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There have been 80 confirmed cases of the polio-like illness known as AFM in 25 states this year as of Friday, the US Centers for Disease Control and Prevention said Monday.In addition, there are 139 cases under investigation for a total of 219 confirmed and suspected.This is eight more confirmed cases than the agency reported last week and 20 additional patients under investigation.The CDC noted an increase in reports of patients under investigation who began experiencing symptoms in August, September and October. It has not identified the 25 states with confirmed illnesses, nor has it said how many states are reporting cases under investigation.AFM, or acute flaccid myelitis, is a rare illness that affects the nervous system, especially the gray matter in the spinal cord, and can cause muscle weakness and sudden onset of paralysis. Last month, the CDC said that 90% of patients since 2014 have been children under the age of 4, although adults can also develop AFM.Other symptoms include drooping of the face or eyelids, difficult eye movement, trouble swallowing or slurred speech.Research is underway to determine the cause of AFM, although there is a focus on enteroviruses, which can cause respiratory illness and West Nile virus, and other viruses in that family.According to the CDC, there have been 404 confirmed cases in the United States since August 2014. The number of cases may be higher, but the condition is not subject to mandatory reporting, so not all cases are reported to state health departments and therefore may not be counted by the CDC."Even with an increase in cases since 2014, AFM remains a very rare condition. Less than one in a million people in the United States get AFM each year," the CDC says.AFM peaks every other year seasonally in late summer and fall. But experts have yet to identify a single factor geographically or otherwise to explain the cause. Also unknown: why some patients recover and others have prolonged effects. 1985

TIJUANA, Mexico (AP) — The woman crawled under first, squeezing face down through a gap dug under the border fence. The space is only a few inches high, and her feet kicked dust into the air as she wiggled. Next was her 3-year-old daughter, dressed in a pink sweat suit, pushed through to the California side on her back and feet first by a man who stayed in Mexico.The mother anxiously urged them on. "Hurry," she said. "I'm right here. It doesn't matter if you get dirty."Fifteen seconds later, the mother and daughter from Honduras were together in the U.S. And soon a U.S. Border Protection agent approached on an all-terrain vehicle to take them away in custody.U.S. Customs and Border Protection said Tuesday that the San Diego sector has experienced a "slight uptick" in families entering the U.S. illegally and turning themselves in to agents since the caravan of Central American migrants arrived in Tijuana two weeks ago.Thousands of migrants on the Mexico side of the border are living in crowded tent cities in Tijuana after a grueling weekslong journey through Mexico on foot and hitching rides with the goal of applying for asylum in the U.S. Frustrated with the long wait to apply, with the U.S. processing 100 requests at most each day, some migrants are trying to cross over clandestinely.Rachel Rivera, 19, told The Associated Press that Honduras had become unlivable. Moments before flattening herself under the fence, she said she was slipping through to the U.S. in an attempt to "give a better life" to her daughter Charlot.An AP video journalist also witnessed more than two dozen migrants scale a fence between Mexico and the U.S. on Monday evening. Once across, entire families raised their hands before border patrol agents who arrived swiftly in white trucks.It's unclear where the families were taken from there.On a typical day before the caravan arrived in Tijuana, U.S. border patrol agents in the San Diego area detained about 120 or so people trying to cross the border illegally from Mexico.President Donald Trump issued a proclamation in November suspending asylum rights for people who try to cross into the U.S. illegally. Rights groups question the legality of that proclamation.U.S. Customs and Border Protection spokesman Ralph DeSio said the U.S. was trying to deter illegal crossings by issuing the proclamation.The U.S. has an established process for asylum seekers to present themselves in an "orderly" manner at a port of entry, DeSio told AP via email. "When people choose to ignore that process, they put themselves in danger and, in the case of families, they choose to put the lives of their children at risk."Trump took to Twitter again Tuesday to drum up support for a better border wall, arguing that the expense would be less than the U.S. incurs each year due to illegal immigration.People mainly from Honduras but also from El Salvador and Guatemala formed the caravan to Tijuana, seeking safety in numbers while crossing Mexico to avoid criminals and the fees demanded by the gangs that prey on migrants. Dozens of the migrants have told AP they are fleeing poverty and searching for a better life, while many also tell of harrowing violence and death threats back home.Margarita Lopez, a migrant from Honduras, said she would definitely jump the fence to the U.S. if she got the chance. But in the meantime, Lopez stood in line Tuesday to request a humanitarian visa from Mexican officials that would allow her to live and work in Mexico for a year.Standing nearby, Luis Fernando Vazquez, a migrant from Guatemala, said he won't make a run for the border."I'm not like that," he said. "I prefer to work, to behave well, here." 3691

There's a new app out there that's promises to help people check for skin cancer. It's called Miiskin.It's the first app to use artificial intelligence to do full-body skin mapping. It also uses augmented reality to track how moles, freckles and skin change over time.Doctors say apps like these can actually help during this pandemic.“That has led to a significant decrease in visits for screening such as colon cancer, lung cancer, and skin cancer is of course one of those that actually is affected by the pandemic,” said Dr. Arturo Loaiza-Bonilla with Cancer Treatment Centers of America.When doctors and patients are dealing with cancer, time is of the essence.Tools like this app don't replace doctor's visits, but they can help with early detection.“One month of losing a cancer that was just newly found is almost a 10% increase in mortality, so if the screening comes a year later when the cancer is already starting, then we are in a pretty dark situation,” said Loaiza-Bonilla.Doctors at the Cancer Treatment Centers of America say that while the apps shouldn't replace a full physical assessment, they can be used as an additional tool to track new moles and see how certain things develop.If you are at a higher risk for skin cancer and want to use one of these apps, it's important that you do so under doctor supervision.These apps are still not considered a medical device.Doctors hope these tools can eventually be paired with medical records, so patients can be empowered by knowing more about their own health. 1537

Transcripts from a 2016 deposition in which Ghislaine Maxwell answered questions about the sex-trafficking operation she allegedly ran with the late Jeffrey Epstein were released Thursday by court order.The more than 400 pages of documents were ordered unsealed earlier this week after a legal battle between Maxwell and Virginia Giuffre, who accuses Maxwell, Epstein and others of sexually abusing her when she was a minor.CLICK HERE TO READ THE FULL TRANSCRIPTMaxwell is accused of recruiting young girls for Epstein to have sex with, and of allegedly ordering young girls and women to have sex with rich and powerful men.The depositions were taken as part of a lawsuit brought against Maxwell by Giuffre. The lawsuit was eventually settled.There are redactions in the transcript to remove private information of some of the people it mentions.Lawyers for Maxwell, 58, had argued the transcript, which reflects seven hours of interviews over two days, should remain sealed, in part to protect her right to a fair trial in July on charges that she helped Epstein traffic and sexually abuse teenage girls in the 1990s.They noted that portions of the transcripts relate to perjury charges in the indictment she currently faces. She has pleaded not guilty.Maxwell has been incarcerated since her arrest in early July. If convicted, she could face up to 35 years in prison.Maxwell’s arrest came a year after Epstein, 66, was arrested and charged with sex trafficking. He killed himself in August 2019 at a federal jail in Manhattan where he was awaiting trial without bail.In 2008 in Florida, Epstein pleaded guilty to state charges of soliciting and procuring a person under age 18 for prostitution. He spent 13 months in jail, paid settlements to victims and remained a registered sex offender. 1801

There are about 6,000 restaurants in Queens County, according to the Queens Chamber of Commerce — and if indoor dining doesn’t resume, up to 3,000 may never open again.“For the last six months, it’s been very hard for everyone in the diner business, in the restaurant business. Especially for us,” said John Thanosopolous, who owns the Atlantic Diner in Richmond Hill.There are now multiple lawsuits against the city and New York state over not permitting indoor dining at city restaurants, despite every municipality around them being permitted to do so.“This is the knockout punch for us. This is the lawsuit. We didn’t want to do this. This is not us. We are workers,” said Rob De Luca, who owns De Luca Restaurant in Staten Island.Mayor Bill de Blasio did not address the status of indoor dining whatsoever during his Tuesday press briefing, though days ago, hinted an announcement could be coming soon.Governor Andrew Cuomo said other cities and towns were allowed to have diners indoors because their compliance was better than New York City’s.Without explicitly naming the mayor, the governor said local enforcement failed when bars were first permitted to re-open months ago. Ultimately that led state government to create a statewide task force of inspectors to take up the issue. But Cuomo said that task force is spread thin.“If you go to indoor dining, you are roughly doubling the number of places that you're going to have to monitor,” said Cuomo.The governor said the city should be pulling resources and inspectors from the NYPD, or from any and all regulatory agencies it has, and until it does, New York City restaurants cannot welcome its customers back inside.That is not what thousands of restaurant owners across the city want to hear.As for De Luca, he believes this disproportionately impacts the most vulnerable in the industry.Mitch Schwartz, the Mayor’s Director of Rapid Response and Deputy Press Secretary, issued this statement Tuesday evening:“Careful public health guidance. Nimble and rigorous inspections. Fair and honest dealing with businesses. That’s how we’ve reopened our economy while keeping COVID-19 rates extremely low, and that’s how we’ll reopen indoor dining if and when it’s safe to do so. Now, we’re continuing to work with the State on a responsible timeline and clear protocols for re-opening. That process is underway – and when it’s over, New Yorkers will know we’ve put their health and safety first.”This article was written by Narmeen Choudhury for WPIX. 2519

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