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Dr. Anthony Fauci, the nation's top infectious disease expert, called for the U.S. to "double down" on what he called "common-sense" public health measures on Monday as the country faces a critical juncture amid the COVID-19 pandemic.After enormous surges in cases in the spring and summer, the U.S. was able to flatten the curve a bit in early September. According to Johns Hopkins, the U.S. dropped to a low point of about 34,000 new daily cases of COVID-19, down from a high of about 70,000 new cases in July.However, case rates have increased gradually in recent weeks, and Fauci warned that Americans need to take public health measures seriously as cold weather forces many indoors, adding that the country is "not in a good place" ahead of winter."(Some states) are starting to show upticks in cases and even some increase in hospitalizations in some states," Fauci said Monday during an appearance on ABC's Good Morning America. "You don't want to be in a position like that as the weather starts getting cold."Fauci added that despite the increase in cases, he did not believe the U.S. needed to go into another total lockdown similar to the one that took place in March and April."I would really like to not go there because it causes so many collateral issues and problems," Fauci said. "...obviously, if things really explode, you'd have to consider that. But we want to do everything we possibly can to avoid an absolute shutdown. In other words, get the cases under control by the common-sense types of things that we've been talking about all along, those public health measures."However, Fauci said he was "concerned" by Florida's decision to reopen bars and restaurants. On Friday, Florida Gov. Ron DeSantis moved the state into "Phase 3" of its reopening plan, meaning that restaurants, bars and hotels can operate at full capacity. Local governments are also unable to restrict a business' operating capacity unless granted permission by the state.Fauci said he was specifically troubled by the state's reopening of bars."That is very concerning to me," Fauci said. "We have always said that — myself and Dr. Deborah Birx, who is the coordinator of the task force — that that is something that we really need to be careful about, because when you're dealing with community spread, and you have the type of congregate setting where people get together, particularly without masks, you're really asking for trouble."In the past, Fauci has advocated for five common-sense public health measures that all Americans should take amid the pandemic: Wearing masks, avoiding crowds, keeping six feet apart from others, constant hand washing and opting for outdoor activities over indoor activities. He says if the U.S. continues to follow those guidelines, the country can continue to open up the economy."If you (open the economy) in a prudent way — in a prudent way means focus on things that are important — you can open businesses, you can do things like that," Fauci said. "But when you start opening up bars without masks or congregate settings where people are indoors without masks, that's asking for trouble." 3136
Editor's note: An earlier version of this story referred to the agency Customs and Border Protection as Customs and Border Patrol. Scripps regrets the error.Customs and Border Protection has confirmed that the agency is among those who sent officers and agents to Portland, Oregon as part of President Donald Trump's attempts to quell protests in the city.In an email, a CBP spokesperson confirmed that the department's agents and officers were among Homeland Security personnel sent to Portland. The spokesperson said that the agents were sent in support of an executive order signed by Trump aimed at protecting federal monuments and statues.The agents are also supporting the "Protecting American Communities Task Force," which was formed by Acting Homeland Security Sec. Chad Wolf. According to the DHS website, the task force was formed in response to Trump's executive order.Local media reports emerged last week that federal agents had arrived in Portland and began arresting those who have been taking part in weeks-long protests against police brutality and systemic racism. While protesters have defaced buildings with graffiti, they've mostly remained peaceful.Video shared on social media last week showed the agents, dressed in camouflage riot gear without agency identification, detaining protesters and placing them in unmarked vans. Local media outlets have since confirmed those reports.Protests in Portland have intensified since federal agents have arrived. Portland Police confirmed Monday that federal agents used tear gas to disperse a crowd of protesters.During a press conference Tuesday, Wolf told reporters that his agents were targeting "violent" criminals, The Los Angeles Times said. But local officials have said they would like those agents to leave.Oregon Attorney General Ellen Rosenblum filed a lawsuit on Friday seeking to block detentions by federal agents without probable cause.Oregon's Democratic governor Kate Brown has also called for their removal."The Trump administration is not interested in problem-solving," she tweeted Tuesday. "The Trump administration is not interested in public safety. They are interested in political theater." 2188

EAST VINCENT TOWNSHIP, Pa. (AP) — Authorities say an armed man who held off SWAT members for 10 hours surrendered after one of them sang him a Christmas carol.Nathaniel Lewis, of Chester County, Pennsylvania, was taken into custody in East Vincent Township early on Dec. 26.The Reading Eagle reports the 34-year-old Lewis allegedly fired at police officers who had responded when a concerned relative reported him acting erratically Christmas night.The shots hit a police vehicle, a house and another vehicle. Police returned fire.Eventually a negotiator got Lewis to agree to surrender after singing "White Christmas" to him.Lewis was charged with multiple counts of attempted homicide, aggravated assault and other offenses. He was being held in Chester County Prison without bail. 791
During Tuesday’s Supreme Court confirmation hearing, Sen. Lindsey Graham said “good old days of segregation” in a question to nominee Amy Comey Barrett when discussing a landmark 1954 high court ruling.On Wednesday, Graham claimed the comment was made in sarcasm."If anybody was listening to who I am and what I said, you know that it was the deep sarcasm that I suggested that some legislative body would want to yearn for the good old days of segregation,” Graham said on Wednesday. “The point that I'm trying to make is there is nobody in America in the legislative arena, wanting to take us back to that dark period in American history.”During Tuesday’s questioning, Graham asked, "And one of the reasons you can say with confidence that you think Brown versus Board of Education is super precedent is that you’re not aware of any effort to go back to the good old days of segregation by a legislative body, is that correct?"Graham is an unexpectedly tight race against Democrat Jamie Harrison for his seat in South Carolina. Harrison fired back at the senator.“Lindsay Graham just called segregation ‘the good old days,’” Harrison tweeted. “The good old days for who, Senator? It’s 2020, not 1920. Act like it.”Graham responded directly to Harrison’s quip.“And for my opponent to suggest that says far more about him than me,” Graham said. “I've been a United States Senator for three terms. I represent a state with 31% of an African American population. I want to make sure that everybody in my state moves forward. And in terms of that statement it is a it blows my mind that any rational person can believe that about me.”Recent polls compiled by 538 show an essentially deadlocked race between Graham and Harrison.The landmark 9-0 Brown versus Board of Education decision ruled that segregation of schools violated the Equal Protection Clause of the 14th amendment. 1883
Each winter, many people wonder whether its worth getting a flu shot while health officials repeatedly warn against not getting one.Now a new study sheds light on the benefit of doing so. Even when the flu shot is just 20% effective it can still reduce US doctor visits due to illness by an estimated 20 million in a single year, the new report published in the scientific journal PNAS (Proceedings of the National Academy of Sciences of the United States) finds.In addition, vaccination also can prevent thousands of hospitalizations and deaths, the study authors estimated based on the average vaccination coverage rate in the United States."Getting vaccinated against influenza is beneficial to the individual and to the community even when the vaccine is of relatively low efficacy," said Burton H. Singer, co-author of the study and an adjunct professor for the Emerging Pathogens Institute at University of Florida in Gainesville.Caused by viruses, flu is a contagious respiratory illness with mild to severe symptoms that can sometimes lead to death. The flu virus evolves rapidly and new viruses circulate in different parts of the world, so each year scientists must reformulate the vaccine. Add to that an imperfect manufacturing process and even a 'good match' formulation may not be as effective as scientists would like.In fact, the Centers for Disease Control and Prevention estimated just 36% effectiveness for the 2017-18 seasonal vaccine as of February 3. (The season ends in May.)For the new study, Singer and his colleagues created a mathematical model of flu transmission and vaccination to evaluate how much illness is prevented by even a very low effectiveness flu vaccine. The research team found that at the average rate of US coverage even a poor vaccine would prevent a significant amount of illnesses, hospitalizations and deaths.For example, at just 43% coverage (the average rate of Americans who received a flu shot for the years 2012 through 2017), a vaccine with just 20% effectiveness could avert more than 20 million infections or illnesses as compared to not getting the vaccine. In addition, 129,000 hospitalizations and 61,000 deaths could be prevented.Based on the model, if more people got a flu shot, say half of the US population, the same 20% effective flu shot would prevent an additional 3.63 million infections, 21,987 hospitalizations and 8,479 deaths."When a vaccine is fully effective on 50% or more of the people who are vaccinated, you need to primarily focus on vaccinating young children," said Singer. The reason? Children are still building immunity and they pass germs around at school."As efficacy of the vaccine decreases, it becomes increasingly important for the elderly to be vaccinated in addition to young children," said Singer, since the elderly are more likely to develop complications from the flu, such as pneumonia, which can be deadly.The CDC reported a total of 160 flu-related deaths in children and 30,064 flu-related hospitalizations overall?between October 1, 2017 and April 21, 2018. The highest rate of hospitalization occurred among adults 65 years old and older.Richard Webby, a flu scientist who is part of the World Health Organization's advisory board and a member of St. Jude Children's Research Hospital's Department of Infectious Diseases, said "effectiveness estimates go up and down based on a number of factors including match of vaccine and circulating strain and probably other factors we don't fully understand.""The take home message from the past few seasons is that there is much room for improvement," said Webby, who was not involved in the research.Still, more people, particularly the elderly, need to get vaccinated even when the vaccine effectiveness is lower than hoped, Webby said: "This study suggests that even with a less than optimal vaccine there is still much public health benefit that can be achieved if these are used properly and widely." 3992
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