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The Centers for Disease Control and Prevention is investigating a multi-state outbreak of campylobacter infections linked to contact with puppies sold through Petland, a national pet store chain.Campylobacteriosis, a common bacterial infection, can cause diarrhea, abdominal pain and fever, according to the CDC.As of Sept. 11, a total of 39 people have fallen ill in seven states, including 11 cases in Florida, five in Kansas, one in Missouri, 18 in Ohio, two in Pennsylvania, one in Tennessee and one in Wisconsin. There have been nine hospitalizations and no deaths reported. The first case within this outbreak occurred on September 15, 2016.Symptoms, which typically begin within two to five days after contact with the bacteria, last around a week, though some people don't experience any signs of illness.While many cases go unreported, about 14 cases for every 100,000 people are diagnosed each year in the United States, according to the CDC. Overall, campylobacteriosis -- which occurs much more frequently in the summer months than in the winter -- is estimated to affect over 1.3 million persons every year.Almost every patient recovers within five days without treatment, though drinking extra fluids is recommended. In rare cases, an infection can lead to complications, including paralysis and even death.People with weakened immune systems, such as infants, the elderly and people with cancer or other severe illnesses, are most at risk for a serious infection.People sickened in the current outbreak range in age from younger than 1 year to 64 years old.Most -- 28 of the 39 -- are female and 12 are Petland employees. Of the total, 27 either recently purchased a puppy at Petland, visited a Petland, or visited or live in a home with a puppy sold through Petland."The CDC has not identified any failures of Petland's operating system that would lead to any campylobacter infection," Elizabeth Kunzelman, a spokeswoman for the company, said in an email. "Last week the CDC advised Petland to 'continue to do what we are already doing' and to continue to educate customers and staff to sanitize their hands after handling our puppies."The CDC noted that no matter where a puppy comes from, it may carry a campylobacter infection. Petland is cooperating with the investigation, the government agency said.Kunzelman added that Petland has many sanitation stations in each store and has strict kennel sanitation procedures and protocols put in place by consulting veterinarians."Our extensive health warranty protects both our pets and our customers from bacterial, viral and congenital issues," she said.Most people become infected with campylobacteriosis through eating raw or undercooked poultry. Most infections are singular and not part of an outbreak.By contrast, outbreaks of campylobacteriosis are often linked to unpasteurized dairy products, contaminated water, poultry and produce. Sometimes, though, people get sick after coming into contact with the stool of an ill dog or cat.To avoid contamination from your pet, CDC recommends you wash your hands thoroughly after touching dogs, their poop, or their food. Extra care is needed so that children playing with puppies also wash their hands carefully. Pick up and dispose dog poop carefully, especially in areas where children might play. Finally, you need to contact your veterinarian if you see signs of illness in your puppy or dog.While puppies and dogs with a campylobacter infection might have diarrhea, vomiting, or a fever, just like humans, they also sometimes show no signs of illness.The investigation is ongoing, according to the CDC, which is working with the US Department of Agriculture's Animal and Plant Inspection Service, and several health departments. 3761

The country's top infectious disease doctor is warning we are in a critical weekend for coronavirus cases."We don't want to see a repeat of the surges that we have seen following of the holiday weekends,” said Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases.There were surges after Memorial Day and Fourth of July due in part to large social and family gatherings. Labor Day has the potential to be the same.“One of the things I think vie seen people make a mistake with is they fool themselves about these pandemic pods, like its OK for me to be around this other family and we'll both be safe, and then it will be OK, we'll be like a household, but what many people don’t realize is all these pods are basically interconnected,” said Dr. Dean Blumberg, Chief of Pediactric Infectious Diseases at UC Davis Children’s Hospital. “Very few people actually do that and limit the interaction.”Another reason people get complacent with social distancing and mask wearing is because the people they are around look and act healthy. But infectious disease experts remind us two thirds of transmission of the virus are from people who have no symptoms.Blumberg says he's also seen outdoor gatherings start off with good intentions.“You start off 6 feet distanced, but when you're having a good time, people just naturally forget, and it’s really with the larger social gatherings that this is more of a risk,” said Blumberg.The other big concern with Labor Day gatherings is having virus surges headed into fall and winter. That's when infectious disease doctors say coronaviruses tend to spread the most and when flu season starts to ramp up.Also, with school back in session, there's the risk of shutting down or delaying opening in-person learning, depending on how people handle Labor Day. 1834

The FDA warned the public on Thursday to not use hand sanitizers packaged in containers that may appear as food or drinks and may put consumers at risk of serious injury or death if ingested.The FDA said that some products are being packaged in items such as water bottles and food pouches, and may contain flavors such as chocolate or raspberry. The FDA said that ingesting alcohol-based hand sanitizers can cause significant cardiac injury, including death.The FDA said that one consumer bought a plastic bottle of hand sanitizer thinking it was water.“Drinking only a small amount of hand sanitizer is potentially lethal to a young child, who may be attracted by a pleasant smell or brightly colored bottle of hand sanitizer,” the FDA said.“I am increasingly concerned about hand sanitizer being packaged to appear to be consumable products, such as baby food or beverages. These products could confuse consumers into accidentally ingesting a potentially deadly product. It’s dangerous to add scents with food flavors to hand sanitizers which children could think smells like food, eat and get alcohol poisoning,” said FDA Commissioner Stephen M. Hahn, M.D. “Manufacturers should be vigilant about packaging and marketing their hand sanitizers in food or drink packages in an effort to mitigate any potential inadvertent use by consumers.“The FDA continues to monitor these products and we’ll take appropriate actions as needed to protect the health of Americans.” 1475

The coronavirus pandemic has had a significant impact on pets.More than 4 million dogs, cats and other animals in the U.S. could be living in poverty with owners in the next 6 months, according to the American Society for the Prevention of Cruelty to Animals (ASPCA).If the national unemployment rate stays around 10%, more than 24 million pets could be in poverty. That's a 21% increase compared to February, before the pandemic.Pet food and veterinary care can be expensive. The ASPCA says a lack of affordable vet care and limited access to spay and neuter service are reasons driving people to give up their pets.RedRover is helping people afford care. They're seeing a 24% increase in urgent care grant applications compared to last year. The average amount of money they give out is 0.“It’s a very small amount of money, but what we've found is it really is that stopgap between helping them start service with start care with a veterinarian so you know just having a little bit to get going,” said Nicole Forsyth, President and CEO of RedRover.Your pet has to have a diagnosis before you can apply for a grant at RedRover.org. If you don't qualify, they'll help connect you with other resources.“When they talk to our case managers on the phone, the sense of relief and the sense also that it's OK for them to spend this money on their pets,” said Forsyth. “I think sometimes they're hearing messages from their friends and family like you know, ‘it's just an animal,’ you know, ‘why would you spend that kind of money.’ And so, having someone to talk to who understands.”The Humane Society has more resources on its website to find pet financial aid and discounted vet care close by. 1702

The demand for mail-in ballots is surging. Election workers need training. And polling booths might have to be outfitted with protective shields during the COVID-19 pandemic.As officials prepare for the Nov. 3 election, one certainty is clear: It’s coming with a big price tag.“Election officials don’t have nearly the resources to make the preparations and changes they need to make to run an election in a pandemic,” said Wendy Weiser, head of the democracy program at the Brennan Center for Justice. “We are seeing this all over the place.”The pandemic has sent state and local officials scrambling to prepare for an election like few others, an extraordinary endeavor during a presidential contest, as virus cases continue to rise across much of the U.S.COVID-related worries are bringing demands for steps to make sure elections that are just four months away are safe. But long-promised federal aid to help cash-starved states cope is stalled on Capitol Hill.The money would help pay for transforming the age-old voting process into a pandemic-ready system. Central to that is the costs for printing mail-in ballots and postage. There are also costs to ensure in-person voting is safe with personal protective equipment, or PPE, for poll workers, who tend to be older and more at risk of getting sick from the virus, and training for new workers. Pricey machines are needed to quickly count the vote.Complicating matters is President Donald Trump’s aversion to mail-in balloting. With worrisome regularity, he derides the process as rigged, even though there’s no evidence of fraud and his own reelection team is adapting to the new reality of widespread mail-in voting.“As cases of coronavirus in this country rise, it’s vital that all voters be able to cast their ballots from home, to cast their ballots by mail,” said Sen. Amy Klobuchar, D-Minn.A huge COVID response bill passed by the House in May contains a whopping .6 billion to help states with their elections, but the Senate won’t turn to the measure until late July. Republicans fought a 0 million installment of election aid this March before agreeing to it.But key Senate Republicans seem likely to support more election funding, despite Trump’s opposition, and are even offering to lower a requirement that states put up “matching” funds to qualify for the federal cash.“I’m prepared not only to look at more money for the states to use as they see fit for elections this year, but also to even consider whatever kind of matching requirement we have,” said Roy Blunt, R-Mo., chairman of the Senate panel with responsibility for the issue. “We can continue to work toward an election that produces a result that people have confidence in and done in a way that everybody that wants to vote, gets to vote.”The pandemic erupted this spring in the middle of state primaries, forcing many officials to delay their elections by days, weeks and even months. They had to deal with a wave of poll worker cancellations, polling place changes and an explosion of absentee ballots.Voting rights groups are particularly concerned with the consolidations of polling places that contributed to long lines in Milwaukee, Atlanta and Las Vegas. They fear a repeat in November.As negotiations on the next COVID relief bill begin on Capitol Hill, the final figure for elections is sure to end up much less than the .6 billion envisioned by the House. That figure followed the recommendations of the Brennan Center to prepare for an influx of absentee ballots while providing more early voting options and protecting neighborhood polling places.Even before the pandemic, election offices typically work under tight budgets. Iowa Secretary of State Paul D. Pate, who serves as president of the National Association of Secretaries of State, said the group has been calling on the federal government to provide a steady source of funds, particularly to help address ongoing costs of protecting the nation’s election systems from cyberthreats.For Georgia’s primary last month, election officials spent .1 million of the roughly .9 million the state has received in federal funds. The money was used to send absentee ballot applications to 6.9 million active registered voters and print absentee ballots for county election offices. Some of it also was used to purchase PPE and secure drop-off boxes for counties.Meanwhile, the state elections division has seen a ,000 reduction for the current budget year as Georgia — like the rest of the nation — deals with a decline in revenues due to the pandemic.The state’s remaining federal funds will be used to help cover the costs of developing an online system for voters to request absentee ballots, a less expensive option than sending ballot applications to every voter, and exploring whether installing plexiglass dividers around voting machines could allow more voters in a polling place at one time.In Colorado, which is already a universal vote-by-mail state, the Denver election office has had to reduce its budget by 7.5%, which amounts to nearly 0,000. Jocelyn Bucaro, Denver’s elections director, said the federal funds sent earlier this year helped with purchasing PPE and other pandemic-related supplies.Iowa similarly spent its federal dollars on mail-in ballots and pandemic supplies, Pate said.Vote-by-mail veterans and vendors of the equipment, software, ballots and envelopes that will be needed in November say the window to buy them is quickly closing.“Right now, what I’m seeing in most places is just this kind of indecision. What are we supposed to be planning? Vote by mail or in-person or combination?” said Jeff Ellington, president of Runbeck Election Services, which prints ballots and the special envelopes used to mail them and also supplies high-volume envelope sorters.“Decisions just need to be made so people can start to put a plan into place,” he said.BlueCrest, a Pitney Bowes spinoff, sells high-volume sorting machines that handle up to 50,000 ballot envelopes per hour. That’s the kind of crunch big counties can expect to face on Nov. 3 in states including Wisconsin and Pennsylvania, where Rick Becerra, a vice president at the company, said he’s been talking to officials. The machines average 5,000 each.“I tell them the time is now,” he said.___Cassidy reported from Atlanta. Associated Press writer Frank Bajak in Boston contributed to this report. 6414