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As students from across the country prepare to return to classrooms in the middle of a pandemic, a nationwide school nurse shortage has health experts concerned about how well some districts will be able to handle potential outbreaks of COVID-19.Linda Mendonca oversees the National Association of School Nurses. As she thinks about empty classrooms beginning to fill back up with students, she can’t help but be filled with anxiety.“We don’t have a road map for all of this, so when you don’t have a road map, that makes it a little more challenging,” she said.School nurses will be playing a critical role in the reopening of schools. They’re being asked to monitor kids for COVID-19 symptoms and even keep track of absentee rates to spot potential trends. In some cases, school nurses will help local health departments with contact tracing if an outbreak occurs at a school.But a nationwide nurse school nurse shortage puts a lot of that in jeopardy.“In the midst of a pandemic, there should be a nurse in every school, and there’s not,” Mendonca explained.About 25 percent of the nation’s schools will start this year without a school nurse. It’s a startling statistic that has public health officials particularly concerned, in the middle of a pandemic.The average school nurse makes about ,000. There’s also a simple funding problem. School nurses are often the first to get cut when districts need to eliminate positions. The need is so great, that the National Association of School Nurses is advocating for 10,000 new nurses in the next federal stimulus bill.“The school nurse is so important that there needs to be a full-time nurse in school every day at all schools,” said Jenny Gormley, who’s served as a school nurse in Massachusetts for years.Gormley’s hope is that in the face of this pandemic, districts across the country will find ways to support nurses with both PPE and funding.“We all want students back learning, but we want to do it safely,” she added.As parents attempt to send their kids safely back to school, school nurses could be one of the best prescriptions for success. 2114

As the world waits for deliveries of Pfizer’s coronavirus vaccine, the pharmaceutical company is having to adjust their target after hitting supply chain obstacles, according to the Wall Street Journal.“Scaling up the raw material supply chain took longer than expected,” a company spokeswoman told the WSJ.Pfizer and partner BioNTech SE had hoped to ship out 100 million doses of their vaccine by the end of the year, that has now reportedly been cut to estimates of about 50 million.Two doses are needed for each person to be vaccinated.Pfizer did not elaborate on where the raw material shortfalls happened. They did say some raw materials in early production earlier this year did not meet their standards and they had to fix the issue.After the WSJ’s report, Pfizer’s stock price dropped and the S&P 500 fell slightly.The United Kingdom has granted emergency use of the Pfizer vaccine, and is expected to start administering doses soon. The FDA in the U.S. is considering a similar authorization, which could come later in December.As part of Operation Warp Speed, the U.S. Government has purchased 100 million doses of Pfizer’s vaccine, with an option to buy more.Roughly 20 million of those doses were expected by the end of the year once the FDA granted emergency use authorization. No word on how Pfizer’s shipping delays could impact this number.Pfizer says their production lines in the U.S. and Europe are complete and they are “confident” they will supply the targeted number of doses in early 2021. 1524

ATLANTA — Leading congressional Democrats are reacting furiously to lightly-substantiated claims that immigrants held at a detention center in Georgia are undergoing questionable hysterectomies.In a complaint filed Monday, a nurse alleges that the Irwin County Detention Center performed questionable hysterectomies, refused to test detainees for COVID-19 and shredded medical records.Democrats seized on the most explosive allegations in her complaint, that a gynecologist called the “uterus collector” was performing “mass hysterectomies.”A top medical official with U.S. Immigration and Customs Enforcement released a statement “vehemently” disputing the claims, according to the Washington Post, saying only two women have been referred for hysterectomies from the facility since 2018.A follow-up news conference Tuesday in Atlanta provided little information to substantiate the claims. The nurse, Dawn Wooten, and her lawyers refused to release her full statement made to the Department of Homeland Security’s Inspector General. She also declined to take questions after making comments to the media.Wooten worked full-time as a licensed practical nurse at the immigration detention facility until July, when she was demoted. She had missed some work because she had coronavirus symptoms, according to NBC. Wooten says she was demoted because she asked her superiors about the lack of COVID-19 testing and PPE at the facility.The gynecologist is not named in Wooten’s whistleblower complaint. Multiple media outlets report women from the facility have been taken to a local doctor named Dr. Mahendra Amin.Scott Grubman, a lawyer for Amin, said in a statement to the Washington Post that he was confident the doctor would be cleared of any wrongdoing.“Dr. Amin is a highly respected physician who has dedicated his adult life to treating a high-risk, underserved population in rural Georgia,” Grubman said.Amin has previously been accused by state and federal authorities of falsely billing Medicare and Medicaid in an investigation that ultimately led to a 0,000 settlement in 2015, according to the Department of Justice.“If true, the appalling conditions described in the whistleblower complaint – including allegations of mass hysterectomies being performed on vulnerable immigrant women – are a staggering abuse of human rights,” House Speaker Nancy Pelosi, a California Democrat, said in a statement. 2422

At least one airline is starting to pull back on their cleaning regimen. Southwest crews are limiting their between-flight cleanings and leaving most of the passenger areas for the overnight cleaning crew, according to reports.Following the coronavirus outbreak in March and subsequent travel bans, airlines touted their stepped-up cleaning protocols as passengers returned.Starting in August, Southwest is focusing on lavatories and tray tables between flights, leaving seat belts, arm rests and other areas for the overnight cleaning crew, Southwest representative Ro Hawthorne told the Dallas Morning News."Since flight schedules have increased, other areas of the aircraft will be disinfected during our overnight cleaning process, when Southwest Teams spend six to seven hours per aircraft cleaning all interior surfaces," Hawthorne said in a statement.“As always, Southwest will monitor customer and employee feedback as we adapt to the new normal in air travel, while ensuring we keep safety as our top priority,” the statement continued.In March, Southwest announced their cleaning program included "interior windows and shades, every seat belt buckle, passenger service units (including the touch buttons that control reading lights and vents that direct personal air), as well as seat surfaces, tray tables, armrests, etc."The change to cleaning protocol will reduce the time an aircraft spends on the ground between flights, the airline told flight attendants in a memo obtained by CNN. 1505

As new wildfires force tens of thousands of people out of their homes, reports are emerging of flaws in emergency alert systems throughout the west."Where I think the false sense of security was, if something really bad is going to happen, we'll get alerted well beforehand," said Vacaville resident, Will Carlson.Carlson and several of his neighbors say they received no warnings as the Hennessey Fire inched closer to their homes. At around midnight, Carlson saw the flames moving quickly down a hill in the distance. Carlson was one of the last to leave, working frantically to help save animals on the property."What I remember is this sinking feeling in my stomach, and this helplessness that this barn is going to go up in flames, and the horses will be burned alive," said Carlson.After making it out safely, Carlson was left wondering how this could have happened. "Every neighbor that we talked to it was the same story, we knew there was a fire in the area, we thought that we would get alerted, and nothing was said to us," said Carlson. Le'Ron Cummings, public information officer for the Solano County Sheriff's Office, says alerts went out to these areas. However, they cannot guarantee the targeted population will get the message if cell service, internet, or landline signals are impacted. He says it was determined that cellular services and power were affected by the fire.Solano County uses the Everbridge platform to alert residents via the AlertSolano program, delivering Amber Alert-style messages. Cummings says during an evacuation, the Solano County Sheriff's Office and allied law agencies do door-to-door notifications in addition to AlertSolano messaging. The Sheriff's office also uses the High-Low Siren system familiar in Europe to advise residents to evacuate immediately.Carlson says he is frustrated with the response because he believes he had full cellular service throughout the night, texting and posting to social media as he evacuated. "So I think that's where the frustration came in from that night. How many animals could have been saved? Could there have been less loss of life? And could structures have been defended better if we had more warning?" said Carlson. Carlson says two people in his neighborhood died in the fire; however, county officials say they have no reason to believe the alert system was associated with fire-related deaths.Napa County also experienced some kinks with its alert system, when a coding error prevented an alert from going out. Emergency officials say it was an error on the part of its vendor and that the message was not urgent. Staff realized the problem, and they were able to use a different platform to send out the alert. "It happens over and over again," said Art Botterell, who is now retired from the State of California's Office of Emergency Services.Botterell led the effort to develop the Common Alerting Protocol, which he says led to the creation of the FEMA Integrated Public Warning System and some products from the National Weather Service."We've got a pretty good penetration of cellphones, sirens, and telephone dialer systems, that's not usually what breaks down. What usually breaks down is that alert is not sent in time or not sent at all," said Botterell. He says during a 2017 wildfire in Sonoma County, that would prove deadly and destructive, officials failed to send an alert, fearing it would cause panic and clog roadways. Botterell says another reason alerts are often not sent is because officials believe they don't have enough information."It is fair to say that in a lot of cases, we have not given our public safety people the tools to issue public safety warnings effectively," said Botterell. Botterell says more training is needed and believes state and federal governments should provide more guidance to ensure effective responses.With the vulnerabilities in cellular towers and alert systems as a whole, Botterell says counties must utilize several tools to try and reach everyone."We've got a lot of technology. Now we need to get good at using it." 4083