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While officials in Puerto Rico placed the official death toll from last year's Hurricane Maria at 64, researchers from Harvard believe the death toll was actually in the thousands. According to Harvard's study, there were an estimated 4,645 deaths directly or indirectly tied to the hurricane, which struck the island in September. Harvard estimated a mortality rate of 14.3 deaths per 1.000 people from September 20 through December 31, 2017 in Puerto Rico. Harvard said in its study that it believes its estimate is rather conservative due to a "survivor bias."Harvard conducted the study by performing a random survey of 3,299 households in Puerto Rico. "In our survey, interruption of medical care was the primary cause of sustained high mortality rates in the months after the hurricane, a finding consistent with the widely reported disruption of health systems," the study says. "Growing numbers of persons have chronic diseases and use sophisticated pharmaceutical and mechanical support that is dependent on electricity. Chronically ill patients are particularly vulnerable to disruptions in basic utilities, which highlights the need for these patients, their communities, and their providers to have contingency plans during and after disasters."Part of why there the death toll might have been underreported is due to how hurricane-related deaths are counted. In order to have a death counted as storm related, bodies had looked at by a medical examiner, which required a body to be transported to San Juan, or the medical examiner to travel to remote locations. With a lack of electricity and blocked roads, some bodies were likely buried before the government could count fatalities. Maria is considered the third-costliest hurricane in US history.  1816

cent.Over seven days, Martin County climbed by 483 cases for 21.5 percent, St. Lucie County rose by 753 for 35.7 percent, Indian River County by 253 for 27.1 percent and Okeechobee County by 104 for 24.6 percent.Mortality rateThe mortality rate, which compares positive cases against deaths, has been trending down in the state.It is 1.6 percent in the state for all deaths and cases, including nonresidents, compared with 4.0 percent in the United States and 4.4 percent worldwide, which passed 571,000 deaths and passed 13 million cases Sunday.Florida has 198 deaths per 1 million people compared with the U.S. average of 416 per million. New York, which represents one-quarter of the deaths in the nation, has 1,666 per million. Worldwide, the figure is 73.3 per million.Age breakdownThe youngest deaths are two 11-year-olds: a boy in Miami-Dade and a girl in Broward, who are the only two in the 5-14 age class.There are 12 deaths in the 15-24 class, including a 20-year-old male and two 22-year-old females from Broward (one was listed Sunday), a 16-year-old girl from Lee, a 17-year-old boy from Pasco County and a 22-year-old woman from Palm Beach County.Twenty-four people from 25 to 34 also have died from the virus.The oldest is a 108-year-old women from Miami-Dade. A total of 1,489 people 85 and older have died in the state from the virus, an increase of 11 in one day.Ninety-two percent of the fatalities are 55 and older and 63 percent 75 and older. A smaller percentage of older people have tested positive – 26 percent age 55 and older and 7 percent 75 and older.At the other end of the age spectrum, there are 4,211 cases of infants to 4 years old, an increase of 176, and 91` were hospitalized, which is an increase of `1 in one day. In all, there were 1,182 cases of children under 1. From ages 5-14, there are 9,026, an increase of 462 with 69 in the hospital at one time, a rise of 2.From the infant to 54 age group, 195,921 of the 266,119 residents have tested positive. But in that group, 301 have died, an increase of 4, for a 0.15 death percentage.From infant to 65, there are 228,733 cases. A total of 699 have died, an increase of 6, for a 0.31 percentage.CitiesWest Palm Beach is in first place among Palm Beach County cities with 5,040, an increase of 311. Lake Worth, which includes the city and county portion, rose 104 to 4,001, followed by Boynton Beach at 1,828 from 1,742, Boca Raton at 2,511, up from 2,336, Delray Beach at 1,376 from 1,284. A total of 397 in the county not designated by a city.Port St. Lucie leads the Treasure Coast with 1,805, an increase of 71, followed by Stuart with 1,354 vs. 1,325.In Indian River County, Fellsmere, which has a population of 5,754, increased by 2 to 249, compared with only 3 on May 31.HospitalizationsA total of 18,271 people in the state have been hospitalized, a rise from 15,895 last Sunday. That means it is a running total and includes people who have been released or died.Long-term careNearly half of the deaths, 2,100, are residents and staff of long-term care. The state increase was 18 and in Palm Beach County it was 3.NationalFlorida's 45 deaths Sunday were second-most in the nation behind 86 in Arizona, which is in 16th place overall.Florida, which is the third-most-populous state, is in ninth place, 106 behind No. 8 Connecticut, which reported no data Sunday.Since the first death was reported on Feb. 29, the nationwide death toll has risen to 137,782, including an increase of 380 Sunday after 731 Saturday.The last time deaths were more than 1,000 was June 9 with 1,105. Johns Hopkins reports 135,190.Cases reached 3,413,995, with an increase of 58,349. Cases passed 70,000 Friday.California had the second-most cases with 8,460 and Texas was third with 8,196.Last Sunday in the U.S., there were 262 more deaths and 45,931 more cases.The one week U.S. death increase was 4,801 at 3.6 percent.New York has the most deaths in the nation with 32,403, including 11 more Sunday after a high of 799 in April. Its percentage share has been decreasing for weeks to 23.5 percent.Among other states in the top 10: No. 2 New Jersey with 11, No. 3 Massachusetts 15, No. 4 Illinois 19, No. 5 California 25, No. 6 Pennsylvania 5, No. 7 Michigan 1 and No. 10 Louisiana 13.No. 14 Georgia added 5 and Washington, which was the original epicenter in the United States, is in 21th place, with no reported deaths for two days in a row but 615 cases.WorldwideThe U.S. represented 9.6 percent of the 3,956 additional deaths Sunday – and 24.1 percent of the world total though its population is only 4.3 percent of the global total. The one week world death increase was 34,449 at 6.4 percent.The additional death toll last Saturday was 5,015.Cases increased by 194,677 after a record 236,918 Friday.Brazil, which is second behind the United States for deaths, reported a world-high 659 deaths after 968 Saturday for a total of 72,151. The record is 1,492 on June 4. Brazil added 25,364 cases after a record 55,209 one week ago Friday. The South American nation has a total of 1,866,176 cases – more than half as many as No. 1 U.S.Mexico reported 276 more deaths late Sunday compared with 539 the day before and high of 1,092 on June 4, to move past Italy by 52 deaths into fourth place with 35,006. In addition, there were 4,482 cases, behind the record 7,280 Thursday.India added 500 deaths after 543 Saturday to rise to 23,187 in eighth place. The Asian nation also reported a record 29,108 cases, beating the record of 27,761 two days ago for a third-place total of 879,466, behind the U.S. and Brazil.Four European nations are in the top 10. The United Kingdom's deaths increased from 43 to 21 for third place with 44,819, which is behind the United States and Brazil. The high was 1,172.Italy, which at one time was the world's epicenter and reached 919 in one day, reported 9 deaths, among the lowest since the pandemic. No. 6 France and No. 7 Spain didn't report any data this weekend.Germany, which at one time was in the top 10 and now is in 13th place, reported no deaths for the first time since the pandemic.Also in the top 10, No. 9 Iran reported 194 after a record 221 Thursday. No. 10 Peru had 188.Russia is in fourth place in the world in cases with 727,162, including an additional 6,615. The nation gained 130 deaths for 11th place.No. 14 Canada added 10 deaths for a total of 8,783 and well as 243 cases.Sweden, which has been doing "herd immunity, reported no data this weekend after 11 deaths Friday for a total of 5,526 in 17th and 163 cases. Neighboring Norway, which had a lockdown, reported no deaths for the third day in a row to stay at 252 as well as 3 more cases.No. 22 China, the original epicenter of the world, hasn’t reported a death since April 26 and added 8 cases Monday.This story originally reported by Allen Cone on WPTV.com. 9951

Wildfires continue to rip through the Western United States, destroying homes, businesses, and parks.“We know that they can get exponentially large very quickly,” James Marugg, division chief for San Miguel Fire and Rescue in California, said.Those on the front lines like Marugg say each year, the blazes seem to get more destructive.“Prevention is key and it’s defensible space, and the extra few minutes that defensible space gives us to be able to set up a perimeter, be able to get in and make the difference for someone's home," Marugg said.Defensible space is the area closest to a building, which is cleared of vegetation to help slow the spread of the flames.“Defensible space equals time,” Marugg said. Now, firefighters out west are getting some much-needed assistance in getting rid of some of that vegetation, from a team that’s hungry to help."Fifteen years ago, I’d say people need to wake up,” said Johnny Gonzales, the field operations manager for Environmental Land Management.Gonzales showed us a herd of almost 300 goats. It's not a petting zoo, but a work zone. “I see it as a work zone,” he said. “They’re coming in here and eating what we consider flash fuels. And that's basically broadleaf weeds, grasses, brush.”It's all that stuff you can see in between the trees in a field. The difference between before and after is noticeable.“Our goal is to bring back nature into the equation of fire control,” Gonzales said. “We’re not raising these goats to go to the market. These goats are true urban foresters if you will.”Hundreds of goats, right near the road and adjacent to homes.“Goats, depending on the time of year, can eat about 7 to 12 percent of their body weight,” Gonzales said. On this current project next to Cuyamaca College, the goats are getting through about an acre a day.“Our college actually sits on 165 acres of wildlife, and yet, you can see it’s completely overgrown. There’s non-native dry brush, and just a few weeks ago before the goats were here, we actually had a fire on campus,” Nicole Salgado, interim vice president of administrative services at Cuyamaca College, explained. “It poses a risk not only to our college but the surrounding community.”Hiring the goats just made sense for them, cost-wise.“To have the goats here, it’s 30 percent less than that of a human crew,” Salgado said.“You're as safe as your neighbor, and then it turns into you’re as safe as the block and your community. We’re now a whole state that's in need of fire fuel mitigation,” Gonzales explained.It helps out firefighters when it comes time to put out flames. Less dry brush means slower spread of flames.“You harden your house to keep a burglar from coming in, you need to do the same with wildfire. You need to look at it and think what are my vulnerabilities,” Marugg said.There’s also another trend he said is impacting the number of homes we lose to fire.“There’s more houses in the woodland area and we have to respond to them quicker, otherwise we lose more homes,” Marugg said.“Each year, the limits for the development lines still get higher and higher. More homes are being built in the mountains, Essam Heggy, a research scientist at the University of Southern California, said.“Our visual understanding of the environment we’ve been living in, in many places have been [associated] to the malls we visit and not to the environment that’s surrounding us. This disbelief in the complexity of our environment is the main driver of these hazards."As we near the end of wildfire season, Gonzales and his herders continue to clear up the spaces they can year-round, in a sustainable way.“I see this in the future becoming as common as trash pick up,” Gonzales said. “They really may be historically, and in the future, one of the greatest things of all time for fire fuel mitigation.” 3832

Why are stocks falling again? President Donald Trump says it's because Democrats are gearing up to use their impending control of the House of Representatives to investigate him. As always, when it comes to the markets, the real answer is complicated.The Dow fell by more than 600 points on Monday, dragged down by investors' concerns about the tech sector and the rising dollar. The Nasdaq fell 2% and the broader S&P 500 fell 1.2%.Apple (AAPL) fell 5% after supplier Lumentum cut its earnings and sales forecast because of weak demand, and JPMorgan cut its target price on Apple's stock. That weighed on other technology stocks, including Amazon (AMZN) and Tesla (TSLA) -- down 4% -- as well as Facebook, which fell 3%. Google (GOOGL), Netflix (NFLX) and Microsoft (MSFT) were all down more than 2%.The strong dollar also weighed on stocks. The US currency surged to a 16-month high because investors fear the European economy could stall if no Brexit deal is reached this week. Prospects of another rate hike from the Fed next month have also helped lift the dollar. The rising dollar is a signal of a strong economy, but it hurts sales and profits for American companies that do business overseas.Though Trump blamed Democrats for the drop, the Dow had actually bounced back since the midterms, rising last week in its best showing since March. Wall Street tends to like stagnation in Washington, so investors are actually just fine with Democrats taking the House.As for what Trump termed the "prospect of presidential harassment," there is not much evidence the stock market will bat an eye if Democratic leaders in the House begin investigations into the Trump administration. Stocks rose before, during and after President Bill Clinton's impeachment. 1800

WINTER HAVEN, Fla. — The Polk County Sheriff's Office is conducting a death investigation after an Uber driver shot and killed a man early Tuesday morning.During a news conference, Sheriff Grady Judd said that a bartender and patron at the Grove Lounge on US Hwy 27 in Dundee called for an Uber when they realized a young woman was in no condition to drive.As they waited for the Uber to arrive, the patron, Jessica, and her boyfriend, 34-year-old Jason Boek, were texting back and forth about him picking her up from the bar. When he refused, Jessica told him that she had found a ride and didn't need him to pick her up; in which he later replied after arguing with her:"I'm going to f***ing beat the f*** out of the Uber driver"Once the Uber driver, 38-year-old Robert Westlake, arrived at the bar Jessica put the intoxicated young woman in the car. Boek began following the Hyundai Elantra .thinking Jessica was inside.As the two continued on Dundee Road, Boek approached Westlake's Hyundai from behind and then abruptly passed and pulled in front of it.After jumping out of his F-250 pickup truck and approaching Westlake he yelled:"You know I have a pistol? Want me to shoot you?"Westlake, who is a concealed weapon permit holder and just finished police academy, reached into the pocket of the driver door, retrieved a handgun and shot Boek once in the chest. He then called 911 and spoke in "police lingo" and told them he had shot a man after he had threatened him. He also began lifesaving measures.Dashcam video shows moments leading up to shooting 1642

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