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Nancy Pelosi, the likely next House speaker, caused a stir Tuesday when she engaged in a spirited Oval Office meeting with President Donald Trump.She then emerged from the White House, slipped on her sunglasses and strode to the awaiting media, her rust-colored coat's stand-up collar buttoned high, just below her chin.It was, as they say, a fashion moment. 366

Moderna announced on Thursday that it had enrolled 30,000 participants in its Phase 3 COVID-19 vaccine trial, with more than 11,000 of those participants from communities of color.More than 25,650 participants have already received their second vaccination, the company said in a press release.The company added that the study also includes 7,000 participants over the age of 65.“Completing enrollment of the Phase 3 COVE study is an important milestone for the clinical development of mRNA-1273, our vaccine candidate against COVID-19," said Stéphane Bancel, Chief Executive Officer of Moderna in the news release. "We are indebted to all of the participants in the study. We would also like to thank the investigators and our partners at clinical trial sites, including our partners from PPD and the NIH, as well as the dedicated Moderna team for their support in completing enrollment. Moderna is committed to rigorous scientific research and the highest data quality standards. We will continue to work in collaboration with regulators to advance mRNA-1273, which we hope will help defeat the COVID-19 pandemic.”CNN reported that for Moderna to apply to the FDA for emergency use authorization, the following three things need to happen:53 of the 30,000 participants would need to become sick with COVID-19, which is expected to occur in the second half of November.40 of the 53 participants who do become ill with COVID-19 need to have received the placebo, which would show that the vaccine is 75% effective.Make sure enough time has passed to see if participants develop side effects.According to CNN, Moderna is the first company to start US clinical trials of a COVID-19 vaccine. 1696

MURRIETA, Calif. (KGTV) — Border Patrol agents arrested a man Wednesday after more than 70 pounds of cocaine were found inside inside his vehicle.Border Patrol agents stop a suspicious vehicle at about 7 p.m. on Interstate 215 near the Muerrieta Hot Springs exit. A K-9 officer was used to search the vehicle and detected possible narcotics.During the search, agents said they located 27 bundles of cocaine stashed inside the vehicle's front and rear seats and underneath seats.The bundles weighed about 70 pounds, with a street value of about 6,450. The driver, a 32-year-old U.S. citizen, was arrested and turned over to Drug Enforcement Administration.The bust capped off drug seizures totaling about 117 pounds within the last 72 hours, according to Customs and Border Protection.“In the last 72 hours San Diego Sector has seized over 117 pounds of lethal narcotics worth more than ,300,000,” said Chief Patrol Agent Aaron Heitke. “Thankfully these dangerous drugs will not reach our local communities.” 1020

Nearly 800 nurses were on a picket line Tuesday in Pennsylvania. The nurses work at St. Mary Medical Center in Langhorne, near Philadelphia, and they say they are walking off the job to fight for their patients.At issue is the hospital’s contract with the nurse’s union. The nurses want a new contract with higher wages and safeguards for patient safety.The nurses say they are caring for more patients during the coronavirus pandemic than they should, and that is putting patients at risk.“Safe staffing is the main issue in our negotiation--it's why we organized last year in the first place,” says Kathy McKamey R.N., who works on St Mary's MG2 unit and has been at the hospital for 10 years, said in a statement provided by the union.The hospital’s owner, Trinity Health, said the union rejected a contract last week that included higher wages.Hospitals in the Philadelphia area told the Philadelphia Inquirer that they would hire replacement nurses to work if the union goes on strike."We respect the union members’ right to strike, and we remain committed to negotiating in good faith to reach agreement on a fair, consistent and sustainable initial contract for St. Mary nurses. We look forward to the day productive negotiations can resume," said a statement from Trinity Health.The nurses say their strike will continue Wednesday if necessary. 1360

MURRAY, Utah – Dr. Todd Vento has spent most of his professional life preparing for the worst-case scenario.“I still have a lot of connections because of things I’ve done in the past,” said Dr. Vento while sitting in the lobby of Intermountain Medical Center in Murray, Utah.He is an infectious disease specialist who previously worked for the Department of Defense, managing the Ebola outbreak in West Africa.He’s since been recruited to fight on the COVID-19 front lines.“When you prepare and constantly live in that world of preparing for a true threat, you do expect that this could happen,” Vento said.In video provided by Intermountain Healthcare and University of Utah Health, you can see states in the Mountain West are reaching a critical tipping point.The talk of moving to a crisis level of care is imminent.One example, the Utah Hospital Association is reporting double the numbers of COVID-19 patients in hospitals from two weeks ago, and five times the number of patients from two months ago.So, what happens at hospitals when numbers surge? The process of load leveling happens first.“(Load leveling is) balancing out where the patients are so you don’t have one facility that might have 110% of capacity, while another facility is at 70%,” Vento said.A patient management system called “Care Traffic Control” covers seven westerns states. Like other systems in the country, it tells first responders where they can take patients.Next comes contingency care.“That contingency plan might be that we need to take care of more COVID-19 patients, so that means we convert another hospital that takes care of non-COVID-19 patients,” Vento explained.Part of the contingency plan also means canceling noncritical surgeries.Finally, there are crisis levels of care.“The concept of the term, crisis standards of care really gets down to a similar concept used in combat and the military,” Vento said. “I know that may sound harsh, but it’s really about the triage process.”That means doctors will be forced to make tough decisions about who gets care and what that will look like.As many states smash records of COVID-19 cases, health care workers are being stretched thin and asking for help.“It’s up to us to allow all our livelihoods to continue,” Vento said. 2276