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When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

What you drive impacts what you breathe.With all kinds of vehicles emitting all kinds of pollutants into our air, many Americans are now suffering from related health problems.“What I feel is tightness all around my chest,” said Karen Jakpor ,M.D., MPH. “Pretend you had to breathe through a straw.”Jakpor lives in California’s Inland Empire, an area east of Los Angeles, that has some of the worst air pollution in the country.After years of breathing in pollutants, Jakpor developed asthma so severe that she lost her clinical career.“That was very devastating to me when that first happened,” she said.Jakpor has since made a career change and is now advocating with the American Lung Association with a goal of getting all internal combustion engines off the road within the next three decades.“There’s so many people who are affected and people dying and yet they don’t even know that air pollution played a role in their medical condition,” Jakpor said.In its new report titled “Road to Clean Air,” the American Lung Association encourages a nationwide shift to electric vehicles by 2050.“Transportation is driving the unhealthy air that affects half of all Americans,” said William Barrett, lead author of this report.He predicts a transition to zero emission technology, for all transportation across America, could save countless lives and billions of dollars.“In the year 2050 alone, we could generate billion worth of public health benefits and approximately 3 billion worth of climate change benefits,” Barrett said.The move to reduce the use of fossil fuels has been an ongoing issue for decades.Now, however, health experts say the need for change is becoming more urgent each day.“Hopefully this report helps move the needle,” said Meredith McCormack, M.D., MHS, associate professor of medicine at John Hopkins University.She says prolonged exposure to car exhaust fumes can cause health issues ranging from heart attacks to lung cancer.To make a national changeover to electric vehicles a reality, McCormack says communities need help from leaders at local, state and federal levels.“For all of us as individuals, we also have our own ability to impact the future,” she said.A future of battery powered cars, however, does come at a cost.For example, a 2020 Toyota Prius Prime plug-in hybrid costs about ,000 more than a 2020 Toyota Corolla with a four-cylinder engine. But a study by the U.S. Department of Energy found that while plug-in vehicles could cost more upfront, they make up for it in savings with lower fuel costs and reduced emissions.That's something Jakpor believes is a small price to pay to improve America’s air quality.“We don’t want to leave the next generation with even worse disasters,” she said. 2753

With most Kindergarten through grade 12 schools starting in less than a month, many parents are trying to figure out what is best for their family when given the option between in-person or virtual learning?What about preschool for 3 to 5-year-olds who were looking forward to in-person learning this fall?For parents who believe it’s safer to keep their child home, there are ways to get them learning beyond the A, B, C’s.“With our younger children we know they really thrive in predictability and routine and that is all gone right now,” said parenting expert Carly Dorogi.Preschool participation has fallen by half during the pandemic, according to the National Institute for Early Education Research. But that doesn’t mean kids can’t learn at home.Dorogi says children ages 3 to 5 can learn math using everyday items.“If I have five Cheerios on the table this is what five looks like and it’s a small amount compared to when I have ten Cheerios on the table,” Dorogi said.Playing with dolls or action figures can help language skills, forcing children to talk and put sentences together. Playtime is motor skills time.“Our little guys can actually improve their handwriting by playing with play dough or doing anything that’s a small motor that strengthens their hand muscles,” Dorogi said.If you want to introduce virtual learning, Dorogi suggests Osmo’s starter kit. It’s an app and hands-on play.If you’re looking for workbooks, check out Grand Haven-Based School Zone Publishing. They say their preschool-aged items have been selling more now due to the pandemic. And they have an app called Anywhere Teacher that has a curriculum to follow.Barbara Peacock is the managing director of School Zone Publishing.“What they need to learn first, then next and it’s a step by step program so it’s really nice to kind of tie the two together both print material, doing flashcards, working on worksheets and then putting them for 30-minutes a day on Anywhere Teacher and working with them,” she said.It is OK if your preschooler can’t sit still.“They need to move," Dorogi explained. "Sitting at a desk for even an hour is too much and I don’t want parents to feel like that’s the expectation. So, think about alternative seating. If your child learns best laying on the floor or sitting in a bean bag.”Dorogi suggests something as simple as a yoga ball on a milk crate that allows your fidgety child to focus.“That is truly how their brain works and when we allow them to move and interact and talk that’s when they are going to learn,” she said.This story was originally reported by Syma Chowdhry at WXYZ. 2615

Wildfires continue to ravage the western United States, particularly in the Pacific Northwest, where 28 people have died and officials are bracing for more death.Hundreds of thousands of acres are currently burning in about 100 fires in 13 western states, but areas of Northern California and Oregon have seen unprecedented and catastrophic damage this week.Since mid-Auhust least 19 people have died in California — nine alone in the North Complex Fire that's currently burning north of Sacramento. Eight people have now been killed in Oregon, and with dozens of people still missing, officials are expecting more casualties."We know we're dealing with fire-related death, and we're preparing for a mass fatality incident, based on what we know," said Andrew Phelps, the director of the Oregon Office of Emergency Management.A one-year-old boy was also killed in Washington state this week.USA Today reports that cooler weather this weekend may aid firefighters. But in Oregon, officials fear that two large fires could merge and begin threatening an area near Portland — the state's largest city. More than 500,000 people have already been evacuated, a number representing about 10% of the state's population. 1219

WISCONSIN — An update on the expected re-entry of China's old Tiangong-1 space station has been announced.The space station was initially launched in September 2011. An official Chinese statement declared that Tiangong-1 terminated its data service on March 21, 2016. Since the Chinese government has lost control of the station, it's hard to predict where and when it will fall.The European Space Agency predicts the space station will fall back to Earth between March 30 and April 6, while research organization Aerospace predicts a re-entry on April 1, give or take 4 days.Aerospace says it is much easier to predict a re-entry time than a location. This explains the wide scope of possible re-entry zones, which both Aerospace and other organizations predict will be between 43 degrees North and 43 degrees South latitudes. 855