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While officials in Puerto Rico placed the official death toll from last year's Hurricane Maria at 64, researchers from Harvard believe the death toll was actually in the thousands. According to Harvard's study, there were an estimated 4,645 deaths directly or indirectly tied to the hurricane, which struck the island in September. Harvard estimated a mortality rate of 14.3 deaths per 1.000 people from September 20 through December 31, 2017 in Puerto Rico. Harvard said in its study that it believes its estimate is rather conservative due to a "survivor bias."Harvard conducted the study by performing a random survey of 3,299 households in Puerto Rico. "In our survey, interruption of medical care was the primary cause of sustained high mortality rates in the months after the hurricane, a finding consistent with the widely reported disruption of health systems," the study says. "Growing numbers of persons have chronic diseases and use sophisticated pharmaceutical and mechanical support that is dependent on electricity. Chronically ill patients are particularly vulnerable to disruptions in basic utilities, which highlights the need for these patients, their communities, and their providers to have contingency plans during and after disasters."Part of why there the death toll might have been underreported is due to how hurricane-related deaths are counted. In order to have a death counted as storm related, bodies had looked at by a medical examiner, which required a body to be transported to San Juan, or the medical examiner to travel to remote locations. With a lack of electricity and blocked roads, some bodies were likely buried before the government could count fatalities. Maria is considered the third-costliest hurricane in US history.  1816

When students normally head back to school, they're greeted with new teachers, classmates, and a new school picture. But professional school photos are either delayed or looking a little different this year because of the pandemic."It's very different. One of the things is we had a lot of schools that hadn't even started back yet, but a lot that have come back have pushed back their start date," explained Erin Middleton, the manager of operations for BPI Photography in Georgia.Middleton says their company is working closely with schools to safely photograph students who are back in-person in the classroom and accommodate those who aren't. BPI Photography says it first works with schools--with social distancing and masks in mind--to take photos of students who are at the school."Then, we actually create a report that is a not-photographed report, and on that not-photographed report would be your students that are face-to-face that didn’t make it on the original picture day,” Middleton explained. “But we also are capturing our virtual students on the absentee day which is like a make-up or retake day.”Middeton says sometimes the photos for virtual students take place after school hours. The company says they are doing everything they can to accommodate schools and families during this unprecedented time. A time some people are wanting to remember in their school picture. That means students and faculty taking their pictures while wearing a mask.For families who are feeling a little lost at this time, Shutterfly and Lifetouch are offering a 2020 School Picture Day guide on their website, plus a new feature for students who are remote learning from home."What we wanted to do in this crazy year of COVID is be able to provide some options for parents and we are photographing at lots of schools around the US but also where picture day isn’t taking place,” said Stephanie Schmid, vice president of marketing and merchandising for Lifetouch. “We wanted to provide a really flexible option for families and meet them where they are, and oftentimes, that's in their living room or their kitchen."Lifetouch launched a new feature through Shutterfly's app, where parents can upload a photo of their child and choose a professional background that they'd normally see in school photos. This allows them to order a school photo that looks just like the one they'd have taken at school."We know families like to have a collection, so you have that child and you want that kindergarten through 8th grade collection and sometimes families order the same background every year. What we did is we offered blue, which is the iconic Lifetouch Picture Day background along with a number of other best sellers so that families can continue their collection and not miss a beat even with a year like this, with COVID-19," said Schmid.Capturing the smiles on children's faces, even if they've had a rocky start to the school year. 2944

When "Saturday Night Live" returns to the airwaves in October, they'll be "live from New York" once again.The comedy sketch show announced it on Twitter with a 12-second video. 184

White House Counsel Don McGahn will be leaving his position this fall, according to a tweet from President Donald Trump."White House Counsel Don McGahn will be leaving his position in the fall, shortly after the confirmation (hopefully) of Judge Brett Kavanaugh to the United States Supreme Court. I have worked with Don for a long time and truly appreciate his service!" Trump tweeted.The news was first reported by Axios this morning.More on this as it develops.  478

We've all faced challenges communicating during the pandemic, whether it be a shaky Zoom call or asking someone to repeat what they said through their mask. But for people who are deaf or hard of hearing, communication has been even tougher. “First thing I did was start carrying a pad with paper and pen and I'd have to ask people to write things down. I can’t understand, when I walk into a store sometimes, what people are saying," said Michael Conley.Born deaf, Conley relies on reading lips to communicate and says others in the deaf community rely on facial expressions, both of which are often hidden behind a mask now in public. Conley says while many people are understanding, others get frustrated when he can't understand them. Conley decided not to go to his aunt's funeral due to the communication challenges he would face while at the airport, renting a car, and at the funeral itself. “As a deaf person, I think I’ve been isolated a lot anyway, and this just adds to it," said Conley.And after losing his job, Conley faced other communication challenges at home.“So many of us working from home, we’ve lost our jobs or something has happened where we have to make phone calls we didn’t have to before," he said.But the tech world is helping improve accessibility, with companies like Zoom and Google enabling live captioning for video calls, transcribing conversations within seconds.Conley’s also relied on an app that provides real-time captioning for phone calls. Called InnoCaption, calls are captioned by either a stenographer or automated speech recognition software.“It really changes everything," said Conley. "Before, I used to dread making phone calls. Now, it’s not a problem; it’s freed me completely.”Funded by the Federal Communications Commission, the app is available at no cost for the deaf and hard of hearing."It’s very intuitive," said Conley. "Everything is converted into text in real-time."Conley says in-person communication would be easier if people wore clear masks, but right now, that’s not happening much, making the innovations in his hand that much more of a lifeline. 2123