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Laboratories across the U.S. are buckling under a surge of coronavirus tests, creating long processing delays that experts say are undercutting the pandemic response.With the U.S. tally of confirmed infections at nearly 4 million Wednesday and new cases surging, the bottlenecks are creating problems for workers kept off the job while awaiting results, nursing homes struggling to keep the virus out and for the labs themselves as they deal with a crushing workload.Some labs are taking weeks to return COVID-19 results, exacerbating fears that people without symptoms could be spreading the virus if they don’t isolate while they wait.“There’s been this obsession with, ‘How many tests are we doing per day?’” said Dr. Tom Frieden, former director of the Centers for Disease Control and Prevention. “The question is how many tests are being done with results coming back within a day, where the individual tested is promptly isolated and their contacts are promptly warned.”Frieden and other public health experts have called on states to publicly report testing turnaround times, calling it an essential metric to measure progress against the virus.The testing lags in the U.S. come as the number of people confirmed to be infected worldwide passed a staggering 15 million, according to data compiled by Johns Hopkins University. The U.S. leads the world in cases as well as deaths, which have exceeded 142,000.New York, once by far the U.S. leader in infections, has been surpassed by California, though that is partly due to robust testing in a state with more than twice the population of New York.Guidelines issued by the CDC recommend that states lifting virus restrictions have a testing turnaround time of under four days. The agency recently issued new recommendations against retesting most COVID-19 patients to confirm they have recovered.“It’s clogging up the system,” Adm. Brett Giroir, assistant health secretary, told reporters last week.Zachrey Warner knows it all too well.The 30-year-old waiter from Columbus, Ohio, was sent home from work on July 5 with a high fever a few days after he began feeling ill. He went for a test five days later at the request of his employer.Almost two weeks and one missed pay period later, he finally got his answer Wednesday: negative.Though Warner said most symptoms — including fever, diarrhea, chest tightness and body aches — stopped a few days after he was tested, he wasn’t allowed to return to work without the result.It was “frustrating that I’ve missed so much work due to testing taking forever,” Warner said. “It is what it is ... (but) I’m glad I’m negative and happy to be able to get back to work this week.”Beyond the economic hurt the testing lags can cause, they pose major health risks, too.In Florida, which reported 9,785 new cases and a rise in the death toll to nearly 5,500, nursing homes have been under an order to test all employees every two weeks. But long delays for results have some questioning the point.Jay Solomon, CEO of Aviva in Sarasota, a senior community with a nursing home and assisted living facility, said results were taking up to 10 days to come back.“It’s almost like, what are we accomplishing in that time?” Solomon said. “If that person is not quarantined in that 7-10 days, are they spreading without realizing it?”Test results that come back after two or three days are nearly worthless, many health experts say, because by then the window for tracing the person’s contacts to prevent additional infections has essentially closed.“The turnaround times, particularly across the South are too long,” Dr. Deborah Birx of the White House coronavirus task force said on Fox.Birx said the U.S. had shorter turnaround times in April, May and early June, but that “this surge and this degree of cases is so widespread compared to previously,” she said.Dr. Leana Wen, a public health professor at George Washington University said it’s reasonable to tell people awaiting test results to isolate for 24 hours, but the delays have been unacceptable.“Imagine you tell a parent with young children to self-isolate for 10 days or more without knowing they actually have COVID? I mean, that’s ridiculous. That’s actually absurd,” Wen said.U.S. officials have recently called for ramping up screening to include seemingly healthy Americans who may be unknowingly spreading the disease in their communities. But Quest Diagnostics, one of the nation’s largest testing chains, said it can’t keep up with demand and most patients will face waits of a week or longer for results.Quest has urged health care providers to cut down on tests from low-priority individuals, such as those without symptoms or any contact with someone who has tested positive.As testing has expanded, so have mask orders and other measures aimed at keeping infections down. Ohio, Indiana, Minnesota and Oregon became the latest to announce statewide mandatory mask orders Wednesday.The U.S. is testing over 700,000 people per day, up from less than 100,000 in March. Trump administration officials point out that roughly half of U.S. tests are performed on rapid systems that give results in about 15 minutes or in hospitals, which typically process tests in about 24 hours. But last month, that still left some 9 million tests going through laboratories, which have been plagued by limited chemicals, machines and kits to develop COVID-19 tests.There is no scientific consensus on the rate of testing needed to control the virus in the U.S., but experts have recommended for months that the U.S. test at least 1 million to 3 million people daily.Health experts assembled by the Rockefeller Foundation said last week that the U.S. should scale up to testing 30 million Americans per week by the fall, when school reopenings and flu season are expected to further exacerbate the virus’s spread. The group acknowledged that will not be possible with the lab-based testing system.The National Institutes of Health has set up a “shark tank” competition to quickly identify promising rapid tests and has received more than 600 applications. The goal is to have new testing options in mass production by the fall.Until then, the backbone of U.S. testing remains at several hundred labs with high-capacity machines capable of processing thousands of samples per day. Many say they could be processing far more tests if not for global shortages of testing chemicals and other materials.Dr. Bobbi Pritt of the Mayo Clinic in Rochester, Minnesota, says the hospital’s machines are running at just 20% capacity. Lab technicians run seven different COVID-19 testing formats, switching back and forth depending on the availability of supplies.At Emory University Hospital in Atlanta, lab workers lobby testing manufacturers on a weekly basis to provide more kits, chemicals and other materials.“There’s no planning ahead, we just do as many as we can and cross our fingers that we’ll get more,” said Dr. Colleen Kraft, who heads the hospital’s testing lab.___This story has been corrected to show that the CDC has issued guidelines recommending against repeat testing for patients recovering from coronavirus.___Webber reported from Fenton, Michigan, and Sedensky reported from Philadelphia. Associated Press writers Kelli Kennedy in Fort Lauderdale, Florida, Michelle R. Smith in Providence, Rhode Island, and Medical Writer Mike Stobbe in New York contributed to this report.___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. 7624

LAKE DELTON, Wis. – Police in Lake Delton, Wisconsin are investigating a weekend brawl at Mount Olympus Resort in the Wisconsin Dells. Lake Delton Police said the fight broke out Saturday evening.  220

LAKESIDE, Calif. (KGTV) - Three dozen scuba divers resumed their search Tuesday for the Canadian girl believed to have drowned in the San Vicente Reservoir.The 12-year-old girl was on a ski boat with six people, including her parents and younger sister, Saturday afternoon when she fell in the water and did not surface.Search teams later found the girl’s damaged life jacket five feet from the boat.RELATED: Search for missing 12-year-old at San Vicente Reservoir continues“The child was at the front of the boat. They were pulling an inflatable behind with the adults. As they come down on speed, the bow of the boat kind of slows and dips, and the child fell overboard,” Sgt. Bryan Brecht of the San Diego Police, Beach Team and Harbor Unit, said. The rescue became a recovery mission hours after the girl disappeared.Although the reservoir is extremely clear, with 20-foot visibility, there are bushes, trees and rocks below the water line, officials said.36 divers from the U.S. Border Patrol, Navy, San Diego Fire Department lifeguards, City of San Diego lake rangers, San Diego Harbor Police and the San Diego Sheriff’s Department were dispatched to the scene Tuesday morning.Crews also have the assistance of technology from the Scripps Institute of Oceanography, City of San Diego Public Utilities Department, and Teledyne SeaBotix.Among the resources are three human remains search dogs on boats with the San Diego Sheriff’s Department.An AMR ambulance crew was placed on standby to assist in any medical emergencies. The Lakeside Fire Department volunteer logistics team also provided support for the search crews.The girl’s identity has not been released. San Diego Police said the girl’s family is from Canada and was visiting a local couple for the weekend.San Diego Police is asking anyone who was at the lake, who may have witnessed the accident, to contact them at 619-531-2000. 1908

LITTLE ROCK, Ark. (AP) — One in every five state and federal prisoners in the United States has tested positive for the coronavirus, a rate more than four times as high as the general population. In some states, more than half of prisoners have been infected, according to data collected by The Associated Press and The Marshall Project. As the pandemic enters its 10th month — and as the first Americans begin to receive a long-awaited COVID-19 vaccine — at least 275,000 prisoners have been infected and more than 1,700 have died. New cases in prisons this week reached their highest level since testing began in the spring, far outstripping previous peaks in April and August.“That number is a vast undercount,” said Homer Venters, the former chief medical officer at New York’s Rikers Island jail complex.Venters has conducted more than a dozen court-ordered COVID-19 prison inspections around the country. “I still encounter prisons and jails where, when people get sick, not only are they not tested but they don’t receive care. So they get much sicker than need be,” he said. 1090

LANCASTER, Calif. (KGTV) -- A man whose body was found in a stone pillar in Lancaster Saturday could be the remains of a man who ran from police earlier in the week, according to KTLA. The body was found inside a stone pillar outside the WinCo Foods grocery store on the 700 block of West Avenue K around 2:40 p.m. Saturday.Earlier that morning, a manager at the store reported a foul smell coming from the pillar. The manager called a plumber thinking there was a sewage problem.When the plumber arrived and began knocking away the pillar’s stone, a leg and tennis shoes were visible. After arriving on scene, police were able to link the body to an incident earlier in the week.On Monday, a man was pulled over after being suspected of driving a stolen vehicle, police told KTLA. The man ran from police onto the rooftop of the grocery store which, according to authorities, has access to the inside of the pillars.Police say it’s possible that the man fell or climbed into one of the pillars to escape from authorities. With a recent heat wave and the density of the pillars, police say it’s possible the man became trapped and unable to breathe. 1167

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