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ATLANTA, Ga. – While residents along the Gulf Coast seek shelter from Hurricane Laura, they should still keep the threat of COVID-19 in mind.Emergency managers, shelter managers, and public health professionals are taking measures to reduce the possible spread of the coronavirus among people who seek safety in a disaster shelter during severe weather events like this.For those staying in a shelter during the storm, the Centers for Disease Control and Prevention (CDC) offered some tips to lower the risk of coronavirus infection:Preparing to shelterIf you need to evacuate, the CDC says to prepare a “go kit” with personal items you cannot do without during an emergency. That includes items that can help protect you and others from COVID-19, like hand sanitizer with at least 60% alcohol, soap, disinfectant wipes, and two masks for each person.Know a safe place to shelter and have several ways to receive weather alerts, such as the National Weather Service’s cell phone alerts, NOAA Weather Radio, or NWS alerts on Twitter.Find out if your local public shelter is open, in case you need to evacuate your home and go there. Your shelter location may be different this year due to the COVID-19 pandemic.Follow guidance from your local public health or emergency management officials on when and where to shelter.Make a plan and prepare a disaster kit for your pets. Find out if your disaster shelter will accept pets. Typically, when shelters accommodate pets, the pets are housed in a separate area from people.Follow safety precautions when using transportation to evacuate. If you have to travel away from your community to evacuate, follow safety precautions for travelers to protect yourself and others from COVID-19.While in a public shelterPractice social distancing. Stay at least 6 feet from other people outside of your household.Follow CDC COVID-19 preventive actions—wash your hands often, cover coughs and sneezes, and follow shelter policies for wearing masks. Avoid sharing food and drink with anyone if possible.Follow disaster shelter policies and procedures designed to protect everyone in the shelter, especially those who are at higher risk for severe illness from COVID-19, including older adults and people of any age who have serious underlying medical conditions.Avoid touching high-touch surfaces, such as handrails, as much as possible. Wash hands with soap and water for at least 20 seconds or use hand sanitizers with at least 60% alcohol immediately after you touch these surfaces.Keep your living area in the shelter clean and disinfect frequently touched items such as toys, cellphones, and other electronics.If you feel sick when you arrive at the shelter or start to feel sick while sheltering, tell shelter staff immediately.Keeping children safe in sheltersTeach and reinforce everyday preventive actions for keeping children healthy.Make sure children aged 2 and older wear masks. Masks should not be used by children under the age of 2. They also should not be used by people having trouble breathing, or who are unconscious, incapacitated, or unable to remove the mask without assistance.Be a good role model—if you wash your hands often, your children are more likely to do the same.Help your children stay at least 6 feet away from anyone who is not in your household.Watch your child for any signs of illness and tell shelter staff if your child may be ill.Try to deal with the disaster calmly and confidently, as this can provide the best support for your children. Help children cope with emergencies. 3559

At a small store off a two-lane road in rural South Carolina, "lightning struck," the excited mayor of Simpsonville said Wednesday.Mayor Janice Curtis said she found out from a reporter that the winning ticket in the .537 billion Mega Millions drawing had been sold in her town.According to the mayor, the journalist asked, "How do you feel about this happening in little ol' Simpsonville?' And I about fell out. I had no idea. Can you believe it? One ticket! Here!"Simpsonville is the kind of town where farm fields are giving way to housing developers. The city grew from 18,000 to 22,000 people as the Greenville suburbs encroached over the past seven years. 671

As schools start re-opening around the country, daycare and early childhood education centers are opening too.A question on the mind of parents is, "Should you send your toddler or preschooler back?"Like every other working mom, Danielle Green admits it's challenging. She basically has two jobs. Her career as a scientist, and her around-the-clock job of mom to 2-year-old Corey and 6-month-old Dylan keeps her busy.“Having children is a full-time job in itself so it turns more into a full-time job watching kids during the day and then doing the work during nap and evening,” Green said.It’s is not only exhausting, but she says, it's 100 percent, not realistic.“It adds a lot of stress for parents,” Green said. “For me, it added a lot of stress because we want to dedicate as much time as we can to our kids and so I took the path to dedicating everything to my kids and doing the work while the kids were sleeping.”So, when her daycare opened back up, Green and her husband talked and decided it was time.“There’s uncertainty in sending a child to daycare during a pandemic, but if we’re being realistic, eventually our kids are going to have to go back to school, so the question becomes at what point do we re-enroll them,” Green said.It's a topic that parents all around the country are discussing, because we all know it’s hard to do both. Parenting expert Gigi Schweikert said give up the dream of doing it all because no one can.“What I know as a working parent of four is that you can’t give your work 100% and you can’t give your children 100% so having your children in childcare gives them the opportunity to have the education socialization and guidance they need while you as a working parent can have that individualized concentrated time to give work your full attention,”Schweikert said.But to send your children back during a pandemic isn't easy. You have to do quite a bit of homework, make sure no one is allowed in the center aside from your child and staff members, and review all the protective measures for your county and state.Things like temperature checks, masks and face shields are being required at some daycares. Experts suggest inquiring about ventilation and cleanliness. And get parent referrals. A lot of them.“What really is important is trust. You’re going to need to check off all the boxes of making sure people are cleaning, making sure air is really good. Instinctually once you make that checklist, you have to say as a parent, 'Do I trust these people with my most important thing which is my child,'” Schweikert said.There are some things that might be missing because of COVID-19, like parent and teacher visits. Some facilities like Lightbridge Academy are now reliant on electronics and in-center cameras.Green said she's confident in her decision. Her boys are happy and healthy every day, and she feels confident that she's successfully managing her career.“It makes me feel good to know that the daycare is actually practicing the appropriate safety precautions and wearing the appropriate protective equipment, take temperatures it is an added measure,” Green said. 3130

As the coronavirus pandemic surges across the nation and infections and hospitalizations rise, medical administrators are scrambling to find enough nursing help — especially in rural areas and at small hospitals.Nurses are being trained to provide care in fields where they have limited experience. Hospitals are scaling back services to ensure enough staff to handle critically ill patients. And health systems are turning to short-term travel nurses to help fill the gaps.Adding to the strain, experienced nurses are “burned out with this whole (pandemic)” and some are quitting, said Kevin Fitzpatrick, an emergency room nurse at Hurley Medical Center in Flint, Michigan, where several left just in the past month to work in hospice or home care or at outpatient clinics.“And replacing them is not easy,” Fitzpatrick said.As a result, he said, the ER is operating at about five nurses short of its optimal level at any given time, and each one typically cares for four patients as COVID-19 hospitalizations surge anew. Hospital officials did not respond to requests for comment.But the departures are not surprising, according to experts, considering not only the mental toll but the fact that many nurses trained in acute care are over 50 and at increased risk of complications if they contract COVID-19, while younger nurses often have children or other family to worry about.“Who can actually work and who feels safe working are limited by family obligations to protect their own health,” said Karen Donelan, professor of U.S. health policy at Brandeis University’s Heller School for Social Policy and Management. “All of those things have been factors.”Donelan said there is little data so far on how the pandemic, which has killed more than 231,000 people in the country, is affecting nursing overall. But some hospitals had a shortage even before the virus took hold, despite a national rise in the number of nurses over the past decade.With total confirmed coronavirus cases surpassing 9 million in the U.S. and new daily infections rising in 47 states, the need is only increasing.Wausau, Wisconsin-based Aspirus Health Care is offering ,000 signing bonuses for nurses with at least a year of experience and hiring contract nurses through private staffing companies to handle a surge in hospitalizations that prompted the system to almost quadruple the number of beds dedicated to COVID-19 patients.Aspirus, which operates five hospitals in Wisconsin and four in small communities in Michigan’s Upper Peninsula, also is moving nurses around between departments and facilities as hot spots emerge, said Ruth Risley-Gray, senior vice president and chief nursing officer at Aspirus.Outside help still is needed, in part because some nurses have gotten sick from or were exposed to the cornavirus during the current wave, which “came with a vengeance” starting in August, Risley-Gray said. At one point in mid-October, 215 staffers were in isolation after showing symptoms or being exposed to someone who tested positive, and some are just starting to return to work.Aspirus recently was able to hire 18 nurses from outside agencies, and may need more if the surge continues.Because the pandemic is surging just about everywhere in the country, hospitals nationwide are competing for the same pool of nurses, offering pay ranging from ,500 a week to more than ,000, said April Hansen, executive vice president at San Diego-based Aya Healthcare, which recruits and deploys travel nurses.She said demand for their services has more than doubled since early in the pandemic when the greatest need was in hot spots like New York and New Jersey and then moved to southern states. In recent weeks the virus has been spiking across the country, with the new hot spots in places like the rural upper Midwest and southern-border communities such as El Paso, Texas.Now placing nurses where they’re needed is “like a giant game of whack-a-mole,” said Hansen, whose company has about 20,000 openings for contract nurses.In North Dakota, where infection rates are exploding, hospitals may cut back on elective surgeries and seek government aid to hire more nurses if things get worse, North Dakota Hospital Association president Tim Blasl said.In Texas, Gov. Greg Abbott recently announced he was sending 75 nurses and respiratory therapists to El Paso to help handle the city’s surge. Wisconsin Gov. Tony Evers, meanwhile, issued emergency orders making it easier for nurses from elsewhere to practice in his state and for retired nurses to come back.“This has been a challenge, and we’ve been pleading with the community members to protect themselves and others,” by wearing masks and social distancing, said Aspirus’ Risley-Gray, who said the positivity rate among community members tested by Aspirus rose from under 10% in September to 24% last week.To combat the emotional toll and fatigue that comes with caring for COVID-19 patients, including just donning and removing protective equipment all day, Aspirus has been giving nurses microbreaks and quiet places to get away and collect themselves when they feel overwhelmed.Travel nurses say the need at small hospitals tends to be greater than at larger facilities.Robert Gardner, who’s currently assigned to a hospital in a small town about 20 miles west of Atlanta, said he did search and rescue in the Coast Guard during Hurricane Katrina and the pandemic is “a lot worse.”He worked at a large New Jersey hospital when that state was swamped by the virus in the spring, and now worries that flu season could bring further chaos to hospitals. But he’s determined to stick it out, no matter what.“It’s not even a question,” Gardner said. “Nursing is a calling.” 5727

Authorities have started the arduous task of trying to retrieve a US missionary feared killed on a remote Indian island, careful not to trigger conflict with the islanders.John Allen Chau was last seen last week when he traveled to the forbidden North Sentinel Island in the Bay of Bengal to try to convert the island's residents to Christianity. The Sentinelese, as they are known, have a decades-long history of repelling outsiders, a fact that is near certain to make the journey to find Chau a treacherous one.Indian authorities along with the fishermen who reported seeing Chau's body last week, went near the island on Friday and Saturday in an effort to figure out how to recover the body."We have mapped the area with the help of these fishermen. We have not spotted the body yet but we roughly know the area where he is believed to be buried," said Dependra Pathak, a top police official in the Andaman and Nicobar Islands.Pathak said the group spotted several tribe members carrying bows and arrows and walking around the area where the fishermen said they saw Chau's body being dragged and buried."The mission was done from a distance to avoid any potential conflict with the tribespeople as it's a sensitive zone," he said. "We are discussing with anthropologists and psychologists about the nature of the Sentinelese."Pathak said there are a lot of things to consider before they enter the island, including the psychology of its residents."There are legal requirements as well which we need to keep in mind while carrying out the operation. We are also studying the 2006 case where two local fishermen were killed. The bodies were recovered then," he said. 1678