{"id":155831,"date":"2020-12-11T05:30:00","date_gmt":"2020-12-11T13:30:00","guid":{"rendered":"https:\/\/calmatters.org\/?p=155831"},"modified":"2021-09-28T08:56:38","modified_gmt":"2021-09-28T15:56:38","slug":"slower-covid-turnarounds-californians","status":"publish","type":"post","link":"https:\/\/calmatters.org\/_ko\/health\/coronavirus\/2020\/12\/slower-covid-turnarounds-californians\/","title":{"rendered":"COVID tests lagging: Slower turnaround times creeping back for Californians"},"content":{"rendered":"\t\t\n\t\t<div class=\"wp-block-group has-light-gray-background-color has-background calmatters-summary\">\n\t\t\t<div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n\t\t\t\t\n\t\t\t\t<p class=\"has-small-font-size calmatters-summary-heading\"><strong>In summary<\/strong><\/p>\n\t\t\t\t\n\n\t\t\t\t\n\t\t\t\t<p class=\"calmatters-summary-content\">The average turnaround time for COVID-19 test results rose 30% in November as people flocked to test sites before Thanksgiving. Pressure on labs is expected to intensify.<\/p>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\n<p>Seven days a week, San Francisco\u2019s public health laboratory operates until midnight. Workers are exhausted, their director says. And still, the COVID-19 specimens keep coming in their little plastic tubes, with test results expected quickly to help manage California\u2019s alarming surge of infections.&nbsp;<\/p>\n\n\n\n<p>The lab was set up earlier in the pandemic to handle 700 COVID-19 specimens each day; now it\u2019s receiving about 2,000, said the lab\u2019s director, Godfred Masinde.&nbsp;<\/p>\n\n\n\n<p>\u201cWe\u2019ve been given more than we can handle,\u201d said Masinde, who also is president of the California Association of Public Health Laboratory Directors.&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/calmatters.org\/health\/coronavirus\/2020\/07\/coronavirus-covid-testing-california-newsom-differ-newsom\/\">Problems with COVID testing<\/a> are resurfacing across California as turnaround times for test results climb once again after a summer of frustrating delays. Many labs have been slammed with record numbers of specimens as public health officials expanded test sites and hours and Californians flocked to get tested before Thanksgiving.&nbsp;<\/p>\n\n\n\n<p>The average turnaround time for test results has risen by 30% from the first week in November to the last week, or from 1.3 days to 1.7 days, according to state public health data.<\/p>\n\n\n\n<p>That may not sound like much, but public health experts say it\u2019s critical for COVID-19 test results to be reported within one to two days, because longer delays mean that infected people may unknowingly spread the disease to others before they can isolate at home.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-pullquote has-border-color\" style=\"border-color:#F4BB32\"><blockquote><p>\u201cIn the middle of our surge, our testing capacity is getting stretched again even though we have doubled our capacity.\u201d<\/p><cite>dr. erica pan, former acting state health officer<\/cite><\/blockquote><\/figure>\n\n\n\n<p>State health officials monitor test turnaround times closely, publicly posting a dashboard that tracks performance of the many commercial, hospital and government labs that collectively process <a href=\"https:\/\/coronavirus.jhu.edu\/testing\/individual-states\/california\" target=\"_blank\" rel=\"noreferrer noopener\">up to 300,000 specimens<\/a> every day. In the last week of November, 78% of test results were returned within two days on average, compared to 89% in the first week.<\/p>\n\n\n\n<p>\u201cIn the middle of our surge, our testing capacity is getting stretched again even though we have doubled our capacity,\u201d said Dr. Erica Pan, former acting state health officer said last week at a UCSF COVID-19 <a href=\"https:\/\/www.youtube.com\/watch?v=KgceROGONgE&amp;feature=youtu.be\" target=\"_blank\" rel=\"noreferrer noopener\">briefing<\/a>. \u201cSlow testing turnaround is happening again.\u201d&nbsp;<\/p>\n\n\n\n<p>California has spent hundreds of millions of dollars to boost the state\u2019s laboratory capacity, contracting with commercial labs and building a massive new PerkinElmer laboratory in Southern California. That lab, in Valencia, was supposed to help ease the burden on other labs, but it\u2019s still getting up and running. In the last week of November, nearly a third of its tests took three or more days to process and return results, despite the 24- to 48-hour turnaround mandated in its <a href=\"https:\/\/files.covid19.ca.gov\/pdf\/Perkinelmer-health-sciences-inc-CDPH.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">contract<\/a>.&nbsp;<\/p>\n\n\n\n<p>However, some large commercial labs like Curative, in San Dimas, are managing to keep up with the onslaught of specimens.&nbsp;<\/p>\n\n\n\n<p>Others, including giants LabCorp and Quest, are buckling under the strain. In the first week of November, those two labs <a href=\"https:\/\/web.archive.org\/web\/20201114011739\/https:\/testing.covid19.ca.gov\/wp-content\/uploads\/sites\/332\/2020\/11\/20201107-TAT-Dashboard.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">returned results<\/a> for 90% and 72% of their tests, respectively, within two days. But by the end of the month, as their caseloads rose by about one-third, LabCorp was <a href=\"https:\/\/testing.covid19.ca.gov\/wp-content\/uploads\/sites\/332\/2020\/12\/20201122-20201128_TAT-dashboard.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">only able to return<\/a> 37% of its tests within two days; Quest reported only 31% of tests within two days.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-infogram wp-block-embed-infogram\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"infogram-embed\" data-id=\"5ea0b122-3076-42b3-9495-aed6da1d3955\" data-type=\"interactive\" data-title=\"Average test turnaround time\"><\/div><script>!function(e,n,i,s){var d=\"InfogramEmbeds\";var o=e.getElementsByTagName(n)[0];if(window[d]&&window[d].initialized)window[d].process&&window[d].process();else if(!e.getElementById(i)){var r=e.createElement(n);r.async=1,r.id=i,r.src=s,o.parentNode.insertBefore(r,o)}}(document,\"script\",\"infogram-async\",\"https:\/\/e.infogram.com\/js\/dist\/embed-loader-min.js\");<\/script>\n<\/div><\/figure>\n\n\n\n<p>Quest declined to discuss its California lab but noted it returns test results nationally within two to three days for all patients and within two days for priority patients. A LabCorp spokesperson said the company is returning COVID-19 test results within the two to four days <a href=\"https:\/\/www.labcorp.com\/tests\/139900\/2019-novel-coronavirus-covid-19-naa#:~:text=Please%20note%3A%20It%20takes%20approximately,generally%20allows%20for%20faster%20delivery.\" target=\"_blank\" rel=\"noreferrer noopener\">specified on its website.<\/a> She said it is seeing a nationwide rise in demand and plans to expand capacity.<\/p>\n\n\n\n<p>Kaiser Permanente\u2019s Southern California laboratory, which processed all of its roughly 50,000 COVID-19 tests within two days in the first week of November, saw its caseload more than triple by the end of that month. Its ability to return results declined sharply as a result.&nbsp;<\/p>\n\n\n\n<p>In contrast, the HMO\u2019s Northern California laboratory was not as hard-pressed. The two laboratories serve only Kaiser patients.<\/p>\n\n\n\n<p>\u201cThe level of surge we\u2019re seeing now risks overwhelming the state\u2019s ability to keep up with testing and treatment,\u201d said Lisa Arellanes, a Kaiser Permanente executive who oversees the labs. \u201cThat\u2019s why it\u2019s so critical to take action now to slow the spread of the virus, including practicing physical distancing, avoiding travel and gatherings, washing hands and wearing masks.\u201d<\/p>\n\n\n\n<p>Stanford Health Care\u2019s laboratory also has struggled. Although it was able to process virtually all of its samples within two days in early November, the lab could only return just over half of samples by the end of the month, according to state public health data.&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/profiles.stanford.edu\/christina-kong\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Christina Kong<\/a>, the lab\u2019s medical director, said in a statement that the lab has experienced equipment failures and nationwide shortages of some of the supplies they need to process COVID-19 specimens. The lab is installing a new PerkinElmer system and other automated equipment to speed up its work, Kong said.&nbsp;<\/p>\n\n\n\n<p>The pressure on labs across the state is only expected to intensify. The long lines to get a COVID-19 test that Californians remember from the summer <a href=\"https:\/\/abc7.com\/coronavirus-testing-covid-dodger-stadium-appointment\/8204762\/\" target=\"_blank\" rel=\"noreferrer noopener\">reappeared<\/a> just before Thanksgiving as people sought pre-holiday tests, even though the state has worked to expand testing sites and hours.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-infogram wp-block-embed-infogram\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"infogram-embed\" data-id=\"f45b4ec0-b269-4e57-a45f-58078e100c9b\" data-type=\"interactive\" data-title=\"Total tests reported in California\"><\/div><script>!function(e,n,i,s){var d=\"InfogramEmbeds\";var o=e.getElementsByTagName(n)[0];if(window[d]&&window[d].initialized)window[d].process&&window[d].process();else if(!e.getElementById(i)){var r=e.createElement(n);r.async=1,r.id=i,r.src=s,o.parentNode.insertBefore(r,o)}}(document,\"script\",\"infogram-async\",\"https:\/\/e.infogram.com\/js\/dist\/embed-loader-min.js\");<\/script>\n<\/div><\/figure>\n\n\n\n<p>State health officials say that the sheer number of tests is causing lab turnaround times to climb. They\u2019re pinning their hopes on the new PerkinElmer public health lab, which is expected to handle up to 150,000 tests per day later in 2021, to ameliorate the lags.<\/p>\n\n\n\n<p>But that\u2019s not the only reason.&nbsp;<\/p>\n\n\n\n<p>Labs have had to compete for scarce pipettes and other supplies needed to process tests. Lab machines, not built to withstand round-the-clock operation, are failing, said San Francisco\u2019s&nbsp; . Masinde. And he\u2019s worried about his people &#8211; the microbiologists and technicians who\u2019ve worked overtime and without a real break for months on end, much like the overworked nurses and doctors in California\u2019s hospitals. Masinde needs another two microbiologists, but they\u2019re in short supply and government regulations mean a time-consuming hiring process, he said.&nbsp;<\/p>\n\n\n\n<p>Still, Masinde said his lab is remodeling to accommodate new automated equipment provided by the state, including robots, to help process the ever-growing torrent of test samples. He\u2019s frustrated by the scramble, citing years of budget cutbacks and consolidation of California\u2019s public health laboratories.&nbsp;<\/p>\n\n\n\n<p>\u201cYou can see people are fatigued,\u201d Masinde said. \u201cBut we are trying to cope.\u201d<\/p>\n\n\n\n<p><em><meta charset=\"utf-8\"><em><em>CalMatters COVID-19 coverage, translation and distribution is supported by generous grants from the Penner Family Foundation, Blue Shield of California Foundation, the California Wellness Foundation and the California Health Care Foundation.<\/em><\/em><\/em><\/p>\n\n\n\t<div\n\t\tclass=\"wp-block-newspack-blocks-homepage-articles  wpnbha show-image image-alignbehind ts-4 is-3 is-landscape \"\n\t\tstyle=\"\"\n\t\t>\n\t\t<div data-posts data-current-post-id=\"155831\">\n\t\t\t\t\t\t\t<h2 class=\"article-section-title\">\n\t\t\t\t\t<span>more on covid-19<\/span>\n\t\t\t\t<\/h2>\n\t\t\t\t\t\t\n\t<article data-post-id=\"155398\"\n\t\tclass=\"tag-coronavirus tag-covid-19 tag-fresno tag-imperial-county tag-los-angeles-county category-coronavirus category-health type-post post-has-image\"\n\t\t\t\tstyle=\"min-height: 0vh; padding-top: 0vh;\"\n\t\t\t\t>\n\t\t\t\t\t\t\t<figure class=\"post-thumbnail\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/calmatters.org\/_ko\/health\/coronavirus\/2020\/12\/many-california-icus-full\/\" rel=\"bookmark\" tabindex=\"-1\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"900\" src=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_Hospital_111920_02.jpg?resize=1200%2C900&amp;ssl=1\" class=\"attachment-newspack-article-block-landscape-large size-newspack-article-block-landscape-large wp-post-image\" alt=\"California\u2019s intensive care nightmare: Which hospitals are full?\" data-hero-candidate=\"1\" srcset=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_Hospital_111920_02.jpg?resize=1200%2C900&amp;ssl=1 1200w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_Hospital_111920_02.jpg?resize=800%2C600&amp;ssl=1 800w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_Hospital_111920_02.jpg?resize=400%2C300&amp;ssl=1 400w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_Hospital_111920_02.jpg?resize=200%2C150&amp;ssl=1 200w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_Hospital_111920_02.jpg?resize=1200%2C900&amp;ssl=1&amp;w=370 370w\" sizes=\"auto, (max-width: 34.9rem) calc(100vw - 2rem), (max-width: 53rem) calc(8 * (100vw \/ 12)), (min-width: 53rem) calc(6 * (100vw \/ 12)), 100vw\" \/>\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/figure><!-- .featured-image -->\n\t\t\n\t\t<div class=\"entry-wrapper\">\n\t\t\t\t\t\t<h3 class=\"entry-title\"><a href=\"https:\/\/calmatters.org\/_ko\/health\/coronavirus\/2020\/12\/many-california-icus-full\/\" rel=\"bookmark\">California\u2019s intensive care nightmare: Which hospitals are full?<\/a><\/h3>\t\t\t\t\t\t<p>In the worst-hit counties, some hospitals are sending critically ill patients to other counties. Others are keeping ICU patients in crowded emergency rooms. Imperial, Kings, San Benito, Madera and Fresno are among those in the worst shape.<\/p>\n\t\t\t\t<div class=\"entry-meta\">\n\t\t\t\t\t<a href=\"https:\/\/calmatters.org\/_ko\/author\/rachel-becker\/\"><img alt='' src='https:\/\/secure.gravatar.com\/avatar\/bfe12363f248b31151b6e28cdcda13e54b9aaca92e78c40781747657371a5a52?s=48&#038;d=mm&#038;r=g' srcset='https:\/\/secure.gravatar.com\/avatar\/bfe12363f248b31151b6e28cdcda13e54b9aaca92e78c40781747657371a5a52?s=96&#038;d=mm&#038;r=g 2x' class='avatar avatar-48 photo' height='48' width='48' \/><\/a>\t\t\t\t\t\t<span class=\"byline\">\n\t\t\t\t\t\t\t<span class=\"author-prefix\">by<\/span> <span class=\"author vcard\"><a class=\"url fn n\" href=\"https:\/\/calmatters.org\/_ko\/author\/rachel-becker\/\">Rachel Becker<\/a><\/span>\t\t\t\t\t\t<\/span><!-- .author-name -->\n\t\t\t\t\t\t<time class=\"entry-date published\" datetime=\"2020-12-09T05:30:00-08:00\">12\uc6d4 9, 2020<\/time><time class=\"updated\" datetime=\"2021-09-28T08:56:53-07:00\">9\uc6d4 28, 2021<\/time>\t\t\t\t<\/div><!-- .entry-meta -->\n\t\t\t\t\t\t\t\t<\/div><!-- .entry-wrapper -->\n\t<\/article>\n\n\t\t\n\t<article data-post-id=\"154294\"\n\t\tclass=\"tag-centers-for-disease-control-and-prevention tag-coronavirus tag-covid-19 tag-gavin-newsom tag-health-care tag-los-angeles-county tag-nursing-homes tag-public-health tag-vaccines category-coronavirus category-health type-post post-has-image\"\n\t\t\t\tstyle=\"min-height: 0vh; padding-top: 0vh;\"\n\t\t\t\t>\n\t\t\t\t\t\t\t<figure class=\"post-thumbnail\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/calmatters.org\/_ko\/health\/coronavirus\/2020\/12\/california-priorities-first-covid-vaccines\/\" rel=\"bookmark\" tabindex=\"-1\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"900\" src=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_vaccine_01.jpg?resize=1200%2C900&amp;ssl=1\" class=\"attachment-newspack-article-block-landscape-large size-newspack-article-block-landscape-large wp-post-image\" alt=\"Vaccines getting closer: Governor outlines priorities for who\u2019s up first\" data-hero-candidate=\"1\" srcset=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_vaccine_01.jpg?resize=1200%2C900&amp;ssl=1 1200w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_vaccine_01.jpg?resize=800%2C600&amp;ssl=1 800w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_vaccine_01.jpg?resize=400%2C300&amp;ssl=1 400w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_vaccine_01.jpg?resize=200%2C150&amp;ssl=1 200w, https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/12\/AP_vaccine_01.jpg?resize=1200%2C900&amp;ssl=1&amp;w=370 370w\" sizes=\"auto, (max-width: 34.9rem) calc(100vw - 2rem), (max-width: 53rem) calc(8 * (100vw \/ 12)), (min-width: 53rem) calc(6 * (100vw \/ 12)), 100vw\" \/>\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/figure><!-- .featured-image -->\n\t\t\n\t\t<div class=\"entry-wrapper\">\n\t\t\t\t\t\t<h3 class=\"entry-title\"><a href=\"https:\/\/calmatters.org\/_ko\/health\/coronavirus\/2020\/12\/california-priorities-first-covid-vaccines\/\" rel=\"bookmark\">Vaccines getting closer: Governor outlines priorities for who\u2019s up first<\/a><\/h3>\t\t\t\t\t\t<p>As California clamps down amid a daunting coronavirus surge, the state will begin placing its first vaccine orders Friday, officials announce.<\/p>\n\t\t\t\t<div class=\"entry-meta\">\n\t\t\t\t\t<a href=\"https:\/\/calmatters.org\/_ko\/author\/barbaraostrov\/\"><img data-recalc-dims=\"1\" alt='Avatar photo' src=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/06\/Barbara-Feder-Ostrov-headshot-195x195-2.jpg?resize=48%2C48&#038;ssl=1\" srcset='https:\/\/calmatters.org\/wp-content\/uploads\/2020\/06\/Barbara-Feder-Ostrov-headshot-195x195-2-96x96.jpg 2x' class='avatar avatar-48 photo' height=\"48\" width=\"48\" \/><\/a><a href=\"https:\/\/calmatters.org\/_ko\/author\/anaibarra\/\"><img data-recalc-dims=\"1\" alt='Avatar photo' src=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2023\/12\/cropped-Ana-B.-Ibarra.jpg?resize=48%2C48&#038;ssl=1\" srcset='https:\/\/calmatters.org\/wp-content\/uploads\/2023\/12\/cropped-Ana-B.-Ibarra-96x96.jpg 2x' class='avatar avatar-48 photo' height=\"48\" width=\"48\" \/><\/a>\t\t\t\t\t\t<span class=\"byline\">\n\t\t\t\t\t\t\t<span class=\"author-prefix\">by<\/span> <span class=\"author vcard\"><a class=\"url fn n\" href=\"https:\/\/calmatters.org\/_ko\/author\/barbaraostrov\/\">Barbara Feder Ostrov<\/a><\/span> and <span class=\"author vcard\"><a class=\"url fn n\" href=\"https:\/\/calmatters.org\/_ko\/author\/anaibarra\/\">Ana B. Ibarra<\/a><\/span>\t\t\t\t\t\t<\/span><!-- .author-name -->\n\t\t\t\t\t\t<time class=\"entry-date published\" datetime=\"2020-12-03T18:04:51-08:00\">12\uc6d4 3, 2020<\/time><time class=\"updated\" datetime=\"2021-09-28T08:56:58-07:00\">9\uc6d4 28, 2021<\/time>\t\t\t\t<\/div><!-- .entry-meta -->\n\t\t\t\t\t\t\t\t<\/div><!-- .entry-wrapper -->\n\t<\/article>\n\n\t\t\t\t<\/div>\n\t\t\n\t<\/div>\n\t\n\n\n<hr class=\"wp-block-separator has-text-color has-medium-gray-color has-css-opacity has-medium-gray-background-color has-background is-style-wide\"\/>\n","protected":false},"excerpt":{"rendered":"<p>The average turnaround time for COVID-19 test results rose 30% in November as people flocked to test sites before Thanksgiving. Pressure on labs is expected to intensify.<\/p>","protected":false},"author":166,"featured_media":147795,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"single-feature.php","format":"standard","meta":{"_acf_changed":false,"_stopmodifiedupdate":true,"_modified_date":"","newspack_ads_suppress_ads":false,"newspack_popups_has_disabled_popups":false,"newspack_sponsor_sponsorship_scope":"","newspack_sponsor_native_byline_display":"inherit","newspack_sponsor_native_category_display":"inherit","newspack_sponsor_underwriter_style":"inherit","newspack_sponsor_underwriter_placement":"inherit","apple_news_api_created_at":"2021-09-28T15:56:35Z","apple_news_api_id":"79c17f1a-875b-4155-9a89-66621a945ee6","apple_news_api_modified_at":"2022-11-15T19:43:20Z","apple_news_api_revision":"AAAAAAAAAAAAAAAAAAAAAg==","apple_news_api_share_url":"https:\/\/apple.news\/AecF_GodbQVWaiWZiGpRe5g","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"_spanish_translation_id":0,"_is_translation":false,"_newspack_byline_active":false,"_newspack_byline":"","newspack_content_restriction_is_exempt":false,"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"Overview:","newspack_article_summary":"","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[28393,9],"tags":[26758,26759,1820,3045],"legislator":[],"bill":[],"newspack_spnsrs_tax":[],"coauthors":[32162],"class_list":["post-155831","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coronavirus","category-health","tag-coronavirus","tag-covid-19","tag-health-care","tag-public-health","entry"],"acf":[],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - 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