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When you enter the sunset years of life, often there is reflection.Terry Criger likes to think of her former career as a school lunch lady in Arizona.“Oh, I loved it,” said Criger. “If I could go back, I would.”However, the passing of time eventually catches up to all of us.Criger’s been in an assisted care facility in Midvale, Utah for about a year and half now.“I had very high concerns that I would be put here and left, and fortunately I haven’t been,” Criger said through tears.She says if it wasn’t for her daughter, she’d be lost.“People here will ask what insurance you have and I’ll tell them that I don’t know and they need to ask my daughter,” Criger said.Criger is not alone.“It’s crazy. People just don’t know enough,” said Michelle Malais, a certified senior advisor.Navigating the world of health insurance and available services for our aging population can be overwhelming for families.“When it comes down to it, there is always a way; you just have to explore the different options and that’s where I come in,” Malais said.Malias is part of a national organization called Assisted Living Locaters, which helps families find the best options and how to pay for it.“I’m an advocate really for them,” Malais said. “It’s really important for our seniors to age with dignity.”Her introduction to the world of senior care was personal. Her mother suffered from dementia and her father struggled to offer care for her.“I’ll never forget that conversation because that was devastating to him,” Malais said. “He thought he had planned and, unfortunately, didn’t.”Now, she has made it a mission of sorts to make sure no one else is put in that position.“It’s very important to get ahead of the game,” Malais said.In most cases, that means having tough conversations with aging loved ones as soon as possible.Criger is adjusting well to her new life, and she has some advice for those willing to just roll the dice down the road.“You need to make a plan,” Criger said. “You need to plan for retirement because you never think you’re going to be, where you’re at in 20 years.” 2092

With its low air pressure, Hurricane Michael unofficially sits as the third-strongest landfalling hurricane to strike the United States. Having such a tremendously low air pressure typically causes storms to have strong winds, and Michael was no exception. Hurricane Hunters from the Air Force and NOAA estimated Michael's lowest pressure was 919 MB at landfall. The only two hurricanes with a lower pressure at landfall to hit the United States were the Labor Day Hurricane of 1935 and Camille of 1969.Also based on estimates, Michael had top winds of 155 MPH, which is just below Category 5 status. Based on top winds speeds, Michael was tied for the sixth-strongest landfalling hurricane in US history, tied with Hurricane Maria in 2017 and "Guam" in 1900. In terms of air pressure, Michael was 1 MB stronger than Katrina in 2005 and Maria in 2017 at landfall, and 3 MBs stronger than Andrew of 1992. Michael's top winds at landfall were well ahead of Katrina's top winds at landfall of 130 MPH, on par with Maria's top winds at landfall of 155 MPH, but below Andrew's top winds of 165 MPH.But in the immediate aftermath of Andrew, it was declared a Category 4 hurricane at landfall. It was not until years later when the National Hurricane Center concluded that winds in Andrew were greater than 157 MPH, marking the only Category 5 hurricane to strike the US since Camille in 1969. Like Andrew, Michael continued to strengthen all the way until landfall. In just three days, the storm went from a tropical storm to a high-end Category 4 hurricane. Other reasons Micheal will be notable:- Michael was just the sixth hurricane of at least Category 4 strength to hit Florida since 1950.  1752

When it comes to free food, demand is up and donations are down.To help feed the hungry, volunteers have turned a school parking lot into a pantry.“That’s what's important,” said Maria Estrada with the Wyatt Academy, a charter school in Denver, Colorado.Once a week, her teams passes out free bags of food to families and to people like Marco Esparza.“I’m getting some apples and potatoes,” he said.For Esparza, these donations more than just feed his family.“With this kind of pandemic, it helps us to stay safe at home."Since COVID-19 hit, Estrada says more people are requesting food donations across the country while volunteers adjust to the new norm and practice new safety guidelines.“Things are different,” Estrada said about food donation centers. “We now have to make sure everybody is wearing gloves. We want to make sure everybody is being safe. Everybody has their masks on. We’re trying to keep everybody social distanced.”Estrada says the COVID-19 crisis is creating somewhat of a national food shortage crisis. That’s why they’re now partnering with the YMCA.“When COVID hit, YMCAs across the country started to support food programming,” said Katie Canfield with the YMCA.Nationwide, the YMCA has provided 37 million meals to more than one million people in the last six months. That’s an increase of more than 25% since the same time last year as they now deal with new safety regulations.“We are making sure that our community is using hand sanitizer,” Canfield said. “We are currently handling the food and then we hand them the bag when its complete.”Moving forward, the YMCA hopes to go mobile and bring food straight to people’s houses.But for now, they’ll focus on helping feed people in person. 1727

Who gets to be first in line for a COVID-19 vaccine? U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr. Francis Collins, director of the National Institutes of Health, recently told one of the advisory groups the government asked to help decide. “There will be many people who feel that they should have been at the top of the list.”Traditionally, first in line for a scarce vaccine are health workers and the people most vulnerable to the targeted infection.But Collins tossed new ideas into the mix: Consider geography and give priority to people where an outbreak is hitting hardest.And don’t forget volunteers in the final stage of vaccine testing who get dummy shots, the comparison group needed to tell if the real shots truly work.“We owe them ... some special priority,” Collins said.Huge studies this summer aim to prove which of several experimental COVID-19 vaccines are safe and effective. Moderna Inc. and Pfizer Inc. began tests last week that eventually will include 30,000 volunteers each; in the next few months, equally large calls for volunteers will go out to test shots made by AstraZeneca, Johnson & Johnson and Novavax. And some vaccines made in China are in smaller late-stage studies in other countries.For all the promises of the U.S. stockpiling millions of doses, the hard truth: Even if a vaccine is declared safe and effective by year’s end, there won’t be enough for everyone who wants it right away -- especially as most potential vaccines require two doses.It’s a global dilemma. The World Health Organization is grappling with the same who-goes-first question as it tries to ensure vaccines are fairly distributed to poor countries -- decisions made even harder as wealthy nations corner the market for the first doses.In the U.S., the Advisory Committee on Immunization Practices, a group established by the Centers for Disease Control and Prevention, is supposed to recommend who to vaccinate and when -- advice that the government almost always follows.But a COVID-19 vaccine decision is so tricky that this time around, ethicists and vaccine experts from the National Academy of Medicine, chartered by Congress to advise the government, are being asked to weigh in, too.Setting priorities will require “creative, moral common sense,” said Bill Foege, who devised the vaccination strategy that led to global eradication of smallpox. Foege is co-leading the academy’s deliberations, calling it “both this opportunity and this burden.”With vaccine misinformation abounding and fears that politics might intrude, CDC Director Robert Redfield said the public must see vaccine allocation as “equitable, fair and transparent.”How to decide? The CDC’s opening suggestion: First vaccinate 12 million of the most critical health, national security and other essential workers. Next would be 110 million people at high risk from the coronavirus -- those over 65 who live in long-term care facilities, or those of any age who are in poor health -- or who also are deemed essential workers. The general population would come later.CDC’s vaccine advisers wanted to know who’s really essential. “I wouldn’t consider myself a critical health care worker,” admitted Dr. Peter Szilagyi, a pediatrician at the University of California, Los Angeles.Indeed, the risks for health workers today are far different than in the pandemic’s early days. Now, health workers in COVID-19 treatment units often are the best protected; others may be more at risk, committee members noted.Beyond the health and security fields, does “essential” mean poultry plant workers or schoolteachers? And what if the vaccine doesn’t work as well among vulnerable populations as among younger, healthier people? It’s a real worry, given that older people’s immune systems don’t rev up as well to flu vaccine.With Black, Latino and Native American populations disproportionately hit by the coronavirus, failing to address that diversity means “whatever comes out of our group will be looked at very suspiciously,” said ACIP chairman Dr. Jose Romero, Arkansas’ interim health secretary.Consider the urban poor who live in crowded conditions, have less access to health care and can’t work from home like more privileged Americans, added Dr. Sharon Frey of St. Louis University.And it may be worth vaccinating entire families rather than trying to single out just one high-risk person in a household, said Dr. Henry Bernstein of Northwell Health.Whoever gets to go first, a mass vaccination campaign while people are supposed to be keeping their distance is a tall order. During the 2009 swine flu pandemic, families waited in long lines in parking lots and at health departments when their turn came up, crowding that authorities know they must avoid this time around.Operation Warp Speed, the Trump administration’s effort to speed vaccine manufacturing and distribution, is working out how to rapidly transport the right number of doses to wherever vaccinations are set to occur.Drive-through vaccinations, pop-up clinics and other innovative ideas are all on the table, said CDC’s Dr. Nancy Messonnier.As soon as a vaccine is declared effective, “we want to be able the next day, frankly, to start these programs,” Messonnier said. “It’s a long road.”___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. 5581

WISCONSIN — An update on the expected re-entry of China's old Tiangong-1 space station has been announced.The space station was initially launched in September 2011. An official Chinese statement declared that Tiangong-1 terminated its data service on March 21, 2016. Since the Chinese government has lost control of the station, it's hard to predict where and when it will fall.The European Space Agency predicts the space station will fall back to Earth between March 30 and April 6, while research organization Aerospace predicts a re-entry on April 1, give or take 4 days.Aerospace says it is much easier to predict a re-entry time than a location. This explains the wide scope of possible re-entry zones, which both Aerospace and other organizations predict will be between 43 degrees North and 43 degrees South latitudes. 855

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