Epstein’s former house manager testifies, calls Ghislaine Maxwell ‘lady of the house’

Epstein’s former house manager testifies, calls Ghislaine Maxwell ‘lady of the house’
Epstein’s former house manager testifies, calls Ghislaine Maxwell ‘lady of the house’
Marilyn Nieves/iStock

(NEW YORK) — The former house manager of Jeffrey Epstein’s Palm Beach, Florida, estate testified on Thursday that the very first time he met Ghislaine Maxwell, in approximately 1991, she made it very clear to him that she occupied a central role in Epstein’s affairs.

“She right away took over,” Juan Alessi told the jury on the fourth day of Maxwell’s criminal trial on multiple charges of child sex trafficking. “And right away she mentioned to me she was going to be the lady of the house.”

Alessi, 72, said that from about 1991 to 2002 he was responsible for overseeing Epstein’s house and its staff, and that in that role he communicated with Maxwell on “a daily basis” as she passed along orders for him from Epstein.

Maxwell, Epstein’s former girlfriend and longtime associate, faces a six-count indictment for allegedly conspiring with and aiding Epstein in his sexual abuse of underage girls between 1994 and 2004. She has been held without bail since her arrest in July 2020 and has pleaded not guilty to the charges and proclaimed her innocence.

Alessi’s testimony could provide prosecutors an important connection between Maxwell and the government’s key witness. “Jane” has previously testified that she suffered sexual abuse by Epstein beginning in 1994 when she was 14 years old and continuing for several years, and she has accused Maxwell of facilitating and sometimes even participating in that abuse.

Alessi testified that, on multiple occasions, his orders included picking up “Jane” and driving her to and from Epstein’s house at the behest of both Epstein and Maxwell.

“Do you remember Mr. Epstein instructing you to pick [Jane] up?” asked Assistant U.S. Attorney Maurene Comey.

“Yes,” he said.

“Do you remember Miss Maxwell instructing you to pick [Jane] up?” Comey asked.

“Yes,” he said.

He picked her up, he said, because, “I don’t think she had a license.”

Alessi testified that he didn’t have any knowledge of what “Jane” did while she was at the house. He just “brought her to Miss Maxwell at her desk,” he said, and “from there, it was not my job to see where they were.”

On Tuesday, “Jane” testified that she recalled being picked up for visits to Epstein’s house by a man who worked at the house.

“I don’t remember his name, but he was a sweet Latin American man,” she said.

Alessi, who was born in Ecuador, said he also recalled seeing Jane with luggage “maybe twice” at Epstein’s house, and described an occasion where he drove Jane, along with Epstein, Maxwell and Maxwell’s dog, a Yorkie named Max, to the Palm Beach airport to board Epstein’s private plane. “Jane” testified on Tuesday that she traveled to both New York and New Mexico with Epstein and Maxwell, where she suffered further abuse, and that her travel was sometimes arranged by Maxwell.

Alessi testified that during his decade-plus tenure working for Epstein, he witnessed “two females … who appeared to be underage.” He identified “Jane” — now a 41-year-old woman who testified earlier this week — and Virginia Roberts, as the two females who appeared to him to be under age.

Roberts — who is one of Maxwell’s most high-profile accusers — is not expected to testify in this trial.

Alessi described being in the driver’s seat as Maxwell jumped out on a car ramp in front of Mar-a-Lago to talk to Roberts. The next time Alessi saw her, he said, was later that day at Epstein’s Palm Beach home.

According to Alessi, during his time working for Epstein, there were “other girls constantly flying in” to the Palm Beach estate with Epstein and Maxwell.

One of Alessi’s key responsibilities, according to a “Household Manual” that Alessi testified looked like an updated version of one originally by Maxwell and presented to him near the end of his tenure, was discretion.

“I am sorry to say that it was degrading to me,” Alessi said.

During his testimony, prosecutors highlighted a passage in the manual that read: “Remember that you see nothing, hear nothing, say nothing, except to answer a question directed at you. Respect their privacy.”

Asked to describe what he interpreted that instruction to mean, Alessi replied, “that I was supposed to be blind, deaf and dumb, and say nothing.”

Another passage displayed in court instructed the staff to “NEVER disclose Mr. Epstein or Ms Maxwell’s activities or whereabouts to anyone.”

“Do not be bullied and do not show any reaction or impatience, simply be firm,” the manual states.

Late in the afternoon Thursday, Alessi testified that he saw people who would come in to give Epstein massages, and that “98% of them were females.” He added that Epstein took a majority of his massages in his bathroom — attached to Epstein’s master bedroom — which Alessi said was shared with Maxwell.

Alessi said that he “never” went inside the room when Epstein was receiving the massages and that the door was “never” open during the massages. But Alessi said he would go into the room after massages “to clean up.”

Asked by Comey if he ever found something “unexpected” after Epstein’s massages, Alessi said he did on several occasions in the mid-1990s.

“I remember finding a large dildo. It looked like a huge man’s penis with two heads,” which he said he returned to a wicker basket in Maxwell’s bathroom, which is where he said it he was told to put it.

According to Alessi, other items he observed in the wicker basket — which he said was kept inside a garbage can — included pornography tapes and a black leather costume.

Maxwell’s attorneys are expected to begin their cross-examination of Alessi on Friday morning.

Copyright © 2021, ABC Audio. All rights reserved.

Competitive congressional races on decline due to new redistricting maps

Competitive congressional races on decline due to new redistricting maps
Competitive congressional races on decline due to new redistricting maps
SDI Productions/iStock

(WASHINGTON) — Competitive races across the country are expected to disappear as states begin to submit their re-drawn maps for this decade’s round of redistricting.

While only 18 states have finished their gerrymandering process, nearly half a dozen highly competitive seats have been slashed from the last batch of congressional maps according to data tracked by FiveThirtyEight. Instead, swing and lightly safe districts are being transformed into incumbent safe havens, giving Republicans a competitive edge over Democrats in the map overall, with 55 seats leaning Democratic and 90 seats leaning Republican.

On the old maps, drawn in 2011, Republicans had 21 competitive seats and 67 solid seats; this go around, only 12 competitive seats remain while 78 are solidly GOP. Democrats can’t bank on the same certainty. Instead, many Democrat-drawn maps have so far added competition, creating six new competitive left-leaning seats and creating no additional safe races.

“There’s concern about competition because Republicans don’t view their ability to compete in a competitive race as very durable,” Doug Spencer, redistricting expert at the University of Colorado’s Bryon White Center for the Study of American Constitutional Law, told ABC News. “Republicans did a very good job at gerrymandering in 2010, so they don’t have a lot of room to grow, and they do have a lot of room to lose, so they’re shoring up now as many of these seats as safely as possible.”

Rapidly shifting racial demographics, especially in key swing suburban counties within red states, is one of the motivating factors for GOP-led legislatures to propose redrawn boundaries as to not lose out on seats in future elections to a more diverse voting bloc, even if it means delivering safe seats to Democrats in exchange. Compared with old maps, Democrats so far have picked up six safe seats, while Republicans have two additional ones. This shift can be seen clearly in highly coveted Georgia, where a proposed map pushes two critically competitive Atlanta-area counties, GA-6 and GA-7, squeezing Democrat Rep. Lucy McBath into a heavily conservative district, effectively creating a safe GOP challenge and placing Rep. Carolyn Bourdeux in a secure Democratic seat, respectively. McBath has since announced she will be running for Congress in Bourdeux’s district instead.

“I refuse to let (Gov.) Brian Kemp, the (National Rifle Association) and the Republican Party keep me from fighting,” McBath told the Atlanta Journal-Constitution. “They are not going to have the last word.”

Gwinnett County, a portion of which is in GA’s seventh district, had nearly 90% white residents in 1990. Now, it’s only 35% — a clear threat to potential conservative candidates down ballot, likely to be a part of this round of gerrymandering calculus, redistricting expert Michael Li explained to ABC News.

“The suburbs are becoming much more multiracial than they were in the past and also at the same time, suburban white voters have proven to be much more volatile much more less automatically supportive of Republicans than in the past ad that’s created uncertainty for Republicans,” said Li, senior counsel for the Brennan Center’s Democracy Program. “Suburbs are dangerous to Republicans in a way that they weren’t before. And so the best play under those circumstances is to circle the wagons and try to hang on to what you have, and to make your districts ultra Republican.”

Such buffer building is present in Texas, a state with rapidly diversifying population growth. New maps in the Lone Star State show a net loss of five competitive seats, with Democrats picking up five safe seats and Republicans picking up two. According to data tracked by 538, Republicans were able to flip seven “light-red seats” (or slightly safe) as well as a Republican-held swing seat into safe seats. Only one race in Texas remains competitive with the newly approved map, a much more advantageous map for Republicans in the state than in years past.

The Princeton Gerrymandering Project, a nonpartisan analysis tool that measures political advantage in redistricting maps state by state, gave Georgia a grade of “C” in partisan fairness, competitiveness and geography. Texas received an “F.”

Midterm competition elimination present in the new maps is likely to “piss off Democrats” says Spencer. He suggested that it’s possible that Democrats may be able to harness the collective anger to spike turnout in the few key competitive races that remain, though it’s unlikely to know this early if impassioned messaging alone is enough to rally in impactful numbers. He agreed that lack of durability, especially in the suburbs, has motivated Republicans to draw districts with incumbency protection in mind.

The immediate impact of less competition is uncertain. Yet Spencer said he is concerned that more safe seats may negatively impact voter engagement and the fundamentals of the democratic system.

“You’re now basically muting the voices of a lot of people who just feel like politics is dead to them,” Spencer said. “If we live in a country where you can’t unelect the people that you don’t support, it’s not a democracy. The core fundamental idea of democracy is elections are a check on the government and without competitive seats it’s just not true.”

Copyright © 2021, ABC Audio. All rights reserved.

2 Utah police officers shot by rape, robbery suspect: Authorities

2 Utah police officers shot by rape, robbery suspect: Authorities
2 Utah police officers shot by rape, robbery suspect: Authorities
ABC 4 News

(TAYLORSVILLE, Utah) — Two Utah police officers are recovering after they were shot by a rape and robbery suspect Wednesday night, police said.

One officer, with the West Valley City department, was shot twice; he was initially in critical condition but has since been upgraded to stable condition, the department said. The second officer, with the Unified Police Department, was treated and released Wednesday night, the department said.

At about 10 p.m., the officers found the alleged suspect, wanted in rape and robbery cases, parked in a 711 parking lot in Taylorsville with a baby inside the car, West Valley City police said.

Officers negotiated with suspect, 20-year-old Anei Joker, to release the 9-month-old, which he did, though he refused to leave the car himself, police said.

Joker later got out of the car and fired at the officers, striking two of them, police said.

Officers returned fire, hitting the suspect, who was taken to the hospital where he died, police said.

The suspect has with history with police and was known to be armed and dangerous, Roxanne Vainuku, public information officer for the West Valley City Police, said at a news conference.

The baby wasn’t hurt, Vainuku said, adding that it’s unclear what the 9-month-old’s relationship was to the suspect.

ABC News’ Timmy Truong contributed to this report.

Copyright © 2021, ABC Audio. All rights reserved.

Family of Casey Goodson react to former sheriff deputy’s murder charges

Family of Casey Goodson react to former sheriff deputy’s murder charges
Family of Casey Goodson react to former sheriff deputy’s murder charges
Family of Casey Goodson

(COLUMBUS, Ohio) — Former Ohio sheriff’s deputy Jason Meade was charged with murder on Thursday in the fatal shooting of a Black man who was shot and killed while entering his grandmother’s house last December.

In March, the Franklin County Coroner said that Casey Goodson was shot in his back five times, according to ABC affiliate WSYX in Columbus, Ohio. Meade was charged with two counts of murder and one count of reckless homicide.

Goodson’s mother, Tamala Payne, said it had been “a year of grief and a year of pain” at a press conference Thursday morning.

“I’m overwhelmed with joy,” she said in response to the charges. “My emotions are everywhere. We did it y’all. We did it.”

Meade’s attorney, Mark C. Collins, said in a statement that his client “acted within his lawful duties as an officer of the law when he pursued Mr. Goodson,” and said Meade fired his weapon at Goodson in “fear for his life as well as those inside the house.”

Meade turned himself in Thursday and plans to plead not guilty, Collins said.

The attorney for Goodson’s family, Sean Walton, announced that they also filed a federal civil rights lawsuit against Meade and Franklin County on Thursday. The lawsuit alleges excessive force, wrongful death and that the practices of the Franklin County Sheriff’s office contributed to Goodson’s death.

Franklin County has declined to comment on the civil lawsuit, citing pending litigation, WSYX reported.

Payne said she ultimately wants Meade convicted and given a life sentence for her son’s killing.

“We are fully aware that this is only the beginning of the fight,” she said at the press conference. “This was the first part of the fight. The ultimate fight is the conviction and I want a life sentence, that’s what I’m fighting for.”

Payne also said that Thursday’s indictment showed that her family’s portrayal of Goodson was accurate.

“Casey is exactly who we say he is,” she said. “Casey was a good son. He was a loving son. Casey was a good grandson. Casey was a good brother, a good role model. Casey was exactly who we portrayed Casey to be.”

Initially, U.S. Marshal Peter Tobin said Meade confronted Goodson after Goodson waved a gun at him. According to the Associated Press, he later withdrew those remarks, saying they were based on “insufficient information.”

Payne argued that the indictment showed that the claim Goodson was waving a gun is a lie, though Collins, Meade’s attorney, pushed back on that claim in a statement, alleging that Goodson was “waving the firearm erratically and tracked Meade with the weapon,” as he drove by Meade’s vehicle.

Following Meade’s indictment, Franklin County Sheriff Dallas Baldwin said in a statement that he asked his staff to review the investigation so the agency could learn from this situation.

“This office has a professional obligation to do everything in its power to ensure the community and our deputies are kept safe,” he said. “As I’ve said from the very beginning, I pray for everyone involved in this tragedy.”

Walton said that the family’s lawsuit would bring some level of accountability to Goodson’s family, who he said had been traumatized by the shooting.

“Since that day, they’ve had to deal with this daily sadness and grief for nearly a year,” he said. “So this day could not come soon enough. But they stayed strong, they never wavered, and they told the truth. And the truth will prevail in this case.”

Nine members of Goodson’s family, including four children, were in his grandmother’s home when he was shot, Walton said.

Copyright © 2021, ABC Audio. All rights reserved.

Florida teen stabbed to death by ‘homeless drifter,’ police say

Florida teen stabbed to death by ‘homeless drifter,’ police say
Florida teen stabbed to death by ‘homeless drifter,’ police say
Palm Beach County Sheriff’s Office

(MIAMI) — Investigators arrested a homeless man in Miami, who, they said, was responsible for the homicide of a 14-year-old boy in Palm Beach Gardens, Florida.

Police said they took Semmie Lee Williams Jr., a 39-year-old “homeless drifter,” into custody on Wednesday night on the charge of stabbing Ryan Rogers to death on Nov. 15.

According to an affidavit, Rogers’ autopsy revealed that he had been stabbed numerous times in the head and face and his cause of death was stab wounds.

DNA evidence from a pair of headphones found near Rogers’ body was entered into a database and provided a positive match to Williams, police said.

Police said they located Williams in Miami and found DNA belonging to Rogers on a bloody bandana.

The homicide was a “completely random act,” Palm Beach Gardens Police Chief Clint Shannon said in a press conference Tuesday morning.

He described the incident as an “innocent child victim having a chance encounter with a very violent criminal.”

Rogers left his house on his bike on Nov. 15 around 6:40 p.m. local time and was reported missing later that night by his mother when he didn’t return home. His body was found the next day on Central Boulevard near an I-95 overpass, police said.

On Nov. 25, police ruled Rogers’ death a homicide and announced a reward for information linked to it.

Williams has been charged with first-degree murder with a weapon and was presented in court Tuesday morning, where his bond was denied. He holds a criminal record and has been previously convicted for domestic violence, battery and aggravated assault.

Shannon called Williams “an animal who probably shouldn’t be out on our streets” and thanked the public officers and investigators who “removed a very dangerous monster from our street” in the Tuesday morning press conference.

Williams’ next court date is set for Jan. 3, 2022, according to local ABC affiliate WPBF.

Copyright © 2021, ABC Audio. All rights reserved.

Texas law restricting access to abortion pills goes into effect: What to know

Texas law restricting access to abortion pills goes into effect: What to know
Texas law restricting access to abortion pills goes into effect: What to know
ELISA WELLS/PLAN C/AFP via Getty Images

(NEW YORK) — As the U.S. Supreme Court continues to weigh whether to leave Texas’s unprecedented six-week abortion ban, SB8, in place, a new law that also restricts abortion access is going into effect in the state.

Starting Thursday, people in Texas will have a narrower window in which they can receive abortion-inducing medication, including the two most commonly used medications, mifepristone and misoprostol.

Senate Bill 4, or SB4, cuts the window in which physicians are allowed to give the medication from 10 weeks of pregnancy to seven weeks.

The new law also prohibits mailing abortion-inducing drugs, a restriction that contrasts with a federal regulation enacted in April by the Biden administration that temporarily allows the medication to be mailed during the COVID-19 pandemic.

Current Texas law already bans providers from administering medication abortion using telemedicine, according to Abigail R.A. Aiken, MD, MPH, PhD, associate professor of public affairs at the University of Texas at Austin and principal investigator with Project SANA, a research project focused on self-managed abortion in the U.S.

“We’ve seen many states be able to open up new models of care where clinic-based providers can now do medication abortion by telemedicine,” said Aiken. “I think Texas is very clear that they don’t want providers here to follow suit and be able to start doing those kinds of new models where you would do a phone consultation with a provider and then have the pills mailed to your house for use at home.”

The bill, signed into law by Gov. Greg Abbott on Sept. 24, also adds new requirements around medication abortions, including an in-person examination by a physician, a mandatory follow-up visit within 14 days and new reporting requirements for providers.

The bill also creates a state jail felony offense for “a person who intentionally, knowingly, or recklessly violates provisions relating to abortion-inducing drugs,” but exempts pregnant people on whom a medication abortion is “attempted, induced or performed,” according to the bill summary.

Though SB4 is being enacted in Texas, medication abortion is now a very common method used for abortions in the first 10 weeks of pregnancy. In 2019, 42% of all abortions in the U.S. were early medical abortions, meaning medications were taken at nine weeks or earlier after conception, according to the Centers for Disease Control and Prevention.

Medication abortions were first approved by the Food and Drug Administration in 2000. FDA guidelines advise that abortion-inducing pills are safe to use up to 70 days, or 10 weeks, after conception, though evidence shows it can be safe even later in pregnancy, according to the American College of Obstetricians and Gynecologists.

In most cases in a medication abortion, mifepristone is taken first to stop the pregnancy from growing. Then, a second pill, misoprostol, is then taken to empty the uterus.

Of the two medications, mifepristone is more restricted by the FDA. Since 2011, the agency has applied a risk evaluation and mitigation strategy to mifepristone, preventing it from being distributed at pharmacies or delivered by mail like other prescription drugs.

It must be ordered, prescribed and dispensed by a health care provider who meets certain qualifications, and may only be distributed in clinics, medical offices, and hospitals by a certified health care provider, according to FDA guidelines.

The FDA’s rules, combined with state restrictions like the one in Texas, have the effect of not only limiting when, where and how people can get abortions, but also potentially misguiding people on the safety of medication abortion, according to Dr. Bhavik Kumar, a staff physician at Planned Parenthood Center for Choice in Houston.

“What’s important to note is that the medication used in medication abortion has been used in this country for 21 years and it is extremely safe,” said Kumar. “We’ve learned a lot since it was first introduced and can use it in different ways that are more patient-centered, more evidence-informed and really optimizes science and medicine so that patients get the care that they need.”

Speaking of the new law now in effect in Texas, he added, “What Senate Bill 4 is doing is inserting itself squarely into my relationship with my patients and telling me how to practice medicine, and it’s not in the best interest of my patients. It’s actually causing more harm to my patients and it’s taking options away from them.”

Abortion rights advocates say SB4 also has the likelihood of signaling to other states that further restrictions on medication abortion can be put in place.

In South Dakota in September — the same month SB4 was signed into law in Texas — Gov. Kristi Noem, a Republican, issued an executive order directing the state’s Department of Health to establish rules requiring that abortion-inducing drugs only be prescribed and dispensed by a state-licensed physician after an in-person examination. Noem said she also plans to pass legislation next year that makes “these and other protocols permanent.”

Across the country, more than 30 states require clinicians who administer medication abortion to be physicians, while 19 states require the clinician providing a medication abortion to be physically present when the medication is administered, according to the Guttmacher Institute.

“I think we have to see this is another continuation of the trajectory of trying to really make abortion a right on paper only in the United States,” said Aiken. “It’s another way of placing barriers in the way of people.”

She continued, speaking of restrictive abortion laws in some states, “I think what it’s doing in reality is creating this really uneven picture where you have some states that are moving in the direction of more and more and more accessible care, but the reality in other states is completely the reverse, so we’re looking at that uneven picture where your access really depends on your zip code.”

Both Aiken and Kumar mentioned the affect laws like SB4 in Texas have on the most vulnerable populations.

Around 75% of abortion patients are low-income residents, and nearly 60% of U.S. women of reproductive age live in states where access to abortion is restricted, according to the Guttmacher Institute, a reproductive rights organization.

“It has been the case in Texas now for decades that we have seen low-income people and communities of color just bear this disproportionate brunt of negative impacts of these laws,” said Aiken. “So this is an equity issue and it’s a justice issue as well as a health care issue.”

Copyright © 2021, ABC Audio. All rights reserved.

What’s behind the ‘dire’ COVID-19 surge in Michigan?

What’s behind the ‘dire’ COVID-19 surge in Michigan?
What’s behind the ‘dire’ COVID-19 surge in Michigan?
Tempura/iStock

(OKEMOS, Mich.) — Michigan is in the midst of its fourth COVID-19 wave — and there is no end in sight, hospital officials said.

Cases and hospitalizations are rivaling levels seen in earlier parts of the pandemic, when vaccines weren’t widely available. The surge also comes at a time when non-COVID-19-related patients are being admitted, flu cases are emerging and health systems are understaffed, Brian Peters, CEO of the Michigan Health & Hospital Association, told ABC News.

Unvaccinated people continue to make up the majority of those infected with COVID-19, including severe cases of the infection. Roughly around three-quarters of COVID-19 cases, hospitalizations and deaths were in unvaccinated people from Oct. 21 to Nov. 19, according to state data.

Around 45% of the state remains unvaccinated, according to federal data.

“The situation right here in Michigan is as dire as it has ever been since the start of this pandemic,” Peters said.

Michigan reported a nearly 20% positivity rate in the past week, and every county is currently at the state’s highest risk level for transmission.

Michigan is not alone in seeing COVID-19 cases and hospitalizations increase due to the delta variant, especially as colder weather has approached, people have gathered indoors more and pandemic fatigue has long set in. Though the duration of this surge, and the speed with which cases have “skyrocketed” in the past three weeks, is alarming, Dr. Darryl Elmouchi, president of Spectrum Health West Michigan, which operates 14 hospitals, told ABC News.

“If you look at most other states, and all the surges we’ve had, usually you start at a low point and you go up really quickly, and then you come down pretty quickly,” he said. “What happened for us is we went up gradually enough, but we went up high enough, with [positivity rates] in the teens, that when we shot up, we shot up from that baseline.”

“This has far surpassed anything we’ve seen before — both in how long it’s been going on, and now its seemingly never-ending peak,” he added. “We just don’t know when the end will be, and we’re very worried it will have a very long tail.”

Michigan reported its second-highest number of COVID-19 cases and case rates in the past week, according to the state’s latest weekly coronavirus report, released Tuesday. That follows records set in both cases and case rates the previous week. Hospitalized COVID-19 patients also increased 13% during the past week, the report found.

“I felt like probably the surge we had last fall was going to be the worst we’ve ever seen. I never would have guessed that we would be in yet another surge and that it would be the worst surge yet,” Sandra Gilman, a nurse and hospital supervisor for Spectrum Health, told ABC News.

At Spectrum Health West Michigan, unvaccinated COVID-19 patients are generally about nine years younger and only have two comorbidities, as opposed to four, when compared to vaccinated patients, “meaning that they’re younger and healthier when they’re coming in,” Elmouchi said.

“That tells us the importance of being vaccinated,” he said. “And that’s what’s so heartbreaking for our teams, is that they see all these people that are so sick, being on the ventilator and even dying, and they know it’s preventable. It’s heart-wrenching.”

Due to a mix of early nursing retirements, pandemic burnout and a “rising tide of violence” against health care staff, Michigan hospitals are treating the latest surge in COVID-19 patients amid a staffing shortage, according to Peters. There are approximately 875 fewer staffed hospital beds in Michigan than in November 2020, he said.

“That is incredibly concerning, because there’s not a rapid or easy solution to that problem,” Peters said.

Amid the staffing strain, this week, the Department of Defense temporarily deployed nearly four dozen medical personnel, including registered nurses, doctors and respiratory therapists, to two hospital systems in the state.

The help is welcome, though more is needed, Peters said, especially as the pandemic only worsened an existing health care workforce shortage. Among other measures, his organization is advocating for a $650 million special appropriation in the state legislature that would provide payments to health care staff to encourage them to stay in their jobs, as well as offer incentives for training programs to increase the number of workers in the pipeline, he said.

For now, hospital capacity remains a concern throughout the state, where every region, from urban to rural, is a “hotspot,” Peters said.

At Spectrum Health West Michigan, the intensive care units are operating at 147% of their traditional capacity, Elmouchi said.

Statewide, hospitals are operating at almost 85% occupancy, according to state data.

In recent weeks, some hospitals have had to divert patients to other hospitals and delay elective procedures, Peters said.

“That doesn’t necessarily create a quality-of-care problem as much as it can be a convenience problem,” he said. “But what we’re very fearful of, is that if these COVID numbers don’t level off and decline, you’re going to start seeing real access challenges, where literally there’s no more capacity to care for patients, COVID or otherwise, in certain communities.”

“We’re doing everything we possibly can to avoid that outcome, but without the public’s help, that’s our future,” he added.

Health officials are urging residents to get vaccinated and receive booster shots and to mask up indoors in public settings to help alleviate the surge — especially amid concerns and questions around the transmissibility and mutations of the new omicron variant, which was first detected in the U.S. Wednesday in California.

“Ensuring that as many Michiganders as possible are vaccinated remains the best protection we have against COVID-19 — including variants of concern,” Dr. Natasha Bagdasarian, Michigan’s chief medical executive, said in a statement this week.

Peters said he has been encouraged by the continued increase in vaccinations in the state, including among newly eligible pediatric populations, but “those numbers aren’t growing rapidly enough.”

“[Omicron] is yet another reason for the public to get vaccinated now without waiting any longer,” he said. “I fear that there are so many Michiganders, and I’m sure it’s true outside of Michigan as well, but who believe that the pandemic is largely over. And nothing could be further from the truth.”

ABC News’ Arielle Mitropoulos contributed to this report.

Copyright © 2021, ABC Audio. All rights reserved.

COVID-19 live updates: First omicron case in US identified in California

COVID-19 live updates: First omicron case in US identified in California
COVID-19 live updates: First omicron case in US identified in California
Lubo Ivanko/iStock

(NEW YORK) — As the COVID-19 pandemic has swept the globe, more than 5.2 million people have died from the disease worldwide, including over 780,000 Americans, according to real-time data compiled by Johns Hopkins University’s Center for Systems Science and Engineering.

Just 59.4% of the population in the United States is fully vaccinated against COVID-19, according to data from the Centers for Disease Control and Prevention.

Here’s how the news is developing. All times Eastern:

Dec 02, 9:33 am
Unvaccinated people will be barred from most businesses in Germany

Unvaccinated people in Germany will be barred from most businesses, except for grocery stores and pharmacies, officials announced Thursday.

In Germany, shops and restaurants check vaccination status at entrances.

Nearly 69% of Germans are fully vaccinated. The country has reported several cases of the omicron variant.

-ABC News’  Joe Simonetti

Dec 02, 8:33 am
Mask mandate on public transportation extended through March 18

Required masks on public transportation, including airplanes, rails and buses, will be extended through March 18, according to a new plan from the Biden administration.

Tighter requirements for travel into the U.S. will go into place early next week, the administration said. The rule calls for proof of a negative test within one day of travel to the U.S. for all passengers, regardless of their vaccination status or nationality.

President Joe Biden also announced a plan Thursday allowing for free rapid tests.

Senior administration officials say the more than 150 million Americans with private insurance will be able to submit for reimbursement to their insurance companies through the same rule that allows tests on site to be covered by insurance. To reach uninsured Americans and those on Medicare or Medicaid, the Biden administration will send 50 million at-home tests to 20,000 federal sites around the country to be handed out for free.

The Department of Health and Human Services, Department of Labor and Treasury Department will put out guidance by Jan. 15 to determine exactly how many tests will be covered and at what frequency, the plan said, and it will not retroactively cover tests already purchased.

-ABC News’ Cheyenne Haslett, Justin Gomez

Dec 01, 5:32 pm
CDC orders airlines to share contact info for travelers from southern Africa

The Centers for Disease Control and Prevention is directing airlines to provide the agency with the names and contact information of passengers who have entered the United States since Nov. 29 and had been in southern Africa the prior two weeks. Airlines must turn the information over within 24 hours of the flight’s arrival into the U.S.

The directive, in effect indefinitely, applies to travelers from the Republic of Botswana, the Kingdom of Eswatini, the Kingdom of Lesotho, the Republic of Malawi, the Republic of Mozambique, the Republic of Namibia, the Republic of South Africa and the Republic of Zimbabwe.

The order, which does not mention the omicron variant specifically, is to “prevent the importation and spread of a communicable disease of public health importance.”

Delta and United are currently the only two carriers that offer flights between the U.S. and countries covered by the CDC order.

ABC News’ Cheyenne Haslett, Sam Sweeney and Mina Kaji

Dec 01, 3:23 pm
California governor on omicron case: ‘This is not surprising’

Gov. Gavin Newsom said the first detected case of the omicron variant in the U.S. being found in California “is not surprising” due to the state’s “aggressive testing protocols” and genomic sequencing.

During a previously scheduled press briefing Wednesday afternoon, he shared a timeline on the San Francisco resident who tested positive for the case. The person left South Africa on Nov. 21 and landed in the U.S. on Nov. 22, developed symptoms a few days later around Nov. 25 and got tested on Nov. 28, he said. The test came back positive on Nov. 29, he said.

On Nov. 30, initial lab testing determined the sample could be omicron, and a full sequencing confirmed it was early Wednesday morning, San Francisco health officials said.

Newsom encouraged Californians to get vaccinated and receive a booster shot as the winter approaches.

Dec 01, 3:02 pm
California omicron case ‘not a cause for us to panic,’ health director says

The individual who tested positive for the first case of the omicron variant detected in the U.S. had received a full dose of the Moderna COVID-19 vaccine but was not yet eligible for a booster dose, according to San Francisco Department of Public Health Director Dr. Grant Colfax.

The person developed symptoms upon returning from South Africa, got tested in San Francisco and has since recovered, Colfax told reporters during a briefing Wednesday.

“They did the right thing and got tested and reported their travel history,” he said.

Colfax said the case is “not a cause for us to panic,” and that San Francisco “is prepared” for this.

The health department has no plans at this time to change its current COVID-19 health orders, Colfax said.

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New York scientists double down on efforts to track new omicron variant

New York scientists double down on efforts to track new omicron variant
New York scientists double down on efforts to track new omicron variant
Niphon Khiawprommas/iStock

(ALBANY, N.Y.) — With mounting concerns over the potential threat of the newly discovered omicron variant, U.S. scientists are racing to try to determine whether there are any confirmed cases of the new variant circulating around the country.

Among those is the New York State Department of Health’s Wadsworth Center Labs in Albany, New York, where for months, scientists have been on the lookout for dangerous variants, while monitoring the genetic changes in the COVID-19 virus.

In order to track new variants, the team sequences the virus’s genetic material to identify its lineage, strain and mutations, as well as to see how the virus is evolving, and which viruses are entering the state of New York.

The lab has been on high alert since the discovery of the omicron variant, analyzing positive COVID-19 samples from across the state to see if the variant is already present within the community.

On Wednesday, scientists in California confirmed the first known case of omicron in the U.S.

It is “absolutely, entirely possible,” that the omicron variant is already circulating in many other communities across the country, Dr. Kirsten St. George, director of virology and chief of the Laboratory of Viral Diseases at the Wadsworth Center, told ABC News on Tuesday.

“We only sequence a subset of samples in New York and elsewhere in the country. We’re not sequencing 100% of positive specimens. It is entirely possible that it is already here, and we have yet to sequence the specimen that it’s in,” St. George said on Tuesday, prior to the news of the U.S.’ first confirmed case.

St. George said she was taken aback when she first saw a 3D image, shared by South Africa, of omicron’s mutations.

“You could see the individual mutations marked on that protein, and it was really pretty jaw dropping, because it had so many more mutations than anything we’ve ever seen. It was a fairly startling thing to look at,” St. George said, adding that “the evolutionary change on that protein was more extensive than anything we had seen.”

Omicron is concerning because it has mutations not seen before, and scientists still do not know how it will clinically affect those it infects, St. George said, adding that “there are mutations that we unfortunately know can be associated with reduced efficacy of immunity.”

The lab has been sequencing over 800 COVID-19 samples per week, researchers explained, a number that has been greatly enhanced with the establishment of a sequencing consortium, which comprises four other sequencing laboratories around the state, and also by collaboration with other labs across the state.

“These are known positive COVID samples that have been collected from throughout New York state and they’re sent to us and we’re preparing them for whole genome sequencing,” Alexis Russell, a research scientist for the lab, told ABC News.

With multiple labs, throughout the country, sequencing different percentages of the positive specimens, and sharing data as soon as it is available, “we will know immediately when we see it, when it comes through the pipeline,” St. George said

Following the discovery of the omicron variant, South Africa, one of the first countries where the newest variant was first discovered, has begun to experience an uptick in coronavirus infections. According to St. George, it is possible that omicron is behind South Africa’s latest surge.

“The correlation of the emergence of that variant in South Africa, combined with the rapid increase in positivity and increase in case count, is quite suspicious,” St. George said. “I think it’s quite possible that it correlates with that variant and that it is probably a rapidly transmissible variant.”

However, it is “very unlikely” that the increase in COVID-19 cases seen in the U.S., in recent weeks, is the result of the omicron. St. George said, “I think if that were the case, we would have seen it already in our sequencing pipeline.”

It is still too early to know whether omicron will turn out to be more transmissible than delta, St. George said, though some of the existing PCR tests just happen to pick up an omicron marker, making it easier to detect than delta.

Positive samples for omicron have shown a phenomenon called “S-gene-dropout,” which means that a target gene, linked to COVID-19 variants, appears to be missing from the new variant, allowing it to be distinguished easily from the dominant delta variant.

“It is a very suspicious indicator when you see it, a convenient indicator,” St. George explained, making it potentially easier to detect omicron as compared to delta.

The discovery of new variants is not unexpected, St. George said, but it becomes particularly worrisome when it replicates at high numbers, increasing the chances of a mutation emerging.

“The more virus that it’s producing, the more chance it has of producing a virus with a mutant. And then the more people who are infected, the higher the risk again, the higher the chance of producing it,” St. George added.

It is possible that omicron could prove to be stronger than the delta variant, which has been shown to be far more transmissible than prior variants.

“The competition against delta is quite dramatic. It certainly looks as if it’s got a very good fitness advantage against it, at this point,” St. George said.

However, researchers cautioned that there are also times when viruses do develop mutations that seem to give them fitness advantages over dominant variants, but they ultimately “sort of burn out,” and subside.

The protective measures that should be taken against omicron remain the same as with the other variants, wear masks, especially inside, and in crowds, wash your hands and get vaccinated.

“Even though we know that this virus has mutations that can be associated with evading immunity, be it prior infection, immunity or vaccine associated immunity. You have a better chance of not getting sick and having a decreased amount of viral replication in your system if your immune system is already primed with a vaccine,” St. George said.

Copyright © 2021, ABC Audio. All rights reserved.

How your ZIP code determines your lung health

How your ZIP code determines your lung health
How your ZIP code determines your lung health
Darren Riley, 29, is the CEO and Co-founder of JustAir, which uses small sensors to map air quality on a neighborhood level. – JP Keenen/ABC News

(NEW YORK) — This is the fourth and final episode of ABC News Digital’s four-part series “Green New Future,” which highlights innovators and environmental solutions.

While climate change and poor air quality are global issues concerning all people, 29-year-old Darren Riley has found that the ZIP code people are born into can disproportionately put them in harm’s way.

Riley’s father ended up in a coma in the ICU due to asthma-related illnesses in 2014, Riley told ABC News. It was his father’s words from seven years before that made him realize the connection between a person and where they live.

“I was a product of my environment,” Riley’s father had told him.

Riley, who also developed asthma himself, said he set out to find a way to alleviate systemic issues and allow people from all areas an equal opportunity in quality of life. He is now the CEO and co-founder of JustAir Solutions, a company that creates air quality monitoring networks to provide cities and individuals data on their breathing environment.

“I think air quality is a sliver of all of many injustices that we see in the world that we can really focus on,” Riley told ABC News.

The disproportionate impact of pollution is one example of a host of systemic issues that people of color, lower wealth communities and indigenous populations are facing, advocates say.

These issues are “fueled by environmental racism,” Mustafa Ali, vice president of environmental justice, climate and community revitalization at the National Wildlife Federation, told ABC News.

Through discriminatory practices such as redlining, cities in the U.S. have been divided and designed with toxic industries disproportionately running through areas inhabited by communities of color, according to Ali.

This affects the quality of the air people breathe, which research has found can determine the long-term health of their lungs and subsequently, their life expectancy.

“We have 100,000 people who die prematurely from air pollution in our country,” Ali said.

This issue came to the forefront over 50 years ago when Congress passed the Clean Air Act, which set out to control and reduce air pollution across the nation by keeping track of the quality of air that citizens were inhaling.

The U.S Environmental Protection Agency mandates that cities track their air quality levels using a monitor that tracks dust, metals and other matter that could affect the lungs.

The EPA regulations state there must be a minimum of one monitor per city, but community advocates argue there must be more. Grand Rapids, Michigan, where Riley piloted his project, has just one monitor that reports on the city’s air quality level.

Data from that monitor is used to approximate the air quality level for the entire city and its suburbs, Jim Meeks, the chairman of JustAir, told ABC News.

But Riley was curious about the difference in air quality levels across neighborhoods, which the lone monitor set up by the EPA could not capture. He deployed 11 sensors across Grands Rapids — five in the downtown area, five in the Roosevelt Park neighborhood and one adjacent to the EPA monitor.

When comparing data from his sensors in the metro downtown area of Grand Rapids versus Roosevelt Park, the neighborhood with the highest non-white population, Riley found stark differences in the air quality levels.

The Roosevelt Park sensors recorded far more unhealthy days than the one near the EPA monitor, Riley said.

“There are disparities between sensors within a city,” Riley told ABC News. “And one sensor doesn’t detect that.”

JustAir’s sensors are currently only used in Grand Rapids, but Riley hopes to expand his company to other cities such as Detroit and Chicago, believing that the data could inform governments and individuals to take action.

He said he hopes his company will bring change to the nation’s struggle with poor air quality and its health impacts.

The key to fighting air pollution-related health disparities lies in the re-prioritization of resources and budgets and breaking through the existing political polarization, according to Ronda Chapman, equity director at The Trust for Public Land.

“This is a non-partisan concern when we’re talking about the health and well-being of individuals,” Chapman told ABC News. “And so when we have the data to back it up, that’s how we’re able to better make the case for investing in green infrastructure, investing in neighborhoods and investing in communities.”

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