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Why don’t you need a negative coronavirus test to leave isolation?

President Donald Trump’s doctor on Saturday said Trump has met criteria from the US Centers for Disease Control and Prevention to leave isolation after falling sick with the coronavirus.



a man wearing a suit and tie: US President Donald Trump walks to Marine One prior to departure from the South Lawn of the White House in Washington, DC, October 2, 2020, as he heads to Walter Reed Military Medical Center, after testing positive for Covid-19. - President Donald Trump will spend the coming days in a military hospital just outside Washington to undergo treatment for the coronavirus, but will continue to work, the White House said Friday (Photo by SAUL LOEB / AFP) (Photo by SAUL LOEB/AFP via Getty Images)


© Saul Loeb/AFP/Getty Images
US President Donald Trump walks to Marine One prior to departure from the South Lawn of the White House in Washington, DC, October 2, 2020, as he heads to Walter Reed Military Medical Center, after testing positive for Covid-19. – President Donald Trump will spend the coming days in a military hospital just outside Washington to undergo treatment for the coronavirus, but will continue to work, the White House said Friday (Photo by SAUL LOEB / AFP) (Photo by SAUL LOEB/AFP via Getty Images)

The White House didn’t say Trump had actually tested negative for the virus — but according to CDC guidelines, people don’t generally need a negative test to be around people again.

Here’s why:

People can test positive even if no longer infectious

Earlier in the pandemic, health officials said people should have two negative tests for coronavirus — taken 24 hours apart — before being around people again. That forced some people into isolation for weeks on end.

But coronavirus tests can’t necessarily determine whether someone is infectious. PCR tests, for example, just look for pieces of genetic material called RNA — and that can linger long after someone has recovered.

According to the CDC, research has shown that people aren’t likely to be infectious 10 to 20 days after symptoms first began, regardless of test results.

To figure that out, scientists have taken samples from coronavirus patients and tried to infect living cells. Even though PCR tests can come back positive, people don’t tend to be infectious after that 10- to 20-day window has passed.

Think of it this way: A PCR test is looking for the blueprint of the virus — its “genome” — and not for the virus itself. In fact, the test is just looking for fragments of that blueprint.

It’s like a recipe for chocolate cake; finding the recipe in someone’s kitchen doesn’t mean you’ll find a cake.

Why might Trump not need to isolate for 20 days?

People with mild to moderate Covid-19 are thought to remain infectious “no longer than 10 days after symptom onset,” according to the CDC.

For patients with severe Covid-19, the CDC says up to 20 days of isolation “may be warranted.” But the agency’s recommendations only require 10 days. “Consider consultation with infection control experts,” the CDC’s recommendations say.

The President’s physician, Dr. Sean Conley, released a memo Saturday that referenced “advanced diagnostic tests” and stated “there is no longer evidence of actively replicating virus” from Trump.

Still, the letter didn’t fully describe those advanced diagnostic tests or their exact findings.

The President’s doctor said Trump had undetectable “subgenomic mRNA.” Those are molecules produced when viruses replicate. Their absence may suggest Trump is no longer shedding live virus.

But Conley did not detail what “advanced diagnostic tests” the President had

Don’t Overdo the Halloween Candy, or Your Smile May Suffer | Health News

By Steven Reinberg, HealthDay Reporter

(HealthDay)

SUNDAY, Oct. 11, 2020 (HealthDay News) – – COVID-19 may change the look of Halloween this year, but dressing up and indulging in some sweets is all part of the fun, even if your kids can’t go door to door.

And experts say one night of eating candy won’t have a big effect on your teeth if it’s done in moderation.

“It is all about having self-control or parental control,” said Dr. Gregory Olson, chair of pediatric dentistry at the University of Texas Health School of Dentistry.

“Having a piece of candy here and there won’t do too much damage to a healthy mouth, but the type of candy you pick, how many you eat, how long it lasts, and how you care for your teeth afterward could make all the difference,” Olson said in a school news release.

The worst candies for teeth are hard or chewy candies like gummy worms and taffy, Olson said. That’s because they’re in your mouth longer and can stick to your teeth, causing harm if not washed out.

“Sour candy adds another level of harm to gummies because they are both sticky and acidic. Although it’s extra-tasty, eating a lot of this candy can cause tooth enamel to break down or weaken, leading to cavities,” Olson said.

It might be best to pick up chocolate, the darker the better. Chocolate is the best candy for your teeth, Olson said. “It melts in your mouth pretty quickly, meaning it won’t stick around as long to cause cavities.”

To retain your smile, Olson suggests the following:

  • Brush your teeth, at least two times a day.
  • Floss at least once a day – – more often if food is stuck between the teeth.
  • Watch children as they brush their teeth to ensure they are brushing thoroughly.
  • Schedule visits to the dentist.
  • Limit sweets.

Copyright © 2020 HealthDay. All rights reserved.

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‘I Don’t Want To Live This Way’

NORTH FORK, NY — It has been months since a North Fork woman — who asked not to be named for fear of the stigma and future potential impacts on her health benefits— was diagnosed with the coronavirus. But today, her life is a nightmarish version of what it once was, so drastically altered from the existence she once knew that there are moments she feels she cannot go on.

She’s what’s known as a “long-hauler” and her story echoes the words of many who are living in the shadows, struggling to get by as the specter of the coronavirus lingers.

On any given day, she puts bread in the toaster and then turns away and forgets that she’s done it. Minutes later, smoke is billowing in the kitchen. She stops, mid-sentence, losing track completely what she’s said just seconds before. And her days are filled with a long lost of symptoms, physical ailments that continue to linger, long after the initial battle with COVID-19.

Back in February, she said, she was one of the hordes rushing to stock up on disinfectant, wipes, toilet paper and frozen meats and vegetables. She was one of the many was was confused, frightened, panicked by the unknown.

“We didn’t know anything,” she said.

With elderly parents, the fear was real, she said.

She’s not sure where and when she contracted the coronavirus, where at the store or at the hospital, where she’d gone for X rays for an unrelated issue.

One day, she said, she was talking with a friend, offering up some of her napkins and stock of paper goods, when “what sounded like kennel cough came out of my mouth, without my even knowing it,” she said. “I said, ‘I have COVID.’ She told me I was paranoid. I said, ‘You don’t understand. That cough, I never had that cough before.'”

She told a relative that she thought she had the coronavirus and he, too, said she was overly concerned, adding that it was probably allergies.

That was on a Sunday, she said. By Monday, she had a 99.9 degree fever; her fever never went higher than that, in all the months that followed.

By March 16, she tried reaching her doctor’s office, but he had closed the office. And there were no coronavirus tests to be had, at the time, she said. “It was so limited then,” she said. “Everything was so new.”

At first, she said, while she was a little frightened, she told herself not to worry until she had something to worry about.

“Then, I started to feel like roadkill,” she said. “All I wanted to do was to sleep. I isolated myself upstairs and I thought I was going to die. This disease, it wants you to rest.”

Others she knew, she said, fought the coronavirus, but she was so exhausted, she couldn’t, and that’s why she believes she has lingering symptoms today.

There were no pre-existing conditions save borderline high blood pressure, she

Explainer: What We Know – and Don’t Know – About Trump’s COVID-19 Illness | Top News

(Reuters) – U.S. President Donald Trump revealed early on Oct. 2 that he had tested positive for the coronavirus, but several questions about the course of his illness remain unknown. The following is some of what is known and what is still unclear about the president’s bout with COVID-19.

Who infected President Trump when?

These are both questions that have not been answered as the White House has repeatedly refused to say when the president last tested negative for the coronavirus – information essential to tracing the timeline of when and where he was likely infected.

Health experts say the timing of his positive test results suggest he likely contracted the illness in late September. On Sept. 26, Trump hosted a ceremony in the White House Rose Garden to announce his Supreme Court nominee, Amy Coney Barrett. The mostly outdoor event was attended by more than 100 people, most not wearing masks and with no social distancing. Whether Trump was infected at the event or infected others there is unknown. At least eight attendees, including the president, first lady and some top aides, tested positive afterwards, the New York Times reported.

Trump may have contracted the virus from a member of his staff. On Oct. 1, White House aide Hope Hicks was diagnosed with COVID-19 and began to self-isolate. Hicks travels regularly with the president on Air Force One and accompanied him to Ohio for the presidential debate the previous Tuesday and to Minnesota for a campaign event on Wednesday. Several other members of his staff, including senior White House adviser Stephen Miller, have since tested positive for COVID-19. Some experts said Trump’s symptoms and those experienced by Hicks first appeared too close together to make it likely that Hicks infected the president.

It generally takes 5 to 7 days after infection for COVID-19 to be detected on a typical molecular diagnostic test, said Otto Yang, a physician at UCLA Health. The Wall Street Journal reported Trump first tested positive on a rapid test used for screening White House staff earlier on Thursday that was later confirmed by a more accurate lab test. He did not disclose his positive test until about 1 am ET (0500 GMT) after the news broke that Hicks had tested positive.

Was the president seriously ill?

Trump was ill enough to cause concern among his doctors and to convince him he should be treated at a hospital and not at the White House. Several pieces of evidence indicate Trump may have been seriously ill, but his aides and medical team have provided conflicting information. Sources told Reuters he suffered a mild fever and his doctor at the time said he was “fatigued but in good spirits.” At briefings, his doctor gave unusually rosy reports while avoiding specific questions that would give a much more clear picture of Trump’s condition. For example, they declined to discuss his lung scans or say whether he had pneumonia or whether blood tests showed markers for inflammation, a sign of

Why Donald Trump’s Aides Don’t Stand Up to Him

Few would dare. Inside the White House, aides created a kind of alternative reality in which the threat is always receding, the boss always prevailing. In meetings with the president, “no one likes to tell him that some areas are catching fire” because of the virus, another senior administration official told me. “They only say, ‘Oh, we’re turning the corner.’ That goes on there all the time. There’s always a reluctance to talk about bad news. That permeates all the discussions.”

Olivia Troye attended every meeting of the White House’s coronavirus task force until her resignation in August. Signs posted in the West Wing urged people to wear masks, which sat in a basket near one of the entrances. Yet she felt conspicuous peer pressure to forgo them, which is likely how Trump wanted it. He practices a kind of mask avoidance, and his staff followed suit. Wearing a mask protects you and everyone around you, but for Trump it’s visual proof of an outbreak that’s still not contained. Waiting to meet with Vice President Mike Pence, head of the coronavirus task force, Troye would feel the judgmental gaze of barefaced colleagues walking past. “You’re the only one sitting there with a mask,” she said. “It’s very close quarters, and I won’t lie, there were times when I caved” and removed the mask. “You feel self-conscious.” (Administration officials have described her as a “disgruntled employee.” A 43-year-old Republican, she now supports Joe Biden’s candidacy.)

Over and over, the White House downplayed the danger in order to placate Trump. One episode that stands out for me was a news conference this summer in the Rose Garden. At first the chairs were spaced apart, in keeping with social-distancing guidelines. Then White House staff came and scrunched them together, creating an agreeable aesthetic that suggested the virus is in retreat. “Even you, I notice you’re starting to get much closer together,” Trump said, as if it were the journalists’ idea to arrange the seats so that they’re at increased risk of getting sick. “Looks much better, I must say.” (So much for appearances: Today, the White House is the world’s most famous hot spot. Trump is infected, as is the first lady, and some senior aides and the reporters who cover them.)

Behind closed doors, aides have been complicit in much the same sort of denialism. Troye recalls a coronavirus task force meeting in which Trump ignored the agenda and spent nearly an hour complaining about Fox News. The conversation veered back to the virus, but Trump interjected later and demanded that one of his aides call the network to complain. “Who’s going to call?” he said, Troye recalled. “We’ll take care of it, sir,” an aide replied. “He surrounds himself with people who he knows will let him have his way,” Troye said. “That’s the environment he created.”

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Families who endured COVID-19 don’t agree with Donald Trump’s sugar-coated experience

“They had so many patients that it was all hands on deck,” Ackerman explained.

“And I think what truly would have made a difference is our government not downplaying this disease,” she added.

As Trump this week crows about his first-rate medical care — which included a rare experimental antibody treatment available to fewer than 10 people outside medical trials — and declares victory in the pandemic, many Americans hit by virus are struggling to share his optimism.

More than 211,000 people have died in the pandemic, and the nation’s top infectious disease expert, Dr. Anthony Fauci, this week predicted that the death toll could go as high as 300,000 to 400,000 if serious action isn’t taken soon.

Meanwhile, Trump has used his fight against the virus to minimize the tragedy, declaring his coronavirus diagnosis a “blessing in disguise” in a polished video from the White House Rose Garden on Wednesday.

His message leaves families like Ackerman’s trying to square the president’s overly optimistic message with their own reality.

“With his power of being president comes privilege, and that’s the way it should be, despite what my political beliefs or somebody else’s might be,” Ackerman said. “But I think that everybody should get the same kind of attention.”

Recently, Ackerman shared a photo of her 79-year old father on Twitter. Sick and pale in a hospital gown, an oxygen mask covering most of his face, he didn’t match the president’s rosy description of fighting the virus, nor did he look like himself: the full-time immigration attorney who used to personally drive his clients to their hearings in his old Cadillac.

PHOTO: Carol Ackerman's father Stanley J. Teich, who passed away in April at 79, poses with two of his granddaughters.

Carol Ackerman’s father Stanley J. Teich, who passed away in April at 79, poses with two of his granddaughters.

Carol Ackerman’s father Stanley J. Teich, who passed away in April at 79, poses with two of his granddaughters.

“I’m sure that he’d be upset with me if he knew I shared that, but I wanted it to be real,” Ackerman said. “These are real people, these are everyday Americans that got sick through no fault of their own, and died.”

Across the country, families who have lost their loved ones to coronavirus over the past eight months echoed Ackerman’s sentiments, calling the fallout of Trump’s coronavirus diagnosis this past week at once triggering and bewildering.

“Don’t be afraid of Covid. Don’t let it dominate your life,” the president tweeted just before opting to

” target=”_blank”>leave the hospital for the White House, where 20-30 medical professionals took over his

Months Into the Pandemic, 16 States Don’t Mandate Mask Use. Why?

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center.

Nils Hase, a retiree who lives in Tarpon Springs, Florida, is wearing a mask and loading his Home Depot haul into his car on a recent weekday afternoon. In the store, because Home Depot insists customers and staff across the country wear masks, most faces were covered. But out here in the parking lot, in a state with a serious infection rate but no mask mandate, plenty of those masks hang down around people’s chins.

“It bothers me. They are being defiant,” Hase said. “And most of the people I see that walk in without a mask are just looking for a fight. They are asking you to ‘Just ask me. Just give me a reason to yell at you.’ I just stay away from them and keep on with my own life.”

Six and a half months after President Donald Trump declared the coronavirus emergency, COVID-19 has killed more than 207,000 Americans and infected 7.3 million, now including Trump himself and the first lady.

Scientists are warning of a larger wave of infection this winter. They agree the simplest, easiest way to fight that surge is to get most people to wear masks most of the time.

Yet the political fight over face coverings rages. It plays out on city streets, in suburban grocery stores, in rural sheriff’s offices and at the highest echelons of government — all the way to the presidential debate stage this week in Cleveland. There, most of Trump’s contingent refused to wear required masks, and one of them tested positive soon afterward. Only time will tell if they spread the infection, but their behavior is mirrored across the nation.

Hefty Price in Iowa

In April, Iowa health officials cut an agreement with Iowa University to do modeling on the impact of coronavirus. Among the data are estimates of future death rates and the projection that more than a thousand Iowans could be saved by adopting a universal mask policy.

Later that month, the researchers warned Republican Gov. Kim Reynolds not to ease restrictions aimed at curtailing the virus, saying a spike would result later in the year. They also recommended a strong policy on facial coverings, producing a report that said face shields would dramatically lower the virus’s toll.

Reynolds took none of that advice. She started easing restrictions in late April. She argued it was more important to reopen the state’s economy while encouraging people to be responsible and wear masks than to throw down a mandate she called unenforceable.

“I think the goal is to strongly encourage and recommend that people wear them,” she said in late August. “I believe that people are.”

Yet at that moment, Iowa was proving the university’s predictions true, suffering the highest infection rate in the nation. In late September, the state was one of only seven that remained in the “red zone,” averaging more than 890 new infections a day.

The governor’s

‘Don’t Be Afraid’ of COVID, Trump Says as He Returns to White House That Is Stalked by Illness | Top News

By Steve Holland and Alexandra Alper

WASHINGTON (Reuters) – President Donald Trump told Americans “to get out there” and not fear COVID-19 as he returned to the White House on Monday after a three-night hospital stay to be treated for the virus and removed his white surgical mask to pose for pictures.

Asked how he felt on arrival at the White House, where his staff has been hit by infections and his re-election campaign dogged by the pandemic, Trump said: “Real good,” according to a pool report by a journalist covering his return on behalf of other media.

Trump wore a mask as he left the helicopter that flew him back from a military hospital outside Washington and climbed the stairs of the White House South Portico, where he removed it and posed for pictures, waving, saluting and giving thumbs-up signs.

He then turned to walk into the White House, his mask still in his pocket, TV footage showed.

Trump has played down a disease has killed more than 1 million people worldwide and more than 209,000 in the United States alone – the highest death toll of any country.

The Republican president, running for re-election against Democrat Joe Biden in the Nov. 3 U.S. election, was admitted to the Walter Reed Medical Center on Friday after being diagnosed with the disease caused by the novel coronavirus.

“Don’t let it dominate you. Don’t be afraid of it,” Trump said in a recorded video message. “We’re going back, we’re going back to work. We’re going to be out front. … Don’t let it dominate your lives. Get out there, be careful.”

Shortly after his return, a video with thunderous orchestral music posted to his Twitter handle showed him arriving at the White House and saluting from the South Portico as Marine One flew off. The video was quickly viewed nearly a million times.

Trump has repeatedly flouted social-distancing guidelines meant to curb the virus’ spread. He also mocked Biden at last Tuesday’s presidential debate for wearing a mask at events, even when he is far from others.

While it was unclear if Biden had seen Trump’s latest video, the Democrat, who leads in national opinion polls, stressed the seriousness of the disease and emphasized the importance of wearing masks.

“I would hope the president – having gone through what he went through and I’m glad he seems to be coming along pretty well – would communicate the right lesson to the American people. Masks matter,” Biden told an NBC News town hall in Miami.

Trump, 74, has not had a fever in more than 72 hours and his oxygen levels are normal, his medical team told reporters at the hospital where he was treated. The doctors declined, however, to discuss any toll the disease could have on the president’s lungs or disclose when Trump last tested negative for the coronavirus.

The team added that the president had received supplemental oxygen twice in recent days.

“He may not entirely be out of

Trump Leaves Hospital, Minimizing Virus and Urging Americans ‘Don’t Let It Dominate Your Lives’

But advisers said Mr. Trump wanted to demonstrate from the Oval Office that he was back and healthy, and they were unsure if they could prevent that. Mr. Trump is eager to show that he is a viable candidate for re-election, and advisers said he still planned to go ahead with the second debate with Mr. Biden scheduled for Oct. 15.

While not as equipped as Walter Reed, the White House has a medical unit fully staffed by military doctors and assistants around the clock and capable of providing care to the president. With private examination rooms, a supply of medicine and a crash cart for emergency resuscitation, it has been described by one former White House physician as “like a mini urgent-care center.”

The outbreak in the West Wing continued to spread on Monday as Kayleigh McEnany, the White House press secretary, and two of her assistants tested positive for the virus, heightening fears that more cases were still to come.

Ms. McEnany said she had tested negative several times, “including every day since Thursday,” but health experts said she might have been infectious for days — including when she spoke briefly to reporters without a mask outside the White House on Sunday. Two more members of the press team, Karoline Leavitt and Chad Gilmartin, who is Ms. McEnany’s relative, also tested positive, according to two people familiar with the diagnoses.

The three joined a growing list of people around the president who have tested positive, including Melania Trump, the first lady; Hope Hicks, a senior adviser; Nicholas F. Luna, the director of Oval Office Operations; Bill Stepien, the president’s campaign manager; Ronna McDaniel, the chairwoman of the Republican National Committee; Kellyanne Conway, the president’s former counselor; former Gov. Chris Christie of New Jersey, the president’s debate coach; and at least three White House reporters and two members of the residence staff.

The culture of the White House under Mr. Trump is not to talk about the coronavirus tests. When he received his own initial positive result on a rapid test last Thursday shortly after returning from Bedminster, N.J., he wanted it kept quiet, according to people close to him. Likewise, the two members of the residential staff who tested positive a few weeks ago were advised by colleagues to “use discretion” in discussing it, people familiar with the conversations said.

Vice President Mike Pence, who tested negative on Sunday, was scheduled to travel to Utah ahead of Wednesday night’s vice-presidential debate. Mr. Pence also plans to attend campaign events in Arizona and Florida this week before stopping in his home state, Indiana, to vote early.

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We Still Don’t Know When President Trump Last Tested Negative for COVID-19. Here’s Why That’s a Big Deal

It’s been only about four days since the world learned U.S. President Donald Trump tested positive for COVID-19—but that doesn’t necessarily mean it’s been four days since he was infected.



Donald Trump wearing a suit and tie: US President Donald Trump pretends to take a COVID-19 test while holding a swab during his visit to the Puritan Medical Products facility in Guilford, Maine on June 5, 2020.


© Nicholas Kamm/AFP— Getty Images
US President Donald Trump pretends to take a COVID-19 test while holding a swab during his visit to the Puritan Medical Products facility in Guilford, Maine on June 5, 2020.

White House officials and Trump’s personal physician Sean Conley have repeatedly dodged questions about when the President last tested negative for COVID-19. “I don’t want to go backwards,” Conley said when asked about Trump’s last negative test during a Monday press briefing, at which he announced Trump would be discharged from Walter Reed National Military Medical Center to return to the White House.

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But the question isn’t only important retroactively. “It matters for a couple of reasons,” says Dr. Megan Ranney, a professor of emergency medicine at Brown University. “The first is because it helps to predict the course of illness. The second reason it matters immensely is because of contact tracing.”

That is, without knowing when Trump last tested negative, it’s impossible to say how many people came into contact with him when he was contagious and may now be unknowingly spreading the virus. Knowing the date of Trump’s last negative test is not going backward; it is crucial to preventing future spread.

The timeline of Trump’s illness has been unclear. He tweeted early Friday morning that he tested positive for COVID-19, shortly after his adviser Hope Hicks tested did. (Wall Street Journal reporting suggests the White House did not disclose a positive test result Trump received on Thursday while waiting for a second test to confirm the results.) On Friday, he received supplemental oxygen and was admitted to Walter Reed before being discharged Monday.

But at a briefing on Saturday, Conley said Trump was 72 hours into his diagnosis—suggesting he was diagnosed with COVID-19 on Wednesday, not Thursday. He later claimed he misspoke and said the President tested positive on Thursday.

If that’s true, the course of Trump’s illness has been unusual, says Dr. Leana Wen, a professor of health policy and management at George Washington University’s Milken School of Public Health and Baltimore’s former public health commissioner.

Video: How crucial are the next few days of Trump’s coronavirus treatment? (FOX News)

How crucial are the next few days of Trump’s coronavirus treatment?

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It typically takes around a week for symptoms to progress to a point where a patient needs oxygen support. If Trump has been tested every day, as is White House protocol, Wen says it’s strange he would go from a negative test on Wednesday to hospitalization on Friday.

“How is it possible that on Wednesday he didn’t have enough of a viral load to pick it up…and by Friday he has low oxygen and needed to be hospitalized?” Wen says. “If that’s the case, there is something worrisome about President Trump’s health.” (Ranney