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Monday, November 30, 2020

Houston Dr Joseph Varon hugs and comforts patient in COVID-19 ICU in viral photo - KABC-TV

HOUSTON, Texas -- A photo of a Houston doctor has gone viral after it showed him hugging and comforting a patient in the COVID-19 intensive care unit on Thanksgiving.

The photo of Dr. Joseph Varon and the patient was taken in the ICU at United Memorial Medical Center.


Health officials and city leaders have repeatedly urged now that we're in the holiday season, people should stay away from crowded spaces, wear masks and wash their hands. They also fear things will get worse.

"I truly believe that the next six to 12 weeks are going to be the darkest weeks in modern American medical history," Varon said.

Texas set a new record high for cases the day before Thanksgiving.


Varon says the holiday was his 252nd workday in a row.

"I have nurses who, in the middle of the day, are crying because, you know, they keep on getting patients, and there are just not enough nurses that can help us," Varon described.

With more than half the United States recording record-high daily hospitalizations this past week, significant restrictions are on the way.

A three week, stay-at-home order starts Monday in Los Angeles. Restaurants there are already limited to takeout and delivery only.

While vaccine breakthroughs are showing hope on the horizon, extensive work is underway to prepare the supply chain.

For example, Pfizer's vaccine needs to be stored at extremely cold temperatures, around 94 degrees below zero. That means niche freezer companies like Stirling Ultracold have to substantially step up their output to match the demand.

"The two-dose scenario, 14 billion vaccines globally, that in itself starts to add up," said Stirling Ultracold CEO Dusty Tenney.

But more big vaccine news could come this week.

A panel of U.S. advisers will meet Tuesday to vote on how initial supplies of a COVID-19 vaccine will be given out once one has been approved.

Copyright © 2020 KABC-TV. All Rights Reserved.

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Covid-19 Likely in U.S. in Mid-December 2019, CDC Scientists Report - The Wall Street Journal

Oregon tops 900 COVID-19 deaths, 75000 cases; St. Charles at record 29 patients - KTVZ

(Update: St. Charles delays elective surgeries)

State reports 7 more deaths, 1,314 cases; total cases top 75,000

PORTLAND, Ore. (KTVZ) -- COVID-19 has claimed seven more lives in Oregon, raising the state’s death toll to 912, along with 1,314 new cases that push the state's tally past 75,000, the Oregon Health Authority reported Monday. St. Charles in Bend reported 29 patients, a new daily record.

OHA reported 1,314 new confirmed and presumptive cases of COVID-19 as of 12:01 a.m. Monday, bringing the state total to 75,431 cases and 1,871,223 negative test results (the latter a big jump due to a recent OHA change in how they are calculated -- by test, rather than by person who got them, sometimes multiple times).

“COVID-19 is spreading faster in all parts of Oregon," OHA Director Patrick Allen said. "It took six months before 25,000 Oregonians became sick with COVID-19, and two months more until we reached 50,000 total COVID-19 infections in Oregon. Most recently, it took three weeks to go from 50,000 cases to 75,000 -- and this weekend, we crossed 900 total deaths.”

“We can keep more people from getting sick and dying, if we stay true to science-based mask-wearing and social distancing," Allen said. "With the bright promise of vaccines coming on the horizon, we can’t give up.”

The new confirmed and presumptive COVID-19 cases reported Monday are in the following counties: Baker (2), Benton (9), Clackamas (228), Clatsop (1), Columbia (14), Coos (4), Crook (4), Curry (2), Deschutes (54), Douglas (33), Harney (1), Hood River (1), Jackson (54), Jefferson (9), Josephine (20), Klamath (1), Lake (1), Lane (62), Lincoln (3), Linn (16), Malheur (2), Marion (167), Morrow (1), Multnomah (320), Polk (26), Tillamook (2), Umatilla (40), Union (6), Wasco (2), Washington (202), Yamhill (27).

Crook County has had 233 COVID-19 cases, six deaths and 3,992 negative test results. Deschutes County has had 2,422 cases, 15 deaths and 47,671 negative test results. Jefferson County has had 843 cases, 11 deaths and 6,976 negative test results.

St. Charles Health System reported 29 COVID-19 patients as of 7 a.m. Monday, 10 more than the previous peak. Two patients were in the ICU and none were on a ventilator.

As a result, St. Charles has "already started postponing some elective surgeries, to keep our bed capacity manageable," the health system said in a Facebook post Monday afternoon.

Hospital spokeswoman Lisa Goodman said that so far, the hospital has delayed several hundred surgeries, representing about 25% of the total scheduled in coming days.

Oregon’s 906th COVID-19 death is a 64-year-old man in Lane County who tested positive on Oct. 28 and died on Nov. 28 at PeaceHealth Sacred Heart Medical Center Riverbend. He had underlying conditions.

Oregon’s 907th COVID-19 death is a 67-year-old man in Marion County who tested positive on Nov. 5 and died on Nov. 27 at Salem Hospital. He had underlying conditions.

Oregon’s 908th COVID-19 death is an 85-year-old woman in Marion County who tested positive on Nov. 19 and died on Nov. 28 at Legacy Meridian Park Medical Center. She had underlying conditions.

Oregon’s 909th COVID-19 death is a 48-year-old man in Multnomah County who tested positive on Nov. 22 and died on Nov. 25 at Legacy Emanuel Medical Center. He had underlying conditions.

Oregon’s 910th COVID-19 death is an 83-year-old man in Multnomah County who tested positive on Nov. 17 and died on Nov. 25 at his residence. He had underlying conditions.

Oregon’s 911th COVID-19 death is a 78-year-old man in Multnomah County who tested positive on Nov. 5 and died on Nov. 19 at Adventist Hospital. He had underlying conditions.

Oregon’s 912th COVID-19 death is a 58-year-old man in Washington County who tested positive on Oct. 31 and died on Nov. 25 at Providence St. Vincent Medical Center. He had underlying conditions.


COVID-19 hospitalizations continue to rise

The number of hospitalized COVID-19 patients across Oregon increased to 584, 45 more than Sunday.

There are 117 COVID-19 patients in intensive care unit (ICU) beds, 10 more than Sunday.

More information about hospital capacity can be found here.


Stay informed about COVID-19:

Oregon response: The Oregon Health Authority leads the state response.

United States response: The Centers for Disease Control and Prevention leads the U.S. response.

Global response: The World Health Organization guides the global response.

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Nurse put on administrative leave after her TikTok bragging about breaking Covid-19 rules goes viral - CNN

An oncology nurse at Oregon's Salem Health was put on administrative leave Saturday after she posted a TikTok video in which she bragged about flouting her state's pandemic restrictions, the hospital told CNN.
The video, which has since been taken down, showed the nurse, wearing scrubs and a stethoscope around her neck, pretending to scream with a caption that read: "When my coworkers find out I still travel, don't wear a mask when I am out, and let my kids have playdates."
The video, posted Friday, went viral, and at least one other TikTok user posted a version of it to their account -- which has received hundreds of thousands of views.
The video "displayed cavalier disregard for the seriousness of this pandemic and her indifference towards physical distancing and masking outside of work," the hospital said in a statement posted to Facebook on Saturday.
The hospital went on to distance themselves from the nurse's comments, saying "We also want to assure you that this one careless statement does not reflect the position of Salem Health or the hardworking and dedicated caregivers who work here."
The hospital said the nurse will be on administrative leave until an investigation that "will thoroughly and accurately ascertain the facts in this case" is complete.
CNN affiliate KPTV said it sent a crew to the nurse's home to get a comment but she declined.
CNN has not been able to reach her for comment.
The video comes as Oregon has been experiencing a surge in Covid-19 cases over the past few weeks, setting records in the number of new cases of the disease just last weekend. Plus, Marion County, the home of Salem Health, has had some of the highest numbers of cases in Oregon, while the hospital itself is fifth on Oregon Health Authority's list of workplaces with employee-related cases.
Oregon's latest weekly report on the pandemic reported that Salem Hospital has had 91 employee-related positive Covid-19 cases, though the state includes family members of employees who test positive in these numbers as well.

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Houston Dr Joseph Varon hugs and comforts patient in COVID-19 ICU in viral photo - KGO-TV

HOUSTON, Texas -- A photo of a Houston doctor has gone viral after it showed him hugging and comforting a patient in the COVID-19 intensive care unit on Thanksgiving.

The photo of Dr. Joseph Varon and the patient was taken in the ICU at United Memorial Medical Center.


Health officials and city leaders have repeatedly urged now that we're in the holiday season, people should stay away from crowded spaces, wear masks and wash their hands. They also fear things will get worse.

"I truly believe that the next six to 12 weeks are going to be the darkest weeks in modern American medical history," Varon said.

Texas set a new record high for cases the day before Thanksgiving.


Varon says the holiday was his 252nd workday in a row.

"I have nurses who, in the middle of the day, are crying because, you know, they keep on getting patients, and there are just not enough nurses that can help us," Varon described.

With more than half the United States recording record-high daily hospitalizations this past week, significant restrictions are on the way.

A three week, stay-at-home order starts Monday in Los Angeles. Restaurants there are already limited to takeout and delivery only.

While vaccine breakthroughs are showing hope on the horizon, extensive work is underway to prepare the supply chain.

For example, Pfizer's vaccine needs to be stored at extremely cold temperatures, around 94 degrees below zero. That means niche freezer companies like Stirling Ultracold have to substantially step up their output to match the demand.

"The two-dose scenario, 14 billion vaccines globally, that in itself starts to add up," said Stirling Ultracold CEO Dusty Tenney.

But more big vaccine news could come this week.

A panel of U.S. advisers will meet Tuesday to vote on how initial supplies of a COVID-19 vaccine will be given out once one has been approved.

Copyright © 2020 KGO-TV. All Rights Reserved.

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COVID-19 is crushing San Diego County hospitals - The San Diego Union-Tribune

San Diego County hospitals reported a relentless upward trend in COVID-19 patient admissions Monday just as the governor warned that a similar situation statewide will soon spur “deep purple moves” in places where coronavirus is causing the most mayhem.

In a midday news conference, Gov. Gavin Newsom warned that his administration has been talking to public health directors in places where the virus is hitting hospitals especially hard, such as San Francisco and Los Angeles.

He said modeling indicates that the number of COVID-19 cases in California hospitals could be two to three times higher than it is today by Christmas if residents do not get serious about wearing masks and other measures that, when broadly adopted, have the power to slow the spread of the virus.

Places already in the most-restrictive purple tier of the state’s COVID-19 risk-ranking system can expect to undergo more significant restrictions in coming days, the governor said. Think deep purple, and not the 1970s rock band.

Expect a level of restrictions “that is more equivalent, more in line, with the stay-at-home order that folks were more familiar with in the beginning of this year,” he said.

For those whose memories have gotten a bit hazy about how it was in March, April and May, think closed beaches, no haircuts and certainly no restaurant dining, indoor or outdoor.

San Diego County has so far not made any moves to curtail such activity despite more aggressive moves in Los Angeles and some Bay Area communities. Public health officials declined to comment on the governor’s statements Monday but are scheduled to hold their regular weekly news conference Wednesday.

The situation with local hospitals continues to look more dire by the day with the number of COVID-19 patients in beds across San Diego County reaching 692 Sunday. A separate count kept by the Hospital Association of San Diego and Imperial Counties hit 732 Monday afternoon, though that figure includes local military hospitals while the county count does not.

Another 959 confirmed cases were added to the local pandemic total, a number that would have been shocking three weeks ago but instead looked like a bit of a down day after record-setting totals in the 1,800s Thursday and Friday. For the second-straight day, no additional deaths were reported, though there has generally been a weekend lag due to delays in paperwork processing.

It was not all bad news Monday.

Newsom said he had learned that California will receive about 327,000 doses of coronavirus vaccine in the “next few weeks” from Pfizer, the first company expected to receive emergency approval from the U.S. Food and Drug Administration. Later this week, he added, the state will release a specific priority list indicating who will have first access. Already, those in health care and nursing homes are at the top of the list, but the governor said that the list will become more specific now that a special committee has had time to work on understanding who, within those broad groups, would benefit most from early access.

With about 3 million residents, San Diego County contains about 7.5 percent of the state’s 39 million residents. If it received a share of the initial vaccine allocation proportional to its share of the statewide population, the county would receive about 24,000 doses though the number of people who could be vaccinated would be about half that number because each inoculation requires two doses.

Sharp Healthcare, the region’s largest hospital system, was getting hit hard last week and has continued to see its capacity quickly absorbed by those with positive coronavirus tests. COVID-related admissions have been greatest at hospitals in Chula Vista and La Mesa.

Brett McClain, Sharp’s executive vice president and chief operating officer, said Sharp hospitals contained 282 COVID-19 patients Monday, double the previous record of 141 set on May 11 and more than five times higher than the collective census of 53 in Sharp beds on Oct. 25.

The scary thing, he noted, is that hospitalizations are known to lag infections by weeks, meaning that we’re just now starting to see the full effects of activity in the community that occurred in early November.

“I’m very concerned about what’s going to happen in the next couple weeks, let alone if we don’t get the message out strongly before the Christmas holidays happen,” he said.

Having gone out over the Thanksgiving weekend to run some essential errands, McClain said he was astounded at the number of people he saw out and about without masks, many obviously entertaining visitors from out of town.

It’s disheartening, he said, when he realizes that his staffers, especially those on the front lines of this pandemic, see the same scenes.

“Our staffs are already just burnt out to the Nth degree,” he said. “It’s an incredible burden right now, and it makes me angry, you know, when I see people not wearing masks.

“It’s just not that hard.”

McClain said that Sharp has begun delaying some scheduled operations and procedures not related to COVID-19 as hospitals struggle to keep up with the virus’s increased demands. So far, though, he said reschedulings have been rare.

Scripps Health, Palomar Health in North County and UC San Diego Health all said in emails that they have not yet had to take similar steps.

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Houston Dr Joseph Varon hugs and comforts patient in COVID-19 ICU in viral photo - KTRK-TV

HOUSTON, Texas -- A photo of a Houston doctor has gone viral after it showed him hugging and comforting a patient in the COVID-19 intensive care unit on Thanksgiving.

The photo of Dr. Joseph Varon and the patient was taken in the ICU at United Memorial Medical Center.


Health officials and city leaders have repeatedly urged now that we're in the holiday season, people should stay away from crowded spaces, wear masks and wash their hands. They also fear things will get worse.

"I truly believe that the next six to 12 weeks are going to be the darkest weeks in modern American medical history," Varon said.

Texas set a new record high for cases the day before Thanksgiving.


Varon says the holiday was his 252nd workday in a row.

"I have nurses who, in the middle of the day, are crying because, you know, they keep on getting patients, and there are just not enough nurses that can help us," Varon described.

With more than half the United States recording record-high daily hospitalizations this past week, significant restrictions are on the way.

A three week, stay-at-home order starts Monday in Los Angeles. Restaurants there are already limited to takeout and delivery only.

While vaccine breakthroughs are showing hope on the horizon, extensive work is underway to prepare the supply chain.

For example, Pfizer's vaccine needs to be stored at extremely cold temperatures, around 94 degrees below zero. That means niche freezer companies like Stirling Ultracold have to substantially step up their output to match the demand.

"The two-dose scenario, 14 billion vaccines globally, that in itself starts to add up," said Stirling Ultracold CEO Dusty Tenney.

But more big vaccine news could come this week.

A panel of U.S. advisers will meet Tuesday to vote on how initial supplies of a COVID-19 vaccine will be given out once one has been approved.

Copyright © 2020 KTRK-TV. All Rights Reserved.

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A Nurse Bragged About Flouting COVID-19 Guidelines on TikTok - The Cut

The oncology nurse's TikTok account — and subsequently, the controversial video — has since disappeared from the platform.
The oncology nurse’s TikTok account — and subsequently, the controversial video — has since disappeared from the platform. Photo: TikTok

On November 27, Oregon reported over 820 new coronavirus cases, pushing the state’s cumulative total over 70,800. That same day, an oncology nurse at Salem Health posted a sneering video to TikTok, in which she boasted about the all the ways she defies guidelines implemented to mitigate the spread of COVID-19. Per the New York Times, the nurse — who has not been named publicly — has since been placed on administrative leave, pending an internal investigation.

Though the nurse’s account has since disappeared from the platform, the controversial video has been preserved by numerous TikTok users who found it condemnable. “When my coworkers find out I still travel, don’t wear a mask when I am out, and let my kids have playdates,” reads text that pops up at the start of the video, in which she dons scrubs and a stethoscope in what appears to be a medical facility. She then begins to lip-sync to an audio clip from How the Grinch Stole Christmas, which plays in the background, evidently to compare herself to the movie’s central character.

While many COVID skeptics and otherwise reckless individuals have used social media to flaunt how they’re each flouting coronavirus guidelines, infrequently has the provocateur been someone who works in the medical industry and treats immunocompromised patients. The video, as expected, swiftly drew the ire of the public, some of whom alerted Salem Health to its existence. Just one day after it was uploaded, Salem Health condemned the video in a statement, denouncing the nurse’s “cavalier disregard for the seriousness of this pandemic and her indifference towards physical distancing and masking outside of work.” The nurse does not speak for Salem Health,” assures the statement before relaying that the nurse has been placed on administrative leave pending an investigation.

But notice of the nurse’s change in employment status has not been met with widespread relief. Rather, per a quick scan of the 1,000-plus comments under Salem Health’s Facebook post about the TikTok video, many believe the punishment to be too lenient, and have called on the hospital to fire her immediately. “As someone fighting cancer, I can only imagine how her patients feel after seeing this news,” reads one comment. Another person challenged the necessity of an investigation, calling the TikTok video “evidence enough.” Even some people who say they have loved ones undergoing cancer treatment at Salem Health have populated the comment section: Wrote one woman whose mother-in-law is apparently a cancer patient at the hospital, “I kinda feel like puking.”

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Clark County reports 849 new COVID-19 cases over Thanksgiving holiday weekend - The Columbian

Clark County averaged about 170 new COVID-19 cases per day since Wednesday, racking up 849 new cases over five days, according to data released Monday by Clark County Public Health.

The agency did not report new case totals Thursday or Friday because of the Thanksgiving holiday.

No new deaths were reported Monday.

Clark County’s total number of COVID-19 cases is 8,841, with each case representing one person who tested positive for the virus. People with multiple positive tests are counted only once, according to Public Health.

Local novel coronavirus cases have been surging. The average of about 170 new cases per day compares with an average of about 159 cases per day in the seven days ending Nov. 20 and about 119 per day in the seven days ending Nov. 13.

Hospitalizations continue to rise, with 77 people hospitalized Monday with COVID-19 in Clark County and nine people hospitalized awaiting test results. Those patients account for 13.7 percent of all licensed hospital beds in the county.

The number of active cases held steady at 397, counting people with COVID-19 who are still in their isolation period.

To date, 91 people have died from COVID-19 locally. The last deaths were reported Nov. 24.

The Washington State Department of Health reported 165,019 cases and 2,774 fatalities as of Monday afternoon.

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Tarrant County soars past 100,000 coronavirus cases; Dallas County reports 702 cases, 5 deaths - The Dallas Morning News

Updated 5:15 p.m.: revised to include statewide data.

Dallas County on Monday reported 702 more coronavirus cases, all of them considered new. Five new COVID-19 deaths were also reported.

The latest victims included a Dallas man in his 60s, a Richardson man in his 70s and a Mesquite woman in her 80s, all of whom had underlying health conditions. The other two victims, a Richardson man in his 70s and a Carrollton man in his 80s, did not have underlying health conditions. All five victims had been hospitalized.

But the data doesn’t show a complete picture of the number of new cases because many labs have not submitted test results since Wednesday because of the Thanksgiving holiday, Dallas County Judge Clay Jenkins said in a written statement. Jenkins said he anticipates accurate numbers on Tuesday and Wednesday.

“Now is a time for sacrifice and patriotism to protect not only yourself but your community and our country,” Jenkins said. “Our health care heroes are working hard to make sure that this is the only holiday that we will ever experience like this, and they need your help.”

Of the new cases reported Monday, 684 are confirmed and 18 are probable. The newly reported cases bring the county’s total confirmed cases to 126,690 and probable cases to 12,108. The county has recorded 1,212 confirmed COVID-19 deaths and 34 probable deaths.

The county recently announced it is counting only positive antigen tests (sometimes called rapid tests) as probable cases; a few antibody and “household” results were included previously.

While other North Texas counties provide estimates for how many people have recovered from the virus, Dallas County officials do not report recoveries, noting that the federal Centers for Disease Control and Prevention does not use that metric.

The county reported that during the Nov. 8-14 period, 1,282 school-age children tested positive for COVID-19. Since Nov. 1, there have been 3,630 COVID-19 cases in students and staff at Dallas County schools, and 130 cases were reported from 97 separate day cares, the county said.

More than two-thirds of all confirmed cases requiring hospitalization so far have been in people under 65, and diabetes has been an underlying condition in about a third of all hospitalized patients, according to the county.

The county’s provisional seven-day average of daily new confirmed and probable cases for the latest reporting period, Nov. 8-14, was 1,405 — a rate of 53.3 daily new cases per 100,000 residents. The figure is calculated by the date of the COVID-19 test collection, according to the county.

Dallas County doesn’t provide a positivity rate for all COVID-19 tests conducted in the area; county health officials have said they don’t have an accurate count of how many tests are conducted each day. But as of the county’s most recent reporting period, 17% of people who showed up at hospitals with COVID-19 symptoms tested positive for the virus. That’s an increase from 16.8% during the previous reporting period.

The county said that 20 active “clusters” of cases in homeless shelters and group homes have been reported in the last 30 days, totaling 167 reported coronavirus cases. One facility in the last week had 81 confirmed cases, the county said.

Over the last 30 days, there have been 818 COVID-19 cases reported from 90 long-term care facilities, the county said. Of the cases, 29 people have died and 48 have been hospitalized.

Of the county’s total confirmed COVID-19 deaths, about 23% are associated with long-term care facilities.

Statewide data

Across the state, 10,714 more cases and 22 COVID-19 deaths were reported Monday. Texas has reported 1,168,111 confirmed cases and 21,379 fatalities.

According to the state’s dashboard, 10,699 cases are considered new and 139 are considered older cases.

There are 8,900 COVID-19 patients in Texas hospitals, including 2,435 in the Dallas-Fort Worth area.

Of all hospitalizations in the 19-county hospital region that covers the Dallas-Fort Worth area, 16.13% are COVID-19 patients, according to the state’s data. Monday was the fourth day in a row that the state crossed the 15% threshold set by Gov. Greg Abbott in an Oct. 7 executive order. The order states businesses must scale down to 50% capacity if they are in a region where more than 15% of hospital beds are occupied by COVID-19 patients for seven days in a row. The area first hit the 15% threshold Friday.

The seven-day average positivity rate statewide, based on the date of test specimen collection, was 11.34% as of Sunday. State health officials said using data based on when people were tested provides the most accurate positivity rate.

The state also provides a positivity rate based on when lab results were reported to the state; that rate stood at 11.72% as of Sunday.

Officials previously calculated Texas’ coronavirus positivity rate by dividing the most recent seven days of new positive test results by the most recent seven days of total new test results. By that measure, the positivity rate is now 9.22%, according to the state dashboard.

A spokesman for the Texas Department of State Health Services said that positivity rate data based on lab results and new cases will likely be phased out but is still being provided for transparency and continuity purposes.

Tarrant County

Tarrant County reported 3,356 coronavirus cases and no new deaths Monday.

The newly reported cases bring the county’s total to 100,650, including 89,224 confirmed cases, 11,426 probable cases and 71,114 recoveries. The death toll stands at 843.

Monday’s case report reflects data collected from Thursday through Sunday, the county’s dashboard said.

According to Monday’s numbers on the county dashboard, 855 people are hospitalized with the virus.

Collin County

The state added 408 coronavirus cases to Collin County’s total Monday, bringing the tally to 26,600. No new COVID-19 fatalities were reported. The county’s death toll stands at 253.

According to state data, the county has 3,105 active cases of the virus and has recorded 23,495 recoveries.

COVID-19 hospitalizations total 276, according to the county’s dashboard.

Denton County

Denton County reported 368 coronavirus cases — of which 246 are active — and no new deaths Monday.

The newly reported cases bring the county’s total to 23,644, including 5,617 that are active and 17,879 that are recoveries. The death toll stands at 148.

There are 748 COVID-19 patients hospitalized, according to the county’s data.

Other counties

The Texas Department of State Health Services has taken over reporting for these other North Texas counties. In some counties, new data may not be reported every day.

The latest numbers are:

  • Rockwall County: 2,994 cases, 37 deaths.
  • Kaufman County: 4,900 cases, 80 deaths.
  • Ellis County: 6,898 cases, 115 deaths.
  • Johnson County: 5,407 cases, 105 deaths.

Having trouble seeing this map? Click here.

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Nurse at Salem Health on leave after video flouting coronavirus rules - KATU

[unable to retrieve full-text content]

  1. Nurse at Salem Health on leave after video flouting coronavirus rules  KATU
  2. Salem nurse placed on leave over TikTok video  KGW News
  3. Nurse put on administrative leave after her TikTok bragging about breaking Covid-19 rules goes viral  CNN
  4. Salem nurse's COVID-19 video post sparks questions over workplace rights  KATU
  5. An Oregon nurse bragged on TikTok about not wearing a mask outside of work. She’s now on administrative leave.  The Washington Post
  6. View Full Coverage on Google News
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Coronavirus in Oregon: State reports 1,314 new cases, 7 new deaths - OregonLive

The Oregon Health Authority on Monday reported 1,314 new confirmed or presumptive coronavirus cases and seven new deaths.

Patrick Allen, director of the agency, said cases have been growing at alarming speed.

“COVID-19 is spreading faster in all parts of Oregon,” he said in a statement. “It took six months before 25,000 Oregonians became sick with COVID-19 and two months more until we reached 50,000 total COVID-19 infections in Oregon. Most recently, it took three weeks to go from 50,000 cases to 75,000 and this weekend we crossed 900 total deaths.”

Hospitalizations continued to rise as well, officials said, with the total increasing to 584 patients, 45 more than Sunday.

November has been the deadliest month in Oregon since the pandemic began with nearly 200 of the state’s deaths reported this month, more than 20 percent of all fatalities to the disease.

Allen reiterated that, with several experimental vaccines showing promising results in trials, common-sense measures like wearing a mask, limiting the size of gatherings and practicing good hand hygiene could prevent more deaths before effective vaccines become widely available.

“We can keep more people from getting sick and dying, if we stay true to science-based mask-wearing and social distancing. With the bright promise of vaccines coming on the horizon, we can’t give up,” Allen said.

Where the new cases are by county: Baker (2), Benton (9), Clackamas (228), Clatsop (1), Columbia (14), Coos (4), Crook (4), Curry (2), Deschutes (54), Douglas (33), Harney (1), Hood River (1), Jackson (54), Jefferson (9), Josephine (20), Klamath (1), Lake (1), Lane (62), Lincoln (3), Linn (16), Malheur (2), Marion (167), Morrow (1), Multnomah (320), Polk (26), Tillamook (2), Umatilla (40), Union (6), Wasco (2), Washington (202) and Yamhill (27).

New deaths: The 906th fatality is a 64-year-old Lane County man with underlying health conditions. He tested positive Oct. 28 and died Nov. 28 at PeaceHealth Sacred Heart Medical Center Riverbend.

The 907th fatality is a 67-year-old Marion County man with underlying medical conditions. He tested positive Nov. 5 and died Nov. 27 at Salem Hospital.

The 908th fatality is an 85-year-old Marion County woman with underlying medical conditions. She tested positive Nov. 19 and died Nov. 28 at Legacy Meridian Park Medical Center.

The 909th fatality is a 48-year-old Multnomah County man with underlying medical conditions. He tested positive Nov. 22 and died Nov. 25 at Legacy Emanuel Medical Center.

The 910th fatality is an 83-year-old Multnomah County man with underlying medical conditions. He tested positive Nov. 17 and died Nov. 25 at his residence.

The 911th fatality is a 78-year-old Multnomah County man with underlying medical conditions. He tested positive Nov. 5 and died Nov. 19 at Adventist Hospital.

The 912th fatality is a 58-year-old Washington County man with underlying medical conditions. He tested positive Oct. 31 and died Nov. 25 at Providence St. Vincent Medical Center.

Who got infected: New confirmed or presumed infections since Friday grew among the following age groups: 0-9 (189); 10-19 (447); 20-29 (965); 30-39 (827); 40-49 (696); 50-59 (579); 60-69 (417); 70-79 (250); 80 and older (221).

Who’s in the hospital: The state reported 584 Oregonians with confirmed coronavirus infections were currently in the hospital Monday. Of those, 117 coronavirus patients were in intensive care units, an increase of 10 over Sunday’s count.

Since it began: Oregon has reported 75,431 confirmed or presumed infections and 912 deaths, among the lowest totals in the nation. To date, the state has reported 1,979,794 total tests.

-- Kale Williams; kwilliams@oregonian.com; 503-294-4048; @sfkale

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Los Angeles County --the biggest county in the US -- is now under a stay-at-home order - msnNOW

All public and private gatherings with anyone outside a single household are now banned in Los Angeles County, as most of the country grapples with an unprecedented surge of Covid-19.

a person standing in front of a store: A man carries a package of take-out food as he walks past temporary outdoor restaurant seating November 23, 2020 in Burbank, California. - Starting November 24 Los Angeles County will suspend outdoor dining for restaurants in hopes of slowing an unprecedented surge in Covid-19 cases. The measure has sparked a backlash from eateries and some county officials, who worry about the devastating economic toll. Los Angeles County recorded its highest one-day total for COVID-19 cases on November 23 since the pandemic began. (Photo by Robyn Beck / AFP) (Photo by ROBYN BECK/AFP via Getty Images) © ROBYN BECK/AFP/Getty Images A man carries a package of take-out food as he walks past temporary outdoor restaurant seating November 23, 2020 in Burbank, California. - Starting November 24 Los Angeles County will suspend outdoor dining for restaurants in hopes of slowing an unprecedented surge in Covid-19 cases. The measure has sparked a backlash from eateries and some county officials, who worry about the devastating economic toll. Los Angeles County recorded its highest one-day total for COVID-19 cases on November 23 since the pandemic began. (Photo by Robyn Beck / AFP) (Photo by ROBYN BECK/AFP via Getty Images)

The ban will last three weeks, starting Monday and ending December 20.

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All 10 million residents are asked to stay home as much as possible and wear face masks when outside -- even when exercising at the beach and parks, said the Los Angeles County Department of Public Health, which issued the order last week.

All playgrounds and cardrooms will be closed, but beaches, trails and parks will remain open to groups who live in the same household.

The order also reduces the maximum occupancy for essential businesses to 35%, and for non-essential businesses, personal care services, and libraries to 20%.

Businesses operating outdoors, including fitness centers, zoos, botanical gardens and batting cages, are reduced to a maximum of 50% capacity.

The order exempts outdoor church services and protests, which are constitutionally protected rights, the county said.

The directive comes in addition to a controversial new ban on outdoor dining in Los Angeles County and a statewide curfew prohibiting nonessential activity outside the home from 10 p.m. to 5 a.m. for the vast majority of residents.

But the Los Angeles County Sheriff's Department said it will not enforce the new stay-at-home order, instead relying on voluntary compliance.

"Since the first Stay at Home Order was issued in March of this year, we have focused on education and voluntary compliance, with enforcement measures being an extreme last resort," the sheriff's department said in a statement to CNN.

"We trust in the community and rely on people to assess risk and take precautions as appropriate."

Los Angeles County, the most populous county in the US, recently reported a record number of new Covid-19 infections and the most deaths in months.

The county reported 395,843 confirmed cases of Covid-19 and 7,639 deaths as of Sunday. The county's 7-day average of test positivity rate is 6.9%.

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Vaccines Are Coming, but Pandemic Experts Expect a 'Horrible' Winter - The New York Times

Each week, good news about vaccines or antibody treatments surfaces, offering hope that an end to the pandemic is at hand.

And yet this holiday season presents a grim reckoning. The United States has reached an appalling milestone: more than one million new coronavirus cases every week. Hospitals in some states are full to bursting. The number of deaths is rising and seems on track to easily surpass the 2,200-a-day average in the spring, when the pandemic was concentrated in the New York metropolitan area.

Our failure to protect ourselves has caught up to us.

The nation now must endure a critical period of transition, one that threatens to last far too long, as we set aside justifiable optimism about next spring and confront the dark winter ahead. Some epidemiologists predict that the death toll by March could be close to twice the 250,000 figure that the nation surpassed only last week.

“The next three months are going to be just horrible,” said Dr. Ashish Jha, dean of Brown University’s School of Public Health and one of two dozen experts interviewed by The New York Times about the near future.

This juncture, perhaps more than any to date, exposes the deep political divisions that have allowed the pandemic to take root and bloom, and that will determine the depth of the winter ahead. Even as the Centers for Disease Control and Prevention urged Americans to avoid holiday travel and many health officials asked families to cancel big gatherings, more than six million Americans took flights during Thanksgiving week, which is about 40 percent of last year’s air traffic. And President Trump, the one person most capable of altering the trajectory between now and spring, seems unwilling to help his successor do what must be done to save the lives of tens of thousands of Americans.

President-elect Joseph R. Biden Jr. has assembled excellent advisers and a sensible plan for tackling the pandemic, public health experts said. But Mitchell Warren, the founder of AVAC, an AIDS advocacy group that focuses on several diseases, said Mr. Biden’s hands appeared tied until Inauguration Day on Jan. 20: “There’s not a ton of power in being president-elect.”

Credit...Adria Malcolm for The New York Times

By late December, the first doses of vaccine may be available to Americans, federal officials have said. Priorities are still being set, but vaccinations are expected to go first to health care workers, nursing home residents and others at highest risk. How long it will take to reach younger Americans depends on many factors, including how many vaccines are approved and how fast they can be made.

In mid-October, I surprised some New York Times readers by shifting from pessimism to optimism, with the epidemic in the United States most likely ending sooner than I expected. Now that at least two vaccines with efficacy greater than 90 percent have emerged, I am even more hopeful about what 2021 holds.

But even as the medical response to the virus is improving, the politics of public health remain a deeply vexing challenge.

The regions of the country now among those hit hardest by the virus — Midwestern and Mountain States and rural counties, including in the Dakotas, Iowa, Nebraska and Wyoming — are the ones that voted heavily for Mr. Trump in the recent election. The president could help save his millions of supporters by urging them to wear masks, avoid crowds and skip holiday gatherings this year. But that seemed unlikely to occur, many health experts said.

“That is outside of his DNA,” said Dr. William Schaffner, a preventive medicine specialist at Vanderbilt University medical school. “It would mean admitting he was wrong and Tony Fauci was right.”

Credit...Erin Schaff/The New York Times

In a bitter paradox, some experts noted, Mr. Trump could have been the hero of this pandemic. Operation Warp Speed, which his administration announced in May, appears on track to deliver vaccines and therapies in record-breaking time. The United States may well become the first country to bring the virus to heel through pharmaceutical prowess.

Had Mr. Trump heeded his medical advisers in late spring and adopted measures to curb new infections, the nation could now be on track to exit the epidemic next year with far fewer deaths per capita than many other nations.

But during his campaign, Mr. Trump rarely mentioned Operation Warp Speed; it has invested more than $12 billion in six vaccines based on three complex new technologies, as well as antibody therapies with nearly unpronounceable names like bamlanivimab.

Some health experts expressed concern that Mr. Trump might continue to undermine the coronavirus effort after he leaves office, by contradicting and diminishing any measure proposed by Mr. Biden.

“The thinking over here,” said Dr. David L. Heyman, a former C.D.C. official who now oversees the Center on Global Health Security at Chatham House in London, “is that he will continue to harass the White House to mobilize his people for 2024 for himself or his daughter or sons.”

Credit...Tim Gruber for The New York Times

The antidote to hopelessness is agency, and Americans can protect themselves even without Mr. Trump’s advice by wearing masks and keeping their distance from others.

Reluctant officials are finally coming around to ordering such measures. The governors of Iowa and New Hampshire issued mask mandates for the first time in mid-November; the governors of Kansas, North Carolina and Hawaii strengthened theirs. But average Americans are sharply divided over masks.

“There is pretty broad support for mask mandates even among Republicans,” said Martha Louise Lincoln, a medical historian at San Francisco State University. “But among extreme right-wing voters there’s still a perception that they’re a sign of weakness or a symbol of being duped.”

The Centers for Disease Control and Prevention issued new guidelines on Nov. 10, advocating more clearly than before that everyone, infected or healthy, should wear a mask.

Various studies, involving machines puffing fine mists, have shown that high-quality masks can significantly reduce the spread of pathogens between people in conversation.

Credit...Adria Malcolm for The New York Times

And the common-sense evidence that masks work has become overwhelming. Dozens of “superspreader events” have taken place in venues where most people were not masked — in bars and restaurants, at summer camps, at funerals, on airplanes, in churches, at choir practice.

In contrast, none have been known to occur in venues where most people wore masks, such as grocery stores. One well-known C.D.C. study showed that, even in a Springfield, Mo., hair salon where two stylists were infected, not one of the 139 customers whose hair they cut over the course of 10 days caught the disease. A city health order had required that both the stylists and the customers be masked.

Even in the most dangerous environments — hospital emergency rooms — there have been no reported superspreader events since personal protective gear became widely available. (Many individual doctors and nurses have been infected, however; an incident in South Bend, Ind., in which multiple nurses were infected turned out to be related to a wedding.)

By contrast, the White House, where masks have been shunned, has been the scene of at least one, and possibly more superspreader events.

A study by the Institute for Health Metrics and Evaluation at the University of Washington estimated that 130,000 lives could be saved by February if mask use became universal in the United States immediately. Masks can also preserve the economy: A study by Goldman Sachs estimated that universal use would save $1 trillion that may be lost to business shutdowns and medical bills.

Credit...Tim Gruber for The New York Times

Mr. Biden has said that he intends to tackle the pandemic from his first full day in office, on Jan. 21. But because coronavirus deaths follow new cases by some weeks, any results of his actions may not be apparent before early spring.

The experts generally praised the panel of advisers chosen by Mr. Biden, depicting them as reputable scientists who could credibly reach out to many groups hard-hit by the pandemic, including Black and Hispanic Americans.

But several experts, some of whom spoke anonymously to avoid offending friends and colleagues, said the panel needed different skills and a different kind of balance.

Some felt that it should have more scientific expertise, and suggested recruiting more vaccinologists, such as Dr. Paul A. Offit of Children’s Hospital of Philadelphia, and more epidemiologists, such as Harvard’s Marc Lipsitch and Natalie E. Dean of the University of Florida.

Others said the panel needed more behavioral scientists adept at fighting rumors, which have been a major obstacle.

“We’re facing extremely complex and poorly understood dynamics around disinformation, conspiratorial theories, paranoia and mistrust,” Dr. Lincoln noted.

Credit...Anna Moneymaker for The New York Times

Among the suggested names with those skills were Heidi J. Larson of the Vaccine Confidence Project in London, Carl T. Bergstrom of the University of Washington and Zeynep Tufekci of the University of North Carolina.

Others said the panel had too many members tied to the Obama-Biden administration. Dr. Ezekiel J. Emanuel, for example, was an architect of the Affordable Care Act and Dr. Eric Goosby was Mr. Obama’s global AIDS coordinator. To reach Mr. Trump’s base, they said, the panel needs credible Republican experts.

“Otherwise,” said Dr. Leana Wen, a former Baltimore health commissioner, “there will be even more of a mistaken perception that this is Democrats and doctors trying to shut down the economy, when actually controlling the virus is key to economic recovery.”

Experts suggested adding Dr. Bill Frist, a transplant surgeon and former Republican senator, or Dr. Marc K. Siegel, an internist and Fox News opinion writer.

Mr. Warren suggested consulting marketing experts and recruiting “everyone from Santa Claus to LeBron James” as trusted spokesmen.

Another expert suggested adding Dr. Mehmet C. Oz, a heart surgeon and television personality who was criticized for promoting hydroxychloroquine on Fox News (he later relented), and possibly even asking Sean Hannity and Tucker Carlson to join, because they are popular with Mr. Trump’s base and might be persuaded to accept science that would save the lives of their own viewers.

Credit...Adria Malcolm for The New York Times

Mr. Biden’s plan for tackling the pandemic is outlined on his website.

It calls for far more widespread testing, delivered free; a ban on out-of-pocket costs for medical care for the virus; having the military build temporary hospitals if necessary; cooperation with American businesses to create more personal protective gear and ventilators; more food relief for the poor, and other measures.

Mr. Biden has said he supports a national mask mandate, although his plan calls on governors to impose state ones.

All the experts interviewed by The Times praised the plan, but several felt it was not aggressive enough. The pandemic is raging so far beyond control, they argued, that it can be contained only with deeply unpopular but necessary measures, such as rigorously enforced mask laws, closing bars and restaurants, requiring regular testing in schools and workplaces, isolating the infected away from their families, prohibiting travel from high-prevalence areas to low ones, and imposing quarantines that are enforced rather than merely requested.

Many other countries have imposed such measures despite fierce opposition from some citizens, they said, and they have helped.

Colleges are the Wuhans of this fall surge,” said Dr. Howard Markel, a medical historian at the University of Michigan’s medical school. Universities, he and other experts said, must stop students from going back and forth between their hometowns and college towns, both of which have many vulnerable residents.

Credit...Adria Malcolm for The New York Times

The key to enforcing mask laws, noted Dr. Robert Klitzman, a psychiatrist and bioethicist at Columbia University’s Mailman School of Public Health, is to punish not people but the owners of buildings that ignore restrictions; Quebec, he noted, fines stores $4,500 if customers are unmasked.

But after a very divisive election, other experts said, it will be hard to get many Americans to cooperate, especially if Mr. Trump encourages resistance.

Also, there are legal limits on what the federal government can do. American “sanitary codes” and quarantine laws are overwhelmingly based on state and local powers, many of which were granted in the 19th century, when epidemics constantly swept the nation’s cities. The federal government’s powers generally extend to interstate matters.

So, for instance, while the Biden administration could easily make it a federal crime to refuse to wear a mask on a cross-country flight — or put offenders on the “no fly list” that was created after the Sept. 11, 2001, attack on the World Trade Center — it probably cannot make every resident of South Dakota wear a mask if Gov. Kristi Noem and the State Legislature oppose the measure. Ms. Noem has said that she will not enforce mask mandates or lockdowns even if Mr. Biden, as president, orders them.

Credit...Adria Malcolm for The New York Times

The health experts interviewed by The Times all expressed excitement that the Pfizer/BioNTech and Moderna vaccines were reported to be 95 percent effective with no serious safety problems. On Nov. 23, a third vaccine, from AstraZeneca, also appeared to be effective, although exactly how effective is disputed.

“This is an amazing feat of science we’ve just seen, to go from a gene sequence on Jan. 10 to a vaccine by Nov. 10,” said Dr. Lawrence Corey, who is harmonizing disparate vaccine trials so their results can be easily compared.

However, experts still want to read the data, not just what Dr. Offit called “science by news release.”

(Pharmaceutical companies often wait until they have publishable data before announcing clinical trial results. But when news is likely to jolt a stock’s price, it is released immediately to reduce the chance of anyone connected to the company engaging in insider trading, or even appearing to.)

Mr. Biden will inherit the fruits of Operation Warp Speed and oversee their distribution. Members of his transition team, speaking anonymously because they were not authorized to reveal its deliberations, said they were already discussing two sensitive topics: whether to create a secure way for vaccinated individuals to prove they have received both shots, and whether Covid vaccines should ultimately be made mandatory — either by the federal government, or by state governments, employers, school systems or the like.

Credit...Chandan Khanna/Agence France-Presse — Getty Images

Making vaccines mandatory may be a political struggle, but it is within the scope of American law. In 1905, in a landmark case, Jacobson v. Massachusetts, the Supreme Court upheld the right of a state government to make smallpox vaccination mandatory, on the grounds that it protected the public health — despite the fact that the crude smallpox vaccines of that era could cause severe side effects in some people.

It is also within American religious tradition. Virtually every major religion has held that vaccines are permitted, and some even hold that their members are obliged to be vaccinated for the common good.

Some experts not on the committee were adamant that, once Covid vaccines are proven to be both effective and safe, they should be made obligatory.

Dr. W. Ian Lipkin, director of the Center for Infection and Immunity at Columbia University’s Mailman School of Public Health, noted that his institution already has mandatory testing for all students and staff. He said that companies he advises would like to eventually make vaccination mandatory for all employees, but would prefer the government took the lead by requiring them.

At Dr. Offit’s pediatric hospital, every member must have had all routine vaccines and get an annual flu shot — or face dismissal.

“It’s not optional,” he said. “You’re taking care of children. And yes, down the line, I think vaccination will have to be mandatory. It’s your responsibility as a citizen.”

The next dozen weeks will be long and painful. But spring is likely to bring highly effective vaccines and a renewed commitment to medical leadership, something that has been missing under Mr. Trump.

“The C.D.C. will have to be rebuilt, and its guidelines and the F.D.A.’s have to be promptly re-evaluated,” said Dr. Robert L. Murphy, director of the Institute for Global Health at Northwestern University’s medical school. “The Biden team will move quickly. It’s not like they don’t know what to do.”

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Credit...Tim Gruber for The New York Times

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