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This map from the Ohio Department of Health shows where cases of Hepatitis A have been diagnosed across the state since the beginning of 2018. 154
There have been 971 cases of measles reported in the United States this year, the US Centers for Disease Control and Prevention said Thursday.This means 2019, which is not quite half over, now has the greatest number of cases in a single year in nearly three decades.The number of cases in 1994 was 963, which was lower than in 1992 when there were 2,237 cases."Measles is preventable and the way to end this outbreak is to ensure that all children and adults who can get vaccinated, do get vaccinated. Again, I want to reassure parents that vaccines are safe, they do not cause autism. The greater danger is the disease that vaccination prevents," said CDC Director Dr. Robert Redfield.Measles was eliminated in the United States in 2000, meaning it was no longer continuously transmitted in the country.Cases have been reported in 26 states this year so far.New York has been the largest contributor to this year's unfortunate milestone with nearly 700 cases of measles reported this year in the state. Most of those cases have been in Orthodox Jewish communities with low vaccination rates.Clark County in Washington state had the second-largest outbreak in the US this year with more than 70 cases reported. The county has low vaccination rates."If these outbreaks continue through summer and fall, the United States may lose its measles elimination status. That loss would be a huge blow for the nation and erase the hard work done by all levels of public health. The measles elimination goal, first announced in 1963 and accomplished in 2000, was a monumental task," the agency said in statement. "Before widespread use of the measles vaccine, an estimated 3 to 4 million people got measles each year in the United States, along with an estimated 400 to 500 deaths and 48,000 hospitalizations."The elimination of the virus in the United States is attributed to widespread measles, mumps and rubella vaccination and a "strong public health infrastructure to detect and contain measles," according to the CDC."Your decision to vaccinate will protect your family's health and your community's well-being," Redfield said. "CDC will continue working with public health responders across our nation to bring this outbreak to an end."The cases in the Unites States are imported from international travel and then local outbreaks begin when the highly contagious illness spreads to those who are not immune to the virus from vaccination or having recovered from measles. With the busy summer travel season just about to get underway there's concern about continued importation of measles among vacationers.In communities with 95% or more of residents who are vaccinated against the virus, herd immunity works. That's when unvaccinated people are protected because so many of those around them are.Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases 2896

The Supreme Court won't upend the conviction of a Massachusetts woman who sent her boyfriend text messages urging him to kill himself. Michelle Carter is serving a 15-month sentence after being convicted of involuntary manslaughter in the 2014 death of her boyfriend, Conrad Roy III. Despite the ruling, law enforcement in Massachusetts said that Carter will be released next week.A judge determined that Carter, who was 17, caused the death of the 18-year-old Roy when she ordered him in a phone call to get back in his carbon monoxide-filled truck that he'd parked in a Kmart parking lot. Carter's case has garnered national attention and sparked legislative proposals in Massachusetts to criminalize suicide coercion. Jail officials previously said Carter could be released in March, if not sooner, for good behavior during her detention.A report from 867
This view of Hurricane #Erick southeast of Hawaii, seen by #GOESWest, shows some meso-vortices swirling in the low clouds within the storm's eye. Maximum sustained wind speed is 125 mph. View our #hurricane tracker: https://t.co/zfWRITawDU pic.twitter.com/7HeyKu1dQX— NOAA Satellites (@NOAASatellites) July 31, 2019 327
The statistics around maternal mortality in the United States are startling. America has the highest maternal mortality rate out of any developed country in the world. Today, a woman in the U.S. is 50 percent more likely to die from giving birth to a child than her mother was, and if you are a woman of color you are 3 to 4 times more likely than that.At Rush University Hospital in Chicago, neonatal intensive care nurse and educator Christie Lawrence has dealt with maternal mortality both professionally and personally. “My cousin, Chante, she was a young healthy mother, 18 years old,” Lawrence says. “Actually, she had no risk factors that we knew of.” Ten years ago, Lawrence was at work when her cousin went into labor at another hospital. “I received a call to say, ‘Chante is in labor, we are going to have a baby today.’ Then, a couple of hours later, a turn of events,” she recalls. “Her mom is screaming, ‘I need you to get here quick! Something has gone terribly wrong.’” The healthy 18-year-old mom suddenly went into cardiac arrest while giving birth to her son, and she died. “It was very shocking, very shocking for my family to see that whole turn of events,” said Lawrence. “We were expecting everything to be normal.”Her cousin’s death was caused by medication that was administered to her the wrong way. When Chante went in labor, she was a first-time mom and had no access to transportation to the hospital, so an ambulance was called. The ambulance took her to a hospital that was different than the one she had been going to for care during her pregnancy. Lawrence believes that may have played into the quality of care her cousin received, and ultimately, the mistake that was made at the hospital. It all led to the death of Lawrence’s cousin, which she says was fully preventable. Unfortunately, Chante’s case isn’t unique. These kinds of mistakes are happening at an alarming rate across the country. According to a Center for Disease Control report published this year, 60 percent of all pregnancy-related deaths in this country are fully preventable. Hospitals and healthcare providers around the country are working to implement new procedures to reduce the maternal mortality rate. At Rush University, for example, it’s trying a new program that checks up on babies and new moms just three weeks after leaving the hospital. Typically, in the past, doctors recommended a three-week check-up that focused on the newborn. But with this new program called Rush Family Connect, a nurse will go to the parent’s home and give equal attention to mom. The hope is that any post-pregnancy complication can be caught early, since the top causes of maternal mortality are actually post-delivery complications. Additionally, this year, the Joint Commission has issued a new mandate and standard. By July 1, 2020, all hospitals must have life-saving medications immediately available and must plan rapid release of blood supplies for transfusions. Doctors and nurses at hospital maternity units must have training drills responding to a hemorrhage crisis, which is one of the top cases for fatal deliveries. While hospitals and healthcare providers work to reduce the dangers mothers are facing, Lawrence believes mother have some power over their outcomes. “Just being a great advocate for yourself is one of the biggest things that I would tell any new mom,” said Lawrence. “If you feel like something is not right, if you feel like something is wrong, make people listen to you. And if you feel like that person won’t listen to you, then you have to go up the chain of command in that system or you have to find someone who is willing to listen.”It’s advice Lawrence wishes she could go back in time and tell her cousin. 3754
来源:资阳报