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After struggling to ramp up coronavirus testing, the U.S. can now screen several million people daily, thanks to a growing supply of rapid tests. But the boom comes with a new challenge: keeping track of the results.All U.S. testing sites are legally required to report their results, positive and negative, to public health agencies. But state health officials say many rapid tests are going unreported, which means some new COVID-19 infections may not be counted.And the situation could get worse, experts say. The federal government is shipping more than 100 million of the newest rapid tests to states for use in public schools, assisted living centers and other new testing sites.“Schools certainly don’t have the capacity to report these tests,” said Dr. Jeffrey Engel of the Council of State and Territorial Epidemiologists. “If it’s done at all it’s likely going to be paper-based, very slow and incomplete.”Early in the outbreak, nearly all U.S. testing relied on genetic tests that could only be developed at high-tech laboratories. Even under the best circumstances, people had to wait about two to three days to get results. Experts pushed for more “point-of-care” rapid testing that could be done in doctors offices, clinics and other sites to quickly find people who are infected, get them into quarantine and stop the spread.Beginning in the summer, cheaper, 15-minute tests — which detect viral proteins called antigens on a nasal swab — became available. The first versions still needed to be processed using portable readers. The millions of new tests from Abbott Laboratories now going out to states are even easier to use: they’re about the size of a credit card and can be developed with a few drops of chemical solution.Federal health officials say about half of the nation’s daily testing capacity now consists of rapid tests.Large hospitals and laboratories electronically feed their results to state health departments, but there is no standardized way to report the rapid tests that are often done elsewhere. And state officials have often been unable to track where these tests are being shipped and whether results are being reported.In Minnesota, officials created a special team to try and get more testing data from nursing homes, schools and other newer testing sites, only to be deluged by faxes and paper files.“It’s definitely a challenge because now we have to do many more things manually than we were with electronic reporting,” said Kristen Ehresmann, of the Minnesota Department of Health.Even before Abbott’s newest BinaxNOW rapid tests hit the market last month, undercounting was a concern.Competitors Quidel and Becton Dickinson have together shipped well over 35 million of their own quick tests since June. But that massive influx of tests hasn’t showed up in national testing numbers, which have mostly ranged between 750,000 and 950,000 daily tests for months.Besides tallying new cases, COVID-19 testing numbers are used to calculate a key metric on the outbreak: the percentage of tests positive for COVID-19. The World Health Organization recommends countries test enough people to drive their percent of positives below 5%. And the U.S. has mostly been hovering around or below that rate since mid-September, a point that President Donald Trump and his top aides have touted to argue that the nation has turned the corner on the outbreak. The figure is down from a peak of 22% in April.But some disease-tracking specialists are skeptical. Engel said his group’s members think they aren’t getting all the results.“So it may be a false conclusion,” he said.One of the challenges to an accurate count: States have wildly different approaches. Some states lump all types of tests together in one report, some don’t tabulate the quick antigen tests at all and others don’t publicize their system. Because antigen tests are more prone to false negatives and sometimes require retesting, most health experts say they should be recorded and analyzed separately. But currently the vast majority of states do not do that and post the results online.The federal government is allocating the tests to states based on their population, rather than helping them develop a strategy based on the size and severity of their outbreaks.“That’s just lazy” said Dr. Michael Mina of Harvard University. “Most states won’t have the expertise to figure out how to use these most appropriately.”Instead, Mina said the federal government should direct the limited test supplies to key hot spots around the country, driving down infections in the hardest-hit communities. Keeping tighter control would also ensure test results are quickly reported.Johns Hopkins University researcher Gigi Gronvall agrees health officials need to carefully consider where and when to deploy the tests. Eventually, methods for tracking the tests will catch up, she said.“I think having the tools to determine if someone is infectious is a higher priority,” she said.___AP data journalist Nicky Forster contributed to this story___Follow Matthew Perrone on Twitter: @AP_FDAwriter___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. 5285

After struggling to ramp up coronavirus testing, the U.S. can now screen several million people daily, thanks to a growing supply of rapid tests. But the boom comes with a new challenge: keeping track of the results.All U.S. testing sites are legally required to report their results, positive and negative, to public health agencies. But state health officials say many rapid tests are going unreported, which means some new COVID-19 infections may not be counted.And the situation could get worse, experts say. The federal government is shipping more than 100 million of the newest rapid tests to states for use in public schools, assisted living centers and other new testing sites.“Schools certainly don’t have the capacity to report these tests,” said Dr. Jeffrey Engel of the Council of State and Territorial Epidemiologists. “If it’s done at all it’s likely going to be paper-based, very slow and incomplete.”Early in the outbreak, nearly all U.S. testing relied on genetic tests that could only be developed at high-tech laboratories. Even under the best circumstances, people had to wait about two to three days to get results. Experts pushed for more “point-of-care” rapid testing that could be done in doctors offices, clinics and other sites to quickly find people who are infected, get them into quarantine and stop the spread.Beginning in the summer, cheaper, 15-minute tests — which detect viral proteins called antigens on a nasal swab — became available. The first versions still needed to be processed using portable readers. The millions of new tests from Abbott Laboratories now going out to states are even easier to use: they’re about the size of a credit card and can be developed with a few drops of chemical solution.Federal health officials say about half of the nation’s daily testing capacity now consists of rapid tests.Large hospitals and laboratories electronically feed their results to state health departments, but there is no standardized way to report the rapid tests that are often done elsewhere. And state officials have often been unable to track where these tests are being shipped and whether results are being reported.In Minnesota, officials created a special team to try and get more testing data from nursing homes, schools and other newer testing sites, only to be deluged by faxes and paper files.“It’s definitely a challenge because now we have to do many more things manually than we were with electronic reporting,” said Kristen Ehresmann, of the Minnesota Department of Health.Even before Abbott’s newest BinaxNOW rapid tests hit the market last month, undercounting was a concern.Competitors Quidel and Becton Dickinson have together shipped well over 35 million of their own quick tests since June. But that massive influx of tests hasn’t showed up in national testing numbers, which have mostly ranged between 750,000 and 950,000 daily tests for months.Besides tallying new cases, COVID-19 testing numbers are used to calculate a key metric on the outbreak: the percentage of tests positive for COVID-19. The World Health Organization recommends countries test enough people to drive their percent of positives below 5%. And the U.S. has mostly been hovering around or below that rate since mid-September, a point that President Donald Trump and his top aides have touted to argue that the nation has turned the corner on the outbreak. The figure is down from a peak of 22% in April.But some disease-tracking specialists are skeptical. Engel said his group’s members think they aren’t getting all the results.“So it may be a false conclusion,” he said.One of the challenges to an accurate count: States have wildly different approaches. Some states lump all types of tests together in one report, some don’t tabulate the quick antigen tests at all and others don’t publicize their system. Because antigen tests are more prone to false negatives and sometimes require retesting, most health experts say they should be recorded and analyzed separately. But currently the vast majority of states do not do that and post the results online.The federal government is allocating the tests to states based on their population, rather than helping them develop a strategy based on the size and severity of their outbreaks.“That’s just lazy” said Dr. Michael Mina of Harvard University. “Most states won’t have the expertise to figure out how to use these most appropriately.”Instead, Mina said the federal government should direct the limited test supplies to key hot spots around the country, driving down infections in the hardest-hit communities. Keeping tighter control would also ensure test results are quickly reported.Johns Hopkins University researcher Gigi Gronvall agrees health officials need to carefully consider where and when to deploy the tests. Eventually, methods for tracking the tests will catch up, she said.“I think having the tools to determine if someone is infectious is a higher priority,” she said.___AP data journalist Nicky Forster contributed to this story___Follow Matthew Perrone on Twitter: @AP_FDAwriter___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. 5285

ALABASTER, Ala. — A photographer in Alabama was able to capture the beauty of a rare yellow cardinal that is taking the internet by storm. Jeremy Black took the photograph of the rare yellow bird in Alabaster, Alabama.According to Geoffrey Hill, a bird curator at Auburn University in Alabama, the bird is a rare male northern cardinal that has a "one in a million" genetic mutation that makes its red feathers turn yellow. Additionally, the mutation is so rare, that only one is seen each year in the United States."This yellow cardinal displays a rare mutation causes the metabolic process to produce a different type of pigment than the typical red coloration," Black wrote on his Facebook page.Black says that he was able to photograph the yellow cardinal after his friend, Charlie Stephenson, noticed the bird at her feeder in January. According to National Geographic, on February 17, Black spent five hours in Stephenson's backyard with a camera in hand, hoping the beautiful bird would make a second appearance. "As soon as it landed, I was starstruck," Black told National Geographic. "It kind of took my breath away a little bit."Black's next goal is to capture a picture of a yellow cardinal and a red cardinal sitting on a branch together.Mary Stringini is a Digital Reporter for ABC Action News. Follow her on Twitter @MaryWFTS. 1399

ALPINE, Calif. (KGTV) - One year after the West Fire scorched Alpine, residents are rebuilding.In total, the blaze burned 505 acres and destroyed 34 homes and 22 other buildings, including a commercial structure.Driving through Alpine Saturday, you could see the different levels of recovery. Some homes were a blank concrete foundation with a chimney, others were wooden frames, or brand new structures with scaffolding around the unfinished, black exterior.Lisa Campbell is on the site of her in-laws' property, Campbell Creek Ranch, every week overseeing the rebuild. "You realize how complicated recovery from something like this is," she said referring to the complications with insurance policies and permitting.On the ranch progress is visible. She walked 10News through the property, pointing out a brand new white fence lining the driveway, a freshly laid concrete bridge with black metal rails, much sturdier than the large wooden log bridge before it. Her smile grew as she reached the patio where numerous fond family memories were created. The pool looked like it was ready to be filled with water and enjoyed, lined with new plaster and luminescent tiles. Clay colored tiles created a patio for lounging poolside."The pool that they used to play in, that's coming back so that's nice to see," she said nostalgically.The hope in pipe, planks and plaster fueling the family forward."The fire and the recovery has impacted some of his decision to study Forestry," she said. "I think it's one of the best things to come out of this, is just him thinking about what he wants to do with his life." They returned Saturday afternoon from a college scouting trip. Her son Colin wants to help others through the same tragedy he faced, and is still coping with. He explained just this week he had to rethink where the family was going to watch the Women's World Cup, "soon enough I think about this [house] and I got a little emotional at the time but I've kinda coped but it still comes back every once in a while."The whole family saying they're adjusting to a new normal, thankful for the continued support from the community and encouraging San Diegans to remember their neighbors in Alpine."It's really important not to forget they're in the process of recovery," she said.Lisa said more than 0,000 were raised to help families recover in Alpine. She said politicians like Dianne Jacob have also helped in the effort.At the ranch, Lisa said she thinks the family will get to use the pool for the first time Labor Day Weekend. 2544

ALPINE, Calif. (KGTV) - The Alpine Union School District has become one of the first local school districts to begin mandatory testing for all staff members.In partnership with Cal Fire, the pre-K to 8 school district rolled out drive-thru COVID-19 testing on Wednesday."The number that came out was beyond what we expected. It was a steady flow of staff all day long," said District Superintendent Rich Newman.So far, 65% of all staff -- about 130 employees -- have gotten a test, with results due back within two to five days."We’ve gone one step beyond most districts," said Newman.Newman says while the state requires districts test half their staff every month during in-person learning, his school district expects to test all of its staff every month. The drive-thru testing events will be held every two weeks."We want to make sure we can stay open for our students," said Newman.The testing is one component of a detailed in-school learning plan, which includes plexiglass dividers on every student desk and a thorough cleaning regimen."I had a meeting with the principals and it was very emotional, because they felt all the hard work paid off," said Newman.As for the testing, Newman says the response from parents and staff has been positive."The number one response from staff has been 'Thank you for setting this up quickly,'" said Newman.Newman hopes the testing track down asymptomatic cases and provide some peace of mind."If our staff feels safe, healthy, and taken care of, they can focus on teaching and learning with our students," said Newman.Newman says each class has assigned restrooms and outdoor spaces that will help officials with tracing if an outbreak should develop. 1706

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