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DEER SPRINGS, Calif. (KGTV) — One person died in a fire that destroyed two trailers and a garage in the unincorporated Escondido area on Saturday.The fire was reported just after 2:30 p.m. in the 9800 block of Rocky Ridge Road at Sage Glen Trail in Deer Springs, according to CAL FIRE San Diego.San Diego Sheriff's deputies arrived at the scene to find fire crews actively trying to douse the flames. The 71-year-old homeowner told deputies he just arrived home from fishing before hearing a loud explosion as he was left the garage.The explosion caused a fire that spread throughout the garage and to some adjacent trailers, deputies say. The blaze destroyed two residential trailers and the detached garage.All residents were account for except man, who was later found dead inside one of the trailers, according to the Sheriff's Department. The victim's identity was not immediately released.Sheriff's Bomb and Arson detectives were working to determine the origin and cause of the fire. 998
DETROIT — The Michigan Department of Health and Human Services is activating an emergency plan in response an outbreak of hepatitis A.The number of cases continues to rise in Michigan. The department is activating what is called the Community Health Emergency Coordination Center."To help coordinate Michigan’s response to the hepatitis A outbreak, we are opening the Community Health Emergency Coordination Center to assist the multiple local public health jurisdictions involved in the response and prevention of further cases," said MDHHS Director Nick Lyon.The emergency coordination center will provide support to health departments, hospitals, EMS and other health care providers.Health care providers are asked to encourage hepatitis A vaccination."We know that the hepatitis A vaccine is more than 90 percent effective in protecting someone who may be exposed to hepatitis A," said Dr. Eden Wells, Chief Medical Executive with the MDHHS. "Without a single source associated with these cases, the importance of vaccination and proper hygiene is vital to ensuring we stop the person-to-person spread of hepatitis A." There have been 457 confirmed cases of hepatitis A since August 1, 2016. This number includes 18 fatalities associated with the outbreak and affected a number of cities; City of Detroit, Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw, and Wayne Counties reported to MDHHS.Hepatitis A is an infection of the liver caused by a virus and is a vaccine-preventable disease.Symptoms may appear from two to six weeks after exposure, with the average time being about one month. They include sudden abdominal pain, fatigue, diarrhea, nausea, headache, dark urine, and vomiting followed by yellowing of the skin and eyes.To reduce the risk of contracting Hepatitis A, health officials recommend the following points of emphasis:*Wash hands frequently, especially after using the bathroom, changing diapers, and before preparing and eating food.*Clean and disinfect all surface areas if someone in the household or workplace has symptoms., especially areas such as toilets. sinks, trashcans, doorknobs and faucet handles.*Do not prepare food if you have symptoms and refrain from food preparation for at least three days after symptoms have ended, or two weeks after onset of clinical symptoms, whichever is longer.*Get the Hepatitis A vaccine. 2428

Demi Lovato has entered rehab.The Grammy-nominated singer was released from Cedars-Sinai Medical Center in Los Angeles and has entered an undisclosed rehab facility, sources close to Lovato told CNN."Demi is committed to focusing on her health," one of the sources said.Lovato's representative did not immediately respond to CNN's request for comment.The 25-year-old singer took to social media Sunday to thank fans for the first time since her apparent drug overdose on July 24. 487
DENVER, Colorado — A new study from the University of Colorado Anschutz Medical Campus highlights a startling aspect of the United States' opioid crisis: Many emergency room doctors don't realize just how often they're prescribing the addictive pain meds.CU researchers, along with researchers at the University of Massachusetts Medical School, conducted a year-long study examining the prescription-writing behavior of more than 100 doctors at four different hospital emergency departments.The researchers first surveyed the doctors, asking how often they prescribed opioids compared to their peers, and found that 65 percent of the doctors actually wrote more opioid prescriptions than they thought they did.Out of a total of 75,203 prescriptions written over the course of the year, 15,124 of them — or slightly more than 20 percent — were for opioids.After researchers showed the doctors the actual data, the doctors started writing fewer opioid prescriptions."Everyone showed an overall decrease in prescribing opioids," said study author Sean Michael, an assistant professor of emergency medicine at the University of Colorado School of Medicine. "After seeing their real data, the people with inaccurate self-perceptions, on average, had 2.1 fewer opioid prescriptions per 100 patients six months later and 2.2 percent fewer prescriptions per 100 patients at 12 months."The study only highlights a small piece of the opioid prescription problem, the authors state, since emergency room doctors hand out just 5 to 10 percent of all opioid prescriptions."Despite making progress on the opioid epidemic, we can't assume providers are behaving optimally and have all the information they need to do what we are asking of them," Michael said. "Most believe they are doing the right thing, but we need to directly address this thinking to be sure they are not part of the problem."The study is published in the journal Academic Emergency Medicine. 1961
Delta gained hurricane strength Monday evening, packing top winds of 80 MPH as of 11 p.m. ET as it churns in the Caribbean Sea, heading north. The rapidly-strengthening tropical storm currently in the Caribbean Sea is moving north, and could strike the Yucatan Peninsula of Mexico as a major hurricane on Wednesday.While the Yucatan Peninsula could be in the path of Delta, there is growing concern for the Gulf Coast. The National Hurricane Center has areas from Louisiana to the western tip of the Florida panhandle in the path of Delta. The tropical storm is expected to come ashore on Friday as a hurricane. Delta became the 25th named storm on Monday in what has been an extremely active 2020 Atlantic hurricane season.Louisiana has taken the brunt of the impact of the 2020 Hurricane season. Hurricanes Marco and Laura have already made landfall in the state, causing inland flooding and significant damage along the coast. Hurricane Sally also did significant damage nearby Gulf Shores, Alabama, when it made landfall in September.A second tropical storm, Gamma, is currently churning in the Gulf of Mexico. It's currently supposed to make landfall on Mexico's Yucatan Peninsula later this week. 1210
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