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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

According to multiple media outlets, steakhouse chain Sizzler has filed for bankruptcy amid the pandemic.CNN reported the California-based chain filed for chapter 11 bankruptcy protection, which only covers 14 company-owned restaurants, not its international locations or more than 90 franchised restaurants in the US.According to Business Insider, the restaurant filed for bankruptcy due to closing its indoor dining and declining sales.The Wall Street Journal reported that Sizzler USA CEO Chris Perkins also blamed the landlords refusing to abate rent due to an economic impact due to the coronavirus.Sizzler was founded in 1958 and once was one of the casual restaurant chains in the US. 699

A Wisconsin woman's death was possibly caused by an infection from a dog lick, the same infection that is plaguing one West Bend, Wisc. man. Earlier this month Greg Manteufel developed a similar infection, resulting in the amputation of his hands and legs. Doctors believe it was from a bacteria transferred to him when a dog licked him. Sharon Larson had just gotten a puppy. It nipped at her, causing a minor cut. A day after taking him to the vet for a check-up, Larson was rushed to the hospital. “I was told she could get struck by lightning four times and live, win the lottery twice,” said Sharon’s husband Dan Larson. “That’s how rare this is supposed to be."Dan Larson is still in shock. He thought she had the flu.“General antibiotics that they put her on didn’t do anything,” he said. Within two days at Wheaton Franciscan in Franklin, Sharon Larson was dead, at 58-years-old. “I feel like I got robbed. Lost my right arm. My best friend,” Dan Larson said. Doctors told him she tested positive for capnocytophaga. They say the bacteria, found in the saliva of most dogs, cats, even some humans, is rarely problematic and almost never deadly. But when certain people come in contact with it, it can have devastating consequences, like for Sharon. “I had no knowledge,” said Sharon’s son Steven Larson.Sharon’s son wants more answers since there is no real tracking of how many cases there have been.“What do you want people to know? To always be more cautious. cut to people think nothing of getting a simple dog bite. But even something so simple... can go wrong,” he said.  1653

Above all we thank the Connecticut State Police and the New Canaan Police Department, as well as the assisting local departments, for their tireless commitment and diligent, painstaking work that have led to these arrests. Although we are relieved that the wait for these charges is over, for us there is no sense of closure. Nothing can bring Jennifer back. We miss her every day and will forever mourn her loss.We believe the arrest warrants will speak for themselves, and we ask that you please respect our privacy during this time. Thank you. 554

A woman is suing Waffle House after saying she was served bleach in a drink she got from a restaurant in Georgia.Atavian Moore sued the restaurant chain Oct. 27, claiming the incident has cost her ,000 in medical bills so far, according to Atlanta's WSB-TV.Moore claims that when she was eating at a Waffle House in Lithonia, Georgia in October 2015, she was given a drink that had bleach in it. She assumes the bleach got in her drink after the restaurant cleaned its drink dispenser.WSB reported that Moore's lawsuit claimed she suffered injuries to her esophagus, stomach and other internal body parts because of the potentially deadly cocktail.According to the National Capital Poison Center, swallowing small amounts of bleach can cause mouth irritation and vomiting but when someone swallows a large amount of the chemical it can cause more serious problems.Clint Davis is a reporter for the Scripps National Desk. Follow him on Twitter @MrClintDavis. Keep up to date with the latest news by following @ScrippsNational on Twitter. 1052

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