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AURORA, Colo. -- Inside the HealthONE Behavioral Health and Wellness Center in Aurora, Colorado, doctors and other staff members are dealing with a surge of patients.“With the impact of COVID, we have seen an increase in patients,” said HealthONE occupational therapist Emma Kowal.And one staff member, in particular, is bringing a level of care most others cannot.“A.J.’s definitely my favorite co-worker,” said technician Colin Smith.“He knows when we put the vest on – it’s time to go to work,” Kowal said.Three-year-old A.J. is a Labrador and golden retriever mix who came on board at HealthONE just in the nick of time, you could say - one month before COVID-19 shut down much of the country.“A.J. comes in and he’s instantly disarming,” Smith said.“This unbounding sense of love that he can provide to people,” Kowal said.A.J. is working with Kowal, visiting as many as 100 patients a week.“Whether that’s petting him, just touching him, brushing him,” she said. “Earlier someone bent down and kissed him on the head.”HealthONE and other mental health inpatient facilities like it are seeing a critical care need. The CDC’s latest numbers show 40% of U.S. adults reporting some kind of mental health issue – depression, anxiety and substance use among them – because of various challenges and hardships related to the coronavirus.“Dogs are often really familiar and really comforting for people,” Kowal said.Just this week, A.J. is visiting a floor of adolescents who recently attempted suicide.“The kids love him so much,” Smith said. “The way their faces just kind of light up when he comes on the unit. I wish they did that for me.”And Smith says it goes way beyond that.“A.J. is also a dream colleague for staff,” Smith said. “Oh my gosh, so much. He definitely helps when the staff gets stressed out. It’s a very stressful job.”“I think in mental health, we have to be aware of our own mental health, too,” Kowal said. “I feel privileged that I can serve my community this way.”This story originally reported by Russell Haythorn on TheDenverChannel.com. 2073

ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) is warning parents to be on the lookout for symptoms of acute flaccid myelitis (AFM) in children.The public health agency said Tuesday that it anticipates that 2020 will be another peak year AFM, an uncommon but serious neurologic condition that affects mostly children.AFM can progress rapidly over the course of hours or days, leading to permanent paralysis and/or the life-threatening complication of respiratory failure in previously healthy patients, so it’s important to seek medical care as soon as possible.The disease has peaked every two years between August and November in the U.S. since 2014, when the nation experienced the first peak of 120 cases, according to the CDC. There were also peaks in 2016 and 2018.The third and largest peak of AFM occurred in 2018, with 238 cases in 42 states. Most cases were in children (94%) and most patients (86%) had AFM onset during August through November. Most patients had a fever and/or respiratory illness approximately six days before limb weakness onset. Other common early symptoms were difficulty walking, neck or back pain, fever, and limb pain.The CDC says parents and doctors should suspect AFM in patients with sudden limb weakness, especially during August through November. Recent respiratory illness or fever and the presence of neck or back pain or any neurologic symptom should heighten their concern.Experts say enteroviruses, particularly enterovirus-D68 (EV-D68), are likely responsible for these peaks in cases. EV-D68 is the most common virus identified among specimens collected from patients with AFM. However, other viruses can cause AFM and may also be contributing to the biennial peaks.Although AFM symptoms resemble those of polio, all specimens have tested negative for poliovirus.There is currently no specific test, proven treatment or prevention method for AFM.“As we head into these critical next months, CDC is taking necessary steps to help clinicians better recognize signs and symptoms of AFM in children,” said CDC Director Robert Redfield, M.D. “Recognition and early diagnosis are critical. CDC and public health partners have strengthened early disease detection systems, a vital step toward rapid treatment and rehabilitation for children with AFM.”AFM and COVID-19The CDC says AFM is a medical emergency and patients should seek immediate medical care, even in areas with high COVID-19 activity.It’s not known how the COVID-19 pandemic and the social distancing measures may affect the circulation of viruses that can cause AFM, or if COVID-19 will impact the health care system’s ability to promptly recognize and respond to AFM.There is one bright side. If social distancing measures decrease circulation of enteroviruses this year, AFM cases may be fewer than expected or the outbreak may be delayed.Learn more about AFM here. 2901

At least three people in Louisiana have died as a result of Hurricane Laura after trees fell onto their homes.Gov. John Bel Edwards said he’s received a report of the first US fatality from Hurricane Laura in Louisiana, a 14-year-old girl who died when a tree fell on her home. 285

As the coronavirus pandemic continues, doctors are learning more about the damage having Covid-19 can do to the body. Two separate studies published recently indicate the coronavirus can harm other organs in the body, including the heart.One of the studies looked at 100 patients in Germany who recently recovered from Covid-19 and found 60 percent of participants had inflammation in the heart. The study used MRI scans to monitor the inflammation, and was published in JAMA Cardiology.The majority of the patients in this study, 67 of them, recovered from the coronavirus at home with severity ranging from asymptomatic to moderate. It compared the MRIs of coronavirus survivors to scans from healthy volunteers.The data showed there was some sort of heart involvement in those who had coronavirus, whether or not they had preexisting conditions or any heart-related symptoms during recovery.“Our findings reveal that significant cardiac involvement occurs independently of the severity of original presentation and persists beyond the period of acute presentation, with no significant trend toward reduction of imaging or serological findings during the recovery period. Our findings may provide an indication of potentially considerable burden of inflammatory disease in large and growing parts of the population and urgently require confirmation in a larger cohort,” the researchers noted in conclusion.A second study, also published in JAMA Cardiology, found coronavirus could be found in the heart tissue of patients who died.The study looked at data from 39 autopsy cases in Germany in early April. The patients were aged 78 to 89, had tested positive for Covid-19 and there were results of heart tissue analysis in their autopsies.In 16 of the 39 cases, there was a large “virus load” of coronavirus found in the heart tissue, another eight had a coronavirus presence in the tissue.The sample of autopsy cases was small and the "elderly age of the patients might have influenced the results," the researchers wrote. More research is needed whether similar findings would emerge among a younger group of patients."Taken together the studies support that SARS-CoV-2 does not have to cause clinical myocarditis in order to find the virus in large numbers and the inflammatory response in myocardial tissue. In other words, one can have no or mild symptoms of heart involvement in order to actually cause damage," said Dr. Dave Montgomery, who was not involved in the studies, in a statement to CNN.Dr. Clyde Yancy of Northwestern University Feinberg School of Medicine and Dr. Gregg Fonarow of the University of California, Los Angeles, co-authored an editorial that accompanied the two new studies in the journal JAMA Cardiology called ‘Coronavirus Disease 2019 (COVID-19) and the Heart—Is Heart Failure the Next Chapter?”“We see the plot thickening and we are inclined to raise a new and very evident concern that cardiomyopathy and heart failure related to COVID-19 may potentially evolve as the natural history of this infection becomes clearer,” they write. 3076

As this active hurricane season continues. more coastal cities are changing how they build as a way to prevent against the effects of climate change.In Margate, New Jersey, a city of 6,000 people just south of Atlantic City, a -million beach replenishment project completed in 2017 created an eight-mile stretch of dunes along the beach to protect homes against storm surge from hurricanes and nor’easters.The project involved pumping 3.8 million cubic yards of sand from the ocean floor onto the beach. The sand was used to create a berm along the west side of the beach, closest to the homes, that could protect against storm surges of up to 15 feet while more sand was placed along the shoreline, extending the beach and moving the waves further away from properties.“I think the beach replenishment project is very important,” said Nee Jersey Department of Environmental Protection chief resiliency officer Dave Rosenblatt. “Without it, we would’ve expected to see a lot more damage from Sandy and frankly, normal nor’easters.”Superstorm Sandy in the fall of 2012 was the catalyst for the project. The storm’s worst damage was felt about 100 miles north of Margate where the boardwalk was ripped up and homes were left without power for days, and in some cases, weeks.“After Sandy, it was very easy to compare the areas that had beach replenishments and dunes to those that did not,” said Rosenblatt.But Margate is just an example of several coastal cities around the country that are doing things differently.“As the sea level rises, most people are more worried about what’s going to be underwater. That’s not as important as the flood plane is expanding,” said Galen Newman, associate professor of Landscape Architecture and Urban Planning at Texas A&M. “I think there are many cities exploring options.”After Hurricane Harvey, Houston built more greenspace in its downtown area so water could better drain. On the Texas coast, near Galveston, engineers have been considering a dike to stop flooding. After Hurricane Ike in 2008, the area withstood billions in damages, and experts worry the next strong storm to target the area could cause catastrophic effects to the economy as the area is America's leading producer of petroleum.Furthermore, in parts of Florida, new building codes now mandate buildings withstand winds of up to 130 MPH,, a low-end Category 4 hurricane. A study by the Institute for Business and Home Safety found the change has worked as insurance claims have gone down in number and severity since the year 2000. 2556