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The current spike in COVID-19 cases is stressing the testing system across the country.As the virus spreads at unprecedented rates, more Americans are seeking COVID-19 tests. But in recent days, companies that make the tests and the supplies needed for them are struggling to keep up with demand."Those companies were operating on an allocation basis, and that just means that basically everything they make is going out the door," said Kelly Wroblewski, the Director of Infectious Disease Programs at the Association of Public Health Laboratories. "There is no reserve, so there's an increased demand in a lab for testing. There's no more reagent to be had, so to meet that demand, that lab has to use a different manufacturer's test."Wroblewski adds that along with issues in getting supplies, officials are also short on human resources — there is only so much lab capacity and only so many trained people to conduct the tests.The American Clinical Laboratory Association says the surge in demand for testing means some labs could reach or exceed their current testing capacities soon — meaning it could take longer for patients to get PCR test results back.Wroblewski says that it can take currently take anywhere from 24 hours to a week to get PCR test results back.With antigen tests, patients can get results back in less than 30 minutes. There is currently enough of a supply for antigen tests, but not all facilities offer them.Both lab groups stress that COVID-19 testing is important, but patients should be strategic."There's been a lot of emphasis put on testing, but testing is only one piece of the puzzle," Wroblewski said. "It gives you some information, and if you're not going to do anything with that information — whether it be targeted closures. whether it be staying home and isolating — we're not going to stop the spread of disease."As far as getting more tests, it's going to take a while. Wroblewski says it could take up to six months or more to increase production capacity significantly. Labs don't expect to see a ramp-up in supplies until early 2021. 2090

The CDC appears to be making slight changes to who should be tested for coronavirus for a second time this week, after their changes on Monday sparked confusion and reaction from the scientific community.On Monday, the CDC updated their website to read that testing is no longer recommended for symptom-less people who were within 6 feet of an infected person for more than 15 minutes.This set off a wave of confusion about who should be tested and the reason for the change. All questions were directed to the CDC’s parent organization, the Department of Health and Human Services.In a statement distributed to media Thursday, CDC Director Robert Redfield said those who come in contact with a confirmed or probable COVID-19 patient(s) could be tested, even if they don’t show symptoms, according to TheHill.com.“Testing is meant to drive actions and achieve specific public health objectives. Everyone who needs a COVID-19 test, can get a test. Everyone who wants a test does not necessarily need a test; the key is to engage the needed public health community in the decision with the appropriate follow-up action,” Redfield said in the statement.The New York Times reports the guidelines are not changed on the Centers for Disease Control and Prevention’s website, and appears unlikely the agency will change them. 1326

The CIA has determined that Saudi Crown Prince Mohammed bin Salman personally ordered the killing of journalist Jamal Khashoggi, despite the Saudi government's denials that the de facto ruler was involved, according to a Washington Post report.Citing people familiar with the matter, the Post reported Friday that the CIA reached its conclusion by examining several sources of intelligence. According to the Post, US officials have high confidence in the CIA's assessment.A spokesman for the CIA declined to comment to the Post. The Saudi government has denied bin Salman's involvement in Khashoggi's death.Fatimah Baeshen, a spokeswoman for the Saudi Embassy in Washington, told the newspaper that the claims in the CIA's "purported assessment are false.""We have and continue to hear various theories without seeing the primary basis for these speculations," she told the Post.Khashoggi, a former Saudi royal insider who became a critic of the country's government, went missing in October after he visited the Saudi consulate in Istanbul to obtain papers for his upcoming marriage. The Saudi government offered changing explanations for Khashoggi's disappearance.Included in the US intelligence analyzed by the CIA was a phone call the prince's brother Khalid bin Salman made to Khashoggi, encouraging the journalist to make the trip to the consulate to get the documents, according to the Post. Sources told the Post that Khalid made the call at his brother's command.Khalid denied the Post's reporting, saying on Twitter that he had never spoken to Khashoggi by phone."I never talked to him by phone and certainly never suggested he go to Turkey for any reason. I ask the US government to release any information regarding this claim," Khalid said.He said the last contact he'd had with Khashoggi was via text in October 2017.Baeshen told the Post that Khalid, who is the Saudi ambassador to the US, and Khashoggi never discussed "anything related to going to Turkey."The CIA also examined an audio recording from inside the Saudi consulate provided by Turkey and a phone call placed from inside the consulate after Khashoggi was killed, according to the Post.Maher Mutreb, an alleged member of the Saudi hit team and a security official for the crown prince, placed the phone call to a top aide for bin Salman informing the aide that the job had been done, people familiar with the call told the newspaper.According to the Post, the CIA also based its conclusion on its evaluation of bin Salman as a leader who is involved in minor matters.The CIA does not know the location of Khashoggi's remains, according to the Post.The Trump administration on Thursday?imposed penalties on 17 individuals over their alleged roles in the killing of Khashoggi. Khashoggi's assassination has created a crisis for the Trump administration and drawn attention to President Donald Trump's business ties to Saudi Arabia and the relationship between bin Salman and Trump's son-in-law and senior adviser, Jared Kushner.Earlier Thursday, the Saudi Public Prosecutor's Office said 11 people had been charged for their involvement in the death of Khashoggi, adding that five are facing capital punishment for being directly involved in "ordering and executing the crime."Khashoggi was killed following "a fight and a quarrel" at the Saudi consulate, the prosecutor's office claimed. Prosecutors said Khashoggi was tied up and injected with an overdose of a sedative that killed him. Then, according to prosecutors, his body was dismembered and removed from the consulate by five people. 3617

The Catholic Diocese of Youngstown released a list of names Tuesday of clergy personnel credibly accused of sexual abuse of a minor and who were reported to authorities.After a thorough investigation, Bishop George V. Murray, S.J., accepted the accusations as credible, according to the news release sent by the diocese.“I am very sorry that the Church has failed to act aggressively to eliminate this evil.  I humbly ask forgiveness from the victims and their families for the grave mistakes the Church has made," said Bishop Murray in the release.Through the investigation, Bishop Murray said, “that as painful as the process of voluntary disclosure of names is for parishioners where these men served, this is one way that we can offer support and dignity to the survivors of clergy sexual abuse and their families.”The following is a list of clergy members who had credible, substantiated allegations of sexual abuse of a minor made against them, according to the Catholic Diocese of Youngstown: 1022

The conversation around wearing different protective gear is expanding. In particular, face shields.Teachers recently asked the nation’s top infectious disease expert, Dr. Anthony Fauci, about it and he said, “if you can get one, it’s not a bad idea.”Fauci went on to say that a shield shouldn't necessarily be worn in place of a mask, but more parents are considering the option for kids.“For some of the kids, a mask just isn't going to work. And in those cases, a face shield can be considered, but I think it needs to be understood that that’s not the default,” said Dr. Preeti Malani with the Infectious Diseases Society of America.Infectious disease experts say there just isn't enough data yet on how much protection a face shield provides.One study found it did significantly reduce the number of inhaled droplets, but cloth masks are also about protecting others. Shields were not as sure to do that as well.“If you're wearing a shield, the respiratory secretions that might be coming from your mouth or nose are not going to be as well contained,” said Malani.In the health care setting, face shields are used primarily to prevent splashing in the eyes.Malani offered this advice about finding the right shield.“It’s important that it’s long enough to really protect the whole face and that it wraps around fully and that it fits well up at the forehead,” said Malani.Companies, including Apple, Nike, General Motors, and John Deere have all started producing face shields.In a JAMA Network open viewpoint, it was pointed out that face shields have some advantages over masks. They can be reused indefinitely, they are easier to clean, they are comfortable, and they help prevent touching of the face. 1719

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