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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 Palm Beach County Supervisor of Elections Susan Bucher says she expects to begin the manual recount process at 11 a.m. ET Friday.This comes after a Thursday order from the Secretary of State to complete a manual recount statewide for the Senate race and Agriculture Commissioner's race.Palm Beach County also must complete a manual recount for a State House race.Manual recounts are required when a candidate’s margin of victory is less than .25 percent.However, Bucher said first, they need to complete the machine recount for the Senate race before they can begin the manual recount.She said they have not completed the tabulation process to come up with vote totals for the Senate race to find all the over and under votes.“We just want to get to a place where we should start a manual recount. Right now we’re incomplete and we’re incomplete for various reasons, mostly because there were requirements that we show some duplicated, damaged ballots, and haven’t run those and requirements that we canvass ballots for over and under votes that were duplicated by staff," Bucher said.  "So, we’ve completed that process, but now we have to go run them through our tabulators to get the rest of our over unders.”  They do not have to manually recount every single ballot, only ones considered overvotes or undervotes.An overvote is a ballot in which the voter appeared to vote for more than one candidate in a race, and an undervote is a ballot in which the voter appeared to vote for no candidate in a race.An election worker, along with a representative from each political party, will review the ballots in question. If they cannot agree on the voter’s intent, it will go to the canvassing board.A judge’s ruling will determine the order of the recount races.The results are due by noon on Sunday.  1853

The number of people hospitalized due to a multistate E. coli outbreak linked to chopped romaine lettuce continues to grow, the US Centers for Disease Control and Prevention said.About 53 people have been reported sickened in 16 states since March 13, the CDC said. Thirty-one of those ill have been hospitalized. Five of them developed a type of kidney failure associated with an E. coli illness called hemolytic uremic syndrome, which can be life-threatening.No deaths have been reported, the CDC said.The higher number of E. coli cases have been in Pennsylvania, Idaho, New Jersey and Montana.The outbreak has also reached consumers in Alaska, Arizona, California, Connecticut, Illinois, Louisiana, Michigan, Missouri, New York, Ohio, Virginia and Washington.Symptoms of E. coli typically begin two to eight days after consuming the bacteria, although most patients become ill three or four days after consumption. Symptoms include severe stomach cramps, diarrhea and vomiting. Most people recover in five to seven days. Those most at risk for E. coli illness include the very young, the very old and individuals with compromised immune systems.Health officials had issued a warning for residents and restaurants about chopped romaine lettuce grown in the Yuma, Arizona, area last week."Most people reported eating a salad at a restaurant, and romaine lettuce was the only common ingredient identified among the salads eaten," the CDC said in a statement."The restaurants reported using bagged, chopped romaine lettuce to make salads. At this time, ill people are not reporting whole heads or hearts of romaine," the center added.The agency recommends that people across the United States stay away from chopped romaine lettuce."Consumers anywhere in the United States who have store-bought chopped romaine lettuce at home, including salads and salad mixes, should not eat it and should throw it away, even if some of it was eaten and no one has gotten sick. If you do not know if the lettuce is romaine, do not eat it and throw it away," the CDC said.  2069

The head of the US Forest Service has resigned amid reports that the agency was looking into misconduct allegations against him."Many of you have seen the news reports which included the stories from women who told of their experiences with sexual harassment in the Forest Service. I admire their courage," Tony Tooke wrote in an email to employees.The email later adds, "In some of these news reports, you may have seen references to my own behavior in the past. This naturally raised questions about my record and prompted an investigation, which I requested and fully support, and with which I have cooperated."Tooke added: "I have been forthright during the review, but I cannot combat every inaccuracy that is reported in the news media. What I can control, however, are decisions I make today and the choice of a path for the future that is best for our employees, the Forest Service and the US Department of Agriculture. I must also think about what is best for my family. Therefore, I have decided that what is needed right now is for me to step down as Forest Service Chief and make way for a new leader that can ensure future success for all employees and the agency."PBS NewsHour, which recently published an investigation detailing sexual harassment at the Forest Service, first reported the news of his resignation Wednesday.The investigation into misconduct at the agency as a whole comes as the nation is facing a reckoning over sexual assault and harassment in the workplace.Congress has previously looked into harassment within the ranks of the US Department of Agriculture, of which the Forest Service is a part.Tooke's time as Forest Service chief began only recently, under President Donald Trump's tenure. Agriculture Secretary Sonny Perdue tapped Tooke to lead the agency in August 2017, but according to a news release from the time of the announcement, Tooke had worked for the Forest Service since he was a teenager.Perdue accepted Tooke's resignation Wednesday."Forest Service Chief Tony Tooke today tendered his resignation, which I accepted," Perdue wrote in a statement. "The Forest Service is filled with dedicated employees from across this nation who devote their lives to promoting healthy and productive forests for the benefit of taxpayers and our environment. In my experience, in order to effectively lead any organization, you must have the moral authority to inspire its members to work toward the goal of continuous improvement."  2483

The government’s small business lending program has benefited millions of companies, with the goal of minimizing the number of layoffs Americans have suffered in the face of the coronavirus pandemic. Yet the recipients include many you probably wouldn’t have expected.Kanye West’s clothing line. The sculptor Jeff Koons. Law firms and high-dollar hedge funds. The Girl Scouts. Political groups on both the left and right.All told, the Treasury Department’s Paycheck Protection Program authorized 0 billion for nearly 5 million mostly small businesses and nonprofits. On Monday, the government released the names and some other details of recipients who were approved for 0,000 or more.That amounted to fewer than 15% of all borrowers. The Associated Press and other news organizations are suing the government to obtain the names of the remaining recipients.Economists generally credit the program with preventing the job market meltdown this spring from becoming even worse. More than 22 million jobs were lost in March and April. But roughly one-third of them were regained in May and June — a faster rebound than many analysts had expected.The government acted quickly in early April, with Treasury lending the first 9 billion in just two weeks. The program got off to a rocky start, one marked by confusion and difficulty for many companies that sought loans.“The process was messy, and they couldn’t target it as much,” Diane Swonk, chief economist at accounting firm Grant Thornton, said of Treasury.Here are seven unlikely recipients of the PPP loans:___JEFF KOONSKoons, a modernist sculptor, is known best for his work with large, metallic balloon-like animals. His “Rabbit” sculpture fetched million at auction last year.Koons’ studio was approved for million to million, the government’s data shows. (The data shows only ranges for the amounts of approved loans.) His studio said it employed 53 people before the pandemic. The PPP loans can be forgiven if employers use most of the money to keep their workers on the payroll.___WALL STREET AND PRIVATE EQUITYNearly 600 asset management companies and private equity firms were approved for money from the PPP, according to government data.Financial firms were generally not badly hurt by the coronavirus pandemic. Their employees were largely able to keep working, and they weren’t among the industries that had to be shut down by government orders. In addition, of course, investment managers and private equity employees tend to be exceedingly well-paid occupations.ADVERTISEMENTAccording to the data, those 583 companies reported supporting roughly 14,800 jobs collectively with the money from the program. That’s an average of 25 employees per company.One other notable financial company that borrowed from the program: Rosenblatt Securities, which commands one of the largest physical presences on the floor of the New York Stock Exchange. Rosenblatt borrowed between million and million.___KANYE WEST’S CLOTHING LINEKanye West’s clothing-and-sneaker brand Yeezy received a loan of between million and million, according to the data released by Treasury. The company employed 106 people in mid-February before the pandemic struck.Yeezy, best known for its 0 sneakers, just announced a major deal with Gap that will have the rap superstar designing hoodies and T-shirts to be sold in the chain’s 1,100 stores around the world. (A representative for Yeezy didn’t immediately respond to a request for comment.)Last weekend, West, a notable fan of President Donald Trump, tweeted that he was running for president.Some other well-known fashion and retail names whose businesses were pummeled by store shutdowns were also approved for loans. The list included high-end designers Oscar de la Renta and Vera Wang and suit maker Hickey Freeman. All their loans were in the -million-to- million range.___POLITICAL GROUPSThe Americans for Tax Reform Foundation, the nonprofit arm of the anti-tax lobbying group Americans for Tax Reform, was approved for a loan of up to 0,000. ATR, led by the anti-tax activist Grover Norquist, who has long supported a smaller federal government, said it didn’t oppose the PPP. It described the program “as compensation for a government taking during the shutdown.”The Center for Law and Social Policy, a research and advocacy group focused on policies supporting low-income Americans, was authorized for a loan of up to million, according to government data.___THE GIRL SCOUTSMore than 30 Girl Scout chapters across the country received PPP loans, the Treasury said. The Girl Scouts of Montana and Wyoming were approved for between 0,000 and million.___JIM JUSTICE, BILLIONAIRE GOVERNORWest Virginia Gov. Jim Justice’s family companies received at least .3 million from the program.Justice, a Republican, is considered to be West Virginia’s richest person through his ownership of dozens of coal and agricultural businesses, many of which have been sued for unpaid debts. At least six Justice family businesses were approved for loans, including The Greenbrier Sporting Club, an exclusive club attached to a lavish resort that Justice owns called The Greenbrier.Justice, a billionaire, acknowledged last week that his private companies received money from the program but said he didn’t know the dollar amounts. A representative for the governor’s family companies didn’t immediately return emails seeking comment.___RESTAURANT CHAINSTGI Fridays and P.F. Chang’s China Bistro were among the major restaurant chains that were approved for loans.Dallas-based TGI Fridays, which has around 500 restaurants nationwide, obtained between million and million in loans from the program. In 2014, TGI Fridays was bought by the the New York private equity firm TriArtisan Capital Advisors. That firm also owns P.F. Chang’s China Bistro, which was also approved for a loan.Though the PPP program was designed to help small businesses, big hotel and restaurant chains were also allowed to apply. A message seeking comment was left with TGI Fridays.P.F. Chang’s China Bistro says a PPP loan helped it keep 12,000 workers employed and transition its restaurants to carry-out-only during the coronavirus pandemic. Scottsdale, Arizona-based P.F. Chang’s, which has more than 210 restaurants around the country, was approved for between million and million from the PPP program, according to the government data. 6458