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If you’re feeling cabin fever lately but still aren’t ready to jump on an airplane, you might be inclined to opt for an RV road trip this fall or winter.In a lot of ways, recreational vehicles mitigate a number of travel risks, like potentially sitting for hours in a metal tube near a sick passenger or walking through hallways and sharing elevators with other hotel guests. You reduce exposure to potential germs lingering in a room, and you’ll likely be able to skip restaurants in favor of cooking on your own with regularity.RV rental company Cruise America said in an email that such concerns have led to a 50% year-over-year increase in first-time RV renters between April and August 2020. In fact, one-third of leisure travelers say a road trip will be their reentry point into travel once it’s safe to do so, according to Kampgrounds of America’s 2020 North American Camping Report.But with so many novice RV renters comes a lot of new realizations. A spokesperson for Cruise America told us the company’s experienced a 30%-40% year-over-year increase in time spent on the phone with customers to answer questions, adding that some customers are uncertain about how to drive their vehicles and how to use campgrounds.And some first-time RV renters are realizing that RV road trips aren’t automatically a safer bet than a more traditional vacation. Here are seven RV safety concerns you should be aware of before booking your first RV rental.1. Rented RVs might not be as clean as you thinkWhile renting an RV can avoid some of the hygiene challenges that hotels present, RVs come with their own sets of high-touch areas including the steering wheel, seat belts, tables, microwaves and doorknobs.Some RV rental companies have instituted stricter cleaning procedures because of the coronavirus. Cruise America says it sanitizes every vehicle after it’s returned to a level that it claims exceeds Centers for Disease Control and Prevention guidelines for disinfecting nonemergency transport vehicles. But a cleaner RV rental isn’t necessarily a guarantee, particularly if you’re renting directly from a private owner.Nerd tip: No matter where you stay, conduct your own cleaning to your level of comfort, whether it’s wiping down surfaces with your own disinfectant, or going all out with your own mop and bleach.The alternative: A hotel (it might be cleaner). A number of major hotel chains have pledged to increase cleaning procedures and add safety requirements, such as mandatory face coverings for employees and guests. We rated the major hotel chains based on how well they have handled COVID-19, and Hilton, Hyatt and Marriott snagged the top three spots. Hilton even partnered with Lysol-maker RB to publicly pledge enhanced sanitation measures, including extra disinfection of frequently touched guest room areas like light switches, thermostats and TV remotes.2. Uncertain weather and natural disaster could complicate your travelsBetween lightning strikes causing the biggest fires in recorded California history to the U.S. witnessing a record number of landfalls for any hurricane season, 2020 has already been a wild year for weather. Some experts expect that things could still get worse.Research led by Stanford environmental scientist Michael Goss suggests that autumn coincides with extreme fire danger, exacerbated by increases in temperature and decreases in precipitation over the past four decades. Meanwhile, hurricane season doesn’t end until Nov. 30, according to the National Oceanic and Atmospheric Administration.“This year, we expect more, stronger, and longer-lived storms than average,” said Gerry Bell, who has a doctorate in atmospheric sciences from the State University of New York at Albany and is the lead seasonal hurricane forecaster at NOAA’s Climate Prediction Center, in a statement.Aside from dangers of driving in the midst of a natural disaster, severe weather might mean some campgrounds are temporarily closed, as was the case at Yosemite National Park during the California wildfires.3. Driving comes with accident risksIn the five-year span from 2014 through 2018, U.S. air carriers experienced one fatality, according to Bureau of Transportation Statistics data. For 2018 alone, that’s a fatality rate of 0.012 fatalities per 100 million miles traveled.Meanwhile, 36,560 deaths occurred in 2018 alone due to motor vehicle crashes — a fatality rate of 1.13 deaths per 100 million miles, more than 93 times the airline fatalities in the same year.RVs come with their own challenges that traditional cars typically don’t have, including risk of accident from overloaded or unevenly loaded RVs, increased rollover risk due to a higher center of gravity and larger blindspots.To reduce your risk, use basic common sense while driving an RV:Travel during daylight hours. According to 2016 National Highway Traffic Safety Administration data, 68% more fatal accidents occurred between the hours of 3 p.m. and midnight versus between 3 a.m. and noon.Don’t make hasty driving decisions. If you realize that the exit is approaching but you’re still in the far lane, don’t try to quickly change lanes; just wait for the next exit and backtrack. You might end up five minutes behind schedule, but the whole point of a road trip vacation is to slow down and relax anyway.Take wider corners. Your overswing (the distance that your vehicle swings out when making a sharp turn) is likely much greater in an RV than the car or truck you are used to driving. Pay attention to your overswing and take wider corners while driving to avoid hitting curbs or fire hydrants.Drive slower than you usually would and keep wider distances between cars. RVs brake slower than most cars, so watch for brake lights in front of you, prepare to stop well in advance and take it slow to begin with.“It should never be a case of ‘go big or go home,’” says Geneva Long, CEO of luxury travel trailer-maker Bowlus Road Chief. “Anything over 26 feet or 4,500 pounds will severely restrict your ability to drive, park, enjoy national parks or camp. You don’t want to hate the experience, and it’s almost a guarantee you otherwise will once you add in high winds, poor driving conditions, heavy traffic and limited camping locations due to your oversize.”Nerd tip: Opt for a smaller RV if you’re an RV newbie.4. Shared bathrooms and showers could facilitate the spread of germsIf your RV doesn’t have its own shower or bathroom, you might find yourself resorting to shared facilities at a campground — yet some experts warn against using public bathrooms to prevent against COVID-19 spread. Studies have found that infectious aerosols can spread viruses through faulty plumbing and ventilation systems in public bathrooms.The alternative: Bring your own portable toilet and shower. Depending on where you’re camping, you might be able to go in the woods (skip this option if you’re in a campground near other people or near a body of water). Otherwise, consider your own travel toilet and camping shower.5. You’ll likely still encounter staff and campers at RV campgroundsYou might have opted for a road trip to avoid people. But if you’re staying at an RV campground, you’ll probably find yourself interacting with campground staff at the check-in office, and there may be other campers too.Michelle Fishburne, a writer who travels in an RV as part of a project profiling ordinary Americans, says she’s found herself in a campground office on more than one occasion where other guests or staff didn’t have face coverings on.“When I am in my RV, I feel very safe, of course, because it’s my own self-contained unit,” she says. “My only concern arises when I have to go into the campground office, and people are not wearing masks and standing way too close to each other.”The alternative: Consider a vacation rental. If the thought of interacting with an unmasked employee or guest makes you uncomfortable, a vacation rental or Airbnb might be your best bet. While some rental homes or Airbnbs require you to still meet with the host at check-in, many don’t (instead typically allowing you to gain access to the home through a lockbox or keypad). If booking through Airbnb, use the “self check-in” filter to ensure you don’t have to interact with a human when you arrive.Nerd tip: Book a campground with curbside check-in. Fishburne suggests seeking out campgrounds that offer curbside check-in to avoid going into an office. But even Fishburne cautions it isn’t perfect. One campground she visited in Virginia offered curbside check-in, but the employee wasn’t wearing a mask.6. Maintenance issues become your responsibilitySure, it’s annoying when you’re sitting on the tarmac and your flight won’t take off because a door won’t close. But aside from a potential delay, you don’t have to worry about a thing besides when the snacks will finally arrive.With an RV, you’re on the hook for any and all maintenance issues.“Always check tire pressures and be aware of gas mileage before you set out, so you are not stuck somewhere in 107-degree heat,” Long says.And maintenance isn’t just limited to how the vehicle operates while driving; it encompasses living spaces too. If a hotel has a power outage, the front desk can probably help you deal with it. If your RV has a power outage, hopefully you’re familiar with the RV’s electrical lines. Before taking off on an RV road trip, familiarize yourself with the RV’s sewer lines and control panel — and read the user manual.7. You might make a lot more gas station stopsCruise America says on average its rentals get around 6-10 miles per gallon, which means you might find yourself at the gas station a lot more than usual.While touching a gas pump isn’t necessarily any riskier than touching other public objects like door handles, that’s still a few extra stops that you wouldn’t need to make if you opted to remain stationary once arriving at your vacation destination.When pumping gas, the CDC recommends using disinfecting wipes on handles and buttons before you touch them. And after fueling, the CDC recommends using a hand sanitizer with at least 60% alcohol and then washing your hands with soap and water once you’re near a sink.The bottom line on RV safetyThis year, an RV road trip can reduce a number of risks that you might be concerned about on a more traditional vacation where you’d fly on an airplane to stay at a hotel. But you shouldn’t automatically assume an RV is safer overall.Traveling in an RV has plenty of benefits. You might find your RV road trip turns out to be cheaper than your usual vacation. Head somewhere like a national park and you’ll likely end up spending more time outdoors, which the CDC says improves overall health and wellness thanks to increased opportunities for physical activity, along with promoting mental health and stress reduction.But all travel comes with some level of risk, and RVs aren’t necessarily exempt.More From NerdWalletCoronavirus Scrambles Hotel Breakfast Buffets for the BetterWhat Will Holiday Travel Be Like?6 Items to Add to Your Packing List for COVID-Era TravelSally French is a writer at NerdWallet. Email: sfrench@nerdwallet.com. Twitter: @SAFmedia. 11197

IMPERIAL BEACH, Calif. (KGTV) -- San Diego County health officials announced that the first wave of Pfizer's COVID-19 vaccines would be distributed to UCSD Medical Center and Rady Children's Hospital.While COVID-19 remains at the forefront of everyone's mind, officials also remind people not to forget about the dangers of influenza. They say both illnesses should be taken seriously to avoid overcrowding hospitals.Recently, the Imperial Beach Recreation Center has been a COVID-19 testing site. But Saturday, it transformed into the county's free flu clinic."Every year, we encourage people to get the flu vaccine," San Diego County Chief Nursing Officer Dr. Denise Foster said. "This year, it's even more important because of the pandemic."Dr. Foster says with the FDA's Emergency Authorization of the Pfizer COVID-19 vaccine, the county is preparing for a large-scale roll-out by early next week. The first place to get a portion of the 28,000-dose county allocation will be UCSD Medical Center and Rady Children's Hospital."Just within a few days of that, we are going to get another allocation, which includes the county and some of the local hospitals directly," Dr. Foster said.But COVID is not their only focus. In the 2019 to 2020 flu season, more than 20,000 San Diegans got the flu. Of that, 108 people died.So far this year, the numbers are drastically lower due to social distancing and masking protocols. The county hopes to keep it that way. The idea is to keep people out of hospitals, whether it's for the flu or COVID.Christine Kelly brought her granddaughter to the clinic to get a flu shot."I've had a bad flu in the past to where I thought I was not going to make it," Kelly said.With the spread of COVID, she says she did not want to take any chances."We don't want to go anywhere near the hospital," Kelly said. "We want to save it for the people that need to be there."According to the county, 84% of ICU beds are already taken as of Dec. 11.Talks of COVID-19 vaccines are still in their infancy. But with Moderna and Astra Zeneca approvals also expected in the near future, the Imperial Beach Recreation Center could once again evolve, next time, into a COVID-19 vaccine site."It's very possible," Dr. Foster said. "Centers like this and many others."Tomorrow, the county will open another free flu clinic at the Tubman-Chavez Community Center from 9:30 a.m. to 4:00 p.m. 2406

In Bucks County, Pennsylvania, prosecutors are arguing that 30-year-old Samantha Jones killed her 11-week-old son, R.J., by breastfeeding while using drugs.According to the criminal complaint, R.J. died from ingesting a "combination of fatal drugs through breast milk" and is being charged with criminal homicide.Jones' attorney, Louis Busico, said that Jones "absolutely, unequivocally loved that child" and never intended to harm him.According to an affidavit, Jones told investigators that about 3 a.m. April 2, she heard R.J. crying.He had been primarily breastfed, Jones said, but she had recently started using formula because she worried that he wasn't getting enough milk and wasn't sleeping. She was too tired to make a bottle of formula, according to the affidavit, so she decided to nurse him. She then dozed on and off for a few more hours.Before her husband, Vincent McGovern, left for the day, he made R.J. a bottle and left it with Jones. She remembers feeding R.J., putting him back in his bassinet around 6:30 a.m. and going back to sleep.In the affidavit, Jones said she woke up about an hour later and panicked when she saw that R.J. was pale and had bloody mucus coming out of his nose. Jones and her mother, who also lived in the house, called 911 and began CPR.R.J. was taken to a hospital by ambulance and pronounced dead by 8:30 a.m.According to the Bucks County Coroner's Office, the autopsy revealed traces of methadone, amphetamine and methamphetamine were found in the infant's blood and contributed to his death.The affidavit further noted that the examiner who performed the autopsy said "R.J. ingested the combination of fatal drugs through breast milk."According to the affidavit, Jones told the investigators that she had been prescribed methadone since pregnancy to help manage her addiction to opioid painkillers, but there is no mention of other drugs.Investigators say they tested the bottle last used to feed R.J., as well as the can of formula, and found no traces of illicit drugs.In a news release, Bucks County Deputy District Attorney Kristin M. McElroy said it is possible that Jones could face a murder charge that carries a mandatory life sentence. The prosecutor's office did not offer any additional comment.Since her arrest, Busico said, his client is "completely in a state of depression." He added that the charges and arrest kicked Jones when she was already down, dealing with the death of her child.When asked about amphetamine or methamphetamine drug use by Jones, Busico would not comment.Jones' preliminary hearing was set for Wednesday. Through her attorney, she declined to speak with CNN. 2666

In a memo sent to state governors, the federal government says that states should be prepared to begin distribution of COVID-19 vaccines to the public this fall.The memo signed by CDC head Robert Redfield told governors that the federal government has contracted with the McKesson Corporation to assist in distributing the vaccine to local and state health departments, medical facilities, doctor officers, and other vaccine providers.In the letter, Redfield requested governors to waive any regulatory barriers that would prevent McKesson from operating distribution facilities. Redfield said the goal is to have these facilities operational by November 1.According to McKesson, the company provides “next-day deliveries” to pharmacies and has a nationwide network of distribution centers.While there is urgency for both public health and economic reasons for a vaccine, some experts have expressed concern over the speed of a vaccine and whether the expedited timeline is long enough to demonstrate efficacy. Dr. Anthony Fauci told NBC News on Wednesday that he believes a “safe and effective” vaccine could be ready by the end of the year."I believe that by the time we get to the end of this calendar year, that we will feel comfortable that we do have a safe and effective vaccine," he told NBC News.On Monday, a third vaccine candidate entered “Phase 3” trials in the US. AstraZeneca is testing its COVID-19 vaccine candidate for 30,000 participants. The AstraZeneca vaccine would come in two separate doses, according to the National Institutes of Health.Even though a vaccine could be ready by year’s end, trials will be expected to continue for over a year to monitor for possible side effects.According to the FDA, a typical Phase 3 trial would take one to three years.“NIH is committed to supporting several Phase 3 vaccine trials to increase the odds that one or more will be effective in preventing COVID-19 and put us on the road to recovery from this devastating pandemic,” said NIH Director Francis S. Collins, M.D., Ph.D. “We also know that preventing this disease could require multiple vaccines and we’re investing in those that we believe have the greatest potential for success.” 2208

IMPERIAL, California (KGTV)-- As businesses in San Diego enjoy modified re-openings, the lockdown continues for our neighbors in Imperial County. Governor Gavin Newsom announced the decision Friday after the number of COVID-19 infections continues to rise.Former San Diegan, Bob Diaz, has called the small city of Imperial, 'home' since 1998. He says he loves desert landscapes, and the relatively quick drive to visit his family in San Diego. Since the quarantine began in March, he has not seen them at all."I wish I could," Diaz said. "There are so many parks, the beach, the downtown, the Embarcadero, places that I love to go. But you know what? It's not worth the gamble."The 66-year-old says because of his age, he is taking the lockdown seriously."I knew that the numbers were looking pretty ugly," Diaz said.Friday, Governor Newsom and state officials mentioned Imperial County's data in a press conference."I noted a positivity rate over a 14-day period in the state of California at 5.3 percent. The positivity rate over a 14-day period in Imperial County is approaching 23 percent," the Governor said.Imperial is one of 15 counties under the state's COVID-19 monitor list. For its 180,000 residents, there are less than 300 hospital beds."What if I need healthcare, and the beds are already full?" Diaz asked.That has become a reality for many. The Governor said that there have already been more than 500 patients who were transferred out to other counties in the last five weeks. Diaz thinks there is a large group of patients unaccounted for in the county's data: people who come into the US from Mexicali."There are over 1 million people across the border, and I know a lot of them come for their healthcare in the US. I was always kind of worried about that," Diaz said.That is why he says he is content with remaining on lockdown."If it has to be another six months, so be it," Diaz said. 1914