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Laboratories across the U.S. are buckling under a surge of coronavirus tests, creating long processing delays that experts say are undercutting the pandemic response.With the U.S. tally of confirmed infections at nearly 4 million Wednesday and new cases surging, the bottlenecks are creating problems for workers kept off the job while awaiting results, nursing homes struggling to keep the virus out and for the labs themselves as they deal with a crushing workload.Some labs are taking weeks to return COVID-19 results, exacerbating fears that people without symptoms could be spreading the virus if they don’t isolate while they wait.“There’s been this obsession with, ‘How many tests are we doing per day?’” said Dr. Tom Frieden, former director of the Centers for Disease Control and Prevention. “The question is how many tests are being done with results coming back within a day, where the individual tested is promptly isolated and their contacts are promptly warned.”Frieden and other public health experts have called on states to publicly report testing turnaround times, calling it an essential metric to measure progress against the virus.The testing lags in the U.S. come as the number of people confirmed to be infected worldwide passed a staggering 15 million, according to data compiled by Johns Hopkins University. The U.S. leads the world in cases as well as deaths, which have exceeded 142,000.New York, once by far the U.S. leader in infections, has been surpassed by California, though that is partly due to robust testing in a state with more than twice the population of New York.Guidelines issued by the CDC recommend that states lifting virus restrictions have a testing turnaround time of under four days. The agency recently issued new recommendations against retesting most COVID-19 patients to confirm they have recovered.“It’s clogging up the system,” Adm. Brett Giroir, assistant health secretary, told reporters last week.Zachrey Warner knows it all too well.The 30-year-old waiter from Columbus, Ohio, was sent home from work on July 5 with a high fever a few days after he began feeling ill. He went for a test five days later at the request of his employer.Almost two weeks and one missed pay period later, he finally got his answer Wednesday: negative.Though Warner said most symptoms — including fever, diarrhea, chest tightness and body aches — stopped a few days after he was tested, he wasn’t allowed to return to work without the result.It was “frustrating that I’ve missed so much work due to testing taking forever,” Warner said. “It is what it is ... (but) I’m glad I’m negative and happy to be able to get back to work this week.”Beyond the economic hurt the testing lags can cause, they pose major health risks, too.In Florida, which reported 9,785 new cases and a rise in the death toll to nearly 5,500, nursing homes have been under an order to test all employees every two weeks. But long delays for results have some questioning the point.Jay Solomon, CEO of Aviva in Sarasota, a senior community with a nursing home and assisted living facility, said results were taking up to 10 days to come back.“It’s almost like, what are we accomplishing in that time?” Solomon said. “If that person is not quarantined in that 7-10 days, are they spreading without realizing it?”Test results that come back after two or three days are nearly worthless, many health experts say, because by then the window for tracing the person’s contacts to prevent additional infections has essentially closed.“The turnaround times, particularly across the South are too long,” Dr. Deborah Birx of the White House coronavirus task force said on Fox.Birx said the U.S. had shorter turnaround times in April, May and early June, but that “this surge and this degree of cases is so widespread compared to previously,” she said.Dr. Leana Wen, a public health professor at George Washington University said it’s reasonable to tell people awaiting test results to isolate for 24 hours, but the delays have been unacceptable.“Imagine you tell a parent with young children to self-isolate for 10 days or more without knowing they actually have COVID? I mean, that’s ridiculous. That’s actually absurd,” Wen said.U.S. officials have recently called for ramping up screening to include seemingly healthy Americans who may be unknowingly spreading the disease in their communities. But Quest Diagnostics, one of the nation’s largest testing chains, said it can’t keep up with demand and most patients will face waits of a week or longer for results.Quest has urged health care providers to cut down on tests from low-priority individuals, such as those without symptoms or any contact with someone who has tested positive.As testing has expanded, so have mask orders and other measures aimed at keeping infections down. Ohio, Indiana, Minnesota and Oregon became the latest to announce statewide mandatory mask orders Wednesday.The U.S. is testing over 700,000 people per day, up from less than 100,000 in March. Trump administration officials point out that roughly half of U.S. tests are performed on rapid systems that give results in about 15 minutes or in hospitals, which typically process tests in about 24 hours. But last month, that still left some 9 million tests going through laboratories, which have been plagued by limited chemicals, machines and kits to develop COVID-19 tests.There is no scientific consensus on the rate of testing needed to control the virus in the U.S., but experts have recommended for months that the U.S. test at least 1 million to 3 million people daily.Health experts assembled by the Rockefeller Foundation said last week that the U.S. should scale up to testing 30 million Americans per week by the fall, when school reopenings and flu season are expected to further exacerbate the virus’s spread. The group acknowledged that will not be possible with the lab-based testing system.The National Institutes of Health has set up a “shark tank” competition to quickly identify promising rapid tests and has received more than 600 applications. The goal is to have new testing options in mass production by the fall.Until then, the backbone of U.S. testing remains at several hundred labs with high-capacity machines capable of processing thousands of samples per day. Many say they could be processing far more tests if not for global shortages of testing chemicals and other materials.Dr. Bobbi Pritt of the Mayo Clinic in Rochester, Minnesota, says the hospital’s machines are running at just 20% capacity. Lab technicians run seven different COVID-19 testing formats, switching back and forth depending on the availability of supplies.At Emory University Hospital in Atlanta, lab workers lobby testing manufacturers on a weekly basis to provide more kits, chemicals and other materials.“There’s no planning ahead, we just do as many as we can and cross our fingers that we’ll get more,” said Dr. Colleen Kraft, who heads the hospital’s testing lab.___This story has been corrected to show that the CDC has issued guidelines recommending against repeat testing for patients recovering from coronavirus.___Webber reported from Fenton, Michigan, and Sedensky reported from Philadelphia. Associated Press writers Kelli Kennedy in Fort Lauderdale, Florida, Michelle R. Smith in Providence, Rhode Island, and Medical Writer Mike Stobbe in New York contributed to this report.___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. 7624

LINCOLN, Neb. (AP) — The owner of a pharmacy that provided drugs to Nebraska for use in a 2018 execution is expressing remorse for making the sale, but acknowledging that he knew that prison officials wanted them for a lethal injection.Public records released late Thursday show that Community Pharmacy Services, a pharmacy in Gretna, Nebraska, agreed to sell the drugs to the Nebraska Department of Correctional Services for two payments totaling ,500.State officials had refused to identify their supplier until the Nebraska Supreme Court ruled in May that they cannot withhold that information.Pharmacy owner Kyle Janssen says the drugs supplied to the Nebraska Department of Corrections were used in the August 2018 execution of Carey Dean Moore, the first death by lethal injection in the state. Moore was convicted of murdering two cab drivers in Omaha.In a statement obtained by The Associated Press, Janssen said his pharmacy has not supplied drugs to any department of corrections since the sale and will never again.“I regretted the decision as it does not align with our company’s values to provide the best patient care and customer service to the long-term care industry,” said Janssen. 1210

LAKE ELSINORE, Calif. (KGTV) - Fire crews battled powerful winds on the fifth day of the Holy Fire, and finally gained ground on the 19,107 acre blaze.The fight Friday night was far from over as red hot embers glowed in the evening. Crews fear winds overnight could whip up flames.RELATED: Holy Fire: More than 20,000 evacuated as fast-moving wildfire races into Riverside CountyNeighbors heard the buzz of chainsaws as crews worked to build yet another firebreak up steep hills, hoping to protect nearby neighborhoods.One neighbor stayed behind to protect his block and described the blaze as it raged feet from homes Friday afternoon, "it’s just like Dantes inferno right now with the heat and the flames and the smoke," Scott Helmer said. "Twenty minutes ago this wasn’t even like this, you know it exploded."The fire grew more than 8,000 acres from Thursday evening, fueled by powerful, constantly changing winds, making the fight even more dangerous for firefighters. As of Friday night the fire was 19,107 acres and 10 percent contained. The smoke blackened the sky and ash rained down in clumps, making it difficult to breathe. The heat radiated from the flames, creating sweltering conditions for crews.VIDEO: Holy Fire suspect talking to firefightersThe fight from the air Thursday night continued through Friday, at a constant pace."Kept dumping and dumping and dumping over night probably every five minutes to make a pass over my house so essentially everyone in my neighborhood didn’t sleep but that’s okay," neighbor Carole Feeney said.Neighbors breathed a sigh of relief as the pink sun set over pink stained roads, homes and vehicles. "Out there, they're working hard, they’re nonstop. They have their fire fighters in the air, airstrike, on the ground and they’re, they just saved most of our structures," Feeney said, knowing the work fire crews have done is making progress. 1961

LAS VEGAS, Nevada — Most teenagers are using Snapchat, Whatsapp, or Instagram. But you need to know, predators are using social media apps too.It's the dark side of Las Vegas. And sex traffickers have learned they can reach beyond runaway teens into the bedrooms of kids in cities such as Summerlin and Anthem. And they're accessing your kids on social media. Adia Lancaster is with New Hope Foundation International, an organization that educates our community about sex trafficking. "We have two lives now. An offline life and an online life. Whatever app has social capability, they are recruiting off of these apps."Parents never think something like this can happen to their teen. But predators are patient and smart.  Often they will target multiple students at a specific school at the same time. If they can interact with enough students online, other teens are more likely to think they are safe because they have friends in common. That's all it takes for your teen to let down their guard on social media.Worldwide, the average age of a girl pulled into sex trafficking is 12 or 13. Here in Las Vegas, the average age is about 15 or 16.  That's the age Michelle Balan's daughter was when a stranger made friends with her on social media."It was, there is a party let's go. The girls would go. A group of guys would go. They hang out. It became a friendship. Then it evolved. These guys said, 'We want to make some money'."Sadly, Michelle's daughter was fooled into thinking it was no big deal to sell her body. But since she was still living at home, it didn't take long for Mom to catch on."She started coming home with items I didn't pay for and she didn't have a job. There was no explainable way she could have these items."Michelle did what every parent must do. She became a social media detective: 1888

LEE COUNTY, Fla., — Your child gives it their all, both time and effort, yet struggles to complete a homework assignment.Another child scribbles their name on a piece of paper and turns it in.Technically, both students could get the same grade according to an investigation by Scripps station WFTX in Fort Myers, Florida that’s uncovering the tactics teachers and administrators are using to boost low grades.WFTX's Tony Sadiku obtained emails from a Harns Marsh Middle School assistant principal to teachers asking for everyone’s commitment to follow the school’s grading policy, '50% minimum, 0 = 50' in a practice known as minimum grading.Teachers say students who would otherwise get a zero are given between a 50 to 59 percent regardless of whether they prove they’ve learned anything. If a student doesn’t turn in a single assignment all quarter, they’ve earned a 50% at some schools. The principal at Harns Marsh told teachers in 2016 via email, “A 60 for our students that are trying but are several grade levels behind academically is fair.”Some parents said they disagree.  “I don’t believe it’s fair, by no means,” said one parent of a 7th grader at the school.Several parents said they've never heard of minimum grading.  Even some Lee County School Board members said they were unaware of the school’s grading practice.  “I know of no such policy, formal or informal, in Lee County schools,” said Board Member Cathleen Morgan.“I am not aware of such a policy,” said Board Member Dr. Jane Kuckel. “I think every parent needs to be aware of the grading policy,” said Mark Castellano, a former Lee County public school teacher. The Lee County School District said minimum grading is not a District policy, but a practice implemented by some schools and teachers to encourage struggling students. “Often times a zero can completely deteriorate a grade and they will lose interest because they think there’s no way for them to get a passing grade,”  said Dr. Wanda Creel, the District’s Chief Academic Officer. “When students will grasp those concepts is really is on a personalized individualized basis. Minimum grading allows students to stay engaged while still learning and for teachers to continue to work with them through the process.”Creel said the goal is for students to pass on their own.But does a better grade on a report card mean students are actually learning?While students may have a better shot at passing their classes because of minimum grading, numbers from the Florida Department of Education show many still aren’t testing well.At Harns Marsh Middle school, 38 percent passed the English Language Arts Florida Standards Assessment test in 2017. In the entire District, 53 percent of middle schoolers passed.Harns Marsh kids also had lower numbers in the FSA Mathematics Test. Only 35 percent of kids passed last year compared to 51 percent of middle schoolers in the District who passed.Middle school students who don’t pass are still promoted to the next grade level, but may be more likely to struggle down the road.Statistically, 8th graders are more likely to be retained than 6th and 7th graders according to the Florida Department of Education.“Teachers will begin to think that I need to retain because this child doesn’t seem to be able to tackle the issues in high school,” Creel said. “A retained 8th grader can be one of the highest indicators of a dropout. We are finding strategies to help our overaged 8th graders to get the credits they need so they can move on to high school.”“You have kids that are absolutely motivated and they love learning. Those kids you rarely have to do anything. Then you have kids that struggle. They struggle with their home life. They struggle with their socioeconomic situations,” Castellano said.But is adjusting a student’s grade closer to passing the solution?“What are we teaching kids in terms of their personal responsibility for their education?” Castellano said.Castellans says in his nearly 30+ years of teaching, not once has he used the practice. “What they’re saying is for those kids the grade is irrelevant, it’s not going to motivate them,” said Robert Kenny, a professor of education at Florida Gulf Coast University. School Board Member Jane Kuckel supports minimum grading policies at some schools.“All students learn and thrive in different ways," she said. "The outcomes are non-negotiable. The process for getting there needs to be tailored to the achievement levels and learning styles of the students.”One parent argues her child earning the grade matters more.“It’s a big deal cause he needs to learn and he needs to make it in this world," the parent said. "The world is not going to give him a free pass forever and they don’t need to learn that in middle school.” The District said they plan to set up committees next fall to evaluate how minimum grading is being done to come up with a more uniform approach across the District.  5113