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WASHINGTON, D.C. – At least 59,494 new coronavirus cases were reported in the United States on Wednesday, which is the highest daily count since August 14, according to a tally by Johns Hopkins University.The data shows there was also an increase in the number of deaths, with at least 985 reported Wednesday, up from 802 the day before.The nation’s total coronavirus cases stand at about 7,917,300 and more than 216,900 deaths from COVID-19, John Hopkins says. Those cases include people in all 50 states, Washington D.C. and U.S. territories.As has been the case throughout the pandemic, the U.S. leads the world in the number of reported COVID-19 cases and deaths, followed by India, Brazil and Russia.The current rise in cases in several areas of the U.S. has many infectious disease experts worried about a large spike in the fall and winter months, a time when the country is using health care resources to battle the flu. To help combat the risk of a "twindemic," doctors are encouraging all Americans to get a flu vaccination.Dr. Anthony Fauci, one of the country’s top coronavirus experts, told ABC News on Thursday that the spike is “concerning” and that “you don’t want to be in that compromised position where your baseline daily infection is high and you are increasing as opposed to going in the other direction.”Click here to learn more from the Centers for Disease Control and Prevention (CDC) about how you can help protect yourself and others from contracting the coronavirus. 1502

WASHINGTON, D.C. -- President Donald Trump took to Twitter Sunday, insisting that White House Lawyer Don McGahn isn’t “a John Dean type ‘RAT.’”The tweet makes reference to the Watergate-era White House attorney who turned on Richard Nixon, the Associated Press reports.In a series of Sunday-morning tweets, Trump also slammed the New York Times story saying that McGahn is cooperating with the special counsel team investigating Russian meddling in the US election. 478

We know virtual learning is mentally hard on kids, but what about physically? If your child is having persistent neck or back pain, it might be related to poor posture and poor body positioning.At some point during the pandemic, most children across the country were doing some sort of computer-assisted learning. At Children's Hospital of Orange County in Southern California, pediatric physical therapist Ruchi Bagrodia covers posture and seating with kids who are of age.There are many things they should be doing.“I always encourage them, a child, to sit at a dining or office table, a chair with a seat back. Their back should be supported,” Bagrodia said.There are lots of things they shouldn't do.“Never sitting on the floor, never sitting in bed, never sitting on the couch,” Bagrodia said. “For therapy appointments or learning, it promotes poor posture if you’re in a squishy bean bag chair or couch. You’re never going to sit up well if you’re there for a couple hours. You’ll develop all sorts of kinks and achiness in the neck, the shoulder, the back.”Many Americans are at home, and these days, many are in chairs a lot. If you're using a device, it matters where you put it. “The level of the tablet, the height of it matters,” said Bagrodia. “We want it arm’s-lengths away and the top of the screen should be just below your eye level. If you’re on the floor and your tablet is on your lap, you’re going to be looking down at your lap and that can develop shoulder neck pain, achiness.”When asked about the long-term implications of persistent bad posture, Bagrodia said, “Poor posture is something is that is developed in a 6- or 7-year-old by the time they’re 20, maybe they do have serious back pain or issues.”While you're repositioning your children, doctors say, pay attention to their mental health too.“Across all different mental health issues, we’re seeing a marked increase, everything in kids. We’re not just talking one age range, we’re talking young childhood all the way through late teenagers,” says Dr. Christopher Min, a pediatric psychologist.Dr. Min says kids need the structure, stability and routine that school provides, and that is what's missing for a lot of kids.“Kids' bodies and brains do really well, “ Dr. Min said. “We’re creatures of habit, when they have that regularity, it’s really great for their brains.”Dr. Min says try to provide some sort of routine and make sure you incorporate enough physical activity, such as a daily family walk. And he says there are signs when things are not going well for children.“For kids, a sign of some mental health difficulties is irritability (which) is a symptom of anxiety and depression in kids,” Dr. Min said.He recommends to pay attention to sleeping and eating habits. While you can't do everything, you can definitely make sure children are consistently physically comfortable while learning at home. That doesn't mean you need a fancy or expensive desk.“If the chair is too high and their feet is hanging off, then put a box or laundry basket underneath their feet so they’re supported. If the laptop is really low, then put books or something under the laptop to lift it up, put a cushion if the chair is too big, put a pillow, or roll up a sweatshirt and tuck it under the low back for some support,” says Bagrodia.At the same time, if you are sitting for long periods of time, check your positioning as well, since it appears the work from home life won't be sitting anytime soon. 3488

WASHINGTON, D.C. — Federal officials say the key component to getting the COVID-19 vaccine distributed across the country will lie in the hands of states, with help from major pharmacy chains, like CVS and Walgreens.“We want to replicate what the experience you have with the flu vaccine — convenient to you, a tried-and-true system that we do hundreds of millions of vaccines through every year,” said U.S. Health and Human Services Secretary Alex Azar. “That's the backbone of the approach we're taking.”Yet, if flu vaccine rates are any indication, that backbone may not suffice.Dr. Eric Schneider is with The Commonwealth Fund, an independent organization that studies health policy. They recently delved into previous vaccination rates to see how it might unfold for COVID-19.“Our health care system does well at developing new technologies like these vaccines, which are really quite amazing, scientifically speaking,” Dr. Schneider said. “But we don't do as well at making sure those technologies are distributed to the people who need them most. And we're seeing that in the prior vaccination experience, and I’m worried we will see that with COVID-19.”What did they find?A mere 51% of Americans got the flu vaccine last year and only 38% got the H1N1 swine flu vaccine 10 years ago, which had a similar vaccine development timetable and pressure to COVID-19.Those low vaccination rates matter because in order for the COVID-19 vaccine to create herd immunity in the U.S., between 70 and 90% of all Americans will need to get vaccinated.“The concept of herd immunity really is developed out of vaccination programs because the question is ‘What proportion of the population needs to be vaccinated to prevent the circulation of a virus in the population?’” Dr. Schneider said.Just getting that shot could vary depending on where you live, as the federal government is leaving that up to each state.“That's going to be up to the nation's governors as they prioritize within their states,” HHS Secretary Azar said.However, Dr. Schneider said that in order for the states to pull it off, they are going to need federal help.“States are in incredible difficulty right now with their budgets and they need federal support,” he said. “Congress is considering a federal rescue package. That funding is really necessary to get states the support they need to vaccinate large numbers of people.”Large numbers of people are now waiting for a rescue of their own from a virus that’s changed everything.For a closer look at the results of the study on vaccination rates from The Commonwealth Fund, click here. 2612

WASHINGTON (AP) — The Trump administration has laid down rules aimed at preventing residents in high-tax states from avoiding a new cap on widely popular state and local tax deductions. The action over the new Republican tax law pits the government against high-tax, heavily Democratic states in an election-year showdown.The Treasury Department's rules released Thursday target moves by states like New York, New Jersey and California — where residents could see substantial increases in their federal tax bills next spring because of the ,000 cap on state and local deductions. Experts say the issue likely will have to be resolved by the federal courts.Four states — Connecticut, Maryland, New Jersey and New York — already have sued the federal government over the deduction cap, asserting it's aimed at hurting a group of Democratic states and tramples on their constitutional budget-making authority.A dozen states have taken or are considering measures to get around the cap. Most of the workarounds take advantage of federal deductions for charitable contributions — which aren't capped — in place of the old deductions for paying state and local income taxes. So people's state and local taxes exceeding ,000, which can't be deducted, are turned into deductible charitable donations.The new rules' "dollar-for-dollar" limit also applies to many other states that already have charitable funds offering tax breaks, senior Treasury officials said. Those states include solidly Republican ones and others with relatively low taxes. In those programs, donors to schools, hospitals or land conservation programs can get their state taxes reduced in return — plus a charitable deduction on their federal tax returns.The limit means taxpayers only can deduct as a charitable contribution the portion of their donation for which they don't also get a state tax credit.But some experts said the Treasury rules seem to be designed to protect those existing charitable programs in some states. An exception to the "dollar-for-dollar" requirement "plainly appears to be designed to protect certain ... pre-existing state regimes," said Daniel Rosen, a tax lawyer at Baker McKenzie who is a former IRS official.Treasury said it expects that only about 1 percent of all U.S. taxpayers would see a reduction of their tax credits for donations to private-school voucher fund. Several states — Alabama, Arizona, Georgia, Montana and South Carolina — allow taxpayers who donate to private-school funds to get a 100 percent credit against their state taxes, according to data compiled by the Institute on Taxation and Economic Policy.___HOW DO THE LIMITS WORK UNDER THE NEW RULES?Dollar-for-dollar: When a taxpayer receives a benefit in return for donating to charity, the taxpayer should only be able to deduct the net value of the donation as a charitable contribution, Treasury says.An example: You donate ,000 to a charity in a state that offers a 70 percent tax credit, so 0 in this case. You would only be able to claim a 0 charitable deduction on your federal return.There is an exception. If the state tax credits don't exceed 15 percent of the amount donated, so up to a 0 state tax credit on a ,000 donation, the taxpayer could claim the full amount as a charitable deduction.___WHY IS THIS IMPORTANT?Taxpayers could have less incentive to donate without getting a deduction or having the deduction reduced.All states rely on property and income taxes to fund an array of services such as education, health care and public safety. Advocates for restoring the full state and local deductions say that the reduced property tax deduction brings a decrease in the value of taxpayers' homes, possibly spurring residents of high-tax states to move elsewhere and crimping funding for local programs.___WHAT'S HAPPENING IN THE HIGH-TAX STATES?Measures designed to work around the ,000 cap have been adopted in Connecticut, New Jersey, New York and Oregon, and introduced or explored publicly by officials in California, Illinois, Maryland, Nebraska, Rhode Island, Virginia, Washington and the District of Columbia.New York Gov. Andrew Cuomo, a Democrat, has called the state-local deduction cap an "assault" on New York by Trump and Republican lawmakers in Washington.In some key "blue" states:—Connecticut has a new law establishing a state charitable fund; donors can get tax credits in exchange for giving.—In New Jersey, where high local property taxes are the major issue, the state is allowing local schools and governments to use the charitable workaround. But so far, no towns have notified authorities that they've set up funds to receive contributions — because state regulators haven't issued the necessary rules, experts say.—New York is offering three options: One like Connecticut's, one like New Jersey's and another to let employers pay payroll taxes for employees, who would receive credits to cancel out the income taxes they would have paid otherwise.—In Maryland, about 500,000 residents — over 18 percent of state taxpayers — will together lose .5 billion in state and local deductions, according to state estimates.___Mulvihill reported from Cherry Hill, New Jersey. Associated Press writer Michael Catalini in Trenton, New Jersey, contributed to this report. 5305