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As the coronavirus pandemic continues, doctors are learning more about the damage having Covid-19 can do to the body. Two separate studies published recently indicate the coronavirus can harm other organs in the body, including the heart.One of the studies looked at 100 patients in Germany who recently recovered from Covid-19 and found 60 percent of participants had inflammation in the heart. The study used MRI scans to monitor the inflammation, and was published in JAMA Cardiology.The majority of the patients in this study, 67 of them, recovered from the coronavirus at home with severity ranging from asymptomatic to moderate. It compared the MRIs of coronavirus survivors to scans from healthy volunteers.The data showed there was some sort of heart involvement in those who had coronavirus, whether or not they had preexisting conditions or any heart-related symptoms during recovery.“Our findings reveal that significant cardiac involvement occurs independently of the severity of original presentation and persists beyond the period of acute presentation, with no significant trend toward reduction of imaging or serological findings during the recovery period. Our findings may provide an indication of potentially considerable burden of inflammatory disease in large and growing parts of the population and urgently require confirmation in a larger cohort,” the researchers noted in conclusion.A second study, also published in JAMA Cardiology, found coronavirus could be found in the heart tissue of patients who died.The study looked at data from 39 autopsy cases in Germany in early April. The patients were aged 78 to 89, had tested positive for Covid-19 and there were results of heart tissue analysis in their autopsies.In 16 of the 39 cases, there was a large “virus load” of coronavirus found in the heart tissue, another eight had a coronavirus presence in the tissue.The sample of autopsy cases was small and the "elderly age of the patients might have influenced the results," the researchers wrote. More research is needed whether similar findings would emerge among a younger group of patients."Taken together the studies support that SARS-CoV-2 does not have to cause clinical myocarditis in order to find the virus in large numbers and the inflammatory response in myocardial tissue. In other words, one can have no or mild symptoms of heart involvement in order to actually cause damage," said Dr. Dave Montgomery, who was not involved in the studies, in a statement to CNN.Dr. Clyde Yancy of Northwestern University Feinberg School of Medicine and Dr. Gregg Fonarow of the University of California, Los Angeles, co-authored an editorial that accompanied the two new studies in the journal JAMA Cardiology called ‘Coronavirus Disease 2019 (COVID-19) and the Heart—Is Heart Failure the Next Chapter?”“We see the plot thickening and we are inclined to raise a new and very evident concern that cardiomyopathy and heart failure related to COVID-19 may potentially evolve as the natural history of this infection becomes clearer,” they write. 3076

As more and more people are venturing out, some people might be taking a more relaxed stance on wearing masks. This is especially true now that we're months into the pandemic, and the weather is starting to heat up. But is it okay to ask someone to put on a mask who's not wearing one?"I think it’s always reasonable if you see someone not doing something that is helping keeping others safe, then you should feel free to speak up. Particularly if they’re within six feet of your space," said Denver Health Chief Medical Officer Dr. Connie Savor Price.She says it may be a little uncomfortable, and a bit awkward, she says you can always ask. A majority of the states across the country have mask requirements or recommendations. Most of them say you should wear a mask when social distancing is not possible or when you’re inside a business.The CDC also issued a recommendation in April that face coverings should be worn when social distancing is not possible."The hardest thing for me and for others I think is when you’re outside exercising and you’re not within the vicinity of others. And, I think the rules are a little unclear for that. If you’re not within six feet of others then I think it’s okay, but certainly if you’re on a crowded hiking trail, or are in a condition where you’re near others, you should wear a mask and at least put it on when you’re within six feet of others," said Dr. Savor Price.She says the biggest reason to wear a mask isn’t necessarily for your own protection, although you do get moderate protection from them. But, it prevents your respiratory droplets from infecting others if you have the disease. 1649

At a press briefing in Washington on Friday, Vice President Mike Pence said the White House coronavirus task force had identified 16 states — about one-third of all states in the nation — where COVID-19 cases are on the rise.According to Pence, in the other 34 states, there is a "measure of "stability" among cases — saying that while these states may experience new cases, "positivity rates are stable."Pence said that most of the states with rising cases are in the "Sun Belt." He said that he and other health officials would travel to Arizona, Florida and Texas — three states experiencing severe spikes in cases — next week, to meet with governors.The task force reported that a majority of new cases have been reported in people younger than 34 — a development that Pence called "encouraging" in some ways because young people are more likely to recover from the virus.According to Pence, there have been 2.5 million confirmed cases of the virus in the U.S. According to Johns Hopkins, there are about 4,425,000 confirmed cases of the virus.During Friday's briefing, Dr. Anthony Fauci — America's top expert on infectious diseases — said that some areas of the country as facing a "serious problem" amid rising numbers. He added that Americans have a "societal responsibility" to continue social distancing, adding that those who leave their home for crowded places become part of an infectious chain."Ultimately, you will infect someone who is vulnerable," Fauci said.The task force and President Donald Trump held near-daily briefings throughout March and April. But the nation's top health experts have rarely appeared on-camera in recent weeks as the administration has focused on re-starting the economy.The briefing comes a day after Johns Hopkins reported 40,000 new cases of the novel coronavirus, the highest single-day increase since the pandemic began. President Donald Trump has maintained that the increase in cases is the result of increased testing capacity, but the CDC reports hospitalizations linked to the virus are also on the rise.It also comes following a week of confusing messaging regarding the administration's policy on testing. On Saturday at a rally in Oklahoma, Trump told supporters that he asked that testing be "slowed down" to deflate new case numbers artificially. On Monday, press secretary Kayleigh McEnany said Trump made those comments "in jest," but Trump quickly contradicted her, saying he "doesn't kid." Dr. Anthony Fauci, the nation's top infectious disease expert, later testified at a House committee hearing that he had not been told by anyone in the administration to slow down testing, and that increasing testing capacity remains the goal of the task force.Several states that were quick to lift lockdown restrictions are now moving to re-impose social distancing measures. On Friday, Texas ordered the closure of bars and re-imposed limits on in-restaurant dining. Also on Friday, Florida ordered that bars can no longer serve alcohol on-site as cases continue to spike. 3036

As someone who once criticized President Barack Obama for offering public timelines on American military engagement overseas, US President Donald Trump may have backed himself into a corner following his own promise to respond, and respond harshly, to the deadly chemical attacks in Syria.Last week he declared he wanted to withdraw US troops from Syria as soon as possible. But the suspected use of chemical weapons in Syria over the weekend may force him to reevaluate the US mission in that country.Vowing on Monday to come to a decision "over the next 24 to 48 hours" on how to make Syria pay a "big price," Trump's White House now appears to be scrambling to match its policy to his words.Trump tweeted Wednesday that missiles "are coming" in response to a threat from Russia to shoot down missiles coming into Syria.  836

At Tuesday’s presidential debate, President Donald Trump complained that poll watchers in Philadelphia were denied access to early voting in the critical battleground state.“I’m urging my supporters to go into the polls and watch very carefully because that’s what has to happen,” Trump said. “I am urging them to do it. As you know, today there was a big problem. In Philadelphia, they went in to watch. They’re called poll watchers, a very safe, very nice thing. They were thrown out. They weren’t allowed to watch. You know why? Because bad things happen in Philadelphia. Bad things.”Poll watching is generally a commonly-accepted democratic practice employed throughout the US. But there are questions on what constitutes a polling site.In Pennsylvania, voting centers are not considered polling locations. Early voting centers are locations where voters can pick up a mail-in ballot and can complete and return the ballot on-site. Voters have the option of taking the ballot home and returning it before the election.“We don’t give someone a poll watcher certificate to … watch somebody fill out their ballot at their kitchen table,” Republican Philadelphia City Commissioner Al Schmidt told the Philadelphia Inquirer.While poll-watching laws vary by state, the practice is generally accepted, but it has limits. According to the National Conference of State Legislatures, poll watchers are to take a hands-off approach.For instance, poll watchers should not talk to voters, interfere with the voting process or campaign while on-site. Poll watchers, however, can watch for irregularities and report them to elections officials and political campaigns.There are generally limits on the number of poll watchers a campaign or party can designate. An accreditation process in 40 states means an ordinary citizen cannot walk into a polling site without some level of training, according to the Carter Center. "This process is led by local party chairs, candidates, or ballot issue groups and can require approval by election officials or the secretary of state’s office," the Carter Center said.Some interpreted Trump’s call for poll watchers as a voter intimidation tactic."Trump also told 'his supporters' to 'go into the polls and watch very carefully,'" said Nevada Attorney General Aaron Ford on Twitter. "But he wasn't talking about poll watching. He was talking about voter intimidation. FYI, voter intimidation is illegal in Nevada. Believe me when I say it: You do it, and you will be prosecuted."A hands-off approach is what differentiates someone engaging in legal poll watching and illegal voter intimidation. While poll watching laws are regulated at the state level, there is a federal law against voter intimidation.“Whoever intimidates, threatens, coerces, or attempts to intimidate, threaten, or coerce, any other person for the purpose of interfering with the right of such other person to vote or to vote as he may choose, or of causing such other person to vote for, or not to vote for, any candidate for the office of President, Vice President, Presidential elector, Member of the Senate, Member of the House of Representatives, Delegate from the District of Columbia, or Resident Commissioner, at any election held solely or in part for the purpose of electing such candidate, shall be fined under this title or imprisoned not more than one year, or both,” the law reads.To learn more about each state’s laws on poll watching, click here.Justin Boggs is a writer for the E.W. Scripps National Desk. Follow him on Twitter @jjboggs or on Facebook. 3576

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