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A new report from the CDC and Rhode Island shows COVID-19 rates below one percent in childcare facilities with young children this summer. They also found a low rate of secondary transmission among these facilities, with 15 percent of coronavirus cases resulting in transmission to at least one other person.“The critical thing here is to build the confidence of teachers, the confidence of parents,” said Dr. Robert Redfield, Director of the Centers for Disease Control and Prevention. “This study provides data, that when things are done with vigilance in partnership with the public health community, you can, in fact, in a complex situation like child care ... you can reopen child care" and have low rates of secondary transmission. The study tracked coronavirus cases at childcare facilities in Rhode Island this summer. On June 1, the state was seeing a decline in coronavirus cases and hospitalizations, and allowed childcare programs to re-open after a 3-month closure.In order to reopen, the facility had to submit a plan to the state for approval that included reduced enrollment, a cohort of no more than 20 people including kids and staff, universal use of masks for adults, and daily symptom screening of adults and kids.Roughly 75 percent of licensed center and home-based childcare facilities were approved to reopen, caring for 18,945 children.Between June 1 and July 31, there were 101 possible child care-associated COVID-19 cases identified at the facility level; among those, 49 were excluded because they had a negative COVID-19 test.Of the remaining 52 confirmed and probable cases, 30 were children; that is roughly .16 percent of the 18,945 children in childcare in Rhode Island this summer. There were 20 teachers and 2 parents who are among the confirmed or probable cases.Cases were confirmed an average of two days after specimen collection.Contact tracing led to the quarantine of 687 children and 166 staff members; that’s roughly 3.6 percent of the total children in Rhode Island care facilities this summer being impacted by quarantine efforts.The cases happened at 29 of the 666 childcare facilities, in 20 of the facilities, there was a single coronavirus case and no transmission. Five of the 29 programs, 15 percent, had two to five cases.The remaining four coronavirus cases may or may not have had secondary transmission. Health officials state those facilities were breaking protocol by moving members of a cohort around to other classrooms, delayed reporting of symptoms, etc. that made it difficult to track.The CDC warns these results were only possible because of decreasing COVID-19 rates in the state, and the community effort to slow the spread of coronavirus. This includes wearing masks and practicing social distancing when around other people.“I understand masks can be uncomfortable to wear and hard to remember to bring when you go out,” Dr. Redfield said. “Schools are not islands in and of themselves, they are connected to the communities around them.”The study says maintaining stable staffing was one of the most difficult things; needing to cover teacher breaks, vacations, etc. while still maintaining the smaller cohort sizes.They recommend additional funding to continue with the smaller class sizes. 3271

A student was wounded in a shooting Friday morning at a high school in Ocala, Florida, the Marion County Sheriff's Office said, shortly before students were to walk out as part of a national protest against gun violence.The student was shot in the ankle at Forest High School and transported to a hospital with a wound not considered life threatening, said Kevin Christian, Marion Public Schools spokesman. The victim is 17.A school resource officer heard a loud bang at 8:39 a.m., Marion County Sheriff Billy Woods told reporters.Three minutes later, the officer took a 19-year-old suspect -- who's not a student -- into custody without incident, Woods said.The motive is unclear for what's the 20th US school shooting this year."It's a shame what society has come to in that we even have to be here on a school campus," Woods said. "Society has changed since I was in school. ... We as a whole need to do something. My emotions are running rampant."Woods and school officials said the resource officer's quick response and active shooter protocols at the school helped save lives.Jake Mailhiot, 16, a junior, posted a photo to social media of desks, chairs and other furniture piled high over the door to the classroom where he was studying psychology. The barricade was meant to keep out an active shooter."I didn't hear anything other than people from other classrooms crying," he said.Mailhiot and other students helped a teacher block the door, he said. They were on lockdown for about an hour.Authorities asked residents to avoid the area of Forest High, which was surrounded by emergency vehicles and buses transporting students away from the scene. As Forest High students were being bused to First Baptist Church of Ocala to be reunited with their parents, students at some 2,500 schools around the country were walking out of their classrooms as part of the National School Walkout against gun violence."The fact that it happened on this day, in a way, reinforces what we are trying to get across," said Ryan Servaites, a high school freshman in Parkland, Florida, where 17 students and teachers were gunned down in February. "This happens. It is an issue. We see more people dying. Children are being hurt." In a walkout in New York City, Stuyvesant High School sophomore Grace Goldstein, 16, lamented that her generation has become desensitized to gun violence."We're very glad that no lives were lost," she said of the Ocala shooting. "We're incredibly grateful for that. Our reaction was, of course, this is how our country works. The person who was shot today is on the list of the people who we're fighting for."Forest High was to participate in the walkout, according to a Thursday post on the Ocala school's Twitter account.Instead, aerial news footage from the scene showed a sea of students gathered outside a steepled church to meet their parents and officers, guns at their side, clearing buildings on the sprawling Ocala campus.School walkouts were canceled districtwide in Marion County after the shooting, according to school board member Nancy Stacy.The Ocala shooting comes more than two months since the massacre at Marjory Stoneman Douglas High School in Parkland near Fort Lauderdale. Parkland students are participating in the national walkout -- which is also the 19th anniversary of the shooting deaths of 13 people at Columbine High School in Colorado."We won't stop," Servaites told CNN. "This is why. It is, in a way, the world slapping us in the face, but we just have to look at it as a wake-up call."Forest High, which was ranked as one of the best high schools in the nation by U.S. News & World Report, has about 2,100 students. Ocala is about 65 miles northwest of Orlando. 3725

A new warning has come that more older adults, over the age of 65, are dying from falls.According to the Centers for Disease Control it's increased from about 18,000 a decade ago to 30,000 in 2016. That number could climb to as many as 59,000 by 2030. Luckily falls are preventable. Here are the main things you can do to keep your house safe.These are small changes you can start making now even if you're not over 65 or not concerned about falling. Jason McCullough with Brothers Redevelopment Inc. walked The Now through a house to show some of those changes. The best part is they're relatively easy.McCullough said some of the changes actually start before you get inside the house."Most falls happen (in) main entry areas, kitchens and baths," McCullough said.According to McCullough a grab bar is a versatile tool that can help in any room."They come in a kind of a decorative finish," McCullough said. "This one's brushed steel.  So we usually place these in a bathroom. We'll do a vertical installation for transitions in and out of the tub. And then sometimes we'll also place a diagonal installation so that when you're in the tub you have more safety and stability."McCullough showed how it should look."It's at a height where she can grab it," McCullough said. "It's on a vertical next to the tub. So she can use that getting in and out of the tub, so it's a great transitional stability piece."He said tubs can be an area prone for falls."You have these custom tubs," McCullough said. "Obviously they're raised so they're a little higher than your normal tub is, but it's still, you can see it's below my knee, so that's much more of a fall risk 'cause you're going to catch that and you can't really catch yourself and you're going all the way in. But if you have this, you have something to hold on to."Transitions from room to room can be fall hazards as well."So this would be an issue right here because we have a rise in the floor and this transition's a little thin," McCullough said as he pointed to a change in floor height in a threshold.  "We'd want to see a wider, more sloped transition piece here or we'd want the floor installed level with the other existing floor."McCullough said fall dangers can even be outdoors. He pointed out several issues in the backyard."This is a great example of where we get comfortable and we miss things over the years," McCullough said, as he pointed to steps without rails.  "Our houses age just like we do.  And as we get older, a lot of times our eyesight starts to go, their motor skills start to slip and they don't notice things that they would have, or someone new to their house would have noticed.  And just this kind of little small ledge here, this could be a trip hazard and you don't have anything to grab onto if you do trip and fall."Another thing to consider is if you find yourself always grabbing the wall or you visit a loved one and you notice marks on the wall, that may be a sign that it's time to consider these upgrades. 3068

A mother whose toddler died weeks after they were released from a Texas immigrant detention center has filed a wrongful death claim seeking million from the US government.Yazmin Juarez's 19-month-old daughter, Mariee, died in May, six weeks after they were released from the immigration facility in Dilley.Juarez and her attorney allege that ICE and those running the facility provided substandard medical care for the toddler after she suffered a respiratory infection while in detention."The US government had a duty to provide this little girl with safe, sanitary living conditions and proper medical care but they failed to do that resulting in tragic consequences," attorney R. Stanton Jones said in a statement."Mariee entered Dilley a healthy baby girl and 20 days later was discharged a gravely ill child with a life-threatening respiratory infection. Mariee died just months before her 2nd birthday because ICE and others charged with her medical care neglected to provide the most basic standard of care as her condition rapidly deteriorated and her mother Yazmin pleaded for help." 1104

A recently published study looks at the potential of asymptomatic spread at grocery stores and the psychological distress of these essential workers.Researchers looked at a grocery store in the Boston area in May. They found 20 percent of the 104 employees tested positive for the coronavirus. This rate was significantly higher than the infection rate in the surrounding community, which was only reporting a positive rate of around 1 percent at the time.More than 75 percent of those who tested positive reported having no symptoms.Those employees who interacted with customers were five times as likely to test positive for COVID-19 compared to employees in other positions."We were definitely surprised to see that there were that many people that were asymptomatic," Dr. Justin Yang, an assistant professor at Boston University School of Medicine and a researcher at Harvard School of Public Health who worked on the study told CNN. "This is definitely very alarming as it means that retail grocery store employees are exposed to customers and sort of serve as a middleman for the virus - like a super spreader almost."The study also looked at feelings of anxiety and depression among the grocery store employees.About 24 percent of all employees reported feeling at least mild anxiety. The data suggests employees who were able to remain socially distant while at work had a lower rate of anxiety; 76 percent of those who reported having no anxiety were able to keep spacing while at work.Whereas 46 percent of those who did report having anxiety were unable to stay socially distant from coworkers or customers while on the job.About 8 percent of employees screened positive for at least mild depression symptoms on a self-reported questionnaire. Those who could not practice social distancing at work and commuted by public transportation were more likely to screen positive for depression.As a conclusion, the team of researchers hopes their findings are a call to action for providing comprehensive employee assistance services to help essential workers in all industries “cope with the psychological distress during the COVID-19 pandemic.”The study was published in the Journal of Occupational and Environmental Medicine. 2241

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