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The New England Journal of Medicine is one of the most popular medical journals in the world, where researchers go to share trials and information on data and science. But on Wednesday, the journal entered the world of politics.In an unusual and highly unprecedented fashion, the New England Journal of Medicine wrote a scathing rebuke of US leaders’ response to the coronavirus pandemic. While not formally offering any sort of endorsement, the journal referenced the upcoming election in its editorial. The piece did not name President Donald Trump or opponent Joe Biden by name.“Anyone else who recklessly squandered lives and money in this way would be suffering legal consequences,” the journal wrote. “Our leaders have largely claimed immunity for their actions. But this election gives us the power to render judgment. Reasonable people will certainly disagree about the many political positions taken by candidates. But truth is neither liberal nor conservative. When it comes to the response to the largest public health crisis of our time, our current political leaders have demonstrated that they are dangerously incompetent."The editorial, titled “Dying in a Leadership Vacuum,” comes just 27 days before the US election. While much of the world has been able to keep coronavirus deaths to a minimum in recent months, the US still has one of the highest death rates in the world from the virus related to the coronavirus.The United States continues to average 800 deaths per day from the coronavirus, according to Johns Hopkins University data. Only India has been averaging more deaths per day than the US in recent weeks, and India’s population is nearly quadruple America’s population.While many European nations saw a reprieve from the despair of the coronavirus over the summer, counties such as France and the United Kingdom are seeing cases jump in recent weeks, although their death counts still pale in comparison to the United States.The New England Journal of Medicine said that the US had every advantage going into the pandemic to combat the disease.“The United States came into this crisis with enormous advantages,” the journal’s editors wrote. “Along with tremendous manufacturing capacity, we have a biomedical research system that is the envy of the world. We have enormous expertise in public health, health policy, and basic biology and have consistently been able to turn that expertise into new therapies and preventive measures. And much of that national expertise resides in government institutions. Yet our leaders have largely chosen to ignore and even denigrate experts.”To read the full editorial, click here. 2657

The House & Senate should IMMEDIATELY Approve 25 Billion Dollars for Airline Payroll Support, & 135 Billion Dollars for Paycheck Protection Program for Small Business. Both of these will be fully paid for with unused funds from the Cares Act. Have this money. I will sign now!— Donald J. Trump (@realDonaldTrump) October 7, 2020 344

The Idaho Lottery launched what’s being billed as “a first of its kind” Scratch Game Wednesday, by introducing a clear plastic scratch ticket. The new game, called “Cash Getaway,” is 100% recyclable, Lottery officials said. “The Idaho Lottery has a long history of being on the forefront of cutting-edge technology,” said Lottery Director Jeff Anderson. “Idaho is a unique geographic marketplace that is ideal for trying new products and new innovations that will eventually lead to introduction in other jurisdictions around the country.”Players can actually see through the ticket. In the clear play game, located on the top half of the ticket, players scratch and reveal a unique code for use with their mobile device or PC.  The bottom half of the ticket plays like a traditional Scratch ticket.  Players without access to a mobile device or a computer can still play the new game. Each ticket features the Lottery’s security bar code which may be scanned at retail locations to collect their winnings. The new game will be available in retail stores throughout Idaho by the end of the week, Anderson added.  The new five-dollar game also features two top prizes of ,000 –- awarded either in cash payment or as a luxurious “vacation of a lifetime." The winner gets to choose.The technology for this new product was created by Pollard Banknote, a Scratch Game printing business partner of the Idaho Lottery.    1464

The people of El Paso, Texas, are resilient. Living in the middle of the harsh Chihuahuan Desert, the city has no other choice. On average, 15 days every year spike over 100 degrees Fahrenheit. The city gets little relief with annual rainfall of just about 9 inches. It's one of the hottest cities in the country.One of its prime sources of water is the Rio Grande. Typically the river can supply as much as half of the city's water needs. But climate change is making that increasingly difficult and is pushing the city to look for new sources of water. Now, El Paso is on track to become the first large city in the United States to treat its sewage water and send it directly back into its taps.Increasing temperatures will make the dry region even more vulnerable to drought, according to the federal government's most recent national climate assessment. Already challenged with balancing the demands of about 700,000 thirsty El Pasoans along with agriculture and industry needs, El Paso must also face the fact that climate change is literally drying up one of its major sources of water.Analyzing tree ring records, scientists have been able to reconstruct the climate history of the region as far as the late 1500s and have found that as temperatures have risen, the amount of snow melting and feeding the Rio Grande has dropped."We're getting less runoff now than we would have gotten as recently as the '80s or '90s," said J. Phillip King, a professor of civil engineering at the University of New Mexico. King has tracked the river's water levels for the past 27 years as an adviser to the Elephant Butte Irrigation District. The district manages the water distribution of some 90,000 acres of farmland along the Rio Grande Valley in New Mexico and Texas.King told CNN Chief Medical Correspondent Dr. Sanjay Gupta that there is simply less snowmelt coming from northern New Mexico and southern Colorado to feed the river. Since 1958, the amount of early April snowmelt going into the Rio Grande has dropped 25% due to less snowpack and evaporation.What's happening in the Rio Grande is not unique. It's a phenomenon happening throughout the Western United States.King called the Rio Grande a harbinger of what's to come. "You know we've already gotten critically low here, and you can think of the Colorado as a few years away from a similar fate," he said.Drought isn't anything new for the 1,800-mile long river. The Rio Grande has survived severe and sustained droughts, King said. But an increase in temperature is pushing both a warmer and dryer climate. And that means not only potentially less snowfall but a greater chance for water to evaporate.The federal government projects that temperatures could rise an additional 8 degrees Fahrenheit in the region by 2100.The dwindling reserves are apparent at Elephant Butte Reservoir, just outside of Truth or Consequences, New Mexico. The reservoir there sits right on the Rio Grande and forms the largest recreational lake in the state. It holds water for farmers from north of El Paso up to Colorado. It has a capacity of about 2 million acre feet, King said. Currently, it's hovering around 3% to 4% of its full capacity. Buildings that were built as offices during the dam's construction in the early part of the 20th century were previously submerged in the 1980s. Now, they serve as lookout points to a nearly empty basin. 3399

The larger number of faster and cheaper COVID-19 tests is offering hope.Researchers at Harvard and Brown say we need about 2 million tests a day of symptomatic people and contacts to fight the spread of the virus.When you add in testing for teachers, students, nursing home residents and staff, the number is about 4.4 million.That's around four times the amount of people being tested per day, according to the COVID Tracking Project.“So, I think it's important to make sure we actually have a goal post about where the country needs to head, because the testing manufacturers need to know what that number looks like in order to make their own business and manufacturing decisions about how to scale,” said Dr. Thomas Tsai with the Harvard T.H. Chan School of Public Health.Tsai says we don't have enough capacity yet with the rapid antigen tests. He says letting the supply chain drive our guidelines for testing won't get us where we need to be.He says PCR tests that take longer to come back are more accurate, but says the antigen tests are promising because we screen more often.“Think about all the information that we’ve gleaned just from the exposure at the White House in terms of the patterns over the last several days,” said Tsai. “That kind of information, that kind of action should not just be reserved for our politicians and our athletes and celebrities. That's what all Americans deserve in terms of being about to have that information to fight the pandemic.”He says testing by itself only gives you information. It's the actions like masking and distancing that really protect you.He says the federal government needs to make testing cheaper or even free for it to work. 1700