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The Centers for Disease Control and Prevention is investigating a multi-state outbreak of campylobacter infections linked to contact with puppies sold through Petland, a national pet store chain.Campylobacteriosis, a common bacterial infection, can cause diarrhea, abdominal pain and fever, according to the CDC.As of Sept. 11, a total of 39 people have fallen ill in seven states, including 11 cases in Florida, five in Kansas, one in Missouri, 18 in Ohio, two in Pennsylvania, one in Tennessee and one in Wisconsin. There have been nine hospitalizations and no deaths reported. The first case within this outbreak occurred on September 15, 2016.Symptoms, which typically begin within two to five days after contact with the bacteria, last around a week, though some people don't experience any signs of illness.While many cases go unreported, about 14 cases for every 100,000 people are diagnosed each year in the United States, according to the CDC. Overall, campylobacteriosis -- which occurs much more frequently in the summer months than in the winter -- is estimated to affect over 1.3 million persons every year.Almost every patient recovers within five days without treatment, though drinking extra fluids is recommended. In rare cases, an infection can lead to complications, including paralysis and even death.People with weakened immune systems, such as infants, the elderly and people with cancer or other severe illnesses, are most at risk for a serious infection.People sickened in the current outbreak range in age from younger than 1 year to 64 years old.Most -- 28 of the 39 -- are female and 12 are Petland employees. Of the total, 27 either recently purchased a puppy at Petland, visited a Petland, or visited or live in a home with a puppy sold through Petland."The CDC has not identified any failures of Petland's operating system that would lead to any campylobacter infection," Elizabeth Kunzelman, a spokeswoman for the company, said in an email. "Last week the CDC advised Petland to 'continue to do what we are already doing' and to continue to educate customers and staff to sanitize their hands after handling our puppies."The CDC noted that no matter where a puppy comes from, it may carry a campylobacter infection. Petland is cooperating with the investigation, the government agency said.Kunzelman added that Petland has many sanitation stations in each store and has strict kennel sanitation procedures and protocols put in place by consulting veterinarians."Our extensive health warranty protects both our pets and our customers from bacterial, viral and congenital issues," she said.Most people become infected with campylobacteriosis through eating raw or undercooked poultry. Most infections are singular and not part of an outbreak.By contrast, outbreaks of campylobacteriosis are often linked to unpasteurized dairy products, contaminated water, poultry and produce. Sometimes, though, people get sick after coming into contact with the stool of an ill dog or cat.To avoid contamination from your pet, CDC recommends you wash your hands thoroughly after touching dogs, their poop, or their food. Extra care is needed so that children playing with puppies also wash their hands carefully. Pick up and dispose dog poop carefully, especially in areas where children might play. Finally, you need to contact your veterinarian if you see signs of illness in your puppy or dog.While puppies and dogs with a campylobacter infection might have diarrhea, vomiting, or a fever, just like humans, they also sometimes show no signs of illness.The investigation is ongoing, according to the CDC, which is working with the US Department of Agriculture's Animal and Plant Inspection Service, and several health departments. 3761

The CDC says there's yet another illness that you need to be aware of; one that has serious outcomes as doctors warn of a possible outbreak of AFM, or Acute Flaccid Myelitis, which can cause paralysis in children.When Kinley was just 5 years old, what started as a stomach and headache turned into exhaustion. By the time her parents got her to the hospital, she was admitted into the ICU. By the next morning, she was on life support and paralyzed in all limbs.Now 11, hers is one of the 633 nationwide cases to date of AFM. Dr. Janell Routh, a pediatrician and AFM Team Leader for the CDC, says they've been tracking the neurologic condition since 2014.“Something changed in 2014, the epidemiology changed and we saw an increase in cases,” Routh said. “We confirmed 120 cases in 2014. We think that new epidemiology suggests that we have either a new cause for this condition or a cause that somehow changed to become more virulent.”By 2018, the number of cases had doubled. Which means 2020, the year that seems to be affected by everything, will see more cases. The CDC says the type of virus that causes AFM starts with a basic fever. Which then may go away and come back.“Most parents don’t necessarily think much about a fever and the sniffles- if parents do see limb weakness so their child complaining of pain maybe headache or back pain and weakness in one or more limbs that is a sign they need to seek medical care immediately,” Routh said.Routh says AFM progresses rapidly by attacking the gray matter of the spinal cord. Paralysis can set in in a matter of hours or days.“I remember one mother telling me that her child laid limply on her chest, couldn’t move. Those are signs that they really need to call their pediatrician or go the ER and get evaluated,” Routh said.As it's a relatively new syndrome, there's a lot we don't know. There's no lab test to diagnose it and there's no vaccine. 90% of the cases are in children under the age of 18 with the average age being 5. Some recover, some have long term complications like Kinley, who is now 11 and still on a ventilator. She's regained use of her right leg and foot and uses it for school work and painting.“I’ve definitely seen how this condition can affect children and their families, not just from a physical standpoint but from an emotional standpoint disrupting the lives of families,” Routh said.The CDC is now trying to track patients and outcomes, tracking the recovery of those who have been diagnosed and researching those who may be at risk. They do know that it seems to affect kids in late August and early September, and prevention is similar to what you'd do for other viruses like COVID-19. Hand washing, staying home if you're sick, and having good cough etiquette.“AFM is a medical emergency and so if parents do see signs of limb weakness in their children after a viral illness and in those late summer early fall months - call your pediatrician go to the emergency room,” Routh said.And she says, while there is so much focus on COVID-19, it's definitely not the only virus that is spreading. 3093

The daughters of the late singer-songwriter Oscar Brown Jr. said Monday that President Donald Trump is twisting the lyrics of their father's song titled, "The Snake" for politics."Oscar Brown Jr.'s words are being stolen to promote his hate message and intolerance," Africa Brown told CNN's Don Lemon on "CNN Tonight." "And it's absolutely wrong."The song tells the story of a woman who takes in a frozen snake she finds on her way to work. After the snake is nursed back to health, it bites the woman and kills her.  530

The Georgia Democratic Party and gubernatorial candidate Stacey Abrams' campaign filed a lawsuit in federal court Sunday asking for rejected absentee ballots and provisional ballots to be counted in the Georgia governor's race.The lawsuit challenges the rejection of more than 1,000 absentee ballots for missing information or mismatching information, like birth dates or addresses.The lawsuit also seeks relief for voters whose provisional ballots were rejected in Gwinnett and Dekalb counties, which are in the Atlanta metro area, because they are registered in a different county.CNN has not projected a winner in the race.Republican candidate Brian Kemp currently leads Abrams with 50.3% of the vote. If Kemp's share dips below 50%, the race automatically goes into a run-off on December 4, even if Kemp is the top vote-getter. For now, Kemp's lead stands at nearly 59,000 votes. 891

The European leg of Lady Gaga's "Joanne World Tour" has been postponed as the singer grapples with health issues, Live Nation announced Monday.In a statement posted on the promoter's site,?Live Nation revealed that the portion of the tour that was set to begin September 21 in Barcelona, Spain, and conclude on October 28 in Cologne, Germany, has been postponed until 2018."Lady Gaga is suffering from severe physical pain that has impacted her ability to perform," the statement read. "She remains under the care of expert medical professionals who recommended the postponement earlier today." 602

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