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Here in the U.S., states are handling vaccine distribution in different ways.Most are going with health care workers in direct contact with COVID-19 patients first, but plans could change.“So, we need to set realistic expectations that there will be guidance that's different in different states. The guidance will evolve as we get more and more vaccines. And that doesn't mean anything's wrong or we've changed our minds, it’s just the way it's going to roll out,” said Stacy Hall, Director of Louisiana’s Public Health Immunization Program.Louisiana plans to let its hospitals and EMS distribute the first doses to their staffs. It’s a strategy not just to protect the valuable workers, but to hopefully get the public on board.“I'm really eager for them as the first group to really learn the science about the vaccine and step up and be vaccinated. I think that'll set our whole campaign in Louisiana and nationally on the right track,” said Hall.As for the cold storage of the vaccine, Louisiana doesn't see it as overly challenging.They also plan to use the state immunization information system to track who needs second doses and where the vaccine is being used most.“I want us to keep going back to that. There will be challenges and issues, but what a wonderful opportunity to make a change in the trajectory of the pandemic,” said Hall.The reality is, it will be months before the general public will get the vaccine at a pharmacy or drive thru. 1464

GUERNEVILLE, Calif. (AP) — Two communities in Northern California's wine country were accessible only by boat Wednesday after a rain-swollen river overflowed its banks following a relentless downpour across an already waterlogged region.The small city of Guerneville north of San Francisco "is officially an island," with the overflowing Russian River forecast to hit its highest level in about 25 years, the Sonoma County Sheriff's Office said in a statement."Nobody is coming or going from the Guerneville area at this time," said sheriff's Sgt. Spencer Crum. The nearby town of Monte Rio was also isolated by floodwaters and all roads leading to it were swamped.The still rising Russian River was engorged by days of rain from western U.S. storms that have also dumped heavy snow in the Sierra Nevada, throughout the Pacific Northwest and into Montana, where Gov. Steve Bullock signed an emergency order to help keep up the supply of heating fuel amid frigid temperatures.Snow from the storms closed roads and schools and toppled trucks and trees from Oregon to Montana and an avalanche in the Sierra prompted Amtrak to suspend rail service between Sacramento and Reno, Nevada.The Russian River topped 42 feet (13 meters) Wednesday afternoon, when television helicopter footage showed homes underwater and cars submerged. It could crest at more than 46 feet (14 meters) by Wednesday night, officials said. About 4,000 residents in two dozen river communities were ordered to evacuate Tuesday evening but officials estimate only about half heeded the orders, Crum said.Jeff Bridges, co-owner of the R3 Hotel in Guerneville, said he and others who stayed behind were well prepared to ride out the storm. He and employees spent most of the night moving computers, business records and furniture to second-floor room. Reached by telephone, Bridges said there was about 7 feet (2 meters) of water at his two-story home in Guerneville Wednesday but was not worried."As long as everybody is safe, dry and warm, it's all fine. You just ride it out," said Bridges, noting that this flood was the fourth he's experienced in 33 years.He added: "People in Florida have hurricanes, people in Maine have blizzards; we have floods," he said. "It's the price we have to pay to live in paradise."Several areas in California set record-high rainfall totals, including nearby Santa Rosa, which had nearly 8 inches (20 centimeters) of rain in one day. The often-waterlogged Venado weather station 5 miles (8 kilometers) from Guerneville recorded more than 20 inches (50 centimeters) of rain in 48 hours.In the Sierra Nevada, which has already seen a month of heavy snow, two Amtrak trains together carrying nearly 300 passengers stopped and reversed directions because of an avalanche that closed railroad tracks. Service on Amtrak's California Zephyr between Reno and Sacramento, California, has been suspended until weather conditions improve, Amtrak spokeswoman Kimberly Woods said.California officials were also concerned about potential mudslides in saturated wine country hillsides and in areas scarred by wildfires in 2017.A mudslide Tuesday near Monte Rio trapped a man and a woman before they were rescued, messy but unharmed."I fell into the mud when the tree fell over the top of me. It happened so fast you don't even know," Kear Koch told KGO-TV.Elsewhere in the area, several people had to be rescued from cars stranded while motorists tried to drive through flooded roads. Nina Sheehan, who is visiting from North Carolina, had to abandon her rental SUV after it got stuck in a flooded hotel parking lot."We made a decision to take the rental car through the waist-high water and we got two thirds of the way and then the car stalled," she said. "Do not try to go through any water over a foot high because you never know what you're going to find."Firefighters in Monte Rio worked through the night pulling people out of cars stuck in flooded roadways and getting people out of their homes as water approached, Fire Chief Steve Baxman told the Press-Democrat newspaper of Santa Rosa."We took 17 people out of cars and houses during the night. Too many people are driving into water," he said.Other waterways, including the Napa River, also were expected to overflow their banks as an ocean-spanning plume of moisture continued tracking through the West. 4360

FULTON COUNTY, Ind. -- The 24-year-old driver who struck and killed three kids while they crossed the street to board their school bus told police she saw the lights but didn't realize it was a bus until the kids were in front of her. Alyssa Shepherd was arrested at her place of employment Tuesday evening and charged with three counts of reckless homicide and one count of disregarding the stop arms on a school bus causing injury. Police say she was driving a Toyota Tacoma on State Road 25 around 7:30 a.m. when she "disregarded" the stop arm and lights on a stopped school bus in front of a mobile home park, striking four kids who were crossing the street to board the bus. Alivia Stahl, 9, and her twin brothers, Xzavier and Mason Ingle, 6, were all pronounced dead at the scene. Maverick Lowe, 11, was flown to Parkview Hospital in Ft. Wayne in critical condition with multiple broken bones and internal injuries. His family released a statement on Wednesday saying he is in stable condition and recovering. A probable cause hearing was recorded in Fulton County Superior Court on Tuesday where investigators and officers were interviewed following the crash as state police sought a warrant to arrest Shepherd. In that recorded hearing, Indiana State Police Detective Michelle Jumper recalled the information given to her by the bus driver, Shepherd and a witness that was behind Shepherd following the crash. The Bus DriverJumper said the bus driver said he had driven that same route for "a couple of years" and that he had stopped and activated his lights as he normally does in the morning before he waves the kids across the street to get on the bus. The bus driver told Jumper that he looked and saw the vehicle at a distance and waved the kids to cross the road because he figured there was no reason that the driver wouldn't stop. Jumper said the bus driver didn't realize the vehicle wasn't stopping until it was near his bus and he hit his horn at the last second, but there was nothing he could do. The Witness Driving Behind Alyssa ShepherdJumper said the witness told her she had been following the pickup truck in front of her for a while and was going about 55 miles per hour when she caught up to her. The driver said they went around the corner and she could tell there was a school bus stopped with all of its lights activated so she started to slow down. The driver told Jumper that she realized the truck in front of her was not slowing down as she saw the headlights illuminate the kids as they were crossing the road. Alyssa ShepherdShepherd told Jumper that she does not typically drive her husband to work, but that she had just dropped him off Tuesday morning and had three children in the back seat of the vehicle. Shepherd said she was not sure how fast she was going but that she is typically a "slow driver." She told Jumper that she was not late for anything that morning and that she was taking her little brother to her mother's house so that he could get ready for school. Jumper said Shepherd told her she came around the corner and saw the lights, but was not sure what they were and by the time she realized that it was a school bus the kids were right in front of her.  Shepherd is the children's director at Faith Outreach Center, a Foursquare Gospel Church in Rochester, Ind. Rev. Terry Baldwin said Wednesday that they are "Fervently praying for the family suffering this tremendous loss and everyone who has experienced this tragedy."Shepherd was released Tuesday evening on a ,000 bond. Her next court date has not been scheduled at this time.  3716

Here is when the driver first pulled up to the protesters tonight in Denver, you can hear people urging him to turn around. During the next few minutes, I saw the driver shaking his head in apparent disbelief and using his cell phone, perhaps to take pictures. pic.twitter.com/TSAzfipida— Shelly Bradbury (@ShellyBradbury) September 24, 2020 349

Hospitals and states collecting case data on COVID-19 patients will now be reporting that data directly to the federal government, instead of the CDC's online database.Beginning this week, according to an update on the Health and Human Services website, states and hospitals are being asked to submit data directly to the federal government and task force in an effort to cut down on duplicate requests and minimize the reporting burden on hospitals and facilities.“As of July 15,, 2020, hospitals should no longer report the Covid-19 information in this document to the National Healthcare Safety Network site,” the statement reads. The emphasis was added in the original document.The National Healthcare Safety Network site is the CDC’s site for tracking infectious diseases.The document says the change in reporting will help the White House coronavirus task force to allocate supplies like personal protective gear, ventilators and drugs like remdesivir.Some are worried the change in where the data will be kept means a change in public access to the data.“Historically, C.D.C. has been the place where public health data has been sent, and this raises questions about not just access for researchers but access for reporters, access for the public to try to better understand what is happening with the outbreak," Jen Kates, the director of global health and H.I.V. policy with the nonpartisan Kaiser Family Foundation, told the the New York Times, who first reported on this change.Many researchers, scientific modelers and health officials in municipalities around the country rely on the CDC’s data to make projections and time-sensitive decisions.Michael Caputo, the assistant secretary for public affairs at the department, said in a statement to CNN, a "new faster and complete data system is what our nation needs to defeat the coronavirus and the CDC, an operating division of HHS, will certainly participate in this streamlined all-of-government response. They will simply no longer control it."The document shared by Health and Human Services does not clarify how the data will be accessed by the public. 2128