Bills self-destruct, lose in humiliating fashion | News, Sports, Jobs

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Jacksonville Jaguars defensive tackle Taven Bryan (93) and defensive end Dawuane Smoot (91) sack Buffalo Charges quarterback Josh Allen (17) during the next fifty percent Sunday in Jacksonville, Fla.

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JACKSONVILLE, Fla. — The Buffalo Expenses had 12 penalties, which includes five personalized fouls, and a few turnovers — and nonetheless experienced prospects to win.

Buffalo even so sent a stinker at Jacksonville on Sunday, a 9-6 shocker that must aid refocus a team that experienced been the odds-on favorite to win the Super Bowl.

This result for the Charges (5-3) was humiliating, humbling and ideally a wake-up get in touch with.

“You can’t beat you. Let’s commence there,” mentor Sean McDermott stated. “Whether it is penalties, turnovers, fundamentals. Yeah, way as well (a lot of) penalties, self-inflicted. Obtained to continue to keep our poise.”

Buffalo’s principal worry was on the offensive aspect, wherever it gave up 4 sacks and even far more hurries. Quarterback Josh Allen was harassed early and often. He completed 31 of 47 passes for 264 yards, with two interceptions and a fumble.

Allen hadn’t dedicated a next-half turnover all period right up until Sunday.

Then he coughed up three towards the Jaguars (2-6) and would have had a fourth if officials hadn’t ruled his ahead development had been stopped.

“Played like (crap), excuse my language, but that begins with me,” Allen stated. “I’ve obtained to be superior for this crew. But, again, those people fellas on defense get paid out, much too. They had a great recreation plan.”

Allen also led the way on the floor, a further situation for Buffalo versus one particular of the league’s worst defenses. He scrambled 5 times for 50 yards. Devin Singletary and Zack Moss mixed to operate 9 periods for 22 yards. Moss remaining the match late with a concussion.

“That’s a large situation right now for us,” McDermott explained. “Got to be in a position to operate the football when it is handed off. … That’s not good ample.”

With no managing activity to get worried about, the Jaguars could concentrate on receiving to Allen. And they did that routinely down the stretch.

The game’s most decisive times arrived on Buffalo’s ultimate two drives: Allen fumbled on a third-and-2 participate in at the Jaguars 37 with a small extra than 5 minutes remaining. Allen fumbled following obtaining pressured by Dawuane Smoot. Jacksonville’s linebacker Josh Allen – the league’s other Josh Allen – recovered.

Buffalo received the ball back in the waning minutes and advanced to the Jaguars 39. But Smoot sacked Allen on third down. It was Jacksonville’s fourth sack of the working day.

Allen’s sack produced NFL heritage. It was the first time a player sacked a quarterback with the very same identify due to the fact the league started out counting sacks in 1982.

McDermott was peppered with queries about slow starts, foolish penalties and probable variations together the offensive line. He also defended declining an offensive keeping call against Jacksonville just after a 3rd-and-5 engage in from the Buffalo 37.

Matt Wright manufactured a 55-lawn subject objective on the future play. McDermott could have approved the penalty, which would have taken the Jaguars out of discipline-target vary.

“We weren’t participating in great at that place,” he mentioned. “And felt like he hadn’t had a whole lot of subject goals. I’m not certain if he experienced any at that distance at this issue in the time. But that’s one particular I want again, yeah, definitely with the result the way it was.”

The complete match will be a person Buffalo could seem back again on the rest of the period. The Costs were being 14 1/2-point favorites, in accordance to FanDuel Sportsbook, and they looked unprepared — and possibly even unmotivated — from the start out.

“I was just searching on their sideline and just one factor I know is I was like, ‘They never have the similar power as us,’” Jaguars cornerback Shaquill Griffin mentioned. “If you truly feel like a person crew deserved this get, it is us, but you have got to feel that.

“That’s a person issue I saved preaching at everyone else. Look on the sidelines, looking at them strolling close to, it’s like they never care. They don’t are entitled to this. Let’s display them why.”

Included Buffalo’s Allen: “It’s really hard to acquire soccer games no subject who you perform. We’re all developed males. We all get paid to engage in this match. They came out. They wanted it extra.”

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Today’s Business and Markets News: Live Updates

ImageRandal K. Quarles

Randal K. Quarles, a Federal Reserve governor who spent four years overseeing bank supervision, will step down from the Fed in December — opening an additional seat that will allow the Biden administration to reshape the central bank’s leadership.

Mr. Quarles’ role as vice chair for supervision expired in October, but his term as governor was set to last until early 2032. The Trump appointee was widely expected to stay on until his time as head of the Financial Stability Board, a global monitoring and standard-setting body, ended in December. It was an open question whether he would stay after that.

“I intend to resign my position as a governor of the Federal Reserve during or around the last week of December of this year,” Mr. Quarles wrote in a letter the Fed released on Monday.

The announcement that he will step down is likely to be greeted warmly by Democrats, many of whom have been critical of Mr. Quarles’s push to relax some post-crisis financial regulations. Many Democrats have been calling for the administration to nominate a diverse set of leaders to the central bank.

President Biden already has one open spot on the central bank’s seven-person Board of Governors to fill, and will have another when Richard H. Clarida, the Fed’s vice chair, sees his term as governor expire early next year. This will give the administration at least three open spots. Jerome H. Powell’s term as the Fed’s chair is also scheduled to expire early next year.

It is not clear when Mr. Biden will announce his central bank nominees, including whether he plans to reappoint Mr. Powell. He last week said that the decision would come “fairly quickly.”

Credit…Punit Paranjpe/Agence France-Presse — Getty Images

With stocks on a tear in India, the parent company of Paytm, a leading digital payments app, went public on Monday with hopes of becoming the country’s largest initial public offering.

The company, One97 Communications, aims to raise about $2.5 billion in a three-day offer that ends on Wednesday. It has already drawn huge institutional investors like Abu Dhabi’s sovereign wealth fund, the Texas teachers’ pension fund and the University of Cambridge, which have invested more than $1 billion.

Founded in 2010, Paytm started as a payments transfer business. It now allows users to send money to friends, buy small items like coffee or clothing, and finance big-ticket items like cars.

All but ubiquitous in India’s biggest cities, Paytm now commands more than 40 percent of India’s digital payments market. The company has yet to turn a profit, but it is benefiting from a surge of interest from foreign and Indian investors looking for a stake in India’s surging internet economy. The I.P.O. could value the company at $20 billion.

“Paytm is evolving into a marketplace in itself,” said Amit Khurana, an analyst with Dolat Capital in Mumbai.

“There is a lot of appetite to allocate money to this kind of model because it’s seen as the business of the future.”

Investors, in general, have been increasingly bullish on the Indian economy’s recovery from the devastating impacts of the pandemic and a series of lockdowns that slashed industrial activity and consumer spending sharply.

India’s central bank, the Reserve Bank of India, has steadily cut interest rates, encouraging banks to lend more and consumers — particularly young, savvy online shoppers — to spend more.

“We are now in a sweet spot, where the bank recovery is coinciding with the demographic transition, which in turn is coinciding with the digital revolution,” said Madhavan Narayanan, an economist in India. “All these three are making the sun and the moon and the stars align for young India.”

With coronavirus infections in India low and foot traffic returning to brick-and-mortar stores, newly sanitation-sensitized shoppers may prefer to scan QR codes rather than handle cash.

The pandemic has helped a trend in India toward a cashless economy that began with the government of Prime Minister Narendra Modi’s sudden demonetization in 2016. The policy, meant to tamp down on money laundering, involved banning the most widely circulated currency notes, wiping out families’ savings and shuttering businesses overnight. But five years later, it appears to have also created some winners, digital payments companies like Paytm among them.

Competition is heating up. Google offers Google Pay. India’s richest man, Mukesh Ambani, began a joint venture with Facebook last year to offer digital payments over WhatsApp, India’s most popular messaging service.

Paytm’s share offering is the latest in a series of oversubscribed I.P.O.s in recent months, among a bevy of so-called unicorns backed by e-commerce giants like China’s Alibaba and its financial affiliate, Ant.

Institutional and foreign investors also flocked to the initial public offering of India’s food delivery app, Zomato, in July, which was oversubscribed by 38 times the available shares.

In an August report, the Reserve Bank of India predicted that 2021 “could well turn out to be India’s year of the initial public offering.”

Paytm’s push to become India’s biggest initial public offering has overshadowed another sizable offering. The parent company of online beauty products retailer Nykaa was publicly listed on Monday, seeking a $7.4 billion valuation.

Sameer Yasir contributed reporting.

The United States reopened its borders for fully vaccinated travelers from dozens of countries on Monday, ending more than 18 months of restrictions on international travel that left families separated from loved ones and cost the global travel industry hundreds of billions of dollars in tourism revenue.

Under the new rules, fully vaccinated travelers will be allowed to enter the U.S. if they can show proof of vaccination and a negative coronavirus test taken within three calendar days of travel. Unvaccinated Americans and children under the age of 18 are exempt from the requirement, but must take a test within one day of travel.

The shift has come in time for the holiday season, when the beleaguered tourism industry is eagerly awaiting an influx in international visitors, especially in popular big-city destinations like New York, Los Angeles and Miami. The extended ban on travel from 33 countries — including European Union members, China, India and Iran — devastated the sector and resulted in losses of nearly $300 billion in visitor spending and more than one million American jobs, according to the U.S. Travel Association.

“It is a monumental day for travelers, for the communities and businesses that rely on international visitation, and for the U.S. economy overall,” said Roger Dow, the association’s president and chief executive officer.

At Miami International Airport, a major hub for travel to and from South and Central America, Natalia Vitorini, a 28-year-old student living in Miami, waited for her parents to get off the morning’s first arriving flight from São Paulo, Brazil, with her 3-week-old son.

Her mother, Debora Vitorini, and her husband, Sergio, arrived a little after 6 a.m. The last time they had seen each other was in March 2020. “I was waiting for the border to open so my mom can come to see my baby,” Natalia Vitorini said.

And thousands of Canadians — “snowbirds,” typically retirees — are already on their way to Florida, Arizona and California, among other warm destinations, with campers and boats in tow.

“We’re ready to enjoy what the United States has to offer,” said Wayne Peters of Kelowna, British Columbia, who is about to embark on a 1,520-mile journey south to Yuma, Ariz., with his wife for five months of hiking, golfing and playing pickle ball.

Delta Air Lines said that many of its international flights on Monday were fully booked. The carrier’s first flight into the United States under the looser restrictions, DL106, arrived from São Paulo, Brazil in Atlanta on Monday, just before 10 a.m. Eastern time. By the end of Monday, Delta expects to fly 139 mostly full planes from 38 countries into the U.S.

Hotels across the country, particularly those in cities, also felt the impact of the reopening announcement, with increased bookings and interest over the holiday season. Hyatt, the hotel group, said that approximately 50 percent of its bookings by international travelers to the U.S. for the week of Nov. 8 came after the date was announced in mid-October, with travelers flocking to top cities.

The chef Daniel Boulud, who owns several restaurants in New York City, said that customers from overseas had already started to call for reservations or to go on a waiting list.

He added that while his restaurants were already “quite busy,” buoyed by domestic tourism and a trickle of international visitors, “the faucet was not open for tourism yet.” International tourists, he said, will bring necessary foot traffic, in particular to his restaurants near the Theater District.

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British Airways and Virgin Atlantic celebrated the re-opening of the United States border for fully vaccinated international travelers, by taking off simultaneously from Heathrow Airport in London.CreditCredit…Alex Ingram for The New York Times

Many of the airplanes departing for the United States over the coming weeks will be full of travelers reuniting with family and friends after more than a year apart. Felicity Fowler, a retired homeopath from London, missed the birth of her grandson. He was born in New York in April; she hasn’t seen her daughter, his mother, since February 2020.

“It’s been emotional torture to be so far away from my girl at a time when she has needed me the most,” she said in an interview. “We need to make up for lost time.”

Credit…Annice Lyn/Getty Images

Shares of several drug makers in Asia fell sharply on Monday in response to Pfizer’s announcement that its antiviral drug was highly effective in treating Covid-19.

CanSino Biologics, the Chinese maker of a Covid-19 vaccine, dropped by 17 percent during trading in Hong Kong. Shanghai Fosun, which has marketing rights in greater China for the coronavirus vaccine developed by Pfizer and BioNTech, saw its Hong Kong shares drop by 7 percent before rebounding somewhat to end 2 percent lower.

WuXi Biologics of China, which is developing Covid vaccines and antibodies, fell by 9 percent in Hong Kong. And shares of Japanese pharmaceutical firm Shionogi & Co., which is also developing a Covid treatment drug, dropped 6 percent in Tokyo.

Pfizer said Friday that when its new pill was given within three days of the start of Covid symptoms, hospitalizations and deaths were reduced by 89 percent. The company said it planned to submit the drug for Food and Drug Administration approval as soon as possible. A panel of experts had recommended not enrolling any more candidates in the trial because it had already shown such effectiveness, the company said.

Credit…Jan Haas/Picture-Alliance/DPA, via Associated Press

Deep Nishar, a former top investor at SoftBank’s $100 billion Vision Fund, is joining General Catalyst, a Silicon Valley venture capital firm known for its successful bets on start-ups including Airbnb and Snap.

Mr. Nishar said last month that he would leave SoftBank by the end of 2021, ending a six-year stint at the Japanese tech conglomerate. He is the latest senior executive to leave the Vision Fund, which struggled after soured bets on WeWork and other companies; at least four others have left in the past two years.

SoftBank’s founder and chief executive, Masayoshi Son, hired Mr. Nishar to rebuild the firm’s presence in the United States after it was forced to scale back when the dot-com bubble burst in 2000. Mr. Nishar, who previously worked at Google and LinkedIn, made successful investments in companies such as Guardant Health, which uses big data to detect and treat cancer early. Shares of Guardant, which went public in 2018, now trade at more than five times their initial price.

In an interview, Mr. Nishar, 52, said he was proud of what he has helped build at the SoftBank fund. “Four years ago, no one believed you could build a $100 billion investment platform,” he said. Mr. Nishar and Mr. Son remain close, he added, saying the two men “continue to talk every day.”

At General Catalyst, which was founded in Massachusetts and has been building its Silicon Valley presence, Mr. Nishar will both invest in start-ups and help the firm build its own companies. In addition to Airbnb, General Catalyst was an early investor in Warby Parker and helped build the travel search engine Kayak. The firm was also one of the earliest investors in Stripe, the financial technology firm that raised private funding earlier this year at a $95 billion valuation. Stripe’s I.P.O. is widely expected to be among the largest in history.

Hemant Taneja, General Catalyst’s managing partner who is based in San Francisco, said he had tried to recruit Mr. Nishar in 2015, before Mr. Nishar joined SoftBank. Mr. Taneja said he wanted to bring Mr. Nishar on board to help the firm go after big, broad ideas that cut across fields, including those at the intersection of technology, health care and life sciences.

Over years of long walks around Silicon Valley, Mr. Taneja finally succeeded in wooing Mr. Nishar, who will start his new job in January.

Credit…Tristan Spinski for The New York Times

Last winter was warmer than average, which led to relatively low residential energy bills. Even if the coming winter is not severe, heating costs could rise to levels not seen a decade.

Several factors — lower global fuel inventories, incentives for producers to let prices rise and a mismatch between supply and demand as economies emerge from the pandemic — may combine to push bills higher, The New York Times’s Talmon Joseph Smith reports.

After plunging during the pandemic as the global economy slowed, energy prices have been climbing. Natural gas, used to heat almost half of U.S. households, has roughly doubled in price since this time last year. The price of crude oil — which strongly affects the 10 percent of households that rely on heating oil and propane during the winter — has soared by similarly eye-popping levels.

And those costs are being quickly passed through to consumers, who have become accustomed to cheaper energy prices in recent years and find themselves with growing concerns about inflation this year.

Credit…Joe Burbank/Orlando Sentinel, via Associated Press

Monday

  • Facebook whistle-blower: Frances Haugen, the former Facebook product manager, will testify at a European Parliament hearing. In previous appearances before American and British lawmakers, Haugen called for stronger regulations for Facebook, which recently renamed itself Meta.

  • Roblox earnings: The popular online gaming platform, which went public in March, recently suffered an outage that lasted several days.

  • AMC earnings: The world’s largest movie theater chain could be the latest business to report rising fortunes as Americans return to prepandemic life. In a sign that movie theaters may be on the rebound, the sci-fi film “Dune” recently surpassed $300 million at the worldwide box office.

Tuesday

  • Rivian I.P.O. pricing: The electric truck maker backed by Amazon and Ford Motor is closer to pricing an initial public offering that could value it at more than $60 billion. If Rivian prices its I.P.O. on Tuesday, it would begin trading Wednesday.

Wednesday

  • Consumer Price Index: The Labor Department will release inflation data for October. Costs for everything from food to furniture have been climbing fast as strong demand and supply chain snarls have pushed prices higher.

  • Disney earnings: The Walt Disney Company, the world’s largest entertainment company, will report its fiscal full year and fourth quarter earnings after the market closes.

Thursday

  • Singles Day: The online shopping event created by the e-commerce giant Alibaba kicks off. China reported slower economic growth last month, though retail sales have been a bright spot.

Friday

  • Warby Parker earnings: The direct-to-consumer eyewear company will announce earnings for its third quarter, the company’s first report since it went public in September.

The Biden administration last week set Jan. 4 as the deadline for companies with 100 or more employees to mandate Covid vaccinations or enact weekly testing of workers. The mandate, in the works for some time, quickly faced legal challenges, and on Saturday, a federal appeals panel temporarily blocked the measure.

The court, in a two-page order, directed the Biden administration to respond by 5 p.m. Monday to a request for a permanent injunction.

The administration is “prepared to defend” the rules, Dr. Vivek Murthy, the surgeon general, said on Sunday. “The president and the administration wouldn’t have put these requirements in place if they didn’t think that they were appropriate and necessary,” Dr. Murthy said on ABC’s “This Week.”

Dr. Murthy pointed to the nation’s history as precedent: George Washington required troops to be inoculated against smallpox in 1777. The mandate would allow for medical or religious exemptions, and companies that fail to comply may be fined.

One coalition of businesses, religious groups, advocacy organizations and several states filed a petition on Friday with the U.S. Court of Appeals for the Fifth Circuit in Louisiana, arguing that the administration overstepped its authority.

On Saturday, a panel of the court temporarily blocked the new mandate, writing “the petitions give cause to believe there are grave statutory and constitutional issues with the mandate.”

The stay does not have immediate impact, as the first major deadline in the rule is Dec. 5, when companies with at least 100 employees must require unvaccinated employees to wear masks indoors.

Credit…Sarah Rice for The New York Times

In Indianapolis, eviction courts are packed as judges make their way through a monthslong backlog of cases. In Detroit, advocates are rushing to knock on the doors of tenants facing possible eviction. In Gainesville, Fla., landlords are filing evictions at a rapid pace as displaced tenants resort to relatives’ couches for places to sleep or seek cheaper rents outside the city.

It is not the sudden surge of evictions that tenants and advocates feared after the Supreme Court ruled in August that President Biden’s extension of the eviction moratorium was unconstitutional.

Instead, what’s emerging is a more gradual eviction crisis that is increasingly hitting communities across the country, especially those where the distribution of federal rental assistance has been slow, and where tenants have few protections.

While the number of eviction filings remained at nearly half of prepandemic averages during the first two weeks of October, according to the Eviction Lab at Princeton University, in the 31 cities and six states it tracks, the filings are also increasing.

In the first two weeks of September, just after the moratorium ended, eviction filings increased by 10 percent from the first two weeks of August. In the first two weeks of October, evictions increased by nearly 14 percent from the first two weeks of the previous month.

“In places that don’t have protections, these numbers are increasing pretty quickly,” said Peter Hepburn, a researcher at the Eviction Lab. “And we don’t know where the ceiling is.”

Gene Sperling, the economist overseeing the Biden administration’s pandemic relief programs, credited the $46.5 billion in federal rental assistance set aside by Congress last winter with mitigating the problem. More than two million payments have been made — nearly a million in August and September alone.

Some jurisdictions have used part of the money to introduce programs that provide alternatives to eviction or legal assistance for tenants. Just over 37 percent of all renters in the country live in places that still have local eviction bans or are postponing eviction judgments pending rental assistance, according to the Urban Institute.

But elsewhere, limited renter protections and limits in the distribution of rental assistance are spurring the increase in evictions.

“No one should be sleeping well at night when there are still way too many painful, avoidable evictions,” said Mr. Sperling.

The true extent of the crisis facing tenants is understated by the available numbers on eviction, housing advocates and experts say. “The eviction avalanche is absolutely here across the country,” said Katie Goldstein, a housing justice campaign director with the Center for Popular Democracy.

  • SoftBank on Monday reported a net loss of $3.5 billion in the last quarter, reflecting the impact of China’s regulatory crackdown on its investments. The Japanese tech conglomerate recorded a $10 billion hit to its Vision Fund caused by declines in the share prices of its portfolio companies.

  • Elon Musk polled his Twitter followers over the weekend about whether he should sell 10 percent of his stake in Tesla, his electric car company, with a majority voting “yes.” Mr. Musk may have already been compelled to sell a sizable portion of his Tesla shares: He holds nearly 23 million stock options awarded in 2012 that have since vested and will expire in August. And it’s likely that much of his 2012 options don’t qualify for a preferential tax treatment. Tesla shares were down about 4 percent in premarket trading on Monday.

  • Berkshire Hathaway, the conglomerate run by Warren Buffett, on Saturday reported a sharp decrease in earnings in the third quarter, reflecting the turmoil in financial markets and the broader slowdown in U.S. economic growth. Profits fell by two-thirds to $10 billion, down from $30 billion in the same three months of 2020, when the economy was still in the process of reopening from pandemic shutdowns.

NFL schedule Week 9: TV coverage, channels, scores for every football game today

This might be one of those weeks in the NFL where the afternoon slate offers more thrilling matchups than the primetime matchups.

Sunday will begin with a matchup of a pair of in-state, AFC North rivals with the Browns traveling to Cincinnati to take on the Bengals. There will also be a matchup of two of the top defenses in the league with the Cowboys hosting the Broncos.

Then in the 4 o’clock hour, all eyes will be on the Packers-Chiefs game as Green Bay hopes to survive a matchup with Kansas City without Aaron Rodgers. There will also be a matchup of NFC West rivals when the 49ers host the Cardinals at 4:25 p.m.

The primetime slate of games should still deliver some excitement. The Titans will ride a four-game winning streak into a “Sunday Night Football” matchup with the 7-1 Rams. On Monday, the Steelers will host Justin Fields and the Bears in the last game of the week.

Sporting News has you covered for everything you need to watch Week 9 of the season.

MORE: Watch NFL games live with fuboTV (7-day free trial)

NFL schedule this week: Week 9 TV coverage

Here’s the full schedule for Week 9 of the NFL season, plus final scores and how to watch every game live. 

Note: national broadcasts are listed in bold

Thursday, Nov. 4

Game Time (ET) TV Channel
Colts 45, Jets 30 8:20 p.m. Fox, NFL Network, fuboTV

Sunday, Nov. 7

Game Time (ET) Channel
Browns at Bengals 1:00 p.m. CBS, fuboTV
Broncos at Cowboys 1:00 p.m. Fox, fuboTV
Texans at Dolphins 1:00 p.m. Fox, fuboTV
Falcons at Saints 1:00 p.m. Fox, fuboTV
Raiders at Giants 1:00 p.m. CBS, fuboTV
Patriots at Panthers 1:00 p.m. CBS, fuboTV
Bills at Jaguars 1:00 p.m. CBS, fuboTV
Vikings at Ravens 1:00 p.m. Fox, fuboTV
Chargers at Eagles 4:05 p.m. CBS, fuboTV
Packers at Chiefs 4:25 p.m. Fox, fuboTV
Cardinals at 49ers 4:25 p.m. Fox, fuboTV
Titans at Rams 8:20 p.m. NBC, fuboTV

Monday, Nov. 8

Game Time (ET) Channel
Bears at Steelers 8:15 p.m. ESPN, fuboTV

How to watch NFL games in Week 9

The NFL will have three prime time games with matchups slated for Thursday, Sunday and Monday. The Jets and Colts already played. Next, the Titans and Rams will face off on NBC on “Sunday Night Football.” Then, the Bears and Steelers will play one another on “Monday Night Football”

The rest of the slate will be aired either on CBS or FOX. Check your local listings to see which games will be on your broadcast.

Canadian viewers can find the games on TSN, CTV and CTV2.

NFL scores Week 9

Thursday, Nov. 4

Game Score
Jets at Colts 45-30, IND

Sunday, Nov. 7

Game Score
Browns at Bengals
Broncos at Cowboys
Texans at Dolphins
Falcons at Saints
Raiders at Giants
Patriots at Panthers
Bills at Jaguars
Vikings at Ravens
Chargers at Eagles
Packers at Chiefs
Cardinals at 49ers
Titans at Rams

Monday, Nov. 8

Game Score
Bears at Steelers

Hertz not the first to offer rental Teslas

Levenson, who manages fifty percent a dozen EVs on the car or truck-sharing software Turo, explained Hertz is producing a bigger wager on the electric powered marketplace than lots of of the additional timid gamers in the industry. Levenson’s rentals are a blend of Tesla Product 3s and Model Ys, furthermore a not long ago extra Ford Mustang Mach-E.

“I expected Hertz to make incremental announcements, pretty much like legacy automakers dipping their toes into EVs,” he said. “So the sinking feeling in my stomach arrived from considering my Design 3s and Design Ys could possibly be priced in a way that isn’t aggressive with Hertz. That element sucks.”

The Tesla deal was the initially of numerous Hertz bulletins last week. It was followed by a partnership to lease Teslas to Uber motorists and a deal with Carvana to provide rental cars by way of its made use of-automobile system. Fields also advised CNN that Hertz could receive an more 100,000 cars for Uber.

Inspite of quickly dealing with a rental giant in his EV market, Levenson explained he embraces the shift as getting fantastic for EV adoption.

“I’m an trader in Tesla, I am a multi-vehicle rental owner, I’m a automobile reviewer and I want folks to have access to EVs,” he stated. His YouTube channel The Kilowatts has featured numerous EV makes.

With his West Coast rental startup, Levenson and his associates in Seattle and Portland hope to get a soar on industry desire in the Cybertruck that Tesla plans to build up coming 12 months. With several Cybertruck reservations, the associates are hoping to inventory up on the wildly styled pickup right before Hertz shows desire.

In the meantime, Product 3s and Ys are the excellent rental EVs, he explained, since they are attractive, less complicated to function than individuals may possibly think and have a devoted charging network for hassle-cost-free fueling. That simply cannot be said of some would-be rivals.

Levenson has 500 rentals underneath his belt. About 50 percent of his renters have driven Teslas right before and some are house owners. The other half are new to the model. Whilst a minority of renters are employing the vehicles for an prolonged examination generate, most are website visitors or locals who will need to get all over the Bay Area or further than.

Levenson has a two-minute YouTube video as a rapid-commence guidebook or he’ll walk prospects by means of the basic capabilities if he is current for the auto handoff. Probably 1 in 10 customers have a question right after that. “It is genuinely wonderful how they’ve built these cars to be rental automobiles,” he said.

Acquire the 15-inch touch monitor that operates approximately every motor vehicle perform — which is not a little something you are going to find on a latest Hertz large amount. Even the glove box on Teslas needs the contact of a virtual button. Some could think an uninitiated renter could be intimidated.

“That is a total misunderstanding,” claimed Levenson. “Persons pick it up so very easily and intuitively.” Some Hertz renters who stop up in a Tesla may possibly battle if they have been expecting a more traditional auto, Levenson explained. But visual guides these as the a person he is created really should make original confusion a nonissue, he explained.

Charging up for the duration of the rental period of time is a further possible discomfort position. But in contrast to other EV makers, Tesla has its own Supercharger network with plug-and-cost capacity that expenditures specifically to a Tesla account.

Levenson said that renters seldom have questions about Tesla charging even though on the street. It is far more widespread with renters of his Mach-E, who have to deal with many charging networks and various sorts of payment. It is really receiving far better, with Electrify The us offering plug-and-demand ability for the Ford.

Today’s coronavirus news: Ontario reports 508 new cases, three more deaths; expands eligibility for booster shots; U.S. COP26 delegate tests positive

The latest coronavirus news from Canada and around the world Saturday. This file will be updated throughout the day. Web links to longer stories if available.

5:45 p.m.: In a gathering with more than 20,000 people from nearly every country in the world, one of the biggest major international summits since the pandemic began, a COVID-19 outbreak was always going to be a danger. So far, organizers have not revealed the number of positive COVID-19 …

GLASGOW, Scotland — In a gathering with more than 20,000 people from nearly every country in the world, one of the biggest major international summits since the pandemic began, a COVID-19 outbreak was always going to be a danger.

So far, organizers have not revealed the number of positive COVID-19 test results. But on Saturday, the State Department confirmed that a member of the U.S. delegation had tested positive. Earlier, Mayor Eric Garcetti of Los Angeles tested positive days after arriving in Scotland.

The State Department statement Saturday declined to identify the person but said the official had been fully vaccinated and was quarantining. The statement also said John Kerry, the U.S. presidential envoy for climate change who is leading the negotiations at the summit, had received several negative COVID-19 results, including daily lateral flow tests and a PCR test, since the delegate tested positive.

Asked this week about the number of positive tests at the conference, Alok Sharma, the British president of the talks, said the numbers were lower than in the rest of Scotland. “At this point, we’re comfortable where we are,” he said.

5:23 p.m.: Winter is coming, COVID-19 is accelerating at an alarming pace in Colorado and the state’s 43 rural hospitals continue to struggle through debilitating staff shortages.

Employees have left small-town health care facilities complaining of burnout, and now that vaccine mandates are in place, some have quit over being forced to receive the shot.

In one rural hospital, a pharmacist and a business office employee died of COVID-19 within a week of one another, leaving co-workers at Holyoke’s Melissa Memorial Hospital grief stricken and overworked as those positions remain unfilled.

“They died very tragically,” said MMH CEO Cathy Harshbarger. “Both required a lot of support and medical care. We had to ship them out to other hospitals for care. We’re stretched to the max.”

Holyoke, about three hours northeast of Denver, has a population of 2,200 people.

MMH has run a help wanted ad in the Holyoke Enterprise for 10 openings including a dietary cook, a paramedic and an EMT. The hospital has a separate ad for an executive director to lead its hospital foundation.

“More and more my employees are asking, ‘Why am I in health care?’ ” said Harshbarger.

5:20 p.m.: A month ago the coronavirus seemed headed for a long winter’s nap in masked and well-vaccinated California. Gov. Gavin Newsom boasted that the Golden State “continues to lead the nation” as the only state to reach the Centers for Disease Control and Prevention’s yellow “moderate” tier of community virus transmission.

But COVID-19 cases aren’t falling in California anymore. They have climbed back up to the CDC’s blood-red “high” level of virus transmission as the highly contagious delta variant continues to wreak havoc.

Meanwhile, the virus has gone quiet in Deep South states that abandoned mask orders, opposed vaccine mandates, posted lower vaccination rates and saw larger outbreaks over the summer. California’s case rate is now well above Texas’ and double Florida’s, which along with the rest of the Gulf Coast are down to the CDC’s orange “substantial” transmission level.

“There are early indications that the decline in the delta surge at the national level in the U.S. has ended,” said Ali H. Mokdad, professor of health metrics sciences at the University of Washington, which runs a widely followed model projecting the course of the pandemic. Currently, 19 states have increasing transmission, including several like California “that had previously appeared to have been declining.”

And while much of the Golden State’s current coronavirus woes are driven by virus spread in the less-vaccinated and restricted inland counties, the Bay Area hasn’t been immune. Most Bay Area counties that hoped to reach the yellow moderate level by now remain stubbornly stuck in orange. Marin and Santa Cruz counties, which had reached the yellow level, are back up to orange. San Francisco is the only county in yellow.

4:20 p.m.: A federal appeals panel in Louisiana has temporarily blocked the Biden administration’s new safety regulations directing businesses with more than 100 workers to require their employees to get vaccinations against the coronavirus by early January.

The three-judge panel from the U.S. Court of Appeals for the 5th Circuit granted a temporary stay to a group of businesses, religious groups, advocacy organizations and several Republican-led states that had filed a joint petition in court, arguing the administration had overstepped its authority.

Numerous Republican-led states have filed legal challenges against the new rule, among them Texas, Mississippi, South Carolina and Utah.

4:04 p.m.: A Rhode Island man who federal prosecutors said used stolen identities to obtain more than $450,000 in pandemic-related unemployment assistance was arrested in Michigan, authorities said.

Dquintz Alexander, 34, of Cranston, Rhode Island, was indicted and charged in federal court in Boston on five counts of wire fraud, one count of conspiracy to commit wire fraud and one count of aggravated identity theft, according to the U.S. attorney for the District of Massachusetts.

As the coronavirus pandemic devastated the economy in March 2020, Congress passed the Coronavirus Aid, Relief, and Economic Security Act, which among other things created a temporary federal unemployment insurance program called Pandemic Unemployment Assistance. The program granted unemployment insurance benefits to people who lost their jobs or were unable to work because of the coronavirus.

The pandemic unemployment program, which is administered by each state, lowered the barriers to collecting benefits, and the usual security methods intended to prevent fraud were not able to keep up with security breaches. Last year in California, an underground internet bazaar that specialized in selling stolen accounts and data had for-sale ads for filched unemployment insurance claims in the state that had been approved and offered benefits worth $17,550.

2:31 p.m.: New Brunswick is reporting 50 new cases of COVID-19 and 51 recoveries.

The active confirmed case count now sits at 476 across the province.

Health officials say 13 people are currently in hospital, with eight in intensive care.

Twenty-two of the new cases were identified in the Moncton region.

Sixty per cent of the new cases are in people who are unvaccinated against the disease.

Officials also say nearly 86 per cent of eligible New Brunswickers are fully vaccinated against COVID-19, while 92.8 per cent have received their first dose of a vaccine.

1:30 p.m.: Quebec is reporting 688 new cases of COVID-19 today and four deaths attributed to the virus.

Health officials say COVID-19-related hospitalizations dropped by 11 to 229, while the number of people in intensive care declined by six to 51.

The seven-day average for new cases stands at 561.

Of the latest reported infections, 409 were among people who were either unvaccinated or who had only received a first dose within the past two weeks.

Quebec says another 6,869 vaccine doses have been administered, most of which were given in the past 24 hours.

The province’s public health institute says about 91 per cent of Quebecers aged 12 and older have received at least one dose, while 87 per cent are considered fully vaccinated with two shots.

12 p.m.: Ukraine’s health ministry on Saturday reported a one-day record of 793 deaths from COVID-19.

Ukraine has been inundated by coronavirus infections in recent weeks, putting the country’s underfunded medical system under severe strain.

The ministry said 25,063 new infections had been tallied over the past day; a record 27,377 were reported on Thursday.

Although four different coronavirus vaccines are available in Ukraine, only 17.9 per cent of the country’s 41 million people have been fully vaccinated, the second-lowest rate in Europe after Armenia.

11:25 a.m.: Nearly two years of being caged in Canada during the COVID-19 pandemic has some snowbirds anxiously waiting in their motorhomes and trailers in southern Alberta.

The Eight Flags Campground in the small windswept town of Milk River, 18 kilometres from the Canada-United States border crossing at Coutts, is full of shiny, large RVs.

It’s in anticipation of land and sea border crossings reopening Monday for fully vaccinated Canadians. Such crossings were closed to non-essential travel at the beginning of the pandemic in March 2020.

10:45 a.m.: An Independent member of Ontario’s legislature has apologized for a post in which he used names and photos of people who had died to suggest without evidence that they had died due to COVID-19 vaccination.

Randy Hillier, who represents Lanark-Frontenac-Kingston, has frequently posted COVID-19 misinformation and conspiracy theories throughout the pandemic.

In one recent social media post, he used an array of photos from news articles about what he believed to be the sudden and unexplained deaths of young people and called on police to investigate links to vaccines.

Family members of some of those people told various media outlets that they were angered by Hillier’s post and denied his allegations, while the legislature unanimously passed a motion last month condemning him.

Hillier shared an apology Friday night saying he has removed that post and offering sincere regrets for further distress his actions caused the grieving families.

Public Health Ontario says all deaths following vaccination that are reported to public health units are thoroughly investigated, and it has so far determined in one case that vaccine-induced immune thrombotic thrombocytopenia was a cause of death in someone who received the AstraZeneca vaccine.

There are seven other reports of death after COVID-19 vaccination that meet the provincial surveillance definition. In four, the adverse events were found to have possibly contributed to the death but were not the underlying cause, and in the remaining three the vaccine was not a cause of death.

Public Health Ontario says another 30 deaths following COVID-19 vaccination that have been reported to public health units are “persons under investigation.” They don’t meet the provincial surveillance definition, but investigations are underway.

“Preliminary information suggests that these events occurred in individuals with multiple co-morbidities which may be related to the cause of death,” a recent Public Health Ontario report said. “There has been no association with the vaccine identified at this time.”

Health officials say the approved vaccines are effective and safe.

10:20 a.m. (updated): Ontario is reporting 508 new COVID-19 cases and three additional deaths in the province in its latest daily count.

In Ontario, 203 people are hospitalized with COVID-19 — 151 are not fully vaccinated or have an unknown vaccination status and 52 are fully vaccinated.

The province also says due to data cleanup, three deaths were removed from the overall count.

10 a.m.: Green Bay Packers quarterback Aaron Rodgers will miss Sunday’s game at Kansas City after being placed in the NFL’s COVID-19 protocol. Because he is considered unvaccinated, he must stay isolated for at least 10 days.

Here’s an explanation of the NFL’s protocols and a breakdown of Rodgers’ case.

9:20 a.m.: I live in a world where Mike McCarthy kept his job as my boss for 13 years. I don’t trust authority.

If Aaron Rodgers had just said that, maybe the rest would have been an easier ride. But then again, he may be the greatest quarterback in the biggest pro sports league of a country where at least 775,000 people have died during the pandemic, and Friday he spent 45 minutes pumping out the kind of misinformation that can get people killed. You know what that means? Rodgers could be president, one day.

All grim, tight-faced jokes aside, the Green Bay Packers great has had himself a week. Rodgers contracted COVID, it turned out he wasn’t vaccinated, and Friday he went on former punter and current shouty bro Pat McAfee’s Sirius XM show and delivered almost every anti-vaccine talking point you can imagine.

Read the column from the Star’s Bruce Arthur.

8:40 a.m. Unvaccinated people in Austria who also haven’t had COVID-19 will no longer be allowed to enter restaurants, hotels and hair salons or attend public events larger than 25 people under new rules that take effect Monday, the government said.

Austrian Chancellor Alexander Schallenberg outlined the rules Friday night after a meeting with state-level leaders to discuss the country’s response to rapidly rising coronavirus cases.

“It is simply our responsibility to protect the people in our country,” Schallenberg told reporters, noting the case numbers and increasingly full hospital intensive care units.

7:30 a.m.: You can almost forget about the ongoing collective nightmare of the pandemic when you’re sipping a mojito in the pink twilight on the edge of the undulating Atlantic, and a long arc of surf foams over the distant reef, and a soft breeze rustles the palm fronds and laps against your sun-tender skin.

But you can’t.

For despite having to navigate a whole bureaucracy of attestations and electronic paperwork to embark abroad these days, there’s no guarantee the people around you are COVID-free. You hope everyone is vaccinated. But you can’t be sure. And even then, it’s still possible to get infected.

Yet after almost two years living with the coronavirus, we are experiencing a cautious re-emergence. And the door is open to vacation again.

Travel is back, but is pandemic tourism fun? Read the story by the Star’s Alex Ballingall.

7:15 a.m. Russia’s COVID-19 cases hit another one-day record as the country struggles to contain a wave of infections that has persisted for more than a month.

The national coronavirus task force on Saturday reported 41,335 new cases since the previous day, exceeding the previous daily record of 40,993 from Oct. 31. The task force said 1,188 people with COVID-19 died, just seven fewer than the daily death record reported Thursday.

Officials cite Russia’s low vaccination rate as a major factor in the sharp rise in cases that began in mid-September. The task force reported about 57.2 million full-course vaccinations, or less than 40{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of the country’s 146 million people.

7 a.m. Several groups of high-risk Ontarians will be eligible to book COVID-19 booster shots starting this morning at 8 a.m.

An additional 2.75 million people become eligible for boosters today, following the quarter of a million people already eligible who include certain immunocompromised individuals and residents of long-term care and retirement homes.

Starting today, people can book an appointment for a booster dose if they are aged 70 and older, health-care workers or essential caregivers in congregate settings, people who received two doses of the AstraZeneca vaccine or one dose of Janssen, and First Nations, Inuit and Metis adults and their non-Indigenous household members.

They can make appointments that are at least six months after their second dose. Ontario’s chief medical officer of health says evidence suggests that’s when immunity starts to wane.

Dr. Kieran Moore says those groups of people are at an increased risk of waning immunity and greater risk of exposure and serious illness.

Ontario officials say the protection from two doses is still very high for the general population after six months, especially against severe illness and death, so a booster dose would provide additional protection against more mild illness.

The province is planning to eventually offer booster doses to everyone, and is eyeing early 2022 to start the broader rollout.

6:45 a.m.: The United States is steadily chipping away at vaccine hesitancy and driving down COVID-19 cases and hospitalizations to the point that schools, governments and corporations are lifting mask restrictions yet again.

Nearly 200 million Americans are fully vaccinated and the nation’s over-65 population, which bore the brunt of the pandemic when it started nearly two years ago, is enthusiastically embracing vaccines.

Nearly 98{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of the over-65 population has received at least one COVID-19 shot and more than 25{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of them have gotten boosters, just weeks after they were authorized. The improving metrics could get a boost from President Joe Biden’s workplace mandate unveiled Thursday and the launch of COVID-19 shots in elementary-age students.

6:30 a.m. Green Bay Packers quarterback Aaron Rodgers said Friday he sought alternative treatments instead of the NFL-endorsed COVID-19 vaccinations because he is allergic to an ingredient in two of the FDA-approved shots.

Speaking on SiriusXM’s “Pat McAfee Show,” Rodgers said: “I’m not an anti-vax, flat-earther. I have an allergy to an ingredient that’s in the mRNA vaccines. I found a long-term immunization protocol to protect myself and I’m very proud of the research that went into that.”

Rodgers, who turns 38 on Dec. 2, did not say what ingredient he was allergic to, or how he knows he is allergic.

Rodgers, who has been tested daily as part of NFL protocols for the unvaccinated, found out he contracted COVID-19 on Wednesday. The reigning NFL MVP said he didn’t feel well on Thursday but was much better on Friday.

6 a.m. Monday’s reopening of the Canada-U.S. land border is sparking a mixed reaction among Canadian business leaders: They’re excited that people and not just goods will be crossing the border again but are wary of remaining red tape.

The Canadian Chamber of Commerce and the Business Council of Canada say the Canadian requirement for returning travellers to provide a recent, negative molecular test is an unnecessary obstacle to kick-starting business travel and tourism.

They say proof of vaccination is all that should be needed and the test requirement should be scrapped.

They argue that the continued testing requirement is too cumbersome for Canadian business travellers wanting a quick visit to an American destination, and too expensive for families who want a vacation or reunion with loved ones.

“If we believe, as we should, that being fully vaccinated is the best way of minimizing risk, we should be trusting the vaccination systems. We should be monitoring what’s taking place in terms of outbreaks in the two countries,” chamber president Perrin Beatty said in an interview.

5:45 a.m. As Ontario slowly creeps toward the goal of having 90 per cent of the eligible population vaccinated against COVID-19, new data shows vaccine rates are stubbornly lagging in some neighbourhoods and among groups of people across the province.

The latest numbers from non-profit research group ICES, formerly known as the Institute for Clinical Evaluative Sciences, out Friday, show there are still stark differences hiding behind the overall vaccination rate.

“There is a huge range, with some areas hovering around 50 per cent of the population fully vaccinated and some areas as high as 90 per cent,” said Dr. Jeff Kwong, lead of the Populations and Public Health Research Program at ICES.

“The risk of outbreaks in these areas with low vaccination coverage is worrisome. It means there is a lot of fuel for a fire to burn.”

Read the full story from the Star’s Megan Ogilvie and May Warren here.

5:30 a.m. Eleven patients died Saturday after a fire broke out in a hospital’s COVID-19 ward in the western Indian state of Maharashtra, police said.

An official told New Delhi Television that around 17 patients were in the ward when the fire broke out. The remaining patients have been moved to a COVID-19 ward in another hospital, district collector Rajendra Bhosle said.

While the fire has since been brought under control, the cause was not immediately clear, he added, saying officials will carry out an investigation.

The former chief minister of the state, Devendra Fadnavis, took to Twitter to express his condolences and called for “strict action” against those responsible.

Such incidents are not uncommon in India. In May, when the country was battling a devastating surge in coronavirus cases, a fire in a COVID-19 ward in western India killed at least 18 patients.

Poor maintenance and lack of proper firefighting equipment often cause deaths in India.

More than 10,000 patients caught Covid-19 in a hospital, analysis shows. They never made it out

They left with covid-19 — if they left at all.

More than 10,000 patients were diagnosed with covid in a U.S. hospital last year after they were admitted for something else, according to federal and state records analyzed exclusively for KHN. The number is certainly an undercount, since it includes mostly patients 65 and older, plus California and Florida patients of all ages.

Yet in the scheme of things that can go wrong in a hospital, it is catastrophic: About 21{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of the patients who contracted covid in the hospital from April to September last year died, the data shows. In contrast, nearly 8{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of other Medicare patients died in the hospital at the time.

Steven Johnson, 66, was expecting to get an infection cut out of his hip flesh and bone at Blake Medical Center in Bradenton, Florida, last November. The retired pharmacist had survived colon cancer and was meticulous to avoid contracting covid. He could not have known that, from April through September, 8{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of that hospital’s Medicare covid patients were diagnosed with the virus after they were admitted for another concern.

Johnson had tested negative for covid two days before he was admitted. After 13 days in the hospital, he tested positive, said his wife, Cindy Johnson, also a retired pharmacist.

Soon he was struggling to clear a glue-like phlegm from his lungs. A medical team could hardly control his pain. They prompted Cindy to share his final wishes. She asked: “Honey, do you want to be intubated?” He responded with an emphatic “no.” He died three days later.

After her husband tested positive, Cindy Johnson, trained in contact tracing, quickly got a covid test. She tested negative. Then she thought about the large number of hospital staffers flowing into and out of his room — where he was often unmasked — and suspected a staff member had infected him. That the hospital, part of the HCA Healthcare chain, still has not mandated staff vaccinations is “appalling,” she said.

“I’m furious,” she said.

“How can they say on their website,” she asked, “that the safety precautions ‘we’ve put into place make our facilities among the safest possible places to receive healthcare at this time’?”

Blake Medical Center spokesperson Lisa Kirkland said the hospital is “strongly encouraging vaccination” and noted that it follows Centers for Disease Control and Prevention and federal and state guidelines to protect patients. President Joe Biden has called for all hospital employees to be vaccinated, but the requirement could face resistance in a dozen states, including Florida, that have banned vaccine mandates.
Cindy Johnson holds a pillow made from a shirt her husband, Steven, used to wear. Steven died of covid-19 in December 2020, and Cindy believes he contracted the virus at Blake Medical Center in Bradenton, Florida, where he was admitted for an infection in his hip. (Eve Edelheit for KHN)
Overall, the rate of in-hospital spread among Medicare and other patients was lower than in other countries, including the United Kingdom, which makes such data public and openly discusses it. On average, about 1.7{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of U.S. hospitalized covid patients were diagnosed with the virus in U.S. hospitals, according to an analysis of Medicare records from April 1 to Sept. 30, 2020, provided by Dr. James Kennedy, founder of CDIMD, a Nashville-based consulting and data analytics company.

Yet the rate of infection was far higher in 38 hospitals where 5{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} or more of the Medicare covid cases were documented as hospital-acquired. The data is from a challenging stretch last year when protective gear was in short supply and tests were scarce or slow to produce results. The Medicare data for the fourth quarter of 2020 and this year isn’t available yet, and the state data reflects April 1 through Dec. 31, 2020.

A KHN review of work-safety records, medical literature and interviews with staff at high-spread hospitals points to why the virus took hold: Hospital leaders were slow to appreciate its airborne nature, which made coughing patients hazardous to roommates and staff members, who often wore less-protective surgical masks instead of N95s. Hospitals failed to test every admitted patient, enabled by CDC guidance that leaves such testing to the “discretion of the facility.” Management often failed to inform workers when they’d been exposed to covid and so were at risk of spreading it themselves.
Spread among patients and staffers seemed to go hand in hand. At Beaumont Hospital, Taylor, in Michigan, 139 employee covid infections were logged between April 6 to Oct. 20 last year, a hospital inspection report shows. Nearly 7{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of the Medicare patients with covid tested positive after they were admitted to that hospital for something else, the federal data shows. A hospital spokesperson said tests were not available to screen all patients last year, resulting in some late diagnoses. He said all incoming patients are tested now.
Tracking covid inside health facilities is no new task to federal officials, who publicly report new staff and resident cases weekly for each U.S. nursing home. Yet the Department of Health and Human Services reports data on covid’s spread in hospitals only on a statewide basis, so patients are in the dark about which facilities have cases.
KHN commissioned analyses of hospital billing records, which are also used more broadly to spot various hospital-acquired infections. For covid, the data has limitations. It can pick up some community-acquired cases that were slow to show up, as it can take two to 14 days from exposure to the virus for symptoms to appear, with the average being four to five days. The records do not account for cases picked up in an emergency room or diagnosed after a hospital patient was discharged.
Linda Moore, pictured with her daughter Stacey Taylor, died of covid-19 in July 2020. Her daughter Trisha Tavolazzi says Moore tested positive after at least 15 days at Havasu Regional Medical Center in Lake Havasu City, Arizona. (Stacey Taylor)

Linda Moore, 71, tested positive at least 15 days into a hospital stay for spinal surgery, according to her daughter Trisha Tavolazzi. Her mother was at Havasu Regional Medical Center in Lake Havasu City, Arizona, which did not have a higher-than-average rate of internal spread last summer.

The hospital implemented “rigorous health and safety protocols to protect all of our patients” during the pandemic, said hospital spokesperson Corey Santoriello, who would not comment on Moore’s case, citing privacy laws.

Moore was airlifted to another hospital, where her condition only declined further, her daughter said. After the ventilator was removed, she clung to life fitfully for 5½ hours, as her daughter prayed for her mother to find her way to heaven.

“I asked her mom and her dad and her family and prayed to God, ‘Please just come show her the way,'” Tavolazzi said. “I relive it every day.”

When Tavolazzi sought answers from the hospital about where her mom got the virus, she said, she got none: “No one ever called me back.”

Two Negative Covid Tests, Then ‘Patient Zero’

As the second surge of covid subsided last September, doctors from the prestigious Brigham and Women’s Hospital published a reassuring study: With careful infection control, only two of 697 covid patients acquired the virus within the Boston hospital. That is about 0.3{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of patients ― about six times lower than the overall Medicare rate. Brigham tested every patient it admitted, exceeding CDC recommendations. It was transparent and open about safety concerns.
He survived severe Covid-19; now he's getting vaccinated, but losing friends

But the study, published in the high-profile JAMA Network Open journal, conveyed the wrong message, according to Dr. Manoj Jain, an infectious-disease physician and adjunct professor at the Rollins School of Public Health at Emory University. Covid was spreading in hospitals, he said, and the study buried “the problem under the rug.”

Before the virtual ink on the study was dry, the virus began a stealthy streak through the elite hospital. It slipped in with a patient who tested negative twice ― but turned out to be positive. She was “patient zero” in an outbreak affecting 38 staffers and 14 patients, according to a study in Annals of Internal Medicine initially published Feb. 9.
That study’s authors sequenced the genome of the virus to confirm which cases were related ― and precisely how it traveled through the hospital.

As patients were moved from room to room in the early days of the outbreak, covid spread among roommates 8 out of 9 times, likely through aerosol transmission, the study says. A survey of staff members revealed that those caring for coughing patients were more likely to get sick.

The virus also appeared to have breached the CDC-OK’d protective gear. Two staff members who had close patient contact while wearing a surgical mask and face shield still wound up infected. The findings suggested that more-protective N95 respirators could help safeguard staff.

Even if they get breakthrough infections, vaccinated people don't get as sick with Covid-19, studies show

Brigham and Women’s now tests every patient upon admission and again soon after. Nurses are encouraged to test again if they see a subtle sign of covid, said Dr. Erica Shenoy, associate chief of the Infection Control Unit at Massachusetts General Hospital, who helped craft policy at Brigham.

She said nurses and environmental services workers are at the table for policymaking: “I personally make it a point to say, ‘Tell me what you’re thinking,'” Shenoy said. “‘There’s no retribution because we need to know.'”

CDC guidelines, though, left wide latitude on protective gear and testing. To this day, Shenoy said, hospitals employ a wide range of policies.

The CDC said in a statement that its guidelines “provide a comprehensive and layered approach to preventing transmission of SARS-CoV-2 in healthcare settings,” and include testing patients with “even mild symptoms” or recent exposure to someone with covid.

Infection control policies are rarely apparent to patients or visitors, beyond whether they’re asked to wear a mask. But reviews of public records and interviews with more than a dozen people show that at hospitals with high rates of covid spread, staff members were often alarmed by the lack of safety practices.

Nurses Sound the Alarm on Covid Spread

As covid crept into Florida in spring 2020, nurse Victoria Holland clashed with managers at Blake Medical Center in Bradenton, where Steven Johnson died.

She said managers suspended her early in the pandemic after taking part in a protest and “having a hissy fit” when she was denied a new N95 respirator before an “aerosol-generating” procedure. The CDC warns that such procedures can spread the virus through the air. Before the pandemic, nurses were trained to dispose of an N95 after each patient encounter.

When the suspension was over, Holland said, she felt unsafe. “They told us nothing,” she said. “It was all a little whisper between the doctors. You had potential covids and you’d get a little surgical mask because [they didn’t] want to waste” an N95 unless they knew the patient was positive.

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Holland said she quit in mid-April. Her nursing colleagues lodged a complaint with the Occupational Safety and Health Administration in late June alleging that staff “working around possible Covid-19 positive cases” had been denied PPE. Staff members protested outside the hospital in July and filed another OSHA complaint that said the hospital was allowing covid-exposed employees to keep working.

Kirkland, the Blake spokesperson, said the hospital responded to OSHA and “no deficiencies were identified.”

The Medicare analysis shows that 22 of 273 patients with covid, or 8{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809}, were diagnosed with the virus after they were admitted to Blake. That’s about five times as high as the national average.

Kirkland said “there is no standard way for measuring COVID-19 hospital-associated transmissions” and “there is no evidence to suggest the risk of transmission at Blake Medical Center is different than what you would find at other hospitals.”

In Washington, D.C., 34 Medicare covid patients contracted the virus at MedStar Washington Hospital Center, or nearly 6{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of its total, the analysis shows.

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Unhappy with the safety practices ― which included gas sterilization and reuse of N95s — National Nurses United members protested on the hospital lawn in July 2020. At the protest, nurse Zoe Bendixen said one nurse had died of the virus and 50 had gotten sick: “[Nurses] can become a source for spreading the disease to other patients, co-workers and family members.”

Nurse Yuhana Gidey said she caught covid after treating a patient who turned out to be infected. Another nurse ― not managers doing contact tracing ― told her she’d been exposed, she said.

Nurse Kimberly Walsh said in an interview there was an outbreak in a geriatric unit where she worked in September 2020. She said management blamed nurses for bringing the virus into the unit. But Walsh pointed to another problem: The hospital wasn’t covid-testing patients coming in from nursing homes, where spread was rampant last year.

MedStar declined a request for an interview about its infection control practices and did not respond to specific questions.

While hospitals must track and publicly report rates of persistent infections like C. diff, antibiotic-resistant staph and surgical site infections, similar hospital-acquired covid rates are not reported.
KHN examined a different source of data that Congress required hospitals to document about “hospital-acquired conditions.” The Medicare data, which notes whether each covid case was “present on admission” or not, becomes available months after a hospitalization in obscure files that require a data-use agreement typically granted to researchers. KHN counted cases, as federal officials do, in some instances in which the documentation is deemed insufficient to categorize a case (see data methodology, below).

For this data, whether to deem a covid case hospital-acquired lies with medical coders who review doctors’ notes and discharge summaries and ask doctors questions if the status is unclear, said Sue Bowman, senior director of coding policy and compliance at American Health Information Management Association.

She said medical coders are aware that the data is used for hospital quality measures and would be careful to review the contract tracing or other information in the medical record.

If a case was in the data KHN used, “that would mean it was acquired during the hospital stay either from a health care worker or another patient or maybe if a hospital allowed visitors, from a visitor,” Bowman said. “That would be a fair interpretation of the data.”

The high death rate for those diagnosed with covid during a hospital stay — about 21{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} — mirrors the death rate for other Medicare covid patients last year, when doctors had few proven methods to help patients. It also highlights the hazard unvaccinated staffers pose to patients, said Jain, the infectious-disease doctor. The American Hospital Association estimates that about 42{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809} of U.S. hospitals have mandated that all staff members be vaccinated.

“We don’t need [unvaccinated staff] to be a threat to patients,” Jain said. “[Hospital] administration is too afraid to push the nursing staff, and the general public is clueless at what a threat a non-vaccinated person poses to a vulnerable population.”

Cindy Johnson believes her husband, Steven, caught covid-19 from staff at Blake Medical Center in Bradenton, Florida, in November 2020. After his death, she asked a doctor who sees patients at the hospital to take down the big "OPEN & SAFE" sign outside. (Cindy Johnson)
Cindy Johnson said the hospital where she believes her husband contracted covid faced minimal scrutiny in a state inspection, even after she said she reported that he caught covid there. She explored suing, but an attorney told her it would be nearly impossible to win such a case. A 2021 state law requires proof of “at least gross negligence” to prevail in court.

Johnson did ask a doctor who sees patients at the hospital for this: Please take down the big “OPEN & SAFE” sign outside.

Within days, the sign was gone.

KHN requested custom analyses of Medicare, California and Florida inpatient hospital data to examine the number of covid-19 cases diagnosed after a patient’s admission.

The Medicare and Medicare Advantage data, which includes patients who are mostly 65 or older, is from the Medicare Provider Analysis and Review (MedPAR) file and was analyzed by CDIMD, a Nashville-based medical code consulting and data analytics firm. The data is from April 1 through Sept. 30, 2020. The data for the fourth quarter of 2020 is not yet available.

That data shows the number of inpatient Medicare hospital stays in the U.S., including the number of people diagnosed with covid and the number of admissions for which the covid diagnosis was not “present on admission.” A condition not “present on admission” is presumed to be hospital-acquired. The data is for general acute-care hospitals, which may include a psychiatric floor, and not for other hospitals such as Veterans Affairs or stand-alone psychiatric hospitals.

KHN requested a similar analysis from California’s Department of Health Care Access and Information of its hospital inpatient data. That data was from April 1 through Dec. 31, 2020, and covered patients of all ages and payer types and in general, private psychiatric and long-term acute-care hospitals. Etienne Pracht, a University of South Florida researcher, provided the number of Florida covid patients who did not have the virus upon hospital admission for all ages at general and psychiatric hospitals from April 1 through Dec. 31, 2020. KHN subtracted the number of Medicare patients in the MedPAR data from the Florida and California all-payer datasets so they would not be counted twice.

To calculate the rate of Medicare patients who got covid or died, KHN relied on the MedPAR data for April through September. That data includes records for 6,629 seniors, 1,409 of whom, or 21{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809}, died. California data for all ages and payer types from April through December shows a similar rate: Of 2,115 who contracted covid after hospital admission, 435, or 21{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809}, died. The MedPAR data was also used to calculate the national nosocomial covid rate of 1.7{cfdf3f5372635aeb15fd3e2aecc7cb5d7150695e02bd72e0a44f1581164ad809}, with 6,629 of 394,939 covid patients diagnosed with the virus that was deemed not present on admission.

Data on whether an inpatient hospital diagnosis was present on admission is used by Medicare for payment determinations and is intended to incentivize hospitals to prevent infections acquired during hospital care. It is also used by the U.S. Agency for Healthcare Research and Quality to “assist in identifying quality of care issues.”

Whether covid is acquired in a hospital or in the community is measured in different ways. Some nations assume the virus is hospital-acquired if it is diagnosed seven or more days after admission, while statewide U.S. data counts cases only after 14 days.

Medical coders who examine medical records for this inpatient billing data focus on the physician’s admission, progress and discharge notes to determine whether covid was present on admission. They do not have a set number of days they look for and are trained to query physicians if the case is unclear, according to Sue Bowman, senior director of coding policy and compliance at the American Health Information Management Association.

KHN tallied the cases in which covid was logged in the data as not “present on admission” to the hospital. Some covid cases are coded as “U” for having insufficient documentation to make a determination. Since Medicare and AHRQ consider the “U” to be an “N” (or not present on admission) for the purposes of payment decisions and quality indicators, KHN chose to count those cases in the grand total.

In 409 of 6,629 Medicare cases and in 70 of 2,185 California cases, the “present on admission” indicator was “U.” The Florida data did not include patients whose “present on admission” indicator was “U.” Medical coders have another code, “W,” for “clinically undetermined” cases, which consider a condition present on admission for billing or quality measures. Medical coders use the “U” (leaning toward “not present on admission”) and “W” (leaning toward “present on admission”) when there is some uncertainty about the case.

The Medicare MedPAR data includes about 2,500 U.S. hospitals that had at least a dozen covid cases from April through September 2020. Of those, 1,070 reported no cases of hospital-acquired covid in the Medicare records. Data was suppressed for privacy reasons for about 1,300 hospitals that had between one and 11 hospital-acquired covid cases. There were 126 hospitals reporting 12 or more cases of covid that were not present on admission or unknown. For those, we divided the number of hospital-acquired cases by the total number of patients with covid to arrive at the rate of hospital-acquired cases, as is standard in health care.