REPUBLIC COUNTY —The Kansas Department of Health and Environment, along with local public health, are advising people who attended an auction in Republic County on September 26 that they may have been exposed to COVID-19, as six of cases have been connected to the event to date, according to a media release from KDHE.

 The auction was held at 208 Bedford Street in Cuba, Kansas on September 26 from about 9 a.m. to 2:30 p.m. This auction had attendees from other communities in Kansas as well as those from out of state.

Anyone who attended this event should be aware of symptoms of COVID which can develop up to 14 days after exposure. Those symptoms include fever, cough, chills, muscle pain, sore throat, new loss of taste or smell, fatigue, diarrhea, and/or shortness of breath/difficulty breathing. If symptoms develop, please stay home and contact your health care provider or local health department for guidance on testing. In an emergency please call 911 and notify first responders that you were potentially exposed to COVID-19 and, if possible, wear a cloth face mask before they arrive.

REPUBLIC COUNTY —The Kansas Department of Health and Environment, along with local public health, are advising people who attended an auction in Republic County on September 26 that they may have been exposed to COVID-19, as six of cases have been connected to the event to date, according to a media release from KDHE. The auction was held at 208 Bedford Street in Cuba, Kansas on September 26 from about 9 a.m. to 2:30 p.m. This auction had attendees from other communities in Kansas as well as those from out of state.Anyone who attended this event should be aware of symptoms of COVID which can develop up to 14 days after exposure. Those symptoms include fever, cough, chills, muscle pain, sore throat, new loss of taste or smell, fatigue, diarrhea, and/or shortness of breath/difficulty breathing. If symptoms develop, please stay home and contact your health care provider or local health department for guidance on testing. In an emergency please call 911 and notify first responders that you were potentially exposed to COVID-19 and, if possible, wear a cloth face mask before they arrive.

KDHE: COVID-19 cases linked to Republic Co. auction

By CELIA LLOPIS-JEPSEN <a href="https://www.kcur.org/news/2020-10-08/clues-from-the-blood-of-kansans-suggest-the-coronavirus-pandemic-could-stick-around-for-a-long-time">Kansas News Service</a>

Perhaps two in every 50 Kansans have <a href="https://www.livescience.com/antibodies.html" target="_blank">antibodies</a> swimming in their bloodstream that show they’ve had COVID-19.

That relatively low number — based on the assumption that <a href="https://www.redcross.org/give-blood.html" target="_blank">blood donors</a>
 reflect the broader population — suggests a gloomy reality. Kansas is 
still in the early days of this pandemic and it's looking at a future 
likely to bring many more cases than it has so far seen.

“Absolutely,”
 said Roger Shapiro, an immunologist at Harvard University’s School of 
Public Health. “When you look at these figures, you realize how far we 
are from herd immunity.”

The overwhelming number of Kansans, perhaps more than 95%, haven’t yet experienced the virus that has killed more than <a href="https://coronavirus.jhu.edu/data/mortality" target="_blank">200,000 Americans</a>.

So
 medical pros say the only thing to do is sit tight, keep your masks on 
and stay away from other people, until we have a vaccine.

“This
 is not the time to play a guessing game of, ‘Do I have the flu or do I 
have COVID?’” said Gigi Gronvall, an immunologist at Johns Hopkins’ 
Center for Health Security.

Many people still can’t get fast 
coronavirus tests that would let them isolate in time to stop the 
disease from spreading further, and hospitals remain at risk of getting 
overwhelmed by coronavirus and flu cases this fall.

The
 human body produces antibodies when exposed to a disease, to fend it 
off. And those microscopic defenders can stick around after recovery.

So the American Red Cross screens blood donations for antibodies against <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it" target="_blank">SARS-CoV-2</a>, the virus behind COVID-19. It then sends <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=160&amp;ContentID=37" target="_blank">plasma</a>
 with the specialized proteins to hospitals treating coronavirus 
patients, and it reports how often it detects the antibodies to state 
health agencies trying to piece together the bigger picture.

Nationally, the <a href="https://www.redcross.org/give-blood.html" target="_blank">Red Cross</a> has tested about 1.2 million blood donations for the antibodies.

From
 mid-June to mid-September, it found them in about 2% of donations 
nationally. The same was true for Kansas donors. It’s not known how well
 that statistic might reflect the broader population.

Weekly 
tallies suggest the number of people carrying the antibodies has ticked 
upward in Kansas, as elsewhere. In recent weeks, the Red Cross reported 
antibodies in 4% to 5% of Kansas donations.

Could someone with 
antibodies catch the virus again a year from now and get seriously sick?
 How about two years from now? Or could they catch it, not show any 
symptoms, and spread the virus anyway? Scientists can’t yet say.

“This
 is not a get-out-of-jail-free card,” Gronvall said. If a test shows you
 have antibodies, she said, you should still wear a mask and follow 
social distancing rules.

Recent reports of a few patients catching the novel coronavirus <a href="https://www.statnews.com/2020/08/28/covid-19-reinfection-implications/" target="_blank">more than once</a>
 in a relatively short time may not signal what to expect for most 
people, but leave open the possibility that one infection doesn’t 
protect you against another.

The Red Cross reported in <a href="https://jamanetwork.com/journals/jama/fullarticle/2770771" target="_blank">a medical journal</a>
 last month that blood donations from people of color test positive for 
the antibodies at a higher rate than blood from white donors.

That matches <a href="https://www.mayoclinic.org/diseases-conditions/coronavirus/expert-answers/coronavirus-infection-by-race/faq-20488802" target="_blank">other research</a>
 that shows communities of color bearing the brunt of the pandemic. It 
likely reflects broader social and economic disparities, such as lower 
incomes and a greater likelihood of working high-risk jobs that involve 
in-person contact with many customers or colleagues in a single day.

The virus spread fast in crowded Kansas <a href="https://www.hppr.org/post/emails-show-kansas-agencies-helped-keep-meatpacking-plants-open-despite-concerns-about" target="_blank">meatpacking plants</a>, for example, that rely heavily on the labor of people of color in southwest Kansas.

Some
 studies and modeling point to higher antibody rates nationally and 
globally than the Red Cross has seen among blood donors, but still don’t
 offer good news.

“The (World Health Organization) just came out with an estimate that maybe <a href="https://abcnews.go.com/Health/wireStory/10-worlds-people-infected-virus-73427817" target="_blank">up to 10%</a>
 of the world has been infected,” Shapiro said. “But even at that 
number, we’re still so far from achieving herd immunity. … We really 
need to create immunity with a vaccine.”

Vaccines <a href="https://www.cdc.gov/vaccines/hcp/conversations/downloads/vacsafe-understand-color-office.pdf" target="_blank">mimic natural infections</a>. They kick a person’s immune system into gear so that it churns out antibodies and stores viral information in <a href="https://askabiologist.asu.edu/memory-b-cell" target="_blank">memory cells</a>
 that could defend us even after those antibodies fade. (Researchers 
have found SARS-CoV-2 antibodies triggered by natural infection two or 
even three months after infection, and say it varies from person to 
person.)

Ongoing coronavirus vaccine trials aim to check how 
protective these immune responses will prove long-term, and whether 
people will need booster shots over time to keep their defenses up.

Part
 of the benefit from vaccines will ultimately come from the sheer number
 of people who would gain some level of protection at once.

“As we
 get to high enough vaccine levels, the herd immunity will actually just
 lower the amount of virus that’s circulating,” Shapiro said. “There 
will be just less virus around. This is our hope.”

The Red Cross’ free antibody tests serve three functions.

They
 gather the information that helps public health experts studying the 
virus’ spread, and they allow the Red Cross to flag plasma with 
antibodies for hospitals.

Scientists <a href="https://thehill.com/policy/healthcare/513405-science-inconclusive-on-use-of-convalescent-plasma-in-covid-19-patients" target="_blank">still can’t say</a> whether the donated plasma works for treating COVID-19. A separate, <a href="https://www.sciencemag.org/news/2020/09/provocative-results-boost-hopes-antibody-treatment-covid-19" target="_blank">lab-based approach</a>, may prove more effective.

But either way, donations remain as critical as ever to the nation’s blood supply.

And that’s a third reason for offering antibody tests. They attract people to <a href="https://www.redcross.org/give-blood.html" target="_blank">keep donating</a> amid the pandemic.

The
 Red Cross uses respected tests, and when a blood sample proves positive
 for antibodies, it double-checks with a second, high-quality process.

For
 people who had respiratory symptoms in recent months — but couldn’t get
 checked for COVID-19 because of the nationwide shortage of <a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-overview.html" target="_blank">viral tests</a> — that may satisfy their curiosity.

And
 that could help keep donations flowing as the pandemic hampers 
traditional blood drives, such as a major annual effort that would have 
attracted thousands of donors next week.

“The biggest blood
 drive the Red Cross does across the country is at the University of 
Missouri in Columbia,” said Joe Zydlo, a regional communications manager
 in St. Louis. “And that has been canceled.”

Meanwhile, Gronvall 
advises against buying an antibody test somewhere. After all, the 
information won’t help you medically, she said, and many products are 
unreliable anyway.

“There’s just been so many bad tests out there,” she said. “Right now I would not spend money on it.”

Celia Llopis-Jepsen reports on consumer health and education for the Kansas News Service. You can follow her on Twitter <a href="https://twitter.com/Celia_LJ" target="_blank">@celia_LJ</a> or email her at celia@kcur.org.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1602251360190.png" alt=" Photo illustration by Celia Llopis-Jepsen / Kansas News Service" />
 <figcaption> Photo illustration by Celia Llopis-Jepsen / Kansas News Service</figcaption>
 </figure>By CELIA LLOPIS-JEPSEN <a href="https://www.kcur.org/news/2020-10-08/clues-from-the-blood-of-kansans-suggest-the-coronavirus-pandemic-could-stick-around-for-a-long-time">Kansas News Service</a>Perhaps two in every 50 Kansans have <a href="https://www.livescience.com/antibodies.html" target="_blank">antibodies</a> swimming in their bloodstream that show they’ve had COVID-19.That relatively low number — based on the assumption that <a href="https://www.redcross.org/give-blood.html" target="_blank">blood donors</a>
 reflect the broader population — suggests a gloomy reality. Kansas is 
still in the early days of this pandemic and it's looking at a future 
likely to bring many more cases than it has so far seen.“Absolutely,”
 said Roger Shapiro, an immunologist at Harvard University’s School of 
Public Health. “When you look at these figures, you realize how far we 
are from herd immunity.”The overwhelming number of Kansans, perhaps more than 95%, haven’t yet experienced the virus that has killed more than <a href="https://coronavirus.jhu.edu/data/mortality" target="_blank">200,000 Americans</a>.So
 medical pros say the only thing to do is sit tight, keep your masks on 
and stay away from other people, until we have a vaccine.That, and get a flu shot.“This
 is not the time to play a guessing game of, ‘Do I have the flu or do I 
have COVID?’” said Gigi Gronvall, an immunologist at Johns Hopkins’ 
Center for Health Security.Many people still can’t get fast 
coronavirus tests that would let them isolate in time to stop the 
disease from spreading further, and hospitals remain at risk of getting 
overwhelmed by coronavirus and flu cases this fall.<h2>Clues in the blood</h2>The
 human body produces antibodies when exposed to a disease, to fend it 
off. And those microscopic defenders can stick around after recovery.So the American Red Cross screens blood donations for antibodies against <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it" target="_blank">SARS-CoV-2</a>, the virus behind COVID-19. It then sends <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=160&amp;ContentID=37" target="_blank">plasma</a>
 with the specialized proteins to hospitals treating coronavirus 
patients, and it reports how often it detects the antibodies to state 
health agencies trying to piece together the bigger picture.Nationally, the <a href="https://www.redcross.org/give-blood.html" target="_blank">Red Cross</a> has tested about 1.2 million blood donations for the antibodies.From
 mid-June to mid-September, it found them in about 2% of donations 
nationally. The same was true for Kansas donors. It’s not known how well
 that statistic might reflect the broader population.Weekly 
tallies suggest the number of people carrying the antibodies has ticked 
upward in Kansas, as elsewhere. In recent weeks, the Red Cross reported 
antibodies in 4% to 5% of Kansas donations.Could someone with 
antibodies catch the virus again a year from now and get seriously sick?
 How about two years from now? Or could they catch it, not show any 
symptoms, and spread the virus anyway? Scientists can’t yet say.“This
 is not a get-out-of-jail-free card,” Gronvall said. If a test shows you
 have antibodies, she said, you should still wear a mask and follow 
social distancing rules.Recent reports of a few patients catching the novel coronavirus <a href="https://www.statnews.com/2020/08/28/covid-19-reinfection-implications/" target="_blank">more than once</a>
 in a relatively short time may not signal what to expect for most 
people, but leave open the possibility that one infection doesn’t 
protect you against another.<h2>Greater risk</h2>The Red Cross reported in <a href="https://jamanetwork.com/journals/jama/fullarticle/2770771" target="_blank">a medical journal</a>
 last month that blood donations from people of color test positive for 
the antibodies at a higher rate than blood from white donors.That matches <a href="https://www.mayoclinic.org/diseases-conditions/coronavirus/expert-answers/coronavirus-infection-by-race/faq-20488802" target="_blank">other research</a>
 that shows communities of color bearing the brunt of the pandemic. It 
likely reflects broader social and economic disparities, such as lower 
incomes and a greater likelihood of working high-risk jobs that involve 
in-person contact with many customers or colleagues in a single day.The virus spread fast in crowded Kansas <a href="https://www.hppr.org/post/emails-show-kansas-agencies-helped-keep-meatpacking-plants-open-despite-concerns-about" target="_blank">meatpacking plants</a>, for example, that rely heavily on the labor of people of color in southwest Kansas.<h2>The need for a vaccine</h2>Some
 studies and modeling point to higher antibody rates nationally and 
globally than the Red Cross has seen among blood donors, but still don’t
 offer good news.“The (World Health Organization) just came out with an estimate that maybe <a href="https://abcnews.go.com/Health/wireStory/10-worlds-people-infected-virus-73427817" target="_blank">up to 10%</a>
 of the world has been infected,” Shapiro said. “But even at that 
number, we’re still so far from achieving herd immunity. … We really 
need to create immunity with a vaccine.”Vaccines <a href="https://www.cdc.gov/vaccines/hcp/conversations/downloads/vacsafe-understand-color-office.pdf" target="_blank">mimic natural infections</a>. They kick a person’s immune system into gear so that it churns out antibodies and stores viral information in <a href="https://askabiologist.asu.edu/memory-b-cell" target="_blank">memory cells</a>
 that could defend us even after those antibodies fade. (Researchers 
have found SARS-CoV-2 antibodies triggered by natural infection two or 
even three months after infection, and say it varies from person to 
person.)Ongoing coronavirus vaccine trials aim to check how 
protective these immune responses will prove long-term, and whether 
people will need booster shots over time to keep their defenses up.Part
 of the benefit from vaccines will ultimately come from the sheer number
 of people who would gain some level of protection at once.“As we
 get to high enough vaccine levels, the herd immunity will actually just
 lower the amount of virus that’s circulating,” Shapiro said. “There 
will be just less virus around. This is our hope.”<h2>Should you get an antibody test?</h2>The Red Cross’ free antibody tests serve three functions.They
 gather the information that helps public health experts studying the 
virus’ spread, and they allow the Red Cross to flag plasma with 
antibodies for hospitals.Scientists <a href="https://thehill.com/policy/healthcare/513405-science-inconclusive-on-use-of-convalescent-plasma-in-covid-19-patients" target="_blank">still can’t say</a> whether the donated plasma works for treating COVID-19. A separate, <a href="https://www.sciencemag.org/news/2020/09/provocative-results-boost-hopes-antibody-treatment-covid-19" target="_blank">lab-based approach</a>, may prove more effective.But either way, donations remain as critical as ever to the nation’s blood supply.And that’s a third reason for offering antibody tests. They attract people to <a href="https://www.redcross.org/give-blood.html" target="_blank">keep donating</a> amid the pandemic.The
 Red Cross uses respected tests, and when a blood sample proves positive
 for antibodies, it double-checks with a second, high-quality process.For
 people who had respiratory symptoms in recent months — but couldn’t get
 checked for COVID-19 because of the nationwide shortage of <a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-overview.html" target="_blank">viral tests</a> — that may satisfy their curiosity.And
 that could help keep donations flowing as the pandemic hampers 
traditional blood drives, such as a major annual effort that would have 
attracted thousands of donors next week.“The biggest blood
 drive the Red Cross does across the country is at the University of 
Missouri in Columbia,” said Joe Zydlo, a regional communications manager
 in St. Louis. “And that has been canceled.”Meanwhile, Gronvall 
advises against buying an antibody test somewhere. After all, the 
information won’t help you medically, she said, and many products are 
unreliable anyway.“There’s just been so many bad tests out there,” she said. “Right now I would not spend money on it.”Celia Llopis-Jepsen reports on consumer health and education for the Kansas News Service. You can follow her on Twitter <a href="https://twitter.com/Celia_LJ" target="_blank">@celia_LJ</a> or email her at celia@kcur.org.

Antibody tests show 'we’re still so far from achieving herd immunity'

MISSION, Kan. (AP) — Treating the sick and dying isn't even the toughest part for nurse Amelia Montgomery as the coronavirus surges in her corner of red America.

It's dealing with patients and relatives who don't believe the virus is real, refuse to wear masks and demand treatments like&nbsp;<a href="https://apnews.com/article/b9b6dc204d780fac7e6a79c1dbf21b8d">hydroxychloroquine,</a>&nbsp;which President Donald Trump has championed even though experts say it is not effective against the scourge that has killed over 210,000 in the U.S.

Montgomery finds herself, like so many other doctors and nurses, in a world where the politics of the crisis are complicating treatment efforts, with some people even resisting getting tested.

It's unclear how&nbsp;<a href="https://apnews.com/article/election-2020-virus-outbreak-donald-trump-infectious-diseases-michael-pence-a037f5cf6d6f14f90313a3aa7cd58043">Trump’s&nbsp;</a>bout with the virus will affect the situation, but some doctors aren't optimistic. After a few days of treatment at a military hospital, the president tweeted Monday, “Don’t be afraid of Covid. Don’t let it dominate your life. ... I feel better than I did 20 years ago!”

After one tough shift on the coronavirus unit at Cox South Hospital in Springfield, Montgomery went onto Facebook to vent her frustrations about caring for patients who didn't socially distance because they didn't believe the virus was real. The hospital later shared her post on its&nbsp;<a href="https://www.coxhealth.com/newsroom/letter-heart-covid-19-nurse/">website</a>.

She complained that some people demand the anti-malaria drug hydroxychloroquine and think the only patients who get really sick have underlying health problems.

“The majority of people don’t understand and can’t picture what we are seeing. That has been frustrating for all of us,” Montgomery said in an interview, adding: “It wears.”

Combating virus skeptics is a battle across the country.

In Georgia, at Augusta University Medical Center, visitors have tried to get around the mask requirement by wearing face coverings made of fishnet and other material with visible holes, something the hospital has dubbed “malicious compliance." People also have shown up with video cameras in an attempt to collect proof the virus is a hoax, said Dr. Phillip Coule, the health system's chief medical officer, who contracted the virus in July and has seen two staff members die.

“Just imagine that while you are caring for your own staff that are dying from this disease, and while you are trying to keep yourself safe, and you are trying to keep your family safe, and you are trying to deal with a disease that such little is known about, and then to have somebody tell you that it is all a hoax after you have been dealing with that all day," he said. “Imagine the emotional distress that that causes.”

He said most skeptics — including some who have argued with him on Facebook — are converted to believers when they get sick themselves. And he is starting to hear fewer people dismiss the virus entirely since the president was diagnosed.

“It is unfortunate that the president has contracted the disease, but it is difficult for groups who support the president to be out there saying it doesn’t exist," he said.

But he also said he fears people may draw the wrong lesson about the seriousness of the disease from what happened to Trump: "People may extrapolate that the risk for a 74 is low when the reality is the risk to a 74 year-old is quite high."

Dr. Beth Oller, who practices family medicine with her physician-husband in rural Kansas' Rooks County, isn't optimistic the president's diagnosis will change much in her community, where cases are on the rise, many resist masks, and weddings with hundreds of guests have been held in recent weeks.

“None of the things he did since he had it have helped us a bit, and, if anything, would fly in the face of it," she said, noting that the president took his mask off as soon as he returned to the White House. “All he did was continue to show people that the things we are saying to do are overblown and an overreaction. As a physician, it is so damn frustrating."

The issue has been a challenge in red states for months.

In Iowa, home health nurse Lisa Dockery was fired from her job caring for a boy with severe disabilities after arguing with his parents, who said COVID-19 is a “hoax.” The argument started because the parents refused to wear masks around Dockery and the boy, even though she told them their son's life was in danger because he has respiratory problems, relies on tube feedings and cannot walk, state unemployment records show.

The case ended with a judge ordering her former employer to pay her unemployment.

Dr. Gary LeRoy, president of the American Academy of Family Physicians, said he isn’t surprised that it has been so hard to persuade the public, noting that there was also a lot of denial as the Spanish flu was sweeping across the world a century ago, killing tens of millions of people.

“When you look at human history, it is what happens in every situation," he said. “In war, in famine, in disease, there is going to be a population of people where the bombs are dropping all around them and they don’t believe that it exists.”

Dr. Brad Burmeister, an emergency medicine physician at Bellin Hospital in Green Bay, Wisconsin, said he has encountered a few patients who have declined to be tested for the coronavirus despite having possible symptoms.

“They say they don’t want to become a statistic or some kind of rhetoric like that," he said, adding that he thinks a shift might be coming, given what happened to Trump. “It just sort of shows how infectious COVID-19 is and how easily it can spread, that even when you are taking all of those precautions, you can still get infected with the virus."

Dr. Natasha Bhuyan, a family physician in Phoenix, said politics often come up in discussions with patients who come in asking whether the death toll is being inflated.

“It’s an info-demic as well as a pandemic,” she lamented.

Dr. Jay W. Lee, a family physician in Orange County, California, recalled a patient who demanded the “largest hydroxychloroquine prescription you can give me."

“If I didn’t have my mask on, he would have seen my mouth agape,” said Lee, chief of the Share Our Selves medical clinics, adding that a small number of patients “flat-out said this was a hoax."

He has found himself turning to&nbsp;<a href="https://twitter.com/familydocwonk">social media</a>&nbsp;and meeting with elected leaders to combat some of the misinformation.

“I think part of it is we feel like we can’t just sit back and take it because silence is complicity,” he said.

MISSION, Kan. (AP) — Treating the sick and dying isn't even the toughest part for nurse Amelia Montgomery as the coronavirus surges in her corner of red America.It's dealing with patients and relatives who don't believe the virus is real, refuse to wear masks and demand treatments like&nbsp;<a href="https://apnews.com/article/b9b6dc204d780fac7e6a79c1dbf21b8d">hydroxychloroquine,</a>&nbsp;which President Donald Trump has championed even though experts say it is not effective against the scourge that has killed over 210,000 in the U.S.Montgomery finds herself, like so many other doctors and nurses, in a world where the politics of the crisis are complicating treatment efforts, with some people even resisting getting tested.It's unclear how&nbsp;<a href="https://apnews.com/article/election-2020-virus-outbreak-donald-trump-infectious-diseases-michael-pence-a037f5cf6d6f14f90313a3aa7cd58043">Trump’s&nbsp;</a>bout with the virus will affect the situation, but some doctors aren't optimistic. After a few days of treatment at a military hospital, the president tweeted Monday, “Don’t be afraid of Covid. Don’t let it dominate your life. ... I feel better than I did 20 years ago!”After one tough shift on the coronavirus unit at Cox South Hospital in Springfield, Montgomery went onto Facebook to vent her frustrations about caring for patients who didn't socially distance because they didn't believe the virus was real. The hospital later shared her post on its&nbsp;<a href="https://www.coxhealth.com/newsroom/letter-heart-covid-19-nurse/">website</a>.She complained that some people demand the anti-malaria drug hydroxychloroquine and think the only patients who get really sick have underlying health problems.“The majority of people don’t understand and can’t picture what we are seeing. That has been frustrating for all of us,” Montgomery said in an interview, adding: “It wears.”Combating virus skeptics is a battle across the country.In Georgia, at Augusta University Medical Center, visitors have tried to get around the mask requirement by wearing face coverings made of fishnet and other material with visible holes, something the hospital has dubbed “malicious compliance." People also have shown up with video cameras in an attempt to collect proof the virus is a hoax, said Dr. Phillip Coule, the health system's chief medical officer, who contracted the virus in July and has seen two staff members die.“Just imagine that while you are caring for your own staff that are dying from this disease, and while you are trying to keep yourself safe, and you are trying to keep your family safe, and you are trying to deal with a disease that such little is known about, and then to have somebody tell you that it is all a hoax after you have been dealing with that all day," he said. “Imagine the emotional distress that that causes.”He said most skeptics — including some who have argued with him on Facebook — are converted to believers when they get sick themselves. And he is starting to hear fewer people dismiss the virus entirely since the president was diagnosed.“It is unfortunate that the president has contracted the disease, but it is difficult for groups who support the president to be out there saying it doesn’t exist," he said.But he also said he fears people may draw the wrong lesson about the seriousness of the disease from what happened to Trump: "People may extrapolate that the risk for a 74 is low when the reality is the risk to a 74 year-old is quite high."Dr. Beth Oller, who practices family medicine with her physician-husband in rural Kansas' Rooks County, isn't optimistic the president's diagnosis will change much in her community, where cases are on the rise, many resist masks, and weddings with hundreds of guests have been held in recent weeks.“None of the things he did since he had it have helped us a bit, and, if anything, would fly in the face of it," she said, noting that the president took his mask off as soon as he returned to the White House. “All he did was continue to show people that the things we are saying to do are overblown and an overreaction. As a physician, it is so damn frustrating."The issue has been a challenge in red states for months.In Iowa, home health nurse Lisa Dockery was fired from her job caring for a boy with severe disabilities after arguing with his parents, who said COVID-19 is a “hoax.” The argument started because the parents refused to wear masks around Dockery and the boy, even though she told them their son's life was in danger because he has respiratory problems, relies on tube feedings and cannot walk, state unemployment records show.The case ended with a judge ordering her former employer to pay her unemployment.Dr. Gary LeRoy, president of the American Academy of Family Physicians, said he isn’t surprised that it has been so hard to persuade the public, noting that there was also a lot of denial as the Spanish flu was sweeping across the world a century ago, killing tens of millions of people.“When you look at human history, it is what happens in every situation," he said. “In war, in famine, in disease, there is going to be a population of people where the bombs are dropping all around them and they don’t believe that it exists.”Dr. Brad Burmeister, an emergency medicine physician at Bellin Hospital in Green Bay, Wisconsin, said he has encountered a few patients who have declined to be tested for the coronavirus despite having possible symptoms.“They say they don’t want to become a statistic or some kind of rhetoric like that," he said, adding that he thinks a shift might be coming, given what happened to Trump. “It just sort of shows how infectious COVID-19 is and how easily it can spread, that even when you are taking all of those precautions, you can still get infected with the virus."Dr. Natasha Bhuyan, a family physician in Phoenix, said politics often come up in discussions with patients who come in asking whether the death toll is being inflated.“It’s an info-demic as well as a pandemic,” she lamented.Dr. Jay W. Lee, a family physician in Orange County, California, recalled a patient who demanded the “largest hydroxychloroquine prescription you can give me."“If I didn’t have my mask on, he would have seen my mouth agape,” said Lee, chief of the Share Our Selves medical clinics, adding that a small number of patients “flat-out said this was a hoax."He has found himself turning to&nbsp;<a href="https://twitter.com/familydocwonk">social media</a>&nbsp;and meeting with elected leaders to combat some of the misinformation.“I think part of it is we feel like we can’t just sit back and take it because silence is complicity,” he said.

'So frustrating': Doctors and nurses battle virus skeptics

MCPHERSON -- The McPherson County Health Department today reported 298 total cases of COVID-19 in the county. 

Of that total, 268 cases have now met Kansas Department of Health and Environment recovery guidelines or have passed away, and two of the active cases are hospitalized, the health department reported.

Additionally, the health department is working to confirm medical records on four other deaths before listing them in the county's COVID-19 numbers.

Following is updated COVID-19 case data provided by the health department.

• Hospitalized cases (may not represent current hospitalizations): 24

• Ventilated cases (may not represent current ventilated cases): 4

MCPHERSON -- The McPherson County Health Department today reported 298 total cases of COVID-19 in the county. Of that total, 268 cases have now met Kansas Department of Health and Environment recovery guidelines or have passed away, and two of the active cases are hospitalized, the health department reported.Additionally, the health department is working to confirm medical records on four other deaths before listing them in the county's COVID-19 numbers.Following is updated COVID-19 case data provided by the health department.• Asymptomatic: 26• Cases with unknown exposure: 116• Cases 60 years old and above: 74• Cases 50-59 years old: 31• Cases 40-49 years old: 41• Cases 30-39 years old: 38• Cases 18-29 years old: 81• Cases under 18 years old: 33• Female cases: 155• Male cases: 143• Hospitalized cases (may not represent current hospitalizations): 24• Ventilated cases (may not represent current ventilated cases): 4• Deaths: 1 (4 pending records)

McPherson County reports COVID-19 total up to 298

A Salina Presbyterian Manor essential health care worker tested positive this week for COVID-19 during the campus’ routine employee surveillance testing for the virus. The employee is in isolation and quarantined at home.

“Our top priority continues to be the safety of our residents and staff members,” said Jeanne Gerstenkorn, PMMA’s vice president for health and wellness and infection prevention. “Surveillance testing is just another tool in our toolbox to fight this virus.”

The employee last worked Sept. 27 and passed the pre-shift screening. The employee has not been on the schedule and had a point-of-care test on Sept. 29 that was negative. The individual then participated in the surveillance testing on Oct. 5, and the positive result was received Wednesday morning.

All employees who had direct contact with the positive employee during their last shift worked tested negative for the virus in Monday’s surveillance testing. No residents are showing any signs or symptoms of COVID-19.

Salina Presbyterian Manor reported that it notified the Saline County Health Department immediately after becoming aware of the positive test and will follow their direction for any additional steps needed. Families have been called to alert them to the positive case.

The employee will not be allowed to work until he/she meets Centers for Disease Control and Prevention (CDC) and Kansas Department of Health and Environment (KDHE) guidelines for when an employee may return to work. Under the current guidelines, symptomatic employees may return to work when at least 72 hours have passed since resolution of the employee’s fever without the use of fever-reducing medications and the employee’s symptoms have improved and at least 10 days have passed since symptoms first appeared. Asymptomatic positive employees will quarantine for 14 days. Upon the employee’s return to work, we will follow CDC recommendations related to work practices and restrictions.

Salina Presbyterian Manor encourage all staff members to follow CDC guidelines and best practices as these are continually updated. The organization has been screening employees as they enter the community building for a shift and before employees have any direct contact with residents. They educate all staff to stay at home if they are experiencing symptoms of a respiratory illness or not feeling well.

A Salina Presbyterian Manor essential health care worker tested positive this week for COVID-19 during the campus’ routine employee surveillance testing for the virus. The employee is in isolation and quarantined at home.“Our top priority continues to be the safety of our residents and staff members,” said Jeanne Gerstenkorn, PMMA’s vice president for health and wellness and infection prevention. “Surveillance testing is just another tool in our toolbox to fight this virus.”The employee last worked Sept. 27 and passed the pre-shift screening. The employee has not been on the schedule and had a point-of-care test on Sept. 29 that was negative. The individual then participated in the surveillance testing on Oct. 5, and the positive result was received Wednesday morning.All employees who had direct contact with the positive employee during their last shift worked tested negative for the virus in Monday’s surveillance testing. No residents are showing any signs or symptoms of COVID-19.Salina Presbyterian Manor reported that it notified the Saline County Health Department immediately after becoming aware of the positive test and will follow their direction for any additional steps needed. Families have been called to alert them to the positive case.The employee will not be allowed to work until he/she meets Centers for Disease Control and Prevention (CDC) and Kansas Department of Health and Environment (KDHE) guidelines for when an employee may return to work. Under the current guidelines, symptomatic employees may return to work when at least 72 hours have passed since resolution of the employee’s fever without the use of fever-reducing medications and the employee’s symptoms have improved and at least 10 days have passed since symptoms first appeared. Asymptomatic positive employees will quarantine for 14 days. Upon the employee’s return to work, we will follow CDC recommendations related to work practices and restrictions.Salina Presbyterian Manor encourage all staff members to follow CDC guidelines and best practices as these are continually updated. The organization has been screening employees as they enter the community building for a shift and before employees have any direct contact with residents. They educate all staff to stay at home if they are experiencing symptoms of a respiratory illness or not feeling well.

Employee at Salina Presbyterian Manor positive for COVID-19

Following it the Saline County COVID-19 update for Wednesday.

Yesterday afternoon we were notified of an additional death of a Saline County resident related to COVID-19. We have 13 new positive COVID-19 cases in Saline County to report since the last update on Monday, October 5. The total for the county is now 859, with 103 cases that are actively being monitored by the Health Department, 744 that have recovered, and a total of 12 deaths. Salina Regional Health Center reporting that they have 8 hospitalized COVID-19 patients. Salina Regional is a regional hospital, the COVID-19 patient total is not specific to the number of Saline County residents who may be hospitalized. Our dashboard has been updated with the latest information:

●Mobile Device Users: <a href="https://arcg.is/yjPT1">https://arcg.is/yjPT1</a>

●Desktop Users: <a href="https://arcg.is/1qHnb0">https://arcg.is/1qHnb0</a>

According to the Kansas Department of Health &amp; Environment, there are now 63,952 cases and 723 deaths statewide. This information can be found at <a href="https://www.coronavirus.kdheks.gov/">https://www.coronavirus.kdheks.gov/</a>.

●The Kansas Commission for the Deaf and Hard of Hearing (KCDHH) announced a program to distribute Visible Personal Protective Equipment (PPE) available to Deaf and Hard of Hearing individuals, their family members and/or personal caretakers. Learn more about how to request Visible PPE at <a href="http://www.dcf.ks.gov/services/RS/Pages/PPEprogram.aspx">http://www.dcf.ks.gov/services/RS/Pages/PPEprogram.aspx</a>.

Here is what you can do to help us to stop the spread:

●Stay home if you have any symptoms or are ill

●Wear masks in public spaces as required by City Ordinance and County Resolution

●Maximize physical distance (6 feet or more) in public settings

●Avoid socializing with large groups

●High-risk individuals should only leave the house for essential needs

Only follow official sources to obtain information: <a href="http://www.saline.org/coronavirus">www.saline.org/coronavirus</a> or <a href="http://www.kdheks.gov">www.kdheks.gov</a>.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1602110113778.png" alt="" />
 <figcaption></figcaption>
 </figure>Following it the Saline County COVID-19 update for Wednesday.Yesterday afternoon we were notified of an additional death of a Saline County resident related to COVID-19. We have 13 new positive COVID-19 cases in Saline County to report since the last update on Monday, October 5. The total for the county is now 859, with 103 cases that are actively being monitored by the Health Department, 744 that have recovered, and a total of 12 deaths. Salina Regional Health Center reporting that they have 8 hospitalized COVID-19 patients. Salina Regional is a regional hospital, the COVID-19 patient total is not specific to the number of Saline County residents who may be hospitalized. Our dashboard has been updated with the latest information:●Mobile Device Users: <a href="https://arcg.is/yjPT1">https://arcg.is/yjPT1</a>●Desktop Users: <a href="https://arcg.is/1qHnb0">https://arcg.is/1qHnb0</a>According to the Kansas Department of Health &amp; Environment, there are now 63,952 cases and 723 deaths statewide. This information can be found at <a href="https://www.coronavirus.kdheks.gov/">https://www.coronavirus.kdheks.gov/</a>.Announcements:●The Kansas Commission for the Deaf and Hard of Hearing (KCDHH) announced a program to distribute Visible Personal Protective Equipment (PPE) available to Deaf and Hard of Hearing individuals, their family members and/or personal caretakers. Learn more about how to request Visible PPE at <a href="http://www.dcf.ks.gov/services/RS/Pages/PPEprogram.aspx">http://www.dcf.ks.gov/services/RS/Pages/PPEprogram.aspx</a>.Here is what you can do to help us to stop the spread:●Stay home if you have any symptoms or are ill●Wear masks in public spaces as required by City Ordinance and County Resolution●Maximize physical distance (6 feet or more) in public settings●Avoid socializing with large groups●High-risk individuals should only leave the house for essential needs●Wash your hands frequentlyOnly follow official sources to obtain information: <a href="http://www.saline.org/coronavirus">www.saline.org/coronavirus</a> or <a href="http://www.kdheks.gov">www.kdheks.gov</a>.

Saline County: 1 additional death, 13 new COVID-19 cases

WICHITA, Kan. (AP) — Even as some of the state’s largest districts reopen, most Kansas counties have such a high rate of new coronavirus cases that they have moved into the red zone on a key state benchmark that suggests schools consider putting the brakes on in-person classes and sports.

Seventy-five of the state’s 105 counties were in the worst reopening zone for the&nbsp;<a href="https://www.coronavirus.kdheks.gov/160/COVID-19-in-Kansas" target="_blank">two-week cumulative incident rate</a>, which measures the rate of new cases per 100,000 people and is one of five school reopening indicators established by the state, The Wichita Eagle&nbsp;<a href="https://www.kansas.com/news/coronavirus/article246231905.html" target="_blank">reports</a>. That’s an increase of 10 counties from a week ago, according to a Kansas Department of Health and Environment map published Monday using data through Saturday.

Individual districts aren’t bound by the state gating criteria and can make their own reopening decisions, often with guidance from county-level health officials.

The KDHE case rate map also placed 11 counties in the yellow zone and 16 counties in the orange zone. Under the state’s gating criteria, a blend of in-person, hybrid and remote learning is recommended in these zone. The state also urges restrictions on sports, especially high-risk activities such as football.

The number of counties in the green zone, which is the only zone that calls for all in-person classes and extracurricular activities, dropped from seven to three on the case rate map.

Among the districts sending students back to in-person classes this month are several in Douglas and Johnson counties, which are in the red zone for new cases. But the counties are in the yellow zone for the percent positivity rate.

Meanwhile, Democratic Gov. Laura Kelly called a meeting for Wednesday with eight leaders of the Republican-controlled Legislature to have them extend the state’s existing declaration of a state of emergency for the coronavirus pandemic.

A law enacted in June requires Kelly to obtain an extension every 30 days from the lawmakers, six of them Republicans. Without their approval, the current emergency declaration would expire Oct. 15.

Top Republicans and Kelly have been at odds over her handling of the pandemic, and GOP lawmakers have forced her to accept local control of decisions about reopening schools, mandating mask wearing and restricting businesses and public gatherings. When she and the legislative leaders met in September to extend the emergency declaration, Republicans extracted a promise that she wouldn’t try to close businesses again as she did in the spring.

The state health department reported that Kansas saw 1,597 new confirmed and probable coronavirus cases from Friday to Monday, an increase of 2.5%, bringing the total cases to 62,708. The number of coronavirus cases is thought to be higher because people can be infected without feeling ill and because of limited testing early in the pandemic.

The department also reported eight new COVID-19-related deaths since Friday, bringing the total to 706. Deaths have continued to represent about 1.1% of the total number of reported cases.

Despite the rise in cases, Wichita schools will now allow parents and other fans to be spectators at sporting events, The Eagle&nbsp;<a href="https://www.kansas.com/sports/high-school/article246247110.html" target="_blank">reports</a>. Sedgwick County, where Wichita is located, also is in the red zone for its case rate.

Board member Mike Rodee voiced the most concern with the plan, though he voted for it. He also questioned whether COVID-19 indicators will worsen in the county “because we’re being a little bit selfish about watching a football game.”

“I want to see kids in classrooms and on the field, and I don’t want to shut those things down. The parents are about the 10th priority to me on this,” he said, adding that he understands the point of view of parents. “I want to see kids in the classroom more than I want to see parents in the stadiums.”

WICHITA, Kan. (AP) — Even as some of the state’s largest districts reopen, most Kansas counties have such a high rate of new coronavirus cases that they have moved into the red zone on a key state benchmark that suggests schools consider putting the brakes on in-person classes and sports.Seventy-five of the state’s 105 counties were in the worst reopening zone for the&nbsp;<a href="https://www.coronavirus.kdheks.gov/160/COVID-19-in-Kansas" target="_blank">two-week cumulative incident rate</a>, which measures the rate of new cases per 100,000 people and is one of five school reopening indicators established by the state, The Wichita Eagle&nbsp;<a href="https://www.kansas.com/news/coronavirus/article246231905.html" target="_blank">reports</a>. That’s an increase of 10 counties from a week ago, according to a Kansas Department of Health and Environment map published Monday using data through Saturday.Individual districts aren’t bound by the state gating criteria and can make their own reopening decisions, often with guidance from county-level health officials.The KDHE case rate map also placed 11 counties in the yellow zone and 16 counties in the orange zone. Under the state’s gating criteria, a blend of in-person, hybrid and remote learning is recommended in these zone. The state also urges restrictions on sports, especially high-risk activities such as football.The number of counties in the green zone, which is the only zone that calls for all in-person classes and extracurricular activities, dropped from seven to three on the case rate map.Among the districts sending students back to in-person classes this month are several in Douglas and Johnson counties, which are in the red zone for new cases. But the counties are in the yellow zone for the percent positivity rate.Meanwhile, Democratic Gov. Laura Kelly called a meeting for Wednesday with eight leaders of the Republican-controlled Legislature to have them extend the state’s existing declaration of a state of emergency for the coronavirus pandemic.A law enacted in June requires Kelly to obtain an extension every 30 days from the lawmakers, six of them Republicans. Without their approval, the current emergency declaration would expire Oct. 15.Top Republicans and Kelly have been at odds over her handling of the pandemic, and GOP lawmakers have forced her to accept local control of decisions about reopening schools, mandating mask wearing and restricting businesses and public gatherings. When she and the legislative leaders met in September to extend the emergency declaration, Republicans extracted a promise that she wouldn’t try to close businesses again as she did in the spring.<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1601918639222.png" alt="Monday Oct. 5, 2020 KDHE image" />
 <figcaption>Monday Oct. 5, 2020 KDHE image</figcaption>
 </figure>The state health department reported that Kansas saw 1,597 new confirmed and probable coronavirus cases from Friday to Monday, an increase of 2.5%, bringing the total cases to 62,708. The number of coronavirus cases is thought to be higher because people can be infected without feeling ill and because of limited testing early in the pandemic.The department also reported eight new COVID-19-related deaths since Friday, bringing the total to 706. Deaths have continued to represent about 1.1% of the total number of reported cases.Despite the rise in cases, Wichita schools will now allow parents and other fans to be spectators at sporting events, The Eagle&nbsp;<a href="https://www.kansas.com/sports/high-school/article246247110.html" target="_blank">reports</a>. Sedgwick County, where Wichita is located, also is in the red zone for its case rate.Board member Mike Rodee voiced the most concern with the plan, though he voted for it. He also questioned whether COVID-19 indicators will worsen in the county “because we’re being a little bit selfish about watching a football game.”“I want to see kids in classrooms and on the field, and I don’t want to shut those things down. The parents are about the 10th priority to me on this,” he said, adding that he understands the point of view of parents. “I want to see kids in the classroom more than I want to see parents in the stadiums.”

Most Kansas counties enter COVID school red zone

USD 305 on Monday reported five additional positive COVID-19 cases.

The most recent positive test results of USD 305 students or staff members were from the following.

One positive test at Heartland Early Education

One positive test at Cottonwood Elementary

Since the district began posting confirmed cases on its <a href="https://www.usd305.com/covid-19_incidents">COVID-19 INCIDENTS</a> webpage on Sept. 3, 35 cases have been reported.

USD 305 on Monday reported five additional positive COVID-19 cases.The most recent positive test results of USD 305 students or staff members were from the following.One positive test at Heartland Early EducationOne positive test at Oakdale ElementaryOne positive test at South High SchoolOne positive test at Stewart ElementaryOne positive test at Cottonwood ElementarySince the district began posting confirmed cases on its <a href="https://www.usd305.com/covid-19_incidents">COVID-19 INCIDENTS</a> webpage on Sept. 3, 35 cases have been reported.

USD 305 reports 5 additional positive COVID-19 tests Monday

NEW YORK (AP) —The top U.S. public health agency said Monday that the coronavirus can spread more than 6 feet through the air, especially in poorly ventilated and enclosed spaces. But agency officials maintained that such spread is uncommon and current social distancing guidelines still make sense.

However, several experts faulted the updated Centers for Disease Control and Prevention guidance. They said the virus can spread more easily than the CDC seems to be indicating, and suggested that the public should wear masks even in prolonged outdoor gatherings when they are more than 6 feet apart.

The virus “is traveling through the air and there is no bright line. You’re not safe beyond 6 feet. You can’t take your mask off at 6 feet,” said Dr. Donald Milton of the University of Maryland School of Public Health.

For months, the CDC has said that the virus spreads mainly through small airborne droplets when an infected person coughs or sneezes. Most CDC guidance about social distancing is built around that idea, saying that 6 feet is a safe buffer between people who are not wearing masks.

In interviews, CDC officials have also acknowledged growing evidence that the virus can sometimes spread on even smaller particles called aerosols that spread over a wider area.

In the update posted on its website, the agency again acknowledged recent research showing people with COVID-19 infected others who were more than 6 feet away or shortly after an infected person left an area. CDC officials called those ”limited, uncommon circumstances.”

In those cases, spread occurred in poorly ventilated and enclosed spaces where people were doing activities that caused heavier breathing, like singing or exercise, CDC officials said.

People can protect themselves by staying at least 6 feet away from others, wearing a mask, washing their hands, cleaning touched surfaces and staying home when sick

<a href="https://apnews.com/article/virus-outbreak-archive-public-health-cfb43dd5a28dd449cd1100a067cfd112">Last month,</a>&nbsp;the CDC ignited controversy among experts when it quietly posted an update that seemed to suggest the agency’s position had changed, and then within days took it down again.

The short-lived post said the virus can remain suspended in the air and drift more than 6 feet, and officials emphasized the importance of indoor ventilation. It also added singing and breathing to the ways the virus can go airborne.

Federal health officials later said the post was a mistake and that it had been released before full editing and clearance was completed. They said there was no major change in the agency’s position, but they would finalize a post to clarify the CDC’s thinking. That’s what was posted Monday.

A small group of researchers — including Milton — on Monday published a letter in the journal Science that called for clearer public health guidance about how coronavirus spreads in the air.

They said health officials need to use clearer language in talking about the size of airborne particles and droplets that can spread the disease, and be more straightforward about the role that viruses in small aerosols can play in infecting people.

Masks and good ventilation are crucial indoors. But they can be important outdoors too, said Linsey Marr of Virginia Tech.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/9/1600453488360.png" alt="CDC Director Dr. Robert Redfield during testimony before a congressional committee in August -Image courtesy CSPAN" />
 <figcaption>CDC Director Dr. Robert Redfield during testimony before a congressional committee in August -Image courtesy CSPAN</figcaption>
 </figure>NEW YORK (AP) —The top U.S. public health agency said Monday that the coronavirus can spread more than 6 feet through the air, especially in poorly ventilated and enclosed spaces. But agency officials maintained that such spread is uncommon and current social distancing guidelines still make sense.However, several experts faulted the updated Centers for Disease Control and Prevention guidance. They said the virus can spread more easily than the CDC seems to be indicating, and suggested that the public should wear masks even in prolonged outdoor gatherings when they are more than 6 feet apart.The virus “is traveling through the air and there is no bright line. You’re not safe beyond 6 feet. You can’t take your mask off at 6 feet,” said Dr. Donald Milton of the University of Maryland School of Public Health.For months, the CDC has said that the virus spreads mainly through small airborne droplets when an infected person coughs or sneezes. Most CDC guidance about social distancing is built around that idea, saying that 6 feet is a safe buffer between people who are not wearing masks.In interviews, CDC officials have also acknowledged growing evidence that the virus can sometimes spread on even smaller particles called aerosols that spread over a wider area.In the update posted on its website, the agency again acknowledged recent research showing people with COVID-19 infected others who were more than 6 feet away or shortly after an infected person left an area. CDC officials called those ”limited, uncommon circumstances.”In those cases, spread occurred in poorly ventilated and enclosed spaces where people were doing activities that caused heavier breathing, like singing or exercise, CDC officials said.People can protect themselves by staying at least 6 feet away from others, wearing a mask, washing their hands, cleaning touched surfaces and staying home when sick<a href="https://apnews.com/article/virus-outbreak-archive-public-health-cfb43dd5a28dd449cd1100a067cfd112">Last month,</a>&nbsp;the CDC ignited controversy among experts when it quietly posted an update that seemed to suggest the agency’s position had changed, and then within days took it down again.The short-lived post said the virus can remain suspended in the air and drift more than 6 feet, and officials emphasized the importance of indoor ventilation. It also added singing and breathing to the ways the virus can go airborne.Federal health officials later said the post was a mistake and that it had been released before full editing and clearance was completed. They said there was no major change in the agency’s position, but they would finalize a post to clarify the CDC’s thinking. That’s what was posted Monday.A small group of researchers — including Milton — on Monday published a letter in the journal Science that called for clearer public health guidance about how coronavirus spreads in the air.They said health officials need to use clearer language in talking about the size of airborne particles and droplets that can spread the disease, and be more straightforward about the role that viruses in small aerosols can play in infecting people.Masks and good ventilation are crucial indoors. But they can be important outdoors too, said Linsey Marr of Virginia Tech.___

CDC updates guidelines on how coronavirus spreads

Here is the Saline County COVID-19 update for Monday.

There are 65 new positive COVID-19 cases in Saline County that have been identified since the Friday, October 3 report. The total for the county is now 846, with 218 cases that are actively being monitored by the Health Department, 617 that have recovered, and a total of 11 deaths. Salina Regional Health Center reporting that they have 8 hospitalized COVID-19 patients. Salina Regional is a regional hospital, the COVID-19 patient total is not specific to the number of Saline County residents who may be hospitalized. Our dashboard has been updated with the latest information:

●Desktop Users: <a href="https://arcg.is/1qHnb0">https://arcg.is/1qHnb0</a>

According to the Kansas Department of Health &amp; Environment, there are now 62,708 cases and 706 deaths statewide. This information can be found at <a href="https://www.coronavirus.kdheks.gov/">https://www.coronavirus.kdheks.gov/</a>.

Only follow official sources to obtain information: <a href="http://www.saline.org/coronavirus">www.saline.org/coronavirus</a> or <a href="http://www.kdheks.gov">www.kdheks.gov</a>.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1601935626306.png" alt="" />
 <figcaption></figcaption>
 </figure>Here is the Saline County COVID-19 update for Monday.There are 65 new positive COVID-19 cases in Saline County that have been identified since the Friday, October 3 report. The total for the county is now 846, with 218 cases that are actively being monitored by the Health Department, 617 that have recovered, and a total of 11 deaths. Salina Regional Health Center reporting that they have 8 hospitalized COVID-19 patients. Salina Regional is a regional hospital, the COVID-19 patient total is not specific to the number of Saline County residents who may be hospitalized. Our dashboard has been updated with the latest information:●Mobile Device Users: <a href="https://arcg.is/yjPT1">https://arcg.is/yjPT1</a>●Desktop Users: <a href="https://arcg.is/1qHnb0">https://arcg.is/1qHnb0</a>According to the Kansas Department of Health &amp; Environment, there are now 62,708 cases and 706 deaths statewide. This information can be found at <a href="https://www.coronavirus.kdheks.gov/">https://www.coronavirus.kdheks.gov/</a>.Here is what you can do to help us to stop the spread:●Stay home if you have any symptoms or are ill●Wear masks in public spaces as required by City Ordinance and County Resolution●Maximize physical distance (6 feet or more) in public settings●Avoid socializing with large groups●High-risk individuals should only leave the house for essential needs●Wash your hands frequentlyOnly follow official sources to obtain information: <a href="http://www.saline.org/coronavirus">www.saline.org/coronavirus</a> or <a href="http://www.kdheks.gov">www.kdheks.gov</a>.

Saline County: 65 new COVID-19 cases; 617 of 846 recovered

LAWRENCE—Using "lab on a chip" technology, Foundation Distinguished Professor Steven Soper and graduate students in bioengineering and chemistry are developing a user-friendly COVID-19 test.

“Eventually, our test will go into a home — like an early pregnancy test at home,” said Soper. “Anyone could do it.”

Soper’s team, which includes a half-dozen graduate students in bioengineering and chemistry, is repurposing “lab on a chip” technology he had previously developed to give doctors simple tools to more easily and quickly diagnose conditions ranging from stroke to colon cancer. The goal is to get the new test to market “sooner than later, of course.”

“We’re well-versed in this,” he said.

The test uses a small plastic chip — about 38 by 42 millimeters — that contains 1.5 million tiny pillars, just 10 microns wide and 50 microns tall. Each pillar contains a piece of ribonucleic acid that “recognizes” a protein found in the COVID-19 virus particle.

“When we flow saliva through this forest of pillars that have on the chip surfaces, this DNA molecule will look to bind to the virus particle,” Soper said. The chip will then be exposed to blue light, which will release the RNA-virus bound particles from the pillars and funnel them through a hole just 200 nanometers wide — creating an electrical signal that lets users see if they have the virus.

That sounds complicated. For the user, though, taking the test will be very simple.

“You take a saliva sample, you put it in the chip, and the chip does the processing,” Soper said. The whole process, including results, should take around 15 minutes. Current tests — including one used by KU — involve multiple steps, require a trained operator to implement the test and need an hour or two before results are available.

Soper’s team has been working on the project since early June after researchers were allowed to return to their on-campus labs following KU’s shutdown in March. Funding for the effort comes from the National Institutes of Health. The group includes three graduate students in bioengineering and three graduate students in chemistry.

“I think most students want to contribute to society in terms of research. If we can actually find something that would help a lot of people, that would mean a lot to us,” said Swarnagowri Vaidyanathan, a doctoral student in bioengineering who is working on the project.

Other graduate student team members include Katie Childers and Zheng Zhao, both in bioengineering, as well as chemistry students Uditha Athapattu, Sachindra Gamage and Thilanga Nandana. Maggie Witek, associate research professor of chemistry, and Lulu Zhang, a postdoctoral chemistry student, are also working on the project.

“They basically stopped everything they were doing on their dissertation work to get this done,” Soper said. “Hats off to the graduate students. They’re working like crazy to get this done.”

The next step in the process is to conduct clinical trials of the test between now and the end of the year in order to obtain approval from the U.S. Food &amp; Drug Administration for widespread use. Once that happens, Soper said, “It’s a matter of manufacturing and getting it out to the market.”

Soper earned his doctorate in bioanalytical chemistry from KU in 1989 and returned to the university as a faculty member in 2016. He brought along his company, BioFluidica, which previously created new products to help doctors test for various types of cancers, including breast, colon and prostate cancer.

The new test, he said, will be adaptable for other viruses that come along in the future — and also to detect illnesses from cancer and radiation poisoning. “We can reprogram the chip so it can be used for other applications,” he said. “There’s many applications for our test, not just COVID-19.”

Soper said the University of Kansas is well-positioned for this kind of effort. A nanofabrication facility opened in Gray-Little Hall a year ago, which enables researchers to create the advanced tools used in the COVID-19 test.

“That’s provided the infrastructure, and that was a big investment by the university,” Soper said. “KU has the resources that we need to move this whole thing forward.”

LAWRENCE—Using "lab on a chip" technology, Foundation Distinguished Professor Steven Soper and graduate students in bioengineering and chemistry are developing a user-friendly COVID-19 test.“Eventually, our test will go into a home — like an early pregnancy test at home,” said Soper. “Anyone could do it.”<figure>
 <img src="https://media.eaglewebservices.com/public/2020/9/1601481634995.jpeg" alt="Steven Soper" />
 <figcaption>Steven Soper</figcaption>
 </figure>Soper’s team, which includes a half-dozen graduate students in bioengineering and chemistry, is repurposing “lab on a chip” technology he had previously developed to give doctors simple tools to more easily and quickly diagnose conditions ranging from stroke to colon cancer. The goal is to get the new test to market “sooner than later, of course.”“We’re well-versed in this,” he said.The test uses a small plastic chip — about 38 by 42 millimeters — that contains 1.5 million tiny pillars, just 10 microns wide and 50 microns tall. Each pillar contains a piece of ribonucleic acid that “recognizes” a protein found in the COVID-19 virus particle.“When we flow saliva through this forest of pillars that have on the chip surfaces, this DNA molecule will look to bind to the virus particle,” Soper said. The chip will then be exposed to blue light, which will release the RNA-virus bound particles from the pillars and funnel them through a hole just 200 nanometers wide — creating an electrical signal that lets users see if they have the virus.That sounds complicated. For the user, though, taking the test will be very simple.“You take a saliva sample, you put it in the chip, and the chip does the processing,” Soper said. The whole process, including results, should take around 15 minutes. Current tests — including one used by KU — involve multiple steps, require a trained operator to implement the test and need an hour or two before results are available.Soper’s team has been working on the project since early June after researchers were allowed to return to their on-campus labs following KU’s shutdown in March. Funding for the effort comes from the National Institutes of Health. The group includes three graduate students in bioengineering and three graduate students in chemistry.“I think most students want to contribute to society in terms of research. If we can actually find something that would help a lot of people, that would mean a lot to us,” said Swarnagowri Vaidyanathan, a doctoral student in bioengineering who is working on the project.Other graduate student team members include Katie Childers and Zheng Zhao, both in bioengineering, as well as chemistry students Uditha Athapattu, Sachindra Gamage and Thilanga Nandana. Maggie Witek, associate research professor of chemistry, and Lulu Zhang, a postdoctoral chemistry student, are also working on the project.“They basically stopped everything they were doing on their dissertation work to get this done,” Soper said. “Hats off to the graduate students. They’re working like crazy to get this done.”The next step in the process is to conduct clinical trials of the test between now and the end of the year in order to obtain approval from the U.S. Food &amp; Drug Administration for widespread use. Once that happens, Soper said, “It’s a matter of manufacturing and getting it out to the market.”Soper earned his doctorate in bioanalytical chemistry from KU in 1989 and returned to the university as a faculty member in 2016. He brought along his company, BioFluidica, which previously created new products to help doctors test for various types of cancers, including breast, colon and prostate cancer.The new test, he said, will be adaptable for other viruses that come along in the future — and also to detect illnesses from cancer and radiation poisoning. “We can reprogram the chip so it can be used for other applications,” he said. “There’s many applications for our test, not just COVID-19.”Soper said the University of Kansas is well-positioned for this kind of effort. A nanofabrication facility opened in Gray-Little Hall a year ago, which enables researchers to create the advanced tools used in the COVID-19 test.“That’s provided the infrastructure, and that was a big investment by the university,” Soper said. “KU has the resources that we need to move this whole thing forward.”

KU researchers developing quick-turnaround COVID-19 test

Food insecurity was a thing before COVID-19. The pandemic has only made it worse. From the <a href="https://www.facebook.com/salinafoodbank/">Salina Emergency Aid Food Bank</a> Facebook page:

Food insecurity was a thing before COVID-19. The pandemic has only made it worse. From the <a href="https://www.facebook.com/salinafoodbank/">Salina Emergency Aid Food Bank</a> Facebook page:<div><iframe src="https://www.facebook.com/plugins/post.php?href=https%3A%2F%2Fwww.facebook.com%2Fsalinafoodbank%2Fposts%2F4583787648305665&show_text=true&width=552&height=590&appId" width="552" height="590" style="border:none;overflow:hidden" scrolling="no" frameborder="0" allowTransparency="true" allow="encrypted-media"></iframe></div>

Food bank adapts to life in the time of coronavirus

As of Wednesday, counties throughout Kansas were exactly three months away from the deadline for spending $400 million in Coronavirus Relief Funding released to counties by the governor’s Office of Recovery.

Saline County has now expended $2.2 million of the $11 million awarded locally. The county continues to work closely with government, educational, non-profit, and business institutions around the community that was awarded funds as part of the local plan submitted to the State on Aug. 14 and approved on Sept. 4. Progress on Saline County’s spending plan can be monitored on our website at <a href="https://www.saline.org/Coronavirus/CRF-Funding">https://www.saline.org/Coronavirus/CRF-Funding</a>.

Additionally, the county is excited to announce that two of our partner organizations, the Salina Area Chamber Foundation and Child Care Aware of Kansas, are opening up grant programs targeting needs for the business and child care communities, respectively. Information about these programs can be found at <a href="https://web.salinakansas.org/wcwebinput/grant-application.aspx">https://web.salinakansas.org/wcwebinput/grant-application.aspx</a> and <a href="https://ks.childcareaware.org/cares/">https://ks.childcareaware.org/cares/</a>.

County staff and our Advisory Committee continue to monitor needs in the community and prepare to respond to unmet needs with any funds that remain available. In addition, the county will be working over the next week to submit the first in a series of required progress reports to the State’s Office of Recovery.

Background: As part of the $2.2 trillion federal stimulus package known as the CARES Act, $150 billion was awarded to states and large local governments. Kansas received $1.25 billion, of which $240+ million went to Johnson and Sedgwick counties based on population. Of the remaining $1.03 billion, the Governor’s Task Force on Strengthening People and Revitalizing Kansas recommended (and the State Finance Council approved) awarding $400 million to Kansas counties based on their population and their impact from the COVID-19 disease. Saline County was awarded $11,026,434. 

The Saline County Commissioners agreed to accept this funding via resolution and formed a citizen advisory committee to make a recommendation on distribution. The advisory committee received over 100 applications from local entities impacted by the pandemic. Per CARES Act terms, all funds must be spent by Dec. 30, 2020, on an eligible activity; reimbursement of lost revenue to local governments is not eligible for funding.

As of Wednesday, counties throughout Kansas were exactly three months away from the deadline for spending $400 million in Coronavirus Relief Funding released to counties by the governor’s Office of Recovery.Saline County has now expended $2.2 million of the $11 million awarded locally. The county continues to work closely with government, educational, non-profit, and business institutions around the community that was awarded funds as part of the local plan submitted to the State on Aug. 14 and approved on Sept. 4. Progress on Saline County’s spending plan can be monitored on our website at <a href="https://www.saline.org/Coronavirus/CRF-Funding">https://www.saline.org/Coronavirus/CRF-Funding</a>.Additionally, the county is excited to announce that two of our partner organizations, the Salina Area Chamber Foundation and Child Care Aware of Kansas, are opening up grant programs targeting needs for the business and child care communities, respectively. Information about these programs can be found at <a href="https://web.salinakansas.org/wcwebinput/grant-application.aspx">https://web.salinakansas.org/wcwebinput/grant-application.aspx</a> and <a href="https://ks.childcareaware.org/cares/">https://ks.childcareaware.org/cares/</a>.County staff and our Advisory Committee continue to monitor needs in the community and prepare to respond to unmet needs with any funds that remain available. In addition, the county will be working over the next week to submit the first in a series of required progress reports to the State’s Office of Recovery.Background: As part of the $2.2 trillion federal stimulus package known as the CARES Act, $150 billion was awarded to states and large local governments. Kansas received $1.25 billion, of which $240+ million went to Johnson and Sedgwick counties based on population. Of the remaining $1.03 billion, the Governor’s Task Force on Strengthening People and Revitalizing Kansas recommended (and the State Finance Council approved) awarding $400 million to Kansas counties based on their population and their impact from the COVID-19 disease. Saline County was awarded $11,026,434. The Saline County Commissioners agreed to accept this funding via resolution and formed a citizen advisory committee to make a recommendation on distribution. The advisory committee received over 100 applications from local entities impacted by the pandemic. Per CARES Act terms, all funds must be spent by Dec. 30, 2020, on an eligible activity; reimbursement of lost revenue to local governments is not eligible for funding.

Saline County provides update on Coronavirus Relief Funds

Following is the Saline County COVID-19 update for Wednesday.

COVID-19 testing continues to be a priority statewide and in our local community. Testing for COVID-19, in most cases, is reserved for those that are experiencing symptoms or are considered high-risk and have been a close contact with another positive case. If you are experiencing symptoms, you need to contact your primary care physician first to ask about the need for testing. If you are tested, you need to quarantine until your results come back. CVS Pharmacy in Salina has testing capabilities, while limited and reserved for those that meet their qualifications for testing, is an additional resource for citizens <a href="https://www.cvs.com/minuteclinic/covid19-testing">https://www.cvs.com/minuteclinic/covid19-testing</a>. We continue to work diligently with all of our partners to develop strategies for more communitywide testing.

There are 24 new positive COVID-19 cases in Saline County that have been identified since the Monday, September 28 report. The total for the county is now 776, with 226 cases that are actively being monitored by the Health Department, 539 that have recovered, and a total of 11 deaths. Salina Regional Health Center reporting that they have 6 hospitalized COVID-19 patients. Salina Regional is a regional hospital, the COVID19 patient total is not specific to the number of Saline County residents who may be hospitalized. Our dashboard has been updated with the latest information:

According to the Kansas Department of Health &amp; Environment, there are now 59,749 cases and 678 deaths statewide. This information can be found at <a href="https://www.coronavirus.kdheks.gov/">https://www.coronavirus.kdheks.gov/</a>.

Only follow official sources to obtain information: <a href="http://www.saline.org/coronavirus">www.saline.org/coronavirus</a> or <a href="http://www.kdheks.gov">www.kdheks.gov</a>.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/9/1601504357204.png" alt="" />
 <figcaption></figcaption>
 </figure>Following is the Saline County COVID-19 update for Wednesday.COVID-19 testing continues to be a priority statewide and in our local community. Testing for COVID-19, in most cases, is reserved for those that are experiencing symptoms or are considered high-risk and have been a close contact with another positive case. If you are experiencing symptoms, you need to contact your primary care physician first to ask about the need for testing. If you are tested, you need to quarantine until your results come back. CVS Pharmacy in Salina has testing capabilities, while limited and reserved for those that meet their qualifications for testing, is an additional resource for citizens <a href="https://www.cvs.com/minuteclinic/covid19-testing">https://www.cvs.com/minuteclinic/covid19-testing</a>. We continue to work diligently with all of our partners to develop strategies for more communitywide testing.There are 24 new positive COVID-19 cases in Saline County that have been identified since the Monday, September 28 report. The total for the county is now 776, with 226 cases that are actively being monitored by the Health Department, 539 that have recovered, and a total of 11 deaths. Salina Regional Health Center reporting that they have 6 hospitalized COVID-19 patients. Salina Regional is a regional hospital, the COVID19 patient total is not specific to the number of Saline County residents who may be hospitalized. Our dashboard has been updated with the latest information:●Mobile Device Users: <a href="https://arcg.is/yjPT1">https://arcg.is/yjPT1</a>●Desktop Users: <a href="https://arcg.is/1qHnb0">https://arcg.is/1qHnb0</a>According to the Kansas Department of Health &amp; Environment, there are now 59,749 cases and 678 deaths statewide. This information can be found at <a href="https://www.coronavirus.kdheks.gov/">https://www.coronavirus.kdheks.gov/</a>.Here is what you can do to help us to stop the spread:●Stay home if you have any symptoms or are ill●Wear masks in public spaces as required by City Ordinance and County Resolution●Maximize physical distance (6 feet or more) in public settings●Avoid socializing with large groups●High-risk individuals should only leave the house for essential needs●Wash your hands frequentlyOnly follow official sources to obtain information: <a href="http://www.saline.org/coronavirus">www.saline.org/coronavirus</a> or <a href="http://www.kdheks.gov">www.kdheks.gov</a>.

Saline County: 24 new COVID-19 cases; 539 of 776 recovered

Multiple new confirmed COVID-19 cases have been reported by Salina USD 305.

Since the district began reporting COVID-19 cases on Sept. 3, 21 have been recorded.

From the USD 305 COVID-19 Incidents <a href="https://www.usd305.com/covid-19_incidents">website</a>:

One positive test at Cottonwood Elem. School Sept. 28, 2020

One positive test at Lakewood Middle School Sept. 27, 2020

One positive test at South Middle School Sept. 27, 2020

One positive test at Heusner Elementary Sept. 27, 2020

One positive test at Schilling Elementary Sept. 27, 2020

One positive test at Heusner Elementary Sept. 25, 2020

One positive test at Heartland Early Ed. Sept. 25, 2020

One positive test at Central High School Sept. 24, 2020

One positive test at South Middle School Sept. 22, 2020

Multiple new confirmed COVID-19 cases have been reported by Salina USD 305.Since the district began reporting COVID-19 cases on Sept. 3, 21 have been recorded.From the USD 305 COVID-19 Incidents <a href="https://www.usd305.com/covid-19_incidents">website</a>:One positive test at Cottonwood Elem. School Sept. 28, 2020One positive test at Lakewood Middle School Sept. 27, 2020One positive test at South Middle School Sept. 27, 2020One positive test at Heusner Elementary Sept. 27, 2020One positive test at Schilling Elementary Sept. 27, 2020One positive test at Heusner Elementary Sept. 25, 2020One positive test at Heartland Early Ed. Sept. 25, 2020One positive test at Central High School Sept. 24, 2020One positive test at South Middle School Sept. 22, 2020One positive test at Heusner Elementary Sept. 22, 2020One positive test at Meadowlark Ridge Elem. Sept. 22, 2020One positive test at Stewart Elementary Sept. 22, 2020One positive test at South High School Sept. 21, 2020One positive test at Meadowlark Ridge Elem. Sept. 20, 2020One positive test at Central High School Sept. 20, 2020One positive test at Meadowlark Ridge Elem. Sept. 17, 2020One positive test at Lakewood Middle Sept. 16, 2020One positive test at South Middle Sept. 16, 2020One positive test at South Middle Sept. 11, 2020One positive test at Central High Sept. 4, 2020One positive test at Coronado Elementary Sept. 3, 2020

Coronavirus Update