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Everyone has dealt with some sort of isolation this year due to COVID-19. But for those living with different forms of dementia, isolation can take a much larger toll.“He has Lewy body dementia,” Jaye Kephart explained. She takes care of her husband, Michael, who was diagnosed with this form of dimension five years ago. The illness can cause hallucinations.“I know that the Lewy body is progressing,” she said. With safer at home orders in place, people like Kephart and her husband have been forced to mostly stay home, which she said has made his hallucinations worse.“There is no doubt in my mind that it’s COVID, he also sleeps a lot more. Why not, he’s bored,” she said.Many caregivers are seeing the same thing -- a faster decline they blame on increased isolation.The Washington Post analyzed federal data, which showed more than 134,000 people have died from some form of dementia since March, around 13,000 more than expected.“It’s exactly what I’m seeing with the families I work with. I think that caregivers feel a little bit hopeless and stressed out because they have difficulty at times trying to figure out, what can I do to make this better?,” Jill Lorentz said. She has worked with dementia caregivers and those with dementia for over two decades.“I think the whole thing is just a perfect storm,” she said. Lorentz also has eight family members who have some type of dementia, she currently helps care for her sister.Social stimulation and routine are two ways caregivers help slow the decline -- and that can be done from home to an extent.“Allow them to be a part of the process and use those as engagement pieces and not normal day activities that are kind of out of mind. You don't realize you can utilize that as something in a routine that could be meaningful for that person,” Lorentz said.“I still give him as much to do as I can. He unloads the dishwasher and loads it,” Kephart said.But for those living in a facility, stimulation is even more scarce.“I think there’s been more people in communities that have died from the loneliness of not being able to see or touch their family members then there have been that actually have the COVID diagnosis,” Lorentz said.“We’re asking people to create plans to make sure they are combating social isolation like they are combating COVID right now,” Amelia Shafer said. She is the Executive Director at the Alzheimer's Association of Colorado. She said caregivers should make a plan to participate in virtual support groups to help their loved ones with dementia, but they should focus on their own health, too.“It was no surprise to us that people were feeling isolated, that people were feeling depressed,” Shafer said.“People are dying at higher rates especially people with dementia, and they feel like they've had a huge loss. Everyone around them is feeling that loss too, but it’s different because 90% of what they feel is energy. So if they're feeling the sadness of their caregivers and the sadness of the world,” Lorentz said. “I think this is somewhat of a grieving issue.”“It’s certainly not having a partner like I did, I’m a caretaker,” Kephart said.The Alzheimer’s Association has a 24/7 hotline that offers support and help for caregivers, family members, and those living with the disease at 800-272-3900. 3305

ESCONDIDO, Calif. (KGTV) — Police are searching for the driver responsible for hitting and killing a woman on a North County freeway this week.A person lying on the right shoulder of westbound State route 78 under the Rock Springs Rd. overcrossing was reported to police just after 6 a.m. Wednesday, according to California Highway Patrol.Escondido Fire Department and CHP found a 26-year-old female from Escondido, who appeared to have been hit by a vehicle, dead on the right shoulder.No vehicle was found at the scene. CHP is investigating how and why the woman was on the freeway.The suspect vehicle is described as a 2017/2018 Mercedes Benz E-Class sedan and believed to be green. CHP said the vehicle should have damage to its right front fender and wheel well.Anyone with information on the collision is asked to call CHP at 858-637-3800. 853

Federal health officials Wednesday issued insurance coverage rules designed to deliver on the promise that every American will have access to free COVID-19 vaccines when they are approved.The regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. The changes arrive at a time when coronavirus infections are rising in much of the country, signaling a third wave that could eclipse the number of cases seen earlier this year.Congress and President Donald Trump have already enacted legislation that calls for vaccines to be free, but the new rules were needed to align that policy with the many arcane payment requirements for public and private insurance.“CMS is acting now to remove bureaucratic barriers while ensuring that states, providers and health plans have the information and direction they need to ensure broad vaccine access and coverage for all Americans,” agency head Seema Verma said in a statement.The rules aim to resolve potential legal issues over whether Medicare could cover a vaccine that receives “emergency use authorization” from the Food and Drug Administration. That’s a step short of full approval, and questions arose about whether Medicare could pay under its standard coverage policies.Under Wednesday’s announcement:— Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived.— The government will pay private Medicare Advantage plans to administer the vaccine to seniors. Enrollees will not be charged.— Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. The requirement applies to the vast majority of private plans, which are mandated to cover approved preventive care under the Obama-era Affordable Care Act — even as the Trump administration is trying to overturn that law at the Supreme Court.— State Medicaid and Children’s Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.— Doctors, clinics and hospitals vaccinating uninsured people will be able to get paid through a federal fund set up to assist health care providers under financial stress.The regulations take effect immediately.A White House-backed initiative called “Operation Warp Speed” seeks to have a vaccine ready for distribution in the coming months. The government is spending billions of dollars to manufacture vaccines even before they receive FDA approval, thereby cutting the timeline for delivery. Officials at the FDA have pledged that the program will not interfere with their own science-based decisions. Vaccines that do not meet the test for approval would be discarded. 2791

ESCONDIDO, Calif. (KGTV) — As San Diego County rolls back again into the more-restrictive purple tier, the city of Escondido is coming together to make sure their small businesses survive the newest rollback.In Escondido, Carol Rogers is involved with the Downtown Business Association and the Chamber of Commerce, plus she also owns Stone and Glass, a glass blowing shop. She said everyone has been feeling the impact for the past eight months, but they’re finding ways to adapt.For her glass store, she said online sales have been what kept her afloat.RELATED: San Diego County moves into California's COVID-19 purple tier, new state data shows“Our online sales are phenomenal. It’s what’s kept us in business. It is the only thing that’s kept us in business,” said Rogers.She said she and the organizations she works with have created different plans to help all small businesses. During the summer, they closed down a lane of traffic along the main street and added cement barricades, creating a space for stores to add tables to the sidewalks. Some types of businesses were able to use the space, but others were not.“What we found is the restaurants did it. I works for the restaurants, but retail is not using the space,” she said, discussing the outdoor sidewalk addition.In the spirit of unity, they decided to not waste the outdoor space, so Rogers created an art walk that happened Saturday, Nov. 14. Artists and creators were able to move into unused street space and host pop-up shops, giving them business that has been missing since their local Second Saturday stopped in March.In addition to the stores moving outside and artists popping up for a Saturday afternoon, the community has also stepped up to add life to the cement barricades that block off the outdoor sidewalk space. Starting in the summer, a few cement blocks were painted by artists, and that has continued. Now, Grand Avenue is lined with multi-colored pieces of art.“There’s been professional artists, there’s been people that just want to paint, there’s children,” said artist Tristan Pittard, who was working on his cement canvas Saturday.Pittard said the art is an additional motivator for people to visit the area and support local businesses.“Art in general affects peoples psyche and public art is important for that because people might not be exposed to art otherwise,” said Pittard.For Rogers, the combination of the art walk with the painted cement shows the unity of the people, and gives her hope that Escondido will survive another rollback. She said she hopes the art walk will become a monthly event.“The more that we can do this, we believe the more people will come. This makes people comfortable. We’re outside. We’re far apart. It’s safe,” she said. 2760

Every aspect of how children learn is being discussed right now, as public and private schools across the nation try to figure out how to safely get children back in the classroom. And it seems, the devil is entirely in the details.What will education look like this fall? The answer is complicated.Colleges are slowly coming up with plans, but school districts across the country are talking it out and discovering there's no easy answer.Music Watson, Chief of Staff for the San Diego County, California, Office of Education, said, “We’re looking at things like how do you physical distancing in a classroom? If students need to be 6 feet apart or can they be closer if they’re facing the same direction or if you add some shields or use a space that’s not traditionally a classroom like a library, could you have a class in there?”Most county offices like hers are an intermediary between local school districts and the state. They're now discussing new guidance from public health officials and from the California Department of Education, and they're trying to interpret that for local school districts.“Like symptom screening seems like a pretty easy thing, right, you come to school. you answer questions, get your temperature taken and go in,” Watson said, “except if you have a school with a thousand kids and you need to screen every single one. There’s a lot of logistics involved with that.”For symptom screening, you'll need thermometers, a way to record information, and a way to keep students apart. On buses if you're distancing, then you're reconfiguring how many students can be on that bus at a time.“This is a huge, multi-faceted problem and so we can’t just do it on our own we have to get employee associations, labor groups, parents involved,” Watson said. “We have to work with public health we can’t do it on our own.”The California Department of Public Health is handing out more than 47,000 thermometers, 2 million face shields, 143,000 gallons of hand sanitizer, 123,000 N95 masks, 16 million disposable masks, and 14 million cloth face coverings for staff and students. All of those will be distributed statewide.At the Lakeland School System in Memphis, Tennessee, Superintendent Dr. Ted Horrell said those face coverings, “May be the 2020 equivalent of ‘I forgot my pencil’ and the teacher comes up with a pencil”Which means, schools have to be ready for that. Lakeland Schools are already installing plexiglass shields in reception areas and putting hand sanitizing stations in every classroom. The district is getting Chromebooks ready in case there's a need to do distance learning entirely.Everyone wants a safe environment and there's still a lot of unknowns. When asked about a harsher cold and flu season and whether schools will be shut down again in the fall, Watson said, "It’s entirely possible that if we see a surge, that schools may need to go back to distance learning or may need to take some other tools out of their toolbox, which is why it’s important now to plan for every possibility because it is much easier to start at 100 and ramp down to 70 and then go back to 85 than start at 70 and then go back to 100.”All of these decisions are difficult for everyone, and it seems there's no middle ground. Many districts across the nation are sending out surveys asking for feedback about returning to school or doing a hybrid model. In areas without connectivity, parents may receive a physical handout. And, at the end of the day, educators want kids at school, but they won't do it until they know the nation's children-are safe.“Have a little grace we’re all doing the best we can that things are changing quickly, new guidance continues to come out and some of this will change and we have to be flexible and have a little grace because we’re all in this together and all trying to make it through,” Watson said. 3871