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The Centers for Disease Control and Prevention has issued recommendations for those looking to receive vaccinations during the pandemic.The CDC said that anyone who needs a vaccine, they recommend getting them at a medical home to "ensure that patients receive other preventive services that may have been deferred during the COVID-19 pandemic.""However, vaccination at locations outside the medical home may help increase access to vaccines in some populations or situations, particularly when the patient does not have a primary care provider or when care in the medical home is not available or feasible," the CDC said. "Regardless of vaccination location, best practices for storage and handling of vaccines and vaccine administration should be followed. In addition, information on administered vaccines should be documented (e.g., through the state-based immunization information system [IIS], patient’s electronic medical record, client-held paper immunization records) so that providers have accurate and timely information on their patients’ vaccination status and to ensure continuity of care in the setting of COVID-19-related disruptions to routine medical services."The CDC said that if your vaccines are due or overdue, they should be "administered according to the recommended CDC immunization schedules during that visit."If you are a child or an adolescent, the CDC recommends that healthcare providers should contact parents of those who have missed well-child visits and schedule an in-person appointment.If you are pregnant, the CDC says if an appointment for your vaccinations is delayed, they should be received on the next in-person appointment.For adults, the CDC said healthcare providers should ensure that steps are taken that their patients receive vaccines according to the Standards for Adult Immunization Practice."Older adults and adults with underlying medical conditions are particularly at increased risk for preventable disease and complications if vaccination is deferred," the CDC said.If you believe you have COVID-19, the CDC says vaccinations should be postponed until you are feeling better. 2141
The colors of an autumn afternoon can be serene, brilliant and breathtaking.“As the days start getting shorter and the nights get longer, that's the cue that the trees get to change the foliage,” said climate scientist Astrid Caldas.That foliage requires a delicate dance of temperature and moisture to produce fall colors. It’s a dance potentially now in jeopardy due to climate change.“Because these things -- temperature and precipitation, rainfall -- are being affected, changed by climate, then the fall foliage can really get affected,” said Caldas, who is a senior climate scientist at the Union of Concerned Scientists, a nonprofit science organization.She said long-term shifting temperature trends and more rain will be disruptive to fall foliage in certain parts of the country.“We are seeing extreme precipitation increase, particularly in the Northeast and the Midwest,” Caldas said.That precipitation was evident in Minnesota, where people found themselves caught off-guard this year by an unusually early snowfall."I had to completely disassemble my fall leaf clean-up box and make sure my plow is still working,” said Greg Futchi, who is a landscape contractor. “We usually get all the leaves down before we see some snow, but not this year."All of that added moisture can lead to a shorter fall foliage season, Caldas said. Yet, repeated and ongoing droughts, like those seen in the western U.S., also bring their own set of problems to autumn leaves.“When it’s very dry, the colors get a little more muted also,” Caldas said. “So, drought can really kind of change completely the setup.”Scientists add that climate change isn’t just going to affect the ways leaves change their colors during the fall. It’s also going to potentially affect where those trees grow in the first place.“When the conditions start changing --like it's starting to get warmer further and further north--well, that's also a possibility that species are going to start migrating farther north,” Caldas said. “So, as different trees start moving to different areas, then the colors may change because the color depends on the tree.”That may mean having to travel farther north to see stunning red maples. It is a change that will be hard to stop unless action is taken on a global scale.“In the long run, if the countries and the whole world is not committed to really reducing emissions and changing to renewables and making that complete change, then it's going to be very hard for us not to see very drastic changes, because small changes are already happening,” Caldas said.Those changes are now encroaching on a time-honored spectacle, courtesy of Mother Nature. 2667

The former football coach for The Ohio State University, Earle Bruce, died early Friday morning, ESPN reports.Bruce was the coach for the Buckeyes from 1979 to 1987 and had the difficult task of replacing legendary Buckeyes coach Woody Hayes. He was well-regarded, leading the team to four Big Ten titles and had a 5-3 record in bowl games. A number of his players, such as Jim Lachey, Keith Byars and Pepper Johnson, went onto pro careers. 478
The county of San Diego is preparing to ask the state for nearly million to repave stretches of hundreds of roads it maintains.The Board of Supervisors could vote Wednesday to seek revenue from the recent gas-tax hike to repair the roads. The roads are in all ends of the county, from Bonita to Alpine to Vista. You can see a list of the roads here (it starts on page 3)."The proposed projects will improve the overall condition of the roads and will protect roads from deterioration and costly future repairs," a county staff report said. Gov. Jerry Brown signed the billion gas tax hike into law last year. Californians already pay a series of gas taxes ranking among the highest in the nation. The tax hike raised the per-gallon tax by 12 cents last November, with future increases planned. The bill, SB1, also added a 0 fee to the annual registration for electric vehicles, starting with model year 2020."People can't afford it. I'm retired but if you're working and have to commute, I don't think people realize how much of a dent that's going to make," said Vicky Bamburger, a Bonita resident who is supporting an effort to repeal the tax that appears to be headed to this November's ballot.But those who support the increase say fixing the roads will save California drivers from expensive car repairs due to problems like potholes, and save taxpayers from larger repairs later."A small improvement now - if you have a road that needs to be covered - that's going to be so much more cost effective, cost saving in the long run," said Catherine Hill, of the League of California Cities.Local governments have until May 1 to submit their gas-tax revenue road repair requests to the state. Still, county agencies have already received millions of dollars in new revenue for road repairs, which includes major improvements to Interstate 5 in North County. 1892
The CDC is changing their recommendations for travelers, urging them to pay attention to local and state recommendations, and dropping their 14-day quarantine for international or out-of-state travelers.The Centers for Disease Control and Prevention updated their travel requirements Friday, according to multiple media reports. They now advise travelers to "follow state, territorial, tribal and local recommendations or requirements after travel." Previously, the agency recommended a 14-day quarantine for those returning from international destinations or any area with a high concentration of coronavirus cases.The guidelines still urge travelers to limit their risk of infecting others by social distancing and wearing a mask. “You may feel well and not have any symptoms, but you can still spread COVID-19 to others," the CDC states on their website.There are still international travelers who are not allowed to enter the U.S. based on presidential proclamations. Foreign nationals who have spent time in these countries in the last 14 days before travel cannot enter the U.S.: China, Iran, United Kingdom, Ireland, Brazil, and most of Europe. U.S. citizens who travel to these countries can return to the U.S. through 15 airports according to the CDC. 1268
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