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DETROIT — The Michigan Department of Health and Human Services is activating an emergency plan in response an outbreak of hepatitis A.The number of cases continues to rise in Michigan. The department is activating what is called the Community Health Emergency Coordination Center."To help coordinate Michigan’s response to the hepatitis A outbreak, we are opening the Community Health Emergency Coordination Center to assist the multiple local public health jurisdictions involved in the response and prevention of further cases," said MDHHS Director Nick Lyon.The emergency coordination center will provide support to health departments, hospitals, EMS and other health care providers.Health care providers are asked to encourage hepatitis A vaccination."We know that the hepatitis A vaccine is more than 90 percent effective in protecting someone who may be exposed to hepatitis A," said Dr. Eden Wells, Chief Medical Executive with the MDHHS. "Without a single source associated with these cases, the importance of vaccination and proper hygiene is vital to ensuring we stop the person-to-person spread of hepatitis A." There have been 457 confirmed cases of hepatitis A since August 1, 2016. This number includes 18 fatalities associated with the outbreak and affected a number of cities; City of Detroit, Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw, and Wayne Counties reported to MDHHS.Hepatitis A is an infection of the liver caused by a virus and is a vaccine-preventable disease.Symptoms may appear from two to six weeks after exposure, with the average time being about one month. They include sudden abdominal pain, fatigue, diarrhea, nausea, headache, dark urine, and vomiting followed by yellowing of the skin and eyes.To reduce the risk of contracting Hepatitis A, health officials recommend the following points of emphasis:*Wash hands frequently, especially after using the bathroom, changing diapers, and before preparing and eating food.*Clean and disinfect all surface areas if someone in the household or workplace has symptoms., especially areas such as toilets. sinks, trashcans, doorknobs and faucet handles.*Do not prepare food if you have symptoms and refrain from food preparation for at least three days after symptoms have ended, or two weeks after onset of clinical symptoms, whichever is longer.*Get the Hepatitis A vaccine. 2428

Democrats have won key races in Virginia and New Jersey, CNN projects, their first major wins during the tenure of President Donald Trump and a boost heading into the 2018 midterms, when control of US House and Senate will be up for grabs.The blue wave along the East Coast saw Ralph Northam winning the governor's race in Virginia and Phil Murphy victorious in New Jersey. Democrats are also on pace to capture control of the Virginia General Assembly, and several liberals, including New York City Mayor Bill de Blasio won their mayoral elections.Virginia's gubernatorial contest was the first major test of Democrats' ability to rebound after Trump's victory. The fundamentals of the state were in their favor: Under Democratic Gov. Terry McAuliffe, unemployment is lower than the national average, and voters have generally told pollsters that they see the commonwealth as on the right track while the nation is on the wrong track.Northam's victory over GOP lobbyist and former George W. Bush aide Ed Gillespie -- clinched much earlier than nervous Democrats had expected -- left party leaders jubilant about their chances in the 2018 midterm elections, particularly in heavily suburban, Republican-held House districts that look much like the northern Virginia suburbs.Gillespie distanced himself from Trump personally, but embraced much of the President's agenda, including a focus on illegal immigration and sanctuary cities. Gillespie also echoed Trump's calls to keep Confederate monuments in place and invoked NFL players kneeling during the national anthem.But Trump immediately disavowed the GOP candidate Tuesday night even as votes were still being counted."Ed Gillespie worked hard but did not embrace me or what I stand for. Don't forget, Republicans won 4 out of 4 House seats, and with the economy doing record numbers, we will continue to win, even bigger than before!" Trump tweeted.Democrats also made significant down-ballot gains in Virginia. Justin Fairfax won the lieutenant governor's against Republican Jill Holtzman Vogel, a state senator known for her sponsorship of a 2012 bill that would have required women seeking abortions to undergo vaginal ultrasounds. Social issues were prominent in another statewide race, where Democratic attorney general Mark Herring defeated Republican challenger John Adams, who has hit Herring for his refusal to defend Virginia's same-sex marriage ban in court.And Chris Hurst, whose girlfriend Alison Parker was the Virginia TV reporter killed on live television in 2015, won a seat in the Virginia House of Delegates. 2589

DENVER -- In an exclusive interview with Scripps station KMGH in Denver, a veteran Denver police detective has accused Mayor Michael Hancock of sexually harassing her when she worked on Hancock’s security detail in 2011 and 2012. Denver police detective Leslie Branch-Wise says Hancock made inappropriate comments and sent her harassing text messages in 2012, which she provided to KMGH. In one text, Hancock compliments her haircut and writes, “You made it hard on a brotha to keep it correct every day.” 528

Democrats and Republicans in a bitterly divided U.S. House have voted to take a government shutdown off the table this fall, giving a big, bipartisan vote to a temporary government-wide funding bill Tuesday night. The agreement comes only after President Donald Trump prevailed in a behind-the-scenes fight over his farm bailout. The stopgap measure will keep federal agencies fully up and running into December, giving lame-duck lawmakers time to digest the election and decide whether to pass the annual government funding bills by then or kick them to the next administration. The final agreement gives the Trump administration continued immediate authority to dole out Agriculture Department subsidies in the run-up to Election Day.The vote passed by an overwhelming 359-57 ledger. The resolution was brokered between House Democrats and Treasury Secretary Steven Mnuchin on Tuesday. 896

DETROIT - "She was loved," said Jessica Williams-Stough about her 36-year-old daughter, Kelly Stough, who was murdered Friday morning near East McNichols and Brush in Detroit. "She had a lot of people who loved her. She just wasn't nobody."Albert Weathers, a local pastor, has been charged with open murder and felony firearm (use of a firearm in commission of a felony). Weathers appeared in court Monday for arraignment where his bond was set at million.Kelly Stough was a 36-year-old transgender woman who was beloved in the LGBTQ community and aspired to be a designer and buyer in the world of fashion. Investigators won't reveal a motive or other details surrounding the murder, but a source said that after the shooting, Weathers fled the scene, clocked in at work at the Great Lakes Water Authority, and then called police an hour after the shooting to say that someone tried to rob him and that he shot someone. Weathers lives in Sterling Heights and a woman who answered the door at his home declined to comment. Someone who knows Weathers, but wished to remain anonymous, said that he's married with children and that he rents space in a local church for his small congregation.The case has been assigned to Special Prosecutor Jaimie Powell Horowitz of the Fair Michigan Justice Project (FMJP).The FMJP is a collaboration between the Wayne County Prosecutor's Office and Fair Michigan Foundation that focuses on serious crimes against those in the LGBTQ community. 1626