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TAMPA, Fla. — Children in Florida are being criminally charged with prostitution — even after the state passed a law designed to protect kids sold for sex, 168

Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

Storms hammered east Texas on Saturday, with two children killed when a tree fell on a car, authorities said.The children, ages 3 and 8, were in the back seat with their parents in the front when the tree fell on their vehicle around 3 p.m., said Angelina County Sheriff's Department Captain Alton Lenderman. The children were pronounced dead at the scene.A preliminary damage survey found that a tornado with peak intensity of EF-3 and winds up to 140 mph touched down in Robertson County, 504

TAMPA, Fla. — American Honda is recalling about 200,000 portable generators because they may leak gasoline from the fuel valve, posing fire and burn hazards. Honda has received more than a dozen reports of leaking valves, but no injuries have been reported. The generators were sold at authorized Honda Power Equipment Dealers, The Home Depot and other home improvement stores nationwide and online from February 2018 through February 2019 for about ,100 to ,300.This recall involves Honda EU2200i, EU2200i Companion and EB2200i portable generators. The recalled portable generators were sold with a red or Camo cover. The names “HONDA” and the generator model name are printed on the control panel. The serial number is located on a lower corner of one of the side panels of the generator.The following model numbers and serial number ranges are being recalled:ModelSTART SERIAL NUMBER END SERIAL NUMBEREB2200iTAEAJT-1000001 EAJT-1005474EU2200iTAEU2200iTA1EU2200iTA2EAMT-1000001 EAMT-1260796 1024

RIO DE JANEIRO (AP) — Brazil's government has confirmed the first case of the new coronavirus in Latin America. The health minister said Wednesday that a 61-year-old man who traveled to Italy's Lombardy region has tested positive for the COVID-19 virus. The man had begun to show symptoms compatible with the illness, like a dry cough, throat pain and flu symptoms, and so was tested for the virus. Since the illness began to spread throughout the world, Brazil and other countries in the region have registered dozens of suspected cases, all of which previously had been discarded.With this South American case, the virus has now been reported in every continent except Antarctica. 695