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DETROIT — The Michigan Department of Health and Human Services is activating an emergency plan in response an outbreak of hepatitis A.The number of cases continues to rise in Michigan. The department is activating what is called the Community Health Emergency Coordination Center."To help coordinate Michigan’s response to the hepatitis A outbreak, we are opening the Community Health Emergency Coordination Center to assist the multiple local public health jurisdictions involved in the response and prevention of further cases," said MDHHS Director Nick Lyon.The emergency coordination center will provide support to health departments, hospitals, EMS and other health care providers.Health care providers are asked to encourage hepatitis A vaccination."We know that the hepatitis A vaccine is more than 90 percent effective in protecting someone who may be exposed to hepatitis A," said Dr. Eden Wells, Chief Medical Executive with the MDHHS. "Without a single source associated with these cases, the importance of vaccination and proper hygiene is vital to ensuring we stop the person-to-person spread of hepatitis A." There have been 457 confirmed cases of hepatitis A since August 1, 2016. This number includes 18 fatalities associated with the outbreak and affected a number of cities; City of Detroit, Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw, and Wayne Counties reported to MDHHS.Hepatitis A is an infection of the liver caused by a virus and is a vaccine-preventable disease.Symptoms may appear from two to six weeks after exposure, with the average time being about one month. They include sudden abdominal pain, fatigue, diarrhea, nausea, headache, dark urine, and vomiting followed by yellowing of the skin and eyes.To reduce the risk of contracting Hepatitis A, health officials recommend the following points of emphasis:*Wash hands frequently, especially after using the bathroom, changing diapers, and before preparing and eating food.*Clean and disinfect all surface areas if someone in the household or workplace has symptoms., especially areas such as toilets. sinks, trashcans, doorknobs and faucet handles.*Do not prepare food if you have symptoms and refrain from food preparation for at least three days after symptoms have ended, or two weeks after onset of clinical symptoms, whichever is longer.*Get the Hepatitis A vaccine. 2428

DEL MAR, Calif. (KGTV) — A three-year-old horse died after it broke down during training and had to be euthanized at the Del Mar Fairgrounds Saturday.The horse, named Koa, broke down during training, according to the Del Mar Thoroughbred Club (DMTC) confirmed. The extent of the horse's injury was unclear.Koa is the ninth horse to die while racing or training at Del Mar this year. RELATED: Horse injured at Del Mar euthanized following complicationsTwo days into Del Mar's summer season, two horses — two-year-old Charge A Bunch and three-year-old Carson Valley — collided head-on during training, killing both animals. Carson Valley's jockey, Assael Espinoza, suffered an injury to his back and was hospitalized.A third horse, Bowl of Soul, was euthanized less than two weeks after due to a fetlock joint injury. Bri Bri, an unraced three-year-old filly, was euthanized in August after suffering a serious injury during training.In November, two horses — three-year-olds Ghost Street and Prayer Warrior — died after serious injuries in separate races. A third horse, Princess Dorian, was also injured during a race and later euthanized after complications from surgery.Another horse, Slewgoodtobetrue, died in November after it collapsed in a barn after a workout.RELATED: Del Mar Thoroughbred Club upgrades horse safety for 2019 racing seasonIn response to the early horse deaths, DMTC said a series of safety reforms have been instituted to ensure horses are protected during races.“Del Mar has implemented a series of safety and welfare reforms over the last several racing seasons, including the creation of an independent five-member panel to review all entries. To date, there have been no fatal injuries during racing in the current summer meet,” club officials said at the time.If a horse's injury is catastrophic enough, it may be nearly impossible to rehabilitate them, leading to euthanization, according to veterinarians. 1944

DEL MAR, Calif. (KGTV) - Nine doctors and medical professionals are facing federal drug charges in connection to DEA illegal opioid prescription investigation. Agents raided medical officers across Southern California for "Operation Hypocritical Oath," which targeted doctors, physician assistants, nurse practitioners and clinic operators in California and Nevada. "A stern message to corrupt doctors who seek to profit from spreading addiction," said U.S Attorney Nick Hanna. Among those arrested, Monica Ann Berlin of Del Mar. The Department of Justice says the 41-year-old stole a doctor’s signature stamp and prescription pads to write fraudulent prescriptions.Berlin forged at least 44 prescriptions for controlled substances from April 2015 to 2017, according to the DOJ. According to the criminal filed against her, Berlin sent text messages to her buyer using coded language by describing the drugs as “candies" and “Tic Tacs.”Investigators say the bogus scrips were filed at pharmacies in Rancho Santa Fe and Beverly Hills. The DOJ says 15 people died because of drugs related to some of the practitioners in this investigation and this epidemic remains their top issue. Berlin was released on a million bond and is due back in federal court next month. 1274

DENVER – Denver will got the chance to meet its newest primate resident this week.Cerah, a Sumatran orangutan born at the Denver Zoo last month, will made her public debut on Friday. .Cerah was born on March 25 to mom Nias and dad Berani. Staff at the zoo said Cerah was recently introduced to Berani and her half-sister, Hesty.While Hesty has been affectionate and eager to be around Cerah, Berani has been gentle but reserved and mostly kept his distance, which staff say is normal for male orangutans.Sumatran orangutans are considered critically endangered with an estimated worldwide population of just 14,600. 628

Despite not meeting the original requirement of playing a minimum of six games this season, the Big Ten voted to allow Ohio State to participate in the Big Ten Championship Game for December 19.The No. 4-ranked Buckeyes were slated to play their sixth game of the year on Saturday against archrival Michigan, but a coronavirus outbreak prompted the Wolverines to cancel their matchup against OSU. The cancelation was announced on Tuesday.The move leaves No. 12 Indiana out of the title game. The Buckeyes previously defeated Indiana, giving the Hoosiers their lone loss of the season.“The decision was based on a competitive analysis which determined that Ohio State would have advanced to the Big Ten Football Championship Game based on its undefeated record and head-to-head victory over Indiana regardless of a win or loss against Michigan,” the Big Ten said in a statement.Ohio State is slated to take on No. 14 Northwestern in the title game.A huge factor likely came down to Ohio State’s chances of making the coveted four-team College Football Playoff. The CFP uses conference championships as part of its formula in selecting the top four teams in the country. With its loss to Ohio State, Indiana would have been highly unlikely to qualify for the College Football Playoff.The Buckeyes previously had two contests called off due to the coronavirus. Last month, an outbreak among Maryland players and staff prompted the Terrapins to cancel their game against OSU. Two weeks ago, a cluster of cases, including head coach Ryan Day, prompted the Buckeyes to cancel their matchup against Illinois. 1609

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