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John Kelly is expected to resign as White House chief of staff in the coming days, two sources familiar with the situation unfolding in the West Wing tell CNN.Seventeen months in, Kelly and President Donald Trump have reached a stalemate in their relationship and it is no longer seen as tenable by either party. Though Trump asked Kelly over the summer to stay on as chief of staff for two more years, the two have stopped speaking in recent days.Trump is actively discussing a replacement plan, though a person involved in the process said nothing is final right now and ultimately it is up to Trump. Potential replacements include Nick Ayers, Vice President Mike Pence's chief of staff, who is still seen as a leading contender.News of Kelly's imminent departure was first reported by Axios.Kelly has seen his status as chief of staff diminished in recent months, with the President circumventing many of the policies and protocols the retired Marine Corps general put in place when he entered the West Wing last year.In July, Kelly announced to White House staff that Trump had asked him to stay on as chief of staff until at least 2020, and that he had agreed.CNN reported last month that Trump was considering potential replacements for several senior positions in his administration as part of a post-midterms staff shakeup.The-CNN-Wire 1351

KANSAS CITY, Mo. — The Kansas City, Missouri Health Department is speaking out after it poured bleach on food intended to be given to homeless people.Nellie McCool, who helps run Free Hot Soup Kansas City, has been helping the homeless for years until Sunday."Officers and health inspectors demanded we destroy our food and we were violating health code violations by sharing meals with our friends," said McCool.The department said the group wasn't following the law about serving the homeless."They were notified back in a meeting in September that they needed to get a permit and they just outright said they refused to do that," said Dr. Rex Archer, director of health for KCMO.But McCool said she never heard from the department."That is incorrect," McCool said. "We never had any kind of government official ever come and speak with anybody at any of the public parks."According to the health department, the permit is free and all organizations that want to serve food to homeless people (or anyone) needs this permit. Archer said the food was also not being handled correctly and could put others at risk."Preparing food in all these individuals homes when people haven't been trained, prepare food safely. Then, they are taking it and transporting it in trunks of cars when its cool. It's supposed to be warm food but they have no insulation or a way to keep the food warm," Archer said. 1424

Just about everyone who's played with a projectile toy has gotten a version of the warning "You'll shoot your eye out!"But in a report published Monday in the medical journal BMJ Case Reports, doctors warn that popular toy Nerf guns really can put eyes at risk.The case report details three unrelated cases within three months treated in the Moorfields Eye Hospital accident and emergency department in London. Two adult patients had pooling of blood and inflammation in the eye after being shot with a Nerf gun. One 11-year-old patient had pooling of blood, inflammation and damage to the outer retinal layers of the eye."Significant Nerf gun ocular injuries are not reported in the literature, as far as we know," the researchers write.In the emergency room at the eye hospital, doctors are used to attending to traumatic injuries. It was the extent of the injury from a children's toy that surprised Dr. Mukhtar Bizrah, the lead author of the study."Nerf guns are used by children, and I was not expecting to see blood," he said. All the patients complained of blurred vision and red eyes and were treated to reduce pressure inside the eye, and their symptoms resolved after a few weeks.Injuries to the cornea are common and are not that dangerous, Bizrah said, but the injury sustained in the space between the iris and the pupil is far more dangerous. "One of the patients had angle recession, which is a risk factor for developing glaucoma down the line," he said.All the injuries documented in the case study involved Nerf guns shot from a close distance.One of the patients had been shot by "bullets" from an unlabeled brand, which have firmer heads than branded ones, the researchers said, noting that unbranded bullets are cheaper and tend to be preferred by parents. However, the authors said they could not verify whether branded bullets would have had caused less trauma.Julie Duffy, senior vice president for global communications for Nerf's maker, Hasbro Inc., wrote in an email that Nerf foam darts and foam rounds are not hazardous when used properly. The guns should never be aimed at a person's eyes or face, and the products should never be modified, she said.She added that darts that claim to be Nerf-compatible may not meet safety standards and regulations."NERF products are designed based on years of consumer insights and research, and undergo rigorous reviews and testing to assure that they are safe and fun to play with, and meet or exceed global standards and regulations."Duffy urges parents to read product packaging and note age recommendations: "Ultimately, a parent or caregiver knows his or her child best and is best equipped to make decisions on what forms of play and entertainment are most appropriate for his or her child," she said.Dr. Paul Kivela, president-elect of the American College of Emergency Physicians, said that the study raises concerns."Parents typically afraid of pellet guns. So soft-bullet guns give them a false sense of security that kids are safe. That is clearly not the case," said Kivela, who was not involved in the study. "The pressure of the projectile is important."His advice: If you are going to play with projectiles of any kind, it's best to wear protective eyewear, even though that could be especially tough for children younger than 5."It's best to not have this toy around small children, even if there are older kids in the house," Kivela said. "It is also important to tell children to not shoot at a person's face or from a relatively close distance."Pediatric ophthalmologists at Nationwide Children's Hospital in Columbus, Ohio, were not at all surprised by the report. "We see eye injuries from projectile toys all the time, including Nerf guns. We know that there is always a risk of projectile toys hitting the eye," Dr. Marylou McGregor said. She also recommends using eye protection all the time when playing with such toys.Patients with these kinds of eye injuries have to be monitored for the first week to ensure that there is no rebleeding, said Dr. Cate Jordan of Nationwide Children's Hospital. If pain and blood clotting persists, the entire anterior chamber has to be washed out. Jordan recommends the patient lay low and participate only in quiet activities for the first few weeks. Even after vision returns to normal, they have to be monitored every three months for the first year and then every year for longer-term risks like cataracts or glaucoma. 4457

JOHANNESBURG (AP) — Health authorities are poised to declare the African continent free of the wild poliovirus after decades of effort. The declaration on Tuesday leaves Pakistan and neighboring Afghanistan as the only countries thought to still have the wild poliovirus. "Today we are also celebrating another public health triumph: the eradication of wild poliovirus in Africa," said Director-General Dr. Tedros Adhanom Ghebreyesus with the World Health Organization. "This is an incredible achievement, and a much-needed cause for celebration."The World Health Organization says this is just the second time a virus has been eradicated in Africa, after smallpox four decades ago. However, the announcement doesn’t mean Africa is polio-free. Cases of vaccine-derived polio are still sparking outbreaks. Still, health authorities see the declaration as a rare glint of good news in Africa amid the coronavirus pandemic and another Ebola outbreak in Congo that has infected 100 people. 993

KENOSHA, Wis. — A Wisconsin high school teacher is on paid leave after students recorded her using a racial slur on camera during class.The teacher can be heard repeatedly using the “N-word” several times while students in the class laugh. The parent of the student who took the video told WTMJ the incident started when a student at Bradford High School in Kenosha, Wisconsin used the word with another student.That’s when the parent said the teacher used the slur and said that she should be able to use it because it is used within the African-American community. At Tuesday’s Kenosha Unified School District board meeting, representatives from the community’s Coalition for Dismantling Racism spoke about the incident.“Our concern is the total lack of action from the administration. This should have been addressed immediately. Especially when several students stated how uncomfortable they were in the classroom. A teacher should not make her students uncomfortable particularly when you’re talking about something as sensitive as using a racial slur,” Darrell Greene said. The parent of the student who shot the video says he turned it over to the school’s principal immediately after it was shot on November 29, but in a statement to  the district said: 1309

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