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AUGUSTA, Maine – Republican U.S. Sen. Susan Collins of Maine has won the hardest-fought race of her career, turning back a challenge by Democrat Sara Gideon and surviving to serve a fifth term.Collins, one of four candidates on the ballot, won a majority of first-place votes. That meant no additional tabulation rounds were necessary under Maine’s ranked choice voting system.Gideon has conceded, telling supporters on Wednesday that she called Collins and congratulated her on the win.Collins long touted herself in the fiercely independent state as a bipartisan centrist who’s willing to work with both parties to get things done.But opponents accused her of being an enabler of President Donald Trump, citing her votes to confirm Supreme Court Justice Brett Kavanaugh and for tax cuts that critics said favored the rich. 832

As the novel coronavirus emerged in the news in January, Sarah Keeley was working as a medical scribe and considering what to do with her biology degree.By February, as the disease crept across the U.S., Keeley found her calling: a career in public health. “This is something that’s going to be necessary,” Keeley remembered thinking. “This is something I can do. This is something I’m interested in.”In August, Keeley began studying at the University of Illinois at Urbana-Champaign to become an epidemiologist.Public health programs in the United States have seen a surge in enrollment as the coronavirus has swept through the country, killing more than 247,000 people. As state and local public health departments struggle with unprecedented challenges — slashed budgets, surging demand, staff departures and even threats to workers’ safety —- a new generation is entering the field.Among the more than 100 schools and public health programs that use the common application — a single admissions application form that students can send to multiple schools — there was a 20% increase in applications to master’s in public health programs for the current academic year, to nearly 40,000, according to the Association of Schools and Programs of Public Health.Some programs are seeing even bigger jumps. Applications to Brown University’s small master’s in public health program rose 75%, according to Annie Gjelsvik, a professor and director of the program.Demand was so high as the pandemic hit full force in the spring that Brown extended its application deadline by over a month. Seventy students ultimately matriculated this fall, up from 41 last year.“People interested in public health are interested in solving complex problems,” Gjelsvik said. “The COVID pandemic is a complex issue that’s in the forefront every day.”It’s too early to say whether the jump in interest in public health programs is specific to that field or reflects a broader surge of interest in graduate programs in general, according to those who track graduate school admissions. Factors such as pandemic-related deferrals and disruptions in international student admissions make it difficult to compare programs across the board.Magnolia E. Hernández, an assistant dean at Florida International University’s Robert Stempel College of Public Health and Social Work, said new student enrollments in its master’s in public health program grew 63% from last year. The school has especially seen an uptick in interest among Black students, from 21% of newly admitted students last fall to 26.8% this year.Kelsie Campbell is one of them. She’s part Jamaican and part British. When she heard in both the British and American media that Black and ethnic minorities were being disproportionately hurt by the pandemic, she wanted to focus on why.“Why is the Black community being impacted disproportionately by the pandemic? Why is that happening?” Campbell asked. “I want to be able to come to you and say, ‘This is happening. These are the numbers and this is what we’re going to do.’”The biochemistry major at Florida International said she plans to explore that when she begins her MPH program at Stempel College in the spring. She said she hopes to eventually put her public health degree to work helping her own community.“There’s power in having people from your community in high places, somebody to fight for you, somebody to be your voice,” she said.Public health students are already working on the front lines of the nation’s pandemic response in many locations. Students at Brown’s public health program, for example, are crunching infection data and tracing the spread of the disease for the Rhode Island Department of Health.Some students who had planned to work in public health shifted their focus as they watched the devastation of COVID-19 in their communities. In college, Emilie Saksvig, 23, double-majored in civil engineering and public health. She was supposed to start working this year as a Peace Corps volunteer to help with water infrastructure in Kenya. She had dreamed of working overseas on global public health.The pandemic forced her to cancel those plans, and she decided instead to pursue a master’s degree in public health at Emory University.“The pandemic has made it so that it is apparent that the United States needs a lot of help, too,” she said. “It changed the direction of where I wanted to go.”These students are entering a field that faced serious challenges even before the pandemic exposed the strains on the underfunded patchwork of state and local public health departments. An analysis by The Associated Press and Kaiser Health News found that since 2010, per capita spending for state public health departments has dropped by 16%, and for local health departments by 18%. At least 38,000 state and local public health jobs have disappeared since the 2008 recession.And the workforce is aging: Forty-two percent of governmental public health workers are over 50, according to the de Beaumont Foundation, and the field has high turnover. Before the pandemic, nearly half of public health workers said they planned to retire or leave their organizations for other reasons in the next five years. Poor pay topped the list of reasons. Some public health workers are paid so little that they qualify for public aid.Brian Castrucci, CEO of the de Beaumont Foundation, which advocates for public health, said government public health jobs need to be a “destination job” for top graduates of public health schools.“If we aren’t going after the best and the brightest, it means that the best and the brightest aren’t protecting our nation from those threats that can, clearly, not only devastate from a human perspective, but from an economic perspective,” Castrucci said.The pandemic put that already stressed public health workforce in the middle of what became a pitched political battle over how to contain the disease. As public health officials recommended closing businesses and requiring people to wear masks, many, including Dr. Anthony Fauci, the U.S. government’s top virus expert, faced threats and political reprisals, AP and KHN found. Many were pushed out of their jobs. An ongoing count by AP/KHN has found that more than 100 public health leaders in dozens of states have retired, quit or been fired since April.Those threats have had the effect of crystallizing for students the importance of their work, said Patricia Pittman, a professor of health policy and management at George Washington University’s Milken Institute School of Public Health.“Our students have been both indignant and also energized by what it means to become a public health professional,” Pittman said. “Indignant because many of the local and the national leaders who are trying to make recommendations around public health practices were being mistreated. And proud because they know that they are going to be part of that frontline public health workforce that has not always gotten the respect that it deserves.”Saksvig compared public health workers to law enforcement in the way they both have responsibility for enforcing rules that can alter people’s lives.“I feel like before the coronavirus, a lot of people didn’t really pay attention to public health,” she said. “Especially now when something like a pandemic is happening, public health people are just on the forefront of everything.”___KHN Midwest correspondent Lauren Weber and KHN senior correspondent Anna Maria Barry-Jester contributed to this report.___This story is a collaboration between The Associated Press and Kaiser Health News, which is a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente. 7795

As Tropical Storm Laura began setting its sights on Puerto Rico, and eventually, the Florida coast, Tropical Storm Marco formed late Friday.Marco has top winds of 40 MPH, but is expected to gain strength by the time it reaches the Gulf of Mexico. As of late Friday, however, the storm is not forecast to reach hurricane strength.The storm is then expected to head for the Texas or Louisiana coast.In the meantime, Marco is expected to hit Mexico’s Yucatan Peninsula this weekend.Tropical Storm Laura is also headed toward the Gulf of Mexico, but instead of approaching from the South like Marco, Laura is coming from the east.Laura has top winds of 45 MPH as of late Friday. Before reaching the Gulf of Mexico, it is expected to skirt Puerto Rico and Hispaniola and Florida.The combination of Marco and Laura could cause havoc for emergency managers next week. Laura could two US mainland landfalls – the Florida east coast and somewhere in the Gulf of Mexico. 968

As national rates of hospitalizations, deaths and positive cases of the coronavirus spike, CDC data shows Americans of color who contract the virus are more likely to end up in the hospital.The hospitalization rate overall for Hispanic or Latino COVID-19 patients is about 4.2 times higher than white patients. For American Indians, Alaska Natives, and Black patients, they are roughly 4 times more likely to be hospitalized than white patients.Patients between the ages of 18-49 who are Hispanic, Latino, American Indian or Alaska native are 7 times more likely than white patients of the same age to be hospitalized. Black patients between 18-and-49 years old are nearly 5 times more likely than white patients of the same age to be hospitalized.The findings are part of the CDC’s weekly report on the coronavirus pandemic in America.Weekly rates of hospitalizations have been increasing this fall since late September. Overall, the increase has been driven by patients who are older than 50. However, the CDC finds that weekly hospitalization rates among children have been increased for the last two weeks.The nationwide percent of positivity rate for specimens tested for COVID-19 is at 10.5 percent for the week ending November 7. It was 8.4 percent the week before.As of November 17, the U.S. has reported more than 11.2 million cases of the coronavirus since the pandemic started in March. Nearly a million of those cases happened in just the last week or so, as the virus spreads rapidly across the country. There have been almost 248,000 deaths in this country from the coronavirus. 1600

Authorities in India have decided to hold off retrieving the body of the American national feared killed on North Sentinel Island amid concerns about a possible confrontation with the tribe that lives there.John Allen Chau is believed to have been killed by Sentinelese tribespeople after he visited their island home in the Andaman and Nicobar archipelago in November, breaching local laws strictly prohibiting contact with the isolated people.Indian police say Chau found local fishermen who agreed to take him near the island, before using a canoe the rest of the way. Days later, the fishermen -- who have since been arrested for facilitating his trip -- say they saw the tribespeople dragging his body around the island."We want to avoid direct confrontation with the tribespeople," Dependra Pathak, director general of police of the Andaman and Nicobar islands, told CNN when asked about the latest efforts to retrieve Chau's body. "We do not want to go there and create an unhappy situation."The decision to avoid a direct confrontation with the isolated tribe came after a series of meetings and reconnaissance trips made by the officials. Anthropologists and tribal experts were also consulted.By Sunday, authorities had mapped out the area with the help of the fishermen and observed several members of the tribe walking around the area where eyewitnesses claim to have seen Chau's body dragged and buried.However, despite ruling out any immediate attempts to land on the island, local police would not categorically rule out retrieving the body at a future date. "We are working on it. We'll firm up a plan very soon," said Pathak. 1660

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