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Like millions of Israelis, Sara and I are thinking of President Donald Trump and First Lady Melania Trump and wish our friends a full and speedy recovery. https://t.co/sNrl0yHXrA— PM of Israel (@IsraeliPM) October 2, 2020 229

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

LAKEWOOD, Colo. — A hospital parking lot isn’t the typical place for a family reunion, but after 69 days in the hospital, it was the perfect place for the Rael family to gather to celebrate the fact that Wanda Vigil is now going home.Wanda spend 69 days at St. Anthony Hospital in Lakewood battling COVID-19 — 42 of them on a ventilator.“She’s a fighter. We were told 20 days in she probably wasn’t going to make it,” brother Alan Rael said.Alan and about two dozen family members gathered in the parking lot of St. Anthony’s on Thursday as Wanda was discharged from the hospital.“It’s a beautiful thing. It’s miraculous,” sister Linda Deborah Sanchez said.Hospital workers lined the lobby in a socially distanced fashion to clap and cheer as Wanda was wheeled out. Her family was waiting outside with signs and hugs.“I am so grateful,” Wanda said.She still has a damaged vocal cord, meaning she can only whisper, and her family acknowledged that she had plenty of recovery still to go.“She still has a journey ahead of her, but she’s alive,” Sanchez said.“My heart is so happy. I’m so happy. My family has been there through thick and thin,” Wanda said.Multiple members of the Rael family were diagnosed with COVID-19, and all recovered. They wanted to send the message that though this day was a happy one, and the vaccine is now being distributed, there are still many people in the hospital fighting the virus.“It’s a serious thing. My sister almost passed away,” Sanchez said. “I ask you please wear masks, stay distanced, wear gloves, wash your hands.”The family says Wanda is most excited to see her grandchildren now that she is out of the hospital and getting to go home — just in time for Christmas.“She’s my big present under the tree,” her sister said through tears. “She’s going home.”This story originally reported by Jason Gruenauer on TheDenverChannel.com. 1881

Labor Day is coming up, but that doesn't mean all Americans are taking the day off.A survey from the U.S. Travel Association says not enough Americans are using their vacation days. In fact, the study found U.S. workers wasted a record-setting 658 million vacation days.There's proof that those vacation days can do the mind and body some good.A group of doctors found that people who did take days off to do things they enjoyed had better blood pressure levels, lower stress levels and had an improved body mass index. They were also less likely to be depressed or feel negative.All these effects were seen in people who took at least one week of vacation per year.Experts also say it's not about quantity, but about quality.So, if you can't take an entire week off from work, no worries! Just make the time off worth it by doing things you actually enjoy and spending it with people you like.Another benefit-- the same study says people who take more time off are more likely to get a promotion or a raise. The amount of time people take off differs from state to state. Workers in Idaho are leaving their vacation time on the table. According to a new report from Wallet Hub, Alaska is the hardest working state, while people in Michigan take it the easiest. 1274

LA MESA, Calif. (KGTV) - A medical marijuana dispensary could be opening its doors just feet away from children in La Mesa.Last month, the La Mesa Planning Commission approved a conditional use permit for New Origins Management, Inc. to open a medical marijuana dispensary, but the center says they were never contacted about it.  One woman who has a teen at the San Diego Center for Children called the pot shop counterproductive to what parents and the clinic are trying to accomplish. The nonprofit helps young people with mental and behavioral issues.The La Mesa Medical Plaza is a pretty peaceful place, but the San Diego Center for Children is worried about its future neighbor. The clinic says you can draw direct line from their front door to the front door of the proposed medical marijuana dispensary."Our concern is having our youth that close to a medical marijuana dispensary," said Dr. Cheryl Rode, VP of Clinical Operations for the Center.The clinic occupies Suites J and K but a medical marijuana dispensary could be moving into Suite C.  The offices share a walkway and parking lot."Literally, our clients and their clients would be interacting pretty regularly," Dr. Rode said.In November 2016, La Mesa voters passed Measure U, prohibiting medical marijuana dispensaries from opening within 1,000 feet of a minor-oriented facility.It's defined as any after-school program, teen center, club for boys and/or girls, children's theater, or children's museum, where the primary use is for people under the age of 18.  The Center argues it qualifies as an after-school program."We feel that we clearly meet the criteria for a minor-oriented facility and that our facility was overlooked," Dr. Rode said.But the city disagrees.  They tell 10News because voters approved measure U, they don't have the ability to interpret the law or intent outside of its plain language, which does not include mental health and therapeutic services.  Director of Community Development Kerry Kusiak city sent us a statement that reads in part: 2136