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Residents were urged to shelter in place for several hours after an explosion and fire broke out Wednesday at a massive ExxonMobil plant in Texas, injuring 66 people, officials said.The injuries were non-life threatening, plant manager Jason Duncan told reporters. Most involved minor, first-degree-type burns, with the victims treated at a local clinic, he said. Most were ExxonMobil employees or contractors.City officials said via Twitter Wednesday afternoon that the shelter-in-place advisory had been lifted after monitoring failed to detect "any levels of concern" in the air. The fire had been contained by the evening."We realize the people who live here in Baytown and our surrounding communities are worried," Baytown spokeswoman Natasha Barrett told reporters. "We understand that and we've been working hour after hour to check on things, to monitor air quality."The fire occurred at the company's Baytown Olefins Plant, ExxonMobil spokeswoman Sarah Nordin said. The company website describes the complex as one of the largest refining and petrochemical complexes in the world. It's located about 25 miles east of Houston.Barrett said the fire began about 11:07 a.m. local time and the precautionary shelter-in-place was issued about 10 minutes later.The blaze is in a unit that contains polypropylene material and Exxon asked that the shelter-in-place order be issued west of the plant and south of the Texas Spur 330 freeway "out of an abundance of caution," the city of Baytown said via Twitter.Duncan said the fire broke out at a polypropylene recovery unit, where the plastic is purified for production. He said crews were working to shut down the units to isolate the fire source.Duncan said the company is conducting air quality monitoring at the site and fence line, and cooperating with regulatory agencies. He said no adverse environmental effects had been detected.Barrett said city and county officials were also monitoring the air.The cause of the explosion is unknown, he said. 2015

San Francisco will become the first US city to effectively ban e-cigarette sales, after the city's board of supervisors voted in favor of an 153

Southwest Airlines says that its "systems are performing normally" after a computer issue briefly grounded flights on Friday morning. 145

TAMPA, Fla. — While spring breakers head to beach communities, some Florida cities are enacting extra measures amid coronavirus concerns. In some areas of Fort Lauderdale, public beaches are closing daily at 4:30 p.m. and bars and restaurants must close before 10 p.m. Miami Beach reportedly enacted similar measures with an 11 p.m. curfew for bars and restaurants, as well as 4:30 p.m. beach closures, including on South Beach. Other states are closing bars and limiting restaurants to take-out only. Florida Governor Ron Desantis praised city leaders for the move and said he'd like to see other beach communities implement the same measures. "I think it’s important that these social distancing measures are implemented so that we are able to prevent infections from running completely out of hand," he said during a news conference Sunday. The concerns surrounding the virus didn't keep people away from Clearwater Beach over the weekend and on Monday, though. "I have auto immune diseases and I am a senior. But I really think as long as I’m very safe and I wash my hands constantly, I will be safe and my family will be safe," said Tricia Wood. Clearwater leaders met Monday to discuss the idea of adding curfews to the beach or closing the sand, but they did not come to a final decision. City leaders plan to discuss with county and state leaders and could make a final decision at Thursday's upcoming city council meeting. Meanwhile, the governor's office reported Visit Florida is re-evaluating tourism promotion messages and developing long term strategies to keep Florida in mind for potential future travelers. 1636

Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639