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After struggling to ramp up coronavirus testing, the U.S. can now screen several million people daily, thanks to a growing supply of rapid tests. But the boom comes with a new challenge: keeping track of the results.All U.S. testing sites are legally required to report their results, positive and negative, to public health agencies. But state health officials say many rapid tests are going unreported, which means some new COVID-19 infections may not be counted.And the situation could get worse, experts say. The federal government is shipping more than 100 million of the newest rapid tests to states for use in public schools, assisted living centers and other new testing sites.“Schools certainly don’t have the capacity to report these tests,” said Dr. Jeffrey Engel of the Council of State and Territorial Epidemiologists. “If it’s done at all it’s likely going to be paper-based, very slow and incomplete.”Early in the outbreak, nearly all U.S. testing relied on genetic tests that could only be developed at high-tech laboratories. Even under the best circumstances, people had to wait about two to three days to get results. Experts pushed for more “point-of-care” rapid testing that could be done in doctors offices, clinics and other sites to quickly find people who are infected, get them into quarantine and stop the spread.Beginning in the summer, cheaper, 15-minute tests — which detect viral proteins called antigens on a nasal swab — became available. The first versions still needed to be processed using portable readers. The millions of new tests from Abbott Laboratories now going out to states are even easier to use: they’re about the size of a credit card and can be developed with a few drops of chemical solution.Federal health officials say about half of the nation’s daily testing capacity now consists of rapid tests.Large hospitals and laboratories electronically feed their results to state health departments, but there is no standardized way to report the rapid tests that are often done elsewhere. And state officials have often been unable to track where these tests are being shipped and whether results are being reported.In Minnesota, officials created a special team to try and get more testing data from nursing homes, schools and other newer testing sites, only to be deluged by faxes and paper files.“It’s definitely a challenge because now we have to do many more things manually than we were with electronic reporting,” said Kristen Ehresmann, of the Minnesota Department of Health.Even before Abbott’s newest BinaxNOW rapid tests hit the market last month, undercounting was a concern.Competitors Quidel and Becton Dickinson have together shipped well over 35 million of their own quick tests since June. But that massive influx of tests hasn’t showed up in national testing numbers, which have mostly ranged between 750,000 and 950,000 daily tests for months.Besides tallying new cases, COVID-19 testing numbers are used to calculate a key metric on the outbreak: the percentage of tests positive for COVID-19. The World Health Organization recommends countries test enough people to drive their percent of positives below 5%. And the U.S. has mostly been hovering around or below that rate since mid-September, a point that President Donald Trump and his top aides have touted to argue that the nation has turned the corner on the outbreak. The figure is down from a peak of 22% in April.But some disease-tracking specialists are skeptical. Engel said his group’s members think they aren’t getting all the results.“So it may be a false conclusion,” he said.One of the challenges to an accurate count: States have wildly different approaches. Some states lump all types of tests together in one report, some don’t tabulate the quick antigen tests at all and others don’t publicize their system. Because antigen tests are more prone to false negatives and sometimes require retesting, most health experts say they should be recorded and analyzed separately. But currently the vast majority of states do not do that and post the results online.The federal government is allocating the tests to states based on their population, rather than helping them develop a strategy based on the size and severity of their outbreaks.“That’s just lazy” said Dr. Michael Mina of Harvard University. “Most states won’t have the expertise to figure out how to use these most appropriately.”Instead, Mina said the federal government should direct the limited test supplies to key hot spots around the country, driving down infections in the hardest-hit communities. Keeping tighter control would also ensure test results are quickly reported.Johns Hopkins University researcher Gigi Gronvall agrees health officials need to carefully consider where and when to deploy the tests. Eventually, methods for tracking the tests will catch up, she said.“I think having the tools to determine if someone is infectious is a higher priority,” she said.___AP data journalist Nicky Forster contributed to this story___Follow Matthew Perrone on Twitter: @AP_FDAwriter___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5285

ALPINE, Calif. (KGTV) - Six months after the West Fire ripped through Alpine, residents still have an immense amount of work to do to rebuild.Colin Campbell's parents owned the Campbell Creek Ranch for 13 years before it burned in July. Campbell spoke with 10News in August at a benefit that raised at least ,000 for the victims of the fire.Sunday, on the six month anniversary of the fire, Campbell walked through the ranch, lending a window into his memories.Surrounding him, the ranch lay much the same as the day after the fire. Ashes and bricks covering the foundation of his parent's home, the pool drained, the white fence lining the driveway, melted. As he looked around him, he saw the ghost of what had been.He looked at the pool, and spoke of an old pact he made with his two sons, "at any time, on the coldest day of the year, I would plunge into the pool, and they always took it upon me to do it, and their timing was impeccable," he said laughing. His sons and wife would jump in after him.At the house, his fondest memory was of a train set his parents built for his boys. He described the wooden track built at knee height, right in front of the vast fireplace to ensure the kids were warm while playing happily for hours, "we spoiled them with trains."Over the past six months, volunteers and family members sifted through soot, unearthing treasures."Man it absolutely has been meaningful," Campbell said poignantly, "in fact there has been a picture of my wife, our wedding 23 years ago, that somehow, someway came out of the rubble."He was also struck by the signs of hope sprouting around the grounds, "you can see now it is greening up, in the mountainsides, they are growing back, and it's just incredible that the environment, they just reinvigorate themselves." He said the boys are young teens now and learning, while cleaning up the ranch, how nature prevails.Campbell's fight to protect the property is not over. "The erosion is our main concern," he said. With help from local leaders, sand bags held the weak soil mostly in place after recent rain.Campbell said he's incredibly thankful for the continued support of the community, and hopes in the next two years to rebuild and move his parents back onto the ranch. 2256

After Florida's voter registration site crashed just hours before the deadline, voters in the Sunshine State have until 7 p.m. Tuesday night to get registered to vote in the 2020 general election.Tuesday morning, Florida's Secretary of State, Laurel Lee, released a statement saying that she met with Florida Gov. Ron DeSantis to brief him on Monday night's issues with the site.Citing "unprecedented volume" as the cause of the issues, Lee wrote that officials are working with law enforcement to ensure the issue wasn't "a deliberate act against the voting process."A few hours later, Lee extended the voter registration deadline to 7 p.m. Tuesday evening.Floridians who weren't able to register on Monday can do so online, through their county supervisor of elections office, through their local tax collector's office or through paper applications submitted by Tuesday. 881

AGUANGA, Calif. (AP) — Authorities say an illegal marijuana growing operation where seven people were fatally shot in a small, rural Southern California town had the markings of organized crime. Riverside County Sheriff Chad Bianco says all victims and witnesses were Laotian. More than 20 people lived on the property located about 50 miles north of San Diego. It had several makeshift dwellings, a nursery, and vehicles used in production. RELATED: 7 shot, killed at illegal Southern California marijuana growing siteDespite there being no arrests or identified suspects, authorities say people in the area are not threatened. The killings are the latest flashpoint in the violence that often permeates California’s illegal marijuana market. 751

After more than a decade apart, McDonald's and The Walt Disney Company have partnered up to release Disney-themed toys with Happy Meals starting in June, the companies announced Wednesday.The cross-promotional campaign pairs the children's meal with movies from Walt Disney Animation Studios, Pixar Animation Studios, Disney Live Action, Marvel Studios and Lucasfilm. It will begin with Incredibles 2.USA TODAY reports the companies did not specify how long the agreement will last, only saying multiple years. Their last partnership lasted ten years, from 1996 to 2006.McDonald's also promises Happy Meals will meet Disney's nutrition guidelines by June 2018. 668