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The U.S. surpassed 200,000 deaths linked to COVID-19 on Tuesday, according to a database kept by Johns Hopkins University.The deaths — all of which have occurred since February — out-total the number of Americans lost to World War I, the Korean War, the Vietnam War, the War in Afghanistan and the Iraq War combined.The 200,000 deaths are the most of any country around the world. Brazil currently ranks behind the U.S., with about 137,000 deaths.According to Johns Hopkins the U.S. also has among the highest COVID-19 mortality rates in the world. About 61 Americans per 100,000 have died of COVID-19. That ranks sixth in the world and in the company of countries like Spain (65.27) and Mexico (58.24)The U.S. also leads the world with 6.8 million confirmed cases of COVID-19. India (5.5 million), Brazil (4.5 million) and Russia (1.1 million) are the only other countries with at least 1 million confirmed cases of the virus.Johns Hopkins reports that daily confirmed cases of COVID-19 dropped throughout the month of August. However, case rates have ticked up throughout September, and top health experts like Dr. Anthony Fauci are bracing for a difficult winter.Earlier this month, Fauci warned that a wintertime surge could be possible as weather forces Americans indoors and cities begin relaxing COVID-19 lockdown restrictions. Health officials have warned that large indoor gatherings can result in COVID-19 superspreader events.The Institute for Health Metrics and Evaluation at the University of Washington — a model often used by the White House — currently projects that an additional 175,000 Americans will die of the virus by Jan. 1. That projection could drop to as little as 65,000 additional deaths with a universal mask mandate and could increase to as many as 225,000 additional deaths with easing restrictions. 1838

The World Health Organization is preparing for the "worst case scenario" as it continues to respond to the Ebola outbreak in the Democratic Republic of Congo.Peter Salama, deputy director-general of emergency preparedness and response at the WHO, said in Geneva, Switzerland, on Friday that it's "going to be tough and it's going to be costly to stamp out this outbreak."As of Wednesday, 32 people are suspected to have been infected with Ebola viral disease, including three health care workers. Eighteen of those have died, including one of the health care workers.Of the suspected cases, two have been confirmed as Ebola using laboratory tests, and 10 samples are awaiting results."The number of suspected, probable and confirmed cases is significant, so we are very concerned, and we are planning for all scenarios, including the worst-case scenario," Salama said.Ebola virus disease, which most commonly affects people and nonhuman primates such as monkeys, gorillas and chimpanzees, is caused by one of five Ebola viruses. On average, about 50% of people who become ill with Ebola die.The disease is endemic to the Democratic Republic of Congo, and this is the nation's ninth outbreak since the discovery of the virus in the country in 1976.The latest outbreak is occurring in the Bikoro health zone, 400 kilometers (about 250 miles) from Mbandaka, the capital of Equateur province.Bikoro health zone has a population of about 163,000, with three hospitals and 19 health centers, most with limited functionality, according to WHO.Given the remote location of the outbreak, Salama said, response efforts will be extremely challenging. "It is a dire scene in terms of infrastructure," he said."To give you a sense, we are talking about an area that is 280 kilometers even from the provincial capital of Equateur," he said.The WHO is working with authorities in Congo and is in discussions with the World Food Programme to arrange airlifting supplies to the affected areas. UNICEF is also making doctors available as well as sanitation and hygiene specialists to help contain the outbreak.The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission, either through direct contact with bodily fluids such as blood or secretions or contact with materials that are contaminated with these liquids.Personal protective equipment has been sent to the affected region, and the WHO is planning to have mobile laboratories running by the weekend, after receiving approval from the country's Ministry of Health.Initial control efforts are focusing on tools such as surveillance and monitoring, safe burials and case management.Vaccines along with doctors and epidemiologists are on standby in case they are needed, according to the UN.If they are needed, "WHO is in discussions with the government and, if pertinent, will seek approval from the national regulatory authority and the Ethics Review committee to use vaccines against Ebola as part of the response," spokesman Tarik Jasarevik said.The current vaccine against Ebola is experimental and not a licensed product. Salama pointed out that its use also comes with many challenges, as the vaccine needs to be stored long-term at temperatures between minus 60 to minus 80 degrees Celsius (minus 76 to minus 112 Fahrenheit)."This is not a simple logistical effort; it's not like doing a polio campaign with oral polio vaccines, where we get it immediately out to the field. This is a highly complex sophisticated operation in one of the most difficult terrains on Earth," Salama said.Nine neighboring countries are on high alert, Salama said, but the WHO says the current risk of disease spreading to them is low.West Africa experienced the largest recorded outbreak of Ebola over a two-year period beginning in March 2014; a total of 28,616 confirmed, probable and suspected cases were reported in Guinea, Liberia and Sierra Leone, with 11,310 deaths, according to the WHO.  3999

The White House National Security Council is ending the role of cyber coordinator, according to an internal announcement obtained by CNN on Tuesday.The internal announcement said the elimination of the cyber role, just weeks into the tenure of national security adviser John Bolton, was part of an effort to "streamline authority for National Security Council Senior Directors."The announcement said the cyber coordinator job would end as Rob Joyce, the latest to hold the post, returned to the National Security Agency."With our two Senior Directors for Cybersecurity, cyber coordination is already a core capability," the announcement read. "Eliminating another layer of bureaucracy delivers greater 'decision, activity, secrecy and despatch (sic)' as Alexander Hamilton put it in Federalist Number 70."The elimination of the cyber coordinator job marked the latest of several changes to the National Security Council since President Donald Trump named Bolton his national security adviser.CNN reported last month Bolton pushed out Tom Bossert as homeland security adviser to make room for his own team, as several other officials left the National Security Council, including deputy national security adviser Nadia Schadlow and Joyce, who served as Bossert's deputy.Politico?first reported?on the elimination of the post.Asked about the position at a Senate Homeland Security Committee hearing on Tuesday, Department of Homeland Security Secretary Kirstjen Nielsen said she had not discussed the decision with Bolton."I have not had a conversation with Ambassador Bolton about that particular issue," Nielsen told Michigan Democratic Sen. Gary Peters.Nielsen said DHS has "strengthened all of our relationships with the silos" in government that Peters mentioned in his question, and said she is in regular contact with Bolton on cybersecurity, the previous statement notwithstanding."Since Ambassador Bolton has come onto the job, he and I speak regularly," she said, describing cybersecurity strategy work between herself and Bolton as "hand in glove."She added the cybersecurity strategy released by her department on Tuesday was done in "close coordination" with NSC.During his first year in office, then-President Barack Obama?announced he was establishing the role of cybersecurity coordinator and warned at the time the nation needed to bolster its online security efforts.Mississippi Rep. Bennie G. Thompson, the top Democrat on the House Homeland Security Committee, issued a statement responding to the news and accusing Bolton of "wreaking havoc" on the NSC."With cyber threats ever-changing and growing more sophisticated by the day, there is no logical reason to eliminate this senior position and reduce the already degraded level of cyber expertise at the White House," the statement read.Democratic Rep. Jim Langevin, of Rhode Island, said Tuesday he feels the decision was the "first major step backward" on cybersecurity by the Trump administration. He added the Trump administration had mostly followed in the footsteps of the Obama administration before this move."Bad move, big mistake, and just shows how out of touch and uninformed John Bolton is," Langevin said. 3227

The sudden and abrupt breakdown of the US Postal Service has unfolded in recent days as Democrats call for a funding boost ahead of this year’s presidential election.On Friday, the USPS announced a temporary price increase in some services from Oct. 18 until Dec. 27. The rate hike affects commercial services, as retail services are not affected.Meanwhile, the USPS has been removing mailboxes and processing machines. The machines and mailboxes are being removed across the country, according to local reports from a number of Scripps stations.On Friday, CNN and the Washington Post reported that a number of states have received letters from the Postal Service warning that they might not have the ability to ensure ballots are sent and returned in a timely manner. The warning comes as more Americans are expected to utilize mail-in voting due to the coronavirus pandemic.“The Postal Service is asking election officials and voters to realistically consider how the mail works,” Martha Johnson, a spokeswoman for the USPS, said in a statement to the Washington Post.Despite requesting a mail-in ballot himself for next week’s Florida primary, President Donald Trump has tried to sow doubt in recent weeks over the reliability of mail-in voting, claiming that the process is ripe with fraud. But there has been limited evidence to suggest his fears are founded.With the postal service facing financial troubles due to rising pension costs and decreasing usage, Trump said he would agree to funding the Postal Service, but would need some concessions from Democrats."Sure, if they gave us what we want. And it’s not what I want, it’s what the American people want," Trump said Friday. 1694

The US Food and Drug Administration has raised alarm about one way people might access opioids to misuse and abuse: their pets.As America's opioid epidemic rages, some pet owners could be stealing pain medications intended for their furry friends, according to a statement from FDA Commissioner Dr. Scott Gottlieb."We recognize that opioids and other pain medications have a legitimate and important role in treating pain in animals -- just as they do for people," Gottlieb said in Wednesday's statement."But just like the opioid medications used in humans, these drugs have potentially serious risks, not just for the animal patients, but also because of their potential to lead to addiction, abuse and overdose in humans who may divert them for their own use," he said.Gottlieb also said there hasn't been much information about responsible opioid prescribing for veterinary medicine professionals, and so the FDA developed a resource guide on what veterinarians need to know.The resource includes information on state and federal regulations, alternatives to opioids and how to properly safeguard and store opioids, as well as how to identify if a client or employee may be abusing opioids and take action with a safety plan."While each state creates its own regulations for the practice of veterinary medicine within its borders, including regulations about secure storage of controlled substances like opioids, veterinarians should also follow professional standards set by the American Veterinary Medical Association in prescribing these products to ensure those who are working with these powerful medications understand the risks and their role in combatting this epidemic," Gottlieb said."Veterinarians are also required to be licensed by the Drug Enforcement [Administration] to prescribe opioids to animal patients, as are all health care providers when prescribing for use in humans," he said."These measures are in place to help ensure the critical balance between making sure animals can be humanely treated for their pain, while also addressing the realities of the epidemic of misuse, abuse and overdose when these drugs are diverted and used illegally by humans."The FDA statement came one week after a perspective paper in the American Journal of Public Health called for the veterinary, public health, pharmaceutical and regulatory communities to dedicate time and resources to addressing the issue of prescription opioid diversion in veterinary medicine."I was thrilled to see the FDA commissioner make a statement that not only validated our findings but also demonstrates why research is so important for good policy," said Liliana Tenney, a senior instructor with the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus and deputy director of the Center for Health, Work & Environment, who was a co-author of the paper.Tenney was unaware of the FDA statement until CNN contacted her for an interview, she said.The paper included data from a 24-item online survey that 189 veterinarians in Colorado completed in collaboration with a local veterinary society. The survey, which was about the possible abuse and misuse of opioids by pet owners and the role veterinarians play in prevention, was administered in summer 2016, Tenney said.The survey results showed that 13% of the veterinarians were aware that an animal owner had intentionally made an animal ill or injured -- or seem to be ill or injured -- to obtain opioid medications."This is significant for two reasons. These providers want to ensure the treatment of pets," Tenney said. "If this is truly the case and pet owners are intentionally harming animals, that's an animal rights issue. If opioids are being prescribed and aren't getting to the pets that need them because these drugs are being diverted, that's a public health issue."The survey results also showed that 44% of the veterinarians were aware of opioid abuse or misuse by either a client or a veterinary practice staff member, and 62% believed that they had a role in preventing opioid abuse and misuse."We recognize that this ... sample, representing 10% of the society's members, has limited generalizability and cannot be used to extrapolate to all practices. Nonetheless, these data are sufficient to warrant immediate action," the authors wrote.American Veterinary Medical Association spokesman Michael San Filippo emphasized in a statement Wednesday that the association has provided resources for veterinary staff to help combat this issue and the association will continue to monitor the situation."Though our animal patients are not the ones struggling with opioid addiction, concerns about misuse and diversion are top-of-mind for the veterinary profession, and the AVMA is actively involved in providing resources to practitioners describing alternative ways to treat pain and minimize opioid use," the statement said."While the limited data available suggests diversion from veterinary practices isn't a widespread problem, that doesn't mean we should pretend it doesn't exist," it said. "In fact, AVMA policy calls for further research to determine the prevalence of veterinary drug shoppers and to further clarify the degree to which veterinary prescriptions are impacting, or not, the human opioid epidemic."? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 5456