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Devastating wildfires across the Western United States has sent smoke traveling across the country and even into Europe. With that smoke comes bad air quality, not just for those near the fires, but for the entire continent.Satelite images from NASA shows smoke thousands of miles from the fire. NASA says the smoke contains aerosols, a combination of particles which carry harmful things into the air and into your lungs. All the things that are burning, trees, grass, brush, homes, are turned into soot and absorbed by our lungs.“This pollution, nobody knows how badly it will be affected but if we extrapolate from previous air quality it's not good,” Dr. Malik Baz, the medical director at the Baz Allergy and Sius Center, said. “The long-term side effect, we’ll see many, many years down the line.”Baz’s operates 13 locations in California, all of them are busy as Central California is essentially a big bowl surrounded by mountains which trap pollution over the valley. Air quality is always an issue for this part of the state and fires multiply the problem.“People with respiratory, allergy, asthma, ,sinus problem, anytime the air quality goes bad, their symptoms get worse,” Baz said. “It affects them but this air quality, it doesn’t matter whether you have respiratory problems or not, everyone is affected.”It's bad in other western cities too."This is really an unprecedented wildfire season in 2020,” said Jon Klassen, director of air quality science and planning for San Joaquin Valley Air Pollution Control District. “We have fires across most of the states in the western US, Washington, Oregon, California, Seattle. Portland has some of the worst air quality in the world right now, which is shocking because normally they have pretty good air quality."Klassen’s job is to monitor and improve air quality and help reduce emissions.“Those sorts of emissions can come off of wildfires or different industrial sources, the burning of different material, and the challenge and the health challenge is that because it’s so small, it can get into your lungs, your bloodstream, cause damage to internal organs,” Klassen said.A good air quality index score is anywhere from 0 to 50. Some of the cities next to the fires are seeing numbers in the 400s or 500s. California, Klassen says, has had fires burn 3.4 million acres. That's larger than the state of Connecticut as a whole. And that smoke from the western United States isn't just staying local.“Just the enormous amount of emissions that are going into the atmosphere can get caught up in transport flow from the Pacific over to the Atlantic,” Klassen said. “It can slowly cross the content and into different parts of the country, which is what we’re observing right now.”Which means use the "see and smell" rule, and watch the air quality index wherever you are.Sometimes that air can make you feel bad, and doctors advise you watch your symptoms.“[Symptoms include] lethargy, coughing, wheezing, difficulty breathing, irritation of the eyeballs, sneezing, itching, nasal congestion, headaches,” Baz said. These are also the symptoms of COVID-19, which makes some problems hard to diagnose.If your air quality isn't good, Baz suggests staying in, avoiding strenuous exercise outside, changing the filters in your home and car and keeping up on your medications and hydration.And while fires aren't forever, we are unfortunately just starting a season that's shaping up to be unprecedented.“The concern here is we are in the middle of wildfire season,” Baz said. “The past few years, the season has ended in November and we’re in September, so we’ll have a couple months left to go with these fires.” 3678

EL CAJON, CA (KGTV) -- Before the COVID-19 pandemic, many low-income seniors would make weekly visits to their local clinic for treatment. But now times have changed, and so has the way they see their doctor. St. Paul's PACE in El Cajon has made a major adjustment in providing care for their elderly patients. They are now ofering what you might call a clinic on four wheels. "They used to come to the clinic for services, which some still do. But because of self isolation, and the fear of being in a crowded place, we have found a way to take care of them in a different manner," says St. Paul's PACE Medical Director Dr. Victor LeeAnd their new way of helping patients is what they are calling a roving clinic. It's basically the comforts of a doctors office, all inside a van"Our staff came up with some creative ways, and one of the ways was to create and convert a van into a clinic. So we can go to their homes to take care of them."The van is considered a safe place for patients who do not feel comfortable seeking treatment at home, or at the clinic."Doctors can examine them, and nurses can do their vital signs Whatever we can do in the clinic we try and replicate inside the van."There are currently close to 1,000 patients in the St. Paul's PACE program, many of whom Dr. Lee describes as frail with multiple medical problems. So the roving clinic has been a life saver. "They love it. We go to their place, we park outside their apartment, or even in a parking lot. Somewhere where there is privacy, we take care of them right there." 1563

EL PASO, Texas - A cathedral in El Paso was vandalized while the church was open and available for prayer Tuesday morning.The Diocese of El Paso says a suspect came into the sanctuary at St. Patrick Cathedral around 10 a.m. and destroyed an almost 90-year-old statue of the Sacred Heart of Jesus, which was located in the center behind the main altar.“I am in shock and we at the Cathedral are heartbroken over such an unexpected situation,” said The Rector of St. Patrick Cathedral, Fr. Trini Fuentes.The suspect has been detained by the El Paso Police Department, officials said.“This statue is one of my favorite representations of Jesus—his arms open wide in welcome, his heart aflame with love for us. I would often take inspiration from this image as I prepared for Mass,” said Bishop Seitz. “As sad as I am to see a statue attacked and destroyed, I am grateful that it was not a living person. But a statue, particularly this statue, concretizes and connects us to persons and ideals that are not visible to our eyes. They reveal to us realities that are close to us, but unseen."Officers are currently continuing their investigation into the vandalism.“At this point we do not know anything about the person who carried out this assault, but he certainly must be a person who is greatly disturbed to have attacked this peaceful place in our city and this image of the King of Peace. I hope this might be the impetus for him to receive the help he needs. He will be in my prayers,” Bishop Seitz continued. “I am devastated at this irreplaceable loss as I know members of this parish community and the whole Church of El Paso will be. At this moment we will reach out in confidence to the One this statue represented and I know he will console us."This story was first reported by Sydney Isenberg at KXXV in Waco, Texas. 1834

EL CAJON, Calif. (KGTV) — Nestled in a quiet East County business park, noise is created.Noise can mean a lot of things, but here it's considered sweet, sweet music.Taylor Guitars' El Cajon facility is working to usher in the latest era of guitars and, thus, creators. In doing so, the company offers free tours of the facility to help strum up that interest."For us as a company as we've grown, we've really wanted to give people a deeper appreciation for what goes into an instrument," Jim Kirlin, editorial director at Taylor Guitars, says. "It's cool because a guitar has a certain built-in coolness factor, people are already drawn to the instrument as it starts. But then on top of it, there's a mystery to it."RELATED: San Diego Symphony Summer Pops concert series announcedDuring the tour, the company peels back the layers to that mystery of what makes a Taylor guitar. Guests are walked through everything from wood selection, fretboard construction, and modeling the shape of a particular model, down to the finer details and to final assembly."We try to paint a pretty complete picture," Kirlin said. "We do things in a different way than other companies do. It's an interesting marriage of technology and hands-on attention to detail." Kirlin said on the tour, guests will even look at the "sonic architecture" that gives a guitar its sound and how aspiring players can select their own instrument."Whether you're that guitar player or you're just someone who's interested in how things are made, if you come and take the tour, you're going to really enjoy it," he added.RELATED: San Diego County park rangers recommend these trails in 2019And that work carries over into the San Diego community. Taylor Guitars also partners with the San Diego Music Foundation to help supply guitars to local schools."We know that music education is really important to that next generation ... as a part of that community we want to do what we can," Kirlin says. "For years now, we've been helping put guitars into schools for instructors who do such a great job to inspire kids and to help them begin their guitar journey, begin their musical journey."And while schools may face budget constraints to arts and music programs over time, the interest in guitars isn't going anywhere, Kirlin says. If anything, he believes — like all new skills — practice makes perfect."People wonder about is there a waning interest in guitar playing in the world. I think the reality is, there's certainly a lot of things competing for people's attention," Kirlin said, noting last year that Taylor Guitars made the most guitars in a year than ever in their history. "At the same time, I think as long as people are around, there'll be music around."I think sometimes the barrier for people is not picking up a guitar, but sticking with it. Part of our mindset as a guitar company is to make guitars that not only make a great first impression, but also inspire people to keep playing."TOUR DETAILSWhere: Taylor Guitars - 1980 Gillespie Way, El CajonCost: FreeTour time: 1 p.m.; lasts about 1 hour, 15 minutesDates: Monday through Friday, barring certain holidaysWebsite 3162

Diana Farrell is the President and CEO of the JPMorgan Chase Institute, which publishes data analyses and insights that leverage the firm's proprietary transaction data. Previously, Diana was the Deputy Director of the National Economic Council, as well as Global Head of the McKinsey Center for Government and the McKinsey Global Institute. The opinions expressed are her own. The deadline to file your 2017 taxes is just a week away. But if you're one of the millions of Americans — roughly four in ten households — who filed back in February, you probably couldn't wait to get your hands on your expected refund.And there's a good chance you put that refund toward a visit to the doctor.That's according to new research by the JPMorgan Chase Institute, which evaluated when Americans in different income and demographic groups file their taxes.Americans who file their taxes early are more likely to receive a larger tax refund. Early filers were also more likely to spend a larger portion of their refund on health care.Related: How to save money on health care in retirementIn fact, American families increase their health care spending by 60% in the very week they receive a tax refund. And those who received their refunds in February increased their health care spending over the following 76 days by 38%, compared with a 22% increase for those who received refunds in March and an 11% increase in April or May.While some high-deductible health plans encourage early-year spending, JPMorgan found that deductibles aren't the motivating force behind this surge.Instead, among the earliest filers, 64% of their health care spending went to services they had been putting off, including dental visits, hospital visits and in-person doctor appointments.What does this mean? It's increasingly clear that families are treating their tax refunds as a zero-interest savings vehicle, the funds of which they're using for important and sometimes crucial expenses like health care.That's problematic for Americans' financial health, because the IRS does not currently give taxpayers control over the timing of their refund payments, outside of choosing when to file your annual refund between January and Tax Day in April. This means it can be challenging or unrealistic to only schedule payments or purchases around your tax refund every spring.It also poses problems for Americans' physical health, because those who rely on this cash infusion to afford health care are likely to delay care.Related: Americans spend more on health care, but have shorter livesGenerally speaking, young people under the age of 35 and those whose take-home pay is less than ,000 are more likely to be early filers because they have a greater need for this cash infusion.Another reason for filing early could be that low-income families are more likely to receive refundable tax credits, such as the Earned Income Tax Credit, money that is not available except through a tax refund. Across all income and age groups, though, people who are owed a larger refund are more likely to file early.Given the link between tax refunds and health care spending, policymakers and employers should consider making changes that would allow consumers to access funds throughout the year. Policymakers might consider offering periodic tax refund payments -- perhaps quarterly payments so that families wouldn't have to defer care until tax season.Another solution is to make the timing of these payments even more flexible and frequent for those who require urgent health care. This could include an option to apply for emergency funds taken out of your upcoming refund, or an option to file at a different time of year and receive a refund based on year-to-date income.Related: How to file your taxes for the first timeBy fixing one of the largest cash flow events to happen between mid-February and mid-May every year, we're virtually guaranteeing that some Americans will have to defer care.Finally, we should encourage employers to offer alternative savings vehicles, like an employer-based sidecar account. This account would share many of the same features of a tax refund, but give consumers more direct control over when they access funds.These could include built-in commitments and "set-it-and-forget-it" transparency, which would enable consumers the option of a one-time payroll election that recurs with every paycheck, locking them into an annual savings choice similar to other employer-sponsored benefits.By better understanding the connection between health care spending and tax season, we can help more families manage their finances to ensure they're getting health care when they need it, not just when they file to Uncle Sam.The-CNN-Wire 4734

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