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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

ARROYO GRANDE, Calif. (AP) — Cal Fire alleges that fast food chain In-N-Out was responsible for a 2017 wildfire in rural Arroyo Grande, according to a lawsuit filed in San Luis Obispo Superior Court.The San Luis Obispo Tribune reports that Cal Fire claims the September 2017 wildfire was caused by a tractor mowing grass on In-N-Out property, saying it was covered in “dry annual grasses and scattered brush, which created a receptive bed of flammable vegetation.” The agency also claims the tractor was improperly maintained and the driver allowed the fire to spread.Cal Fire is seeking roughly .2 million from the burger chain to recoup costs.The fire burned about 245 acres (99 hectares) in four days. In-N-Out did not respond to a request from The Tribune.___Information from: The Tribune, http://www.sanluisobispo.com 832

As federal government aid begins to wane, hotels across the US says that the majority of jobs in the industry could disappear in the coming months.According to a Hotel & Lodging Association survey, 74% of hotel jobs could be eliminated if additional federal funds are not dispersed to the hospitality industry. Of those surveyed, 69% of operators said that hotel stays have been cut by more than half.The Hotel & Lodging Association says that one in 25 US jobs are supported by the hotel industry, equaling 8 million jobs.According to the federal government, the hospitality industry in total had 16 million employees before the pandemic. In April, that number was cut in half. Federal statistics show about half of the jobs lost in the spring have been regained. But many of those jobs remain in peril.Two-thirds of hotels say that they will go out of business if current revenues remain constant for the next six months."It's time for Congress to put politics aside and prioritize the many businesses and employees in the hardest-hit industries. Hotels are cornerstones of the communities they serve, building strong local economies and supporting millions of jobs," said Chip Rogers, president and CEO of the American Hotel & Lodging Association. "Every member of Congress needs to hear from us about the urgent need for additional support so that we can keep our doors open and bring back our employees."For months, proposed stimulus packages have been stalled as House Democrats, Senate Republicans and the White House have lacked agreement on a set of proposals. While hotels and other businesses in the hospitality industry saw a boost thanks to the CARES Act, those funds are running low.The similarly impacted airline industry has said that thousands of jobs in its industry will be eliminated on October 1 without additional funding. 1863

Another federal judge has overruled the Trump administration's efforts to end a popular immigration program -- this time saying the government has to accept new applications.The ruling on the Deferred Action for Childhood Arrivals program, however, won't take immediate effect, with the judge delaying the ruling for 90 days to allow the administration to make its case.Similar to the other rulings, Judge John Bates concluded that the wind-down of DACA was "arbitrary and capricious" because the Department of Homeland Security failed to "adequately explain its conclusion that the program was unlawful." The judge also accused the government of providing "meager legal reasoning" to support its decision.A George W. Bush appointee to the US District Court for the District of Columbia, Bates delayed the effect of his ruling "to allow the agency an opportunity to better explain its rescission."The DACA program, which protects young undocumented immigrants who came to the US as children, has already been resumed after President Donald Trump sought to end it in September, after two federal judges issued nationwide rulings to accept renewals of the two-year permits issued by the program and after the Supreme Court declined to circumvent the appeals process to overturn those decisions.But while the Department of Homeland Security has been processing renewal applications under those rulings, as the appeals make their way through the courts, Tuesday's ruling was the first to order the program to resume accepting new applications -- potentially opening the program to tens of thousands more immigrants than the roughly 700,000 currently protected.In September, the administration defended ending the program by saying it was likely to fall in the courts anyway, arguing a six-month wind-down of the program would be more orderly than a sudden end brought by the courts. No court has found DACA to be unconstitutional. 1944

Anti-scaling fence is set up at an entrance to Lafayette Park, Monday, Nov. 2, 2020, near the White House in Washington, on the day before the U.S. election. (AP Photo/Jacquelyn Martin) 193