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Adopting a child from another country can take years. For some families, the pandemic added even more waiting time as countries shut down.However, as travel opens back up, agencies are finding ways to help families complete their adoptions, like the adoption of Maria Camila in Colombia.“For most of the summer, we were waiting for just word we were able to travel to Columbia. Just waiting for them to open up,” Seth Christensen said. Seth and Gwen Christensen live in the U.S. with their three children. They started the process of adopting another child years ago, and just this October, they were able to travel to Colombia and bring her home.“That was a stressful time but we made it. We made it to Columbia,” Gwen said.We interviewed Seth and Gwen back in May, right after they went to Colombia for two weeks in March to adopt Maria Camila. However, they had to return to the U.S. without her due to COVID-19 and government closures.“Everything was just going swimmingly until, sorry they shut down all the courts in the whole country,” they explained back in May. “We had to send her back to her group home and it was awful. But she was old enough, she kind of understood, we cried and she was like OK.”So they waited, talking with their adopted daughter over FaceTime all summer until October, when they were invited back into Colombia to complete the process.“It was a complete do over. All the fees, all the appeals, everything,” Gwen explained. “But we got through faster than some families did.”“There were so many parents going through the system at that point than is normal that everyone was just overwhelmed,” Seth said about their most recent experience in the country. Due to the delay time, many families took the first chance they could get to return and finish adoptions.Seth and Gwen spent a month in Colombia, finalizing documents to bring Maria Camila back to the U.S. It's a process Gwen said usually would take less than three weeks, but for them took two separate trips.“There has been a backlog on the travel piece,” said Hollen Frazier, President at All God's Children International. The agency facilitates adoptions from a number of countries, including the adoption of Maria Camila. While the process is slower right now due to countries catching up, quarantine periods and other processes, she said adopted kids from most countries are finally getting home.“In the last six months we’ve seen kids come home from Bulgaria, Haiti, Columbia,” she said. Except for those from China. “All of our families from China, they’re all still stuck. Completely stuck,” Frazier explained.Most countries are finding ways to complete the adoption process safely after many were put on hold all summer. “Because there were so many other families around it definitely helps to kind of see other people in the same situation,” Seth said.After a long wait, Maria Camila now lives in the U.S. with her new siblings. “They’ve been excited to meet her and play with her and introduce her to things,” Seth said.The 12-year-old 6th grader started school this month. “She just started online school this week and that’s an adventure,” Gwen said. 3159

After struggling to ramp up coronavirus testing, the U.S. can now screen several million people daily, thanks to a growing supply of rapid tests. But the boom comes with a new challenge: keeping track of the results.All U.S. testing sites are legally required to report their results, positive and negative, to public health agencies. But state health officials say many rapid tests are going unreported, which means some new COVID-19 infections may not be counted.And the situation could get worse, experts say. The federal government is shipping more than 100 million of the newest rapid tests to states for use in public schools, assisted living centers and other new testing sites.“Schools certainly don’t have the capacity to report these tests,” said Dr. Jeffrey Engel of the Council of State and Territorial Epidemiologists. “If it’s done at all it’s likely going to be paper-based, very slow and incomplete.”Early in the outbreak, nearly all U.S. testing relied on genetic tests that could only be developed at high-tech laboratories. Even under the best circumstances, people had to wait about two to three days to get results. Experts pushed for more “point-of-care” rapid testing that could be done in doctors offices, clinics and other sites to quickly find people who are infected, get them into quarantine and stop the spread.Beginning in the summer, cheaper, 15-minute tests — which detect viral proteins called antigens on a nasal swab — became available. The first versions still needed to be processed using portable readers. The millions of new tests from Abbott Laboratories now going out to states are even easier to use: they’re about the size of a credit card and can be developed with a few drops of chemical solution.Federal health officials say about half of the nation’s daily testing capacity now consists of rapid tests.Large hospitals and laboratories electronically feed their results to state health departments, but there is no standardized way to report the rapid tests that are often done elsewhere. And state officials have often been unable to track where these tests are being shipped and whether results are being reported.In Minnesota, officials created a special team to try and get more testing data from nursing homes, schools and other newer testing sites, only to be deluged by faxes and paper files.“It’s definitely a challenge because now we have to do many more things manually than we were with electronic reporting,” said Kristen Ehresmann, of the Minnesota Department of Health.Even before Abbott’s newest BinaxNOW rapid tests hit the market last month, undercounting was a concern.Competitors Quidel and Becton Dickinson have together shipped well over 35 million of their own quick tests since June. But that massive influx of tests hasn’t showed up in national testing numbers, which have mostly ranged between 750,000 and 950,000 daily tests for months.Besides tallying new cases, COVID-19 testing numbers are used to calculate a key metric on the outbreak: the percentage of tests positive for COVID-19. The World Health Organization recommends countries test enough people to drive their percent of positives below 5%. And the U.S. has mostly been hovering around or below that rate since mid-September, a point that President Donald Trump and his top aides have touted to argue that the nation has turned the corner on the outbreak. The figure is down from a peak of 22% in April.But some disease-tracking specialists are skeptical. Engel said his group’s members think they aren’t getting all the results.“So it may be a false conclusion,” he said.One of the challenges to an accurate count: States have wildly different approaches. Some states lump all types of tests together in one report, some don’t tabulate the quick antigen tests at all and others don’t publicize their system. Because antigen tests are more prone to false negatives and sometimes require retesting, most health experts say they should be recorded and analyzed separately. But currently the vast majority of states do not do that and post the results online.The federal government is allocating the tests to states based on their population, rather than helping them develop a strategy based on the size and severity of their outbreaks.“That’s just lazy” said Dr. Michael Mina of Harvard University. “Most states won’t have the expertise to figure out how to use these most appropriately.”Instead, Mina said the federal government should direct the limited test supplies to key hot spots around the country, driving down infections in the hardest-hit communities. Keeping tighter control would also ensure test results are quickly reported.Johns Hopkins University researcher Gigi Gronvall agrees health officials need to carefully consider where and when to deploy the tests. Eventually, methods for tracking the tests will catch up, she said.“I think having the tools to determine if someone is infectious is a higher priority,” she said.___AP data journalist Nicky Forster contributed to this story___Follow Matthew Perrone on Twitter: @AP_FDAwriter___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. 5285

A woman in her underwear arriving on a white horse at a packed nightclub -- and being greeted by flashing cameras -- didn't go over well with Miami Beach authorities.The Mokai Lounge is under investigation for possible animal cruelty and public safety issues after video from the apparent stunt earlier this week surfaced on social media. By Friday, the city revoked the club's business license.The clip shows the woman in what appears to be a thong and a bra entering the club on the white horse. The horse then dips, the woman falls off and the horse bucks and walks off. People in the video are heard gasping and then cheering. Miami Beach Police posted the video on their Twitter feed in hopes of gathering more information from witnesses. 751

Alabama teammates Mac Jones and DeVonta Smith, along with Clemson's Trevor Lawrence and Florida's Kyle Trask, have been named finalists for the Heisman Trophy.The Heisman will be awarded Jan. 5 during a virtual ceremony as the pandemic forced the cancellation of the usual trip to New York that for the presentation that usually comes with being a finalist.Jones and Smith are the eighth set of teammates to be finalists together since the tradition started in 1982.Smith is trying to become the first wide receiver to win the Heisman since 1991 when Desmond Howard took the award for Michigan.Smith leads the nation with 98 receptions and 1,511 receiving yards.Quarterbacks have been the favorite to win the Heisman, with 17 of them winning the coveted award since 2000.According to the Associated Press, Jones leads the nation with a 202.34 efficiency rating (202.34), has completed 76.5% of his throws, and averages 11.4 yards per pass with 32 touchdowns.If Jones or Smith wins the Heisman, they'll be Alabama's third Heisman winner. Running back Mark Ingram won in 2009, and Derrick Henry won in 2015.Lawrence, who missed two games due to COVID-19, was the preseason favorite to win the Heisman, the AP reported.This season, he's thrown for 2,753 yards and 22 touchdowns. As a starter, he has a 52-2 record and is 14-2 in the playoffs. Lawrence was also the first true freshman in 33 years to start and win a national title when Clemson won in 2018. 1461

According to data from the CDC, 94 percent of people who die while having COVID-19 also have other health concerns contributing to their deaths. This leads to death certificates that state both conditions; for example, listing both COVID-19 and diabetes, or COVID-19 and heart disease.The Centers for Disease Control and Prevention published their latest COVID-19 data update last week. It said that roughly 6 percent of those who died while having COVID-19, the virus “was the only cause mentioned” as a cause of death. This signifies the role that contributing conditions play in how severe COVID-19 can be.Over the weekend, Twitter removed a tweet that had been retweeted by President Donald Trump for violating Twitter’s rules. The tweet said, incorrectly, that the CDC had updated their numbers to “admit that only 6%” of the country’s coronavirus deaths “actually died from COVID,” according to CNN.Other social media posts with similar language are still posted.Roughly 183,000 Americans have died after contracting COVID-19. The CDC’s data, found here, looked at death certificates, which can lag behind raw death numbers from hospitals and states.While people can live with other health concerns, like heart disease, obesity and respiratory issues, having underlying health conditions and then contracting COVID-19 can increase a person’s chances of becoming severely ill, or die.CDC’s data shows “on average, there were 2.6 additional conditions or causes per (COVID-19) death.”The top comorbidities, or underlying medical conditions in a COVID-19 death include:Influenza and pneumoniaRespiratory failureHypertensive diseaseDiabetesVascular and unspecified dementiaCardiac arrestHeart failureRenal failureIntentional and unintentional injury, poisoning and other adverse events 1795