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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

Authorities have started the arduous task of trying to retrieve a US missionary feared killed on a remote Indian island, careful not to trigger conflict with the islanders.John Allen Chau was last seen last week when he traveled to the forbidden North Sentinel Island in the Bay of Bengal to try to convert the island's residents to Christianity. The Sentinelese, as they are known, have a decades-long history of repelling outsiders, a fact that is near certain to make the journey to find Chau a treacherous one.Indian authorities along with the fishermen who reported seeing Chau's body last week, went near the island on Friday and Saturday in an effort to figure out how to recover the body."We have mapped the area with the help of these fishermen. We have not spotted the body yet but we roughly know the area where he is believed to be buried," said Dependra Pathak, a top police official in the Andaman and Nicobar Islands.Pathak said the group spotted several tribe members carrying bows and arrows and walking around the area where the fishermen said they saw Chau's body being dragged and buried."The mission was done from a distance to avoid any potential conflict with the tribespeople as it's a sensitive zone," he said. "We are discussing with anthropologists and psychologists about the nature of the Sentinelese."Pathak said there are a lot of things to consider before they enter the island, including the psychology of its residents."There are legal requirements as well which we need to keep in mind while carrying out the operation. We are also studying the 2006 case where two local fishermen were killed. The bodies were recovered then," he said. 1678

As President Donald Trump calls for more help for those with mental health issues in the wake of the Parkland high school shooting, Congress is considering a bill that would create a three-digit suicide and mental health hotline.Introducing the legislation on the Senate floor in May, Sen. Orrin Hatch said constituents have told him that friends and family who've struggled with suicidal thoughts don't always know where to turn."To make matters worse, the national suicide hotline number, 1-800-273-TALK, is not an intuitive or easy number to remember, particularly for those experiencing a mental health emergency," the Utah Republican said.Hatch gave the example of one young Utah woman who tried to call her counselor before her suicide -- but couldn't reach her."I believe that by making the National Suicide Prevention Lifeline system more user-friendly and accessible, we can save thousands of lives by helping people find the help they need when they need it most," he said.Record increases in suicide rate 1023

As officials try to put together a picture of the alleged synagogue shooter, one focus of the investigation is his social media postings, a federal law enforcement official told CNN. Here's what we know so far about the suspect Robert Bowers, 46:He allegedly made anti-Semitic statements after his arrestThe shooter made anti-Jewish comments during the incident, a law enforcement official told CNN. The shooting took place on the same day as Saturday Shabbat services. At the time of the shooting, three different congregations were holding services at the Tree of Life facility.In one post, he said he "can't sit by and watch my people get slaughtered" 662

As millions of Americans avoid routine doctor’s appointments right now for fear of catching COVID-19, a decades-old practice is suddenly gaining new attention: the house call.“The notion of a house call means the care provider can get a more comprehensive view of you as a person,” explained Stacey Chang, who serves as the executive director for the Design Institute for Health.Chang says a reinvention of the house call could be a viable solution to America’s evolving post-coronavirus healthcare system. New portable technology means doctors can do more than just check your temperature.Health officials across the country are also worried that Americans in isolation are avoiding routine check-ups, which could lead to more long-term issues once the pandemic ends.“The care that didn’t happen, the routine care for managing chronic diseases, we may end up having greater mortality from those missed interventions than what COVID itself caused,” Chang added.Aside from keeping people away from hospitals where COVID-19 might be lurking, the house call gives physicians a chance to get to know their patients. Spending more than 10 minutes with someone in an office would give doctors a better chance to treat chronic diseases.“It’s really a relationship between the person that’s caring for you and the person you’re caring for,” Chang said. 1352