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The COVID-19 pandemic is teaching us important lessons about the next potential infectious disease threat.“That includes things like dealing with the problems that are before us now, things like antibiotic resistance that kills too many Americans every day and preparing for things we don't know about by having good surveillance programs and public health infrastructure,” said Dr. Helen Boucher, Infectious Diseases Chief at Tufts Medical Center.The Centers for Disease Control and Prevention (CDC) says antibiotic-resistant infections impact nearly 3 million people a year and are responsible for 35,000 deaths. That's less than COVID-19, but there is new evidence the two are colliding.A new CDC report points to an outbreak of a multiple drug-resistant bacteria at a New Jersey hospital already dealing with a surge of COVID-19 patients. From February through July, there were 34 of the bacteria cases. Half were in COVID-19 patients and 10 of them died.At the time, the hospital wasn't able to use the same standard of infection control practices due to capacity, shortages in PPE, medical equipment and staff.“Certainly, having health care workers healthy so they can take care of patients is very important,” said Boucher. “You might have seen that there had been some outbreaks, places across the country that have really impacted the ability to have adequate health care workers take care of patients, and that is the worst thing that could happen. And we know leads to unnecessary deaths.”COVID-19 hospitalizations are higher now than the previous two peaks in April and July.Recruiting additional medical staff is also more difficult now as more hospitals are seeing surges. In the spring, some medical facilities were laying staff off due to fewer patients.The CDC says drug-resistant infections decreased when COVID cases dropped. Basic hand hygiene can help prevent the spread of both. 1908
The Centers for Disease Control and Prevention is asking people who take a COVID-19 vaccine to download a smartphone app so it can continue to track side effects.The app, called V-Safe, uses text messages and web surveys from the CDC to check in with patients who have gotten a COVID-19 vaccine.The app will also remind patients when it's time to go back for a second shot.Patients can expect to experience mild symptoms like fever, headache and muscle aches after taking the vaccine. But doctors, like Dr. Grace Lee — the associate chief medical officer for practice innovation at Stanford Children's Health and a member of the CDC's vaccine advisory panel — say those side effects don't tend to last very long."We hope that patients will be willing to engage in the system, recognizing it does take some time," Lee said. "But it's really important for all of us in the U.S. to make sure that we are helping to create a robust vaccine safety monitoring system for all COVID vaccines."Lee says that because clinical trials for COVID-19 vaccines have been so large — with 30,000 to 60,000 people in each trial, compared to just several thousand for a typical trial — there's already a lot known about the vaccines.The trials have shown no major safety risks thus far, but Lee says rare adverse events can happen — like the two healthcare workers in Alaska earlier this week who suffered anaphylactic allergic reactions with the Pfizer vaccine. The side effects reported by those two patients were similar to the ones suffered by two people in the U.K. earlier this month.Lee says that's why the CDC is counting on as many people as possible to use V-Safe."My hope is that if the numbers are high," Lee said. "It just means it gives us more information more quickly, and so for anything rare that might occur, we would be able to pick it up much more quickly."V-Safe send text messages to patients, asking them how they are feeling for up to six weeks after their shots. The CDC says the questions take less than five minutes to answer and that the information patients provide will be confidential and private. 2117

The Environmental Protection Agency blocked reporters from several news outlets from a national summit on Tuesday where Scott Pruitt, the agency's chief, was speaking.Journalists from CNN, the Associated Press and the trade publication E&E were barred by the EPA from entering the event, which was focused on harmful chemicals in water. A handful of other reporters from other news organizations, however, were allowed inside the event after having been previously invited by the agency.In a statement, Jahan Wilcox, an EPA spokesman, said the agency barred reporters from attending due to space limitations inside the venue. He said the EPA was able to accommodate only 10 reporters and that it provided a livestream "for those we could not accommodate.""This was simply an issue of the room reaching capacity, which reporters were aware of prior to the event," Wilcox said.A report published by The Hill, however, said a handful of seats in the press section remained vacant by the time Pruitt began speaking. A photo obtained by CNN also showed space for cameras.Additionally, the Associated Press said in a story that one of its reporters, denied entry, was grabbed by security guards and forcibly shoved out of the building after asking to speak to an EPA public affairs person. A CNN photographer saw the Associated Press journalist being shoved out of the building by a uniformed guard, and the Associated Press journalist recounted the incident to CNN immediately after it took place.When reached by phone and asked about the Associated Press report, Wilcox declined to comment to CNN beyond his original statement, which said he was "unaware of the individual situation that has been reported."CNN was also blocked from attending the summit. A CNN photographer was screened by security guards before the event and was waiting for an escort or further information. Wilcox arrived soon after and provided security with a list of news outlets and reporters, instructing them not to let anyone not on the list into the event. The CNN photographer then asked if he could enter the event and was told by security he couldn't.Separately, a CNN reporter and producer lined up with members of the public and presented their IDs and credentials, identifying themselves as reporters. The individual manning the door said he needed to ask the press office if they could be permitted to enter. A few minutes later, he returned and said the CNN journalists were not allowed in.In a statement, a CNN spokesperson said, "Today, CNN was turned away from covering the PFAS National Leadership Summit at the EPA after multiple attempts to attend. While several news organizations were permitted, the EPA selectively excluded CNN and other media outlets. We understand the importance of an open and free press and we hope the EPA does, too."Sally Buzbee, executive editor of The Associated Press, said in a separate statement, "The Environmental Protection Agency's selective barring of news organizations, including the AP, from covering today's meeting is alarming and a direct threat to the public's right to know about what is happening inside their government."Buzbee added, "It is particularly distressing that any journalist trying to cover an event in the public interest would be forcibly removed."The-CNN-Wire 3320
The fine print of newly released federal guidelines for reopening schools raises serious questions about whether in-person classes should resume at a time when COVID-19 rages around much of the country.Last week, the Centers for Disease Control and Prevention (CDC), under pressure from the White House, released a position paper highlighting “the importance of reopening America’s schools this fall.”But separate guidelines issued for K-12 school administrators, which drew less public attention, are much more cautious.“It is important to consider community transmission risk as schools reopen,” those CDC guidelines state.“Computer simulations from Europe have suggested the school reopenings may further increase transmission risk in communities where transmission is already high.”Buried at the bottom of the new CDC recommendation to re-open schools is a HUGE caveat! #COVID19 poses a low risk to kids “at least in areas with low community transmission.” That’s not where much of the country stands right now. 4/ pic.twitter.com/0D5CPxhlIb— Phil Williams (@NC5PhilWilliams) July 25, 2020 The new CDC guidelines suggest, “If community transmission levels cannot be decreased, school closure is an important consideration.”“Plans for virtual learning should be in place in the event of a school closure.”In Tennessee, several public and private schools are preparing to reopen even as almost every county in the state is showing what the Department of Health considers to be unacceptable rates of transmission of the coronavirus.Last week, the American Academy of Pediatrics issued a dramatic clarification of its statement back in June that "all policy considerations for the coming school year should start with a goal of having students physically present in school.""This does not mean that we recommend that all schools open five days a week from the start of the school year," the academy’s Dr. Sean O'Leary told a congressional committee.“Many parts of the country are currently experiencing uncontrolled spread of COVID-19. While the AAP urges those areas to make in-person learning as the goal, we recognize that many jurisdictions will need to utilize distance learning strategies until cases decline."The vice chair of the academy's committee on infectious diseases, O'Leary told the subcommittee that, where there is uncontrolled community transmission, "it's inevitable that the virus is going to get into the schools, and schools are going to have to shut down."U.S. Surgeon General Jerome M. Adams also told CBS This Morning last week that a community's COVID-19 transmission rate is the single most important determinant of whether schools can safely reopen.School reopening advocates point to the emotional, psychological and educational importance of children being in the classroom – a position that the CDC guidelines reaffirm.“Schools provide safe and supportive environments, structure and routines for children, as well as other needed support services to children and families,” the CDC notes.Children are less likely to become ill when infected with the virus, and younger children are less likely to transmit the virus to others, the report adds.But a large-scale study out of South Korea recently reported that children ages 10-19 -- middle- and high-school ages -- can spread the virus as easily as adults.Also, in searching citations in the new CDC recommendation to re-open schools, it appears to completely leave out the large-scale South Korea study that found teens are likely to spread #COVID19 as readily as adults 5/ https://t.co/ABLPvpKQU5— Phil Williams (@NC5PhilWilliams) July 25, 2020 In addition, a new study – shared by the Tennessee Department of Health last week on Twitter – concluded that “young, previously healthy adults can take a long time to recover from COVID-19.” 3828
The death toll from a powerful explosion in Beirut Tuesday has reached 100 and is still climbing. At least 4,000 others were injured.While no one knows yet exactly how many people died in the blast, the destruction was so extensive that the shockwave was felt across the city.The blast, which began as a fire in a port warehouse, happened just after 6 p.m. local time.Beirut's emergency services were so overwhelmed that it was up to whoever could help to provide comfort to the injured. Open lots were turned into field hospitals.In an instant, lives were lost and livelihoods were destroyed."The whole house collapsed on us," one woman who survived the blast said.Following the explosion, Michel Haibe visited the site of what used to be his electrical goods store."Forty years," Haibe said. "War, we've seen woes of every kind, but not like this. As if the economic crisis, coronavirus, the revolution weren't enough, this tops them all."Life was already a struggle in Lebanon with its economy in freefall and the coronavirus on the rise. Now, the country's capital must dig out of another tragedy."We got here an hour ago, and as you can see, it's completely and utterly destroyed," bar owner Hadi Shahlawi said. "We've been open since last October and we've been fighting every month with different circumstances — the economic situation. It's catastrophic; what's happening in Lebanon is a catastrophe." 1417
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