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Dr. Deborah Birx, the White House coronavirus response coordinator, said on Wednesday that several states should consider moving back to Phase 1 in reopening due to increased coronavirus activity.Dr. Birx pointed to Arizona, Texas, California and Florida as states that are seeing a high prevalence of the coronavirus. This comes as intensive care units in Arizona and Florida are reaching capacity.Amid her pleas to the American people, she encouraged everyone to avoid participating in indoor gatherings, and dine outside rather than inside.“I think the work that these governors have done to — and ask the American people is it’s stop going to bars, to close the bars, to move to outdoor dining, to decrease indoor — any kind of indoor gatherings again,” Dr. Birx said. “To all of the Americans out there that are in these four states and the states that have — in the report, were in the red zone — because there’s a series of other states that we have in that zone — is really asking the American people in those counties and in those states — in those states to not only use the face coverings — not going to bars, not going to indoor dining — but really not gathering in homes either and decreasing those gatherings back down to our phase one recommendation, which was 10 or less.”During Thursday’s news conference with the White House’s coronavirus task force, Vice President Mike Pence said he believes the virus could be reaching its peak in hard-hit Arizona and Florida.“We’re actually seeing early indications of a percent of positive testing flattening in Arizona and Florida and Texas,” Pence said. “Governors in each of those states have taken strong steps to flatten the curve.”But data from Johns Hopkins University suggests the positivity rate is still going up. In Florida, the seven-day average of positive COVID-19 tests is at 18.7%, compared to just 4% a month ago. The rate of positive tests in Arizona is also up to 26.8%, up from around 11% this time a month ago.Given the spread, hospital officials in both states are preparing for “surge capacity” to make more ICU beds available to handle a possible influx of patients.Nationally, the rate of positive tests have increased in recent weeks, showing that the jump in the number of confirmed COVID-19 cases is not just due to increased testing. Nearly 8% of COVID-19 tests are coming back positive, according to Johns Hopkins University data, up from 4.4% four weeks ago.Notably missing at Wednesday’s briefing was Dr. Anthony Fauci, who has vocalized concerns over US states reopening too quickly. 2581

Doctors at Henry Ford Health System penned an opened letter on the hospital's study of hydroxychloroquine being used to treat COVID-19.It comes just days after Dr. Anthony Fauci called the study "flawed" while testifying in front of a House subcommittee."As an early hotspot for the COVID-19 pandemic, we have seen and lived its devastating effects alongside our patients and families. Perhaps that’s what makes us even more determined to rally our researchers, front-line care team members and leaders together in boldness, participating in scientific research, including clinical trials, to find the safest care and most effective treatments. While feeling the same sense of urgency everyone else does to recognize a simple, single remedy for COVID-19, we need to be realistic in the time it takes to fully understand the optimal therapy or combination of therapies required of a new virus we are all trying to contain," Dr. Adnan Munkarah and Dr. Steven Kalkanis said in the letter.The study has been among a handful to show positive results of using hydroxychloroquine as a coronavirus medicine. But the FDA has recommended against using the drug outside of a hospital or clinical setting after a number of studies showed the drug was ineffective at treating coronavirus patients. On Friday, Fauci said the study, which has been touted by President Donald Trump and other Republicans, contradicts other studies that found the drug does not effectively treat COVID-19."That study is a flawed study, and I think anyone who examines it carefully is that it is not a randomized placebo-controlled trial," Fauci said. "The most well-accepted and definitive method to determine the efficacy of a treatment is a double-blind, randomized clinical trial. However, this type of study takes a long time to design, execute and analyze," the doctors wrote.You can read the entire letter below. 1893

Dr. Anthony Fauci said during an interview on Wednesday that a World Health Organization expert was “not correct” for stating that coronavirus infections from those who are asymptomatic are “very rare.”Dr. Maria Van Kerkhove, a World Health Organization’s infectious disease expert, walked back her comments from Monday one day later, qualifying her statement by saying it’s not the official policy of the WHO."I used the phrase 'very rare.' I think that's misunderstanding to state that asymptomatic transmission globally is very rare. What I was referring to was a subset of studies," Van Kerkhove said during a press conference on Tuesday. "I was just trying to answer a question at a press conference, I wasn't stating a policy of the WHO or anything like that."While the majority of coronavirus cases come from those who are symptomatic, Fauci said on ABC’s “Good Morning America” that the spread from those who are asymptomatic is not uncommon."The evidence that we have given the percentage of people, which is about 25, 45-percent of the totality of infected people, likely without symptoms," he said. "And we know from epidemiological studies that they can transmit to someone who is uninfected, even when they're without symptoms. So to make a statement to say that's a rare event was not correct."On Monday, Dr. Ashish Jha, the director of Harvard's Global Health Institute, took issue with Van Kerkhove's anaylsis"Asymptomatic spread is the Achilles heel of this outbreak," Jha tweeted. "Both asymptomatic and pre-symptomatic spread huge problem for controlling disease because folks shedding virus while asymptomatic pre-symptomatic has one advantage: You can use contact tracing to find folks they infected. But that doesn't help prevent pre-symptomatic spread"Jha cited a May Swiss study that indicated that between 40 and 60% of all coronavirus cases originated from people when they didn't have symptoms at the time of the spread.The debate comes as a number of states are continuing to see an increase in coronavirus cases. Most notably is Arizona, which has advised hospitals to be prepared to expand intensive care units in order to accommodate the influx of coronavirus patients. 2208

Dharamvir Singh is the leader of a team of six men tackling their latest tough assignment in the flood-ravaged southern Indian state of Kerala.Their mission is to safely evacuate stranded residents and to deliver supplies to desperate flood victims who have been without food and clean water for days.Members of the Indian government's National Disaster Response Force are working to reach isolated pockets of people after deadly flash floods devastated the region's idyllic countryside.Singh holds the rope of an inflatable orange dinghy as the team makes its way through a stew of river water and sewage that's now become a cesspool of infection.His team draws on years of training as they navigate the dinghy through narrow streets that are filled with up to six feet of filthy water."Rescuers have to become friends with water. Otherwise they can't rescue anyone successfully," said Singh.In the small town of Peringara, in the Thiruvalla district, water flooded hundreds of houses with no warning Wednesday. Banana trees are split down the middle and their leaves float forlornly in the water, walls have crumbled and cars filled with water are sitting abandoned in the streets. 1191

Earlier today I found out that trump illegally used a cover song that I am part of in a propaganda video which he tweeted...anyone who knows me knows I stand firmly against bigotry and racism. Much love to everyone in the twitter community who helped get the video taken down fr!!— JUNG YOUTH (@JUNGYOUTHmusic) July 19, 2020 332