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The Cuyahoga County Board of Health and Summit County Public Health are both applying for state funding, as is the Cleveland Department of Public Health."I think that the funds show a commitment by the state level health department to aggressively address this outbreak," said Andrew Heffron, clinic supervisor at the Cuyahoga County Board of Health.Heffron said the number of hepatitis A cases statewide has been steadily increasing since the outbreak began more than a year ago.Hepatitis A is a virus that affects the liver, according to Heffron, who described some of the common symptoms as "abdominal pain, very dark yellow urine, nausea and the most common symptom that people think about is jaundice, which is yellowing of the skin."The virus is commonly foodborne, but according to Persis Sosiak, commissioner of health at the Cleveland Department of Public Health, that's not the case in this outbreak."In this particular outbreak, it is much more associated with intimate contact and risky behaviors," Sosiak said.County and local health departments are trying to reach at-risk populations through vaccination and education."That includes individuals incarcerated, the homeless population, men who have sex with men," Heffron said.It also includes people traveling to developing countries and people who use illicit drugs, whether the drugs are injected or not.The number of cases in this outbreak is much higher than in a typical year, Heffron said, and those who are most in need of vaccination are very young children and people with liver diseases such as hepatitis B or hepatitis C."Historically, Ohio has about 40-some cases a year, so it’s a little concerning that we’re at the numbers we’re at," Heffron said."The hepatitis A vaccine consists of two doses, one of which is 94 to 95% effective on its own," Sosiak said."We would always recommend two doses, but if even getting one, you are giving yourself or your family a high degree of protection against the infection," Sosiak said.While medication can be given to help with hepatitis A symptoms, Heffron said the virus usually clears itself from someone's system with rest and fluids. 2154

The casinos typically draw millions of tourists to Las Vegas and power the state's economy.The governor said he would also allow in-person religious services of up to 50 people starting Friday. 193

The first two pages of a Chancery Memo related to allegations against Father Yetter. It reads, "Father Yetter indicated that all that Kyle stated is true." 155

The emails showed Trump Jr. was approached by an associate about getting incriminating information on Hillary Clinton from "the crown prosecutor of Russia" as part of the Russian government's "support for Mr. Trump." Russia does not have a "crown prosecutor," but Veselnitskaya has acknowledged ties to Russian Prosecutor General Yuri Chaika. 342

The county recorded 8,301 tests Saturday and 6% were positive new cases. The 14-day rolling average percentage of positive tests is 3.9%.Of the new cases, 1,747 (13.1%) have required hospitalization and 479 (3.6%) of all cases had to be admitted to an intensive care unit.In the past seven days, eight community outbreaks were identified, two more than Saturday, officials said. The number of community outbreaks is above the "trigger" of seven in seven days.A "modest uptick" in the number of hospitalizations and ICU visits also has officials worried."The sense of community we brought together at the beginning of this to slow the spread is the same one we need to summon now," County Supervisor Nathan Fletcher said Wednesday. "It's natural to see the spread when things start to reopen. What we want to avoid is an exponential spread."Fletcher and his wife, Assemblywoman Lorena Gonzalez, announced Thursday they are going into quarantine because of possible coronavirus exposure."We were notified today that we had close contact with an individual who has tested positive for COVID-19," Fletcher and Gonzalez said in a joint statement. "While we have both tested negative and have no symptoms, we will be following the public health guidance of a 14-day quarantine for those who have been in contact with a positive case."Dr. Wilma Wooten, the county's public health officer, said a significant spike in cases could be traced to the periods following restaurants opening, churches allowing services, and the mass protests calling for police reform.Wooten, suggesting how long the COVID-19 pandemic could impact the region, said it may not be safe for people to have gatherings at their homes "until sometime next year."The historic Hotel del Coronado reopened Friday after shuttering for the first time in its history.It will be open at reduced capacity and with fewer amenities.CVS Health opened no-cost testing sites Friday at select CVS Pharmacy drive-thrus in San Diego County. Self-swab tests will be available to individuals meeting U.S. Centers for Disease Control and Prevention criteria, in addition to state and age guidelines.Patients must register in advance to schedule an appointment at https://www.cvs.com/minuteclinic/covid-19-testing. Patients will be required to stay in their cars and will be directed to the pharmacy drive-thru window or a location in the parking lot, where they will be provided with a test kit and given instructions, and a CVS Pharmacy team member will observe the self-swab process to ensure it is done properly.Tests will be sent to an independent, third-party lab for processing and the results will be available in about three days.The testing sites are located at these CVS pharmacies:-- 1810 Main St., Ramona;-- 6265 El Cajon Blvd., San Diego; and-- 800 Palm Ave., Imperial Beach. 2832