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As hospitals are becoming overwhelmed with COVID-19 patients, North Dakota is permitting coronavirus-positive health care workers to continue assisting patients.The guidance stipulates that the health care workers must remain asymptomatic and take enhanced precautions in order to stay on the job. This comes as travel nurses are stretched thin as dozens of states are reporting record hospitalizations.Given the situation in North Dakota and elsewhere, it is possible more states will have to follow suit and continue using infected staff members in order to provide care. The CDC has spelled out guidance in these situations.The CDC says hospitals must exhaust a number of other guidelines, including adding travel nurses, postponing elective medical procedures, and postpone elective time off, before going into a crisis staffing situation.“If shortages continue despite other mitigation strategies, consider implementing criteria to allow HCP (health care personnel) with suspected or confirmed COVID-19 who are well enough and willing to work but have not met all Return to Work Criteria to work,” the CDC’s guidance states. “If HCP are allowed to work before meeting all criteria, they should be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) and facilities should consider prioritizing their duties in the following order:1. If not already done, allow HCP with suspected or confirmed COVID-19 to perform job duties where they do not interact with others (e.g., patients or other HCP), such as in telemedicine services.2. Allow HCP with confirmed COVID-19 to provide direct care only for patients with confirmed COVID-19, preferably in a cohort setting.3. Allow HCP with confirmed COVID-19 to provide direct care for patients with suspected COVID-19.4. As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19.”North Dakota Gov. Doug Burgum spelled out the challenges facing his state.“Our hospitals are under enormous pressure now,” Burgum said. “We can see the future two, three weeks out, and we know that we have severe constraints.”Despite Burgum’s warning, his state is among the ones not to issue an order requiring masks in public places.In update CDC guidance, the agency says that masks can reduce the viral load for the wearer, in addition to prevent the spread of the virus.Steven Weiser, MD, president of Altru Health System in Grand Forks, North Dakota,, wrote in an op-ed about the toll the virus is having on workers. "Your neighbors in healthcare are pleading with you – they are tired, they are covering shifts for their colleagues who cannot work, they are working in new areas and rallying together to ensure that our promise of providing care to our community is upheld," Weiser wrote. "I ask you, on behalf of our team of healthcare workers, to please take the recommendations... very seriously. This is about protecting our at-risk community members and friends. We need your partnership to stop the spread, now. Doing so will save lives." 3105
An employee at an Arizona pizza restaurant may lose his eye after being attacked by a woman with a stiletto. Scottsdale Police report that on Fbe. 19 they were called to Gus' Pizza.Witnesses reportedly told police that 32-year-old Kris May Loring fell out of her chair and onto the floor. She left the restaurant thinking other customers were laughing at her. Police say a few minutes later her boyfriend entered the business, yelled at the customers and allegedly threw pizza at them. While Aaron Walter, a security guard for Gus' Pizza Lounge, attempted to detain the man, police say Loring, "took off her stilettos and charged at the victim." She delivered, "deliberate and violent blows towards the victim's head." “I was kind of holding the back of her boyfriend’s neck, just kind of holding him down while he’s blowing off some steam, and next thing you know, I was hit in the eye,” said Walter. Police say one of the stilettos struck Walter in the eye causing a severe laceration. Walter was hospitalized for several days, and his vision has returned since the attack. “I'm glad it was a stiletto.. I'm glad it wasn’t a knife or a gun,” said Walter. Upon her arrest, Loring allegedly threatened to "bite the nose off the arresting officer." She is facing multiple charges including aggravated assault.Despite what happened, Walter says he holds no ill will towards Loring.“I want her to have a wonderful life, I want her kids to prosper, I want her husband to prosper, and I want everyone to just live." 1579

ARCADIA, Calif. (AP) — A fifth horse has died at Santa Anita this fall, the 35th overall fatality since Dec. 26 at the Southern California racetrack.G Q Covergirl injured both her front legs Friday on the training track. The 5-year-old mare was euthanized on the advice of the attending veterinarian.Trained by two-time Kentucky Derby winner Doug O'Neill, G Q Covergirl had six wins in 16 career starts and earnings of 0,730. She had won her last two starts and finished in the money in all of her six races this year. O'Neill also owned the mare in a partnership.The training track has caused the fewest number of breakdowns. However, there have been three deaths on it since the fall meet began on Sept. 27, including one that was believed to be a heart attack. The other two fatalities occurred during races.Santa Anita hosts the Breeders' Cup world championships next weekend. 891
ANZA-BORREGO (CNS) - A mild earthquake shook the far eastern reaches of San Diego County late Wednesday afternoon.The 3.1-magnitude temblor, centered about 10 miles northeast of Mount Laguna in the Anza-Borrego area, struck shortly after 5 p.m., according to the U.S. Geological Survey.No damage or injuries related to the quake were reported. 351
Apple's latest move in China has privacy advocates and human rights groups worried.The U.S. company is moving iCloud accounts registered in mainland China to state-run Chinese servers on Wednesday along with the digital keys needed to unlock them."The changes being made to iCloud are the latest indication that China's repressive legal environment is making it difficult for Apple to uphold its commitments to user privacy and security," Amnesty International warned in a statement Tuesday.The criticism highlights the tradeoffs major international companies are making in order to do business in China, which is a huge market and vital manufacturing base for Apple.In the past, if Chinese authorities wanted to access Apple's user data, they had to go through an international legal process and comply with U.S. laws on user rights, according to Ronald Deibert, director of the University of Toronto's Citizen Lab, which studies the intersection of digital policy and human rights."They will no longer have to do so if iCloud and cryptographic keys are located in China's jurisdiction," he told CNNMoney.The company taking over Apple's Chinese iCloud operations is Guizhou-Cloud Big Data (GCBD), which is owned by the government of Guizhou province. GCBD did not respond to requests for comment.The change only affects iCloud accounts that are registered in mainland China.Apple made the move to comply with China's latest regulations on cloud services. A controversial cybersecurity law, which went into effect last June, requires companies to keep all data in the country. Beijing has said the measures are necessary to help prevent crime and terrorism, and protect Chinese citizens' privacy.The problem with Chinese cybersecurity laws, Deibert said, is that they also require companies operating in China "to turn over user data to state authorities on demand -- Apple now included."Other big U.S. tech companies have had to take similar steps -- Amazon and Microsoft also struck partnerships with Chinese companies to operate their cloud services in the country.Apple says that it did advocate against iCloud being subject to the new law, but was unsuccessful."Our choice was to offer iCloud under the new laws or discontinue offering the service," an Apple spokesman told CNN. The company decided to keep iCloud in China, because cutting it off "would result in a bad user experience and less data security and privacy for our Chinese customers," he said.Apple users typically use iCloud to store data such as music, photos and contacts.That information can be extremely sensitive. Earlier this month, Reporters Without Borders urged China-based journalists to change the country associated with their iCloud accounts -- which is an option for non-Chinese citizens, according to Apple -- or to close them down entirely.Human rights groups also highlighted the difficult ethical positions Apple could find itself in under the new iCloud arrangement in China.The company has fought for privacy rights in the Unites States. It publicly opposed a judge's order to break into the iPhone of one of the terrorists who carried out the deadly attack in San Bernardino in December 2016, calling the directive "an overreach by the US government."At the time, CEO Tim Cook said complying with the order would have required Apple to build "a backdoor to the iPhone ... something we consider too dangerous to create."Human Rights Watch questioned whether the company would take similar steps to try to protect users' iCloud information in China, where similar privacy rights don't exist."Will Apple challenge laws adopted by the Chinese government that give authorities vast access to that data, especially with respect to encrypted keys that authorities will likely demand?" asked Sophie Richardson, China director for Human Rights Watch.Apple declined to answer that question directly, but it pushed back on concerns that Chinese authorities will have easy access to iCloud users' data."Apple has not created nor were we requested to create any backdoors and Apple will continue to retain control over the encryption keys to iCloud data," the Apple spokesman said."As with other countries, we will respond to legal requests for data that we have in our possession for individual users, never bulk data," he added.Rights groups and privacy advocates are not convinced."China is an authoritarian country with a long track record of problematic human rights abuses, and extensive censorship and surveillance practices," Deibert said.Apple users in China should take "extra and possibly inconvenient precautions not to store sensitive data on Apple's iCloud," he advised.Most of those users have already accepted the new status quo, according to Apple. So far, more than 99.9% of iCloud users in China have chosen to continue using the service, the Apple spokesman said. 4875
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