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Coronavirus updates: Two top CDC officials step down; Birx urges Americans to wear masks indoors and outdoors

Two top officials at the Centers for Disease Control and Prevention were moving on and angry Democrats were calling out the U.S. Postal Service leadership Sunday as the U.S. COVID-19 death toll that inched toward 170,000.

Kyle McGowan, the chief of staff, and Amanda Campbell, the deputy chief of staff, had worked side-by-side with CDC Director Robert Redfield, including the last eight tumultuous months as the virus overwhelmed the nation.

"Amanda and I spent more than two years serving at the CDC and chose to leave to start our own business," McGowan said in a statement emailed to USA TODAY.

A sliver of help may be on the way for the relentless coronavirus testing issues hampering efforts to slow the U.S. outbreak. This weekend the Food and Drug Administration approved a saliva-based test that Yale University researchers hope will clean up some of those testing issues.

“This is a huge step forward to make testing more accessible,” said Chantal Vogels, a Yale postdoctoral fellow, who led the laboratory development and validation along with Doug Brackney, an adjunct assistant clinical professor.

Here are some significant developments:

📈 Today's numbers: The U.S. has 5.3 million confirmed infections and more than 169,000 deaths. Worldwide, there have been more than 768,000 deaths and more than 21 million cases, according to John Hopkins University data.

📰 What we're reading: Across the U.S., faith leaders are debating how they can continue to pray in fellowship with others while keeping staff and members safe in the age of coronavirus. Some churches have moved completely online, others have embraced drive-in service, and some are adamant about holding in-person gatherings.

UNC Chapel Hill announces four 'clusters' of coronavirus cases

The University of North Carolina at Chapel Hill on Sunday announced its fourth coronavirus "cluster" less than a week after the first day of fall classes for students.

The state's Department of Defines a "cluster" as "five or more cases that are deemed close proximity in location. 'Location' is defined as a single residential hall or dwelling," the university wrote in a Facebook post. UNC has reported clusters in Hinton James residence hall, Ehringhaus Community -- another residence hall. The university has also reported clusters in Granville Towers, privately owned apartments partnered with the university's housing arm, and Sigma Nu fraternity.

"The individuals in this cluster have been identified and are isolating and receiving medical monitoring," UNC wrote Sunday. "We have also notified the Orange County Health Department and are working with them to identify additional potential exposures."

Texas, Utah kicking off high school football; some states kick sport to curb

High school football season is fast approaching and so are final decisions from state athletic officials who will determine the fate of the game. California, Oregon, Washington, Colorado, Maryland and Illinois are among big states that have already pulled the plug. Texas, which has by far the most high school football players in the nation with about 170,000, plans on playing despite a state COVID-19 death toll approaching 10,000. Some schools in Utah played their first games over the weekend. But Davis High coach Mitch Arquette told his kids to savor their victory, because they don' know when an outbreak might shut them down.

"The mantra of 2020: Win the day,” Arquette told the Deseret News. “You don’t know when you’re going to get another. We really don’t. We could have our game canceled next week.”

Homeless population thus far has avoided worst of pandemic

A few of the nation's homeless shelters have seen large COVID-19 outbreaks, but the virus has not brought devastation to the homeless population as many feared. Researchers and advocates say much is unknown about how the pandemic is affecting the estimated half-million people without housing in the U.S. – and why there appear to be so few outbreaks among them.

“I am shocked, I guess I can say, because it’s a very vulnerable population,” said Dr. Deborah Borne, who oversees health policy for COVID-19 homeless response at San Francisco’s public health department. “I don’t know what we’re going to see in an aftermath. That’s why it’s called a novel virus, because we don’t know.”

Dems want Postal Service leaders to testify ahead of ballot crunch

Congressional Democratic leaders on Sunday called on the postmaster general and the head of the Postal Service Board of Governors to testify in a hearing about "dangerous operational changes." Democrats say the changes threaten the integrity of the November election, which is expected to see a record-high volume of mailed-in ballots because of the pandemic. USPS officials have warned that some ballots may not be delivered on time due to election rules in some states.

In a joint statement, Democrats called on Postmaster General Louis DeJoy and Chairman of the USPS Board of Governors Robert Duncan to "testify before Congress about recent, sweeping and dangerous operational changes at the Postal Service that are slowing the mail and jeopardizing the integrity of the election."

William Cummings

Two top staffers exit CDC

Two top staffers at the embattled Centers for Disease Control and Prevention have resigned to start a consulting firm. Kyle McGowan, the chief of staff, and Amanda Campbell, the deputy chief of staff, resigned effective Friday and are now featured on a website for Ascendant Strategic Partners. McGowan oversaw the day-to-day operations and served as the senior advisor to CDC Director Robert Redfield. The CDC has sometimes been at odds with the Trump administration, and recently was removed from its position as overseer of the nation's COVID-19 data. McGowan, in a statement to USA TODAY, said the duo was not forced out.

"The CDC is filled with dedicated public health professionals," McGowan said. "Amanda and I are honored to have had the opportunity to serve alongside each and every one of them."

Head scratcher? Colorado home sales sets record in COVID-19 recession

Single-family home sales in Colorado last month shattered state records and drove median home prices to record highs despite the sharp economic downturn brought on by COVID-19 related shutdowns, according to data from the Colorado Association of Realtors. Sales rose 15% from June and 21% from the previous July – before COVID-19 when the economy was rolling. Statewide the median home price rose a startling 4.5% in one month, to $443,925.

"There is a total disconnect with half the economy being crushed and yet, housing has mostly shrugged it all off, said Realtor Patrick Muldoon. "Small business is getting blown out, people are not working, and yet housing continues to be unaffordable."

Rocky start for in-class learning as thousands forced to quarantine

It's not even September and already thousands of students and teachers have been moved to the sidelines, just days after starting in-class instruction. Positive tests or coronavirus outbreaks have scrambled schedules and forced quarantines. More than 1,200 students at two Alabama schools were ordered to isolate days before school began. One school's entire football team was forced to isolate after five players tested positive. More than 1,000 students in Cherokee County, Georgia, were forced to quarantine after scores of students and staff tested positive. And only a small fraction of districts across the nation have yet to begin the new school year.

"I definitely still say, 'Give this a shot.' I think there is a way to do this in person," Carlo Wheaton, the parent of a junior at Georgia's Woodstock High School, told WSB-TV in Atlanta after the school was forced to close. At least 14 people tested positive for the virus.

Italy, one of the world's first hotspots, heating up again

Tourists arriving in Rome from Croatia, Greece, Malta and Spain lined up at Leonardo da Vinci airport to be immediately tested for coronavirus Sunday, one day after Italy's daily new-case count topped 600 for the first time in three months. Italy was among the first and most severe hotspots for the virus in the spring, shutting down most of the country for weeks. Vacationers coming from abroad are fueling the current increase, authorities say.

Social distancing may put kibosh on 'cool lunch table' for 2020-21

Traditional school lunches and accompanying socializing are being re-engineered at schools that decide to open for in-person instruction. Most students will eat lunch in their classrooms or will sit by class in the cafeteria as schools try to prevent the spread of the novel coronavirus. Some other changes include mandatory handwashing and prepackaged meals. And the "cool lunch table" may be on hiatus.

“They need to have some space between the children because they have to take their masks off," said John Christenson, medical director of infection prevention at Riley Hospital for Children in Indianapolis.

– Anne Snabes, Indianapolis Star

Testing issues cast doubt on decline in new cases

Testing for the coronavirus that causes COVID-19 has dropped nationwide the past two weeks even as the evidence builds disease spread is picking up in many states. In Mississippi, more than one in five tested for the virus in the past week were positive, the highest rate in the nation as of Friday. The average number of daily tests in Texas and Florida dropped but the ratio of positive tests in each state is more than double what the World Health Organization recommends. Official case counts have dropped nationally but reporting problems and generally reduced testing in some states makes it hard to confidently determine that infection rates are improving.

“The enhanced positivity rate is the thing that bothers people more than anything else,” said Dr. William Schaffner, a professor of preventive medicine and infectious disease specialist at Vanderbilt University School of Medicine. “Because it suggests this virus is circulating still very briskly."

Ken Alltucker and Dan Keemahill

Saliva test developed at Yale wins FDA approval

A saliva-based laboratory diagnostic test developed by researchers at the Yale School of Public Health to determine whether someone is infected with the coronavirus has been granted an emergency use authorization by the U.S. Food and Drug Administration. The method, called SalivaDirect, is being validated as a test for asymptomatic individuals through a program that tests players and staff from the National Basketball Association. SalivaDirect is simpler, less expensive, and less invasive than nasopharyngeal swabbing, the researchers say.

“With saliva being quick and easy to collect, we realized it could be a game-changer in COVID-19 diagnostics,” said Anne Wyllie, assistant professor and associate research scientist at Yale.

Birx: Masks should we born indoors and outdoors, in cities and rural areas

Dr. Deborah Birx, coordinator of the White House coronavirus task force, urged all Americans to wear masks indoors and outdoors to help curb the pandemic. Birx said when communities start seeing a rise in positive cases, leaders need to close the bars, restrict indoor dining, decrease social gatherings and ensure there’s a mask mandate. Birx, speaking in Kansas City, Kansas, warned that the outbreak is not just an urban issue.

“So we are really asking all communities, whether you are urban or rural communities, to really wear a mask inside, outside, every day," she said. “Much of the spread is asymptomatic. I know we all want to believe that our family members cannot be positive. They are.”

Teacher builds database of school closings, cases, deaths

As schools across the nation struggle to find a safe way to educate students in-person, a Kansas teacher has dedicated herself to tracking school closings, cases and deaths in a budding national database.

"I was seeing a lot of articles about schools that were opening up and issues already happening on Day 1," Alisha Morris, who teaches theater in Kansas’ Olathe School District said. "As I was researching, I thought, oh my gosh, this is happening all over."

The project comes amid a torrent troubling news about the prospects of safely reopening schools. Experts have expressed skepticism that schools' attempting to head off outbreaks using routine symptom screenings will have success. Nurses have described keeping kids safe at school an "uphill fight." And — despite President Donald Trump's push to open all schools — half of the Defense Department's schools in America will not open for in-person learning.

— Greg Tufaro and Joel Shannon

What we're reading

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Contributing: The Associated Press

This article originally appeared on USA TODAY: Coronavirus news: Yale saliva test, wear masks indoors and outdoors