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As states across the country grapple with an increase in coronavirus cases and a huge demand for tests, many businesses are looking for other ways to get more mileage out of their supply chain.Like with anything else, supply and demand is a constant struggle. In this unprecedented era, the demand for things like coronavirus tests is so large that public health departments don't have a choice but to figure out ways to make our supplies last. Several states are examining pooled testing. California's Public Health Department says it's to "better leverage testing resources."Pooling is something that blood banks have used for decades to keep their blood supply safe. Dr. Claudia Cohn is the Chief Medical Officer of the AABB, formerly known as the American Association of Blood Banks.“If you have 100 people that need to be tested and if you test each of them, you’ll do 100 tests. If you find that your test is sensitive enough that you can pool together 20 samples at the same time, instead of having 100 tests, you can have five pools of 20,” Dr. Cohn said.Now, if one of those five pools is positive, then Dr. Cohn says, "You’ll need to break it out and test each of those separately. So, let’s say you have one positive person in a pool of 100 people, you either do 100 tests and find one positive or you do five pools of 20, four of those pools will be negative, so you’ve done 4 pools and covered 80 people."The test works by taking a tiny sample from each person who was tested.“When you take a swab from everyone’s nose, you isolate the DNA from that swab,” Dr. Cohn said about the PCR test, which is generally a nose swab. “It’s not a lot, it’s a small amount but it’s enough. Because these tests are very, very sensitive.”Those tests are so sensitive, and they have to be, that pooling can really only work if the test can handle, as in detect, multiple samples at once. The FDA mandates that.“The FDA is quite demanding as they should be in terms of making sure tests work well and are safe,” Dr. Cohn said.And Dr. Cohn says, pooling wouldn't work in an area where there's a large outbreak, which means a large number of people would test positive regardless of pooling. In the blood world, this strategy has been perfected.“You are taking 100 samples and taking a drop from each sample and putting it together,” Dr. Cohn said. “You are testing every single person who comes through. In the blood world safety is before everything."Blood banks test for HIV, Hepatitis C and B and well as COVID-19 antibodies, according to the American Red Cross. And, as this pandemic moves through our communities, Dr. Cohn says our blood supply needs to remain strong.“After that initial spike, it went down again and that was okay because elective surgery had been canceled, so the demand for blood had gone down as well so for a while we were at a good balance of demand and supply. But then elective surgeries opened up and hospitals went back to full service and we’re in a shortage again,” Dr. Cohn said. 3017

As September is NICU Awareness Month, parents of NICU babies are working to serve as a voice for families who are trying to navigate the overwhelming and often terrifying experience of watching your baby in a neonatal intensive care unit, especially during a pandemic.When Andi Petito was 21 weeks pregnant, she went in for a simple and common anatomy scan of her baby.“When she got really quiet and excused herself,” Petito said about a routine appointment. The technician who performed the ultrasound returned with the doctor who said there were some major problems, Petito was sent to the hospital where she would remain on bed rest until she went into labor. Petito gave birth to River at 24 weeks, weighing 1 pound, 7 ounces. River was transferred to the NICU.“They warn you it's a roller coaster and they try to prepare you but you’re not really prepared for the ups and downs,” Petito said.That roller coaster is how they describe the NICU.“Terrifying, stressful and, I mean, we lived on edge,” Petito said. “You almost feel paranoid because you’re so worried about her compromised immune system, comprised lungs. Kind of like we’re all living now, but no one else is joining you in it.”Neonatologist Dr. Melinda Elliott said no one expects, prepares or plans for a NICU stay.“Nobody plans to meet me, nobody plans to meet the doctor who specializes in sick babies,” Elliott said.She said parents should not focus on all of the machines and equipment that surround your newborn.“The best thing you can do is turn the other way and focus on your baby,” Elliott said. “Just look at your baby because that baby is your baby no matter how small or how sick. You’re the only parent that baby has.”Elliott said the pandemic has stripped the visitor policy. Usually, there's only one parent allowed in at a time. While that's hard for already stressed families to manage, she reminds parents to focus on the importance of nutrition and to continue to advocate for your baby.“Probably the biggest piece of advice is just ask questions, keep asking,” Elliott said. “If you don’t get an answer you like, ask again and find somebody else to ask. You deserve to understand what’s going on with your baby:”Now, after 129 days in the NICU, that once tiny little baby is 3 years old, and likes to discuss her favorite color, pink, and all things Paw Patrol. Petito said she got through the NICU by doing her own research, being her own advocate, fighting for what her baby needs and by being honest with herself.“It’s OK to fall apart sometimes,” Petito said. “Parenthood is not what you envision when your child is not able to come home with you and everything has been blown up and so it’s okay if you need to cry and fall apart and pick yourself back up and go to the NICU.”The Petitos have now given River a sibling. Fern is happy and healthy and didn't need the NICU. And while it was never an easy roller coaster ride, they say it made River the strongest little fighter they know. 2987

Backpage.com, a popular website used to solicit sex was shut down by the feds this week. In Martin County, Florida, deputies are expecting more women to sell themselves on the street now as a result. As much as Backpage made it easier to buy and sell sex, investigations into the illegal trade would often start there. “Backpage, that was like the hub for us. We usually built a lot of our cases,” MCSO Lt. Jesse Carde told Scripps station WPTV in West Palm Beach in an interview. She took WPTV to where they’ll shift more attention as they expect pimps and prostitutes to do the same. “Not that they ever stopped the operations on the street but obviously we expect a little more for traffic,” she said. Generally the popular days for prostitutes to be out on the streets in Martin County are after payday, Friday and Saturday, but now with Backpage shut down, there could be changes. “People that live in neighborhoods that have in the past tended to be hotspots for prostitution, they’re going to probably see resurgence of it at least until the prostitutes, the sex workers, find a different way to use the internet,” MCSO Sheriff William Snyder said. “I’ll take you by the street where we’ve shut down a couple brothels in the neighborhood,” Carde said. These brothels would market themselves online, but also using old school methods such as business cards promoting a shell business and a wink. “As they’re passing out their cards well it’s ‘not really but come by, we’ll take care of you’ and people in the neighborhood already knew what kind of business it was,” she said. Detecting those will rely more on tips and undercover surveillance.With Backpage down, Lt. Carde says it will make it harder for traveling sex workers to find Johns. It will also help curb underage and girls forced into the trade. “I think it’s definitely a win for law enforcement that Backpage has been shutdown,” she said.  1986

At least two protesters were struck by a vehicle toward the end of a protest in Bloomington.Protesters had gathered to demand arrests following a weekend incident at Lake Monroe where several people pinned a man in an apparent attempted lynching.The incident happened around 9 p.m in Bloomington near the Monroe County Courthouse as the protest was wrapping up.Hundreds of people had been taking part in a rally and protest march through Bloomington following an alleged racist attack at Lake Monroe where several men attacked and apparently attempted to lynch Vauhxx Booker, a Monroe County Human Rights commissioner. 626

ATLANTA (AP) — The shooting death of an 8-year-old girl has prompted a ,000 reward for information as authorities in Atlanta search for at least two people who opened fire on the car she was riding in. Police identified the girl as Secoriea Turner, and say she was in a car whose driver tried to get through an illegal barricade placed near Wendy's restaurant where Rayshard Brooks was killed by a white police officer on June 12. In a news conference on Sunday, Atlanta Mayor Keisha Lance Bottoms said "enough is enough" and asked for the public's help in identifying the shooter. 592