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As the holidays approach, many people are wondering how to safely celebrate. The CDC has urged Americans not to travel for Thanksgiving, and offering guidance for those who still want to go somewhere. Health officials weighed in on whether you need to quarantine before you visit family for the holidays."My own family, we usually have 100 relatives every year at Thanksgiving. Now, clearly, that’s not going to be happening this year. It’s going to be on Zoom for the big family, but I think there are ways that you can celebrate with your smaller family and get together safely, but it's going to take some work and some planning," said Dr. Tanya Altmann, a pediatrician and spokesperson for the American Academy of Pediatrics.Dr. Altmann says there are a number of steps people can take to protect themselves from getting COVID-19 this holiday season. Ideally, everyone would quarantine for two weeks before and after a get-together. Some families may think about switching their kids to remote learning if they are not already doing it."I don’t think its drastic. If you want to get together with elderly grandparents for Thanksgiving, I think keeping your kids home from school for a week and then testing them on day five to seven, assuming everybody is asymptomatic, can make a lot of sense. Again, I would still try to keep them a little distanced from the grandparents," said Dr. Altmann.But what if you can't switch your kids to remote learning? Dr. Altmann says then it won't be a true quarantine, but most schools that are in-person right now are doing everything right."They're masking, they’re distancing, they’re sanitizing and disinfecting, they’re hand washing. So, what we’re seeing is most kids are not catching COVID-19 in the school classroom during the school day, they're catching it at after-school activities, they're catching it on the weekends when they're gathering with friends or their families or doing things that maybe they shouldn’t necessarily be doing," said Dr. Altmann.So, how long should you quarantine last? For medical professionals, a quarantine usually refers to a person who's potentially been exposed but is not showing symptoms. It's a waiting period to help determine infection."I think really the best guidance is to wait that 14-day quarantine period to have some degree of confidence that you’re not going to become infected," said Dr. Beth Thielen, an Assistant Professor of Pediatrics at the University of Minnesota Medical School and an infectious disease physician. Dr. Thielen says, to be extra careful, you could also test yourself seven days into your two-week quarantine."A testing in between without symptoms is somewhat helpful because we also know there are a certain percentage of people who will develop asymptomatic infections and, in particular, this is probably important for children," said Dr. Thielen.However, testing rules and access varies in each state, so it's best to reach out to your local health official or doctor to find out about availability and turnaround times for results."So, I think for some, where now I'm hearing people are waiting days after a test, and so if you're planning to get tested before a trip and it's going to take four to five days to turnaround the test, that could be the entirety of your trip," said Dr. Thielen.Health officials advise erring on the side of caution, especially if you're planning on visiting elderly family members."I think the most important thing is to be really aware of that it's not just your family. 'Oh, we don't want to catch COVID, we might get sick' but that you could spread it to others who are even more vulnerable," said Dr. Altmann.Experts say to take the highest precautions to create the least amount of risk. 3756

As the novel coronavirus emerged in the news in January, Sarah Keeley was working as a medical scribe and considering what to do with her biology degree.By February, as the disease crept across the U.S., Keeley found her calling: a career in public health. “This is something that’s going to be necessary,” Keeley remembered thinking. “This is something I can do. This is something I’m interested in.”In August, Keeley began studying at the University of Illinois at Urbana-Champaign to become an epidemiologist.Public health programs in the United States have seen a surge in enrollment as the coronavirus has swept through the country, killing more than 247,000 people. As state and local public health departments struggle with unprecedented challenges — slashed budgets, surging demand, staff departures and even threats to workers’ safety —- a new generation is entering the field.Among the more than 100 schools and public health programs that use the common application — a single admissions application form that students can send to multiple schools — there was a 20% increase in applications to master’s in public health programs for the current academic year, to nearly 40,000, according to the Association of Schools and Programs of Public Health.Some programs are seeing even bigger jumps. Applications to Brown University’s small master’s in public health program rose 75%, according to Annie Gjelsvik, a professor and director of the program.Demand was so high as the pandemic hit full force in the spring that Brown extended its application deadline by over a month. Seventy students ultimately matriculated this fall, up from 41 last year.“People interested in public health are interested in solving complex problems,” Gjelsvik said. “The COVID pandemic is a complex issue that’s in the forefront every day.”It’s too early to say whether the jump in interest in public health programs is specific to that field or reflects a broader surge of interest in graduate programs in general, according to those who track graduate school admissions. Factors such as pandemic-related deferrals and disruptions in international student admissions make it difficult to compare programs across the board.Magnolia E. Hernández, an assistant dean at Florida International University’s Robert Stempel College of Public Health and Social Work, said new student enrollments in its master’s in public health program grew 63% from last year. The school has especially seen an uptick in interest among Black students, from 21% of newly admitted students last fall to 26.8% this year.Kelsie Campbell is one of them. She’s part Jamaican and part British. When she heard in both the British and American media that Black and ethnic minorities were being disproportionately hurt by the pandemic, she wanted to focus on why.“Why is the Black community being impacted disproportionately by the pandemic? Why is that happening?” Campbell asked. “I want to be able to come to you and say, ‘This is happening. These are the numbers and this is what we’re going to do.’”The biochemistry major at Florida International said she plans to explore that when she begins her MPH program at Stempel College in the spring. She said she hopes to eventually put her public health degree to work helping her own community.“There’s power in having people from your community in high places, somebody to fight for you, somebody to be your voice,” she said.Public health students are already working on the front lines of the nation’s pandemic response in many locations. Students at Brown’s public health program, for example, are crunching infection data and tracing the spread of the disease for the Rhode Island Department of Health.Some students who had planned to work in public health shifted their focus as they watched the devastation of COVID-19 in their communities. In college, Emilie Saksvig, 23, double-majored in civil engineering and public health. She was supposed to start working this year as a Peace Corps volunteer to help with water infrastructure in Kenya. She had dreamed of working overseas on global public health.The pandemic forced her to cancel those plans, and she decided instead to pursue a master’s degree in public health at Emory University.“The pandemic has made it so that it is apparent that the United States needs a lot of help, too,” she said. “It changed the direction of where I wanted to go.”These students are entering a field that faced serious challenges even before the pandemic exposed the strains on the underfunded patchwork of state and local public health departments. An analysis by The Associated Press and Kaiser Health News found that since 2010, per capita spending for state public health departments has dropped by 16%, and for local health departments by 18%. At least 38,000 state and local public health jobs have disappeared since the 2008 recession.And the workforce is aging: Forty-two percent of governmental public health workers are over 50, according to the de Beaumont Foundation, and the field has high turnover. Before the pandemic, nearly half of public health workers said they planned to retire or leave their organizations for other reasons in the next five years. Poor pay topped the list of reasons. Some public health workers are paid so little that they qualify for public aid.Brian Castrucci, CEO of the de Beaumont Foundation, which advocates for public health, said government public health jobs need to be a “destination job” for top graduates of public health schools.“If we aren’t going after the best and the brightest, it means that the best and the brightest aren’t protecting our nation from those threats that can, clearly, not only devastate from a human perspective, but from an economic perspective,” Castrucci said.The pandemic put that already stressed public health workforce in the middle of what became a pitched political battle over how to contain the disease. As public health officials recommended closing businesses and requiring people to wear masks, many, including Dr. Anthony Fauci, the U.S. government’s top virus expert, faced threats and political reprisals, AP and KHN found. Many were pushed out of their jobs. An ongoing count by AP/KHN has found that more than 100 public health leaders in dozens of states have retired, quit or been fired since April.Those threats have had the effect of crystallizing for students the importance of their work, said Patricia Pittman, a professor of health policy and management at George Washington University’s Milken Institute School of Public Health.“Our students have been both indignant and also energized by what it means to become a public health professional,” Pittman said. “Indignant because many of the local and the national leaders who are trying to make recommendations around public health practices were being mistreated. And proud because they know that they are going to be part of that frontline public health workforce that has not always gotten the respect that it deserves.”Saksvig compared public health workers to law enforcement in the way they both have responsibility for enforcing rules that can alter people’s lives.“I feel like before the coronavirus, a lot of people didn’t really pay attention to public health,” she said. “Especially now when something like a pandemic is happening, public health people are just on the forefront of everything.”___KHN Midwest correspondent Lauren Weber and KHN senior correspondent Anna Maria Barry-Jester contributed to this report.___This story is a collaboration between The Associated Press and Kaiser Health News, which is a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente. 7795

As the nation debates on whether to reopen schools this fall, President Donald Trump said schools should “100%” be open this fall, despite concerns from educator unions and others over the spread of the coronavirus.During his coronavirus news conference on Wednesday, Trump was asked whether he planned on sending his son and grandchildren back to school this fall.“Yes, I am comfortable with that,” Trump said.“I would like to see the schools open. Open 100% and we will do it safely, we will do carefully but when you look at the statistics -- I just read having to do with children and safety ---- they are very impressive. They have very strong immune systems,” Trump added.Trump said that it is his belief that children are less likely to spread the virus. But research thus far has not been conclusive to back Trump’s claims.A study released from South Korea and published by the CDC found that while children under age 9 were less likely to spread the virus, youth ages 10 through 19 were just as likely as adults of spreading the virus.The study also found that closing schools in several Chinese cities, including Wuhan, showed that school closure and social distancing significantly reduced the rate of COVID-19 among contacts of school-aged children. “The role of household transmission of SARS-CoV-2 amid reopening of schools and loosening of social distancing underscores the need for a time-sensitive epidemiologic study to guide public health policy,” the researchers wrote.The American Federation of Teachers this week pointed toward a three-point plan that the US should implement for reopening schools.“Our plan details three conditions essential for schools to reopen,” wrote Randi Weingarten, president of the American Federation of Teachers. “First, the average daily community infection rate among those tested for the coronavirus must be very low. (New York Gov. Andrew Cuomo has required the rate not to exceed 5 percent for at least 14 days.) Second, schools must employ public health protocols, including 6-feet social distancing, masks, deep cleaning and handwashing stations. Third, adequate resources must be available to enact these safeguards, including funding for additional nurses, guidance counselors and teachers to reduce class size.”Weingarten said that Trump has politicized reopening schools, and she called on Congress to approve giving schools additional funding to reopen. Weingarten projects that it would take 6 billion nationwide to provide essential services for schools."Expenses have increased because of the fight against coronavirus," she said. "They not only need funds to provide essential services, the average school will need an additional .2 million, or ,300 per student, to open its doors safely." 2770

ATLANTA, Ga. (AP) — A section of concrete collapsed on a parking deck under construction in Atlanta on Friday, injuring five workers.Atlanta Fire Rescue officials said one worker was trapped under debris with leg injuries and had to be freed and then lowered more than nine stories to the ground using a construction crane.Four other injured workers managed to walk away from the accident.The city of Atlanta is inspecting the structure for any signs of threats to the busy interstate that flows through the heart of the city.The parking garage is being built for an Emory University cancer institute in midtown.W Peachtree Street @ Linden Ave, partial #collapse of pre-fabricated parking deck under construction. Multiple workers trapped. Injured worker just removed from structure by firefighters from Squad 4 by crane. #AFRD— Atlanta Fire Rescue (@ATLFireRescue) September 11, 2020 893

ATLANTA (AP) — NASA astronaut Kate Rubins told The Associated Press on Friday that she plans to cast her next vote from space – more than 200 miles above Earth. Rubins and two cosmonauts are in Star City, Russia, just outside Moscow. She's preparing for a mid-October launch and a six-month stay at the International Space Station.Texas law allows U.S. astronauts to vote from space using a secure electronic ballot. Mission Control in Houston forwards the ballot to the space station, which Rubins then emails to the county clerk. 539