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The top U.S. public health agency stirred confusion by posting — and then taking down — an apparent change in its position on how easily the coronavirus can spread from person to person through the air.But officials at the Centers for Disease Control and Prevention say their position has not really changed and that the post last week on the agency’s website was an error that has been taken down.It was “an honest mistake” that happened when a draft update was posted before going through a full editing and approval process, said Dr. Jay Butler, the CDC’s deputy director for infectious diseases.The post suggested that the agency believes the virus can hang in the air and spread over an extended distance. But the agency continues to believe larger and heavier droplets that come from coughing or sneezing are the primary means of transmission, Butler said.Most CDC guidance about social distancing is built around that idea, saying that about 6 feet is a safe buffer between people who are not wearing masks.In interviews, CDC officials have acknowledged growing evidence that the virus can sometimes be transmitted on even smaller, aerosolized particles or droplets that spread over a wider area. Certain case clusters have been tied to events in which the virus appeared to have spread through the air in, for example, a choir practice. But such incidents did not appear to be common.Public health experts urge people to wear masks, which can stop or reduce contact with both larger droplets and aerosolized particles.But for months, agency officials said little about aerosolized particles. So when the CDC quietly posted an update Friday that discussed the particles in more detail, the agency’s position appeared to have changed. The post said the virus can remain suspended in the air and drift more than 6 feet. It also emphasized the importance of indoor ventilation and seemed to describe the coronavirus as the kind of germ that can spread widely through the air.The post caused widespread discussion in public health circles because of its implications. It could mean, for example, that hospitals might have to place infected people in rooms that are specially designed to prevent air from flowing to other parts of the hospital.But the CDC is not advising any changes in how far people stay away from each other, how they are housed at hospitals or other measures, Butler said.The CDC has come under attack for past revisions of guidance during the pandemic, some of which were driven by political pressure by the Trump administration.Butler said there was no external political pressure behind the change in this instance. “This was an internal issue,. And we’re working hard to address it and make sure it doesn’t happen again,” he said.In a statement released Monday, the CDC said the revisions to the “How COVID-19 Spreads” page happened “without appropriate in-house technical review.”“We are reviewing our process and tightening criteria for review of all guidance and updates before they are posted to the CDC website,” the statement said.At least one expert said the episode could further chip away at public confidence in the CDC.“The consistent inconsistency in this administration’s guidance on COVID-19 has severely compromised the nation’s trust in our public health agencies,” said Dr. Howard Koh, a Harvard University public health professor who was a high-ranking official in the Department of Health and Human Services during the Obama administration.“To rectify the latest challenge, the CDC must acknowledge that growing scientific evidence indicates the importance of airborne transmission through aerosols, making mask wearing even more critical as we head into the difficult fall and winter season,” Koh said in a statement.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 3964

The risk of homelessness looms large for many across the country as people deal with job loss and economic uncertainty brought on by the coronavirus pandemic.The National Alliance to End Homelessness estimates, right now, there are 567,000 people who call the streets their home, a number that has only risen since March.There are shelters, soup kitchens, and myriad charities to help, but the group Foundations for Social Change, a charitable organization based in Vancouver, Canada, suggests one source of help trumps the rest: money.“Sometimes a little bit of a hand up can mean all the difference in whether or not someone is going to stabilize and get into housing or not,” said chief public policy officer for the Colorado Coalition for the Homeless Cathy Alderman.It might seem like an obvious solution, but it is challenged by the preconceived notion that people battling homelessness might squander the money or spend it on harmful habits like alcohol, drugs, or cigarettes.“I think it’s not surprising at all that people who are struggling with the cost of living and forced to sleep outside would use dollars given to them to get inside into a home,” said Alderman.In September, Foundations for Social Change wrapped up nearly two years of research that suggests those in less fortunate circumstances would use money to help secure food and housing, rather than illicit substances.Back in 2018, the group gave 50 people battling homelessness in Vancouver a lump sum of ,700, without restriction, to see what they would spend it on, and they compared the findings to a group of 60 homeless individuals who were not given any lump sum.Foundations for Social Change found that in the first month, the group that received the payment, 70 percent of them were able to access a sustainable food source that they maintained for the rest of the year. They also found stable housing at a rate that outpaced those who had not received the payments by 12 months.The researchers also found that spending on items like drugs, alcohol, and cigarettes decreased by 39 percent.“The key findings were phenomenal and were even well beyond my expectations,” said one of the head researchers, Dr. Jiaying Zhao. “This actually is counter to our common assumptions of how these folks will spend their money and cash, so that was very good to see.”“I would save a third, spend a third on things I know I needed, and then give a third away,” said Benjamin Dunning, who was homeless for nearly five years following the Great Recession in 2008. “There just wasn’t any work available and I was like, 'well, better dig in for the long haul.'"Dunning says following an injury that prevented him from working he was no longer able to afford rent in the Denver suburb where he lived. He says he moved from shelter to shelter, trying to weather the storm before he was able to find a community of other people in a similar situation that offered a little more stability and a consistent roof over his head.“One thing I found out is [the homeless people I was around] were just like my neighbors in the suburbs,” said Dunning. “Most of them were people who had gotten stuck on hard times and trying to figure out how to deal with it.”The study by Foundations for Social Change focused on people who had been homeless for a year or less and who had been screened for a low risk of mental health challenges and substance abuse. So, Dr. Zhao says this is not a silver bullet, but an encouraging sign to help solve an issue that has several layers of complexity. 3546

The Sinaloa drug cartel, once run by one of the most wanted men in the world, El Chapo, has made its way to Northeast Ohio. It's a drug-trafficking ring moving large amounts of drugs from Mexico onto the streets."I don't think people understand how significant and embedded it is in Northeast Ohio," said Keith Martin, Assistant Special Agent in Charge of Cleveland's Drug Enforcement Administration. Authorities recently found a stash house in a Maple Heights neighborhood and another on Cleveland's west side. "The unfortunate fact is the drugs on our streets come from somewhere. Coco plants don't grow in Cleveland. Poppy plants don't grow in Parma, they come from somewhere else. They are, increasingly, in almost every case, the drugs are coming from Mexican cartels," said Justin Herdman, U.S. Attorney for the Northern District of Ohio. A three-year long DEA investigation, dubbed "Operation Loaded Deck," focused on taking down the local arm of the notorious Sinaloa cartel. During the investigation, authorities seized large quantities of heroin, cocaine and fentanyl, some of which were concealed in hidden compartments in cars. The drugs were moved across the U.S.-Mexican border and transported in these cars outfitted with secret traps. "Often times they'll go to great lengths, whether they've constructed a trap in a vehicle or a natural void in the vehicle," Major Gene Smith with the Ohio State Highway Patrol said.Just as astonishing, Cartel members were hiding in plain sight the whole time, even taking in a Cavaliers game — courtside."These aren't street-level dealers, they were dealing in massive quantities and, in return, huge amounts of cash," Herdman said. By the end of the investigation, 29 kilos of cocaine, eight kilos of heroin, a kilo of fentanyl and four pounds of marijuana were seized, along with nearly 0,000, guns, vehicles and dozens of cell phones. Operation Loaded Deck ended with 19 people sent to federal prison for their roles in the drug trafficking organization. 2115

The White House said late Friday it is prepared to veto a bill proposed by House Democrats to infuse the cash-strapped Postal Service with funds.The White House’s announcement comes a week after President Donald Trump said he supported funding the Postal Service with Congressional funds. Last week marked a period of the Postal Service removing machines and collection boxes, as mail service has slowed for many across the country.The bill introduced by House Democrats would, in addition to providing funds, require the post office to maintain its current level of service, not close any locations and would lift a prohibition of overtime. Those measures would be in effect through at least the end of the year.According to the Congressional Budget Office, the bill would provide an estimated billion in funding for the post office.The White House pushed back in a policy memo, claiming that reports of slowdowns are an “overreaction.”“This bill misses an opportunity to improve USPS,” the White House said.“USPS does not need a billion bailout. It needs reforms that will return it to a trend of long- term financial self-sufficiency,” the White House added.The Trump administration said that USPS has enough funds to operate through August 2021. But during his Senate testimony on Friday, Postmaster Louis DeJoy said that the post office is losing billion on an annual basis.“Without change our losses will only increase in the years to come,” DeJoy said.The USPS has historically been self-sufficient. But declining volume and increased pension costs have cut into the service’s bottom line. But the post office remains a lifeline for many who rely on mail for medicines, important documents, and other supplies. 1736

The woman had used oxycodone for almost a decade but told her doctors she had been sober for two years. She never touched narcotics during her pregnancy, she said, and had completed rehab.But her newborn son was in withdrawal: jittery, screaming and requiring an infusion of morphine to stay alive. The infant craved drugs, but why?Amid an opioid epidemic, the boy's doctors didn't blame heroin, fentanyl or other illicit substances. Instead, they said, the infant had grown dependent on a controversial herbal supplement: kratom. 538