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As students from across the country prepare to return to classrooms in the middle of a pandemic, a nationwide school nurse shortage has health experts concerned about how well some districts will be able to handle potential outbreaks of COVID-19.Linda Mendonca oversees the National Association of School Nurses. As she thinks about empty classrooms beginning to fill back up with students, she can’t help but be filled with anxiety.“We don’t have a road map for all of this, so when you don’t have a road map, that makes it a little more challenging,” she said.School nurses will be playing a critical role in the reopening of schools. They’re being asked to monitor kids for COVID-19 symptoms and even keep track of absentee rates to spot potential trends. In some cases, school nurses will help local health departments with contact tracing if an outbreak occurs at a school.But a nationwide nurse school nurse shortage puts a lot of that in jeopardy.“In the midst of a pandemic, there should be a nurse in every school, and there’s not,” Mendonca explained.About 25 percent of the nation’s schools will start this year without a school nurse. It’s a startling statistic that has public health officials particularly concerned, in the middle of a pandemic.The average school nurse makes about ,000. There’s also a simple funding problem. School nurses are often the first to get cut when districts need to eliminate positions. The need is so great, that the National Association of School Nurses is advocating for 10,000 new nurses in the next federal stimulus bill.“The school nurse is so important that there needs to be a full-time nurse in school every day at all schools,” said Jenny Gormley, who’s served as a school nurse in Massachusetts for years.Gormley’s hope is that in the face of this pandemic, districts across the country will find ways to support nurses with both PPE and funding.“We all want students back learning, but we want to do it safely,” she added.As parents attempt to send their kids safely back to school, school nurses could be one of the best prescriptions for success. 2114

At least seven people were killed in northwestern New Mexico when a tractor-trailer crashed head-on with a nearly packed Greyhound bus, officials said."We do expect that number to rise," New Mexico State Police spokesman Officer Ray Wilson said on Thursday. Dozens of passengers were seen trying to climb out of the windows of the bus while some bystanders walked among piles of debris carrying ladders.Most of the 49 people on the bus, including adults and children, were taken to area hospitals with different degrees of injuries. The driver of the truck sustained injuries that were not life-threatening, the state police said.Wilson had initially said six people suffered minor injuries.As of Thursday night, seven deaths had been confirmed. In a statement, the New Mexico State police said their identities would not be released until their next of kin were notified.The horrific scene began around 12:30 p.m. when a semi truck was traveling eastbound along Interstate 40 in McKinley County and it blew a tire. The driver lost control of the vehicle, which crossed the median and struck the westbound bus, Wilson told reporters.Aerial footage by CNN affiliate KRQE showed the bus damaged on the front edge, but upright, in the grass median. Nearby was an overturned vehicle and the truck trailer on its side, with what appeared to be produce boxes spilled on the median.One witness, Chris Jones, was driving along the highway when he came upon the crash site. He quickly jumped out of his car to help the injured when he didn't see any ambulances around."Just trying to help them, comfort them, calm them down, get them taken care of until EMS got there," Jones told CNN affiliate KCAL.Jones, who has medical training as Navy veteran and volunteer firefighters, said he first tried to get an idea of who was hurt.Another witness, Marc Gonzales, said the scene was a "complete catastrophe," with skid marks on the side of the road. Passengers tried to climb out the bus windows and bystanders grabbed ladders from their vehicles to try to rescue them, he said."It's by far one of the worst accidents I've encountered. ... It was horrible," Gonzales told KRQE."You could tell that people were distressed, screams were coming from the bus," he said.Twenty patients were initially taken to the Gallup Indian Medical Center in Gallup, acting chief medical officer Dr. Kevin Gaines told reporters. Some families were among the patients, as well as four children, he said.Ten patients were being treated for injuries ranging from broken bones to bruises, he said. One was in critical condition and two were in serious condition, Gaines said.Six patients were released and four others were transferred to other medical facilities in New Mexico and in neighboring Arizona, Gaines said.The Los Angeles Greyhound bus had originally departed from St. Louis and had just made a stop in Albuquerque prior to the crash, the company said."Our first priority is taking care of our passengers and their families as this incident has deeply impacted all involved," the company said. "Our thoughts and prayers are with everyone as we continue to give our support to all affected.The National Transportation Safety Board said it was sending 10 investigators to the site.This is not the first deadly crash involving a passenger bus in the state in recent months.In July, the driver of a passenger bus tried to avoid a crash along I-25 near Bernalillo, but lost control and rolled crossing the highway. The it bus was then plowed by a semi truck traveling in the opposite direction. Three people were killed in that crash, CNN affiliate KRQE reported.Correction: An earlier version of this story misstated the route of the bus. The story has been updated to reflect that the bus made a stop in Albuquerque before the incident. The-CNN-Wire 3829

At a quick glance through her office, you might think Laura Packard was working on the campaign trail. But this small business owner is fighting to keep her own title: cancer survivor.“A little over three years ago, I walked into a doctor's office with a nagging cough and walked out with a stage four cancer diagnosis. Everything changed for me all at once,” said Packard.She underwent chemotherapy and radiation over a six-month period. “I lost all my hair. Some days, I wouldn't be able to get out of bed, and there was a lot of pain,” she recalled.After multiple surgeries and hospitalizations, she said her bills were really piling up. “I think it was near a million dollars,” said Packard of her medical bills.She says, thankfully, her insurance through the Affordable Care Act saved her in more ways than one.“I've been self-employed off and on for over a decade, and I used to have junk insurance, and if I still had that insurance today, I would be bankrupt or dead,” said Packard.However, she’s worried this level of insurance coverage won’t last with the recent Supreme Court confirmation and once the election results become final.“The day after my first chemotherapy was when Republicans in the House voted to dismantle the Affordable Care Act, which was keeping me alive,” she said.As talks of repealing the ACA gained ground, she moved hundreds of miles away from family to live in Colorado.“Colorado has pretty good state-level protections, but nobody should have to live like this. Nobody should have to be a health care refugee in their own country just to get care, and state-level protections can only go so far. What you need is a federal law to protect everybody.”She, like so many Americans, is wondering how she will pay for her coverage if her costs go up. Packard is fearful her health will suffer if she can’t afford her premiums.“My life is in the balance, but millions of Americans are in the balance, too.”She is worried those with pre-existing conditions won’t be able to get the care they need at a price they can afford.She is also concerned the individual mandate for health insurance will be taken away. With fewer healthy people paying into the healthcare system, the system cannot help cover costs for people who are sick.“My fear is that the rest of the affordable care act will tumble because we won’t be able to sustain it in its totality,” said Michele Lueck, president of Colorado Health Institute.Packard is just one of millions being helped by the subsidies the Affordable Care Act is founded on, and while she knows the Affordable Care Act could be improved, she hopes it will be the building block for even better care, instead of waiting years for a new solution.“I don't even know how many people will die if they succeed in destroying the Affordable Care Act, because people will lose their insurance and people will die,” said Packard.The struggle is something all Americans have endured this year. This cancer survivor is just hoping this election will bring a confirmation that her health is valued.“In a pandemic, it's more clear than ever that we're all in this together and we need candidates and elected officials that work for the greater good,” said Packard. 3224

AUSTIN, Texas – More people have now voted early in Texas for Tuesday’s general election than voted in total in the state during the 2016 election.As of Thursday, data on the secretary of state’s website shows a total of 9,009,850 Texans had voted either by mail or in person, and there’s still one more day of early voting in the state.That number surpasses the record-breaking 8,969,226 votes that were cast in the state during the 2016 election.The high voting turnout signals that Texas may be a true battleground state in the 2020 election.Democrats are trying to take advantage of the enthusiasm to flip the traditionally Republican state and collect its 38 electoral votes. Though, pollsters at FiveThirtyEight show President Donald Trump is still “slightly” favored to win the state, with a 66% chance. That’s according to the website’s forecast, which is based on polling averages.Still, Joe Biden's campaign appears to see potential in Texas and is even sending running mate Kamala Harris to the state Friday to campaign in the final leg of the presidential race. 1081

As screen time becomes a bigger part of students’ lives, preserving their vision is something to keep an eye on.Dr. Lauren Schneider, an ophthalmologist who has been treating patients in New York and Connecticut for six years warned screen time can cause a number of symptoms, including squinting and eye-crossing.“We do know that prolonged near work can place some children at risk for progressive myopia, which is worsening nearsightedness,” Dr. Schneider said.Doctors say tips on preserving your kids' vision during remote learning include making sure they keep a safe distance from their devices — at least 15 inches away from the screen is recommended — having them take screen breaks every 20 minutes and investing in a blue light blocker, which can be put on devices or glasses.“Some of our data suggests blue light emitted from our electronic devices may potentially be harmful long term to the center of the retina,” said Schneider Sunday.As school districts in the tri-state area continue to reopen this fall with full remote or hybrid learning models that include screen-based instruction, eye protection is another safety measure doctors say parents should have their sights on.“We want to make sure that while our students are hard at work which is going to require a lot of time in front of the computer that we’re avoiding unnecessary eye strain," Schneider said.According to medical experts, the full long term impacts on the eyes from remote learning are still being looked at, regular eye exams are highly recommended.For more tips and resources:www.visiontolearn.orgwww.childrenseyefoundation.orgwww.kidshealth.orgThis story was first reported by Jennifer Bisram at PIX11 in New York City, New York. 1726

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