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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The U.S. experienced its largest single-day increase in new COVID-19 cases on Thursday according to figures from Johns Hopkins University.Johns Hopkins public database reports that about 40,000 confirmed cases of the coronavirus were reported to local health departments on Thursday. The previous one-day record for newly reported cases occurred on April 24, when about 36,000 were confirmed to have contracted the virus.According to Johns Hopkins, 2.4 million Americans have contracted the virus, and more than 124,000 have died after contracting it.A graph showing the number of new cases of COVID-19 reported each day in the U.S. (Johns Hopkins)New cases of the coronavirus are currently on the rise in several regions throughout the country. While top federal officials, including President Donald Trump, have maintained that the increase in cases can be attributed to an increase in testing, other concerning statistics, like hospitalizations linked to the virus, are also on the rise.On Thursday, Texas paused efforts to lift lockdown restrictions put in place earlier this year to prevent the spread of the virus. Other local governments have enacted mandates requiring masks in public.Vice President Mike Pence will hold a press conference along with the White House coronavirus task force on Friday in response to the rising case numbers. 1355

The United States and Mexico have reached an agreement to change parts of NAFTA, the trade deal that President Donald Trump has derided for years as unfair.Trump announced the agreement from the Oval Office Monday, with Mexican President Enrique Pe?a Nieto dialed in on a conference call.But the deal left open the question of whether Canada, the third country in NAFTA, would agree to the changes -- and Trump himself said he wanted to throw out the name NAFTA altogether."They used to call it NAFTA," Trump said. "We're going to call it the United States-Mexico trade agreement. We're going to get rid of NAFTA because it has a bad connotation."Negotiators for both countries agreed to a new rule that dictates where auto parts are made.Under the current law, about 62 percent of the parts in any car sold in North America must be produced in the region or automakers have to pay import taxes. The new preliminary agreement would require that 75 percent of auto parts be made in the United States and Mexico, according to the U.S. Trade Representative's office.Much of the business world has been worried about Trump's trade policies, and the stock market reacted positively to the news. The Dow rose more than 250 points and the S&P 500 and Nasdaq hit new highs on Monday.The agreement between the two countries could restart negotiations on NAFTA with all three parties -- the United States, Mexico and Canada.Despite Trump's signal that the deal could lead to a bilateral trade agreement between the United States and Mexico, Pe?a Nieto, through a translator, expressed his "desire that now Canada will also be able to be incorporated in this."Mexico and Canada have stood firm on the importance of maintaining the trilateral format of the NAFTA free trade deal, even as Trump has signaled a desire for individual deals with each country."Canada is encouraged by the continued optimism shown by our negotiating partners," said a spokesperson for Canadian Minister of Foreign Affairs Chrystia Freeland."Progress between Mexico and the United States is a necessary requirement for any renewed NAFTA agreement," he said.Negotiations on rewriting the three-country NAFTA agreement began about a year ago.The 24-year-old trade agreement generally prevents the three parties from imposing tariffs on imports from one another. But Trump has called the agreement "the worst deal maybe ever signed" and moved ahead with tariffs earlier this year.In May, the United States imposed steep tariffs on steel and aluminum from much of the world, including Mexico. In response, Mexico slapped tariffs on billion of U.S. goods, including steel, pork, apples, potatoes, bourbon and different types of cheese. Canada imposed tariffs on .5 billion of U.S. goods, including steel, toffee, maple syrup, coffee beans and strawberry jam. 2841

The topics to be discussed during the first presidential debate next week include “the integrity of the election,” according to the official list released Tuesday by the nonpartisan Commission on Presidential Debates.President Donald Trump and Former Vice President Joe Biden will face-off for the first time on September 29 in Cleveland. Chris Wallace, a host on Fox News, will moderate the debate.The debate will have six, 15-minute segments. Wallace selected the topics, not necessarily to be brought up in this order:The Trump and Biden RecordsThe Supreme CourtCovid-19The EconomyRace and Violence in our CitiesThe Integrity of the ElectionThis list is subject to change before the debate if there are large news developments.The debate on September 29 will be held at Case Western Reserve University in Cleveland, Ohio. This debate was originally scheduled to take place at the University of Notre Dame, however they withdrew citing coronavirus pandemic concerns.Trump and Biden will debate two more times, on October 15 and 22. Vice President Mike Pence and Senator Kamala Harris will have their debate on October 7. 1130

The skies over several US states and Ontario, Canada, lit up briefly on Wednesday as a presumed fireball streaked over the daytime sky.Despite the midday sun, the fireball was clearly visible in videos captured at the time of the event.According to the American Meteor Society, dozens of eyewitnesses reported seeing the fireball shortly after 12 p.m. ET. The reports were clustered around Lake Ontario, but the organization received reports from Michigan, Ohio, and even as far away as Maryland and Virginia.An eyewitness in Ohio reported to the American Meteor Society, “It was like a ball of fire with a tail...surreal to see in the daytime.”Another eyewitness in Ontario said, “Astonishing, amazing, still get goosebumps talking about it.”What caused the bright flash hasn’t been confirmed, but is presumed to be a meteor. Meteors are not uncommon events, as small rocks and objects enter the Earth’s atmosphere on a daily basis. Most of the time, the atmosphere causes these objects to burn up before reaching the ground. 1034