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HONOLULU (AP) — About 8,000 people landed in Hawaii on the first day of a pre-travel testing program that allowed travelers to come to the islands without quarantining for two weeks if they could produce a negative coronavirus test. The pre-travel testing program began Thursday and allows visitors who test negative for COVID-19 within 72 hours of their arrival in the islands to avoid quarantine — a measure that’s been in place for all arriving passengers for most of the year.The state-run testing program is an effort to stem the devastating downturn the pandemic has had on Hawaii’s tourism-based economy. However, gaps in the program coupled with increasing cases of COVID-19 across the U.S. and the world have raised questions about whether Hawaii is ready to safely welcome back vacationers.Opponents of the testing program have said a single test 72 hours before arrival — especially when coupled with the option to fly without a test and still quarantine — is not enough to keep island residents safe.Hawaii’s economy is almost entirely built around tourism and local families who rely on the sector to survive need to return to work. 1153

HAMPTON ROADS, Va. - When COVID-19 hit, most people wouldn’t have imagined working from home for this long. But for thousands of Americans working from home has become the new reality.Dr. Ryan Light from Tidewater Physicians Multispecialty Group said he has seen a significant increase in patients coming in for pain to their lower backs, eyes, joints, and hands. He said many don’t realize what is causing the pain. He attributes the pain to months of working from home and not having the proper work environment setup.“People are working in their bedrooms, people are working in their kitchens, they have probably tried multiple locations and still haven't found a comfortable location,” said Dr. Light.He said many times the pain increases over time. They don’t realize the pain is caused by the way they are sitting, working on their computer or laptop. He said the pain will creep in.Leaders with the American Chiropractic Association say they are seeing an increase in people with pain in their neck, shoulders, wrists, and hands, lower back pain, and experiencing headaches.Dr. Karen Erickson with the American Chiropractic Association, A.C.A said the hunched-over posture that people assume when they don't have a good ergonomic setup is causing a lot of the problems.ACA said they conducted a Facebook poll on April 21 and found that 92% of respondents noticed an increase in musculoskeletal issues such as back pain and neck pain among their patients and people they know since the stay at home guidance went into effect in March. There were about 200 people surveyed.Dr. Erickson said she too has seen an influx in patients coming to her. She said it is both new patients and those who she previously treated that need help again.“I have never been busier,” she said.She offered some suggestions for how people can make changes to their work environments to prevent pain. She said people should keep their computer screen or laptop at eye level.Dr. Erickson said looking down at your laptop and rounding your shoulders forward puts a lot of stress on your neck and your shoulders.She said sitting on a couch can also cause problems if the couch is deep or too soft. She said it can strain the lower back and she suggested using a hard chair.“Keep your feet flat on the floor with a 90-degree bend in your knee, a lot of people cross their feet under their chair and that actually puts a lot of stress on your low back,” said Dr. Erickson.And she suggests switching up your work environment by moving around your home if possible. She said spend a few hours in your office, move to the kitchen, put the laptop on the mantel, and stand. She said walk around while you are on phone calls and take breaks to go outside.She said many people are walking around in pain.“There's no big moment where they all of the sudden have an explosion of pain. It is just a little bit at a time and a lot of times we get used to just being in pain.”This story was first reported by Margaret Kavanagh at WTKR in Norfolk, Virginia. 3029

HARRISBURG, Pa. – Pennsylvania’s secretary of state said Thursday that “we definitely could” know which presidential candidate will win the battleground state by the end of the day.Secretary Kathy Boockvar made the comment when asked about the results during an interview with CNN’s Jake Tapper on Thursday.“You know, I’ve been saying that we’ll have the overwhelming majority counted by tomorrow, but it’s looking like we’ll have the overwhelming majority counted by today,” Boockvar said.During the interview taped at about 1:33 p.m. ET, Boockvar added that there were about 550,000 ballots that were still in the process of being counted. By 5:45 p.m., the number of ballots left to be counted dwindled to 326,000 ballots. At that point, Trump's lead dropped to 90,000. “Some of those may have already been counted but are not yet uploaded, but yeah, they’re coming in,” she said. “We’re getting 10,000 here, 20,000 here. Counties are furiously at work and it’s looking like we’re ahead of schedule.”Boockvar said most of the mail-in ballots left to be counted are from the state’s larger cities and the communities that surround them, meaning they may favor former Vice President Joe Biden.Pennsylvania is one of the few remaining states that haven’t been called in a presidential candidate’s favor and it could end up determining who’s in the White House come January. It’s likely a must win for President Donald Trump to reach the 270 electoral votes needed for victory.Boockvar delivered an early evening update on Thursday. She said that once the mail-in votes are counted, the state will begin counting overseas military ballots and provisional ballots. Boockvar could not give a figure on how many ballots are left there. According to Matthew Weil with the Bipartisan Policy Center, The Keystone State is taking a long time to count their votes because of an influx of absentee and mail-in ballots, in numbers Pennsylvania hasn’t ever dealt with before.“In some of the biggest jurisdictions – Philadelphia, Pittsburgh – they just didn't have the experience counting those quickly,” Weil said. “And the fact that the legislature did not give them time before Election Day to count those, even knowing that this was coming, means that most likely we're not going to have great results until Friday.” 2315

GRETNA, Fla. — “He started screaming oh my god, oh my god!” Gayle Sweet recalled Thursday as she sobbed in pain while sitting inside of a pickup truck in the driveway of her Gretna, Florida Home. Her husband, Steve, is one of six confirmed fatalities, so far, in the aftermath of Hurricane Michael.Sweet says she and her husband were on the front porch of their mobile home when she heard what sounded like a freight train. Moments later, she says she watched as all the trees around them started leaning to the side. Steve yelled, 'Get inside the house!' she recalled.Seconds later, a huge oak tree fell on top of the house, landing on top of Steve and pinning Sweet inside for hours. 698

Here in the U.S., states are handling vaccine distribution in different ways.Most are going with health care workers in direct contact with COVID-19 patients first, but plans could change.“So, we need to set realistic expectations that there will be guidance that's different in different states. The guidance will evolve as we get more and more vaccines. And that doesn't mean anything's wrong or we've changed our minds, it’s just the way it's going to roll out,” said Stacy Hall, Director of Louisiana’s Public Health Immunization Program.Louisiana plans to let its hospitals and EMS distribute the first doses to their staffs. It’s a strategy not just to protect the valuable workers, but to hopefully get the public on board.“I'm really eager for them as the first group to really learn the science about the vaccine and step up and be vaccinated. I think that'll set our whole campaign in Louisiana and nationally on the right track,” said Hall.As for the cold storage of the vaccine, Louisiana doesn't see it as overly challenging.They also plan to use the state immunization information system to track who needs second doses and where the vaccine is being used most.“I want us to keep going back to that. There will be challenges and issues, but what a wonderful opportunity to make a change in the trajectory of the pandemic,” said Hall.The reality is, it will be months before the general public will get the vaccine at a pharmacy or drive thru. 1464