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A new study out of a pediatric medical center in Chicago suggests that young children do not only spread COVID-19 more efficiently than adults, but they could be major drivers in the pandemic as schools start to reopen.The report was published at the end of July and examined concentrations of COVID-19 in the nasopharynx, or the upper region of the throat that connects nasal passages. According to the results, children ages 5 and younger who develop mild to moderate symptoms have 10 to 100 times as much COVID-19 in their nasopharynx as adults.“This is a very complex issue involving not just the virus, but everything else,” said Dr. Kwang Sik Kim, director of pediatric infectious disease at Johns Hopkins University Hospital. "We don’t have any real data to indicate to schools what they should do, what is the best recipe they need to follow.”The study raised concerns about the erratic behavior of children and how it could play a factor in the virus’ spread, reading, "Behavioral habits of young children and close quarters in school and daycare settings raise concern for SARS-CoV-2 amplification in this population as public health restrictions are eased. In addition to public health implications, this population will be important for targeting immunization efforts as SARS-CoV-2 vaccines become available.”“Don’t, under any circumstance, even think about opening that school for in-class instruction until you’ve got the virus under control,” said Lily Eskelsen Garcia, president of the National Education Association.Eskelsen Garcia teaches 39 6th-graders in Salt Lake City and says unless the infection rate of a community is below 5 percent, as outlined by the CDC and WHO, school districts should not even consider opening for in-person instruction.Currently, the infection rate in the United States is 7.8 percent."If you open a school before you get the infection rate under control, you will turn that school into the community’s super-spreader,” said Eskelsen Garcia.“Make a decision for today based on the information available today, and then act differently when you have data tomorrow. I think that’s the right approach,” said Dr. Kim. 2170

A surge in COVID-19 cases is further straining the already-depleted supply of prescription drugs in the U.S., according to researchers and doctors at the University of Minnesota."The supply lines are really stressed and stretched," said Dr. Stephen Schondelmeyer, a co-principal investigator for the Resilient Drug Supply Project at the University of Minnesota.Schondelmeyer's work focuses on critical drugs and their supply chains. He tracks the supply chain process for every drug on the marketplace — more than 100,000 in total.Most of the prescription drugs used by Americans are made outside of the country — meaning the U.S. is reliant on foreign companies to manufacture the drug and shipping companies to deliver them safely."We're identifying where it comes from — the first thing you need to know is about 70% of all the drugs that come into the U.S. marketplace are made outside of the US.," Schondelmeyer said.He and his team want to predict and identify when and where there will be failures in the system. Right now, the U.S. has a "fail and fix" system — and right now, there are some critical breakdowns in the supply chain."Seventy-five percent of the COVID-19 drugs are currently in shortage," Schondelmeyer said. "That means three-fourths of the drugs we're using for COVID-19 were already in shortage, and that's before we had this last surge we're seeing.""We should, as a matter of national policy, have a map like we're building of the global drug supply from the beginning all the way until the drug reaches the patient," Schondelmeyer said.But it's not just COVID-19 drugs that are in short supply. Dr. Beth Thielen, an assistant professor of pediatrics at the University of Minnesota Medical School and an infectious disease physician, says even some routine drugs are hard to come by."As a physician working in the hospital — the University of Minnesota — we're a big urban center and yet we're regularly dealing with this issue of shortages in routine things like antibiotics," Thielen said. "It's very concerning to think about the supply chain breaking down and seeing drugs not available in pharmacies or the hospital."Doctors say COVID-19 has unmasked a problem that's been a concern for decades. The pharmaceutical supply chain is complicated and dependent on other countries — and there are supply and demand dilemmas."Start the conversation now with your healthcare provider," Thielen said. "There might be some within class substitutions of medicines, so a drug that is related may not be the exact same drug but might fulfill the same purpose."Schondelmeyer adds that anyone with a regular prescription should ask their doctor about getting a 90-day supply of essential drugs — but adds that there's no reason to hoard medication."We shouldn't panic. We shouldn't treat drugs like we did toilet paper and stock up on so much that we're totally out — and that's an example of what can happen when there's rumors of shortages," Schondelmeyer said. "People act out of fear, and they hoard more than they really need."In the meantime, Schondelmeyer is pushing for a national stockpile of critical medications, so that the U.S. is covered should there be a complete breakdown in the supply chain. 3236

A truck flying confederate flags passes the main entrance to Talladega Superspeedway Sunday, June 21, 2020, in Talladega, Ala. (AP Photo/John Bazemore) 159

A minor league baseball player was cut from his team after video of a domestic violence incident he was involved in was released. 137

A nationwide onion recall this summer is hitting meal prep kits. HelloFresh is urging customers to throw away onions from certain meals recently shipped out.The meal prep home delivery company says they were informed by one of their suppliers it is voluntarily recalling onions because of a potential presence of salmonella bacteria.Thomson International, Inc., based in California, issued a recall of all onions distributed after May 1 because of potential contamination with salmonella bacteria. They are a large supplier of onions, and the recall has impacted grocery stores and restaurants in all 50 states, the District of Columbia and Canada.All onions received between May 8 and July 31 should be discarded. In addition, HelloFresh recommends customers use extra caution in disinfecting and sanitizing surfaces or containers that may have come into contact with onions in their meal prep kits during this time period.For a list of impacted products, see the list of product codes below provided by HelloFresh. The codes can be found on the bottom of the shipping label on their delivered meals.Preparing a meal with onions according to the recipe, and heating it to at least 165oF/74oC, will kill the salmonella bacteria.Symptoms of salmonella include fever, diarrhea, and nausea. 1295