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After struggling to ramp up coronavirus testing, the U.S. can now screen several million people daily, thanks to a growing supply of rapid tests. But the boom comes with a new challenge: keeping track of the results.All U.S. testing sites are legally required to report their results, positive and negative, to public health agencies. But state health officials say many rapid tests are going unreported, which means some new COVID-19 infections may not be counted.And the situation could get worse, experts say. The federal government is shipping more than 100 million of the newest rapid tests to states for use in public schools, assisted living centers and other new testing sites.“Schools certainly don’t have the capacity to report these tests,” said Dr. Jeffrey Engel of the Council of State and Territorial Epidemiologists. “If it’s done at all it’s likely going to be paper-based, very slow and incomplete.”Early in the outbreak, nearly all U.S. testing relied on genetic tests that could only be developed at high-tech laboratories. Even under the best circumstances, people had to wait about two to three days to get results. Experts pushed for more “point-of-care” rapid testing that could be done in doctors offices, clinics and other sites to quickly find people who are infected, get them into quarantine and stop the spread.Beginning in the summer, cheaper, 15-minute tests — which detect viral proteins called antigens on a nasal swab — became available. The first versions still needed to be processed using portable readers. The millions of new tests from Abbott Laboratories now going out to states are even easier to use: they’re about the size of a credit card and can be developed with a few drops of chemical solution.Federal health officials say about half of the nation’s daily testing capacity now consists of rapid tests.Large hospitals and laboratories electronically feed their results to state health departments, but there is no standardized way to report the rapid tests that are often done elsewhere. And state officials have often been unable to track where these tests are being shipped and whether results are being reported.In Minnesota, officials created a special team to try and get more testing data from nursing homes, schools and other newer testing sites, only to be deluged by faxes and paper files.“It’s definitely a challenge because now we have to do many more things manually than we were with electronic reporting,” said Kristen Ehresmann, of the Minnesota Department of Health.Even before Abbott’s newest BinaxNOW rapid tests hit the market last month, undercounting was a concern.Competitors Quidel and Becton Dickinson have together shipped well over 35 million of their own quick tests since June. But that massive influx of tests hasn’t showed up in national testing numbers, which have mostly ranged between 750,000 and 950,000 daily tests for months.Besides tallying new cases, COVID-19 testing numbers are used to calculate a key metric on the outbreak: the percentage of tests positive for COVID-19. The World Health Organization recommends countries test enough people to drive their percent of positives below 5%. And the U.S. has mostly been hovering around or below that rate since mid-September, a point that President Donald Trump and his top aides have touted to argue that the nation has turned the corner on the outbreak. The figure is down from a peak of 22% in April.But some disease-tracking specialists are skeptical. Engel said his group’s members think they aren’t getting all the results.“So it may be a false conclusion,” he said.One of the challenges to an accurate count: States have wildly different approaches. Some states lump all types of tests together in one report, some don’t tabulate the quick antigen tests at all and others don’t publicize their system. Because antigen tests are more prone to false negatives and sometimes require retesting, most health experts say they should be recorded and analyzed separately. But currently the vast majority of states do not do that and post the results online.The federal government is allocating the tests to states based on their population, rather than helping them develop a strategy based on the size and severity of their outbreaks.“That’s just lazy” said Dr. Michael Mina of Harvard University. “Most states won’t have the expertise to figure out how to use these most appropriately.”Instead, Mina said the federal government should direct the limited test supplies to key hot spots around the country, driving down infections in the hardest-hit communities. Keeping tighter control would also ensure test results are quickly reported.Johns Hopkins University researcher Gigi Gronvall agrees health officials need to carefully consider where and when to deploy the tests. Eventually, methods for tracking the tests will catch up, she said.“I think having the tools to determine if someone is infectious is a higher priority,” she said.___AP data journalist Nicky Forster contributed to this story___Follow Matthew Perrone on Twitter: @AP_FDAwriter___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5285

A well-known winery resembling a stone French chateau in Napa County is destroyed as the Glass Fire rips through Northern California wine country.Images show the Chateau Boswell engulfed in bright orange fire as firefighters try to battle flames. It is a private family-owned winery established in 1979.The Glass Fire rapidly grew Sunday from a small 20-acre fire to more than 11,000 acres. More than 50,000 people were told to get out in overnight evacuation orders.The Adventist Health St. Helena hospital suspended care and transferred all patients elsewhere.Other popular tourist destinations in St. Helena and around the Napa Valley have been destroyed or are in danger from the Glass Fire.Dry and windy conditions over the weekend, combined with a heat wave prompted a red flag warning in areas of California. CALFIRE says two other fires, the Boysen Fire and the Shady Fire, also sparked Sunday in the same area as the Glass Fire.Tens of thousands of people are evacuated throughout Napa and Sonoma counties, officials say. 1038

After the death of George Floyd, cries to defund the police in Minneapolis assumed center stage. But one non-profit there has been working for years to abolish the department: MPD 150.“We didn’t think this moment would be here this soon,” said Peter Vankoughnett, a member of the group.MPD 150 was formed several years ago, and the members took a look at the history of the Minneapolis Police Department, its influence on the community and efforts at reform since the department started more than 150 years ago.Vankoughnett said the goal of the group has been and still remains, “to change the narrative around policing from reform minded to abolitionist minded.”In the group’s performance review, moments in history, like the 1934 Teamsters Strike where officers opened fire on unarmed strikers, killing two people and injuring 67, and the civil unrest in the streets in 1967 were referenced as points where the department overstepped in their interactions with the community.“There’s never been a point in the police department where there hasn’t been large amounts of race and class based violence,” said Vankoughnett.Their findings also document the department’s influence on the community and its lack of oversight. Since 1963, five separate oversight committees have formed to monitor ethics within the department, only to be dissolved. The non-profit reports few committees have seen more than 10 percent of all complaints result in disciplinary action for officers.“From the beginning, the committees were designed where they don’t have real power, they can only make recommendations, or they’re stacked with police officials,” said Vankoughnett.Seeing the past and living through today’s unrest, MPD 150 began losing faith in reform and planning for a police-free future.“Not that everyone here is in favor of it, but now, everybody has to talk about it,” said Vankoughnett.That conversation was catapulted into the mainstream by the death of George Floyd, and as the Minneapolis Police Department’s third precinct was set on fire by protestors, calling for change, the Minneapolis City Council listened, pledging to dismantle the department.So, how can we live in a world where police aren’t on the streets? MPD 150 says there’s a way to make that happen, starting with prevention.Vankoughnett said that means diverting money from the police to community resources.“It’s about underlying causes,” he said. “A lot of violence might come from unemployment—it’s happening right now you can see it in this city. So putting money into employment, into drug treatment are all principles of abolition,” Vankoughnett said.It also means diverting 911 calls to the right responder, not having zero responders. “We’re not trying to make it so there’s nobody to call, we’re trying to figure out who you can actually call that will do a better job than the police department would do,” said Vankoughnett.The Minneapolis Police Chief, Medaria Arrandondo, said in a press conference he has no plan to leave this city without a fight for reform first—even with the issues the department has faced.He outlined several reforms including using new technology to monitor officers in real time, hoping to catch disciplinary issues before dangerous situations ensue.Holding just as tightly to a new vision for the future: the community this department serves. A police-free city may take years, but Vankoughnett believes it will come.“I hope we’re able to able to look back at these few years as a revolution in history. That we’re able to step away from these old models of policing, and I think this could be the place where that happens,” said Vankoughnett.If you’d like to know more about MPD 150’s performance review, click HERE.For other alternatives to policing as it currently stands, here is a LIST of MPD 150’s detailed ideas to move forward. 3848

About 26,000 Ford vehicles are being recalled with three different safety concerns announced this week.The first one is for certain 2016-2020 Lincoln MKX and Nautilus vehicles with 16-way power seats. The issue is with the wiring of the seat harness and how close they are to the seat cushion pan. If certain wires are damaged from coming into contact with the seat cushion frame, Ford says the airbag system may not perform as intended.People with impacted models can go to a dealer to have them install flocking tape and check the wires.The second recall is for the newest model of F-650 and F-750 trucks. The vehicles are missing certain thermal protection components intended to reduce the interior cabin floor and seat attachment temperatures in hot conditions.The third recall affects less than 100 of the 2020 Ford Escape and Transit vehicles. The airbag may not inflate properly. People are encouraged to take their vehicle to a Ford dealer to have the airbag checked.Ford is not aware of any injuries from any of these safety concerns. 1052

After a gunshot wound to the back paralyzed him, Javier Flores turned his anger into art.“For me it’s a meditative process,” he said. “It’s a way I can focus something bigger than myself.”Learning to overcome his own obstacles, Flores is now fighting for more disability rights around the world.“As an artist, I feel it’s art job to provoke and insight dialogue and conversation,” he said.Conversation about the United States' failure to ratify the Convention on the Rights of Persons with Disabilities, an international human rights treaty intended to protect the rights and dignity of persons with disabilities.“I’m disabled and so for me it’s a slap in the face,” Flores said. “I felt like it was an injustice and so it’s one of the things I wanted to carry out through the aesthetics of cubism.”With help from his art students at Access Gallery, Flores created a piece titled “Really?” in an attempt to bring awareness to his fight.“The image is an adaptation of Pablo Picasso’s “Guernica,” Flores said of the artwork. “Instead of the horse, there’s a seeing eye dog. There’s people of different disabilities and abilities represented.”Now his artwork is on display at an unusual gallery: a pizza shop“It’s not just creating art but creating economic opportunity for artists with disabilities,” said Chris Donato of Pizzeria Locale.This Denver-based pizzeria recently printed Flores’ artwork on its pizza boxes.“It’s a way to kind of highlight the 30th anniversary (of the Americans with Disabilities Act) and hopefully bring attention to the cause,” Donato said.Thirty years after the ADA was signed, Pizzeria Locale is now donating 33% of its revenue to Access Gallery during a fundraiser.“Currently, we have three locations so it’s a pretty good chunk of change we hope,” Donato said.Change that Flores says can help inspire art, emotion and more help for those living with disabilities. 1902

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