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When you enter the sunset years of life, often there is reflection.Terry Criger likes to think of her former career as a school lunch lady in Arizona.“Oh, I loved it,” said Criger. “If I could go back, I would.”However, the passing of time eventually catches up to all of us.Criger’s been in an assisted care facility in Midvale, Utah for about a year and half now.“I had very high concerns that I would be put here and left, and fortunately I haven’t been,” Criger said through tears.She says if it wasn’t for her daughter, she’d be lost.“People here will ask what insurance you have and I’ll tell them that I don’t know and they need to ask my daughter,” Criger said.Criger is not alone.“It’s crazy. People just don’t know enough,” said Michelle Malais, a certified senior advisor.Navigating the world of health insurance and available services for our aging population can be overwhelming for families.“When it comes down to it, there is always a way; you just have to explore the different options and that’s where I come in,” Malais said.Malias is part of a national organization called Assisted Living Locaters, which helps families find the best options and how to pay for it.“I’m an advocate really for them,” Malais said. “It’s really important for our seniors to age with dignity.”Her introduction to the world of senior care was personal. Her mother suffered from dementia and her father struggled to offer care for her.“I’ll never forget that conversation because that was devastating to him,” Malais said. “He thought he had planned and, unfortunately, didn’t.”Now, she has made it a mission of sorts to make sure no one else is put in that position.“It’s very important to get ahead of the game,” Malais said.In most cases, that means having tough conversations with aging loved ones as soon as possible.Criger is adjusting well to her new life, and she has some advice for those willing to just roll the dice down the road.“You need to make a plan,” Criger said. “You need to plan for retirement because you never think you’re going to be, where you’re at in 20 years.” 2092

With a coronavirus vaccine still months off, companies are rushing to test what may be the next best thing: drugs that deliver antibodies to fight the virus right away, without having to train the immune system to make them.Antibodies are proteins the body makes when an infection occurs; they attach to a virus and help it be eliminated. Vaccines work by tricking the body into thinking there’s an infection so it makes antibodies and remembers how to do that if the real bug turns up.But it can take a month or two after vaccination or infection for the most effective antibodies to form. The experimental drugs shortcut that process by giving concentrated versions of specific ones that worked best against the coronavirus in lab and animal tests.“A vaccine takes time to work, to force the development of antibodies. But when you give an antibody, you get immediate protection,” said University of North Carolina virologist Dr. Myron Cohen. “If we can generate them in large concentrations, in big vats in an antibody factory ... we can kind of bypass the immune system.”These drugs are believed to last for a month or more and could give quick, temporary immunity to people at high risk of infection, such as health workers and housemates of someone with COVID-19. If they proved effective and if a vaccine doesn’t materialize or protect as hoped, the drugs might eventually be considered for wider use, perhaps for teachers or other groups.They’re also being tested as treatments, to help the immune system and prevent severe symptoms or death.“The hope there is to target people who are in the first week of their illness and that we can treat them with the antibody and prevent them from getting sick,” said Dr. Marshall Lyon, an infectious disease specialist helping to test one such drug at Emory University in Atlanta.Having such a tool “would be a really momentous thing in our fight against COVID,” Cohen said.Vaccines are seen as a key to controlling the virus, which has been confirmed to have infected more than 20 million people worldwide and killed more than 738,000. Several companies are racing to develop vaccines, but the results of the large final tests needed to evaluate them are months away.The antibody drugs are “very promising” and, in contrast, could be available “fairly soon,” said Dr. Janet Woodcock, a U.S. Food and Drug Administration official who is leading government efforts to speed COVID-19 therapies. Key studies are underway and some answers should come by early fall.One company, Eli Lilly, has already started manufacturing its antibody drug, betting that studies now underway will give positive results.“Our goal is to get something out as soon as possible” and to have hundreds of thousands of doses ready by fall, said Lilly’s chief scientific officer, Dr. Daniel Skovronsky.Another company that developed an antibody drug cocktail against Ebola — Regeneron Pharmaceuticals Inc. — now is testing one for coronavirus.“The success with our Ebola program gives us some confidence that we can potentially do this again,” said Christos Kyratsous, a Regeneron microbiologist who helped lead that work.Regeneron’s drug uses two antibodies to enhance chances the drug will work even if the virus evolves to evade action by one.Lilly is testing two different, single-antibody drugs — one with the Canadian company AbCellera and another with a Chinese company, Junshi Biosciences. In July, Junshi said no safety concerns emerged in 40 healthy people who tried it and that larger studies were getting underway.Others working on antibody drugs include Amgen and Adaptive Biotechnologies. The Singapore biotech company Tychan Pte Ltd. also is testing an antibody drug and has similar products in development for Zika virus and yellow fever.“I’m cautiously optimistic” about the drugs, said the nation’s top infectious diseases expert, Dr. Anthony Fauci. “I’m heartened by the experience that we had with Ebola,” where the drugs proved effective.What could go wrong?— The antibodies may not reach all of the places in the body where they need to act, such as deep in the lungs. All the antibody drugs are given through an IV and must make their way through the bloodstream to wherever they’re needed.— The virus might mutate to avoid the antibody — the reason Regeneron is testing a two-antibody combo that binds to the virus in different places to help prevent its escape.Skovronsky said Lilly stuck with one antibody because manufacturing capacity would essentially be cut in half to make two, and “you will have less doses available.” If a single antibody works, “we can treat twice as many people,” he said.— The antibodies might not last long enough. If they fade within a month, it’s still OK for treatment since COVID-19 illness usually resolves in that time. But for prevention, it may not be practical to give infusions more often than every month or two.A San Francisco company, Vir Biotechnology Inc., says it has engineered antibodies to last longer than they usually do to avoid this problem. GlaxoSmithKline has invested 0 million in Vir to test them.Giving a higher dose also may help. If half of antibodies disappear after a month, “if you give twice as much, you will have two months’ protection,” Lilly’s Skovronsky said.— The big fear: Antibodies may do the opposite of what’s hoped and actually enhance the virus’s ability to get into cells or stimulate the immune system in a way that makes people sicker. It’s a theoretical concern that hasn’t been seen in testing so far, but large, definitive experiments are needed to prove safety.“As best as we can tell, the antibodies are helpful,” Lyon said.___Marilynn Marchione can be followed on Twitter: @MMarchioneAP___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5919

Wisconsin Republicans moved overnight to strip power from newly elected Democratic leaders, advancing legislation that would limit early voting, enact Medicaid work requirements and potentially block the incoming attorney general from withdrawing the state from a lawsuit over Obamacare.The measures are all expected to be signed by lame-duck Republican Gov. Scott Walker, effectively preventing his successor, Gov.-elect Tony Evers, and Attorney General-elect Josh Kaul from delivering on the promises that lifted them to victory in November.Nearly a day after the legislature's "extraordinary session" began, the state Senate and Assembly concluded their work, passing a raft of legislation designed to curtail authorities enjoyed by Walker and outgoing Republican Attorney General Brad Schimel. Democrats are expected to challenge a number of the measures in court.There is no indication when Walker will take up the legislation, but pending his approval, Wisconsin is now expected to reduce its number of early voting days, restrict gubernatorial influence over a powerful economic agency Evers sought to disband, and require legislative backing for certain decisions traditionally made by the attorney general and governor -- a move that would likely block Kaul from pulling the state out of a federal lawsuit against Obamacare.The legislature will also be able to hire its own lawyers to defend state law in court, diminishing the attorney general's power.During the campaign, both Evers and Kaul took their Republican opponents to task over healthcare issues, in particular the state's participation in the legal challenge which would end coverage protections for people with pre-existing medical conditions. Walker had promised to call a special legislative session to reimplement the rule on a statewide level if the suit succeeded, but questions lingered over how robust those new protections would be. A GOP measure that included lifetime coverage caps was rejected by Senate Democrats and a pair of Republicans early Wednesday.One of the bills passed earlier in the session would require permission from the legislature before the state's executive branch could make waivers or changes to public assistance programs, including work- and drug-testing requirements for "able-bodied" adults, putting into effect Walker's controversial Medicaid work requirements and requiring Evers to get Republican support if he sought to end them.Divided along party lines, the GOP-run state budget committee in Wisconsin had a day earlier advanced many of the controversial measures after less than 12 hours of debate and amid growing protests in and around the capitol in Madison.As the Senate session opened Monday, the public gallery was packed. After some muted laughter, the entire gallery was kicked out -- resulting in more protests."They can only win by cheating. That's what they're doing in there right now," Kathy Kennedy, a state employee who took the day off to protest in Madison, told CNN. "They're a bunch of cowards."Before the committee vote, Evers, in prepared testimony, called the legislation and the process behind it "unfettered attempts to override and ignore what the people of Wisconsin asked for this November.""This is rancor and politics as usual," Evers said. "It flies in the face of democratic institutions and the checks and balances that are intended to prevent power-hungry politicians from clinging to control when they do not get their way."Walker denied on Monday that the moves were a partisan power grab."Much of what we did over the last eight years is work with the Legislature," he told reporters, "not at odds with the Legislature."State Senate Majority Leader Scott Fitzgerald, a Republican, has been more open about the partisan machinations in play."I don't have any problem highlighting that right now," Fitzgerald said on Monday. "I want people to understand that, that there's going to be a divide between the legislative and executive branch."In a statement Tuesday, Democratic Legislative Campaign Committee Executive Director Jessica Post called the GOP lawmakers' actions "shameful.""Just because Republicans in Wisconsin and Michigan don't like the outcome of the election does not give them (the) right to put power over people and disregard the will of the voters," Post said. "After years of voter suppression laws enacted by Republican legislators who were elected on their own gerrymandered lines, this partisan gamesmanship has reached a new low."Republicans are pulling from a playbook popularized in North Carolina two years ago, when Republicans in the Legislature responded to GOP Gov. Pat McCrory's defeat by taking action -- after the election but before his replacement could be sworn in -- to reduce incoming Democratic Gov. Roy Cooper's appointees and require his Cabinet picks to be confirmed by lawmakers.The American Civil Liberties Union excoriated North Carolina Republicans at the time, calling their actions then "a shameful partisan trick." But the lawmakers ignored the backlash and McCrory signed off on a plan to curtail his successor's authorities, setting a precedent for Midwestern Republicans, who suffered heavy defeats in 2018.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 5314

cent.Over seven days, Martin County climbed by 483 cases for 21.5 percent, St. Lucie County rose by 753 for 35.7 percent, Indian River County by 253 for 27.1 percent and Okeechobee County by 104 for 24.6 percent.Mortality rateThe mortality rate, which compares positive cases against deaths, has been trending down in the state.It is 1.6 percent in the state for all deaths and cases, including nonresidents, compared with 4.0 percent in the United States and 4.4 percent worldwide, which passed 571,000 deaths and passed 13 million cases Sunday.Florida has 198 deaths per 1 million people compared with the U.S. average of 416 per million. New York, which represents one-quarter of the deaths in the nation, has 1,666 per million. Worldwide, the figure is 73.3 per million.Age breakdownThe youngest deaths are two 11-year-olds: a boy in Miami-Dade and a girl in Broward, who are the only two in the 5-14 age class.There are 12 deaths in the 15-24 class, including a 20-year-old male and two 22-year-old females from Broward (one was listed Sunday), a 16-year-old girl from Lee, a 17-year-old boy from Pasco County and a 22-year-old woman from Palm Beach County.Twenty-four people from 25 to 34 also have died from the virus.The oldest is a 108-year-old women from Miami-Dade. A total of 1,489 people 85 and older have died in the state from the virus, an increase of 11 in one day.Ninety-two percent of the fatalities are 55 and older and 63 percent 75 and older. A smaller percentage of older people have tested positive – 26 percent age 55 and older and 7 percent 75 and older.At the other end of the age spectrum, there are 4,211 cases of infants to 4 years old, an increase of 176, and 91` were hospitalized, which is an increase of `1 in one day. In all, there were 1,182 cases of children under 1. From ages 5-14, there are 9,026, an increase of 462 with 69 in the hospital at one time, a rise of 2.From the infant to 54 age group, 195,921 of the 266,119 residents have tested positive. But in that group, 301 have died, an increase of 4, for a 0.15 death percentage.From infant to 65, there are 228,733 cases. A total of 699 have died, an increase of 6, for a 0.31 percentage.CitiesWest Palm Beach is in first place among Palm Beach County cities with 5,040, an increase of 311. Lake Worth, which includes the city and county portion, rose 104 to 4,001, followed by Boynton Beach at 1,828 from 1,742, Boca Raton at 2,511, up from 2,336, Delray Beach at 1,376 from 1,284. A total of 397 in the county not designated by a city.Port St. Lucie leads the Treasure Coast with 1,805, an increase of 71, followed by Stuart with 1,354 vs. 1,325.In Indian River County, Fellsmere, which has a population of 5,754, increased by 2 to 249, compared with only 3 on May 31.HospitalizationsA total of 18,271 people in the state have been hospitalized, a rise from 15,895 last Sunday. That means it is a running total and includes people who have been released or died.Long-term careNearly half of the deaths, 2,100, are residents and staff of long-term care. The state increase was 18 and in Palm Beach County it was 3.NationalFlorida's 45 deaths Sunday were second-most in the nation behind 86 in Arizona, which is in 16th place overall.Florida, which is the third-most-populous state, is in ninth place, 106 behind No. 8 Connecticut, which reported no data Sunday.Since the first death was reported on Feb. 29, the nationwide death toll has risen to 137,782, including an increase of 380 Sunday after 731 Saturday.The last time deaths were more than 1,000 was June 9 with 1,105. Johns Hopkins reports 135,190.Cases reached 3,413,995, with an increase of 58,349. Cases passed 70,000 Friday.California had the second-most cases with 8,460 and Texas was third with 8,196.Last Sunday in the U.S., there were 262 more deaths and 45,931 more cases.The one week U.S. death increase was 4,801 at 3.6 percent.New York has the most deaths in the nation with 32,403, including 11 more Sunday after a high of 799 in April. Its percentage share has been decreasing for weeks to 23.5 percent.Among other states in the top 10: No. 2 New Jersey with 11, No. 3 Massachusetts 15, No. 4 Illinois 19, No. 5 California 25, No. 6 Pennsylvania 5, No. 7 Michigan 1 and No. 10 Louisiana 13.No. 14 Georgia added 5 and Washington, which was the original epicenter in the United States, is in 21th place, with no reported deaths for two days in a row but 615 cases.WorldwideThe U.S. represented 9.6 percent of the 3,956 additional deaths Sunday – and 24.1 percent of the world total though its population is only 4.3 percent of the global total. The one week world death increase was 34,449 at 6.4 percent.The additional death toll last Saturday was 5,015.Cases increased by 194,677 after a record 236,918 Friday.Brazil, which is second behind the United States for deaths, reported a world-high 659 deaths after 968 Saturday for a total of 72,151. The record is 1,492 on June 4. Brazil added 25,364 cases after a record 55,209 one week ago Friday. The South American nation has a total of 1,866,176 cases – more than half as many as No. 1 U.S.Mexico reported 276 more deaths late Sunday compared with 539 the day before and high of 1,092 on June 4, to move past Italy by 52 deaths into fourth place with 35,006. In addition, there were 4,482 cases, behind the record 7,280 Thursday.India added 500 deaths after 543 Saturday to rise to 23,187 in eighth place. The Asian nation also reported a record 29,108 cases, beating the record of 27,761 two days ago for a third-place total of 879,466, behind the U.S. and Brazil.Four European nations are in the top 10. The United Kingdom's deaths increased from 43 to 21 for third place with 44,819, which is behind the United States and Brazil. The high was 1,172.Italy, which at one time was the world's epicenter and reached 919 in one day, reported 9 deaths, among the lowest since the pandemic. No. 6 France and No. 7 Spain didn't report any data this weekend.Germany, which at one time was in the top 10 and now is in 13th place, reported no deaths for the first time since the pandemic.Also in the top 10, No. 9 Iran reported 194 after a record 221 Thursday. No. 10 Peru had 188.Russia is in fourth place in the world in cases with 727,162, including an additional 6,615. The nation gained 130 deaths for 11th place.No. 14 Canada added 10 deaths for a total of 8,783 and well as 243 cases.Sweden, which has been doing "herd immunity, reported no data this weekend after 11 deaths Friday for a total of 5,526 in 17th and 163 cases. Neighboring Norway, which had a lockdown, reported no deaths for the third day in a row to stay at 252 as well as 3 more cases.No. 22 China, the original epicenter of the world, hasn’t reported a death since April 26 and added 8 cases Monday.This story originally reported by Allen Cone on WPTV.com. 9951

White House officials said Monday that the Trump administration is pursuing another legislative push on immigration, but when pressed said the effort would largely be the same as it has been trying unsuccessfully since last fall.The comments came in a call on Monday with reporters organized to back up a string of tweets from President Donald Trump over the weekend and into Monday pushing a hard line on immigration, sounding off on the Deferred Action for Childhood Arrivals policy, illegal immigration and Mexico.The call, held on the condition the speakers not be quoted by name, largely re-hashed the administration's talking points on immigration, calling provisions of US and international immigration law "loopholes" that human smugglers misconstrue to encourage would-be migrants to make the journey to the US. 838