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ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) is warning parents to be on the lookout for symptoms of acute flaccid myelitis (AFM) in children.The public health agency said Tuesday that it anticipates that 2020 will be another peak year AFM, an uncommon but serious neurologic condition that affects mostly children.AFM can progress rapidly over the course of hours or days, leading to permanent paralysis and/or the life-threatening complication of respiratory failure in previously healthy patients, so it’s important to seek medical care as soon as possible.The disease has peaked every two years between August and November in the U.S. since 2014, when the nation experienced the first peak of 120 cases, according to the CDC. There were also peaks in 2016 and 2018.The third and largest peak of AFM occurred in 2018, with 238 cases in 42 states. Most cases were in children (94%) and most patients (86%) had AFM onset during August through November. Most patients had a fever and/or respiratory illness approximately six days before limb weakness onset. Other common early symptoms were difficulty walking, neck or back pain, fever, and limb pain.The CDC says parents and doctors should suspect AFM in patients with sudden limb weakness, especially during August through November. Recent respiratory illness or fever and the presence of neck or back pain or any neurologic symptom should heighten their concern.Experts say enteroviruses, particularly enterovirus-D68 (EV-D68), are likely responsible for these peaks in cases. EV-D68 is the most common virus identified among specimens collected from patients with AFM. However, other viruses can cause AFM and may also be contributing to the biennial peaks.Although AFM symptoms resemble those of polio, all specimens have tested negative for poliovirus.There is currently no specific test, proven treatment or prevention method for AFM.“As we head into these critical next months, CDC is taking necessary steps to help clinicians better recognize signs and symptoms of AFM in children,” said CDC Director Robert Redfield, M.D. “Recognition and early diagnosis are critical. CDC and public health partners have strengthened early disease detection systems, a vital step toward rapid treatment and rehabilitation for children with AFM.”AFM and COVID-19The CDC says AFM is a medical emergency and patients should seek immediate medical care, even in areas with high COVID-19 activity.It’s not known how the COVID-19 pandemic and the social distancing measures may affect the circulation of viruses that can cause AFM, or if COVID-19 will impact the health care system’s ability to promptly recognize and respond to AFM.There is one bright side. If social distancing measures decrease circulation of enteroviruses this year, AFM cases may be fewer than expected or the outbreak may be delayed.Learn more about AFM here. 2901

As the nationwide unemployment rate continues to sit in unprecedented territory, the dramatic job loss numbers also mean millions of Americans have suddenly found themselves without health insurance.Experts call it a cruel twist during the pandemic, meaning many people who get sick with COVID-19 may not get the health care help they need because they don’t have coverage.“We have massive numbers of people who are worried about their health but who no longer have coverage,” said Michelle Johnson, who oversees the nonprofit Tennessee Justice Center.Johnson says calls to her organization have increased dramatically in the last few months as Americans are finding themselves uninsured after losing their jobs due to COVID-19.“We’re just going to continue seeing people who are losing their insurance,” she said.According to the Kaiser Family Foundation, nearly 27 million people in the United States may have lost employer-sponsored insurance. Roughly half of Americans receive health insurance through their jobs. And while programs like COBRA allow people who have been laid off to continue their coverage, many can’t afford to pay those costs with no income.Johnson says the problem is particularly troubling in state’s like hers where Medicaid expansion already meant there were hundreds of thousands of residents who were uninsured.She hopes the federal government might consider opening enrollment in the Affordable Care Act to help those who have suddenly lost coverage.Johnson’s biggest concern though, is the consequences may prove deadly as those without coverage now avoid trips to the doctor or emergency room for fear of getting stuck with bills they can’t afford.“People will delay getting the care they need because they’re worried about being a financial burden,” said Johnson. 1804

BALTIMORE — It's not just the news of a Free Little Library being vandalized that is turning heads in a Baltimore community. The narration of the crime itself is worth its weight in laughter."I thought it was hilarious when I sped it up and cut it," said Jacqui Cummings. "I said to myself, 'you don't need to fight over it, just make a joke of it.'"The initial vandalism happened on November 7th around 8 p.m. outside Notre Maison Connects. The non-profit focuses on empowering youth while supporting families and strengthening communities.Cummings is the founder of the organization. She said when she first saw the damage, she shed a tear."I did because I do a lot of work myself," she said.Cummings is no stranger to hands-on-work. Not only did she do metal-work to create the Free Little Library, she's experienced in hard labor, helping build day-care centers in other countries."I love giving back and educating," she said.In light of the vandalism Cummings launched a community book drive. So far more than 200 books have been donated."Some are children’s level books and some adult books," said Cummings " There are different books for all levels and I like that variety."This story originally reported by Dave Detling on WMAR2News.com. 1254

As new wildfires force tens of thousands of people out of their homes, reports are emerging of flaws in emergency alert systems throughout the west."Where I think the false sense of security was, if something really bad is going to happen, we'll get alerted well beforehand," said Vacaville resident, Will Carlson.Carlson and several of his neighbors say they received no warnings as the Hennessey Fire inched closer to their homes. At around midnight, Carlson saw the flames moving quickly down a hill in the distance. Carlson was one of the last to leave, working frantically to help save animals on the property."What I remember is this sinking feeling in my stomach, and this helplessness that this barn is going to go up in flames, and the horses will be burned alive," said Carlson.After making it out safely, Carlson was left wondering how this could have happened. "Every neighbor that we talked to it was the same story, we knew there was a fire in the area, we thought that we would get alerted, and nothing was said to us," said Carlson. Le'Ron Cummings, public information officer for the Solano County Sheriff's Office, says alerts went out to these areas. However, they cannot guarantee the targeted population will get the message if cell service, internet, or landline signals are impacted. He says it was determined that cellular services and power were affected by the fire.Solano County uses the Everbridge platform to alert residents via the AlertSolano program, delivering Amber Alert-style messages. Cummings says during an evacuation, the Solano County Sheriff's Office and allied law agencies do door-to-door notifications in addition to AlertSolano messaging. The Sheriff's office also uses the High-Low Siren system familiar in Europe to advise residents to evacuate immediately.Carlson says he is frustrated with the response because he believes he had full cellular service throughout the night, texting and posting to social media as he evacuated. "So I think that's where the frustration came in from that night. How many animals could have been saved? Could there have been less loss of life? And could structures have been defended better if we had more warning?" said Carlson. Carlson says two people in his neighborhood died in the fire; however, county officials say they have no reason to believe the alert system was associated with fire-related deaths.Napa County also experienced some kinks with its alert system, when a coding error prevented an alert from going out. Emergency officials say it was an error on the part of its vendor and that the message was not urgent. Staff realized the problem, and they were able to use a different platform to send out the alert. "It happens over and over again," said Art Botterell, who is now retired from the State of California's Office of Emergency Services.Botterell led the effort to develop the Common Alerting Protocol, which he says led to the creation of the FEMA Integrated Public Warning System and some products from the National Weather Service."We've got a pretty good penetration of cellphones, sirens, and telephone dialer systems, that's not usually what breaks down. What usually breaks down is that alert is not sent in time or not sent at all," said Botterell. He says during a 2017 wildfire in Sonoma County, that would prove deadly and destructive, officials failed to send an alert, fearing it would cause panic and clog roadways. Botterell says another reason alerts are often not sent is because officials believe they don't have enough information."It is fair to say that in a lot of cases, we have not given our public safety people the tools to issue public safety warnings effectively," said Botterell. Botterell says more training is needed and believes state and federal governments should provide more guidance to ensure effective responses.With the vulnerabilities in cellular towers and alert systems as a whole, Botterell says counties must utilize several tools to try and reach everyone."We've got a lot of technology. Now we need to get good at using it." 4083

AUSTIN, Texas — For Brett Hagler, the co-founder of non-profit New Story, building homes for people without adequate shelter is nothing new."We get a large piece of land and work with families that have been living in shacks or tents without shelter and design a totally new community with the families.”Approximately one billion of the world’s population is without proper shelter.To make a dent in that he says, they have to think outside the mold.“We believe traditional ways cannot get us there.”So for New Story’s next endeavor—adding more communities to the land they’ve already acquired in El Salvador—they teamed up with a brand new startup.That’s where Evan Loomis comes in. He’s the co-founder of Austin, Texas-based Icon, a company focused on new technologies for building homes.Their first big debut came at this year’s South by Southwest festival in their hometown.“This is a gigantic robot,” Loomis says, gesturing toward a large steel frame on wheels. “[It] really does some amazing things. Down to the millimeter it knows exactly where to place building materials.”In this case that material is a proprietary mixture of concrete, that pours out of a nozzle on the underside of the metalwork. And the machine moves along a computerized map to create a house.“This is basically the first permitted 3D printed house in the United States,” he said.“We have to invest in [research and design],” Hagler said. “[We asked ourselves] ‘how do we get a breakthrough in cost, speed, and quality?’ And that’s how we landed upon 3D-home printing. The excitement in the air is palpable as they walk us through and around this modest home built up of about 100 one-inch thick concrete layers.“It’s stronger than regular cinder block,” Hagler said. It also comes at a fraction of the cost of a regular house. This model had a price tag of about ,000 but they hope to get the price down to ,000.“We can build in a fraction of the time [compared to traditional construction methods], and it can have a higher quality, strength, and sustainability for the environment."It was 'printed' in just 48 hours. Eventually, they say it will be done in just a half day. It’s a small but open floor plan — with no physical doors — and rooms are separated by partial walls made up of the printed concrete.They say they’ll easily be able to customize different designs.The prototype home can fit a family of four or five.“If you’re coming from a tent or shack and you move into this,” Hagler said, “it’s a significant life-changing difference.”One of the things they’re most excited about with their upcoming 3D-homes project in El Salvador is the fact that they’re introducing groundbreaking technology to the people who usually see tech advances last.“We are actually bringing them the future -- which is robotic construction of housing — first,” Hagler said. “And they’re really excited about that.”They say they plan to begin construction in El Salvador before the end of the year with the hopes of finishing their first community of homes by early 2019. There could one day be plans for 3D printed homes in some of the poorest areas of the United States as well, Loomis said, but he has his eye set on possibly expanding to terrain that’s literally out of this world.“It could be a really great solution for making space habitation a lot more achievable,” Loomis said. “We hit a nerve with this technology, and we are going to hit the gas hard and try to take it to everybody now.” 3528

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