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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
Akash Vukoti, speller 459, from Texas, was the youngest speller in the competition the first time he came to the Scripps National Spelling Bee, at six years old.Akash turns nine Tuesday, on the first day of competition. He's still among the youngest competitors, but the third grader is now a seasoned pro."It feels amazing to be back," he said, "Being in the National Spelling Bee itself is such an honor."Akash said he thinks the competition will be tougher this year -- after all, there are more competitors -- but that the actual spelling is his favorite part of being there. Oh, and he does like signing autographs in the Bee Keeper, too."I have more friends than ever," he said.On Tuesday, he correctly spelled "Tibetan" in the second round of the Bee. Third-round action will air on ESPN 3 starting at 8 a.m. Wednesday. 854

Although thousands of people learn CPR, women are less likely than men to get CPR from a bystander. And they are more likely to die.A new study found only 39 percent of women suffering cardiac arrest in a public place were given CPR versus 45 percent of men. And men were 23 percent more likely to survive."It's not hugely surprising but rather anyone that has a different body type than this adult male half mannequin of a person we're going to have some hesitation when we figure out how to handle that situation," says Stephen Wolfstich, CEO of Remote Emergency Services + Training.Wolfstich says because of that, people often have questions before starting CPR on women. "Do I remove their shirt?" Wolfstich says. "Do I remove their bra? What's my hand placement? Is it appropriate for me to be putting my hands on a female chest? Are there bystanders around and how are they going to react and where does my liability stand."He tells students they are protected by the Good Samaritan Law. And CPR only requires touching the center of the chest."You're not actually pressing down on the breast," Wolfstich says. "It is not going to injure anything, you're putting all of your weight directly onto that breastbone."He and other experts say instruction must be more inclusive, and there is no time to waste."Us simply hesitating on do I want to put my hands on their chest that could be five or 10 seconds, "Woldstich says. "15, 20 seconds that goes by where we decide for ourselves is this okay with me. "Well if too much time goes by it's not okay with either one of them."The study is in the Journal of the American College of Cardiology. It involved nearly 20,000 cases across the U.S. It's the first to look at the response when it comes to helping men compared to women by the general public. 1823
A Wisconsin man has become the eighth person charged by the state of Michigan and the 14th person charged overall for his alleged role in the kidnapping plot of Gov. Gretchen Whitmer.Brian Higgins, 51, from Wisconsin Dells, was charged with material support of an act of terrorism, a 20-year felony.According to the Michigan Attorney General Dana Nessel, Higgins allegedly provided assistance in the plan to kidnap Whitmer.Higgins was arrested in Wisconsin on Thursday and is expected to be extradited to Michigan and be arraigned in Antrim County.“While the political rhetoric in our nation may at times be divisive, I am encouraged by the united front our law enforcement community has displayed in response to this indescribable act of terror,” Nessel said in a release. “These were very credible, and very serious threats to our elected officials and the public in general, and the swift actions taken by state and federal authorities this past week are nothing short of heroic.”Related: How a group of extremists plotted to kidnap a sitting governorIn all, there are 20 different state felonies charged against eight people. Six other people are facing federal charges. All but one of the six defendants charged last week have been arraigned and are in custody in Michigan jails. Paul Bellar is still facing extradition from South Carolina and is scheduled to be picked up on Oct. 27.The others charged include:Paul Bellar, 21, of Milford, was arrested in South Carolina. He is charged with:Providing material support for terrorist acts, a 20-year felony and/or ,000 fineGang membership, a 20-year felonyCarrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentenceShawn Fix, 38, of Belleville was arraigned in Antrim County with bond set at 0,000. He is charged with:Providing material support for terrorist acts, a 20-year felony and/or ,000 fineGang membership, a 20-year felonyCarrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentenceEric Molitor, 36, of Cadillac, was arraigned in Antrim County with bond set at 0,000. He is charged with:Providing material support for terrorist acts, a 20-year felony and/or ,000 fineGang membership, a 20-year felonyCarrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentenceMichael Null, 38, of Plainwell was arraigned in Antrim County with bond set at 0,000. He is charged with one count of:Providing material support for terrorist acts, a 20-year felony and/or ,000 fineCarrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentenceWilliam Null, 38, of Shelbyville, was arraigned in Antrim County with bond set at 0,000. He is charged with one count of:Providing material support for terrorist acts, a 20-year felony and/or ,000 fineCarrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentencePete Musico, 42, of Munith was arraigned in Jackson County with a cash bond set at million. He is charged with:One count of threat of terrorism, a 20-year felony and/or ,000 fineOne count of gang membership, a 20-year felonyOne count of providing material support for terrorist actsOne count for carrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentenceJoseph Morrison, 26, of Munith, was arraigned in Jackson County with a cash bond set at million. He is charged with:One count of threat of terrorism, a 20-year felony and/or ,000 fineOne count of gang membership, a 20-year felonyOne count of providing material support for terrorist actsOne count for carrying or possessing a firearm during the commission of a felonyFelony firearm, a two-year mandatory prison sentenceThis story was originally published by staff at WXYZ. 3967
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
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