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At least 35 people died after a section of a highway bridge in northern Italy partially collapsed Tuesday, the office of the Governor of the northwestern Liguria region said on its official Twitter account, citing unnamed sources from the fire department.A further 13 people were injured, five severely, according to Angelo Borrelli, head of the Italian Civil Protection Agency.Speaking to journalists Tuesday afternoon, Borrelli said that around 30 vehicles and several heavy-duty trucks were on the affected section of the Morandi Bridge, which lies to the west of the port city of Genoa, when it gave way.The number of casualties is expected to grow as the rubble is removed, Borrelli said, but it is unlikely that anyone was underneath the bridge at the time of the collapse, he added.Photos: The Morandi Bridge collapse in Genoa, ItalyAccording to police, violent storms were partly to blame for the disaster. Maintenance works were also underway at the time to consolidate parts of the bridge, according to motorway operator Autostrade. A bridge crane had been installed to allow those works to be carried out, the operator said in a statement."The works and the status of the viaduct were subject to constant observation and supervision," the statement said. "The causes for the collapse will be the object of an in-depth analysis a soon as it will be possible to safely access the site." 1403

As some companies consider making work-from-home permanent, others see the value in creating a workplace for employees. "We've always been flexible in our workplace, we've always allowed people to work from home if they want, and what we learned is that people do want a place that is their own that we can come into," said Reid Carr, CEO of the marketing agency Red Door Interactive. After years of leasing an office in downtown San Diego, the company wanted to create its own space, designed to foster collaboration and growth."We were excited when we found it, we had a vision for how this whole process was going to go down," said Carr. The company purchased nearly half an acre of property to create a campus-style workplace. But after the pandemic hit, they overhauled the design to ensure it was a space employees not only wanted to go to but could feel safe in.The new campus will incorporate touchless features throughout the buildings, like doors and water bottle filling stations. They're creating outdoor meeting spaces with heaters and shades so that they can be used year-round. And inside, they're investing in the best available HVAC systems for air filtration."I'm learning at all this stuff as we go, but we're looking at hospital grade stuff. The perspective we took is there's always going to be flus and colds, so why not do these things that will help keep people from spreading disease," said Carr. In addition to having their own socially distanced desks, employees will have designated areas separate from visitors, including the kitchen. One building will be the epicenter of conference rooms so they can be easily cleaned more frequently."Certain things never change. You want to feel like you belong to something, you want to connect with people," said Carr. The company plans to break ground on its new campus in early September, with plans to complete the project in April 2021. 1916

ATLANTA, GA. – The prevalence of adult obesity is increasing in the United States, according to new data from the Centers for Disease Control and Prevention (CDC).The CDC said Thursday that its 2019 Adult Obesity Prevalence Maps show that 12 states now have an obesity prevalence at or above 35%. Those states include Alabama, Arkansas, Indiana, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Oklahoma, South Carolina, Tennessee, and West Virginia. This is up from nine states in 2018 and six states in 2017.The data also shows that racial and ethnic disparities still persist across the nation.A total of 34 states and Washington D.C. had an obesity prevalence of 35% or higher among non-Hispanic Black adults, 15 states had a prevalence of 35% or higher among Hispanic adults, and six states had a prevalence of 35% or higher among non-Hispanic white adults.Addressing the prevalence of obesity in America is more important than ever, because the CDC says obese adults are at heightened risk for severe outcomes from COVID-19. It increases the risk of severe illness, hospitalization, and death.The CDC says obesity also disproportionately impacts some racial and ethnic minority groups who are also at increased risk of COVID-19.“These disparities underscore the need to remove barriers to healthy living and ensure that communities support a healthy, active lifestyle for all,” wrote the CDC in a press release.While system and environment changes can take time, officials say Americans can take small steps now to maintain or improve their health and protect themselves during the pandemic.“Being active and eating a healthy diet can support optimal immune function and help prevent or manage chronic diseases that worsen outcomes from COVID-19,” the CDC wrote. “These actions, as well as getting enough sleep and finding healthy ways to cope with stress can help with weight maintenance and improve overall health.” 1934

As the holidays approach, many people are wondering how to safely celebrate. The CDC has urged Americans not to travel for Thanksgiving, and offering guidance for those who still want to go somewhere. Health officials weighed in on whether you need to quarantine before you visit family for the holidays."My own family, we usually have 100 relatives every year at Thanksgiving. Now, clearly, that’s not going to be happening this year. It’s going to be on Zoom for the big family, but I think there are ways that you can celebrate with your smaller family and get together safely, but it's going to take some work and some planning," said Dr. Tanya Altmann, a pediatrician and spokesperson for the American Academy of Pediatrics.Dr. Altmann says there are a number of steps people can take to protect themselves from getting COVID-19 this holiday season. Ideally, everyone would quarantine for two weeks before and after a get-together. Some families may think about switching their kids to remote learning if they are not already doing it."I don’t think its drastic. If you want to get together with elderly grandparents for Thanksgiving, I think keeping your kids home from school for a week and then testing them on day five to seven, assuming everybody is asymptomatic, can make a lot of sense. Again, I would still try to keep them a little distanced from the grandparents," said Dr. Altmann.But what if you can't switch your kids to remote learning? Dr. Altmann says then it won't be a true quarantine, but most schools that are in-person right now are doing everything right."They're masking, they’re distancing, they’re sanitizing and disinfecting, they’re hand washing. So, what we’re seeing is most kids are not catching COVID-19 in the school classroom during the school day, they're catching it at after-school activities, they're catching it on the weekends when they're gathering with friends or their families or doing things that maybe they shouldn’t necessarily be doing," said Dr. Altmann.So, how long should you quarantine last? For medical professionals, a quarantine usually refers to a person who's potentially been exposed but is not showing symptoms. It's a waiting period to help determine infection."I think really the best guidance is to wait that 14-day quarantine period to have some degree of confidence that you’re not going to become infected," said Dr. Beth Thielen, an Assistant Professor of Pediatrics at the University of Minnesota Medical School and an infectious disease physician. Dr. Thielen says, to be extra careful, you could also test yourself seven days into your two-week quarantine."A testing in between without symptoms is somewhat helpful because we also know there are a certain percentage of people who will develop asymptomatic infections and, in particular, this is probably important for children," said Dr. Thielen.However, testing rules and access varies in each state, so it's best to reach out to your local health official or doctor to find out about availability and turnaround times for results."So, I think for some, where now I'm hearing people are waiting days after a test, and so if you're planning to get tested before a trip and it's going to take four to five days to turnaround the test, that could be the entirety of your trip," said Dr. Thielen.Health officials advise erring on the side of caution, especially if you're planning on visiting elderly family members."I think the most important thing is to be really aware of that it's not just your family. 'Oh, we don't want to catch COVID, we might get sick' but that you could spread it to others who are even more vulnerable," said Dr. Altmann.Experts say to take the highest precautions to create the least amount of risk. 3756

As the Summer of COVID draws to a close, many experts fear an even bleaker fall and suggest that American families should start planning for Thanksgiving by Zoom.Because of the many uncertainties, public health scientists say it’s easier to forecast the weather on Thanksgiving Day than to predict how the U.S. coronavirus crisis will play out this autumn. But school reopenings, holiday travel and more indoor activity because of colder weather could all separately increase transmission of the virus and combine in ways that could multiply the threat, they say.Here’s one way it could go: As more schools open for in-person instruction and more college students return to campuses, small clusters of cases could widen into outbreaks in late September. Public fatigue over mask rules and other restrictions could stymie efforts to slow these infections.A few weeks later, widening outbreaks could start to strain hospitals. If a bad flu season peaks in October, as happened in 2009, the pressure on the health care system could result in higher daily death tolls from the coronavirus. Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, has said that scenario is his biggest fear.One certainty is that the virus will still be around, said Jarad Niemi, a disease-modeling expert at Iowa State University.“We will not have a vaccine yet and we will not have enough infected individuals for herd immunity to be helpful,” Niemi said.Fall may feel like a roller coaster of stop-and-start restrictions, as communities react to climbing hospital cases, said University of Texas disease modeler Lauren Ancel Meyers. Everyone should get a flu shot, she said, because if flu spreads widely, hospitals will begin to buckle and “that will compound the threat of COVID.”“The decisions we make today will fundamentally impact the safety and feasibility of what we can do next month and by Thanksgiving,” Meyers said.The virus is blamed for over 180,000 deaths and 6 million confirmed infections in the U.S. Worldwide, the death toll is put at almost 850,000, with over 25 million cases.The U.S. is recording on average about 900 deaths a day from COVID-19, and newly confirmed infections per day are running at about 42,000, down from their peak in mid-July, when cases were topping out at over 70,000.Around the country, a chicken processing plant in California will close this week for deep cleaning after nearly 400 workers got sick, including eight who died. And college campuses have been hit by outbreaks involving hundreds of students, blamed in some cases on too much partying. Schools including the University of North Carolina, Michigan State and Notre Dame have moved instruction online because of clusters on their campuses.Several vaccines are in advanced testing, and researchers hope to have results later this year. But even if a vaccine is declared safe and effective by year’s end, as some expect, there won’t be enough for everyone who wants it right away.Several companies are developing rapid, at-home tests, which conceivably could be used by families before a Thanksgiving gathering, but none has yet won approval.More than 90 million adults are over 65 or have health problems, putting them in higher danger of severe consequences if they get sick with the coronavirus. Many of them and their families are starting to decide whether to book holiday flights.Cassie Docking, 44, an urgent care nurse in Seattle, is telling her parents — both cancer survivors — that Thanksgiving will be by FaceTime only.“We all want to get to 2021,” she said, “and if that’s what it takes, that’s what we’ll do.”Caitlin Joyce’s family is forging ahead with a holiday feast. They plan to set up plywood tables on sawhorses in a large garage so they can sit 6 feet apart.“We’ll be in our coats and our sweaters,” said Joyce, 30, of Edmonds, Washington, who plans to travel to her grandparents’ home in Virginia. “It will be almost like camping.”One widely cited disease model projects 2,086 U.S. deaths per day by Thanksgiving, more than double compared with today.“In our family we will not have our extended family get-together. We will stick to the nuclear family,” said Dr. Christopher Murray of the Institute for Health Metrics and Evaluation, one of the few models making a prediction for November.Uncertainty is huge in Murray’s model: Daily deaths could be as low as 1,500 by Thanksgiving or as high as 3,100. In a more optimistic scenario, daily deaths could range from 510 to 1,200 if nearly everyone wears masks. A more pessimistic scenario? From 2,700 to 6,500 daily deaths if social distancing rules continue to be lifted and are not reimposed.With all the uncertainty, most disease modelers aren’t looking that far ahead — at least officially.Jeffrey Shaman, a public health expert at Columbia University, thinks the virus will spread more easily as the weather forces people indoors: “But what level of a bump? That’s hard to say.”At Carnegie Mellon University in Pittsburgh, computer scientist Roni Rosenfeld’s team uses machine learning to project COVID-19 deaths. The team’s computer algorithm learns from patterns it finds in state and county data to improve its forecasts.A five-time winner of a CDC competition for predicting flu season activity, Rosenfeld thinks his model’s COVID-19 projections aren’t very useful beyond four weeks because of the wild card of human behavior, including that of government officials.“What happens very much depends on us,” he said. “People, myself included, don’t always behave rationally.” Presented with the same facts, “the same person might behave differently depending on how sick and tired they are of the situation.”Like other disease modelers, Rosenfeld said the virus will still be with us at Thanksgiving, readily spreading at family gatherings. While his plans may yet change, he said he is going to travel with his wife to visit their adult children. They will wear masks and keep a safe distance during the visit.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 6201