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A new report from the CDC and Rhode Island shows COVID-19 rates below one percent in childcare facilities with young children this summer. They also found a low rate of secondary transmission among these facilities, with 15 percent of coronavirus cases resulting in transmission to at least one other person.“The critical thing here is to build the confidence of teachers, the confidence of parents,” said Dr. Robert Redfield, Director of the Centers for Disease Control and Prevention. “This study provides data, that when things are done with vigilance in partnership with the public health community, you can, in fact, in a complex situation like child care ... you can reopen child care" and have low rates of secondary transmission. The study tracked coronavirus cases at childcare facilities in Rhode Island this summer. On June 1, the state was seeing a decline in coronavirus cases and hospitalizations, and allowed childcare programs to re-open after a 3-month closure.In order to reopen, the facility had to submit a plan to the state for approval that included reduced enrollment, a cohort of no more than 20 people including kids and staff, universal use of masks for adults, and daily symptom screening of adults and kids.Roughly 75 percent of licensed center and home-based childcare facilities were approved to reopen, caring for 18,945 children.Between June 1 and July 31, there were 101 possible child care-associated COVID-19 cases identified at the facility level; among those, 49 were excluded because they had a negative COVID-19 test.Of the remaining 52 confirmed and probable cases, 30 were children; that is roughly .16 percent of the 18,945 children in childcare in Rhode Island this summer. There were 20 teachers and 2 parents who are among the confirmed or probable cases.Cases were confirmed an average of two days after specimen collection.Contact tracing led to the quarantine of 687 children and 166 staff members; that’s roughly 3.6 percent of the total children in Rhode Island care facilities this summer being impacted by quarantine efforts.The cases happened at 29 of the 666 childcare facilities, in 20 of the facilities, there was a single coronavirus case and no transmission. Five of the 29 programs, 15 percent, had two to five cases.The remaining four coronavirus cases may or may not have had secondary transmission. Health officials state those facilities were breaking protocol by moving members of a cohort around to other classrooms, delayed reporting of symptoms, etc. that made it difficult to track.The CDC warns these results were only possible because of decreasing COVID-19 rates in the state, and the community effort to slow the spread of coronavirus. This includes wearing masks and practicing social distancing when around other people.“I understand masks can be uncomfortable to wear and hard to remember to bring when you go out,” Dr. Redfield said. “Schools are not islands in and of themselves, they are connected to the communities around them.”The study says maintaining stable staffing was one of the most difficult things; needing to cover teacher breaks, vacations, etc. while still maintaining the smaller cohort sizes.They recommend additional funding to continue with the smaller class sizes. 3271

A potential tropical cyclone is looking to wreak havoc on Central America in the next few days.Known as "Potential Tropical Cyclone 14" by the National Hurricane Center, the storm is expected to form in the northwestern Caribbean Sea on Sunday, with heavy rains heading for western Cuba.The system is expected to become a tropical depression late Saturday or Sunday and become a tropical storm by Sunday night, the center said. On the current forecast track, the center said the system is expected to move across the Yucatan Channel near the eastern coast of the Yucatan Peninsula through Sunday night, and then move into the southern Gulf of Mexico on Monday.There is a tropical storm watch for the coast of Mexico from Tulum to Cabo Catoche, where tropical storm conditions are possible Sunday and Monday. There is also a tropical storm warning for the Cuban provinces of Pinar del Rio and the Isle of Youth.Currently, the storm is moving north at 7 mph. It is 120 miles south of Cozumel, Mexico, and is 240 miles south-southwest of the western tip of Cuba, according to the hurricane center's 11 p.m. ET update Saturday.The storm may also produce 3 to 7 inches of rain in western Cuba and 2 to 4 inches over the Yucatan Peninsula, Belize and northern Honduras through Tuesday. Western Cuba could see isolated maximum amounts of 12 inches, the center said.Many of these areas seeing the downpour of rain could also see life-threatening flash floods, the hurricane center said. 1486

A University of Florida men’s basketball player is now able to breath on his own and speak while recovering in Gainesville, according to a statement from Keyontae Johnson’s parents. Johnson collapsed on the court Saturday while playing Florida State in Tallahassee.“Keyontae is in stable condition today, breathing on his own and speaking with us and with his doctors here at UF Health,” the statement attributed to Nika and Marrecus Johnson reads. “We feel so much love and support from everyone, and we’re beyond grateful for the care and attention that Keyontae has received throughout these past several days.” 622

A report released from the Centers for Medicare and Medicaid Services says a patient died after a nurse at the Vanderbilt University Medical Center in Nashville selected the wrong medication to give them, putting at risk the hospital's ability to receive Medicare payments.In fact, the paralyzing anesthetic that was given to the patient by mistake is one of the drugs Tennessee uses to execute death row inmates during lethal injections.The incident happened in December of 2017. According to a report conducted by CMS, the patient checked into the hospital with a subdural hematoma and vision loss.The patient was sent to the hospital’s radiology department for a full body scan. When the patient told caregivers they were claustrophobic, doctors prescribed Versed, a standard anti-anxiety sedative.  The report from CMS said a nurse told the patient they were going to give them "something to help him/her relax."The patient instead received a dose of vecuronium from that unnamed nurse.  Vecuronium is a neuromuscular blocking drug that causes paralysis.  As such, the CMS report says it can also stop the body from being able to breathe, in a painful experience for patients, who remain conscious and aware."Patients can experience intense fear when they can no longer breathe.  They can also sense pain," 1418

A student at Thirkell Elementary/Middle School was arrested and therefore handcuffed earlier this week for pulling the fire alarm, as sounding a false alarm is a crime. The student's parent was issued a citation as a result of the false alarm according to district protocol. The district is reviewing the arrest. 321