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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472
The Republican National Committee spent over 4,000 at Trump properties in the first two months of 2018, according to Federal Election Commission documents.In just February, according to FEC documents made public Tuesday, the RNC spent more than 1,000 on venue rental and catering at Trump properties in Florida and Washington, DC.FEC filings also show that starting in September 2017, the RNC has paid ,000 monthly to rent space in Trump Tower for the Trump campaign, totaling over 5,000 so far.The 1,000 is about 86% of the committee's entire spending on venue rental and catering for the month, and more than the committee has spent in a single month at a Trump property since the beginning of 2017. Overall, 14% of RNC spending on venue rental and catering has gone to Trump properties since the beginning of 2017.After he was elected President, Donald Trump placed his business into a trust controlled by his adult sons, Don Jr. and Eric, but did not liquidate his holdings or let an independent manager handle the trust without his knowledge -- the approach favored by past presidents and by ethics experts because it separates the president's personal profit motive from his decisions on behalf of the government.The arrangement has drawn criticism from ethics watchdogs, who say it allows for the appearance of a conflict of interest.An RNC official said donors enjoy visiting Trump properties, and also pointed to security, convenience and price as factors in the committee's decision-making. The official added that Trump properties are often cheaper to rent than other venues, noting that the FEC demands the RNC receive market rates.RNC spending at Trump properties in 2018 is up significantly from the previous year; the committee spent just over 2,000 on venue rental and catering at Trump properties in all of 2017. More than half of that spending came at a single July 2017 event at the Trump International Hotel in Washington, DC (for which the hotel was paid 1,250).The RNC spending at Trump properties in February is also up from recent months. Excluding Trump Tower rent, the committee spent about ,500 in December 2017, ,000 in January and 1,000 in February at Trump properties. Almost all of the February spending came from two events at Trump's Doral golf club in Florida and another event at the Trump hotel in DC.Since the beginning of 2017, the RNC has spent nearly 0,000 at Trump properties, including the monthly rental payments and the spending on venue rental and catering.FEC records also show that the RNC has paid John Pence, Vice President Mike Pence's nephew, over ,000 a month since September for his work on the Trump campaign, where he serves as a deputy executive director.The RNC has also made several payments to Parscale Strategies LLC, the company belonging to Trump's 2020 campaign manager,Brad Parscale.Parscale's company received a series of ,000 fees from the RNC throughout the summer of 2017, totaling ,000. From November through the end of February 2018, the RNC paid the firm more than .5 million.In addition to the spending at Trump properties and Trump-linked consulting firms, CNN reported that the RNC spent more than 0,000 in August of last year to cover some of President Trump's legal fees associated with the federal investigation into Russian meddling in the 2016 election.In addition to the RNC's spending, the National Republican Congressional Committee, the party's official campaign arm, spent just over ,500 at Trump properties in February, FEC filings show.The RNC raised .8 million in February and entered March with over million in cash on hand. 3681

The Trump administration has proposed further slashing the number of refugees the United States accepts to a new record low in the coming year.In a notice sent to Congress late Wednesday, just 34 minutes before a statutory deadline to do so, the administration said it intended to admit a maximum of 15,000 refugees in fiscal year 2021. That’s 3,000 fewer than the 18,000 ceiling the administration had set for fiscal year 2020, which expired at midnight Wednesday.The proposal will now be reviewed by Congress, where there are strong objections to the cuts, but lawmakers will be largely powerless to force changes.The more than 16.5% reduction was announced shortly after President Donald Trump vilified refugees as an unwanted burden at a campaign rally in Duluth, Minnesota, where he assailed his opponent, former Vice President Joe Biden. He claimed Biden wants to flood the state with foreigners.“Biden will turn Minnesota into a refugee camp, and he said that — overwhelming public resources, overcrowding schools and inundating hospitals. You know that. It’s already there. It’s a disgrace what they’ve done to your state,” Trump told supporters.Trump froze refugee admissions in March amid the coronavirus pandemic, citing a need to protect American jobs as fallout from the coronavirus crashed the economy.Secretary of State Mike Pompeo said the administration is committed to the country’s history of leading the world in providing a safe place for refugees.“We continue to be the single greatest contributor to the relief of humanitarian crisis all around the world, and we will continue to do so,” Pompeo told reporters in Rome on the sidelines of a conference on religious freedom organized by the U.S. Embassy. “Certainly so long as President Trump is in office, I can promise you this administration is deeply committed to that.”But advocates say the government’s actions do not show that. Since taking office, Trump has slashed the number of refugees allowed into the country by more than 80%, reflecting his broader efforts to drastically reduce both legal and illegal immigration.The U.S. allowed in just over 10,800 refugees — a little more than half of the 18,000 cap set by Trump for 2020 — before the State Department suspended the program because of the coronavirus.The 18,000 cap was already the lowest in the history of the program. In addition, the State Department announced last week that it would no longer provide some statistical information on refugee resettlement, sparking more concerns.Advocates say the Trump administration is dismantling a program that has long enjoyed bipartisan support and has been considered a model for protecting the world’s most vulnerable people.Scores of resettlement offices have closed because of the drop in federal funding, which is tied to the number of refugees placed in the U.S.And the damage is reverberating beyond American borders as other countries close their doors to refugees as well.“We’re talking about tens of millions of desperate families with no place to go and having no hope for protection in the near term,” said Krish Vignarajah, president of the Lutheran Immigration and Refugee Service, a federally funded agency charged with resettling refugees in the United States.Bisrat Sibhatu, an Eritrean refugee, does not want to think about the possibility of another year passing without reuniting with his wife.For the past 2 1/2 years, he has called the caseworker who helped him resettle in Milwaukee every two weeks to inquire about the status of his wife’s refugee case.The answer is always the same — nothing to report.“My wife is always asking me: ‘Is there news?’” said Sibhatu, who talks to her daily over a messaging app. “It’s very tough. How would you feel if you were separated from your husband? It’s not easy. I don’t know what to say to her.”He said the couple fled Eritrea’s authoritarian government and went to neighboring Ethiopia, which hosts more than 170,000 Eritrean refugees and asylum-seekers. Between 2017 and 2019, his wife, Ruta, was interviewed, vetted and approved to be admitted to the United States as a refugee. Then everything came to a halt.Sibhatu, who works as a machine operator at a spa factory, sends her about 0 every month to cover her living expenses in Ethiopia.“I worry about her, about her life,” Sibhatu said, noting Ethiopia’s spiraling violence and the pandemic. “But there is nothing we can do.”He hopes his wife will be among the refugees who make it to the United States in 2021.___Lee reported from Washington. 4558
The South Georgia Islands might not be permanently populated by humans, but it is an important sanctuary for penguins, seals and other various creatures in the South Atlantic.But a giant iceberg, A68a, could threaten the wildlife on the islands, according to the Government of South Georgia & the South Sandwich Islands.With the assistance of the Royal Air Force, the government has been tracking the iceberg’s movement toward the islands. While the islands do not have a permanent population, they are visited by tourists and others.According to the BBC, A68a was 150 kilometers from South Georgia. The concern is the iceberg could disrupt breeding for penguins on the island.“We are now entering the key part of the year for breeding," Mark Belchier, director of fisheries and environment for the government of South Georgia & the South Sandwich Islands, told BBC News."The nests have been built for gentoo penguins, and eggs will be laid soon. And the first seal pups have been born in the last fortnight," he added.The islands used to be populated on a more permanent basis as a small settlement ran a whaling station.Before air travel, the islands were used by explorers to prepare for treks to Antarctica. Whalers on the island also played a key role rescuing Sir Earnest Shackleton’s crew after his expedition became stranded on Antarctica’s Elephant Island. 1381
The three main wildfires raging in California have expanded rapidly, devouring virtually everything in their paths.One fire burned an area equivalent to the size of a football field every second during a period Thursday into Friday.Intense winds and low humidity are feeding the flames. So is very dry vegetation, as much of California has seen gotten than 5% of its normal rainfall over the last month.Here are some other startling facts about the fires: 469
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