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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 advisory committee is recommending Americans age 75 and older, along with essential workers like firefighters, teachers, and grocery store workers should be next in line for the COVID-19 vaccine.This second wave of people comes after the first tier of health care workers and long-term care facility residents that was agreed to by the Advisory Committee on Immunization Practices earlier this month should get the first of the vaccine shots that started last week.The committee, composed of health experts in the field of immunization, makes recommendations to the CDC, and they are almost always adopted.They voted Sunday afternoon on the recommendation, it was 13-to-1. They also discussed the next tier, which could include Americans age 65-to-75, as well as those who are age 16-to-64 who have high-risk medical conditions, and other essential workers not already vaccinated, according to CNN. It comes as a second COVID-19 vaccine, made by Moderna and the National Institutes of Health, begins being shipped around the country for approved emergency use and a second week of shipments arrive of the Pfizer vaccine.The CDC says roughly 556,000 Americans received the first dose of the vaccine last week. The Pfizer vaccine started being given on Monday, December 14.The general overseeing the distribution of the COVID-19 vaccines says they are on track to deliver about 20 million doses before the end of the year. Each person must receive 2 doses of the vaccine for full effect, which has been shown in both vaccines to be higher than 90% effective.As for when the second tier of frontline workers and those age 75 and older will receive their vaccines is up to state governors depending on their vaccination plans and distribution of the vaccine. The advisory panel is offering guidance to state leaders about how to handle distribution of the vaccine. 1872

ANAHEIM, Calif. (KGTV) - "Toy Story" fans will be "eternally grateful" when they visit Disneyland's Tomorrowland this summer.In honor of Pixar Fest, the park will transform Redd Rocket's Pizza Port into "Toy Story's" Alien Pizza Planet, featured prominently in the Pixar animated movies.Pizza Planet is most memorable for its host of little green aliens who worshipped "the claw" (a claw machine) and expressed gratitude upon their rescue from the pizza place (repeating "we are eternally grateful.")RELATED: Several Downtown Disney businesses to close for 700-room hotelAmong the delicious pizza additions will be a specialty pepperoni-green pepper pizza and cheeseburger pizza. The latter of which includes ketchup, yellow mustard and pizza sauce with cheese, slider patties, a house-made burger sauce, and pickles.The change is just one of the park's ways of celebrating Pixar Fest from April 13 through Sept. 3. The festival will cover both Disneyland and California Adventure parks.The festival will also feature the opening of Pixar Pier, where guests can run around with characters from "Toy Story," "The Incredibles," "WALL-E," and "Inside Out." The park will also bring back their Paint the Night parade and introduce a new Pixar-themed fireworks show. 1289

An Apple Store in Sydney, Australia, was the first in the world to sell an iPhone 8.The store opened its doors at 8 a.m. Friday, local media reported, and ushered in a few fans who had camped out, along with others who woke up early. They were there to buy the new iPhone 8 and iPhone 8 Plus, as well as the updated Apple Watch and Apple TV.Lining up outside Apple Stores has become a tradition for Apple product launches. But the usual excitement is expected to be muted this year, with many customers choosing to wait until November to upgrade to the more expensive iPhone X. 585

Aretha Franklin, the legendary Queen of Soul, died after a battle with cancer Thursday at the age of 76. Franklin's career spanned half a century, immortalized by hits such as "RESPECT" and "(You Make Me Feel Like) A Natural Woman." Her voice, her energy and her stage presence were powerful even in recent years. Aretha may be gone, but her songs and her legacy will be with us forever.Kevin Necessary is the editorial cartoonist for Scripps station WCPO in Cincinnati. His opinions do not reflect those of the E.W. Scripps Company or its affiliate stations. 587