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The Illinois Department of Public Health is investigating nine recent cases of acute flaccid myelitis, also called AFM, according to a statement Wednesday.All of the cases are in patients younger than 18 and have been clinically diagnosed by health care providers, the statement said. State health officials are working with the care providers to obtain the samples and information to send to the US Centers for Disease and Prevention for testing and confirmation of the diagnoses."The CDC will make the final determination on diagnoses and numbers are subject to change," the statement said.All of the patients are "from northern Illinois," according to the health department, but no other location information was provided.Since 2015, when Illinois began monitoring reports of AFM in the state, four confirmed cases have been identified.AFM is a polio-like illness that affects a person's nervous system, including the spinal cord. Symptoms can include sudden limb weakness, loss of muscle tone and reflexes, facial and eyelid drooping, facial weakness, difficulty moving the eyes, swallowing difficulty or slurred speech, according to the CDC.The rare condition can be caused by a virus, a genetic disorder and environmental toxins.There is no treatment other than managing each patient's symptoms.Dr. Rachel Herlihy, the Colorado state epidemiologist, said the best prevention is frequent handwashing and keeping kids home when they are sick.On Tuesday, the Colorado Department of Health said?it has confirmed 14 cases there this year. All of the patients are children who have needed to be hospitalized, the department said, noting that "nearly all have fully recovered.""The state health department has been monitoring this situation closely since early spring. In addition to investigating the outbreak, the state health department has issued alerts to health care providers on how to test for the viruses and enhanced guidance to child care centers on infection prevention," the department said in a statement.The type of viruses found in 12 of the Colorado cases, enterovirus, typically increases in summer and fall and is common, the state department of health said. However, 11 of the Colorado cases of AFM have tested positive for EV A71, a rare type of enterovirus not usually seen in the US, rather in Asia and other parts of the world, according to Herlihy. "This is certainly the largest outbreak of enterovirus A71 we've seen in Colorado."She referred to these 11 cases as an outbreak within an outbreak. "We have 41 cases of children who have had some sort of illness of enterovirus A71, which is causing a wide spectrum of neurological illness."In previous years, cases of AFM in Colorado and elsewhere have been positive for a different enterovirus, EV-D68.On Friday, the Minnesota Department of Health said it was investigating six cases of AFM in children over the past few weeks but did not identify what virus or other cause may have led to the illnesses.As of September 30, according to the CDC, 38 cases of AFM have been confirmed in 16 states. This does not include all of the 14 cases announced by Colorado, as some of those cases were confirmed after September 30. It also does not include the cases in Minnesota or Illinois, as they are not confirmed.Since August 2014, when the CDC began tracking the illness more closely, the agency has reported 362 cases.In 2017, 33 cases were reported in 16 states. One hundred forty-nine cases were reported in 39 states in 2016 and 22 cases in 17 states in 2015. 3570

The price of wine is going up.Global wine production slumped to its lowest level in 60 years in 2017, according to data from the International Organisation of Vine and Wine.The most recent harvest produced 25 billion liters of wine, a decrease from 26.7 billion in 2016 and 27.6 billion in 2015. The decline was driven by weak harvests in key markets including Europe and South Africa.The shortage has caused the wholesale price of basic wine in Italy to skyrocket 74% over the previous year, according to the European Commission. Prices are up 45% in Spain and over 10% in France.Analysts said that producers, dealers and retailers will absorb some of the price hikes, but consumers will end up paying more -- especially for cheaper bottles."The wine companies that are targeting very low prices ... will be hit the worst, because their margins are very low," said Stephen Rannekleiv, a global beverages strategist at Rabobank. "When prices go up, it puts a lot of strain on them."Reduced supply will also hurt quality."There will be, in some cases, lower quality wines getting blended into slightly higher value products, so everyone kind of goes down a tier in quality," said Rannekleiv.Producers were hardest hit in Europe, where heavy hailstorms and harsh frosts damaged vineyards in early 2017 before a summer drought took its toll. The continent accounts for 65% of global wine production, and 57% of consumption.European production dropped 15% in 2017. Production fell 21% in Italy, 18% in France and 15% in Spain, according to the Commission.Other regions had problems, too.Wildfires destroyed or tainted some of the harvest in California, and drought harmed vineyards in South Africa. Warm weather can cause grapes to ripen early and be smaller in size.Rannekleiv said the result was a global harvest that was even worse than analysts had feared. The pain could spread to other industries.Rannekleiv said the slump in production means there will be less wine to divert for use in other products. Brandy and vinegar makers could be hurt, for example. 2067

The Pittsburgh Steelers have placed four more players on the COVID-19 list, including quarterback Ben Roethlisberger. According to the Associated Press, a player is added to the reserve/COVID-19 list if they have tested positive for the virus or have been in close contact with someone who has it.The move comes a day after tight end Vance McDonald went on the list after testing positive following a 24-19 win at Dallas that pushed the Steelers to 8-0. Running back Jaylen Samuels, offensive lineman Jerald Hawkins, and linebacker Vince Williams joined Roethlisberger on the list Tuesday.According to ESPN, the players are considered high-risk contacts, so they must isolate for five days after their last contact with McDonald, and they can't be at the team's practice facility during those five days.The team will test the players throughout the week before they are deemed eligible to play against the Cincinnati Bengals on Sunday, ESPN reported.According to ESPN, Roethlisberger has been seen not wearing a mask when talking to McDonald while on the sidelines. The teammates also have lockers close to each other. Roethlisberger has not tested positive, ESPN reported.For the first time in the team’s history, the Steelers are 8-0. 1244

The latest data on opioid overdoses in Arizona are showing the highest number of deaths in 10 years.For many, the toughest decision is to find professional help. Thousands of recovering addicts in Southern Arizona are sharing the battle towards recovery.One of those is Robert Lyles, who remembers the moment he almost lost his life."I remember so well, the doctor and the paramedics yelling you're losing him, you're losing him," Lyles said.He said it is a moment he will never forget. Being rushed through the double doors at Northwest Hospital, he said, was the day God gave him a second chance to live."(The doctor) said, 'You had 30 days top, 45 you would have been dead for sure,'" he said.That was back in 2007, after being involved in a car crash and suffering a neck and foot injury. Lyles said his doctor prescribed Percocet and Ativan to treat the pain, the beginning of the end for him, Lyles stated. That's because one day his daily dose wasn't enough to end the pain."I'll take another Percocet, and when I did, I liked the feeling and from that point forward, I started increasing my drug intake," he added.After that, the rest of the year became a blur, he said. His life began closing down on him, divorcing his wife, and losing communication with his only son. Until a serious conversation with his doctor convinced him to seek professional help: "He told me you need to go back and listen to them and so I did," he explained.Ever since, Lyler said he has been the best student at Sierra Tucson, where he has been focusing on his recovery, and most importantly staying clean for nearly 10 years.He also wants to make sure other patients find the courage to recover. He hopes to pass along a very important message, "take care of yourself first and the world around you will change," he said. 1857

The NFL is planning on playing “Lift Every Voice and Sing” before all Week 1 football games this fall, a source familiar with the league’s discussions confirmed with EW Scripps on Thursday.USA Today and ESPN first reported that the NFL is in the process of finalizing plans to play the song considered a “Black Anthem.” The source said the song would be performed before the Star Spangled Banner before Week 1 games in September.The source said the league is working collaboratively with players to recognize victims of systemic racism throughout the season through a variety of in-game and programs. Among the items being discussed with players are: on-uniform elements, which could include the names of victims police brutality on helmet decals or jerseys patches and educational programs. The league is also considering public service announcements. The NFL is said to be in discussions with the NFLPA to finalize the plans. Earlier this week, NASCAR played “Lift Every Voice and Sing” before the Pocono 350. The song has also been performed at other various sporting events, including a Georgetown men's basketball game.The lyrics to the song were written as a poem in 1900 and set to music five years later. Last month, amid a nationwide protests in response to the death of George Floyd, NFL Commissioner Roger Goodell, who faced blame for not standing behind players who participated in protests, conceded he was wrong about players kneeling during the national anthem in response to police brutality.Goodell stated his support for Black Lives Matter in a video released on social media."We the National Football League, condemn racism and the systematic oppression of black people," Goodell said. "We, the National Football League, admit we were wrong for not listening to NFL players earlier and encourage all to speak out and peacefully protest," Goodell said. 1879