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The COVID-19 death toll in the U.S. surpassed 300,000 people Monday afternoon, according to a database kept by Johns Hopkins University. Earlier in the day, the country also surpassed 16 million confirmed cases of coronavirus.The U.S. continues to vastly outpace the rest of the world in terms of caseload and deaths linked to COVID-19.The U.S. recorded its 16 millionth COVID-19 case over the weekend, meaning more than 1 million people are confirmed to have contracted the virus since Tuesday. According to the COVID Tracking Project, the U.S. is currently averaging more than 211,000 new cases of the virus every day — or more than a million cases every five days. Seven million Americans have contracted COVID-19 since Oct. 30 — representing 45% of all cases that have been recorded in the country since the virus arrived in January.In recent days, the U.S. has been averaging more than 3,000 deaths linked to COVID-19 a day — a figure that represents more lives lost than in the Sept. 11, 2001 terror attacks. The U.S. reached the grim milestone of 300,000 deaths the same day it began distributing Pfizer's COVID-19 vaccine. Health officials hope that inoculating higher-risk individuals first will cause death totals to drop in the coming weeks.However, health officials warn that things will likely get much worse in the weeks to come. The U.S. is just now seeing the expected spike in cases brought on by travel from Thanksgiving, and more deaths are sure to follow.Hospitalizations are also expected to rise, even at a time when a record 110,000 people are battling the virus in a hospital. Some hospitals may struggle to treat an influx of patients when they are already at capacity. 1712

The girlfriend of the man killed Thursday after a shooting in a Nashville mall was taken into custody on gun charges. According to an affidavit from Metro Nashville Police, Alexandria Lavender was arrested on two counts of theft of property, ,000 or less, and unlawful gun possession for having two stolen guns with her. The shooting happened just before 2:30 p.m. local time Thursday inside a hallway near an Auntie Anne's pretzel shop, just across from an Old Navy store. Police said two men – identified as Justin Golson and Demarco Churchwell – got into an argument that led to gunfire.Churchwell was taken to Skyline Medical Center in critical condition, where he later died. Golson was arrested and charged with criminal homicide. According to police documents, Churchwell’s girlfriend – Alexandria Lavender – was with him as he was being extracted from the mall. A witness said she had a gun in her purse, which police said could be seen in plain view from the top of the bag. Authorities said she did not have a valid handgun permit. The guns were checked by police records and were found to be reported stolen out of Dickson and Davidson counties.   1238

The Centers for Disease Control and Prevention (CDC) has issued its first guidelines for celebrating Halloween amid the COVID-19 pandemic.The CDC has listed a number of ways to celebrate the holiday and categorized them as low, moderate or high-risk activities."High risk" Halloween activities:Traditional trick-or-treatingCrowded indoor costume partiesIndoor haunted housesHayrides or tractor rides with people not in a family or who don't live together"Moderate risk" Halloween activities:One-way trick-or-treating, with bags lined up for families outdoors, and social distance maintainedCostume parties outdoors where people can remain six feet apartOpen-air, one-way, walk-through haunted forest visitsVisiting pumpkin patches or going apple picking, while maintaining social distancing, wearing masks, and using hand sanitizer"Low-risk" Halloween activities:Carving and decorating pumpkins with the family or members of a householdDecorating a house, apartment or living spaceHaving a virtual Halloween costume contestHaving a family or household Halloween movie nightFor a look at the full guidelines, visit the CDC website here.This story was originally published by Katie Morse on WKBW in Buffalo, New York. 1223

The election is days away, and ballots across the country are already being cast in person, via mail. Billed as one of the most important elections of our time, ABC 10News D.C. Correspondent Joe St. George joins us to talk about the presidential election, what to watch for in Thursday's dueling town halls, and to explain how Nevada and Arizona could play a major role in deciding our next president.You can join us at 9:30 a.m. for the conversation right here on our ABC 10News Facebook page. 502

The coronavirus outbreak has put a hold on many things over the last few months, including some elective surgeries.When Nohely Uriostegui and her husband, Jose Pava, found out they were pregnant with a little boy, they were ecstatic. Then, the unfortunate news: their baby had spina bifida."After that, she said we’re going to do a test. You might be eligible for an in-utero surgery," said Uriostegui.That means surgery while the baby is still in the womb, and it had to be performed before 26 weeks of pregnancy. Everything was set up to go in Chicago until a phone call came from her doctor."He said, 'You know what? Based on COVID, everybody here on the team doesn’t feel like it’s an essential type of surgery,’" recalled Uriostegui.The same situation was unfolding for all types of patients around the country. Those hoping surgery could help their chronic pain were told they’d have to endure it for months longer. Organ transplant candidates were forced to wait as well. For Nohely and Jose, a delay meant they might miss their window to help their baby. But then, hope from three states away in Colorado."For this family, the clock was ticking. She had until she was 26 weeks to have fetal intervention, and that was literally five days, four days away. And they had to get from Chicago to here, be evaluated, have surgery set up to be performed, and so, we were able to do that for them," said Colorado Fetal Care Center surgeon Dr. Ken Liechty.The couple decided to travel to Colorado to have the procedure done."I got there on the 4th; my surgery was set for Monday, April 6, which was the exact same date that I was going to get it done in Chicago, and it was one day before I hit the 26-week mark," said Uriostegui."It’s open fetal surgery on the fetus as the actual patient," said Dr. Liechty. "We excise the cyst, we put the spinal cord back into the spinal canal."Doctors then put the muscle back over to seal it, close the skin over it, and then close the uterus. Without the in-utero surgery, Dr. Liechty says 90 percent of babies with spina bifida have a shunt put in to decompress the brain. However, that likely wouldn’t have been the only surgery he would have needed."These shunts fail, they can get infected, they can have all kinds of problems, they average seven surgeries at least for these shunts in their first few years of their life," said Dr. Liechty.In the time of this pandemic, that could mean more waiting as hospital beds begin to fill back up with coronavirus patients."COVID-19 caused a lot of places around the country to reexamine what cases could be done in their facilities, and a number of fetal centers are actually located in adult centers," said Dr. Liechty.Those places are filling up faster than children's hospitals, causing families like Uriostegui and her husband to almost miss opportunities to help their children before they even enter the world."The neurosurgeon over there actually said to us last time, that if you were to look at him, you would have never guessed that he’s born with spina bifida or that we went through this whole journey," said Uriostegui. 3126