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Black people were nearly four times more likely than white people to be hospitalized with COVID-19 among people with Medicare, the government said Monday.The analysis from the federal Centers for Medicare and Medicaid Services also found that having advanced kidney disease was an even more severe risk indicator for hospitalization than race, ethnicity, or being poor.“It reconfirms long-standing issues around disparities and vulnerable populations,” said Medicare administrator Seema Verma, adding that “race and ethnicity are far from the only story.″Medicare’s analysis confirms what The Associated Press and other media organizations have previously reported about African Americans and Latinos bearing the brunt of the pandemic, while adding new details.The group covered by Medicare is considered the most vulnerable to the coronavirus. Most of its 60 million enrollees are age 65 and older. Also covered are younger people who qualify because of disabilities.From Jan. 1-May 16, more than 325,000 Medicare recipients were diagnosed with COVID-19, and nearly 110,000 were hospitalized, according to the analysis of claims data. Medicare spent .9 billion for hospital care, an average of about ,000 per case for people enrolled in the traditional fee-for-service part of the program.The analysis found that:— Black people with Medicare were hospitalized at a rate of 465 per 100,000 enrollees, or nearly four times the rate for whites, which was 123 per 100,000.— The rate for Hispanics was 258 per 100,000, or about twice the rate of whites. Asians were about one-and-a-half times more likely than whites to be hospitalized for COVID-19.— Low-income Medicare recipients who are also covered by their state Medicaid programs had a hospitalization rate that was slightly higher than the rate for African Americans.— There were fewer COVID-19 cases and hospitalizations among Medicare recipients in rural areas, when compared to cities and suburbs.But all in all, having advanced kidney disease was by far the biggest risk factor, the study found. People whose kidneys have stopped working to the point where they can’t live without dialysis or a transplant had a hospitalization rate of 1,341 per 100,000, or nearly three times higher than the rates for low-income beneficiaries and African-Americans.Verma said this may reflect the fact that people with advanced kidney disease generally also suffer from other medical problems that worsen COVID-19 outcomes, such as diabetes. Patients typically have to travel to a special facility to get dialysis, and the treatment can bring them together with others who may have been exposed.Medical problems such as high blood pressure and heart conditions also tend to be more prevalent among Blacks and Latinos, increasing their risks for severe coronavirus infections.Taken together, the Medicare data call for a greater focus on social conditions that contribute to poor health, Verma said, as well as continuing to expand coordinated care for patients trying to cope with several chronic conditions at a time.The Medicare data released Monday lack complete information about deaths, since they only record those who passed away in a hospital. 3206

BERKELEY, Calif. (AP) — For tens of thousands of children in California, the biggest monsters this Halloween are wildfires that have thrown trick-or-treating into disarray.Nancy Metzger-Carter and her family have been in a San Francisco hotel since Saturday when a blaze in Sonoma County wine country forced them to evacuate their home in the small community of Graton.Every day, her 11-year-old daughter and 7-year-old son worriedly asked how they would still have Halloween because they left their costumes behind."We were like, 'No matter what, you're gonna have a Halloween. We're gonna figure it out,'" Metzger-Carter said Wednesday.Her son, who was going to be a ninja, settled for a SWAT officer costume they found at Target. Her daughter and her 10-year-old friend, whose family also evacuated, went to the Love on Haight boutique in the city's famed Haight-Ashbury neighborhood to put together hippie costumes."The people were so sweet to them. They found pants that will fit them. They were helping to cut them," Metzger-Carter said.Many families who live in and around wine country north of San Francisco have no neighborhood to bring their kids to collect candy because they're coming home to destruction, are still under evacuation orders or facing lingering power outages meant to prevent electrical equipment from starting fires in windy weather.And kids on the other side of San Francisco Bay, southeast of the Sonoma County blaze, are seeing Halloween plans literally go up in smoke."Today at work, our lunch conversation was: 'What are you going to do for Halloween if the air is not good?" said Hillary Sardinas, a field biologist in the Bay Area city of Albany. "It's obviously not the biggest issue with the fires. You care about people being safe. But yeah, it's potentially a lot of disappointed kids."Some parents like Sardinas may throw a Halloween party instead. She and her husband would host their daughters' preschool classmates with candy, a pinata and a movie if trick-or-treating isn't an option.If the air quality is acceptable, the couple will take their children out, likely wearing masks and for a shorter amount of time close to home.Smoke and poor air quality became too much for Traci Moren, an acupuncturist who lives in Berkeley. She decided to take her sons, ages 9 and 4, out of school and stay with a friend in Santa Barbara.Last year, they left town around Thanksgiving because of a wildfire. This time, they left Wednesday to make it in time for trick-or-treating, which is a "much bigger deal" to her oldest son."He was pretty upset when I told him we might not be able to trick-or-treat. His best friend already left town," Moren said. "I just want to make sure there's a way to make it happen."Moren's older son goes to a school with an annual Halloween parade. Around 400 costumed students walk around the playground and then around the block, Washington Elementary Principal Katia Hazen said. It ends with a dance party on the playground.The school considered having the parade through the hallways and stairs because of smoke but decided to go ahead with the usual outdoor plans Thursday.The so-called Kincade Fire in Sonoma County has burned 120 square miles (310 square kilometers), destroyed more than 140 homes and forced more than 180,000 people to evacuate at its height. It's more than halfway contained, and most people have returned home. Despite widespread blackouts by the state's largest utility, electrical equipment that wasn't shut off may have ignited the flames last week.Strong winds also have whipped up wildfires in Southern California, destroying houses, forcing people to flee and leading utilities to cut power.In Sonoma, which was hit hard by the fire, the Boys & Girls Clubs of Sonoma Valley's main location will be open until 5 p.m. on Halloween, even to kids who aren't members. Clubhouse director Jonathan Antimo is expecting more than 100 children.The clubhouse will host a mini Halloween carnival with a costume contest, a doughnut-eating contest, "spooky tag" and movies. They also will let kids trick-or-treat room to room."We're going to try to keep the Halloween spirit alive and keep the kids happy and the fire out of their minds," Antimo said.Planning the festivities has kept his staff from feeling stuck at home and stressing about the wildfire."Our team is just really excited to help. They all jumped at the offer to come in and work," Antimo said.Parents can go to Airnow.gov to look up the air quality index by city, said Mary Prunicki, director of air pollution and health research at Stanford University's Sean N. Parker Center for Allergy and Asthma Research. If it's above the yellow level of "moderate," which is still considered acceptable, children should stay indoors."If you still want to trick-or-treat, perhaps alternatives such as trick-or-treating at an enclosed apartment complex or senior facility or mall should be considered," Prunicki said by email.Even children wearing masks shouldn't stay outside for too long, she added.Metzger-Carter said she's grateful her children will still have a Halloween, even if it's trick-or-treating away from home."We're so fortunate to be able to be at a hotel and to be able to purchase a costume," Metzger-Carter said. "Honestly, these disasters hit vulnerable populations so much more than people like us who can choose to stay at a hotel another night." 5416

Barack Obama might appear on-camera as the moderator of a new series on Netflix. Or he might stay off-camera as a producer of a show about uplifting American stories.Or maybe he'll do both.Talks are underway between Obama and Netflix, according to a source familiar with the discussions.The source characterized it as a "production partnership" and said the deal has not been finalized yet.If it happens, both the former president and his wife, Michelle, will be involved in a series of shows for Netflix.It would be a triumph for the streaming service, providing the kind of exclusive programming that sells subscriptions. And it would give the Obamas a platform to reach a huge audience around the world.Netflix says it has more than 117 million subscribers, 55 million of whom are in the United States.A Netflix spokesman declined to comment on Thursday.News of the talks was first reported by The New York Times. "The number of episodes and the formats for the shows have not been decided," The Times said.The newspaper described two potential shows. In one, "Mr. Obama could moderate conversations on topics that dominated his presidency." Another show "could feature Mrs. Obama on topics, like nutrition, that she championed in the White House."Eric Schultz, a senior adviser to Obama, said in a statement Thursday night that the Obamas "have always believed in the power of storytelling to inspire."While he did not comment directly on the Netflix talks, he said the Obamas "continue to explore new ways to help others tell and share their stories."In the final days of the Obama administration, it was reported that Obama was interested in pursuing digital media ventures after he left office.Jen Psaki, the White House communications director at the time, told CNN that "he is very interested in how people consume information and the changing trends," citing online and mobile news consumption. 1922

BRUSSELS (AP) — Britain and the European Union have struck a provisional free-trade agreement that should avert New Year’s chaos for cross-border commerce and bring a measure of certainty to businesses after years of Brexit turmoil. The breakthrough on Thursday came after months of tense and often testy negotiations that whittled differences down to three key issues: fair-competition rules, mechanisms for resolving future disputes and fishing rights. In a statement from Downing Street, the Prime Minister's residence, said, "We have got Brexit done and we can now take full advantage of the fantastic opportunities available to us."Now comes the race to approve and ratify the deal before the U.K. leaves the EU’s economic structures on Jan. 1. The British and European parliaments both must hold votes on the agreement. And key aspects of the future relationship between the 27-nation bloc and its former member remain unresolved. 944

BEND, Ore. -- It’s a crisp September morning. A good time to go for a hike. For 21-year-old Isaac Shannon, that means strapping into the AdvenChair.“I’m in a wheelchair because I have a mitochondrial disease, which is a progressive genetic disorder that affects pretty much everything in my body and makes me extremely tired and fatigued easily,” Shannon said.For the majority of his life, Shannon hasn’t been able to go on hikes. This is now his fourth time using the AdvenChair.“It’s rejuvenating to be outside, especially as a person with a disability because these resources are not exactly the most accessible,” Shannon said. “So when there is a tool that allows a person to be able to experience life in the most average way possible, I think it’s healing, and it’s nice to be out in nature where you’re not around people.”The AdvenChair is an adaptive, human-powered wheelchair designed to help people with physical disabilities get outside. Jack Arnold is the engineer who helped develop the chair.“It’s an all-terrain wheelchair. With a small team of people, you can go backpacking,” Arnold said.One person pushes from behind, and another – adequately referred to as a mule -- pulls from the front. Up to five people can help remove the chair with nylon straps and carabiners on more challenging trails.“There are so many people with physical challenges out there in the world,” Arnold said. “We take it for granted; we can get up and go for a hike. And everybody with physical challenges, they don’t want to be stuck indoors either. They want to get out.”The man who inspired and created the idea of the AdvenChair, Geoff Babb, was supposed to be on the trail with us, but a medical emergency rushed him to the hospital instead. Geoff is no stranger to the hospital. This visit is due to a complication with a pump in his abdomen that helps control muscle spasms. But as he puts it, it’s not his first rodeo.“I had my first stroke on November 10th, 2005,” Geoff said.Twelve years later, on the same date, Geoff had a second stroke. Now he lives with quadriparesis, which means he experiences weakness in all four limbs. His favorite medicine is nature.“For me, to start to heal, I had to be in my place of comfort and strength, which was being outside,” Geoff said.Outside is where he met his wife, Yvonne.“I mean, we weren’t born outside, but we’re just outdoorsy people,” Yvonne said with a laugh.Both worked as plant resource specialists. Geoff used to be a fire incident commander. As his primary caretaker, Yvonne’s life has been influenced by the AdvenChair as much as Geoff’s has.“To me, it’s a safe way to go out to the woods with Jeff and continue our life in an adventurous way,” Yvonne said.They can go on trips to the beach, or in the snow and trek through somewhat tricky trails.“Takes five or six people we’re like ‘ohhh we can do this,’” Yvonne said.Yvonne says Geoff is the most driven person she’s ever known. Geoff says his motivation is his desire to contribute to the world positively.“I have a purpose when I get up, and that purpose is to help people experience wild places eventually,” Geoff said.It’s a goal he’s already achieved on a small scale with other friends in Oregon.“I think this is one of the coolest things that I’ve gotten to experience in my life because I’ve been able to hike again without feeling tired or having any pain,” Shannon said.Geoff hopes to continue his legacy allowing more people to hike outside.“I want to be able to see other people in his chair… on the Camino, or climbing the Great Wall of China,” Yvonne said.No matter what life throws at him, Geoff says he will continue rolling boldly off the beaten path. 3684

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