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The conversation around wearing different protective gear is expanding. In particular, face shields.Teachers recently asked the nation’s top infectious disease expert, Dr. Anthony Fauci, about it and he said, “if you can get one, it’s not a bad idea.”Fauci went on to say that a shield shouldn't necessarily be worn in place of a mask, but more parents are considering the option for kids.“For some of the kids, a mask just isn't going to work. And in those cases, a face shield can be considered, but I think it needs to be understood that that’s not the default,” said Dr. Preeti Malani with the Infectious Diseases Society of America.Infectious disease experts say there just isn't enough data yet on how much protection a face shield provides.One study found it did significantly reduce the number of inhaled droplets, but cloth masks are also about protecting others. Shields were not as sure to do that as well.“If you're wearing a shield, the respiratory secretions that might be coming from your mouth or nose are not going to be as well contained,” said Malani.In the health care setting, face shields are used primarily to prevent splashing in the eyes.Malani offered this advice about finding the right shield.“It’s important that it’s long enough to really protect the whole face and that it wraps around fully and that it fits well up at the forehead,” said Malani.Companies, including Apple, Nike, General Motors, and John Deere have all started producing face shields.In a JAMA Network open viewpoint, it was pointed out that face shields have some advantages over masks. They can be reused indefinitely, they are easier to clean, they are comfortable, and they help prevent touching of the face. 1719

The Carr Fire raging in Northern California is so large and hot that it is actually creating its own localized weather system with variable strong winds, making it difficult for experts to predict which way the blaze will spread.At least seven people were still missing in Shasta County, California, as shifting winds, dry fuel and steep terrain helped the monstrous fire engulf almost 100,000 acres by Sunday night, authorities said.The fire has claimed six lives, including a firefighter and bulldozer operator working to extinguish the blaze.Sixteen people had been reported missing, but nine of those have been found safe, according to Shasta County Sheriff Tom Bosenko, who spoke at a Sunday news conference.The fire, which started a week ago, has burned 98,724 acres and is just 20 percent contained, according to the California Department of Forestry and Fire Protection, known as Cal Fire.Flames have destroyed at least 966 structures in the area, making it one of the top 10 most destructive wildfires in California history. In fact, 7 of the 12 most destructive fires have happened since 2015.PHOTOS: See damage done by Carr Fire in California"We are seeing more destructive, larger fires burning at rates that we have historically never seen," said Jonathan Cox, Cal Fire regional Battalion Chief. 1321

The Florida State Senate passed a bill Monday that would raise the age to buy a firearm from 18 to 21, require a three-day waiting period for most gun purchases and ban the sale or possession of bump fire stocks, which can make it easier for a semi-automatic weapon to function like an automatic rifle.The "Marjory Stoneman Douglas High School Public Safety Act" (SB 7026) would also give law enforcement more power to seize weapons and ammunition from those deemed mentally unfit or otherwise a threat and provide additional funding for armed school resource officers and for mental health services.The Senate measure comes more than two weeks after a gunman killed 17 students and teachers at Marjory Stoneman Douglas High School. Stoneman Douglas students and parents have lobbied lawmakers to pass stricter gun control measures.The bill now moves to the Florida House. It's not immediately clear when the House will take up the measure. 948

The forensic pathology industry is facing a workforce shortage. These are the men and women who determine how and why a death happens. They are being overwhelmed, and the pandemic has only made things worse.“What you’re seeing now is part of our autopsy examination room,” said Francisco Diaz as he walked around the Office of the Chief Medical Examiner in Washington D.C. He is the deputy chief medical examiner.“The purpose of the medical examiner is to do two things, to determine why people die and to classify the manor of death,” he said.Diaz and his team have their hands full. Here, bodies are brought in, x-rayed, and analyzed every day. Most of them are bodies of those who have died of unnatural causes, like homicide, suicide, and certain accidents.They’re brought here, where seven forensic pathologists work.“As medical examiners and forensic pathologists you are dealing with death and tragedy every single day,” he said.This year the volume has been higher than usual, in large part because of the COVID-19 outbreak. “The peak of our pandemic was April, May. At that time we had that emergency morgue off campus,” Diaz explained. “We handled approximately 400 descendants or dead bodies.”The increase in autopsies needed is not only due to COVID-19 directly, but other ripple effects.“What I see as a consequence of the pandemic is a lot of people are dying at home because they choose not to seek medical attention because they may have concerns that they may get contaminated at hospitals,” Diaz said.If they die at home, they’re sent straight to D.C.’s Medical Examiner’s Office. Most people who die in a hospital are handled by the hospital, except for in certain jurisdictions like D.C. where they will help out with the hospital's cases as well.Regardless of where the cases are coming from, jurisdictions are strapped for resources. It’s a problem across the industry right now -- one that’s been facing a workforce shortage for years.“A lot of the policy makers think that it's a waste of money. You're just spending money on the dead, but everything we do is for the living,” said Victor Weedn, Forensic Science Professor at George Washington University. He’s an expert in the forensic pathology industry.“We are terribly undermanned, under served these days. It is thought we have 500 to 600 board certified forensic pathologists working in the field across the United States and that's simply not enough. It’s estimated we really ought to have 1,200 to 1,500 forensic pathologists.”The lack of workers has become more evident due to the pandemic, and also a growing epidemic. “And then the opioid crisis hit. That immediately caused 10% to 30% more cases because of all the overdose deaths,” Weedn said. “On top of that you have the COVID pandemic. The overdose cases have not declined, in fact they've continued to increase. And now we’re seeing a wave of homicides increasing our caseload still further. We are facing a true workforce shortage.”Weedn also talked about how some of their investigations on COVID-19 patients who passed helped answer some questions we had early on in the pandemic.Increasing a workers caseload is not a great option, according to Weedn. The National Association of Medical Examiners has accreditation standards.“A forensic pathologist really isn't supposed to do more than 250 autopsies a year. If you have more than that it’s considered an infraction of the standard,” he said. “When you start doing more than that, things get lost. Details get lost.”This puts many offices in a bind. “In the face of such a severe workforce shortage you find that people have changed the criteria for what deaths they will investigate and that means there are certain deaths that will go uninvestigated. A murderer could get away with murder. That’s certainly a possibility,” Weedn explained.As the workload remains heavy for many jurisdictions, Diaz said education and exposure for the industry might be their best bet in getting more interest.“I think every crisis brings an opportunity. And I think this is an opportunity for forensic pathology to be on the forefront and let the public at large know what we do, how we do it, and to encourage young people to pursue a career in forensic pathology,” Diaz said. 4266

The chemotherapy dripped through a catheter in his chest. Cancer patient Robert Goodman had burned through his paid sick days while undergoing surgery and chemotherapy for colon cancer.The Florida public school teacher figured he needed at least 20 additional sick days to deal with more chemotherapy, days he just didn't have. So on July 23, right there in a room at Tomsich Health and Medical Center of Palm Beach County, Goodman took a selfie, posted it on Facebook and appealed for help.Within four days he had enough sick days to cover an entire semester."I couldn't believe it happened so fast," Goodman, 56, told CNN.Teachers, staff members, administrators and even lunchroom workers who pay into the Florida retirement system transferred 75 sick days to Goodman."Educators all over the country were reaching out to me to donate their sick days, even professors over at Florida Atlantic University," he said. "I felt guilty because I knew there were people who had it much worse than me." 1003

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