Isolation? Quarantine? KDHE offers guidance

MCPHERSON -- The McPherson County Health Department has reported four additional confirmed cases of COVID-19, bringing the county total to 209.

Following is information on the most recent cases, as provided by the health department.

●Positive case No. 206 is a symptomatic female in her 30s with unknown exposure.

●Positive case No. 207 is a symptomatic female in her 70s with unknown exposure.

●Positive case No. 208 is a symptomatic male in his 20s with unknown exposure.

●Positive case No. 209 is a symptomatic male in his 50s with unknown exposure.

Of the 209 total cases, 187 have met Kansas Department of Health and Environment recovery guidelines and three of the active cases are hospitalized, the health department noted.

MCPHERSON -- The McPherson County Health Department has reported four additional confirmed cases of COVID-19, bringing the county total to 209.Following is information on the most recent cases, as provided by the health department.●Positive case No. 206 is a symptomatic female in her 30s with unknown exposure.●Positive case No. 207 is a symptomatic female in her 70s with unknown exposure.●Positive case No. 208 is a symptomatic male in his 20s with unknown exposure.●Positive case No. 209 is a symptomatic male in his 50s with unknown exposure.Of the 209 total cases, 187 have met Kansas Department of Health and Environment recovery guidelines and three of the active cases are hospitalized, the health department noted.

McPherson County reports 4 new cases of COVID-19

PITTSBURG, Kan. (AP) — Hundreds are quarantined at several Kansas universities as a growing number of students test positive for the coronavirus, raising concerns that they could bring the virus home with them over the upcoming holiday weekend.

At Pittsburg State University, 96 positive COVID-19 cases have been recorded among students since the fall semester began Aug. 17, officials said during a media briefing Wednesday. Currently, 101 people are in isolation, or separated from people who are not sick, and about 600 are in quarantine, or separated for the monitoring of the development of symptoms.

Pittsburg State officials are “strongly suggesting” that students remain in Pittsburg over the coming Labor Day weekend.

“We feel we have a good handle on the situation here,” Tim Stebbins, the public health officer in Crawford County, where Pittsburg is located. “We don’t need the virus coming in and out due to student travel.”

At Emporia State University, officials announced Wednesday that all athletic activities were temporarily suspended. The school said in a news release that total of 14 student-athletes out of more than 400 spread across all teams had tested positive for COVID-19.

The University of Kansas announced Wednesday that the number of positive cases resulting from compulsory testing of students arriving on campus had grown to 546, for a 2.42% overall positivity rate, according to a&nbsp;<a href="http://chancellor.ku.edu/news/2020/sep2" target="_blank">news release</a>. Among fraternities and sororities, the percentage testing positive shrank from 10% to 8.38% as the houses added freshmen members who had lower rates of infection to their ranks. Nine Greek houses were places on quarantine last week.

At Benedictine College in Atchison, health officials in the county want to put all of the school’s 2,000 students in quarantine for 14 days. Under the plan, students would only leave their residential quarters to obtain packed meals from the cafeteria and participate in religious services.

Currently, 16 students are in isolation in the community after testing positive and 132 are in quarantine as a precaution because they may have been exposed, said college spokesman Steve Johnson. He said the school thinks it has adequate mitigation in place and quarantining all students is “not the best solution.” No final decision has been made.

Statewide, Kansas reported 1,328 new COVID-19 cases from Monday to Wednesday, bringing the state’s confirmed total to 43,940. That includes 15 sports clusters with 119 cases. Health officials also reported an additional 12 COVID-19-related deaths for a statewide death toll of 458.

One of the deadliest outbreaks was at Riverbend Post Acute Rehabilitation in Wyandotte County, where 37 residents died, KCUR&nbsp;<a href="https://www.kcur.org/news/2020-09-03/scathing-federal-inspection-pulls-curtain-back-on-one-of-kansas-deadliest-coronavirus-outbreaksKCUR" target="_blank">reports</a>. A newly released scathing federal report said that weeks into the outbreak, inspectors still saw health workers caring for COVID-19 patients without proper protective gear.

Riverbend argued a federal law shields it against 12 lawsuits that have been filed, but a federal judge rejected the argument two weeks ago.

“This report just confirms the allegations we’ve already made,” said Rachel Stahle, a lawyer representing families in seven of the lawsuits.

PITTSBURG, Kan. (AP) — Hundreds are quarantined at several Kansas universities as a growing number of students test positive for the coronavirus, raising concerns that they could bring the virus home with them over the upcoming holiday weekend.At Pittsburg State University, 96 positive COVID-19 cases have been recorded among students since the fall semester began Aug. 17, officials said during a media briefing Wednesday. Currently, 101 people are in isolation, or separated from people who are not sick, and about 600 are in quarantine, or separated for the monitoring of the development of symptoms.Pittsburg State officials are “strongly suggesting” that students remain in Pittsburg over the coming Labor Day weekend.“We feel we have a good handle on the situation here,” Tim Stebbins, the public health officer in Crawford County, where Pittsburg is located. “We don’t need the virus coming in and out due to student travel.”At Emporia State University, officials announced Wednesday that all athletic activities were temporarily suspended. The school said in a news release that total of 14 student-athletes out of more than 400 spread across all teams had tested positive for COVID-19.The University of Kansas announced Wednesday that the number of positive cases resulting from compulsory testing of students arriving on campus had grown to 546, for a 2.42% overall positivity rate, according to a&nbsp;<a href="http://chancellor.ku.edu/news/2020/sep2" target="_blank">news release</a>. Among fraternities and sororities, the percentage testing positive shrank from 10% to 8.38% as the houses added freshmen members who had lower rates of infection to their ranks. Nine Greek houses were places on quarantine last week.At Benedictine College in Atchison, health officials in the county want to put all of the school’s 2,000 students in quarantine for 14 days. Under the plan, students would only leave their residential quarters to obtain packed meals from the cafeteria and participate in religious services.Currently, 16 students are in isolation in the community after testing positive and 132 are in quarantine as a precaution because they may have been exposed, said college spokesman Steve Johnson. He said the school thinks it has adequate mitigation in place and quarantining all students is “not the best solution.” No final decision has been made.Statewide, Kansas reported 1,328 new COVID-19 cases from Monday to Wednesday, bringing the state’s confirmed total to 43,940. That includes 15 sports clusters with 119 cases. Health officials also reported an additional 12 COVID-19-related deaths for a statewide death toll of 458.One of the deadliest outbreaks was at Riverbend Post Acute Rehabilitation in Wyandotte County, where 37 residents died, KCUR&nbsp;<a href="https://www.kcur.org/news/2020-09-03/scathing-federal-inspection-pulls-curtain-back-on-one-of-kansas-deadliest-coronavirus-outbreaksKCUR" target="_blank">reports</a>. A newly released scathing federal report said that weeks into the outbreak, inspectors still saw health workers caring for COVID-19 patients without proper protective gear.Riverbend argued a federal law shields it against 12 lawsuits that have been filed, but a federal judge rejected the argument two weeks ago.“This report just confirms the allegations we’ve already made,” said Rachel Stahle, a lawyer representing families in seven of the lawsuits.

Hundreds in quarantine after COVID-19 outbreaks at Kan. schools 

MCPHERSON -- The McPherson County Health Department today reported 205 total confirmed cases of COVID-19. 

Of the 205 total cases, 185 have met Kansas Department of Health and Environment recovery guidelines, the health department noted. Additionally, three of the current cases are hospitalized and one person has died, according to the health department.

Following is the information about the new cases, as provided by the health department.

●Positive case No. 204 was identified late Monday and is a symptomatic female in her 40s with unknown exposure.

●Positive case No. 205 is an asymptomatic 18-year-old male with unknown exposure.

MCPHERSON -- The McPherson County Health Department today reported 205 total confirmed cases of COVID-19. Of the 205 total cases, 185 have met Kansas Department of Health and Environment recovery guidelines, the health department noted. Additionally, three of the current cases are hospitalized and one person has died, according to the health department.Following is the information about the new cases, as provided by the health department.●Positive case No. 204 was identified late Monday and is a symptomatic female in her 40s with unknown exposure.●Positive case No. 205 is an asymptomatic 18-year-old male with unknown exposure.

McPherson County reports 2 additional COVID-19 cases

Following is a letter that was released today from the leaders of Saline County's educational institutions.

To the Greater Salina and Saline County Communities:

Alone we can do so little; together we can do so much.

So said the great Helen Keller, and as many of the region’s educational institutions and groups, we echo this sentiment.

We understand that a nontraditional opening to a school year creates a cascading effect on our community. Employees are forced to scramble for child care. Employers have to adapt policies on the fly. Community members are not able to attend the same events they otherwise would, translating into less revenue for our local economy.

We want to open fully without restrictions. We know most students learn best in the presence of a good teacher. And we acknowledge the important role we play in helping our region thrive.

We are key employers of the region – our institutions combine to employ nearly 3000 individuals. We are key economic drivers. We will be at the forefront of a new normal, whatever that may become.

Why do we share this? We need your help. Each of our institutions has a data-driven plan, created by medical professionals, that provides a point where we can loosen restrictions in various ways. If we can reach those benchmarks, schools would be able to operate in a more traditional way, benefiting our students, families and the local economy. At this time, the data in those plans simply does not support loosening those restrictions. This is where we need your help.

In order to positively affect the data and reduce the region’s risk for COVID-19, we need everyone to make choices that support public health. Wear masks. Limit gatherings. Social distance. Stay home when you don’t feel well. We need businesses, entertainment venues and local organizations to insist on safe practices.

Reducing the region’s risk of COVID-19 and allowing our educational institutions to operate without restrictions is about choices and behaviors in our community. Those choices are the impetus behind these operational decisions. Please help us ensure a safe education and a thriving economy in Salina. Together, we can meet this challenge.

Geoff Andrews, Superintendent of Schools, Catholic Diocese of Salina

Linn Exline, Superintendent, USD 305, Salina

Greg Nichols, President, Salina Area Technical College

Brian Rowley, Superintendent, USD 307, Ell-Saline

Alysia Starkey, Ph.D., CEO and Dean, Kansas State Polytechnic

Roger Stumpf, Superintendent, USD 306, Southeast of Saline

Matt Thompson, Ph.D., President and CEO, Kansas Wesleyan University

Following is a letter that was released today from the leaders of Saline County's educational institutions.To the Greater Salina and Saline County Communities:Alone we can do so little; together we can do so much.So said the great Helen Keller, and as many of the region’s educational institutions and groups, we echo this sentiment.We understand that a nontraditional opening to a school year creates a cascading effect on our community. Employees are forced to scramble for child care. Employers have to adapt policies on the fly. Community members are not able to attend the same events they otherwise would, translating into less revenue for our local economy.We want to open fully without restrictions. We know most students learn best in the presence of a good teacher. And we acknowledge the important role we play in helping our region thrive.We are key employers of the region – our institutions combine to employ nearly 3000 individuals. We are key economic drivers. We will be at the forefront of a new normal, whatever that may become.Why do we share this? We need your help. Each of our institutions has a data-driven plan, created by medical professionals, that provides a point where we can loosen restrictions in various ways. If we can reach those benchmarks, schools would be able to operate in a more traditional way, benefiting our students, families and the local economy. At this time, the data in those plans simply does not support loosening those restrictions. This is where we need your help.In order to positively affect the data and reduce the region’s risk for COVID-19, we need everyone to make choices that support public health. Wear masks. Limit gatherings. Social distance. Stay home when you don’t feel well. We need businesses, entertainment venues and local organizations to insist on safe practices.Reducing the region’s risk of COVID-19 and allowing our educational institutions to operate without restrictions is about choices and behaviors in our community. Those choices are the impetus behind these operational decisions. Please help us ensure a safe education and a thriving economy in Salina. Together, we can meet this challenge.Geoff Andrews, Superintendent of Schools, Catholic Diocese of SalinaLinn Exline, Superintendent, USD 305, SalinaGreg Nichols, President, Salina Area Technical CollegeBrian Rowley, Superintendent, USD 307, Ell-SalineAlysia Starkey, Ph.D., CEO and Dean, Kansas State PolytechnicRoger Stumpf, Superintendent, USD 306, Southeast of SalineMatt Thompson, Ph.D., President and CEO, Kansas Wesleyan University

LETTER: Make choices that support public health

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

We realize that many citizens have become numb to the updates on the COVID-19 pandemic. Now is not the time to ignore the public health messages and recommendations. Our new cases in the last 48 hours are from a multitude of activities, locations, and situations. With children back in school and college in session, we all must continue to wash hands, stay home when ill, wear masks in public settings, and practice social distancing and continue doing what is right to protect ourselves and our loved ones.

There are 27 new positive COVID-19 cases in Saline County that have been identified since the Monday, August 31 report. The total for the county is now 503, with 105 cases that are actively being monitored by the Health Department, 389 that have recovered, and a total of 9 deaths. Salina Regional Health Center reports that they have 5 hospitalized COVID-19 patients. Our dashboard is 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 43,940 cases and 458 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:

●Wear masks in public spaces both indoor and outdoor 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/2020/9/1599086666129.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>Following is the Saline County COVID-19 update for Wednesday.We realize that many citizens have become numb to the updates on the COVID-19 pandemic. Now is not the time to ignore the public health messages and recommendations. Our new cases in the last 48 hours are from a multitude of activities, locations, and situations. With children back in school and college in session, we all must continue to wash hands, stay home when ill, wear masks in public settings, and practice social distancing and continue doing what is right to protect ourselves and our loved ones.There are 27 new positive COVID-19 cases in Saline County that have been identified since the Monday, August 31 report. The total for the county is now 503, with 105 cases that are actively being monitored by the Health Department, 389 that have recovered, and a total of 9 deaths. Salina Regional Health Center reports that they have 5 hospitalized COVID-19 patients. Our dashboard is 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 43,940 cases and 458 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’re sick●Wear masks in public spaces both indoor and outdoor 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>.

With COVID-19 cases topping 500, county urges vigilance

A handful of the dozens of experimental COVID-19 vaccines in human testing have reached the last and biggest hurdle — looking for the needed proof that they really work as a U.S. advisory panel suggested Tuesday a way to ration the first limited doses once a vaccine wins approval.

AstraZeneca announced Monday its vaccine candidate has entered the final testing stage in the U.S. The Cambridge, England-based company said the study will involve up to 30,000 adults from various racial, ethnic and geographic groups.

Two other vaccine candidates began final testing this summer in tens of thousands of people in the U.S. One was created by the National Institutes of Health and manufactured by Moderna Inc., and the other developed by Pfizer Inc. and Germany’s BioNTech.

“To have just one vaccine enter the final stage of trials eight months after discovering a virus would be a remarkable achievement; to have three at that point with more on the way is extraordinary,” Health and Human Services Secretary Alex Azar said in a statement.

NIH Director Francis Collins tweeted that his agency "is supporting several vaccine trials since more than one may be needed. We have all hands on deck."

AstraZeneca said development of the vaccine, known as AZD1222, is moving ahead globally with late-stage trials in the U.K., Brazil and South Africa. Further trials are planned in Japan and Russia. The potential vaccine was invented by the University of Oxford and an associated company, Vaccitech.

Meanwhile, a U.S. advisory panel released a draft plan Tuesday for how to ration the first doses of vaccine. The National Academies of Sciences, Engineering and Medicine proposed giving the first vaccine doses — initial supplies are expected to be limited to up to 15 million people — to high-risk health care workers and first responders.

Next, older residents of nursing homes and other crowded facilities and people of all ages with health conditions that put them at significant danger would be given priority. In following waves of vaccination, teachers, other school staff, workers in essential industries, and people living in homeless shelters, group homes, prisons and other facilities would get the shots.

Healthy children, young adults and everyone else would not get the first vaccinations, but would be able to get them once supplies increase.

The panel of experts described “a moral imperative” to lessen the heavy disease burden of COVID-19 on Blacks, Hispanics, Native Americans and Alaska Natives, and suggested state and local authorities could target vulnerable neighborhoods using data from the Centers for Disease Control and Prevention.

The National Academies will solicit&nbsp;<a href="https://www.nap.edu/vaccine/">public comments</a>&nbsp;on the plan through Friday.

There’s a good reason so many COVID-19 vaccines are in development.

“The first vaccines that come out are probably not going to be the best vaccines,” Dr. Nicole Lurie, who helped lead pandemic planning under the Obama administration, said at a University of Minnesota vaccine symposium.

There’s no guarantee that any of the leading candidates will pan out — and the bar is higher than for COVID-19 treatments, because these vaccines will be given to healthy people. Final testing, experts stress, must be in large numbers of people to know if they’re safe enough for mass vaccinations.

They’re made in a wide variety of ways, each with pros and cons. One problem: Most of the leading candidates are being tested with two doses, which lengthens the time required to get an answer — and, if one works, to fully vaccinate people.

Another: They’re all shots. Vaccine experts are closely watching development of some nasal-spray alternatives that just might begin the first step of human testing later this year — late to the race, but possibly advantageous against a virus that sneaks into the airways.

For now, here’s a scorecard of vaccines that already have begun or are getting close to final-stage tests:

The Moderna and Pfizer candidates began Phase 3 testing in late July.

Neither uses the actual coronavirus. Instead, they’re made with the genetic code for the aptly named “spike” protein that coats the surface of the coronavirus. Inject the vaccine containing that code, called mRNA, and the body’s cells will make some harmless spike protein — just enough for the immune system to respond, priming it to react if it later encounters the real virus.

These mRNA vaccines are easier and faster to make than traditional vaccines, but it’s a new and unproven technology.

Britain’s Oxford University and AstraZeneca are making what scientists call a “viral vector” vaccine but a good analogy is the Trojan horse. The shots are made with a harmless virus — a cold virus that normally infects chimpanzees — that carries the spike protein’s genetic material into the body. Once again, the body produces some spike protein and primes the immune system, but it, too, is a fairly new technology.

Two possible competitors are made with different human cold viruses.

Shots made by Johnson &amp; Johnson began initial human studies in late July. The company plans to begin Phase 3 testing in September in as many as 60,000 people in the U.S. and elsewhere.

China’s government authorized emergency use of CanSino Biologics’ adenovirus shots in the military ahead of any final testing.

Making vaccines by growing a disease-causing virus and then killing it is a tried-and-true approach — it’s the way Jonas Salk’s famed polio shots were made. China has three so-called “inactivated” vaccine candidates against COVID-19 made this way.

Sinovac has final studies of its candidate underway in Brazil and Indonesia. Competitor SinoPharm has announced plans for final testing in some other countries.

Safely brewing and then killing the virus takes longer than newer technologies. But inactivated vaccines give the body a sneak peek at the germ itself rather than just that single spike protein.

Novavax makes “protein subunit” vaccines, growing harmless copies of the coronavirus spike protein in the laboratory and packaging them into virus-sized nanoparticles.

There are protein-based vaccines against other diseases, so it’s not as novel a technology as some of its competitors. But it only recently finished its first-step study; the U.S. government’s Operation Warp Speed aims for advanced testing later in the fall.

By LAURAN NEERGAARD and CARLA K. JOHNSONAP Medical WritersA handful of the dozens of experimental COVID-19 vaccines in human testing have reached the last and biggest hurdle — looking for the needed proof that they really work as a U.S. advisory panel suggested Tuesday a way to ration the first limited doses once a vaccine wins approval.AstraZeneca announced Monday its vaccine candidate has entered the final testing stage in the U.S. The Cambridge, England-based company said the study will involve up to 30,000 adults from various racial, ethnic and geographic groups.Two other vaccine candidates began final testing this summer in tens of thousands of people in the U.S. One was created by the National Institutes of Health and manufactured by Moderna Inc., and the other developed by Pfizer Inc. and Germany’s BioNTech.“To have just one vaccine enter the final stage of trials eight months after discovering a virus would be a remarkable achievement; to have three at that point with more on the way is extraordinary,” Health and Human Services Secretary Alex Azar said in a statement.NIH Director Francis Collins tweeted that his agency "is supporting several vaccine trials since more than one may be needed. We have all hands on deck."AstraZeneca said development of the vaccine, known as AZD1222, is moving ahead globally with late-stage trials in the U.K., Brazil and South Africa. Further trials are planned in Japan and Russia. The potential vaccine was invented by the University of Oxford and an associated company, Vaccitech.Meanwhile, a U.S. advisory panel released a draft plan Tuesday for how to ration the first doses of vaccine. The National Academies of Sciences, Engineering and Medicine proposed giving the first vaccine doses — initial supplies are expected to be limited to up to 15 million people — to high-risk health care workers and first responders.Next, older residents of nursing homes and other crowded facilities and people of all ages with health conditions that put them at significant danger would be given priority. In following waves of vaccination, teachers, other school staff, workers in essential industries, and people living in homeless shelters, group homes, prisons and other facilities would get the shots.Healthy children, young adults and everyone else would not get the first vaccinations, but would be able to get them once supplies increase.The panel of experts described “a moral imperative” to lessen the heavy disease burden of COVID-19 on Blacks, Hispanics, Native Americans and Alaska Natives, and suggested state and local authorities could target vulnerable neighborhoods using data from the Centers for Disease Control and Prevention.The National Academies will solicit&nbsp;<a href="https://www.nap.edu/vaccine/">public comments</a>&nbsp;on the plan through Friday.There’s a good reason so many COVID-19 vaccines are in development.“The first vaccines that come out are probably not going to be the best vaccines,” Dr. Nicole Lurie, who helped lead pandemic planning under the Obama administration, said at a University of Minnesota vaccine symposium.There’s no guarantee that any of the leading candidates will pan out — and the bar is higher than for COVID-19 treatments, because these vaccines will be given to healthy people. Final testing, experts stress, must be in large numbers of people to know if they’re safe enough for mass vaccinations.They’re made in a wide variety of ways, each with pros and cons. One problem: Most of the leading candidates are being tested with two doses, which lengthens the time required to get an answer — and, if one works, to fully vaccinate people.Another: They’re all shots. Vaccine experts are closely watching development of some nasal-spray alternatives that just might begin the first step of human testing later this year — late to the race, but possibly advantageous against a virus that sneaks into the airways.For now, here’s a scorecard of vaccines that already have begun or are getting close to final-stage tests:GENETIC CODE VACCINESThe Moderna and Pfizer candidates began Phase 3 testing in late July.Neither uses the actual coronavirus. Instead, they’re made with the genetic code for the aptly named “spike” protein that coats the surface of the coronavirus. Inject the vaccine containing that code, called mRNA, and the body’s cells will make some harmless spike protein — just enough for the immune system to respond, priming it to react if it later encounters the real virus.These mRNA vaccines are easier and faster to make than traditional vaccines, but it’s a new and unproven technology.TROJAN HORSE VACCINESBritain’s Oxford University and AstraZeneca are making what scientists call a “viral vector” vaccine but a good analogy is the Trojan horse. The shots are made with a harmless virus — a cold virus that normally infects chimpanzees — that carries the spike protein’s genetic material into the body. Once again, the body produces some spike protein and primes the immune system, but it, too, is a fairly new technology.Two possible competitors are made with different human cold viruses.Shots made by Johnson &amp; Johnson began initial human studies in late July. The company plans to begin Phase 3 testing in September in as many as 60,000 people in the U.S. and elsewhere.China’s government authorized emergency use of CanSino Biologics’ adenovirus shots in the military ahead of any final testing.‘KILLED’ VACCINESMaking vaccines by growing a disease-causing virus and then killing it is a tried-and-true approach — it’s the way Jonas Salk’s famed polio shots were made. China has three so-called “inactivated” vaccine candidates against COVID-19 made this way.Sinovac has final studies of its candidate underway in Brazil and Indonesia. Competitor SinoPharm has announced plans for final testing in some other countries.Safely brewing and then killing the virus takes longer than newer technologies. But inactivated vaccines give the body a sneak peek at the germ itself rather than just that single spike protein.PROTEIN VACCINESNovavax makes “protein subunit” vaccines, growing harmless copies of the coronavirus spike protein in the laboratory and packaging them into virus-sized nanoparticles.There are protein-based vaccines against other diseases, so it’s not as novel a technology as some of its competitors. But it only recently finished its first-step study; the U.S. government’s Operation Warp Speed aims for advanced testing later in the fall.___

Third virus vaccine reaches major hurdle: final US testing

The U.S. Centers for Disease Control and Prevention did not “backpedal” on the number of deaths caused by COVID-19, reducing the figure from nearly 154,000 to just over 9,000, as social media posts claimed.

The term “Only 6%” trended widely on Twitter over the weekend as supporters of the QAnon conspiracy theory promoted tweets that falsely suggested <a href="https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm?fbclid=IwAR3-wrg3tTKK5-9tOHPGAHWFVO3DfslkJ0KsDEPQpWmPbKtp6EsoVV2Qs1Q">the CDC had updated</a> its records to show that only 6% of U.S. deaths tied to COVID-19 were legitimate. President Donald Trump was among those who tweeted the information, which was later taken down by Twitter for violating platform rules.

The posts, which received hundreds of thousands of shares online, were based on a regularly updated CDC data table showing underlying conditions for those who died of COVID-19. The conditions included high blood pressure, diabetes and obesity, as well as problems that are caused by COVID-19 itself, such as respiratory failure and pneumonia.

The&nbsp;<a href="https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm#Comorbidities" target="_blank">CDC data table&nbsp;</a>is based on an analysis of death certificates that mention COVID-19 as a cause. For 6% of the deaths, COVID-19 was the only cause mentioned, the CDC notes.

The other 94% list COVID-19 and other conditions together. Among those deaths, there were, on average, 2.6 additional conditions or causes per death, the public health agency said.

As of Aug. 26, the CDC said, there were 161,332 deaths where COVID-19 was listed on the death certificate. Social media users over the weekend posted an older screenshot of the data that showed 153,504 deaths. The posts used the 6% figure to claim the U.S. death toll was much lower — 9,210.

“CDC just backpedaled (quietly) and adjusted the U.S. COVID deaths from 153,504 to 9,210. Admitting that their numbers are so (expletive) that they are off by a whopping 94%,” said a post being shared on Facebook Monday.

But such claims misrepresent the data. A death isn’t excluded from the COVID-19 tally just because the person was obese or had diabetes or dementia. Someone with heart problems can still be killed by COVID-19, and the death certificate could mention both as contributing.

Experts say it’s not surprising that so few people who died from COVID-19 had no underlying conditions listed on their death certificates. It is rare for people not to have multiple medical issues at death.

“The underlying cause of death is the condition that began the chain of events that ultimately led to the person’s death,” Dr. Robert Anderson, who oversees the CDC’s death statistics work, said in a statement. “In 92% of all deaths that mention COVID-19, COVID-19 is listed as the underlying cause of death.”

Also, while death certificates are supposed to list any causes or conditions that contributed, past research has shown that the documents aren’t perfect. Doctors might not know – or specify – all the reasons behind a particular death.

More important, the CDC figures show what medical professionals have been saying since the outset of the pandemic — that the virus tends to have a more severe impact on people with underlying conditions.

For example, people died with diabetes not because of it, said Dr. William Schaffner, an infectious-diseases expert at Vanderbilt University.

“If it hadn’t been for the COVID virus infection, these people would be living today,” he said. “So yes, although they have contributing underlying chronic health factors, it’s still the COVID virus that killed them.”

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/8/1598927207022.png" alt="Robert R. Redfield, MD, Director of the Centers for Disease Control and Prevention during a weekend Zoom conference" />
 <figcaption>Robert R. Redfield, MD, Director of the Centers for Disease Control and Prevention during a weekend Zoom conference</figcaption>
 </figure>By BEATRICE DUPUY, Associated PressThe U.S. Centers for Disease Control and Prevention did not “backpedal” on the number of deaths caused by COVID-19, reducing the figure from nearly 154,000 to just over 9,000, as social media posts claimed.The term “Only 6%” trended widely on Twitter over the weekend as supporters of the QAnon conspiracy theory promoted tweets that falsely suggested <a href="https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm?fbclid=IwAR3-wrg3tTKK5-9tOHPGAHWFVO3DfslkJ0KsDEPQpWmPbKtp6EsoVV2Qs1Q">the CDC had updated</a> its records to show that only 6% of U.S. deaths tied to COVID-19 were legitimate. President Donald Trump was among those who tweeted the information, which was later taken down by Twitter for violating platform rules.The posts, which received hundreds of thousands of shares online, were based on a regularly updated CDC data table showing underlying conditions for those who died of COVID-19. The conditions included high blood pressure, diabetes and obesity, as well as problems that are caused by COVID-19 itself, such as respiratory failure and pneumonia.The&nbsp;<a href="https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm#Comorbidities" target="_blank">CDC data table&nbsp;</a>is based on an analysis of death certificates that mention COVID-19 as a cause. For 6% of the deaths, COVID-19 was the only cause mentioned, the CDC notes.The other 94% list COVID-19 and other conditions together. Among those deaths, there were, on average, 2.6 additional conditions or causes per death, the public health agency said.As of Aug. 26, the CDC said, there were 161,332 deaths where COVID-19 was listed on the death certificate. Social media users over the weekend posted an older screenshot of the data that showed 153,504 deaths. The posts used the 6% figure to claim the U.S. death toll was much lower — 9,210.“CDC just backpedaled (quietly) and adjusted the U.S. COVID deaths from 153,504 to 9,210. Admitting that their numbers are so (expletive) that they are off by a whopping 94%,” said a post being shared on Facebook Monday.But such claims misrepresent the data. A death isn’t excluded from the COVID-19 tally just because the person was obese or had diabetes or dementia. Someone with heart problems can still be killed by COVID-19, and the death certificate could mention both as contributing.Experts say it’s not surprising that so few people who died from COVID-19 had no underlying conditions listed on their death certificates. It is rare for people not to have multiple medical issues at death.“The underlying cause of death is the condition that began the chain of events that ultimately led to the person’s death,” Dr. Robert Anderson, who oversees the CDC’s death statistics work, said in a statement. “In 92% of all deaths that mention COVID-19, COVID-19 is listed as the underlying cause of death.”Also, while death certificates are supposed to list any causes or conditions that contributed, past research has shown that the documents aren’t perfect. Doctors might not know – or specify – all the reasons behind a particular death.More important, the CDC figures show what medical professionals have been saying since the outset of the pandemic — that the virus tends to have a more severe impact on people with underlying conditions.For example, people died with diabetes not because of it, said Dr. William Schaffner, an infectious-diseases expert at Vanderbilt University.“If it hadn’t been for the COVID virus infection, these people would be living today,” he said. “So yes, although they have contributing underlying chronic health factors, it’s still the COVID virus that killed them.”

CDC has not reduced the death count for COVID-19

WASHINGTON (AP) — Threatening fines and funding cut-offs, the Trump administration issued new COVID-19 requirements for nursing homes and hospitals, prompting immediate pushback from beleaguered industries.

To check the spread of the coronavirus in nursing homes, the Centers for Medicare and Medicaid Services announced it will require facilities to test staff regularly or face fines.

<a href="https://apnews.com/681479be1d9f1a0fea4d64b1a44d5b9e">The move comes months after the White House</a>&nbsp;first urged governors to test all nursing home residents and staff. With residents, nursing homes are being required to offer them coronavirus tests if there is an outbreak or if any show symptoms.

Officials also reinforced a reporting mandate for hospitals. It included a thinly veiled threat to cut off Medicare and Medicaid funds to facilities that fail to report certain COVID-19 data daily to the federal Health and Human Services department. Hospitals responded with a sharp rebuke, calling the move “heavy-handed” and raising the specter of loss of vital services for local communities in a pandemic, less than three months before Election Day.

Long-term care facilities represent less than 1% of the U.S. population, but they account for 42% of the COVID-19 deaths, with more than 70,000 fatalities reported by the COVID Tracking Project.

The plight of frail elders in nursing homes is politically sensitive for President Donald Trump, who is trying to maintain support from older voters amid disapproval of the government’s pandemic response. His administration is distributing fast-test machines to nursing homes, but there are continued reports that&nbsp;<a href="https://apnews.com/ae2b6d71bdc3a9391ae02910d8f0491f">cases have been rising</a>&nbsp;and facilities still face&nbsp;<a href="https://apnews.com/ff2bbfb4a7431e86cdca5132042d4a0e">shortages of supplies</a>&nbsp;like masks.

“Our recommendations for testing in nursing homes go back as far back as March and April,” said Seema Verma, head of the Centers for Medicare and Medicaid Services, or CMS. “What’s different about today is that this is now a requirement ... we want to make sure every single nursing home is complying.”

Independent research indicates that the coronavirus most likely gets into nursing homes via staffers who unwittingly bring it in from surrounding communities where it has started to spread. Staffers who have yet to develop symptoms may have no clue that they’re infected.

Verma said the testing requirement for staff will be keyed to the level of virus activity in local areas. If the positive rate is below 5%, nursing homes will have to test staff once a month. If the rate is 5% - 10%, testing will be required once a week. If the rate is above 10%, staff will have to be tested twice a week. Florida, Iowa and Nevada are examples of states where the COVID-19 positive rate is now above 10%.

The government will provide $2.5 billion to help nursing homes with testing costs, Verma also announced. The administration’s campaign to distribute fast-test machines and an initial supply of tests is supposed to be done by the end of September.

The nursing home industry said it supports mandatory testing as long as facilities are given what they need to comply with requirements.

Mark Parkinson, head of the industry group American Health Care Association, said nursing homes in many parts of the country still can’t get timely results on COVID-19 tests.

CMS “must factor in the delays that continue to be a reality,” Parkinson said in a statement. “Otherwise facilities could face fines for circumstances beyond their control and be conducting tests that are so delayed that they have little clinical value.”

The hospital reporting requirement that was also announced Tuesday follows confusion and misgivings surrounding a Trump administration directive that facilities send critical COVID-19 data directly to HHS instead of the Centers for Disease Control and Prevention, as had been the case.

The information includes numbers of confirmed or suspected COVID-19 cases, how many intensive-care beds are occupied, and the availability of essential supplies and equipment such as ventilators and masks and gowns.

The regulation basically says if hospitals want to continue to participate in Medicare and Medicaid, they must report the information as required. The American Hospital Association called for the requirement to be immediately rescinded.

“Hospitals and health systems consistently have put forward a good faith effort to report the data needed to battle COVID-19 under very trying circumstances, despite the ever-changing requests from the government on data reporting,” Rick Pollack, president of the American Hospital Association, said in a statement. “Since February, the government has made at least six changes to how they want hospitals to report data.”

Federal statistics show that 94% of hospitals are reporting the required data, said Pollack. He added his organization has done some investigation of its own and found that in some cases hospitals had sent in their reports, but the information had not gotten through the government system.

“It’s beyond perplexing why CMS would use a regulatory sledgehammer — threatening Medicare participation — to the very organizations that are on the front lines in the fight against COVID-19.”

CMS chief Verma said the requirement is meant to correct deficiencies in reporting vital data needed to track and contain the pandemic.

WASHINGTON (AP) — Threatening fines and funding cut-offs, the Trump administration issued new COVID-19 requirements for nursing homes and hospitals, prompting immediate pushback from beleaguered industries.To check the spread of the coronavirus in nursing homes, the Centers for Medicare and Medicaid Services announced it will require facilities to test staff regularly or face fines.<a href="https://apnews.com/681479be1d9f1a0fea4d64b1a44d5b9e">The move comes months after the White House</a>&nbsp;first urged governors to test all nursing home residents and staff. With residents, nursing homes are being required to offer them coronavirus tests if there is an outbreak or if any show symptoms.Officials also reinforced a reporting mandate for hospitals. It included a thinly veiled threat to cut off Medicare and Medicaid funds to facilities that fail to report certain COVID-19 data daily to the federal Health and Human Services department. Hospitals responded with a sharp rebuke, calling the move “heavy-handed” and raising the specter of loss of vital services for local communities in a pandemic, less than three months before Election Day.Long-term care facilities represent less than 1% of the U.S. population, but they account for 42% of the COVID-19 deaths, with more than 70,000 fatalities reported by the COVID Tracking Project.The plight of frail elders in nursing homes is politically sensitive for President Donald Trump, who is trying to maintain support from older voters amid disapproval of the government’s pandemic response. His administration is distributing fast-test machines to nursing homes, but there are continued reports that&nbsp;<a href="https://apnews.com/ae2b6d71bdc3a9391ae02910d8f0491f">cases have been rising</a>&nbsp;and facilities still face&nbsp;<a href="https://apnews.com/ff2bbfb4a7431e86cdca5132042d4a0e">shortages of supplies</a>&nbsp;like masks.“Our recommendations for testing in nursing homes go back as far back as March and April,” said Seema Verma, head of the Centers for Medicare and Medicaid Services, or CMS. “What’s different about today is that this is now a requirement ... we want to make sure every single nursing home is complying.”Independent research indicates that the coronavirus most likely gets into nursing homes via staffers who unwittingly bring it in from surrounding communities where it has started to spread. Staffers who have yet to develop symptoms may have no clue that they’re infected.Verma said the testing requirement for staff will be keyed to the level of virus activity in local areas. If the positive rate is below 5%, nursing homes will have to test staff once a month. If the rate is 5% - 10%, testing will be required once a week. If the rate is above 10%, staff will have to be tested twice a week. Florida, Iowa and Nevada are examples of states where the COVID-19 positive rate is now above 10%.The government will provide $2.5 billion to help nursing homes with testing costs, Verma also announced. The administration’s campaign to distribute fast-test machines and an initial supply of tests is supposed to be done by the end of September.The nursing home industry said it supports mandatory testing as long as facilities are given what they need to comply with requirements.Mark Parkinson, head of the industry group American Health Care Association, said nursing homes in many parts of the country still can’t get timely results on COVID-19 tests.CMS “must factor in the delays that continue to be a reality,” Parkinson said in a statement. “Otherwise facilities could face fines for circumstances beyond their control and be conducting tests that are so delayed that they have little clinical value.”The hospital reporting requirement that was also announced Tuesday follows confusion and misgivings surrounding a Trump administration directive that facilities send critical COVID-19 data directly to HHS instead of the Centers for Disease Control and Prevention, as had been the case.The information includes numbers of confirmed or suspected COVID-19 cases, how many intensive-care beds are occupied, and the availability of essential supplies and equipment such as ventilators and masks and gowns.The regulation basically says if hospitals want to continue to participate in Medicare and Medicaid, they must report the information as required. The American Hospital Association called for the requirement to be immediately rescinded.“Hospitals and health systems consistently have put forward a good faith effort to report the data needed to battle COVID-19 under very trying circumstances, despite the ever-changing requests from the government on data reporting,” Rick Pollack, president of the American Hospital Association, said in a statement. “Since February, the government has made at least six changes to how they want hospitals to report data.”Federal statistics show that 94% of hospitals are reporting the required data, said Pollack. He added his organization has done some investigation of its own and found that in some cases hospitals had sent in their reports, but the information had not gotten through the government system.“It’s beyond perplexing why CMS would use a regulatory sledgehammer — threatening Medicare participation — to the very organizations that are on the front lines in the fight against COVID-19.”CMS chief Verma said the requirement is meant to correct deficiencies in reporting vital data needed to track and contain the pandemic.

New COVID-19 mandates on health care facilities get pushback

LONDON&nbsp; (AP)— The World Health Organization says countries should actively test people to find coronavirus cases, even if they have mild or no symptoms.

That’s despite the U.S. Centers for Disease Control and Prevention’s recently switched guidance to say asymptomatic contacts of cases don’t need to be tested.

Maria Van Kerkhove, WHO’s technical lead for the coronavirus, says when officials are investigating clusters of COVID-19, “testing may need to be expanded to look for individuals who are on the more mild end of the spectrum or who may indeed be asymptomatic.”

Van Kerkhove says countries were free to adapt their testing guidance for their individual needs and its critical how fast countries get results.

“What’s really important is that testing is used as an opportunity, to define active cases so that they can be isolated and so that contact tracing can also take place,” Van Kerkhove said. “This is really fundamental to breaking chains of transmission.”

Earlier in the pandemic, WHO recommend that countries focus on “testing, testing, testing.”

Van Kerkhove also says wearing masks alone to protect against the spread of the coronavirus isn’t enough, expressing concerns that people are growing too lax on maintaining physical distancing.

“So it’s not just masks alone. It’s not just physical distancing alone,” Van Kerkhove said. “It’s not just hand cleaning alone. Do it all.”

LONDON&nbsp; (AP)— The World Health Organization says countries should actively test people to find coronavirus cases, even if they have mild or no symptoms.That’s despite the U.S. Centers for Disease Control and Prevention’s recently switched guidance to say asymptomatic contacts of cases don’t need to be tested.Maria Van Kerkhove, WHO’s technical lead for the coronavirus, says when officials are investigating clusters of COVID-19, “testing may need to be expanded to look for individuals who are on the more mild end of the spectrum or who may indeed be asymptomatic.”Van Kerkhove says countries were free to adapt their testing guidance for their individual needs and its critical how fast countries get results.“What’s really important is that testing is used as an opportunity, to define active cases so that they can be isolated and so that contact tracing can also take place,” Van Kerkhove said. “This is really fundamental to breaking chains of transmission.”Earlier in the pandemic, WHO recommend that countries focus on “testing, testing, testing.”Van Kerkhove also says wearing masks alone to protect against the spread of the coronavirus isn’t enough, expressing concerns that people are growing too lax on maintaining physical distancing.“So it’s not just masks alone. It’s not just physical distancing alone,” Van Kerkhove said. “It’s not just hand cleaning alone. Do it all.”

WHO says test for virus, despite CDC's recent flip flop

TOPEKA —Gov. Laura Kelly announced a new program Thursday to help essential workers sickened with coronavirus cover the cost of medical care. The program, which will be paid for with $8 million in federal COVID-19 relief funds, will provide workers in fields such as child care, education and food service up to $25,000 for medical expenses if they are uninsured and $15,000 if they are insured and need help with copays and deductibles.

Before, they were out of luck, trial attorneys and some legislators say. They say the issue is that Kansas law is written so that coronavirus is almost certainly not an occupational disease, which means if you get it on the job, you can’t get benefits through that system. But, because the law says the workers’ compensation system is the exclusive remedy for on-the-job injuries and occupational diseases, you can’t sue your employer, either.

“The dedication and selflessness displayed by Kansas essential workers has been critical to our recovery efforts across the state in cities big and small and rural communities,” Kelly said in a news release. 

“They risk their health each and every day to help others and these funds make it possible for the state of Kansas to help cover expenses in the unfortunate cases when they contract COVID-19.”

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/3/1584111668151.png" alt="" />
 <figcaption></figcaption>
 </figure>TOPEKA —Gov. Laura Kelly announced a new program Thursday to help essential workers sickened with coronavirus cover the cost of medical care. The program, which will be paid for with $8 million in federal COVID-19 relief funds, will provide workers in fields such as child care, education and food service up to $25,000 for medical expenses if they are uninsured and $15,000 if they are insured and need help with copays and deductibles.Before, they were out of luck, trial attorneys and some legislators say. They say the issue is that Kansas law is written so that coronavirus is almost certainly not an occupational disease, which means if you get it on the job, you can’t get benefits through that system. But, because the law says the workers’ compensation system is the exclusive remedy for on-the-job injuries and occupational diseases, you can’t sue your employer, either.“The dedication and selflessness displayed by Kansas essential workers has been critical to our recovery efforts across the state in cities big and small and rural communities,” Kelly said in a news release. “They risk their health each and every day to help others and these funds make it possible for the state of Kansas to help cover expenses in the unfortunate cases when they contract COVID-19.”

Kansas creates COVID-19 essential worker health care fund

NEW YORK (AP) — U.S. health officials sparked criticism and confusion after posting guidelines on coronavirus testing from the White House task force that run counter to what scientists say is necessary to control the pandemic.

The new guidance says it’s not necessary for people who have been in close contact with infected people, but don’t feel sick, to get tested. It was posted earlier this week on the website of the Centers for Disease Control and Prevention.

The CDC previously had advised local health departments to test people who have been within 6 feet of an infected person for more than 15 minutes.

Across the country, public health experts called the change bizarre. They noted that testing contacts of infected people is a core element of public health efforts to keep outbreaks in check, and that a large percentage of infected people — the CDC has said as many as 40% — exhibit no symptoms.

“The recommendation not to test asymptomatic people who likely have been exposed is not in accord with the science,” said John Auerbach, president of Trust for America’s Health, a nonprofit that works to improve U.S. preparedness against disease.

“We are seeking clarification from CDC about its recent guidance around testing,” said a spokesman for Michigan’s health department.

Federal officials said the new recommendation was issued by consensus of the White House virus task force.

However, Dr. Anthony Fauci, the country’s top infectious disease expert and perhaps the best known task force member, said Wednesday he wasn’t part of the discussion that green-lighted the change.

Fauci told CNN he was undergoing surgery when the new guidance was discussed last week, adding he was “worried it will give people the incorrect assumption that asymptomatic spread is not of great concern. In fact it is.”

The American Medical Association, in a statement, called the change “a recipe for community spread.” The Association of American Medical Colleges called it “a step backward in fighting the pandemic.”

Some officials — including some state governors — said it was another sign of a dysfunctional federal response to the pandemic.

“This is like a public health version of Vietnam,” said Brian Castrucci, president and CEO of the de Beaumont Foundation, which works to strengthen the public health system.

CDC officials referred all media questions to the agency’s parent organization, the U.S. Department of Health and Human Services in Washington, D.C. That suggests that HHS ordered the change, not CDC, said Jennifer Nuzzo, a Johns Hopkins University public health researcher.

After Twitter lit up with head-scratching and alarm about the change, HHS officials sent an email Wednesday saying the guidance was revised “to reflect current evidence and the best public health interventions,” but did not detail what the new evidence was.

The decision came out of meetings of the White House coronavirus task force, HHS officials said.

In a call with reporters, Dr. Brett Giroir, the HHS assistant secretary for health, said guidance language originated at the CDC. But he also said many federal leaders outside the agency were involved in “lots of editing, lots of input.” He said federal officials achieved consensus but it was difficult to attribute the final language to any one source.

Ultimately, restricting testing could be self-defeating, because it could skew the numbers and create a perception that rates of infection are higher. Testing people who appear to be healthy would tend to lower the overall rate of positive results, while narrowing testing to people who are sick would raise the overall positive rate, Auerbach said.

Why HHS would order such a change quickly became a matter of speculation. Dr. Carlos del Rio, an infectious diseases specialist at Emory University, suggested in a tweet that there are two possible explanations.

One is that it may be driven by testing supply issues that in many parts of the country have caused widely reported delays in results of a week or more, he suggested.

HHS officials suggested that wasn’t the reason, arguing that testing capacity is plentiful.

But Dr. Mysheika Roberts, health commissioner for Columbus, Ohio, said the city had to curtail testing last month because of a shortage of reagents used in lab procedures.

“When we were testing asymptomatic people here in Columbus, we were picking up a large number of individuals” with the virus, she said

Another possible explanation for the change is that President Donald Trump simply wants to see case counts drop, and discouraging more people from getting tested is one way to do it, del Rio said in his tweet.

Full Coverage:&nbsp;<a href="https://apnews.com/tag/VirusOutbreak">Virus Outbreak</a>

Giroir said the change was made without input from Trump or Vice President Mike Pence. “There was no weight on the scales by the president or the vice president” or HHS Secretary Alex Azar, Giroir said.

Dr. Tom Frieden, who was head of the CDC during the Obama administration, said the move follows another recent change: to no longer recommend quarantine for travelers coming from areas where infections are more common.

“Both changes are highly problematic” and need to be better explained, said Frieden, who now is president of Resolve to Save Lives, a nonprofit program that works to prevent epidemics.

Frieden said he, too, believes HHS forced CDC to post the changes. He called it “a sad day” because “CDC is being told what to write on their website.”

The governors of California, New York, Washington and Kentucky — all Democrats — criticized the new recommendations.

Washington Gov Jay Inslee said on Twitter that the changes likely will cause thousands of infections in his state to go unrecognized, and allow the virus to spread even more. Kentucky Gov. Andy Beshear called the new guidance “reckless.”

California Gov. Gavin Newsom and New York Gov. Andrew Cuomo said their states will not follow the new guidance.

“We will not be influenced by that change,” Newsom said. “We’re influenced by the folks that are experts in the field who feel very differently.”

“Why would you reverse yourself on the quarantine order?” Cuomo told reporters on a conference call. “Because they don’t want publicity that there is a COVID problem. Because the president’s politics are, ‘COVID isn’t a problem We’re past COVID.’”

NEW YORK (AP) — U.S. health officials sparked criticism and confusion after posting guidelines on coronavirus testing from the White House task force that run counter to what scientists say is necessary to control the pandemic.The new guidance says it’s not necessary for people who have been in close contact with infected people, but don’t feel sick, to get tested. It was posted earlier this week on the website of the Centers for Disease Control and Prevention.The CDC previously had advised local health departments to test people who have been within 6 feet of an infected person for more than 15 minutes.Across the country, public health experts called the change bizarre. They noted that testing contacts of infected people is a core element of public health efforts to keep outbreaks in check, and that a large percentage of infected people — the CDC has said as many as 40% — exhibit no symptoms.“The recommendation not to test asymptomatic people who likely have been exposed is not in accord with the science,” said John Auerbach, president of Trust for America’s Health, a nonprofit that works to improve U.S. preparedness against disease.“We are seeking clarification from CDC about its recent guidance around testing,” said a spokesman for Michigan’s health department.Federal officials said the new recommendation was issued by consensus of the White House virus task force.However, Dr. Anthony Fauci, the country’s top infectious disease expert and perhaps the best known task force member, said Wednesday he wasn’t part of the discussion that green-lighted the change.Fauci told CNN he was undergoing surgery when the new guidance was discussed last week, adding he was “worried it will give people the incorrect assumption that asymptomatic spread is not of great concern. In fact it is.”The American Medical Association, in a statement, called the change “a recipe for community spread.” The Association of American Medical Colleges called it “a step backward in fighting the pandemic.”Some officials — including some state governors — said it was another sign of a dysfunctional federal response to the pandemic.“This is like a public health version of Vietnam,” said Brian Castrucci, president and CEO of the de Beaumont Foundation, which works to strengthen the public health system.CDC officials referred all media questions to the agency’s parent organization, the U.S. Department of Health and Human Services in Washington, D.C. That suggests that HHS ordered the change, not CDC, said Jennifer Nuzzo, a Johns Hopkins University public health researcher.After Twitter lit up with head-scratching and alarm about the change, HHS officials sent an email Wednesday saying the guidance was revised “to reflect current evidence and the best public health interventions,” but did not detail what the new evidence was.The decision came out of meetings of the White House coronavirus task force, HHS officials said.In a call with reporters, Dr. Brett Giroir, the HHS assistant secretary for health, said guidance language originated at the CDC. But he also said many federal leaders outside the agency were involved in “lots of editing, lots of input.” He said federal officials achieved consensus but it was difficult to attribute the final language to any one source.Ultimately, restricting testing could be self-defeating, because it could skew the numbers and create a perception that rates of infection are higher. Testing people who appear to be healthy would tend to lower the overall rate of positive results, while narrowing testing to people who are sick would raise the overall positive rate, Auerbach said.Why HHS would order such a change quickly became a matter of speculation. Dr. Carlos del Rio, an infectious diseases specialist at Emory University, suggested in a tweet that there are two possible explanations.One is that it may be driven by testing supply issues that in many parts of the country have caused widely reported delays in results of a week or more, he suggested.HHS officials suggested that wasn’t the reason, arguing that testing capacity is plentiful.But Dr. Mysheika Roberts, health commissioner for Columbus, Ohio, said the city had to curtail testing last month because of a shortage of reagents used in lab procedures.“When we were testing asymptomatic people here in Columbus, we were picking up a large number of individuals” with the virus, she saidAnother possible explanation for the change is that President Donald Trump simply wants to see case counts drop, and discouraging more people from getting tested is one way to do it, del Rio said in his tweet.Full Coverage:&nbsp;<a href="https://apnews.com/tag/VirusOutbreak">Virus Outbreak</a>Giroir said the change was made without input from Trump or Vice President Mike Pence. “There was no weight on the scales by the president or the vice president” or HHS Secretary Alex Azar, Giroir said.Dr. Tom Frieden, who was head of the CDC during the Obama administration, said the move follows another recent change: to no longer recommend quarantine for travelers coming from areas where infections are more common.“Both changes are highly problematic” and need to be better explained, said Frieden, who now is president of Resolve to Save Lives, a nonprofit program that works to prevent epidemics.Frieden said he, too, believes HHS forced CDC to post the changes. He called it “a sad day” because “CDC is being told what to write on their website.”The governors of California, New York, Washington and Kentucky — all Democrats — criticized the new recommendations.Washington Gov Jay Inslee said on Twitter that the changes likely will cause thousands of infections in his state to go unrecognized, and allow the virus to spread even more. Kentucky Gov. Andy Beshear called the new guidance “reckless.”California Gov. Gavin Newsom and New York Gov. Andrew Cuomo said their states will not follow the new guidance.“We will not be influenced by that change,” Newsom said. “We’re influenced by the folks that are experts in the field who feel very differently.”“Why would you reverse yourself on the quarantine order?” Cuomo told reporters on a conference call. “Because they don’t want publicity that there is a COVID problem. Because the president’s politics are, ‘COVID isn’t a problem We’re past COVID.’”___

Officials change COVID testing advice, bewildering experts

NEW YORK (AP) — The number of Americans newly diagnosed with the coronavirus is falling — a development experts say most likely reflects more mask-wearing but also insufficient testing — even as the disease continues to claim nearly 1,000 lives in the U.S. each day.

About 43,000 new cases are being reported daily across the country, down 21% from early August, according to data compiled by Johns Hopkins University. While the U.S., India and Brazil still have the highest numbers of new cases in the world, the downward trend is encouraging.

“It’s profoundly hopeful news,” said Dr. Monica Gandhi, an infectious-diseases expert at the University of California, San Francisco, who credits the American public’s growing understanding of how the virus spreads, more mask-wearing and, possibly, an increasing level of immunity.

“Hopefully all those factors are coming into play to get this virus under control in this country that’s really been battered by the pandemic,” she said.

But insufficient testing is probably concealing the full extent of the crisis, said Dr. Jonathan Quick, who leads the pandemic response for the Rockefeller Foundation, which has recommended the U.S. test 4 million people a day by fall.

“We’re grossly under-testing in some of the places that are still having high caseloads,” Quick said, singling out Mississippi, Texas, Georgia and North Dakota as hot spots with high rates of positive test results.

Even at 43,000 new cases per day, the U.S. remains far above the numbers seen during the spring, when new daily cases peaked at about 34,000, he said.

“It’s a good trend, but nowhere near what we need to be,” Quick said of the recent decline.

The virus is blamed for more than 5.7 million confirmed infections and about 178,000 deaths in the U.S. Worldwide, the death toll is put at more than 810,000, with about 23.7 million cases.

Jeffrey Shaman, a public health expert at Columbia University, said he is skeptical enough people are immune to significantly slow the spread. But he agreed that changes in Americans’ behavior could well be making a difference, recalling the impact that people’s actions had in containing Ebola in West Africa several years ago.

“Ebola stopped for reasons we didn’t anticipate at the time. It was so horrifying that people stopped touching each other,” Shaman said. Something similar may be happening with the coronavirus, he said.

“I know I don’t have nearly the number of contacts that I used to,” Shaman said. “But if we relax that, if we get complacent, will we just see another outbreak?”

The decline in newly reported cases in the U.S. comes even as deaths from the virus remain alarmingly high. Over the past two weeks, officials have reported an average of 965 deaths a day from COVID-19, down from 1,051 a day in early August.

Deaths from the coronavirus are a lagging indicator — they trail new infections because of the time it takes for people to get sick and succumb to the disease.

The percentage of tests coming back positive for the disease has also declined over the past two weeks, from 7.3% to 6.1%. But that comes as the total number of tests administered has fallen from its August peak of more than 820,000 a day, leveling off in recent weeks at about 690,000 a day.

The situation has improved dramatically in several states that struggled with high caseloads earlier this summer.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/5/1590784947764.jpeg" alt="" />
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 </figure>NEW YORK (AP) — The number of Americans newly diagnosed with the coronavirus is falling — a development experts say most likely reflects more mask-wearing but also insufficient testing — even as the disease continues to claim nearly 1,000 lives in the U.S. each day.About 43,000 new cases are being reported daily across the country, down 21% from early August, according to data compiled by Johns Hopkins University. While the U.S., India and Brazil still have the highest numbers of new cases in the world, the downward trend is encouraging.“It’s profoundly hopeful news,” said Dr. Monica Gandhi, an infectious-diseases expert at the University of California, San Francisco, who credits the American public’s growing understanding of how the virus spreads, more mask-wearing and, possibly, an increasing level of immunity.“Hopefully all those factors are coming into play to get this virus under control in this country that’s really been battered by the pandemic,” she said.But insufficient testing is probably concealing the full extent of the crisis, said Dr. Jonathan Quick, who leads the pandemic response for the Rockefeller Foundation, which has recommended the U.S. test 4 million people a day by fall.“We’re grossly under-testing in some of the places that are still having high caseloads,” Quick said, singling out Mississippi, Texas, Georgia and North Dakota as hot spots with high rates of positive test results.Even at 43,000 new cases per day, the U.S. remains far above the numbers seen during the spring, when new daily cases peaked at about 34,000, he said.“It’s a good trend, but nowhere near what we need to be,” Quick said of the recent decline.The virus is blamed for more than 5.7 million confirmed infections and about 178,000 deaths in the U.S. Worldwide, the death toll is put at more than 810,000, with about 23.7 million cases.Jeffrey Shaman, a public health expert at Columbia University, said he is skeptical enough people are immune to significantly slow the spread. But he agreed that changes in Americans’ behavior could well be making a difference, recalling the impact that people’s actions had in containing Ebola in West Africa several years ago.“Ebola stopped for reasons we didn’t anticipate at the time. It was so horrifying that people stopped touching each other,” Shaman said. Something similar may be happening with the coronavirus, he said.“I know I don’t have nearly the number of contacts that I used to,” Shaman said. “But if we relax that, if we get complacent, will we just see another outbreak?”The decline in newly reported cases in the U.S. comes even as deaths from the virus remain alarmingly high. Over the past two weeks, officials have reported an average of 965 deaths a day from COVID-19, down from 1,051 a day in early August.Deaths from the coronavirus are a lagging indicator — they trail new infections because of the time it takes for people to get sick and succumb to the disease.The percentage of tests coming back positive for the disease has also declined over the past two weeks, from 7.3% to 6.1%. But that comes as the total number of tests administered has fallen from its August peak of more than 820,000 a day, leveling off in recent weeks at about 690,000 a day.The situation has improved dramatically in several states that struggled with high caseloads earlier this summer.In Arizona, for example, officials reported 859 new cases Tuesday, down from a peak of 5,500 in late June. More than 2,000 people arrived at the state’s hospitals showing symptoms of the virus on a single day in early July. This week, that number has been less than 1,000.In Florida, where more than 10,000 people have died, the state reported 2,600 new virus cases Tuesday. Earlier in the summer, it was regularly reporting more than 10,000 new cases.Malinda Coler, 37, of San Francisco, said she has been diligent about mask wearing and other preventive measures, less to protect herself than a best friend who has a compromised immune system, with severe arthritis psoriasis.“So I wear a damned mask and get infuriated when others don’t,” she said.Most states now have some type of mask requirement, either through statewide orders issued by governors or from city and county rules that cover most of their population.Even some conservative governors have gone along with masks. Mississippi Gov. Tate Reeves mandated masks in all public places earlier this month, and Georgia Gov. Brian Kemp dropped a lawsuit against Atlanta in a dispute over a requirement by the state’s largest city.In Leeds, Alabama, Will Heath said he has seen greater adherence to mask rules around town, whether in stores or at his 5-year-old daughter’s cheerleading practice.He and his wife, a nurse, have worn masks all along but said the attitude among others has shifted from “Even if I get it, I’ll be OK,” to “Let’s make sure we don’t give it to somebody else.”“We have all been sort of operating under the assumption that we all have it or we’re going to get it eventually. So we want to make sure we don’t spread it,” Heath said.Many places around the U.S. are seeing pockets of contagion, especially in college towns where students are holding parties and crowding into bars.Over the past week, 531 students, faculty and staff at the University of Alabama in Tuscaloosa have tested positive for the virus, according to the school. Alabama said it tested nearly 30,000 students before classes began. The mayor of Tuscaloosa shut down bars for two weeks because of the spike, which could derail plans to continue the semester on campus.The university is still moving ahead with fall sports in the football-crazed state, with plans to allow only about 20,000 fans at its 101,000-capacity stadium and a ban on tailgating. Coach Nick Saban weighed in on the virus Monday, urging people to wear masks.“It’s not just about football. So, for people to make the right choices and decisions to wear their masks, do the things when they’re out publicly, respect the rules, respect the virus, that’s important,” he said.It’s not clear what will happen to case numbers as more school districts bring students back to classrooms and colleges reopen their campuses. In recent weeks, schools including the University of North Carolina, Michigan State and Notre Dame have moved instruction online after outbreaks on their campuses.Officials at the University of Tennessee at Knoxville said four students are facing disciplinary proceedings after three hosted off-campus parties with no mask or other distancing and another left isolation to meet with others despite testing positive for the virus.“If the facts reported to the university are accurate, these students will face at least suspension from the university, and potentially greater penalties,” Chancellor Donde Plowman wrote.___

Coronavirus Update