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NASA Astronomy Picture of the Day:

Can stars, like caterpillars, transform themselves into butterflies? No, but in the case of the Butterfly Nebula -- it sure looks like it. Though its wingspan covers over 3 light-years and its estimated surface temperature exceeds 200,000 degrees, C, the dying central star of NGC 6302, the featured planetary nebula, has become exceptionally hot, shining brightly in visible and ultraviolet light but hidden from direct view by a dense torus of dust. This sharp close-up was recorded by the Hubble Space Telescope and is reprocessed here to show off the remarkable details of the complex planetary nebula, highlighting in particular light emitted by iron, shown in red. NGC 6302 lies about 4,000 light-years away in the arachnologically correct constellation of the Scorpion (Scorpius). Planetary nebulas evolve from outer atmospheres of stars like our Sun, but usually fade in about 20,000 years. Great Debates in Astronomy: 2020: How will humanity first discover extraterrestrial life?

Just as the number of people hospitalized for COVID-19 approaches new highs in some parts of the country, hospital data in Kansas and Missouri is suddenly incomplete or missing.

The Missouri Hospital Association reports that it no longer has access to the data it uses to guide state coronavirus mitigation efforts, and Kansas officials say their hospital data may be delayed.

The Trump administration this week directed hospitals to change how they report data to the federal government and how that data will be made available.

In an email, Missouri Hospital Association spokesperson Dave Dillon called the move “a major disruption.”

“All evidence suggests that Missouri’s numbers are headed in the wrong direction,” Dillon said. “And, for now, we will have very limited situational awareness. That’s all very bad news.”

The absence of the data will make it harder for health and public officials, as well as the general public, to understand how the virus is spreading.

“It’s hugely problematic,” said Dr. Karen Maddox, a public health researcher at Washington University in St. Louis. “The only way that we know where things are going up and where things are going down and where we need to be putting resources and where we need to be planning is because of those data.”

The White House instructed hospitals to report data to the Department of Health and Human Services through a new system created by a Pennsylvania-based company, TeleTracking, instead of to the Centers for Disease Control and Prevention.

The directive came as a surprise to hospitals, according to Kansas Hospital Association spokesperson Cindy Samuelson.

“From our perspective, these changes are big,” Samuelson said. “We only found out Tuesday, and we had to update the data by Wednesday night — so, less than 48 hours.”

The Missouri Hospital Association currently does not have access to the new HHS system, according to Dillon. He said the new system is also significantly different from the CDC system.

“The new datasets for reporting are not identical and in several cases are ill-defined,” Dillon said. “That has complicated hospitals’ efforts.”

In the wake of the announcement, the Missouri Department of Health and Senior Services posted a notice on its website this week that the daily and weekly updates on hospitals, including the numbers of people hospitalized and the availability of standard hospital beds, ICU beds and ventilators, would be temporarily halted.

“Missouri Hospital Association (MHA) and the State of Missouri will be unable to access critical hospitalization data during the transition. While we are working to collect interim data, situational awareness will be limited,” the notice on the department’s website says.

Dillon said the hospital association hopes to have “within a few days or weeks” hospital and coronavirus data that had been available through the CDC.

“However, in the short term, we’ll be very much in the dark,” Dillon said.

The hospital association will create an alternative reporting system for hospitals, according to Dillon, and plans to continue producing weekly reports, despite the uncertainty about data.

The Missouri Department of Health and Senior Services did not respond to inquiries regarding the data.

Kansas health officials are still able to access hospital and coronavirus data through the CDC and TeleTracking, according to Kansas Department of Health and Environment spokesperson Kristi Zears.

However, Kansas Hospital Association spokesperson Samuelson said the Kansas hospital data may be delayed if it is incomplete.

“If we’re not able to get a bulk of our members converted and uploading, I’m not sure we want to show it because then it will look like things have gotten a lot better,” Samuelson said.

The most recent data shows that as of July 12, 875 Missourians were hospitalized with COVID-19, among the highest reported numbers since an early May peak of 984. Kansas’ most recent data shows 1,393 people have been hospitalized with the disease.

The Trump administration said the reporting change was needed due to reporting delays and other problems with the CDC.

But the move has been widely criticized for being disruptive, especially as COVID-19 infection numbers reach new highs and hospitals in some areas of the country are reaching capacity.

“By now, we should have a foolproof, streamlined reporting system for COVID,” Maddox said. “And this change — midstream — is not going to do anything to help our ability to fight the disease.”

This story is part of a partnership that includes KCUR, NPR and Kaiser Health News.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

NASA Astronomy Picture of the Day:

Would you brave wild animals to photograph this sky? One astrophotographer did -- and we all get to reap the rewards. First, thousands of stars were visible with many of the brightest impressively blue. Next, several red-glowing nebulae were discernible, including the California Nebula on the far right, and, above it, the Heart and Soul nebulae. But the real reason to brave the local wildlife was Comet NEOWISE, visible on the left. In the featured long-duration composite taken last week, Comet NEOWISE's blue-glowing ion tail points straight up, away from the rising Sun, while the Sun-reflecting dust tail trails off toward the right. The picture combines three exposures taken consecutively over 10 minutes from the same location near Miedzygórze, Poland. A moonlit dirt road shows the path ahead, while the Śnieznik Mountains is visible on the horizon. Comet C/2020 F3 (NEOWISE) passes its closest to the Earth next week, after which the 5-km wide, evaporating, icy dirtball will fade as it glides back to the outer Solar System. Notable Images of Comet NEOWISE Submitted to APOD: July || 19 || 18 || 17 || 16 || 15 || 14 || 13 || 12 || 11 || 10 & earlier ||

Photo by Jarek Oszywa

NASA Astronomy Picture of the Day:

No one, presently, sees the Moon rotate like this. That's because the Earth's moon is tidally locked to the Earth, showing us only one side. Given modern digital technology, however, combined with many detailed images returned by the Lunar Reconnaissance Orbiter (LRO), a high resolution virtual Moon rotation movie has been composed. The featured time-lapse video starts with the standard Earth view of the Moon. Quickly, though, Mare Orientale, a large crater with a dark center that is difficult to see from the Earth, rotates into view just below the equator. From an entire lunar month condensed into 24 seconds, the video clearly shows that the Earth side of the Moon contains an abundance of dark lunar maria, while the lunar far side is dominated by bright lunar highlands. Currently, over 19 new missions to the Moon are under active development from eight different countries, most of which have expected launch dates in the next three years. Notable Images of Comet NEOWISE Submitted to APOD: July || 18 || 17 || 16 || 15 || 14 || 13 || 12 || 11 || 10 & earlier ||

NASA Astronomy Picture of the Day:

If you can see the stars of the Big Dipper, you can find comet NEOWISE in your evening sky tonight. After sunset look for the naked-eye comet below the bowl of the famous celestial kitchen utensil of the north and above your northwestern horizon. You're looking for a fuzzy 'star' with a tail, though probably not so long a tail as in this clear sky snapshot taken from Los Padres National Forest in California on the evening of July 16. Recent photographs of C/2020 F3 (NEOWISE) often show this comet's broad dust tail and fainter but separate ion tail extending farther than the eye can follow. Skygazers around the world have been delighted to find NEOWISE, surprise visitor from the outer Solar System. Comet NEOWISE Images: July 17 | July 16 | July 15 | July 14 | July 13 | July 12 | July 11 | July 10 & earlier

Photo by Tom Masterson

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