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DETROIT — The Michigan Department of Health and Human Services is activating an emergency plan in response an outbreak of hepatitis A.The number of cases continues to rise in Michigan. The department is activating what is called the Community Health Emergency Coordination Center."To help coordinate Michigan’s response to the hepatitis A outbreak, we are opening the Community Health Emergency Coordination Center to assist the multiple local public health jurisdictions involved in the response and prevention of further cases," said MDHHS Director Nick Lyon.The emergency coordination center will provide support to health departments, hospitals, EMS and other health care providers.Health care providers are asked to encourage hepatitis A vaccination."We know that the hepatitis A vaccine is more than 90 percent effective in protecting someone who may be exposed to hepatitis A," said Dr. Eden Wells, Chief Medical Executive with the MDHHS. "Without a single source associated with these cases, the importance of vaccination and proper hygiene is vital to ensuring we stop the person-to-person spread of hepatitis A." There have been 457 confirmed cases of hepatitis A since August 1, 2016. This number includes 18 fatalities associated with the outbreak and affected a number of cities; City of Detroit, Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw, and Wayne Counties reported to MDHHS.Hepatitis A is an infection of the liver caused by a virus and is a vaccine-preventable disease.Symptoms may appear from two to six weeks after exposure, with the average time being about one month. They include sudden abdominal pain, fatigue, diarrhea, nausea, headache, dark urine, and vomiting followed by yellowing of the skin and eyes.To reduce the risk of contracting Hepatitis A, health officials recommend the following points of emphasis:*Wash hands frequently, especially after using the bathroom, changing diapers, and before preparing and eating food.*Clean and disinfect all surface areas if someone in the household or workplace has symptoms., especially areas such as toilets. sinks, trashcans, doorknobs and faucet handles.*Do not prepare food if you have symptoms and refrain from food preparation for at least three days after symptoms have ended, or two weeks after onset of clinical symptoms, whichever is longer.*Get the Hepatitis A vaccine. 2428

DENVER — The City of Denver has dealt with at least 289 cases of public urination or defecation so far in 2018.“You’ll come outside in the morning and someone will have just used the restroom all over the wall,” Denver resident Jake Rose said.Rose, who lives in the Capitol Hill neighborhood of the city, says he sees the issue when he walks into his alley to get to his garage.“It’s pretty offensive. I’d rather not see it,” he said.KMGH contacted several residents in the Capitol Hill neighborhood through the Nextdoor app to get their thoughts.“This is a HUGE issue in the area,” one resident said. “This problem has increased dramatically.” Another added that there was “just poop everywhere.”Denver police keep track of how many citations they give out for certain municipal code violations. From January to November, that number came in at 289 for public urination or defecation. A police spokesperson added that usually officers give warnings, sometimes multiple, before issuing a citation.There were another 136 complaints through 311 for human waste in the public right-of-way.“Any waste in the public right of way is essentially a public health issue because that waste can go into our waterways, people can be exposed to it, and we don’t want that,”said Jeremy Garland of the Denver Department of Public Health and Environment.Garland says multiple city departments work together to try to address the issue. Police issue citations, DPHE deals with cleanup through 311 and the Department of Public Works can be called for larger cleanups.“We don’t want this happening in our streets. I don’t think anyone wants that,” Garland said about the issue.The city says there are enough public restrooms in Denver, and encouraged all people to use the city’s mobile restroom and/or shelters if needed.“It’s pretty gross but the bottom line is when people don’t have a bathroom to use this is the bathroom,” Jake Rose said, pointing to the alley near his home.For more information on Denver’s public restrooms and mobile restroom pilot program, click here. 2080

DEL MAR (CNS) - Two horses had to be taken by van from the track at Del Mar Racetrack Friday but both are expected to recover.The 5-year-old mare Magnolia's Hope was vanned off after being eased in the stretch of the fourth race, a 6 1/2-furlong claiming race on the dirt track for fillies and mares 3 years old and up which have never won two races."Though it is never good to be given a van ride, this does not appear to be a case of a life-threatening injury," Mac McBride, the Del Mar Thoroughbred Club's director of media, told City News Service. "We should know more about her condition tomorrow."Magnolia's Hope was fourth at the start of the race, took the lead a quarter-mile into the race and dropped to fourth in the field of seven through a half-mile.Magnolia's Hope has one victory in nine career starts, along with two second-place finishes and one third-place finish. She has earned ,260 in her career.The 4-year-old filly Velvet Queen also was vanned off after finishing third in the eighth race, a mile race on the dirt track for fillies and mares 3 years old and up which have never won ,000 once other than maiden. Velvet Queen injured a tendon, which McBride described as "not a major injury, one that equine (and human) athletes suffer in competition.""She'll need some time off to recover, but should be fine," McBride said.Velvet Queen has three victories, four second-place finishes and three third-place finishes in 16 career starts. She has earned 8,382 in her career. 1511

Days after the release of the Sterling Brown arrest video, the Milwaukee Police Union president said using a stun gun on the NBA player might have been the right thing to do.The Milwaukee Police Association President Mike Crivello told Scripps radio station 620 WTMJ in Milwaukee, it is possible those officers did the right thing."If they didn't feel as though they were getting control of him before he could get control of whatever that was in his pocket. Tasing may have been appropriate," Crivello said.Crivello said he could not see what was happening during the struggle with Brown after an officer asked him to take his hands out of his pockets. That was right before Brown was taken to the ground and stunned.He also suggested the use of a stun gun could have been prevented if officers always worked with a partner. That's something the MPD Chief Alfonso Morales said he's focused on."We have worked exhaustively in the last three months to really try to figure out how we are going to handle this situation and move forward from it," Morales said.The Milwaukee police chief answered some questions about the video Wednesday, but still is not saying much.Morales has known this moment was coming when he and his department would be responding to the stunning and handcuffing of Brown. "We're really working at putting our officers back at the district. We're looking at community-oriented policing," Morales said.The chief is backing up his apology with a promise that officers will get new instructions on how to handle themselves with the public."Absolutely retraining, but here's the biggest and one of the things I brought up when I was campaigning for this position is leadership," Morales said. "This is leadership and that's what we're focusing on and changing our department." 1827

DETROIT — Detroit police and fire crews are on scene responding to a chemical explosion with a release of gas at an industrial building.Sources with the fire department say people were evacuated due to the leak and two blocks have been closed off. According to the senior chief, it's believed to be ammonia and a HAZMAT II situation has been declared.It happened in the 20000 block of Exeter, near State Fair and John R. An address for the building shows it to be Intrastate Distributors, which makes Town Club Soda. 539