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The Illinois Department of Public Health is investigating nine recent cases of acute flaccid myelitis, also called AFM, according to a statement Wednesday.All of the cases are in patients younger than 18 and have been clinically diagnosed by health care providers, the statement said. State health officials are working with the care providers to obtain the samples and information to send to the US Centers for Disease and Prevention for testing and confirmation of the diagnoses."The CDC will make the final determination on diagnoses and numbers are subject to change," the statement said.All of the patients are "from northern Illinois," according to the health department, but no other location information was provided.Since 2015, when Illinois began monitoring reports of AFM in the state, four confirmed cases have been identified.AFM is a polio-like illness that affects a person's nervous system, including the spinal cord. Symptoms can include sudden limb weakness, loss of muscle tone and reflexes, facial and eyelid drooping, facial weakness, difficulty moving the eyes, swallowing difficulty or slurred speech, according to the CDC.The rare condition can be caused by a virus, a genetic disorder and environmental toxins.There is no treatment other than managing each patient's symptoms.Dr. Rachel Herlihy, the Colorado state epidemiologist, said the best prevention is frequent handwashing and keeping kids home when they are sick.On Tuesday, the Colorado Department of Health said?it has confirmed 14 cases there this year. All of the patients are children who have needed to be hospitalized, the department said, noting that "nearly all have fully recovered.""The state health department has been monitoring this situation closely since early spring. In addition to investigating the outbreak, the state health department has issued alerts to health care providers on how to test for the viruses and enhanced guidance to child care centers on infection prevention," the department said in a statement.The type of viruses found in 12 of the Colorado cases, enterovirus, typically increases in summer and fall and is common, the state department of health said. However, 11 of the Colorado cases of AFM have tested positive for EV A71, a rare type of enterovirus not usually seen in the US, rather in Asia and other parts of the world, according to Herlihy. "This is certainly the largest outbreak of enterovirus A71 we've seen in Colorado."She referred to these 11 cases as an outbreak within an outbreak. "We have 41 cases of children who have had some sort of illness of enterovirus A71, which is causing a wide spectrum of neurological illness."In previous years, cases of AFM in Colorado and elsewhere have been positive for a different enterovirus, EV-D68.On Friday, the Minnesota Department of Health said it was investigating six cases of AFM in children over the past few weeks but did not identify what virus or other cause may have led to the illnesses.As of September 30, according to the CDC, 38 cases of AFM have been confirmed in 16 states. This does not include all of the 14 cases announced by Colorado, as some of those cases were confirmed after September 30. It also does not include the cases in Minnesota or Illinois, as they are not confirmed.Since August 2014, when the CDC began tracking the illness more closely, the agency has reported 362 cases.In 2017, 33 cases were reported in 16 states. One hundred forty-nine cases were reported in 39 states in 2016 and 22 cases in 17 states in 2015. 3570

The NAACP has filed a lawsuit against Postmaster General Louis DeJoy, claiming that he is attempting to "disenfranchise voters of color" amid the coronavirus pandemic.The lawsuit, filed Thursday in Washington, D.C. District Court, asks the court to declare DeJoy's recent operational changes as "invalid" and against the law as well prevent DeJoy from implementing further policy changes that were announced on July 10."As the country faces an uphill battle against COVID-19 and systemic racism, we're witnessing a significant onslaught against our postal system at a time when prompt mail delivery matters more than ever, especially for voters of color," Derrick Johnson, the President and CEO of the NAACP, said in a statement. "This willful and blatant attempt to obstruct the mail system amidst a pandemic and on the precipice of a pivotal election is a direct threat to the people of this nation's right to vote in a fair and free election."On Tuesday, DeJoy said in a statement that the USPS would pause the implementation of the proposed operational changes until after the November election. However, it's unclear if the agency would restore any mail sorting equipment that had been taken offline between the July 10 policy changes and Tuesday's statement.President Donald Trump has been staunchly opposed to universal mail-in voting, claiming that such policies would result in widespread voter fraud despite ample evidence to the contrary. Earlier this month, Trump said that he was hesitant to approve more funding for the USPS in order to curb the expansion of mail-in voting. 1596

The number of people within the orbit of Vice President Mike Pence who have contracted COVID-19 in recent days has grown to five, according to CNN and The New York Times.Those five include Pence's chief of staff, Marc Short, an outside advisor, Marty Obst, and aide Zach Bauer.On Saturday, the Trump administration confirmed that Short had contracted COVID-19. In a statement released, the White House said that both Pence and the second lady both tested negative, and CNN reports that they tested negative on Sunday as well.On Saturday, the White House said that Pence would "maintain his schedule in accordance with the CDC guidelines for essential personnel."However, The New York Times reports that "several" White House officials privately believe that Pence should stay off the campaign trail due to the outbreak. CNN spoke with officials who said Pence staff members are "scared" of contracting the virus.Just hours after the White House confirmed Short's diagnosis, White House Chief of Staff Mark Meadows said on CNN that the Trump administration wasn't "going to control the pandemic" and would instead focus on treatments and vaccines.The outbreak within Pence's office is just the latest rash of COVID-19 cases that have reached the inner circle of the White House. President Donald Trump himself was hospitalized after contracting the virus earlier this month, and both first lady Melania Trump and her son, Barron, have also caught the virus. Several other top White House officials, including press secretary Kayleigh McEnany, adviser Stephen Miller and White House counselor Hope Hicks have also contracted the virus. 1641

The National Hurricane Center named its eighth tropical system of 2020 in the Atlantic basin on Thursday as Tropical Storm Hanna churns in the Gulf of Mexico.The storm, which had top winds of 40 MPH as of late Thursday, has its eyes set on the Texas coast. The National Hurricane Center issued tropical storm watches and warnings for the Texas coast. The warnings run along from Mouth of the Rio Grande to San Luis Pass, Texas.The National Hurricane Center said it expects the storm to continue to strengthen through landfall.Hanna is notable for being the earliest-forming H storm in the Atlantic. The peak of hurricane season is still seven weeks away.Meanwhile, Hawaii is preparing for a possible strike from Hurricane Douglas this weekend. The Category 3 storm is expected to gradually weaken before crossing the island chain on Sunday. 848

The mother of mail bomb suspect Cesar Sayoc writes that she is estranged from her son but hurt by his alleged attacks, and she calls on the country -- specifically, President Donald Trump -- to tone down the nasty rhetoric.She further warned that the political vitriol -- particularly talk of "war" against the media and political parties — could resonate with the mentally ill, like her son, and inspire them to "violently act out in our country," Madeline Sayoc wrote in an open letter to television network ABC, which published the correspondence Sunday night.Madeline Sayoc also said that her 56-year-old son's relatives had tried, to no avail, to get him help, and that American families need better laws to allow families to "compel and require" treatment, when necessary.Here is the full text of the letter: 822