Thursday, March 19, 2020


States suspending standardized tests as schools close
By JIM VERTUNOtoday



FILE - In this Wednesday, March 11, 2020, file photo, custodial staffer Hortensia Salinas uses an Electrostatic Clorox Sprayer to spray disinfectant in a classroom at Brownsville Early College High School in Brownsville, Texas. Closing schools to combat the spread of the coronavirus is having a sweeping impact on an annual rite of spring: the standardized tests that are dreaded by millions of students and teachers alike. (Denise Cathey/The Brownsville Herald via AP, File)


AUSTIN, Texas (AP) — Closing schools to combat the spread of the coronavirus is having a sweeping impact on an annual rite of spring: the standardized tests that are dreaded by millions of students and teachers alike.

Several states have canceled standardized testing for this academic year as they face school closures that could last weeks or months. The tests were scheduled to begin in early April in many states.

While that’s easing the burden on students and teachers, it’s also creating problems. The federal government requires states to perform annual standardized assessments under the Every Student Succeeds Act. And education groups warn that moving classes online won’t deliver equitable learning across states, school districts and even within classrooms.
Several states have asked U.S. Secretary of Education Betsy DeVos to waive those requirements. The department has said states can apply for a waiver on a case-by-case basis, but no blanket waiver has been announced.

In a recent advisory to schools, the department said it generally doesn’t grant broad waivers from the assessments that provide valuable information for parents, teachers and schools. But it said it would consider a targeted waiver for schools badly hit by the current “extraordinary circumstances.”

“It’s time for Betsy DeVos to do the right thing on behalf of our students and waive statewide assessments,” Michigan Gov. Gretchen Whitmer said Tuesday. “When our kids get back to school, our number one priority must be ensuring they have the resources they need to get back on track.”

The department did not immediately respond to a request for comment.

Texas Gov. Greg Abbott on Monday canceled the annual State of Texas Assessments of Academic Readiness tests for about 3.5 million students. More than half of the state’s 1,200 school districts, including the largest in Dallas and Houston and Austin, are facing prolonged school closures.

That was a relief for Lisa Ivy, a 16-year science teacher in Round Rock, Texas, whose fifth-grade daughter had been facing a STAAR test to determine if she would advance to middle school.

“I watch the anxiety created by these tests, as a teacher and a mom,” Ivy said. Her daughter knew what was at stake and was getting nervous that school closures would disrupt the final weeks of learning and review before the critical exam.

“Watching her get scared about it was crazy,” Ivy said. “I feel like schools didn’t want to cancel because we had STAAR test.”


In Washington state, where schools are closed statewide until at least April 24, Gov. Jay Inslee canceled standardized testing. In Ohio, where schools are scheduled to be closed for several weeks, Gov. Mike DeWine said: “If we can’t have testing this year, we will not have testing this year. The world will not come to an end.”

The Texas test is a high-stakes assessment that starts in third grade and can stop poor-performing students from advancing to the next grade level or even graduating high school. Test scores are also used to evaluate teachers.

While Abbott’s office said some districts may still want evaluations this year to collect learning data, the Texas State Teachers Association heralded the decision to say they’re not required.

“With this health crisis, educators, students, parents and their families need to be dedicated to keeping their families safe. That’s stressful enough without having to worry about a standardized test to advance or graduate,” TSTA spokesman Clay Robison said.

For most people, the virus causes only mild or moderate symptoms, such as fever and cough. For some, especially older adults and people with preexisting health problems, it can cause more severe illness, including pneumonia.

The vast majority of people recover from the virus. According to the World Health Organization, people with mild cases recover in about two weeks, while others could take three to six weeks to get well.

School districts are grappling with developing online learning for students. Education groups say that creates a problem for standardized testing as students may not have equal access to learning and lessons outside the classroom.

“It’s inherently inequitable,” said Noelle Ellerson Ng, associate executive director for advocacy and governance for the American Association of School Administrators.

“No school district can guarantee students have access to online learning,” Ellerson Ng said. “Some live in homes where mom and dad can work from home and have the ability to get them through it. Others have parents who will have to go to work and make that the priority. It’s a burden parents shouldn’t have to feel or schools should be held accountable for.”

Maggie Brown, a 12-year-old sixth-grader in Austin, Texas, said she wasn’t worried about passing the STAAR this year but that she and her group of friends were glad it was canceled. She remembers the stress it put on students trying to advance out of elementary school.

“I got about 40 texts from my friends in the first hour after it was canceled. My phone was blowing up,” Brown said. “I’m glad we didn’t have to go from online learning to taking the STAAR. The class environment is important to getting ready for the test.”

Mississippi, Georgia and Texas are among more than a dozen states that use standardized test result in rating systems that grade schools and districts on an A-F scale.

In Mississippi, where schools Superintendent Carey Wright has called for eliminating standardized testing this year, that could mean teachers in high-performing schools won’t be eligible for bonuses of up to $2,000. It also could influence which school districts are eligible for state takeovers and where charter schools are allowed to open.

That’s similar to Georgia, where testing accounts not only for 20% of a student’s grade in eight high school courses. It also factors into how the state selects low-performing schools for special academic aid.

Georgia Superintendent Richard Woods has said only that he’s suspending testing, but his staff says school closures mean testing is unrealistic when the school year ends in May.

Matt Jones, Woods’ chief of staff, said calling off tests during the coronavirus outbreak shows there’s more to school than high achievement on tests.

“I think it proves that testing is not the sole focus,” Jones said. “We want to make sure these decisions are student-centered.”

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Associated Press writers Jeff Amy in Atlanta and David Eggert in Lansing, Michigan, contributed to this report.

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The Associated Press receives support for health and science coverage from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

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Follow AP coverage of the virus outbreak at https://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak
AP PHOTO ESSAY: 
Virus revives demand for traditional French soap


AP PHOTOS: Virus revives demand for traditional French soap
By DANIEL COLE

MARSEILLE, France (AP) — Amid the rapid spread of the new coronavirus across Europe, the hallmark Marseille tradition of soap-making is enjoying a renaissance, as the French rediscover an essential local product.

Serge Bruna’s grandfather entered the then-booming business in the southern port city more than a century ago. His father followed suit, although the family enterprise was requisitioned during World War II, when soap was considered an essential commodity.

Today, Bruna sells soap from the same shopfront on Marseille’s Old Port — wearing a sanitary mask and skintight gloves.

“Even though we work in a factory full of virus-repellent soap, it is good to take precautions,” he said.

Bruna’s Savonnerie de la Licorne, which runs four soap shops on the Old Port, a museum and a small factory in the heart of Marseille, has seen its shop sales increase 30% and delivery orders quadruple since Italy declared a state of emergency over the coronavirus.

Julie Dinot wears a mask as she attends to customers at
 the Savonnerie de la Licorne shop on Marseille's Old Port
 in Marseille, southern France. (AP Photo/Daniel Cole)

“We had fewer tourists or none at all in our stores,” he said. “On the other hand, (Marseilles residents) were much more frequent visitors and some even came to stockpile.”

The COVID-19 illness causes mild or moderate symptoms in most of those infected, but severe symptoms are more likely in the elderly or people with existing health problems. The vast majority of those infected recover.

As the public rushed to buy supplies to last during a looming quarantine, Bruna and his artisans continued making soap by hand, filling the port-view shops as well as boxes destined for export.

See more of AP's top images: Photography

With an abundance of local oils, soda, and salt, Marseille boasts a lengthy tradition of producing the natural soaps once prized throughout Europe. But only a handful of businesses are still active.

Since French shops were ordered closed this week as a public health precaution, the Savonnerie de la Licorne now only carries out deliveries, supplying pharmacies across France and handling individual orders made online.

“I’m not sure that making our soaps is more important than before, but I would say that people who have lost the habit of using Marseille soap have all of a sudden rediscovered its properties,” he said.


Workers wearing masks produce soap at the Licorne soap
 factory in Marseille, southern France. (AP Photo/Daniel Cole)

A factory worker wears a mask as he attends to a customer 
at the Licorne soap factory in Marseille, southern France. 
Amid the rapid outbreak of the new coronavirus across Europe,
 the hallmark Marseille tradition of soap-making is enjoying
 a renaissance, as the French public rediscovers this
 essential local product. (AP Photo/Daniel Cole)

Discarded bars of soap sit in a bucket at the Licorne soap
 factory in Marseille, southern France. (AP Photo/Daniel Cole)

Serge Bruna locks up the Marseille soap museum on the
 Old Port in Marseille, southern France. (AP Photo/Daniel Cole)

Uncut bars of soap are pictured at the Licorne soap factory 
in Marseille, southern France. (AP Photo/Daniel Cole)

A factory worker wearing a mask produces soap at the
 Licorne soap factory in Marseille, southern France.
 (AP Photo/Daniel Cole)

Fourth generation soap maker Serge Bruna poses for a
 portrait in his family owned Licorne soap factory in Marseille, 
southern France. Amid the rapid outbreak of the new 
coronavirus across Europe, the hallmark (AP Photo/Daniel Cole)

Melanie Dinot, a retail worker at the Savonnerie de la Licorne
 poses for a portrait hours before nationwide confinement 
measures were in effect in Marseille, southern France. 
(AP Photo/Daniel Cole)

A drawer full of soap stamps, at the Licorne soap factory
 in Marseille, southern France. (AP Photo/Daniel Cole)

A factory worker at the Licorne soap factory prepares boxes 
to be packed with soap an hour before nationwide confinement 
measures were set to go into effect in Marseille, southern France. 
(AP Photo/Daniel Cole)

Fourth generation soap maker Serge Bruna washes his 
hands in his family owned Licorne soap factory in Marseille, 
southern France. (AP Photo/Daniel Cole)

Fourth generation soap maker, Serge Bruna empties
 the last delivery truck an hour before the nationwide 
confinement measures are set to go into effect in Marseille, 
southern France. (AP Photo/Daniel Cole)

Serge Bruna, right, and soap artisans cut bars of soap at
the Licorne soap factory in Marseille, southern France. (AP Photo/Daniel Cole)

Serge Bruna, center, and soap artisans cut bars of soap 
at the Licorne soap factory in Marseille, southern France.
 (AP Photo/Daniel Cole)

Freshly cut soap bars are packed away at the Licorne soap
 factory in Marseille, southern France. (AP Photo/Daniel Cole)


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The Associated Press receives support for health and science coverage from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.


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Follow AP coverage of the virus outbreak at https://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak


Sick staff fueled outbreak in Seattle-area care centers

THE HORROR OF PRIVATIZED NURSING CARE IN AMERICA 

By CARLA K. JOHNSON and MIKE STOBBE

A member of a cleaning crew wheels a cart toward a vehicle at the Life Care Center, where at least 30 coronavirus deaths have been linked to the facility, Wednesday, March 18, 2020, in Kirkland, Wash. Staff members who worked while sick at multiple long-term care facilities contributed to the spread of COVID-19 among vulnerable elderly in the Seattle area, federal health officials said Wednesday. (AP Photo/Elaine Thompson)

SEATTLE (AP) — Staff members who worked while sick at multiple long-term care facilities contributed to the spread of COVID-19 among vulnerable elderly in the Seattle area, federal health officials said Wednesday.

Thirty-five coronavirus deaths have been linked to Life Care Center in Kirkland. A report Wednesday from the U.S. Centers for Disease Control and Prevention provided the most detailed account to date of what drove the outbreak still raging in the Seattle area where authorities closed down restaurants, bars, health clubs, movie theaters and other gathering spots this week.

Sick workers may well have contributed, although investigators haven’t tied spread to “any particular staff member” and don’t know how the infection was introduced or spread, said Dr. Jeff Duchin, public health officer for Seattle and King County, during a phone briefing for reporters Wednesday.

“They need the money. They don’t have sick leave. They don’t recognize their symptoms. They deny their symptoms,” Duchin said. And in mid-February, awareness of the virus was low.

“Nobody was thinking about COVID-19 at this point,” Duchin said.

Public health authorities who surveyed long-term care facilities in the area found they didn’t have enough personal protective equipment or other items such as alcohol-based hand sanitizer.


They also said nursing homes in the area are vulnerable because staff members worked with symptoms, worked in more than one facility, and sometimes didn’t know about or follow recommendations about protecting their eyes or being careful while in close contact with ill patients.

Nursing home officials also were slow to think that symptoms might be caused by coronavirus, and faced problems from limited testing ability, according to the report.


MORE ON THE VIRUS OUTBREAK:
– Trump invokes emergency authority, no new cases in Wuhan
– AP PHOTOS: Virus redefines respecting personal space
– The Latest: Official says Canada, US working on travel curbs

Life Care spokesman Tim Killian said Wednesday that full-time nurses qualify for two weeks of paid sick leave. He was not sure what benefits are available to other job categories or part-timers. Long into the outbreak, facility officials said they didn’t have enough tests for residents and that staff had gone untested.

Several family members and friends who visited Life Care before the outbreak told The Associated Press that they didn’t notice any unusual precautions, and none said they were asked about their health or if they had visited China or any other countries struck by the virus.

They said visitors came in as they always did, sometimes without signing in. Staffers had only recently begun wearing face masks. And organized events went on as planned, including a Feb. 26 Mardi Gras party, when residents and visitors packed into a common room, passed plates of sausage, rice and king cake, and sang as a band played “When the Saints Go Marching In.”

“We were all eating, drinking, singing and clapping to the music,” Pat McCauley, who was there visiting a friend, told the AP. “In hindsight, it was a real germ-fest.”

About 57% of the patients at the nursing home were hospitalized after getting infected, the CDC said. Of those, more than 1 in 4 died. No staff members died.

“The findings in this report suggest that once COVID-19 has been introduced into a long-term care facility, it has the potential to result in high attack rates among residents, staff members, and visitors,” the report says. “In the context of rapidly escalating COVID-19 outbreaks in much of the United States, it is critical that long-term care facilities implement active measures to prevent introduction of COVID-19.”

Infected staff members included those working in physical therapy, occupational therapy and nursing and nursing assistants.


Full Coverage: Virus Outbreak

Researchers who have studied nursing home workers say the jobs are low paying, with many earning minimum wage. Many employees don’t get paid when they are out sick, they said.

“It is very common for them to work two jobs in order to make ends meet especially if they have a family,” said Charlene Harrington, of the University of California, San Francisco.

Harrington said her research shows that large for-profit nursing home chains such as Life Care have the lowest staffing levels of any ownership group.

David Grabowski, of the Harvard Medical School, said nursing home employees often leave for retail and restaurant jobs.

“We’re going to see a lot of outbreaks like the one we saw in Kirkland,” he said. “It’s the front lines for containing the virus.”


As of Wednesday, 23 long-term care facilities in the area have confirmed cases among residents or employees, Duchin said. In all, Seattle’s King County has had 562 confirmed cases, an increase of 44 since Tuesday, and 56 confirmed deaths, up 10 since Tuesday, with half the newly reported deaths linked to the nursing home.

Infection control is lax at U.S. nursing homes and their sick, elderly residents are especially vulnerable to the new virus, Duchin said.

“This could happen anywhere,” he said. “I think you’ll see around the country these facilities hit very hard by COVID-19.”

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Stobbe reported from New York. AP writer Bernard Condon in New York contributed.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

EC COMICS
Image result for EC COMICS NURSING HOME HORROR

Staff 'worked while symptomatic' at US care home with 35 virus deaths
GETTY IMAGES NORTH AMERICA/AFP /Karen Ducey 
Seri Sedlacek (L) and her sister Susan Sedlacek visit their
 father, Chuck Sedlacek, a patient at the Life Care Center,
 on March 18, 2020 in Kirkland, Washington

The devastating coronavirus outbreak at a nursing home near Seattle where 35 have died was likely fueled by infected staff members continuing to come to work, a report found Wednesday.


The care home is responsible for over half the deaths in the northwestern state of Washington -- itself the US epicenter of the deadly pandemic.


After visiting homes in the region, the Centers for Disease Control (CDC) found "staff members who worked while symptomatic" and who "worked in more than one facility" likely contributed to the fatal outbreak.

A lack of personal protective equipment, safety training and delayed recognition of the novel coronavirus -- which was already prevalent in Asia -- also influenced the contagion, it found.

In mid-February, several residents were tested for influenza, but all came back negative.

The Life Care Center in Kirkland, with around 130 residents, treats those in need of acute care. Many patients had underlying conditions such as hypertension, heart and kidney disease, diabetes and obesity.

At least 35 deaths are confirmed to be associated with the Kirkland home, county officials said Wednesday.

Highlighting the danger posed to care homes, the report recommended "critical" action such as "identifying and excluding symptomatic staff," and "restricting visitation except in compassionate care situations."

A visiting ban is now in place at the home, with relatives of those still inside communicating with their family members via phone or even through the building’s glass windows.

Tim Killian, a spokesman for the home, earlier told the Washington Post: "I can't say everything was done perfectly, but I can say it was done within a range of normal operating procedure."


IN EXTRAORDINARY TIMES NORMAL OPERATING PROCEDURES NEED TO BE SUPERSEDED
Nursing Homes Are Starkly Vulnerable to Coronavirus

Matt Richtel, The New York Times•March 5, 2020

Health workers outside of the Life Care Center in Kirkland, Wash., Wednesday, March 4, 2020. (Chona Kasinger/The New York Times)

Over the weekend, a nightmarish scenario unfolded in a Seattle suburb, with the announcement that the coronavirus had struck a nursing home. The outbreak, leaving seven dead and eight others ill through Wednesday morning, exposed the great vulnerability of the nation’s nursing homes and assisted living facilities, and the 2.5 million Americans who live in them.

These institutions have been under increasing scrutiny in recent years for a unique role they play in inflaming epidemics. Research shows these homes can be poorly staffed and plagued by lax infection-control practices, and that residents frequently cycle to and from hospitals, bringing germs back and forth.

Now, public health experts fear these facilities could become central to the rise and spread of the novel coronavirus. Statistics from China show that the infection caused by the virus, called COVID-19, kills nearly 15% of people over 80 years old who have it and 8% of people in their 70s — the very population that makes up more than half the population of these homes.

“We have to prepare for the inevitability that there are going to be facilities like the one in Washington where you’re going to have the virus and have it move rapidly through nursing homes and assisted living facilities,” said Dr. David Dosa, a geriatrician and professor of medicine at Brown University, where he studies disaster preparedness.

Already, 380,000 people die annually from infections at these long-term care facilities, according to the Centers for Disease Control & Prevention, and 1 million people get serious infections in them.

Industry critics — who have become more vocal in recent years — say that many facilities are alarmingly unprepared for coronavirus and that the government’s guidance so far has been short on detail and urgency.

“Nursing homes are incubators of epidemics,” said Betsy McCaughey, a former lieutenant governor of New York who heads the nonprofit Committee to Reduce Infection Deaths.

“Every facility should be holding a boot camp to train health care workers,” she said. Otherwise, she added, “hospitals and nursing homes will become the most dangerous places to be.”

The Centers for Medicare and Medicaid Services, the trillion-dollar federal agency that regulates the nation’s 15,700 nursing homes, issued updated guidance on Wednesday for these facilities. Vice President Mike Pence, who is leading the nation’s coronavirus response efforts, said Tuesday that 8,200 CMS-funded inspectors of nursing facilities in the states will focus exclusively for the time being on infection control — a significant shift in how resources are used.

In an interview Tuesday, the CMS administrator, Seema Verma, said that the agency’s existing rules that govern infection control and prevention should provide a strong defense — if they are followed properly.

“There are very detailed instructions and guidelines around infection control,” Verma said. “They are already in place. Dealing with infectious disease is not new to the health care system. We’re just calling health care providers to action and to double down on infection control.”

The existing rules largely emulate a series of protocols used to deal with the seasonal flu, “the closest analogy,” said Dr. Lisa Winston, medical director for infection control and prevention at Zuckerberg General Hospital in San Francisco, an institution that has an on-site skilled nursing facility.

The flu protocol calls for isolation of sick patients, wearing of masks and gowns by staff and limiting visits by people who are sick.

But the analogy fails in key ways, Winston said — notably in that the flu has a vaccine and a prophylactic anti-viral treatment often given during outbreak; no such medicines exist here.

Large swaths of the population are immune to the flu, whether through vaccine or natural immunity, whereas this coronavirus is a novel germ that humans have not adapted to defend against. Visitors may be walking into nursing homes while incubating the germ.

In tweaking its existing guidance, the federal government is now telling nursing homes to bar visits by people who are sick and have traveled to affected countries, and offers procedures for determining when nursing homes and hospitals to transfer COVID-19 patients to one another.

Earlier in the week, the federal Centers for Disease Control and Prevention gave guidance to these long-term facilities to post signs discouraging visitation by people with respiratory illness and give sick leave to employees so they don’t come to work ill.

Since the outbreak at the Life Care Center in Kirkland, Washington, nursing home chains and trade groups, along with mom-and-pop homes and assisted living operations, have been trying to get policies in place with uncertain information. At St. Anne Nursing & Rehabilitation Center, a 47-bed skilled nursing home in Seattle, signs went up in January discouraging visits from relatives or friends with symptoms of flu or colds, but the concern has gone into overdrive after the nearby Kirkland outbreak, said Marita Smith, the home’s administrator.

“My concern is people who are asymptomatic,” she said.

She said the staff knows the families of the residents and the plan is to be heightened in their scrutiny of visitors to make sure no one is sick. She also said that she plans not to take admissions from the hospitals from “the east side,” which is the location of Kirkland and of Evergreen Hospital, where the sickened nursing home patients were sent.

“I don’t want to be accused of discrimination but we wouldn’t want to admit anyone from Evergreen or Life Care until we know more,” she said.

“What keeps me awake at night,” she continued, are a handful of questions: how long is the incubation period of the virus; will traditional cleaning products work to sanitize against it; can you become ill more than once?

St. Anne Nursing is an independent nursing home, a veritable mom-and-pop shop. On the other end of the ownership spectrum is a huge company like Genesis HealthCare, a Pennsylvania corporation that has 400 assisted living, nursing home and senior living communities around the country. Asked about its planning for COVID-19, the company issued a brief statement saying that its team is meeting regularly to discuss the issue and is coordinating its efforts based on government guidance.

Bridget Parkhill and Carmen Gray, whose mother is a resident of Life Care Center of Kirkland, said they were complaining even before the outbreak about the kinds of conditions that can give rise to infection.

Gray said she frequently complained about low staffing, and Parkhill complained about poor hand-washing and other hygiene by the staff. Parkhill works as an infection prevention manager at a nearby hospital and described Life Care’s infection prevention as “horrible.”

But she said she’s learned in her 10 years working in the field that the situation is not isolated. “They’re all horrible,” she said. “They aren’t following protocol and they need to have twice as much staff as they have.”

Life Care Center of Kirkland is part of a chain of more than 200 nursing facilities called Life Care Centers of America, which is based in Tennessee. The company did not return a call for comment. On its website, the company posted a brief statement saying that the company is working with the CDC and the Washington State Department of Health and the situation is “evolving.”

The Life Care Center of Kirkland has been cited previously for infection control violations by the State of Washington, and the federal government.

The sisters have been left now with an additional concern: their mother, Susan Hailey, 76, has had a cough since early last week and now shortness of breath and diarrhea, but the nurse there has told them by phone (they are no longer allowed to visit) that their mother is not eligible for a COVID-19 test until she shows a fever.

“For God’s sake, why not rule it out,” Gray said Monday. “You could put a lot of people at ease. You could put the community at ease.”

The family has been told as of Wednesday morning that the home does plan to test their mother and that test kits are on site to test every resident.

CMS rates the nation’s 15,700 nursing homes and Life Care Center of Kirkland received an above average score for staffing — four stars out of five — and an average score of three stars for health risks based on recent health inspections. Verma, head of CMS, said she hoped by week’s end the agency would have investigators at Life Care in Kirkland.

“Were there lapses there?” she asked. “Was this an issue of them not following policies or was there something else?”

A challenge for the long-term care industry is its diffuse nature. Unlike with big hospital systems, the long-term care business has many small operations under independent ownership. Assisted living centers, in particular, are essentially unregulated.

At the same time, these facilities have been forced to handle more and more complicated medical cases. That is because hospitals, bowing to pressure from the insurance industry and in an effort to keep costs low, have pushed patients into nursing homes that once would have had longer hospital stays. Plus, these companies are dealing with an aging American population: Of the 1.4 million residents in these facilities in 2014, 585,000 were older than 85, and another 371,000 were between 75 and 85, according to statistics compiled by the Kaiser Family Foundation.

The Kirkland outbreak is “a potent wake up call for all of us in health care facilities that deeply care about a vulnerable population,” said Dr. Susan Huang, medical director of epidemiology and infection prevention at the University of California Irvine School of Medicine, who has researched infection spread in skilled nursing homes.

This article originally appeared in The New York Times.

© 2020 The New York Times Company
PLEASE BOGART THAT JOINT MY FRIEND
KEEP IT ALL TO YOURSELF
Cannabis lobby warns against smoking due to coronavirus


AFP/File / Frederic J. BROWNPeople smoke marijuana in West Hollywood, California in 2009

To avoid spreading the novel coronavirus, marijuana smokers should avoid sharing joints and should favor edible products, US cannabis industry figures said Wednesday.

"As long as cultures have consumed cannabis, the practice of sharing a joint amongst friends has been a common social practice," said Erik Altieri, executive director of NORML, a major US pro-cannabis lobby.

"But given what we know about COVID-19 and its transmission, it would be mindful during this time to halt this behavior," he said in a statement.

He also called on users to not share the various tools they might use to smoke marijuana -- including bongs, water pipes or vaping pens -- and to clean them with disinfectant gel.

"Further, because COVID-19 is a respiratory illness, some may wish to limit or avoid their exposure to combustive smoke -- as this can put undue stress and strain on the lungs," the statement said.

"The use of edibles or tinctures can eliminate smoke exposure entirely," Altieri said in the statement.

COVID-19, the illness caused by the novel coronavirus, has killed at least 116 people in the US, out of more than 7,700 cases.

According to NORML, about 25 million Americans have smoked marijuana in the last year.

The drug is legal at varying levels -- both for recreational and medicinal purposes -- in 47 of 50 states, though it is still classified as a highly restricted substance at the federal level, similarly to LSD, cocaine or heroin


AP-NORC poll: Fear of virus infection spikes among Americans
By SARA BURNETT and EMILY SWANSON

In this March 18, 2020 photo, a traveler checks his mobile telephone while passing a map of the United States on the way to the security checkpoint in the main terminal in Denver International Airport in Denver. Americans are increasingly worried they or a loved one will be infected by the coronavirus, with two-thirds now saying they're at least somewhat concerned — up from less than half who said so a month ago. That's according to a new poll from The Associated Press-NORC Center for Public Affairs Research that finds about 3 in 10 Americans say they're not worried at all. (AP Photo/David Zalubowski)


CHICAGO (AP) — Concern among Americans that they or a loved one will be infected by the coronavirus rose dramatically in the past month, with two-thirds of the country now saying they’re at least somewhat concerned about contracting the COVID-19 illness.

That’s up from less than half who said so in February. Still, a new poll from The Associated Press-NORC Center for Public Affairs Research finds that about 3 in 10 Americans say they’re not worried at all about the coronavirus.

And while the survey found that most say they’re taking at least some actions to prevent the disease from spreading, experts say it also shows the country is not doing all of what’s needed to reduce infections, such as canceling travel.

“Some set of people is still going about their daily lives, and that needs to change pretty rapidly,” said Caroline Pearson, a senior vice president at NORC at the University of Chicago and a health policy expert. “Now they need to do the hard things, not just the easy things that don’t disrupt their life.”

The poll found that younger adults have greater concerns about the coronavirus than older Americans, with 43% of adults under 30 being very worried, compared with 21% of those age 60 and over. Pearson said that may be because younger people are more likely to feel uncertain about jobs or health insurance or to worry about older family members like parents or grandparents.

That disparity by age does not match the threat posed by the virus. Deaths to date in the U.S. mirror the experience in other countries, with about 4 out of 5 fatalities occurring in people 65 and older, and no deaths in children, according to the Centers for Disease Control and Prevention.

While the poll found that about 3 in 10 Americans say they’re highly worried about the illness, about the same number are unconcerned — with 7% saying they were not taking any of the prevention measures asked about in the poll, including more frequent hand washing or staying away from large groups.

That’s a red flag for Libby Richards, a Purdue University nursing professor who teaches courses on population health.

“We do need that 33% to change if we’re going to keep this under control as much as possible,” Richards said, adding that “maybe that 7% of people are already excellent hand washers, but I doubt it.”

IMPACT ON THE ECONOMY:
– Central banks deploy trillions to keep economy running
– Mideast airlines lose $7B as airports shut to combat virus
– U.S. Fed establishes currency swaps with 9 central banks

The survey found that about 9 in 10 Americans say they’re washing their hands more frequently, roughly 7 in 10 are avoiding large groups and about 6 in 10 are avoiding touching their faces. Older Americans are especially likely to say they’re avoiding large groups, with 77% saying they’ve done that in response to the coronavirus.

Public health officials have urged people to do their part to slow the spread of the virus before hospitals and other health facilities are overwhelmed. Schools and sporting events have been canceled, and restaurants and Las Vegas casinos closed. President Donald Trump’s administration said Monday that people should avoid social gatherings with groups of more than 10 people.

But of those who had travel plans in the next few months, a minority — 22% of those who had domestic travel plans and 41% of those with international travel plans — say they’ve canceled them. About another 3 in 10 of each group say they’ve considered canceling, while the rest are still planning to travel.

Full Coverage: Virus Outbreak

On Saturday, Trump expanded European travel restrictions due to the global pandemic, telling Americans, “If you don’t have to travel, I wouldn’t do it.” The CDC has advised that travelers are more likely to get infected if they go to a destination where the virus is spreading and in crowded settings such as airports.

The poll was conducted March 12-16, when information about the virus was changing rapidly, as was the Trump administration’s reaction to it. Trump declared the pandemic a national emergency on March 13, making up to $50 billion available for local and state governments to respond to the crisis, and announced a range of executive actions aimed at expanding testing for the virus. The administration also started work on a $1 trillion aid and stimulus plan.

Richards said she’s hopeful the numbers of Americans worried about the coronavirus would be higher in a poll conducted entirely after Trump declared the national emergency. Still, she said she’s been troubled by people who don’t seem to be taking the warnings seriously, including those she’s seen in images of crowded Florida beaches.

For most people, COVID-19 causes only mild or moderate symptoms, such as fever and cough. It can cause more severe illness, including pneumonia, for some people, especially older adults and those with existing health problems. Most people recover — those with mild illness in about two weeks, while those with more severe illness may take three to six weeks, according to the World Health Organization.

___

Swanson reported from Washington.

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The AP-NORC poll of 1,003 adults was conducted March 12-16 using a sample drawn from NORC’s probability-based AmeriSpeak Panel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 4.3 percentage points.

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Online:



AP-NORC Center: http://www.apnorc.org/.
MASS PRAYER WORKS....AT SPREADING THE VIRUS

Massive Bangladesh coronavirus prayer gathering sparks outcry


AFP / STRPolice said some 10,000 Muslims gathered in an open field in Raipur town in southern Bangladesh to pray "healing verses" from the Koran to rid the country of the deadly novel coronavirus
A massive coronavirus prayer session with tens of thousands of devotees sparked an outcry in Bangladesh Wednesday as the South Asian nation reported its first death from the global pandemic.
Local police chief Tota Miah said some 10,000 Muslims gathered in an open field in Raipur town in southern Bangladesh to pray "healing verses" from the Koran to rid the country of the deadly virus.
"They held the Khatme Shifa prayers after dawn to free the country from the coronavirus," Miah told AFP.
Organisers claimed the number of worshippers was 25,000.
He said organisers did not get permission from authorities to hold the session.
Photos of the gathering was widely shared on social media, with commenters slamming the massive rally.
Authorities have already shut schools and asked locals to avoid large gatherings in an effort to halt the spread of the disease.
"Unbelievable how they even have done it without notifying the police? They will be held responsible if anything happens to the people in the region," Abdur Rahman wrote on Facebook.
Despite the appeal from authorities to avoid crowded public areas, many took the opportunity to head to tourism sites.
Police said they had to close two beaches, including one at Cox's Bazar, the main resort district of the country, and which is home to nearly one million Rohingya refugees from Myanmar.
A senior leader from the ruling Awami League, Obaidul Quader, said a lockdown might be required to contain the virus.
"If necessary, Bangladesh will be shut down. It'll be enforced where necessary. People must be saved first. We'll do everything for that," he told reporters.
The number of positive cases in the country of 168 million people stands at 14, although some medical experts fear not enough tests were being conducted.
CAN THE POWER OF PRAYER ALONE STOP A PANDEMIC LIKE THE CORONAVIRUS? EVEN THE PROPHET MUHAMMAD THOUGHT OTHERWISE 
https://plawiuk.blogspot.com/2020/03/can-power-of-prayer-alone-stop-pandemic.html

Perfect storm of virus peril in Asia's sprawling slums


AFP / Maria TANHundreds of millions of people are packed into Asia's massive slums, where staying clean is nearly impossible and people have to leave their homes daily to survive
Mary Grace Aves is terrified of the deadly coronavirus pandemic, but the best weapons to protect her family -- isolation and sanitation -- are unreachable luxuries in the Manila shantytown they call home.
The same particularly dangerous set of threats loom over hundreds of millions packed into Asia's massive slums, where staying clean is nearly impossible and people have to leave their homes daily to survive.
"It may be possible (to isolate) in other areas because they are rich. They have big spaces," said Aves, a mother of four. "Here we are crammed."
"If you run into somebody on the way out of the house you will touch," the 23-year-old said from her closet-sized home in Manila's Tondo district.
Asian nations have imposed increasingly heavy measures to fight the contagion, with the Philippines ordering around half of its 110 million people to stay home.
That quarantine includes Manila, but there was no sign of authorities enforcing it in slum areas on Wednesday. The order was being flouted in many parts of the sprawling metropolis.
AFP / Maria TANAsian nations have imposed increasingly heavy measures to fight the COVID-19 contagion
Because the virus spreads through droplets that can be picked up with one touch or inhaled from a sick person's sneeze, global health authorities say the best protection is staying home and keeping hands clean.
"But what if you cannot do either of those things?", asked Annie Wilkinson, a fellow at research group Institute of Development Studies, in an opinion piece.
"There is a real risk that the impacts on the urban poor will be considerably higher than elsewhere," she wrote.
East Asia and the Pacific are home to 250 million slum-dwellers, many of them in China, Indonesia and the Philippines, a 2017 World Bank study said.
AFP / Maria TANHomes in these slums are tightly-packed, tiny spaces that are only big enough for sleeping and lack running water
Homes in these slums are tightly-packed, tiny spaces that are only big enough for sleeping and lack running water.
Cooking, laundry, personal hygiene and leisure are done in common spaces filled with people, which means residents have to be in public in order to survive.
In Aves's settlement, there are no surgical masks, hand sanitizer or sinks, and toilets are buckets emptied directly into the black water of the Estero de Vita river.
The narrow, muddy passages between the homes are only wide enough for one person, so locals touch frequently as they slide past one another.
An infection there would have everything it needs to spread.
- 'Life and death difference' -
More than 218,000 cases of the COVID-19 infection have now been detected globally, with nearly 9,000 deaths.
Asia's poorest have been largely left to protect themselves as the outbreak accelerates.
AFP / Maria TANThe strength of a nation's healthcare system has been a key factor in death rates
Neither Indonesia nor India have imposed lockdowns, and have not taken significant steps specifically directed at preventing outbreaks in shantytowns.
In Pakistan, Prime Minister Imran Khan said the government would not impose a large-scale urban lockdown against the virus because it would extract too great an economic toll.
"If we shut down the cities -- people are already facing difficult circumstances -- we will save them from corona at one end, but they will die from hunger on other side," Khan said.
Tondo residents said they had been out of work since the Philippines' quarantine kicked in but would be forced to go out to find other employment once their money ran out in a matter of days.
Unlike wealthier communities that can restrict access to outsiders with entrance gates or security guards, slum areas are wide open.
AFP / Maria TANTondo residents said they had been out of work since the Philippines' quarantine began
"There's a possibility we'll get infected because we can't control who comes here," said 48-year-old Fely Tumbaga, who runs a small store in Tondo.
"We don't know if outsiders have the virus," she added, noting that locals were increasingly wary of anyone they didn't know.
For slum dwellers who develop severe cases, reluctance to seek care due to the cost involved could prove a deadly decision.
The strength of a nation's healthcare system has been a key factor in death rates, but so is the severity of infection when people seek treatment.
Public health expert Gideon Lasco said the ability to pay but also to reach the hospital as lockdowns tighten will be decisive.
"Immediate access to quality care can mean the difference between life and death," he said.
Man dies by apparent suicide in ICE family detention center


HOUSTON (AP) — A man died by apparent suicide at one of U.S. Immigration and Customs Enforcement’s family detention centers, according to a legal group that was representing him.
The group, RAICES, did not identify the man, and ICE did not immediately respond to a request for comment. But in a statement late Wednesday, RAICES said it was representing the man while he was detained at the Karnes County Residential Center in South Texas.
His death on Wednesday was the ninth to occur in ICE custody since the start of the governmental fiscal year in October, exceeding the eight deaths that occurred in the prior year.
It comes as advocates have called on ICE to reduce its detainee population and its operations to arrest migrants in the U.S. without authorization amid the coronavirus outbreak. ICE said Wednesday that it would scale back enforcement to detain “public safety risks and individuals subject to mandatory detention based on criminal grounds.”
“We anticipate that this won’t be the last death at Karnes unless ICE immediately releases all those detained at this detention center and in custody around the country,” Lucia Allain, a spokeswoman for RAICES, said in a statement. “A dirty and cramped detention center in the face of a pandemic is unsafe and inhumane.”
In sworn legal declarations the group released Tuesday, two migrants reported getting sick from the drinking water they are provided at Karnes, which had 680 people in detention last week. Another migrant said detainees are denied access to hand sanitizer. They are instead told to use body wash in the showers to clean their hands at all times.
ICE said in a statement that the facility has hand soap dispensers that are checked twice daily and detained migrants are “encouraged” to report any shortages. The agency also said it provides free water, milk, and juice.
Already, illnesses spread quickly in Karnes and other detention centers, said Andrea Meza, director of family detention services for RAICES.
“When you’re there, all the kids are coughing,” she said. “Everybody has a runny nose and a sore throat and diarrhea.”
Spirited response: Irish gin distillery turns hand to sanitiser

AFP / Paul Faith
"You could say it's a very, very strong gin," said managing director Bronagh Conlon. "We would absolutely not recommend anybody to drink it"


The gin stills of the Listoke Distillery have been repurposed in the fight against the coronavirus, producing precious hand sanitiser currently in vanishingly short supply across Ireland.

"Basically we're actually using the same ingredients -- so for all intents and purposes you could say it's a very, very strong gin," managing director and co-founder Bronagh Conlon told AFP.

"We would absolutely not recommend anybody to drink it."

Staff at the distillery and gin school in Tenure, in eastern Ireland north of Dublin, originally began production of sanitiser with 64 percent alcohol, with the same aroma of juniper botanicals as their artisanal spirit, for in-house use.
AFP / Paul Faith 
Conlon estimates they have sold 3,500 to 4,000 bottles
 since Saturday, providing a vital boost to the fight against infection

But as the COVID-19 emergency escalated, they started selling bottles to the public for 10 euros ($11) each. They also donate bottles to frontline homelessness charities.

Conlon estimates they have sold 2,000 litres or 3,500 to 4,000 bottles of the product since Saturday, providing a vital boost to the fight against infection.

"It's just a way that we can all help," said Conlon, 55. "It's absolutely uncharted waters for everybody."

- A welcome tonic -

On Wednesday, staff worked frantically to serve customers at a hastily erected sales table stacked with sanitiser and gin, with supplies of the former nearly sold out.

"Keep warm with that gin, and keep clean with the hand sanitiser," a staff member joked with one customer who bought a bottle of each.
AFP / Paul Faith
Customers queued out of the front door of the warehouse distillery and into the car park of the industrial estate outside, obeying strict "social distancing" measures

Customers queued out of the front door of the warehouse distillery and into the car park of the industrial estate outside, obeying strict "social distancing" measures recommended by the government in Dublin.

One elderly customer sported a surgical mask as she made her purchase.

Ireland has had two deaths from COVID-19 and 292 confirmed cases, according to health department figures released Tuesday night.

AFP / Paul Faith
One elderly customer sported a surgical mask as she made her purchase

Prime Minister Leo Varadkar has estimated Ireland may count 15,000 cases by the end of March and put out a call to qualified healthcare workers currently not working in the sector to return.

"Tonight I know many of you are feeling scared and overwhelmed," he said in a rare televised address to the nation on Tuesday night.

"That is a normal reaction, but we will get through this and we will prevail."

Pubs, schools and universities have been closed; gatherings of more than 100 have been curbed; and working from home has been encouraged across Ireland.

- Keeping spirits high -

Ministers have assured the public there is no need to stockpile or panic buy as face masks, hand sanitisers and soap have been stripped from supermarket shelves.
AFP / Paul Faith
Distillery staff originally began production of sanitiser for in-house use

As a breast cancer survivor, Conlon is particularly aware of the plight of those who are medically vulnerable to the infection.

"What we've sold is a fraction of what's needed," she said.

"It's really, really worrying the amount of people that are out there that are so worried, they have no access... to hand sanitisers.

"It's terrible -- it's absolutely frightening."

Clutching one bottle each of hand sanitiser and gin outside the distillery customer Una Hatch, 70, said the former was "very badly needed".

"You can't get it anywhere," she said.

"I think it's great -- a great idea of somebody thinking outside the box," she said of the distillery's initiative.

"It's bringing out the best in people I think."

Researchers find new way to predict where ocean trash, seaweed will go



Researchers with National Oceanic and Atmospheric Administration deploy plastic mats in the Caribbean in 2019 as part of a study on the movement of floating items by University of Miami's Rosentstiel School of Marine and Atmospheric Science. Photo courtesy of NOAA

ORLANDO, Fla., March 19 (UPI) -- Researchers in Florida have devised a new method to predict where ocean trash, seaweed or even wrecked ships and planes will drift, potentially boosting efforts to clean up huge ocean garbage patches twice the size of Texas.

Scientists at the University of Miami employed buoys to test new mathematical models for predicting how wind, current and buoyancy determine the speed and direction of objects in the ocean. The buoys moved almost exactly as predicted.

The new models could aid cleanup of trash like the Great Pacific garbage patch, an area of plastic trash accumulation that is more than 600,000 square miles. The research also might aid efforts to provide forecasts for seaweed pileups in tourism areas.

"Our work will aid strategies to help clean up the oceans," said Maria Josefina Olascoaga, an associate professor of ocean sciences at the university's Rosenstiel School of Marine and Atmospheric Science.

Research into the movement of trash at sea has grown in recent years, with significant advancements. Models, for example, successfully predicted the arrival in Hawaii of debris from the 2011 Japan tsunami.

The findings from the Rosenstiel School's science provide another model, and could be used to determine which beaches will get ocean litter, said George Leonard, chief scientist at the non-profit Ocean Conservancy, which advocates for the protection of marine resources.

"It does appear to me that [the Rosenstiel School research] could provide insights about where the bigger stuff like fishing gear goes, especially," Leonard said. "Most trash doesn't float. It's been determined that you can only see about 3 percent of the plastic that goes into the ocean every year."

Next up for the Rosenstiel School's research is another study on how seaweed moves in the Gulf Stream, a strong ocean current just off Florida's southeast coast.

Record amounts of smelly seaweed caused historic damage to beaches and reduced tourism in 2019 in Florida, Mexico and the Caribbean.

"The dynamics of stuff that floats on the surface of the ocean is different than the ocean currents," said Olascoaga's research partner, Francisco Beron-Vera, associate professor at the Rosenstiel School. "We found that the buoyancy of an object has more effect on its trajectory than other factors -- more than radius, shape or immersion depth."

"We hope this work inspires others to use experimental data to model the world's oceans," Olascoago said.