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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 Ohio State University announced on Friday that its investigation into coach Urban Meyer's handling of domestic violence allegations involving Meyer's assistant coach Zach Smith will conclude on Sunday, as scheduled. A six-person review board investigating the matter will then draft a report, which will be discussed at a closed-door meeting of the university's board of trustees. Following the meeting, which will likely take place sometime next week, university president Michael Drake could announce possible sanctions. Meyer was placed on paid administrative leave on Aug. 1 after a report published by former ESPN reporter Brett McMurphy claimed Meyer knew that Smith's wife had accused her husband of assaulting her. McMurphy also published photos of the woman which included a number of bruises. Those photos had previously been shared with Meyer's wife Shelley, who is also an employee of Ohio State. On Aug. 3, two days after he was suspended by OSU, Meyer released a statement admitting that he had lied to reporters about his knowledge of the allegations but claimed that he had followed proper protocol in reporting the incident to university officials. The alleged incident took place in 2015, while Smith was a wide receiver coach for Ohio State. Smith was not charged for the possible incident and did not face any punishment from Ohio State, according to public records obtained by Scripps National.Smith was fired in July when McMurphy had uncovered that Smith's wife had placed a protection order against her now ex-husband.  1600

The Orange County Zoo is evacuating animals and staff because of a fast-moving wildfire in Southern California.About 150 animals are temporarily relocating to the Santa Ana Zoo.The animals include bears, goats, mountain lions, bobcats, coyotes, and various birds of prey. The Orange County Zoo is part of an area under mandatory evacuation orders from the Silverado Fire. 379

The next few weeks mark the beginning of serious financial uncertainty for millions of people, because a slew of debt, from income tax payments to several months of rent, are going to be due at the same time. “It is going to be a perfect storm of financial difficulty for many, many people,” said Andrea Bopp Stark, an attorney at the National Consumer Law Center (NCLC).The center recommends three steps for anyone that finds themselves in a financially difficult situation regarding debt.Step one: create a list of priority bills and debt to pay off. “People are going to be barraged with debt collectors calling and trying to get them to pay on a medical debt or a credit card debt, but those debts are less important,” said Stark. “Pay debts that if you didn’t pay them it would cause immediate harm to your family.”Those are things like your rent and a car payment, especially if you need your car to go to work.“If you have a judgment against you, a court judgment against you for a debt, it is important to try and make a payment plan to pay that because creditor could issue a garnishment against your wages,” Stark added. Step two: contact your lender to make a payment plan on those priority debts.“We are seeing data come in that there are people who are delinquent and don’t have a forbearance agreement when they could very easily be in a forbearance agreement,” Stark added. “I know wait times on the phone are horrible right now, but you have to be persistent and get through and find out what help is available.”Data collected by the U.S. Census shows that delinquency rates are higher in communities of color.“It is mostly Black and Latinx borrowers who are not getting these forbearance agreements,” said Stark. “Whether they don’t know about it or nobody is reaching out to them to let them know this is available, we don’t know why but that is a population that is going to be disparately impacted and has already been disparately impacted by this whole crisis.”Step three: find a way to stick to your prioritized debt list. “It may sound obvious but if you have it on paper and you have created a budget, stick that to the refrigerator or wherever, then you know these are the priority spending items,” said Stark. “If your son or daughter say, ‘Oh, I want this or that,' ‘no, look at the fridge these are our priority spending items, sorry.’” Because every situation may not be solved in three steps, the NCLC has now made its in-depth guide to Surviving Debt available for free. It has template letters to send to debt collectors and hundreds of pages of help to get you through this tough time. 2626

The government of the Democratic Republic of Congo declared an outbreak of Ebola hemorrhagic fever, a rare and deadly disease, on Tuesday, the World Health Organization reported. The declaration came after laboratory results confirmed two cases of the disease in the province of Bikoro."Our top priority is to get to Bikoro to work alongside the Government of the Democratic Republic of the Congo and partners to reduce the loss of life and suffering related to this new Ebola virus disease outbreak," said Dr Peter Salama, WHO Deputy Director-General, Emergency Preparedness and Response. "Working with partners and responding early and in a coordinated way will be vital to containing this deadly disease."This is Congo's ninth outbreak of Ebola virus disease since the discovery of the virus in the country in 1976. In the past five weeks, there have been 21 suspected cases of viral hemorrhagic fever, including 17 deaths.Ebola virus disease, which most commonly affects people and nonhuman primates (monkeys, gorillas and chimpanzees), is caused by one of five Ebola viruses.The WHO said it is working closely with the government to rapidly scale up its operations and mobilize health partners, including Medicin sans Frontieres (Doctors Without Borders), using the model of a successful response to a similar Ebola outbreak in 2017.  1352

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