Scientists confirm Nevada 25-year-old got coronavirus twice, second case was more severe

Scientists have confirmed the first case of coronavirus reinfection in the United States: a 25-year-old Nevada man whose second round of the virus was more severe than the first. 

The findings were published Monday in the medical journal The Lancet.

The man, who remains unnamed, first tested positive in April before recovering and testing negative in May. Then in June, he tested positive for the virus again, developing symptoms of COVID-19 a second time. 

According to the case study, his second infection included more severe symptoms than the first time around, including fever, cough and dizziness. 

The researchers sequenced the RNA from both virus samples and found they were two different strains, making it a true reinfection.

Scientists have not concluded why someone might contract the virus twice or if some people are more predisposed to reinfection. The Nevada case marks the fifth case globally of reinfection, and scientists say so far that instances are rare.

Yale University immunobiology professor Akiko Iwasaki told NPR a second positive test could happen for a number of reasons, including being exposed at higher levels to the virus or an immune response making the virus seem worse rather than better the second time around.

Generally, researchers are finding that people who get COVID-19 develop a healthy immune response, but it’s unknown how long it lasts. 

The case study was first sent to The Lancet in August, but it was officially published and the case was confirmed as the first U.S. reinfection this week.  

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The case for a woman-focused economic recovery

“The 360” shows you diverse perspectives on the day’s top stories and debates.

What’s happening

When the coronavirus outbreak first started to spread in the U.S., some referred to it as “the great equalizer” because of the health risk it posed to everyone. But that sentiment hasn’t been borne out over the course of the pandemic. Racial, economic and geographical factors have shown to play a major role in how severely different groups are affected.

Another determinant is gender. On the whole, men have experienced the bulk of the health impacts of the virus. As of last week, about 16,000 more men than women had died of COVID-19 in the U.S. Women, on the other hand, have felt a disproportionate amount of the economic pain during the recession caused by the virus. 

Disparities that existed before the pandemic have been exacerbated by business closures and increased at-home responsibilities that have taken a larger toll on women. Women are more likely to work in industries that have struggled during the recession, such as hospitality, health care, education and retail. More women than men have cut back on their hours or left the workplace entirely to take care of their children, with schools and childcare centers closed in many parts of the country. In September alone, more than 617,000 women dropped out of the workforce, as opposed to just 78,000 men. 

When women temporarily leave the workforce or take a lesser role, they often never catch up to their male counterparts. Experts fear that the professional setbacks women are experiencing right now could set the cause of gender equity in the workplace back for years or even decades. 

Why there’s debate

There are ways to help women make up the ground they’ve lost during the pandemic, experts say — some of them immediate, others long term. 

The most direct solution would be to get the spread of the virus down to a level where service sector businesses are able to open and children can return to schools. With that reality potentially many months away, some progressives have argued for Congress to allocate funds to bail out businesses and help schools put safety measures in place. Proponents say that both these measures would provide a disproportionate benefit to women. 

Employers can also make a difference by making a specific effort to combat stereotypes against working mothers and provide more flexible schedules so parents can keep their jobs and care for their children.

When the virus eventually is contained, the country should prioritize recovery strategies that will specifically benefit women to help them catch up, some argue. Government subsidies to businesses, for example, could come with stipulations that require gender equity in hiring and retention. 

Lessons learned during the pandemic could also help improve equality as things return to normal, progressive activists argue. Employers could keep policies that allow flexible schedules and remote work to make jobs more accessible to working parents. Free universal childcare would allow more women to

Czech Republic imposes new rules amid case surge

PRAGUE — The Czech Republic is imposing a new series of restrictive measures in response to a record surge in coronavirus infections.

Amid the spike, the number of deaths has surpassed 1,000 people.

Prime Minister Andrej Babis says all bars, restaurants and clubs will be closed starting on Wednesday, while drinking alcohol is banned at public places.

Babis also says all schools will be closed at least until Nov. 2, with the exception of schools remaining open for the children of doctors, nurses and rescue workers.

The government has also limited the number of people who can gather to six and made it mandatory to wear face masks at outdoor public transport stops.

There was a new record high of 8,618 confirmed COVID-19 cases on Friday, marking the fourth straight day last week of a new record for single-day coronavirus infections.

As a result, new restrictive measures have been implemented since Monday, including closures of all theaters, cinemas, zoos, museums, art galleries, fitness centers and public swimming pools.

Also, all sports indoor activities are banned. Outdoors, only up to 20 people are allowed to participate in sport activities.

Government data shows the Czech Republic has had 119,007 confirmed cases with 1,045 deaths, on Monday. Of them, 256 people died last week.



— Supreme Court nominee Amy Coney Barrett faces Senate despite virus

— Trump insists he’s free of virus, ready for campaign trail

— Britain expected to tighten restrictions on hard-hit northern cities like Liverpool

— EU nations gear up to adopt traffic-light system to identify outbreaks

— Four Swiss guards who protect 83-year-old Pope Francis have the virus


— Follow AP’s pandemic coverage at and



NEW LONDON, Conn. — State and local officials on Monday urged southeastern Connecticut residents to get tested for COVID-19, noting a continued spike in cases in New London and elsewhere. They also called on people to be careful around friends, family members and co-workers.

Dr. Deidre Gifford is the acting commissioner of the Department of Public Health. She said contract tracers have found that people have become infected after taking off their masks in the car while carpooling, spending time with family members or in workplace lunch rooms. She urged anyone who tests positive or thinks they’ve been in contact with someone who has tested positive to quarantine for 14 days.

Stephen Mansfield is the director of health at the Ledge Light Health District. He said more than 700 tests were conducted in New London over the weekend. Free testing also began Monday in neighboring Groton.


JEFFERSON CITY, Mo. — A state official in Missouri said Monday, two days after a “database extract error” incorrectly showed a massive one-day increase in coronavirus cases in Missouri, the problem remains unresolved.

On Saturday, the Missouri Department of Health and Senior Services reported more than 5,000 new COVID-19 cases, which would be nearly 3,000 more than

2020 Heart of Case Management Awards

Winners of preeminent case management award show resilience during an unprecedented year

In a year when pandemic restrictions put the world on pause, Genex Services’ case managers kept going, determined to help injured employees regain function and return to work in a timely manner. Such successful acts of perseverance resonated in each nomination received for the 5th annual Heart of Case Management Awards and the four winning cases selected for this year’s honors reflect the best of these individual acts of excellence.

This press release features multimedia. View the full release here:

Held this year in conjunction with National Case Management Week (Oct. 11-17), the Genex Heart of Case Management Award recognizes four case managers who have made the greatest impact on the injured employees they served. Now in its fifth year, the Heart of Case Management Awards is a national program recognizing Genex case managers who are highly regarded for transcending beyond their traditional job duties to improve the lives of thousands of injured employees each year. The four winners were nominated from a field of more than 1,600 Genex case managers across the country and judged on the following criteria: specialist, excellence, adaptability, trust, influential communication and outcomes.

Among this year’s winners is a case manager who worked tirelessly to keep a homeless injured employee off the streets so she could recover and avoid contracting COVID, another who advocated for an amputee to receive a highly functional hand prosthetic to return to full duty and a bilingual case manager who broke down cultural barriers to help four employees who sustained serious burns get the care they needed to heal and get back to their jobs.

Watch this video to see how case managers moved claims forward during COVID-19.

The following are synopses of the winning entries.

Catastrophic Case Management
Kayla Payne, RN, BSN, CCM
Memphis, TN
A 45-year old man working on a conveyer accidentally had his hand get stuck in an augur. The immense trauma he experienced was intensified by the tenuous process of safely releasing his hand from the machine — a 30-minute ordeal. Finally freed, the man was rushed to the local emergency department (ED) where he was diagnosed with a crush injury. Payne was assigned to the case and met the injured employee at the hospital. A hand surgeon was called in and it was determined the man would require below-elbow amputation of his left arm. Prior to becoming a case manager, Payne had worked as an ED nurse at the same hospital where the man was being treated. Her experience and relationships with medical staff allowed her to quickly report the necessary information to the adjuster to begin the treatment plan. After extensive surgery, Payne developed a return-to-work plan, communicating realistic outcomes to the adjuster and the employer. When the specialist recommended the injured employee be fitted with an electrical hand and a gripper prosthesis, Payne became educated on the prosthesis, so she could address the injured employee’s questions and concerns. Through

Coronavirus live updates: Mexico confirms 1st case of someone with both COVID-19 and influenza

There were 44,614 new cases of COVID-19 identified in the United States on Sunday, according to a real-time count kept by Johns Hopkins University.

The latest daily tally is down by more than 10,000 from the previous day and falls well under the country’s record set on July 16, when there were 77,255 new cases in a 24-hour-reporting period.

An additional 400 coronavirus-related fatalities were also recorded Sunday, down from a peak of 2,666 new fatalities reported on April 17.

A total of 7,762,809 people in the United States have been diagnosed with COVID-19 since the pandemic began, and at least 214,771 of them have died, according to Johns Hopkins. The cases include people from all 50 U.S. states, Washington, D.C. and other U.S. territories as well as repatriated citizens.

By May 20, all U.S. states had begun lifting stay-at-home orders and other restrictions put in place to curb the spread of the novel coronavirus. The day-to-day increase in the country’s cases then hovered around 20,000 for a couple of weeks before shooting back up and crossing 70,000 for the first time in mid-July. The daily tally of new cases has gradually come down since then but has started to climb again in recent weeks.

Week-over-week comparisons show the number of new cases reported across the nation continues to go up, as does the usage of intensive care units, but the number of new deaths are down, according to an internal memo from the U.S. Department of Health and Human Services that was obtained by ABC News last week.

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Frenchman in right-to-die case to stop food, medicine

A terminally ill Frenchman who had planned to live stream his death on social media told AFP Saturday that he would refuse all food and medication “until the very end”.

Alain Cocq, 57, had earlier announced he was refusing all food, drink and medicine from September 5 after French President Emmanuel Macron turned down his request for euthanasia.

But he accepted palliative care after refusing food and medication for over three days because the pain had become unbearable.

“From midnight on Monday, October 12, I will stop all hydration, food and treatment apart from painkillers,” he told AFP.

“I will go right till the end.”

Cocq suffers from a rare genetic condition which causes the walls of his arteries to stick together.

He has used his plight to draw attention to the situation of terminally ill patients in France who are not allowed to die in line with their wishes.

Cocq said that when he had accepted palliative care after his abortive first attempt, the medical emergency team had to put him back on hydration and food for the pain killers to work. 

He said he had drawn a lesson from that.

“This time round, I will put my wish in writing … even if I seek medical aid at a given moment, it does not mean I wish to live.

“It would mean that I cannot bear the suffering any longer and that I seek a deep and continued sedation,” he said.

Right-to-die cases have long been an emotive issue in France.

Most polarising was the case of Vincent Lambert, who was left in a vegetative state after a traffic accident in 2008 and died in July last year after doctors removed life support following a long legal battle.

The case divided the country as well as Lambert’s own family, with his parents using every legal avenue to keep him alive but his wife and nephew insisting he must be allowed to die.


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Senior Official Explains VP’s Health After Mysterious Case At Debate

A flurry of speculation has surrounded the health of Vice President Mike Pence after he appeared to have pink eye at Wednesday’s debate with Sen. Kamala Harris. A senior Trump administration official told Politico that Pence likely suffered from a broken blood vessel, rather than a pink eye infection. 

Pence’s eye problem, as well as a fly that settled on his head, drew attention on social media.

Dr. Daniel Volland, an optometrist based in Seattle, also diagnosed Pence with a broken blood vessel.

“Eye doctor, here! Temporal Subconjunctival Hemorrhage OS is my diagnosis; it’s a broken blood vessel, not infectious,” Volland tweeted. 

Although some debate viewers thought Pence’s eye could be a symptom of COVID-19, the vice president tested negative for the virus prior to the event. Pink eye is a rare symptom of a COVID-19 infection.

“The number of COVID-19 patients that have been reported to have eye symptoms is relatively low. And when you have a population that small, it’s really hard to get a picture of the story because we just don’t have as many data points,” optometrist Alexandra Williamson, OD, recently told the Cleveland Clinic. 

Pence’s health condition is noteworthy, due to President Donald Trump’s positive COVID-19 diagnosis. If Trump were to become incapacitated, Pence would likely have to take over presidential duties per the 25th amendment.

Numerous members of the Trump administration and campaign have been infected with the virus. First lady Melania Trump, campaign manager Bill Stepien, senior adviser for policy Stephen Miller, Press Secretary Kayleigh McEnany and former New Jersey Gov. Chris Christie are just a few high-profile members of Trump’s inner circle to test positive for COVID-19.

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Coronavirus live updates: US case count tops 7.5 million

The Czech Republic identified 4,457 new cases of COVID-19 on Tuesday, its highest single-day rise yet.

It’s the first time the central European nation has registered more than 4,000 new cases in one day.

An additional 13 coronavirus-related deaths were also recorded Tuesday. The cumulative total now stands at 90,022 confirmed cases with 794 deaths, according to the latest data from the Czech health ministry.

More than 40,000 cases were active Tuesday, including 1,387 patients who remained hospitalized for COVID-19, while nearly 49,000 have recovered from the disease, according to the health ministry data.

The Czech Republic now has the highest rate of COVID-19 infection in Europe. Over the last past weeks, the country of 10.7 million people has reported 346.1 cases per 100,000, surpassing Spain for the first time, which has seen 305 cases per 100,000, according to data published Tuesday by the European Center for Disease Prevention and Control.

Earlier this week, the Czech government declared another state of emergency due to the rapid increase in infections, with strident restrictions ranging from limitations on public gatherings to closures for some schools. Officials had relaxed almost all coronavirus-related restrictions over the summer.

The Czech Republic is among a handful of European countries, including France, Spain and the United Kingdom, that are grappling with an uptick in COVID-19 cases as a second wave of infections hits the region.

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South Korea has biggest case jump in a week

SEOUL, South Korea — South Korea has reported 114 new cases of the coronavirus, its first daily jump of over 100 in a week.

Health officials had raised concerns that infections will rise because of increased travel during the five-day Chuseok harvest holiday that ended Sunday.

The figures released by health officials Wednesday brought South Korea’s case total to 24,353 for the pandemic, including 425 deaths.

Ninety-two of the newly confirmed cases were in the Seoul metropolitan area, which has been at the center of a viral resurgence since mid-August. Health officials have been struggling to track transmissions linked to various places, including hospitals, churches, restaurants and an army unit in Pocheon, north of Seoul, where 37 soldiers so far have tested positive.



— Pentagon says top military leaders are under self-quarantine

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— Virginia Gov. Northam has mild symptoms 2 weeks after virus diagnosis

— Despite decades of warnings about the fragile supply lines bringing protective gear from overseas factories to America’s health care workers, the U.S. was unprepared for the coronavirus pandemic.

— Hospitals and staff are stretched to their limits again in Madrid, where the surging number of COVID-19 patients in September forced an expansion of critical care beds into gymnasiums.

— Service workers in New Orleans who were laid off because of the coronavirus’s impact on the economy are earning a living by helping others survive during the pandemic.

— Follow AP’s pandemic coverage at and



ALBANY, N.Y. — New York’s governor says the state will reinstate restrictions on businesses, houses of worship and schools in and around areas where coronavirus cases are spiking.

Gov. Andrew Cuomo said Tuesday that the severity of shutdowns would vary by proximity to hot spots.

The rules will take effect no later than Friday in parts of New York City’s Brooklyn and Queens boroughs, sections of Orange and Rockland counties north of the city, and an area within the upstate city of Binghamton near the Pennsylvania border.

The planned restrictions include shutdowns of schools and nonessential businesses in some areas. Others would set limits on gatherings and in restaurants.


RENO, Nev. — Nevada Gov. Steve Sisolak will be tested for the coronavirus and work out of his Las Vegas office indefinitely after a positive test was confirmed for a staff member working at the governor’s office in the state Capitol in Carson City.

Communications director Meghin Delaney said Tuesday that the staffer has not had in-person contact with the governor since mid-September. She says Sisolak departed northern Nevada on Sept. 17 and has been working from Las Vegas since then.

The governor had been scheduled to return to Carson City next week but his travel is on hold until officials get test results for all staffers there.



Washington Records 90,000th Confirmed Coronavirus Case

WASHINGTON — As of the latest update from the Washington State Department of Health, Washington has had 90,000 confirmed cases of the coronavirus since the pandemic began.

The DOH’s update Monday afternoon added 402 new laboratory-confirmed coronavirus cases and 16 deaths, for a total of 90,276 infected and 2,158 dead due to the pandemic thus far.

Deaths were reported in Grant, King, Lewis, Mason, Snohomish, Spokane, Whatcom, and Yakima counties.

The new numbers mean that, across the state, 78 out of every 100,000 Washingtonians have tested positive for the virus over the past two weeks. The state still has a long way to meet its goal of getting that rate to under 25 per 100,000 over two weeks.

Meanwhile, 1,951,407 coronavirus tests have been performed in Washington state. Over the past week, 3.3 percent of tests have come back positive, up from the same time last week. The state’s goal there is to test widely enough that that number falls below 2 percent.

The state is, however, succeeding on two of its key metrics: less than 80 percent of hospital beds are occupied, and less than 10 percent of hospital beds are occupied by COVID-19 patients.

Catch up on the latest development:

Inslee: Trumps’ coronavirus message “reckless” and “dangerous”

President Trump’s recent stint in the hospital for coronavirus treatment, and his subsequent recovery and return to the White House Monday evening have Republicans and the Trump Administration running a victory lap, and claiming that response to the pandemic has been overblown— a message that health officials categorically deny.

Monday Washington Gov. Jay Inslee weighed in, condemning Trump’s continued attempts to downplay the severity of the pandemic:

“The president’s reckless comments reflect exactly the same nonsense thinking behind his failed pandemic response that increased the risk of COVID, a virus that has caused 210,000 deaths in the United States already — and hundreds more each day. He hasn’t learned a thing. Since he tested positive for COVID, more than 2,000 additional Americans have died and downplaying this danger is the best he can do?”

Inslee’s statement was echoed by a similar release from Washington’s top health official, Secretary of Health John Wiesman:

“The president’s tweet is highly irresponsible and makes every public health official’s job that much more difficult. COVID-19 is a serious disease that is easily spread. We shouldn’t fear it; we should protect ourselves from it. Wear your mask. Watch your distance. Wash your hands. These are the basic facts.”

Read more: Inslee: Trump ‘Hasn’t Learned A Thing’ After Catching Coronavirus

UW Medicine Studies COVID-19’s Long-Term Effects

UW Medicine is helping to lead a nationwide study to discover more about the long-term impacts of the coronavirus, specifically why some patients experience extremely prolonged symptoms.

Over recent months there have been a growing number of reports of patients who have recovered from the virus, only to return to the hospital later with similar symptoms of fatigue and shortness of breath.

“We want to understand the long-term effects of