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US

CDC drops quarantine, screening recommendations for COVID-19

CDC drops quarantine, screening recommendations for COVID-19

NEW YORK (AP) — The nation’s top public health agency relaxed its COVID-19 guidelines Thursday, dropping the recommendation that Americans quarantine themselves if they come into close contact with an infected person.

The Centers for Disease Control and Prevention also said people no longer need to stay at least 6 feet away from others.

The changes, which come more than 2 1/2 years after the start of the pandemic, are driven by a recognition that an estimated 95% of Americans 16 and older have acquired some level of immunity, either from being vaccinated or infected, agency officials said.

“The current conditions of this pandemic are very different from those of the last two years,” said the CDC’s Greta Massetti, an author of the guidelines.

The CDC recommendations apply to everyone in the US, but the changes could be particularly important for schools, which summarize classes this month in many parts of the country.

Perhaps the biggest education-related change is the end of the recommendation that schools do routine daily testing, although that practice can be reinstated in certain situations during a surge in infections, officials said.

The CDC also dropped a “test-to-stay” recommendation, which said students exposed to COVID-19 could regularly test — instead of quarantining at home — to keep attending school. With no quarantine recommendation anymore, the testing option disappeared too.

Masks continue to be recommended only in areas where community transmission is considered high, or if a person is considered at high risk of severe illness.

School districts across the US have scaled back their COVID-19 precautions in recent weeks even before the latest guidance was issued. Some have promised to return to pre-pandemic schooling.

Masks will be optional in most districts when classes resume this fall, and some of the nation’s largest districts have dialed back or eliminated COVID-19 testing requirements.

Public schools in Los Angeles are ending weekly COVID-19 tests, instead making at-home tests available to families, the district announced last week. Schools in North Carolina’s Wake County also dropped weekly testing.

Some others have moved away from test-to-stay programs that became unmanageable during surges of the omicron variant last school year.

The American Federation of Teachers, one of the nation’s largest teachers unions, said it welcomes the guidance.

“Every educator and every parent starts every school year with great hope, and this year even more so,” President Randi Weingarten said. “After two years of uncertainty and disruption, we need as normal a year as possible so we can focus like a laser on what kids need.”

The new recommendations prioritize keeping children in school as much as possible, said Joseph Allen, director of Harvard University’s healthy building program. Previous isolation policies forced millions of students to stay home from school, he said, even though the virus poses a relatively low risk to young people.

“Entire classrooms of kids had to miss school if they were deemed a close contact,” he said. “The closed schools and learning disruption have been devastating.”

Others say the CDC is going too far in relaxing its guidelines.

Allowing students to return to school five days after infection, without proof of a negative COVID-19 test, could lead to outbreaks in schools, said Anne Sosin, a public health researcher at Dartmouth College. That could force entire schools to close temporarily if teachers get sick in large numbers, a dilemma that some schools faced last year.

“All of us want a stable school year, but wishful thinking is not the strategy for getting there,” she said. “If we want a return to normal in our schools, we have to invest in the conditions for that, not just drop everything haphazardly like we’re seeing across the country.”

The average numbers of reported COVID-19 cases and deaths have been relatively flat this summer, at around 100,000 cases a day and 300 to 400 deaths.

The CDC previously said that if people who are not up to date on their COVID-19 vaccinations come into close contact with a person who tests positive, they should stay home for at least five days. Now the agency says quarantining at home is not necessary, but it urges those people to wear a high-quality mask for 10 days and get tested after five.

The agency continues to say that people who test positive should isolate themselves from others for at least five days, regardless of whether they were vaccinated. CDC officials advise that people can end isolation if they are fever-free for 24 hours without the use of medication and they are without symptoms or the symptoms are improving.

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Binkley reported from Washington.

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

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Australia

Private emergency rooms are on the rise in WA. What does that mean for public health care?

Architectural drawing of the new St John of God hospital in Subiaco, comprising two rectangular towers.

Health industry experts say WA’s rising number of private emergency departments is unlikely to erode investment in public hospitals, but patients should understand the limitations and costs of private EDs.

By the end of 2025, the number of private emergency departments — which charge up to $295 to see a doctor — is expected to have tripled in WA.

“It is a little bit curious because emergency departments are not profitable things for private hospitals,” St John of God Health Care Group chief executive Shane Kelly said.

“They’re generally run at a loss.”

For almost 20 years, the only private emergency department in WA was the St John of God facility in Murdoch.

In November, Hollywood Hospital opened a $67 million emergency department.

In May, the hospital said it had seen 5,000 patients in its first six months. It charges a $200 consultation fee.

St John of God Health Care Group has also announced plans to build the state’s third private emergency department at its Subiaco hospital by the end of 2025.

Rise reflects demand, chief says

Dr Kelly said the rising investment in private emergency departments in WA reflected high demand for emergency care overall.

“Obviously, our public emergency departments are pretty busy — very busy, in fact — and, I think, they’re looking for another option,” he said.

Portrait of Shane Kelly smiling and wearing suit in front of white background.
Dr Kelly says he does not expect the rising number of private emergency departments in WA to affect public health services.(Supplied)

The motivation for private hospitals, Dr Kelly said, was to fill empty beds by bringing more patients to the hospital door.

St John of God hospitals waives the emergency consultation fee of $295 if patients are admitted into the hospital, he said.

Since it opened in 1994, St John of God’s Murdoch-based emergency department has seen about 20,000 patients annually.

Fees raised to ‘moderate’ demand

But last year, as the community spread of COVID-19 ballooned, the facility found itself under pressure as patient numbers reached a record high of 25,000.

Pandemic-related staff shortages were also affecting the private ED’s capacity, Dr Kelly said.

Demand for the facility grew so high that the facility raised its fees by $100 to $295.

“We were trying to moderate the demand a little bit,” Dr Kelly said.

He said patient numbers had dropped back to normal in 2022, which he said was likely linked to the fee hike and the launch of the Hollywood facility in November.

Dr Kelly said he did not believe the growing number of private hospitals would reduce investment in public emergency departments, already under enormous stress, because he said the number of private patients was “modest” overall.

“For example, we see about 80,000 a year in our St John of God public emergency department at Midland,” Dr Kelly said.

But, he said, they only saw up to 25,000 patients at the emergency hospital.

“So that puts it in perspective,” Dr Kelly said.

More choice for consumers

WA Health Consumers’ Council deputy director Clare Mullen said providing more choices would be positive for health care overall.

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Categories
US

California governor declares monkeypox state of emergency

California governor declares monkeypox state of emergency

SACRAMENTO, Calif. (AP) — California’s governor on Monday declared a state of emergency to speed efforts to combat the monkeypox outbreak, becoming the second state in three days to take the step.

Gov. Gavin Newsom said the declaration will help California coordinate a government-wide response, seek more vaccines and lead outreach and education efforts on where people can get treatment and vaccination.

“We’ll continue to work with the federal government to secure more vaccines, raise awareness about reducing risk, and stand with the LGBTQ community fighting stigmatization,” Newsom said in a statement announcing his declaration.

Nearly 800 cases of monkeypox have been reported in California, according to state public health officials.

The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. People getting sick so far have mainly been men who have sex with men, though health officials note that the virus can infect anyone.

“Public health officials are clear: stigma is unacceptable and counterproductive in public health response,” Michelle Gibbons, executive director of the County Health Executives Association of California said in a statement. “The fact is that monkeypox is primarily spread by skin to skin contact and sharing objects like bedding or towels, without regard to sexual orientation or gender identity.”

The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and they can prevent swallowing or bowel movements if in the throat or anus.

The declaration in California came after a similar one in New York state on Saturday, and in San Francisco on Thursday. Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.

After pressing for Newsom to make such a declaration, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.

“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.

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Newsom’s proclamation allows emergency medical personnel to administer monkeypox vaccines that are approved by the federal government.

That’s similar to a recent law that allows pharmacists to administer vaccines, Newsom’s administration said. It said the state’s response is building on the steps developed during the coronavirus pandemic to set up vaccination clinics and make sure there is outreach to vulnerable populations in cooperation with local and community-based organizations.

California has received more than 61,000 vaccine doses and has distributed more than 25,000 doses.

“We don’t have any time to waste,” Los Angeles County Supervisor Kathryn Barger said in a statement. She said the nation’s most-populous county must use all available resources to speed the distribution of vaccines and help those who have been infected.

Newsom’s office said Los Angeles County has received a separate allocation of vaccine.

As of last week, the state had expanded its testing capacity to process more than 1,000 tests a week. Critics have said the long wait for test results delayed treatment options.

In San Francisco, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital on Monday after the clinic was forced to close last week because it did not receive enough doses.

“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.

“I think the science shows that protection is greatly improved with the vaccine. So that’s why I’m doing it. And I honestly just don’t want the injuries on my body. I heard the injuries are painful and leave scarring. So I think that’s another motivation to go out and get it.”

Before making their own emergency declaration last week, San Francisco city officials were criticized for not responding rapidly enough to the outbreak. They, in turn, faulted the federal government for failing to deliver enough vaccines. The city received about 4,000 doses on Friday, enabling it to restart vaccinations, and hopes to administer them by mid-week, said Dr. Lukejohn Day, chief medical officer at the Zuckerberg San Francisco General Hospital.

The city had 305 cases as of Monday, he said.

The World Health Organization has declared the monkeypox outbreak in more than 70 countries a global emergency.

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Associated Press videographer Terry Chea contributed from San Francisco.

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Categories
Technology

YouTuber Builds Gaming PC Out Of Working Toilet

YouTuber Builds Gaming PC Out Of Working Toilet

A YouTuber built a PC out of a working toilet, creating what might be the first toilet capable of both handling your waste and playing Counter-Strike: Global Offensive. What a world we live in!

As spotted by Eurogamer, YouTuber Basically Homeless cut a deal with the electronics store Microcenter to create a gaming PC inside of an actual toilet, complete with all the plumbing and water that entails. It’s a wild thing, but not surprising. You see, for as long as we have had toilets and video games, many have tried to combine them. Even I have heard that siren’s call and attempted to poop and game at the same time. Countless others do so while playing games on their phones.

But Basically Homeless didn’t want to simply bring a Switch or phone or even a Steam Deck into the bathroom. Instead, he wanted to create a setup that would let him play 120hz FPS shooters with a mouse and keyboard while sitting on a toilet. And in his video documenting the entire processI was shocked both by the end results and the lack of planning.

Basically Homeless

The way this thing works is one half of the tank contains all the toilet bits and bobs along with the water. Then he built a “Water Wall” out of plexiglass and glue. On the other side of the wall are all the computer parts. The idea was to keep them separate, letting you flush the working toilet while playing games. Also, built into the lid is a fan to help keep the PC cool.

It probably won’t surprise you to learn that the first time he connected the toilet to the water supply his hacked-together “Water Wall” failed and he ended up having to use a whole can of Flexseal inside the tank to protect the valuable PC electronics. However, now that he’s gotten everything working (including the RGB lighting), the finished PC/toilet hybrid is oddly impressive. Thanks to a large cutout in the front, you can see both the functioning toilet and the running PC.

According to Basically Homeless, he had to learn basic plumbing and how to cut porcelain to create this bizarre PC. The end result is both a conversation starter and a man who can now fix his own toilet. Truly a win, win situation.

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