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Laboratories across the U.S. are buckling under a surge of coronavirus tests, creating long processing delays that experts say are undercutting the pandemic response.With the U.S. tally of confirmed infections at nearly 4 million Wednesday and new cases surging, the bottlenecks are creating problems for workers kept off the job while awaiting results, nursing homes struggling to keep the virus out and for the labs themselves as they deal with a crushing workload.Some labs are taking weeks to return COVID-19 results, exacerbating fears that people without symptoms could be spreading the virus if they don’t isolate while they wait.“There’s been this obsession with, ‘How many tests are we doing per day?’” said Dr. Tom Frieden, former director of the Centers for Disease Control and Prevention. “The question is how many tests are being done with results coming back within a day, where the individual tested is promptly isolated and their contacts are promptly warned.”Frieden and other public health experts have called on states to publicly report testing turnaround times, calling it an essential metric to measure progress against the virus.The testing lags in the U.S. come as the number of people confirmed to be infected worldwide passed a staggering 15 million, according to data compiled by Johns Hopkins University. The U.S. leads the world in cases as well as deaths, which have exceeded 142,000.New York, once by far the U.S. leader in infections, has been surpassed by California, though that is partly due to robust testing in a state with more than twice the population of New York.Guidelines issued by the CDC recommend that states lifting virus restrictions have a testing turnaround time of under four days. The agency recently issued new recommendations against retesting most COVID-19 patients to confirm they have recovered.“It’s clogging up the system,” Adm. Brett Giroir, assistant health secretary, told reporters last week.Zachrey Warner knows it all too well.The 30-year-old waiter from Columbus, Ohio, was sent home from work on July 5 with a high fever a few days after he began feeling ill. He went for a test five days later at the request of his employer.Almost two weeks and one missed pay period later, he finally got his answer Wednesday: negative.Though Warner said most symptoms — including fever, diarrhea, chest tightness and body aches — stopped a few days after he was tested, he wasn’t allowed to return to work without the result.It was “frustrating that I’ve missed so much work due to testing taking forever,” Warner said. “It is what it is ... (but) I’m glad I’m negative and happy to be able to get back to work this week.”Beyond the economic hurt the testing lags can cause, they pose major health risks, too.In Florida, which reported 9,785 new cases and a rise in the death toll to nearly 5,500, nursing homes have been under an order to test all employees every two weeks. But long delays for results have some questioning the point.Jay Solomon, CEO of Aviva in Sarasota, a senior community with a nursing home and assisted living facility, said results were taking up to 10 days to come back.“It’s almost like, what are we accomplishing in that time?” Solomon said. “If that person is not quarantined in that 7-10 days, are they spreading without realizing it?”Test results that come back after two or three days are nearly worthless, many health experts say, because by then the window for tracing the person’s contacts to prevent additional infections has essentially closed.“The turnaround times, particularly across the South are too long,” Dr. Deborah Birx of the White House coronavirus task force said on Fox.Birx said the U.S. had shorter turnaround times in April, May and early June, but that “this surge and this degree of cases is so widespread compared to previously,” she said.Dr. Leana Wen, a public health professor at George Washington University said it’s reasonable to tell people awaiting test results to isolate for 24 hours, but the delays have been unacceptable.“Imagine you tell a parent with young children to self-isolate for 10 days or more without knowing they actually have COVID? I mean, that’s ridiculous. That’s actually absurd,” Wen said.U.S. officials have recently called for ramping up screening to include seemingly healthy Americans who may be unknowingly spreading the disease in their communities. But Quest Diagnostics, one of the nation’s largest testing chains, said it can’t keep up with demand and most patients will face waits of a week or longer for results.Quest has urged health care providers to cut down on tests from low-priority individuals, such as those without symptoms or any contact with someone who has tested positive.As testing has expanded, so have mask orders and other measures aimed at keeping infections down. Ohio, Indiana, Minnesota and Oregon became the latest to announce statewide mandatory mask orders Wednesday.The U.S. is testing over 700,000 people per day, up from less than 100,000 in March. Trump administration officials point out that roughly half of U.S. tests are performed on rapid systems that give results in about 15 minutes or in hospitals, which typically process tests in about 24 hours. But last month, that still left some 9 million tests going through laboratories, which have been plagued by limited chemicals, machines and kits to develop COVID-19 tests.There is no scientific consensus on the rate of testing needed to control the virus in the U.S., but experts have recommended for months that the U.S. test at least 1 million to 3 million people daily.Health experts assembled by the Rockefeller Foundation said last week that the U.S. should scale up to testing 30 million Americans per week by the fall, when school reopenings and flu season are expected to further exacerbate the virus’s spread. The group acknowledged that will not be possible with the lab-based testing system.The National Institutes of Health has set up a “shark tank” competition to quickly identify promising rapid tests and has received more than 600 applications. The goal is to have new testing options in mass production by the fall.Until then, the backbone of U.S. testing remains at several hundred labs with high-capacity machines capable of processing thousands of samples per day. Many say they could be processing far more tests if not for global shortages of testing chemicals and other materials.Dr. Bobbi Pritt of the Mayo Clinic in Rochester, Minnesota, says the hospital’s machines are running at just 20% capacity. Lab technicians run seven different COVID-19 testing formats, switching back and forth depending on the availability of supplies.At Emory University Hospital in Atlanta, lab workers lobby testing manufacturers on a weekly basis to provide more kits, chemicals and other materials.“There’s no planning ahead, we just do as many as we can and cross our fingers that we’ll get more,” said Dr. Colleen Kraft, who heads the hospital’s testing lab.___This story has been corrected to show that the CDC has issued guidelines recommending against repeat testing for patients recovering from coronavirus.___Webber reported from Fenton, Michigan, and Sedensky reported from Philadelphia. Associated Press writers Kelli Kennedy in Fort Lauderdale, Florida, Michelle R. Smith in Providence, Rhode Island, and Medical Writer Mike Stobbe in New York contributed to this report.___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. 7624

LAS VEGAS — President Donald Trump's campaign has sued the state of Nevada over a new bill that expands mail-in voting in the state for the 2020 general elections.Assembly Bill 4, which was signed into law on Monday during Nevada's special session, specifies that election officials will send all active registered voters a mail-in ballot if there is a statewide emergency or disaster directive.The state's Republican Party believes Nevada Gov. Steve Sisolak and the Democrat-led Legislature used the cover of the COVID-19 pandemic to introduce and pass AB4 in less than 72 hours and with little public notice, according to their press release.The lawsuit was filed late Tuesday in the U.S. District Court in Nevada against Republican Secretary of State Barbara Cegavske.Trump, who has voiced his opposition to expanded mail-in voting, has denounced the Nevada bill several times on Twitter this week. 909

Larry Nassar said he was the victim, not his patients.In more than three hours of interviews with police, obtained by Scripps station WXYZ in Detroit through the Freedom of Information Act, Nassar appears befuddled and defiant when faced with allegations that he abused patients.“It’s like blindsiding someone,” Nassar told a detective. “You’re doing this and you’re doing it for good to help someone and they’re giving you the positive feedback that you’re helping them, how do I know I’m hurting them?”The interviews stem from complaints filed against Nassar in 2014 and 2016.  Both interviews were conducted by officers with the Michigan State University Police Department.In August 2014, MSU police interviewed Nassar after a graduate student complained he sexually assaulted her during an appointment. Nassar had gotten wind of the complaint from one of his colleague, Dr. Jeffrey Kovan.“What else did he tell you?” asked Capt. Valerie O’Brien.“That she felt violated, that I was doing, like I touched her breast and I moved her underwear out of the way. And I’m like, yeah. I do that all the time,” Nassar said.  Nassar brought a laptop to the interview, showing the officer videos of him performing past medical treatments that required contact with intimate parts of women’s bodies, an attempt to convince the detective that everything was fine. “This is a treatment that I lecture on. I lecture on not only here at Michigan State,” Nassar said. “I was the keynote guest speaker in Australia to the Australian Olympic sports medicine for this very technique.”For each allegation made by the young woman, Nassar had the same response: it’s a standard medical procedure. She’s confused. I’m sorry.“She said that she felt like you were massaging her breast and that was not part of the manipulation that you were doing,” O’Brien said.“It’s the rib cage, you know what I mean?” Nassar said. “You’re going to be on the chest wall, you move the breast down, you move the breast down to get down to the wall. It’s like giving someone a mammogram almost.”During the 2014 interview, the officer asked Nassar if he’s ever been accused of abuse before.“There has been a few times where that has been brought up. Okay? And each and every time they were sexually abused,” Nassar said.“So, that’s what, that’s what I’m saying, when they’re uncomfortable about that, there’s been three cases. And all three of them were sexually abused. Okay? So that’s why I’m like, yeah. That’s why I’m like, is there something more? What am I missing?”The 2014 interview lasted more than two hours. MSU police wanted to bring charges but the Ingham County prosecutor declined.Two years later, Nassar was back at MSU police—when another victim came forward.“Has there been another complaint?” Nassar asked. “I’m just like confused right now.”A second complaint had been filed by Rachael Denhollander, a past Nassar patient.“I’m trying very hard to do things where I’m not being nearly as invasive,” Nassar said, saying he learned from the last police complaint. “But it compromises things.  So I’m trying to modify that.”In the 2016 interview, Lieutenant Andrea Munford asked Nassar about details from his past treatment of Denhollander.“Do you ever get aroused during these exams?” she asked, catching Nassar off guard.“Do I get aroused during the exam?” he asked.“Do you ever get an erection?” Munford asked. “The reason why I’m talking about this is because this young girl and her mother both observed this on more than one occasion during treatment.”Nassar replied: “If there was arousal it’s, it’s, it’s…you know what I mean? It would be because of, whatever, I don’t know.”“Well, what do you meant whatever?” Munford asked.“When you’re a guy,” Nassar said, “sometimes you get an erection.”Nassar pled guilty to a series of criminal sexual conduct charges in 2018.  He was sentenced to up to 125 years in prison.  3950

LA MESA, Calif. (CNS) - Three people armed with handguns shot at a business and a vehicle in La Mesa, but no one was struck by the gunfire, police said Wednesday.The shooting happened shortly after 8 p.m. Tuesday on El Cajon Boulevard just west of Parks Avenue, La Mesa police Lt. Brian Stoney said.The target of the shooting was an occupied business in a strip mall, Stoney said. The business' front window was shattered by the gunfire. The lieutenant did not disclose the name of the business."This appears to be an isolated incident," Stoney said Tuesday. "And although the suspects should be considered armed and dangerous, we do not believe there is any further threat in this immediate area right now."At least four men were inside the business when officer arrived, but were uninjured, the lieutenant said, adding that the men were detained for questioning.Officers spotted a vehicle driving away from the business with several bullet holes in its windshield, he said. Officers stopped the vehicle and also detained its two occupants, both men, for questioning.Witnesses told police they saw three people armed with handguns open fire on the business and the vehicle before fleeing in a vehicle, described only as a dark SUV, Stoney said. The suspect vehicle was last seen heading westbound on El Cajon Boulevard.No description of the suspects was immediately available and a motive for the shooting remains unclear.Anyone with information about the shooting is asked to call La Mesa police at 619-667-1400. 1522

LAS VEGAS (AP) — A former magazine model, her boyfriend and their former roommate are headed toward trial in the killing of a 71-year-old California psychiatrist whose body was found outside Las Vegas, a defense attorney said Friday.Kelsey Nichole Turner's lawyer, Brian Smith, said his client, Jon Logan Kennison, and Diana Nicole Pena are still due Monday before a Las Vegas judge on murder and conspiracy charges in the slaying of Thomas Kirk Burchard.However, Smith said their preliminary hearing will be called off after a grand jury handed up an indictment moving the case to Nevada state court for trial.Burchard lived in Salinas, California. Police say he had an intimate relationship with Turner and paid rent on a Las Vegas home where Turner, Kennison and Pena lived.Turner, Kennison and Pena are accused of killing Burchard and leaving his bludgeoned corpse in Turner's Mercedes Benz where it was found March 7 on a desert road between Las Vegas and Lake Mead.Turner, 26, modeled for Playboy Italia and Maxim magazines. She was arrested March 21 in Stockton, California.Kennison, 27, was arrested April 17 in Las Vegas.Pena, 30, was a Las Vegas Strip bartender. She surrendered to authorities on April 13.All are jailed without bail in Las Vegas. 1265