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On Johns Hopkins University's graph of countries' daily confirmed COVID-19 cases, the U.S. is currently at the top.“The United States does have a tremendous outbreak that is the world’s worse currently,” said Dr. Amesh Adalja, a senior scholar at Johns Hopkins Center for Health Security and a practicing Infectious Disease Critical Care and Emergency Medicine Physician.Dr. Adalja says parts of the northeast have the virus largely under control, but other states--primarily in the south and southwest--have an increase in the number of new cases, an increase in the percent of positive tests, and reports of hospitals being under pressure for capacity.He says the surge is related to multiple factors, but the primary one is social interaction.“Many states lifted their stay-at-home orders, and when they did that, a lot of individuals thought this was a green light that things were safe, that this virus was contained, that the pandemic was largely over. And that wasn’t the case," Dr. Adalja said. "The virus established itself in the human population and is not going to go anywhere until there is a vaccine.”Dr. Adalja says any amount of social interaction will be taken advantage of by a virus like this, especially if people aren’t wearing masks. Studies show a growing number of people can get infected and spread the virus without showing any symptoms. But he says the key to preventing more outbreaks is contact tracing.“There’s no way that we can move forward unless we determine where these undetected chains of transmission are and halt that, and you can only do that with robust contact tracing,” Dr. Adalja said.Other countries in Asia and Europe have had effective efforts in contact tracing. So the question is, why does the U.S. fall short? Experts say there are several reasons. Dr. Sandy Johnson directs the Global Health Affairs program at the Josef Korbel School of International Studies at the University of Denver. He says the U.S. has a fairly complex political system.“We have national government. We have state government. We have local government. So, there are different rules and regulations that come into play and that can make it difficult to coordinate a consistent response,” Dr. Johnson said.Even if one area has done a good job at controlling the spread of the virus, Dr. Johnson explains a neighboring area may not have followed the same guidelines. As people start to travel, so does the virus, and those eager to believe the virus doesn’t pose a major threat only add to the fire. We’ve seen that in another country that isn’t too far behind the U.S. in its increase in cases.“The biggest similarity with Brazil is that there was an evasion from the federal government in Brazil about the danger of this virus which is put a complacency into the public. The same thing happened to us in January, February and March and is still really occurring in many parts of the United States,” Dr. Adalja said.Dr. Adalja and Dr. Johnson agree there has been a lack of clear and consistent communication in the U.S. Opposite of that, Dr. Johnson says Germany has been successful in keeping its numbers down, due in part to Chancellor Angela Merkel’s communication approach.“She was speaking to the public. She was talking to her health and science advisors and she was sharing the science with the public. And from day one, she was very clear that there were hard times ahead,” Dr. Johnson said.However, it’s not just up to national leaders and policymakers. Dr. Johnson says the population of a country must also have the willingness to look at and rely on science.“While I would say by and large people are doing incredibly well in this country and taking collective action to take care of each other and are eager for scientific information, we’ve also seen these little clusters that are simply plugging their ears and going ‘la la la la la la’,” Dr. Johnson said.Both doctors say what we can do as citizens does make a difference. It’s important to realize many people are making smart decisions for the greater good instead of only thinking about themselves.“Think about what happened in early March and how many people almost overnight went into lockdown, and were taking action to take care of each other,” Dr. Johnson said. 4269

OCEANSIDE, Calif. (KGTV) – A two-vehicle collision on an Oceanside street sent 10 people to the hospital late Sunday night.Oceanside police said the crash occurred at around 11:45 p.m. on state Route 76 at Douglas Drive.According to police, a silver sedan ran a red light and collided with a pickup truck with a family inside. The impact caused the truck to flip onto its side.A man, a pregnant woman and two children were trapped in the truck, while six people in the sedan were also trapped.It took emergency crews about 30 minutes to free the trapped people from both vehicles.The 10 people were taken to local hospitals with unspecified injuries. Fire personnel said at least six of the victims had “critical” injuries.The crash is under investigation, and police are trying to determine if the driver of the silver sedan was under the influence at the time of the collision. 887

OAKLAND, Calif. (AP) — San Francisco Giants manager Gabe Kapler knelt during the national anthem along with several of his players before first pitch of a 6-2 exhibition win against the Athletics in Oakland. Right fielder Jaylin Davis and first base coach Antoan Richardson also took a knee, with shortstop Brandon Crawford standing between them with a hand on each of their shoulders. Davis held his right hand over his heart and Richardson clasped his hands in front of him.Kapler shared his plans to kneel during the anthem with the team earlier Monday, according to ESPN, telling the team they would be supported by the Giants no matter what they decided to do."I wanted them to know that I wasn't pleased with the way our country has handled police brutality, and I told them I wanted to amplify their voices and I wanted to amplify the voice of the Black community and marginalized communities as well," Kapler said, according to ESPN.President Trump tweeted shortly after, saying he was looking forward to the return of sports, "but any time I witness a player kneeling during the National Anthem, a sign of great disrespect for our Country and our Flag, the game is over for me!" 1195

ORLANDO, Fla. (AP) — The CEO of SeaWorld Entertainment stepped down Monday, just months into his tenure leading the theme park company.Gustavo "Gus" Antorcha resigned from his job as the top executive at SeaWorld as well as his position on the company's board of directors."While I may have a difference of approach, I continue to believe in SeaWorld's strategy, mission, team and prospects," Antorcha said in a statement provided by the Orlando, Florida-based company.Before taking over the helm of SeaWorld in February, Antorcha was a top executive at Carnival Cruise Lines. He succeeded Joel Manby, who unexpectedly departed in 2018 after beginning SeaWorld's pivot away from live animal shows following years of protests and declining attendance.SeaWorld announced the end of its breeding program in March 2016, after years of pressure from animal rights advocates and shifting public opinion about orcas being held in captivity. The protests intensified after the release of the 2013 documentary "Blackfish," which focused on the life of Tilikum, a killer whale responsible for killing trainer Dawn Brancheau when he dragged her into a pool in front of shocked visitors in 2010.The company in the past year, though, has seen a reversal of fortune. Attendance was up 8.6 percent during the 2018 fiscal year, as was revenue. For the first half of this year, attendance was up 1.7 percent."The strategy we have in place is working, and we have made significant progress," said Scott Ross, the chairman of SeaWorld's board of directors. "We look forward to continuing to execute on this strategy and driving a meaningful increase in value for all stakeholders."The company operates 12 theme parks under the SeaWorld, Busch Gardens and Sesame Place brands in California, Florida, Pennsylvania, Texas and Virginia.SeaWorld Chief Financial Officer Marc Swanson was named interim CEO while an executive search firm looks for a permanent successor. Swanson has been with SeaWorld for 19 years.The company's chief accounting officer, Elizabeth Castro Gulacsy, will serve as interim chief financial officer, company officials said. 2133

OCILLA, Ga. — A nurse at an immigration detention center in Georgia says authorities performed questionable hysterectomies, refused to test detainees for COVID-19 and shredded medical records.Advocacy group Project South has filed a complaint with the Homeland Security Department's internal watchdog that relies heavily on the nurse's words.That nurse, Dawn Wooten, worked at the Irwin County Detention Center in southern Georgia. In addition to holding detainees for Immigration and Customs Enforcement, it also serves those arrested by the U.S. Marshals and the Irwin County Sheriff's Department.In her complaint, Wooten called a gynecologist who works outside the facility, "the uterus collector." She claimed that nearly every inmate who saw the doctor received a hysterectomy and claimed the doctor removed the "wrong ovary" on at least one patient.Wooten said it was unclear if the patients — particularly immigrant women — knowingly agreed to the procedure, which would prevent them from having children in the future.She says she saw a sick-call nurse shred a box of detainee complaints without looking at them.Wooten claimed she was eventually fired from the facility for raising concerns about COVID-19. She said she was demoted after she missed time for presenting symptoms of the virus.She claims that inmates were likely infected with the virus at a rate much higher than reported because the facility declined to use two rapid-testing COVID-19 machines. Wooten said no staff members had been trained to use the machines and she only saw them in use once.U.S. Immigration and Customs Enforcement said it will defer to the Homeland Security inspector general."That said, in general, anonymous, unproven allegations, made without any fact-checkable specifics, should be treated with the appropriate skepticism they deserve," the agency said in a statement.LaSalle Corrections, a private company that owns and operates the facility, did not respond to The Associated Press' request for comment. 2013