NASA outlines recommendations to clear path for Boeing to resume Starliner flights – Spaceflight Now

STORY WRITTEN FORCBS NEWS& USED WITH PERMISSION

NASA has completed an exhaustive review of software problems and procedural oversights that prevented an unpiloted Boeing Starliner capsule from docking with the space station last year. The agency is implementing 80 recommendations to clear the way for a second test flight later this year and, if all goes well, Boeings first piloted flight next spring, officials said Tuesday.

Steve Stich, manager of NASAs Commercial Crew Program, would not say when the company might be cleared to launch the Starliner on a repeat of the unpiloted flight other than it probably would be toward the latter part of this year.

I really want Boeing and our team to go through the software recommendations and make the changes to the software and test the software, he told reporters. And then once we start to see how that shakes out well talk a little be more about when to go fly.

Whenever it takes off, if the flight goes smoothly and a detailed data review confirms that Boeing will press ahead with plans to launch a two-man one-woman crew to the International Space Station next spring aboard the same Starliner, now being refurbished, that ran into problems last December.

SpaceX has already accomplished that feat, launching two astronauts to the station May 30 aboard that companys Crew Dragon capsule. The astronauts, Douglas Hurley and Robert Behnken, plan to return to Earth around Aug. 2, setting the stage for SpaceXs first operational crew rotation flight in the mid September timeframe.

Asked if NASA could opt to abandon the Starliner program if Boeing runs into more problems during the upcoming unpiloted flight, Stich said the space agency is committed to having two spacecraft providers as a hedge against downstream problems that could ground either company in the midst of operational crew rotation flights.

And in any case, he said, given the reviews and additional oversight now in place as a result of the problems last December, the same sort of issues would not escape detection, well before launch, the second time around.

We need both Boeing and SpaceX to be there for us to support crew transportation, he said. From what Ive seen of Boeings implementation of the corrective actions, I really dont anticipate that we would be in a position to go fly, we would not get through a flight readiness review if we saw problems, systemic problems.

Were going to methodically work through every single change in the software, every single change to the hardware. I really wouldnt anticipate getting to flight in a situation where we would repeat the kinds of close calls that we had on the (first) mission.

Boeing and SpaceX are both building piloted astronaut ferry ships for NASA under commercial contracts valued at some $6.8 billion. The goal is to end the agencys sole reliance on Russian Soyuz spacecraft to carry U.S. crews to and from the International Space Station.

Both companies designed, built and own their spacecraft. They both agreed to launch one unpiloted test flight to the station and one piloted mission before beginning operational crew rotation flights.

SpaceX carried out a successful unpiloted flight of its Crew Dragon capsule in March 2019 and its piloted test flight, known as Demo 2, is currently underway with Hurley and Behnken aboard the space station.

Boeing launched its Starliner on an unpiloted orbital flight test, or OFT, in December 2019. But the spacecrafts computer set its mission clock to the wrong time before liftoff, causing it to miss a critical orbit raising maneuver. That problem, combined with a communications glitch, prevented a rendezvous and docking with the space station.

Boeing engineers then found another software oversight that could have caused the spacecrafts service module, jettisoned prior to atmospheric entry, to crash back into the capsule.

That problem was corrected in flight, but it and the timing error later were characterized as high visibility close calls by NASA prompting an additional, more focused investigation and additional recommendations to address organizational issues.

Altogether, some 80 recommendations are being implemented to improve testing and simulations (21); process and operational improvements (35); software (7); requirements (10); and knowledge capture and hardware modifications (7).

This is about tweaking the system, right? This is about tweaking the spacecraft and tweaking the software to make sure that these particular errors that were found are fixed, said Kathy Lueders, former manager of the Commercial Crew Program and now the director of Human Exploration and Operations at NASA Headquarters. So we are making progress and doing the next steps to go fly with Boeing next year.

But few details were provided beyond general observations, in large part because Boeing, like SpaceX, is operating under a commercial contract that protects proprietary data.

Lueders said agency managers have been struggling with how to ensure transparency while trying to protect the specific proprietary data that the Boeing folks have.

We also want to make sure that in the future, we can have this open conversation between us and our providers, so that we can ferret out issues without them being worried at the end of something being put out there that they have issues with, she said.

So were really struggling with how to be transparent and letting you see the pieces, but want to make sure that in the future were not going to do something by putting out a report that then prevents open and honest conversations through our programs together.

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NASA outlines recommendations to clear path for Boeing to resume Starliner flights - Spaceflight Now

Chinese scientists reveal analysis of weird substance found on the moon’s far side by Yutu 2 rover – Space.com

Chinese scientists have published an analysis of a curious substance on the moon which generated widespread interest following its discovery by the Yutu 2 rover last year.

The discovery was made by a Yutu 2 drive team member in July 2019, during lunar day 8 of the rover's mission, which is part of China's Chang'e 4 mission to explore the far side of the moon. A report by Our Space, a Chinese-language science-outreach publication, revealed the discovery on Aug. 17 and described the substance using the term "" ("jiao zhuang wu"), which can be translated as "gel-like."

This description, along with the initial absence of images, sparked wide interest as well as speculation among lunar scientists.

Related: China releases huge batch of amazing Chang'e 4 images from moon's far side

However the substance is, as expected by scientists, made up of rock. In their article in Earth and Planetary Science Letters, Gou Sheng and colleagues analyzed data from Yutu 2's panoramic and hazard avoidance cameras, and the rover's Visible and Near-Infrared Spectrometer (VNIS) instrument.

They used a procedure called spectral unmixing to break down the measured spectra from VNIS to determine the likely composition and abundance of the material.

The authors describe the material as a dark greenish and glistening impact melt breccia, measuring 20 inches by 6 inches (52 by 16 centimeters). These features are signs of possible presence of glasses, which are usually sourced from impact melts or from volcanic eruptions.

According to the paper, the breccia broken fragment of minerals cemented together was formed by impact-generated welding, cementing and agglutinating of lunar regolith and breccia.

The material, they say, resembles lunar impact melt breccia samples returned by NASA's Apollo missions. In particular, similarities with the Apollo samples designated 15466 and 70019 are noted, a comparison made earlier by lunar scientist Clive Neal at the University of Notre Dame.

Sample 70019, collected by astronaut and trained geologist Harrison "Jack" Schmitt, is made of dark, broken fragments of minerals cemented together and black, shiny glass.

The results are not definitive, however. The paper notes that the analysis is limited by the fact that VNIS measurements were taken under bad illumination conditions and other factors.

Dan Moriarty, NASA postdoctoral program fellow at the Goddard Space Flight Center in Greenbelt, Maryland, said that because Chang'e 4 is exploring a completely unexplored area of the moon, spectral unmixing is especially challenging.

"We don't have samples from this region that would help inform the model parameters. For this reason, the precise regolith composition results presented in this paper may not be completely accurate," Moriarty said. "However, the authors do an excellent job of rigorously documenting their approach and assumptions, so their results can be understood in the context of this extremely challenging problem."

Moriarty said their interpretation of the substance seems reasonable, and is in agreement with previous interpretations based on earlier images. "It is very inspiring that contemporary missions are discovering features on the farside of the moon that resemble features observed by the Apollo astronauts," Moriarty said.

The paper also looks at the surrounding area. The measurements lead the authors to suggest the lunar regolith consists of a mixture from multiple sources. Ejecta from the impact that created the nearby Finsen crater is considered the primary source, with possible contributions from Alder crater.

The Chang'e 4 spacecraft made its historic landing in the 110-mile-wide (180 kilometers) Von Krmn Crater on the far side of the moon in January 2019.

Yutu 2 is currently getting ready for its 20th lunar day, which begins around July 14. (One lunar day is about two Earth weeks long, as is a lunar night.) During lunar day 19, which began on June 14, the rover had driven a total of 51 feet (15.58 meters) across the lunar surface. In total, the rover has traversed about 1,520 feet (463.26 m).

The rover spent its 19th lunar morning investigating a small crater containing reflective material which could be another impact melt glass sample before continuing northwest

Yutu 2 and the Chang'e 4 lander powered down on June 27 (Chinese), bringing an end to lunar day 19.

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Chinese scientists reveal analysis of weird substance found on the moon's far side by Yutu 2 rover - Space.com

ISRO doesn’t know when it will be ready to restart space launches – Business Insider India

At the start of 2020, Indian Space Research Organisation (ISRO) Chairman and Secretary Department of Space K. Sivan said that the space agency was planning to have 25 launches -- including Aditya-L1 satellite, Geo Imaging Satellite (GISAT-1), realisation of Small Satellite Launch Vehicle (SSLV) or small rocket (carrying capacity 500 kg), navigation satellite with indigenous atomic clocks and Indian Data Relay Satellite System (IDRSS), and GSAT-20 satellite with electric propulsion.

Sivan also said India will embark on its third moon mission 'Chandrayaan-3' and attempt to land a lander on the lunar surface sometime in 2020-21.

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The year began well ISRO with the launch of the 3,357 kg communication satellite GSAT-30 by the European space agency Arianespace rocket Ariane 5 on January 17.

The ISRO also showcased its robot/half-humanoid -- Vyommitra - which was part of its human space mission programme 'Gaganyaan'.

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The ISRO did not share any detail about the technical reasons, or the glitch, and its rectification since then. It is also not known when the satellite with a very good camera would be launched.

Then came the Covid-19 lockdown within and outside India that had its cascading impact on ISRO's core plans like the realisation of SSLV, launch of GISAT-1, delay in the first test-flight of the rocket as part of Gaganyaan mission.

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It is also not known when ISRO will be able to restart its satellite launch operations.

With coronavirus infection spreading fast in the county, ISRO also started work on developing a low-cost ventilator and sanitiser.

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On May 16, Union Finance Minister Nirmala Sitharaman announced that Indian private sector will be a co-traveller in India's space-sector journey and a level-playing field will be provided for them in satellites, launches, and space-based services.

She also said that a predictable policy and regulatory environment will be provided to private players.

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Welcoming the announcement, sectoral experts suggested various models for restructuring of ISRO and also urged the government to set up an independent regulator and also enact necessary legislation.

On June 24, the Union Cabinet decided to set up Indian National Space Promotion and Authorisation Centre (IN-SPACe), making ISRO to focus on research and development (R&D) of new technologies, exploration missions, and human spaceflight programme.

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He also said the New Space India Limited (NSIL) will endeavour to re-orient space activities from a 'supply driven' model to 'demand driven' model, thereby ensuring optimum utilisation of the country's space assets.

Former ISRO Chairman Madhavan Nair said there should be a national space law to define responsibilities and liabilities.

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"We are on the job of getting ready the Space Activities Bill. It will define the space activities, liabilities and other aspects," he added.

As part of the reform process, new navigation policy is also being proposed. Suitable changes in the remote sensing data policy as well as SATCOM policy are on the anvil to align them to an open and inclusive space sector, said Sivan.

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Establishing an independent regulator could allow a systematic review and reforms on a continuous basis rather than one-off announcements, Prasad said.

As per current scheme of things, IN-SPACe will have its own directorates for technical, legal, safety and security, monitoring as well as activities promotion for assessing the private sector's needs and coordination of the activities.

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"Initially, IN-SPACe will be manned by people from the existing space setup. Later, people from outside will be taken in. It will have its funds from the budgetary allocations for the DoS. The new body may not need big financial allocations," Sivan remarked.

Stressing that the ISRO's importance will not diminish with the entry of IN-SPACe, Sivan said all the existing centres - manufacturing, services, rocket launch centres - would continue to be with the ISRO.

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Industry officials are hoping to see further steps being taken by the government regarding the space sector during the second half of 2020.

But as regards the satellite launches - domestic as well as foreign for a fee - by ISRO during the year depends on the spread or control of coronavirus and the resultant lockdown.

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ISRO doesn't know when it will be ready to restart space launches - Business Insider India

NASA wishes a return to the moon in 2024. New human spaceflight chief helps make no assures. – Sprout Wired

Placing astronauts back on the moon by 2024 will be no tiny feat, and NASAs new human spaceflight main Kathy Lueders has been careful not to make any guarantees she may possibly not be equipped to preserve.

I dont have a crystal ball, Lueders explained in a teleconference with reporters on June 18, when requested about the feasibility of a 2024 moon landing. I desire I understood that reply. Thatd make my job a whole lot a lot easier. We are going to consider, she claimed.

Lueders, who not too long ago became the associate administrator for NASAs Human Exploration and Operations Mission Directorate following Doug Loverros abrupt resignation, was a bit additional pragmatic about the timeline of NASAs Artemis application than her predecessor. Though Lueders seems cautiously optimistic about getting astronauts to the moon by 2024, Loverro was self-assured and unwavering in his assertion that NASA would make the deadline. At a NASA town hall in December, Loverro even reported that it is likely to be simple to make this materialize.

Related: Putting astronauts on the moon in 2024 is a tall get, NASA says

In advance of Lueders turned the head of human spaceflight at NASA, she served as the manager of NASAs Business Crew Method, the place she oversaw the initial flights of a private crew-carrying spacecraft to the International Room Station.

After a effective uncrewed exam flight of SpaceXs Crew Dragon spacecraft in March 2019 and Boeings unsuccessful very first endeavor at doing the same with its Starliner spacecraft nine months later the initially professional crew mission, SpaceXs Demo-2, properly sent NASA astronauts Bob Behnken and Doug Hurley to the room station in May. (In the meantime, Boeing is making ready for a next attempt at the uncrewed take a look at flight just before astronauts can begin traveling on Starliner.)

People missions have confronted yrs of delays and other troubles. When NASA developed its Business Crew System in 2010, the agency planned to have its astronauts consistently using non-public vessels to and from the area station by 2015. Now, 5 several years later on, the to start with industrial crew mission has only just arrived at the orbiting lab.

Linked: NASA completes investigation on flawed Boeing Starliner capsule test flight

Its pretty important to have an intense intention, Lueders mentioned in the June 18 teleconference. We experienced an intense objective in commercial crew, and I think that intense intention ensured that we had been capable to attain points as speedily as we could.

But I also think whats crucial is when you arrive throughout technological problems youre concentrated on creating certain youre achieving your intense aim in the right manner, Lueders added. Indeed, it can be taken us a minor bit lengthier to be ready to get Bob and Doug up there. But I do consider weve carried out it carefully, and doing it right is improved than performing it speedier.

Even though making certain the basic safety of its astronauts is NASAs No. 1 priority when it arrives to human spaceflight missions, the company must also consider added precautions now to safeguard its workforce on Earth from the coronavirus pandemic. Thanks to the spread of COVID-19, the sickness brought about by the novel coronavirus, NASA has now faced delays in the screening of its new Space Start System (SLS) megarocket and Orion crew capsule, which the company strategies to use for its Artemis moon missions.

Linked: NASA suspends function on SLS megarocket and Orion capsule because of to coronavirus outbreak

I just went via a mission the place the last two months of it, we ended up in COVID, Lueders claimed, referring to the SpaceX Demo-2 mission. It is hard to do the job during this period of time, but we have a sturdy crew. And I know that they are happy to have a purpose and they are delighted to be transferring in direction of the objective. And it truly is a rather terrific goal for us to be functioning toward.

If things arrive up along the way, the place technically it requires us longer then we are going to go figure it out. But right now the teams trying. It is hard, Lueders additional.

E mail Hanneke Weitering at [emailprotected] or observe her @hannekescience. Adhere to us on Twitter @Spacedotcom and onFacebook.

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NASA wishes a return to the moon in 2024. New human spaceflight chief helps make no assures. - Sprout Wired

Space tourists could ride this cosmic balloon to the edge of space – TechRepublic

Competition in the space tourism industry is heating up, and a new company is taking a unique approach to near-space exploration.

IMAGE: Space Perspective

The prospect of space travel has long-since enchanted humanity. Now, as competition heats up across the burgeoning spaceflight industry, this sci-fi fantasy may soon become reality. The company Space Perspective is offering a unique transport twist on the standard spacefaring business model. Rather than harnessing the latest propulsion technology or rocket busters, the company is using a pressurized cabin and a high-altitude balloon to chauffeur tourists to the cusp of the final frontier. But how much will it cost? Also, why balloons?

Space Perspective was founded by co-CEOs Jane Poynter and Taber MacCallum. While a balloon may not immediately strike some as the ideal mode of transport for such an undertaking, the "serial entrepreneurs" behind the company have a rich history of lofty ideas tethered to these buoyant instruments.

Prior to Space Perspective, the pair founded World View Enterprises, a company that uses high-altitude balloons for a host of applications ranging from remote sensing to communication. MacCallum was previously the chief technology and safety officer at StratEx, a project which culminated with Google Executive Alan Eustace's record-setting "space dive" from a balloon at 136,000 feet. The two have parlayed this experience to reimagine the space tourism model.

Space Perspective's balloon-bound capsule, known officially as Spaceship Neptune, is designed to reach an altitude of 100,000 feet, nearly 20 miles above the Earth's surface.

"You're above 99% of the atmosphere. So for all intents and purposes, you're in space, right? We call it the edge of space," said Poynter.

IMAGE: Space Perspective

SEE:NASA's unsung heroes: The Apollo coders who put men on the moon (cover story PDF) (TechRepublic)

For the full adventure, Spaceship Neptune occupants will need to set aside about six hours. After liftoff, the balloon will slowly make its ascent at a casual speed of about 12 miles per hour. At this rate, it will take about two hours to reach the upper levels up the atmosphere. Once at the apex of its trajectory, the balloon glides along the mere cusp of the final frontier for another two hours, offering occupants incredible views.

"If we can get the passengers up and the flight up to altitude before the sun rises, you might see just the most incredible star scape you've ever seen. And then you will start to see the sunrise over the limb of the earth, and, of course, you'll see the curvature of the earth. You'll see the thin blue line of our atmosphere, you'll see the terminus go across the Earth below you," Poynter said.

SEE:Rural America is in the midst of a mental health crisis. Tech could help some patients see a way forward. (cover story PDF)(TechRepublic)

The spaceship will slowly make its descent over the course of approximately two hours, before splashing down in the ocean. Although "splashdown" may be a bit of an overstatement. It's important to understand that the Spaceship Neptune design is strikingly dissimilar to the classic reentry capsules used for returning astronauts.

"When you look at a NASA capsule, when it comes in, it almost does a belly flop on the water," Poynter said.

A water landing in Spaceship Neptune should be an exceptionally more pleasant experience, she said. Instead of a blunted flat bottom, the capsule is attenuated like a spinning top; this allows the bottom of the capsule to gently penetrate the surface of the ocean and gradually reduce speed during landing.

"You won't have to brace for impact, it should be pretty comfortable. We're really aiming to make this entire flight really gentle and accessible from beginning to end," Poynter said.

Onboard, the vessel will feature a restroom, a refreshment bar, as well as Wi-Fi, so explorers can snap and share near-space selfies in real time.

IMAGE: Space Perspective

Spaceship Neptune will eventually launch from the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. The company hopes to expand globally in select locations. The ability to take off from land, ride the winds of the upper atmosphere, and then land in water enables the company the ability to scale much more quickly than landing on terra firma.

"Landing on land is very difficult to take that around the world. It turns out that it becomes much more readily expandable around the planet by splashing down, because there [are] many, many locations, spectacular locations where you can launch from land and then splashdown. And it turns out that the winds, the stratospheric winds tend to go east and west depending on the time of year," Poynter said.

The company plans to conduct a test flight of the uncrewed capsule in the first quarter of 2021. The flight will include a full-scale capsule although the test capsule will not be at full mass, according to Poynter.

SEE:Hiring Kit: Computer Research Scientist(TechRepublic Premium)

Space Perspective has positioned itself squarely in the middle of the booming human spaceflight market. Competitors Blue Origin and Virgin Galactic are developing systems to take humans to suborbital space. Ballpark estimates for Blue Origin spaceflights range between $200,000 and $300,000. Virgin Galactic is charging prospective space tourists $250,000 a pop.

While some reports have listed a firm price for a ride on Spaceship Neptune, Poynter reiterates that a specific dollar amount has not been determined, however, the company is certainly taking the market into consideration.

"We are thinking that it's going to be somewhere in the neighborhood of half the price of the existing suborbital flight ticket providers. So you can do the math as well as anyone, that translates to about $125,000 a seat. But again, we haven't set that price," Poynter said.

IMAGE: Space Perspective

To date, a rather short list of humans have been fortunate enough to behold such an external view of planet Earth from the vacuums of space. For astronauts, staring back at one's home planet adrift in the cosmos is often a transformative experience. The emotional reaction and lasting impression of this moment is a phenomenon formally known as the Overview Effect.

"When you talk to astronauts about their experience of going to space, they really connect deeply with our planet. And not only the planet as this sort of cradle of humanity where all life exists as we know it, but also that we are all one human family," Poynter said.

Many describe the looking back at their home planet and being struck by the sheer beauty and fragility of Earth. Poynter hopes Spaceship Neptune can help bring this experience to more people in the years ahead.

"The reason that we called the company Space Perspective, is because we want to enable thousands, hundreds of thousands eventually, of people to have the experience of that space perspective, which is the experience of seeing our world as a planet in space. And then what does that mean we do with that experience?" Poynter said.

"We're all leaders in some aspects of our lives," Poynter continued. "So it is then up to each of us to internalize that experience and live our lives according to it."

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Space tourists could ride this cosmic balloon to the edge of space - TechRepublic

Space sector to back 50 SP-INternships this summer – GOV.UK

The UK Space Agency-backed Space Placement in Industry Scheme (SPIN) provides unique opportunities for undergraduate students considering a career in the space sector, and for space sector organisations looking to find the talent of tomorrow.

The space sector is growing rapidly in the UK and could kick-start an additional30,000 newjob opportunities over the next decade.

Kathie Bowden, lead for Skills and Careers at the UK Space Agency, said:

The SPIN placements allow students to influence their own learning choices, providing them with an environment where they can showcase their skills and abilities to a range of employers.

The versatility of the space sector in this current climate means that the interns wont be disadvantaged this summer and will still be able to add valuable experience to their CVs.

Klara Halikova, an ecological and environmental science student at the University of Edinburgh, is on a placement with forestry and environmental monitoring company, 2Excel Geo. She said:

Big data and remote sensing are an up-and-coming field for an environmental scientist. Throughout my degree I was not given the opportunity to explore them as much as I would have liked.

This placement is allowing me to catch up with the industry allowing me to push ahead in my field.

The majority of placements are being adapted to start remotely. Placements which demand a physical presence in labs or cleanrooms have been made as flexible as possible with start dates delayed. Host companies are keeping an eye on the latest advice to adapt as changes occur.

Henry Franks is studying engineering at the University of Cambridge and is on a placement with Magdrive. Mark Stokes, Cofounder of Magdrive, explained:

We had a few ideas beforehand of having an on-hand intern technician, but when it became apparent that homeworking would be an ongoing way of working we decided we should focus on an area of research which could be done remotely.

Having Henry with us for eight weeks working solely on research and development means we can utilise his specific skill set. He can dedicate the time we would not have to a project which will shape our offer to clients, and the direction the business will take.

Forty-two internships will be funded by the UK Space Agencys Education and Space Flight Programmes this summer. A further eleven SPINternships are hosted and funded by organisations including the Satellite Applications Catapult, Quotient, an SME based in Edinburgh and the Open University.

The UK space sector is growing. Small satellitelaunch from the UK presents a huge opportunity for young people totake up careers in science, engineering or even as space entrepreneurs helping to ensure the ongoing growth of the UKs space industry.

The 53 applicants will participate in a virtual space sector induction in July and a Showcase of their work in the autumn.

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Space sector to back 50 SP-INternships this summer - GOV.UK

COVID-19 Daily Update 7-10-2020 – 10 AM – West Virginia Department of Health and Human Resources

TheWest Virginia Department of Health and Human Resources (DHHR)reports as of 10:00 a.m., on July 10, 2020, there have been 199,383 totalconfirmatory laboratory results receivedfor COVID-19, with 3,882 total cases and 95 deaths.

In alignment with updated definitions fromthe Centers for Disease Control and Prevention, the dashboard includes probablecases which are individuals that have symptoms and either serologic (antibody)or epidemiologic (e.g., a link to a confirmed case) evidence of disease, but noconfirmatory test.

CASESPER COUNTY (Case confirmed by lab test/Probable case):Barbour(18/0), Berkeley (502/18), Boone (30/0), Braxton (4/0), Brooke (18/1), Cabell(184/6), Calhoun (4/0), Clay (11/0), Fayette (79/0), Gilmer (13/0), Grant(17/1), Greenbrier (69/0), Hampshire (42/0), Hancock (32/3), Hardy (45/1),Harrison (108/0), Jackson (148/0), Jefferson (247/5), Kanawha (377/12), Lewis(19/1), Lincoln (10/0), Logan (33/0), Marion (95/3), Marshall (54/1), Mason(23/0), McDowell (7/0), Mercer (61/0), Mineral (60/2), Mingo (25/2), Monongalia(416/14), Monroe (14/1), Morgan (19/1), Nicholas (15/1), Ohio (125/0),Pendleton (13/1), Pleasants (5/1), Pocahontas (36/1), Preston (78/16), Putnam(80/1), Raleigh (68/3), Randolph (175/2), Ritchie (2/0), Roane (12/0), Summers(2/0), Taylor (20/1), Tucker (6/0), Tyler (9/0), Upshur (22/1), Wayne (121/1),Webster (1/0), Wetzel (28/0), Wirt (6/0), Wood (157/9), Wyoming (7/0).

As case surveillance continues at thelocal health department level, it may reveal that those tested in a certaincounty may not be a resident of that county, or even the state as an individualin question may have crossed the state border to be tested.Such is the case of Jackson and McDowell counties in this report.

Please visit thedashboard at http://www.coronavirus.wv.gov for more detailed information.

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COVID-19 Daily Update 7-10-2020 - 10 AM - West Virginia Department of Health and Human Resources

These doctors and nurses volunteered to battle Covid-19 in the Navajo Nation, and came back with a warning – CNBC

A group of medical providers gathering at the Gallup Indian Medical Center

Source: Nate Teismann

Dr. Jeanne Noble has worked all over the world as an emergency medicine physician. So when the hospital where she works, UC San Francisco, asked if anyone was willing to fly out to the Navajo Nation and help with an escalating Covid-19 outbreak, she eagerly volunteered.

The Navajo Nation, which reported its first Covid-19 case in mid-March, has seen infection rates per capita among the highest in the country. Thus far, there have been 8,000 cases and more than 300 deaths. The reservation, which is home to more than 170,000 people, is spread out across the varied desert landscape of Utah, Arizona and New Mexico. The people refer to themselves as theDin.

Noble went to work at the Navajo Nation's hospital -- Gallup Indian Medical Center in New Mexico -- as part of the second group that made the trip out from UCSF.The first group arrived in April after responding to a call from Navajo Nation President Jonathan Nez for health worker reinforcements. Around that same time, a similarly-sized cohort of medical providers from UCSF madetheirwayto New York.

Noble's group arrived in May. She was immediately impressed with the steps taken to ensure that more patients could get seen on-site. "They had put up plastic sheets and barriers to double the capacity in the emergency room, and then taken over an old pediatric clinic," she recalled. "There were also tents outside for the less sick patients."

Still, many of the Covid-19 patients had to be transferred to larger facilities in Albuquerque, New Mexico, or Flagstaff, Arizona, if their health deteriorated. Often, Noble would have to call up three to four different hospitals in these regions to find space for her sick patient. Now, with a spike of cases in Arizona, Noble is concerned it'll become even more challenging for patients to get the intensive care they need.

Noble and her colleagues have been back in San Francisco for a few weeks, but she says their experiences were a constant reminder that Covid-19 is a "terrible illness," as she treated dozens of patients who were suffering.

But she also stressed that it's a disease that has disproportionately impacted certain populations over others, including low-income groups and communities of color.

The Navajo Nation, which has experienced social and economic inequities for decades, has been particularly vulnerable.

Large swathes of the population at high risk for serious complications from Covid-19: More than a third suffer from chronic medical conditions, including diabetes and heart disease. According to the CDC, American Indians and Alaska Natives have the highest prevalence of diabetes in the United States, more than twice that of non-Hispanic whites.

A group of providers wearing masks at the Gallup Indian Medical Center

Source: Dr. Nate Teismann

But lack of basic services that many U.S. residents take for granted are another more pressing problem.

Noble recalled how one of her patients, a man near the age of 70, had been sick with Covid-19 and discharged from the hospital after making a recovery. His home was 30 miles away, and he had no way to contact his family. So he started walking home in the blazing heat, eventually collapsing from dehydration.

After being picked up by paramedics, the patient was checked back into the hospital, where he had just recently been discharged.

"He didn't have a car or a phone and he was also diabetic and out of insulin," she said. "Unfortunately, this is a relatively familiar story." Noble pointed out that there is a service available that provides transportation to Navajo patients, but it's not perfect. Sometimes there isn't a ride available, or patients aren't given a number to call.

Many of the Navajo live in overcrowded households with their families, where the virus can spread quickly, and more than a third lack access to running water at a time when it's critical to wash their hands. Moreover, hauling water can often mean breaking social distancing guidelines. There are only about a dozen grocery stores, and stocking up with basic food supplies can mean a three-hour drive.

"Everything is exacerbated by the fact that in this community, a high percentage of homes don't have electricity and running water," said Dr. Nathan Teismann, an emergency care physician at UCSF.

"There's also a relatively sizable homeless population, high rates of chronic disease, and behavioral health challenges - and that is fanning the flames of Covid-19."

All of the doctors and nurses agreed that the government needs to do far more to protect this population. Noble continues to be concerned about donations running out. She felt that at the very least, there needs to be funding for mobile health units so providers could visit patients at their homes, as well as better access to clean water. She is urging policymakers to consider solutions around housing, so there are more options available for people with Covid-19 to safely isolate.

"These might be expensive propositions, but we're talking about a basic human right for things like access to drinking water," she said.

Dr. Tara Sood, an emergency medicine specialist, recalled how one of her patients tested positive but was told to return home to recover.

After speaking with him, she learned he lived in a small one-bedroom unit with his wife and two others, making it near-impossible for him to isolate himself.

"Thankfully, we got him a hotel room," she said. But Dr. Sood noted that "socio-economic status" plays a huge role in both Covid-19 exposure and recovery. "There were so many patients living in homes with eight other people with nowhere else to go," she said.

Gallup Indian Medical Center emergency entrance

Source: Dr. Nate Teismann

The hospitals that serve Navajo patients were doing a "heroic job," according to Noble, of making the most of what they had. At the Gallup Indian Medical Center, there were plastic sheets used to increase emergency department space, and a reuse program with face shields. There were also creative solutions for devising gowns.

But the need to improvise revealed the underlying lack of supplies.

"We were always on the cusp of outstripping supplies," said Teismann, who was working at the hospital in mid-June. "I constantly wondered while I was there, 'will today be the day that there aren't any more ICU beds'?"

Noble believes there needs to be a long-term solution to ensure that hospitals in the poorest and most rural areas have adequate access to protective equipment. Donations can dry up, particularly as America's larger hospitals scramble for supplies.

One of the hallmarks of Covid-19, say the doctors and nurses, is the isolation that many patients experience. In their time with the Navajo Nation, they met with older, sick patients who didn't speak English well. And it was difficult to communicate with them if a translator wasn't available.

Many were isolated from their family-members and didn't have cellphones. Some patients were flown out to unfamiliar places, including to larger hospitals in other states, which only increased their sense of loneliness. Some of these patients ended up on ventilators, and no one could visit them in person without adequate protective gear.

"It's horrible and it's not how we expect someone's life to end," said Sood.

"It's an incredibly resilient and strong-willed population and they have fended for themselves for decades," said Noble. "And there's a strong sense of community," she noted, adding that it made it only more challenging for people to be separated from close friends and family-members.

All the doctors and nurses said they had patients who were in their twenties, thirties and forties who needed to be hospitalized, but the majority were older. Very few people died at the hospital, as the sickest were transferred off to other places. But in one particularly harrowing case, a patient of Noble's in his late sixties lost consciousness and died in the car on the way to the hospital.

The doctors and nurses returning from Navajo Nation have a message to share for their fellow Americans. As of this month, officials are reporting record cases of Covid-19 and a smattering of states have been hit particularly hard by the virus. At the same time, people are itching to resume life as normal -- and some researchers have called it "pandemic fatigue."In some parts of the country, there's a widespread reluctance to wear a mask or follow social distancing guidelines.

"If you're in young, you're not immune from getting critically ill," said Noble. "Wearing a face mask needs to be taken seriously, and social distancing needs to be taken seriously."

"Just because you're not experiencing it (Covid-19) personally, it doesn't mean that massive chunks of the population aren't," said Sara Kaiser, a nurse practitioner. Kaiser said that she observed the Navajo people following the public health guidelines as best they could, and many were highly concerned for the health and safety of family members.

"People are getting tired, but unfortunately the course of this pandemic won't be dictated by human preference," added Teisman. "Instead, it will follow the biology of a contagious respiratory virus."

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These doctors and nurses volunteered to battle Covid-19 in the Navajo Nation, and came back with a warning - CNBC

Region 5 Office of Public Health extends mobile COVID-19 testing hours; new lab partner providing quicker results – Louisiana Department of Health -…

Throughout this week, mobile testing sites in southwest Louisiana have extended their hours and will be open from 8 a.m. until 4 p.m. from Monday, July 13 to Friday, July 17.

These sites will also be using the laboratory eTrueNorth to conduct the tests and provide results. Pre-registration is NOT required but encouraged by going to http://www.DoINeedaCOVID19test.com.

Those who are pre-registered can use an express line for faster testing. On-site registration is also available, but testing will take longer than arriving with pre-registration completed.

People must provide a telephone number and email address to be tested. An ID is NOT required.

With eTrueNorth laboratory processing the tests, it is taking about 72 hours to get results. This has been the turnaround time experienced in Baton Rouge last week at the five sites using eTrueNorth.

Test results will be provided by email notification and on the eTrueNorth portal. If someone tests positive, they will also be contacted by phone. There is no phone number to call for results. Results will only be provided by email and in the portal.

Mobile testing uses trucks and equipment operated by the Louisiana National Guard to bring testing kits to neighborhood locations such as schools, community centers, fire stations and other local neighborhood locations.

Symptoms of COVID-19 include:

Testing Dates and Sites

Dates and locations are listed below for this weeks test sites by parish.

ALLEN PARISH

BEAUREGARD PARISH

CALCASIEU PARISH

CAMERON PARISH

JEFFERSON DAVIS PARISH

Test site details

Save the number 877-766-2130 in your phone

If someone calls from a number other than 877-766-2130, claims to be a contact tracer and asks for personal information, hang up immediately.

See the rest here:

Region 5 Office of Public Health extends mobile COVID-19 testing hours; new lab partner providing quicker results - Louisiana Department of Health -...

A Latino family lost a father to COVID-19. The obituary blamed the ‘carelessness of politicians.’ – NBC News

Kristin Urquiza, 39, grieves over the fact that her family could only allow about a dozen people at the burial of her father, Mark Anthony Urquiza, after his death from the coronavirus.

"It was so heartbreaking. My father deserved to have his entire community there to put him to rest," Urquiza told NBC News about the service on Wednesday in Phoenix. "We have a really large Latino family, and culturally, when there's a funeral or a wedding or a birth, we like to come together."

While her family reluctantly held a small ceremony, "I think that elected officials and the governors can make tough decisions to make sure that we keep as many Arizonans as safe as possible," she said.

Many families have publicly expressed their grief in the last few months over the deaths of their loved ones from the coronavirus, but the Urquiza family has touched a nerve for publicly stating their anger and blasting elected officials for what they see as inactions that have deadly consequences.

"I was gripped not only by grief, but by anger and rage, that his life didn't seem to matter to the people in charge," Urquiza said. "They have blood on their hands. People are dying."

In a gesture that has gone viral, the family wrote an obituary in the Arizona Republic, the state's largest newspaper, calling out "the carelessness of the politicians who continue to jeopardize the health of brown bodies through a clear lack of leadership, refusal to acknowledge the severity of the crisis, and inability and unwillingness to give clear and decisive direction on how to minimize risk."

She also held an "ofrenda," or altar, ceremony in memory of her dad in front of the state Capitol and invited the governor to her father's funeral. She said she hasn't heard back.

Her father, nicknamed "Black Jack" because he loved playing the card game as a kid, is one of over 2,150 people in Arizona who have died of COVID-19. Cases have skyrocketed since May, after Republican Gov. Doug Ducey lifted stay-at-home orders, quickly reopened businesses and went on local news station KTAR "to encourage people to get out and about, to take a loved one to dinner, to go retail shopping."

"That made it really difficult for me, in talking to my dad and other people about what is actually safe," Urquiza said.

"In the case of my father, he thought it was safe because the governor of Arizona said it was safe to go out to a restaurant," she said. "I don't know exactly where he contracted the virus, but he contracted it within three weeks of the state opening. At the same time, Gov. Ducey was encouraging people to go back to normal life."

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Ducey resisted allowing cities to put their own measures in place to contain the virus, arguing that statewide directives avoid a patchwork of regulations. It wasn't until mid-June that he allowed Arizona mayors to make face masks mandatory.

In a letter addressed to Ducey on July 6, Urquiza said her father "contracted the virus during the period when you forbade local governments from implementing their own safety measures, such as mandating the wearing of masks."

In response to the family's criticism, Patrick Ptak, a spokesperson for Ducey's office, told NBC News via email that their "hearts go out to the family and loved ones of Mark Anthony Urquiza. We know nothing can fully alleviate the pain associated with his loss, and every loss from this virus is tragic."

Available ethnicity data shows that Latinos are being disproportionately hit by the virus in several states across the country. In Arizona, Latinos make up about a quarter 23 percent of the state's more than 120,000 coronavirus cases; they make up about a third of the state's population.

Mark was 65 and had no pre-existing conditions, Urquiza said. He became ill with a high fever and a cough on June 11. He was hospitalized and later transferred to the intensive care unit.

"Every time we tried to call him, I could barely hear his voice because of the machines in the room," Urquiza said. "I don't think the public quite realizes what this living nightmare is like. You can't see your loved one once they're hospitalized."

Mark was then put on a ventilator. He died on June 30.

"He ended up dying alone in an ICU room with a nurse holding his hand. My father did not deserve that, and nearly 2,000 Arizonans who have died from COVID-19 do not deserve that," Urquiza said.

On Thursday, Ducey started requiring "restaurants with indoor seating to operate at less than 50 percent capacity," weeks after encouraging people "to take a loved one to dinner." He also took action "to prohibit large gatherings, cease the issuance of new special event licenses and pause the operations of bars, gyms, movie theaters, waterparks and tubing rentals." There are no statewide mandates on wearing masks.

Diego Lozano, 28, said his grandfather was recently diagnosed with COVID-19 at a time when "he already requires a lot of medical attention. He's diabetic and needs dialysis, as well."

Lozano said his family doesn't know how their grandfather, who is 75, contracted the virus, but they believe he was exposed to it at church or by someone who works at the transportation company that picks him up for his dialysis.

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"Some of them would show up with no mask. While we were wearing masks, our leader was not mandating masks," he said about Ducey. "I feel like if there was a consistent mandate being enforced by our leaders, people would act more responsibly."

Lozano said all the places where his grandfather normally went to treat his pre-existing conditions were not equipped to deal with someone with COVID-19. They tried reaching out to hospitals for help, but most of them were at capacity and wouldn't take their grandfather in unless he was "experiencing the most severe symptoms of COVID-19."

"He was constantly being denied and denied, and it was very frustrating and stressful," Lozano said.

Over a week later, the family found a hospital willing to treat their grandfather. But "they're trying to discharge him already," Lozano said. "Our biggest worry is that we're not equipped to take care of our grandfather at the house while he has COVID and is experiencing all these other medical conditions."

Arizona has the highest rate of coronavirus-related hospitalizations, according to the Centers for Disease Control and Prevention. It became the first state to trigger crisis care standards, giving hospitals more leeway on how to allocate resources and decide who gets treatment. About 90 percent of the states ICU beds are occupied, according to Arizona's Department of Health Services.

Mark Urquiza's death and the circumstances surrounding it compelled Kristin to start a social media campaign called "Marked by Covid" to amplify the stories of families that have gone through her same pain.

"I'm completely enraged by the lack of decisive clear direction, the downplaying of this virus by both the Ducey administration and the Trump administration," Urquiza said. "Their actions have put needless people's lives at risk."

"I'm compelled to speak up, not just to rectify my father's legacy," she added, "but to be able to draw attention to how core leadership and terrible policy is responsible for these surge in cases that we're seeing here in the United States."

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A Latino family lost a father to COVID-19. The obituary blamed the 'carelessness of politicians.' - NBC News

769 more COVID-19 cases reported in Wisconsin on Sunday, 10.1% of new tests – Post-Crescent

Wisconsin health officials reported 769 new positive cases of COVID-19 on Sunday, 10.1% of the 7,617tests processed since Saturday.

Sunday's total is the third highest number of new COVID-19 cases reported in a single day. On Saturday, the state health department reported926 new cases; on Friday,there were 845.

As of Sunday, 36,448Wisconsinites have tested positive for COVID-19 since March.

Health officials reported 820 total deaths on Sunday one fewer than Saturday's total of 821. The Wisconsin Department of Health Services website notes that data is subject to changeand "as individual cases are investigated by public health, there may be corrections to the status and details of cases that result in changes to this information."

As of Sunday, around 78% of all people diagnosed with COVID-19 in Wisconsin had recovered. There are 7,305 active cases, or 20%. The remaining 2% of people have died, according to the state health department.

RELATED:Survey: Did you get a call from a contact tracer? Tell us about it.

RELATED:Wisconsin public, private and charter schoolssee millions in COVID-19 relief funds

Statewide, 264people with COVID-19 were hospitalized as of Sunday morning, which is 20 morepeople than last Sunday, according to theWisconsin Hospital Association. Of those patients, 74are in the intensive care unit. Another 148hospitalized patients are waiting for the results of a COVID-19 test.

County activity ratings as of Wednesday, July 8, are as follows. Parentheses reflect a change in the activity level from last week's ratings.

Globally, more than 12.7 million people have tested positive for COVID-19 as of Sunday, according toJohns Hopkins University.Around a quarter of all positive cases are in the United States, where more than 3.2 million have tested positive and 135,000people have died.

Contact Natalie Brophy at (715) 216-5452 or nbrophy@gannett.com. Followher on Twitter @brophy_natalie.

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769 more COVID-19 cases reported in Wisconsin on Sunday, 10.1% of new tests - Post-Crescent

North Carolina reports 85,701 COVID-19 cases; hospitalizations decrease for first time in a week – WTVD-TV

RALEIGH, N.C. -- Here are the latest updates about COVID-19, the disease caused by the novel coronavirus, in North Carolina.What can we help you with? View our COVID-19 information and resources page here

SUNDAY

7:16 p.m.Durham health officials report 4,563 COVID-19 total cases on Sunday evening, up 72 from Saturday evening.

Two people have died from the virus, raising the county total to 70.

5:02 p.m.Wake County health officials report 170 additional cases of COVID-19 on Sunday evening, raising the county total to 7,490.

12:10 p.m.There are 85,701 total cases of COVID-19 reported in North Carolina, up 1,908 since Saturday. This follows Saturday's all-time case increase high of 2,462 cases.

Why you might see different numbers of COVID-19 cases depending where you look

Hospitalizations have decreased by 23, the first decrease in a week. The state reports 1,070 cases are being hospitalized. For six straight days, the hospitalizations in North Carolina had been increasing, reaching an all-time high Saturday at 1,093.

With 84 percent of hospitals reporting, 4,439 inpatient hospital beds (25 percent) and 482 ICU hospital beds (21 percent) are empty.

There have been four more deaths, bringing the total to 1,503.

The percentage positive of tests in North Carolina has fluctuated between 8 and 10 percent.

FULL CORONAVIRUS COVERAGE

8 a.m.As of Sunday morning, Johns Hopkins University is reporting 3,247,782 confirmed COVID-19 cases in the United States.

RELATED: Adm: Brett Giroir: 'We will not get control' of coronavirus if people refuse to wear masks

RELATED: US coronavirus deaths take a long-expected turn for the worse

SATURDAY

7:15 p.mDurham health officials report 74 additional COVID-19 cases, raising the county total to 4,494.

5:02 p.m.Wake County health officials report 7,294 total COVID-19 cases as of Saturday night, up 116 from Friday. There has been another death, bringing the total to 65 deaths county-wide.

4:50 p.m.Wake County health officials have identified a COVID-19 outbreak at a long-term care facility in Raleigh.

Public health officials said staff members at the Tower Rehabilitation and Nursing Center, located at 2609 Bond Street, tested positive for COVID-19. Officials will not release additional information about residents or employees within the facility.

The N.C. Department of Health and Human Services defines an outbreak as two or more people-- residents or employees-- testing positive for the virus.

12:20 p.m.North Carolina is reporting the state's highest one-day number of COVID-19 cases with 2,462. This is the highest day increase to date. The total number of confirmed COVID-19 cases in North Carolina is 83,793.

Hospitalizations are at another record high for the sixth day in a row with 1,093 patients in the hospital.

"Record-high numbers like today are concerning," said NCDHHS Secretary Mandy Cohen, M.D. "We all have a responsibility to one another to wear a face covering, avoid crowds and wash our hands often to get our trends going back in the right direction."

In North Carolina, 20 more people have died from the virus, bringing the total to 1,499 deaths.

With 88 percent of hospitals reporting, 4,028 inpatient hospital beds (22 percent) are empty and 510 ICU beds (23 percent) are empty.

As of Saturday morning, there are 3,184,722 confirmed cases of COVID-19 in the United States.

The decision comes after a subcommittee of Wake County athletic and education officials monitored the rise in COVID-19 trends in both Wake County and the state.

"Due to a rise in COVID-19 cases and the extensive precautions that would be required to resume practices, we have determined that it is not prudent to resume athletic and co-curricular activities at this time, nor for the foreseeable future," WCPSS said in a written statement.

The suspension includes voluntary workouts, practices, band activities and extracurriculars (teacher-sponsored clubs/organizations, ROTC and national honor societies).

The subcommittee plans to revisit the suspension later this month after state officials make recommendations for school reopening.

7:20 p.m.An NC lawmaker confirmed that his fellow colleague Republican Sen. Danny E. Britt Jr. tested positive for COVID-19.

Britt represents District 13 which includes both Columbus and Robeson County.

5 p.m.Wake County health officials identified COVID-19 outbreaks at three care facilities in Raleigh.

According to a news release, two residents and staff tested positive at Universal Healthcare located at 5201 Clark Fork Drive. Two staff tested positive at the Raleigh Rehabilitation Center located at 616 Wade Ave. One resident and staff member tested positive at Wake Assisted Living located at 2800 Kidd Road.

The North Carolina Department of Health and Human Services defines an outbreak as two or more people-- residents or employees-- testing positive for the virus.

WATCH: Here are the latest COVID-19 trends in the state from Dr. Mandy Cohen

4:38 p.m.The Wayne County Health Department has received notification of 1,971 total positive cases of COVID-19. Of those, 93 cases are attributed to congregate living facilities and 1,426 are cases from outside any type of congregate facility. A total of 1,714 of cases are of people who have recovered, leaving an estimated total of 227 active cases.

There was one additional death this week. The person died July 3 and was in their late 60s with underlying medical conditions. This death was not attributed to a congregate care facility. The total number of COVID-19 related deaths in Wayne County is 30.

2:32 p.m.The Halifax County Health Department said 2,374 confirmed tests have been performed on residents. There are 390 positive cases , including four deaths.

12:50 p.m.A Republican in the North Carolina General Assembly has tested positive for COVID-19.

Senate Leader Phil Berger (R-Rockingham) said the lawmaker who tested positive has not been in Raleigh.

"Prior to coming to Raleigh this week, the member took a test in his district and it came back negative. At that time, he didn't have any symptoms but wanted to be proactive before coming to the General Assembly. Because his spouse was scheduled for a medical procedure, he took a second test on Thursday to be certain. He was not symptomatic when he took the second test. He is staying home and feels well," Berger said in a statement.

12:35 p.m.Ticket sales for Raleigh's Holiday Express will be postponed, according to a news release from the City of Raleigh.

The sales were originally scheduled to begin July 28, but the city cited uncertainty around COVID-19 and large gathering guidelines in its announcement.

Updates on ticket sales and the Holiday Express event will be shared online here and on Raleigh Parks' social media pages.

12:10 p.m.For the fifth straight day, the North Carolina Department of Health and Human Services reported a record high number of people hospitalized with COVID-19--1,046 patients, with 92% of hospitals reporting.

The new record comes as the state reports 18 deaths and 1,982 new COVID-19 cases--the third highest increase since the pandemic began. The state saw its second highest increase in cases Thursday, with 2,039 new cases reported.

NCDHHS reported 22,399 tests completed since Friday, with 10% of tests positive. Though the number of positive tests has remained roughly level between 8 and 10%, DHHS Secretary Dr. Mandy Cohen said Thursday she would like to see this number fall to 5%.

Though hospitalizations have steadily increased since Monday, 22% of inpatient beds and 22% of intensive care unit beds are still available statewide. However, Cohen said Thursday that increased hospitalizations in certain areas of the state, like Charlotte, are concerning to her and other health leaders.

11:15 a.m.North Carolina moved up one spot in the ranking of states by the number of completed COVID-19 tests per million residents.

Our state now ranks 27th after having tested 106,961 people per million residents (ppm). At the start of the pandemic, our state was testing just 44,651 ppm.

How our neighbors are doing:

9:30 a.m.

Volunteers will be passing out meal boxes in Durham at Lakewood Shopping Center from 11 a.m. to 1 p.m. for free. The boxes will be given out in the parking lot along Shoppers Street. Pre-registration is required.

FRIDAY MORNING STORYLINES

A North Carolina county has set a cutoff for restaurant dining and alcohol sales in hopes of limiting the spread of COVID-19. Officials in Orange County announced Thursday that restaurants and private clubs will be closed for onsite consumption of food and beverages at 10 p.m. beginning Friday.

The county also said restaurants may continue drive-through, delivery, and pick-up services after 10 p.m. as long as there is no onsite consumption of food and beverages. Penny Rich, chairman of the Orange County Commissioners, said the county's COVID-19 cases have tripled since Memorial Day, and the measures enacted will help protect the community.

Free drive-thru COVID-19 testing is being offered in Garner at Avery Street Recreation Center on Friday from 10 a.m. to 4 p.m. No appointment is needed. The tests are offered through a partnership with the North Carolina Dept. of Health and Human Services.

Gov. Roy Cooper will make an announcement on reopening schools next week. State officials said they are making their reopening decision based on the best ways to protect students, teachers and school staff.

"It's going to be something that follows the law," Cooper said. "It's going to be something that gets our kids back into school safely. I believe that kind of getting back into school is going to require some in-person but also some remote learning."

Yesterday the state reported a new high in current COVID-19 hospitalizations: 1,034 people. Thursday also saw an increase of more than 2,000 cases in the state. A new set of numbers will be made public Friday around noon.

THURSDAY5:45 p.m.The Central Intercollegiate Athletic Association voted to suspend all National Collegiate Athletic Association sports for Fall 2020.

In a news release, the agency said the decision was due to rising COVID-19 concerns in many states where schools participate in NCAA athletics.

"This was a difficult decision but remains consistent with our long-standing priority of always acting in the best interest of our student-athletes, coaches, and support staff," said CIAA Commissioner Jacqie McWilliams in a written statement. "While there will be no athletic competition in the fall, we will continue to support opportunities that enhance the experiences of our student-athletes, member institutions, and partners."

The CIAA and the Athletic Directors Association will discuss the possibility of allowing football, volleyball and cross country teams compete in spring 2021 on a modified schedule.

Students on fall sports teams will still have their athletic scholarships honored, CIAA said.

5:03 p.m.Wake County health officials report a total of 6,826 COVID-19 cases within the county as of Thursday evening, up 178 from Wednesday.

4 p.m.Chatham County said it has more than 1,000 positive cases and 43 deaths from COVID-19. The county health department said this highlights the need for continued vigilance as the novel coronavirus continues to spread.

3:45 p.m.According to a news release, Orange County will no longer allow restaurants and private clubs to serve food or alcohol onsite past 10 p.m. or earlier than 5 a.m, starting Friday. However, restaurants can offer food via drive through, delivery or takeout after 10 p.m.

In addition, alcoholic beverages cannot be sold in the county between 10 p.m. and 7 a.m. That includes restaurants, breweries, wine shops, bars, and other businesses that sell alcohol for consumption on-site.Restaurants and other businesses also cannot allow customers to stand at bars, and can't allow customers to touch shared surfaces such as bar counters, pool tables, dart boards and pinball machines.

"Cases in Orange County have tripled since Memorial Day," Penny Rich, Chair of the Orange County Board of Commissioners, said in a written statement. "These additional measures will help protect our community by reducing group settings where the virus can easily spread. We must be vigilant in practicing physical distancing and wearing masks. It is more important than ever that we look out for each other."

WATCH: Governor Cooper's opening remarks from his Thursday press briefing

2:30 p.m.Officials of Durham County and the City of Durham announced an update to the Safer-At- Home Order. The amendment will go into effect at 5 p.m.

One of the major changes to the order requires businesses to post signage advising people of the need to wear a mask. Specifically the Order reads, "All businesses shall have prominently displayed at their entrance a sign, clearly legible at a distance of at least fifteen (15) feet, advising those who enter of the requirement to wear a face covering while on their premises."

The definition of mass gatherings now will align with what is contained in the Governor's Executive Orders: a limit of 10 persons for indoor gatherings and 25 for outdoors.

Employer screenings noted in the order will now include the additional COVID-19 symptoms identified by the Centers for Disease Control and Prevention.

2 p.m.Gov. Roy Cooper announced Thursday that he would have an announcement about the next phase of North Carolina's COVID-19 response as well as an update for public schools sometime next week.

"We want our children back in schools safely," Cooper said. "We will have an official announcement next week.

When asked multiple questions about his plan to safely reopen schools, Cooper and DHHS Secretary Dr. Mandy Cohen said they wre taking into account the best ways to protect teachers, students and school employees when reopening classrooms.

"This is a tough call--how to open up school is something that every single state and every single governor is struggling with," Cooper said.

Both Cooper and Cohen acknowledged that while North Carolina isn't seeing a surge in cases--as some other states are--they recognize that could change very quickly and overwhelm the state's hospitals. Cohen said, in particular, state officials are keeping eyes on the Charlotte area, where hospitalizations are ticking up quickly.

"Flattening the curve is not a one-time thing," Cohen said. "It takes constant effort and attention to keep things flat."

Cohen detailed how North Carolina was progressing on its key metrics--COVID-like syndromic emergency room visits, trajectory of confirmed cases, percent positive tests, and trajectory of hospitalizations. And unfortunately, as in the last few weeks, Cohen said she was concerned about the direction these trends were headed.

As an early indicator for COVID-19 cases, Cohen said we should be concerned that COVID-like emergency room visits continue to climb, as they have been for the last few weeks.

Additionally, as the number of new cases rise, the number of tests performed each day--though relatively high--is leveling off due to the national testing delays and shortages of laboratory equipment. To that end, though the percent of positive tests has remained roughly level between eight and 10%, Cohen said she would like this number to drop significantly to 5%.

Cohen also said hospitalizations are a lagging indicator, so though hospitals still have capacity, increased cases and increased emergency room visits could mean that hospitals will become overwhelmed soon. While Cohen said there is no need to set up field hospitals or take other actions now, she said health leaders are continuing to assess hospital capacity.Cooper's current executive order, which sets guidelines and regulations known as the state's Phase 2 response, is scheduled to end July 17. Cooper said he would have an announcement about the ending or extension of that executive order next week as well.

In the meantime, both Cohen and Cooper repeatedly encouraged North Carolinians to wear face coverings to slow the spread of the virus.

"Please continue to treat this virus like the deadly threat it is," Cooper said.

Cooper also announced two new initiatives during the news conference: a community health partnership to bring health workers into underserved communities and a public service internship for students.

In the community health program, 250 workers will help connect people living in historically marginalized communities to testing, healthcare, mental health, food, housing and other resources. In a news release, NCDHHS said the program will run through December.

The internship will allow students to virtually serve local governments and non-profits who may need additional help during the pandemic.

1:32 p.m.The Halifax County Health Department said 2,112 tests have been performed and there are 379 positive COVID-19 cases, including four deaths.

NoonThe North Carolina Department of Health and Human Services on Thursday reported hospitalizations over 1,000 for the first time since the start of the pandemic -- meaning the state has reached a new record high in that metric.

The health department reported Thursday morning that 1,034 people were hospitalized with COVID-19, with 86 percent of hospitals reporting. That's up 40 from Wednesday.

There are still 3,967 inpatient beds and 494 ICU beds available in the state.

The state also saw its second-highest single-day increase on Thursday with 2,039 cases. The single-day record in the state was 2,099 on July 3.

20 additional deaths were reported, bringing the total to 1,461.

21,286 tests were reported as completed on Thursday. The percent positive has remained at 9 percent over the last few days.

THURSDAY MORNING STORYLINES

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North Carolina reports 85,701 COVID-19 cases; hospitalizations decrease for first time in a week - WTVD-TV

North Dakota reports 92 new cases of COVID-19 as active cases reach record high – Grand Forks Herald

Active cases in North Dakota also reached a record high Sunday, with 677 residents currently positive for the sickness. The mark surpassed the previous pandemic-high of 670 on Thursday, May 21, which experts said was the virus's first-wave peak in the state. Active cases have more than doubled in the past 27 days.

Roughly 2% of tests reported Sunday came back positive. The state's overall positivity rate is 3.67%. The state has conducted 228,535 tests, though more than half of those have been administered to people who had been previously tested.

Both Cass County and Burleigh County each added 21 new cases of the virus. Grand Forks County reported 16 new cases. Morton and Stark counties each recorded five new cases, while Williams County tallied four new cases. Benson, Cavalier, Kidder, Logan, McIntosh, Mountrail, Ramsey, Renville, Sargent, Sioux, Traill, Walsh and Ward counties all added three or fewer new cases.

The state did not report any new deaths from the illness, leaving the total number of deaths at 87. Seventy-four deaths list COVID-19 as the primary cause of death, while 13 others list it as a secondary cause or are awaiting death records. The department also reported four deaths of individuals who are presumed to have been COVID-19 positive.

Cass County has reported 72 deaths from the illness. Grand Forks County is the next closest in deaths with four.

Contributing to the rise in active cases is a steady increase in testing, according to Renae Moch, director of Bismarck-Burleigh Public Health. Last week, the state reported consecutive days of more than 5,500 tests, marking a sharp increase in public testing.

Burleigh County is home to 190 of the state's active cases, the most in North Dakota. Active cases in the capital area have more than doubled since the beginning of the month, drawing the attention of Gov. Doug Burgum, who said the state is closely monitoring the area's outbreak.

Active cases in Cass County number 139, while Grand Forks County reported 55 active cases.

Sixty-three deaths have been reported in nursing homes. Villa Maria, a skilled-care facility in Fargo, leads the state in active cases with five among residents and three among staff.

Nationwide, the Centers for Disease Control and Prevention have reported 3,173,212 cases of COVID-19 and 133,666 deaths.

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North Dakota reports 92 new cases of COVID-19 as active cases reach record high - Grand Forks Herald

95 new cases of COVID-19 reported in Spokane Sunday, 1 death – The Spokesman-Review

The Spokane Regional Health District reported 95 new cases of COVID-19 in Spokane County on Sunday, bringing the total to 2,128 since the pandemic began.

One man in his 80s died due to complications from the virus, SRHD said. There are 29 people hospitalized in the county due to COVID-19.

It took about four months for Spokane County to reach 1,000 cases, but cases have doubled in the past month, with the county passing 2,000 cases on Saturday.

Across the border in Idaho, cases have also surged, with 663 cases in Kootenai County as of Friday afternoon. Statewide, there were 10,902 cases, an increase of 397, on Sunday, according to the Idaho Department of Health.

Cases have increased sharply around the country this week as states attempt to reopen their economies. Florida reported more than 15,000 new cases Sunday, setting the record for the largest single-day increase in any state since the pandemic began in January.

In Washington, there were 39,218 cases as of the end of Thursday. The health department did not update data over the weekend.

Nationwide, there are more than 3.2 million cases of the virus, with 62,918 new cases reported Sunday, according to the Centers for Disease Control and Prevention.

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95 new cases of COVID-19 reported in Spokane Sunday, 1 death - The Spokesman-Review

During the COVID-19 hiatus, Celtics forward Robert Williams got healthy, stronger and faster – The Boston Globe

I actually feel like I got a little bit quicker, alittle bit faster, Williams said Sunday. But being out those three and a half months, it gave my body time to heal. I got some good treatment, some good work in, and Im ready to prove it on the court.

This season, Williams is averaging 4.3 points and 4.7 rebounds in 14 minutes per game. His athletic, high-flying style is a nice complement to fellow backup Enes Kanter, who does more of his work below the rim as a rugged rebounder with defensive weak spots.

Hes always been able to protect the rim at a high level, and I thought he was really improving early on in the season before he got hurt with a lot of pick-and-roll coverages, coach Brad Stevens said of Williams. When he came back, obviously there is going to be a little bit of a transition period, but now that were back and everyone is in a transition period, you can tell that . . . he looks like an older player now, finishing off his second year but basically entering his third.

Last week Kanter gushed about the way Williams was soaring in recent practices. On Sunday, guard Marcus Smart echoed some of that sentiment. He said the game appears to have slowed down for Williams, and that he looks healthy and ready.

I think our defense can go up another level, Smart said. We got somebody back there that can protect the rim. No offense to the other guys on our team, but Rob is a different type of freak of nature when it comes to athleticism, and the ability to go and change shots at the rim. So that allows us to pick up our pressure a little bit more as guards. And really, really, really just give the opposing team problems.

Lauding Lawson

A few months ago Stevens was on a walk with his wife Tracy and Celtics assistant coach Kara Lawson when Stevens asked Lawson about her future goals.

And being the head coach at Duke was one of the things that came up, Stevens said Sunday. So its really cool that shes getting a chance to do that. Shell be terrific.

Lawson on Saturday was officially named the head coach of the Duke womens basketball team. She joined the Celtics last summer, becoming the first female assistant coach in the franchises history.

Kara is always known for putting a smile on players faces, Williams said. She stays in your ear, even though she may not be your personal coach, she always keeps asking how Im doing and if theres anything I need to talk about, so I feel like Duke is going to get a great head coach. Were going to miss her. We dont want her to go, but its on to bigger and better opportunities.

When Lawson was hired by Boston, Stevens allowed her to choose a player she wanted to work with individually. Smart said that he was her choice.

We just built a bond from the moment she got here and paired with me and just really sitting down and talking, so its family, Smart said. I know I can speak for everyone on this team. Were excited for her and proud of her and we love her.

Sending a message

When the season resumes later this month, players will have the option of replacing their last name on the back of their jersey with a statement related to social justice. The NBA approved a list of statements, and Smart said that his jersey will say Freedom on the back.

He said he would prefer to put I Matter on his jersey, but that was not among the choices that was approved by the league.

I would have loved to have the option to choose, Smart said, but I still wanted to show that I have care for the cause and I still want to keep awareness going.

Walker sits out

Point guard Kemba Walker, who was dealing with left knee pain when the season was shut down in March, did not practice on Sunday. Walker said last week he has no pain, but Stevens said the Celtics plan to be cautious and gradually ramp up his workload in the coming weeks.

Adam Himmelsbach can be reached at adam.himmelsbach@globe.com. Follow him on Twitter @adamhimmelsbach.

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During the COVID-19 hiatus, Celtics forward Robert Williams got healthy, stronger and faster - The Boston Globe

Execution staffer tests positive for COVID-19 | News | tribstar.com – Terre Haute Tribune Star

The federal Bureau of Prisons said Sunday that a staff member involved in preparing for the first federal executions in nearly two decades has tested positive for coronavirus.

The Justice Department said the development will not mean an additional delay in the governments timetable.

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The government saidthe worker had not been in the execution chamber and had not come into contact with anyone on the specialized team sent to the prison to handle the execution.

The agency made the disclosure in court filings in response to lawsuits that have sought to halt executions, which are scheduled to resume Monday, Wednesday and Friday in Terre Haute.

An attorney for the Bureau of Prisons said the staff member learned on Wednesday that the staffer had been in close contact with someone who tested positive for COVID-19. The staff member immediately left work and notified the bureau on Saturday about the positive test, according to the court filing.

The staff member did not wear a mask at all times during meetings with other Bureau of Prisons employees and other law enforcement officials in the days before learning of the exposure, the agency said.

The bureau says the staff member did not enter the execution facility or the prisons command center and left the facility before the dozens of Bureau of Prisons employees who are part of the team handling the executions arrived.The bureau said it started contact tracing to identify other staff members who may have had contact.

The disclosure comes as the Justice Department is fighting to proceed with the first federal execution since 2003.

U.S. District Judge Jane Magnus-Stinson, chief of the U.S. Southern District of Indiana, has halted the execution of Daniel Lee, which had been scheduled for Monday, after concerns were raised by the victims family that they would be at high risk for the virus if they had to travel to attend the execution.

The Justice Department is asking a federal appeals court to overturn that ruling and immediately allow the execution to move forward. Two other executions are also scheduled for later in the week -- although the execution set for Wednesday has been at least temporarily stayed by an appeals court.

The Justice Department also filed a petition with the U.S. Supreme Court on Sunday afternoon seeking to vacate the injunction and allow the execution to move forward even though the appeals court didnt issue its ruling.

For the duration of the execution or until a negative test is obtained, BOP will ensure that those staff members identified as having had contact with the infected staff member do not have contact with the inmates scheduled for execution, ministers of record, witnesses of the execution, attorneys, or press, the filing said.

In response to the filing, an attorney for the victims' family said that while the employee may not have been in the execution chamber or in direct contact with the execution team, it does not account for the many people that the staff person encountered before learning of his positive test.

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How our sewage could warn us of future outbreaks of COVID-19 – Tampa Bay Times

TACOMA, Wash. Down a gravel pathway, past a scattering of needle caps and food wrappers and beneath a graffiti-sprayed overpass for Tacomas East 32nd Street, lies a portal into the publics health.

For millennia, sewer systems have carried off waste and disease. More recently, they've drawn coronavirus-searching scientists in their wake.

On a Friday last month, Chad Atkinson, a senior environmental technician for Tacoma, lifted up a maintenance hole cover with a metal hook.

The stench of decomposition pricked the nostrils as a flashlight beam illuminated a stream of untreated wastewater flowing past globs of fatty muck below. The waste of some 17,000 Tacoma residents drains through this site, including sewage from several retirement communities and the nearby Emerald Queen Casino.

Senior environmental specialist Steve Shortencarrier jabbed an extendible pole into the sanitary sewer, rubbed an attached shop towel on the sludge and pulled it to the surface.

Then, Gina Chang, a student intern volunteering with a nearby biotech laboratory, dabbed and twisted a pair of swabs on the soiled towel, before snapping the samples off into vials with preservative liquid for testing.

"The nastier, the better," Chang said of the samples. "If it's ripe, it's good."

Chang is one of many researchers involved in an international and fast-developing hunt for sewer system clues to the virus that causes COVID-19. Scientists say developing methods to test and track remnants of the virus in wastewater and sewer sludge could help build an early warning system for future COVID-19 outbreaks, help epidemiologists understand trends in infection and lead to a better understanding of the virus's reach in communities with less access to clinical testing.

Researchers have monitored for viruses like polio in wastewater for years, but the coronavirus is new, and while studies indicate scientists can find its genetic fingerprints, they're still sorting out what that means and how it could help contain the disease.

"COVID-19 is in our community and circulating the drainage in our sewer," said David Hirschberg, founder of the RAIN Incubator for biotechnology, which is leading the testing in Tacoma. With that information, "What do you do now?"

Scientists sampling and testing the sewers are not, necessarily, finding live virus or even enough virus to infect humans.

Rather, they're identifying the presence of the genetic signal of SARS-CoV-2, the virus that causes COVID-19, through ribonucleic acid (RNA), which ultimately breaks down in the environment.

"RNA doesn't last very long outside of a host or a body or a cell," Hirschberg said. But in sewage, "there's enough fat in there or organic material that allows parts of it to exist without being degraded."

The virus's genes, of course, are transported into wastewater by human feces, where they intermingle with everything else in the system.

"It shows up and sheds pretty commonly and sheds in pretty high concentrations in human stool," said Jordan Peccia, a professor of chemical and environmental engineering at Yale University who is examining wastewater sludge for remnants of the coronavirus in Connecticut.

That makes sewage a convenient method for sampling communities broadly and at once.

"Everybody on average passes a stool sample each day that is conveniently flushed down a toilet and transported, within typically two hours, to a wastewater treatment plant," Peccia said, referencing his work in Connecticut. "It's a low-cost, pretty easy surveillance method."

And there might be nothing more egalitarian than the sewer system.

"When you measure the sewage, you measure everybody not just the wealthy," Hirschberg said, noting that inequalities in the health care system have created disparities in access to clinical testing and that COVID-19 disproportionately affects people of color. "Sewage is a way to unbiasedly test populations."

The nascent scientific work produced by sewer sleuths across the world is emerging quickly, but it remains messy, and these promising ideas offer as many questions as answers.

Are samples representative of upstream populations? Could the concentration of RNA detected indicate how many infections are spreading in a community? How precise are sewer tests? How much, and how quickly, does the genetic material decay in water?

Scientists don't yet know for sure.

"It's the wild West right now," said Scott Meschke, a professor of environmental and occupational health sciences at the University of Washington who specializes in environmental pathogens and has been testing samples of raw wastewater from King County's treatment plants each week to determine the most consistent analytical methods for detecting the virus. "Everything is happening in parallel."

A peer-reviewed study conducted in the Netherlands, which began sampling before COVID-19 had spread to some Dutch communities, identified the virus's RNA six days before the first clinical cases were reported in one Dutch town.

Peccia's team at Yale published a paper, which has yet to be peer-reviewed by other scientists, that suggests the concentration of viral RNA in samples taken from a central wastewater plant in New Haven, Connecticut, was a "leading indicator" of an outbreak's course.

Peccia said the rise and fall of clinical testing data and hospitalizations correlated to sample concentration data collected days earlier.

A Barcelona scientist suggested COVID-19 emerged earlier than thought after his preliminary study reported he had found the virus in a March 2019 wastewater sample, according to The New York Times. Independent experts doubted the claim, the newspaper reported.

Other scientists have attempted to extrapolate the number of COVID-19 cases in communities based on wastewater samples, which has drawn skepticism.

"Some folks are over-interpreting," Meschke said of the research. "The peer review process will help."

The Tacoma researchers are exploring a novel approach they hope could inform public health decisions.

About an hour after the sewer sample was plucked from beneath the Tacoma overpass, research technician Darrell Lockhart sat before a biosafety hood and gingerly used a pipette to mix samples with a solvent solution and begin analytical testing that targets genetic sequences.

Workers and volunteers at the RAIN Incubator laboratory in Tacoma, a nonprofit hub Hirschberg founded in hopes of sparking a biotech renaissance in Tacoma, each week gather and process about eight samples five from nearby sewer sites and three from Tacoma's wastewater plants.

The RAIN scientists are skeptical that wastewater data can foretell how many people are infected with COVID-19, and merely seek to determine the presence or absence of the virus.

"This is a binary signal," said Stanley Langevin, a virologist and principal scientist at the incubator. "That's why you have to go into sewers for resolution."

Central wastewater plants process tens of thousands of people's waste, but increasingly small branches in the sewer system offer a more specific and narrow perspective.

"Some drain neighborhoods, some drain shopping malls, some drain from schools, hospitals," Hirschberg said.

The smallest branch the team is currently sampling comprises about 1,500 residents, Hirschberg said.

"The more signals we have, the more likely we can understand the parameters of the outbreak to put prevention measures to stop it," Langevin said.

Langevin harbors doubts over whether a vaccine can be developed for COVID-19, and believes Washington state does not perform enough clinical testing nor contract tracing to contain the outbreak. (Hirschberg is more bullish on a vaccine, but skeptical it will be developed soon.)

The RAIN scientists believe public health officials could use wastewater data to marshal resources to affected areas before people start showing up sick at hospitals.

"We have to have a way to narrow the population," Langevin said. "This can be an early warning."

As U.S. case numbers rise quickly and as many expect a worldwide second wave of COVID-19 cases, the Water Research Foundation has asked some 30 laboratories pursuing this research to share and compare methodology for a study it's leading.

"We want to have greater confidence in the methods," said Peter Grevatt, chief executive officer of the international nonprofit research foundation. Grevatt said the organization will lead a second study that focuses on how and when to sample, and how the genetic material moves or degrades in sewers.

"It needs to be reined in a bit to make good public health use," Meschke said of the research environment.

Could what's flowing through the sewers one day drive governments' COVID-19 responses?

By fall, the Netherlands plans to establish a COVID-19 sampling program for every wastewater treatment facility in the country, Grevatt said.

Washington state is not moving with the Netherlands' haste.

The state Department of Health did create an informal group to look into wastewater monitoring for the virus that causes COVID-19, said Ginny Streeter, a spokesperson for the department.

"There is definitely an interest in this type of testing at the agency and more broadly, the state response. That being said, the current priorities are really on more established tools such as clinical testing and contact tracing," Streeter said. "We do have constraints on resources."

To Grevatt, the promise of testing the pulse of an entire community at once with only a handful of samples is worth pursuing.

"Wastewater has a story to tell," he said.

By Evan Bush, The Seattle Times.

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How our sewage could warn us of future outbreaks of COVID-19 - Tampa Bay Times

Getting Covid-19 twice: Why I think my patient was reinfected – Vox.com

Wait. I can catch Covid twice? my 50-year-old patient asked in disbelief. It was the beginning of July, and he had just tested positive for SARS-CoV-2, the virus that causes Covid-19, for a second time three months after a previous infection.

While theres still much we dont understand about immunity to this new illness, a small but growing number of cases like his suggest the answer is yes.

Covid-19 may also be much worse the second time around. During his first infection, my patient experienced a mild cough and sore throat. His second infection, in contrast, was marked by a high fever, shortness of breath, and hypoxia, resulting in multiple trips to the hospital.

Recent reports and conversations with physician colleagues suggest my patient is not alone. Two patients in New Jersey, for instance, appear to have contracted Covid-19 a second time almost two months after fully recovering from their first infection. Daniel Griffin, a physician and researcher at Columbia in New York, recently described a case of presumed reinfection on the This Week in Virology podcast.

It is possible, but unlikely, that my patient had a single infection that lasted three months. Some Covid-19 patients (now dubbed long haulers) do appear to suffer persistent infections and symptoms.

My patient, however, cleared his infection he had two negative PCR tests after his first infection and felt healthy for nearly six weeks.

I believe it is far more likely that my patient fully recovered from his first infection, then caught Covid-19 a second time after being exposed to a young adult family member with the virus. He was unable to get an antibody test after his first infection, so we do not know whether his immune system mounted an effective antibody response or not.

Regardless, the limited research so far on recovered Covid-19 patients shows that not all patients develop antibodies after infection. Some patients, and particularly those who never develop symptoms, mount an antibody response immediately after infection only to have it wane quickly afterward an issue of increasing scientific concern.

Whats more, repeat infections in a short time period are a feature of many viruses, including other coronaviruses. So if some Covid-19 patients are getting reinfected after a second exposure, it would not be particularly unusual.

In general, the unknowns of immune responses to SARS-CoV-2 currently outweigh the knowns. We do not know how much immunity to expect once someone is infected with the virus, we do not know how long that immunity may last, and we do not know how many antibodies are needed to mount an effective response. And although there is some hope regarding cellular immunity (including T-cell responses) in the absence of a durable antibody response, the early evidence of reinfections puts the effectiveness of these immune responses in question as well.

Also troubling is that my patients case, and others like his, may dim the hope for natural herd immunity. Herd immunity depends on the theory that our immune systems, once exposed to a pathogen, will collectively protect us as a community from reinfection and further spread.

There are several pathways out of this pandemic, including safe, effective, and available therapeutics and vaccines, as well as herd immunity (or some combination thereof).

Experts generally consider natural herd immunity a worst-case scenario back-up plan. It requires mass infection (and, in the case of Covid-19, massive loss of life because of the diseases fatality rate) before protection takes hold. Herd immunity was promoted by experts in Sweden and (early on in the pandemic) in the UK, with devastating results.

Still, the dream of herd immunity, and the protection that a Covid-19 infection, or a positive antibody test, promises to provide, have taken hold among the public. As the collective reasoning has gone, the silver lining of surviving a Covid-19 infection (without debilitating side effects) is twofold: Survivors will not get infected again, nor will they pose a threat of passing the virus to their communities, workplaces, and loved ones.

While recent studies and reports have already questioned our ability to achieve herd immunity, our national discourse retains an implicit hope that herd immunity is possible. In recent weeks, leading medical experts have implied that the current surge in cases might lead to herd immunity by early 2021, and a July 6 opinion piece in the Wall Street Journal was similarly optimistic.

This wishful thinking is harmful. It risks incentivizing bad behavior. The rare but concerning Covid parties, where people are gathering to deliberately get infected with the virus, and large gatherings without masks, are considered by some to be the fastest way out of the pandemic, personally and as a community. Rather than trying to wish ourselves out of scientific realities, we must acknowledge the mounting evidence that challenges these ideas.

In my opinion, my patients experience serves as a warning sign on several fronts.

First, the trajectory of a moderate initial infection followed by a severe reinfection suggests that this novel coronavirus might share some tendencies of other viruses such as dengue fever, where you can suffer more severe illness each time you contract the disease.

Second, despite scientific hopes for either antibody-mediated or cellular immunity, the severity of my patients second bout with Covid-19 suggests that such responses may not be as robust as we hope.

Third, many people may let their guard down after being infected, because they believe they are either immune or incapable of contributing to community spread. As my patients case demonstrates, these assumptions risk both their own health and the health of those near them.

Last, if reinfection is possible on such a short timeline, there are implications for the efficacy and durability of vaccines developed to fight the disease.

I am aware that my patient represents a sample size of one, but taken together with other emerging examples, outlier stories like his are a warning sign of a potential pattern. If my patient is not, in fact, an exception, but instead proves the rule, then many people could catch Covid-19 more than once, and with unpredictable severity.

With no certainty of personal immunity nor relief through herd immunity, the hard work of beating this pandemic together continues. Our efforts must go beyond simply waiting for effective treatments and vaccines. They must include continued prevention through the use of medically proven face masks, face shields, hand-washing, and physical distancing, as well as wide-scale testing, tracing, and isolation of new cases.

This is a novel disease: Learning curves are steep, and we must pay attention to the inconvenient truths as they arise. Natural herd immunity is almost certainly beyond our grasp. We cannot place our hopes on it.

D. Clay Ackerly, MD, MSc, is an internal medicine and primary care physician practicing in Washington, DC. He has served both as a faculty member of Harvard Medical School and as Assistant Chief Medical Officer at the Massachusetts General Hospital. He has also held positions in the government and private sector, including the White House, the Food and Drug Administration, and, most recently, as Chief Medical Officer of Privia Health. He can be reached at dclayackerly@gmail.com.

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Getting Covid-19 twice: Why I think my patient was reinfected - Vox.com

Nine Confirmed COVID-19 Cases Over Weekend In Tuolumne County – MyMotherLode.com

COVID-19 New Cases per 100K Population in Tuolumne County

Sonora, CA Nine confirmed cases of COVID-19 have been reported to Toulumne County Public Health this weekend.

Todays daily coronavirus update included a reminder/caution to the public that Tuolumne County is experiencing community transmission, and everyone should act as if anyone they come into contact with could have COVID-19.

Public Health spokesperson Michelle Jachetta tells Clarke Broadcasting, We are close to triggering the number of cases section of the states county data monitoring list. That could force closures in the county.

These latest cases bring the total number for the county to 73. Jachetta relays that they learned of three on Saturday and six more Sunday. She adds that none of the cases are related to the Avalon Care Center or the jail outbreaks. Jachetta details that all of those reported this weekend are isolating at home.

There was also some uplifting news, as another six cases have been moved from isolation to recovered. Of the 73 cases, 25 are active with all insolating, and 48 have recovered. A total of 6,649 tests have been administered in the county. Those infected include 44 females and 29 males. The new cases involve 3 individuals in their 40s, 4 in their 50s, 1 in their 60s, and 1 in their 70s.

Written by Tracey Petersen.

Report breaking news, traffic or weather to our News Hotline 532-6397. Send Mother Lode News Story photos tonews@clarkebroadcasting.com. Sign up for our FREE myMotherLode.com Daily Newsletters by clicking here.

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ND COVID-19 numbers announced on July 12 | News, Sports, Jobs – Minot Daily News

COVID-19 Test Results

Results listed are from the previous day.

COUNTIES WITH NEW POSITIVE CASES REPORTED TODAY

Benson County 3

Burleigh County 21

Cass County 21

Cavalier County 1

Grand Forks County 16

Kidder County 1

Logan County 1

McIntosh County 1

Morton County 5

Mountrail County 3

Ramsey County 1

Renville County 2

Sargent County 1

Sioux County 1

Stark County 5

Traill County 1

Walsh County 2

Ward County 2

Williams County 4

BY THE NUMBERS

228,535 Total Number of Tests Completed* (+4,489 total tests from yesterday)

122,479 Total Unique Individuals Tested* (+1,628 unique individuals from yesterday)

118,145 Total Negative (+1,537 unique individuals from yesterday)

4,334 Total Positive (+92 unique individuals from yesterday)

After investigation it was determined that a previous case from Burleigh County was from out of state.

2.0% Daily Positivity Rate**

271 Total Hospitalized (+8 individual from yesterday)

38 Currently Hospitalized (+7 individuals from yesterday)

3,570 Total Recovered (+37 individuals from yesterday)

87 Total Deaths*** (+0 individual from yesterday)

* Note that this does not include individuals from out of state and has been updated to reflect the most recent information discovered after cases were investigated.

**Because the serial tests completed and added to the total number of tests completed can result in new individuals who test positive, the daily positivity rate will be calculated using the total positives for the day by the daily number of tests completed instead of the daily number of unique individuals tested.

*** Number of individuals who tested positive and died from any cause while infected with COVID-19.

For descriptions of these categories, visit the NDDoH dashboard.

For the most updated and timely information and updates related to COVID-19, visit the NDDoH website at http://www.health.nd.gov/coronavirus, follow on Facebook, Twitter and Instagram and visit the CDC website at http://www.cdc.gov/coronavirus.

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ND COVID-19 numbers announced on July 12 | News, Sports, Jobs - Minot Daily News