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New studies confirm that multiple types of steroids improve survival for severely ill COVID-19 patients, cementing the cheap drugs as a standard of care.An analysis of pooled results from seven studies found that steroids reduced the risk of death in the first month by about one-third compared to placebo treatment or usual care alone in these seriously ill patients who needed extra oxygen.The work was led by the World Health Organization and published Wednesday by the Journal of the American Medical Association.Based on the results of the studies, the WHO has made two recommendations. The first, it says a strong corticosteroid therapy for 7 to 10 days should be used in patients with severe or critical COVID-19. The second, this therapy should not be used in patients with non-severe COVID-19, because it may increase the risk of death.“In contrast, in patients with non-severe COVID-19, based on data from 1,535 patients in one study, systemic corticosteroids may increase the risk of 28-day mortality,” researchers wrote.Compared to other treatments for COVID-19, these types of steroids are generally low cost, easy to administer and readily available across the globe.“Dexamethasone and prednisolone are among the most commonly listed medicines in national essential medicines lists; listed by 95% of countries. Dexamethasone was first listed by WHO as an essential medicine in 1977, while prednisolone was listed 2 years later,” the WHO wrote.The WHO added that clinicians should exercise caution in use of corticosteroids in patients with diabetes or those who are immunocompromised and could become severely ill do to COVID-19. 1651

NEW YORK CITY — Two U.S. marshals and a New York City police officer were injured in a shootout in the Bronx early Friday that left one suspect dead and another injured, law enforcement sources say.The New York City Fire Department (FDNY) said a report came in at around 5:30 a.m. ET about a shooting on Ely Avenue, near Edenwald Avenue in the Wakefield neighborhood of the Bronx.Aerial footage shows a large police presence in the area, including three ambulances.One marshal was shot in the arm and thigh and the second was shot in the leg, according to police. The NYPD detective injured his leg during the incident.The three law enforcement officials were transported to local hospitals for treatment, along with a suspect who sustained injuries to his head. It's not known if the suspect was suffering from gunshot wounds.Previous reporting indicated that the three law enforcement officers injured were all U.S. marshals.According to WHDH-TV in Boston, the suspect who was killed in the shootout is Andre K. Sterling, 35. He was wanted in connection with the shooting of a Massachusetts state trooper on Nov. 20. The state trooper survived that shooting, but Sterling escaped the scene. 1200

Nine undocumented immigrants were detained Thursday after a small panga boat landed in Laguna Beach, California, according to police.Seven people who came off the boat were detained, the Laguna Beach Police Department said, in addition to 2 drivers who were in what police described as "take-away" vehicles waiting to pick the migrants up.All 9 are undocumented, according a spokesman for the US Customs and Border Patrol, and their countries of origin are unknown.A panga is a boat often used for working off the coast of Mexico or Central America, according to the US Coast Guard. The engine-powered vessels are typically 25 to 45 feet long.They're also popular for smuggling, according to Theron Francisco, a border patrol spokesman.Laguna Beach police said there were actually a total of 13 individuals who came ashore in the boat. The department shared a video on its Twitter page that appeared to be shot from a nearby balcony, showing the group pulling the panga boat out of the surf before making their way up the beach.Similar incidents played out in the area earlier this year.On June 19, another panga boat came ashore in Crystal Cove State Park, just north of Laguna Beach, police said in a press release at the time. Four men were detained by CBP following a multi-agency search of the area, Laguna Beach police said.And in May, 10 undocumented immigrants were arrested after their panga boat came ashore in La Jolla outside San Diego, according to CNN affiliate KGTV.Thursday's detentions took place as thousands of Central American migrants seeking asylum in the United States are waiting in the Mexican border city of Tijuana. 1680

Next week will be the most-traveled in the history of flying, travel analysts are predicting.Records will be set, those in the travel industry say. There will be huge crowds moving through airports to visit family and friends for Thanksgiving.It won't be easy for air travelers, especially on Wednesday, Nov. 21, ValuePenguin reports. Most travelers know to get to airports well ahead of their departure times. But seriously, go early — it will be the busiest day of the year for airports, and the extra time is crucial to making it to a terminal on time. 583

NEW YORK (AP) — A new federal report shows vaping rates among U.S. teenagers fell dramatically this year.The drop comes in the wake of last year's outbreak of vaping-related illnesses and deaths.The national survey found that just under 20% of high school students and 5% of middle schools students were recent users of electronic cigarettes and other vaping products.That marks a big decline from a similar survey last year that found about 28% of high school students and about 11% of middle school students recently vaped. That's a decline of about 1.8 million teens total.The survey was done by the U.S. Food and Drug Administration and Centers for Disease Control and Prevention. They looked at survey data from middle school and high school students, grades 6-12.Despite the progress in lowering the number of teens using e-cigarettes, there are 3.6 million youth who currently use them. Of those, almost 83% use flavored e-cigarettes or vaping products.In addition to the survey, the FDA announced their premarket review requirement of tobacco products to ensure they go through a “robust scientific evaluation” before hitting store shelves. 1156