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This week, many of the nation’s health care systems in communities across the U.S. began vaccinating physicians and health care workers caring for patients with COVID-19. Many of these health care heroes have been on the front-line of this pandemic and working around-the clock over the last ten months. Las vacunas son una señal de esperanza para el futuro Aquí, en el condado de Washoe, hoy marca el muy deseado inicio de lo que los expertos en salud pública y medicina esperan que sea una ola nacional de vacunas que señale el comienzo del final de la pandemia de la COVID-19. La buena noticia de hoy de Renown coincidió con un nuevo hito negativo para el condado de Washoe: 384 muertes por COVID-19 confirmadas y más de 13,579 casos activos en una población de casi 500,000 personas. COVID-19 positivity test results and hospitalizations continue to be high across the country, our state and here in northern Nevada; straining hospital capacity, physicians and healthcare workers.  Today we saw a bright light at the end of this dark tunnel. Renown began vaccinating health care workers caring for patients with COVID-19, and invited media to view the first vaccinations of those on the front-line of COVID-19. One vaccine, a Herculean effort of thousands “Although the vaccination process as you see it here looks relatively simple, it took a herculean logistical effort to implement the COVID-19 vaccination process that has begun today,” said Tony Slonim, MD, DrPH, President & CEO of Renown Health. “Today, thanks to the synchronized efforts of thousands of people and organizations across the country, we give thanks for this vaccination provided to Luis Martinez, an excellent ambassador for the thousands of healthcare heroes caring for patients with COVID-19. The health and safety of our staff is our top priority, and we remain steadfast in our determination to fight the good fight for our community.”  Luis, on the front-line of the COVID-19 pandemic, receives 1st vaccine from Renown Luis Martinez received the 1st of his Pfizer-BioNTech vaccine which received emergency use authorization from the Food and Drug Administration last week. Recibirá la segunda y última vacuna de la serie en 21 días. La primera dosis de la vacuna se le administró a Luis fuera de su vehículo para que las cámaras pudieran capturar la experiencia. El proceso de vacunación contra la COVID-19 de Renown incluye programar previamente a médicos y empleados mediante el registro médico electrónico EPIC MyChart que usa Renown. Employees are masked, and in their personal vehicles, as they drive through the vaccination site. Each physician and healthcare worker provides their verification, identification, documentation and consent. They then extend their upper arm to receive the Pfizer vaccination. Following the receipt of the vaccination they have a 15-minute observation period to assure they do not experience any immediate side effects. These Tier 1A healthcare employees were encouraged to schedule their vaccination after their completed work schedule to have time to rest. As with all vaccinations, there is a potential for injection site reactions (redness, swelling and pain) as well as fever, fatigue, headache, chills, vomiting, diarrhea, muscle pain and/or joint pain. Fever is not an infrequent side effect, especially on the 2nd dose, so these vaccinated employees will self-monitor their temperatures, as they cannot work at Renown with a fever. Además de Luis, verá, primero en su camión el Dr. Bret Frey, que representa al personal médico y a los médicos de emergentología de Renown; el enfermero Matt Polak, supervisor de Enfermería Clínica de la Unidad de Cuidados Intensivos Respiratorios de Renown; Holly Irwin, terapeuta clínica de enfermedades respiratorias en su vehículo; Alexis Bertauche, especialista en enfermedades respiratorias en su vehículo; Eric Whitney, el supervisor que representa a los 168 miembros del equipo de Servicios Ambientales de Renown que han implementado grandes medidas de desinfección durante toda la pandemia; médicos representantes de socios de la Facultad de Medicina de la UNR, de la Reno Orthopedic Clinic, del Surgery Center of Reno y de toda la comunidad. Un futuro más prometedor para Luis Luis ha estado trabajando en el Renown’s Alternate Care Site, en la estructura de estacionamiento de Mill Street desde que se inauguró para atender pacientes a mediados de noviembre. Ha estado en Renown desde 2016, donde comenzó como flebotomista y lo alentaron a seguir una carrera profesional en el campo de la medicina. He applied to work as a technician on Renown’s Clinical Decision Unit- a short stay unit within the hospital for people who need clinical care, but do not need to be admitted to the hospital. Luis worked with patients and clinicians in the Clinical Decision Unit for a year before requesting to work in Renown’s innovative Alternate Care Site, built for patients recovering from COVID-19, for additional care before they returned home. Luis was scheduled to take the Medical College Admission Test® in April of this year to fulfill his dreams of becoming a doctor, but the COVID-19 pandemic forced him to change his plans. He plans to reschedule his medical school admission exam in February. He is excited to begin his training, possibly at UNR School of Medicine, and hopes one day to be a physician caring competently and compassionately for those in need.  Luis has so much to look forward to, after such a difficult year. Luis cumplió 33 años en octubre y, en su cumpleaños, se contagió de COVID-19 después de asistir a una fiesta familiar. He experienced fever and noticed how dramatically the COVID-19 virus affected his breathing, his lungs, and his energy level. After spending time at home recovering, Luis recovered, tested negative, and returned to work. Como resultado de su experiencia y su interés en la medicina, Luis ha investigado mucho sobre la vacuna. Luis es bilingüe y es voluntario de CARE Chest de Sierra Nevada, una organización sin fines de lucro que proporciona equipos y suministros médicos, y asistencia con recetas de forma gratuita a poblaciones marginadas, cuando no trabaja en Renown. La vacuna: una herramienta más para ayudar a combatir la pandemia: “La mejor protección contra la COVID-19 será una combinación de vacunarse contra la COVID-19, usar mascarilla, mantenerse al menos a 6 pies de distancia de otras personas, evitar las multitudes y lavarse las manos con frecuencia”, dice Amy McCombs, máster en enfermería, enfermera certificada, CCRN, CNML, vicepresidenta de Calidad de Servicios Agudos de Renown y líder en el esfuerzo de vacunación de Renown. “No one tool alone will stop this pandemic, it will take a combination of all of us using all of these efforts to fight the spread of this virus. Though there has been positive news about vaccine development, no one knows when those vaccines will be ready for widespread use. In the meantime, everyone must remain vigilant, take precautions and follow public health orders.”  “This vaccination is a game-changer in terms of improving the health of our community,” said Paul Sierzenski, MD, MSHQS, Chief Medical Officer, Acute Services, Renown Health. "Given the demands of this COVID-19 pandemic, we are pleased to be able to provide this vaccination to help in the fight. We will follow CDC recommendations for a tiered approach to vaccine distribution. Our goal is that by spring, all Renown physicians; employees and their family members; and all Hometown Health members and Renown patients interested in receiving the vaccine will have an opportunity to be vaccinated.” The COVID-19 vaccine is not mandatory for all Renown employees, but is strongly advised. Renown is covering all costs of the vaccine, and it is being offered free of charge to employees. Regístrese en Renown EPIC MyChart ahora. Para simplificar el proceso de notificación, consentimiento, programación y recordatorio para la distribución de vacunas, y para publicar en el sistema estatal de información de inmunización Web IZ de Nevada, las personas que estén interesadas en recibir la vacuna a través de Renown tendrán que registrarse y obtener una cuenta EPIC MyChart. Manténgase actualizado sobre la COVID-19 Renown Health está preparada para evaluar, diagnosticar y atender de manera segura a pacientes con enfermedad respiratoria, incluida la COVID-19. Para mantenerse actualizado sobre las comunicaciones relacionadas con la distribución de la vacuna contra la COVID-19 por parte de Renown, las preguntas frecuentes y la evidencia científica detrás de la vacuna, visite https://covid.renown.org/  Únase al equipo de Renown Renown Health continúa comprometido con la contratación de personas para ocupar puestos clave en la organización para apoyar la salud y el bienestar de nuestra comunidad. Para unirse a la familia de Renown y luchar por la causa justa, postule en línea en https://careers.renown.org/ Apoye al equipo de Renown Renown Health, una organización benéfica sin fines de lucro, está muy agradecida por el apoyo de la comunidad durante estos momentos sin precedentes. Para donar a pacientes o proveedores de Renown, visite https://www.renown.org/donations-covid-19/.   About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información. About the Washoe County Health District The Washoe County Health District has jurisdiction over all public health matters in Reno, Sparks, and Washoe County through the policy-making Washoe County District Board of Health. The District consists of five divisions: Administrative Health Services, Air Quality Management, Community and Clinical Health Services, Environmental Health Services and Epidemiology & Public Health Preparedness. More info can be found here.

Leer más About First COVID-19 Vaccines Administered to Physicians Today

La mejor protección sigue siendo recibir una vacuna y un refuerzo contra la COVID-19, usar mascarilla, mantener una distancia mínima de 6 pies de las otras personas, evitar las multitudes y lavarse las manos con frecuencia. For the thousands of physicians and health care workers of Renown Health, this week is etched into the pandemic timeline as the start date of a nationwide wave that signaled the first vaccinations against COVID-19 and a beacon of hope for the future. A year ago, the nation’s health care systems in communities across the U.S. first began vaccinating physicians and health care workers caring for patients with COVID-19, and thousands received their first vaccine. One year ago, Renown Health, the Washoe County Health District (WCHD), the state and the Centers for Disease Control and Prevention (CDC) began to distribute the initially available, limited supplies of the COVID-19 vaccines in Washoe County. Media representatives viewed the first healthcare workers as they obtained their first dose of the life-saving vaccines. Luis Martinez, first health care worker vaccinated, now plans to attend medical school Luis Martinez, who served on the front-line of the pandemic at Renown Regional Medical Center, received the first of his Pfizer-BioNTech vaccine a year ago this week, after it received emergency use authorization from the Food and Drug Administration. Recibió la segunda y última vacuna de la serie 21 días después. Luis forma parte de Renown desde 2016. Aquí comenzó como flebotomista y lo alentaron a seguir una carrera profesional en el campo de la medicina. He works as a technician on Renown’s Clinical Decision Unit — a short stay unit within the hospital for people who need clinical care, but do not need admittance to the hospital. Luis worked with patients and clinicians in the Clinical Decision Unit for a year before requesting to work in Renown’s Alternate Care Site, built in the Mill Street parking structure as a place to care for patients recovering from COVID-19 before they returned home. Today, Luis is working to fulfill his dreams of becoming a doctor. A principios de este año realizó la Medical College Admission Test® (prueba de ingreso a la Facultad de Medicina), tuvo una entrevista virtual y se postuló para 24 facultades de medicina. Luis has shadowed physicians in a number of medical fields, including internal medicine, emergency medicine, cardiology and orthopedics, and would be thrilled to train in any one of those areas. As for medical school, Luis was excited to hear about Renown’s new clinical affiliation with the University of Nevada, Reno School of Medicine (UNR Med). He is enthusiastic about becoming part of the next generation of Nevada's health care professionals, and his first choice is UNR Med. He expects an admission decision by UNR Med this winter. If that doesn’t work out, he says, he has an interview with leaders at the Kirk Kerkorian School of Medicine at UNLV in January. Luis is bilingual and understands that Nevada continues to face a shortage of physicians and affordable medical care. He volunteers with CARE Chest of Sierra Nevada, a non-profit organization that provides free medical equipment, supplies, and prescription assistance to underserved populations when he is not working at Renown. His dream is to graduate medical school and stay in the community to provide medical care as a physician. Luis knows the importance of excellent medical care, and the importance of the vaccines against COVID-19. El pasado octubre, Luis cumplió 33 años y se contagió de COVID-19 después de una fiesta de cumpleaños familiar. Because of his experience, his interest in medicine and his research, Luis obtained his COVID-19 vaccines- and his booster, and is pleased that everyone in his family is triple vaccinated too. He says they are all feeling well and looking forward to being together at the holidays. “As we celebrate this holiday season, we give thanks for Luis and the thousands of health care heroes who have been fighting this pandemic with care and compassion; continuing to safely screen, diagnose, care for and vaccinate thousands of employees and community members,” said Tony Slonim, MD, DrPH, President & CEO of Renown Health. “It has been an honor to assist local and statewide health partners in the herculean vaccination effort. Durante el año pasado, el equipo de vacunas de Renown administró más de 58,000 vacunas de primera dosis y 2 de segunda dosis a los residentes de Nevada mayores de cinco años. We continue to work closely with our community health leaders and are always ready to assist. We are proud to be part of the solution for our community and pleased to have made a genuine difference in the health and well-being of others throughout this unprecedented time in our history.” Renown continues to use current local and national data, analytics, and public data sets for predictive modeling in service to our community. When there is heightened concern around an illness, enhanced infection prevention strategies are in place to ensure Renown is ready with the appropriate supplies and alternate plans should the need arise. La vacunación sigue siendo la mejor protección contra la cepa Ómicron y el coronavirus Hoy también marca un hito negativo para el condado de Washoe: más de 1,010 muertes por COVID-19 confirmadas y un total de más de 70,549 casos en una población de casi 500,000 personas. El punto positivo es que más de 65,714 personas se han recuperado en el condado de Washoe, aunque muchas aún lidian con los efectos a largo plazo de la enfermedad. El mundo y los EE. UU. continúan experimentando un aumento en los casos de COVID-19 y las hospitalizaciones por la altamente contagiosa variante Ómicron, que ahora representa el 50 por ciento de los casos de coronavirus en partes del país. In some areas, there is a significant stress on the hospital system, particularly where vaccination rates are low. “The most important action you can take to protect yourself from the Delta and Omicron strains and the COVID-19 virus is to get fully vaccinated,” says Susan Lee, DO, MBA, Chief Medical Officer, Acute Care. “El virus de la COVID 19 y sus diferentes cepas son prevenibles y controlables mediante vacunas seguras y eficaces contra la COVID-19, que son gratuitas y ahora están ampliamente disponibles en nuestra área. Los CDC recomiendan que todas las personas mayores de 5 años se vacunen contra la COVID-19. Data shows that nearly all COVID-19 deaths are now occurring among unvaccinated individuals.” A list of providers in our area offering vaccines is available at vaccines.gov.” “La mejor protección contra la COVID-19 ha sido la combinación de vacunarse contra la COVID-19, usar mascarilla, mantener una distancia de al menos 6 pies de otras personas, evitar las multitudes y lavarse las manos con frecuencia”, explica Amy McCombs, máster en enfermería, enfermera certificada, CCRN, CNML, vicepresidenta de Calidad de Servicios Agudos para Renown y gran contribuidora al esfuerzo de vacunación de Renown. “No one tool alone will stop this pandemic; it will take a combination of all of us using all of these efforts to fight the spread of this virus, especially through the holidays.” “Vaccinations have been a game-changer in terms of improving the health of our community,” said Rahul Mediwala, MD, Chief Medical Officer, Health Services. "Given the demands of this COVID-19 pandemic, we have been pleased to help in the fight by providing vaccinations. Our goal a year ago, was that all Renown physicians; employees and their family members; and all Hometown Health members and Renown patients interested in receiving the vaccine would have an opportunity to be vaccinated, we are excited to help make that dream a reality for all.” The COVID-19 vaccine is now mandatory for all Renown employees in an effort to protect those who are ill and physically vulnerable, and ensure a safe environment for patients and health care workers. Renown is covering all costs of the vaccine, and it is being offered free of charge to employees. Al día de hoy, el 97 % del total de 6,750 empleados de Renown Health están vacunados o tienen una exención o aplazamiento aprobado. “This year was a year no one will forget. For everyone- and for our health care workers at Renown, the year presented countless challenges and opportunities. Those of us who choose healthcare as our life’s work answer a true calling to serve others; this field requires a self-less commitment and a tireless dedication to caring for people when they are at their most vulnerable,” said Renown’s Chief of Staff, Sy Johnson, MBA. “I applaud the entire team- every physician, nurse and health care hero for their valor, their strength and perseverance in serving our patients and community during these unprecedented times.” What follows are highlights of some of the most remarkable moments and events that have taken place at Renown Health over the past year in relation to the response to COVID-19. Estructura médica desplegable temporal fuera del Departamento de Emergencias del Renown Regional El 12 de marzo de 2020, Renown instaló un centro médico desplegable para que sirviera como centro de evaluación y detección de enfermedades respiratorias para pacientes de la sala de emergencias en el Renown Regional Medical Center. A similar tent was also set up outside the Emergency Room at South Meadows Medical Center. An additional layer of protection, this proactive measure helped to care for people with symptoms of respiratory illness, and to protect patients and staff in the Emergency Department and other areas of the hospital. Las carpas se desarmaron el 20 de enero de 2021. (See photo here.) Alternate Care Site at Mill Street Parking Structure at Renown Regional As many communities across the nation experienced an increase in COVID-19 cases, including significant surges in hospitalized patients, Renown’s leadership had the foresight to create an Alternate Care Site (ACS) in the Renown Regional Medical Center Mill Street Parking structure. The ACS served additional hospitalized patients and allowed caregivers to remain on campus and still have access to existing hospital infrastructure such as lab, pharmacy, imaging, food services and other critical services. This solution also supported an efficient level of care escalation and other emergent interventions as needed. Después de solo 10 días de una complicada construcción, que incluyó pisos, infraestructura eléctrica, iluminación, agua, tecnología y paredes divisorias, el ACS estuvo listo el 3 de abril de 2020 con espacio para hasta 1,400 pacientes. El 12 de noviembre de 2020, Renown inauguró el ACS para atender a más pacientes hospitalizados con diagnóstico de COVID-19 que estaban clínicamente estables o en mejoría. Healthcare workers at Renown cared for hundreds of patients in this site. A principios de enero de 2021, los pacientes restantes regresaron a sus hogares. The Site has been decommissioned and leaders expect the area to be available for additional parking later this winter. (Alternate Care Site B-Roll.) Renown invests in Remote Patient Monitoring (RPM) ‘Hospital at Home’ Monitoring Systems Appropriate patients (including those recovering from COVID-19) are now offered a telehealth solution using wearable, continuous pulse oximetry, and the convenience of being in their own homes, with the confidence and security of knowing that Renown clinical staff are closely monitoring their health data through the Renown Transfer and Operations Center, and regularly communicating with them through their recovery process. El Renown Transfer and Operations Center ocupa 6,000 pies cuadrados y es uno de los centros más grandes de su tipo en el país, equipado con 28 paneles de alta definición en la pared frontal, dos en el centro de la sala y cuatro monitores colgados en la parte posterior. Large plasma screens display important metrics such as patient vital signs, bed availability, facility capacity, staffing, technology and more. Los enfermeros certificados y despachantes registrados monitorean continuamente la actividad durante todo el día, en el área de servicio de 100,000 millas cuadradas de Renown, con más de 100 ubicaciones e instalaciones asociadas para tomar las mejores decisiones para los pacientes, proveedores y equipos de atención. “LOVE” se abre paso en Renown El 16 de abril de 2020, durante un momento de oscuridad e incertidumbre, Artown le prestó a Renown la escultura “LOVE”, una estructura de aluminio soldado de una tonelada, diseñada por la artista Laura Kimpton y fabricada por Jeff Schomberg. La obra iluminó la entrada principal del Regional Medical Center en Mill St. La escultura se había inaugurado anteriormente en Burning Man en 2019 El 13 de julio de 2020, gracias al apoyo del expresidente de la junta y defensor de la comunidad Blake Smith y a la Keyser Foundation, “LOVE” sigue resplandeciendo cada noche en el púrpura característico de Renown, con un brillo radiante para el disfrute de los pacientes, empleados, visitantes y transeúntes. Throughout the pandemic, this sculpture has served as a source of inspiration, hope and positivity for our community. (LOVE sign B-Roll.) When Words Fail, Art Speaks Recognizing art’s powerful healing capabilities, Renown collaborated with prominent artist and fine art photographer, Anicia Beckwith, to immortalize the many battles fought against and amidst COVID-19 within the healthcare system’s walls. Beckwith captured portrait images of Renown caregivers, patients and their loved ones, showing raw and touching scenes from the COVID Intensive Care Unit, Emergency Departments, Neonatal Intensive Care Unit, Wilbur D. May Pediatric Intensive Care Unit and the Alternate Care Site field hospital. A group of Renown caregivers hold a COVID patient’s hand. Tears well up in their eyes as the patient takes his last breath. Care providers respond to a patient’s only request – a facial shave. The man beams at the sight of his freshly groomed face, and is visibly touched by the tender care he received to make it happen. Lupe, una trabajadora de servicios ambientales, pone especial cuidado en sus esfuerzos por limpiar y desinfectar las habitaciones de los pacientes, una destreza en la que se ha perfeccionado y que le ha dado orgullo durante los más de 25 años en los que ha trabajado en Renown. These are just a few of the captivating moments Beckwith illustrates through her art. Beckwith’s full photo gallery of images from Renown are located here; and downloadable visual assets are available here. Evolving in an Ever-Changing World: Long-Term Remote Work for Renown Employees The COVID-19 pandemic pushed healthcare leaders throughout the world to determine how best to provide care in this ever-changing environment. Leaders in Renown’s Human Resources department evaluated the thoughts and opinions of employees working remotely throughout Renown Health. Debido a los comentarios positivos de los empleados, que incluyen menos tiempo de viaje, menos distracciones, un mejor equilibrio entre el trabajo y la vida personal y una huella de carbono reducida, más de 700 empleados de Renown continuarán trabajando de manera remota. Renown ofrece pruebas de COVID internas El 2020 de junio, el equipo del laboratorio de Renown entró en acción para ayudar a satisfacer la creciente demanda de pruebas de COVID-19 de los residentes y negocios del condado de Washoe. Renown invirtió en ampliar la plantilla de personal y la capacidad de hacer pruebas de forma interna, lo que les permitió hacer hisopados y procesar hasta 1,000 pruebas de COVID para pacientes cada día y entregar los resultados en cuestión de horas. El director ejecutivo de Renown, el Dr. Tony Slonim, también colaboró con el grupo especial del alcalde dedicado a la COVID-19, con líderes comunitarios y religiosos locales desde el 2020 de octubre para abordar la equidad en la salud mediante pruebas gratuitas de COVID-19 para las comunidades de color. (Lab B-Roll). An Extraordinary Year of Service Renown’s leadership remains steadfast commitment to keeping our community safe. “We thank the community for standing by us and helping us all emerge as stronger people with hope for the future. We continue to fight the good fight,” said Dr. Slonim. “With COVID now imbedded into our daily lives, it’s remarkable to reflect on the progress we’ve made and the obstacles we’ve overcome. I will be forever grateful for the precautionary measures, innovation, and acts of service and love implemented by our dedicated team over the past two years. We hope by demonstrating our caring values and exhibiting hope and determination, we are inspiring others.” Stay Up-to-date on COVID-19 Renown Health is prepared to safely screen, diagnose and care for patients with respiratory illness, including COVID-19. Para mantenerse actualizado sobre las comunicaciones relacionadas con la distribución de la vacuna contra la COVID-19 por parte de Renown, las preguntas frecuentes y la evidencia científica detrás de la vacuna, visite https://covid.renown.org/  Únase al equipo de Renown Renown Health continúa comprometido con la contratación de personas para ocupar puestos clave en la organización para apoyar la salud y el bienestar de nuestra comunidad. Para unirse a la familia de Renown y luchar por la causa justa, postúlese en línea en https://careers.renown.org/ Apoye al equipo de Renown Renown Health, una organización benéfica sin fines de lucro está agradecida por el apoyo de la comunidad durante estos momentos sin precedentes. If you are interested in supporting Renown Health, a charitable, non-profit health organization, please consider giving to Renown Health Foundation. Donations are accepted through the following ways: Realice una donación a www.renown.org/give Llame a la Fundación de Renown Health al 775982-5545 Envíe un cheque por correo postal a Renown Health Foundation, 1155 Mill St., O2, Reno, NV 89502 Venmo: @RenownFoundation     About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 6,500 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.

Leer más About Reflexión tras un año: miles de trabajadores de atención médica y ciudadanos del norte de Nevada se vacunaron contra la COVID-19, lo que da esperanzas para esta temporada de fiestas