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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472
The swarm happening now south of the Salton Sea, near Westmoreland is over 30 km south of the end of the San Andreas. It is in the Brawley seismic zone, a common source of swarms. So far largest is M4.4. Too far from the San Andreas to change the probability of a quake on it.— Dr. Lucy Jones (@DrLucyJones) September 30, 2020 340

The world's biggest COVID-19 vaccine test got underway Monday with the first of 30,000 planned volunteers. The experimental vaccine is made by the National Institutes of Health and Moderna Inc. It's one of several candidates in the final stretch of the global vaccine race. Officials are seeking to find out whether more people who get dummy shots become infected than those given two doses of the real vaccine. The U.S. government plans separate huge studies of several leading vaccine candidates through fall, each in hot spots where the virus still is spreading.Dr. Anthony Fauci and other Trump administration officials have said that the company is already producing millions of doses of the vaccine in the event that it receives Emergency Use Authorization from the FDA following the trial. Fauci remains cautiously optimistic that a vaccine could be available by January of next year — though it's unclear how long it would take for a vaccine to be available for all Americans who want it. 1004
The world has spent the last several months wearing masks in public, avoiding gatherings and, in general, spending less time outside the home. But a new report suggests household transmission is one of the most common ways COVID-19 is spreading; an individual is most likely to contract COVID-19 from their spouse or significant other.That conclusion is part of a new report from the University of Florida which was published in the journal JAMA Network Open on Monday. Researchers looked at the results of 54 studies across 20 countries that included nearly 78,000 subjects.They found more than one in three, roughly 38%, of COVID-19 patients passed the virus to their spouses or significant others they live with."Infection risk was highest for spouses, followed by non-spouse family members and other relatives, which were all higher than other [close] contacts," the authors wrote.In the studies, about 17% of COVID-19 patients transmitted the virus to children they live with.Anyone living in the same home as someone who has contracted the coronavirus is at a heightened risk, but researchers say spouses and significant others are more likely to pass along the virus for various reasons, including "intimacy, sleeping in the same room, or longer or more direct exposure to index cases," according to the report's authors.The researchers found no significant difference between male and female transmission rates inside the home.A recent study from the Centers for Disease Control and Prevention found that 53% of people who live with someone who has COVID-19 will contract the virus within seven days.Health experts have urged those who have COVID-19 or have symptoms to wear a mask in their home, and isolate within the home as much as possible away from others under the same roof. 1798
The US Treasury Department is sanctioning Turkey's ministers of justice and interior in response to the detention of American pastor Andrew Brunson, White House press secretary Sarah Sanders said Wednesday."We've seen no evidence that Pastor Brunson has done anything wrong," Sanders said, calling Brunson's detention "unfair and unjust."The two ministers will have any assets and properties under US jurisdiction blocked and US persons will be prohibited from engaging in financial transactions with the ministers. 523
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