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Milwaukee is seeing an unexpected spike in cases of HIV and other sexually transmitted diseases, according to health officials.There are high incidence rates in communities with larger vulnerable populations, including men who have sex with men, ethnic minorities, injection drug users and women, especially those who have been trafficked or who work in the sex trade, city Health Commissioner Dr. Patricia McManus said this week.Three Milwaukee children born with syphilis were identified in 2017, McManus said. "It rarely occurs," she said, and "the last known single case was in 2012." This "sentinel event" -- an unexpected and dramatic occurrence -- is a cause for concern, she said.Syphilis is the most serious bacterial STD. Left untreated, it can affect the brain, heart and other organs, ultimately leading to death.Angela Hagy, director of Disease Control and Environmental Health for the City of Milwaukee Health Department, reported the preliminary number of new diagnoses of sexually transmitted disease in 2017 for the Wisconsin city: 117 cases of HIV, 53 cases of syphilis, 4,401 cases of gonorrhea and 9,725 cases of chlamydia.The numbers represent a 13% increase in new cases of HIV compared with 2016, a 29% increase in syphilis, a 12% increase in gonorrhea and a 0.5% increase in chlamydia, according to Clarene Mitchell, a spokeswoman for the department of health.Gonorrhea and chlamydia are both bacterial infections. Gonorrhea can cause severe and permanent health problems, including long-term pain and infertility, and chlamydia can lead to pelvic inflammatory disease, which can affect fertility in women and cause testicular pain and swelling in men.For 2016, the Milwaukee metropolitan statistical area was already ranked first in the nation for gonorrhea and fourth for chlamydia, she said.The US Centers for Disease Control and Prevention, which is not involved in the Milwaukee investigation, reported the highest-ever number of sexually transmitted diseases in America in September in its annual Sexually Transmitted Disease Surveillance Report.Americans were infected with more than 2 million new cases of gonorrhea, syphilis and chlamydia in 2016, the most recent data available, the CDC reported.Syphilis has been out of the spotlight for decades, and many physicians don't have it on their radar, according to the CDC. It is also likely that many doctors have not been trained in STDs since medical school.Additionally, in recent years, more than half of state and local STD programs have experienced budget cuts, resulting in staff layoffs, reduced STD clinic hours and increased patient copays, according to the CDC, all of which could be contributing factors to the rise in STDs.Another concern in Milwaukee: Late last year, the city health department identified 76 connected people who tested positive for HIV, syphilis or both, Hagy reported. 2890

NAPLES, Fla. - Two people were killed after falling 70 feet when an elevator collapsed in Naples, Florida on Wednesday. Two construction workers were standing on a lift at Club Brittany of Park Shore, the Naples Fire Department said. They working on an outside elevator when the lift the construction workers were on collapsed and dropped 70 feet, they said. It has been confirmed both workers are dead. The elevator is attached to the side of the building and is typically used during renovations."This would be used after the building is completed, probably windows, railings, repairs and stucco," said David Mola, a contractor who lives near the accident.Mola says accidents involving these elevators are extremely rare.  Construction on condominiums along Gulfshore Boulevard have ramped up since season has ended."They're usually restricted, they usually have 6 months from now to late October to finish," said Mola.Officials from OSHA, the Occupational Safety and Health Administration arrived at the scene to investigate.The identity of the victims have not been released. 1107

Mitt Romney said in a video announcement Friday that he will run for the US Senate from Utah, setting out on a glide path to Washington where he will likely play a central role driving the direction of the fractious Republican Party."I have decided to run for United States Senate because I believe I can help bring Utah's values and Utah's lessons to Washington," he says in the clip.  399

Mira Ricardel barely lasted seven months as deputy national security adviser before First Lady Melania Trump issued an unprecedented call for her dismissal and President Donald Trump moved to fire her.In those few months on the job, Ricardel generated a long list of enemies and developed a reputation for shouting at subordinates, plotting against White House officials she disliked and leaking stories about her administration opponents to the press. One source familiar with the situation said Ricardel's firing is due in part to her "bullying" of aides both above and below her.Current and former colleagues of Ricardel paint a picture of a committed conservative and national security expert with a strong personality. One former colleague described her as someone who doesn't "suffer fools" or have a nuanced touch when it comes to navigating the shoals of internal politics. A White House official was blunter, describing the California native as ideologically driven and "obstinate".The former State Department and Pentagon official made enemies of heavyweights within the Trump administration, feuding with chief of staff John Kelly, his deputy Zach Fuentes, and locked horns with Defense Secretary James Mattis, according to people familiar with the White House intrigue.But her spat with the first lady's staff over Mrs. Trump's trip to Africa -- apparently over seating on the plane and the use of National Security Council resources -- seems to have earned her the enmity of the person who may wield the most weight with Trump: his wife.The President told people on Tuesday that he had made the decision to fire Ricardel, but that he was giving her time to clear her desk, making her the latest in a long list of high ranking officials who have left or been booted from the Trump administration.Ricardel did not return requests for comment.Ricardel was raised in Pasadena, the child of a Croatian immigrant and went on to study at Georgetown University's School of Foreign Service and then do doctoral work at Tufts University's Fletcher School of Law and Diplomacy. 2097

Nashville, Tennessee, is known for serving up entertainment and alcohol.“You’re thinking you’re coming here to see mountains, no,” said Reggie Small, general manager of Tailgate Brewery Music Row. “In Nashville, you’re eating and drinking and having a good time."Bartenders like Small are having a tough time making tips like they used to.“You’re used to that everyday paycheck, everyday money from your day shift to the end of the night,” he said. “But without having that, your savings are going to run out sooner or later.”When the COVID-19 crisis first hit, Small had to cut his staff to managers only. Fewer customers bellying up to the bar meant sales started to slip, not only in Nashville, but across the country.“It’s devastating everywhere,” said Aaron Gregory Smith of the United States Bartenders’ Guild. “And the hardest thing is just not knowing what is going to happen next week or next month.”Smith and his team recently started the Bartender Emergency Assistance Program COVID-19 Relief Campaign, giving away nearly .5 million to more than 32,00 bartenders across America.“We feel pretty good about getting money into hands of people who pretty much overnight lost their jobs, lost their income,” Smith said.The money comes from a combination of alcohol suppliers and individual donors. To get the money, bartenders needed to fill out an application and they’re selected based on need.That money, however, recently ran out. The US Bartenders’ Guild is now looking for more fundraising and government assistance.“It’s hard to watch a community, an industry that I’ve been part of going on 25 years now, going through the really most catastrophic shift that we’ve been through since prohibition,” Smith said.For bartenders like Small, he’s adjusting to keep his staff making money as the winter months move in and outdoor dining becomes less of an option.“Not having job security is really, really stressful on people,” he said. “I’ve seen it been a struggle for a lot of people in the profession just because of the everyday unknown.” 2060

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