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ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) is warning parents to be on the lookout for symptoms of acute flaccid myelitis (AFM) in children.The public health agency said Tuesday that it anticipates that 2020 will be another peak year AFM, an uncommon but serious neurologic condition that affects mostly children.AFM can progress rapidly over the course of hours or days, leading to permanent paralysis and/or the life-threatening complication of respiratory failure in previously healthy patients, so it’s important to seek medical care as soon as possible.The disease has peaked every two years between August and November in the U.S. since 2014, when the nation experienced the first peak of 120 cases, according to the CDC. There were also peaks in 2016 and 2018.The third and largest peak of AFM occurred in 2018, with 238 cases in 42 states. Most cases were in children (94%) and most patients (86%) had AFM onset during August through November. Most patients had a fever and/or respiratory illness approximately six days before limb weakness onset. Other common early symptoms were difficulty walking, neck or back pain, fever, and limb pain.The CDC says parents and doctors should suspect AFM in patients with sudden limb weakness, especially during August through November. Recent respiratory illness or fever and the presence of neck or back pain or any neurologic symptom should heighten their concern.Experts say enteroviruses, particularly enterovirus-D68 (EV-D68), are likely responsible for these peaks in cases. EV-D68 is the most common virus identified among specimens collected from patients with AFM. However, other viruses can cause AFM and may also be contributing to the biennial peaks.Although AFM symptoms resemble those of polio, all specimens have tested negative for poliovirus.There is currently no specific test, proven treatment or prevention method for AFM.“As we head into these critical next months, CDC is taking necessary steps to help clinicians better recognize signs and symptoms of AFM in children,” said CDC Director Robert Redfield, M.D. “Recognition and early diagnosis are critical. CDC and public health partners have strengthened early disease detection systems, a vital step toward rapid treatment and rehabilitation for children with AFM.”AFM and COVID-19The CDC says AFM is a medical emergency and patients should seek immediate medical care, even in areas with high COVID-19 activity.It’s not known how the COVID-19 pandemic and the social distancing measures may affect the circulation of viruses that can cause AFM, or if COVID-19 will impact the health care system’s ability to promptly recognize and respond to AFM.There is one bright side. If social distancing measures decrease circulation of enteroviruses this year, AFM cases may be fewer than expected or the outbreak may be delayed.Learn more about AFM here. 2901

At a rally on Sunday, President Donald Trump said that he might fire Dr. Anthony Fauci, his administration's top infectious disease expert, shortly after Tuesday's election.At a rally in Opa-Locka, Florida on Sunday, supporters broke into a "Fire Fauci!" chant as Trump discussed the COVID-19 pandemic."Don't tell anyone, but let me wait 'til a little bit after the election," Trump said.The comments marked the first time that Trump has publicly indicated that he may fire Fauci, who has been the head of the National Institute for Allergies and Infectious Diseases since 1984.Fauci, a member of the White House's corornavirus task force, has consistently been the most plain-spoken Trump administration official when speaking about the challenges the country faces amid the pandemic.Trump has publicly criticized Fauci throughout the pandemic. In October, with COVID-19 cases on the rise, Trump tweeted an attack on Fauci. Days later, during a campaign call, Trump called Fauci a "disaster" and said he and other health experts were "idiots."Polling has shown that Americans consistently believe that they trust Fauci more than Trump when it comes to handling COVID-19.In the past, Fauci has implied that the White House has limited the number of media appearances he can make, and has also said an ad by the Trump campaign took him out of context. 1358

At a rally in Pittsburgh on Tuesday, President Donald Trump gloated about reporters who were injured and shoved to the ground while covering protests and riots earlier this summer.While sharing anecdotes about the unrest in Minneapolis following the death of George Floyd, Trump referred to an "idiot reporter from CNN with the shaved head" who "got hit on the knee with a canister of tear gas."Trump was likely referring to MSNBC anchor Ali Velshi, who was hit with a rubber bullet fired by the National Guard while covering the protests in Minneapolis.Later referred to an unidentified reporter who was thrown aside "like a bag of popcorn" as police attempted to clear out protesters.Both accounts garnered laughter and applause from the large crowd in attendance."When you see it, it's actually a beautiful sight. It's a beautiful sight," Trump said, referring to police clearing out protesters.It was the second time in less than a week that Trump has mocked Velshi's injury. On Friday, at a rally in Minnesota Trump called out Velshi by name, saying that his injury was "a beautiful thing" and the result of "law and order." 1137

As White House advisers and congressional leaders spar over the next round of stimulus funds, President Donald Trump said on Tuesday that he still has some issues with the Senate GOP's proposal released yesterday.On the mind of so many Americans are stimulus checks, unemployment and the return to school.But when asked specifically what he disagreed with, Trump punted. Despite a Trump administration push for the return of in-person learning, a number of school districts across the US have announced plans to begin the 2020-21 school year virtually. On Tuesday, Ohio’s largest district Columbus City Schools said they will start the year off virtually.Trump has said that federal funds should only go to schools that are open.Meanwhile, the next round of stimulus is being debated on Capitol Hill. While it appears there is agreement between the White House, House Democrats and Senate Republicans on providing a second round of ,200 checks for most Americans, there is intense debate on unemployment. Last week, millions of unemployed Americans stopped receiving a 0 weekly supplement to unemployment checks. Those checks were in addition to state unemployment payments.With those payments no longer being received by Americans, there are questions on the state of the economy given an unemployment rate of 11.1 percent – nearly three times higher than at the start of the year.HIGHLIGHTS OF THE ACT:- ,200 stimulus checks for the same group of Americans who received a check in the spring- 6 billion in funds for schools to hire staff and conduct social distancing- Replenishing the Paycheck Protection Program, intended to help businesses keep employees on payroll- Extending unemployment supplement, although at a lower amount- Liability protection for businesses reopening amid the pandemic 1816

As we head into cold and flu season, you can expect things will be handled differently at workplaces, schools, day cares and medical offices because of COVID-19.Anyone with symptoms like a runny nose, a cough or sneezing will likely be asked to stay home.“So, I think there's going to be a requirement for any of these symptoms for employee health at the workplace to take a larger role in screening patients probably a lot more testing,” said Dr. Scott Joy, Chief Medical Officer at Englewood Primary Care.Joy spoke with us about how people should handle these symptoms during the COVID-19 pandemic. He recommends staying home for 24 hours when you have a cold without a fever.If you have a fever, isolate for up to six days or until you've been fever free for a full 24 hours. If you're coughing or sneezing more than four times in an hour, you should probably stay home and see a doctor.“We haven't had a metric like that before, so we're going to experiment with that data point and see what it does to our workforce and our clinic infection control over this season,” said Joy.Joy also reminds people to get the flu shot.A study in the New England Journal of Medicine found people who got the vaccine had 25% fewer episodes of upper respiratory infections than those who didn't. That means fewer sick days from work and fewer doctor visits.The hope is that COVID-19 measures like handwashing, mask wearing and watching your distance will lead to fewer respiratory infections overall. But should you experience those symptoms, you may be directed to urgent care centers instead.The idea is to keep doctor offices sterile, so people with chronic conditions and other issues feel safe coming in to see their primary care physician.“In the last couple of months, people that have been putting off their care, I just diagnosed a gentleman, new diagnosis with pancreatic cancer,” said Joy. “We're detecting breast cancer, heart disease blood pressure that is out of control.”Urgent care centers are equipped with personal protective equipment and are typically faster, and cheaper than a visit to a hospital emergency room. But you should call your doctor's office first to see what they recommend based on your symptoms. 2228