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Federal health officials reported Thursday an additional 109 cases of cyclospora infection in an ongoing outbreak linked to McDonald's salads that began in May.The total number of laboratory-confirmed illnesses from this outbreak is now 395, according to a?statement from the US Food and Drug Administration. At least 16 of the sick individuals have been hospitalized.The cyclospora parasite causes intestinal illness in people who consumed contaminated food or water. Symptoms can begin a week or more after consuming the parasite. They include diarrhea and frequent, sometimes explosive bowel movements, according to the Centers for Disease Control and Prevention. Those who are infected might also experience loss of appetite, weight loss, stomach cramps or pain, nausea, gas and fatigue. Vomiting, headache, fever, body aches and flu-like symptoms can also occur.The illness can last a few days to a few months, and patients might feel better but then get worse again. Cyclosporiasis can be treated with antibiotics.Illnesses have been reported in 15 states: Connecticut, Florida, Iowa, Illinois, Indiana, Kentucky, Michigan, Minnesota, Montana, Nebraska, Ohio, South Dakota, Tennessee, Virginia and Wisconsin. However, the patients in Connecticut, Michigan, Tennessee and Virginia bought their salads in Illinois while traveling, and the Florida patient bought the salad in Kentucky.The FDA said an unused package of a Fresh Express salad mix of romaine lettuce and carrots that had been distributed to McDonald's tested positive for the presence of Cyclospora though it was past its July 19 expiration date."Epidemiologic evidence indicates that salads purchased from McDonald's restaurants are one likely source of these infections. The investigation is ongoing, and FDA is working to determine the sources of the ingredients that were in common to the salads served at McDonald's," the CDC said in an outbreak update posted on its website Thursday.McDonald's said in a?statement on July 13 that it had removed the salad mix from it's impacted restaurants and replaced it with a different supplier.In a?recall statement?on the Fresh Express website, the company said it had launched a "precautionary recall" of the institutional food service product on July 27 of a "limited number of cases."The statement said, "Fresh Express follows rigid food safety requirements and preventive controls throughout our supply chain that are carefully designed to mitigate against potential health risks."The company's salad mix recall was connected with a?public health alert issued Monday by the US Department of Agriculture's Food Safety and Inspection Service advising consumers that certain salad and wrap products might be contaminated with cyclospora. The products were sold by grocery stores including Kroger, Trader Joe's and Walgreens.In the alert, the USDA said the issue was discovered when Indianapolis-based food distributor Caito Foods "received notification from their lettuce supplier, Fresh Express, that the chopped romaine that is used to manufacture some of their salads and wraps was being recalled."The lettuce from McDonald's that tested positive for the cyclospora parasite was in the same lot as the lettuce distributed to Caito Foods, the CDC said Wednesday. "Fresh Express also reported that no romaine lettuce from the lot that was positive for cyclospora was packaged for direct retail sale to consumers," the CDC said. 3474

ESCONDIDO, Calif. (KGTV) -- Edward Long will spend 50 years to life in prison for the murder of Elizabeth Perez, whose body was found in a car along I-15. Her family called Monday's sentencing a welcome bit of justice and closure. "It's hard to understand what happened," says Angela Perez, Elizabeth's mother. "She did not deserve this. The fear she must have felt, it kills me."Long killed Perez on June 12, 2016. Police say he shot her once in the head and then left her body in her car on the side of the I-15 freeway.RELATED: Arrest made in death of woman found in carHe was convicted of her murder in a trial in February, 2017. During sentencing, her family begged the judge for the maximum sentence, 50 years, which Long got."He should never be allowed to be free and walk with society," Elizabeth's Aunt, Lisa Perez. "He will kill again."Family described Elizabeth as the happiest relative, the one who got everyone together and served as a second mother to her younger sisters and her nephew, Nathan."Every day I think about her," says sister, Jasmine Guillen. "And when my son asks abou her, that's going to be a difficult conversation."Long did not make a statement during his sentencing. 1217

Employers may refuse to hire someone whose hair is in dreadlocks, a court of appeals has decided.The Equal Employment Opportunity Commission filed the civil rights suit against Catastrophe Management Services after it told a woman it would not bring her on board with dreadlocks and terminated a job offer.Reports indicate a human resources manager with the company told the candidate during a hiring meeting dreadlocks "tend to get messy." The EEOC?claimed it was a violation of the Civil Rights Act of 1964's Title VII, arguing dreadlocks are a "racial characteristic," according to NBC News.The 11th U.S. Circuit Court of Appeals ruled that the company in this lawsuit has a "race-neutral grooming policy" and was not discriminatory, and dreadlocks are not a cultural practice, NBC News reported. 817

Fans enter AT&T Stadium before the Big 12 Conference Championship between Iowa State and Oklahoma, Saturday, Dec. 19, 2020, in Arlington, Texas. 157

Every morning at 7:30, as students start to filter in, Jim Witt and his fellow administrators at Lake Schools in Northwest Ohio take to their designated posts around the school’s various hallways.They greet students, joke with them—teasing one about his Air Jordan high-tops (this is LeBron country, after all)—and just generally touch base before the day officially begins.As superintendent of the 1700-student campus outside Toledo, Ohio, Witt says he probably knows their students on “a much more personal level” than others would at districts of a similar size.And knowing your students, he says, is key in the efforts to help prevent what feels like it’s become all too common: school shootings.  And that context has made the need for the morning pleasantries that much greater.“It makes us hyper sensitive to kids who may come in one morning and be really down or upset about something,” Witt says. “We try to get to the root of that problem for various reason, school safety being one of them.”Lake Middle School principal Katie Beard agrees that administrators and teachers need to be on the lookout for warning signs, adding that when you know the students, it’s really not that difficult to tell when something’s not right.“You can tell by the way a student walks in what kind of day they’re going to have, based on seeing them every single day,” Beard said, adding that if she notices a big difference in a student’s mood, she’ll prod a little bit to find out if it’s something more serious.“You just try to have a conversation with them right away to try to head it off, [asking things like] ‘Hey, what’s going on? Bad morning?’”And when they do notice something is off, they make teachers aware and keep a closer eye.“Often times I’ll pop in to their teachers or send an email [saying] ‘hey, so-and-so looked a little off this morning, keep an eye out, if I need to come see them let me know," Beard said.Once the first period bell rings, custodians will make sure to lock all exterior doors, and Witt will roam the halls to double check the doors and look for any other kinds of threats.“I’m looking for anything that would appear to be unusual, or out of sorts, out of place,” Witt says. “We know that kids let bookbags lie around so we check those.”He says when he first became an educator, school was more about the “Three R’s”—reading, writing, and arithmetic. But he’s definitely noticed a shift in recent years. “Myself and my admin team spend more time probably worrying about…the safety of kids and staff,” he says. “It’s gone beyond just the normal curricular issues," Witt said.And that “frustrates” him, he says, “but it’s a necessity.”The school has a series of cameras, covering the entrances and exits to the various buildings. And they have also sought training for their staff from groups like the non-profit Educator’s School Safety Network.But as a small district with limited funds, Witt says investing in new security technology—things like bullet proof windows, heavy duty doors-- isn’t really on the table.But even with all the funds in the world, he’s upfront that he’s still not sure he would invest much money in “hardening” schools, noting that nothing is “100 percent intruder-proof.”So he’ll continue with the “getting-to-know-you” behavioral approach—and giving his students a hard time about their choice of NBA-inspired footwear. 3413