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WASHINGTON (AP) — With virus numbers rising locally and nationally and the holiday travel season looming, the nation’s capital is revamping its COVID-19 travel restrictions. Starting next week, visitors coming to Washington, D.C., from a state classified as high risk will be required to take a COVID-19 test and receive a negative result within 72 hours before traveling. They will also be asked to take another test locally if they plan on staying in Washington more than three days. The new system replaces the one in place since July, which required visitors from hot spot states to quarantine for 14 days upon arrival. Washington Mayor Muriel Bowser acknowledged Thursday that the quarantine system, which was entirely voluntary, was probably being violated by many visitors. 788

WASHINGTON (AP) — The House has approved legislation that would reverse recent changes in U.S. Postal Service operations. The measure would also send billion in emergency funds to shore up the agency ahead of November's presidential election. Passage was 257 to 150 and came after heated debate. President Donald Trump had urged a no vote, calling concerns over mail delivery a “hoax," and the White House says he will veto the bill if it passes the GOP-led Senate. More than two dozen Republicans broke with the president and backed the legislation. 562

WASHINGTON, D.C. – President Donald Trump and the first lady were greeted with boos Thursday as they visited the Supreme Court to pay their respects to the late Justice Ruth Bader Ginsburg.As Trump stood next to the justice's casket, a crowd chanted “vote him out” and “honor her wish,” referring to Ginsburg’s request that the next president should fill her open seat.Just days before her death, Ginsburg’s granddaughter, Clara Spera, says the justice dictated this statement to her, “My most fervent wish is that I will not be replaced until a new president is installed.”Ginsburg died last week at the age of 87. She is currently lying in repose at the Supreme Court for a second day.The president will announce his candidate to replace Ginsburg on Saturday. His decision to name a candidate and the Senate’s decision to quickly hold hearings ahead of the November 3 election has sparked controversy.Hundreds of mourners passed by her coffin Wednesday outside the Supreme Court, following a ceremony including Ginsburg’s family, close friends, colleagues from the court, and more than 100 former law clerks.Friday, Ginsburg’s coffin will be moved to the U.S Capitol, where she will become the first woman to lie in state since the honor started in 1852.A private graveside ceremony will be held next week at Arlington National Cemetery. 1347

WASHINGTON, D.C. — Federal officials say the key component to getting the COVID-19 vaccine distributed across the country will lie in the hands of states, with help from major pharmacy chains, like CVS and Walgreens.“We want to replicate what the experience you have with the flu vaccine — convenient to you, a tried-and-true system that we do hundreds of millions of vaccines through every year,” said U.S. Health and Human Services Secretary Alex Azar. “That's the backbone of the approach we're taking.”Yet, if flu vaccine rates are any indication, that backbone may not suffice.Dr. Eric Schneider is with The Commonwealth Fund, an independent organization that studies health policy. They recently delved into previous vaccination rates to see how it might unfold for COVID-19.“Our health care system does well at developing new technologies like these vaccines, which are really quite amazing, scientifically speaking,” Dr. Schneider said. “But we don't do as well at making sure those technologies are distributed to the people who need them most. And we're seeing that in the prior vaccination experience, and I’m worried we will see that with COVID-19.”What did they find?A mere 51% of Americans got the flu vaccine last year and only 38% got the H1N1 swine flu vaccine 10 years ago, which had a similar vaccine development timetable and pressure to COVID-19.Those low vaccination rates matter because in order for the COVID-19 vaccine to create herd immunity in the U.S., between 70 and 90% of all Americans will need to get vaccinated.“The concept of herd immunity really is developed out of vaccination programs because the question is ‘What proportion of the population needs to be vaccinated to prevent the circulation of a virus in the population?’” Dr. Schneider said.Just getting that shot could vary depending on where you live, as the federal government is leaving that up to each state.“That's going to be up to the nation's governors as they prioritize within their states,” HHS Secretary Azar said.However, Dr. Schneider said that in order for the states to pull it off, they are going to need federal help.“States are in incredible difficulty right now with their budgets and they need federal support,” he said. “Congress is considering a federal rescue package. That funding is really necessary to get states the support they need to vaccinate large numbers of people.”Large numbers of people are now waiting for a rescue of their own from a virus that’s changed everything.For a closer look at the results of the study on vaccination rates from The Commonwealth Fund, click here. 2612

WASHINGTON, D.C. – It’s a convergence of two health crises: the ongoing coronavirus pandemic and a new flu season now underway.“There’s not much flu in the northern hemisphere in the summer - but there is a lot in the southern hemisphere,” said Dr. Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security and an infectious disease critical care and emergency medicine physician.Dr. Adalja said health care professionals have observed the flu in places like Australia and New Zealand during the past several months, which could offer clues into what might be expected here as our weather gets colder.“The southern hemisphere has had a remarkable flu season mostly because it's 99% lower than what they've seen in prior years,” Dr. Adalja said. “This has to do with the fact that the social distancing that people are doing for COVID-19 also has an impact on influenza because they're both spread in the same manner.”However, the U.S. has failed to control the spread of the coronavirus, leading to fears that the country might be facing a “twindemic,” where COVID-19 and the flu collide.The one silver lining: less international travel around the world may make it harder for the flu to spread globally like it has in years past.“The point we have to continue to emphasize is we don't know for sure if we'll have a light flu season and we have to prepare for one that's severe,” Dr. Adalja said.So far, the coronavirus has killed more than 210,000 people in the U.S. this year. According to the Centers for Disease Control, that’s more than the previous five flu seasons combined.Estimated flu season deaths:2015-16: 23,0002016-17: 38,0002017-18: 61,0002018-19: 34,0002019-20: 22,000Total 2015-2020: 178,000Still, any uptick in hospitalizations because of the flu could further strain hospitals already dealing with COVID-19. One region of concern is the upper Midwest, in places like Wisconsin, which is a current coronavirus hotspot."It is stretching our hospital capacity, and it is overwhelming our public health infrastructure,” said Andrea Palm of the Wisconsin Department of Health Services.One step that could help is to ensure everyone gets a flu shot, even if it doesn’t end up being a perfect match to this year’s strain.“Even if it isn't a complete match and it doesn't prevent you from getting the flu, it still will prevent you from dying from influenza and getting hospitalized with influenza or getting complications from influenza,” Dr. Adalja said.It is also now one of the few tools available in a time of great uncertainty. 2573