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NEW YORK (AP) — A new government report shows that since the coronavirus pandemic began, the U.S. has seen 300,000 more deaths than it usually would.The Centers for Disease Control and Prevention has been tracking how many deaths have been reported and comparing them with counts seen in other years. Usually, between the beginning of February and the end of September, about 1.9 million deaths are reported. This year, it’s closer to 2.2 million – a 14.5% increase.The CDC says the coronavirus was involved in about two-thirds of the excess deaths. CDC officials say it’s likely the virus was a factor in many other deaths too. For example, someone with heart attack symptoms may have hesitated to go to a hospital that was busy with coronavirus patients.The largest segment of the excess deaths, about 95,000, were in elderly people ages 75 to 84. That was 21.5% more than in a normal year. But the biggest relative increase, 26.5%, was in people ages 25 to 44. Deaths in people younger than 25 actually dropped slightly.Deaths were up for different racial and ethnic groups, but the largest increase – 54% – was among Hispanic Americans.According to a printed study in the Journal of Hospital Medicine, since the pandemic began, the mortality rate among hospitalized patients dropped by 18 percentage points.Researchers said the patients in the study now have a 7.6% chance of dying, whereas they had a 25.6% chance of dying at the start of the pandemic. 1465

NEW YORK (AP) — Under financial pressure from sex-abuse litigation, the Boy Scouts of America are seeking to bolster their abuse-prevention efforts with a new awareness program featuring cartoon-style videos that will be provided to more than 1.2 million Cub Scouts across the nation.Targeted at children from kindergarten to sixth grade, the series of six videos aims to teach children how to recognize potentially abusive behavior and what to do if confronted by it.The initiative, being announced Thursday, comes as the Boy Scouts face a potentially huge wave of abuse-related lawsuits after several states enacted laws this year making it easier for victims of long-ago abuse to file claims. The Boy Scouts acknowledge that the litigation poses a financial threat and have not ruled out seeking bankruptcy protection.The bulk of the newly surfacing abuse cases date to the 1960s, '70s and '80s; the BSA says there were only five known abuse victims in 2018 out of 2.2 million youth members. The BSA credits the change to an array of prevention policies adopted since the mid-1980s, including mandatory criminal background checks and abuse-prevention training for all staff and volunteers, and a rule that two or more adult leaders be present with youth at all times during scouting activities.The Boy Scouts' youth protection director, former police investigator Mike Johnson, decided to add the videos to the prevention program after vetting them with parents of Cub Scout-age children and with children themselves."Parents told me they're having these conversations with their kids, and they felt the videos would help them have a better, richer conversation," Johnson said. "The kids are engaged. ... There's some heavy topics discussed in a child-specific way."Previous BSA prevention videos featured real people, not animated characters."The power and magic of animation, and its ability to communicate with kids — I underestimated it," Johnson said.The videos and related learning materials were developed in 2015-16 by psychologists and other experts recruited by the Barbara Sinatra Children's Center , a nonprofit in Rancho Mirage, California, that specializes in helping children affected by abuse.Jon Conte, a University of Washington professor emeritus who helped develop the videos, summarized their purpose this way: "Providing children with the knowledge and skills to identify risk situations and to avoid, escape or disclose abuse before it happens or after it happens once."The videos target two age groups: kindergarten through third grade and fourth through sixth grade. Each series features a boy and girl who talk about experiencing abusive situations — for example, with a neighbor or coach — and explain how they used a set of "Protect Yourself Rules" to avoid harm.One of the rules, in case of abuse: "Shout, run, tell." Another rule is "Safe touch, unsafe touch" — being wary of anyone touching the child on a part of the body that their bathing suit would cover."Unsafe touches are scary and confusing, because they can seem playful or gentle," says a character in the video for kindergarteners.The videos for older children extend beyond sex abuse, addressing bullying, domestic violence and online dangers.The accompanying lesson materials will be required for all Cub Scout units. For example, second-graders at the rank of Wolf would be asked to identify five trusted adults to whom they could report an abuse incident. They'd also be asked to demonstrate how they would say "No" to someone making them uncomfortable.John Thoresen, the Sinatra Center's chief executive, said the videos are used in many schools in the U.S. and abroad, and have been viewed by more than 100 million children since 2017.Thoresen said the videos' boy and girl characters are a good fit for the Cub Scouts, which last year ended a boys-only policy and now have about 78,000 girls in the ranks.Within the next year, the Sinatra Center plans to complete animated anti-abuse videos for older youths. Johnson said the Boy Scouts might be interested in using them for its program serving boys and girls aged 11-17.The BSA's current youth participation of 2.2 million is down from more than 4 million in peak years of the past.In many ways, the BSA's challenges related to sex abuse parallel those facing the Roman Catholic Church in the U.S. Both institutions boast of major progress over the past 20 or 30 years in combatting sex abuse — whether by priests or scout leaders — but both face numerous lawsuits alleging negligence and cover-ups, mostly in prior years.Founded in 1910, the BSA has kept confidential files since the 1920s listing staff and volunteers implicated in sexual abuse, for the avowed purpose of keeping predators away from youth. According to a court deposition, the files as of January listed 7,819 suspected abusers and 12,254 victims.Until late May, the BSA had insisted it never knowingly allowed a predator to work with youth.On May 27, The Associated Press reported that attorneys for abuse survivors had identified multiple cases in which known predators were allowed to return to posts as unit leaders. The next day, BSA chief executive Mike Surbaugh wrote to a U.S. House committee, acknowledging that the group's previous claim was untrue."I have reviewed information that now makes clear to me that decades ago BSA did, in at least some instances, allow individuals to return to Scouting even after credible accusations of sexual abuse," Surbaugh wrote. "I am devastated that this ever occurred." 5547

NEW YORK (AP) — Health experts are hoping Joe Biden’s administration will put in place something Donald Trump has not — a comprehensive national testing strategy. They say such a strategy could systematically check more people for infections and spot surges before they take off. The health experts say it would be an improvement from the current practice. Some experts say the lack of such a system is one reason for the current national explosion in cases, hospitalizations and deaths. There are differing opinions on what a national testing strategy should look like. But many experts say rapid and at-home tests should be used so Americans can check themselves and stay away from others if they test positive. 721

New commercial satellite images released Monday have identified more than a dozen undeclared North Korean missile operating bases, another sign that Pyongyang is continuing to move forward with its ballistic missile program amid indications that talks with the US have stalled in recent months.While the network of undeclared sites has long been known to American intelligence agencies, it has not been publicly acknowledged by President Donald Trump, who asserted that North Korea was "no longer a nuclear threat" following his June summit with dictator Kim Jong Un.The CIA declined to comment on the images, but US officials have expressed concern about North Korea using hidden and undeclared locations to continue to work on improving their missile technology and possibly their nuclear program.The new images, first reported by The New York Times, show researchers at the Beyond Parallel program at the Center for Strategic and International Studies have identified 13 of an estimated 20 hidden missile operating bases unreported by the North Korean government."These missile operating bases, which can be used for all classes of ballistic missile from short-range ballistic missile (SRBM) up to and including intercontinental ballistic missile (ICBM), would presumably have to be subject to declaration, verification, and dismantlement in any final and fully verifiable denuclearization deal," the report states.US intelligence has long assessed that the North Koreans have stored much of their weapons capability, including mobile missile launchers, in underground mountain bunkers.Specifically, the images focus on the Sakkanmol missile base, which "currently houses a unit equipped with short-range ballistic missiles but could easily accommodate more capable medium-range ballistic warheads.""Despite the difference in interpretation between the US government and the North Koreans over what these declarations have meant, the Singapore declaration and the new Korean declaration, for North Korea watchers it has been pretty clear that the North has not been willing to give up its entire nuclear program," Lisa Collins a fellow with the Korea Chair at CSIS and one of the authors of the report, told CNN.However, an official with South Korea's Blue House called the report "nothing new" and told media Tuesday "the United States and South Korean intelligence service hold more detailed information using the military satellites," and that nuclear sites couldn't be "undeclared" as there had been no agreement with North Korea to declare them.The official went on to say that North Korea had not previously pledged to close the Sakkanmol Missile Base, the focus of CSIS's report, saying, "There had been no treaty or negotiation that mandated closing the missile base."Monday's report comes days after Trump told reporters his administration is "very happy with how it's going with North Korea" despite the administration's announcement, in the middle of the night as last week's midterm elections results were coming in, that Secretary of State Mike Pompeo's meeting with a key aide to North Korean leader Kim Jong Un had been postponed.Trump has conveyed a starkly different image than the one painted by US military officials, foreign diplomats and sources familiar with developments who told CNN that the Democratic People's Republic of Korea is "really angry" about the US refusal to offer sanctions relief and that personal friction between US and North Korean negotiators may be slowing progress.A source familiar with the ongoing dance between officials in Washington and Pyongyang previously told CNN that North Korea's stance is that the US "must make a move before we make the next one."But the US appears unwilling to oblige, at the moment, according to a US official, who said the Trump administration wants to move away from the "tit-for-tat" approach of the past."There has been a move away from past administrations' approach to North Korea in terms of 'we will give you a little here if you give us a little there' ... kind of a tit-for-tat piece. ... We haven't seen that work in the past, so the President is insistent on holding the full pressure campaign until he gets the full denuclearization," a US official told CNN.North Korea has often argued it is unable to provide comprehensive details about the locations of its nuclear and missile sites because that could serve as a target list should the situation escalate into an armed conflict. But Collins said that the hope is that "this type of analysis and data would help to push forward the negotiations rather than cause more blockage.""It would actually get rid of one of the primary excuses or reasons why North Korea has not produced a list," she said, adding that "open source and independent data" can help the process as US officials might be wary of publicly disclosing information that they believe could compromise sources and methods.When asked about Monday's new report, a State Department spokesperson implored Kim to "follow through on his commitments -- including complete denuclearization and the elimination of ballistic missile programs.""President Trump has made clear that should Chairman Kim follow through on his commitments — including complete denuclearization and the elimination of ballistic missile programs — a much brighter future lies ahead for North Korea and its people," the spokesperson told CNN.But experts point out that Kim has not offered to stop producing ballistic missiles, let alone unilaterally give them up, and said on New Year's Day that he would continue to mass-produce ballistic missiles and deploy those that have already been tested.Former Secretary of Defense Chuck Hagel said Monday that the images once again show that Trump's comments on North Korea have been a "fabrication.""The North Koreans have not signed any document working out, laying out, what steps they are going to take to denuclearize," Hagel said. "There has been nothing stated, agreed to, framed signed, except what President Trump says they've said ... but now ... we have a whole different story, and it is the reality, it is not fantasy," he added.Vipin Narang, an associate professor of political science at the Massachusetts Institute of Technology who studies nuclear proliferation, told CNN that Kim's actions do not amount to "deception since he said on New Year's Day that North Korea would mass-produce and deploy its missiles that it already tested."Narang added that the images released Monday identify "operating bases which, until and unless there is a deal, Kim can't eliminate without undermining his security."Asked about the State Department's response to Monday's report, Narang called the assertion that North Korea has committed to eliminating its ballistic missile programs is "misleading.""There has been no agreement or discussion remotely that detailed --- even on nuclear systems, and many of these are short range conventional missiles which North Korea has never said were on the table," he told CNN.Jeffrey Lewis, an arms control expert at the Middlebury Institute of International Studies, told CNN that experts have known about these sites for years, and it is no surprise that they remain operational given Kim's declaration in January that North Korea would shift from research and development to the mass-production of nuclear systems."Kim didn't dupe Trump. Trump duped himself," Lewis said, noting that North Korea has never offered to unilaterally disarm.Sakkanmol missile base is one of the facilities where North Korea deploys its mass produced systems, he said.Still, Trump has sought to convey the image that progress continues to be made and teased a possible second summit with Kim in the near future."We're in no rush. We're in no hurry," Trump told reporters at a White House press conference last week. "The sanctions are on. The missiles have stopped. The rockets have stopped. The hostages are home. The great heroes are home."While North Korea claims that it has taken some steps toward denuclearization, experts say those moves are largely cosmetic and easily reversible. Kim's regime has shuttered a missile engine testing facility; destroyed the entrances to its nuclear test site; and promised to close the Yongbyon nuclear facility, where North Korea is believed to produce fissile material for nuclear weapons, if Washington takes what it calls "corresponding measures."In July, Trump touted indications that North Korea had begun dismantling "a key missile site" after the prominent monitoring group 38 North published images showing Pyongyang had begun decommissioning its Sohae Satellite Launching Station.But while that step attracted significant media attention at the time, Monday's report states that the dismantling of the Sohae facility "obscures the military threat to US forces and South Korea from this and other undeclared ballistic missile bases."Collins told CNN that she believes one reason North Korea canceled the latest round of talks with Pompeo is because they might be targeting "the very top levels of negotiations" -- another meeting between Trump and Kim.However, she also warned that "you can't get anywhere without these working-level talks because that's where the nitty-gritty stuff happens.""You can't get a verifiable list of anything unless nuclear weapons experts are part of the process," she said. "Is President Trump going to create a list of all those facilities? Does he even know where some of these places are? I would be very skeptical.""There have to be working-level talks, but the North Koreans are clearly targeting a big package deal, for them, which can only happen if President Trump is there to make the decision," Collins added. "But I think the US has been very cautious and careful to keep the negotiations moving forward at the working level and try not to have President Trump jump every time there is an offer." 9937

NORFOLK, Neb. -- Something as simple as going for a walk with family, Troy Bowers doesn’t take for granted, considering he hasn’t been able to do it for years.Bowers broke his ankle multiple times and went through a series of surgeries that caused endless pain.“I was to the point where I was potentially going to lose the lower part of my leg and my foot just because it hurt so bad,” Bowers said.But then a local doctor gave him hope. Dr. Demetrio Aguila III is the founder, CEO and president of Healing Hands of Nebraska.Healing Hands of Nebraska is a medical and surgical practice that focuses primarily on the surgical management of chronic pain. Dr. Aguila says a program called the M25 Program is the heart and soul of their practice – inspired by his time serving as a combat flight surgeon in Afghanistan.“The M25 program is a mechanism by which patients and doctors and communities work together to invest in each other to get the care that they need without causing a financial burden,” Dr. Aguila said.If somebody can’t afford a surgery, the M25 Program gives them the opportunity to pay for their procedure through community service hours. Healing Hands of Nebraska collaborates with multiple organizations where patients can volunteer.“You volunteer your time, and then they call me up, ‘she’s finished all the hours you asked for. Ok, send her over’. We’ll do her surgery… no charge… zero charge.”The M25 Program is what saved the Bowers' family from going into debilitating medical debt.“We were basically bankrupt, and luckily, when we needed it the most, I guess God was looking out for us and Dr. Aguila was willing to help,” Bowers said.Bowers chose the Orphan Grain Train for his community service – a Christian volunteer network that ships donated food, clothing, and medical items to people in need throughout the U.S. and world.“Through I believe like 450 community hours, I was able to have three procedures by Dr. Aguila to finish up my nerve repair. And I don’t even know what that would have cost… thousands, I mean a lot,” Bowers said.But due to his pain, he wasn’t able to do too many hours. So, he asked his church, Grace Lutheran, for help.“We had a group of kids of about 6-12 every week pitching in for about an hour a week, and those service hours really added up,” Grace Lutheran Pastor Chris Asbury said.Every Wednesday, Pastor Asbury and a group of middle schoolers – called Happy Helpers – donated their time to help Bowers.“Them young people helped me walk, and I got to save my leg because of them and other volunteers," Bowers said. "They made that difference.”Every time they volunteered, they prayed that they could be a blessing to the Bowers' family.“As Christ loved us, we love the people around us," Pastor Asbury said. "And we don’t just talk about it, but we find everyday ways to do that. It doesn’t have to be big. Most of the time it’s never newsworthy, but this certainly is.”You may be wondering, how is this all even possible? Well, it’s more simple than you think.“We offer significantly discounted fees for our services here compared to what you would find at other practices because we don’t involve the insurance companies,” Dr. Aguila said.According to Dr. Aguila, patients know exactly what they’re getting into financially when they enter the office. Without insurance involved, there’s no administrative costs for the patient. Dr. Aguila says they can pay everything up front, split up payments over time, or go through the M25 Program.“Last year, two thirds of all individual bankruptcies in the United States were tied to medical debt,” Dr. Aguila said.And of those two thirds of people, Dr. Aguila says three fourths had medical insurance.“We’re gonna work outside the system in order to build a better system that’s fair to patients, that’s transparent,” Dr. Aguila said.When people use the M25 program, Dr. Aguila doesn’t get paid for his professional fees. However, the office says they don’t look at it as a financial hit. Rather, they look at it as a way to give back to the community, calling it medical mission work in their own backyard.“Who loses? Nobody. Who wins? Everyone,” Dr. Aguila said.Now, Bowers can go on with his life, spending time with his family.“Riding horses with my daughter, fishing with my son, we’re doing great.”Dr. Aguila says doctors have reached out from all over the world trying to figure out how they can implement their own program. He says he’d like to see M25 change the conversation about healthcare, restore the doctor-patient relationship, and spur a resurgence of volunteerism in the U.S.“It is my fervent hope, that we will rekindle, reignite in the soul of the American people a desire to volunteer and help their neighbors,” Dr. Aguila said. 4762