Controversies over diagnostic testing have dominated US headlines about severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the novel coronavirus responsible for coronavirus disease 2019 . Technical challenges with the first test developed by the Centers for Disease Control and Prevention (CDC) left the nation with minimal diagnostic capacity during the first few weeks of the epidemic. The CDC also initially limited access to testing to a narrow group of individuals with known exposure. The delayed discovery of a case of COVID-19 in California, followed quickly by evidence of community transmission in multiple states, revealed the shortcomings of this strategy. In the early stages, COVID-19 has spread beyond the nation's ability to detect it.On February 29, the US Food and Drug Administration (FDA) moved to expand testing capacity by eliminating a requirement that advanced laboratories obtain prior FDA authorization before using their own, laboratory-developed tests. 1 Then, on March 3, Vice President Pence announced the removal of all federal limits on testing, stating that "subject to doctors' orders, any American can be tested." These steps left many with questions about what had happened with testing and what should happen next.
Increased access to opioid agonist treatment was associated with a reduction in heroin overdose deaths. Implementing policies that support evidence-based medication treatment of opiate dependence may decrease heroin overdose deaths.
The sudden closure of kindergarten through 12th grade (K-12) schools nationwide this spring likely helped to avert a medical catastrophe from the coronavirus disease 2019 (COVID-19) pandemic. This decisive step, however, is castingalongshadow.BythetimetheschoolyearendsinJune, more than 55 million US children will have missed months of in-class instruction. 1 The educational effect to date represents only one dimension of the harm to children. More than 20 million children rely on school breakfast or lunch; surveys now indicate that 1 in 5 mothers with children younger than 12 years old report that their children are going hungry. 2 Millions of children have lost access to health services through school-based health centers. There are major divides by race/ethnicity, geography, and economic class in access to home computers and high-speed internet. 3 When prolonged school closures are combined with summer break, some children may to fall behind normal academic growth by as much as a year in mathematics. 4 The "COVID slide" will likely be greatest among those students who are already at educational and social risk. Children with significant learning disabilities may regress without in-person instruction. In addition, school Reopening schools this fall is an urgent national priority.
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