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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

SACRAMENTO (KGTV) - Cal Fire identified Tuesday high-priority projects to protect more than 200 areas at high risk of a fire, including those in San Diego County. The East County neighborhoods of Crest and Guatay were among the 35 communities considered to be in urgent need of attention in a list released by Cal Fire. Both communities have community fuel breaks that need to be cleared, a Cal Fire report showed. The Guatay fuel break covers 128 acres over 15 communities, affecting 221,282 people. The Crest fuel break covers 60 acres over 3 communities and affects 5,278 people, according to the survey. RELATED: California fire officials want more logging after wildfiresSouthern California wildfire burn zones on alert during stormHow to prepare defensible space around your homeCrews may need to remove hazardous dead trees, clear vegetation, create fuel breaks and community defensible spaces, and establish ingress and egress corridors. More than 25 million acres of California wildlands are under ‘very high’ or ‘extreme fire’ threat, according to Cal Fire. The agency also cited the encroaching construction of new homes in wildland areas as a growing threat, putting more people and property at risk. “California is increasingly at risk of wildfire, and certain populations are particularly vulnerable given the location of their communities and socioeconomic factors such as age and lack of mobility. The tragic loss of lives and property in the town of Paradise during last year’s Camp Fire makes that clear,” CAL FIRE Director Thom Porter said. “California needs an all-of-the-above approach to protect public safety and improve the health of our forest ecosystems.” 1689

Retired Justice Sandra Day O'Connor revealed in a letter on Tuesday that she has been diagnosed with the "beginning stages of dementia, probably Alzheimer's disease.""I will continue living in Phoenix, Arizona surrounded by dear friends and family," she wrote and added, "While the final chapter of my life with dementia may be trying, nothing has diminished my gratitude and deep appreciation for the countless blessings of my life."RELATED: Doctors testing medicine that aims to prevent Alzheimer's diseaseO'Connor, 88, was nominated to the bench by President Ronald Reagan as the first female Supreme Court justice of the United States in 1981. She retired from the bench in 2006, in part to care for her husband, who was ailing from Alzheimer's.The letter was released by the court's Public Information Officer. O'Connor signed it at the bottom writing "God Bless you all." 885

SACRAMENTO, Calif. (AP) — California wildlife officials say residents cannot keep an invasive beagle-sized rodent as a pet.The Sacramento Bee reports that the California Fish and Game Commission are taking preventive action to avoid the South American nutria from spreading.The commission says they will discuss adding nutria to a legal list of prohibited pets in December.Officials say California could see about 250,000 rodents in five years.Scientists say they captured hundreds in multiple counties already as part of a million plan to eradicate the rodent.Experts say their burrowing is damaging to waterways and flood protection infrastructure.Nutrias have also been reported in Oregon, Louisiana and Maryland. 727

SACRAMENTO, Calif. (AP) -- California Gov. Gavin Newsom and the Democratic-controlled state Legislature agreed on a budget deal that would to cover the state's estimated .3 billion budget deficit.Newsom and legislative leaders announced the agreement Monday. No details were immediately available about what's in the agreement.But in a joint statement, Newsom and the leaders of the Senate and Assembly say the agreement protects core services including education, health care and the social safety net.The full statement:“The COVID-19 global pandemic has caused a sudden and dramatic change in our nation’s and state’s economic outlook – and has had a cascading effect on our state budget. California was better positioned for this sudden change than at almost any time in its history, building out record reserves following years of responsible budgeting. Even still, the size and scope of the pandemic and the accompanying economic crisis have been unprecedented – leaving California to make hard choices and figure out how to sustain critical services with much less.“In the face of these challenges, we have agreed on a budget that is balanced, responsible and protects core services – education, health care, social safety net and emergency preparedness and response. This budget also invests in California small businesses harmed by the pandemic.“This agreement reflects our shared commitment to supporting schools, and is built on a foundation of equity – allocating billions of dollars for students most affected by learning loss and continuing our state’s leadership toward reforming the criminal justice system.“To be clear, this budget required some tough decisions and more work remains ahead. But they were necessary steps for keeping California on firm fiscal footing while we continue to meet the COVID-19 challenge, protect vital services and our most vulnerable communities, and build a strong fiscal bridge to a safe, speedy economic resurgence. Californians are doing their part – now it’s imperative for our federal partners to pass a responsible and comprehensive relief plan so states and local communities can continue to keep Americans safe while leading our national economic recovery.”California's revenue has tanked during the coronavirus pandemic as a statewide stay-at-home order forced many businesses to close and caused millions of people to lose their jobs. 2402