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As hospitals are becoming overwhelmed with COVID-19 patients, North Dakota is permitting coronavirus-positive health care workers to continue assisting patients.The guidance stipulates that the health care workers must remain asymptomatic and take enhanced precautions in order to stay on the job. This comes as travel nurses are stretched thin as dozens of states are reporting record hospitalizations.Given the situation in North Dakota and elsewhere, it is possible more states will have to follow suit and continue using infected staff members in order to provide care. The CDC has spelled out guidance in these situations.The CDC says hospitals must exhaust a number of other guidelines, including adding travel nurses, postponing elective medical procedures, and postpone elective time off, before going into a crisis staffing situation.“If shortages continue despite other mitigation strategies, consider implementing criteria to allow HCP (health care personnel) with suspected or confirmed COVID-19 who are well enough and willing to work but have not met all Return to Work Criteria to work,” the CDC’s guidance states. “If HCP are allowed to work before meeting all criteria, they should be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) and facilities should consider prioritizing their duties in the following order:1. If not already done, allow HCP with suspected or confirmed COVID-19 to perform job duties where they do not interact with others (e.g., patients or other HCP), such as in telemedicine services.2. Allow HCP with confirmed COVID-19 to provide direct care only for patients with confirmed COVID-19, preferably in a cohort setting.3. Allow HCP with confirmed COVID-19 to provide direct care for patients with suspected COVID-19.4. As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19.”North Dakota Gov. Doug Burgum spelled out the challenges facing his state.“Our hospitals are under enormous pressure now,” Burgum said. “We can see the future two, three weeks out, and we know that we have severe constraints.”Despite Burgum’s warning, his state is among the ones not to issue an order requiring masks in public places.In update CDC guidance, the agency says that masks can reduce the viral load for the wearer, in addition to prevent the spread of the virus.Steven Weiser, MD, president of Altru Health System in Grand Forks, North Dakota,, wrote in an op-ed about the toll the virus is having on workers. "Your neighbors in healthcare are pleading with you – they are tired, they are covering shifts for their colleagues who cannot work, they are working in new areas and rallying together to ensure that our promise of providing care to our community is upheld," Weiser wrote. "I ask you, on behalf of our team of healthcare workers, to please take the recommendations... very seriously. This is about protecting our at-risk community members and friends. We need your partnership to stop the spread, now. Doing so will save lives." 3105

ANCHORAGE, Alaska – President Donald Trump is projected to win the state of Alaska, according to The Associated Press.Winning the state gives Trump three additional electoral votes, bringing him to a total of 217, still far behind Joe Biden.The AP still projects Biden will win the presidency, since he is on track to finish with at least 290 electoral votes. A candidate needs 270 to win.With the contest in Alaska called, the only two states that remain up in the air in the presidential race are Georgia and North Carolina, based on AP projections. Regardless of which way they sway, it likely won’t alter who takes the White House.Along with the presidency being called, the AP also projects that Alaska’s Republican senator, Dan Sullivan, will win reelection to the U.S. Senate.Sullivan's win brings to the GOP to 50 seats in the Senate, while the Democrats have 48. The Senate majority will all come down to who wins the two runoff races in Georgia. Residents in the state will vote on Jan. 5.Additionally, the AP projects Republican Don Young will win reelection to U.S. House in Alaska's at-large congressional district. 1136

Art often provokes emotion and helps us travel back in time, teaching us about our ancestors.“Hola, my name is Claudia Moran and I’m the Executive Director for Museo de las Americas,” Moran said.At Museo de las Americas in Denver, Colorado, Latinx artists are given a space to represent their culture.“Art is very powerful in the influence of Latinx artists and the history of art in the United States,” Moran said.In the midst of National Hispanic Heritage Month, Museo is hosting an exhibition called Rhythm and Ritual.“It’s an exhibition that showcases a pre-Columbian collection that focuses on musical instruments. And yes, it’s a very, very rare exhibition because we’re able to see many pre-Columbian exhibitions everywhere, but none that only focus on music,” Moran said.The goal is to demonstrate the value of music since the pre-Columbian times and educate people on the type of music that was played 1,500 years ago. Museo de las Americas commissioned a local Hispanic artist to help tell that story. David Ocelotl Garcia is a sculpture and painter.Garcia grew up in Colorado, but his parents are from Mexico.“My mother is from Guadalajara, Jalisco, and my father is from Leon, Guanajuato,” Garcia said.He says he feels connected to his culture and finds it beautiful.“My heritage is very significant in my work, so I’ve learned to really study that and use it so that I can tell my own stories about where we are today.”For the Rhythm and Ritual exhibition, he painted a mural he admired as a child.“He reproduced an original mural from Bonampak in Mexico from the state of Chiapas, and this mural is a very accurate replica of a group of Mayan people playing different instruments,” Moran said.“I believe they’re probably participating in a ceremony, so there’s many characters playing different instruments that many people, including myself, have never seen,” Garcia said.Garcia says it’s important for people not to forget where they come from.“Make sure we embrace our roots and our traditions and the way we do things and use that as a part of the way we advance and move forward,” Garcia said.As we move forward as a society, Moran says we can learn from our ancestors and appreciate what different cultures have to bring to the table.“We all should be very, very open to new ideas, don’t be scared of them, and embrace them because that’s what is going to take us through arts and our artistic lives to a whole new level,” Moran said. 2462

As a massive caravan of migrants treks north, US officials have been negotiating with Mexico about how to handle the caravan should it reach the US border.Officials are weighing the legality of certain steps the Trump administration could take and looking at whether any processes could be changed to speed up the removal of migrants who have no legal basis to remain in the US, according to a senior Department of Homeland Security official.The official says the administration hasn't made any "firm decisions" about how to respond if the caravan reaches the border.Among the topics being discussed with Mexico is whether migrants from the caravan could be held there before entering an official port of entry, the DHS official said. The official said this is already being done to some extent, and described this as a more official process of what is known as "metering," when Customs and Border Protection officers keep immigrants in Mexico to limit the flow into the US. This process has been sharply criticized by advocates, who accuse officials of illegally trying to block immigrants from claiming asylum.A spokesperson for Customs and Border Protection referred all questions on the caravan to DHS.Additionally, the US is negotiating with Mexico about whether migrants from the caravan could be deported there, regardless of their country of origin. This process, known as "return to territory," which was included in President Donald Trump's January 2017 executive order on border security, isn't currently carried out by Immigration and Customs Enforcement, because Mexico would need to agree to take foreign nationals back."A lot of these (options) depend on cooperation and discussions with Mexico," the official said.There were 401 claims for asylum from the caravan that made its way to the US last spring, with 374 of those receiving "credible fear referrals," which is the initial screening to ensure a claim could have merit, according to Citizenship and Immigration Services data.ICE has been talking with contractors to discuss the possible need for additional detention capacity, according to the DHS official. ICE is also preparing for the possibility that it might need more officers at the border, the official said, stressing that while officials are preparing for various possibilities, they have not taken action.DHS has not responded to a request for comment on these policy considerations, but on Tuesday, DHS spokesperson Tyler Houlton tweeted that "stopping the caravan is not just about national security or preventing crime, it is also about national sovereignty and the rule of law. Those who seek to come to America must do so the right and legal way."On Tuesday, another senior administration official said the "administration wants the ability to return whole entire Central American families and also minors after apprehension."This official called the asylum system the "world's largest immigration loophole.""You simply come up to the border, you make a totally fraudulent assertion and it puts you into a legal system that takes more time to play out than we can detain you for, and so it becomes a ticket to catch and release," said the official on Tuesday. 3211

As Democrats and Republicans battle over key swing states, some unexpected voting communities could play a significant role in the outcome. With Kamala Harris being the first-ever woman of Jamaican and Indian descent on a major party ticket, the South Asian community is mobilizing like never before.Young, professional, and politically savvy South Asian Americans, like Sabina Bokhari, are beginning to flex their electoral power.“This is a momentous election, as was the last one and so I have definitely upped my political engagement in all the ways that I can,” she said."The Republican Hindu Coalition" and "South Asians for Biden" are two groups driven by very different political ideologies that are presenting potentially strong voting blocks. Dr. Sumit Ganguly, a professor of political science at Indiana University, says they could play a key role in down ballot races.“It's a disproportionately affluent electorate. And it's an electorate that's growing. It could make a huge difference in Senate and House races,” said Ganguly.South Asian Americans have traditionally high voter turnout and have grown to become the second largest immigrant group in the U.S. They also tend to lean democratic.A post-2016 election survey indicates that 90% of Bangladeshi Americans, 88% of Pakistani Americans and 77% of Indian Americans voted for Hilary Clinton.President Trump has made a major play for the Indian vote. Last year, he held a large rally in Texas alongside Indian prime minister Narendra Modi and attracted a crowd of 50,000 Indian Americans.This week, "South Asians for Biden" launched a digital ad campaign series featuring celebrities encouraging South Asians to vote blue.“I know a lot of the aunties and uncles tend to be much more conservative and kind of lean Republican for sure,” said actor Sendhil Ramamurthy. “I think it's up to younger people, younger than myself, to try and change some minds.”Author and filmmaker Gotham Chopra along with his father Deepak, sister and his niece, a first-time voter, put out their own video stumping for Biden and Harris.“We all, three generations, feel very strongly about the stakes of this election and decided to participate in it,” said Chopra.Making inroads at the highest levels of government, Bokhari says means the power of the South Asian vote is being recognized and paving the way for future generations.“Young South Asians and young South Asian women who do want to occupy a role in our government one day it's important to have that representation,” said Bokhari. “So, we know that we can, and to be able to represent our communities to the best of our ability.” 2644

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