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Preflight COVID-19 testing is starting to become an option to avoid doing a 14-day quarantine when you get to your final destination.Starting November 1, you'll be allowed to travel to Costa Rica from the United States if you get a negative PCR test taken within 72 hours of leaving the U.S.The Bahamas is taking it a step further. Starting November 1, you can travel there if you get a negative PCR test 7 days before your trip. Then, you'll have to get a rapid antigen test when you get there and four-days later.Hawaii lifted its 14-day quarantine last week for people who have a negative PCR test within 72 hours of the flight.“Having these alternatives to quarantine related to travel creates some confusion about what a test really means in the context of quarantine, so I worry a little bit that we're losing that message that a test is only just a moment in time,” said Dr. Shira Doron, an infectious disease physician at Tufts Medical Center.Doron says because of the incubation period for COVID-19, you can have it any time between 2 and 14 days after you're exposed. A negative result is only at the time you took the test.Recent studies have shown your risk of contracting the coronavirus on your flight is very low if strict mask wearing is followed.“I think, you know, the bigger issue is an influx of people incubating COVID-19 into an island that may have done a really good job controlling the pandemic and on the flip side really needs that tourist revenue,” said Doron.She says places like the Bahamas that require multiple tests is more effective.It could be a challenge to get that test before you leave. Doron says many hospitals stopped doing pre-and-post travel testing because of a lack of supplies.The turnaround time on getting the test is also an issue. The companies doing mail-in tests are getting results back faster, but it's going to cost you a lot of money. 1899

President Donald Trump announced a new set of sanctions on North Korea Thursday, saying the executive action would target individuals and companies that engage in finance and trade with the isolated communist nation."It is unacceptable that others financially support this criminal rogue regime," Trump said ahead of a working lunch with his Japanese and South Korean counterparts.The executive order Trump inked just ahead of the lunch enhances US Treasury Department authorities to target individuals who provide goods, services or technology to North Korea, Trump said.He said the order would also allow the US to identify new industries -- including textiles, fishing and manufacturing -- as potential targets for future actions."Tolerance for this disgraceful practice must end now," he said of providing resources to North Korea.He also praised actions taken Thursday by Chinese President Xi Jinping to tamp down on financial relations with North Korea through its central bank.The new sanctions come two days after Trump threatened to "totally destroy" North Korea if it continues to threaten the United States and its allies.Trump insists that military options are on the table for dealing with North Korea, but his aides have said diplomacy is the preferred outlet for containing the nuclear crisis.The United Nations Security Council has approved multiple rounds of sanctions on North Korea, including on its exports. But they have yet to stop the communist nation's leader Kim Jong Un from launching ballistic missile tests.During talks Thursday with Prime Minister Shinzo Abe of Japan and President Moon Jae-in of South Korea, Trump is expected to reiterate that military options are available in retaliation for North Korean threats.That's likely to draw a rebuke from Moon, who has ruled out military action and issued warnings on the ramped-up rhetoric coming from Washington.The-CNN-Wire 1911

President Donald Trump has hired Brad Parscale, the digital media director of his 2016 campaign, to run his re-election bid, the campaign announced on Tuesday.The announcement was initially hyped by The Drudge Report, a website run by Matt Drudge, a conservative figure with considerable influence inside the White House. But it was no surprise that Trump will run for re-election in 2020 — he filed shortly after his 2017 inauguration — but it is unusual for a sitting president to hire a campaign manager three years before the election.White House press secretary Sarah Sanders told reporters in June 2017 that Trump was going to run for re-election in 2020."Of course, he's running for re-election," Sanders said.Eric Trump, one of the President's sons, touted Parscale as an "amazing talent" who was "pivotal to our success in 2016.""He has our family's complete trust and is the perfect person to be at the helm of the campaign," he said in a release from the campaign.Jared Kushner, the President's son-in-law and senior adviser, added that Parscale was "essential in bringing a disciplined technology and data-driven approach to how the 2016 campaign."The campaign also said in the announcement that it would be involved in the 2018 midterm election by "providing candidates with general support, endorsements and rallying the support of the political grassroots by engaging Trump supporters in districts and states."The midterm will be pivotal for the future of Trump's presidency. The party in control of the presidency historically suffers sizable losses in the first election after winning the White House. Trump has already begun mentioning that trend in speeches, hoping to spur his supporters to buck history.Parscale has remained an active force in his political operation -- America First -- since the President stepped into the White House. Parscale's Florida-based firm, Parscale Strategy, has a contract with the Republican National Committee to, among other things, help grow its data base of small donors.Parscale never worked in politics before joining the Trump campaign in 2015. He knew the candidate and his family from working for the Trump Organization for several years designing websites and helping develop digital strategy for Trump businesses.Even as Trump went through three campaign managers during his tumultuous presidential bid, Parscale, a close associate of Trump son-in-law Jared Kushner, was a constant, quiet presence.Parscale's formal title during the Trump 2016 campaign was digital director, but behind the scenes he grew into much more: directing campaign spending on television ads as well as digital, building a small dollar donor operation, and having significant influence on the overall campaign working closely with then-Republican National Committee chief of staff Katie Walsh and the RNC get out the vote operation.On digital advertising, Parscale brought Facebook employees into the campaign to better take advantage of social media to promote Trump, and tear down Hillary Clinton.The unprecedented spending on digital media did not sit well with the candidate. During the campaign, Trump angrily questioned Parscale about how he was spending campaign cash."I don't believe in this mumbo-jumbo digital stuff." Parscale recalled Trump screaming at him."I was crushed actually. It was the first time he had ever, just-- I hadn't even seen him yell at anyone, let alone me," Parscale told CBS' "60 Minutes" last year.Despite getting dressed down, he kept focused on digital media spending.In fact, during the last week of the campaign, he says he saw data showing movement in Trump's favor in what were considered likely wins for Clinton, and he pounced, moving money out of Virginia, where he did not think Trump could win, and Ohio, where he felt confident Trump would win."I took every nickel and dime I could out of anywhere else. And I moved it to Michigan and Wisconsin. And I started buying advertising, digital, TV," Parscale told "60 Minutes."Parscale has said that after Trump won, the President-elect thanked him and made clear he then understood the power of what he had called "mumbo jumbo digital stuff."Russia 4195

President Donald Trump acknowledged Monday there would not be time for Congress to vote through new tax cuts before next month's midterm elections.That's after he told reporters on Saturday that Republicans would unveil a new package "sometime just prior, I would say, to November."He conceded in Monday's comments outside the White House there wouldn't be new tax cuts before the November 6 vote. But he insisted the GOP is working toward introducing something in the next few weeks."We're putting in a resolution sometime in the next week-and-a-half or two weeks," Trump said, suggesting he would still make a new tax plan a campaign issue in the closing weeks.He said the new plan would focus on middle-class Americans, as opposed to businesses, which were one of the main beneficiaries of his first tax cut."This is not for business. This is for middle. That's on top of the tax decrease that we've already given," he said."I'm going through Congress. We won't have time to do the vote. We'll do the vote later. We'll do the vote after the election," he said. 1071

President Donald Trump declared on Thursday he was considering withdrawing Immigration and Customs Enforcement agents from California as punishment for what he claimed was a "lousy management job" in patrolling illegal immigration."You know what, I'm thinking about doing it," Trump said at a roundtable with state and local officials to address ideas to stop gun violence in the wake of the Parkland school massacre. His comments came after he decried the state of law enforcement in the Golden State."We're getting no help from the state of California. Frankly, if I pulled our people from California, you would have a crime nest like you've never seen in California. All I'd have to do is say 'ICE, Border Patrol, leave California alone,'" he said during a listening session at the White House.  811