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By Puneet Kollipara October 14
Welcome to Wonkbook, Wonkblogs morning policy news primer by Puneet Kollipara (@pkollipara). To subscribe by e-mail, clickhere. Send comments, criticism or ideas to Wonkbook at Washpost dot com. To read more by the Wonkblog team, clickhere.Follow uson Twitter and Facebook.
Wonkbooks Number of the Day:4,204. That's the estimated Ebola death toll worldwide, per the CDC.
Wonkbooks Chart of the Day:The world just experiencedits warmest September on record.
Wonkbook's Top 4Stories:(1) Lessons from the second U.S. Ebola case; (2) Washington's worries about the global economy;(3) oil producers' pain is drivers' gain; and (4) renewed tensions in St. Louis.
CDC chief: After Dallas nurses Ebola infection, U.S. must rethink protocols."As a 26-year-old Dallas nurse lay infected in the same hospital where she treated a dying Ebola patient last week, government officials on Monday said the first transmission of the disease in the United States had revealed systemic failures in preparation that must 'substantially' change in coming days....Frieden did not detail precisely how the extensive, government-issued safety protocols in place at many facilities might need to change or in what ways hospitals need to ramp up training for front-line doctors or nurses. But his message was clear: With Ebola, there is no margin for error. The Dallas case made that certain."Amy Ellis Nutt, Mark Berman and Brady Dennis in The Washington Post.
Medical records suggest 70 staffers were involved in treating Ebola patient."The size of the medical team reflects the hospital's intense effort to save Duncan's life, but it also suggests that many other people could have been exposed to the virus during Duncan's time in an isolation unit....The medical records given to the AP offer clues, both to what happened and who was involved, but the hospital said the CDC does not have them. A CDC spokeswoman said the agency reviewed the medical records with Duncan's care team and concluded that the documents were not helpful in identifying those who interacted directly with the patient."Martha Mendoza in the Associated Press.
What happened atthe hospital in Dallas?"While biocontamination units look similar to a standard hospital room, they usually have specialized air circulation systems to remove disease particles from the facility. And, perhaps more importantly, they're staffed by doctors who have spent years training, preparing and thinking about how to stop dangerous infections from spreading....This isn't true of Texas Presbyterian. Like most American hospitals, it doesn't have a biocontamination unit. It hasn't spent years running through the drills of how to treat an Ebola patient. It began receiving additional training from the CDC, director Tom Frieden told reporters Sunday, only this week."Sarah Kliff in Vox.
Should we transfer Ebola patients to the specialty hospitals?"Emory solved its problems, but the challenges it faced could overwhelm a hospital with fewer resources. At Texas Health Presbyterian Hospital in Dallas, mistakes in treating a patient from Liberia...have raised questions about the general level of preparedness in hospitals around the country. Medical experts have begun to suggest that it might be better to transfer patients to designated centers with special expertise in treating Ebola. Federal health officials are also beginning to consider that idea, though they emphasize that every hospital has to be able to diagnose the disease." Denise Gradyin The New York Times.
Charts:How does an American nurse contract Ebola? With directions like these. Sarah Kliff in Vox.
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Wonkblog: Wonkbook: Lessons from the second U.S. Ebola case
More U.S. cities are hiring than at any time since the Great Recession as the reviving economy and rising property taxes allow higher spending for a second straight year, according to a report released today.
One-third of cities and towns expanded their workforces this year, compared with reductions in 18 percent, according to an annual survey by the National League of Cities.
This is the first year since 2008 that job additions outpaced cuts. The gains come as 80 percent of cities said their financial position is stronger than a year ago, the most in at least 29 years.
Growth in those jobs is a good sign for the economy, said Christiana McFarland, the research director for the Washington-based league. Things are going in a positive direction.
The shift erased a drag on the nations recovery that persisted after the recession ended in 2009, as shrinking budgets prompted municipalities to fire police officers, firefighters and other employees.
Yet while local governments added 113,000 to their payrolls since March 2013, they employ 482,000 fewer people than in July 2008, according to the U.S. Labor Department.
When you pull back the layers, you still have a way to go before you see a full recovery, said McFarland. When you put it in the broader context of how far city finances sunk during the Great Recession, they still have a ways to come out.
With the economy accelerating and home prices rising, tax collections have increased. Property taxes rose 1.6 percent during 2014, adjusted for inflation, according to the survey of 354 cities conducted from April to June.
Sales taxes rose 3.6 percent this year after a jump of 4.6 percent a year earlier. Income taxes gained 0.6 percent, slowing from a 4.3 percent increase in 2013.
Cities continue to face pressure from underfunded pensions, health-care costs and the need to spend more on infrastructure. Total revenue growth failed to keep pace with rising costs and dropped by 0.5 percent in 2014 when inflation is taken into account. Spending growth rose by 1 percent on that basis, less than half the rate a year earlier, according to the report.
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Cities Hiring Most Since 2008 as Economy Eases Strains
The temperature is just over 60 degrees Tuesday morning, so the second-grader at Sul Ross Elementary school tucked her hands into the sleeves of her bright blue sweater while she trudged outside of the school building to the nurse's office.
She wasn't alone, though: Mary Jane Gray, an instructional aid in physical education classes, led the brown-haired student along the sidewalk to enter into the main building.
The second-grader had fallen ill during PE, Gray explained. She is required to be escorted by a teacher or staff member from the gym to the nurse, for Sul Ross is composed of one main structure and three separate wings. The spaces between the buildings are wide-open, so anyone can, and does, move through the school grounds.
This means no children are allowed to walk around outside by themselves -- students moving from wing-to-wing to go to the gym or to lunch must walk in a line as a class along with their teacher, and children needing to visit the front office or nurse must be lead by a staff member.
After Gray dropped off the young student at the nurse's office, a front office staffer would call her parents to have her picked up from school or escort her back to her class.
"We're not enclosed, so we never want a child to wander outside of the building," Gray said. "They're always escorted, all the time. Safety is our main concern."
The layout of Sul Ross Elementary is one of the issues that district and campus officials wish to fix in order to increase student safety. The elementary is one of two Bryan schools that would receive a new campus if the $132 million bond issue is passed by district voters in November.
With voter approval, the district plans to construct a new school building that both improves the safety and security for the students and prepares for enrollment growth in the future. The new school would cost close to $16 million, according to the district's facilities master plan.
The elementary school was constructed in 1961 and was last renovated 14 years ago, said Sul Ross principal Kristina Brunson. As of Tuesday, 316 students were enrolled, and the building has a total capacity of 360, she said.
The new elementary school would hold between 600 to 650 students as a buffer for future growth. The new building would also be encapsulated, so all of the students and staff members would be under one roof.
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If passed, $132M bonds would put Sul Ross Elementary students all under one roof, repurpose Milam Elementary
Although it was built in the early 20th century, the former firehouse on North Main Street is one of Chalfonts most historic buildings.
As it redevelops the property for a new police station and public parking, borough council is committed to preserving the original 1903 portion of the structure, which once housed borough hall, the post office and the Chalfont Fire Co. The borough, which paid $465,000 for the building and grounds, took ownership Oct. 1.
Council on Tuesday night approved a $3,500 contract with Boyle Construction Management, of Allentown, to examine two options for reuse of the site and come up with cost estimates.
Both alternatives envision renovating the two-story historic section, which has rusticated concrete block walls and a peaked shingle roof, and possibly renting space to outside tenants. The first option calls demolishing two modern rear additions on both sides of a five-bay garage, which would be converted into a police station. The second option would raze all additions and construct a police station from scratch.
Council President John Engel said the consultant will examine issues affecting the original building, including a leaky roof, water infiltration, asbestos insulation, lead paint and cracked concrete blocks.
For budgetary purposes, we need to get our arms around the cost of preserving that building, he said. I believe there is a strong desire of council to preserve the historic part of the building.
Other council members indicated their support for preserving the former firehouse. The building is within Chalfonts historic district, which is both certified under the states historic preservation law and on the National Register of Historic Places.
Borough Manager Sandra Zadell said Boyles report will provide initial cost estimates for preservation, the police station and parking. The 2015 budget will allocate $140,000 for engineering and architectural work, with the expectation that construction would begin in 2016.
The borough will apply for grants to offset some of the cost, but it is too soon to tell whether the town will need to dip into its capital reserve fund or borrow money to cover expenditures, according to the manager.
We dont know the future price yet, she said.
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Chalfont contemplates plans for former firehouse
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