Bulky waste, Rays and Loves the attack of the “zozzoni”. The collection centres, however, are in the midst of the service, and a lack of staff

Okay the war to “zozzoni”, fight without quarter of mayor Ray against uncivilized, empty cellars, abusive, commuters waste. Now a cornerstone of the environmental policies of the Capitol, Five-Star species in the post lockdown, when Rome again viable have returned to check mini dumps in the street. But the collection Centers (Cdr), where the cumbersome, instead they should finish it according to the law, how are they working?

There are 12 in total 15 municipalities, 11 reopened in early June after the emergency coronavirus, all except one of the Acqua Acetosa, via of the Sports Fields. You can dispose of a little bit of everything: from the rubble to paints, from home appliances to the wood, to the fleece. The list is long. But they are still only available for half a day.

Ecological islands in the middle of service

The romans can upload their old sofa and take it to dispose of in the so-called “ecological islands”, but at the moment only from 7 to 12, and only on weekdays. The result? Often you create queues, also related to the measures of security that imposes the input one at a time. Those who work and have only an hour in the morning before entering the office discouraged, and maybe in the afternoon you will free weight by downloading everything outside the facilities. As it has happened already several times out of the Cdr via Teano, to Prenestino, or from that of the via Laurentina. Gestures of citizens uncivilized, yes, but also perhaps, in this phase of the restart, a little facilitated by operation reduced in rank structures Loves.

In the background, then another question that is not secondary to ensure the efficiency of the supply chain. Love has a shortage of staff. Several retirements in the last few months and the absence sudden of “team leaders”, involved in the organisation of the collection on the territory, also in relation to the collection centres is a problem.

Procurement staff

The company tries in every way to pull the deck, always short due to the absence from years of a plan assunzionale, strengthening the presence in the Cdr with movements of workers between departments. Last week the order of service signed by the director of human Resources Marcello Bronzes. “You have to temporarily transfer up to cease the needs of the following resources – it reads in the document, that RomaToday could see – to support the activities of Collection Centres in the emergency phase, and gradual restoration of full functionality”. And then the notice of retrieval of the temporary of June 10 for the selection of 25 Tot (Technical-operational area) between the workers at the sweeping, just for the summer. To Tot the task among many, in the ecological islands, to check the correctness of who enters and who exits, whether to dispose of are private individuals (authorised) or companies (which, instead, must follow a different iter).

The proposals of the workers

By the same workers, Loves, group, Lila, come some suggestions for a better functioning of the service Centres of collection: to establish a coordination by telephone between the 12 islands at the toll-free Ama, in order to have a complete picture of the state of receptivity of all the types of cells present and available, so that users do not travel in a vacuum. And still offset the attack of an hour between the operators to have a timetable of opening continued in the hours of meals, working even on Sunday to avoid congestion on the Monday.

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“We are working to re-open progressively the Centers also in the afternoon from next week” they know to Love about the restriction time. The possibility remains open for the collection at home, but only to the road surface.

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Why does California have low COVID-19 numbers in the US drama? – Telemundo 52

LOS ANGELES – Early confinement and other prevention measures promoted by the state government have allowed California, with more than 40 million inhabitants and some 300 deaths from COVID-19, to become an example of how to deal with the coronavirus pandemic in United States.

So far, the nation’s largest metropolis, Los Angeles, with more than 10 million citizens, has recorded fewer than 6,000 cases and 132 deaths, far from New York City, which has 8 and a half million inhabitants. and it has confirmed some 130,000 infections and more than 4,000 deaths.

“California has been doing quite well in the COVID-19 pandemic, with a relatively low number of infected per 100,000 people and a low death rate,” said Professor Karin Michels, head of the Department of Epidemiology at the School of Public Health, University of California Los Angeles (UCLA).

PRECAUTIONARY MEASURES

California Governor Gavin Newsom was one of the first in the country to enact relatively strict confinement, allowing only “essential” activities such as going to the grocery store and pharmacy, and exercising respect for safety distances between people.

In contrast, eight states – Arkansas, Iowa, Nebraska, North Dakota, South Dakota, South Carolina, Utah, and Wyoming – have not mandated their residents to stay home.

“The governor issued ‘home security’ and ‘shelter’ orders relatively quickly. Universities like UCLA and other large employers closed even earlier and sent people to work, teach and study from home,” said Michels, who has extensive experience in disease prevention, public health and statistical methods.

Due to the COVID-19 crisis, California schools may continue to be closed until the end of August.

Newsom also took the initiative to decree the closure of schools, which will remain closed until next year, as a preventive measure; in asking President Donald Trump to send a hospital ship to Los Angeles to support local hospitals before it reached a hypothetical peak in the number of cases, which has not yet occurred; and in closing the state’s beaches and parks.

Another point that seems to have helped so far in the exceptional case of California against COVID-19, according to experts, is the low population density of the state, which reduces the possibility of contagion and allows better compliance with the rules of social distancing.

“TO
 Despite having a large population, Californians do not live in
as dense as New Yorkers. Cities spread with
Few skyscrapers: Relative to other states, many more people in
 California lives in houses, not in apartment buildings or buildings
high, “summarizes Michels, who is based on data from a study of his
college.

YOUNG PEOPLE, LESS DEATHS PER CAPITA

California has had a much lower per capita death rate than most of the nation’s largest states, with the exception of Texas.

“The state has a low average age and a high
density of healthcare facilities, which may have contributed to
 the low mortality rate, “explained Michels.

According to a recent study published in The Lancet, the mortality rate among those infected with 20 years of age is 0.03%, while for those 70 years of age it is 8.6%.

Cautious tone

The
 Californian authorities have projected alarming numbers in the
recent weeks, although so far those estimates have not been
compliment.

Newsom himself foresaw two weeks ago that more than half the state’s population, or about 25 million people, would become infected, so he begged its residents to follow the guidelines to the letter.

For his part, the mayor of Los Angeles, Eric Garcetti, did not hesitate to forecast that the city “would follow in the footsteps of New York” in number of cases, a catastrophic scenario that is still far away.

COVID-19 affects children differently than adults. This is what the doctors say in the following video.

The United States on Monday exceeded 10,000 deaths from coronavirus, with 10,335 and almost 350,000 infected, making it the third country with the most deaths after Italy and Spain, according to the count of the Center for Systems, Science and Engineering (CSSE) from Johns Hopkins University (Maryland).

The new data is known after this Sunday
President Donald Trump, during his usual daily press conference,
make sure “this will probably be the hardest week, between this
week and next, and there will be a lot of death. ”

The state of New York, the great epicenter of the pandemic in the United States, accumulates with these latest figures a total of 4,758 deaths and 130,689 confirmed cases of COVID-19, compared to just over 122,000 that it had a day earlier.

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California universities sued for reimbursements related to coronavirus – Telemundo Denver

Students from the California State University and University of California systems filed a lawsuit against to demand reimbursements of some campus fees since the virus pandemic closed schools and forced online learning.

The class action lawsuits, filed in the federal courts in Los Angeles and Oakland, allege that systems serving more than 700,000 students have refused to reimburse unused portions of fees for campus-related services that semester students spring are not using, such as health centers, student association fees and student centers.

The campuses have been closed since March due to the COVID-19 outbreak and sporting events have been canceled.

“The effect of CSU’s COVID-19-related protocols and messages is that all students have been forced to leave campus, unless they really have no other safe place to go,” the Los Angeles lawsuit says.

“For students who remain on campus, services are now extremely limited. For students who do not live on campus, there is no reason to come to campus, as all activities have been canceled. ”

Messages seeking comment from both systems were not immediately returned Monday night.

Fees ranged from around $ 850 to more than $ 4,000 for CSU students for the 2019-2020 academic year, while UC’s basic services fee for students was around $ 1,100, while fees related to specific campuses doubled that or more, depending on demand.

Medical students from California State University help inform the community in their own language.

“It is inappropriate for them to attempt to withhold what amounts to many millions of dollars in total on the campus fees they charged their students, despite the termination of the services that covered these fees,” said Adam Levitt, one of the attorneys who they filed the lawsuits.

“A college education is already a monumental expense for students and their families, and essentially not offering them relief on these material expenses, particularly at a time when millions of Americans are struggling financially, not only is deaf, but also unfair and illegal” .

Similar lawsuits were previously filed against universities in Arizona and against Liberty University, a nonprofit evangelical Christian university in Virginia.

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The staff of special centers will receive the full salary even if they are in ERTE

The special employment centers, which in the Basque Country employ more than 9,000 people with some functional diversity, and job placement companies, which host another 1,400, go through particularly difficult times. Much of these templates are dedicated to manufacturing components for other companies that, especially during the fortnight of economic hibernation, which only allowed them to maintain essential activities, lowered the blind and left them almost without orders.

So many were forced to resort to temporary employment regulation records. The ERTEs. And more than 4,000 employees have been affected, so many, whose salary barely exceeds the interprofessional minimum wage (950 euros per month), should only receive 70% paid by Lanbide. However, they will charge 100%, as announced by the Lehendakari, Íñigo Urkullu, during the visit he made in Sestao to the facilities of Lantegi Batuak, an entity that has ‘recycled’ 70 workers in four of its centers and has put them in make masks. They already produce 10,000 a week.

Urkullu acknowledged that the Basque Government must reinforce its commitment to maintain employment conditions “for people with disabilities”. Apply a “positive discrimination” that, in this case, will be achieved by maintaining the aid that is already given to these employees, even though during the ERTEs their contracts, in some way, decline.

“They will have difficulties”

“In the case of special employment centers they are 475 euros per month per person, and in the case of insertion companies, 12,300 per year,” explained the Deputy Minister of Employment and Social Policies, Marcos Muro, who accompanied the visit to the lehendakari and the head of her department, Beatriz Artolazabal. With this money, “we hope to cover the amounts that these people have stopped receiving and thus, in practice, consolidate their full salary until they can return to their jobs.”

The managing director of Lantegi Batuak, Txema Franco, highlighted his concern for the future of job centers and insertion companies, which bring together people with problems to enter the labor market, and who provide them with the self-esteem and necessary tools. “We know how much it has cost us to achieve the labor inclusion quotas that we have today, and we are very aware of the difficulties of access to the labor market that people with disabilities will have in the future,” he warned.

At least, he acknowledged, fifty hundred workers have seen their jobs reinforced, “since they work in the cleaning and laundry of residences and hospitals and even make home delivery for the elderly.” On the other hand, 807 employees have had to cause compulsory leave, mainly because they are people at risk of contagion.

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De Blasio presents “war” budget and demands urgent rescue from the Government – Telemundo New York (47)

NEW YORK – Ensuring health, safety, food and a roof for all are the priorities of the budget presented this Thursday by the city of New York, some accounts of “war” in the face of the coronavirus crisis, which come accompanied by an appeal to the American president Donald Trump to allow a “rescue” of the Big Apple.

With tax revenues slumping as a result of the slowdown in economic activity, the mayor, Bill de Blasio, announced “painful” cuts of more than $ 2 billion to try to balance the budget in the year that begins in June.

According to his calculations, New York is going to lose some 7,400 million dollars in income, a “horrible” number, according to admitted De Blasio, that requires a determined intervention of the federal Government.

The mayor urged Washington to cover this deficit in full and warned that without that money, the basic needs of New Yorkers cannot be guaranteed.

“If they can find 58,000 million to rescue the airlines, surely they can find 7,500 million for the largest city in the country,” stressed the mayor.

Democrat De Blasio appealed directly to Trump, whom he asked for a clear signal of support for his hometown for Senate Republicans to give the green light to necessary aid.

As he insisted, the city is already doing everything possible on its part, with a budget of $ 89.3 billion, $ 6 billion less than the proposal that the City Council had initially made in January, $ 3.4 billion less than last year’s accounts and using the reserves he had accumulated to have “balanced” accounts.

Among other things, the budget foresees that all public activities be drastically limited and, for example, this summer the swimming pools will not be opened.

De Blasio also warned New Yorkers not to hold out too much hope about beach opening, given the risk of contagion from the coronavirus posed by the huge crowds seen in places like Coney Island.

Public resources, he insisted, will be devoted to basic issues: health, safety, food and housing.

“These are four things that people are mostly thinking about and the government has to focus on those four things. Things that would have been a priority two or three months ago cannot be now. Things we would like to focus on in times of peace cannot be the priority in times of war and these are times of war, “said de Blasio.

The Democrat also warned Trump and Republicans that their desire to restart the economy as soon as possible will be ruined if the basic needs of the population are not met or if they precipitate and cause a resurgence of COVID-19. .

Trump, De Blasio insisted, has only one chance to do this well and, if he is wrong, he will regret it for a long time.

In addition, New York Police Commissioner Dermot Shea offered a video conference on Thursday to detail how the coronavirus has affected the city’s police forces to date.

Specifically, the New York police have registered 7,155 positive cases for COVID-19 among its members, about 20% of its staff and 27 officers have died from the virus.

Shea also detailed that it is estimated that between 1,400 and 1,500 of the sick police officers have returned to work.

“You start to see a little light at the end of the tunnel and it seems that the worst is over,” said Shea, who regretted the losses and asked for a moment of silence.

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CCOO and UGT claim that centers that do not guarantee security protocols cannot resume activity

CCOO i UGT have claimed that all centers cannot guarantee them security protocols they cannot resume activity. On the eve of the day planned for part of the labor activity to be restarted in the State, the two unions have considered that the Spanish government’s best practice guides, despite being “guarantors”, are “difficult to apply” in the large part of the work centers. In a statement they also remember that there is another factor to take into account such as the movement to space and accesses. In relation to protocols, various sectors, such as the automotive or construction sectors, employers and unions have agreed on their own security protocols this weekend.

The two unions point out that companies must take organizational measures and provide the means necessary for workers to be able to protect themselves and to ensure regulatory interpersonal distance. “No one can make workers choose between safe employment or having difficulty keeping their jobs.”

Automotive sector

The automotive sector has agreed on a protocol to prevent contagion this Sunday to begin implementing it before resuming activity. The Spanish Association of Automobile and Truck Manufacturers (ANFAC), the FACONAUTO dealership company and the Spanish Association of Automotive Suppliers (SERNAUTO) have agreed with the CCOO and UGT unions health regulations that “guarantee security and the health “of the workers.

Employers say that although the priority is the health of workers, they cannot allow “this human and health drama to become, in the medium term, an economic and social disaster”. Thus, they remember that the automotive industry is “the only industry paralyzed” completely and they warn that the closure has placed them in a “particularly weak” situation, so they need to recover activity.

The protocol includes controls and temperature checks on accesses, as well as rules for the entry and exit of workers and safety distances. It also outlines measures for the protection and management of common spaces such as the canteen or changing rooms and obligations for cleaning and disinfecting facilities, as well as telecommuting work wherever possible.

With the agreed measures, employers believe that all official sales and repair facilities will be “safe” spaces for work. “It is a constructive starting point”, say the employers, which is “another example of the good communication between companies and social agents”.

Construction sector

The construction sector has already agreed on Friday a preventive guide for the return of the works. Employers and unions agreed on measures such as turn-by-turn access to the precincts, continued working hours, the inclusion of breaks and breaks, or the reinforcement of hygiene measures. Also included are recommendations such as maintaining a safe distance or wearing gloves and respiratory protections when two people are required to work less than two feet.

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Government instructs regions to close movie theaters and nightclubs

Russian government instructed regions to close nightclubs, entertainment centers and cinemas, as well as prohibit smoking hookahs in restaurants and cafes. This decision was made following a meeting of the operational headquarters to prevent the importation and spread of new coronavirus infection in Russia.

Ministry of Culture previously recommended cinema from March 23 to suspend operation for visitors. Earlier, similar restrictions were imposed on museums, theaters, philharmonic societies, circuses and other cultural institutions.

Regions are also advised to prioritize the distribution of protective masks to medical professionals and others who come into contact with a new type of coronavirus infected. In several regions of Russia earlier recorded shortage of medical masks and their sharp rise in price. The government also instructed the regions, together with Rospotrebnadzor, the Ministry of Health and the Social Insurance Fund, to consider the possibility of using the treatment and rehabilitation centers and sanatoriums subordinate to them for isolation and treatment of patients with COVID-19.

By March 24, 495 cases of coronavirus were detected in Russia. The disease was detected in 14 regions of the country. Moscow (290 cases), Moscow region (35 cases) and St. Petersburg (21 cases) are leading in the number of cases of coronavirus among Russian regions.

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Chaos, inconsistency Marks the launch of the Drive-thru Virus – NBC Los Angeles test

Drive-thru sites have been opened in the United States to make testing the new coronavirus faster and safer. But just like the rest of the United States’ response to the pandemic, the system has been characterized by inconsistencies, delays and shortcomings. Many people who have symptoms and a doctor’s order have waited hours or days for a test.

More than a week after President Donald Trump promised that states and retail stores such as Walmart and CVS would open drive-through test centers, few sites are active and are not yet open to the public. Some states are leaving the test sector open to the private sector; others are coordinating efforts through state health departments.

Patients complained that they had to jump through bulky red tape and wait for days to get tested, then wait even longer for a result. The test centers were opened in some places to be closed shortly afterwards due to the shortage of supplies and staff. And while the drive-through test centers that have been opened are generally sorted, in some there have been long lines.

The slow increase in COVID-19 tests and the unpredictable nature of the system make it difficult for public health officials to track the spread of the disease and bring it under control.

“We need to do more extensive testing to fully understand the scale of the public health situation we are facing,” said Joseph Wendelken, a spokesman for the Rhode Island Department of Health.

Dr Brett Giroir, the federal health officer in charge of overseeing the tests, said on Saturday at a White House briefing that approximately 195,000 people have so far been tested in the United States. This figure does not include some people who have been tested in private laboratories.

For most people, the new coronavirus causes only mild or moderate symptoms, such as fever and cough. For some, especially older adults and people with existing health problems, it can cause more serious illnesses, including pneumonia. The vast majority of people recover from the new virus. According to the World Health Organization, people with mild illness recover in about two weeks, while those with more severe illness can take anywhere from three weeks to six weeks to recover.

Drive-through test sites have sprung up in places in over 30 states: in state parks and parking lots, near medical centers and universities, the Mississippi state fairgrounds, and near where the Jacksonville Jaguars play. The governor of Maryland last week ordered the stopping of vehicle emission inspection programs across the state, so that the offices could be used as drive-thru centers to test the virus.

But as of Friday, there were no open drive-through tests available in Maryland inspection centers.

The Utah health department said it is not responsible for the sites and is not monitoring them. The North Carolina health director said the state is leaving the tests to the private sector and declined to say how many sites there are. In contrast, in Rhode Island, health organizations manage the sites in collaboration with the state health department.

On Thursday, cars lined up for more than a mile outside a hospital in Houston when the first drive-through test site was opened. U.S. representative Sheila Jackson Lee said she administered fewer than 200 tests in the first six hours.

Elsewhere, at various sites visited by Associated Press reporters, the scenes were well controlled and sometimes quite silent.

Dozens of people waiting by car in a downtown Homestead, Florida on Wednesday waited for their turn to speak with a screener who was wearing a suit and mask and carrying notes. Some were apparently removed. Others were stirred, checked their temperatures, and swabbed for the samples.

But the shortage of supply has stopped the thrusters in several states, including Colorado, New Mexico, Virginia, Florida, Louisiana, Alabama, North Carolina and Utah. A Las Vegas site was shut down because it didn’t have enough workers.

New York state opened several centers with great fanfare on Tuesday. By Friday, however, the New York City health department issued a warning saying that only people requesting hospitalization should be tested, due to a shortage of protective equipment such as face masks. Drive-thru sites in New York State remain open, but only to people who meet certain criteria.

Nevada Governor Steve Sisolak said he had asked the federal government for additional test kits and supplies, but the state received a warning Thursday that all of its requests for drive-through test pods and test kits “are undefined arrears, without any estimate of a timeline for delivery. “

“This is our unfortunate Nevada reality. It depends on us, “he said.

The sites themselves are dotted with tents and traffic cones. The most important features are medical personnel who wear masks, gloves and protective vests or other clothing. They take nose and throat swabs from people sitting in their cars or help people get in for the test.

Some states have only one drive-thru site. Montana’s only site is in Billings, the largest city in the state. Others have a dozen.

Security guards have been reported on many sites, but an AP survey of states did not reveal any security concerns. In Rhode Island, the National Guard was on hand to set up the state’s three drive-thru sites and even to buffer patients.

The vast network of drive-thru sites in retail chains that Trump claimed was coming over a week ago has not materialized yet. CVS has opened a site in Massachusetts that defines a “test model”. Walmart launched two sites on Sunday and Walgreens said it will launch one, all three in Illinois. Only healthcare professionals and first responders are allowed, and Walmart said that a maximum of 150 tests per day could be performed on its federal sites.

The patchwork of approaches has caused confusion for patients. Caroline Mauldin was sentenced to get tested by her doctor in Charleston, South Carolina on Tuesday after suffering from pain and chills for several days.

To make an appointment at a center in a medical center, she had to fill out a long online questionnaire and spent two days calling a number that went to voicemail and did not answer messages. He resorted to tweets in the hospital several times just to get things going.

Finally, on Thursday, he had an appointment for Monday. And she was told that the results would not return until after 4-5 days. The visit will cost you $ 25, he said. Complicating things, he doesn’t have a car and has to borrow it from a friend.

“Here we have a lot of older, low-income people who don’t have Internet access and who don’t have access to transportation. And since they’re the highest risk population, how are we testing for them?” She asked.

In urban areas such as New York and Philadelphia, some sites offer “walk-up” dating for people without cars.

At the Penn Medicine test site in West Philadelphia, two security agents were late on Thursday to make sure that people arriving by car or on foot had an appointment. For about 40 minutes that evening, the line of cars never grew to more than six or seven. But Patricia Sullivan, Penn Medicine’s quality manager, said every morning last week, 25-35 cars were lined up and six or seven standing patients were 6 feet apart on a porch waiting to be seen.

The 20 sites in Greater Philadelphia are testing around 1,000 people a day, but that hasn’t eliminated pent-up demand.

Rosanne Tanner’s 79-year-old mother has been suffering from fever and chest pain since returning from a visit to Tanner’s brother and wife, who had recently been on a cruise ship.

His doctor ordered a test on Tuesday, but when he tried to make an appointment at a drive-through site in a hospital outside of Philadelphia, he was told that “they are overloaded, they are bogged down,” Tanner said.

Medical staff told her that they are scheduling 15 minutes apart, so there are no bottlenecks on the test site.

Finally on Thursday his mother made sure of an appointment for the following Tuesday. Then, he will have to wait another five days for a result.

“The delay in these tests is putting people at risk,” said Tanner.

In Rhode Island, state officials said they are testing 100 to 200 people per day at all test sites, including three drive thrusters.

Governor Gina Raimondo said they want to perform 500 to 600 a day, but they don’t have the supplies they need.

“It is our top priority to reach a place where everyone who needs it can be tested and you will get results very quickly,” said Raimondo during a press conference held on Facebook Live on Friday on Friday. “So if you’re positive, we can quarantine you.”

____

Associate press writers Michelle L. Price in Las Vegas, Lynne Sladky in Homestead, Florida, Claudia Lauer in Philadelphia, Chris Ehrmann in Hartford, Connecticut, Brady McCombs in Salt Lake City and Jonathan Drew in Raleigh, North Carolina and Anne D ‘Innocenzio and Mike Sisak in New York contributed to this report.

___

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

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Nursing homes face unique challenges with Coronavirus – NBC Los Angeles

From Miami to Seattle, nursing homes and other facilities for the elderly host stocks of masks and thermometers, preparing staff shortages and checking visitors to protect a particularly vulnerable population from the coronavirus.

In China, where the epidemic started, the disease was basically deadly for the elderly. In Italy, the epicenter of the virus epidemic in Europe, the more than 100 people who died were elderly, suffering from other complications or both.

Of the 19 deaths in the United States since Saturday, at least 14 had been linked to a nursing home in the Seattle area, along with many other infections among residents, staff and family members. The Seattle Times reported that a second nursing home and a retired community in the area had reported a virus case.

This has alerted other structures in the United States, especially in states with large populations of older residents, such as Florida and California. About 2.5 million people live in long-term care facilities in the United States.

“For people over the age of 80 … the death rate could reach 15%,” said Mark Parkinson, president of the American Health Care Association nursing homes group.

The federal government is now focusing all inspections of nursing homes on infection control, identifying facilities in the city with confirmed cases and those previously mentioned for not following the protocol.

Federal regulations already require homes to have a specialist in preventing infections in staff, and many have already taken measures to deal with seasonal flow and other ailments that pose a greater risk to the elderly.

Even so, the response of structures to coronavirus has varied across the country.

In Florida, where some 160,000 seniors live in nursing homes and assisted living facilities, mandatory screening for visitors is not expected “because we are not at that point,” said Florida Health Care Association spokeswoman Kristen Knapp.

But aged care centers are posting signs that urge visitors to stay away if they have symptoms and are looking for alternative ways to connect to families, such as through video chats, Knapp said.

Concierges in the 14 Florida nursing homes managed by Palm Gardens Corporation are now offering all visitors a short questionnaire asking for information on symptoms, recent trips and contacts with others, said company vice president Luke Neumann.

Neumann said that nursing homes have also purchased additional thermometers in case they have to check visitors’ temperatures and accumulate preventive supplies, including medical masks, protective goggles and clothing. In laundries they make sure to use enough bleach and heat to kill any persistent viral germs, he said.

In the South Shore Rehabilitation and Skilled Care Center south of Boston, patient Leo Marchand holds a container of disinfectant wipes on a shelf near the bed that he uses several times a day. The 71-year-old Vietnam veteran and retired truck driver has chronic obstructive pulmonary disease which makes it difficult to breathe. The possibility of contracting the coronavirus scares him.

“It’s a concern,” said Marchand. “Really.”

Many facilities across the country have said they have trouble getting masks and medical clothes because of the shortage.

The more intense screening of visitors, meanwhile, isn’t going well with some.

“Some of the visitors have been quite reluctant to comply, and this has been stressful,” said Janet Snipes, executive director of Denver’s Holly Heights nursing center.

Under federal regulations, nursing homes are considered to be a patient’s residence and facilities want to keep them in contact with the family, especially when they are almost dead.

“I don’t think you can completely prevent visitors,” said Dr. David A. Nace, director of long-term care and flu programs at the University of Pittsburgh Department of Medicine. Supervise 300 facilities in Pennsylvania.

For now, facilities in most states are underlining basic precautions, including hand washing and the cough tag.

Centers across the country are also trying to prepare staff for the worst.

An adult daycare center in the Little Havana neighborhood of Miami purchased long-lasting ready meals in preparation for possible shortages. The Hebrew Home in Riverdale, New York is running nursing staff through exercises to see how they will handle situations in the 750-bed facility if the virus progresses. Their IT department is building an infrastructure to allow staff to work remotely if they get sick.

“If one of our sites has an outbreak, we will quickly run out of staff in that position,” said Randy Bury, CEO of The Good Samaritan Society, one of the largest nonprofit senior care providers in the country, with 19,000 employees in 24 states.

Some families are considering withdrawing loved ones from the facilities.

Kathleen Churchyard said her family decided to move her 80-year-old mother out of her retirement community near Jacksonville, Florida, and to her sister’s home nearby if the virus is confirmed in the area.

Churchyard, who lives in Concord, North Carolina, fears that her mother won’t take her seriously, and is particularly concerned about her dining room.

“I tried to get her to buy things to prepare … She said, ‘No. If (the virus) catches me, it takes it,'” said Churchyard.

___

Associate associate writer Philip Marcelo in Rockland, Massachusetts contributed to this report.

___

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

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The start-up of MERS opens an X-press donation office in St. Peters, MO



The MERS start-up opens an X-press donation office in St. Peters, MO | RiverBender.com





















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