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The country is heading into a COVID-19 winter without fully deploying widespread testing of sewage for traces of coronavirus, a Newsy investigation has found.Wastewater surveillance is one of the few proven tools able to track community spread of the disease, with the potential to help monitor immunity rates from new vaccines."It is frustrating," said David Larsen, an associate professor of public health at Syracuse University's Falk College. "We're going to see a huge amount of sadness over the next few months. And it's not too late to scale up wastewater surveillance at this time to help us with that."Early on, scientists realized infected people shed the virus in stool.The federal government began a big effort for analyzing the concentration of the virus in community wastewater."It's something I think from a national level we need to pursue," Assistant Secretary for Health ADM Dr. Brett Giroir said during a July webinar.Months later, the government has left it to state and local authorities to launch their own programs.For some, that's been a challenge.Newsy learned New York State, for example, suspended its sewage surveillance pilot after a month in part because of an equipment shortage.As a result, testing stopped in four places including Albany and Erie County, home of Buffalo.The University of Buffalo helped lead the project."UB is in the process of acquiring enough materials to continue the monitoring effort moving forward," university spokesman Cory Nealon said in an emailed statement.As with PPE, there is a global shortage of supplies needed to test sewage for COVID.Other places are struggling with how to pay for sewage analysis, with coronavirus aid from Washington running dry."The biggest factor, the limiting factor, is finances," Larsen said.The result is a patchwork of places examining wastewater across the country, mainly big cities and college campuses."It's not really a unified strategy, unfortunately," said Colleen Naughton, an assistant professor of civil and environmental engineering at the University of California Merced.She and her team plot testing sites on a map."When you zoom out of course the bubbles are big, so it looks like all U.S. is covered," Naughton said. "But when you zoom in you see it's a bit more spread out."Three states, Iowa, Rhode Island and South Dakota, don't have any surveillance sites at all, she said.Biobot Analytics looks for COVID in wastewater for about 200 cities and counties but has the capacity to do much more, said company president and cofounder Newsha Ghaeli."We're at the beginning, let's say that," Ghaeli said. "There hasn't really been a strong coming together yet around a specific approach or even standards."The CDC is still putting together a national wastewater surveillance system, building out a database not available to the public yet."It is, I think, valuable for the public to see that data and take action as a deciding factor for what activities and what risks am I going to take?" Naughton said. 3019

The cremated remains of notorious cult leader Charles Manson were scattered on a California hillside following a Christian funeral on Saturday, nearly four months after his death.The burial came one week after Manson's grandson, Jason Freeman, won the right to his grandfather's body after a court battle that began shortly after Manson's death on November 19.The family "acted like ninjas" to keep the funeral in Porterville, California, from gaining attention, Freeman said.About 20 people attended, he said, describing them as his grandfather's best friends from before and during Manson's 46-year incarceration.Among them was Sandra Good, a member of the original "Manson Family." Good was not part of the grisly two day killing spree that terrorized the nation in 1968. But she remained a follower and extolled Manson's environmental directive known as Air, Trees, Water, Animals (ATWA).Manson's body was dressed in an orange ATWA T-shirt for the funeral. His remains were cremated after the service.Also attending was Afton Burton, who was briefly Manson's fiancée in 2014. She was 53 years younger than Manson.Freeman battled two other men with Manson connections for the right to dispose of the remains -- Michael Brunner, who claimed to be Manson's son and Michael Channels, a long time Manson friend and memorabilia collector. Freeman invited both to the funeral. Neither showed up.During the court fight, both Freeman and a probate attorney talked about Manson's body being kept "on ice" by the Kern County Coroner. However, Freeman told CNN that the funeral home told him they "had a mess on our hands," and that there was "gross neglect to the corpse." Freeman said it was clear to him that his grandfather had not been properly stored.But Stephen Wells, a spokesman for the Kern County Sheriff's department, said that Manson's body "wasn't treated any differently than any other body" being stored by the coroner's office. Wells said it was kept refrigerated, and that "after four months it would have the standard decomposition."Freeman is a devout Christian, and had a local pastor from Porterville lead the service.Also at the service was a documentary camera crew working with Freeman on a film about his father -- Charles Manson Jr., who committed suicide when Jason was a boy.While the fight over Manson's remains is over, the court battle for his estate -- including personal items as well as music rights -- is still being fought in court. Freeman, Brunner, Channels and Matthew Robert Lentz, who also claims to be Manson's son, all head to probate court in Los Angeles again on Friday."It was great for everybody to come together for the first time," said Freeman's wife, Audrey, who accompanied him to the funeral. "It was a gift to us."  2775

The FDA is offering formal guidance on the amount of inorganic arsenic allowed in infant rice cereal.Exposure to inorganic arsenic has been associated with neurodevelopmental effects, according to the Food and Drug Administration, including lung and bladder cancer risk. Arsenic occurs naturally in the soil, and rice has been shown to absorb a small amount during the growing process.The new guidance identifies a level of at or below 100 micrograms per kilogram and is based on draft guidance from 2016. The guidance is recommended, but not legally enforceable.“It is important to note that the agency’s data show that most products on the market are already below this level and that parents and caregivers should know that a well-balanced diet also includes a variety of grains like oats and barley,” said a statement from Susan Mayne, Ph.D., director of the FDA’s Center for Food Safety and Applied Nutrition.According to the FDA, results from testing in 2018 showed 76 percent of samples were at or below the 100 ppb level, compared to 47 percent of samples tested in 2014 and 36 percent of samples tested between 2011-2013.The FDA attributes the drop in inorganic arsenic presence to changes manufacturers are making in sourcing rice and testing their ingredients. 1279

The campaign ads are airing every set of commercials on the major television networks right now: Election Day 2018 is here on Tuesday.How many seats are open in the House of Representatives? What is the minimum age a member of the House must be?Take our quiz to see how much you know about the United States' leadership and its duties. If you can't see it below, click here. 382

The CDC says there's yet another illness that you need to be aware of; one that has serious outcomes as doctors warn of a possible outbreak of AFM, or Acute Flaccid Myelitis, which can cause paralysis in children.When Kinley was just 5 years old, what started as a stomach and headache turned into exhaustion. By the time her parents got her to the hospital, she was admitted into the ICU. By the next morning, she was on life support and paralyzed in all limbs.Now 11, hers is one of the 633 nationwide cases to date of AFM. Dr. Janell Routh, a pediatrician and AFM Team Leader for the CDC, says they've been tracking the neurologic condition since 2014.“Something changed in 2014, the epidemiology changed and we saw an increase in cases,” Routh said. “We confirmed 120 cases in 2014. We think that new epidemiology suggests that we have either a new cause for this condition or a cause that somehow changed to become more virulent.”By 2018, the number of cases had doubled. Which means 2020, the year that seems to be affected by everything, will see more cases. The CDC says the type of virus that causes AFM starts with a basic fever. Which then may go away and come back.“Most parents don’t necessarily think much about a fever and the sniffles- if parents do see limb weakness so their child complaining of pain maybe headache or back pain and weakness in one or more limbs that is a sign they need to seek medical care immediately,” Routh said.Routh says AFM progresses rapidly by attacking the gray matter of the spinal cord. Paralysis can set in in a matter of hours or days.“I remember one mother telling me that her child laid limply on her chest, couldn’t move. Those are signs that they really need to call their pediatrician or go the ER and get evaluated,” Routh said.As it's a relatively new syndrome, there's a lot we don't know. There's no lab test to diagnose it and there's no vaccine. 90% of the cases are in children under the age of 18 with the average age being 5. Some recover, some have long term complications like Kinley, who is now 11 and still on a ventilator. She's regained use of her right leg and foot and uses it for school work and painting.“I’ve definitely seen how this condition can affect children and their families, not just from a physical standpoint but from an emotional standpoint disrupting the lives of families,” Routh said.The CDC is now trying to track patients and outcomes, tracking the recovery of those who have been diagnosed and researching those who may be at risk. They do know that it seems to affect kids in late August and early September, and prevention is similar to what you'd do for other viruses like COVID-19. Hand washing, staying home if you're sick, and having good cough etiquette.“AFM is a medical emergency and so if parents do see signs of limb weakness in their children after a viral illness and in those late summer early fall months - call your pediatrician go to the emergency room,” Routh said.And she says, while there is so much focus on COVID-19, it's definitely not the only virus that is spreading. 3093