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The CDC has issued new guidance to nursing homes nationwide on Friday. The guidance calls for all nursing home visits to be prohibited, except in end-of-life situations. The guidance, which goes into effect immediately, comes as spread of the coronavirus grows nationally, and is particularly dangerous for the elderly and disabled. The CDC issued guidelines covering the following:Restrict all visitation except for end of life situations.Restrict all volunteers and non-essential healthcare personnel (HCP), including non-essential healthcare personnel (e.g., barbers)Cancel all group activities and communal diningImplement active screening of residents and HCP for fever and respiratory symptoms"Because of the ease of spread in a long-term care setting and the severity of illness that occurs in residents with COVID-19, facilities should immediately restrict all visitation to their facilities except for end-of-life situations," the CDC's guidelines say. The CDC recommended that nursing homes set up alternative ways for families to communicate with loved ones in nursing homes, including video conferencing. 1129

The CDC has recently issued guidance indicating that up to nearly one half of antibody tests are inaccurate.While early indications are that having antibodies offers some protection against reinfection, the CDC said too little is known about antibodies to determine whether it is safe for a person to no longer need to conduct social distancing. Additionally, the CDC said that a positive test should not be used at this time to determine if an individual is immune.The CDC added, “Serologic test results should not be used to make decisions about grouping persons residing in or being admitted to congregate settings, such as schools, dormitories, or correctional facilities.”The CDC said that it recommends providers use multiple antibody tests on patients, and it obtains the most accurate tests available.The CDC said that the prevalence of those testing positive for antibodies among the general population is between 5 and 25, with higher figures coming from areas with localized outbreaks. The FDA has also warned that all antibody tests can produce false results, and that “broad use of the tests, when not appropriately informed by other relevant information, such as clinical history or diagnostic test results, could identify too many false-positive individuals.” 1286

The opioid crisis cost the U.S. economy 1 billion from 2015 through last year — and it may keep getting more expensive, according to a study released Tuesday by the Society of Actuaries.The biggest driver of the cost over the four-year period is unrealized lifetime earnings of those who died from the drugs, followed by health care costs.While more than 2,000 state and local governments have sued the drug industry over the crisis, the report released Tuesday finds that governments bear less than one-third of the financial costs. The rest of it affects individuals and the private sector.The federal government is tracking how many lives are lost to the opioid crisis (more than 400,000 Americans since 2000), but pinning down the financial cost is less certain.A U.S. Centers for Disease Control and Prevention report from found the cost for 2013 at billion. That’s less than half the cost that the latest report has found in more recent years. The crisis also has deepened since 2013, with fentanyl and other strong synthetic opioids contributing to a higher number of deaths. Overall, opioid-related death numbers rose through 2017 before leveling off last year at about 47,000.A study published in 2017 by the White House Council of Economic Advisers estimated a far higher cost — just over 0 billion a year. The new study notes that the White House one used much higher figures for the value of lives lost to opioids — attempting to quantify their economic value rather than just future income.The actuaries’ report is intended partly to help the insurance industry figure out how to factor opioid use disorder into policy pricing.It found that the cost of the opioid crisis this year is likely to be between 1 billion and 4 billion. Even under the most optimistic scenario, the cost would be higher than it was in 2017.The study was released just ahead of the first federal trial on the opioid crisis, scheduled to start next week in Cleveland where a jury will hear claims from Ohio’s Cuyahoga and Summit counties against six companies. The counties claim the drug industry created a public nuisance and should pay.The report found that criminal justice and child-welfare system costs have been pushed up by the opioid epidemic.Most of the added health care costs for dealing with opioid addiction and overdoses were borne by Medicaid, Medicare and other government programs, according to the report. Still, the crisis rang up billion in commercial insurance costs last year. Lost productivity costs added another billion.Businesses have begun noticing. Last week, a small West Virginia home improvement company, Al Marino Inc., filed a class-action lawsuit against several companies, claiming the opioid crisis was a reason its health insurance costs were skyrocketing.Still, the biggest cost burden fell on families due to lost earnings of those who died. Those mortality costs alone came to more than billion last year, the report said.Members of a committee representing unsecured creditors helping guide opioid maker Purdue Pharma’s bankruptcy process have been calling for money in any settlement to go toward to people affected by the crisis and not just governments. 3225

The DEMOCRATS have given us the weakest immigration laws anywhere in the World. Mexico has the strongest, & they make more than 0 Billion a year on the U.S. Therefore, CONGRESS MUST CHANGE OUR WEAK IMMIGRATION LAWS NOW, & Mexico must stop illegals from entering the U.S....— Donald J. Trump (@realDonaldTrump) March 29, 2019 347

The 5-year-old boy who was tossed off a third-floor balcony at the Mall of America in Minnesota in April is now back at home.An update on the family-run GoFundMe account says the boy -- who fell from nearly 40 feet -- completed his inpatient rehabilitation and will now enter "the next phase of recovery.""(This) includes continued outpatient rehabilitation for multiple injuries and adjusting to life back at home and school," the update read.The boy, who has not been publicly identified, was outside a café with his mother when 24-year-old Emmanuel Aranda came close to them, picked up the child and threw him over the railing.Aranda told police he had come to the mall a day earlier intending to kill an adult, but that did not "work out," according to the criminal complaint. He returned a day later and chose the child.Aranda pleaded guilty in May to attempted premediated first-degree murder and was sentenced to 19 years in prison.The young boy was in critical condition after the April 12 incident and spent months in intensive care before moving to rehab."Thank you to all who prayed for us and loved us during the past 4 1/2 months," his family wrote this week. "You helped to give us hope and show us the Glory of God's great love here on earth even during the darkest of days." 1302