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As Florida and other southern states continue to report record numbers of coronavirus cases, Dr. Anthony Fauci said his concern has shifted to states in the Midwest. He called out Ohio, Kentucky, Indiana and Tennessee specifically, saying they are showing an “early indication” that cases of COVID-19 are going up.Fauci, the director of the National Institute of Allergy and Infectious Diseases, said those states should carefully follow guidelines as they open back up during an interview on ABC’s “Good Morning America” on Tuesday.Some states like Florida, Texas, Arizona and California had a major surge in coronavirus cases, he said, but it looks like cases may be cresting and coming back down.“What I'm concerned about is … that some of the other states, the Ohios, Indianas, Tennessees, Kentuckys that are starting to have that very early indication that the percent of cases regarding the number of tests that you have, that it's going up,” Fauci said. “That can be a surefire sign you've got to really be careful and you've got to — if you are trying to open up, please do it in a way that's in accordance with the guidelines.”In April, President Donald Trump rolled out a three-phase plan to ease restrictions that depend on meeting specific case count and hospital capacity thresholds.“If you do that carefully … I think we can prevent the surges that we've seen in the southern states because we just can't afford yet again another surge,” Fauci said.Fauci’s comments come a day after Gov. Andy Beshear ordered all Kentucky bars to close for two weeks. Kentucky reported its second-highest daily total Saturday with 836 more positive cases of the virus and a daily record of 979 confirmed cases on July 19.Ohio's Gov. Mike DeWine made masks mandatory on Thursday, and Indiana's Gov. Eric Holcomb did the same on Monday.This story originally reported by Abby Dawn on wcpo.com. 1896

ANDERSON, Ind. — A convicted killer already serving two life sentences without parole and accused of killing a fellow prisoner last summer told a Madison County judge this week he will keep killing people until he's given the death penalty.Tommy Holland, 45, made the statement Tuesday during a hearing in Madison Circuit Court. Madison County Prosecutor Rodney Cummings said Holland had been expected to plead guilty to the Aug. 9, 2019 stabbing death of Clifford Bagget, 28. In exchange for the plea, Holland was expected to receive his third life sentence, Cummings said.The stabbing happened inside the Pendleton Correctional Facility. Holland was serving two life sentences for murder out of Marion County. Bagget, of Florida, was serving time for aggravated battery, battery, and possession of methamphetamine, according to court records.Instead, the scene inside the Madison County courtroom was much different."His lawyer said [Holland] wanted to make a statement and that it was coming against the advice of counsel," Cummings said. "What he basically said was, if you don't give me the death penalty I'm going to keep killing people until you give it to me."The hearing did not proceed with the entering of a guilty plea. Instead, the judge ordered Holland to undergo a competency evaluation.Cummings said he will consider the unusual request but there are other factors under consideration as well."I don't want to waste taxpayer money," Cummings said.In addition, the 7th Circuit Court of Appeals in Chicago has not upheld a death penalty sentence brought to them on appeal in 11 years so the likelihood of a sentence of death being carried out against Holland is slim, Cummings said.Holland is currently being housed in segregation at Indiana State Prison in Michigan City, Cummings said. Cummings has reached out to the LaPorte County prosecutor to warn him of the threats made by Holland and will also be writing a letter to the Indiana Department of Correction to warn them of the threats as well.In addition to the two murders he's been convicted of and the third case that he has been charged in, Cummings said Holland is also suspected of additional murders.This story was first reported by Bob Blake at WRTV in Indianapolis, Indiana. 2261

An 8-year-old girl in Florida was seriously injured when a massive tree limb fell on her Monday, as she was playing in a school playground during recess.Patricia Whidden suffered a fractured skull when the limb fell on her, dropping from a live oak at Edward Upthegrove Elementary School in LaBelle."It's an extremely tragic incident, and we are investigating," said Lucinda Kelley, deputy superintendent of Hendry County District Schools.Patricia's aunt Kristi Whidden said her niece has bleeding and swelling of the brain, and is recovering at a hospital in Delray Beach."Right now, she's being kept sedated to give her brain and body a chance to recover," Kristi Whidden said.Live oak trees form a canopy over many schools in Hendry County. Kelley said she believes the limb that fell on Patricia was a freak accident, although the LaBelle area did sustain a lot of damage from Hurricane Irma last fall."The limb that fell did not appear to be, at first glance, related to that," Kelley said. "We are going to ask for the help of an expert arborist to come in and examine all of the trees."In the meantime, the the school district has closed playground where Patricia was hurt. Although sedated, Kristi said her niece did wake up at one point during the night, and was able to respond to questions with a thumbs-up or thumbs-down."Right now, the focus is on Patricia and getting her through this," she said. "A lot of people have sent their prayers and positive vibes."Upthegrove Elementary is organizing a sock hop fundraiser to help Patricia's family with expenses. It will take place on Friday during school hours. 1668

As mandatory face coverings become more and more common, keep in mind, some are better at protecting from viruses than others.When issuing their face covering guidelines, San Francisco specifically called out masks with one-way valves designed for “easier breathing”, warning that they allow for droplets to get out of the mask and potentially endanger others nearby. These valves are usually about the size of a coin on the side of the mask.The CDC, and many other health departments and officials, urge wearing a mask to prevent the spread of the coronavirus because it can be spread through respiratory droplets. Those droplets are produced into the air when an infected person coughs, sneezes, talks, sings, chants, shouts, etc. They can then land on other people nearby or be inhaled by others.The CDC recommends people wear a cloth face covering in public settings, to reduce the transmission of droplets into the air.“There are no high quality studies regarding the use of masks with additional types of various filters placed in them or with ‘breathing valves.’ While widely marketed with various claims, these have not been studied at all and it is unclear if they help or hurt the overall filtration efficacy against microorganisms,” read a statement from Marc Sala, M.D., Assistant Professor of medicine in the Division of Pulmonary and Critical Care at Northwestern University’s Feinberg School of Medicine.People are being asked to leave N95 masks (without a valve) and surgical masks available for medical staff and essential personnel who are coming into daily contact with many infected patients.An N95 mask with an exhalation valve is not recommended because unfiltered air is sent through the valve and into the air, potentially carrying coronavirus droplets. “The presence of an exhalation valve reduces exhalation resistance, which makes it easier to breathe (exhale). Some users feel that a respirator with an exhalation valve keeps the face cooler and reduces moisture build up inside the facepiece. However, respirators with exhalation valves should not be used in situations where a sterile field must be maintained…” according to the CDC’s website.Dr. Sala said testing has shown things like multiple layers of cotton fabric is better than a single layer, material of a higher thread count is more effective, and overall, “these studies emphasized the notion that if a mask doesn’t have a good fit (has gaps) its effectiveness is dramatically reduced.” Dr. Sala said even if the cloth mask is not ideal, it can still play a major role in preventing illness as more masks are worn by the population as a whole.Bottom line, choose a fabric face covering that fits and is comfortable around your ears or head, and keep it on while in public, especially when social distancing is not possible, to protect you and the people around you. 2864

An explosion from an electronic cigarette has killed a man in St. Petersburg, Florida, according to authorities who are investigating the circumstances surrounding his death.Tallmadge D'Elia, 38, was found dead this month after a fire alarm went off at his home and officers arrived on the scene, according to his autopsy report. Officials found him with a wound to his top lip area and areas of burns to his body. His death has been ruled accidental.The cause of death is identified as a projectile wound to the head, Bill Pellan, director of investigations at the Pinellas County Medical Examiner's Office, said Tuesday.The projectile was from a section of an e-cigarette. The autopsy noted that the e-cigarette was manufactured by Smok-E Mountain and was a "mod" type device.E-cigarettes are battery-operated devices that produce an aerosol by heating a liquid, usually containing nicotine, flavorings and other chemicals, according to the US Centers for Disease Control and Prevention. Users inhale the aerosol.More than one in every 10 adults has tried an e-cigarette even just one time, according to the CDC. E-cigarettes can come in many shapes and sizes; some are made to look like regular cigarettes, while others are larger devices such as tank systems or "mods."The exact causes of e-cigarette explosion incidents sometimes are unclear, but evidence suggests that battery-related issues may lead to explosions, according to the US Food and Drug Administration.E-cigarettes that are similar in size and shape to traditional cigarettes come with a smaller wattage unit and therefore may not have the power to fail as dramatically, said Thomas Kiklas, chief financial officer of the Tobacco Vapor Electronic Cigarette Association.Larger vaporizers -- such as the device found in the St. Petersburg case -- come with much larger and more powerful batteries."The two major causes of dramatic failures with the larger units are overcharging of the battery and then the shorting of the battery," Kiklas said."Lithium ion batteries fail in other devices as well, but in a laptop, it's on your lap," he said. "In this case, with an e-vapor product, it's close to the face."Though such incidents are rare, this isn't the first time a spontaneous e-cigarette explosion has raised concerns.There were 195 separate e-cigarette fire and explosion incidents in the United States reported by the media between 2009 and 2016, according to data released last year by the US Fire Administration.For example, in 2015, an e-cigarette exploded in a man's face in Naples, Florida, burning his face, chest, hands and lungs. In 2016, an e-cigarette exploded in a New York man's pants pocket. He suffered third-degree burns.Also that year, a 14-year-old girl had mild to moderate burns after an e-cigarette exploded in the pocket of a person nearby while on a Harry Potter ride at Universal Studios in Orlando, Florida.None of those cases was fatal.Kiklas said there are two steps e-cigarette users can take to avoid the risk of an explosion."We've put the caution out before," Kiklas said."Make sure that you use the charger that comes with the battery, and make sure the charger has a shutoff device, an automatic shutoff device, so it's not overcharged. That's typically the biggest issue which causes batteries to fail," he said. "And two, never carry a battery alone, out of its case, in your pocket with change or keys, because that's another way the batteries can short themselves out."The FDA also recommends replacing batteries if they get damaged or wet. 3627

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