OMAHA, Neb. (AP) — The number of new COVID-19 cases leveled off in Nebraska last week, but experts say cases will likely continue to rise in the weeks ahead. 

Nebraska reported 5,313 new virus cases in the week that ended Friday. 

That is down slightly from the 5,329 cases the state reported to the federal Centers for Disease Control and Prevention in the previous week but more than 20 times higher than the 253 cases per week Nebraska was reporting in late June. 

Dr. James Lawler, an infectious disease expert at the University of Nebraska Medical Center’s Global Center for Health Security, said he doesn’t think Nebraska or the nation is past the peak of this latest surge.

OMAHA, Neb. (AP) — The number of new COVID-19 cases leveled off in Nebraska last week, but experts say cases will likely continue to rise in the weeks ahead. Nebraska reported 5,313 new virus cases in the week that ended Friday. That is down slightly from the 5,329 cases the state reported to the federal Centers for Disease Control and Prevention in the previous week but more than 20 times higher than the 253 cases per week Nebraska was reporting in late June. Dr. James Lawler, an infectious disease expert at the University of Nebraska Medical Center’s Global Center for Health Security, said he doesn’t think Nebraska or the nation is past the peak of this latest surge.

Virus cases level off in Nebraska but experts still worry

CASPER, Wyo. (AP) — Wyoming Gov. Mark Gordon says he's asked the state’s attorney general to be prepared to challenge President Joe Biden’s new COVID-19 vaccine mandate, In a statement on Thursday, Gordon called it an “egregious example of big government overreach.” 

Gordon and his wife are both vaccinated but he has stressed that vaccination is an “intensely personal” decision. 

While he issued a statewide mask mandate during the winter surge, Gordon has vowed not to issue any vaccine mandates. 

Wyoming lawmakers have already been working on legislation aimed at prohibiting businesses from requiring vaccinations for their next session.

CASPER, Wyo. (AP) — Wyoming Gov. Mark Gordon says he's asked the state’s attorney general to be prepared to challenge President Joe Biden’s new COVID-19 vaccine mandate, In a statement on Thursday, Gordon called it an “egregious example of big government overreach.” Gordon and his wife are both vaccinated but he has stressed that vaccination is an “intensely personal” decision. While he issued a statewide mask mandate during the winter surge, Gordon has vowed not to issue any vaccine mandates. Wyoming lawmakers have already been working on legislation aimed at prohibiting businesses from requiring vaccinations for their next session.

Wyoming governor says state will fight vaccine mandate

OMAHA, Neb. (AP) — The number of virus cases in Nebraska continued their steady climb last week as the highly contagious delta variant of the coronavirus spreads.

 According to data from the federal Centers for Disease Control and Prevention, Nebraska reported 5,649 new virus cases last week for the 11th straight week of increases. 

The Omaha World-Herald reports that’s up from 4,916 cases the week before and 3,464 cases the previous week. 

The state was reporting 253 cases per week in late June when officials declared an end to the state virus emergency.

 State health officials also refused to reconsider their opposition to a mask mandate in Douglas County.

OMAHA, Neb. (AP) — The number of virus cases in Nebraska continued their steady climb last week as the highly contagious delta variant of the coronavirus spreads. According to data from the federal Centers for Disease Control and Prevention, Nebraska reported 5,649 new virus cases last week for the 11th straight week of increases. The Omaha World-Herald reports that’s up from 4,916 cases the week before and 3,464 cases the previous week. The state was reporting 253 cases per week in late June when officials declared an end to the state virus emergency. State health officials also refused to reconsider their opposition to a mask mandate in Douglas County.

Virus cases, hospitalizations keep going up in Nebraska

RAPID CITY, S.D. (AP) — The issue of wearing masks at school to protect against COVID-19 drew a standing-room-only, boisterous crowd to a Rapid City school board meeting.

 It was a scene that has similarly played out at many local school board meetings around the country. 

Parents and others on both sides of the issue demonstrated outside Rapid City High School before the meeting Tuesday night and then packed into the auditorium to weigh in on a mask mandate. 

The board voted 5-2 not to imposed a temporary two-week mask mandate.

 Several times throughout the meeting the crowd erupted into cheering, booing and heckling, prompting board members to ask for civility.

RAPID CITY, S.D. (AP) — The issue of wearing masks at school to protect against COVID-19 drew a standing-room-only, boisterous crowd to a Rapid City school board meeting. It was a scene that has similarly played out at many local school board meetings around the country. Parents and others on both sides of the issue demonstrated outside Rapid City High School before the meeting Tuesday night and then packed into the auditorium to weigh in on a mask mandate. The board voted 5-2 not to imposed a temporary two-week mask mandate. Several times throughout the meeting the crowd erupted into cheering, booing and heckling, prompting board members to ask for civility.

School mask mandate draws a crowd in Rapid City

ABERDEEN, S.D. (AP) — COVID-19 cases and hospitalizations are on the rise again in South Dakota, although hospital officials say they’re still holding their own on capacity. 

Although the western part of the state is seeing the biggest spike in numbers, cases in northeastern South Dakota are also on the rise. 

The South Dakota Department of Health on Friday reported 230 hospitalizations due to the coronavirus, the highest number since January. 

The Aberdeen American News reports that the vast majority of new patients are unvaccinated. 

Sanford Health Aberdeen Executive Director Ashley Erickson says the number of people testing positive for COVID-19 is increasing locally, but the hospital is ready.

ABERDEEN, S.D. (AP) — COVID-19 cases and hospitalizations are on the rise again in South Dakota, although hospital officials say they’re still holding their own on capacity. Although the western part of the state is seeing the biggest spike in numbers, cases in northeastern South Dakota are also on the rise. The South Dakota Department of Health on Friday reported 230 hospitalizations due to the coronavirus, the highest number since January. The Aberdeen American News reports that the vast majority of new patients are unvaccinated. Sanford Health Aberdeen Executive Director Ashley Erickson says the number of people testing positive for COVID-19 is increasing locally, but the hospital is ready.

South Dakota says it's managing COVID-19 patients, for now

SIOUX FALLS, S.D. (AP) — The South Dakota National Guard has been activated to help with the state’s response to COVID-19. 

The governor’s office confirmed Tuesday that soldiers are in the Black Hills conducting virus examinations but had no further details. 

Guard members were notified via email that units are being deployed to assist with testing for Monument Health in Rapid City and could be needed in Sturgis, Spearfish, Deadwood and Custer. 

The state Department of Health reported Tuesday that Pennington County, where Rapid City is located, had more than twice as many new COVID-19 cases than any other county in the state. 

The number of people on ventilators in Rapid City also more than doubled since Monday’s update.

SIOUX FALLS, S.D. (AP) — The South Dakota National Guard has been activated to help with the state’s response to COVID-19. The governor’s office confirmed Tuesday that soldiers are in the Black Hills conducting virus examinations but had no further details. Guard members were notified via email that units are being deployed to assist with testing for Monument Health in Rapid City and could be needed in Sturgis, Spearfish, Deadwood and Custer. The state Department of Health reported Tuesday that Pennington County, where Rapid City is located, had more than twice as many new COVID-19 cases than any other county in the state. The number of people on ventilators in Rapid City also more than doubled since Monday’s update.

South Dakota National Guard deployed for COVID-19 reponse

OMAHA, Neb. (AP) — The number of COVID-19 cases in Nebraska has increased in each of the past ten weeks, and the total nearly doubled over the past two weeks as the highly contagious delta variant of the virus continues to spread. 

Nebraska reported 5,006 new cases for the week ending Friday, according to an Omaha World-Herald analysis of data from the federal Centers for Disease Control and Prevention. 

That’s up from 3,755 the previous week and nearly double the 2,668 cases recorded the week before. 

The seven-day rolling average of daily new cases in Nebraska has risen over the past two weeks from 190 new cases per day on Aug. 15 to 715.14 new cases per day on Sunday.

OMAHA, Neb. (AP) — The number of COVID-19 cases in Nebraska has increased in each of the past ten weeks, and the total nearly doubled over the past two weeks as the highly contagious delta variant of the virus continues to spread. Nebraska reported 5,006 new cases for the week ending Friday, according to an Omaha World-Herald analysis of data from the federal Centers for Disease Control and Prevention. That’s up from 3,755 the previous week and nearly double the 2,668 cases recorded the week before. The seven-day rolling average of daily new cases in Nebraska has risen over the past two weeks from 190 new cases per day on Aug. 15 to 715.14 new cases per day on Sunday.

Nebraska virus cases nearly double over the past two weeks

By PPHD Statewide data shared on the Monday briefing continues to show how important COVID vaccinations are in terms of overall protection from severe illness, hospitalization, and death. The data was compiled by Matt Donahue, MD, Acting State Epidemiologist.

From January 1, 2021 to August 21, 2021, Nebraska data for not fully vaccinated individuals made up 94.5% of cases, 95.2% of hospitalizations, and 96% of deaths. This is confirming poor outcomes for COVID remain overwhelmingly among unvaccinated individuals.

Case rates continue diverging for vaccinated and not fully vaccinated individuals. A chart showing not fully vaccinated vs. vaccine breakthrough case rates for ages overall in Nebraska shows cases remain higher and are increasing at a faster rate among not fully vaccinated individuals.

The same is true for hospitalizations, a chart showing a comparison among not fully vaccinated vs. vaccine breakthrough hospitalization rates shows hospitalizations remain lower among vaccinated individuals when compared with not fully vaccinated individuals for ages overall in Nebraska.

A final chart shared on the briefing was on vaccine effectiveness for mild infection and hospitalizations. Data was compared from the pre-Delta variant, considered January 1- June 30, 2021, vs. when greater than 50% of cases match the Delta variant, considered July 1-August 21, 2021. Vaccine effectiveness is reduced since the arrival of Delta, but the vaccine is still working very well at protecting against severe outcomes. This has and remains the goal overall in the COVID response effort.

“We are hearing reports from area vaccine providers about increasing interest in COVID vaccines among Panhandle residents, especially with the Pfizer FDA full approval announcement. This has been encouraging but we can’t stress enough for people to not wait, it’s widely available and is showing to be one of the best protections,” said Kim Engel, Health Director at Panhandle Public Health District.

Vaccinations have protection against all known variants, including Delta. For any youth age 12 and older preparing to return to school, make sure getting your COVID vaccine is on the list. COVID vaccine is available across the Panhandle. There is no charge for the vaccine.

If you are homebound or have a condition that makes it hard for you to access a COVID vaccine, please call Kim Engel at 308-633-2866 ext 101.

People who are fully COVID vaccinated will not be required to quarantine due to close contact. If you have lost your COVID vaccine card, go to&nbsp;<a href="https://tinyurl.com/2zh7uhhu" target="_blank">https://tinyurl.com/2zh7uhhu</a>.

Unified Command confirms 215 more cases of COVID in the Panhandle since last reporting on Monday, August 23.

By PPHD Statewide data shared on the Monday briefing continues to show how important COVID vaccinations are in terms of overall protection from severe illness, hospitalization, and death. The data was compiled by Matt Donahue, MD, Acting State Epidemiologist.From January 1, 2021 to August 21, 2021, Nebraska data for not fully vaccinated individuals made up 94.5% of cases, 95.2% of hospitalizations, and 96% of deaths. This is confirming poor outcomes for COVID remain overwhelmingly among unvaccinated individuals.Case rates continue diverging for vaccinated and not fully vaccinated individuals. A chart showing not fully vaccinated vs. vaccine breakthrough case rates for ages overall in Nebraska shows cases remain higher and are increasing at a faster rate among not fully vaccinated individuals.The same is true for hospitalizations, a chart showing a comparison among not fully vaccinated vs. vaccine breakthrough hospitalization rates shows hospitalizations remain lower among vaccinated individuals when compared with not fully vaccinated individuals for ages overall in Nebraska.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1630422172422.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>A final chart shared on the briefing was on vaccine effectiveness for mild infection and hospitalizations. Data was compared from the pre-Delta variant, considered January 1- June 30, 2021, vs. when greater than 50% of cases match the Delta variant, considered July 1-August 21, 2021. Vaccine effectiveness is reduced since the arrival of Delta, but the vaccine is still working very well at protecting against severe outcomes. This has and remains the goal overall in the COVID response effort.“We are hearing reports from area vaccine providers about increasing interest in COVID vaccines among Panhandle residents, especially with the Pfizer FDA full approval announcement. This has been encouraging but we can’t stress enough for people to not wait, it’s widely available and is showing to be one of the best protections,” said Kim Engel, Health Director at Panhandle Public Health District.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1630422134887.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>Vaccinations have protection against all known variants, including Delta. For any youth age 12 and older preparing to return to school, make sure getting your COVID vaccine is on the list. COVID vaccine is available across the Panhandle. There is no charge for the vaccine.<ul>
 <li><a>Box Butte/Grant:&nbsp;</a><a href="https://tinyurl.com/25mwaapu" target="_blank">https://tinyurl.com/25mwaapu</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>Dave's Pharmacy Hemingford &amp; Alliance, Monday-Friday, 8 AM - 5:30 PM (Pfizer 2 PM- 5:30 PM)</li><li>Alliance Community Pharmacy, Monday-Friday, 7:30 AM - 6 PM</li><li>Cheyenne/Deuel:&nbsp;<a href="https://tinyurl.com/5b5uac8p" target="_blank">https://tinyurl.com/5b5uac8p</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>During COVID clinic hours visit&nbsp;<a href="https://tinyurl.com/5b5uac8p" target="_blank">https://tinyurl.com/5b5uac8p</a>&nbsp;for days and hours</li><li>Dawes/Sioux:&nbsp;<a href="https://tinyurl.com/x5d5nnbn" target="_blank">https://tinyurl.com/x5d5nnbn</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>Western Community Health Resources, Monday-Friday, 12:30 PM - 1:30 PM</li><li>Garden: To schedule an appointment visit&nbsp;<a href="http://vaccinate.ne.gov/" target="_blank">vaccinate.ne.gov</a>&nbsp;- provider will call you</li><li>Walk-ins welcome</li><li>Regional West Garden County Clinic Front Desk, Monday-Friday, 8 AM - 5 PM</li><li>Kimball:&nbsp;<a href="https://tinyurl.com/d2u8txrs" target="_blank">https://tinyurl.com/d2u8txrs</a></li><li>Walk-ins welcome</li><li>Kimball Health Services, Monday-Friday, 8 AM - 4:30 PM</li><li>Morrill:&nbsp;<a href="https://tinyurl.com/sb8mvumm" target="_blank">https://tinyurl.com/sb8mvumm</a></li><li>Walk-ins welcome</li><li>Morrill County Hospital Clinic, Wednesdays, 8 AM - 4 PM</li><li>Sheridan:&nbsp;<a href="https://tinyurl.com/cvrmkv38" target="_blank">https://tinyurl.com/cvrmkv38</a></li><li>Walk-ins welcome</li><li>Gordon Rural Health Clinic, Monday-Friday, 8:30 AM- 9:30 AM</li><li>Scotts Bluff/Banner:&nbsp;<a href="https://tinyurl.com/hkw7wk2p" target="_blank">https://tinyurl.com/hkw7wk2p</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a>&nbsp;|&nbsp;<a href="https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine1_landing_schedule" target="_blank">walgreens.com</a></li><li>Walk-ins welcome</li><li>Gering CAPWN Health Center, Monday-Friday, 9 AM-12 PM &amp; 1 PM-4 PM</li><li>Scottsbluff County Immunization Clinic, Monday-Friday, 9:40 AM-12:30 PM &amp; 1:30 PM-5:30 PM</li>
 </ul>If you are homebound or have a condition that makes it hard for you to access a COVID vaccine, please call Kim Engel at 308-633-2866 ext 101.People who are fully COVID vaccinated will not be required to quarantine due to close contact. If you have lost your COVID vaccine card, go to&nbsp;<a href="https://tinyurl.com/2zh7uhhu" target="_blank">https://tinyurl.com/2zh7uhhu</a>.Unified Command confirms 215 more cases of COVID in the Panhandle since last reporting on Monday, August 23.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1630421945974.jpeg" alt="" />
 <figcaption></figcaption>
 </figure><figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1630421985440.jpeg" alt="" />
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 </figure><figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1630422035320.png" alt="" />
 <figcaption></figcaption>
 </figure>

PPHD: 215 more virus cases reported in Panhandle 

The University of Nebraska Medical Center was first to report the presence of intact, culturable SARS-CoV-2 virus in small particles exhaled by COVID-19 patients in a July 2020 preprint report of initial data gathered at Nebraska Medicine. Now, in August 2021, UNMC’s findings on airborne transmission have passed scientific peer review and been accepted for publication by Nature’s&nbsp;<a href="https://www.nature.com/articles/s41370-021-00376-8" target="_blank">Journal of Exposure Science &amp; Environmental Epidemiology</a>.&nbsp;&nbsp;

Over the last year, most people have come to accept the fact the SARS-CoV-2 virus is spread through particles in the air exhaled by people with the disease. However, the concept of airborne or aerosol, transmission of SARS-CoV-2 was not immediately widely accepted. The World Health Organization (WHO) first insisted it spread by “droplets.” We were told not to touch surfaces. Initial reports out of Asia were inconclusive.&nbsp;

But the possibility – probability – of airborne transmission “was probably the most urgent question we had in the beginning,” said Joshua Santarpia, PhD,&nbsp;associate professor of pathology and microbiology, and research director, chemical and biological programs, National Strategic Research Institute (NSRI). Dr. Santarpia&nbsp;is one of three UNMC co-principal investigators on the study, with St. Patrick Reid, PhD, and John-Martin Lowe, PhD.&nbsp;

And when they checked? “We found pervasive evidence of SARS-CoV-2 in aerosols,” Dr. Santarpia said.&nbsp;

Now, they’ve shown replicating virus in air particles smaller than a micron – one-thousandth of a millimeter.&nbsp;

So, what does this mean? “The best way to protect yourself from COVID-19 is using high-quality respiratory protection,” Dr. Santarpia said. The better quality the mask, the more you are protected. Cloth masks will be helpful, but you shouldn’t consider them “a cure.” Properly worn surgical masks are good in most situations. Most leading clinicians and scientists, including at UNMC, recommend masks to help diminish the spread of COVID-19.&nbsp;

“Air movement is helpful,” Dr. Santarpia said. “High-efficiency filtration is extremely helpful.”&nbsp;&nbsp;

And “You have a lot working for you outdoors that you don’t have working for you inside.” Sunlight can kill SARS-CoV-2.&nbsp;

The idea that singing or talking loudly can lead to spread lines up with what UNMC has learned.&nbsp;

Same with the concept of “super spreaders.” Some people naturally produce more particles.&nbsp;

UNMC does not yet have aerosol data on the delta variant. But the research team is working on that now.&nbsp;

The research was conducted by an interdisciplinary team (see sidebar) from UNMC, its Global Center for Health Security, the NU-affiliated National Strategic Research Institute (NSRI) sponsored by U.S. Strategic Command, University of Nebraska Omaha, University of Illinois and Massachusetts General Hospital.&nbsp;

The research was made possible through the work of an interdisciplinary team led by UNMC and its Global Center for Health Security:&nbsp;

Study conceived by: Joshua Santarpia, PhD, associate professor of pathology and microbiology, and research director, chemical and biological programs, National Strategic Research Institute (NSRI);&nbsp;

Sample collection: Dr. Santarpia; John-Martin Lowe, PhD, executive director of education, Global Center for Health Security (GCHS), and professor of environmental, agricultural and occupational health;&nbsp;

Sample processing: Danielle Rivera, NSRI; Vicki Herrera, UNMC Department of Pathology and Microbiology and GCHS;&nbsp;

Reverse-transcriptase-polymerase chain reaction (rRT-PCR) testing: Herrera;&nbsp;

Viral culture and supporting assays: St. Patrick Reid, PhD, assistant professor of pathology and microbiology and GCHS; assisted by Paul Denton, PhD, University of Nebraska Omaha; Jacob Martens, UNO; Daniel Ackerman, NSRI&nbsp;

Antibody generation: Ying Fang, PhD, University of Illinois;&nbsp;

Electron microscopy: Nicholas Conoan, UNMC Electron Microscopy Core;&nbsp;

Aerosol analyses: Santarpia; Shanna Ratnesar-Shumate, PhD, associate professor, pathology and microbiology, NSRI fellow, GCHS; Patient interactions: aided by David Brett-Major, MD, professor of epidemiology, GCHS;&nbsp;

Paper written by: Dr. Santarpia; Dr, Lowe; Reid; Michael Callahan, MD, Massachusetts General Hospital; James Lawler, MD, director of international programs and innovation, GCHS, and associate professor of internal medicine; with contributions from all authors.&nbsp;

The scientific team captured and worked from air samples in and around the rooms of patients hospitalized with COVID-19 in the Omaha area. The work was “part of a quality assurance/quality improvement study on isolation care.” This project did not constitute human subject research, as only the environment was studied, not patients.&nbsp;

The University of Nebraska Medical Center was first to report the presence of intact, culturable SARS-CoV-2 virus in small particles exhaled by COVID-19 patients in a July 2020 preprint report of initial data gathered at Nebraska Medicine. Now, in August 2021, UNMC’s findings on airborne transmission have passed scientific peer review and been accepted for publication by Nature’s&nbsp;<a href="https://www.nature.com/articles/s41370-021-00376-8" target="_blank">Journal of Exposure Science &amp; Environmental Epidemiology</a>.&nbsp;&nbsp;Over the last year, most people have come to accept the fact the SARS-CoV-2 virus is spread through particles in the air exhaled by people with the disease. However, the concept of airborne or aerosol, transmission of SARS-CoV-2 was not immediately widely accepted. The World Health Organization (WHO) first insisted it spread by “droplets.” We were told not to touch surfaces. Initial reports out of Asia were inconclusive.&nbsp;But the possibility – probability – of airborne transmission “was probably the most urgent question we had in the beginning,” said Joshua Santarpia, PhD,&nbsp;associate professor of pathology and microbiology, and research director, chemical and biological programs, National Strategic Research Institute (NSRI). Dr. Santarpia&nbsp;is one of three UNMC co-principal investigators on the study, with St. Patrick Reid, PhD, and John-Martin Lowe, PhD.&nbsp;<figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1630000665151.jpeg" alt="Josh Santarpia" />
 <figcaption>Josh Santarpia</figcaption>
 </figure>And when they checked? “We found pervasive evidence of SARS-CoV-2 in aerosols,” Dr. Santarpia said.&nbsp;Now, they’ve shown replicating virus in air particles smaller than a micron – one-thousandth of a millimeter.&nbsp;So, what does this mean? “The best way to protect yourself from COVID-19 is using high-quality respiratory protection,” Dr. Santarpia said. The better quality the mask, the more you are protected. Cloth masks will be helpful, but you shouldn’t consider them “a cure.” Properly worn surgical masks are good in most situations. Most leading clinicians and scientists, including at UNMC, recommend masks to help diminish the spread of COVID-19.&nbsp;“Air movement is helpful,” Dr. Santarpia said. “High-efficiency filtration is extremely helpful.”&nbsp;&nbsp;And “You have a lot working for you outdoors that you don’t have working for you inside.” Sunlight can kill SARS-CoV-2.&nbsp;The idea that singing or talking loudly can lead to spread lines up with what UNMC has learned.&nbsp;Same with the concept of “super spreaders.” Some people naturally produce more particles.&nbsp;UNMC does not yet have aerosol data on the delta variant. But the research team is working on that now.&nbsp;The research was conducted by an interdisciplinary team (see sidebar) from UNMC, its Global Center for Health Security, the NU-affiliated National Strategic Research Institute (NSRI) sponsored by U.S. Strategic Command, University of Nebraska Omaha, University of Illinois and Massachusetts General Hospital.&nbsp;An interdisciplinary team&nbsp;The research was made possible through the work of an interdisciplinary team led by UNMC and its Global Center for Health Security:&nbsp;Study conceived by: Joshua Santarpia, PhD, associate professor of pathology and microbiology, and research director, chemical and biological programs, National Strategic Research Institute (NSRI);&nbsp;Sample collection: Dr. Santarpia; John-Martin Lowe, PhD, executive director of education, Global Center for Health Security (GCHS), and professor of environmental, agricultural and occupational health;&nbsp;Sample processing: Danielle Rivera, NSRI; Vicki Herrera, UNMC Department of Pathology and Microbiology and GCHS;&nbsp;Reverse-transcriptase-polymerase chain reaction (rRT-PCR) testing: Herrera;&nbsp;Viral culture and supporting assays: St. Patrick Reid, PhD, assistant professor of pathology and microbiology and GCHS; assisted by Paul Denton, PhD, University of Nebraska Omaha; Jacob Martens, UNO; Daniel Ackerman, NSRI&nbsp;Antibody generation: Ying Fang, PhD, University of Illinois;&nbsp;Electron microscopy: Nicholas Conoan, UNMC Electron Microscopy Core;&nbsp;Aerosol analyses: Santarpia; Shanna Ratnesar-Shumate, PhD, associate professor, pathology and microbiology, NSRI fellow, GCHS; Patient interactions: aided by David Brett-Major, MD, professor of epidemiology, GCHS;&nbsp;Paper written by: Dr. Santarpia; Dr, Lowe; Reid; Michael Callahan, MD, Massachusetts General Hospital; James Lawler, MD, director of international programs and innovation, GCHS, and associate professor of internal medicine; with contributions from all authors.&nbsp;Capturing air samples&nbsp;&nbsp;The scientific team captured and worked from air samples in and around the rooms of patients hospitalized with COVID-19 in the Omaha area. The work was “part of a quality assurance/quality improvement study on isolation care.” This project did not constitute human subject research, as only the environment was studied, not patients.&nbsp;

UNMC confirms COVID-19’s airborne transmission in scientific journal 

OMAHA, Neb. (AP) — Nebraska's health agency has rejected a request from the state's most populous county for approval to issue a countywide mandate requiring people to wear face masks indoors. 

The order would have applied not only to businesses, but to schools within Douglas County's borders. 

The Nebraska Department of Health and Human Services denied on Tuesday the request from Douglas County Health Director Lindsay Huse.

 In his denial, Nebraska Director of Public Health Gary Anthone said his agency had to balance the benefit to the public with “individual liberty.”

 The state agency is overseen by Gov. Pete Ricketts, who has steadfastly opposed mask mandates, even as COVID-19 cases have soared.

OMAHA, Neb. (AP) — Nebraska's health agency has rejected a request from the state's most populous county for approval to issue a countywide mandate requiring people to wear face masks indoors. The order would have applied not only to businesses, but to schools within Douglas County's borders. The Nebraska Department of Health and Human Services denied on Tuesday the request from Douglas County Health Director Lindsay Huse. In his denial, Nebraska Director of Public Health Gary Anthone said his agency had to balance the benefit to the public with “individual liberty.” The state agency is overseen by Gov. Pete Ricketts, who has steadfastly opposed mask mandates, even as COVID-19 cases have soared.

State rejects Douglas County's request to issue mask mandate

OMAHA, Neb. (AP) — Nebraska’s veterans affairs agency is facing questions from a state lawmaker after it published job advertisements for nurses touting the fact that the state doesn’t require its employees to get coronavirus vaccinations. 

The ads on a state jobs website prominently note the lack of vaccination requirements for state employees, right after mentioning a $5,000 hiring bonus. 

In a separate mail advertisement, the state lists “No mandated COVID-19 vaccination” as one of the “many great benefits” of its nursing jobs.

 State Sen. Carol Blood, of Bellevue, says she inquired about the ad after constituents with loved ones in Nebraska’s state-run veterans homes brought it to her attention.

OMAHA, Neb. (AP) — Nebraska’s veterans affairs agency is facing questions from a state lawmaker after it published job advertisements for nurses touting the fact that the state doesn’t require its employees to get coronavirus vaccinations. The ads on a state jobs website prominently note the lack of vaccination requirements for state employees, right after mentioning a $5,000 hiring bonus. In a separate mail advertisement, the state lists “No mandated COVID-19 vaccination” as one of the “many great benefits” of its nursing jobs. State Sen. Carol Blood, of Bellevue, says she inquired about the ad after constituents with loved ones in Nebraska’s state-run veterans homes brought it to her attention.

Nebraska state job ad touts lack of vaccine requirement

Jon Hansen, Dean of Student Affairs at Chadron State College, joined the Monday briefing to share strategies the college has implemented towards the success of a high COVID vaccination rate among their student athletes and staff, ultimately protecting themselves, their fellow teammates, and other teams they play.

After a low vaccination rate was seen in the spring, the college started working with the student athletes this summer.&nbsp; They followed NCAA guidance for student athletes and what students that were vaccinated wouldn’t be required to do. To date, over 80% are either fully vaccinated or have received their 1st&nbsp;dose and awaiting their 2nd&nbsp;dose.

As a retired Lieutenant Colonel in United States Army, Hansen bluntly stated, “Do you want to play? If you want to play, get vaccinated. If you don’t really want to play, then you’re showing me that by not getting vaccinated because you’re probably not going to be available. Do you want to win? If we are not all vaccinated and all available, one week we may only have three really good linemen to play, and the next week we may not have a quarterback. And you go down the list.”

Hansen also shared they are seeing all universities and colleges in Colorado requiring vaccinations of their athletes.

“Our competition is going to be ready, we need to be too,” Hansen concluded.

<a>Updated recommendations for a 3rd&nbsp;dose for the general public were also shared. Everyone that has received an mRNA (Moderna or Pfizer) vaccine, eight months after receiving their 2nd&nbsp;dose, can get a 3rd&nbsp;dose as soon as September 20, 2021. More information will be issued by the CDC as the date draws near. The FDA has fully approved the Pfizer COVID vaccine.</a>

Vaccinations have protection against all known variants, including Delta. For any youth age 12 and older preparing to return to school, make sure getting your COVID vaccine is on the list. COVID vaccine is available across the Panhandle. There is no charge for the vaccine.

Unified Command confirms 152 more cases of COVID in the Panhandle since last reporting on Monday, August 16.

By PPHDJon Hansen, Dean of Student Affairs at Chadron State College, joined the Monday briefing to share strategies the college has implemented towards the success of a high COVID vaccination rate among their student athletes and staff, ultimately protecting themselves, their fellow teammates, and other teams they play.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1629761909492.jpeg" alt="Jon Hansen." />
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 </figure>After a low vaccination rate was seen in the spring, the college started working with the student athletes this summer.&nbsp; They followed NCAA guidance for student athletes and what students that were vaccinated wouldn’t be required to do. To date, over 80% are either fully vaccinated or have received their 1st&nbsp;dose and awaiting their 2nd&nbsp;dose.<ul>
 <li>Make it easy.</li><li>They brought the vaccination to students on campus and also made it easy to get to off-campus vaccine locations by providing transportation or allowing them needed time, for example, if they were at camp, to go get their vaccination. The students didn’t have to do anything except show up.</li><li>Appeal to them about their own health and, most importantly, about the health of their fellow teammates, coaches, and those around them.</li><li>Promote the perks of being vaccinated.</li><li>If an individual is vaccinated, they’re not required to wear a mask around campus. This is even more important because last year the only time athletes were allowed to remove their masks was when they had their helmets on and were on the field. Volleyball players even practiced with masks on the court. This was an incentive if they were vaccinated, we were not going to ask that they mask.</li><li>If vaccinated, there’s no automatic quarantine or weekly testing unless a student is symptomatic. Last year, students were being tested at minimum weekly or even twice a week in some cases.</li><li>Last year, the college had around 200 COVID positive students and 400 students quarantined for close contact. They reminded students if they don’t get vaccinated, based on their previous year’s data, they have a one in three chance of being in quarantine and it could happen repeatedly.</li><li>Availability.</li><li>Are you available when it comes time to practice? Are you available when it becomes time to play? The college talked to students about what happens if they are COVID positive, making it almost certain they will miss at least three games - two from being isolated and one missed from waiting to be cleared by medical staff.</li><li>If they are a close contact, they are probably going to miss two games due to quarantine and if they come out of quarantine and are not vaccinated, they could go back into quarantine two days later and may not ever get to play during the season.</li>
 </ul>As a retired Lieutenant Colonel in United States Army, Hansen bluntly stated, “Do you want to play? If you want to play, get vaccinated. If you don’t really want to play, then you’re showing me that by not getting vaccinated because you’re probably not going to be available. Do you want to win? If we are not all vaccinated and all available, one week we may only have three really good linemen to play, and the next week we may not have a quarterback. And you go down the list.”Hansen also shared they are seeing all universities and colleges in Colorado requiring vaccinations of their athletes.“Our competition is going to be ready, we need to be too,” Hansen concluded.<a>Updated recommendations for a 3rd&nbsp;dose for the general public were also shared. Everyone that has received an mRNA (Moderna or Pfizer) vaccine, eight months after receiving their 2nd&nbsp;dose, can get a 3rd&nbsp;dose as soon as September 20, 2021. More information will be issued by the CDC as the date draws near. The FDA has fully approved the Pfizer COVID vaccine.</a> Vaccinations have protection against all known variants, including Delta. For any youth age 12 and older preparing to return to school, make sure getting your COVID vaccine is on the list. COVID vaccine is available across the Panhandle. There is no charge for the vaccine.<ul>
 <li><a>Box Butte/Grant:&nbsp;</a><a href="https://tinyurl.com/25mwaapu" target="_blank">https://tinyurl.com/25mwaapu</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>Dave's Pharmacy Hemingford &amp; Alliance, Monday-Friday, 8 AM - 5:30 PM (Pfizer 2 PM- 5:30 PM)</li><li>Alliance Community Pharmacy, Monday-Friday, 7:30 AM - 6 PM</li><li>Cheyenne/Deuel:&nbsp;<a href="https://tinyurl.com/5b5uac8p" target="_blank">https://tinyurl.com/5b5uac8p</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>During COVID clinic hours visit&nbsp;<a href="https://tinyurl.com/5b5uac8p" target="_blank">https://tinyurl.com/5b5uac8p</a>&nbsp;for days and hours</li><li>Dawes/Sioux:&nbsp;<a href="https://tinyurl.com/x5d5nnbn" target="_blank">https://tinyurl.com/x5d5nnbn</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>Western Community Health Resources, Monday-Friday, 12:30 PM - 1:30 PM</li><li>Garden: To schedule an appointment visit&nbsp;<a href="http://vaccinate.ne.gov/" target="_blank">vaccinate.ne.gov</a>&nbsp;- provider will call you</li><li>Walk-ins welcome</li><li>Regional West Garden County Clinic Front Desk, Monday-Friday, 8 AM - 5 PM</li><li>Kimball:&nbsp;<a href="https://tinyurl.com/d2u8txrs" target="_blank">https://tinyurl.com/d2u8txrs</a></li><li>Walk-ins welcome</li><li>Kimball Health Services, Monday-Friday, 8 AM - 4:30 PM</li><li>Morrill:&nbsp;<a href="https://tinyurl.com/sb8mvumm" target="_blank">https://tinyurl.com/sb8mvumm</a></li><li>Walk-ins welcome</li><li>Morrill County Hospital Clinic, Wednesdays, 8 AM - 4 PM</li><li>Sheridan:&nbsp;<a href="https://tinyurl.com/cvrmkv38" target="_blank">https://tinyurl.com/cvrmkv38</a></li><li>Walk-ins welcome</li><li>Gordon Rural Health Clinic, Monday-Friday, 8:30 AM- 9:30 AM</li><li>Scotts Bluff/Banner:&nbsp;<a href="https://tinyurl.com/hkw7wk2p" target="_blank">https://tinyurl.com/hkw7wk2p</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a>&nbsp;|&nbsp;<a href="https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine1_landing_schedule" target="_blank">walgreens.com</a></li><li>Walk-ins welcome</li><li>Gering CAPWN Health Center, Monday-Friday, 9 AM-12 PM &amp; 1 PM-4 PM</li><li>Scottsbluff County Immunization Clinic, Monday-Friday, 9:40 AM-12:30 PM &amp; 1:30 PM-5:30 PM</li>
 </ul>If you are homebound or have a condition that makes it hard for you to access a COVID vaccine, please call Kim Engel at 308-633-2866 ext 101.People who are fully COVID vaccinated will not be required to quarantine due to close contact. If you have lost your COVID vaccine card, go to&nbsp;<a href="https://tinyurl.com/2zh7uhhu" target="_blank">https://tinyurl.com/2zh7uhhu</a>.Unified Command confirms 152 more cases of COVID in the Panhandle since last reporting on Monday, August 16.<figure>
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PPHD: 152 more virus cases reported in the Panhandle 

WASHINGTON (AP) — The U.S. gave full approval to Pfizer’s COVID-19 vaccine on Monday, a milestone that may help lift public confidence in the shots as the nation battles the most contagious coronavirus mutant yet.

The vaccine made by Pfizer and its partner BioNTech now carries the strongest endorsement from the Food and Drug Administration, which has never before had so much evidence to judge a shot’s safety. More than 200 million Pfizer doses already have been administered in the U.S. — and hundreds of millions more worldwide — since emergency use began in December.

“The public can be very confident that this vaccine meets the high standards for safety, effectiveness and manufacturing quality the FDA requires of an approved product,” said acting FDA Commissioner Janet Woodcock. “Today’s milestone puts us one step closer to altering the course of this pandemic in the U.S.”

The U.S. becomes the first country to fully approve the shot, according to Pfizer, and CEO Albert Bourla said in a statement he hoped the decision “will help increase confidence in our vaccine, as vaccination remains the best tool we have to help protect lives.”

WASHINGTON (AP) — The U.S. gave full approval to Pfizer’s COVID-19 vaccine on Monday, a milestone that may help lift public confidence in the shots as the nation battles the most contagious coronavirus mutant yet.The vaccine made by Pfizer and its partner BioNTech now carries the strongest endorsement from the Food and Drug Administration, which has never before had so much evidence to judge a shot’s safety. More than 200 million Pfizer doses already have been administered in the U.S. — and hundreds of millions more worldwide — since emergency use began in December.“The public can be very confident that this vaccine meets the high standards for safety, effectiveness and manufacturing quality the FDA requires of an approved product,” said acting FDA Commissioner Janet Woodcock. “Today’s milestone puts us one step closer to altering the course of this pandemic in the U.S.”The U.S. becomes the first country to fully approve the shot, according to Pfizer, and CEO Albert Bourla said in a statement he hoped the decision “will help increase confidence in our vaccine, as vaccination remains the best tool we have to help protect lives.”

FDA gives full approval to Pfizer's COVID-19 vaccine

OMAHA, Neb. (AP) — A Nebraska hospital is limiting surgeries as its beds fill with COVID-19 patients. 

The Nebraska Medical Center on Friday announced it's reducing in-patient surgeries at the Omaha hospital. 

A hospital spokesman says the change will take effect Aug. 30.

 Spokesman Taylor Wilson says in-patient surgeries likely will be limited through October. Wilson says coronavirus patients need extra care. 

On top of that, he says Nebraska is facing a nursing shortage.

 He says Nebraskans can help ease the strain on hospitals by getting vaccinated against COVID-19.

OMAHA, Neb. (AP) — A Nebraska hospital is limiting surgeries as its beds fill with COVID-19 patients. The Nebraska Medical Center on Friday announced it's reducing in-patient surgeries at the Omaha hospital. A hospital spokesman says the change will take effect Aug. 30. Spokesman Taylor Wilson says in-patient surgeries likely will be limited through October. Wilson says coronavirus patients need extra care. On top of that, he says Nebraska is facing a nursing shortage. He says Nebraskans can help ease the strain on hospitals by getting vaccinated against COVID-19.

Nebraska hospital limits surgeries as virus surges

OMAHA, Neb. (AP) — Nebraska appears relatively safe on some national websites tracking the spread of COVID-19, but state health officials say those maps aren’t accurate. 

The problem is that the Centers for Disease Control and Prevention has been using different data for Nebraska since the state retired its website that reported virus figures daily. 

Nebraska Department of Health and Human Services spokeswoman Olga Dack said the CDC used to rely on the state's daily dashboard for its data.

 But Dack said officials recently discovered that the federal agency has been using the percentage of positive COVID-19 tests for Nebraska counties instead of the per capita case counts it uses for most other states.

OMAHA, Neb. (AP) — Nebraska appears relatively safe on some national websites tracking the spread of COVID-19, but state health officials say those maps aren’t accurate. The problem is that the Centers for Disease Control and Prevention has been using different data for Nebraska since the state retired its website that reported virus figures daily. Nebraska Department of Health and Human Services spokeswoman Olga Dack said the CDC used to rely on the state's daily dashboard for its data. But Dack said officials recently discovered that the federal agency has been using the percentage of positive COVID-19 tests for Nebraska counties instead of the per capita case counts it uses for most other states.

Official: Map showing low COVID rates in Nebraska misleading

SIOUX FALLS, S.D. (AP) — Daily coronavirus cases topped 300 for the first time in over six months in South Dakota as a fresh pandemic wave appeared to build.

 The Department of Health reported 304 virus cases, while hospitalizations and deaths remained the same. 

COVID-19 hospitalizations have roughly tripled in the last two weeks.

 Over that time period, the state has seen case counts spike by 270%.

 However, the number of cases per capita in that time has remained one of the lowest in the country. 

Health officials say they are not surprised to see cases rise in the state, the Argus Leader reported.

SIOUX FALLS, S.D. (AP) — Daily coronavirus cases topped 300 for the first time in over six months in South Dakota as a fresh pandemic wave appeared to build. The Department of Health reported 304 virus cases, while hospitalizations and deaths remained the same. COVID-19 hospitalizations have roughly tripled in the last two weeks. Over that time period, the state has seen case counts spike by 270%. However, the number of cases per capita in that time has remained one of the lowest in the country. Health officials say they are not surprised to see cases rise in the state, the Argus Leader reported.

Daily virus cases reach 6-month high in South Dakota

OMAHA, Neb. (AP) — A suburban Omaha school district is requiring an entire elementary class to quarantine at home to limit the spread of COVID-19 after a cluster of virus cases was found among the students.

 The Millard school district will keep the classroom at Montclair Elementary School closed for seven days because three students tested positive for COVID-19 and health officials believe thee virus was spreading in the class. 

The class quarantine could be a model for how the district will respond to future clusters of COVID-19. 

The district started school a week ago without requiring masks, and it is currently reporting 52 active COVID cases among its roughly 23,000 students.

OMAHA, Neb. (AP) — A suburban Omaha school district is requiring an entire elementary class to quarantine at home to limit the spread of COVID-19 after a cluster of virus cases was found among the students. The Millard school district will keep the classroom at Montclair Elementary School closed for seven days because three students tested positive for COVID-19 and health officials believe thee virus was spreading in the class. The class quarantine could be a model for how the district will respond to future clusters of COVID-19. The district started school a week ago without requiring masks, and it is currently reporting 52 active COVID cases among its roughly 23,000 students.

Suburban Omaha district quarantines class because of virus

OMAHA, Neb. (AP) — Nebraska officials are dealing with a COVID-19 outbreak at a state correctional facility as virus cases surge statewide.

 After 33 inmates tested positive for COVID-19 at the Diagnostic and Evaluation Center in Lincoln, officials paused all visits and volunteer activities. 

They also asked county jails to delay sending new inmates if they can.

 Department of Correctional Services Director Scott Frakes said the increase in cases in the prison system follows an increase in the community. 

On Wednesday, the state reported 2,676 new virus cases in the past week.

 The current case numbers are more than 10 times higher than what the state reported in late June.

OMAHA, Neb. (AP) — Nebraska officials are dealing with a COVID-19 outbreak at a state correctional facility as virus cases surge statewide. After 33 inmates tested positive for COVID-19 at the Diagnostic and Evaluation Center in Lincoln, officials paused all visits and volunteer activities. They also asked county jails to delay sending new inmates if they can. Department of Correctional Services Director Scott Frakes said the increase in cases in the prison system follows an increase in the community. On Wednesday, the state reported 2,676 new virus cases in the past week. The current case numbers are more than 10 times higher than what the state reported in late June.

Nebraska prison system reports outbreak as COVID cases surge

The Panhandle is seeing a slight uptick in people getting COVID vaccinated. As COVID cases and hospitalizations increase in the area, vaccination remains one of the best protections against the virus. Don’t wait, COVID vaccines are highly accessible throughout the Panhandle and the Centers for Disease Control &amp; Prevention (CDC) has issued updated vaccine recommendations.

COVID Vaccines for Pregnant, Breastfeeding, or Trying to get pregnant now or might become pregnant in the future

COVID vaccination is recommended for all people aged 12 years and older, including people who are pregnancy, breastfeeding, trying to get pregnant now, or might become pregnant in the future. Pregnant and recently pregnant people are more likely to get severely ill with COVID compared with non-pregnant people. Getting a COVID vaccine can protect you from severe illness from COVID.

COVID Vaccines for Moderately to Severely Immunocompromised People

Currently, CDC is recommending that moderately to severely immunocompromised people receive an additional dose if vaccinated with Moderna or Pfizer. This includes people who have:

People should talk to their healthcare provider about their medical condition, and whether getting an additional dose is appropriate for them. A doctor’s order is not required. There is no current recommendation for people vaccinated with Johnson &amp; Johnson.

Unified Command confirms 120 more cases of COVID in the Panhandle since last reporting on Monday, August 10.

Nebraska ended the state testing program Test Nebraska on July 18, 2021. Current COVID testing access can be found at&nbsp;<a href="http://pphd.org/COVID-19.html" target="_blank">http://pphd.org/COVID-19.html</a>.

The Panhandle COVID dashboard is updated on Mondays &amp; Thursdays by 4:30 pm MT and available at&nbsp;<a href="http://www.pphd.org/" target="_blank">www.pphd.org</a>.&nbsp;For the most up to date information from the CDC, visit&nbsp;<a href="https://www.cdc.gov/coronavirus/2019-ncov/index.html" target="_blank">https://www.cdc.gov/coronavirus/2019-ncov/index.html</a>.

By PPHDThe Panhandle is seeing a slight uptick in people getting COVID vaccinated. As COVID cases and hospitalizations increase in the area, vaccination remains one of the best protections against the virus. Don’t wait, COVID vaccines are highly accessible throughout the Panhandle and the Centers for Disease Control &amp; Prevention (CDC) has issued updated vaccine recommendations.COVID Vaccines for Pregnant, Breastfeeding, or Trying to get pregnant now or might become pregnant in the futureCOVID vaccination is recommended for all people aged 12 years and older, including people who are pregnancy, breastfeeding, trying to get pregnant now, or might become pregnant in the future. Pregnant and recently pregnant people are more likely to get severely ill with COVID compared with non-pregnant people. Getting a COVID vaccine can protect you from severe illness from COVID.COVID Vaccines for Moderately to Severely Immunocompromised PeopleCurrently, CDC is recommending that moderately to severely immunocompromised people receive an additional dose if vaccinated with Moderna or Pfizer. This includes people who have:<ul>
 <li>Been receiving active cancer treatment for tumors or cancers of the blood</li><li>Received an organ transplant and are taking medicine to suppress the immune system</li><li>Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system</li><li>Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)</li><li>Advanced or untreated HIV infection</li><li>Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response</li>
 </ul>People should talk to their healthcare provider about their medical condition, and whether getting an additional dose is appropriate for them. A doctor’s order is not required. There is no current recommendation for people vaccinated with Johnson &amp; Johnson. Vaccinations have protection against all known variants, including Delta. For any youth age 12 and older preparing to return to school, make sure getting your COVID vaccine is on the list. COVID vaccine is available across the Panhandle. There is no charge for the vaccine.<ul>
 <li><a>Box Butte/Grant:&nbsp;</a><a href="https://tinyurl.com/25mwaapu" target="_blank">https://tinyurl.com/25mwaapu</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>Dave's Pharmacy Hemingford &amp; Alliance, Monday-Friday, 8 AM - 5:30 PM (Pfizer 2 PM- 5:30 PM)</li><li>Alliance Community Pharmacy, Monday-Friday, 7:30 AM - 6 PM</li><li>Cheyenne/Deuel:&nbsp;<a href="https://tinyurl.com/5b5uac8p" target="_blank">https://tinyurl.com/5b5uac8p</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>During COVID clinic hours visit&nbsp;<a href="https://tinyurl.com/5b5uac8p" target="_blank">https://tinyurl.com/5b5uac8p</a>&nbsp;for days and hours</li><li>Dawes/Sioux:&nbsp;<a href="https://tinyurl.com/x5d5nnbn" target="_blank">https://tinyurl.com/x5d5nnbn</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a></li><li>Walk-ins welcome</li><li>Western Community Health Resources, Monday-Friday, 12:30 PM - 1:30 PM</li><li>Garden: To schedule an appointment visit&nbsp;<a href="http://vaccinate.ne.gov/" target="_blank">vaccinate.ne.gov</a>&nbsp;- provider will call you</li><li>Walk-ins welcome</li><li>Regional West Garden County Clinic Front Desk, Monday-Friday, 8 AM - 5 PM</li><li>Kimball:&nbsp;<a href="https://tinyurl.com/d2u8txrs" target="_blank">https://tinyurl.com/d2u8txrs</a></li><li>Walk-ins welcome</li><li>Kimball Health Services, Monday-Friday, 8 AM - 4:30 PM</li><li>Morrill:&nbsp;<a href="https://tinyurl.com/sb8mvumm" target="_blank">https://tinyurl.com/sb8mvumm</a></li><li>Walk-ins welcome</li><li>Morrill County Hospital Clinic, Wednesdays, 8 AM - 4 PM</li><li>Sheridan:&nbsp;<a href="https://tinyurl.com/cvrmkv38" target="_blank">https://tinyurl.com/cvrmkv38</a></li><li>Walk-ins welcome</li><li>Gordon Rural Health Clinic, Monday-Friday, 8:30 AM- 9:30 AM</li><li>Scotts Bluff/Banner:&nbsp;<a href="https://tinyurl.com/hkw7wk2p" target="_blank">https://tinyurl.com/hkw7wk2p</a>&nbsp;|&nbsp;<a href="https://www.walmart.com/cp/immunizations-flu-shots/1228302" target="_blank">walmart.com</a>&nbsp;|&nbsp;<a href="https://www.safeway.com/pharmacy/covid-19.html" target="_blank">safeway.com</a>&nbsp;|&nbsp;<a href="https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine1_landing_schedule" target="_blank">walgreens.com</a></li><li>Walk-ins welcome</li><li>Gering CAPWN Health Center, Monday-Friday, 9 AM-12 PM &amp; 1 PM-4 PM</li><li>Scottsbluff County Immunization Clinic, Monday-Friday, 9:40 AM-12:30 PM &amp; 1:30 PM-5:30 PM</li>
 </ul>If you are homebound or have a condition that makes it hard for you to access a COVID vaccine, please call Kim Engel at 308-633-2866 ext 101.People who are fully COVID vaccinated will not be required to quarantine due to close contact. If you have lost your COVID vaccine card, go to&nbsp;<a href="https://tinyurl.com/2zh7uhhu" target="_blank">https://tinyurl.com/2zh7uhhu</a>.Unified Command confirms 120 more cases of COVID in the Panhandle since last reporting on Monday, August 10.<figure>
 <img src="https://media.eaglewebservices.com/public/2021/8/1629155862619.jpeg" alt="" />
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 <img src="https://media.eaglewebservices.com/public/2021/8/1629155890149.png" alt="" />
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 </figure>March 2, 2020-August 16, 2021<ul>
 <li>Total Tests Conducted: 43,419</li><li>Positive: 9,570</li><li>Last 14 days (active) cases: 165</li><li>Last week’s cases: 102</li><li>Last week’s positivity rate: 4.9%</li><li>Deaths: 198</li><li>Deaths Pending Verification: 5</li><li>Active Hospitalizations: 9</li><li>Total Cumulative Hospitalizations: 565</li>
 </ul>Nebraska ended the state testing program Test Nebraska on July 18, 2021. Current COVID testing access can be found at&nbsp;<a href="http://pphd.org/COVID-19.html" target="_blank">http://pphd.org/COVID-19.html</a>.The Panhandle COVID dashboard is updated on Mondays &amp; Thursdays by 4:30 pm MT and available at&nbsp;<a href="http://www.pphd.org/" target="_blank">www.pphd.org</a>.&nbsp;For the most up to date information from the CDC, visit&nbsp;<a href="https://www.cdc.gov/coronavirus/2019-ncov/index.html" target="_blank">https://www.cdc.gov/coronavirus/2019-ncov/index.html</a>.

PPHD: Panhandle sees slight uptick in vaccination, 120 more cases announced

WASHINGTON (AP) — U.S. experts are expected to recommend COVID-19 vaccine boosters for all Americans, regardless of age, eight months after they received their second dose of the shot, to ensure lasting protection against the coronavirus as the delta variant spreads across the country.

Federal health officials have been actively looking at whether extra shots for the vaccinated would be needed as early as this fall, reviewing case numbers in the U.S. as well as the situation in other countries such as Israel, where preliminary studies suggest the vaccine’s protection against serious illness dropped among those vaccinated in January.

An announcement on the U.S. booster recommendation was expected as soon as this week, according to two people familiar with the matter who spoke to The Associated Press on the condition of anonymity to discuss internal deliberations.

Doses would only begin to be administered widely once the Food and Drug Administration formally approves the vaccines. That action is expected for the Pfizer shot in the coming weeks.

Last week, U.S. health officials recommended boosters for some with weakened immune systems, citing their higher risk of catching the virus and evidence that the vaccines’ effectiveness waned over time.

The director of the National Institutes of Health, Dr. Francis Collins, said Sunday the U.S. could decide in the next couple weeks whether to offer coronavirus booster shots to Americans this fall.

Among the first to receive them could be health care workers, nursing home residents and other older Americans, who were some of the first Americans to be vaccinated once the shots received emergency use authorization last December.

Since then, more than 198 million Americans have received at least one dose of a COVID-19 vaccine according to the Centers for Disease Control and Prevention, with more than 168 million fully vaccinated. Still, the country is experiencing a fourth surge of virus cases due to the more transmissible delta variant, which is spreading aggressively through unvaccinated communities but is also responsible for an increasing number of so-called “breakthrough infections” of fully vaccinated people.

Israel, which exclusively administered the Pfizer shot, has been offering a coronavirus booster to people over 60 who were already vaccinated more than five months ago in an effort to control its own surge in cases from the delta variant.

For months, officials had said data still indicated that people remain highly protected from COVID-19, including the delta variant, after receiving the two-dose Pfizer or Moderna regimen or the one-shot Johnson &amp; Johnson vaccine. But U.S. health officials made clear Sunday they are preparing for the possibility that the time for boosters may come sooner than later.

“There is a concern that the vaccine may start to wane in its effectiveness,” Collins said. “And delta is a nasty one for us to try to deal with. The combination of those two means we may need boosters, maybe beginning first with health care providers, as well as people in nursing homes, and then gradually moving forward” with others, such as older Americans who were among the first to get vaccinations.

He said because the delta variant only started hitting the U.S. hard in July, the “next couple of weeks” of case data will help the U.S. make a decision.

Officials were continuing to collect information as well about the J&amp;J vaccine, which was only approved in the U.S. in late February, to determine when to recommend boosters, one of the officials said.

The White House has said that even though the U.S. has begun sharing more than 110 million vaccine doses with the world, the nation has enough domestic supply to deliver boosters to Americans should they be recommended by health officials.

Global health officials, including the World Health Organization, have called on wealthier and more-vaccinated countries to hold off on booster shots to ensure the supply of first doses for people in the developing world.

WASHINGTON (AP) — U.S. experts are expected to recommend COVID-19 vaccine boosters for all Americans, regardless of age, eight months after they received their second dose of the shot, to ensure lasting protection against the coronavirus as the delta variant spreads across the country.Federal health officials have been actively looking at whether extra shots for the vaccinated would be needed as early as this fall, reviewing case numbers in the U.S. as well as the situation in other countries such as Israel, where preliminary studies suggest the vaccine’s protection against serious illness dropped among those vaccinated in January.An announcement on the U.S. booster recommendation was expected as soon as this week, according to two people familiar with the matter who spoke to The Associated Press on the condition of anonymity to discuss internal deliberations.Doses would only begin to be administered widely once the Food and Drug Administration formally approves the vaccines. That action is expected for the Pfizer shot in the coming weeks.Last week, U.S. health officials recommended boosters for some with weakened immune systems, citing their higher risk of catching the virus and evidence that the vaccines’ effectiveness waned over time.The director of the National Institutes of Health, Dr. Francis Collins, said Sunday the U.S. could decide in the next couple weeks whether to offer coronavirus booster shots to Americans this fall.Among the first to receive them could be health care workers, nursing home residents and other older Americans, who were some of the first Americans to be vaccinated once the shots received emergency use authorization last December.Since then, more than 198 million Americans have received at least one dose of a COVID-19 vaccine according to the Centers for Disease Control and Prevention, with more than 168 million fully vaccinated. Still, the country is experiencing a fourth surge of virus cases due to the more transmissible delta variant, which is spreading aggressively through unvaccinated communities but is also responsible for an increasing number of so-called “breakthrough infections” of fully vaccinated people.Israel, which exclusively administered the Pfizer shot, has been offering a coronavirus booster to people over 60 who were already vaccinated more than five months ago in an effort to control its own surge in cases from the delta variant.For months, officials had said data still indicated that people remain highly protected from COVID-19, including the delta variant, after receiving the two-dose Pfizer or Moderna regimen or the one-shot Johnson &amp; Johnson vaccine. But U.S. health officials made clear Sunday they are preparing for the possibility that the time for boosters may come sooner than later.“There is a concern that the vaccine may start to wane in its effectiveness,” Collins said. “And delta is a nasty one for us to try to deal with. The combination of those two means we may need boosters, maybe beginning first with health care providers, as well as people in nursing homes, and then gradually moving forward” with others, such as older Americans who were among the first to get vaccinations.He said because the delta variant only started hitting the U.S. hard in July, the “next couple of weeks” of case data will help the U.S. make a decision.Officials were continuing to collect information as well about the J&amp;J vaccine, which was only approved in the U.S. in late February, to determine when to recommend boosters, one of the officials said.The White House has said that even though the U.S. has begun sharing more than 110 million vaccine doses with the world, the nation has enough domestic supply to deliver boosters to Americans should they be recommended by health officials.Global health officials, including the World Health Organization, have called on wealthier and more-vaccinated countries to hold off on booster shots to ensure the supply of first doses for people in the developing world.

US to recommend COVID vaccine boosters for all 

OMAHA, Neb. (AP) — Cases of COVID-19 are on the rise in Nebraska as the highly contagious delta variant continues to spread, but those reported totals may be undercounting the actual number of cases because the number of tests being performed each day is down significantly compared to last fall. 

Infectious disease expert Dr. James Lawler with the University of Nebraska Medical Center said the state isn't testing enough.

 Data published by the U.S. Department of Health and Human Services shows that Nebraska reported more than 16,000 test results one day last November during the fall surge. 

This summer, the state hasn’t reported more than 2,000 tests a day once since July 27.

OMAHA, Neb. (AP) — Cases of COVID-19 are on the rise in Nebraska as the highly contagious delta variant continues to spread, but those reported totals may be undercounting the actual number of cases because the number of tests being performed each day is down significantly compared to last fall. Infectious disease expert Dr. James Lawler with the University of Nebraska Medical Center said the state isn't testing enough. Data published by the U.S. Department of Health and Human Services shows that Nebraska reported more than 16,000 test results one day last November during the fall surge. This summer, the state hasn’t reported more than 2,000 tests a day once since July 27.

Virus cases surge in Nebraska but fewer tests being done

SIOUX FALLS, S.D. (AP) — South Dakota health officials report a jump in active COVID-19 infections, with a high number coming from long-term care facilities. 

The Department of Health reports 139 new infections. The Argus Leader reports 43 of those were in long-term care facilities. 

COVID-19 vaccines have allowed nursing homes nationwide to make dramatic progress since the dark days of the pandemic, but senior care facilities are still experiencing scattered outbreaks that are largely blamed on unvaccinated staff members. 

In South Dakota, one more death was reported, bringing the overall pandemic death toll to 2,052 people.

SIOUX FALLS, S.D. (AP) — South Dakota health officials report a jump in active COVID-19 infections, with a high number coming from long-term care facilities. The Department of Health reports 139 new infections. The Argus Leader reports 43 of those were in long-term care facilities. COVID-19 vaccines have allowed nursing homes nationwide to make dramatic progress since the dark days of the pandemic, but senior care facilities are still experiencing scattered outbreaks that are largely blamed on unvaccinated staff members. In South Dakota, one more death was reported, bringing the overall pandemic death toll to 2,052 people.

South Dakota reports jump in virus cases in nursing homes

LINCOLN, Neb. (AP) — Eleven Nebraska lawmakers are prodding Gov. Pete Ricketts to restart the state's online COVID-19-tracking dashboard, saying local officials are being left in the dark on important infection statistics.

 The group sent a letter to Ricketts this week calling for the Nebraska Department of Health and Human Services to reinstate the dashboard and that all 93 counties in the state be required to report outbreak and hospital capacity data to the state. 

State Sen. Machaela Cavanaugh of Omaha prompted the request. 

The letter noted that the department does release a weekly report on cases and hospitalizations, but lacks crucial details, "including county-by-county infection rates, COVID-19-related deaths, daily available hospital beds, respirators and overall staffed beds.”

LINCOLN, Neb. (AP) — Eleven Nebraska lawmakers are prodding Gov. Pete Ricketts to restart the state's online COVID-19-tracking dashboard, saying local officials are being left in the dark on important infection statistics. The group sent a letter to Ricketts this week calling for the Nebraska Department of Health and Human Services to reinstate the dashboard and that all 93 counties in the state be required to report outbreak and hospital capacity data to the state. State Sen. Machaela Cavanaugh of Omaha prompted the request. The letter noted that the department does release a weekly report on cases and hospitalizations, but lacks crucial details, "including county-by-county infection rates, COVID-19-related deaths, daily available hospital beds, respirators and overall staffed beds.”

Nebraska lawmakers prod governor to reinstate COVID-19 site

OMAHA, Neb. (AP) — Nebraska’s biggest health care systems will require all their employees to be vaccinated for COVID-19.

 The companies issued a joint statement Thursday announcing the move as virus cases continue to surge in the state. 

The announcement included CHI Health, Nebraska Medicine, Methodist Health System, Bryan Health, Children’s Hospital and several other large health care employers.

 The move from these large employers may provide a boost to the state’s vaccination campaign. 

State health officials said Wednesday that 50.7% of all Nebraskans have been fully vaccinated, but the pace of vaccinations has slowed since the spring.

OMAHA, Neb. (AP) — Nebraska’s biggest health care systems will require all their employees to be vaccinated for COVID-19. The companies issued a joint statement Thursday announcing the move as virus cases continue to surge in the state. The announcement included CHI Health, Nebraska Medicine, Methodist Health System, Bryan Health, Children’s Hospital and several other large health care employers. The move from these large employers may provide a boost to the state’s vaccination campaign. State health officials said Wednesday that 50.7% of all Nebraskans have been fully vaccinated, but the pace of vaccinations has slowed since the spring.

Coronavirus Update