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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756
RICHMOND, Va. – Virginia Governor Ralph Northam and First Lady Pamela Northam have tested positive for COVID-19.On Wednesday they were notified that a member of the Governor’s official residence staff, who works closely within the couple’s living quarters had developed symptoms and had tested positive for COVID-19.The Governor and First Lady received PCR nasal swab tests Thursday afternoon and both tested positive for COVID-19, the governor’s office said.They added that Governor Northam is experiencing no symptoms and First Lady Pamela Northam is experiencing mild symptoms.The release said the Governor and First Lady will isolate for the next 10 days and evaluate their symptoms.The Governor will fulfill his duties from the Executive Mansion.“As I’ve been reminding Virginians throughout this crisis, COVID-19 is very real and very contagious,” said Governor Northam. “The safety and health of our staff and close contacts is of utmost importance to Pam and me, and we are working closely with the Department of Health to ensure that everyone is well taken care of. We are grateful for your thoughts and support, but the best thing you can do for us—and most importantly, for your fellow Virginians—is to take this seriously.”The Governor and First Lady are working closely with VDH and the Richmond Heath Department to trace their close contacts.This story originally reported on WTKR.com. 1408

SACRAMENTO, Calif. (AP) -- California Gov. Gavin Newsom says the state has signed a contract worth up to .4 billion with a company that will more than double the state's daily coronavirus testing capacity.Right now, California averages about 100,000 tests per day, with the state paying 0 per test and results taking between five and seven business days.Newsom said the state's new contract with Massachusetts-based PerkinElmer will increase the state's testing capacity to 250,000 per day by March 1 with each test costing about . Results would come within two days.The contract will initially cost the state 0 million, with a maximum amount of .4 billion. 678
SACRAMENTO, Calif. (AP) — California's effort to write the nation's first ethnic studies curriculum for public schools has united liberals and conservatives: They think it's terrible.Jewish lawmakers complained that the proposed lessons are anti-Semitic, while a conservative critic says capitalism is presented as a "form of power and oppression." The clash comes as a law requires the state to adopt ethnic studies, which view history through the lens of diverse cultures.State Superintendent Tony Thurmond said Wednesday that he will recommend changes to better reflect the contributions of Jewish Americans and remove sections that the California Legislative Jewish Caucus finds objectionable."We really need some significant changes, if not to go back to square one," said Democratic state Sen. Ben Allen of Santa Monica, the caucus chairman. "Our concern is that the draft curriculum, as currently written, would literally institutionalize the teaching of anti-Semitic stereotypes in our public schools."For instance, the proposed curriculum has lessons on identifying Islamophobia and other forms of discrimination but does not include ways to identify anti-Semitism. Song lyrics included in the draft also seem to support the stereotype that Jews control the news media, the caucus said."It would be a cruel irony if a curriculum meant to help alleviate prejudice and bigotry were to instead marginalize Jewish students and fuel hatred and discrimination against the Jewish community," the 14 caucus members said in a recent letter.Jewish lawmakers said that's a particular danger following a rise in hate crimes against California Jews last year and recent attacks on synagogues, including one in April. A 19-year-old gunman told investigators he was motivated by Jewish hatred when he killed a woman and wounded two other people, including a rabbi, at the Chabad of Poway synagogue near San Diego."Children are not born as bigots, and so it's critically important that we get this curriculum right," said Democratic Sen. Hannah-Beth Jackson of Santa Barbara.State Superintendent Tony Thurmond said the omission of Jewish contributions was not intentional but that ethnic studies traditionally have focused on African Americans, Latinos, Asian and Pacific Islanders and indigenous people.He and Jewish lawmakers said there have been other requests to include Hindus and a section on the Armenian genocide. Allen suggested that white Europeans might learn empathy for immigrants today if there were a section on the discrimination that Italian and Irish nationals once faced in the U.S."There's no limit on groups who have experienced oppression," Thurmond said.In 2016, then-Gov. Jerry Brown, a Democrat, signed a law requiring the state to adopt an ethnic studies curriculum by March 31, 2020. Thurmond said he is likely to ask lawmakers to extend the deadline.Earlier this year, state officials completed a draft of the curriculum written by a panel of mostly classroom teachers.The proposed curriculum went to a Board of Education advisory commission in May, and it's seeking public comments through Thursday. Commission members will consider the comments and changes at public hearings in Sacramento next month.Board leaders said in statement that the curriculum "should be accurate (and) free of bias," acknowledging that "the current draft model curriculum falls short and needs to be substantially redesigned."The law doesn't require schools to adopt the final version, but legislation approved by the state Assembly and awaiting a vote in the Senate would make the course a requirement to graduate from high school.Aside from the Jewish lawmakers' concerns, conservative researcher Williamson Evers said California wants to teach kids that capitalism is racist.Evers, a research fellow at Stanford University's Hoover Institution and a former assistant education secretary under former President George W. Bush, said in a Wall Street Journal opinion column that the draft includes capitalism as a "form of power and oppression" in an apparently "left wing" approach to the classroom.Thurmond said he wasn't offering changes to address that criticism. Democratic Assemblyman Jesse Gabriel of Encino, vice chairman of the Jewish caucus, said that too needs to be fixed because it reflects a "fundamentally flawed curriculum" that "feels a lot more like indoctrination.""We know that it's very personal. History is very personal, ethnic studies is very personal, so we know and understand that this is difficult," said Stephanie Gregson, director of the curriculum division at the state education department.Gregson called Evers' criticisms a mischaracterization that's taken "out of context."But she said the department is planning changes after recognizing that the draft curriculum does not meet state guidelines of inclusivity and "creating space for all students, regardless of race, ethnicity, class or gender." 4939
SACRAMENTO, Calif. (AP) — Gov. Gavin Newsom wants to charge California water customers up to per month to help clean up contaminated water in low-income and rural areas.His plan will face resistance from some Democrats hesitant to impose new taxes.Up to 1 million Californians are estimated to have some type of contaminated or unclean water coming through their taps that can cause health issues.RELATED: California Gov. Gavin Newsom proposes state funds to help migrant families at borderNewsom has called it a "moral disgrace and a medical emergency."He wants to impose new fees on water customers and animal and dairy farms to pay for public water improvements.It's nearly identical to a measure that failed last session.A competing proposal by Democratic Sen. Anna Caballero would use money from the state's multibillion-dollar surplus to create a trust fund to pay for water improvements. 906
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