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Doctors at Henry Ford Health System penned an opened letter on the hospital's study of hydroxychloroquine being used to treat COVID-19.It comes just days after Dr. Anthony Fauci called the study "flawed" while testifying in front of a House subcommittee."As an early hotspot for the COVID-19 pandemic, we have seen and lived its devastating effects alongside our patients and families. Perhaps that’s what makes us even more determined to rally our researchers, front-line care team members and leaders together in boldness, participating in scientific research, including clinical trials, to find the safest care and most effective treatments. While feeling the same sense of urgency everyone else does to recognize a simple, single remedy for COVID-19, we need to be realistic in the time it takes to fully understand the optimal therapy or combination of therapies required of a new virus we are all trying to contain," Dr. Adnan Munkarah and Dr. Steven Kalkanis said in the letter.The study has been among a handful to show positive results of using hydroxychloroquine as a coronavirus medicine. But the FDA has recommended against using the drug outside of a hospital or clinical setting after a number of studies showed the drug was ineffective at treating coronavirus patients. On Friday, Fauci said the study, which has been touted by President Donald Trump and other Republicans, contradicts other studies that found the drug does not effectively treat COVID-19."That study is a flawed study, and I think anyone who examines it carefully is that it is not a randomized placebo-controlled trial," Fauci said. "The most well-accepted and definitive method to determine the efficacy of a treatment is a double-blind, randomized clinical trial. However, this type of study takes a long time to design, execute and analyze," the doctors wrote.You can read the entire letter below. 1893

Dining out frequently is known to increase one's intake of unhealthy sugars and fats. But a new study suggests that there's another reason to eat at home more often: phthalates.Phthalates are potentially harmful chemicals found in hundreds of consumer products, including perfumes, hair sprays, shampoos and the plastics used in food processing and packaging.Consumption of these chemicals has?been linked to birth defects in young boys as well as behavioral problems and obesity in older children and adults. Exposure in utero can alter the development of the male reproductive tract, resulting in incomplete descent of one or both testicles.Scientists also suspect that the chemicals can disrupt hormones and may cause fertility problems. They've connected them to childhood obesity, asthma, neurological problems, cardiovascular issues and even cancer."Phthalates are a class of synthetic chemicals known as endocrine disruptors, meaning they affect hormones in the body," said Dr. Sheela Sathyanarayana, an associate professor of pediatrics at Seattle Children's Hospital and the University of Washington and past chairwoman of the Environmental Protection Agency's Children's Health Protection Advisory Committee, who was not involved in the study. "Hormones are essential for normal body functions such as reproduction or metabolism."The?study, published Wednesday in the journal Environment International, found that the phthalate levels of participants who had eaten at restaurants, cafeterias and fast-food outlets in the previous day were 35% higher than those who reported eating food purchased at the grocery store.Those who dined out were probably exposed to the chemicals via foods that had been in contact with plastic packaging, said Ami Zota, an assistant professor of environmental and occupational health at George Washington University and a leading author on the study."The main idea is that food that is made in restaurants and cafeterias may be coming into contact with materials containing phthalates in part because some portion of the food is made in decentralized locations," Zota said."Most of the phthalates that are of most concern from a health perspective are plasticizers; they're added to make plastics soft," she added. "They're added to food packaging, they can be in food handling gloves, and they can be found in food tubing."The study relied on data collected between 2005 and 2014 from the National Health and Nutrition Examination Survey, administered every two years by the US Centers for Disease Control and Prevention. It included 10,253 people who were asked about their dining habits over the past 24 hours and who provided urine samples to evaluate phthalate levels in the body.The researchers found that about two-thirds of respondents reported dining out at least once the previous day. Those who dined out also had significantly greater levels of phthalate metabolites in their urine.This association was consistent across all ages, genders and ethnicities, but it was strongest among teenagers who ate out: They had phthalate levels 55% higher than those who ate at home."The association between phthalate exposure and dining out existed in all age groups, but the magnitude of the association was highest for teenagers," Zota said. "Certain foods, especially cheeseburgers and other sandwiches, were also associated with increased levels of phthalates, but only if they were purchased from a dining-out establishment."This is not the first time phthalate levels have been linked to food sources. In 2016, Zota led?a study?that showed a connection between phthalate exposure and fast-food restaurants. The new study expands on this research by showing that the link persists even when eating at other types of establishments, such as sit-down restaurants and cafeterias, she said."We first used this methodology to focus on fast food and found some striking associations between recent fast food consumption and phthalate exposure," Zota said. "And now, we extended that to see if the findings were unique to fast food, or how do they compare to other food outlets that may reflect other types of food processing and manufacturing systems?"Last year,?a report found high concentrations of phthalates in macaroni and cheese mixes, which prompted a push for additional regulation of the chemicals in food. Although the US Food and Drug Administration monitors levels of phthalates in a number of cosmetics, it does not regulate its presence in food or beverage products."Policy would need to focus on reducing phthalate exposures in food production processes. Food manufacturers would need to know about sources of contamination and work to reduce these," Sathyanarayana said. "The other way to approach it is to either reduce or ban phthalate use in food manufacturing."The good news, though, is that phthalates linger in the body for only about a day. Changing your eating habits and consuming more home-cooked meals could therefore have almost immediate health benefits, according to Zota."Preparing food at home may represent a win-win," Zota said. "Home-cooked meals can be a good way to reduce sugar, unhealthy fats and salt, and this study suggests that they may not have as many harmful phthalates as restaurant meals."The other important point is that these chemicals are ubiquitous in the environment," she added."So, to really reduce everyone's exposure to these potentially harmful chemicals, we need systemic changes to how our food is produced and transported, and that's going to require changes in policy as well as market-based solutions." 5643

Earlier this week, the Kansas City Chiefs announced a limited number of Chiefs Kingdom would be allowed inside Arrowhead Stadium when the team takes the field on September 10 due to COVID-19 concerns.The team will allow fans at 22 percent of Arrowhead’s capacity or about 16,812 fans.So where do the other 31 teams stand on allowing fans in the stands? Here’s a breakdown:Arizona Cardinals: The team sent season ticket holders a letter on July 26 saying there’s “very low” probability the stadium would be at capacity for the team's season opener.Atlanta Falcons: The team announced on Aug. 17, that no fans would be allowed at games at Mercedes-Benz Stadium through the month of September.Baltimore Ravens: As of July 8, the Baltimore Ravens announced fewer than 14,000 fans would be allowed in the stadium during home games. This equals about 22 percent of M&T Bank Stadium's capacity.Buffalo Bills: As of July 1, New York State says that fans are prohibited at professional sporting events.Carolina Panthers: The team is yet to make an official decision on allowing fans to attend games. In mid-July, reports by the Charlotte Observer indicated "the team is planning for a variety of scenarios, anywhere from 20,000 fans to no fans at all, per a source with knowledge of the situation."Chicago Bears: On Aug. 17, the team announced there would be no fans in the stadium for the 2020 season for now. In a statement, the team said, "The Bears and the City of Chicago have agreed that it's not yet the right time to welcome fans back to Soldier Field due to COVID-19. But they will continue to monitor the situation and believe there's a sound plan in place to bring fans back once it is deemed safe."Cincinnati Bengals: As of July 10, the team announced some fans would be allowed in the stadium. No specific number has been announced but if approved, the team says "capacity will be greatly reduced." Face masks will be required and tailgating is out of the question for fans according to the team.Cleveland Browns: The team says it wants fans in attendance but as of now the decision is in the hands of Ohio Governor Mike DeWine. Browns owners Dee and Jimmy Haslam, told reporters the hope is to have about "13,000 to 14,000 fans would be permitted, or about 20% of capacity," in an August interview.Dallas Cowboys: On Aug. 12, Cowboys owner Jerry Jones, announced fans would be allowed at AT&T Stadium this season. He said he's confident that fans would follow safety precautions. Jones didn't release a specific number but Texas currently allows 50-percent capacity for sporting events. That would equal 40,000 fans in the stadium.Denver Broncos: On July 15, the team notified season ticket holders that stadium capacity would likely be reduced this year.Detroit Lions: The team says some fans will be allowed in the stands but are still unsure of how many. In a letter to season ticket holders, the team said, "The organization is preparing to host fans at all eight regular-season home games, but there is still uncertainty surrounding how many fans, if any, will be allowed to attend games during the 2020 season or under what conditions."Green Bay Packers: Packers fans, lovingly known as "cheeseheads," will have to watch games from a distance for at least the first two games of the season the team announced. "As the COVID-19 pandemic continues to impact communities around the country and throughout Wisconsin, the Green Bay Packers announced today that Lambeau Field will not host fans at the first two home games this season," the team said on Aug. 6.Houston Texans: Texans fans will also watch from a distance to start the season. On Aug. 14, the team announced fans will not be allowed for the home opener. However, the team will reevaluate the decision. "Whether fans can attend other home games later in the season will depend on the status of the COVID-19 pandemic in the greater Houston area, which is currently at the highest threat level (RED)," the team said.Indianapolis Colts: As of late July, the team announced it's "anticipating," allowing fans at 25 percent of Lucas Oil Stadium's capacity. The 25 percent equals to about 17,500 fans. Since then the team hasn't provided any more updates to fans.Jacksonville Jaguars: Similar to their AFC South foe, the Indianapolis Colts, the Jaguars announced fans would be allowed at 25 percent of TIAA Bank Field's capacity. That equals about 16,791 fans inside the stadium.Los Angeles Chargers: On July 21, the NFL reported the Chargers and the Los Angeles Rams, who share the brand new SoFi Stadium, would have limited or no fans this season.Los Angeles Rams: On July 21, the NFL reported the Rams and the Los Angeles Chargers, who share the brand new SoFi Stadium, would have limited or no fans this season.Las Vegas Raiders: In its first season at Allegiant Stadium, the newly named Las Vegas Raiders will play the whole 2020 season without fans. "After intensive consultation with healthcare officials and state and community leaders, we have made the difficult decision to play the Las Vegas Raiders 2020 inaugural season at Allegiant Stadium without fans in attendance," the team said.Miami Dolphins: The Dolphins have yet to officially announce whether fans will be allowed in the stadium or not. In July, the team said, "Stadium capacity for regular-season games will be determined at a later date in consultation with health experts and government officials."Minnesota Vikings: The Vikings still haven't officially told fans if they would be allowed in the stands. According to reports, the team told season ticket holders they should expect "significantly reduced capacity." The team even hinted at the chance of no fans at all.New England Patriots: Not only will Patriots fans have to get used to not seeing Tom Brady take the field, but they'll also have to adjust to an estimated 20 percent capacity limit for fans at Gillette Stadium. The team says the 20 percent capacity is "pending state and local approval."New Orleans Saints: The team announced no fans will be in the stands to start the season when they take on the Tampa Bay Buccaneers. It will reevaluate whether or not fans can attend later games. However, the team did say, "the current guidance we have received from our government leaders suggests this to be unlikely."New York Giants: There won't be anything close to a Giant crowd in Metlife stadium this season. In mid-July, the team announced that New Jersey Governor Phil Murphy's state-of-emergency order also applies to Metlife Stadium. "We support Governor Murphy's decision in the interest of public health and safety and, until circumstances change, both the Giants and Jets will play our games without the benefit of fans in attendance," the team said.New York Jets: Like New York Giants fans, Jets fans will have to watch from a distance for potentially the whole season. Due to Governor Phil Murphy's state-of-emergency fans will not be allowed at Metlife Stadium for the 2020 season the team announced.Philadelphia Eagles: The Eagles still have not announced whether fans will be allowed in the stands. Early reports indicated that Philadelphia city officials had barred fans from attending games. They later clarified the situation saying, "Specifically, with regards to the 2020 NFL season, the Eagles and the City of Philadelphia remain in close communication. Both entities are committed to the health and safety of the players, employees, fans, and community. The City and the Eagles have been working together during this time and will continue to do so," city officials said.Pittsburgh Steelers: The Steelers have yet to officially announce if fans will be allowed in Heinz Field. If fans are allowed, "it is highly likely that seating capacity will be greatly reduced to allow for social distancing and other safety measures," the team said.San Francisco 49ers: 49ers fans still don't know if they'll be allowed in the stands for the defending NFC champion's home opener. In late July, the team said, "To ensure the health and safety of 49ers fans, players, coaches, staff and the greater community, and to comply with state and local restrictions, the 49ers may not be able to host fans in full or limited capacity this season."Seattle Seahawks: The Seahawks will be without their "12th man" after the team announced no fans will be allowed at CenturyLink Field for at least the first three games of the season. "The Seahawks will continue to follow the lead of public health and government officials to make decisions about potentially having fans in attendance for the remaining five home games," the team said.Tampa Bay Buccaneers: As the Tom Brady era begins in Tampa, fans still don't know if they'll be allowed to see TB-12 take the field. However, reports indicated the team was shooting toward a 25 percent capacity for fans at Raymond James Stadium.Tennessee Titans: No fans will be allowed in the stadium through the end of September, the team announced Aug. 18.Washington Football Team: The nameless Washington team announced a mascot is not the only thing the team would go without to start the season. No fans will be allowed in FedEx Stadium for the whole season.This story was first reported by David Medina at KSHB in Kansas City, Missouri. 9286

During an interview with ABC News on Thursday, Dr. Anthony Fauci said that wearing goggles can offer an additional layer of protection against the coronavirus.Fauci’s suggestion was not an official recommendation, but the director of the National Institute of Allergy and Infectious Diseases, explained why eyes can also be responsible for coronavirus infections."You have mucosa in the nose, mucosa in the mouth, but you also have mucosa in the eye," Fauci said. "Theoretically, you should protect all the mucosal surfaces. So if you have goggles or an eye shield you should use it."Fauci said his suggestion might become an official recommendation for the public at some point, much how like masks became an official recommendation in April. The CDC, however, has included eye protection in some of its sets of guidance for healthcare workers, depending on the circumstance.Last month, the Lancet published a study funded by the World Health Organization that indicated that wearing eye protection decreases the risk of catching the virus. The study suggests that wearing eye protection resulted in a 78% reduction in infection; infection via the ocular route might occur by aerosol transmission or self-inoculation, the study said. This point was one the researchers had less confidence in, and further data is needed to draw a conclusion. 1350

EL CAJON, Calif. (KGTV) - A man was arrested on suspicion of stabbing a man to death during an altercation inside an El Cajon home late Tuesday night. 158