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Some of the top scientists and doctors in the country are calling on leaders to do something different immediately to improve the state of the COVID-19 pandemic.The American Association of Medical Colleges released a road map to reset the country's approach to the crisis. It includes evidence-based actions to improve outcomes and overall health.Improvements include things the country still hasn't got a grip on, like critical supply and drug shortages, increasing testing, an setting national standards for face coverings.“There is literally no risk to wearing a mask for the average person. You may be uncomfortable, you may be hot, you may break out, but it is nowhere as uncomfortable as it would be for having me or one of my colleagues intubate you and put you on a ventilator for an extended period of time,” said Dr. Atul Grover, Executive Director at the AAMC Research and Action Institute.A recent study by Duke of various face masks found the N95 respirator with no valve is the most effective. But these should be reserved for health care workers.A disposable surgical mask made from a plastic material called polypropylene was the next best option.Third was a mask with two layers of cotton and one layer of synthetic material.Masks made from cotton fabric alone, as well as knit t-shirts, performed about the same.“So, you are also protecting yourself,” said Grover. “In fact, if we can get up to 80, 90% of us wearing masks in a community, you could start to reduce that transmission by 2 or 3% at a pretty steady rate.”The AAMC roadmap to reset also mentions an immediate need for something we haven't seen yet, a vaccine distribution plan.“But somebody needs to sit down and say within those high-risk groups of comorbidities, whether that’s diabetes, obesity, hypertension, heart failure, who should be vaccinated first? Is it by age? Is it by condition? And even among first responders, do I start with police doctors, paramedics?”The Centers for Disease Control and Prevention (CDC) has not released a vaccine distribution plan. It has asked four states and one city to draft plans for how they would distribute and who would get priority. Those plans will be shared with other states. 2215

Should you pay sales tax on your online purchases?Chances are good you already do, even though the law requires online retailers to collect the tax only in states where they have a physical presence.Amazon and Walmart, two of the giants of online retailing, collect sales tax on all their sales in the 45 states that have a statewide sales tax.But many other smaller retailers don't collect sales tax unless they have a physical presence in the state where the buyer lives, relying on a 26-year old Supreme Court decision that was related to catalog retailers. Many of the sales on Amazon's and Walmart's sites are actually done by smaller retailers using those sites as their platform. For example, Amazon says half of the sales on the site are by small and medium size retailers.On Tuesday the Supreme Court is hearing arguments whether to overturn its 1992 decision when it hears a new case focused on online purchases, South Dakota vs. Wayfair.A reversal could mean that all online retailers must collect sales tax everywhere. It's an issue that brick-and-mortar retailers insist will provide a level playing field with online competitors, and help to provide state and local governments with the tax revenue they deserve."The current tax system favors online retailers over brick-and-mortar businesses, and undermines fair and open competition in the marketplace," the National Retail Federation argues in a brief it filed in the case.President Donald Trump has claimed Amazon doesn't collect sales taxes, even though the company does.The Trump administration will join the oral argument in favor of online retailers being required to collect sales taxes everywhere.Those fighting the change say that it would impose an undue burden on small retailers who would owe not just state sales taxes but local sales taxes that many states and counties also impose. Wayfair argues more than 16,000 different taxing units could demand sales tax collections.South Dakota says it is looking to start collecting taxes only for future online sales, but But Wayfair's attorneys argue in court filings that many other states and local governments could demand years of back sales taxes, forcing retailers to go through costly audits of past sales and make back payments that could bankrupt some companies."South Dakota's choice to forego its remedy for back taxes in the event that the Court were to overrule [existing law] will not limit the retroactive application of such a ruling with respect to other state and local jurisdictions," said Wayfair's attorneys.And while the issue is portrayed as one of fairness for small brick-and-mortar retailers that have to compete against online retailers, experts say those small retailers could be among the ones that get hurt.Many small retailers depend on online sales. If they have to start complying with the complexities of collecting and remitting sales taxes nationwide, many could be forced to abandon that part of their business."Those smaller retailers are now starting to see an ability to compete with the big guys like Amazon and Walmart," said Sam Cinquegrani, CEO of ObjectWave, a digital strategy and services firm. "Now it might be something else that is going to take them back a step." 3256

ST. PETERSBURG, Fla. (AP) — Florida shattered the national record Sunday for the largest single-day increase in positive coronavirus cases in any state since the beginning of the pandemic, adding more than 15,000 cases as its daily average death toll continued to also rise.According to state Department of Health statistics, 15,299 people tested positive, for a total of 269,811 cases, and 45 deaths were recorded.California had the previous record of daily positive cases — 11,694, set on Wednesday. New York had 11,571 on April 15.The numbers come at the end of a grim, record-breaking week as Florida reported 514 fatalities — an average of 73 per day. Three weeks ago, the state was averaging 30 deaths per day. Since the pandemic began in March, 4,346 people have died in Florida of COVID-19, the state says.Testing has doubled over the last month, going from about 25,000 tests per day to almost 50,000, but the percentage of people testing positive has risen even more dramatically. A month ago, fewer than 5% of tests came up positive on a daily average. Over the past week, the daily average exceeded 19%.About 10.7% of Saturday’s 143,000 tests came up positive, with an average age of 38. “I still think we need to increase our testing a little bit more,” said University of Florida epidemiologist Dr. Cindy Prins, adding that the state and local health departments should ramp up their contact tracing.Prins said that she's still concerned about large crowds, gyms and some restaurants as being places of mass transmission. Reports of illegal clubs and raves in South Florida is also a worry, she said.“I really do think we could control this, and it’s the human element that is so critical. It should be an effort of our country. We should be pulling together when we’re in a crisis, and we’re definitely not doing it,” she said. “I know people want to live their lives. There have been a lot of other times, people have made those sacrifices in order to benefit our society. It’s almost like a war effort. That’s what we need right now.”Terry Shaw, AdventHealth’s president and CEO, said Sunday on CBS’ Face the Nation that the peak of COVID-19 hospitalizations in Florida will be “sometime in front of us in July."While on the program, he said that the health system, which has hospitals in nine states including 30 in Florida, has adequate PPE, a stockpile of ventilators and a clinical team that’s learned how to better treat the disease.“I give you an example. Our length of stay in our ICU for COVID patients has dropped in half. The number of people coming in to our hospital with COVID that need a ventilator, we’ve also been able to cut that in half. And because of those things, our death rate has also been cut in half" since the beginning of the pandemic,” he saidThe health system’s ICU capacities in Florida are currently running at about 85% to 90%. He said the system could turn some “progressive care units" into ICU units if needed.Hospitals in several counties have stopped doing elective surgeries. HCA West Florida have ceased inpatient elective procedures at hospitals in Hillsborough, Pinellas and six other nearby counties, said an HCA spokeswoman on Sunday. Florida ceased elective surgeries statewide from March until early May in order to free up beds, and to reserve personal protective equipment for health care workers caring for COVID-19 patients.Miami-Dade, Broward, and Palm Beach are the top three counties for hospitalizations, with 3,232 people hospitalized — 42 percent of the 7,542 people in hospitals statewide for coronavirus.Miami-Dade County Mayor Carlos Gimenez told CNN on Sunday that his county's hospitals will soon reach capacity, but he said more beds can be added, including for intensive care.“We still have capacity, but it does cause me a lot of concern,” he said.Throughout May and into June, the state reopened much of its economy with some restrictions — and the number of positive cases began rising, but it wasn't until the last week that the daily death total began rising, too.Because of the increase in cases and the positivity rate, doctors have predicted a rise in deaths, saying the mortality rate usually increases two to four weeks later as some of those infected get sicker and eventually die. Health experts are concerned that people are gathering in crowds, and have expressed concern that the Republican National Convention's nomination party for President Donald Trump will be held in Jacksonville in August.On Saturday, the Magic Kingdom and Animal Kingdom reopened at Walt Disney World in Orlando, concerning health experts who urge people not to gather in groups. Guests at the park said that people were wearing masks and social distancing, and videos showed near-empty parks.Florida Gov. Ron DeSantis said that even with the rising rates, he still wants the schools to reopen as scheduled next month, saying children have not proven to be vectors for the disease in states and countries where campuses are open. He said while each county will have to come up with procedures, depending on their local infection rate, not opening the schools would exacerbate the achievement gap between high- and low-performing students.“We know there are huge, huge costs for not providing the availability of in-person schooling,” he said. “The risk of corona, fortunately, for students is incredibly low.”Helen Ferre, a spokeswoman for DeSantis, said Sunday that the state has tested more than 2.4 million people for COVID-19.Ferre said the important statistic isn’t the raw number of positives, but the percentage — on Sunday, it was just over 11%, about 8 percentage points lower than the weekly average.“The more people who get tested and are proportionately reporting negative for this virus is meaningful,” she wrote in an email to The Associated Press.Meanwhile, a commissioner for a county near Jacksonville is seriously ill with the virus, according to a posting by his daughter on Facebook.St. Johns County Commissioner Paul Waldron had recently voted against a county ordinance requiring masks, but not because he opposed them. He said he wanted more answers from county administrators about which masks are most effective and whether the county had enough for employees and visitors at government buildings. 6300

Staff members at JP Morgan Chase came back from the Labor Day weekend to an email allegeding some employees and customers of the large bank may have acted in ways “that does not live up to our business and ethical principles — and may even be illegal,” according to a company memo obtained by multiple media outlets.The bank’s operating committee, led by CEO Jamie Dimon, sent the email Tuesday morning. It talked about how the pandemic has brought out the best in many workers, however there have been instances where, the company believes, customers have abused the government’s coronavirus relief programs.“This includes instances of customers misusing Paycheck Protection Program loans, unemployment benefits and other government programs. Some employees have fallen short, too,” the memo reads, according to CNBC.JP Morgan Chase has issued nearly 300,000 loans, for a total of almost billion under the Paycheck Protection Program, according to ABC News.No further details about what kind of “misuse” or unethical behavior the bank is citing. They only said they are working to “identify those instances, and cooperate with law enforcement where appropriate.”Accusations of fraud or otherwise problematic loans have come up all summer. In June, when some of the businesses who received loans became public, some names raised some eyebrows, including Kanye West’s fashion brand.The House Select Subcommittee on the Coronavirus Crisis announced that it has identified other possible fraudulent activity within the PPP program, including more than billion awarded to businesses that received multiple loans.Another billion was given to companies who reportedly didn’t include complete information from applicants. 1732

SPRING VALLEY, Calif. (KGTV) - An emotional reunion for a woman in Spring Valley with the first responders who helped save her after a crash. Megan Carbonell was reunited Monday with several of the paramedics with the San Miguel Fire Department. They were first on the scene in September of 2017 when she was struck by a driver while crossing Cristobal Drive wither her daughter. She suffered severe injuries, but survived. “If it wasn’t for you guys I wouldn’t be here,” she told the group of firefighters. 515