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In updated guidance issued by the CDC on Monday, it recommended that all cruise ship and river boat travel be avoided anywhere in the world during the spread of the coronavirus. The announcement comes as nearly 150 countires worldwide have reported a confirm case. The recommendation is especially important for older individuals, and those with a serious chronic medical condition. The CDC noted several recent examples of where the the coronavirus spread among passengers on board cruise ships. Recent examples include 696 cases and 8 deaths on the Diamond Princess cruise ship in Japan and 28 cases on the Grand Princess cruise ship in the United States, the CDC said. The CDC issued the following recommendations to tell patients who plan on going on cruise ships and river boats:Advise patients to defer all cruise ship travel, including river cruises, worldwide.Explain that their return travel to the United States may be impacted, and formal quarantine procedures may be implemented if confirmed cases are identified on board.Explain that appropriate medical care or medical evacuation may not be available internationally.Explain that some countries may refuse docking or disembarkation if there are known or suspected cases on board.For patients who still intend to cruise, advise them to practice social distancing and monitor their health both during travel and for 14 days from the time they disembark. Social distancing means staying out of crowded places, avoiding group gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others, when possible.The guidance came on the same day that President Donald Trump and leading health officials suggested that gatherings of 10 or more people pose a risk to older and disabled people. The CDC also said all gatherings of 50 or more people should be outright postponed amid the spread of the coronavirus. 1895
If you normally make some big purchases with your tax refund, or use it toward a summer vacation, you may want wait to learn how much you'll be getting back before you make any plans this year.That's because millions of Americans, including one woman, are finding their refunds smaller this year.Alicia Elam is a busy mom who home schools her two children, and takes care of four adopted dogs at her home.Until this year, Elam depended on the large the tax refund she received each year. But this year, she said, "it is approximately half of what we've received before."Like many taxpayers, Elam will receive a smaller refund this year. In her case it is a lot smaller."The last couple of years we've received between ,000 and ,000 back, this year we're only getting approximately ,200 back," she said.While her change is among the most dramatic, 865

KANSAS CITY, Mo. — For Steve and Lisa Tharp, family has four legs.Quigley, their 4-year-old miniature horse, was known for his huge, playful personality. He often took his antics to an elementary school in Bethany, Missouri, where he donned a Rudolph costume to visit the kids at Christmas.The mischievous miniature loved running through the pasture with his four-legged family. "He'll play these little games with me. After I'm done, he'll come up and kiss me on the cheek, every time," Steve Tharp said.On regular days, the Tharps have a routine. Once the horses are fed, Lisa sits on the ground to pet them and hand out treats."The last two nights, she's sitting out there and all these ponies, they'd all get around. There was one empty spot," Steve said.The spot belongs to Quigley. 799
Leading nutritional experts in the United States and the UK are fired up about new dietary recommendations claiming there's no need to reduce your red and processed meat intake for good health."This is a very irresponsible public health recommendation," said Dr. Frank Hu, who chairs the nutrition department at the Harvard T.H. Chan School of Public Health.The new guidelines and five corresponding studies are part of a systematic analysis of existing research done by 483
It’s really cold this morning in @CityOfLasVegas. If using a space heater to get ready for work/school, make sure to unplug it before you leave & make sure nothing is around it. Make sure the stove is OFF on the way out too. Dress warmly, it’s freezing in some neighborhoods. pic.twitter.com/LQpvX4TQhI— Las Vegas FireRescue (@LasVegasFD) February 20, 2019 372
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