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Federal health officials reported Thursday an additional 109 cases of cyclospora infection in an ongoing outbreak linked to McDonald's salads that began in May.The total number of laboratory-confirmed illnesses from this outbreak is now 395, according to a?statement from the US Food and Drug Administration. At least 16 of the sick individuals have been hospitalized.The cyclospora parasite causes intestinal illness in people who consumed contaminated food or water. Symptoms can begin a week or more after consuming the parasite. They include diarrhea and frequent, sometimes explosive bowel movements, according to the Centers for Disease Control and Prevention. Those who are infected might also experience loss of appetite, weight loss, stomach cramps or pain, nausea, gas and fatigue. Vomiting, headache, fever, body aches and flu-like symptoms can also occur.The illness can last a few days to a few months, and patients might feel better but then get worse again. Cyclosporiasis can be treated with antibiotics.Illnesses have been reported in 15 states: Connecticut, Florida, Iowa, Illinois, Indiana, Kentucky, Michigan, Minnesota, Montana, Nebraska, Ohio, South Dakota, Tennessee, Virginia and Wisconsin. However, the patients in Connecticut, Michigan, Tennessee and Virginia bought their salads in Illinois while traveling, and the Florida patient bought the salad in Kentucky.The FDA said an unused package of a Fresh Express salad mix of romaine lettuce and carrots that had been distributed to McDonald's tested positive for the presence of Cyclospora though it was past its July 19 expiration date."Epidemiologic evidence indicates that salads purchased from McDonald's restaurants are one likely source of these infections. The investigation is ongoing, and FDA is working to determine the sources of the ingredients that were in common to the salads served at McDonald's," the CDC said in an outbreak update posted on its website Thursday.McDonald's said in a?statement on July 13 that it had removed the salad mix from it's impacted restaurants and replaced it with a different supplier.In a?recall statement?on the Fresh Express website, the company said it had launched a "precautionary recall" of the institutional food service product on July 27 of a "limited number of cases."The statement said, "Fresh Express follows rigid food safety requirements and preventive controls throughout our supply chain that are carefully designed to mitigate against potential health risks."The company's salad mix recall was connected with a?public health alert issued Monday by the US Department of Agriculture's Food Safety and Inspection Service advising consumers that certain salad and wrap products might be contaminated with cyclospora. The products were sold by grocery stores including Kroger, Trader Joe's and Walgreens.In the alert, the USDA said the issue was discovered when Indianapolis-based food distributor Caito Foods "received notification from their lettuce supplier, Fresh Express, that the chopped romaine that is used to manufacture some of their salads and wraps was being recalled."The lettuce from McDonald's that tested positive for the cyclospora parasite was in the same lot as the lettuce distributed to Caito Foods, the CDC said Wednesday. "Fresh Express also reported that no romaine lettuce from the lot that was positive for cyclospora was packaged for direct retail sale to consumers," the CDC said. 3474

ESCONDIDO, Calif. (KGTV) - Felicita County Park is just south of Escondido and is one of the largest and oldest parks in San Diego County. It’s named after a Native American woman who helped preserve history more than a century ago.Dove Toler is a San Pasqual Tribal Council member and has studied the rich Native American history of his own tribe, writing a book about his family’s past, and the history of the surrounding San Diego area. He said one of the most unique factors about Felicita LaChappa was the information she possessed.Toler said it’s estimated that LaChappa was born around 1820 during the Mexican era. He said during this era, Native people were dealing with the invasions of many different other cultures in addition to battling disease, so it’s incredible that she survived this period. This gave a window into a time period that many did not remember or live through.“She was able to survive, she didn’t get the diseases, she was able to marry, she was able to prosper in a sense that she survived,” he said, adding that, “Felicita survived during that turbulent time, those that were here were able to photograph her, interview her and now in honor of her, name this beautiful park after Felicita.”The park’s property was bought by San Diego County in 1929 and was named after LaChappa to honor her. To this day, there are still holes in some large rocks, evidence of the Native American people who once lived there. Toler estimates those artifacts to be 3,000 or 4,000 years old.Tolder added that the county has done a good job of adding signage around the park to educate the public on the history of LaChappa and the other Native Americans who once lived there. 1696

ESTES PARK, Colo. — The family of 20-year-old Micah Tice, the United States Air Force Academy Preparatory School student missing on Longs Peak near Estes Park, Colorado, criticized the National Park Service during a Friday evening press conference.Benjamin Tice claims that officials with Rocky Mountain National Park, which has suspended the search for the 20-year-old man missing for two weeks in wintry weather, have not done enough to find his son. “Limited searches were conducted and directed by the National Park Service and their search and rescue from November 27 to December 3,” Benjamin Tice said. “A total of six days of boots on the ground.”Micah Tice has been missing for nearly two weeks. He was last seen hiking on Longs Peak in Rocky Mountain National Park on November 24. Rangers found Micah Tice's vehicle at the Longs Peak trailhead the afternoon of November 26.Watch the press conference in the video player below:Benjamin Tice believes his son could have sought shelter in an area the National Park Service has not searched.“Hikers who’ve gone to this non-National Park Service searched zone report that there are numerous shelters that a hiker could be protected from severe weather elements,” he said.Efforts to locate the missing hiker began on Tuesday, November 27, three days after Micah Tice was last seen. Search resources have included ground crews, trained dogs and helicopters. However, Benjamin Tice said his family has been denied access to additional resources in the search for their son.“Despite our family’s pleas with the National Park Service to request assistance from the military, and specifically Fort Carson’s Mountaineering Division, we were repeatedly denied and were told that the National Park Service had sufficient resources,“ he said.In a statement to KMGH, Kyle Patterson, the public affairs officer for Rocky Mountain National Park, detailed the park's efforts in locating the cadet."The search for Micah has continued in severe winter conditions. The number of rescuers in the field beginning the morning of November 27 through Monday, December 3, has been appropriate given the difficulty of the high alpine environment, and the safety of the rescuers," Patterson wrote.Patterson said the park used military assets during the days-long search for Micah, including the mountaineering club from United States Air Force Academy. Patterson said the park was not contacted by Fort Carson to provide assistance.During the Friday press conference, Benjamin Tice pleaded for help from state and federal officials, including President Donald Trump.“President Trump, we plead for your help," Benjamin Tice said. "Secretary Zinke has the ability to request military assistance, and we have thus far not received word that this was formally done, despite verbal understandings that this was done. Secretary Zinke, we plead for your help. Colorado Governor Hickenlooper has the ability to activate National Guard troops to assist with the Micah Tice rescue. Gov. Hickenlooper, we plead for your help. Colorado Governor-Elect Jared Polis has tremendous influence in this area as congressman. Governor-Elect Polis, we plead for your help."Friends of the family and other experienced hikers plan to search the area again this weekend. They say activity from Micah Tice’s cellphone was recorded November 25 around 10,000 feet, the elevation where the weekend search will focus on.The National Park Service suspended their search Tuesday. Officials say they could resume if conditions are favorable. 3620

Even as the U.S. hit a single-day record of new coronavirus cases this month, the CDC’s latest statement calls for schools to reopen. But critics say there is vague guidance for what happens if there is a school outbreak.As states across the country weigh the risks of reopening schools this fall, the message from the White House has been loud and clear.Last week, President Donald Trump stated he would like schools to reopen, stating, “Yeah, I would like to see the schools opened, open 100 percent.”Most doctors, educators, and psychologists agree that going back to school would be in the best interest of students. But what happens if just one student contracts the coronavirus? Would that force a shutdown?Some health experts are wary.“Once you start getting into dozens, or even more kids and teachers starting to get infected, it's going to be very hard to keep that school open, said Dr. Ashish Jha, a professor of medicine and the director of Harvard University’s Global Health Institute.“We have to have really smart planning and we have to have a clear protocol for how to identify kids and teachers and staff who get infected and then know what to do when we identify them. I just haven't seen that kind of clear protocol yet.”Late last week, the CDC did issue new guidelines for school reopening. They include encouraging social distancing, spacing out desks and requiring face coverings.But the guidance leaves it up to states, schools and local health departments how to precisely handle an actual outbreak.“What we have is patchwork, not just across states, but even within states across communities,” said Dr. Jha. “States are turning over the responsibility to individual communities and saying, ‘You figure it out.’”Recommended strategies from the CDC’s guidelines include:Immediately separating staff and children with COVID-19 symptomsSetting up safe transport for anyone who is sick to their home or to a healthcare facilityClosing off areas used by a sick person, cleaning and disinfecting after 24 hours when possibleImmediately notifying health officials, staff, families and anyone who may have had close contact with an infected person while maintaining confidentiality lawsStill, there is concern.A recent survey from The Associated Press-NORC Center for Public Affairs Research found, “46 percent of Americans believe schools need major modifications to deal with the coronavirus pandemic, and another 31 percent think they shouldn’t reopen for in-person learning at all.”“We can open schools safely but key to that is making sure the level of community transmission is pretty low, so you don't have sort of raging wildfires in the community,” said Dr. Jha. “Because it's going to be very hard to keep those fires out of the school.” 2772

ESCONDIDO (CNS) - A man was stabbed in Mountain View Park Sunday, police said.He was taken to a hospital at about 3:30 p.m. Sunday, but the extent of his injuries was unknown, Lt. Mike Kearney of the Escondido Police Department said.Police were trying to interview the victim at the hospital, but he was not cooperative. 328