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On Johns Hopkins University's graph of countries' daily confirmed COVID-19 cases, the U.S. is currently at the top.“The United States does have a tremendous outbreak that is the world’s worse currently,” said Dr. Amesh Adalja, a senior scholar at Johns Hopkins Center for Health Security and a practicing Infectious Disease Critical Care and Emergency Medicine Physician.Dr. Adalja says parts of the northeast have the virus largely under control, but other states--primarily in the south and southwest--have an increase in the number of new cases, an increase in the percent of positive tests, and reports of hospitals being under pressure for capacity.He says the surge is related to multiple factors, but the primary one is social interaction.“Many states lifted their stay-at-home orders, and when they did that, a lot of individuals thought this was a green light that things were safe, that this virus was contained, that the pandemic was largely over. And that wasn’t the case," Dr. Adalja said. "The virus established itself in the human population and is not going to go anywhere until there is a vaccine.”Dr. Adalja says any amount of social interaction will be taken advantage of by a virus like this, especially if people aren’t wearing masks. Studies show a growing number of people can get infected and spread the virus without showing any symptoms. But he says the key to preventing more outbreaks is contact tracing.“There’s no way that we can move forward unless we determine where these undetected chains of transmission are and halt that, and you can only do that with robust contact tracing,” Dr. Adalja said.Other countries in Asia and Europe have had effective efforts in contact tracing. So the question is, why does the U.S. fall short? Experts say there are several reasons. Dr. Sandy Johnson directs the Global Health Affairs program at the Josef Korbel School of International Studies at the University of Denver. He says the U.S. has a fairly complex political system.“We have national government. We have state government. We have local government. So, there are different rules and regulations that come into play and that can make it difficult to coordinate a consistent response,” Dr. Johnson said.Even if one area has done a good job at controlling the spread of the virus, Dr. Johnson explains a neighboring area may not have followed the same guidelines. As people start to travel, so does the virus, and those eager to believe the virus doesn’t pose a major threat only add to the fire. We’ve seen that in another country that isn’t too far behind the U.S. in its increase in cases.“The biggest similarity with Brazil is that there was an evasion from the federal government in Brazil about the danger of this virus which is put a complacency into the public. The same thing happened to us in January, February and March and is still really occurring in many parts of the United States,” Dr. Adalja said.Dr. Adalja and Dr. Johnson agree there has been a lack of clear and consistent communication in the U.S. Opposite of that, Dr. Johnson says Germany has been successful in keeping its numbers down, due in part to Chancellor Angela Merkel’s communication approach.“She was speaking to the public. She was talking to her health and science advisors and she was sharing the science with the public. And from day one, she was very clear that there were hard times ahead,” Dr. Johnson said.However, it’s not just up to national leaders and policymakers. Dr. Johnson says the population of a country must also have the willingness to look at and rely on science.“While I would say by and large people are doing incredibly well in this country and taking collective action to take care of each other and are eager for scientific information, we’ve also seen these little clusters that are simply plugging their ears and going ‘la la la la la la’,” Dr. Johnson said.Both doctors say what we can do as citizens does make a difference. It’s important to realize many people are making smart decisions for the greater good instead of only thinking about themselves.“Think about what happened in early March and how many people almost overnight went into lockdown, and were taking action to take care of each other,” Dr. Johnson said. 4269

One of the largest anti-smoking groups is now going after cigarette makers for their trash.The Truth Initiative released a new video in an effort to combat the littering of cigarette butts. It debuted nationally last week during the MTV Video Music Award.The organization is tying this latest campaign into their public petition to get more businesses and public places to go smoke-free.Cigarette butts are the most littered item on the planet, and it’s the most picked up item from beaches all over the world.They contain hundreds of chemicals that show up in wildlife and waterways. The butts are made with a type of plastic that can take a decade or more to decompose.Cigarette makers have tried cleaning up their act over the years, but so far, nothing has really made a dent.There is a startup company that claims to have a biodegradable cigarette filter, which breaks down in a matter of days. The company says they are in talks with cigarette makers and are currently looking for a partner to start manufacturing the green filters. 1046

On Monday, the US House voted in favor of a 0 billion stimulus package that includes funds for the travel industry. Early in the pandemic, airlines were able to retain many employees during the spring in summer with assistance from the federal government as air travel has been cut by over 50% since March. That funding ran out on September 30.The stimulus provides billion through the Payroll Support Program. The program will help airlines pay workers and provide benefits for industry workers through the end of March. The funds also will help airlines transport coronavirus vaccines.In a letter to employees, United Airlines leaders said that its prepared to return thousands of employees who were furloughed in September. Those employees will be brought back on a temporary basis, United Airlines said.“As you know, involuntary furloughs were always a last resort for us and we worked really hard over the summer – through cost-cutting, capital-raising, and partnering with our unions – to make the number of people who were ultimately impacted as small as possible,” said United CEO J. Scott Kerby and President Brett Hart in a joint letter. “Now, those employees who are eligible under the terms of the PSP extension can temporarily come back to United through March 2021.”Leaders from the Association of Flight Attendants said that Monday’s bill passage should have come months ago.“Aviation is safe when we fly with the spirit that ‘we’re all in this together.’ Our AFA Government Affairs activists never stopped fighting and were joined by thousands of new Flight Attendant activists who got involved in our union to make this possible,” said the Association of Flight Attendants President Sara Nelson. “While we are getting everyone back on payroll, connected to healthcare and help to the whole country, this is just a downpayment on what’s needed for recovery. We need everyone ready to fight forward.”Due to concerns over the spread of the virus, several airlines have eliminated the middle seat on flights. Other airlines are capping the number of passengers on board flights.In addition to these restrictions, international travel is largely restricted from the US.Amid the pandemic, carriers are attempting to regain confidence in travel. Airlines are strictly enforcing mask wearing on board flights, and have been promoting sanitation efforts to eliminate the coronavirus from spreading among passengers.“We hope you find comfort in the policies we’ve implemented to keep you safe, including blocking middle seats, using electrostatic spraying on surfaces in the airport and onboard between flights, and requiring masks. Wearing a mask is the No. 1 thing each of us can do to help control the spread of the virus and protect each other,” Delta CEO Ed Bastian wrote in a letter to customers. 2824

One of the 10 people killed in the Texas school shooting was a girl who had rejected the suspect's advances for months, and stood up to him a week ago in class, the victim's mother said.Sadie Baze said her daughter, Shana Fisher, 16, was gunned down during art class at Santa Fe High School on Friday.Police arrested the suspect, Dimitrios Pagourtzis, 17,?who was also a student at the school in the southeastern Texas city of Santa Fe.Baze said the suspect had pestered her daughter to go out with him for months. A week ago, her daughter stood up in class and told Pagourtzis that she wouldn't go out with him. 635

OCEANSIDE, Calif. (KGTV) –Authorities are asking for the public’s help in identifying and locating a man suspected in a string of incidents in Oceanside, including indecent exposure, peeping, and sexual assault.“He comes up and knocks on people’s doors, usually between the hours of 8 in the evening and 11, and exposes himself,” said Tom Bussey, public information officer for the Oceanside Police Department.“He has quite a few tattoos on the upper left arm and across his chest. We’re trying to get this information out to see if anybody might recognize him.”Oceanside police said officers have responded to seven peeping and indecent exposure calls at or near the River Oaks Apartments on 3880 San Ramon Dr. since June.In an incident on Sept. 5, police said a man “grabbed a female and sexually assaulted her.”The series of incidents:June 18 or 25 in the 3700 block of San Ramon DriveJune 27 in the 3800 block of San Ramon DriveAug. 8 in the 200 block of Rancho Del Oro DriveAug. 19 in the 3800 block of San Ramon DriveAug. 26 in the 3800 block of San Ramon DriveSept. 5 in the 3700 block of San Ramon DriveSept. 5 in the 300 block of Rancho Del Oro DriveThe man suspected in the series is described as white, in his 20s or 30s, and 5 feet 10 to 6 feet tall. He has military cut black hair and a slim, muscular build.In one instance, a surveillance camera briefly captured the suspect walking nude outside of a residence.According to police, the man is usually naked and has a medium-sized tattoo on his left arm and possibly on his chest.Anyone with information on this series of incidents and/or the man suspected in the crimes is asked to contact Oceanside police Det. Larry Weber at 760-435-4619 or email lweber@oceansideca.org.Crime Stoppers is also offering a reward of up to ,000 for information leading to an arrest in the case. 1850