and difficulty breathing. 1342

Feeding America, a network of 200 food banks across the United States, expressed concern on Wednesday on pending legislation that could strip food stamps from the Supplemental Nutrition Assistance Program away from nearly 3 million Americans. House Resolution No. 2 is up for consideration by the House of Representatives, which would add employment stipulations to some food stamp recipients, and their families. Feeding America's primary concern is that the nation's food banks will not be able to handle increased demand if the legislation becomes law. "Feeding America's nationwide network of member food banks will not be able to make up for the lost meals," Feeding America said in a statement. "We urge lawmakers in the House to reconsider their approach and amend their legislation before sending it to the Senate to ensure that the final legislation does not take food off the table for families who need it."According to a Congressional Budget Office projection, the federal government would reduce spending on direct benefits by .2 billion from 2019 to 2028. But the CBO claims it would cost the federal government in additional .7 billion in administrative costs to enforce the employment requirement. Overall, the federal government would be projected to save .5 billion over the 10-year period if the employment requirement is enacted. The CBO said that beginning in 2021, food stamp recipients between the ages of 18 and 59 who are neither disabled nor caring for a child under the age of 6 would need to either work or participate in a training program for 20 hours each week; that requirement would increase to 25 hours each week in 2026.The push to add work requirements to those receiving government assistance got a boost last month when President Donald Trump signed an executive order, which was intended to reduce poverty. "As part of our pledge to increase opportunities for those in need, the Federal Government must first enforce work requirements that are required by law," the executive order, signed by Trump on April 10, reads. "It must also strengthen requirements that promote obtaining and maintaining employment in order to move people to independence."Spending on food stamps is part of a larger "Farm Bill" legislation. The total cost for the Farm Bill is 7 billion from 2019 to 2028. The farm bill includes spending on rural development, farm subsidies, crop insurance, in addition to food stamps.  According to USDA figures, 41.2 million people lived in food-insecure households. Nearly 40 million people received Supplemental Nutrition Assistance Program benefits, as of February 2018. The 3 million who would stand to lose access to food stamps represent 6.5 percent of recipients. "The harsh cuts to the Supplemental Nutrition Assistance Program included in the House Farm Bill would hurt Americans facing hunger across the country and reverse decades of progress in addressing food insecurity across the United States," Feeding America added in a statement. 3111

Florida Gators' Keyontae Johnson was released from the hospital Tuesday, 10 days after he collapsed during a game against Florida State.In a statement, Johnson's family announced the news, saying they were "looking forward to spending Christmas together as a family." 275

Food insecurity has skyrocketed in communities across the country during the pandemic. Rural communities have been hit especially hard. In Louisiana, which the highest-ranked state for food insecurity for children and the fourth-ranked state in food insecurity for seniors, food banks are becoming more important than ever before.For grandmother Mary O'Neal, she's raising her 8-year-old grandson on her own. Without help from her local food bank, she said she doesn't know how they would get by.Her husband passed away a couple of years ago, which cut their fixed income in half. Since then, O'Neal said she's really had to save."I had to pick up, and we had to start doing things different," said O'Neal. That loss was made worse when a tornado ripped through their northeast Louisiana home."I said, 'You know, Lord, you’ve sent me through the biggest storm of my life. This is just another storm. You brought me through the other one, and you’re going to bring me through this one,'" she said.But O'Neal said she never imagined the storm coronavirus would bring right into her kitchen. Food was running short—not only for her, but for her diabetic grandson, so she visited The Care and Hope Ministry, a small church turned community food bank, for some help."For us, it’s more than just than a box of food," said Pam Walker, who runs the food distribution. "It’s relationships, it’s loving on people, it’s hope, hope in a time of despair."Hope is just what O'Neal needed, especially after her grandson's school, and several in the area, stopped sending home-packed lunches while students were doing remote learning."That was all cut out the last of June. They didn’t give any more lunches," said O'Neal. Those programs running dry made mealtime that much tougher on O'Neal and so many others."Our school system is a completely Title 1 school system, so every child in our school system gets free lunch," said Walker.Poverty is high across most of Louisiana and in many rural communities across the country, contributing greatly to food insecurity. 2059