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Texas surpasses 20,000 virus deaths, second highest in US

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Texas has surpassed 20,000 confirmed coronavirus deaths as COVID-19 continues to surge in the United States

That is the second-highest death count overall in the U.S., trailing only New York, according to researchers from Johns Hopkins University. It’s the 22nd-highest per capita at 69.7 deaths per 100,000 people.

So far, Texas leaders have given no indication of forthcoming restrictions to keep people from gathering and spreading the virus. Instead, Republican Gov. Greg Abbott in recent days has been emphasizing that new therapeutics and vaccines are expected to become available soon.

A state appeals court last week sided with Texas Attorney General Ken Paxton and lifted a local shutdown order in El Paso, where mobile morgues are being trucked in to help overwhelmed hospitals and funeral homes.

The El Paso county morgue reached out to the El Paso Sheriff’s Department for help after it became “overwhelmed,” according to El Paso Sheriff’s Department Public Affairs Director Chris Acosta. Inmates of the county’s detention facility “were asked to help for a stipend of $2 an hour,” Acosta said in a statement.

According to Acosta, between four and eight participants of the detention facility’s trusty program have volunteered daily since Nov. 9. She said they are accompanied by a sheriff’s deputy and two detention officers and are provided with personal protective equipment. The volunteers are minimum custody inmates with misdemeanor offenses, Acosta said, and their volunteer service is temporary “since we are waiting for the National Guard to take over.”

Texas also became America’s first state to record more than 1 million confirmed COVID-19 cases last week. It also recently surpassed California, the most populous state, in recording the highest number of positive coronavirus tests. The true number of infections is likely higher because many people haven’t been tested, and studies suggest people can be infected and not feel sick.

During the summer, people with COVID-19 overwhelmed hospitals in Houston and in the Rio Grande Valley, along the border with Mexico. But in the fall case numbers dipped, and Abbott began relaxing some coronavirus restrictions, allowing restaurants and gyms to let more people inside. He also let county leaders decide if they wanted to reopen bars at 50% capacity.

Since then, the virus has spread.

Over the past two weeks, the rolling average number of daily new cases has increased by 3,430.4, an increase of 53.6%.

Texas now ranks 31st in the country for new cases per capita, with 428.3 new cases per 100,000 people over the past two weeks. One in every 417 people in Texas tested positive in the past week.

Meanwhile, the U.S. Supreme Court said Monday that the Texas Department of Criminal Justice had substantially met the demands of inmates at a Houston area facility for safety equipment. The court agreed with a federal appeals court, which previously cancelled a federal judge’s April order for TDCJ to provide inmates with hand sanitizer, masks and unrestricted access to soap. Justices Sonia Sotomayor and Elena Kagan dissented.

COVID-19 US death toll tops 250K, highest in world

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The U.S. death toll from the coronavirus is now more than 250,000, according to a count by Johns Hopkins University. That is the highest number of deaths of any country in the world.

The news comes as the state of Florida surpassed 900,000 cases since the start of the pandemic on Wednesday.

Overwhelmed hospitals are converting chapels, cafeterias, waiting rooms, hallways, even a parking garage into patient treatment areas. Staff members are desperately calling around to other medical centers in search of open beds. Fatigue and frustration are setting in among front-line workers.

Conditions inside the nation’s hospitals are deteriorating by the day as the coronavirus rages across the U.S. at an unrelenting pace and the death toll surpasses 250,000.

“We are depressed, disheartened and tired to the bone,” said Alison Johnson, director of critical care at Johnson City Medical Center in Tennessee, adding that she drives to and from work some days in tears.

The number of people in the hospital with COVID-19 in the U.S. has doubled in the past month and set new records every day this week. As of Tuesday, nearly 77,000 were hospitalized with the virus.

Newly confirmed infections per day in the U.S. have exploded more than 80% over the past two weeks to the highest levels on record, with the daily count running at close to 160,000 on average. Cases are on the rise in all 50 states. Deaths are averaging more than 1,155 per day, the highest in months.

The out-of-control surge is leading governors and mayors across the U.S. to grudgingly issue mask mandates, limit the size of private and public gatherings ahead of Thanksgiving, ban indoor restaurant dining, close gyms or restrict the hours and capacity of bars, stores and other businesses.

New York City’s school system — the nation’s largest, with more than 1 million students — suspended in-person classes Wednesday amid a mounting infection rate, a painful setback in a corner of the country that suffered mightily in the spring but had seemingly beaten back the virus months ago.

Texas is rushing thousands of additional medical staff to overworked hospitals as the number of hospitalized COVID-19 patients statewide accelerates toward 8,000 for the first time since a deadly summer outbreak.

In the worsening rural Panhandle, roughly half of the admitted patients in Lubbock’s two main hospitals had COVID-19, and a dozen people with the virus were waiting in the emergency room for beds to open up Tuesday night, said Dr. Ron Cook, the Lubbock County health authority.

“We’re in trouble,” Cook said.

Amazon jumps into the pharmacy business

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Amazon jumps into the pharmacy business with online prescription fulfillment, free delivery for Prime members

Amazon is entering the pharmacy business with a new offering called Amazon Pharmacy, allowing customers in the United States to order prescription medications for home delivery, including free delivery for Amazon Prime members.

Amazon has been quietly building out its pharmacy offering for several years after ramping up internal discussions in 2017 and acquiring PillPack in 2018. The pharmacy space is notoriously complex and competitive in the U.S., and Amazon Pharmacy is built in part on PillPack’s infrastructure, including its pharmacy software, fulfillment centers and relationships with health plans.

Amazon Pharmacy, announced Tuesday, is the company’s biggest push yet into $300 billion market, and threatens the dominance of traditional pharmacies like CVS and Walgreens, as well as other large retailers that offer pharmacy services, including Walmart.

Pharmacy stocks tumbled following the launch of Amazon Pharmacy. CVS shares fell 7.5% in morning trading Tuesday. Walgreens Boots Alliance dropped more than 8%. Shares of Rite Aid slid more than 16%. GoodRx, which helps consumers find discounts on prescription drugs, fell more than 18%. Amazon shares jumped more than 1%.

For Amazon, the announcement is well timed. Americans are increasingly relying on getting their medicines via mail to avoid possible exposure to the coronavirus. That shift could be permanent, as more people than ever before are learning about new ways of receiving medication.

“We wanted to make it easy for people to get their medication, understand the cost and get it delivered to the home,” said TJ Parker, Amazon’s vice president of pharmacy, who previously co-founded PillPack. “The hard work is to make it easy … there were a number of complications behind the scenes.”

“We think this new benefit will add tremendous value to our members,” added Jamil Ghani, vice president of Amazon Prime. “It’s relevant as folks try to do more from the comfort and safety of their homes.”

How it works

Customers over the age of 18 will have access to the pharmacy service this week in 45 states, not including Hawaii, Illinois, Kentucky, Louisiana and Minnesota. Amazon expects to serve those states over time.

Amazon Pharmacy will accept most forms of insurance, but could offer savings for people without insurance as well. Customers can also use flexible spending accounts or health savings accounts to buy prescriptions on the service.

Before customers order medication for the first time, the site might ask them questions such as whether they’re pregnant, their date of birth and their gender as it was assigned at birth. That information is required by law to provide pharmacy care, and it helps pharmacists to do things like confirm prescriptions.

Doctors can send prescriptions directly to Amazon Pharmacy, or patients can request a transfer from an existing retailer, like CVS or Walgreens. Amazon says it has tools to verify that a physician legitimately ordered each prescription, and to tamp down on potential fraud.

Customers will be able to track the delivery of their prescriptions just like they can with any other Amazon order.
Customers will be able to track the delivery of their prescriptions just like they can with any other Amazon order.
Amazon

Amazon Prime customers get free two-day delivery, although shipping might take up to five days the first time a customer orders, as it takes time to transfer a medication. Customers who don’t have Prime can get free delivery within five days, or they can pay $5.99 to upgrade to two-day delivery.

The medicines on offer include a mix of generic and brand-name drugs. Customers can get access to birth control, as well as commonly prescribed drugs like insulin, triamcinolone steroid creams, metformin for controlling blood sugar and sumatriptan for migraines.

Amazon will not deliver Schedule II controlled medications, including most opioids, and it won’t be replacing the Health & Personal Care store by offering vitamins and supplements.

Customers who have questions about their medications can reach a pharmacist or pharmacy technician at any time through online self-service or phone. Amazon will also screen for potentially problematic drug interactions for customers who are taking multiple medications at once.

Amazon’s Parker said that the storage and collection of customer health information is in compliance with federal HIPAA rules, and the company won’t share pharmacy data with advertisers or marketers without permission.

Amazon has leveraged its rich troves of customer data to build advertising into a key pillar of its overall business, and shows customers personalized ads and offers discounts based on what they have bought in the past. But consumers are likely to have a different set of expectations when they’re placing a prescription order versus browsing for a new pair of pants.

“The information and experience you have inside the pharmacy is separate and distinct from the experience that you have on Amazon.com,” Parker said.

PillPack will continue to serve customers even after Amazon Pharmacy launches. That’s because PillPack is designed for a different use-case: It delivers medicines on a 30-day schedule to a population of patients that tend to be sicker and older than average, and often require multiple prescriptions.

For Prime users: A prescription savings benefit

Amazon Prime members have access to an additional pharmacy perk called the “prescription savings benefit,” which offers a discount of up to 80% on generic medications and up to 40% on brand-name prescriptions.

Amazon negotiated those discounts through a relationship with the Inside Rx savings program, which is part of Evernorth, a company that grew out of a merger between Express Scripts and insurance giant Cigna in 2018. Insurers use pharmacy benefits managers like Evernorth to negotiate drug rebates from drug manufacturers in exchange for better coverage.

Even for people who have health coverage, the Prime price might still end up being more affordable than the co-pay — Amazon’s Parker said it happens “more frequently than people think” (although it won’t count towards a deductible).

Prime customers can also get a prescription savings benefit card to use at up to 50,000 pharmacies, including CVSWalmartRite Aid, and Walgreens. This might be preferable for customers who have an urgent need for medication and can’t wait two days for delivery.

Amazon’s Parker said the company does not currently have any brick-and-mortar pharmacies, and declined to speculate on future product offerings. But in future, the company could add pharmacies to Whole Foods and its chain of Amazon Fresh stores.

Downtown bars and restaurants now allowed to serve outdoors on Main Street

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Before the pandemic, Main Street in downtown Houston was a bustling spot, especially on the weekends, that would draw restaurant-goers and bar hoppers alike.

Houston City Council has now given the OK to bring back business to the popular stretch. On Wednesday, council members approved an ordinance that would allow bars and eateries to use unutilized, outdoor street space to serve food and drinks to customers, while also keeping social distancing guidelines in mind.

The Main Street ordinance, proposed under the “More Spaces” plan that was approved back in August, will require the strip of roadway to close to vehicle traffic. In this case, Main would be closed from Commerce to Rusk streets.

“This effort is intended to provide an economic boost to restaurants and bars by increasing the customer seating area while maintaining social distancing during COVID-19 occupancy restrictions, and support Downtown, as these businesses progress towards stable operations,” the city council agenda item for “More Space Main Street” stated.

Back when More Spaces was originally approved, the Main Street ordinance was dependent on Texas Alcoholic Beverage Commission approving restaurants that sell alcohol. METRO also needed to sign off on the plan because of the light rail that runs in the middle of Main Street.

Businesses will be required to submit their plans on how they will operate.

Details of the approved ordinance also include:

  • Allow restaurants and bars to serve customers by establishing temporary enclosures and setting up tables and chairs.
  • Establish no fee for businesses to participate in this program.
  • Continue the program through March 31, 2022.

La FDA autoriza la primera prueba de COVID-19 para autodiagnosticarse en el hogar

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Actualización sobre el coronavirus (COVID-19): La FDA autoriza la primera prueba de COVID-19 para autodiagnosticarse en el hogar

SILVER SPRING, – Hoy, la Administración de Alimentos y Medicamentos de los EE. UU. (FDA, por sus siglas en inglés) emitió una autorización de uso de emergencia (EUA) de la primera prueba de diagnóstico de COVID-19 para autodiagnosticarse en el hogar y que proporciona resultados rápidos. El kit de prueba “todo en uno” Lucira COVID-19 es una prueba molecular (reacción de amplificación mediada por ciclo en tiempo real) de un sólo uso que está destinada a detectar el nuevo coronavirus SARS-CoV-2 que causa el COVID-19.

“La FDA continúa demostrando una velocidad sin precedentes en su respuesta a la pandemia. Si bien hay pruebas de diagnóstico de COVID-19 que han sido autorizadas para la recolección de muestras en el hogar, esta es la primera prueba que se puede hacer por completo y proporcionar resultados en el hogar. Esta nueva opción de prueba es un avance de diagnóstico importante para abordar la pandemia y reducir la carga pública de la transmisión de enfermedades”, dijo el comisionado de la FDA, el Dr. Stephen M. Hahn, M.D. “La acción de hoy subraya el compromiso continuo de la FDA de ampliar el acceso a pruebas de COVID-19 “.

El kit de prueba “todo en uno” Lucira COVID-19 ha sido autorizada para uso en el hogar con una muestra que puede recolectar el usuario con hisopos nasales destinado para personas mayores de 14 años que su proveedor de atención médica sospeche tengan el COVID-19. También está autorizado para su uso en las instalaciones de los sitios de atención (por ejemplo, consultorios médicos, hospitales, clínicas de atención de urgencia y salas de emergencia) para todas las edades, pero un proveedor de atención médica debe recolectar las muestras cuando la prueba se usa en el sitio de atención para evaluar a personas menores de 14 años. Actualmente, la prueba está autorizada sólo para su uso con receta médica.

La prueba funciona haciendo girar el hisopo con la muestra recolectada por uno mismo dentro de un vial que luego se coloca en la unidad de prueba. En 30 minutos o menos, los resultados se pueden leer directamente desde la pantalla iluminada de la unidad de prueba que muestra si una persona es positiva o negativa al virus SARS-CoV-2. Los resultados positivos indican la presencia de SARS-CoV-2. Las personas con resultados positivos deben aislarse y buscar atención adicional de su proveedor de atención médica. Las personas que resulten negativas a la prueba y experimenten síntomas similares a los del COVID-19, deben consultar con su proveedor de atención médica, ya que los resultados negativos no descartan que una persona tenga la infección de SARS-CoV-2.

“La autorización de hoy para una prueba completa en el hogar es un paso significativo en la respuesta nacional de la FDA al COVID-19. Una prueba que se puede administrar completamente fuera de un laboratorio o entorno de atención médica siempre ha sido una de las principales prioridades de la FDA para abordar la pandemia. Ahora, más estadounidenses que puedan tener el COVID-19 podrán tomar medidas de inmediato, basándose en sus resultados, para protegerse a sí mismos y a quienes los rodean”, dijo el Dr. Jeff Shuren, M.D., J.D., director del Centro de Dispositivos y Salud Radiológica de la FDA. “Esperamos trabajar de forma proactiva con los desarrolladores de pruebas para respaldar la disponibilidad de más opciones de pruebas en el hogar”.

Un componente importante para el éxito de las pruebas en el hogar es la capacidad de rastrear y monitorear los resultados de manera eficiente. Como se indica en esta autorización EUA, los proveedores de atención médica que prescriben deben reportar todos los resultados de las pruebas que reciben de las personas que utilizan la prueba a las autoridades de salud pública pertinentes de acuerdo con los requisitos locales, estatales y federales. Lucira Health, el fabricante de la prueba también ha desarrollado etiquetas para las cajas, instrucciones de referencia rápida e instrucciones para el proveedor de atención médica para ayudar con los reportes.

Las pruebas de diagnóstico siguen siendo uno de los pilares a la respuesta de nuestra nación al COVID-19. La FDA continúa su compromiso con la salud pública y para buscar nuevos acciones que ayuden a que pruebas críticas estén disponibles para más estadounidenses a través de sus poderes de autorización de emergencia.

La FDA, una dependencia del Departamento de Salud y Servicios Sociales de los Estados Unidos, protege la salud pública asegurando la protección, eficacia y seguridad de los medicamentos tanto veterinarios como para los seres humanos, las vacunas y otros productos biológicos destinados al uso en seres humanos, así como de los dispositivos médicos. La dependencia también es responsable de la protección y seguridad de nuestro suministro nacional de alimentos, los cosméticos, los suplementos dietéticos, los productos que emiten radiación electrónica, así como de la regulación de los productos de tabaco.

U.S. Food and Drug Administration (FDA) logo (PRNewsfoto/FDA)

Police believe man shot himself after shooting 4 family members, killing 2

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Houston police said they think the suspect shot four family members, killing two of them. They said he then shot himself but survived.

Two family members were killed and three others were injured, including the suspect, in a shooting in west Houston on Wednesday, according to police.

At about 2:30 p.m., Houston police responded to reports of shots fired at a house in the 11600 block of Manor Park Drive, which is near the intersection of Briar Forest Drive and South Kirkwood Road, just south of the Katy Freeway and outside the Beltway.

Police said the 911 call came from inside the home.

When they arrived, officers found a man who was unresponsive in the driveway. With fears that the shooter may still be at the home, the officers entered the house.

Inside, police said another man was found unresponsive with what appeared to be a self-inflicted gunshot wound. Police said they believe he could have been the shooter.

Upstairs, police said they found a woman in her mid-20s shot to death. Two other women were also shot. They were both taken to an area hospital in critical condition.

A 3-month-old child was found in the house but was uninjured.

Police said the shooting appears to be a domestic incident but haven’t said exactly what led up to it.

No one at the scene has been identified, but police said they were all related.

Getting Closer to What Matters

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As 2020 has progressed, we have shifted from large-scale events to smaller gatherings organized with great care. Thousands of Houstonians have expressed that they have felt a wonderful connection to one another as they have turned to our parks and trails during months of social isolation. This has brought us closer in spirit as we simply get outdoors and connect with nature.

With Bayou Greenways 2020 nearing completion, Houstonians will have unprecedented access to parks and trails, shaping the lives of  families and communities across the city. These green spaces enhance our quality of life and allow us to connect with one another in ways that cannot be fully quantified.

Houston Parks Board looks forward to celebrating Bayou Greenways 2020 with you tomorrow at noon, here.

 

Brock Park has provided a new lease on life for Carla. Watch her story and others as part of our Week of Thanks celebrating Bayou Greenways 2020 and all those who helped make it happen.

 

Memorial service for HPD Sgt. Sean Rios

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Family, friends and fellow brothers and sisters-in-blue are saying their final goodbyes today to a fallen Houston police sergeant.

Funeral services for Sergeant Sean Rios began at 11 a.m. at Grace Church in southeast Houston, a day after a public visitation was held.

Due to COVID-19 protocols, the funeral service was reserved for family, friends, HPD staff and those who knew Sgt. Rios.

Following the funeral, full police honors will be held outside the church with social distancing protocols in place.

Rios was shot to death last Monday in a north Houston gun battle. One man is charged with Rios’ murder, and police are looking for another person of interest.

Rios was a 25-year member of the department and leaves behind four children – ages 17, 14, 12 and 9 years old – as well as his parents, a brother, and two cousins, who are HPD detectives.

The County with no Coronavirus cases? No longer…

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Loving County, in rural West Texas, was the last county in the continental United States with zero Coronavirus cases. But it couldn’t avoid the pandemic forever.

Zoom in on the glowing red map of ever-escalating coronavirus cases in the continental United States and for months you would find a county that had been spared. It remained that way until it was the only one, from coast to coast.

Like a lone house standing after a tornado has leveled a town, Loving County, in the shadeless dun plains of oil-rich West Texas, had not recorded a single positive case of the coronavirus.

It is something that people in the county were proud of. They talked about it. They lived by it.

“You can take that off!” Chuck Flushe told a visitor in a face mask at the window of his food truck as a pair of barefaced oil field workers milled about. “We don’t have the virus here.”

If only it were true.

Though never included in the county’s official reports, at least one positive test for the coronavirus was recorded over the summer at a local health clinic in Mentone, the county’s only town, according to a worker at the clinic.

And then on Tuesday, state officials reported, for the first time, the inevitable. Positive tests for the coronavirus in Loving County. Three of them.

Now every corner of the United States mainland could be said to officially have been touched by the coronavirus.

The abrupt addition of confirmed cases — hours after an article The New York Times published online called attention to at least one positive case — could not immediately be explained by county officials.

“That’s news to me,” said Steve Simonsen, the county attorney. “I’m wondering if they’re counting the people you talk about and the two residents who had it and caught it somewhere else.”

One positive case not previously reported involved a man who lived at what everyone in this part of Texas calls a “man camp” — temporary housing for transient oil and gas field workers — near the center of town when he became sick. But since he was not a permanent resident, and was quickly shuttled home, Loving County had not reported the case at the time.

Ten months after the first infection was recorded in the United States, the coronavirus has made its way into every corner of the country. More than 11 million people have tested positive for the virus, which causes Covid-19, with more than 164,000 new cases emerging on Monday alone.

Now even rural areas, which escaped the brunt of the pandemic early on, have become serious centers of new infections. In recent months, a diminishing number of small, remote counties, including Loving County, remained the only places in the continental United States with no positive cases. (Kalawao County in Hawaii, which has even fewer people than Loving County, still has reported no known cases.)

One by one, each began to record infections. Esmeralda County in Nevada reported its first case last week. Then came Loving County.

Those who live in Loving County full-time — the U.S. mainland’s smallest population, with no more than 169 people stretched across 669 square miles of sand, mesquite, and greasewood — credit their relative antiviral success to the landscape and the sparseness of the population. They joke that they were socially distant before it was cool.

“It’s a desert town. That’s what it is,” said Mr. Simonsen, the county attorney. “We don’t speak in terms of running how many cows per acre, it’s how many cows per section. A section is 640 acres.”

But despite the wide-open space, the county is busy. The census counts 10 times the number of workers in the county as residents. Trucks hauling equipment for the oil fields or big boxes of sand for fracking groan through town in a constant, noisy stream. Plastic trash and bits of blown truck tires litter the roadside.

When one drives through the county at night, lights from the oil and gas operations flicker brightly across the landscape, creating the mirage of a distant city that can never quite be reached. “You top that hill and it looks like you’re driving into Dallas or Fort Worth,” Mr. Simonsen said.

Men — and it is mostly men who work in Loving County — shuffle in and out of the only shop for miles, a relatively new convenience store where the line for beer and single-serving meals can stretch to the rear refrigerators during the 5 p.m. rush.

“Restrooms Coming Soon,” boasts an all-caps banner hanging outside. On a recent weekday evening, one shopper wore a cowboy hat. More had on mesh trucker caps. None were in masks. Neither were the clerks. The county is exempt from a statewide mandate.

But even if the virus is not in front of mind in Loving County, it has changed a life here.

The pandemic caused a downturn as oil prices dropped, reducing the number of workers in town. The man camps were less full. Hotel rooms that just months ago cost $350 a night in Pecos, the nearest large town, were now going for a third of the price.

“With the pandemic, a lot of stuff shut down,” said Ricardo Galan, 38, who works for a supply company that he said had dropped from 50 employees to 12.

Mr. Galan, from Eagle Pass near Texas’ border with Mexico, said he usually spent about 12 days working and then got four days off. He counted himself lucky to be only five hours away from his family. Some workers come from much further, like Utah or Louisiana.

While in Loving County, Mr. Galan lived in a man camp on his company’s property, sharing a small living space with another worker. He said the workers there practiced social distancing. “On our yard, nobody’s gotten sick from Covid,” he said.

But, he added, no one was being tested unless they had symptoms. “They don’t test you just to test you,” Mr. Galan said. For that, workers must travel to larger cities like Odessa or Midland.

A private health clinic offers coronavirus tests and performs around 20 per week, according to Anthony Luk, 28, a paramedic there. Mr. Luk, like most workers in the county, lives in a trailer — his is attached to the clinic — and stays for two-week stints between periods of rest at home in Lubbock.

During his time there, he said, he knew of two positive tests for the coronavirus: in August, involving the man camp near the center of Mentone, and another taken at a job site outside of Loving County.

The August case raised alarm at the county courthouse because clerks and other county workers often go to the camp for free lunch on workdays.

At the courthouse, a square brick building from 1935, the doors are now locked to outsiders and the county employees do not wear masks. When someone comes to visit, like a landman looking into new oil or gas leases, the person must have an appointment and wear a mask.

A Halloween party for the children in town attracted about 60 people and included temperature checks at the door. People felt comfortable not wearing masks.

But there are few such gatherings in Mentone, where the county’s history of oil booms and busts can be read in hollow rusting storage tanks, empty corrugated homes, and the cracked plaster of the only schoolhouse, unused for decades.

“When we got here, I said, ‘Punk, how long are we going to live in this godforsaken place?’” recalled Mary Belle Jones, 89, who moved to Loving County in 1953 with her husband, Elgin Jones.

There were rattlesnakes in the yard of their first home, she remembered, and a toilet outback. They had five children, moved to a bigger house, accumulated acre upon acre of land, and never left.

Mr. Jones, known to all by his childhood nickname, went from the oil fields to become sheriff for nearly three decades. “He was known as the only sheriff in Texas you could call Punk and get away with it,” Mrs. Jones said.

Their children went to the local schoolhouse until the sixth grade. But it ran short of students, and then closed. Children now ride a bus at 6 a.m. to the next county east.

Several members of the Jones family stayed in Loving County. One son, Skeet Jones, is the top county executive. His sister is the county clerk. Mr. Simonsen, the county attorney, married into the family.

FDA OKs First Totally At-Home COVID-19 Diagnostic Test

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People can not only test themselves for COVID-19, but get rapid results at home, as the FDA authorized use of the first self-testing molecular single-use diagnostic to detect SARS-CoV-2 late Tuesday.

Emergency use authorization (EUA) was granted to the Lucira COVID-19 All-in-One Test Kit, a real-time loop mediated amplification reaction single-use test that provides rapid results, the FDA said in a statement.

Individuals age 14 and older who are suspected of having COVID-19 by their healthcare provider can use the test by swirling the self-collected nasal swab sample in a vial placed in a testing unit, where the results can be read in 30 minutes or less via a light-up display. This test is only available by prescription.

It is also authorized as a point-of-care test in doctor’s offices, hospitals, urgent care centers and emergency rooms, but samples from individuals younger than age 14 must be taken by a healthcare provider.

Director of FDA’s Center for Devices and Radiological Health, Jeff Shuren, MD, characterized this authorization as “a significant step” in the agency’s response to the pandemic.

“A test that can be fully administered entirely outside of a lab or healthcare setting has always been a major priority for the FDA to address the pandemic. Now, more Americans who may have COVID-19 will be able to take immediate action, based on their results, to protect themselves and those around them,” he said in a statement.

FDA commissioner Stephen Hahn, MD, added that while prior COVID-19 tests have been authorized for at-home sample collection, “this is the first that can be fully self-administered and provide results at home.”

Healthcare providers will be required to report all test results to the relevant public health authorities. The agency also noted individuals who test positive should self-isolate and seek additional guidance from their healthcare provider. Those who test negative, but still have symptoms should also follow up with their provider, since a negative test “does not preclude an individual from SARS-CoV-2 infection.”