OMAHA, Neb. (AP) — Nebraska health officials say the number of people hospitalized with the coronavirus in the state has dropped to its lowest point in nearly three months. 

The Nebraska Department of Health and Human Services' online virus tracker shows 429 people were hospitalized Sunday with COVID-19, the disease caused by the virus. 

That's the lowest number since Oct. 26, when 427 people were hospitalized. 

But the number of new daily cases jumped on Sunday, to 1.061 from 741 on Saturday and 672 on Friday. 

State officials have confirmed 181,978 cases and 1,837 deaths in Nebraska since the pandemic began.

OMAHA, Neb. (AP) — Nebraska health officials say the number of people hospitalized with the coronavirus in the state has dropped to its lowest point in nearly three months. The Nebraska Department of Health and Human Services' online virus tracker shows 429 people were hospitalized Sunday with COVID-19, the disease caused by the virus. That's the lowest number since Oct. 26, when 427 people were hospitalized. But the number of new daily cases jumped on Sunday, to 1.061 from 741 on Saturday and 672 on Friday. State officials have confirmed 181,978 cases and 1,837 deaths in Nebraska since the pandemic began.

Nebraska COVID hospitalizations drop to lowest since Oct. 26

RAPID CITY, S.D. (AP) — Many thought one of South Dakota’s top industries would take a huge hit in 2020 because of the coronavirus pandemic. B

ut, tourism officials say it wasn’t as bad as some other states because of South Dakota’s outdoor opportunities. 

From hiking in the Black Hills to driving through the Badlands, South Dakota’s outdoor venues attracted tourists in 2020 and the state tourism board thinks 2021 will be the same. 

Hospitality businesses and organizations across the state are looking forward to a new year and a vaccine for a fresh start in 2021.

RAPID CITY, S.D. (AP) — Many thought one of South Dakota’s top industries would take a huge hit in 2020 because of the coronavirus pandemic. But, tourism officials say it wasn’t as bad as some other states because of South Dakota’s outdoor opportunities. From hiking in the Black Hills to driving through the Badlands, South Dakota’s outdoor venues attracted tourists in 2020 and the state tourism board thinks 2021 will be the same. Hospitality businesses and organizations across the state are looking forward to a new year and a vaccine for a fresh start in 2021.

SD Tourism businesses look forward with renewed hope for 2021

Hot Springs, SD — Fall River Health Services continues to provide COVID-19 Vaccine to 1A &amp; 1 C Partners, and now will be including the 1D Priority Group by appointment only starting with: Persons Aged 80 Years and Older, High Risk Patients – dialysis, post-transplant, active cancer, High Risk Residents in Congregate Settings, Residents in Licensed Independent Living Facilities, and Residents in Licensed Group Homes.

FRHS will perform the Phase 1D Priority Vaccine Clinic at the Mueller Center, Hot Springs on January 21st- 3:00- 7:00 pm &amp; January 22nd- 9:00am-1:00pm. Please remember to wear your mask and wear appropriate clothing (short sleeve top). Social distancing practices will be in place, do not come until your scheduled appointment. COVID-19 Vaccine 1A &amp; 1C Partners and now 1D Priority Group can schedule their appointments by calling, 605.745.8910- option #9 or by going to <a href="http://www.frhssd.org/mychart">www.frhssd.org/mychart</a>.

As a reminder, the State Department of Health (DOH) is in charge of determining when other groups will be offered the vaccine and when FRHS will be able to provide it to the next phase. We recommend those who are identified as Phase 1D continue to pay attention to communications from the Department of Health and Fall River Health Services for more information as it becomes available. For more information, please visit <a href="https://doh.sd.gov/covid/">https://doh.sd.gov/covid/</a> or <a href="http://www.frhss.org/covid">www.frhss.org/covid</a>.

Hot Springs, SD — Fall River Health Services continues to provide COVID-19 Vaccine to 1A &amp; 1 C Partners, and now will be including the 1D Priority Group by appointment only starting with: Persons Aged 80 Years and Older, High Risk Patients – dialysis, post-transplant, active cancer, High Risk Residents in Congregate Settings, Residents in Licensed Independent Living Facilities, and Residents in Licensed Group Homes.FRHS will perform the Phase 1D Priority Vaccine Clinic at the Mueller Center, Hot Springs on January 21st- 3:00- 7:00 pm &amp; January 22nd- 9:00am-1:00pm. Please remember to wear your mask and wear appropriate clothing (short sleeve top). Social distancing practices will be in place, do not come until your scheduled appointment. COVID-19 Vaccine 1A &amp; 1C Partners and now 1D Priority Group can schedule their appointments by calling, 605.745.8910- option #9 or by going to <a href="http://www.frhssd.org/mychart">www.frhssd.org/mychart</a>.As a reminder, the State Department of Health (DOH) is in charge of determining when other groups will be offered the vaccine and when FRHS will be able to provide it to the next phase. We recommend those who are identified as Phase 1D continue to pay attention to communications from the Department of Health and Fall River Health Services for more information as it becomes available. For more information, please visit <a href="https://doh.sd.gov/covid/">https://doh.sd.gov/covid/</a> or <a href="http://www.frhss.org/covid">www.frhss.org/covid</a>.

Fall River Health Services to provide COVID-19 Vaccine Phase 1D Priority

JACKSON, Wyo. (AP) — Health officials in Wyoming have confirmed the state’s first case of the more contagious COVID-19 variant that’s been seen in the United Kingdom. 

State and local health officials said a Teton County man tested positive for the variant COVID-19 virus strain.

 He's believed to have been exposed locally. State health officer and epidemiologist Dr. Alexia Harrist says the arrival of the strain is not a surprise, but is concerning because it's more easily transmissible. 

She said Wyoming resident should wear masks, practice social distancing, avoid large gatherings and stay at home when ill unless seeking medical care.

JACKSON, Wyo. (AP) — Health officials in Wyoming have confirmed the state’s first case of the more contagious COVID-19 variant that’s been seen in the United Kingdom. State and local health officials said a Teton County man tested positive for the variant COVID-19 virus strain. He's believed to have been exposed locally. State health officer and epidemiologist Dr. Alexia Harrist says the arrival of the strain is not a surprise, but is concerning because it's more easily transmissible. She said Wyoming resident should wear masks, practice social distancing, avoid large gatherings and stay at home when ill unless seeking medical care.

Wyoming reports 1st case of United Kingdom COVID-19 variant

OAKLAND, Neb. -- Nebraska lawmakers are considering a bill to provide some relief for meat supply chains by allowing consumers to purchase smaller ownership shares of livestock. Aunbrea Zeleny with the Oakland Meat Processing Plant said&nbsp;<a href="https://nebraskalegislature.gov/FloorDocs/107/PDF/Intro/LB324.pdf" target="_blank">Legislative Bill 324</a>&nbsp;would help more Nebraskans who have struggled to find meat at grocery stores during the coronavirus pandemic access food from trusted local sources. "The people that aren't able to purchase a $700 quarter, being able to just get that piece of what they need, whether it be the roast, a couple of steaks, some hamburger," Zeleny explained. "This is going to get you to your local farmer's freezer." LB 324 is similar to steps taken by Iowa, Kansas, Missouri, Oregon and Wyoming to increase local meat-processor capacity. Industry groups representing large-scale producers warned the measure could compromise food safety because consumers could purchase shares of animals processed at sites where U.S. Department of Agriculture inspectors are not required to be present. Johnathan Hladik, policy director at the Center for Rural Affairs said local lockers must follow both state and federal regulations for food safety, which allow processing without on-site inspectors for personal use. He added small businesses preparing meat are seasoned professionals with a lot at stake. "These business owners take their job very seriously, and they know their reputation is on the line," Hladik maintained. "And they are not going to let contaminated meat or unsuitable meat into the market because they know that comes back to them and they know that ends their business." Hladik noted the measure also could boost economic growth especially in rural areas. Zeleny suggested local lockers can play a role in breaking the current bottleneck where farmers are waiting up to two years to get animals processed. "Funding will help us be able to build a new building, and will help us keep feeding our local community and surrounding communities," Zeleny contended. The bill was introduced last week by Sen. Tom Brandt, Plymouth, joined by 19 co-sponsors.

<figure>
 <img src="https://media.eaglewebservices.com/public/2021/1/1610976116581.jpeg" alt="Due to COVID-related backlogs at processing plants, Nebraska farmers must make reservations more than one year before animals are born. (Frauke Feind/Pixabay)" />
 <figcaption>Due to COVID-related backlogs at processing plants, Nebraska farmers must make reservations more than one year before animals are born. (Frauke Feind/Pixabay)</figcaption>
 </figure>From Nebraska News ConnectionBy Eric GalatasOAKLAND, Neb. -- Nebraska lawmakers are considering a bill to provide some relief for meat supply chains by allowing consumers to purchase smaller ownership shares of livestock. Aunbrea Zeleny with the Oakland Meat Processing Plant said&nbsp;<a href="https://nebraskalegislature.gov/FloorDocs/107/PDF/Intro/LB324.pdf" target="_blank">Legislative Bill 324</a>&nbsp;would help more Nebraskans who have struggled to find meat at grocery stores during the coronavirus pandemic access food from trusted local sources. "The people that aren't able to purchase a $700 quarter, being able to just get that piece of what they need, whether it be the roast, a couple of steaks, some hamburger," Zeleny explained. "This is going to get you to your local farmer's freezer." LB 324 is similar to steps taken by Iowa, Kansas, Missouri, Oregon and Wyoming to increase local meat-processor capacity. Industry groups representing large-scale producers warned the measure could compromise food safety because consumers could purchase shares of animals processed at sites where U.S. Department of Agriculture inspectors are not required to be present. Johnathan Hladik, policy director at the Center for Rural Affairs said local lockers must follow both state and federal regulations for food safety, which allow processing without on-site inspectors for personal use. He added small businesses preparing meat are seasoned professionals with a lot at stake. "These business owners take their job very seriously, and they know their reputation is on the line," Hladik maintained. "And they are not going to let contaminated meat or unsuitable meat into the market because they know that comes back to them and they know that ends their business." Hladik noted the measure also could boost economic growth especially in rural areas. Zeleny suggested local lockers can play a role in breaking the current bottleneck where farmers are waiting up to two years to get animals processed. "Funding will help us be able to build a new building, and will help us keep feeding our local community and surrounding communities," Zeleny contended. The bill was introduced last week by Sen. Tom Brandt, Plymouth, joined by 19 co-sponsors.

Lawmakers urged to break meat supply-chain logjam

SIOUX FALLS, S.D. (AP) — South Dakota health officials are confirming 23 new deaths due to complications from the coronavirus. 

The update released Sunday lifted the total number of fatalities to 168 in January and 1,656 since the start of the pandemic. 

The COVID Tracking Project reports that the death toll is the 40th highest in the country overall and the fifth highest per capita at about 185 deaths per 100,000 people. 

The state reported 266 positive tests since Saturday, for a total of 94,557 confirmed cases statewide. 

Health officials say the state had administered 56,625 doses of the COVID-19 vaccine to 46,79 people as of Sunday.

SIOUX FALLS, S.D. (AP) — South Dakota health officials are confirming 23 new deaths due to complications from the coronavirus. The update released Sunday lifted the total number of fatalities to 168 in January and 1,656 since the start of the pandemic. The COVID Tracking Project reports that the death toll is the 40th highest in the country overall and the fifth highest per capita at about 185 deaths per 100,000 people. The state reported 266 positive tests since Saturday, for a total of 94,557 confirmed cases statewide. Health officials say the state had administered 56,625 doses of the COVID-19 vaccine to 46,79 people as of Sunday.

South Dakota confirms 23 new deaths due to the coronavirus

LOS ANGELES (AP) — California’s state epidemiologist is urging a halt to more than 300,000 coronavirus vaccinations using a Moderna vaccine version because some people received medical treatment for possible severe allergic reactions.

Dr. Erica S. Pan on Sunday recommended providers stop using lot 41L20A of the Moderna vaccine pending completion of an investigation by state officials, Moderna, the U.S. Centers for Disease Control and the federal Food and Drug Administration.

“Out of an extreme abundance of caution and also recognizing the extremely limited supply of vaccine, we are recommending that providers use other available vaccine inventory,” Pan said in a statement.

She said more than 330,000 doses from the lot arrived in California between Jan. 5 and Jan. 12 and were distributed to 287 providers.

Fewer than 10 people, who all received the vaccine at the same community site, needed medical attention over a 24-hour period, Pan said. No other similar clusters were found.

Pan did not specify the number of cases involved or where they occurred.

However, six San Diego health care workers had allergic reactions to vaccines they received at a mass vaccination center on Jan. 14. The site was temporarily closed and is now using other vaccines, KTGV-TV reported.

Moderna in a statement said the company “is unaware of comparable adverse events from other vaccination centers which may have administered vaccines from the same lot.”

The CDC has said COVID-19 vaccines can cause side effects for a few days that include fever, chills, headache, swelling or tiredness, “which are normal signs that your body is building protection.”

However, severe reactions are extremely rare. Pan said in a vaccine similar to Moderna, the rate of anaphylaxis — in which an immune system reaction can block breathing and cause blood pressure to drop — was about 1 in 100,000.

The announcement came as California counties continue to plead for more COVID-19 vaccine as the state tries to reduce its rate of infection, which has led to record numbers of hospitalizations and deaths.

California, with a population of 40 million, has shipped about about 3.2 million doses of the vaccine — which requires two doses for full immunization — to local health departments and health care systems, the state’s Department of Public Health reported Monday.

Only about 1.4 million of those doses, or around 40%, have been administered.

So far. the state has vaccinated fewer than 2,500 people per 100,000 residents, a rate that falls well below the national average, according to federal data.

Although Gov. Gavin Newsom announced last week that anyone age 65 and older would be eligible to start receiving the vaccine, Los Angeles County and some others have said they do not have enough doses to vaccinate so many people and are first concentrating on inoculating health care workers and the most vulnerable elderly living in care homes.

On Monday, the superintendent of the Los Angeles Unified School District sent a letter to state and county public health officials asking for authorization to provide COVID-19 vaccinations at schools for staff, local community members and for students once a vaccine for children has been approved.

“Doing so will help reopen schools as soon as possible, and in the safest way possible,” Superintendent Austin Beutner wrote.

California is nearing 3 million coronavirus cases and more than 33,600 people have died since the start of the pandemic last year, according to figures from Johns Hopkins University.

The death rate from COVID-19 in Los Angeles County — the nation’s most populous and an epicenter of the state pandemic — works out to about one person every six minutes.

On Sunday, the South Coast Air Quality Management District suspended some pollution-control limits on the number of cremations for at least 10 days in order to deal with a backlog of bodies at hospitals and funeral homes.

“The current rate of death is more than double that of pre-pandemic years,” the agency said.

LOS ANGELES (AP) — California’s state epidemiologist is urging a halt to more than 300,000 coronavirus vaccinations using a Moderna vaccine version because some people received medical treatment for possible severe allergic reactions.Dr. Erica S. Pan on Sunday recommended providers stop using lot 41L20A of the Moderna vaccine pending completion of an investigation by state officials, Moderna, the U.S. Centers for Disease Control and the federal Food and Drug Administration.“Out of an extreme abundance of caution and also recognizing the extremely limited supply of vaccine, we are recommending that providers use other available vaccine inventory,” Pan said in a statement.She said more than 330,000 doses from the lot arrived in California between Jan. 5 and Jan. 12 and were distributed to 287 providers.Fewer than 10 people, who all received the vaccine at the same community site, needed medical attention over a 24-hour period, Pan said. No other similar clusters were found.Pan did not specify the number of cases involved or where they occurred.However, six San Diego health care workers had allergic reactions to vaccines they received at a mass vaccination center on Jan. 14. The site was temporarily closed and is now using other vaccines, KTGV-TV reported.Moderna in a statement said the company “is unaware of comparable adverse events from other vaccination centers which may have administered vaccines from the same lot.”The CDC has said COVID-19 vaccines can cause side effects for a few days that include fever, chills, headache, swelling or tiredness, “which are normal signs that your body is building protection.”However, severe reactions are extremely rare. Pan said in a vaccine similar to Moderna, the rate of anaphylaxis — in which an immune system reaction can block breathing and cause blood pressure to drop — was about 1 in 100,000.The announcement came as California counties continue to plead for more COVID-19 vaccine as the state tries to reduce its rate of infection, which has led to record numbers of hospitalizations and deaths.California, with a population of 40 million, has shipped about about 3.2 million doses of the vaccine — which requires two doses for full immunization — to local health departments and health care systems, the state’s Department of Public Health reported Monday.Only about 1.4 million of those doses, or around 40%, have been administered.So far. the state has vaccinated fewer than 2,500 people per 100,000 residents, a rate that falls well below the national average, according to federal data.Although Gov. Gavin Newsom announced last week that anyone age 65 and older would be eligible to start receiving the vaccine, Los Angeles County and some others have said they do not have enough doses to vaccinate so many people and are first concentrating on inoculating health care workers and the most vulnerable elderly living in care homes.On Monday, the superintendent of the Los Angeles Unified School District sent a letter to state and county public health officials asking for authorization to provide COVID-19 vaccinations at schools for staff, local community members and for students once a vaccine for children has been approved.“Doing so will help reopen schools as soon as possible, and in the safest way possible,” Superintendent Austin Beutner wrote.California is nearing 3 million coronavirus cases and more than 33,600 people have died since the start of the pandemic last year, according to figures from Johns Hopkins University.The death rate from COVID-19 in Los Angeles County — the nation’s most populous and an epicenter of the state pandemic — works out to about one person every six minutes.On Sunday, the South Coast Air Quality Management District suspended some pollution-control limits on the number of cremations for at least 10 days in order to deal with a backlog of bodies at hospitals and funeral homes.“The current rate of death is more than double that of pre-pandemic years,” the agency said.

Health official urges stop to 300K vaccines after some fall ill

&nbsp; Lincoln – The University of Nebraska men's basketball program will continue to pause team activities for a minimum of seven more days due to additional positive COVID-19 results among its Tier 1 personnel. Tier 1 personnel include student athletes, coaches and any staff member whose job requires close regular contact. As of testing results through Saturday, Nebraska is in the Red/Red threshold in the Big Ten Conference guidelines for both Team Positivity Rate and Population Positivity Rate. Under those conditions, the team will extend its pause on regular practice and competition for a minimum of seven days. Currently, a total of 12 individuals in the MBB program, including seven players and Head Coach&nbsp;Fred Hoiberg, are in isolation or quarantine due to positive test results per CDC, Big Ten and Lincoln Lancaster County Health Department guidelines. &nbsp;Based on testing results through the latest round of testing, at least 30 percent of Tier 1 personnel has been confirmed positive in the last seven days. Due to the extension of the pause, the Huskers' home game against Minnesota (Jan. 20) and contest at Iowa (Jan. 24) have been postponed. The institutions will work with the Big Ten Conference to identify rescheduling options. At this time, no determination has been made on how the pause may impact scheduled games beyond Jan. 24. We will also conduct all the necessary procedures included in the Big Ten Conference protocols. Consistent with all of our athletic programs, we report any positive test result to the University, and it is included in its daily reports to the Lancaster County Health Department.&nbsp;&nbsp;

By: NU Athletic Communications&nbsp; Lincoln – The University of Nebraska men's basketball program will continue to pause team activities for a minimum of seven more days due to additional positive COVID-19 results among its Tier 1 personnel. Tier 1 personnel include student athletes, coaches and any staff member whose job requires close regular contact. As of testing results through Saturday, Nebraska is in the Red/Red threshold in the Big Ten Conference guidelines for both Team Positivity Rate and Population Positivity Rate. Under those conditions, the team will extend its pause on regular practice and competition for a minimum of seven days. Currently, a total of 12 individuals in the MBB program, including seven players and Head Coach&nbsp;Fred Hoiberg, are in isolation or quarantine due to positive test results per CDC, Big Ten and Lincoln Lancaster County Health Department guidelines. &nbsp;Based on testing results through the latest round of testing, at least 30 percent of Tier 1 personnel has been confirmed positive in the last seven days. Due to the extension of the pause, the Huskers' home game against Minnesota (Jan. 20) and contest at Iowa (Jan. 24) have been postponed. The institutions will work with the Big Ten Conference to identify rescheduling options. At this time, no determination has been made on how the pause may impact scheduled games beyond Jan. 24. We will also conduct all the necessary procedures included in the Big Ten Conference protocols. Consistent with all of our athletic programs, we report any positive test result to the University, and it is included in its daily reports to the Lancaster County Health Department.&nbsp;&nbsp;

Husker men's basketball at a standstill with 12 positive COVID-19 tests

By JULIE APPLEBY <a href="https://www.kcur.org/news/2021-01-14/private-practice-doctors-patients-wonder-when-its-their-turn-for-the-covid-19-vaccine">Kaiser Health News</a>

Dr. Andrew Carroll — a family doctor in Chandler, Arizona — wants to 
help his patients get immunized against covid, so he paid more than 
$4,000 to buy an ultra-low-temperature freezer from eBay needed to store
 the Pfizer vaccine.

But he’s not sure he’ll get a chance to use 
it, given health officials have so far not said when private doctor’s 
offices will get vaccine.

Not
 only are doctors having trouble getting vaccine for patients, but many 
of the community-based physicians and medical staff that aren’t employed
 by hospitals or health systems also report mixed results in getting 
inoculated. Some have had their shots, yet others are still waiting, 
even though health workers providing direct care to patients are in the 
Centers for Disease Control and Prevention’s top-priority group.

Many
 of these doctors say they don’t know when — or if — they will get doses
 for their patients, which will soon become a bigger issue as states 
attempt to vaccinate more people.

“The reason that’s important is 
patients trust their doctors when it comes to the vaccine,” said 
Carroll, who has complained on social media that his county hasn’t yet 
released plans on how primary care doctors will be brought into the 
loop.

Collectively, physicians in the county could vaccinate 
thousands of patients a day, he said, and might draw some who would 
otherwise be hesitant if they had to go to a large hospital, a 
fairground or another central site.

His concern comes as, 
nationally, the rollout of the vaccine is off to a slower start than 
expected, lagging far behind the initial goal of giving 20 million doses
 before the new year.

But Dr. Jen Brull, a family practice doctor 
in Plainville, Kansas, said her rural area has made good progress on the
 first phase of vaccinations, crediting close working relationships 
formed well before the pandemic.

This fall, before any doses 
became available, the local hospital, the health department and 
physician offices coordinated a sign-up list for medical workers who 
wanted the vaccine. So, when their county, with a population of 5,000, 
got its first 70 doses, they were ready to go. Another 80 doses came a 
week later.

“We’ll be able to vaccinate almost all the health care-associated folks who wanted it in the county” Brull said recently

Dr.
 Jason Goldman, an internist in Coral Springs, Florida, said he was able
 to get vaccinated at a local hospital that received the bulk of 
vaccines in his county and oversaw distribution.

In the weeks since, however, he said several of his front-line staff members still “don’t have access to the vaccine.”

Additionally,
 “a tremendous number” of patients are calling his office because 
Florida has relaxed distribution guidelines to include anyone over age 
65, Goldman said, asking when they can get the vaccine. He’s applied to 
officials about distributing the vaccines through his practice but has 
heard nothing back.

Patients “are frustrated that they do not have
 clear answers and that I am not being given clear answers to provide 
them,” he said. “We have no choice but to direct them to the health 
department and some of the hospital systems.”

Another troubling 
point for Goldman, who served as a liaison between the American College 
of Physicians and the expert panel drawing up the CDC distribution 
guidelines, is the tremendous variation in how those recommendations are
 being implemented in the states.

The CDC <a href="https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations-process.html" target="_blank">recommends</a>
 several phases, with front-line health care workers and nursing home 
residents and staff in the initial group. Then, in the second part of 
that phase, come people over 75 and non-health care front-line workers, 
which could include first responders, teachers and other designated 
essential workers.

States have the flexibility to design their own
 rollout schedule and priority groups. Florida, for example, is offering
 doses to anyone 65 and up. In some counties, older folks were told 
vaccines were available on a first-come, first-served basis, a move that
 has resulted in long lines.

“To say right now, 65-plus, when you 
haven’t even appropriately vaccinated all the health care workers, is 
negating the phasing,” said Goldman. “There needs to be a national 
standard. We have those guidelines. We need to come up with some 
oversight.”

On Thursday, the American Hospital Association echoed 
that concern in a letter to Health and Human Services Secretary Alex 
Azar. Hospitals — along with health departments and large pharmacy 
chains — are doing the bulk of the vaccinations.

Calling for additional coordination by federal officials, the <a href="https://www.aha.org/system/files/media/file/2021/01/aha-hhs-leadership-actions-needed-expedite-administration-covid-19-vaccines-lettetr-1-7-20.pdf" target="_blank">letter</a>
 outlined what it would take to reach the goal of vaccinating 75% of 
Americans by the end of May: 1.8 million vaccinations every day. Noting 
there are 64 different rollout plans from states, cities and other 
jurisdictions, the letter asked whether HHS has “assessed whether these 
plans, taken as a whole, are capable of achieving this level of 
vaccination?”

Lack of direct national 
support or strategy means each county is essentially on its own, with 
success or failure affected by available resources and the experience of
 local officials. Most state and local health departments are 
underfunded and are under intense pressure because of the surging 
pandemic.

Still, the success of vaccination efforts depends on planning, preparation and clear communication.

In
 Lorain County, Ohio, population 310,000, local officials started 
practicing in October, said Mark Adams, deputy health commissioner. They
 set up mass vaccination clinics for influenza to study what would be 
needed for a covid vaccination effort. How many staff? What would the 
traffic flow be like? Could patients be kept 6 feet apart?

“That 
gave us an idea of what is good, what is bad and what needs to change,” 
said Adams, who has had previous experience coordinating mass 
vaccination efforts at a county level.

So, when the county got its
 first shipment of 500 doses Dec. 21, Adams had his plan ready. He 
called the fire chiefs to invite all emergency medical technicians and 
affiliated personnel to an ad hoc vaccination center set up at a large 
entertainment venue staffed by his health department. Upon arrival, 
people were greeted at the door and directed to spaced-apart “lanes” 
where they would get their shots, then to a monitoring area where they 
could wait for 15 minutes to make sure they didn’t have a reaction.

Right
 after Christmas, another 400 doses arrived — and the makeshift clinic 
opened again. This time, doses went to community-based physicians, 
dentists and other hands-on medical practitioners, 600 of whom had 
previously signed up. (Hospital workers and nursing home staff and 
residents are getting their vaccinations through their own 
institutions.)

As they move into the next phase — recipients 
include residents over 80, people with developmental disorders and 
school staff — the challenges will grow, he said. The county plans a 
multipronged approach to notify people when it’s their turn, including 
use of a website, the local media, churches, other organizations and 
word-of-mouth.

Adams shares the concerns of medical providers 
nationwide: He gets only two days’ notice of how many doses he’s going 
to receive and, at the current pace of 400 or 500 doses a week, it’s 
going to take a while before most residents in the county have a chance 
to get a shot, including the estimated 33,000 people 65 and older.

With
 10 nurses, his clinic can inject about 1,200 people a day. But many 
other health professionals have volunteered to administer the shots if 
he gets more doses.

“If I were to run three clinics, five days a 
week, I could do 15,000 vaccinations a week,” Adams said. “With all the 
volunteers, I could do almost six clinics, or 30,000 a week.”

Still,
 for those in the last public group, those age 18 and up without 
underlying medical conditions, “it could be summer,” Adams said.

<a href="http://www.kaiserhealthnews.org/" target="_blank">Kaiser Health News</a>&nbsp;is a national health policy news service. It is an editorially independent program of the <a href="http://www.kff.org/" target="_blank">Henry J. Kaiser Family Foundation</a> which is not affiliated with Kaiser Permanente.

By JULIE APPLEBY <a href="https://www.kcur.org/news/2021-01-14/private-practice-doctors-patients-wonder-when-its-their-turn-for-the-covid-19-vaccine">Kaiser Health News</a>Dr. Andrew Carroll — a family doctor in Chandler, Arizona — wants to 
help his patients get immunized against covid, so he paid more than 
$4,000 to buy an ultra-low-temperature freezer from eBay needed to store
 the Pfizer vaccine.But he’s not sure he’ll get a chance to use 
it, given health officials have so far not said when private doctor’s 
offices will get vaccine.“I’m really angry,” said Carroll.Not
 only are doctors having trouble getting vaccine for patients, but many 
of the community-based physicians and medical staff that aren’t employed
 by hospitals or health systems also report mixed results in getting 
inoculated. Some have had their shots, yet others are still waiting, 
even though health workers providing direct care to patients are in the 
Centers for Disease Control and Prevention’s top-priority group.Many
 of these doctors say they don’t know when — or if — they will get doses
 for their patients, which will soon become a bigger issue as states 
attempt to vaccinate more people.“The reason that’s important is 
patients trust their doctors when it comes to the vaccine,” said 
Carroll, who has complained on social media that his county hasn’t yet 
released plans on how primary care doctors will be brought into the 
loop.Collectively, physicians in the county could vaccinate 
thousands of patients a day, he said, and might draw some who would 
otherwise be hesitant if they had to go to a large hospital, a 
fairground or another central site.His concern comes as, 
nationally, the rollout of the vaccine is off to a slower start than 
expected, lagging far behind the initial goal of giving 20 million doses
 before the new year.But Dr. Jen Brull, a family practice doctor 
in Plainville, Kansas, said her rural area has made good progress on the
 first phase of vaccinations, crediting close working relationships 
formed well before the pandemic.This fall, before any doses 
became available, the local hospital, the health department and 
physician offices coordinated a sign-up list for medical workers who 
wanted the vaccine. So, when their county, with a population of 5,000, 
got its first 70 doses, they were ready to go. Another 80 doses came a 
week later.“We’ll be able to vaccinate almost all the health care-associated folks who wanted it in the county” Brull said recently<h2>Gaps in the Rollout</h2>But that’s not the case everywhere.Dr.
 Jason Goldman, an internist in Coral Springs, Florida, said he was able
 to get vaccinated at a local hospital that received the bulk of 
vaccines in his county and oversaw distribution.In the weeks since, however, he said several of his front-line staff members still “don’t have access to the vaccine.”Additionally,
 “a tremendous number” of patients are calling his office because 
Florida has relaxed distribution guidelines to include anyone over age 
65, Goldman said, asking when they can get the vaccine. He’s applied to 
officials about distributing the vaccines through his practice but has 
heard nothing back.Patients “are frustrated that they do not have
 clear answers and that I am not being given clear answers to provide 
them,” he said. “We have no choice but to direct them to the health 
department and some of the hospital systems.”Another troubling 
point for Goldman, who served as a liaison between the American College 
of Physicians and the expert panel drawing up the CDC distribution 
guidelines, is the tremendous variation in how those recommendations are
 being implemented in the states.The CDC <a href="https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations-process.html" target="_blank">recommends</a>
 several phases, with front-line health care workers and nursing home 
residents and staff in the initial group. Then, in the second part of 
that phase, come people over 75 and non-health care front-line workers, 
which could include first responders, teachers and other designated 
essential workers.States have the flexibility to design their own
 rollout schedule and priority groups. Florida, for example, is offering
 doses to anyone 65 and up. In some counties, older folks were told 
vaccines were available on a first-come, first-served basis, a move that
 has resulted in long lines.“To say right now, 65-plus, when you 
haven’t even appropriately vaccinated all the health care workers, is 
negating the phasing,” said Goldman. “There needs to be a national 
standard. We have those guidelines. We need to come up with some 
oversight.”On Thursday, the American Hospital Association echoed 
that concern in a letter to Health and Human Services Secretary Alex 
Azar. Hospitals — along with health departments and large pharmacy 
chains — are doing the bulk of the vaccinations.Calling for additional coordination by federal officials, the <a href="https://www.aha.org/system/files/media/file/2021/01/aha-hhs-leadership-actions-needed-expedite-administration-covid-19-vaccines-lettetr-1-7-20.pdf" target="_blank">letter</a>
 outlined what it would take to reach the goal of vaccinating 75% of 
Americans by the end of May: 1.8 million vaccinations every day. Noting 
there are 64 different rollout plans from states, cities and other 
jurisdictions, the letter asked whether HHS has “assessed whether these 
plans, taken as a whole, are capable of achieving this level of 
vaccination?”<h2>Making It Work</h2>Lack of direct national 
support or strategy means each county is essentially on its own, with 
success or failure affected by available resources and the experience of
 local officials. Most state and local health departments are 
underfunded and are under intense pressure because of the surging 
pandemic.Still, the success of vaccination efforts depends on planning, preparation and clear communication.In
 Lorain County, Ohio, population 310,000, local officials started 
practicing in October, said Mark Adams, deputy health commissioner. They
 set up mass vaccination clinics for influenza to study what would be 
needed for a covid vaccination effort. How many staff? What would the 
traffic flow be like? Could patients be kept 6 feet apart?“That 
gave us an idea of what is good, what is bad and what needs to change,” 
said Adams, who has had previous experience coordinating mass 
vaccination efforts at a county level.So, when the county got its
 first shipment of 500 doses Dec. 21, Adams had his plan ready. He 
called the fire chiefs to invite all emergency medical technicians and 
affiliated personnel to an ad hoc vaccination center set up at a large 
entertainment venue staffed by his health department. Upon arrival, 
people were greeted at the door and directed to spaced-apart “lanes” 
where they would get their shots, then to a monitoring area where they 
could wait for 15 minutes to make sure they didn’t have a reaction.Right
 after Christmas, another 400 doses arrived — and the makeshift clinic 
opened again. This time, doses went to community-based physicians, 
dentists and other hands-on medical practitioners, 600 of whom had 
previously signed up. (Hospital workers and nursing home staff and 
residents are getting their vaccinations through their own 
institutions.)As they move into the next phase — recipients 
include residents over 80, people with developmental disorders and 
school staff — the challenges will grow, he said. The county plans a 
multipronged approach to notify people when it’s their turn, including 
use of a website, the local media, churches, other organizations and 
word-of-mouth.Adams shares the concerns of medical providers 
nationwide: He gets only two days’ notice of how many doses he’s going 
to receive and, at the current pace of 400 or 500 doses a week, it’s 
going to take a while before most residents in the county have a chance 
to get a shot, including the estimated 33,000 people 65 and older.With
 10 nurses, his clinic can inject about 1,200 people a day. But many 
other health professionals have volunteered to administer the shots if 
he gets more doses.“If I were to run three clinics, five days a 
week, I could do 15,000 vaccinations a week,” Adams said. “With all the 
volunteers, I could do almost six clinics, or 30,000 a week.”Still,
 for those in the last public group, those age 18 and up without 
underlying medical conditions, “it could be summer,” Adams said.<a href="http://www.kaiserhealthnews.org/" target="_blank">Kaiser Health News</a>&nbsp;is a national health policy news service. It is an editorially independent program of the <a href="http://www.kff.org/" target="_blank">Henry J. Kaiser Family Foundation</a> which is not affiliated with Kaiser Permanente.

Private practice docs, patients wonder when it’s their turn for vaccine 

LINCOLN, Neb.-Governor Pete Ricketts issued the following statement in observance of Martin Luther King, Jr. Day which is celebrated on January 18, 2021.

“Dr. Martin Luther King, Jr. displayed heroic courage in leading a movement to confront racial injustice in the United States.&nbsp; He practiced and preached that ‘we must meet hate with love.’ &nbsp;Despite brutal opposition, Dr. King remained steadfast in his commitment to peaceful protest.&nbsp; His ethic of nonviolent resistance is a model for Americans as we exercise our First Amendment rights.”

“Dr. King’s tragic death was not in vain, and his legacy continues to grow.&nbsp; It’s fitting that he is remembered with an annual national holiday.&nbsp; As we observe this day, let’s reflect on how we can better serve our neighbors and be agents of peace in our world.”

The Governor has signed a proclamation declaring Monday, January 18, 2021 as “Martin Luther King, Jr. Day” in Nebraska.&nbsp; The proclamation is available by&nbsp;<a href="https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.dropbox.com%2Fs%2Fauqrs19rb17j9k4%2F2021%2520Martin%2520Luther%2520King%2520Jr.%2520Day.pdf%3Fdl%3D0&amp;data=04%7C01%7Ccio.webmstr%40nebraska.gov%7Ca3de28cef8b24c46db6e08d8b9a1ed55%7C043207dfe6894bf6902001038f11f0b1%7C0%7C0%7C637463452409067667%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&amp;sdata=bGQjXVbrT6SkSGAX85fo61OOk6xiHuw1XrgL%2BuPr0uM%3D&amp;reserved=0" target="_blank">clicking here</a>.

News ReleaseLINCOLN, Neb.-Governor Pete Ricketts issued the following statement in observance of Martin Luther King, Jr. Day which is celebrated on January 18, 2021.“Dr. Martin Luther King, Jr. displayed heroic courage in leading a movement to confront racial injustice in the United States.&nbsp; He practiced and preached that ‘we must meet hate with love.’ &nbsp;Despite brutal opposition, Dr. King remained steadfast in his commitment to peaceful protest.&nbsp; His ethic of nonviolent resistance is a model for Americans as we exercise our First Amendment rights.”“Dr. King’s tragic death was not in vain, and his legacy continues to grow.&nbsp; It’s fitting that he is remembered with an annual national holiday.&nbsp; As we observe this day, let’s reflect on how we can better serve our neighbors and be agents of peace in our world.”The Governor has signed a proclamation declaring Monday, January 18, 2021 as “Martin Luther King, Jr. Day” in Nebraska.&nbsp; The proclamation is available by&nbsp;<a href="https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.dropbox.com%2Fs%2Fauqrs19rb17j9k4%2F2021%2520Martin%2520Luther%2520King%2520Jr.%2520Day.pdf%3Fdl%3D0&amp;data=04%7C01%7Ccio.webmstr%40nebraska.gov%7Ca3de28cef8b24c46db6e08d8b9a1ed55%7C043207dfe6894bf6902001038f11f0b1%7C0%7C0%7C637463452409067667%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&amp;sdata=bGQjXVbrT6SkSGAX85fo61OOk6xiHuw1XrgL%2BuPr0uM%3D&amp;reserved=0" target="_blank">clicking here</a>.

Gov. Ricketts' Martin Luther King, Jr. Day statement

OMAHA, Neb. (AP) — A Nebraska prison for women is now under quarantine because of a recent increase in coronavirus cases among inmates and staff members.

 The Omaha World-Herald reports that corrections officials have suspended the inmate visitation program at the Nebraska Correctional Center for Women. 

The Nebraska Department of Correctional Services had reopened visitation at its facilities last week. Corrections Director Scott Frakes says testing was offered to all inmates at the facility, and about 45% have been tested so far. 

He says those who tested positive are being medically isolated from others. 

Frakes says the department hopes to continue its visitation program at other facilities, but will suspend those programs as well if the number of known cases increases again.

OMAHA, Neb. (AP) — A Nebraska prison for women is now under quarantine because of a recent increase in coronavirus cases among inmates and staff members. The Omaha World-Herald reports that corrections officials have suspended the inmate visitation program at the Nebraska Correctional Center for Women. The Nebraska Department of Correctional Services had reopened visitation at its facilities last week. Corrections Director Scott Frakes says testing was offered to all inmates at the facility, and about 45% have been tested so far. He says those who tested positive are being medically isolated from others. Frakes says the department hopes to continue its visitation program at other facilities, but will suspend those programs as well if the number of known cases increases again.

Nebraska women's prison placed under coronavirus quarantine

Anyone 65 and older or persons with medical conditions and interested in getting a COVID vaccine, please complete the form at <a href="https://tinyurl.com/ycpxzr5d">https://tinyurl.com/ycpxzr5d</a>. The online link completion is preferred, people can call 308-262-5764 or 308-633-2866 ext. 101.

Over 3,000 people have signed up so far! Be sure to help your elderly family, friends, and neighbors get signed up. This will put them on the list that is being coordinated with local hospital and vaccine providers, they will be called when vaccines are available. It may be several weeks.

If you have previously called or completed the survey, please be assured, you are on the list.

We are vaccinating health care providers and those 75 and older first. To date, 3,855 people in the eligible populations have received the COVID vaccine in the Panhandle. This number will continue to increase with each weekly vaccine allocation to the eligible populations at the corresponding times.

100 doses are anticipated to arrive next week. Doses are allocated based on percentages of population and amount received.

“The limited supply of vaccine requires patience on all of our part,” said Kim Engel, Panhandle Public Health District Director.

One additional COVID-related death in the Panhandle is being reported. A Sheridan County male in his 60s brings the total deaths to 156.

“We share peace and comfort with the friends and loved ones in the loss of this gentleman,” said Engel.

Unified Command confirms 91 more cases of COVID in the Panhandle since last reporting on Monday, January 11.&nbsp;The investigations are underway, all close contacts will be quarantined.

Current COVID testing access can be found at&nbsp;<a href="http://www.pphd.org/" target="_blank">www.pphd.org</a>.

By PPHDAnyone 65 and older or persons with medical conditions and interested in getting a COVID vaccine, please complete the form at <a href="https://tinyurl.com/ycpxzr5d">https://tinyurl.com/ycpxzr5d</a>. The online link completion is preferred, people can call 308-262-5764 or 308-633-2866 ext. 101.Over 3,000 people have signed up so far! Be sure to help your elderly family, friends, and neighbors get signed up. This will put them on the list that is being coordinated with local hospital and vaccine providers, they will be called when vaccines are available. It may be several weeks.If you have previously called or completed the survey, please be assured, you are on the list.We are vaccinating health care providers and those 75 and older first. To date, 3,855 people in the eligible populations have received the COVID vaccine in the Panhandle. This number will continue to increase with each weekly vaccine allocation to the eligible populations at the corresponding times.100 doses are anticipated to arrive next week. Doses are allocated based on percentages of population and amount received.“The limited supply of vaccine requires patience on all of our part,” said Kim Engel, Panhandle Public Health District Director.One additional COVID-related death in the Panhandle is being reported. A Sheridan County male in his 60s brings the total deaths to 156.“We share peace and comfort with the friends and loved ones in the loss of this gentleman,” said Engel.Unified Command confirms 91 more cases of COVID in the Panhandle since last reporting on Monday, January 11.&nbsp;The investigations are underway, all close contacts will be quarantined.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/1/1610674165977.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>March 2, 2020-January 14, 2021<ul>
 <li>Total Tests Conducted: 31,472</li><li>Positive: 8,057</li><li>Last 14 days (active) cases: 356</li><li>Last week’s cases: 231</li><li>Last week’s positivity rate: 27.5%</li><li>Deaths: 156</li><li>Active Hospitalizations: 13</li><li>Total Cumulative Hospitalizations: 502</li><li>Doubling time (November 10, 2020-January 13, 2021): 64 days</li>
 </ul>Avoid the Three Cs:<ul>
 <li>Avoid Crowded Places – Avoid gathering in groups where you cannot maintain 6-feet of distance from others</li><li>Avoid Close Contact – Wear a mask over your nose and mouth or maintain 6-feet distance when you are spending more than 15 total minutes with people you don’t live with</li><li>Avoid Confined Spaces – Avoid enclosed spaces with poor ventilation</li>
 </ul>Current COVID testing access can be found at&nbsp;<a href="http://www.pphd.org/" target="_blank">www.pphd.org</a>.

PPHD: 65+ or persons with medical conditions can now register for the vaccine wait list

OMAHA, Neb. (AP) — Nebraska plans to expand the next phase of its coronavirus vaccine campaign to include everyone 65 and older. 

Previously, the state had planned to vaccinate people 75 and older during the next phase, but the federal guidance on who should be vaccinated next changed this week. 

That phase also includes essential workers who cannot work from home. In most parts of Nebraska the next phase of vaccinations is expected to begin in early February.

 Infectious disease expert Dr. Mark Rupp cautioned that expanding the group that is eligible for the vaccine means it will take longer to get through that next phase.

OMAHA, Neb. (AP) — Nebraska plans to expand the next phase of its coronavirus vaccine campaign to include everyone 65 and older. Previously, the state had planned to vaccinate people 75 and older during the next phase, but the federal guidance on who should be vaccinated next changed this week. That phase also includes essential workers who cannot work from home. In most parts of Nebraska the next phase of vaccinations is expected to begin in early February. Infectious disease expert Dr. Mark Rupp cautioned that expanding the group that is eligible for the vaccine means it will take longer to get through that next phase.

Nebraska expands eligibility for coronavirus vaccine

Four upcoming Chadron State College basketball games will be postponed around Covid-19 concerns, and one game will tip off at a new time. The CSC women will be forced to postpone the three games scheduled for Friday with Western Colorado, Saturday with Fort Lewis and Tuesday with Black Hills State. The men's team will not face Fort Lewis as scheduled on Saturday, but is still on for its Friday evening tilt against Western Colorado and its Tuesday contest with BHSU. In addition, the men's game on Friday will be moved up to 6 p.m. to accomodate the visiting team. No dates have been set for the makeup of any of the postponements, at this time.&nbsp;&nbsp;

By: CSC AthleticsFour upcoming Chadron State College basketball games will be postponed around Covid-19 concerns, and one game will tip off at a new time. The CSC women will be forced to postpone the three games scheduled for Friday with Western Colorado, Saturday with Fort Lewis and Tuesday with Black Hills State. The men's team will not face Fort Lewis as scheduled on Saturday, but is still on for its Friday evening tilt against Western Colorado and its Tuesday contest with BHSU. In addition, the men's game on Friday will be moved up to 6 p.m. to accomodate the visiting team. No dates have been set for the makeup of any of the postponements, at this time.&nbsp;&nbsp;

🏀 Friday night men's battle against Western Colorado last game left of weekend

LINCOLN, Neb. (AP) — More than 40% of Nebraska’s 90,000 health care workers have received the first of two doses of the coronavirus vaccine as the state continues to ramp up distribution. 

State health officials said 78,074 of the 144,363 doses Nebraska has received so far have been administered so far — primarily to health care workers. 

Residents and workers at long-term care facilities have also begun getting vaccines. 

Nebraska said 1,197 doses of the vaccine were administered on Sunday, which is typically a slower day. 

The state administered an average of 5,811 doses each day last week. 

The state reported 644 new cases of the virus and 12 deaths Monday.

LINCOLN, Neb. (AP) — More than 40% of Nebraska’s 90,000 health care workers have received the first of two doses of the coronavirus vaccine as the state continues to ramp up distribution. State health officials said 78,074 of the 144,363 doses Nebraska has received so far have been administered so far — primarily to health care workers. Residents and workers at long-term care facilities have also begun getting vaccines. Nebraska said 1,197 doses of the vaccine were administered on Sunday, which is typically a slower day. The state administered an average of 5,811 doses each day last week. The state reported 644 new cases of the virus and 12 deaths Monday.

Over 40% of Nebraska's health care workers receive vaccine

LINCOLN, Neb. (AP) — Nebraska appears to have avoided a post-Christmas spike in coronavirus cases that many had feared, although it’s not entirely clear why. 

Gov. Pete Ricketts says it may be because people followed virus safety guidelines warning against attending holiday gatherings. 

The Republican governor says the decision not to impose a statewide lockdown may also have played a role because it helped avoid pandemic fatigue that leads some people to ignore the recommendations. 

Other states, such as California, reported large increases in cases in December.

LINCOLN, Neb. (AP) — Nebraska appears to have avoided a post-Christmas spike in coronavirus cases that many had feared, although it’s not entirely clear why. Gov. Pete Ricketts says it may be because people followed virus safety guidelines warning against attending holiday gatherings. The Republican governor says the decision not to impose a statewide lockdown may also have played a role because it helped avoid pandemic fatigue that leads some people to ignore the recommendations. Other states, such as California, reported large increases in cases in December.

Nebraska largely avoids post-Christmas spike in virus cases

Bev Hanks of Hemingford received her COVID vaccine last week and was anxious to get it because of her age and health issues like asthma and heart problems. As a former educator, she did her homework and made an informed decision. She found out it would be the Moderna vaccine offered locally and it was long-lasting so she called to get on the list as a currently eligible population (75+).

“I feel blessed to be able to get it,” Hanks shared. “My arm hurt for a couple of days, but otherwise I have been fine and am looking forward to my follow-up dose in a few weeks.”

“When we have the opportunity to protect us from a virus that can be so deadly, we should take advantage and be proactive,” said Hanks.

Anyone that lined the halls of Hemingford High School in the late ‘70s through the ‘90s clearly remembers her as their history teacher with affectionate catchphrases like, “Tuesday @ 10” or “852 things.”

“As a former student of Hanks,” said Jessica Davies, Assistant Health Director with Panhandle Public Health District, “I’m proud to see her and other eligible populations so ready to be leaders in the area in getting their COVID vaccine. This is how we continue getting back to as close to normal life as possible.”

Vaccine reminder:&nbsp;Anyone 75 and older and interested in getting a COVID vaccine, please complete the form at&nbsp;<a href="https://tinyurl.com/ycpxzr5d" target="_blank">https://tinyurl.com/ycpxzr5d</a>&nbsp;or call 308-262-5764 or 308-633-2866 ext. 101 with your name, date of birth, county, and phone number.

Nearly 2,500 people 75+ have signed up so far! Be sure to help your elderly family, friends, and neighbors get signed up! This will put them on an aggregated list that is being coordinated with local hospital, healthcare, and vaccine providers, they will be called by a local provider when vaccines are available. It may be several weeks.

To date, 3,761 people in the eligible populations have received the COVID vaccine in the Panhandle. This number will continue to increase with each weekly vaccine allocation to the eligible populations at the corresponding times.

Nineteen additional COVID-related deaths in the Panhandle are being reported. This brings the total deaths in the Panhandle to 155. The deaths are being announced as follows:

“We extend our sincere condolences with the friends and loved ones in the loss of our fellow Panhandle residents and wish you peace and comfort,” said Kim Engel, Panhandle Public Health District Director.

Unified Command confirms 56 more cases of COVID in the Panhandle since last reporting on Thursday, January 7. The investigations are underway, all close contacts will be quarantined.

By PPHDBev Hanks of Hemingford received her COVID vaccine last week and was anxious to get it because of her age and health issues like asthma and heart problems. As a former educator, she did her homework and made an informed decision. She found out it would be the Moderna vaccine offered locally and it was long-lasting so she called to get on the list as a currently eligible population (75+).“I feel blessed to be able to get it,” Hanks shared. “My arm hurt for a couple of days, but otherwise I have been fine and am looking forward to my follow-up dose in a few weeks.”“When we have the opportunity to protect us from a virus that can be so deadly, we should take advantage and be proactive,” said Hanks.Anyone that lined the halls of Hemingford High School in the late ‘70s through the ‘90s clearly remembers her as their history teacher with affectionate catchphrases like, “Tuesday @ 10” or “852 things.”“As a former student of Hanks,” said Jessica Davies, Assistant Health Director with Panhandle Public Health District, “I’m proud to see her and other eligible populations so ready to be leaders in the area in getting their COVID vaccine. This is how we continue getting back to as close to normal life as possible.”Vaccine reminder:&nbsp;Anyone 75 and older and interested in getting a COVID vaccine, please complete the form at&nbsp;<a href="https://tinyurl.com/ycpxzr5d" target="_blank">https://tinyurl.com/ycpxzr5d</a>&nbsp;or call 308-262-5764 or 308-633-2866 ext. 101 with your name, date of birth, county, and phone number.Nearly 2,500 people 75+ have signed up so far! Be sure to help your elderly family, friends, and neighbors get signed up! This will put them on an aggregated list that is being coordinated with local hospital, healthcare, and vaccine providers, they will be called by a local provider when vaccines are available. It may be several weeks.To date, 3,761 people in the eligible populations have received the COVID vaccine in the Panhandle. This number will continue to increase with each weekly vaccine allocation to the eligible populations at the corresponding times.Nineteen additional COVID-related deaths in the Panhandle are being reported. This brings the total deaths in the Panhandle to 155. The deaths are being announced as follows:<ul>
 <li>Box Butte County female in her 90s</li><li>Cheyenne County: two males both in their 90s</li><li>Grant County male in his 70s</li><li>Morrill County: one female and one male both in their 60s</li><li>Scotts Bluff County</li><li>Three females: One in her 50s, one in her 60s, one in her 90s</li><li>Nine males: One in his 50s, two in their 60s, four in their 70s, two in their 80s</li><li>Sheridan County female in her 80s</li>
 </ul>“We extend our sincere condolences with the friends and loved ones in the loss of our fellow Panhandle residents and wish you peace and comfort,” said Kim Engel, Panhandle Public Health District Director.Unified Command confirms 56 more cases of COVID in the Panhandle since last reporting on Thursday, January 7. The investigations are underway, all close contacts will be quarantined.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/1/1610411300927.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>March 2, 2020-January 11, 2021<ul>
 <li>Total Tests Conducted: 31,153</li><li>Positive: 7,966</li><li>Last 14 days (active) cases: 405</li><li>Last week’s cases: 229</li><li>Last week’s positivity rate: 27.5%</li><li>Deaths: 155</li><li>Active Hospitalizations: 17</li><li>Total Cumulative Hospitalizations: 498</li><li>Doubling time (November 10, 2020-January 10, 2021): 61 days</li>
 </ul>Avoid the Three Cs:<ul>
 <li>Avoid Crowded Places – Avoid gathering in groups where you cannot maintain 6-feet of distance from others</li><li>Avoid Close Contact – Wear a mask over your nose and mouth or maintain 6-feet distance when you are spending more than 15 total minutes with people you don’t live with</li><li>Avoid Confined Spaces – Avoid enclosed spaces with poor ventilation</li>
 </ul>Current COVID testing access can be found at&nbsp;<a href="http://www.pphd.org/" target="_blank">www.pphd.org</a>.

PPHD: Former Hemingford educator feels blessed to receive vaccine locally

LINCOLN, Neb. (AP) — A Nebraska lawmaker is proposing new coronavirus protections for meatpacking workers in a new bill. 

The proposal by Sen. Tony Vargas, of Omaha, would require meatpacking companies to provide masks and adequate space for social distancing to keep the virus from spreading. 

Companies would also have to paid sick leave for workers who test positive for the virus, separate from any other paid sick leave. 

Vargas introduced a similar measure last summer, but the bill failed to advance. 

His south Omaha district has a large number of meatpacking workers, and his father died from complications of the coronavirus last year.

LINCOLN, Neb. (AP) — A Nebraska lawmaker is proposing new coronavirus protections for meatpacking workers in a new bill. The proposal by Sen. Tony Vargas, of Omaha, would require meatpacking companies to provide masks and adequate space for social distancing to keep the virus from spreading. Companies would also have to paid sick leave for workers who test positive for the virus, separate from any other paid sick leave. Vargas introduced a similar measure last summer, but the bill failed to advance. His south Omaha district has a large number of meatpacking workers, and his father died from complications of the coronavirus last year.

Nebraska senator proposes protections for meat plant workers

LINCOLN, Neb. (AP) — The number of people hospitalized with the coronavirus in Nebraska has continued to shrink this month. 

The state said there were 475 people being treated for COVID-19 Sunday in Nebraska hospitals. 

That is down from 517 at the start of January. 

The number of hospitalizations is less than half of the November peak, but it remains more than double where it was at the start of October. 

Nebraska reported 406 new virus cases Sunday to give the state 176,026 total cases. 

That is significantly less that the average of 1,051.14 new cases per day the state has been reporting over the past week.

LINCOLN, Neb. (AP) — The number of people hospitalized with the coronavirus in Nebraska has continued to shrink this month. The state said there were 475 people being treated for COVID-19 Sunday in Nebraska hospitals. That is down from 517 at the start of January. The number of hospitalizations is less than half of the November peak, but it remains more than double where it was at the start of October. Nebraska reported 406 new virus cases Sunday to give the state 176,026 total cases. That is significantly less that the average of 1,051.14 new cases per day the state has been reporting over the past week.

Nebraska reports fewer virus hospitalizations and new cases

SIOUX FALLS, S.D. (AP) — South Dakota health officials are reporting 15 deaths due to the coronavirus in the last day, lifting the totals to 29 over the weekend, 97 in January and 1,585 since the start of the pandemic.

 Data complied Saturday by The COVID Tracking Project ranks the state fifth highest per capita in the country at 178 deaths per 100,000 people. 

State health officials listed 417 new cases in its new report, increasing the total number to 103,318. 

There were 62 children under 19 and 77 people in their 20s included in the new group of positive tests.

SIOUX FALLS, S.D. (AP) — South Dakota health officials are reporting 15 deaths due to the coronavirus in the last day, lifting the totals to 29 over the weekend, 97 in January and 1,585 since the start of the pandemic. Data complied Saturday by The COVID Tracking Project ranks the state fifth highest per capita in the country at 178 deaths per 100,000 people. State health officials listed 417 new cases in its new report, increasing the total number to 103,318. There were 62 children under 19 and 77 people in their 20s included in the new group of positive tests.

South Dakota confirms 15 new deaths due to the coronavirus

LINCOLN, Neb. -- Health advocates are working with the new Legislature and state agencies to strengthen and streamline Nebraska's Medicaid program. A recent&nbsp;<a href="https://neappleseed.org/wp-content/uploads/2020/11/Core-Issues_STREAMLINING-THE-MEDICAID-PROGRAM-Nov-2020.pdf" target="_blank">Nebraska Appleseed report</a>&nbsp;includes recommendations for getting more eligible Nebraskans to sign up for and keep health coverage during the global pandemic. Sarah Maresh, health-care access staff attorney with the group, said there are also administrative tweaks agencies can make to ensure the program, which she calls vital for the state's physical and economic wellbeing, is running as efficiently as possible. "It provides health coverage to thousands of Nebraskans who would not otherwise have health coverage," Maresh explained. "It not only supports the health and wellbeing of Nebraskans but it also supports our workforce and health systems and economy." More than one in ten Nebraskans get health coverage through Medicaid, and 65% of participants are children. Nebraska voters approved expanding Medicaid under the Affordable Care Act in 2018, but the program didn't officially launch until almost two years later. As of Dec. 1, some 22,000 Nebraskans were enrolled in Medicaid expansion. Maresh noted nearly 68,000 more Nebraskans are estimated to be eligible for coverage. When people don't have health coverage, Maresh observed they're less likely to get primary care, and patients with untreated conditions are more likely to turn to costly emergency-room visits. She contended Medicaid also is critical for keeping hospital doors open, especially in the state's rural areas, by compensating providers when patients can't pay for care. "When someone goes into the doctor, if they don't have health insurance, if they don't have Medicaid coverage, and they're not able to pay those bills, the provider ends up oftentimes eating those costs," Maresh warned. Maresh added one big barrier to getting more Nebraskans health coverage could be eliminated by reducing paperwork. If state and federal agencies shared eligibility data, it would be easier to get people seeking food, housing or utility assistance enrolled in Medicaid. If someone you know lacks health coverage, assistance with enrollment is available at&nbsp;<a href="https://enroll-ne.org/" target="_blank">enroll-ne.org</a>.

<figure>
 <img src="https://media.eaglewebservices.com/public/2021/1/1610371333564.png" alt="Medicaid has provided health-care coverage to hundreds of thousands of low-income Nebraskans, helping children in Nebraska succeed in school. (Pixabay)" />
 <figcaption>Medicaid has provided health-care coverage to hundreds of thousands of low-income Nebraskans, helping children in Nebraska succeed in school. (Pixabay)</figcaption>
 </figure>From Nebraska News ConnectionBy Eric GalatasLINCOLN, Neb. -- Health advocates are working with the new Legislature and state agencies to strengthen and streamline Nebraska's Medicaid program. A recent&nbsp;<a href="https://neappleseed.org/wp-content/uploads/2020/11/Core-Issues_STREAMLINING-THE-MEDICAID-PROGRAM-Nov-2020.pdf" target="_blank">Nebraska Appleseed report</a>&nbsp;includes recommendations for getting more eligible Nebraskans to sign up for and keep health coverage during the global pandemic. Sarah Maresh, health-care access staff attorney with the group, said there are also administrative tweaks agencies can make to ensure the program, which she calls vital for the state's physical and economic wellbeing, is running as efficiently as possible. "It provides health coverage to thousands of Nebraskans who would not otherwise have health coverage," Maresh explained. "It not only supports the health and wellbeing of Nebraskans but it also supports our workforce and health systems and economy." More than one in ten Nebraskans get health coverage through Medicaid, and 65% of participants are children. Nebraska voters approved expanding Medicaid under the Affordable Care Act in 2018, but the program didn't officially launch until almost two years later. As of Dec. 1, some 22,000 Nebraskans were enrolled in Medicaid expansion. Maresh noted nearly 68,000 more Nebraskans are estimated to be eligible for coverage. When people don't have health coverage, Maresh observed they're less likely to get primary care, and patients with untreated conditions are more likely to turn to costly emergency-room visits. She contended Medicaid also is critical for keeping hospital doors open, especially in the state's rural areas, by compensating providers when patients can't pay for care. "When someone goes into the doctor, if they don't have health insurance, if they don't have Medicaid coverage, and they're not able to pay those bills, the provider ends up oftentimes eating those costs," Maresh warned. Maresh added one big barrier to getting more Nebraskans health coverage could be eliminated by reducing paperwork. If state and federal agencies shared eligibility data, it would be easier to get people seeking food, housing or utility assistance enrolled in Medicaid. If someone you know lacks health coverage, assistance with enrollment is available at&nbsp;<a href="https://enroll-ne.org/" target="_blank">enroll-ne.org</a>.

Officials Urged: Get more Nebraskans health coverage during pandemic

LINCOLN, Neb. (AP) — Nebraska Gov. Pete Ricketts says he’s reasonably satisfied with the state’s distribution of coronavirus vaccines despite a slowdown last month. But he's urging residents to remain patient and expect some logistical delays. 

Ricketts says the state has received an additional 40,000 doses in the last couple of days. 

It will take a few more days to get them distributed. 

The state has distributed 133,896 doses so far. 

Nebraska saw two brief slowdowns in distribution around Christmas and after New Year’s Day. But the numbers increased sharply on Tuesday. 

Health officials administered 13,644 vaccines that day. That was up from 2,967 the previous day.

LINCOLN, Neb. (AP) — Nebraska Gov. Pete Ricketts says he’s reasonably satisfied with the state’s distribution of coronavirus vaccines despite a slowdown last month. But he's urging residents to remain patient and expect some logistical delays. Ricketts says the state has received an additional 40,000 doses in the last couple of days. It will take a few more days to get them distributed. The state has distributed 133,896 doses so far. Nebraska saw two brief slowdowns in distribution around Christmas and after New Year’s Day. But the numbers increased sharply on Tuesday. Health officials administered 13,644 vaccines that day. That was up from 2,967 the previous day.

Ricketts satisfied with vaccine rollout, urges patience

You’ve likely heard of CPR but what about QPR? QPR, like CPR, can be a lifesaver. Question, persuade, refer (QPR) are three steps anyone can learn to help prevent suicide. Sometimes life can feel heavy and you never know who you could impact by empowering all people, regardless of their background, to make a positive difference in the life of someone you know.

An upcoming QPR virtual training is being offered on&nbsp;January 12 @ Noon MT. You can become trained in QPR today, register here:&nbsp;<a href="https://forms.gle/tn3Y21roesPUj1UaA" target="_blank">https://forms.gle/tn3Y21roesPUj1UaA</a>.

The last year has been difficult.&nbsp;More people are feeling isolated than ever before, and so many things are changing in our lives that are out of our individual control. The signs of crisis are all around us.

Suicidal thoughts are common. Suicide threats and attempts are less common, but much more frequent than most people realize. Suicide is the most common psychiatric emergency and a leading cause of death in America and around the world. This means that the need for QPR knowledge also is common.

You probably know someone who has made a suicide attempt. You may even know someone who died by suicide, and it is very likely you know someone who has thought, or is thinking, about suicide. If you are a professional caregiver, veteran, police officer, fireman, minister, priest, rabbi, school nurse, coach, teacher, youth leader, paramedic, high school counselor, case manager, volunteer, or businessperson, you very likely have had firsthand contact with suicidal people.

Ask a question. Save a life. Inspire hope. Register for an upcoming QPR training today.

Vaccine reminder:&nbsp;Anyone 75 and older and interested in getting a COVID vaccine, please call 308-262-5764 or 308-633-2866 ext. 101 and leave a message with your name, date of birth, county, and phone number. The form can also be completed at&nbsp;<a href="https://tinyurl.com/ycpxzr5d" target="_blank">https://tinyurl.com/ycpxzr5d</a>.

Over 2,000 people 75+ have signed up so far! Be sure to help your elderly family, friends, and neighbors get signed up! This will put them on the list, and they will be called when vaccines are available. It may be several weeks.

To date, 3,310 people in the eligible populations have received the COVID vaccine in the Panhandle. This number will continue to increase with each weekly distribution to the eligible populations at the corresponding times.

Sixteen additional COVID-related deaths in the Panhandle are being reported. This brings the total deaths in the Panhandle to 136. The deaths are being announced as follows:

“We share our sincerest sympathies with the friends and loved ones in the loss of our fellow Panhandle residents and wish you peace and comfort,” said Kim Engel, Panhandle Public Health District Director.

Unified Command confirms 142 more cases of COVID in the Panhandle since last reporting on Monday, January 4.&nbsp;The investigations are underway, all close contacts will be quarantined.

By PPHDYou’ve likely heard of CPR but what about QPR? QPR, like CPR, can be a lifesaver. Question, persuade, refer (QPR) are three steps anyone can learn to help prevent suicide. Sometimes life can feel heavy and you never know who you could impact by empowering all people, regardless of their background, to make a positive difference in the life of someone you know.An upcoming QPR virtual training is being offered on&nbsp;January 12 @ Noon MT. You can become trained in QPR today, register here:&nbsp;<a href="https://forms.gle/tn3Y21roesPUj1UaA" target="_blank">https://forms.gle/tn3Y21roesPUj1UaA</a>.The last year has been difficult.&nbsp;More people are feeling isolated than ever before, and so many things are changing in our lives that are out of our individual control. The signs of crisis are all around us.Suicidal thoughts are common. Suicide threats and attempts are less common, but much more frequent than most people realize. Suicide is the most common psychiatric emergency and a leading cause of death in America and around the world. This means that the need for QPR knowledge also is common.You probably know someone who has made a suicide attempt. You may even know someone who died by suicide, and it is very likely you know someone who has thought, or is thinking, about suicide. If you are a professional caregiver, veteran, police officer, fireman, minister, priest, rabbi, school nurse, coach, teacher, youth leader, paramedic, high school counselor, case manager, volunteer, or businessperson, you very likely have had firsthand contact with suicidal people.Ask a question. Save a life. Inspire hope. Register for an upcoming QPR training today.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/1/1610068996085.png" alt="" />
 <figcaption></figcaption>
 </figure>Vaccine reminder:&nbsp;Anyone 75 and older and interested in getting a COVID vaccine, please call 308-262-5764 or 308-633-2866 ext. 101 and leave a message with your name, date of birth, county, and phone number. The form can also be completed at&nbsp;<a href="https://tinyurl.com/ycpxzr5d" target="_blank">https://tinyurl.com/ycpxzr5d</a>.Over 2,000 people 75+ have signed up so far! Be sure to help your elderly family, friends, and neighbors get signed up! This will put them on the list, and they will be called when vaccines are available. It may be several weeks.To date, 3,310 people in the eligible populations have received the COVID vaccine in the Panhandle. This number will continue to increase with each weekly distribution to the eligible populations at the corresponding times.Sixteen additional COVID-related deaths in the Panhandle are being reported. This brings the total deaths in the Panhandle to 136. The deaths are being announced as follows:Scotts Bluff County<ul>
 <li>Six females</li><li>One in her 70s, one in her 80s, four in their 90s</li><li>Ten males</li><li>One in his 70s, four in their 80s, five in their 90s</li>
 </ul>“We share our sincerest sympathies with the friends and loved ones in the loss of our fellow Panhandle residents and wish you peace and comfort,” said Kim Engel, Panhandle Public Health District Director.Unified Command confirms 142 more cases of COVID in the Panhandle since last reporting on Monday, January 4.&nbsp;The investigations are underway, all close contacts will be quarantined.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/1/1610068794631.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>March 2, 2020-January 7, 2021<ul>
 <li>Total Tests Conducted: 30,875</li><li>Positive: 7,882</li><li>Last 14 days (active) cases: 389</li><li>Last week’s cases: 211</li><li>Last week’s positivity rate: 27.5%</li><li>Deaths: 136</li><li>Active Hospitalizations: 17</li><li>Total Cumulative Hospitalizations: 476</li><li>Doubling time (November 9, 2020-January 6, 2021): 58 days</li>
 </ul>Avoid the Three Cs:<ul>
 <li>Avoid Crowded Places – Avoid gathering in groups where you cannot maintain 6-feet of distance from others</li><li>Avoid Close Contact – Wear a mask over your nose and mouth or maintain 6-feet distance when you are spending more than 15 total minutes with people you don’t live with</li><li>Avoid Confined Spaces – Avoid enclosed spaces with poor ventilation</li>
 </ul>

Coronavirus Update