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On Johns Hopkins University's graph of countries' daily confirmed COVID-19 cases, the U.S. is currently at the top.“The United States does have a tremendous outbreak that is the world’s worse currently,” said Dr. Amesh Adalja, a senior scholar at Johns Hopkins Center for Health Security and a practicing Infectious Disease Critical Care and Emergency Medicine Physician.Dr. Adalja says parts of the northeast have the virus largely under control, but other states--primarily in the south and southwest--have an increase in the number of new cases, an increase in the percent of positive tests, and reports of hospitals being under pressure for capacity.He says the surge is related to multiple factors, but the primary one is social interaction.“Many states lifted their stay-at-home orders, and when they did that, a lot of individuals thought this was a green light that things were safe, that this virus was contained, that the pandemic was largely over. And that wasn’t the case," Dr. Adalja said. "The virus established itself in the human population and is not going to go anywhere until there is a vaccine.”Dr. Adalja says any amount of social interaction will be taken advantage of by a virus like this, especially if people aren’t wearing masks. Studies show a growing number of people can get infected and spread the virus without showing any symptoms. But he says the key to preventing more outbreaks is contact tracing.“There’s no way that we can move forward unless we determine where these undetected chains of transmission are and halt that, and you can only do that with robust contact tracing,” Dr. Adalja said.Other countries in Asia and Europe have had effective efforts in contact tracing. So the question is, why does the U.S. fall short? Experts say there are several reasons. Dr. Sandy Johnson directs the Global Health Affairs program at the Josef Korbel School of International Studies at the University of Denver. He says the U.S. has a fairly complex political system.“We have national government. We have state government. We have local government. So, there are different rules and regulations that come into play and that can make it difficult to coordinate a consistent response,” Dr. Johnson said.Even if one area has done a good job at controlling the spread of the virus, Dr. Johnson explains a neighboring area may not have followed the same guidelines. As people start to travel, so does the virus, and those eager to believe the virus doesn’t pose a major threat only add to the fire. We’ve seen that in another country that isn’t too far behind the U.S. in its increase in cases.“The biggest similarity with Brazil is that there was an evasion from the federal government in Brazil about the danger of this virus which is put a complacency into the public. The same thing happened to us in January, February and March and is still really occurring in many parts of the United States,” Dr. Adalja said.Dr. Adalja and Dr. Johnson agree there has been a lack of clear and consistent communication in the U.S. Opposite of that, Dr. Johnson says Germany has been successful in keeping its numbers down, due in part to Chancellor Angela Merkel’s communication approach.“She was speaking to the public. She was talking to her health and science advisors and she was sharing the science with the public. And from day one, she was very clear that there were hard times ahead,” Dr. Johnson said.However, it’s not just up to national leaders and policymakers. Dr. Johnson says the population of a country must also have the willingness to look at and rely on science.“While I would say by and large people are doing incredibly well in this country and taking collective action to take care of each other and are eager for scientific information, we’ve also seen these little clusters that are simply plugging their ears and going ‘la la la la la la’,” Dr. Johnson said.Both doctors say what we can do as citizens does make a difference. It’s important to realize many people are making smart decisions for the greater good instead of only thinking about themselves.“Think about what happened in early March and how many people almost overnight went into lockdown, and were taking action to take care of each other,” Dr. Johnson said. 4269

Nurses at an assisted living facility in Glendale, Arizona are facing backlash for filming and making fun of elderly patients. The video ended up posted to the social media site 'Snapchat'. The incident occurred at the Glencroft Senior Living facility.  An administrator from Glencroft told Phoenix-based KNXV that the facility cannot discuss personnel issues, but did learn about the video Monday morning and is taking the situation seriously. The video shows an elderly woman using a walker as she advances toward the camera. She is obviously agitated, telling the workers she "almost fell" and is seen asking for her pills. Instead of helping the woman, the nurses continue filming as they watch the woman and mock her.The video came to light after a whistleblower saw it on social media and alerted KNXV, as well as Glencroft, and the Arizona state agency that licenses nurses.She is also a nurse and said she knows the woman who made the video from nursing school. "It just disgusted me that you would treat someone like this," said the whistleblower, who asked to remain anonymous. "This lady obviously has some dementia or something going on."The whistleblower also said she is worried about violations of the patient's rights under the Health Insurance Portability and Accountability Act.  KNXV has reached out to the Arizona State Board of Nursing but has yet to receive an answer on this topic.  1468

On Thanksgiving, President Donald Trump said he is thankful for his family — as well as the "tremendous difference" he has made as President.When asked what he wanted to give thanks for during a press gaggle Thursday, Trump responded, "for having a great family and for having made a tremendous difference in this country. I've made a tremendous difference in the country. This country is so much stronger now than it was when I took office that you wouldn't believe it.""And I mean, you see, but so much stronger people can't even believe it. When I see foreign leaders they say we cannot believe the difference in strength between the United States now and the United States two years ago," he continued. "Made a lot of progress."The comments came after Trump broke with tradition to use a Thanksgiving morning call with military members to weigh in on several controversial political issues, including chiding the US 9th Circuit Court of Appeals and demanding a stronger US-Mexico border.Trump has previously given himself high marks for his performance as President. On Sunday, he told "Fox News Sunday" he would give himself an "A-plus" when asked how he would grade himself."Look, I hate to do it, but I will do it. I would give myself an A-plus," he said. "Is that enough? Can I go higher than that?" 1320

Oklahoma legislators approved a measure including a ,100 pay raise for teachers, but the state teacher's union says the bill doesn't go far enough and plans to walk out Monday.House Bill 1010XX, which was described as "the largest teacher pay raise in the history of the state" passed both the state House and Senate this week. Gov. Mary Fallin signed the bill on Thursday."This is a very historic moment in Oklahoma's time," Fallin said of funding measures that included the pay boost. "It was not easy getting here."For weeks, Oklahoma teachers have been considering a walkout over what they say is their breaking point over pay and education funding. The state ranks 49th in the nation in teacher salaries, according to the National Education Association, in a list that includes Washington, D.C. Mississippi and South Dakota rank lower.Inspired by the West Virginia strike in which teachers demanded and got a pay raise from state leaders earlier this month, similar efforts have taken off in Oklahoma and Arizona.The Oklahoma Education Association, the state's largest teachers' union that represents nearly 40,000 members and school personnel, called the passage of the bill "a truly historic moment," but one that remains "incomplete," according to its president, Alicia Priest.Teachers and school staff will walk off their jobs on Monday and descend on the state Capitol, she said in video comments posted on Facebook.Oklahoma City Public Schools said all classes and activities are canceled for that day because of the walkout."While this is major progress, this investment alone will not undo a decade of neglect," Priest said. "Lawmakers have left funding on the table that could be used immediately to help Oklahoma students.""This package doesn't overcome shortfall caused by four-day weeks, overcrowded classrooms that deprive kids of the one-on-one attention they need. It's not enough," Priest said. "We must continue to push for more annual funding for our schools to reduce class size and restore more of the 28% of funds they cut from education over the last decade."The OEA had also called for ,000 pay raises for teachers over the next three years and ,000 pay raises for full-time support professionals such as custodians, secretaries, bus drivers and food service workers."We asked for ,000 over three years. This gets us part of the way there, and so we need to have the Legislature guarantee that we are still working to get to that," Priest had?told CNN affiliate KFOR.Oklahoma has faced a teacher's shortage this year, and some districts have been forced to hire people without a background in education to fill voids in the classroom.  2711

NYPD officers in Flatbush were allegedly saying “Trump 2020” over and over again on their patrol car’s speaker tonight.They stopped when someone started filming but couldn’t resist one more — in violation of the NYPD’s policy against endorsing candidates on duty. pic.twitter.com/BJMv4UCvnd— talia ‘stop filming faces’ jane (@itsa_talia) October 25, 2020 362