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ANAHEIM (CNS) - Orange County health officials are investigating 12 cases of Legionnaire's disease among people who traveled to, resided in, or worked in Anaheim during the month of September. The discovery has led to the shutdown of two cooling towers at Disneyland, which nine of the 12 people visited during September. "On October 27, 2017, when the Disneyland Park was identified as a common location of eight (8) cases, HCA contacted the Disney organization and set up site visits at the Park to assess potential sources. Since that time, HCA staff have visited Park properties and worked with Disney to identify potential sources of Legionella," said Jessica Good, spokeswoman for the Orange County Health Agency."On November 3, 2017, Disney reported to HCA that records provided by a contractor indicated that (as part of their quarterly, routine testing) elevated levels of Legionella had been identified in (two of 18) cooling towers on October 2, 2017 and treated/disinfected by the contractor on October 4, 2017. Neither Disney nor the contractor would have been aware of the human cases at that time."On November 1, 2017, Disney had the towers taken out of service. They report having performed subsequent testing and disinfection and brought the towers back into service November 5, 2017. Test results will not be known for approximately 10-14 days."Because of the existence of human illness and the inability to assure the cooling towers are clear of Legionella bacteria until test results are known, the County of Orange Health Officer issued a Health Officer's Order on 11/8/17 requiring that Disney take the towers out of service until they are verified to be free from contamination, at which time the Health Officer will lift the order Disney independently made the determination to take the towers out of operation on 11/7/17, after meeting with HCA staff but prior to the order."The 12 cases range in age from 52 to 94, Good said. Ten of the 12 were hospitalized and one person with additional health issues died. That person did not visit Disneyland, she said.There is no known ongoing risk associated with the outbreak, according to Good.Health agency officials say the disease is becoming more common, citing 55 reports of Legionella disease in Orange County through October 2017, compared with 53 for the entire year of 2016 and 33 in 2015.Officials say Legionella, at low levels, poses no threat to humans and is commonly found in human-made water systems. It becomes problematic when it is in large quantities, typically due to stagnant or improperly sanitized spas and water systems.When Legionella bacterial levels are high, it can be transmitted through inhalation of contaminated water vapor. Typical sources are improperly sanitized spas; indoor and outdoor fountains, showers, and cooling towers (which emit water vapor into the air) used as part of air conditioning systems in large spaces such as hospitals, hotels, entertainment venues, etc.Symptoms of legionellosis develop 2-10 days after exposure, and include fever, chills, cough, muscle aches, and headaches. Infected persons often have pneumonia and may need to be hospitalized. It is treated with antibiotics, which can improve symptoms and shorten the length of illness.Persons with legionellosis are not infectious; the infection is not spread from person to person.Those most at risk of getting sick from Legionella infection include people who are smokers, have chronic lung disease or weak immune systems, and people over the age of 65. 3561
Another 1.2 million people filed new jobless claims last week, according to the Department of Labor’s latest jobless claims report, and 16.1 million people had continuing claims. There are many reasons why finding a job right now is difficult, but one reason may involve the number of people holding off on retirement.“My career has been absolutely wonderful,” said Peggy Morriston Outon. “Because I am privileged to be around people who want the world to work justly and fairly.”For 40 years, Outon has worked in non-profit and is currently the assistant vice president for community engagement and leadership development at Robert Morris University in Pittsburgh. This May, she was planning on retiring.“I decided I was going to let this job open, a job I have loved and benefitted from, and have somebody else have a chance and see what they could do with it,” said Outon.However, a few months before retirement, the pandemic hit the United States and Outon’s plans had to change.“They were not going to be able to re-fill my position because of economic challenges with COVID, so all of a sudden, my desire to open up a position and leaving more work for my co-workers,” Outon added.Outon has now delayed her retirement indefinitely. She’s part of a growing number of Americans doing so because of COVID-19. In fact, the non-profit organization, Life Happens, just conducted a survey that showed 43 percent of adults have either already delayed retirement or are considering it.“It kind of has to do with the uncertainty of what this is going to look like, this pandemic’s effects on long-term and short-term finances, said Fasia Stafford, the president and CEO of Life Happens.“What we also found interesting was that the younger folks were delaying it even more than the older folks, so when you are looking at folks from 18 to 23, they are thinking that this is going to have long-term effects on them, that their retirement age might be delayed because of what is happening currently.”Currently, it doesn’t help with our country’s high level of unemployment, having so many people postpone their retirement. It negates the natural cycle of people exiting the labor market and making room for newer people to enter.“It is important for society,” said Outon. “I think it is healthy for younger people to get their chance and for there to be ability for them to make decisions and be in charge frankly.”If retirement nest eggs keep cracking because of economic recessions hitting almost every decade, those chances are going to be more and more delayed. 2566

As a result of the pandemic, telehealth is a more common way to see your doctor. It's not easy to adjust to a virtual bedside manner, which is why a former news reporter is launching "Webside Manner" for doctors to learn what is not taught in medical school.Twenty years ago, Mark Bernheimer was on camera, reporting daily events for stations in Los Angeles and CNN. When he got out of news, he decided he could use his skills to teach others.“How to be comfortable doing news interviews, how to be comfortable giving speeches on stages and things like that,” Bernheimer said.When the pandemic hit and everyone's audience became virtual, he had to pivot his business "MediaWorks Resource Group."“I started helping my clients figure out how they could do it more efficiently, more professionally, how to do news interviews through Zoom, how to hold webinars and Q and A session through Zoom,” Bernheimer said.And then one day, he said, his medical colleagues asked for help with telehealth.“Doctors don’t get formal training or any training in set design or video production,” Bernheimer said. “This is not what they get out of medical school, they may be excellent doctors and scientists but when it comes time to deliver health care in this forum, they need some help."Things like making eye contact through the computer camera, technical quality, lighting, and where the device is physically placed were all important things that Dr. Bob Murry, a family physician in New Jersey, says could use some work, even though we're almost seven months in to the pandemic.“As this is becoming more routine. Folks do need to up their game a little bit and learn more about how to best use the technology,” Dr. Murry, who is also the chief medical informatics officer for NextGen Healthcare, said.“I had never done a video visit before coronavirus. We didn’t realize how powerful that medium can be. You can really connect with your patients and be really intimate with them and have almost everything that you have in a real person visit,” Dr. Murry added.Now, Dr. Murry says, the way doctors come across needs to be thought out, too, in addition to the actual medical care and advice.“So much of medicine is really talking to your patients from the patient's standpoint. They want to tell their story and get an answer or make sure it's not something to be concerned with and from the physician's standpoint, it's that story which is so important in medicine and that story can happen over video,” Dr. Murry said.“These are people, who don’t forget, who are probably sick to begin with or worried to begin with,” Bernheimer said. “Now they’re anxious; now they’re nervous because they don’t want to be on camera any more than the doctor does. So the doctor or health care provider has to take special precautions into account before conducting those kinds of visits.”Bernheimer is working with NexGen to officially launch "Webside Manner" in November, and says things like body language, tone of voice, and facial expressions are all things that need to be considered during telehealth. He admits they can be challenging visits for all involved.“I spent 16 years looking into a camera as a TV news reporter. It was much easier for me to learn how to look directly into the lens of a TV camera than it has been for me to get used to looking into that tiny spec on the top of the laptop lid, so if it's hard for me, I can only imagine what other health care providers must be experiencing,” said Bernheimer.But, it's a necessary medium, as we're all becoming dependent and quite comfortable with doing everything from our home devices. 3633
Andrea Constand, the key witness in Bill Cosby's retrial on indecent assault charges, testified during cross-examination why she agreed to a .38 million civil settlement in which Cosby did not admit to wrongdoing."I can't speak for him, but I was glad it was over," Constand said in court Monday."(I signed it) because it was a very painstaking process for me and my family, it tore my family apart and we just wanted it over," she added. 448
ARCADIA (CNS) - A 2-year-old colt collapsed onto the turf during Sunday's third race at Santa Anita Park and was euthanized a short time later, becoming the first fatality of the track's racing season, which began Saturday."During race 3 at Santa Anita Park, Ebeko sustained an injury to his left front leg. Ebeko was immediately attended to by track veterinarians and triaged on the turf course. Given the extent of the fracture and the nature of the injury, it was unfortunately determined that it was an unrecoverable injury," Santa Anita announced.Ebeko was trailing the entire race, and fell face-first into the turf after his injury. He was trained by Peter Miller, and was ridden Sunday by jockey Joel Rosario. Rosario was examined by Santa Anita's first-aid staff and although he missed race 4, he was cleared to ride the remainder of the afternoon.Santa Anita debuted a new turf course chute on Saturday, but Sunday's third race did not take place on that course, according to track publicist Mike Willman.Ebeko will undergo a necropsy at UC Davis' school of veterinary medicine, as is mandatory for all on-track fatalities."The accident and the necropsy report will be reviewed by a team to learn what, if anything, could have been done to have prevented the accident," Santa Anita said.The track had just marked an opening day record pari-mutuel handle on Saturday, despite fans being barred from attending due to the coronavirus pandemic. More than million was bet on the 11-race card on the Arcadia track's 84th opening day, breaking the previous record of ,491,016 set on Dec. 26, 2018, also for an 11-race card.Santa Anita had no equine fatalities during its 16-day autumn meet, which concluded Oct. 25. Sixteen horses died in racing or training-related incidents during Santa Anita's 2019-20 winter/spring meet, which ended June 21.The unraced 2-year-old filly Penelope Rose fractured her right front humerus while galloping during a workout at Santa Anita on Dec. 16 and was euthanized. 2018
来源:资阳报