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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 Pacific Beach woman was hospitalized after tripping over a dockless scooter left next to a traffic light on Garnet Avenue.The incident happened July 1, the day the city began enforcing scooter regulations. Ellie Fellers, who is in her 80s, was trying to cross Mission Boulevard at Garnet Avenue to mail a letter. She says she pressed the button to cross on the the traffic light, which was surrounded by unused scooters. Once she got the signal, she turned to cross but tripped over a scooter.Fellers says she suffered two concussions and a bleed above her adrenal gland. "Enough of this," Fellers told the City Council Tuesday. "The money you're making on those scooters can't possibly make up for the amount that it's costing you."The new city rules call for painted corrals that designate where scooter riders can leave the devices. However, they're currently only located in downtown. On Wednesday in Pacific Beach, there were scooters left along the sidewalks or toppled over in piles. "All of this is making it very difficult for pedestrians to get around town, and we've noticed that people who normally walk for exercise, like Ms. Fellers - they're saying we don't feel comfortable walking for exercise in our own community," said Scott Chipman, a 45-year Pacific Beach resident and a member of its community planning group.A spokeswoman for the mayor says 100 dockless scooter corrals will be added in Pacific Beach, and another 80 in Ocean Beach, by the end of the month.Meanwhile, Chipman and other residents are reporting that many of the scooters are not slowing to the geo-fenced limit of 8 miles per hour along the boardwalk.Annalisa Snow, who was riding a scooter along the boardwalk Wednesday, said she hasn't noticed any change."I haven't personally," she said. "It lets you go fast."What is in effect is a requirement that operators stage the devices in groups of four maximum, with 40 feet of space in between each group. On Wednesday, many of them were much closer together. 2006

A new White House-backed ad campaign aims to encourage people who are unemployed or unhappy in their jobs or careers to “find something new.” The campaign's opening ad for Tuesday's roll out features ordinary people sharing their stories. A companion website, FindSomethingNew.org, provides links to training and other resources. The Trump administration has long emphasized skills-based job and vocational training, arguing that many jobs don't require a college degree. The new ad campaign has been in the works for some time but has taken on new urgency after the coronavirus pandemic cost millions of people their jobs. 631

A ventilated COVID-19 patient in Utah couldn't use his voice to thank his nurses for caring for him, so he thanked them the only other way he knew how — with his violin.According to a press release from Intermountain Healthcare, Grover Wilhelmsen contracted COVID-19 and was placed on an invasive ventilator after arriving at McKay-Dee Hospital in Ogden. Because the ventilator prevented him from speaking, he communicated with nurses and doctors with paper and pen.Wilhelmsen is a retired orchestra teacher and has been playing music his entire life. At one point during his ICU stay, he asked one of his nurses if she'd like to hear him play."Toward the middle of my shift he wrote, 'You know, I really want to play here at the hospital. What do you think about my wife bringing in my violin and viola?'" his nurse, Ciara Sase, said. "I said to him, 'We'd love to hear you play, it would bring so much brightness and positivity into our environment.'"It took some planning, but eventually, the team at McKay-Dee decided it would be safe for Wilhelmsen to play as long as Sase were in the room to make sure he didn't disturb any of the equipment that was allowing him to breathe.Wilhelmsen's wife, Diana, eventually brought both his violin and viola to the hospital. Soon, he was filling the ICU with the comforting sounds of his music."It brought tears to my eyes. For all the staff to see a patient doing this while intubated was unbelievable," Sase saod. "Even though he was so sick, he was still able to push through. You could see how much it meant to him. Playing kind of helped to soothe his nerves and brought him back to the moment."And he didn't play just once — Intermountain Healthcare says he played for several hours on back-to-back days. Sase added that Wilhelmsen would play for up to two-and-a-half hours before he became ill and required sedation."It was honestly shocking to be there when he picked up the violin. It felt like I was in a dream," said Matt Harper, another nurse at McKay-Dee. "I'm used to patients being miserable or sedated while being intubated, but Grover made an unfortunate situation into something positive. This was by far one of my favorite memories in the ICU that I've had. It was a small light in the darkness of COVID.""He truly is special and made a mark on all of us," Sase said. "When I started to cry in the room after he was done playing, he wrote to me, 'Quit crying. Just smile,' and he smiled at me."Wilhelmsen ultimately spent more than a month in the ICU. However, he's since been moved to a long-term care facility and is expected to recover. His wife says he's currently too weak to play but hopes to resume his musical talents as soon as he gathers his strength. 2731

A new study takes a closer look at the impact the amount of time children spend on cell phones, computers and TV is having on their brains.“What they're finding, or what they're reporting, is that more screen time--in fact a lot of screen time, around 7 hours a day--is associated with changes in the brain and changes in cognition,” says Rachel Barr, a developmental psychologist.Dr. Barr studies the impact TVs, computers and cell phones can have on young children.Kids between the ages of 8 and 12 spend generally six hours a day, while teens are spending nearly nine hours.While Dr. Barr agrees too much time can have negative impacts, she points out what children watch on their devices matter.“Exposure to education programing in younger children is associated with better outcomes and especially for children who are growing up in low resourced communities,” Dr. Barr explains.As for what parents can do: set time limits and ground rules, like keeping screens out of the bedroom, which can make it easier for children to fall and stay asleep.“Setting up this family media plan, being mindful of your own media use and your child's media use, even though you're being bombarded by all of these changes in media yourself,” suggests Dr. Barr. 1254

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