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White House efforts to limit access to President Donald Trump's conversations with foreign leaders extended to phone calls with Saudi Crown Prince Mohammed bin Salman and Russian leader Vladimir Putin, according to people familiar with the matter.Those calls -- both with leaders who maintain controversial relationships with Trump -- were among the presidential conversations that aides took remarkable steps to keep from becoming public.In the case of Trump's call with Prince Mohammed, officials who ordinarily would have been given access to a rough transcript of the conversation never saw one, according to one of the sources. Instead, a transcript was never circulated at all, which the source said was highly unusual, particularly after a high-profile conversation.The call - which the person said contained no especially sensitive national security secrets -- came as the White House was confronting the murder of journalist Jamal Khashoggi, which US intelligence assessments said came at the hand of the Saudi government.With Putin, access to the transcript of at least one of Trump's conversations was also tightly restricted, according to a former Trump administration official.It's not clear if aides took the additional step of placing the Saudi Arabia and Russia phone calls in the same 1314

Warmer weather means tick season across the U.S., and a number of tick-borne disease cases has increased over the past few years.“Lyme disease is gonna be the most common disease we see,” said Nicole Chinnici, laboratory director of the Dr. Jane Huffman Wildlife Genetics Institute. Chinnici is part of the Pennsylvania Tick Research Lab.“Tick season generally starts in the spring. It’s as we're coming out of winter and getting into the warmer months,” explained Dr. Mark Montano, the medical director of CareNow Urgent Cares in Colorado.The CDC said disease cases from mosquito, tick, and flea bites more than tripled from 2004 to 2016 in the U.S.. They predict the number of infections in any given season is complicated, but to put it in perspective, the number of tick-borne disease cases increased from 48,610 reported cases in 2016 to 59,349 reported cases in 2017. “There’s a lot of factors in it,” Chinnici said. She said reasons could include how mild the winter was, how long the warmer months are, and even animal hunting and population control. Another factor is how much time people spend outside.“People are free right now. They're working from home, so they are spending more time outdoors, so that's putting them at a greater risk just because of everything else going on with COVID-19,” Chinnici said.The tick research lab is one of only a few in the U.S. “We receive ticks from people, physicians, and then we test them in the lab using molecular techniques, and then we report the results back to the customer within 72 hours,” she explained.All you have to do is send it in. For Pennsylvania residents, it’s free. For cases in other parts of the U.S., there is a fee that comes with the lab test.“We’re providing the individual that was exposed to the tick bite with early detection of whether or not they've been exposed to a tick-borne disease,” Chinnici said.A quick look at their 1918

Vacations, savings, retirement funds — they all take a back seat for those who have to pay high prices for prescription drugs.“When I was diagnosed in 1972, insulin cost about a dollar a bottle,” Gail DeVore said. She was diagnosed as a Type 1 diabetic in her childhood and has lived with diabetes for almost 48 years.The price tag for a bottle of insulin now can reach up to 0 in the United States.Insulin helps diabetics manage their blood sugar. DeVore’s childhood doctor told her she wouldn’t live past 40. She recently turned 59 years old.Diabetics often have to buy multiple bottles of insulin at a time. For someone with a high deductible prescription plan, that money comes right out of their pocket.“To afford that, which happens to be more than my own mortgage, it’s unreachable for some families,” DeVore explained.The U.S. Centers for Disease Control and Prevention estimates around 30 million people in America have diabetes, which is almost 10 percent of the population. The national price of insulin increased from 4 in 2012 to 6 in 2016, according to the Health Cost Institute.“It’s the most expensive part of our lives,” Michelle Fenner said. Her 17-year-old son was diagnosed with Type 1 diabetes nine years ago.“It impacts us on vacations we can take, our ability to save for retirement,” she said. “We’ve had to pull from savings.”Insulin isn’t the only medication with a rising price tag. Fenner was diagnosed with an autoimmune disease just a year ago. Her medication can cost her more than ,000 a month. Prices can fluctuate based on the insurance’s drug coverage.“As I’m trying to keep my son alive and pay for all of his costs, am I going to be able to afford my medication?” she said.“Overall, drug prices have continued to increase,” said Gina Moore, the president of the Colorado Pharmacists Society. “We’re all touched personally by the cost of medications. My husband, as an example, was diagnosed with Parkinson’s disease a couple months ago.”Individual spending on prescription medication increased from 0.7 billion in 2012 to 1 billion in 2016, according to Pew Charitable Trusts.“It’s not necessarily a new problem but it’s one that’s been magnified over the last decade,” Moore explained.Income for pharmacies from retail prescription drugs went up from nearly .8 billion in 2012 to .9 billion in 2016, according to Pew Trusts.“Don’t hesitate to ask your pharmacist if they know of less expensive alternatives,” Moore said.But for diabetics, there are no alternative drugs for insulin.“It’s this simple, tiny little hormone that every body should make,” DeVore said. “And without it, we die.”“How can you plan your life when you literally have no idea how much something is going to cost?” Fenner said. 2772

US President Donald Trump on Wednesday signed the Hong Kong Human Rights and Democracy Act into law -- a move sure to be hailed by the territory's pro-democracy protesters, who have been calling for the law since the summer.The US has long maintained a special trading relationship with Hong Kong, a semi-autonomous territory where mass protests have erupted continuously since June over perceived infringement on its autonomy by Beijing, among a host of other issues.The new law will require the US to annually confirm that Hong Kong's special freedoms are being maintained by Beijing -- failure to do so could result in Washington withdrawing the city's special status, a massive blow to the Hong Kong economy.The bill also lays out a process for the President to impose sanctions and travel restrictions on those who are found to be knowingly responsible for arbitrary detention, torture and forced confession of any individual in Hong Kong, or other violations of internationally recognized human rights in the Asian financial hub.However, the US President's statement also indicated the administration would only enforce parts of the measure -- as it interferes with the President's ability to conduct foreign policy."Certain provisions of the Act would interfere with the exercise of the President's constitutional authority to state the foreign policy of the United States. My Administration will treat each of the provisions of the Act consistently with the President's constitutional authorities with respect to foreign relations," the White House said in a statement.In a personal signing statement, Trump added that he had signed the bills "out of respect for President Xi, China, and the people of Hong Kong."They are being enacted in the hope that Leaders and Representatives of China and Hong Kong will be able to amicably settle their differences leading to long term peace and prosperity for all."The Chinese government last week criticized the measure as one that "neglects facts and truth" and "blatantly interferes in Hong Kong affairs and China's other internal affairs."In a statement released by China's Ministry of Foreign Affairs last week, spokesperson Geng Shuang said "China will have to take strong countermeasures to defend our national sovereignty, security and development interests if the US insists on making the wrong decisions."The state-owned People's Daily also described the bill as "a piece of waste paper," and a "serious provocation against the entire Chinese people" in an editorial published Thursday.Trump's announcement comes at a delicate time for US-China relations, as trade negotiators appeared to be edging closer to a trade deal between the US and China.On Tuesday, Chinese Vice Premier Liu He and his US counterparts, Trade Representative Robert Lighthizer and Treasury Secretary Steve Mnuchin, spoke on the phone to discuss trade negotiations, according to China's Ministry of Commerce."Both sides discussed each other's core concerns and reached a consensus on how to resolve these issues. Both sides agreed to maintain communication on the remaining matters in (trade) talks regarding a phase one agreement", the Commerce Ministry statement read. 3213

WATERTOWN, Conn. – An argument between a Connecticut teenager and her mother's boyfriend over his smoking in the house turned deadly after the man shot the 15-year-old and her 16-year-old brother on Tuesday night and then killed himself, according to the Watertown Police Department.Della Jette and Sterling Jette Jr. were transported to Waterbury Hospital where they both were pronounced dead shortly after arrival, according to a news release from the Watertown Police Department. Their mother, identified by CNN affiliate 537