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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The State Fair of Texas will not open for the 2020 season after "extensive consideration of the current landscape related to the COVID-19 pandemic."The State Fair of Texas, which takes place every year in Dallas, made the official announcement on their website."With a heavy heart, we are announcing that the State Fair of Texas will not open for the 2020 season. We believe the spirit of the Lone Star state lies in every Texan’s ability to care and look out for their neighbor and it is with this in mind, we have decided to keep our guests, staff, and partners safe and healthy during these uncertain time," the statement said."We look forward to giving y’all a great big Howdy in 2021."The State Fair of Texas Board of Directors voted to cancel the 2020 State Fair of Texas.“This was an extremely tough decision. The health and safety of all involved has remained our top priority throughout the decision-making process,” said Gina Norris, board chair for the State Fair of Texas. “One of the greatest aspects of the Fair is welcoming each and every person who passes through our gates with smiles and open arms. In the current climate of COVID-19, there is no feasible way for the Fair to put proper precautions in place while maintaining the Fair environment you know and love. While we cannot predict what the COVID-19 pandemic will look like in September, the recent surge in positive cases is troubling for all of North Texas. The safest and most responsible decision we could make for all involved at this point in our 134-year history is to take a hiatus for the 2020 season.”The announcement also said while the State Fair of Texas is canceled for 2020, the NCAA, respective conferences, and participating universities – the University of Texas & University of Oklahoma and Prairie View A&M University & Grambling State University – will be in charge of making decisions regarding the football games that occur at Cotton Bowl Stadium."Should football be played this fall, the schools will be playing in the Cotton Bowl as scheduled, despite the cancellation of the 2020 State Fair. We will share those details as soon as we know more."University of Oklahoma's Vice President and Director of Athletics Joe Castiglione issued a statement after the fair was canceled. “We understand and respect the decision made by the State Fair of Texas and acknowledge that it was an extremely difficult one," Castiglione said in the release. "Our hope remains that we can play the OU-Texas game at the Cotton Bowl, but obviously every aspect of our season requires constant monitoring and planning. The best thing all of us can do at this time is closely follow CDC guidelines to reduce the spread of the virus."This will be the first time since World War II that the State Fair of Texas has not opened. The State Fair of Texas has previously canceled Fairs because of World War I (1918), planning for the 1936 Texas Centennial Exposition and 1937 Pan American Exposition at Fair Park (1935 – 1937), and World War II (1942 – 1945).The 2021 State Fair of Texas is scheduled to run Friday, September 24 through Sunday, October 17 in Fair Park.KXXV's Thalia Brionez first reported this story. 3206

The U.S. Geological Survey recorded two earthquakes in Tennessee early Wednesday.The first happened at about 3:15a.m. and was reported to be a magnitude 4.4. The second was recorded at about 3:30a.m. and was a magnitude 3.3.According to the USGS Intensity map, as of 3:45a.m., more than 2000 people reported feeling the earthquakes across Tennessee, North Carolina, Alabama, and Georgia.Some people reported feeling weak shaking in areas of Middle Tennessee, like Hendersonville, Cookeville, and Murfreesboro. According to the National Weather Service office in Morristown, the largest earthquake on record in East Tennessee was a magnitude 4.7 near Marysville in 1973. The USGS?studied the reason why earthquakes are felt at much farther distances on the east coast, compared with earthquakes that hit the west coast. Researchers found that some factors have to do with tectonic plates and their geological history. The east coast has older rocks, which researchers said allow seismic waves "to cross them more effectively during an earthquake." 1084

The White House said Thursday that new national security adviser John Bolton met with Russian ambassador to the US Anatoly Antonov."Bolton reiterated that it is in the interest of both the United States and Russia to have better relations, but that this will require addressing our concerns regarding Russia's interference in the 2016 election, the reckless use of a chemical weapon in the United Kingdom, and the situations in Ukraine and Syria," the White House statement said.This was the first meeting between the two in their current roles. Bolton officially stepped into the role of White House national security adviser earlier this month after President Donald Trump announced his appointment in March.The meeting came amid heightened tensions between the two nations over Syria, the poisoning in the UK of a former Russian spy and the ongoing special counsel investigation into Russian interference in the 2016 election.Last year, Trump?met with Russian Foreign Minister Sergey Lavrov and Sergey Kisylak, who was Russia's ambassador to the US at the time. Russian state media posted photos of that Oval Office meeting. 1160

The University of Washington’s Institute for Health Metrics and Evaluation now projects that 67,000 American lives would be saved between now and December 1 by near universal wearing of masks.The IHME released the updated model on Thursday. As part of the update, the IHME said that four states, Arizona, Florida, Mississippi, and South Carolina, have hit an important metric of a daily death rate of eight per one million residents, and that those states should re-impose statewide closures of non-essential businesses.The IHME’s coronavirus projections have been frequently cited in the past by the White House’s coronavirus task force. The group uses state data along with other metrics to create projections on the number of coronavirus-related deaths throughout the US.The model projects with inconsistent use of masks, the US death toll for the coronavirus will be up to 295,000 by December 1, an increase from the current figure of 158,000, per Johns Hopkins University data. The IHME’s projections drops considerably to 228,000 if masks are worn universally outside of the home.IHME director Dr. Christopher Murray said at a news conference on Thursday that mask wearing mandates work, but communities also respond when they see cases are spreading.“People do respond to the circumstances in their community,” Murray said. “Mandates have an important effect.”One thing the model does not take into account is the use of therapeutics of a possible vaccine. Murray said that the IHME is closely monitoring the effectiveness of two potential therapeutics – remdesivir and dexamethasone – and may adjust future models as more is learned about those drugs.The model expects the number of coronavirus-related deaths to ebb and flow into the fall, but begin to increase by November. "November is a month we expect the spread to increase due to seasonality," Murray said. We are expecting considerable daily deaths. That pushes up our projections."“We expect it rise later in the fall,” Murray added.One cause for concern comes at the end of November when families begin to travel for holidays such as Thanksgiving.Murray said that while mask-wearing is not necessary when around family members of the same household, he said mask-wearing may be necessary for holiday gatherings. Murray said his family is taking the recommendation one step further, and is simply not gathering with extended relatives this fall.What’s built into the IHME’s projection is that a number of states will need to implement stricter closures in order to slow the spread. As part of the IHME’s recommendation, states implement closures of non-essential businesses when there is a threshold of eight deaths a day per million. Also part of the modeling is based on 50% of schools being closed in each state for the upcoming year. Murray said with many schools opening or implementing hybrid models, more will be learned in the coming weeks on how easily the virus spreads within schools.Recent measures in Arizona, California, Florida, and Texas has allowed a small decline in cases, but deaths in those states have not dropped off, according to Murray.“We have been seeing cases peaking and hospitalizations peaking and deaths not quite yet peaking, but we expect them to peak in the near future but we don’t expect a sharp decline," Murray said.To see a state-by-state breakdown of the IHME’s projections, click here. 3403