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Federal health officials reported Thursday an additional 109 cases of cyclospora infection in an ongoing outbreak linked to McDonald's salads that began in May.The total number of laboratory-confirmed illnesses from this outbreak is now 395, according to a?statement from the US Food and Drug Administration. At least 16 of the sick individuals have been hospitalized.The cyclospora parasite causes intestinal illness in people who consumed contaminated food or water. Symptoms can begin a week or more after consuming the parasite. They include diarrhea and frequent, sometimes explosive bowel movements, according to the Centers for Disease Control and Prevention. Those who are infected might also experience loss of appetite, weight loss, stomach cramps or pain, nausea, gas and fatigue. Vomiting, headache, fever, body aches and flu-like symptoms can also occur.The illness can last a few days to a few months, and patients might feel better but then get worse again. Cyclosporiasis can be treated with antibiotics.Illnesses have been reported in 15 states: Connecticut, Florida, Iowa, Illinois, Indiana, Kentucky, Michigan, Minnesota, Montana, Nebraska, Ohio, South Dakota, Tennessee, Virginia and Wisconsin. However, the patients in Connecticut, Michigan, Tennessee and Virginia bought their salads in Illinois while traveling, and the Florida patient bought the salad in Kentucky.The FDA said an unused package of a Fresh Express salad mix of romaine lettuce and carrots that had been distributed to McDonald's tested positive for the presence of Cyclospora though it was past its July 19 expiration date."Epidemiologic evidence indicates that salads purchased from McDonald's restaurants are one likely source of these infections. The investigation is ongoing, and FDA is working to determine the sources of the ingredients that were in common to the salads served at McDonald's," the CDC said in an outbreak update posted on its website Thursday.McDonald's said in a?statement on July 13 that it had removed the salad mix from it's impacted restaurants and replaced it with a different supplier.In a?recall statement?on the Fresh Express website, the company said it had launched a "precautionary recall" of the institutional food service product on July 27 of a "limited number of cases."The statement said, "Fresh Express follows rigid food safety requirements and preventive controls throughout our supply chain that are carefully designed to mitigate against potential health risks."The company's salad mix recall was connected with a?public health alert issued Monday by the US Department of Agriculture's Food Safety and Inspection Service advising consumers that certain salad and wrap products might be contaminated with cyclospora. The products were sold by grocery stores including Kroger, Trader Joe's and Walgreens.In the alert, the USDA said the issue was discovered when Indianapolis-based food distributor Caito Foods "received notification from their lettuce supplier, Fresh Express, that the chopped romaine that is used to manufacture some of their salads and wraps was being recalled."The lettuce from McDonald's that tested positive for the cyclospora parasite was in the same lot as the lettuce distributed to Caito Foods, the CDC said Wednesday. "Fresh Express also reported that no romaine lettuce from the lot that was positive for cyclospora was packaged for direct retail sale to consumers," the CDC said. 3474

Every morning at 7:30, as students start to filter in, Jim Witt and his fellow administrators at Lake Schools in Northwest Ohio take to their designated posts around the school’s various hallways.They greet students, joke with them—teasing one about his Air Jordan high-tops (this is LeBron country, after all)—and just generally touch base before the day officially begins.As superintendent of the 1700-student campus outside Toledo, Ohio, Witt says he probably knows their students on “a much more personal level” than others would at districts of a similar size.And knowing your students, he says, is key in the efforts to help prevent what feels like it’s become all too common: school shootings.  And that context has made the need for the morning pleasantries that much greater.“It makes us hyper sensitive to kids who may come in one morning and be really down or upset about something,” Witt says. “We try to get to the root of that problem for various reason, school safety being one of them.”Lake Middle School principal Katie Beard agrees that administrators and teachers need to be on the lookout for warning signs, adding that when you know the students, it’s really not that difficult to tell when something’s not right.“You can tell by the way a student walks in what kind of day they’re going to have, based on seeing them every single day,” Beard said, adding that if she notices a big difference in a student’s mood, she’ll prod a little bit to find out if it’s something more serious.“You just try to have a conversation with them right away to try to head it off, [asking things like] ‘Hey, what’s going on? Bad morning?’”And when they do notice something is off, they make teachers aware and keep a closer eye.“Often times I’ll pop in to their teachers or send an email [saying] ‘hey, so-and-so looked a little off this morning, keep an eye out, if I need to come see them let me know," Beard said.Once the first period bell rings, custodians will make sure to lock all exterior doors, and Witt will roam the halls to double check the doors and look for any other kinds of threats.“I’m looking for anything that would appear to be unusual, or out of sorts, out of place,” Witt says. “We know that kids let bookbags lie around so we check those.”He says when he first became an educator, school was more about the “Three R’s”—reading, writing, and arithmetic. But he’s definitely noticed a shift in recent years. “Myself and my admin team spend more time probably worrying about…the safety of kids and staff,” he says. “It’s gone beyond just the normal curricular issues," Witt said.And that “frustrates” him, he says, “but it’s a necessity.”The school has a series of cameras, covering the entrances and exits to the various buildings. And they have also sought training for their staff from groups like the non-profit Educator’s School Safety Network.But as a small district with limited funds, Witt says investing in new security technology—things like bullet proof windows, heavy duty doors-- isn’t really on the table.But even with all the funds in the world, he’s upfront that he’s still not sure he would invest much money in “hardening” schools, noting that nothing is “100 percent intruder-proof.”So he’ll continue with the “getting-to-know-you” behavioral approach—and giving his students a hard time about their choice of NBA-inspired footwear. 3413

ENID, Okla. (AP) — Two U.S. Air Force airmen killed in a training jet crash at Vance Air Force Base in northwestern Oklahoma have been identified as an instructor and a student pilot.The base said Friday that 47-year-old instructor pilot Lt. Col. John “Matt” Kincade and 23-year-old student pilot Lt. Travis Wilkie died in what Col Corey Simmons has called a “mishap” as two T-38 Talon jets were landing at the base in Enid, about 65 miles (105 kilometers) northwest of Oklahoma City.Two airmen aboard the second jet were not injured.RELATED: San Diego mother calls on community to sponsor wreaths honoring veteransKincade, who was assigned to the 5th Flying Training Squadron, is survived by his wife and two sons. Wilkie, a San Diego native who attended La Jolla Country Day School according to the Air Force Academy, is survived by his wife, parents, and sister.In a statement, Wilkie's family said he was a humble man with a huge smile:"Our son Travis was born ready. His intense personal drive to achieve fueled his incredible accomplishments in academics, athletics and most recently, as an Air Force Academy graduate only weeks away from getting his wings. He made everything look effortless yet he invested great effort in everything. He had a huge smile and a humble heart. He was a great brother and great son. And he was deeply in love with his new wife Peyton. We are immensely proud of Travis and will cherish him forever."RELATED: San Diego veteran receives Congressional Gold Medal for WWII serviceSimmons said the cause of the Thursday morning accident is under investigation by an Air Force safety board that functions similarly to the National Transportation Safety Board.Simmons said it typically takes 30-60 days to determine the cause of such accidents."We are a close family," Simmons, 71st Flying Training Wing commander, said. "And when tragedies like this occur, every member of the U.S. military, Vance, Enid, feels it." 1954

Families in South Texas and across the country are dealing with similar issues as nursing homes and other long-term care facilities as they restrict visitors to help protect vulnerable residents and staff from the coronavirus pandemic.While times have certainly changed for how people interact during this COVID-19 pandemic, the Solstice Senior Living Center hosted a “Hugs for Hope” event to help bridge the gap between family and friends in a creative way - with a “hugging booth.”“Hope for a better time, hope for a better place, for our residence, and for their families," Solstice Senior Living executive director Michelle Kelm said. "Hugs to make them feel like there is hope for our future, that this is not going to be our future forever."We will have contact with our families, and we will find ways to overcome anything that comes our way.”Families said the human touch with their relatives was especially comforting.“We have been up to visit him a couple of times where we could pass things to him," said Barbra Culp, who was visiting her 96-year-old father. "This is the first time we can actually touch him. I think it is great. I hope all the places do it."A sheet of plastic with holes and specialty sleeves may seem simple, but for the folks here at the Center, this divider is special.“It felt great; it would have felt better if we wouldn't have the gloves, and the thing in between us," said Carol Solovey, who visited her 89-year-old mother. "But it felt great."Others said they have been waiting months to reconnect with their loved ones."Oh, it felt amazing," said Kim Buchanan, who was visiting her mother. "It was something you didn't want to let go; you just want to keep holding her.""I have not been able to physically touch her since February. Solstice has done a great job of keeping our families protected. It has been a long time coming."The event was especially meaningful for Solstice Senior Living resident Judi Barraba.“I can't describe it...it has been so long," Barraba said. "Usually we are a huggy, huggy family. So not being able to do it for five or six months, it has been hard."Saturday's event could not have happened without the help of C-101 radio host Rex Gabriel, who helped families connect with their loved ones while following all CDC guidelines with his “Hugging Booth."“Everything is CDC-friendly. As you have seen, we are wiping down in between usage with two different kinds of cleaners in between each use," Kelm said. "Everybody is wearing masks, gloves, and we are asking that they all social distance. We have had all families wait in their cars till it is time to actually come up to receive their hug,” said Kelm.“It is actually like my heart is touching her heart. It is the closest we have been in months, and it is the closest you get to touch your loved ones. I also know that they are doing a great job of protecting them as well so we can see them after all this is done,” said Buchanan.While COVID-19 keeps people apart, the love of family and friends is still essential.Story was originally reported by Roland Rodriguez at KRIS 3104

ENCINITAS, Calif. (KGTV) - A beloved custodian at an elementary school in Encinitas is recovering after a spider bite led to an amputation."He's happy. He's smiling. Thankful he's alive," said Megan Luce, PTA President at Park Dale Lane Elementary School.Guil Aguilar has been a custodian at the school for more than five years."His spirits are so high when I visited," said Luce.Luce says his ordeal began at work, just before Thanksgiving break. Aguilar says as he was moving trash cans near a dumpster, he saw spiders but didn't think anything of it. After he left the area, he felt a twinge in his foot. He went with family to visit relatives in Arizona during Thanksgiving and his bite began to swell. He was admitted into a hospital, then transferred to an Encinitas hospital, where doctors diagnosed him with a venomous spider bite. The type of spider is unknown. The treatment was not enough."There was an infection that they tried to clean out. The infection resulted in amputation of his foot and partial leg," said Luce.Luce says Aguilar handled the difficult news by focusing on the bright side."He was okay with it. He'd rather his foot be gone than his life," said Luce.As news of his ordeal spread, parents at the school rallied."I was heartbroken. He's such as an amazing, amazing person ... Always happy. He's always there to help. Goes over and beyond what he's supposed to do at the school," said Luce.The parents organized a meal train and a Gofundme campaign to help his family, including his five children, with expenses."He's not just a janitor. He's part of the community and part of the Park Dale Lane family," said Luce.The Encinitas Union School District issued the following statement: "The situation that you are inquiring about involves one of our employees and is currently under investigation by the District. Due to privacy rights and confidentiality laws, we are unable to provide an update on the employee ... In an abundance of caution, the District has taken the necessary precautions to ensure that all areas of campus have been inspected and are safe. The District will continue to monitor the campus and address any issues immediately." 2186