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The United States is ranked number one in the world for pandemic preparedness, according to the Global Health Security Index. Still, hospitals and medical professionals are in dire need of personal protective gear, ventilators and beds as a looming surge in patients draws near. Some hospitals are as ready as possible, but it’s unclear if even the best can handle what’s to come. In the nation’s third largest city, Rush University Medical Center is one hospital tower built to handle disaster.“That includes infectious disease pandemics, like we're experiencing now. So, not just did we build the tower, but we also routinely drill on these different scenarios,” says Paul Casey, Rush’s chief medical officer. Constructed after 9/11, Rush’s CEO, Dr. Omar Lateef, says the facility was designed to handle mass casualty incidents, and now, it could be a model for epidemic response.“Many of the same features of the building make it a building structured to treat highly contagious infections,” says Lateef.The hospital has the ability to quickly ramp up to 130 percent capacity. Intake and extra beds can be added within minutes and are already on deck. “We are essentially extending our emergency department into our ground floor pavilion area,” says capital projects construction manager Angela Tosic.The ambulance bay area has been transformed into a triage area. They are converting spaces into what are known as “negative pressure” units that help to prevent cross-contamination.“We can take entire quadrants of the building flip switches and make them negative pressure,” explains Lateef. “We can take massive areas of the building that when we built them are nice hallways but secretly inside the columns are oxygen dispensers.”The incident command center is at the heart of the operation. “We closely monitor both the activity of coronavirus locally, as well as our testing of coronavirus,” says Casey. “And then, we look at what's the next step that we need to be prepared to take.”Keeping staff safe and preventing the spread of the virus is a top priority. Employees are being asked to self-monitor and check their temperature at home twice a day. Once at work, facial recognition scanners not only confirm their identities but also take real-time temperature readings to ensure they do not have fevers. Should staffer’s exhibit symptoms, a drive through COVID-19 testing area is already up and running.Patients exhibiting COVID-19-like symptoms enter and are housed in a completely separate unit.Rush says it will max out its bed capacity as much as possible but has to balance that with not running out of available staff.“The number we have is when patients stop coming in we'll figure out a way to not turn people away,” says Lateef. 2761

The Trump administration plans to shift at least 5 million from the Federal Emergency Management Agency disaster relief fund to support its policy of returning some migrants to Mexico.The Department of Homeland Security has informed Congress it will reprogram and transfer 1 million in total to its immigration enforcement agency from elsewhere in the department, including the FEMA money, according to documents obtained by CNN.The moves comes as Hurricane Dorian nears a Category 4 status.Last week, the administration announced its intention to hold migrant families indefinitely, aimed at scrapping a settlement that put a 20-day limit on family detention.DHS notified Congress of its plan to reprogram and transfer funds from agencies over to Immigration and Customs Enforcement, DHS' enforcement arm, on July 26, according to a DHS official. The department plans to transfer around 6 million for ICE detention beds, as well as transportation and deportation, the official said.The department will not pull funds for detention beds from the US Secret Service, the Office of the Inspector General, and the Office of Intelligence and Analysis."In this case, this is a must-pay bill that needed to be addressed," said the official."We would not say that this is with no risk," said the official, who added that it was done in ways to "minimize the risk" to agencies that are losing funding.FEMA said in a statement to CNN, "This transfer of funds to support the border emergency will leave a remaining balance of 7 million in the DRF (Disaster Relief Fund) Base account. Based on DHS and FEMA's review of historical emergency spending from the DRF Base account, this amount will be sufficient to support operational needs and will not impact ongoing long-term recovery efforts across the country. The DRF Majors account, which provides funding for ongoing recovery efforts, including those supporting communities impacted by the 2017 disasters, has a current balance of approximately billion and is not impacted by the reprogramming."It's not uncommon for departments, including DHS, to reprogram funds. DHS, in particular, has previously reprogrammed funds for detention beds, for example.The reprogramming of money to Immigration and Customs Enforcement is sure to receive pushback from Democratic lawmakers who've criticized the agency.In a letter to acting Homeland Security Secretary Kevin McAleenan, Democratic Rep. Lucille Roybal-Allard of California, chair of the House Homeland Security Appropriations Subcommittee, opposed the reprogramming of funds, saying she had "significant concerns about the intended use of funds" and the shifting of funds from other components.House Homeland Security Chairman Bennie Thompson said in a statement that the administration is "flouting the law and Congressional intent to fund its extremist indefinite detention immigration policies.""Taking money away from TSA and from FEMA in the middle of hurricane season could have deadly consequences. Congress should work to undo the damage this Administration is continually doing to our homeland security infrastructure," the Mississippi Democrat added.DHS plans to transfer .8 million from the Transportation Security Administration for immigration enforcement, according to a document obtained by CNN.Earlier this year, funds for additional detention beds -- as the administration has repeatedly pushed for -- became a sticking point in appropriations negotiations.Democrats argued that by allowing ICE to up the number of detention beds, the agency would have the capacity to pursue a broader population of undocumented immigrants, including those without criminal records. But Republicans view the number of detention beds as central to limiting the release of detained undocumented immigrants into the US as they await hearings.In the end, the spending bill included funding for an average 45,274 detention beds per day, with the intent to return to 40,520 by the end of the fiscal year, which is the level funded in the last fiscal year, but short of the administration's request of 52,000 detention beds. The reprogramming of funds will up ICE's bed count to roughly 50,000.In recent months, however, the agency has been consistently holding more people in detention: As of August 10, 55,530 people were in immigration detention, according to the agency.Last year, the department was also sharply criticized for shifting around million from the Federal Emergency Management Agency's operating budget to fund immigration detention and deportations. The administration also quietly redirected 0 million from multiple parts of DHS to ICE last summer, according to a congressional document released last fall.The latest shift in funds will also pull more money from FEMA -- .4 million for detention efforts.Additionally, .3 million will be transferred from DHS' cyber agency.DHS resources have been stretched thin amid an influx of migrants at the southern border. So far this fiscal year, more than 760,000 migrants have been arrested for crossing the border illegally. Many of them turn themselves in to agents.In May, the Trump administration asked Congress for .5 billion in emergency funding. The request included additional detention beds. That part of the request was not fulfilled. 5330

The Pentagon confirmed Monday that a national guardsman has died about a week after he had been diagnosed with COVID-19.The New Jersey Army National Guardsman had been hospitalized since March 21. The guardsman is the first U.S. service member to die of the coronavirus."Today is a sad day for the Department of Defense as we have lost our first American service member – active, reserve or Guard – to Coronavirus," Secretary of Defense Mark Esper said in a 470

Three Gulf Coast states were placed under a Tropical Storm Warning on Friday as Tropical Storm Cristobal is setting its sights for the US late Sunday. According the National Hurricane Center, Cristobal is a minimal tropical storm along the Yucatan Peninsula of Mexico with top winds of 40 MPH. The slow-moving storm has dumped heavy rain over the Yucatan Peninsula this week.After stalling out over the Yucatan Peninsula, the National Hurricane Center projects the storm will move across the Gulf of Mexico this weekend before coming ashore late Sunday. Parts of the Louisiana, Mississippi and Alabama coast are under a Tropical Storm Watch.The Atlantic Hurricane Season is off to its most active start in recorded history. Cristobal is already the third named storm of 2020. No other hurricane season has had three named storms this early in the year. Most major projections are calling for an abnormally busy hurricane season in the Atlantic. The storm is forecast to remain a tropical storm through landfall, although the National Hurricane Center expects Cristobal to strengthen into a strong tropical storm by landfall. Among the locations under a Tropical Storm Warning is New Orleans, which is one of the most susceptible cities to flooding in the US. Louisiana Gov. John Bel Edwards declared a State of Emergency ahead of the storm. Along with heavy rains and gusty winds, tornadoes and storm surge are also possible with Cristobal. 1453

Thousands of American troops sent to the US-Mexico border as part of the Trump administration's effort to handle the rising number of migrants crossing into the US since April 2018 will be awarded the 213

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