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A Seattle woman rinsed her sinuses with tap water. A year later, she died of a brain-eating amoeba.Her case is reported this week in the International Journal of Infectious Diseases.The 69-year-old, whose name was not given, had a lingering sinus infection. For a month, she tried to get rid of it using a neti pot with tap water instead of using sterile water, as is recommended.Neti pots are used to pour saline into one nostril and out of the other to irrigate the sinuses, usually to fight allergies or infections.According to the doctors who treated the woman, the non-sterile water that she used it thought to have contained Balamuthia mandrillaris, ?an amoeba that over the course of weeks to months can cause a very rare and almost always fatal infection in the brain.Once in her body, the amoeba slowly went about its deadly work.First, she developed a raised, red sore on the bridge of her nose. Doctors thought it was a rash and prescribed an antibiotic ointment, but that provided no relief. Over the course of a year, dermatologists hunted for a diagnosis.Then, the left side of the woman's body started shaking. She'd experienced a seizure that weakened her left arm. A CT scan showed an abnormal lesion in her brain that indicated she might have a tumor, so doctors sent a sample of tissue for testing.Over the next several days, additional scans revealed that whatever was happening in her brain was getting worse. The mass was growing, and new lesions were starting to show up.Finally, a neurosurgeon at Swedish Medical Center, where the woman was being treated, opened her skull to examine her brain and found that it was infected with amoebae.The US Centers for Disease Control and Prevention rushed the anti-amoeba drug miltefosine to Seattle to try to save the woman's life, but she fell into a coma and died.According to the CDC, most cases of Balamuthia mandrillaris aren't diagnosed until immediately before death or after death, so doctors don't have a lot of experience treating the amoeba and know little about how a person becomes infected.The amoeba was discovered in 1986. Since 1993, the CDC says, there have been at least 70 cases in the United States.As in the Seattle woman's case, the infections are "almost uniformly fatal," with a death rate of more than 89%, according to the doctors who treated her and the CDC.The amoeba is similar to Naegleria fowleri, which has been the culprit in several high-profile cases.In 2011, Louisiana health officials warned residents not to use nonsterilized tap water in neti pots after the deaths of two people who were exposed to Naegleria fowleri while flushing their nasal passages. An official urged users to fill the pots only with distilled, sterile or previously boiled water, and to rinse and dry them after each use."Improper nasal irrigation has been reported as a method of infection for the comparably insidious amoeba," the doctors say in the research paper about the Seattle woman. "This precedent led us to suspect the same route of entry for the ... amoeba in our case."The woman's doctors say they weren't able to definitely link the infection to her neti pot, as the water supply to her home was not tested for the amoeba. They hope her case will let other doctors know to consider an amoeba infection if a patient gets a sore or rash on the nose after rinsing their sinuses.Kristen Maki, a spokeswoman for the Washington State Department of Health, said in an email that "Large municipal water supplies ... have robust source water protection programs" and treatment programs, and she noted that "Well protected groundwater supplies are logically expected to be free of any such large amoeba" such as Balamuthia. 3746
A pair of children, ages 1 and 3, were shot inside of a car Thursday evening outside the University Of Mississippi Medical Center in Jackson, the Jackson Police Chief told the Clarion-Ledger reported. The shooting briefly prompted fears of an active shooter on the university's campus, causing a heavy police response. The Clarion-Ledger reported that one child was shot in the leg, and the other in the torso. Their conditions have not been publicly released. Following the shooting, a female driver transported the children to the hospital. The suspect was still on the loose as of Thursday evening. 655

A record number of unaccompanied immigrant children, about 14,000, are currently in US custody, a Health and Human Services spokesman said Friday.The spokesman, Mark Weber, said the additional requirements put in place by the Trump administration to "reduce risk and increase safety" for immigrant children contributed to the high number."We are taking all possible steps to protect children in an environment with many bad actors," Weber said. "We are balancing speed with safety and will err on the side of safety."The Houston Chronicle earlier reported the figure.Last spring, the Trump administration heightened scrutiny of adults coming forward to take care of the immigrant children, and Immigrations and Customs Enforcement now conducts exhaustive screenings of the adults. But many of them are undocumented themselves and fearful of ICE obtaining their information.These Trump administration policies are likely keeping these children in custody.Lawsuits have also accused the administration of extending children's stays, including allegedly holding them intentionally until they turn 18 and are eligible for stricter adult detention. Many of the children do have a legal right to stay in the US, but the legal process can take years.Weber said the high number was also due to the 50,000 Department of Homeland Security referrals of unaccompanied children this year, which he said is the third-highest annual total. DHS referred 59,170 unaccompanied children to HHS in fiscal year 2016, according to a HHS fact sheet, and 40,810 in fiscal year 2017.The number of children in custody changes daily because of referrals by DHS and HHS releases of children to sponsors, Weber said.Most of these children arrived in the US unaccompanied. Children separated under Trump's so-called "zero tolerance" policy account for less than 200 of the reported 14,000. CNN reported earlier this month there are still 171 children separated from their families, four months after a judge ordered the US government to reunite the undocumented immigrant families it had split up at the border, according to court documents.In 2016, the monthly average of the number of children in HHS's care ranged from just over 4,000 to over 9,000. 2230
A military jet went down at Lake Havasu Airport on Tuesday morning.According to the United States Air Force, an F-16C aircraft assigned to the 56th Fighter Wing at Luke Air Force Base in Glendale, Arizona diverted and attempted to land at the Lake Havasu Airport around 10:30 a.m. local time.Lake Havasu Fire said the pilot of the plane was able to eject and is expected to be okay. The incident occurred during a routine training exercise. It is unclear what type of plane was involved in the incident or where the pilot is based.Lake Havasu Airport is located about three and a half hours northwest of Phoenix near the state border with California. 668
A Philadelphia police officer who was seen on video pulling down the masks of protesters and spraying chemical irritants in their faces was charged Wednesday with simple assault, reckless endangerment, official oppression, and possession of an instrument of crime, the Philadelphia Inquirer and CNN report.Officer Richard P. Nicoletti, 35, turned himself in on Wednesday.The charges against Nicoletti stem from a June 1 Black Lives Matter protest, when demonstrators blocked I-676 in Philadelphia. Bystander video showed Nicoletti — who was acting as part of the Philadelphia Police SWAT team — approaching three protesters who were kneeling and sitting on the ground.The video shows Nicoletti pull down the demonstrators' masks and spray pepper spray in their faces. He also shoved one of the protesters. The District Attorney's statement claimed Nicoletti sprayed the protesters "without provocation."None of the demonstrators were arrested.According to CNN, the Philadelphia Police Department reviewed the bystander video and opened an investigation on June 24.The officer's lawyer, Fortunato Perri Jr., said Nicoletti was simply following orders."His unit was ordered by commanders to clear the highway with the approved use of tear gas and pepper spray," Perri said, according ot the Inquirer. "The city's leadership was given the opportunity to apologize for approving the use of force, but Nicoletti finds himself fired and charged with crimes." 1460
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