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The Illinois Department of Public Health is investigating nine recent cases of acute flaccid myelitis, also called AFM, according to a statement Wednesday.All of the cases are in patients younger than 18 and have been clinically diagnosed by health care providers, the statement said. State health officials are working with the care providers to obtain the samples and information to send to the US Centers for Disease and Prevention for testing and confirmation of the diagnoses."The CDC will make the final determination on diagnoses and numbers are subject to change," the statement said.All of the patients are "from northern Illinois," according to the health department, but no other location information was provided.Since 2015, when Illinois began monitoring reports of AFM in the state, four confirmed cases have been identified.AFM is a polio-like illness that affects a person's nervous system, including the spinal cord. Symptoms can include sudden limb weakness, loss of muscle tone and reflexes, facial and eyelid drooping, facial weakness, difficulty moving the eyes, swallowing difficulty or slurred speech, according to the CDC.The rare condition can be caused by a virus, a genetic disorder and environmental toxins.There is no treatment other than managing each patient's symptoms.Dr. Rachel Herlihy, the Colorado state epidemiologist, said the best prevention is frequent handwashing and keeping kids home when they are sick.On Tuesday, the Colorado Department of Health said?it has confirmed 14 cases there this year. All of the patients are children who have needed to be hospitalized, the department said, noting that "nearly all have fully recovered.""The state health department has been monitoring this situation closely since early spring. In addition to investigating the outbreak, the state health department has issued alerts to health care providers on how to test for the viruses and enhanced guidance to child care centers on infection prevention," the department said in a statement.The type of viruses found in 12 of the Colorado cases, enterovirus, typically increases in summer and fall and is common, the state department of health said. However, 11 of the Colorado cases of AFM have tested positive for EV A71, a rare type of enterovirus not usually seen in the US, rather in Asia and other parts of the world, according to Herlihy. "This is certainly the largest outbreak of enterovirus A71 we've seen in Colorado."She referred to these 11 cases as an outbreak within an outbreak. "We have 41 cases of children who have had some sort of illness of enterovirus A71, which is causing a wide spectrum of neurological illness."In previous years, cases of AFM in Colorado and elsewhere have been positive for a different enterovirus, EV-D68.On Friday, the Minnesota Department of Health said it was investigating six cases of AFM in children over the past few weeks but did not identify what virus or other cause may have led to the illnesses.As of September 30, according to the CDC, 38 cases of AFM have been confirmed in 16 states. This does not include all of the 14 cases announced by Colorado, as some of those cases were confirmed after September 30. It also does not include the cases in Minnesota or Illinois, as they are not confirmed.Since August 2014, when the CDC began tracking the illness more closely, the agency has reported 362 cases.In 2017, 33 cases were reported in 16 states. One hundred forty-nine cases were reported in 39 states in 2016 and 22 cases in 17 states in 2015. 3570

The Honda CR-V, one of the most popular vehicles in America, is plagued by a potentially dangerous engine problem that could cause the small SUVs to lose power or even stall, according to Consumer Reports magazine.In some CR-Vs, gasoline can leak into the SUV's engine oil. That can eventually cause the engine to lose power or stall completely. Several Consumer Reports subscribers reported the issue which has also been the subject of of dozens of complaints to the National Highway Traffic Safety Administration, according to the magazine. Many more owners have complained of the problem in online forums, Consumer Reports said.Several CR-V owners have posted complaints with NHTSA reporting a strong smell of unburned gasoline as a result of fuel getting into the engine's lubricating oil.A Honda spokesman took issue with Consumer Reports' contention that the problem is widespread, saying there are hundreds of thousands of CR-Vs on the road so a problem affecting even a tiny percentage of them could result in a fairly large number of complaints.Honda's Chris Martin said the automaker is working to figure out a fix for the problem and hopes to have one ready by mid-November. Honda does not consider the problem to be a safety threat requiring a recall. Owners with concerns about the problem should visit a Honda dealer for an inspection. Any needed repairs will be covered under their warranty, the automaker said.Consumer Reports counters that the issue is, indeed, safety related."There are many ways stalling can be a safety issue, so if these cars are stalling, they need to be recalled," said David Friedman, vice president for Advocacy at Consumer Reports and a former acting NHTSA director.The problem occurs in 2017 and 2018 CR-Vs with Honda's new 1.5-liter turbocharged engine. Somehow, gasoline is getting into the car's lubricating oil which should not normally happen, Consumer Reports said. That dilutes the engine oil making it less effective at lubricating the engine. Over time, that can lead to engine damage and loss of power or stalling, especially on cold days or in heavy traffic.Honda says the problem has occurred mostly in northern parts of the country during short drives in extreme cold weather. Consumer Reports said the problem had been reported to the magazine by CR-V owners as far south as Texas and New Mexico.Honda spokesman Martin took issue with Consumer Reports' contention that the problem is geographically more widespread than the automaker says. Honda also pointed out that it is normal for small amounts of gasoline to find their way into the engine's oil but it usually burns away during continued driving."While others may easily complain online of experiencing something similar under other circumstances," Martin said in an email, "it is premature and a bit irresponsible to link them all together without physical inspections of the vehicles, which is what [Consumer Reports] has done here."Honda has recalled CR-Vs in China for a similar issue. But, Honda said those vehicles do not have precisely the same engine used in CR-Vs sold in the United States,When an automaker issues a safety recall in the United States, it is legally required to fix the problem, at no charge to the owner, in all potentially affected vehicles. Automakers frequently do other sorts of updates and fixes to vehicles, at their discretion, without necessarily fixing the problem in all vehicles. 3439

The Los Angeles Chargers are facing backlash on social media after tweeting out a photo.The tweet read in part, “It's #SaluteToService week and we want to see how members of the military #RepTheBolts!” 209

The Michigan Department of Transportation says 40-50 cars and semis have been involved in an accident on I-94 in Jackson County, located about 80 miles west of Detroit.According to an MDOT traffic map, the crash appears to be on Westbound I-94 at Race Rd., exit 147 between Ann Arbor and Jackson.Three people reportedly suffered minor injuries in the pileup.According to the Jackson County Sheriff's Office, Michigan State Police, the Jackson County Sheriff's Office and Blackman-Leoni Public Safety are responding to the crash scene.Westbound I-94 is currently closed at the accident site.   610

The race for a COVID-19 vaccine appears to be on the horizon. But without large numbers of Americans getting the vaccine, the notion of herd immunity could be a challenge. Some are pondering whether people should be required to get a vaccine.Coronavirus cases are spiking across most of the country. Hospital ICU beds are becoming scarce, and a number of states are warning of potential lockdowns.“If they don’t start to bend this curve, then it is clear that we’re going to have to take more difficult measures and go to a stay-at-home order,” said Illinois Governor JB Pritzker.But there was some good news this week. Pfizer concluded phase three of its vaccine study. The two-shot course they say is 95 percent effective against COVID-19. Earlier in the week, Moderna said its vaccine is 94.5 percent effective.“Based upon the preliminary data that is out there, these vaccines appear to be quite safe and very, very effective at preventing COVID,” said Dr. Tina Tan, a professor of infectious disease at Northwestern University’s Feinberg School of Medicine and a pediatrician at the Ann & Robert H. Lurie Children’s Hospital in Chicago.If green-lit by the FDA, one question that may arise is whether Americans should be mandated to get vaccinated. In August, Dr. Anthony Fauci weighed in.“You don’t want to mandate and try and force anyone to take the vaccine. We’ve never done that,” said Fauci.According to a Pew Research survey in September, about half of U.S. adults (49 percent) said they definitely or probably would not get vaccinated. That was up from 27 percent in May.“I think it's going to be really important to build public trust before we talk about mandating vaccines for adults or even for children,” said Tan.Tan points out that none of the vaccines have been tested in children, and so, school mandated vaccinations could be years away.Still, legal scholars say local vaccine mandates have historically had solid legal precedent for enforcement for more than a century.“The short answer is yes, a vaccine can be mandated under the law,” said Juliet Sorensen, a professor of health and human rights at Northwestern University’s Pritzker School of Law.Sorensen says it’s still a complex question, not just about whether a vaccine can be mandated, but whether it should be.“The Constitution empowers state and local governments to take measures in furtherance of the public health as long as there is a basis in science for doing so,” she explained.And while few are endorsing a vaccination mandate right now, as the death toll climbs without universal mask-wearing and social distancing, it could be up for further debate. 2655