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An operation is underway to evacuate thousands of tourists after a deadly earthquake that rocked some of Indonesia's most idyllic islands late Sunday night.At least 98 people, all Indonesian nationals, were killed when the 6.9 magnitude quake struck the popular tourist island of Lombok, Indonesian authorities said Monday. More than 200 were also injured.The majority of those killed in the quake were hit by falling debris from collapsing buildings, said Sutopo Purwo Nugroho, the head of Indonesia's disaster management department.In total, an estimated 20,000 people have been displaced by the massive earthquake, Nugroho said.Dramatic video tweeted by authorities showed hundreds of people, many believed to be foreign vacationers, crammed onto a beach on the island of Gili Trawangan as evacuation measures got underway.Emergency personnel were racing to evacuate thousands of tourists from the three small Gili Islands as night began to fall. The islands, famous for their white sandy beaches and clear waters, are located near the epicenter of the quake on Lombok.Earlier rescue efforts were hampered by shallow waters, but rising sea waters mean nine ships are now expected to dock on the islands.So far, up to 2,700 tourists have been moved from the Gili Islands, according to Nugroho. He added that Lombok's airport was now open around the clock and had significantly increased its flight schedule.The epicenter of the quake was in northern Lombok, a more residential, less developed part of the island. The majority of Lombok's tourist resorts are on the island's southern coast.British tourist Mike Bennett, stranded on the island of Gili Meno along with around 100 other people, told CNN he faced an anxious night ahead."It's getting dark now," he said. "There's no power, there's no water, we're going to hold out and just see what happens tomorrow."  1879

As COVID-19 first started to spread in the U.S., hospitals around the country were forced to stop elective surgeries. Now, hospital officials say they're facing perhaps the biggest financial crisis in their history."We've had to curtail regular operations, some of which involve these non-emergent procedures that you mention, and as a result from March to June, we saw a loss of revenue of 0 billion or billion a month," said American Hospital Association President Rick Pollack.Hospitals have also taken on major expenses when it comes to preparing and caring for COVID-19 patients. Plus, many patients they treat don't have insurance.Pollack says hospitals collectively are one of the largest employers in the country, employing more than 5 million people."Half of hospitals' budgets, over half, is devoted to labor costs. So, of course, when all regular operations are shut down and you’re incurring additional expenses to prepare for treating the virus for the community, you have to find ways to cut costs," explained Pollack.Some hospitals have resorted to laying off or furloughing staff."So, it's the last choice,” Pollack said. “It's a bad choice and we try to avoid it, but sometimes, it's inevitable to just stay afloat.”"Whether the disruptions in the health industry remain temporary or permanent is an interesting case because it affects everyone," said Jack Strauss, the Miller Chair of Applied Economics at the University of Denver.Strauss is concerned about how the healthcare industry will recover from the COVID-19 pandemic, especially amid a possible second wave of infections."They make their money on elective surgery and those were not occurring, and so, they're not probably positioned to recover," said Strauss.While a number of states are allowing elective procedures again, the wait time for these patients may be detrimental."Whether it's the detection for a tumor or a scan of a part of a body for a diagnostic procedure, a replacement of a heart valve. So, when you talk about electives, they're really not all that discretionary and we’re really concerned in the period that we shut down all non-emergent procedures that there was a deferral of care,” said Pollack. “We do hear, anecdotally, that the people that are coming back are in a much sicker position because they didn’t get the care that they needed.”Pollack says in order for the healthcare industry to recover, they're going to need a lot of help from the federal government."There's no question, if we don't get the additional assistance it will put the financial viability of a lot of hospitals at risk, particularly in rural areas and vulnerable urban areas," said Pollack.As possibly the biggest industry in the country that's been on the front lines of treating COVID-19, hospitals hope they're one of the first to get major federal help so that the healthcare industry can survive this pandemic. 2909

ARCADIA, Calif. (AP) — A filly broke both front legs at the end of a workout on the main dirt track at Santa Anita and was euthanized on Thursday, becoming the 22nd horse to suffer catastrophic injuries since Dec. 26.Trainer and owner David Bernstein said the 3-year-old filly named Princess Lili B broke down just past the finish line after a half-mile workout.Bernstein told KTLA-TV that Princess Lili B apparently took a step as she changed leads, which led to her breaking her left ankle and then her right ankle. A lead change refers to which set of legs, left or right, leads or advances forward when a horse is galloping."She was always very sound and we've never had a problem with her," Bernstein said in the interview. "We didn't have to train her on any medication. She's just a lovely filly to be around."Bernstein said the filly's exercise rider didn't indicate any problem with the dirt surface."I think it's one of those things that happens, sadly enough," the trainer told KTLA.Bernstein said he wouldn't hesitate to train another horse on Santa Anita's surface again."I know they've done the best job they can possibly do," he said. "They're hired a number of great experts to handle this surface."Santa Anita had reopened its main track for limited workouts on Monday, with horses limited to jogging and galloping while the surface was monitored for any irregularities that may have caused the deaths of 22 horses since the winter meet began on Dec. 26.This week's workouts were the first conducted under the track's new training protocols, which include two veterinarians observing each horse going to and from the track. 1648

An advisory committee is recommending Americans age 75 and older, along with essential workers like firefighters, teachers, and grocery store workers should be next in line for the COVID-19 vaccine.This second wave of people comes after the first tier of health care workers and long-term care facility residents that was agreed to by the Advisory Committee on Immunization Practices earlier this month should get the first of the vaccine shots that started last week.The committee, composed of health experts in the field of immunization, makes recommendations to the CDC, and they are almost always adopted.They voted Sunday afternoon on the recommendation, it was 13-to-1. They also discussed the next tier, which could include Americans age 65-to-75, as well as those who are age 16-to-64 who have high-risk medical conditions, and other essential workers not already vaccinated, according to CNN. It comes as a second COVID-19 vaccine, made by Moderna and the National Institutes of Health, begins being shipped around the country for approved emergency use and a second week of shipments arrive of the Pfizer vaccine.The CDC says roughly 556,000 Americans received the first dose of the vaccine last week. The Pfizer vaccine started being given on Monday, December 14.The general overseeing the distribution of the COVID-19 vaccines says they are on track to deliver about 20 million doses before the end of the year. Each person must receive 2 doses of the vaccine for full effect, which has been shown in both vaccines to be higher than 90% effective.As for when the second tier of frontline workers and those age 75 and older will receive their vaccines is up to state governors depending on their vaccination plans and distribution of the vaccine. The advisory panel is offering guidance to state leaders about how to handle distribution of the vaccine. 1872

An Arizona family is celebrating a major milestone. Baby Henley was born with a congenital heart defect or a hole in her heart. Weighing in at only 4 pounds and 7 ounces, there was a lot of concern about her health because she just would not eat."Because of the hole in her heart, she just could not eat, it was too difficult for her, so she struggled a lot to gain weight," said Megan Beebe, Henley's mother.So, from the age of 5 months old, Henley has relied on a feeding tube to get all of her nutrition."At one point, it was giving her 100% of her nutrition. We would put all of her formula, breast milk through the feeding tube," said Beebe.In her two years since she was born, Henley has had hundreds of doctor's appointments and five surgeries. She has also been working with a feeding therapist based out of the United Cerebral Palsy of Central Arizona. Henley does not have cerebral palsy, but her mother tells KNXV they really liked the specialized therapist they have been working with, so they have stuck with the organization."We just had to keep working our way up, until one day she ate an entire Cheeto Puff all by herself," said Beebe.That one Cheeto Puff was a big milestone for Henley."It took her about 10 full minutes to eat one Cheeto Puff but she ate the whole Cheeto Puff all by herself, did not throw up," said Beebe, talking about the relief they felt. They were finally able to see the light at the end of the tunnel of Henley's tough road to being able to eat without the aid of a feeding tube.After 27 months, Henley's feeding tube was finally removed. It was a big moment for Beebe. She tells KNXV she sometimes could not help but feel like a failure as a mother."Our number one job is to feed her and keep her alive, and we couldn't do that," said Beebe."The day we finally got to take her feeding tube out, it was like, it was just a miracle. We never thought that day was going to come," she added.This story was originally published by Sonu Wasu at KNXV. 1996