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Sen. Rand Paul will return to the Senate on Monday after being seriously injured at his home in an alleged attack by his neighbor earlier this month."Kelley and I want to thank everyone once again for your thoughts and prayers for my recovery," he tweeted Monday morning. "While I'm still in a good deal of pain, I will be returning to work in the Senate today, ready to fight for liberty and help move forward with tax cuts in the coming days and weeks."The Kentucky Republican suffered six broken ribs after the November 3 incident with Rene Boucher, his neighbor of 17 years. Boucher pleaded not guilty Thursday to misdemeanor fourth degree assault charges. While initial reports suggested the two men were disputing over lawn issues, the senator tweeted articles last week questioning those explanations.And his senior adviser Doug Stafford said the two men hadn't talked in years prior to the attack. "This was not a 'fight,' it was a blindside, violent attack by a disturbed person," Stafford said in a statement. "Anyone claiming otherwise is simply uninformed or seeking media attention."The Senate is expected to hold two votes Monday evening related to administration nominations. Paul is also considered a critical vote on the tax reform bill, which will be marked up in the Senate finance committee this week.  1338

ST. PETERSBURG, Fla. (AP) — Florida shattered the national record Sunday for the largest single-day increase in positive coronavirus cases in any state since the beginning of the pandemic, adding more than 15,000 cases as its daily average death toll continued to also rise.According to state Department of Health statistics, 15,299 people tested positive, for a total of 269,811 cases, and 45 deaths were recorded.California had the previous record of daily positive cases — 11,694, set on Wednesday. New York had 11,571 on April 15.The numbers come at the end of a grim, record-breaking week as Florida reported 514 fatalities — an average of 73 per day. Three weeks ago, the state was averaging 30 deaths per day. Since the pandemic began in March, 4,346 people have died in Florida of COVID-19, the state says.Testing has doubled over the last month, going from about 25,000 tests per day to almost 50,000, but the percentage of people testing positive has risen even more dramatically. A month ago, fewer than 5% of tests came up positive on a daily average. Over the past week, the daily average exceeded 19%.About 10.7% of Saturday’s 143,000 tests came up positive, with an average age of 38. “I still think we need to increase our testing a little bit more,” said University of Florida epidemiologist Dr. Cindy Prins, adding that the state and local health departments should ramp up their contact tracing.Prins said that she's still concerned about large crowds, gyms and some restaurants as being places of mass transmission. Reports of illegal clubs and raves in South Florida is also a worry, she said.“I really do think we could control this, and it’s the human element that is so critical. It should be an effort of our country. We should be pulling together when we’re in a crisis, and we’re definitely not doing it,” she said. “I know people want to live their lives. There have been a lot of other times, people have made those sacrifices in order to benefit our society. It’s almost like a war effort. That’s what we need right now.”Terry Shaw, AdventHealth’s president and CEO, said Sunday on CBS’ Face the Nation that the peak of COVID-19 hospitalizations in Florida will be “sometime in front of us in July."While on the program, he said that the health system, which has hospitals in nine states including 30 in Florida, has adequate PPE, a stockpile of ventilators and a clinical team that’s learned how to better treat the disease.“I give you an example. Our length of stay in our ICU for COVID patients has dropped in half. The number of people coming in to our hospital with COVID that need a ventilator, we’ve also been able to cut that in half. And because of those things, our death rate has also been cut in half" since the beginning of the pandemic,” he saidThe health system’s ICU capacities in Florida are currently running at about 85% to 90%. He said the system could turn some “progressive care units" into ICU units if needed.Hospitals in several counties have stopped doing elective surgeries. HCA West Florida have ceased inpatient elective procedures at hospitals in Hillsborough, Pinellas and six other nearby counties, said an HCA spokeswoman on Sunday. Florida ceased elective surgeries statewide from March until early May in order to free up beds, and to reserve personal protective equipment for health care workers caring for COVID-19 patients.Miami-Dade, Broward, and Palm Beach are the top three counties for hospitalizations, with 3,232 people hospitalized — 42 percent of the 7,542 people in hospitals statewide for coronavirus.Miami-Dade County Mayor Carlos Gimenez told CNN on Sunday that his county's hospitals will soon reach capacity, but he said more beds can be added, including for intensive care.“We still have capacity, but it does cause me a lot of concern,” he said.Throughout May and into June, the state reopened much of its economy with some restrictions — and the number of positive cases began rising, but it wasn't until the last week that the daily death total began rising, too.Because of the increase in cases and the positivity rate, doctors have predicted a rise in deaths, saying the mortality rate usually increases two to four weeks later as some of those infected get sicker and eventually die. Health experts are concerned that people are gathering in crowds, and have expressed concern that the Republican National Convention's nomination party for President Donald Trump will be held in Jacksonville in August.On Saturday, the Magic Kingdom and Animal Kingdom reopened at Walt Disney World in Orlando, concerning health experts who urge people not to gather in groups. Guests at the park said that people were wearing masks and social distancing, and videos showed near-empty parks.Florida Gov. Ron DeSantis said that even with the rising rates, he still wants the schools to reopen as scheduled next month, saying children have not proven to be vectors for the disease in states and countries where campuses are open. He said while each county will have to come up with procedures, depending on their local infection rate, not opening the schools would exacerbate the achievement gap between high- and low-performing students.“We know there are huge, huge costs for not providing the availability of in-person schooling,” he said. “The risk of corona, fortunately, for students is incredibly low.”Helen Ferre, a spokeswoman for DeSantis, said Sunday that the state has tested more than 2.4 million people for COVID-19.Ferre said the important statistic isn’t the raw number of positives, but the percentage — on Sunday, it was just over 11%, about 8 percentage points lower than the weekly average.“The more people who get tested and are proportionately reporting negative for this virus is meaningful,” she wrote in an email to The Associated Press.Meanwhile, a commissioner for a county near Jacksonville is seriously ill with the virus, according to a posting by his daughter on Facebook.St. Johns County Commissioner Paul Waldron had recently voted against a county ordinance requiring masks, but not because he opposed them. He said he wanted more answers from county administrators about which masks are most effective and whether the county had enough for employees and visitors at government buildings. 6300

SHALLOTTE, N.C. (AP) -- A North Carolina man who won a million lottery prize in 2017 has been arrested on a murder charge in the killing of a woman whose body was found at a hotel.The Shallotte Police Department charged 52-year-old Michael Todd Hill of Leland, with murder after the body of 23-year-old Keonna Graham was found Monday in a hotel room in the Brunswick County town.WECT-TV reports that Hill won million from an Ultimate Millions scratch-off ticket in August 2017.A cousin of Graham described her as as a generous, loving and adventurous young woman who enjoyed hiking and bicycle rides. 616

SPRING VALLEY, Calif. (KGTV) — A construction worker was killed in an accident at Monte Vista High School hours after the topping out of the school's new multi-use facility. According to the San Diego County Sheriff's Department, the accident happened just before 2 p.m.Deputies say the 30-year-old man fell from a beam attached to a 30-foot platform. Deputies and emergency responders performed first aid on the construction worker, but he later died after being taken to the hospital. A second worker was also injured and taken to the hospital, but their condition is unknown at this time, according to the school district. CA-OSHA is investigating the incident and crisis counselors will be made available at the school Thursday. The Grossmont Union High School District released the following statement after the incident: 835

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

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