More than seven months after coming to Nebraska, the coronavirus is still here.&nbsp; Back in April, Dr. James Lawler from the University of Nebraska Medical Center&nbsp;cautioned that we were only in the second inning of the pandemic.&nbsp; I wish I could tell you that we’re in the bottom of the ninth.&nbsp; I know Nebraskans are weary of the pandemic and the restrictions in place to combat the coronavirus.&nbsp; The reality, however, is that we’re still in the middle innings.&nbsp; There’s a long way to go.

From the beginning, our plan has been to protect hospital capacity so that every Nebraskan who needs acute care can get it.&nbsp; We can’t stop the virus, but we can take action to slow the spread to maintain access to hospital beds and medical treatment.&nbsp; We’ve successfully protected our hospital system throughout the pandemic.&nbsp; As of October 21st, we have 38% of hospital beds, 33% of ICU beds, and 81% of ventilators available.

While hospital capacity remains strong, COVID-19 hospitalizations have risen to an all-time high this month. &nbsp;We’ve been in ongoing conversation with hospitals to discuss ways to support the great work they’re doing to care for Nebraskans.&nbsp; The State is allocating $40 million of CARES Act funds to help hospitals add capacity.&nbsp; This will allow hospitals to increase nursing staff and respiratory therapists, support screening of incoming patients, and provide funds to pay current staff working additional shifts.

In light of rising hospitalizations, we’ve also announced changes to our Directed Health Measures (DHMs).&nbsp; The new DHMs are effective statewide as of Wednesday, October 21st.&nbsp; It pains me to put restrictions in place that impact our personal liberties.&nbsp; I don’t like government interfering in private enterprise. &nbsp;However, these measures are necessary to preserve our hospital capacity.&nbsp; In writing the new DHMs, we’ve tried to use as light of a touch as possible to slow the increasing number of hospitalizations.

The new DHMs include the following changes:

Aside from the restrictions above, there are no other changes to the DHMs.&nbsp; This means that gyms, salons, and religious services—which are not defined as “gatherings” under the State’s DHMs—remain able to operate up to 100% occupancy.&nbsp; Even so, it’s extremely important for patrons of these establishments to practice social distancing or wear face coverings when possible.

As the coronavirus continues to spread throughout the state, we’ve launched a new campaign to encourage Nebraskans to stay committed to good health habits.&nbsp; We’re calling on all Nebraskans to&nbsp;Avoid the Three Cs: 1) crowded places, 2) close contacts, and 3) confined spaces.&nbsp; Avoid gathering in groups where you can’t maintain six-feet distance from others.&nbsp; Wear a mask or maintain six-feet distance when you’re with people outside of your household.&nbsp; Avoid enclosed spaces with poor ventilation.

Our public health departments report that many of the new cases they’re tracing have come from informal gatherings in people’s homes.&nbsp; It’s important to remember that just because you’re well-acquainted with someone, does not mean they can’t transmit the virus to you.&nbsp; I encourage Nebraskans, even in private settings, to avoid the Three Cs.

Throughout the pandemic, we’ve trusted Nebraskans to exercise common sense and good judgment in their social interactions.&nbsp; Nebraskans have responded as they usually do: by looking after their neighbors and doing the right thing. &nbsp;I’m confident folks in our state will continue to exercise good judgment. &nbsp;This will help preserve our hospital capacity and prevent the need for more restrictive measures.

As we manage the virus, there is good news to report.&nbsp; Students have successfully returned to the classroom this fall to resume in-person learning.&nbsp; Restaurants are welcoming back diners, Main Street shops have reopened to customers, and religious congregants are gathering to worship.&nbsp; We’ll also finally get to see Husker football this weekend as the Big Red takes on Ohio State.&nbsp; As we return to a more normal life, we’re seeing encouraging signs of growth.&nbsp; In fact, Nebraska has the lowest unemployment rate in the nation at just 3.5%. &nbsp;

There’s no reason why we can’t be active so long as we stay smart.&nbsp; Over the coming weeks, I urge Nebraskans to avoid the Three Cs to help slow the spread of the virus.&nbsp; If you have questions about Nebraska’s coronavirus response, please email&nbsp;<a href="mailto:pete.ricketts@nebraska.gov">pete.ricketts@nebraska.gov</a>&nbsp;or call 402-471-2244.&nbsp; We’re committed to keeping our hospitals and healthcare system in good shape, while also giving Nebraskans the freedom to live a more normal life.

More than seven months after coming to Nebraska, the coronavirus is still here.&nbsp; Back in April, Dr. James Lawler from the University of Nebraska Medical Center&nbsp;cautioned that we were only in the second inning of the pandemic.&nbsp; I wish I could tell you that we’re in the bottom of the ninth.&nbsp; I know Nebraskans are weary of the pandemic and the restrictions in place to combat the coronavirus.&nbsp; The reality, however, is that we’re still in the middle innings.&nbsp; There’s a long way to go.From the beginning, our plan has been to protect hospital capacity so that every Nebraskan who needs acute care can get it.&nbsp; We can’t stop the virus, but we can take action to slow the spread to maintain access to hospital beds and medical treatment.&nbsp; We’ve successfully protected our hospital system throughout the pandemic.&nbsp; As of October 21st, we have 38% of hospital beds, 33% of ICU beds, and 81% of ventilators available.While hospital capacity remains strong, COVID-19 hospitalizations have risen to an all-time high this month. &nbsp;We’ve been in ongoing conversation with hospitals to discuss ways to support the great work they’re doing to care for Nebraskans.&nbsp; The State is allocating $40 million of CARES Act funds to help hospitals add capacity.&nbsp; This will allow hospitals to increase nursing staff and respiratory therapists, support screening of incoming patients, and provide funds to pay current staff working additional shifts.In light of rising hospitalizations, we’ve also announced changes to our Directed Health Measures (DHMs).&nbsp; The new DHMs are effective statewide as of Wednesday, October 21st.&nbsp; It pains me to put restrictions in place that impact our personal liberties.&nbsp; I don’t like government interfering in private enterprise. &nbsp;However, these measures are necessary to preserve our hospital capacity.&nbsp; In writing the new DHMs, we’ve tried to use as light of a touch as possible to slow the increasing number of hospitalizations.The new DHMs include the following changes:<ul>
 <li>Elective Procedures/Surgeries In order to continue elective procedures, hospitals must maintain at least 10% of their staffed general and ICU beds as reserve capacity to treat coronavirus patients.Hospitals must continue to accept and treat COVID-19 patients and must not transfer COVID-19 patients to create capacity for elective procedures.Hospitals may also submit a surge plan to continue to perform elective surgeries.</li><li>In order to continue elective procedures, hospitals must maintain at least 10% of their staffed general and ICU beds as reserve capacity to treat coronavirus patients.</li><li>Hospitals must continue to accept and treat COVID-19 patients and must not transfer COVID-19 patients to create capacity for elective procedures.</li><li>Hospitals may also submit a surge plan to continue to perform elective surgeries.</li>
 </ul><ul>
 <li>Gatherings INDOOR gatherings will be limited to 50% of rated occupancy (not to exceed 10,000).&nbsp; This is scaled back from the previous cap of 75%.OUTDOOR gatherings will remain at 100% of rated occupancy (not to exceed 10,000).Groups shall be no larger than eight (8) individuals.Plans must still be submitted to local health departments and approved for all gatherings of 500+ (1,000+ in Douglas County).</li><li>INDOOR gatherings will be limited to 50% of rated occupancy (not to exceed 10,000).&nbsp; This is scaled back from the previous cap of 75%.</li><li>OUTDOOR gatherings will remain at 100% of rated occupancy (not to exceed 10,000).</li><li>Groups shall be no larger than eight (8) individuals.</li><li>Plans must still be submitted to local health departments and approved for all gatherings of 500+ (1,000+ in Douglas County).</li><li>Bars &amp; Restaurants Patrons will be required to be seated unless they are placing an order, using the restroom, or playing games.100% of rated occupancy continues.Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).</li><li>Patrons will be required to be seated unless they are placing an order, using the restroom, or playing games.</li><li>100% of rated occupancy continues.</li><li>Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).</li><li>Wedding &amp; Funeral Reception Venues Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).100% of rated occupancy continues.</li><li>Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).</li><li>100% of rated occupancy continues.</li>
 </ul>Aside from the restrictions above, there are no other changes to the DHMs.&nbsp; This means that gyms, salons, and religious services—which are not defined as “gatherings” under the State’s DHMs—remain able to operate up to 100% occupancy.&nbsp; Even so, it’s extremely important for patrons of these establishments to practice social distancing or wear face coverings when possible.As the coronavirus continues to spread throughout the state, we’ve launched a new campaign to encourage Nebraskans to stay committed to good health habits.&nbsp; We’re calling on all Nebraskans to&nbsp;Avoid the Three Cs: 1) crowded places, 2) close contacts, and 3) confined spaces.&nbsp; Avoid gathering in groups where you can’t maintain six-feet distance from others.&nbsp; Wear a mask or maintain six-feet distance when you’re with people outside of your household.&nbsp; Avoid enclosed spaces with poor ventilation.Our public health departments report that many of the new cases they’re tracing have come from informal gatherings in people’s homes.&nbsp; It’s important to remember that just because you’re well-acquainted with someone, does not mean they can’t transmit the virus to you.&nbsp; I encourage Nebraskans, even in private settings, to avoid the Three Cs.Throughout the pandemic, we’ve trusted Nebraskans to exercise common sense and good judgment in their social interactions.&nbsp; Nebraskans have responded as they usually do: by looking after their neighbors and doing the right thing. &nbsp;I’m confident folks in our state will continue to exercise good judgment. &nbsp;This will help preserve our hospital capacity and prevent the need for more restrictive measures.As we manage the virus, there is good news to report.&nbsp; Students have successfully returned to the classroom this fall to resume in-person learning.&nbsp; Restaurants are welcoming back diners, Main Street shops have reopened to customers, and religious congregants are gathering to worship.&nbsp; We’ll also finally get to see Husker football this weekend as the Big Red takes on Ohio State.&nbsp; As we return to a more normal life, we’re seeing encouraging signs of growth.&nbsp; In fact, Nebraska has the lowest unemployment rate in the nation at just 3.5%. &nbsp;There’s no reason why we can’t be active so long as we stay smart.&nbsp; Over the coming weeks, I urge Nebraskans to avoid the Three Cs to help slow the spread of the virus.&nbsp; If you have questions about Nebraska’s coronavirus response, please email&nbsp;<a href="mailto:pete.ricketts@nebraska.gov">pete.ricketts@nebraska.gov</a>&nbsp;or call 402-471-2244.&nbsp; We’re committed to keeping our hospitals and healthcare system in good shape, while also giving Nebraskans the freedom to live a more normal life.

Gov. Ricketts: Avoid the three Cs

The Heirloom Market held in Bayard on Saturday, October 10, listed as community exposure site

The Heirloom Market, held in Bayard on Saturday, October 10, has been listed as a community exposure site. Anyone that attended the market should monitor for COVID symptoms through October 24 and if they begin experiencing any symptoms, immediately go get tested and quarantine at home.

Due to recent disease investigations indicating confirmed COVID positive cases were contagious during their time at the market and unable to identify each person they were near, health officials are notifying the public of the potential for exposure. The Heirloom Market organizers have worked closely with health officials to notify their vendors of potential exposure; however, due to additional cases being present at the market during their contagious time, it has been increased to a community exposure site.

If anyone is experiencing any of the following: cough, fever, shortness of breath, sore throat, runny nose, body chills, headache, loss of taste or smell, nausea, vomiting, or diarrhea, schedule COVID testing and quarantine at home.

Testing information and access for the Panhandle area: · You can sign up for the following free testing at Testnebraska.com or 402-207-9377:

o Box Butte General Hospital in Alliance: Monday-Friday, 9-10am

- Ambulance Bay on the east side of the emergency department, watch for the green arrows

o Chadron Community Hospital: Mondays &amp; Fridays, 7-9am

- Collections are at 821 Morehead Street (Old Hospital ER Entrance next to Wilson Park)

- Other testing opportunities for symptomatic patients may be available through the hospital as ordered by your Primary Care Practitioner, call the hospital at 747-2466 with questions.

o Gordon Memorial Hospital: Tuesdays &amp; Thursdays, 2-4pm

o Regional West Health Services in Scottsbluff: Mondays &amp; Fridays, Noon-4pm; Wednesdays, 2-6pm

o Sidney Regional Medical Center: Tuesdays &amp; Thursday, 7-9am

· Community Action Health Center in Gering: Tuesdays, Wednesdays, &amp; Thursdays, 7-8am o Testing is free, sign up at https://tinyurl.com/yydxr5mc

· Alliance Community Pharmacy in Alliance: Monday-Friday, 7:30am-6pm; Saturday-Sunday, 9am-5pm

o For people experiencing symptoms, same day results. Call 308-629-1045 for appointment, fee is $105.

· Morrill County Community Hospital in Bridgeport: Daily

o Call 308-262-1616 for testing, same day results, insurance can be billed.

· Contact your local hospital or clinic for information on testing access.

Here’s what you can do to stay safe and stop the spread of COVID:

1. Crowded Places: Avoid gathering in groups where you can’t maintain 6-feet distance from others.

2. Close Contact: Wear a mask or maintain 6-feet distance when you’re with people you don’t live with.

3. Confined Spaces: Avoid enclosed spaces with poor ventilation.

Panhandle Public Health District, Region 21, 22, and 23 Emergency Management, and Scotts Bluff County Health Department are working as a unified command on this evolving situation. Essential updates will be regularly communicated to the public and community partners.

For the most up to date information from the CDC, visit https://www.cdc.gov/coronavirus/2019-ncov/index.html.

Panhandle Public Health District is working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. Our vision is that we are a healthier and safer Panhandle Community. Visit our website www.pphd.org.

By PPHDThe Heirloom Market held in Bayard on Saturday, October 10, listed as community exposure siteThe Heirloom Market, held in Bayard on Saturday, October 10, has been listed as a community exposure site. Anyone that attended the market should monitor for COVID symptoms through October 24 and if they begin experiencing any symptoms, immediately go get tested and quarantine at home.Due to recent disease investigations indicating confirmed COVID positive cases were contagious during their time at the market and unable to identify each person they were near, health officials are notifying the public of the potential for exposure. The Heirloom Market organizers have worked closely with health officials to notify their vendors of potential exposure; however, due to additional cases being present at the market during their contagious time, it has been increased to a community exposure site.If anyone is experiencing any of the following: cough, fever, shortness of breath, sore throat, runny nose, body chills, headache, loss of taste or smell, nausea, vomiting, or diarrhea, schedule COVID testing and quarantine at home.Testing information and access for the Panhandle area: · You can sign up for the following free testing at Testnebraska.com or 402-207-9377:o Box Butte General Hospital in Alliance: Monday-Friday, 9-10am- Ambulance Bay on the east side of the emergency department, watch for the green arrowso Chadron Community Hospital: Mondays &amp; Fridays, 7-9am- Collections are at 821 Morehead Street (Old Hospital ER Entrance next to Wilson Park)- Other testing opportunities for symptomatic patients may be available through the hospital as ordered by your Primary Care Practitioner, call the hospital at 747-2466 with questions.o Gordon Memorial Hospital: Tuesdays &amp; Thursdays, 2-4pmo Regional West Health Services in Scottsbluff: Mondays &amp; Fridays, Noon-4pm; Wednesdays, 2-6pmo Sidney Regional Medical Center: Tuesdays &amp; Thursday, 7-9am· Community Action Health Center in Gering: Tuesdays, Wednesdays, &amp; Thursdays, 7-8am o Testing is free, sign up at https://tinyurl.com/yydxr5mc· Alliance Community Pharmacy in Alliance: Monday-Friday, 7:30am-6pm; Saturday-Sunday, 9am-5pmo For people experiencing symptoms, same day results. Call 308-629-1045 for appointment, fee is $105.· Morrill County Community Hospital in Bridgeport: Dailyo Call 308-262-1616 for testing, same day results, insurance can be billed.· Contact your local hospital or clinic for information on testing access.Here’s what you can do to stay safe and stop the spread of COVID:1. Crowded Places: Avoid gathering in groups where you can’t maintain 6-feet distance from others.2. Close Contact: Wear a mask or maintain 6-feet distance when you’re with people you don’t live with.3. Confined Spaces: Avoid enclosed spaces with poor ventilation.Panhandle Public Health District, Region 21, 22, and 23 Emergency Management, and Scotts Bluff County Health Department are working as a unified command on this evolving situation. Essential updates will be regularly communicated to the public and community partners.For the most up to date information from the CDC, visit https://www.cdc.gov/coronavirus/2019-ncov/index.html.Panhandle Public Health District is working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. Our vision is that we are a healthier and safer Panhandle Community. Visit our website www.pphd.org.

Heirloom Market held in Bayard listed as community virus exposure site

By Box Butte General Hospital&nbsp;

The year 2020 been a tough one full of sickness, struggles, and unknowns. It’s has taken a big toll on us all; and even though we’re experiencing “pandemic fatigue,” COVID-19 is not through with us.

It’s time to put the health needs of our community first. Box Butte County was the first county in the panhandle of Nebraska to enter the “high risk of COVID-19 spread” on the PPHD Risk Dial. Let’s lead by example and show how we are the Best Hometown in America. As University of Nebraska Medical Center said, “We are entering a dangerous period for our state in the course of the COVID-19 pandemic. The largest surge of cases and hospitalizations we have seen is currently upon us… We need to find that spirit of community now more than ever to overcome COVID-19.”

Whatever your stance is on wearing a mask and social distancing, both practices are proven to reduce the spread of the virus and help protect our children, our elderly, and our family and friends from our germs. Whether you agree with it or not, are “essential” or “non-essential,” it’s the best- and virtually only- thing we can do to protect each other right now. (Adaptations or alternatives of masks are urged for those who have trouble breathing, or are under the age of 2.)

With flu season rapidly approaching, it is important for us all to wash our hands, mask up, social distance, and get a flu shot. Doing these things will help ease the strain on hospitals already dealing with COVID-19. In the last week alone, COVID-19 hospitalizations have tripled in the Panhandle, with a majority of those being ages 40 to 79, according to Panhandle Public Health District (PPHD). Doing your part by following guidelines to stay out of the hospital makes a big impact on stopping the spread. The main concern is the increase in hospitalizations across the state. Managing the stress on healthcare facilities is essential.

Per the CDC’s COVID-19 Positivity Tracker, Nebraska’s current positivity rate ranks in the nine highest of all states. Daily cases now are exceeding the number of cases reported early in April and May. “Box Butte County has had 54 new cases since the first of October, with multiple hospitalizations of our own and we are seeing the rate of positive cases increase daily. This worries me for our community, for the staff of our hospital, and as a mother,” said Lori Mazanec, Box Butte General Hospital CEO. “Please join me in making a commitment to consistently wear masks and to social distance.”

BBGH is still restricting visitors, continually and thoroughly cleaning, wearing masks and other personal protective equipment, and remaining compassionate. We’re doing everything we can to keep our community safe. Stand with us.

Box Butte General Hospital is an equal opportunity provider and employer.

By Box Butte General Hospital&nbsp;The year 2020 been a tough one full of sickness, struggles, and unknowns. It’s has taken a big toll on us all; and even though we’re experiencing “pandemic fatigue,” COVID-19 is not through with us.It’s time to put the health needs of our community first. Box Butte County was the first county in the panhandle of Nebraska to enter the “high risk of COVID-19 spread” on the PPHD Risk Dial. Let’s lead by example and show how we are the Best Hometown in America. As University of Nebraska Medical Center said, “We are entering a dangerous period for our state in the course of the COVID-19 pandemic. The largest surge of cases and hospitalizations we have seen is currently upon us… We need to find that spirit of community now more than ever to overcome COVID-19.”Whatever your stance is on wearing a mask and social distancing, both practices are proven to reduce the spread of the virus and help protect our children, our elderly, and our family and friends from our germs. Whether you agree with it or not, are “essential” or “non-essential,” it’s the best- and virtually only- thing we can do to protect each other right now. (Adaptations or alternatives of masks are urged for those who have trouble breathing, or are under the age of 2.)With flu season rapidly approaching, it is important for us all to wash our hands, mask up, social distance, and get a flu shot. Doing these things will help ease the strain on hospitals already dealing with COVID-19. In the last week alone, COVID-19 hospitalizations have tripled in the Panhandle, with a majority of those being ages 40 to 79, according to Panhandle Public Health District (PPHD). Doing your part by following guidelines to stay out of the hospital makes a big impact on stopping the spread. The main concern is the increase in hospitalizations across the state. Managing the stress on healthcare facilities is essential.Per the CDC’s COVID-19 Positivity Tracker, Nebraska’s current positivity rate ranks in the nine highest of all states. Daily cases now are exceeding the number of cases reported early in April and May. “Box Butte County has had 54 new cases since the first of October, with multiple hospitalizations of our own and we are seeing the rate of positive cases increase daily. This worries me for our community, for the staff of our hospital, and as a mother,” said Lori Mazanec, Box Butte General Hospital CEO. “Please join me in making a commitment to consistently wear masks and to social distance.”BBGH is still restricting visitors, continually and thoroughly cleaning, wearing masks and other personal protective equipment, and remaining compassionate. We’re doing everything we can to keep our community safe. Stand with us.Box Butte General Hospital is an equal opportunity provider and employer.

BBGH: Stand with us

Panhandle risk dial moves further into orange: high risk of COVID spread

 Panhandle total: 1,396; Active: 375; Recovered: 1,010; Deaths: 11

The overall Panhandle risk dial moved further into orange on the weekly Monday update equating to high risk of COVID spread. Additional Panhandle Counties also moved into orange, while three, Banner, Garden, and Grant, remain in yellow equating to moderate risk for COVID spread.

The Governor’s Directed Health Measure will take effect on Wednesday, October 21 in an effort to preserve hospital capacity and slow the spread of COVID. This measure will remain enacted through November. The full details can be found at: https://tinyurl.com/y3al3afa.

o In order to continue elective procedures, hospitals must maintain at least 10% of their staffed general and ICU beds as reserve capacity to treat COVID-19 patients.

o Hospitals must continue to accept and treat COVID-19 patients and must not transfer COVID-19 patients to create capacity for elective procedures.

o Patrons will be required to be seated while on premise unless they are placing an order, using the restroom, or playing games.

o Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).

o INDOOR Gatherings will be limited to 50% of rated occupancy (not to exceed 10,000).

o OUTDOOR Gatherings will remain at 100% of rated occupancy (not to exceed 10,000).

o Gatherings include but are not limited to Indoor or Outdoor Arenas, Indoor or Outdoor Auctions, Stadiums, Tracks, Fairgrounds, Festivals, Zoos, Auditoriums, Large Event Conference Rooms, Meeting Halls, Indoor Theaters, Libraries, Swimming Pools, or any other confined indoor or outdoor space.

o Groups shall be no larger than eight (8) individuals.

o Plans for reopening or expanding to new capacity limits must be submitted to the local health departments and approved for all indoor and outdoor locations/venues that hold 500 or more individuals (1,000 or more in counties

over 500,000 population) before reopening is permitted. The reopening plan must contain planned number of guests, how the location will meet social distancing guidelines, and sanitation guidelines.

· Wedding &amp; Funeral Reception Venues

o Limited dances or other social events requiring guests to gather outside of their respective tables in guidance.

Here’s what you can do to stay safe and stop the spread of COVID:

The Nebraska Strong Recovery Project would like to remind people to reach out for help during this stressful time, you are not alone. Free and confidential support is provided at the Nebraska Rural Response Hotline: 800-464-0258, National Disaster Distress Helpline: 800-985-5990, or Nebraska Family Helpline: 888-866-8660. A full brochure can be found at: https://tinyurl.com/y5bf8met.

Unified Command confirms 160 more cases of COVID in the Panhandle since last reporting on Thursday, October 15. The investigations are underway, all close contacts will be quarantined.

· Total Cumulative Hospitalizations: 124

By PPHDPanhandle risk dial moves further into orange: high risk of COVID spread Panhandle total: 1,396; Active: 375; Recovered: 1,010; Deaths: 11The overall Panhandle risk dial moved further into orange on the weekly Monday update equating to high risk of COVID spread. Additional Panhandle Counties also moved into orange, while three, Banner, Garden, and Grant, remain in yellow equating to moderate risk for COVID spread.<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1603154426982.png" alt="" />
 <figcaption></figcaption>
 </figure><figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1603154466911.png" alt="" />
 <figcaption></figcaption>
 </figure>The Governor’s Directed Health Measure will take effect on Wednesday, October 21 in an effort to preserve hospital capacity and slow the spread of COVID. This measure will remain enacted through November. The full details can be found at: https://tinyurl.com/y3al3afa.· Elective Procedures/Surgerieso In order to continue elective procedures, hospitals must maintain at least 10% of their staffed general and ICU beds as reserve capacity to treat COVID-19 patients.o Hospitals must continue to accept and treat COVID-19 patients and must not transfer COVID-19 patients to create capacity for elective procedures.· Bars &amp; Restaurantso Patrons will be required to be seated while on premise unless they are placing an order, using the restroom, or playing games.o 100% of rated occupancy continues.o Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).· Gatheringso INDOOR Gatherings will be limited to 50% of rated occupancy (not to exceed 10,000).o OUTDOOR Gatherings will remain at 100% of rated occupancy (not to exceed 10,000).o Gatherings include but are not limited to Indoor or Outdoor Arenas, Indoor or Outdoor Auctions, Stadiums, Tracks, Fairgrounds, Festivals, Zoos, Auditoriums, Large Event Conference Rooms, Meeting Halls, Indoor Theaters, Libraries, Swimming Pools, or any other confined indoor or outdoor space.o Groups shall be no larger than eight (8) individuals.o Plans for reopening or expanding to new capacity limits must be submitted to the local health departments and approved for all indoor and outdoor locations/venues that hold 500 or more individuals (1,000 or more in countiesover 500,000 population) before reopening is permitted. The reopening plan must contain planned number of guests, how the location will meet social distancing guidelines, and sanitation guidelines.· Wedding &amp; Funeral Reception Venueso Maximum of eight (8) individuals in a party (groups larger than eight (8) will need to split into multiple tables).o 100% of rated occupancy continues.o Limited dances or other social events requiring guests to gather outside of their respective tables in guidance.Here’s what you can do to stay safe and stop the spread of COVID:1. Crowded Places: Avoid gathering in groups where you can’t maintain 6-feet distance from others.2. Close Contact: Wear a mask or maintain 6-feet distance when you’re with people you don’t live with.3. Confined Spaces: Avoid enclosed spaces with poor ventilation.The Nebraska Strong Recovery Project would like to remind people to reach out for help during this stressful time, you are not alone. Free and confidential support is provided at the Nebraska Rural Response Hotline: 800-464-0258, National Disaster Distress Helpline: 800-985-5990, or Nebraska Family Helpline: 888-866-8660. A full brochure can be found at: https://tinyurl.com/y5bf8met.Unified Command confirms 160 more cases of COVID in the Panhandle since last reporting on Thursday, October 15. The investigations are underway, all close contacts will be quarantined.<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1603154286325.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>Testing information and access for the Panhandle area: · You can sign up for the following free testing at Testnebraska.com or 402-207-9377:o Box Butte General Hospital in Alliance: Monday-Friday, 9-10am- Ambulance Bay on the east side of the emergency department, watch for the green arrowso Chadron Community Hospital: Mondays &amp; Fridays, 7-9am- Collections are at 821 Morehead Street (Old Hospital ER Entrance next to Wilson Park)- Other testing opportunities for symptomatic patients may be available through the hospital as ordered by your Primary Care Practitioner, call the hospital at 747-2466 with questions.o Gordon Memorial Hospital: Tuesdays &amp; Thursdays, 2-4pmo Regional West Health Services in Scottsbluff: Mondays &amp; Fridays, Noon-4pm; Wednesdays, 2-6pmo Sidney Regional Medical Center: Tuesdays &amp; Thursday, 7-9am· Community Action Health Center in Gering: Tuesdays, Wednesdays, &amp; Thursdays, 7-8am o Testing is free, sign up at https://tinyurl.com/yydxr5mc· Alliance Community Pharmacy in Alliance: Monday-Friday, 7:30am-6pm; Saturday-Sunday, 9am-5pmo For people experiencing symptoms, same day results. Call 308-629-1045 for appointment, fee is $105.· Morrill County Community Hospital in Bridgeport: Dailyo Call 308-262-1616 for testing, same day results, insurance can be billed.· Contact your local hospital or clinic for information on testing access.March 2-October 19, 2020· Total Tests Conducted: 17,522· Positive: 1,396· Cumulative Positivity Rate: 7.9%· Recovered: 1,010· Active Cases: 375· Deaths: 11· Active Hospitalizations: 20· Total Cumulative Hospitalizations: 124Panhandle Public Health District, Region 21, 22, and 23 Emergency Management, and Scotts Bluff County Health Department are working as a unified command on this evolving situation. Essential updates will be regularly communicated to the public and community partners.For the most up to date information from the CDC, visit https://www.cdc.gov/coronavirus/2019-ncov/index.html.Panhandle Public Health District is working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. Our vision is that we are a healthier and safer Panhandle Community. Visit our website www.pphd.org.

PPHD: Virus risk dial moves further into orange, 160 more cases, 59 recoveries

OMAHA, Neb. (AP) — Nebraska will reopen a series of federally funded grant programs to help small businesses and nonprofits that are struggling due to the coronavirus pandemic. 

Nebraska still has $160 million available from the $1 billion it received under the federal CARES Act. 

The state will accept applications for assistance from 10 a.m. Wednesday until Nov. 13 on a first-come, first-served basis.

 The newest round of grants will include aid targeted specifically to some of the state’s hardest-hit businesses, including restaurants, bars, movie theaters, tattoo parlors, zoos, event centers and ethanol plants that lost business because of reduced travel and gasoline usage.

OMAHA, Neb. (AP) — Nebraska will reopen a series of federally funded grant programs to help small businesses and nonprofits that are struggling due to the coronavirus pandemic. Nebraska still has $160 million available from the $1 billion it received under the federal CARES Act. The state will accept applications for assistance from 10 a.m. Wednesday until Nov. 13 on a first-come, first-served basis. The newest round of grants will include aid targeted specifically to some of the state’s hardest-hit businesses, including restaurants, bars, movie theaters, tattoo parlors, zoos, event centers and ethanol plants that lost business because of reduced travel and gasoline usage.

Nebraska offers more grants for businesses hit by pandemic

OMAHA, Neb. (AP) — The recent surge of coronavirus cases in Nebraska continues to lead to record numbers of hospitalizations, and the state’s rate of new infections now ranks fifth-highest nationally. 

The state said a record 343 people were hospitalized with COVID-19 after it reported 734 new cases of the virus Sunday to give Nebraska 58,068 cases since the pandemic began. 

There have also been 548 deaths linked to the virus. 

An Associated Press analysis of data from Johns Hopkins University shows the rate of new cases per 100,000 Nebraska residents over the past two weeks registered at 531.86 and ranked fifth-highest among all the states on Sunday.

OMAHA, Neb. (AP) — The recent surge of coronavirus cases in Nebraska continues to lead to record numbers of hospitalizations, and the state’s rate of new infections now ranks fifth-highest nationally. The state said a record 343 people were hospitalized with COVID-19 after it reported 734 new cases of the virus Sunday to give Nebraska 58,068 cases since the pandemic began. There have also been 548 deaths linked to the virus. An Associated Press analysis of data from Johns Hopkins University shows the rate of new cases per 100,000 Nebraska residents over the past two weeks registered at 531.86 and ranked fifth-highest among all the states on Sunday.

Nebraska reports fifth-highest rate of new virus infections

OMAHA, Neb. (AP) — The number of coronavirus cases in Nebraska is growing at a fast pace, and the state’s rate of new infections ranks sixth-highest in the nation. 

An Associated Press analysis of data from Johns Hopkins University showed the state’s rate of new cases per 100,000 residents over the past two weeks registered at 514.65 and ranked sixth-highest among all the states on Saturday. 

The seven-day rolling average of the positivity rate in Nebraska increased to 18.02% on Saturday. 

Nebraska eliminated nearly all of its virus restrictions last month, but Gov. Pete Ricketts announced new restrictions last week because of the recent surge of cases.

OMAHA, Neb. (AP) — The number of coronavirus cases in Nebraska is growing at a fast pace, and the state’s rate of new infections ranks sixth-highest in the nation. An Associated Press analysis of data from Johns Hopkins University showed the state’s rate of new cases per 100,000 residents over the past two weeks registered at 514.65 and ranked sixth-highest among all the states on Saturday. The seven-day rolling average of the positivity rate in Nebraska increased to 18.02% on Saturday. Nebraska eliminated nearly all of its virus restrictions last month, but Gov. Pete Ricketts announced new restrictions last week because of the recent surge of cases.

Nebraska's rate of new virus cases ranks sixth-highest

SIOUX FALLS, S.D. (AP) — South Dakota health officials say the state has reached the 100 mark in deaths due to complications from COVID-19 in October, with eight new fatalities in the last day. 

The update showed 658 positive tests since Saturday, for a total of 33.269 infections since the pandemic began. 

The COVID Tracking Project reports there were about 978 new cases per 100,000 people in South Dakota over the past two weeks. 

That ranks second in the country behind North Dakota for new cases per capita. 

Over the past two weeks, the rolling average number of daily new cases in South Dakota has increased by 63.5%.

SIOUX FALLS, S.D. (AP) — South Dakota health officials say the state has reached the 100 mark in deaths due to complications from COVID-19 in October, with eight new fatalities in the last day. The update showed 658 positive tests since Saturday, for a total of 33.269 infections since the pandemic began. The death toll stands at 323. The COVID Tracking Project reports there were about 978 new cases per 100,000 people in South Dakota over the past two weeks. That ranks second in the country behind North Dakota for new cases per capita. Over the past two weeks, the rolling average number of daily new cases in South Dakota has increased by 63.5%.

South Dakota has reached 100 COVID-19 deaths in October

Three Scotts Bluff County Detention Center inmates and two staff have been confirmed positive with COVID. No one is currently hospitalized or severely ill.

Detention center officials are working closely and following guidance in accordance with local public health officials, United States Marshals Service, and Centers for Disease Control &amp; Prevention (CDC) recommendations for detention facilities.

“Masks are mandatory for staff and visitors inside the facility at all times. All inmates that were in close contact with a positive case are being quarantined for 14 days. Testing of employees and inmates is being conducted as recommended by public health officials,” stated Mark Overman, Scotts Bluff County Sheriff.

As the Panhandle risk dial moved to orange earlier this week indicating high risk of COVID spread, health officials urge all residents to continue all of the important precautions to protect you, your loved ones, and your community from the spread of COVID. 

Wear a mask when possible, stay at least six feet away from others, monitor for any symptoms, and stay home if you are not feeling well. Please practice these safety tips out of an abundance of kindness and humility for others.

Panhandle Public Health District, Region 21, 22, and 23 Emergency Management, and Scotts Bluff County Health Department are working as a unified command on this evolving situation. Essential updates will be regularly communicated to the public and community partners. 

Panhandle Public Health District is working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. &nbsp;Our vision is that we are a healthier and safer Panhandle Community. Visit our website www.pphd.org.

By PPHDThree Scotts Bluff County Detention Center inmates and two staff have been confirmed positive with COVID. No one is currently hospitalized or severely ill.Detention center officials are working closely and following guidance in accordance with local public health officials, United States Marshals Service, and Centers for Disease Control &amp; Prevention (CDC) recommendations for detention facilities.“Masks are mandatory for staff and visitors inside the facility at all times. All inmates that were in close contact with a positive case are being quarantined for 14 days. Testing of employees and inmates is being conducted as recommended by public health officials,” stated Mark Overman, Scotts Bluff County Sheriff.As the Panhandle risk dial moved to orange earlier this week indicating high risk of COVID spread, health officials urge all residents to continue all of the important precautions to protect you, your loved ones, and your community from the spread of COVID. Wear a mask when possible, stay at least six feet away from others, monitor for any symptoms, and stay home if you are not feeling well. Please practice these safety tips out of an abundance of kindness and humility for others.Panhandle Public Health District, Region 21, 22, and 23 Emergency Management, and Scotts Bluff County Health Department are working as a unified command on this evolving situation. Essential updates will be regularly communicated to the public and community partners. For the most up to date information from the CDC, visit https://www.cdc.gov/coronavirus/2019-ncov/index.html.Panhandle Public Health District is working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. &nbsp;Our vision is that we are a healthier and safer Panhandle Community. Visit our website www.pphd.org.

3 Scotts Bluff Co. Detention Center inmates, 2 staff positive with virus

LINCOLN, Neb. (AP) — Gov. Pete Ricketts has announced new restrictions aimed at curbing the coronavirus amid a surge of new cases and hospitalizations in Nebraska.

 The Omaha World-Herald reported that the Republican governor outlined four steps that will go into effect Wednesday: Hospitals must provide 10% of their bed and intensive care unit space for incoming COVID-19 patients. Indoor gatherings, currently allowed up to 75% percent capacity, must drop to 50% capacity. 

People at bars and restaurants must remain seated and with no more than eight to a table. And, wedding and funeral receptions must limit table sizes to no more than eight people.

LINCOLN, Neb. (AP) — Gov. Pete Ricketts has announced new restrictions aimed at curbing the coronavirus amid a surge of new cases and hospitalizations in Nebraska. The Omaha World-Herald reported that the Republican governor outlined four steps that will go into effect Wednesday: Hospitals must provide 10% of their bed and intensive care unit space for incoming COVID-19 patients. Indoor gatherings, currently allowed up to 75% percent capacity, must drop to 50% capacity. People at bars and restaurants must remain seated and with no more than eight to a table. And, wedding and funeral receptions must limit table sizes to no more than eight people.

Nebraska governor imposes new restrictions as virus surges

SCOTTSBLUFF&nbsp;- Due to Panhandle Public Health District's (PPHD) announcement that Scotts Bluff and Cheyenne counties joined Box Butte County in the "High Risk " category for COVID-19 transmission, Western Nebraska Community College has updated COVID-19 related protocols for the Alliance, Scottsbluff, and Sidney campuses.

Until further notice, WNCC is encouraging the general public to call ahead and schedule appointments on campus as much as possible. Employees hosting visits or scheduling appointments with the public are encouraged to host these meetings virtually or over the phone if it can be done effectively.&nbsp;

On-campus events for students and employees can continue with careful consideration of WNCC protocols, but those events are not open to the public. This includes WNCC Athletics scrimmages.&nbsp;

WNCC has created a COVID-19 dashboard that displays active, recovered, and total case counts for students and employees. The dashboard is updated on Tuesday and Friday of each week, and can be found at&nbsp;<a href="http://r20.rs6.net/tn.jsp?f=001IGpDtc3bEohLV1Mmt_rUKQx-349vOWIYb0rS0PG1W45jeDcXJM9-0WBxCXmyOavUQQLY8GMthkN3nZmM1_oeuIG7m4vNHwKSeUXxWnIDgdL3-xtntWyZGTzEKi_ubyB0qAB6Loxo5lK7g8i5-8df9_4vqQwFOzt4xm8UlNah83LSAbI1xTWbooaY5MXZ06M91GfB9t7LG9lD9hRGF-fe2Jj9sByLztjK&amp;c=jIhMh-neZFcIQtfW3qoqtnUHSKCB81x4rTwvLM9cmo0ARG4GTsbecA==&amp;ch=L1MzMDzGMfwl5hgFufZeRLJY96sPU3wrnUzmgXMe23jyUKwoiJrlvQ==" target="_blank">wncc.edu/about-wncc/campus-safety/covid-19</a>.

WNCC continues to encourage students, faculty, staff, and community members to monitor themselves for COVID-related symptoms, and stay home if they feel ill. Facial coverings are required on all three WNCC campuses, and patrons should continue to adhere to social distancing recommendations whenever possible.&nbsp;

The COVID-19 pandemic remains fluid and any protocols or requirements are subject to change.&nbsp; &nbsp;

SCOTTSBLUFF&nbsp;- Due to Panhandle Public Health District's (PPHD) announcement that Scotts Bluff and Cheyenne counties joined Box Butte County in the "High Risk " category for COVID-19 transmission, Western Nebraska Community College has updated COVID-19 related protocols for the Alliance, Scottsbluff, and Sidney campuses. Until further notice, WNCC is encouraging the general public to call ahead and schedule appointments on campus as much as possible. Employees hosting visits or scheduling appointments with the public are encouraged to host these meetings virtually or over the phone if it can be done effectively.&nbsp; On-campus events for students and employees can continue with careful consideration of WNCC protocols, but those events are not open to the public. This includes WNCC Athletics scrimmages.&nbsp; WNCC has created a COVID-19 dashboard that displays active, recovered, and total case counts for students and employees. The dashboard is updated on Tuesday and Friday of each week, and can be found at&nbsp;<a href="http://r20.rs6.net/tn.jsp?f=001IGpDtc3bEohLV1Mmt_rUKQx-349vOWIYb0rS0PG1W45jeDcXJM9-0WBxCXmyOavUQQLY8GMthkN3nZmM1_oeuIG7m4vNHwKSeUXxWnIDgdL3-xtntWyZGTzEKi_ubyB0qAB6Loxo5lK7g8i5-8df9_4vqQwFOzt4xm8UlNah83LSAbI1xTWbooaY5MXZ06M91GfB9t7LG9lD9hRGF-fe2Jj9sByLztjK&amp;c=jIhMh-neZFcIQtfW3qoqtnUHSKCB81x4rTwvLM9cmo0ARG4GTsbecA==&amp;ch=L1MzMDzGMfwl5hgFufZeRLJY96sPU3wrnUzmgXMe23jyUKwoiJrlvQ==" target="_blank">wncc.edu/about-wncc/campus-safety/covid-19</a>. WNCC continues to encourage students, faculty, staff, and community members to monitor themselves for COVID-related symptoms, and stay home if they feel ill. Facial coverings are required on all three WNCC campuses, and patrons should continue to adhere to social distancing recommendations whenever possible.&nbsp; The COVID-19 pandemic remains fluid and any protocols or requirements are subject to change.&nbsp; &nbsp;

WNCC updating guidelines due to elevated COVID-19 risks

CASPER, Wyo. (AP) — The Wyoming Medical Center has reported that 21 of the facility’s 149 patients are being treated for the coronavirus, a record number for the state’s largest hospital. 

The figure as of Wednesday has forced the facility to divert patients from outside the county unless they are suffering from heart attacks, strokes or traumatic injuries. 

The hospital was also forced to hold 17 patients in its emergency room because of a lack of space. Hospitalizations have increased across Wyoming.

 The state reported on Oct. 8 an all-time high in one day of 56 hospitalizations due to the virus. 

As recently as early September, 13 people were hospitalized with the coronavirus.

CASPER, Wyo. (AP) — The Wyoming Medical Center has reported that 21 of the facility’s 149 patients are being treated for the coronavirus, a record number for the state’s largest hospital. The figure as of Wednesday has forced the facility to divert patients from outside the county unless they are suffering from heart attacks, strokes or traumatic injuries. The hospital was also forced to hold 17 patients in its emergency room because of a lack of space. Hospitalizations have increased across Wyoming. The state reported on Oct. 8 an all-time high in one day of 56 hospitalizations due to the virus. As recently as early September, 13 people were hospitalized with the coronavirus.

WMC reports record hospitalizations for the coronavirus

SIOUX FALLS, S.D. (AP) — South Dakota Gov. Kristi Noem has hit the campaign trail in New Hampshire, making appearances without wearing a mask, even as her state witnessed a new highpoint for virus cases. 

Active cases of the coronavirus on Thursday topped 7,000 for the first time in South Dakota and hospitalizations inched to a new high for the third-straight day in a row. 

The Republican governor has vaulted to national prominence among conservatives who have praised her hands-off approach to the pandemic.

 But as she made numerous campaign stops in New Hampshire, the health crisis in her home state continued to escalate.

SIOUX FALLS, S.D. (AP) — South Dakota Gov. Kristi Noem has hit the campaign trail in New Hampshire, making appearances without wearing a mask, even as her state witnessed a new highpoint for virus cases. Active cases of the coronavirus on Thursday topped 7,000 for the first time in South Dakota and hospitalizations inched to a new high for the third-straight day in a row. The Republican governor has vaulted to national prominence among conservatives who have praised her hands-off approach to the pandemic. But as she made numerous campaign stops in New Hampshire, the health crisis in her home state continued to escalate.

Noem campaigns in New Hampshire as virus surges at home

WASHINGTON (AP) — Republican U.S. Sen. Ben Sasse of Nebraska has told constituents that President Donald Trump mocks Christian evangelicals in private and “kisses dictators’ butts.”

 Sasse made the comments Wednesday during a telephone town hall this week when he was asked why he has been so critical of a president of his own party.

 Sasse is running for a second term representing the reliably red state. 

He criticized Trump’s handling of the coronavirus pandemic and said Trump’s family has treated the presidency “like a business opportunity.”

 The comments were first reported by the Washington Examiner after it obtained an audio recording of the senator’s comments.

WASHINGTON (AP) — Republican U.S. Sen. Ben Sasse of Nebraska has told constituents that President Donald Trump mocks Christian evangelicals in private and “kisses dictators’ butts.” Sasse made the comments Wednesday during a telephone town hall this week when he was asked why he has been so critical of a president of his own party. Sasse is running for a second term representing the reliably red state. He criticized Trump’s handling of the coronavirus pandemic and said Trump’s family has treated the presidency “like a business opportunity.” The comments were first reported by the Washington Examiner after it obtained an audio recording of the senator’s comments.

Nebraska Sen. Sasse rips Trump over COVID-19, foreign policy

Panhandle total: 1236, Active: 274, Recovered: 951, Deaths: 11

Unified Command confirms 131 more cases of COVID in the Panhandle since last reporting on Monday, October 12. The investigations are underway, all close contacts will be quarantined and actively monitored for symptoms by public health officials.

· Total Cumulative Hospitalizations: 111

By PPHDPanhandle total: 1236, Active: 274, Recovered: 951, Deaths: 11Unified Command confirms 131 more cases of COVID in the Panhandle since last reporting on Monday, October 12. The investigations are underway, all close contacts will be quarantined and actively monitored for symptoms by public health officials.<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1602807393986.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>Testing information and access for the Panhandle area: · You can sign up for the following free testing at Testnebraska.com or 402-207-9377:o Box Butte General Hospital in Alliance: Monday-Friday, 9-10am- Ambulance Bay on the east side of the emergency department, watch for the green arrowso Chadron Community Hospital: Mondays &amp; Fridays, 7-9am- Collections are at 821 Morehead Street (Old Hospital ER Entrance next to Wilson Park)- Other testing opportunities for symptomatic patients may be available through the hospital as ordered by your Primary Care Practitioner, call the hospital at 747-2466 with questions.o Gordon Memorial Hospital: Tuesdays &amp; Thursdays, 2-4pmo Regional West Health Services in Scottsbluff: Mondays &amp; Fridays, Noon-4pm; Wednesdays, 2-6pmo Sidney Regional Medical Center: Tuesdays &amp; Thursday, 7-9am· Community Action Health Center in Gering: Tuesdays, Wednesdays, &amp; Thursdays, 7-8am o Testing is free, sign up at https://tinyurl.com/yydxr5mc· Alliance Community Pharmacy in Alliance: Monday-Friday, 7:30am-6pm; Saturday-Sunday, 9am-5pmo For people experiencing symptoms, same day results. Call 308-629-1045 for appointment, fee is $105.· Morrill County Community Hospital in Bridgeport: Dailyo Call 308-262-1616 for testing, same day results, insurance can be billed.· Contact your local hospital or clinic for information on testing access.March 2-October 15, 2020· Total Tests Conducted: 16,991· Positive: 1,236· Cumulative Positivity Rate: 7.1%· Recovered: 951· Active Cases: 274· Deaths: 11· Active Hospitalizations: 20· Total Cumulative Hospitalizations: 111Panhandle Public Health District, Region 21, 22, and 23 Emergency Management, and Scotts Bluff County Health Department are working as a unified command on this evolving situation. Essential updates will be regularly communicated to the public and community partners.For the most up to date information from the CDC, visit https://www.cdc.gov/coronavirus/2019-ncov/index.html.Panhandle Public Health District is working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. Our vision is that we are a healthier and safer Panhandle Community. Visit our website www.pphd.org.

PPHD: 131 more virus cases in the Panhandle, 41 new recoveries 

OMAHA, Neb. (AP) — Nebraska reported nearly 1,000 new cases of coronavirus, and doctors in rural parts of the state expressed concern about the high rate of infections across the state.

 Nebraska’s positivity rate ranked sixth-highest among the states on Wednesday.

 Dr. Rebecca Steinke, who serves as medical director of the Central District Health Department in Grand Island, said virus cases in that area have been rising in the past few days, so it’s important that people take precautions such as wearing masks. 

State health officials reported 924 new cases of COVID-19 and three new deaths Wednesday to give the state 54,467 cases and 530 deaths.

OMAHA, Neb. (AP) — Nebraska reported nearly 1,000 new cases of coronavirus, and doctors in rural parts of the state expressed concern about the high rate of infections across the state. Nebraska’s positivity rate ranked sixth-highest among the states on Wednesday. Dr. Rebecca Steinke, who serves as medical director of the Central District Health Department in Grand Island, said virus cases in that area have been rising in the past few days, so it’s important that people take precautions such as wearing masks. State health officials reported 924 new cases of COVID-19 and three new deaths Wednesday to give the state 54,467 cases and 530 deaths.

Nebraska's high rate of virus cases prompts concern in state

SIOUX FALLS, S.D. (AP) — South Dakota has broken its record for COVID-19 hospitalizations and new cases, but state health officials backed up a claim by Gov. Kristi Noem that the record case count is due to increases in testing.

 October has already become the state’s deadliest month of the pandemic. Health officials reported three new deaths from COVID-19, bringing the state’s overall death toll to 291.

 As the deaths and hospitalizations mount, the Republican governor has faced increasing pressure to step up her response. But officials from the Department of Health defended Noem’s remarks. 

She says the surge in cases is “expected” with more testing.

SIOUX FALLS, S.D. (AP) — South Dakota has broken its record for COVID-19 hospitalizations and new cases, but state health officials backed up a claim by Gov. Kristi Noem that the record case count is due to increases in testing. October has already become the state’s deadliest month of the pandemic. Health officials reported three new deaths from COVID-19, bringing the state’s overall death toll to 291. As the deaths and hospitalizations mount, the Republican governor has faced increasing pressure to step up her response. But officials from the Department of Health defended Noem’s remarks. She says the surge in cases is “expected” with more testing.

South Dakota sets daily coronavirus record as hospitals fill

OMAHA, Neb. (AP) - Nebraska officials say Halloween celebrations may need to be tweaked this year because of the coronavirus pandemic as the state continues to set records for the number of COVID-19 hospitalizations.

Gov. Pete Ricketts said Wednesday that he thinks children will still be able to go trick-or-treating for Halloween but people may decide to leave candy on their porches for kids to pick up instead of handing it out themselves this year.

"I think there are ways that we can have Halloween and still do in a way that we can slow the spread of the virus and keep that 6-foot of distance and so forth," Ricketts said. "We can do this but we have to manage it. It can't be like it was in the past."

Ricketts, who eliminated most of the state's restrictions related to the virus last month, isn't likely to impose new rules for Halloween, but he encouraged people to follow the recommendations of public health officials who have called traditional trick-or-treating a high risk activity.

In the state's most populous county, Douglas County health officials said Wednesday that people can reduce the risks associated with trick-or-treating by setting out goodie bags for families to grab while maintaining a safe distance and staying in small groups. Foregoing trick-or-treating altogether in favor of planning scavenger hunts or other activities only with your own family would reduce the risk further.

"I think we want to have a fun Halloween, but we also want to have a safe Halloween," said Douglas County Health Department Director Adi Pour who recommended that people avoid large indoor parties or big gatherings at haunted houses to limit risks.

The Nebraska Department of Health and Human Services has said children should wear masks along with their costumes to help limit the spread of germs.

Nebraska set another new record for COVID-19 hospitalizations Wednesday with 315 people being treated for the virus in hospitals across the state. That number exceeds the record of 305 set last weekend and remains well above the spring peak of 232 set on May 27, according to the state's&nbsp;<a href="https://experience.arcgis.com/experience/ece0db09da4d4ca68252c3967aa1e9dd" target="_blank">online virus tracker</a>.

Nebraska health officials have said they are monitoring hospital capacity closely, but so far hospitals are managing the patient load OK even though hospital capacity is tightening. The state said 24% of Nebraska's intensive care beds and 76% of the state's ventilators remained available Wednesday.

Nebraska continues to have the seventh-highest rate of new cases, according to an Associated Press analysis of data from Johns Hopkins University. The seven-day rolling average of the positivity rate in Nebraska increased over the past two weeks from 13.01% on Sept. 29 to 13.28% on Tuesday.

The state reported 704 new cases of the coronavirus on Tuesday to give Nebraska 53,543 cases since the pandemic began. Five new deaths were also reported to give the state 527 deaths linked to the virus.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1602003780383.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>By JOSH FUNK-Associated Press OMAHA, Neb. (AP) - Nebraska officials say Halloween celebrations may need to be tweaked this year because of the coronavirus pandemic as the state continues to set records for the number of COVID-19 hospitalizations.Gov. Pete Ricketts said Wednesday that he thinks children will still be able to go trick-or-treating for Halloween but people may decide to leave candy on their porches for kids to pick up instead of handing it out themselves this year."I think there are ways that we can have Halloween and still do in a way that we can slow the spread of the virus and keep that 6-foot of distance and so forth," Ricketts said. "We can do this but we have to manage it. It can't be like it was in the past."Ricketts, who eliminated most of the state's restrictions related to the virus last month, isn't likely to impose new rules for Halloween, but he encouraged people to follow the recommendations of public health officials who have called traditional trick-or-treating a high risk activity.In the state's most populous county, Douglas County health officials said Wednesday that people can reduce the risks associated with trick-or-treating by setting out goodie bags for families to grab while maintaining a safe distance and staying in small groups. Foregoing trick-or-treating altogether in favor of planning scavenger hunts or other activities only with your own family would reduce the risk further."I think we want to have a fun Halloween, but we also want to have a safe Halloween," said Douglas County Health Department Director Adi Pour who recommended that people avoid large indoor parties or big gatherings at haunted houses to limit risks.The Nebraska Department of Health and Human Services has said children should wear masks along with their costumes to help limit the spread of germs.Nebraska set another new record for COVID-19 hospitalizations Wednesday with 315 people being treated for the virus in hospitals across the state. That number exceeds the record of 305 set last weekend and remains well above the spring peak of 232 set on May 27, according to the state's&nbsp;<a href="https://experience.arcgis.com/experience/ece0db09da4d4ca68252c3967aa1e9dd" target="_blank">online virus tracker</a>.Nebraska health officials have said they are monitoring hospital capacity closely, but so far hospitals are managing the patient load OK even though hospital capacity is tightening. The state said 24% of Nebraska's intensive care beds and 76% of the state's ventilators remained available Wednesday.Nebraska continues to have the seventh-highest rate of new cases, according to an Associated Press analysis of data from Johns Hopkins University. The seven-day rolling average of the positivity rate in Nebraska increased over the past two weeks from 13.01% on Sept. 29 to 13.28% on Tuesday.The state reported 704 new cases of the coronavirus on Tuesday to give Nebraska 53,543 cases since the pandemic began. Five new deaths were also reported to give the state 527 deaths linked to the virus.

Nebraska officials urge caution with Halloween amid pandemic

By Kyren Gibson, Carnegie Arts Center Director

It is with heavy hearts that the Carnegie Board has decided at this time to not hold our in person event, Gala Night of Giving. Our decision was made in consideration of the rise in COVID cases. 

We want to do our part in keeping our loyal patrons and volunteers healthy and safe. 

Annually we rely on our Gala with the help of our community and patrons to bring in 75% of our required matching grant funds. 

Daily we will be posting facts about Carnegie and what your generous support is providing to your community members. 

If you don't feel comfortable donating through Facebook, you can always support by check to 204 W 4th St, Alliance, NE 69301 or donated through our secure paypal giving fund through following the link.&nbsp;<a href="https://www.facebook.com/donate/799919477476311/342331997041294/">https://www.facebook.com/donate/799919477476311/342331997041294/</a>

A huge thank you to all who have given and continue to give to the arts in Alliance. We will be together again!&nbsp;

By Kyren Gibson, Carnegie Arts Center DirectorIt is with heavy hearts that the Carnegie Board has decided at this time to not hold our in person event, Gala Night of Giving. Our decision was made in consideration of the rise in COVID cases. We want to do our part in keeping our loyal patrons and volunteers healthy and safe. Annually we rely on our Gala with the help of our community and patrons to bring in 75% of our required matching grant funds. Daily we will be posting facts about Carnegie and what your generous support is providing to your community members. If you don't feel comfortable donating through Facebook, you can always support by check to 204 W 4th St, Alliance, NE 69301 or donated through our secure paypal giving fund through following the link.&nbsp;<a href="https://www.facebook.com/donate/799919477476311/342331997041294/">https://www.facebook.com/donate/799919477476311/342331997041294/</a><figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1602705403232.jpeg" alt="" />
 <figcaption></figcaption>
 </figure>A huge thank you to all who have given and continue to give to the arts in Alliance. We will be together again!&nbsp;

Alliance Carnegie Arts Center cancels Gala, holding online fundraiser for event

OMAHA, Neb. (AP) — Nebraska set another new record for COVID-19 hospitalizations Wednesday with 315 people being treated for the virus in hospitals across the state.

 That number exceeds the record set last weekend and remains well above the spring peak of 232 set on May 27.

 An Associated Press analysis of data from Johns Hopkins University shows the state continues to have the seventh-highest rate of new coronavirus cases in the nation. 

The state reported 704 new virus cases and five new deaths Tuesday to give Nebraska 53,543 cases and 527 deaths since the pandemic began.

OMAHA, Neb. (AP) — Nebraska set another new record for COVID-19 hospitalizations Wednesday with 315 people being treated for the virus in hospitals across the state. That number exceeds the record set last weekend and remains well above the spring peak of 232 set on May 27. An Associated Press analysis of data from Johns Hopkins University shows the state continues to have the seventh-highest rate of new coronavirus cases in the nation. The state reported 704 new virus cases and five new deaths Tuesday to give Nebraska 53,543 cases and 527 deaths since the pandemic began.

Nebraska virus hospitalizations sets records as cases grow

WASHINGTON (AP) —Independent monitors have paused enrollment in a study testing the COVID-19 antiviral drug remdesivir plus an experimental antibody therapy being developed by Eli Lilly that’s similar to a treatment President Donald Trump recently received.

Lilly confirmed Tuesday that the study had been paused “out of an abundance of caution” and said safety is its top concern. The company would not say more about what led to this step.

The U.S. National Institute of Allergy and Infectious Diseases, which sponsors the study, would not immediately comment.

Antibodies are proteins the body makes when an infection occurs; they attach to a virus and help it be eliminated. The experimental drugs are concentrated versions of one or two specific antibodies that worked best against the coronavirus in lab and animal tests.

<a href="https://clinicaltrials.gov/ct2/show/NCT04501978?term=ACTIV-3&amp;draw=2&amp;rank=1" target="_blank">This study</a>&nbsp;was testing a single antibody that Lilly is developing with the Canadian company AbCellera. Trump received an experimental two-antibody combo drug from Regeneron Pharmaceuticals Inc.

Lilly and Regeneron have asked the U.S. Food and Drug Administration to grant emergency use authorization for their drugs for COVID-19 while late-stage studies continue.

The paused study, called ACTIV-3, started in August and aims to enroll 10,000 hospitalized COVID-19 patients in the United States, Denmark and Singapore. All are given remdesivir, which has been authorized in the U.S. as an emergency treatment for COVID-19, plus either the Lilly antibody or a placebo.

The main goals are reducing the need for extra oxygen and time to recovery. Deaths, relief of symptoms and other measures also are being tracked. All of the drugs are given through an IV.

Such pauses are not uncommon in long clinical studies. Unlike a study hold imposed by government regulators, a pause is initiated by the sponsor of the drug trial and often can be quickly resolved.

The pause in the Lilly study comes a day after a temporary halt to enrollment in a coronavirus vaccine study. Johnson &amp; Johnson executives said Tuesday that it will be a few days before they know more about an unexplained illness in one participant that caused a pause in its late-stage vaccine study. Johnson &amp; Johnson isn’t disclosing the nature of the illness.

“It may have nothing to do with the vaccine,” said Mathai Mammen, head of research and development for Janssen, Johnson &amp; Johnson’s medicine development business.

Mammen said the company doesn’t know yet whether the ill participant received the experimental vaccine or a dummy shot. He says Johnson &amp; Johnson gave information on the case to the independent monitoring board overseeing the safety of patients in the study, as the research protocol requires. It will recommend next steps.

The study of the one-dose vaccine will include up to 60,000 people from multiple countries. The company expects to complete enrollment in the study in two or three months.

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/10/1602636110217.png" alt="photo courtesy Eli Lilly" />
 <figcaption>photo courtesy Eli Lilly</figcaption>
 </figure>WASHINGTON (AP) —Independent monitors have paused enrollment in a study testing the COVID-19 antiviral drug remdesivir plus an experimental antibody therapy being developed by Eli Lilly that’s similar to a treatment President Donald Trump recently received.Lilly confirmed Tuesday that the study had been paused “out of an abundance of caution” and said safety is its top concern. The company would not say more about what led to this step.The U.S. National Institute of Allergy and Infectious Diseases, which sponsors the study, would not immediately comment.Antibodies are proteins the body makes when an infection occurs; they attach to a virus and help it be eliminated. The experimental drugs are concentrated versions of one or two specific antibodies that worked best against the coronavirus in lab and animal tests.<a href="https://clinicaltrials.gov/ct2/show/NCT04501978?term=ACTIV-3&amp;draw=2&amp;rank=1" target="_blank">This study</a>&nbsp;was testing a single antibody that Lilly is developing with the Canadian company AbCellera. Trump received an experimental two-antibody combo drug from Regeneron Pharmaceuticals Inc.Lilly and Regeneron have asked the U.S. Food and Drug Administration to grant emergency use authorization for their drugs for COVID-19 while late-stage studies continue.The paused study, called ACTIV-3, started in August and aims to enroll 10,000 hospitalized COVID-19 patients in the United States, Denmark and Singapore. All are given remdesivir, which has been authorized in the U.S. as an emergency treatment for COVID-19, plus either the Lilly antibody or a placebo.The main goals are reducing the need for extra oxygen and time to recovery. Deaths, relief of symptoms and other measures also are being tracked. All of the drugs are given through an IV.Such pauses are not uncommon in long clinical studies. Unlike a study hold imposed by government regulators, a pause is initiated by the sponsor of the drug trial and often can be quickly resolved.The pause in the Lilly study comes a day after a temporary halt to enrollment in a coronavirus vaccine study. Johnson &amp; Johnson executives said Tuesday that it will be a few days before they know more about an unexplained illness in one participant that caused a pause in its late-stage vaccine study. Johnson &amp; Johnson isn’t disclosing the nature of the illness.“It may have nothing to do with the vaccine,” said Mathai Mammen, head of research and development for Janssen, Johnson &amp; Johnson’s medicine development business.ADVERTISEMENTMammen said the company doesn’t know yet whether the ill participant received the experimental vaccine or a dummy shot. He says Johnson &amp; Johnson gave information on the case to the independent monitoring board overseeing the safety of patients in the study, as the research protocol requires. It will recommend next steps.The study of the one-dose vaccine will include up to 60,000 people from multiple countries. The company expects to complete enrollment in the study in two or three months.

Possible safety issue spurs pause of COVID-19 antibody study

SIOUX FALLS, S.D. (AP) — Gov. Kristi Noem has blamed South Dakota’s recent surge in coronavirus cases on an increase in testing, even as the state sees a new high in the number of people hospitalized by the virus.

SIOUX FALLS, S.D. (AP) — Gov. Kristi Noem has blamed South Dakota’s recent surge in coronavirus cases on an increase in testing, even as the state sees a new high in the number of people hospitalized by the virus. There are currently no open general-care hospital beds in the southeastern part of the state, which contains the two largest hospitals, according to the Department of Health. Hospitals are dealing with both an increase in COVID-19 patients and people needing other medical care. The Sioux Falls hospitals do have about 41% of their Intensive Care Units available. The Department of Health reports 302 COVID-19 patients are hospitalized.

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