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Sparked by new records in California, Florida and Texas, Wednesday marks the most recorded coronavirus cases in a single day in the United States.Data compiled by Johns Hopkins University generally is not updated until the following morning, but official state-by-state data shows at least 37,000 new reported cases on Wednesday. That figure would make for the most cases reported in a single day, according to Johns Hopkins University data.The Atlantic’s COVID Tracking Project confirms a record of more than 38,000 US cases on Wednesday.The three largest US states set new records on Wednesday:California 7,149Florida 5,508Texas 5,489While Arizona did not set a new record on Wednesday, it did see a record for hospitalizations since the start of the pandemic.The reported cases is only a snapshot of the spread in the US, as there is a lag time between the onset of cases and when they’re reported to state departments of health.While President Donald Trump has suggested the rise in cases is due to an increase in testing, that alone does not explain the surge in cases in Florida, Texas and California.“Testing of course means finding cases, that is why we test,” said Dr. Ali Mokdad, Chief Strategy Officer for Population Health at the University of Washington. “But the increase in cases that we report is adjusted for testing and in many places we see a rise of cases due to increased spreading of the virus and not testing. We see a rise in Florida, California, and Texas that are true increases in cases. In other states, like NY, for example, they tested about 60K and now their % positive is coming down.”Tuesday marked the most recorded coronavirus cases in the US in nearly two months as cases dropped off in May amid stay at home orders. But with stay at home orders lifted throughout the US, cases have increased quickly. 1845
Smoke masks. Eye drops. No outdoor exercise. This is how Californians are trying to cope with wildfires choking the state, but experts say an increase in serious health problems may be almost inevitable for vulnerable residents as the disasters become more commonplace.Research suggests children, the elderly and those with existing health problems are most at risk.Short-term exposure to wildfire smoke can worsen existing asthma and lung disease, leading to emergency room treatment or hospitalization, studies have shown.Increases in doctor visits or hospital treatment for respiratory infections, bronchitis and pneumonia in otherwise healthy people also have been found during and after wildfires.RELATED: Missing-persons list tops 600 in Camp FireSome studies also have found increases in ER visits for heart attacks and strokes in people with existing heart disease on heavy smoke days during previous California wildfires, echoing research on potential risks from urban air pollution.For most healthy people, exposure to wildfire smoke is just an annoyance, causing burning eyes, scratchy throats or chest discomfort that all disappear when the smoke clears.But doctors, scientists and public health officials are concerned that the changing face of wildfires will pose a much broader health hazard."Wildfire season used to be June to late September. Now it seems to be happening all year round. We need to be adapting to that," Dr. Wayne Cascio, a U.S. Environmental Protection Agency cardiologist, said this week.In an overview published earlier this year, Cascio wrote that the increasing frequency of large wildland fires, urban expansion into wooded areas and an aging population are all increasing the number of people at risk for health problems from fires.Wood smoke contains some of the same toxic chemicals as urban air pollution, along with tiny particles of vapor and soot 30 times thinner than a human hair. These can infiltrate the bloodstream, potentially causing inflammation and blood vessel damage even in healthy people, research on urban air pollution has shown. Studies have linked heart attacks and cancer with long-term exposure to air pollution.Whether exposure to wildfire smoke carries the same risks is uncertain, and determining harm from smog versus wildfire smoke can be tricky, especially with wind-swept California wildfires spreading thick smoke hundreds of miles away into smoggy big cities."That is the big question," said Dr. John Balmes, a University of California, San Francisco, professor of medicine who studies air pollution."Very little is known about the long-term effects of wildfire smoke because it's hard to study populations years after a wildfire," Balmes said.Decreased lung function has been found in healthy firefighters during fire season. They tend to recover but federal legislation signed this year will establish a U.S. registry tracking firefighters and potential risks for various cancers, including lung cancer. Some previous studies suggested a risk.Balmes noted that increased lung cancer rates have been found in women in developing countries who spend every day cooking over wood fires.That kind of extreme exposure doesn't typically happen with wildfires, but experts worry about the kinds of health damage that may emerge for firefighters and residents with these blazes occurring so often.Whether that includes more cancer is unknown. "We're concerned about that," Balmes said.Regular folks breathing in all that smoke worry about the risks too.Smoke from the fire that decimated the Northern California city of Paradise darkened skies this week in San Francisco, nearly 200 miles southwest, and the air smelled "like you were camping," said Michael Northover, a contractor.He and his 14-year-old son have first-time sinus infections that Northover blames on the smoke."We're all kind of feeling it," Northover said.The smoke was so thick in San Francisco, the skyline was barely visible from across the Bay. The city's iconic open-air cable cars that are popular with tourists were pulled off the streets Thursday because of the bad air.An Environmental Protection Agency website said air quality in Sacramento was "hazardous" Thursday and San Francisco's was "very unhealthy." Many people walking around the cities wore face masks.Most schools in San Francisco, Sacramento, Oakland and Folsom said they would be closed Friday. At least six universities in Northern California canceled classes Thursday.At Chico State University, 11 miles (18 kilometers) from Paradise, ash fell this week and classes were canceled until after Thanksgiving."It's kind of freaky to see your whole town wearing air masks and trying to get out of smoke," said freshman Mason West, 18. "You can see the particles. Obviously, it's probably not good to be breathing that stuff in."West returned home this week to Santa Rosa, hard hit by last year's wine country fires, only to find it shrouded in smoke from the Paradise fire 100 miles (160 kilometers) away. West's family had to evacuate last year for a week, but their home was spared."It's as bad here as it was in Chico," West said. "It almost feels like you just can't get away from it."Smoke has been so thick in Santa Rosa that researchers postponed a door-to-door survey there for a study of health effects of last year's fire."We didn't feel we could justify our volunteer interns going knocking on doors when all the air quality alerts were saying stay indoors," said Irva Hertz-Picciotto, a public health researcher at the University of California, Davis. The study includes an online survey of households affected by last year's fire, with responses from about 6,000 people so far.Preliminary data show widespread respiratory problems, eye irritations, anxiety, depression and sleep problems around the time of the fire and months later."Conventional thinking is that these effects related to fires are transient. It's not entirely clear that's the case," Hertz-Picciotto said.Researchers also will be analyzing cord blood and placentas collected from a few dozen women who were pregnant during the fire, seeking evidence of stress markers or exposure to smoke chemicals.They hope to continue the study for years, seeking evidence of long-term physical and emotional harms to fire evacuees and their children.Other studies have linked emotional stress in pregnant women to developmental problems in their children and "this was quite a stress," Hertz-Picciotto said.It's a kind of stress that many people need to prepare for as the climate warms and wildfires proliferate, she said."Any of us could wake up tomorrow and lose everything we own," she said. "It's pretty scary."___Follow AP Medical Writer Lindsey Tanner at https://twitter.com/LindseyTanner . Her work can be found here .___The Associated Press Health & Science Department receives supportfrom the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content. 7036

Some first responders worry if current COVID-19 hospitalization numbers do not start falling, the general population looking for care might get turned away.Bed space in intensive care units is not available in several major metropolitan areas around the country, as more COVID-19 patients come in.Last week, 224 ICU beds in the Albuquerque, New Mexico were reported as occupied despite the availability of only 192 within hospitals that reported data to the U.S. Department of Health and Human Services.According to data from HHS, 1 in 3 Americans is living in an area where hospitals have less than 15 percent of available intensive care beds, and 1 in 10 Americans are in an area with less than 5 percent capacity.“It’s scary,” said Maria Pais, an RN Supervisor at University of New Mexico Health. “We’re scared.”Since March, Pais has been helping the hospital convert areas into ICU chambers so it can handle the influx of patients.“Social distance so we can get through this and so we can have the beds we need in this hospital to care for you and your family,” she said.“It takes a toll on everybody, because daily, as we come into work, we never know what we’re going to be doing,” added Patrick Baker, director of the hospital’s Rapid Response Team.“I don’t envy the providers who have to sit there and make the plans for if and when we have to determine who gets care and who doesn’t,” he said.Baker says surgery units have been converted into ICUs as UNMH has reached a point where emergency rooms are now seeing effects as well.“It’s not just affecting COVID patients,” said Baker. “COVID patients coming in is a big deal, but how would you feel if you had to go to the emergency room because you got in a car accident and you weren’t able to be seen?”And the issue is not just affecting people coming into these hospitals but the men and women tasked with keeping them running.“Staff to take care of the patients in the beds is more likely the limiting resource that we have,” said Barclay Berdan, CEO of Texas Health Resources, which oversees the Dallas-Fort Worth area. According to the newest numbers from the Department of Health and Human Services, 93 percent of ICU beds are occupied in the Dallas region, straining the limited number of nurses, doctors, and pharmacists who tend to them.Berdan says it means the need for more trained staff as well as the possibility of transferring patients to hospitals that might have more room, but might be out of the patient’s network.“Wear a mask, wash your hands frequently, stay out of crowds,” he said.It has led these first responders to repeat what we have heard so many times before in an effort to avoid a situation that is worse than the one we are currently in.“There’s a real possibility that you show up somewhere to get care if you get in that car accident, and they say, 'Sorry, we can’t help you,'” said Baker. 2890
Special counsel Robert Mueller is set to reveal the extent of Michael Flynn's cooperation and insights into the dealings of Russians with the Trump campaign and administration a year after the guilty plea from President Donald Trump's former national security adviser.In the court filing due by midnight Tuesday, Mueller's team could also nod toward the next criminal indictments in its sights.The special counsel's office is expected to describe the crimes Flynn committed that led to his plea and how he has helped the Russia probe this year. Flynn pleaded guilty to lying to federal investigators on December 1, 2017. The coming filing is meant to brief a federal judge before Flynn's sentencing.Similar filings before other Mueller defendants' sentencings -- former Trump campaign adviser George Papadopoulos, Dutch lawyer Alex Van der Zwaan and Internet salesman Richard Pinedo -- contained revelations about what each person did and knew connected to the Russians and members of the campaign. But none of those defendants cut a deal to cooperate with Mueller like Flynn did. Each earned prison time that ranged from 14 days to six months.Some of the details in Tuesday's filing could be described under seal, especially if parts of the investigation that Flynn contributed to are not yet public.Last December, Flynn became the first high-ranking Trump adviser to agree to formally cooperate with the special counsel's probe.Soon after his plea, attention turned to other Trump confidants and campaign and administration officials, including the President's son-in-law, Jared Kushner. The details revealed at his plea hearing raised the question of what Trump had known about Flynn's discussions with the Russian government.The fruits of what Flynn shared with investigators are not yet known. But he likely gave Mueller a window into not just the 2016 presidential campaign but also the new administration's dealings with Russians and reactions to the early days of the Russia investigation.Kushner has not been charged with a crime, nor have any others whom Flynn was outlined to have lied about. But inklings of what prosecutors learned from Flynn and who else on the campaign and transition may still have legal risks could come out in the filing Tuesday. 2272
SOLANA BEACH, Calif. (KGTV) - The FBI joined the case of a part-time San Diego resident and tourist found murdered on vacation in the Caribbean in October.Rick Kuhnla says his family was told Monday morning that the FBI entered into an agreement for a joint investigation into the murder of his mother Marie Kuhnla, 62.Nearly two months later, the grief is still raw."At work, I will be going through the day sometimes and it will hit me: I'm not going to see my mom again. It's almost like a panic. It's horrible," said Rick Kuhnla.In mid-October, Marie Kuhnla set off on a girls trip to a Club Med resort in Turks and Caicos with two friends and fellow public defenders in New York. A few days into their trip, Marie went to her room to take a nap and wasn't heard from again. Her body was discovered in bushes on the edge of the resort days later. Royal Turks and Caicos Island Police told her family she was strangled, but Kuhnla says they've relayed to them little else."We haven't been given an autopsy report ... that was completed two weeks after her body was discovered. We don't know the time of death," said Kuhnla.Also upsetting for Kuhnla: it took 34 days to ship her body back, despite initial promises it would only be a few days."Because of how it was embalmed, it decayed a lot," said Kuhnla.That prevented family from have their own autopsy conducted and even viewing her body."It was heartbreaking and feeling disrespected ... makes me feel distrusting of the investigation," said Kuhnla.Kuhnla said his family has had concerns from the beginning. He says on the first night his mother's friends noticed her missing, police declined to search because it was dark out. According to Kuhnla, his family is now more hopeful with the FBI joining the probe. "I feel good about the FBI's involvement. I just want answers. She spent her life fighting for justice for those who couldn't afford it themselves. She deserves every effort to be made to get justice for her," said Kuhnla.In a statement, a Royal Turks and Caicos Island Police spokesperson says the family has been given "updates regarding all relevant information" but declined to comment further. 10News also reached out to the FBI but haven't heard back. 2236
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