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As COVID-19 cases spike across the country, public health experts, doctors and everyday people are constantly checking the spread of the virus in their communities.There are several tools available that give a variety of information regarding case levels. Some trackers provide the number of cases over a 100-day period, while others compare the number of positive tests to the total number of tests.The information can be overwhelming, especially for those who are not health experts. What information is useful, and how should the general public use it to make decisions about their everyday life?Health experts say any tool will help provide context to the situation, as long as the information comes from a legitimate source, like a state health website or reputable institution like Johns Hopkins University.But to make things easier to understand, experts suggest using just one tool in order to get information."If you're traveling somewhere, you want to be able to compare your risk at home versus your risk on the trip," said Dr. John Hammer, the chief of medicine at Rose Medical Center. "It's nice to have a tool that's used in both places to measure that."Using just one source makes it easier to understand the situation, even if the numbers vary from tool to tool. 1286

ANZA, Calif. (AP) — An operation targeting illegal marijuana cultivation in Southern California has led to eradication of more than 4,500 plants and seizure of 11,000 pounds of processed pot.The Riverside County Sheriff's Department says the combined street value is estimated at million.The raid was conducted Monday by the department's marijuana enforcement team and the state Department of Fish and Wildlife on 140 acres of land in the Anza area, about 95 miles southeast of Los Angeles. 502

ARCADIA, Calif. (AP) — A 30th horse has died at Santa Anita on the last weekend of racing before the Southern California track closes for the season.Mike Marten, a spokesman for the California Horse Racing Board, says a 4-year-old gelding named American Currency was injured Saturday while exercising on the training track and was euthanized.The board had recommended that Santa Anita suspend the current meet following a string of deaths since Dec. 26, but management chose to continue until the last day of the meet on Sunday.Track owner, The Stronach Group, formed a panel to review horses' medical, training and racing history for the final six racing days.But Marten says American Currency wasn't entered to run in any race and thus wasn't subject to review by the panel.The horse is the fourth from the stable of Hall of Fame trainer Jerry Hollendorfer to die at the track. Hollendorfer was banned from Santa Anita following the latest death.The Stronch Group said in a statement that Hollendorfer "is no longer welcome to stable, race or train his horses at any of our facilities."On the recommendation of the special panel, the track's stewards scratched four horses trained by Hollendorfer that were to run Saturday and Sunday. 1244

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

An online platform connecting patients of color with doctors has seen record growth during the pandemic.HUED's goal is to help Black and Latinx patients get what they call “culturally competent care,” which means physicians who understand racial differences.“There are a lot of psychological barriers that exist in the health care system, which lead to fear, distrust, comfortability and lack of access to quality care for those reasons, and it's because it's systemic,” said Kimberly Wilson, founder and CEO of HUED.Wilson attributes HUED's spike in growth to the reckoning over racial disparities brought on by the Black Lives Matter movement, paired with the disproportionate impact of COVID-19 on communities of color.Wilson's own experience of being diagnosed with uterine fibroids launched the idea for the startup. She saw four different white, male doctors near her home. Wilson says all of them either dismissed her pain or told her that she needed a hysterectomy.It wasn't until Wilson saw a Black provider, miles away, that she felt heard and learned of other options.“I wanted to develop a solution to that problem and to improve patient care experiences and really equip patients of color to really be their own self advocate, so that they don't go through the journey that I had,” said Wilson.Patients can sign up to access HUED's database of doctors on their website. Providers interested in being listed go through a vetting process. 1457

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