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While many businesses shut down temporarily due to COVID-19, zoos and aquariums couldn’t fully close because animals still need to be taken care of.However, with little to no visitors during what’s normally the busiest time of the year, some are facing tough times and getting creative.“It’s a lot of work,” said Patty Wallace, an Animal Keeper at the Cheyenne Mountain Zoo.“We feed all of them about three times a day, about 40 pounds each of grass hay, about six pounds of grain per hippo, and also some fruits and vegetables for training and nourishment. So they get lots of variety,” Wallace explained. That’s just the hippos, which are part of a new exhibit the zoo opened during the shutdown.“Opening a brand new exhibit is normally hard enough,” said Bob Chastain, the President and CEO of the zoo.With large groups and traditional presentations considered unsafe, the zoo pivoted. “Now, what we do instead is we’re grabbing random people and taking them back behind the scenes, letting them help us with the everyday things we’re doing,” Chastain said.Letting kids help feed the hippos and other animals, up close and personal.“We are trying to adjust and we would like to share our hippos,” Wallace said. “But because we don’t want crowds, we do it in small bursts.”Back in spring, zoos and aquariums were told to close.“All of them have had a period of two to four months of closure. Some are still closed,” said Dan Ashe, President and CEO of the Association of Zoos and Aquariums. AZA is a nonprofit that represents over 240 of these businesses.“When they’re closed they’re not really closed, because they have to continue caring for the animals,” Ashe said. That’s what makes zoos and aquariums unique.“The essential ingredient in success is a guest,” he said. Even with no guests, the work doesn’t stop, which has put some in financial distress. “We have had some that have been on the verge of closure.”Ashe said about 20% of its members are in a weak financial position, so zoos got creative to keep guests interested. “The San Antonio Zoo started with the idea of a drive-thru zoo,” Ashe said.At Cheyenne Mountain Zoo, they made use of social media. “Our social media team, like many around the country, really ramped up,” Chastain said.Now as they begin to reopen their gates, they face a whole new set of challenges. “Almost every zoo in the country had to revamp and figure out how to do timed tickets, because it was one of the major requirements,” Chastain said.Timed ticketing, one way traffic, cashless exchange -- these were all concepts zoos and aquariums had to adapt to.“All over the zoo there are marks that help people stay away from each other,” Chastain said.Even with sold out tickets, the crowds are nothing like they used to be. And many fundraising events had to be canceled or postponed with new capacity limits.“Our guess is for the next 12 months, we won’t have those large crowds,” he said.But families continue to come to see the giraffes, look at the penguins, or feed Zambezi and Kasai, the hippos.“It’s been a challenge, but a lot of fun,” Wallace said. 3105

With health care costs on the rise, a growing number of Americans are throwing out the old way of seeing a doctor and turning to a membership model. A monthly or annual fee gets you direct access to a doctor, no insurance needed.Twenty years into her career, bogged down by red tape, too many patients and long days, Dr. Shaila Pai-Verma was looking for a better way to practice medicine.“I was just miserable,” she said. “The joy of medicine is gone and then you're just doing paperwork.”So, a year ago, she started a new primary care practice with a new business model.“The patient basically has a direct contract with the physician and they take insurance companies out of it,” she explained.Patients pay a flat monthly or yearly fee. In exchange, they receive a broad range of primary care services and quick, unlimited access to their doctor via in-person office visits, phone or by text.“Everyone wants everything immediate. And so, I think this is it. It's good, especially in this time for people to have access,” said Pai-Verma.Membership fees range from about 5 to 0 per month on average – about 0 less than having typical health insurance. Most patients still carry catastrophic coverage for emergency treatments and hospitalizations, but that insurance is usually only -100 a month, so patients still save money.For Bonnie Micheli and her family, it was all about access.“With this, it's just so much easier to just know that I can contact directly here within a few hours for any issues that I'm having,” said Micheli.In late September, a bipartisan proposal was introduced in Congress that would expand access to the model and allow people to use their health savings account for direct primary care (DPC).Because they see fewer patients than traditional practices, some critics say the model could worsen the shortage of primary care physicians, a trend that’s already driven by burnout.But according to a recent study, DPC members had 25% lower hospital admissions and the cost of emergency room claims was reduced by 54%.“There's less ER visits and you know, better health care for the patient,” said Pai-Verma.While there is still debate, for a growing number of Americans, like Micheli, it’s becoming a simplified health insurance alternative.“Honestly, it’s just so nice to know what I'm paying every month or if you do the annual, what you're getting for that money, and you know exactly who to go to when you have a problem.” 2467

While we don’t know yet what the impact of the storm will be for our local teams, the safety of our employees and drivers is always our top priority. We have begun proactively closing operations facilities temporarily in the potential impacted areas. We will pay Amazon employees 100 percent of regular time if their facility temporarily closes and are prepared to provide support for them and their families so they can recover from this storm. Customers living in areas affected by the hurricane may see a delayed delivery promise date on items when they go to checkout. In limited circumstances, customers outside the impacted area may also see a slower delivery promise if the product they are ordering is shipping from an area within the projected path of the hurricane. Right now, our Disaster Relief by Amazon team is closely monitoring Hurricane Dorian and is working to prepare and provide support alongside our nonprofit partners to communities potentially impacted. 984

While the race to develop a safe coronavirus vaccine is on, there's new evidence other vaccines could help people survive the virus.A husband and wife professor team from Louisiana State University and Tulane University worked together on research about the MMR vaccine. That stands for measles, mumps and rubella.Most children get the vaccine. It could explain why kids are less impacted by COVID-19.Testing on mice found these kinds of "live" vaccines boosted cells' ability to fight off sepsis.Sepsis is ultimately what's causing organ problems and inflammation in many adults who have contracted the novel coronavirus.“The idea behind it is, if these live attenuated vaccines are inducing the cells that will inhibit or dampen the sepsis, that gives the regular immune response time enough to get rid of the infection,” said Dr. Paul Fidel, a professor at LSU.The results of the "live" vaccine test on mice were undeniable.Researchers also point to what happened on the USS Roosevelt, where more than 1,200 sailors contracted the virus. A few were hospitalized and one died.All U.S. Navy recruits get MMR vaccinations.The professors are starting a grassroots campaign for adults to get the MMR booster.“If we're right, wow you would have the cells that would inhibit or dampen the sepsis if you ever got infected with COVID and if we're wrong, so OK you have a booster for MMR and that can’t hurt you at all,” said Fidel.“I think this concept with live attenuated vaccines inducing this response that controls the inflammation as opposed to targeting the actual viral infection, it’s going to serve as a stop gap measure until we get a real legitimate vaccine developed that’s been shown to be efficacious and safe,” said Dr. Mairi Noverr, a professor at Tulane’s school of medicine.The MMR vaccine theory is being tested on primates now. There's a push for human trials, especially with health care workers and people in nursing homes. 1948

Wisconsin Gov. Tony Evers and the Department of Health Services issued a new order Tuesday limiting the capacity of bars, restaurants and stores in the state to 25% on Tuesday, as Wisconsin becomes a hot spot for COVID-19 in the U.S.Evers directed DHS Secretary-Designee Andrea Palm to issue the order Tuesday afternoon.The order is capping capacity to 25% in public spaces beginning on Thursday. Gatherings in indoor spaces without an occupancy limit are limited to 10 people."We're seeing increased COVID-19 hospitalizations across the state, and every region is reporting current and imminent hospital staffing shortages in one or more of their facilities," Palm said.Wisconsin has become a hot spot for coronavirus cases in the country after schools reopened this fall. The state has tallied record numbers of cases, hospitalizations and deaths in recent days. Areas that have been hit particularly hard include the state's two largest cities — Milwaukee and Madison — as well as smaller cities like Fox Valley, Green Bay and Wausau.The governor's top attorney, Ryan Nilsestuen, says he's confident the restrictions will withstand legal challenges from the GOP-controlled legislature. Evers' "Safer at Home: order issued last March was eventually blocked by the Wisconsin Supreme Court, after the legislature raised objections with a potential overreach of authority by the health department and the governor's office.“At the end of the day, doing orders and having them challenged in court maybe makes for great theater,” Evers said during a press conference Tuesday. “But it frankly does nothing in making sure people are safer in the state of Wisconsin.”The order goes into effect at 8 a.m. local time on Thursday and will remain in effect until Nov. 6. Violators could face forfeitures of up to 0, according to the governor.The order does not apply to outdoor spaces.The DHS tallied 2,020 new cases on Tuesday and 18 new deaths caused by complications from the coronavirus. Wisconsin has recorded 136,379 confirmed cases and 1,399 deaths since the pandemic began.“We’re in a crisis right now and need to immediately change our behavior to save lives,” Evers said in a statement. “We are continuing to experience a surge in cases and many of our hospitals are overwhelmed, and I believe limiting indoor public gatherings will help slow the spread of this virus. Folks, we need your help and we need all Wisconsinites to work together during this difficult time. The sooner we get control of this virus, the sooner our economy, communities, and state can bounce back.”Criticism to the news was swift. State Rep. Shae Sortwell, R-Two Rivers, went after the new orders in a Facebook video."Apparently he’s bound to determine to just completely destroy the hospitality industry in the state of Wisconsin because that’s what he’s looking to do here," Sortwell said.The Wisconsin Manufacturers & Commerce issued a statement in response to the new order."Unfortunately, Gov. Evers’ order will cause even more harm to already-suffering businesses while failing to actually slow the spread of COVID-19 in Wisconsin," the business association said in a statement.The Metropolitan Milwaukee Association of Commerce also released a statement following the new orders."The measures introduced today by Governor Evers are well-intentioned, but are a blunt instrument that knocks down too many business establishments in metro Milwaukee that have gone to great lengths to develop comprehensive operational safety plans and have had them approved by the Milwaukee Public Health Department," the association said.Read the full order below:FULL ORDER.pdf by TODAY'S TMJ4Read the full FAQ below:FAQs.pdf by TODAY'S TMJ4"The Society supports the Department of Health Services’ action to temporarily limit indoor public gatherings because the state simply must halt its current trajectory," the society said. "We want to continue being the state leading the country in high-quality health care, not having one of the highest COVID-19 infection rates in the country.”You can read their full statement below.This story was originally published by Mayra Monroy and Jackson Danbeck on WTMJ in Milwaukee. 4200

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