The Duke Blue Devils are out of the 2021 ACC tournament after a positive COVID-19 test within their men's basketball program, the conference announced Thursday. The Blue Devils, who were scheduled to play Florida State in the ACC quarterfinals on Thursday, have been eliminated from the event, which is scheduled to run through Saturday. This marks the highest-profile COVID-19-related cancellation or postponement during a 2020-21 college basketball season marked by altered schedules, team pauses and general logistical issues throughout the sport.
The news also raises a number of questions that will reverberate throughout college basketball in the coming hours and days. Is Duke's season over and its NCAA tournament hopes dashed? Will other ACC teams be impacted by the news? How will the conference and other leagues handle the remainder of their tournaments? What will such a situation mean if it occurs in the 2021 NCAA tournament, scheduled to run through April 5? ESPN.com's college basketball team of Myron Medcalf, Jeff Borzello and John Gasaway examined all of the basketball, non-basketball and historical implications of Thursday's news:
At this point, we don't know exactly who tested positive or when. The school announced it was a member of the program's Tier 1 personnel but offered no details.
-- Jeff Borzello
Yes, it is very likely. For deeper analysis of Duke's place on the bubble and how the end of its season could affect others, visit Bubble Watch.
-- John Gasaway
It's not impossible for Duke to be cleared to play in the NCAA tournament. If the rest of the roster continued to test negative (assuming only one person tested positive on Thursday), they could still test negative for seven consecutive days and therefore be able to travel to Indianapolis on Sunday or Monday. Contact tracing would have knocked players out of Thursday's game, but that doesn't necessarily mean they would've tested positive.
2 Related
If Duke was one of the last four teams out, it could technically serve as a replacement team. Per NCAA guidelines, those teams are asked to stay on campus and continue to test. The guidelines requiring seven consecutive negative tests do not change for them. But it's unclear how a positive test for a replacement candidate about a week out from the event would affect its candidacy, assuming Duke would even want to be included. If the Blue Devils are picked on Selection Sunday, the same protocols remain. At least one coach who spoke with ESPN said he doesn't believe Duke is done yet based on both scenarios.
That said, it appears that Duke's season is over. Duke AD Kevin White said in a statement the cancellation "will end our 2020-21 season." Mike Kryzewski's statement says, "I loved the 2020-21 Duke Basketball team and was honored to be their coach," which doesn't sound like something you'd say if you expected to keep playing this season. But it could be interesting to see what happens on Sunday.
-- Jeff Borzello and Myron Medcalf
Years from now, when this is safely put in the past, we may reflect on a remarkable fact. In each of two consecutive years, Duke pulled out of the ACC tournament before any other competitor. The first time it was a free and ultimately wise decision. The second time it was by necessity.
This puts a stop, of course, to a streak of NCAA tournament appearances for the Blue Devils dating to 1996. As for other blue-chip programs, it would appear that this will also be the first NCAA bracket since 1976 that will not include either Duke or Kentucky. The Wildcats lost to Mississippi State in the SEC tournament on Thursday.
-- John Gasaway
The situation might be different in the NCAA tournament. First, any team that enters the "controlled environment" in Indianapolis has to have seven consecutive negative daily tests. NCAA officials have announced that no teams will be replaced once the event starts. On Wednesday, however, as the selection committee commenced deliberations, Dan Gavitt, senior vice president of men's basketball, clarified that any team with five "healthy" players can proceed. Now, contact tracing guidelines could eliminate individuals in a circumstance similar to what Duke faced too. But a positive test that does not completely neutralize an entire roster will not necessarily end a program's season once the NCAA tournament begins.
-- Myron Medcalf
The biggest difference between the ACC and NCAA tournament protocols is that the NCAA requires seven consecutive negative tests before traveling to Indianapolis. As a result, the expectation is that this type of situation won't happen during the NCAA tournament. Moreover, Duke was traveling back and forth from Durham because the school thought it was safer than staying in Greensboro; that also won't happen during the NCAA tournament.
-- Jeff Borzello
I'm sure every league in the country -- especially the one-bid leagues -- is nervous right now. Duke had avoided positive tests all season with the assistance of private facilities and significant resources, two things most schools lack. Commissioners around the country have said they'll push forward. But they also run the risk of eliminating one or more teams from the field since the seven-day window for negative tests begins Friday.
This is the nightmare. If it can happen to Duke, it can happen to anyone. And in the one-bid leagues, a team will be replaced by an alternate if there are positive tests. In the Power 5 leagues, positive tests could ruin a team's shot at acing the NCAA's seven-day testing window prior to Indianapolis.
The protocols seem to be set in these leagues. But the level of caution and concern will rise if there are positive tests in the coming days. And every person who for that reason wanted the conference tournaments to be canceled is shaking their head. The gamble could prove costly.
-- Myron Medcalf
The ACC is proceeding as scheduled aside from canceling the Duke-Florida State quarterfinal game. Florida State will advance to the semifinals to face the winner of North Carolina vs. Virginia Tech, while Duke is going home.
One ACC coach scheduled to play Thursday told ESPN he doesn't believe Duke's situation will affect the rest of the field because every team has been strictly isolated leading up to each game. Those teams also tested negative in advance of Thursday's matchups. So, like the rest of the season, one canceled game will probably not disrupt everything else.
-- Jeff Borzello
Louisville released a statement saying it tested all of its Tier 1 individuals following Wednesday night's game and all results came back negative. "We are confident through the ACC's use of Kinexon digital proximity technology that we will not experience any contact tracing that would affect our team," the school said. Boston College hasn't released an official statement yet, although I'm told it's in the process of gathering more information.
-- Jeff Borzello
SIOUX FALLS, S.D. (KELO) Active cases of COVID-19 are up by 32 in South Dakota as of Friday.
Active cases are now at 2,163, up from Thursday (2,131).
South Dakota has 184 new total cases of coronavirus, according to the South Dakota Department of Health.
The states total case count is at 114,347, up from Thursday (114,163).
Two new deaths was reported in Fridays update from theSouth Dakota Department of Health. The deaths reported include one man and one woman, both in the 60 69 year age group.
The death toll increased to 1,907.
Total recovered cases increased to 110,277, up from Thursday (110,127).
There are 62 current hospitalizations as of Friday compared to 67 on Thursday.
Total hospitalizations are at 6,766, up from Thursday (6,756).
South Dakota has now had 316,995 persons test negative, up from Thursday (316,486).
The new persons tested on Friday is 693; that is a 26.5% positive rate.
The latest seven-day all test positivity rate reported by the DOH is 7.8%. The DOH calculates that based on the results of the PCR test results but doesnt release total numbers for how many PCR tests are done daily. The latest one-day PCR test positivity rate is 7.1%.
According to the DOH, 142,635 doses of the Pfizer vaccine have been administered, 1,419 of the Janssen vaccine and 139,162 of the Moderna vaccine have been administered to a total number of 283,216 people.
There have been 48,788 people who have completed two doses of Moderna and 52,888 who have received two doses of Pfizer, according to the DOH. 1,419 people have completed the Janssen vaccine series.
Early on in the COVID-19 pandemic antibiotics were frequently prescribed to seriously ill patients, even though the disease is caused by a virus. Win McNamee/Getty Images hide caption
Early on in the COVID-19 pandemic antibiotics were frequently prescribed to seriously ill patients, even though the disease is caused by a virus.
Doctors treating COVID-19 patients early in the pandemic often reached for antibiotics. But those drugs were not helpful in most cases, and overuse of antibiotics is a serious concern.
Several research groups, at Johns Hopkins, the University of Michigan and Bristol, England, have observed this trend. Now researchers at the Pew Charitable Trusts have weighed in with more data and put those findings in the context of long-term worries about the fate of antibiotics.
The Centers for Disease Control and Prevention estimates that nearly 3 million Americans a year get an infection that's caused by a drug-resistant microbe. An estimated 35,000 Americans die from these hard-to-treat infections annually.
As a result, hospitals are supposed to follow rules to limit unnecessary use of antibiotics. Overuse of these medications hastens the development of new drug-resistant strains of bacteria.
But those rules haven't been closely followed during the COVID-19 pandemic, particularly in its early days.
Here's the scene doctors confronted. "You have a patient in front of you with this potentially lethal illness," says Dr. Susan Swindells, an infectious diseases specialist at the University of Nebraska Medical Center. "They have a fever and a cough, and they have difficulty breathing. So, the overwhelming desire is to do whatever you can."
In the absence of any effective drug therapy, that often meant reaching for antibiotics. Some patients got treated just in case that they actually had bacterial pneumonia, not COVID-19. Other times, doctors figured patients might have both COVID-19 and a bacterial infection. That double infection is fairly common among people hospitalized with influenza.
Back then, she says, "there was very little proven treatment for COVID so people were trying all kinds of things."
"I think we are all aware of some overuse in COVID," she said. And it's hardly unique. "Lots of people with flu or even common colds get prescribed antibiotics when they don't need them. It's definitely an issue."
Rachel Zetts at the Pew Charitable Trusts documents the use of antibiotics for COVID-19. The study in a group of about 5,000 hospitalized patients, chiefly in the Midwest, found that more than half were given antibiotics, even though most of them did not have bacterial infections.
Patients usually got the antibiotics right away, before doctors had time to run tests to rule out bacterial infections.
Doing that is "not inherently a bad practice," says Zetts' co-author, Dr. David Hyun at Pew. "It's a necessary tool for providers to treat patients with suspected bacterial infections when they hit the doors of the hospital."
Immediate treatment can save the life of someone with a sepsis, for example. That's triggered by a bacterial infection.
But as the pandemic evolved, it became increasingly clear that antibiotics weren't helping most COVID-19 patients.
Doctors usually discontinued therapy within a few days once they realized their patients wouldn't benefit, their study found. Even so, this practice contributes to overuse of antibiotics and can gradually erode their potency. Hyun says hospitals had in recent years been compelled to adopt guidelines to rein in inappropriate antibiotic use.
"What we're concerned is that the progresses we've seen in the last few years could reverse."
The studies to date apply mostly to medial practices used in the first six months of the pandemic. Since then, doctors have had effective drugs to reach for, and have learned that their patients rarely get secondary bacterial infections.
Swindells says in her hospital, that's reduced the impulse to reach for antibiotics.
"It's still going on to a certain extent, but improved," she says.
Those lessons have likely been learned in most places where COVID-19 is treated. The researchers at Pew are eager to see results from follow-up studies, to see if that is indeed the case.
You can contact NPR Science Correspondent Richard Harris at rharris@npr.org.
The state of Ohio has begun taking appointments for COVID-19 vaccinations at the FEMA-operated site at the Wolstein Center in Cleveland, which opens next week, and the initial response is strong.
Gov. Mike DeWine at his coronavirus briefing on Thursday, March 11, said more than 17,000 people have registered to get their vaccine at the Wolstein Center site overseen by the Federal Emergency Management Agency.
"They're off to a good start already," DeWine said. The site opens on Wednesday, March 17. It will operate 12 hours a day, seven days a week for at least eight weeks. The Wolstein Center site is designed to handle 6,000 vaccinations per day.
Vaccination activity statewide is picking up considerably, DeWine noted, as effective Thursday, people age 50 and older can get the COVID-19 vaccine, as well as people with Type 2 diabetes or end-stage renal disease. That expansion increases the eligibility population in Ohio by about 1.4 million people.
The state's site for vaccination information is here.
DeWine said the state's two-week average COVID-19 case count per 100,000 people now stands at 155. The number "continues to come down," he said, though it still has a way to go before the state reaches 50 cases per 100,000 people the threshold DeWine has set to lift all current state health orders. The rate is down from 179 per 100,000 a week ago. The case number per 100,000 people was as high as 845.5 in mid-December 2020. Ohio was last below 50 in June 2020.
Two counties are below the 50-case-per-100,000 rate: Vinton at 38.2 and Meigs at 43.7. Cuyahoga County is at 190.6 cases per 100,000, down from 204.8 a week ago and from 673.4 in mid-January.
The governor noted that the federal government this week announced new national guidelines for nursing home visitation, advising that facilities "should allow responsible indoor visitation for all residents, regardless of the vaccination status of the resident or visitor," though there are exceptions if outbreaks occur. (Go here for a summary on the federal guidelines.)
DeWine said Ohio is changing a health order to allow visitation at assisted-living facilities inside a resident's room. Under previous rules, visits had to take place at a different location, such as a lobby or designated visiting area.
There was more encouraging news on the return to normal lives.
For instance, DeWine said the state expects that all county fairs will be able to take place this summer, albeit with limitations on grandstand attendance (30%), and with requirements for social distancing and mask-wearing.
"It's possible that by the time we get to fair season, we may be off the health orders if things continue to go well," the governor said.
Proms will be a go this year, too, as will spring sports at all schools. He said students no longer are required to quarantine because they've had incidental exposure to COVID in the classroom, as long as they don't have symptoms and follow the appropriate sports guidance.
"We have the vaccine. We're on offense," he said, emphasizing that people "still need to play defense" by adhering to safe practices.
Also important for students and parents: DeWine said the state is making rapid testing available in K-12 schools "to increase confidence and safety in our schools. Soon we'll be shipping more than 200,000 of the at-home tests to our Educational Service Centers, and I encourage our school districts to take advantage of the resource."
DeWine during the Q&A portion of the briefing was asked about Senate Bill 22, which cleared the state House and Senate this week and curbs a governor's ability to issue health orders. He said the bill is "unconstitutional" and "clearly violates" separation of powers between the legislative and executive branches.
"I will have to veto the bill," DeWine said. "There's no governor I can think of in Ohio who would have not vetoed this bill." He added, "I would have to veto it not so much for me certainly cause we're coming out of this pandemic. But I'm very concerned about the future and health departments around the state not having the tools they need to keep the people in this state safe."
Republican leaders in the Legislature have promised to schedule a veto override vote, assuming DeWine goes ahead with the veto.
DeWine noted that Thursday's briefing was his 150th news conference since the pandemic began. The first took place on Feb. 27, 2020, when DeWine visited MetroHealth Medical Center in Cleveland.
The state has "moved through many stages of the pandemic" since then, DeWine said, and it's in "a much better place today," though there's still a long way to go to get all Ohioans vaccinated.
Lt. Gov. Jon Husted during the briefing was at his junior high school in Montpelier, which is now a pop-up COVID vaccination site, to get his vaccine on camera. Husted, 53, became eligible for the shot on Thursday. After getting the shot, he said, "The needle of the arm is a lot more pleasant than a swab in the nose, that's for sure."
The town's mayor was vaccinated, too. Husted's former babysitter also received the vaccine. Asked by DeWine what Husted was like as a kid, she said the now-lieutenant governor was well behaved. She then quipped, "But I have to admit they preferred my sister, because she let them stay up late and I didn't."
In a prime-time address, President Joe Biden has outlined his plan to make all adult Americans eligible for vaccination by May 1 and he raised the prospect of beginning to gain what he called independence from this virus by the Fourth of July.
By ZEKE MILLER and JONATHAN LEMIRE
SIOUX FALLS, S.D. (KELO) A Sioux Falls man has a message one year after COVID-19 arrived in South Dakota. He says its real, it can kill you and he feels lucky he survived.
Matt Tobin and his wife Tara can enjoy a leisurely walk in their Sioux Falls neighborhood. Hes back to work as the Managing Director of the South Dakota Trust Company. But almost 4 months ago their lives were very different, Matt was diagnosed with COVID-19 and was getting home health care through Sanford.
Around noon that day we did a video visit through the Sanford network, and he through a series of questions and observing me, knowing that my oxygen levels were low he said you need to get to the emergency room, said Tobin.
He believes if he hadnt gone to the hospital he might not have made it though the night.
I had this episode, I dont really even know how to describe it, but I really had trouble breathing, I had trouble breathing even with supplemental oxygen, it just felt like somebody was pressing down or sitting on top of your chest and youre gasping for air, Tobin said.
Doctors started Matt on infusion therapies and his breathing improved enough to avoid being put on a ventilator. Matt spent 8 days in the hospital.
His recovery at home has been steady but slow. Fighting both mental and physical fatigue. He remembers the first time he tried to drive a car to a nearby drug store.
I got out here on 69th street and could not make sense of the car light, brake lights, stop lights and that was probably the first time I really became aware of what they call brain fog, said Tobin.
Matt says he and his family were always cautious, but looking back he now realizes he didnt really know how serious COVID-19 could be.
When I found out I had COVID, I first thought, okay, Ill just take my turn, lets get it over with and move on. And you know I look back and think what a ridiculous attitude I had but its a crazy virus, he said.
Things are mostly back to normal, he gives a lot of credit to the doctors and nurses who cared for him throughout his illness.
Without them, I dont know if I would be sitting here having this conversation with you, so grateful to be here.
Tara got COVID-19, soon after Matt, but had very mild symptoms. Matt says hes close to being back to normal but has an appointment coming up to have his lungs checked for damage the virus may have caused.
Effective treatments for COVID-19 are tough to develop, but this pill is raising hopes The Philadelphia Inquirer
Commitment to Appointments for Seniors, Support of Frontline Workers, A Plan for a Path Forward
Governor Tom Wolf and members of the COVID-19 Vaccine Task Force announced another bi-partisan effort to complete COVID phase 1A vaccinations first, set up mass vaccination clinics with regionally supplied plans to inform allocations, and vaccinate frontline workers.
The efforts of the COVID-19 Vaccine Task Force are making significant headway in getting more people vaccinated, Gov. Wolf said. The special initiative the Task Force agreed on last week to vaccinate educators, school staff, and early childhood educators is well underway, and we are making incredible progress vaccinating Pennsylvanians eligible in Phase 1A. These new initiatives will move us even further in the states vaccinate rollout.
Last night, President JoeBiden laid out a bold plan for our country with a goal of making every American adult eligible to receive a vaccine by May 1. My administration is taking aggressive steps to meet that timeline, and we are fortunate to have the leadership and partnership of President Biden and his administration as we work to protect the people of Pennsylvania.
Gov. Wolf outlined the key, significant progress the state is making in rolling out vaccine. Last month, the Acting Secretary of Health issued anorderdirecting vaccine providers administration of COVID-19 vaccines to ensure that Pennsylvanians are vaccinated as quickly and efficiently as possible.
Since that order, the states hospital systems now have enough vaccine to partner with counties to create county vaccination sites, and the state has seen impressive improvements in its vaccine infrastructure and administration rates. Over the past month county vaccination rates are climbing, and many, including Westmoreland County and all collar counties in the Southeast, are at or above the statewide rate of 15 percent. Montgomery County is 5 percentage points above the statewide average for vaccination rates.
Nearly 1 million Pennsylvanians over 65 have received at least one dose of COVID-19 vaccine, and more than 72,000 people are being vaccinated every single day in Pennsylvania.
And, as President Biden mentioned last night, the state has been working with the federal government to set up 27 federal vaccine program sites in the commonwealth. Four of those sites are already participating in that program: three in Philadelphia and one in Lycoming County.
Todays announcement of plans by the task force focus include three key areas that augment the significant progress already made:
Our 1A population contains some of the most vulnerable Pennsylvanians, and it is crucial that these individuals get vaccinated as quickly as possible, Wolf said. The Secretary of Health will also be issuing an Order that will require vaccine providers to make best efforts to schedule all 1A appointments by the end of the month. To assist them in achieving this goal, we will be providing greater visibility into their future allocations. This will allow them to schedule appointments with confidence in having sufficient supply to keep those appointments.
Counties will be encouraged to work within their region to submit a proposal for a mass vaccination clinic, community vaccination clinics, mobile clinics or other strategy to vaccinate their regions currently eligible individuals. The Task Force will review proposals and determine those that best demonstrate an ability to support a mass vaccination clinic.
We know that county leaders and emergency management organizations have been working hard to put plans in place and make preparations for vaccination sites in their communities, Gov. Wolf said. We will be working closely with the County Commissioners Association of Pennsylvania to create plans for these regional vaccine clinics.
Our goal in establishing special vaccination initiatives is to help protect frontline, essential workers and their communities, Gov. Wolf said. These are the Pennsylvanians who have had no choice but to continue serving our commonwealth during this pandemic. These workers, their families, and entire communities will be safer if they are vaccinated as quickly as possible.
Using the J&J supply to support regionally planned and facilitated mass vaccination sites, as well as quickly completing vaccine missions for critical frontline workers means more shots in arms while helping our seniors secure appointments and receive their vaccine before more broadly opening up to additional populations.
This commitment today from the Administration will allow Pennsylvania to quickly achieve herd immunity, reopen our economy, and return to regular life, said Sen. Ryan Aument.
We are committed to vaccinating our neighbors who are seniors in the next few weeks, Sen. Art Haywood said.Plus, we are taking a big step to vaccinate black, brown and white people in frontline jobs. The end is in sight.
Last week, we as a taskforce announced a special initiative that prioritized the health and safety of our teachers and our students across the commonwealth, said Rep. Bridget Malloy Kosierowski. By securing and allocating the 94,600 doses of Johnson & Johnson Vaccines, educators, school staff, and early childhood educators across Pennsylvania are currently being vaccinated-paving a way to get our children safely back into the classrooms.
With 200,000 J&J weekly doses coming to Pennsylvania starting the week of March 28 and our supply of Moderna and Pfizer continuing to increase weekly, todays announcement is another special initiative that again is a step in the right direction to not only protect our most vulnerable population but also speed up our vaccine rollout. Through the regional vaccination clinics, we will achieve greater access for seniors who have been struggling to find available doses and a more equitable distribution by allowing communities to direct doses to their most vulnerable residents and in Aprilwe will also be able to target our frontline, essential workers who have had no choice but to continue serving our commonwealth amidst this pandemic.
While it has been a bumpy road for the Commonwealth with its vaccine administration rollout, Im confident we are now on the right path, said Rep. Tim ONeal. I know concerns still exist surrounding vaccine supply and distribution, but todays announcement is another important step forward. Im pleased we have made enough substantial progress with getting those in Group 1A vaccinated that our essential workers and first responders will soon be able to get the vaccine.
Gov. Wolf explained that the Task Force is still working through the details of these next special initiatives and will announce more information before additional Johnson & Johnson allocations become available on March 28.
We have work to do to get the infrastructure in place to vaccinate these populations, which is why were starting the process now, Gov. Wolf said. We should all be excited about the fact that our vaccine allocations are increasing.
Thanks to the COVID-19 Vaccine Task Force legislative members for their partnership in addressing the challenges of the vaccine rollout and thanks to the many vaccine providers across the commonwealth. Without the efforts of on-the-ground vaccine providers, none of this would be possible.
The CDC data puts Washington at 27th out of 50 states with 19.3% of the population receiving at least one shot of vaccine. Health officials say that's not bad.
SEATTLE Washingtons percentage of the population thats been vaccinated against COVID-19 is higher than the national average.
And that number is only expected to grow as the largest civilian-led vaccination site in the country opens here at Lumen Field this weekend.
We are continuing to make incredible progress on vaccines, said Dr. Umair Shah, State Secretary of Health.
Over 2 million doses of the COVID-19 vaccine have been given and the goal of 45,000 doses in a day has been met in Washington. The progress is evident.
Really were trying to everything we can to get vaccines into the arms of Washingtonians as quickly as possible, Shah said.
So, heres how Washington compares to the rest of the country. According to data from the CDC, were ranked 27th out of all 50 states with 19.3% of the population receiving at least one dose of the vaccine.
The top state is New Mexico at 26.1%. The bottom state is Georgia with 13.4%
And what about our neighbors to the south and east? Oregon ranks 32nd with 18.6%. And closer to the bottom, ranking 44th, is Idaho, with 17.3%.
But what do all these numbers say about our state?
Dr. Ali Mokdad, with UWs Institute for Health Metrics and Evaluation, said Washington is doing well.
If you look at the West Coast for example, Washington is doing much better than California and then when you compare to other states and in the country, some states in the south, southeast are not going a great job getting the vaccines out as soon as they receive them, Mokdad said.
This actually puts us ahead of the average numbers across the country, Shah said.
While Washington is below half of the other states, we beat the national average for percentage of the population vaccinated by .5%.
While it is going well in Washington state, Mokdad says theres still a lot to be done.
Washington state could do better simply if people in Washington state remain vigilant until we reach herd immunity. Right now, were not vaccinating children because the vaccines are not authorized for children and we need to be very careful. And also, we need to address in Washington, some vaccine hesitancy, he said.
The site at Lumen Field is starting with 5,000 vaccinations a week but it has the capacity to 150,000 a week as soon as supply meets demand.
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