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ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) is warning parents to be on the lookout for symptoms of acute flaccid myelitis (AFM) in children.The public health agency said Tuesday that it anticipates that 2020 will be another peak year AFM, an uncommon but serious neurologic condition that affects mostly children.AFM can progress rapidly over the course of hours or days, leading to permanent paralysis and/or the life-threatening complication of respiratory failure in previously healthy patients, so it’s important to seek medical care as soon as possible.The disease has peaked every two years between August and November in the U.S. since 2014, when the nation experienced the first peak of 120 cases, according to the CDC. There were also peaks in 2016 and 2018.The third and largest peak of AFM occurred in 2018, with 238 cases in 42 states. Most cases were in children (94%) and most patients (86%) had AFM onset during August through November. Most patients had a fever and/or respiratory illness approximately six days before limb weakness onset. Other common early symptoms were difficulty walking, neck or back pain, fever, and limb pain.The CDC says parents and doctors should suspect AFM in patients with sudden limb weakness, especially during August through November. Recent respiratory illness or fever and the presence of neck or back pain or any neurologic symptom should heighten their concern.Experts say enteroviruses, particularly enterovirus-D68 (EV-D68), are likely responsible for these peaks in cases. EV-D68 is the most common virus identified among specimens collected from patients with AFM. However, other viruses can cause AFM and may also be contributing to the biennial peaks.Although AFM symptoms resemble those of polio, all specimens have tested negative for poliovirus.There is currently no specific test, proven treatment or prevention method for AFM.“As we head into these critical next months, CDC is taking necessary steps to help clinicians better recognize signs and symptoms of AFM in children,” said CDC Director Robert Redfield, M.D. “Recognition and early diagnosis are critical. CDC and public health partners have strengthened early disease detection systems, a vital step toward rapid treatment and rehabilitation for children with AFM.”AFM and COVID-19The CDC says AFM is a medical emergency and patients should seek immediate medical care, even in areas with high COVID-19 activity.It’s not known how the COVID-19 pandemic and the social distancing measures may affect the circulation of viruses that can cause AFM, or if COVID-19 will impact the health care system’s ability to promptly recognize and respond to AFM.There is one bright side. If social distancing measures decrease circulation of enteroviruses this year, AFM cases may be fewer than expected or the outbreak may be delayed.Learn more about AFM here. 2901

At a rally on Sunday, President Donald Trump said that he might fire Dr. Anthony Fauci, his administration's top infectious disease expert, shortly after Tuesday's election.At a rally in Opa-Locka, Florida on Sunday, supporters broke into a "Fire Fauci!" chant as Trump discussed the COVID-19 pandemic."Don't tell anyone, but let me wait 'til a little bit after the election," Trump said.The comments marked the first time that Trump has publicly indicated that he may fire Fauci, who has been the head of the National Institute for Allergies and Infectious Diseases since 1984.Fauci, a member of the White House's corornavirus task force, has consistently been the most plain-spoken Trump administration official when speaking about the challenges the country faces amid the pandemic.Trump has publicly criticized Fauci throughout the pandemic. In October, with COVID-19 cases on the rise, Trump tweeted an attack on Fauci. Days later, during a campaign call, Trump called Fauci a "disaster" and said he and other health experts were "idiots."Polling has shown that Americans consistently believe that they trust Fauci more than Trump when it comes to handling COVID-19.In the past, Fauci has implied that the White House has limited the number of media appearances he can make, and has also said an ad by the Trump campaign took him out of context. 1358

As many restaurants navigate reopening during the COVID-19 pandemic, some have had to close their doors for good. Many of the hardest hit are buffet-style restaurants as national and state agencies are trying their best to safely keep buffets operating."The toughest part of restaurants right now is if you’ve got a buffet, how do you provide that safely? And so what we’ve guided folks currently is that you can have a buffet but you have to have somebody serve you," says Rob Mortensen, President and CEO of Hospitality Tennessee. The group is working closely with the National Restaurant Association and government officials to provide guidelines for restaurants and hotels during the coronavirus pandemic."As I worked with [Tenn. Gov. Bill Lee] on guidance for restaurants and attractions, our biggest issues are around buffets and big sporting events where you have tens of thousands of people together, because it’s hard to reduce that contact," says Mortensen.Many people are used to being able to serve yourself at a buffet but experts are now advising buffet-style restaurants to instead have restaurant employees serve customers. Even hotels that normally offer a morning buffet are instead offering their guests breakfast to-go."I would say look at how you’re doing things. If it makes sense to serve people from the buffet I think for the next short bit that’s going to be the most challenging thing we’re going to address," says Mortensen.Recently, national chain Sweet Tomatoes, also known as Souplantation in Southern California, announced it's closing all 97 of its locations permanently due to COVID-19. In a statement on their website, Sweet Tomatoes thanked their 4,400 employees and their customers who have shown an outpouring of support for the salad bar and buffet since it first opened more than 40 years ago."That’s extremely sad and I would say, you know one of the things in my role watching this over the last four months as my wife has said I’ve probably aged 20 years, because it’s hard and you know the difference between keeping somebody safe and a business going under I mean the hardships there are on both sides," says Mortensen.Mortensen expects a real fundamental change in how buffets will operate for the foreseeable future, with many looking to reinvent themselves in order to stay open. 2335

Bad actors online are gearing up for the election.Experts with the cyber security company Check Point are warning that before, during and after Election Day, you could see clever campaigns to cast doubt on accuracy and results of the election.“You know, in contrast to previous elections, where it's been about very targeted looking to gain access to things, we really think from what we've seen from a research perspective is that it will be a larger attempt to create disruption versus anything else,” said Mark Ostrowski with Check Point.The software company is warning of a flood of memes on social media. They say the goal is to get so many going and people sharing them that algorithms and admins won’t be able to keep up with taking them down.The goal is to spread false information or create disruption.Check Point is sounding the alarm so people can educate themselves and not spread these.“We even have some of our researchers and instant response folks have even seen some evidence or some type of reliable information where regardless of who wins, there are certain mean themes that are going to be saying, hey, this, this is who the victor is regardless of what the actual results are to again to create this indecision To create this division,” said Ostrowski.Obviously, you can simply report an image on any social media site and only share credible sources on election information. 1405

AZUSA (CNS) - A homeless man suspected of intentionally starting the Ranch 2 Fire in Azusa surrendered to authorities Sunday, while firefighters endured another day battling the blaze amid scorching temperatures.The fire, which grew to 2,256 acres overnight, was just 7% contained Sunday.The man suspected of intentionally starting the fire, 36-year-old Osmin Palencia, was in custody at the Azusa Police Department jail. Police did not release further information except to say that the investigation was still active, and urged anyone with information about the fire's origin to call 626- 812-3200.On Saturday, police said Palencia was believed to have a connection to the Monrovia area and possibly a woman known as "Madonna Ortiz." They added he is violent and has multiple active arrest warrants.Palencia also had four misdemeanor arrests over the last two years, three by Azusa police and one by sheriff's deputies, according to jail records.Palencia's last known residence is an encampment in the Azusa Canyon Riverbed, police said.A witness who lives in a riverbed near Mountain Cove told NBC4 an argument between two homeless men sparked the fire."There were two gentlemen in the back (of a homeless encampment) fighting and they were arguing over a bike and one guy said he'd burn the other guy out, and things got escalated to where the fire started," evacuee Jimmy Pockets told the station. "Ran over to try to put it out but it just took off so quick."Firefighters said high temperatures, slope, aspect and winds "came into alignment" overnight, causing the fire to became very active at the bottom of Roberts Canyon and move upslope amid dense mixed-chaparral fuels, sending a large pyrocumulus cloud formation into the sky that could be seen throughout much of the Southland.Firefighting aircraft were grounded for the night Saturday due to a drone flying in the fire area that was spotted at 6 p.m. Officials noted that there is a temporary flight restriction in the vicinity, and flying drones there is illegal.All earlier evacuations orders have been lifted, but the following road closures remained in effect:San Gabriel Canyon Road/Highway 39: closed at Northbound Hwy 39 at Sierra Madre Avenue (southbound Highway 39 is closed at East Fork Road)Glendora Mountain Road: closed from Big Dalton to East ForkGlendora Ridge Road: closed from Glendora Mountain Road to Mt. Baldy RoadSanta Anita Canyon Road: closed from Arno Drive to Chantry Flats RoadThe Angeles National Forest changed its Forest Fire Danger Level from very high to extreme, and moved into full fire restrictions including prohibiting campfires in developed sites. Cooking stoves, lanterns and similar devices that use propane, white gas or similar fuels were prohibited.The Ranch 2 Fire was reported about 2:45 p.m. Thursday near North San Gabriel Canyon Road and North Ranch Road, according to the Azusa Police Department and Los Angeles County Fire Department, which called in a second- alarm response.The number of personnel committed to fighting the blaze had reached 286 Sunday. 3076