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Dominica Prime Minister Roosevelt Skerrit confirmed on his Facebook page on Monday that he was rescued as Hurricane Maria hit his small island nation.  Hurricane Maria made landfall just before 10 p.m. ET on the island of Dominica with top winds of 160 MPH. Skerrit's roof was one of many that were ripped off as Maria came on shore. "My roof is gone. I am at the complete mercy of the hurricane. House is flooding," Skerrit said just before being rescued. Hurricane Maria is the second Category 5 hurricane to strike the Caribbean in the last two weeks. Hurricane Maria is following a similar path as Hurricane Irma, which devastated parts of the Caribbean before coming on shore in Florida on Sept. 10.Local radio reports said that parts of Dominica are flooded, and there has been roof failure at a local hospital. Dominica has a total population of 73,000 residents.  934

Each winter, many people wonder whether its worth getting a flu shot while health officials repeatedly warn against not getting one.Now a new study sheds light on the benefit of doing so. Even when the flu shot is just 20% effective it can still reduce US doctor visits due to illness by an estimated 20 million in a single year, the new report published in the scientific journal PNAS (Proceedings of the National Academy of Sciences of the United States) finds.In addition, vaccination also can prevent thousands of hospitalizations and deaths, the study authors estimated based on the average vaccination coverage rate in the United States."Getting vaccinated against influenza is beneficial to the individual and to the community even when the vaccine is of relatively low efficacy," said Burton H. Singer, co-author of the study and an adjunct professor for the Emerging Pathogens Institute at University of Florida in Gainesville.Caused by viruses, flu is a contagious respiratory illness with mild to severe symptoms that can sometimes lead to death. The flu virus evolves rapidly and new viruses circulate in different parts of the world, so each year scientists must reformulate the vaccine. Add to that an imperfect manufacturing process and even a 'good match' formulation may not be as effective as scientists would like.In fact, the Centers for Disease Control and Prevention estimated just 36% effectiveness for the 2017-18 seasonal vaccine as of February 3. (The season ends in May.)For the new study, Singer and his colleagues created a mathematical model of flu transmission and vaccination to evaluate how much illness is prevented by even a very low effectiveness flu vaccine. The research team found that at the average rate of US coverage even a poor vaccine would prevent a significant amount of illnesses, hospitalizations and deaths.For example, at just 43% coverage (the average rate of Americans who received a flu shot for the years 2012 through 2017), a vaccine with just 20% effectiveness could avert more than 20 million infections or illnesses as compared to not getting the vaccine. In addition, 129,000 hospitalizations and 61,000 deaths could be prevented.Based on the model, if more people got a flu shot, say half of the US population, the same 20% effective flu shot would prevent an additional 3.63 million infections, 21,987 hospitalizations and 8,479 deaths."When a vaccine is fully effective on 50% or more of the people who are vaccinated, you need to primarily focus on vaccinating young children," said Singer. The reason? Children are still building immunity and they pass germs around at school."As efficacy of the vaccine decreases, it becomes increasingly important for the elderly to be vaccinated in addition to young children," said Singer, since the elderly are more likely to develop complications from the flu, such as pneumonia, which can be deadly.The CDC reported a total of 160 flu-related deaths in children and 30,064 flu-related hospitalizations overall?between October 1, 2017 and April 21, 2018. The highest rate of hospitalization occurred among adults 65 years old and older.Richard Webby, a flu scientist who is part of the World Health Organization's advisory board and a member of St. Jude Children's Research Hospital's Department of Infectious Diseases, said "effectiveness estimates go up and down based on a number of factors including match of vaccine and circulating strain and probably other factors we don't fully understand.""The take home message from the past few seasons is that there is much room for improvement," said Webby, who was not involved in the research.Still, more people, particularly the elderly, need to get vaccinated even when the vaccine effectiveness is lower than hoped, Webby said: "This study suggests that even with a less than optimal vaccine there is still much public health benefit that can be achieved if these are used properly and widely." 3992

EL CAJON, CA (KGTV) -- Before the COVID-19 pandemic, many low-income seniors would make weekly visits to their local clinic for treatment. But now times have changed, and so has the way they see their doctor. St. Paul's PACE in El Cajon has made a major adjustment in providing care for their elderly patients. They are now ofering what you might call a clinic on four wheels. "They used to come to the clinic for services, which some still do. But because of self isolation, and the fear of being in a crowded place, we have found a way to take care of them in a different manner," says St. Paul's PACE Medical Director Dr. Victor LeeAnd their new way of helping patients is what they are calling a roving clinic. It's basically the comforts of a doctors office, all inside a van"Our staff came up with some creative ways, and one of the ways was to create and convert a van into a clinic. So we can go to their homes to take care of them."The van is considered a safe place for patients who do not feel comfortable seeking treatment at home, or at the clinic."Doctors can examine them, and nurses can do their vital signs Whatever we can do in the clinic we try and replicate inside the van."There are currently close to 1,000 patients in the St. Paul's PACE program, many of whom Dr. Lee describes as frail with multiple medical problems. So the roving clinic has been a life saver. "They love it. We go to their place, we park outside their apartment, or even in a parking lot. Somewhere where there is privacy, we take care of them right there." 1563

Dozens of people have been killed, and tens of thousands more evacuated, after "unprecedented" flash flooding in a tourist hotspot in southern India.At least 37 people have died since heavy monsoonal rains first struck the state of Kerala on Wednesday, the state's relief commissioner P.H. Kurian told CNN on Sunday.The area, located on the tropical Malabar Coast, is famed for its network of idyllic waterways. 419

EL CAJON, Calif. (KGTV) -- One person was taken to the hospital after an El Cajon home where a man was beaten to death with a pan in late 2018 was set on fire Thursday night. According to authorities, the fire started on the 1200 block of Naranca Avenue just after 7 p.m. Nine people were displaced by the fire. Heartland Fire says the flames were contained to one bedroom. RELATED: 911 calls detail life at El Cajon independent living facility where man was attackedThe man who was taken to the hospital suffered cuts to his hands after trying to break through a window. Fire officials said the injuries were minor.The fire broke out in the same independent living home where a man was beaten to death with a frying pan in late 2018. RELATED: Not guilty plea for accused El Cajon "frying pan killer" at halfway houseMatthew McCarthy, 39, was killed in December after prosecutors say his roommate Brad Payton hit him in the face several times with a frying pan.Matthew had been staying at the home on Naranca Avenue after being stabbed outside a convenience store in Lakeside. Matthew, who was homeless before he moved into the home, had a developmental disability. RELATED: Police called from home 78 times leading up to murder with frying panEl Cajon police were called to the home 78 times in 2018 alone, according to records. 1338