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Georgia grapples with nation's second worst nursing shortage

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Georgia grapples with nation's second worst nursing shortage


A nationwide nursing shortage is hitting Georgia especially hard. Right now, there just aren’t enough nurses to go around. The state is expected to have the second-worst shortage in the nation over the next decade. Experts say low pay and high stress are causing more nurses to leave Georgia, even abandon the field altogether.

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Andrea Castellano, a student at Emory University’s nursing school, has heard the stories of long hours and tough conditions for nurses, especially during the pandemic. “Just nurses realizing there wasn’t a safe environment for them to continue their profession,” Castellano said. “Although there isn’t maybe the best support, there is always going to be a need for nurses in hospitals.”

Georgia will need more students like Castellano who want to become nurses to make up for a big shortfall. “I realize that this is where I want to dedicate my time,” Castellano said.

According to the federal Health Resources Service Administration, Georgia has more than 20% fewer registered nurses than it needs.

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That is “pretty acute,” said Chelsea Hagopian, an Assistant Clinical Professor at Emory School of Nursing and Executive Director of the Georgia Nursing Workforce Center. “We’re certainly feeling it.”

Many nurses complain of low pay. “When looking at the difference between employed versus licensed RN’s when compared to other states, we do see a difference,” Hagopian said.

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Others point to burnout from the pandemic, some calling it quits. “We saw accelerated retirement,” Hagopian said. “We saw nurses in their early career leaving the profession altogether.”

The nursing shortage could grow far worse if that trend doesn’t improve. “We need to consider the context of faculty shortage. Nursing schools need faculty to be able to educate the next generation of nurses,” Hagopian said.

Hagopian says the health care system needs to look at launching nurse-residency programs, improve work conditions and make nurses feel more valued overall.

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The challenges don’t discourage Castellano. “Regardless of the shortage I still really want to consider this pathway,” she said.



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Georgia

Georgia woman charged with murder after unsupervised 4-year-old boy climbs into car, dies

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Georgia woman charged with murder after unsupervised 4-year-old boy climbs into car, dies


A Georgia woman is facing murder charges after a 4-year-old boy died inside of a car, authorities say.  

On July 24, the Georgia Bureau of Investigation arrestedKelsey Monaco, 30, a Fitzgerald resident, about 154 miles west of Savannah. The Fitzgerald Police Department asked the Georgia Bureau of Investigation to look into the death of the child.  

Investigators said the child left his apartment unsupervised and made his way inside of a car.  

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The 4-year-old was then found unresponsive inside the car. He was taken to a local hospital, where he was pronounced dead, authorities said.  

Monaco was taken into custody and booked at the Ben Hill County Jail. 

USA TODAY reached out to authorities to find out Monaco’s relationship to the child and if the child died because the car was hot, but we have not heard back.

‘This can’t be real’: He left his daughter alone in a hot car for hours. She died.

Georgia woman charged with murder, investigation ongoing

Monaco is currently in custody at the Ben Hill County Jail.  

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Arrest records show that Monaco is facing the following charges:  

  • 1 count, first-degree child cruelty  
  • 1 count, felony murder  

This investigation into the 4-year-old’s death remains active and ongoing. When the investigation is complete, the case will be transferred to the Cordelle Judicial District Attorney’s Office for prosecution, authorities said.  

Anyone with information is asked to contact the Fitzgerald Police Department at 229-426-5000 or the GBI Regional Investigative Office in Perry at 478-987-4545. Anonymous tips can be submitted by calling 1-800-597-TIPS (8477), online at https://gbi.georgia.gov/submit-tips-online, or by downloading the See Something, Send Something mobile app. 

Ahjané Forbes is a reporter on the National Trending Team at USA TODAY. Ahjané covers breaking news, car recalls, crime, health, lottery and public policy stories. Email her at aforbes@gannett.com. Follow her on Instagram, Threads and X (Twitter) @forbesfineest.





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CDC officials warning about rising dengue fever cases in Georgia

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CDC officials warning about rising dengue fever cases in Georgia


The Atlanta-based Centers for Disease Control and Prevention are reporting a growing number of cases of dengue fever infections in Georgia.

The agency says the disease is the most common mosquito-borne infection worldwide.

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There have been almost 2,900 cases of the viral infection in the United States so far in 2024 – nearly as many as were reported in all of 2023. The CDC says there has also been a record number of cases worldwide.

In Georgia, there have been 20 reported cases – up from 16 earlier in July.

What is dengue?

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Spread by mosquitoes, most cases of dengue in the United States are associated with travel to areas like the Virgin Islands, Puerto Rico, or other areas with high risk for tourists.

The CDC says most people never know if they have dengue because of a lack of symptoms.

For the 1 in 4 people who do feel sick after becoming infected, symptoms include fever, headache, skin itching and rash, vomiting, and muscle and joint pains.

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In rare cases, people may get severe dengue, a medical emergency that can quickly get worse. Symptoms of this include belly pain, persistent vomiting, a bleeding nose or gums, and vomiting blood.

If you have any symptoms, talk to your doctor and share your recent travel history.  



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Man dies at 27 from heat exposure at a Georgia prison, lawsuit says

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Man dies at 27 from heat exposure at a Georgia prison, lawsuit says


DECATUR, Ga. (AP) — The Georgia sun scorched the slab of concrete beneath Juan Carlos Ramirez Bibiano’s body when nurses found him in a puddle of his own excrement, vomiting, according to a complaint.

Officers left Ramirez in an outdoor cell at Telfair State Prison on July 20, 2023, for five hours without water, shade or ice, even as the outside temperature climbed to 96 degrees by the afternoon, according to a lawsuit brought by his family. That evening, the complaint says, Ramirez died of heart and lung failure caused by heat exposure. He was 27.

Ramirez’s family, including his mother, Norma Bibiano, announced a lawsuit against the Georgia Department of Corrections on Thursday, alleging that officers’ negligent performance of their duties caused his death. The warden directed officers to check on inmates, bring them water and ice and limit their time outside, the complaint says.

The Department of Corrections reported that Ramirez died of natural causes, Jeff Filipovits, one of Norma Bibiano’s attorneys, said at a news conference in Decatur, a suburb of Atlanta.

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Georgia’s prisons are under nationwide scrutiny. In 2021, the U.S. Department of Justice opened a civil rights investigation, which is ongoing, into the state’s prisons following concerns about violence, understaffing and sexual abuse.

Outside of Georgia, the Federal Bureau of Prisons has faced complaints of widespread dysfunction. The Associated Press found rampant sexual abuse, criminal misconduct from staff, understaffing, inmate escapes, COVID outbreaks and crumbling infrastructure inside prisons across the country.

The findings led U.S. Sen. John Ossoff of Georgia to introduce bipartisan legislation in 2022 that would overhaul oversight of the agency and improve transparency. The bill passed unanimously in the Senate on July 10.

At an 8 a.m. daily meeting on the day of Ramirez’s death, Telfair State Prison Warden Andrew McFarlane ordered department heads to keep inmates hydrated, bring them ice and avoid leaving them outside for too long in the heat, according to the lawsuit.

A prison staff member brought Ramirez to an outdoor “rec cell” around 10 a.m., after his meeting with a mental health provider, the lawsuit says. The temperature had reached 86 degrees by then.

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About 3 p.m., five on-site nurses rushed into the yard in response to an alert from security staff, according to the lawsuit. That is when the nurses found him lying naked on the concrete near his vomit and excrete, the lawsuit says.

Ramirez’s breathing was strained, and his heartbeat was irregular, the lawsuit says. A nurse said that Ramirez was blue and “hot to the touch,” according to the complaint. Nurses pressed cold water bottles onto his groin and under his arms.

Nurses then put an automated external defibrillator on Ramirez’s chest, but it did not deliver a shock. After some time passed, a doctor arrived to help the nurses administer cardiopulmonary resuscitation, the complaint says. He tried to insert tubes into Ramirez, who still had trouble breathing, seemingly because of his yellow stomach bile, according to the complaint.

Later, his internal body temperature was recorded at 107 degrees Fahrenheit (41.7 Celsius), the complaint says.

Around 3:35 p.m., Emergency Medical Services arrived and took Ramirez to a local hospital. He died at 8:25 p.m. from cardiopulmonary arrest brought by heat exposure, according to the complaint.

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“The number of deaths that are occurring in custody is galling, and the absolute lawlessness inside of prisons is a humanitarian crisis,” Filipovits said at the news conference of Georgia’s prisons. “I don’t use those words lightly.”

Homicides inside Georgia’s prisons are rising, and the number is higher than in other states, the Atlanta Journal-Constitution reported. But the Journal-Constitution also reported that starting in March, the Department of Corrections stopped immediately reporting the causes of inmate deaths

The attorneys said they have minimal information about the events leading up to Ramirez’s death. For example, they aren’t sure whether officers brought Ramirez to an outdoor cell for routine or punitive purposes. They say they remain in the dark about which officers were directly in charge of taking care of Ramirez.

“A piece of my heart is gone,” Norma Bibiano said in Spanish at the news conference. Ramirez’s brother sat by her side. Ramirez also left behind a son, and he was a father figure to his partner’s son, the family said.

Bibiano recalled her son as loving, kind and intelligent. She said she always hoped her son would return home, and she misses hearing him say, “I love you, mama” over the phone.

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Charlotte Kramon is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Kramon on the social platform X: @charlottekramon





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