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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

Demonstrators have staged themselves at the entrance of CoreCivic’s headquarters in Nashville to “defend families and demand an end to private prisons.” Helicopter footage showed several tents set up around the building, including some banners that read “how many kids have to be jailed before you care?”Demonstrators also replaced the Tennessee flag with the words "No Borders."“CoreCivic is a human rights disaster in our own backyard,” Jeannie Alexander, of No Exceptions Prison Collective, said in a statement. The Nashville-based private prison contracts with ICE. CoreCivic released a statement, saying the facility doesn't "provide housing for any children who aren’t under the supervision of a parent. We also don’t operate shelters for unaccompanied minors, nor do we operate border patrol facilities."  845

Dear members of the public: Please stop making harassing & threatening calls to my staff. They are kind, hardworking public servants just doing their job. Asking them to shove sharpies in uncomfortable places is never appropriate & is a sad commentary on the state of our nation.— Dana Nessel (@dananessel) November 5, 2020 339

DENVER, Colo. – Living outside, having no place to rest your head, can take a toll.Having to worry about if you might get hassled or arrested for sleeping makes it even worse.“Frequently we see that through camping bans, through move along orders, or other ways that local law enforcement is able to enforce this type of policing on this community,” said Marisa Westbrook, a PhD student at the University of Colorado Denver.She published research on the human costs of criminalizing homelessness.“People are achieving very little sleep and only sleeping in short bursts and they’re particularly stressed about the potential encounters with law enforcement, not just the repercussions of actual encounters with law enforcement. People are then seeking out less visible areas and moving along towards areas were the maybe more vulnerable to assault or physical bodily threat,” Westbrook said.On one street in Denver, more than a dozen tents were lined up. No one wanted to talk or even be recorded on camera, but some told us they felt abandoned by the system and that they’d had bad interactions with the police.“Criminalizing homelessness, it generally means that police are arresting people who are sleeping outside or sitting outside or living outside for offenses that they have to commit because they have nowhere else to live,” said Nan Roman, the president of the National Alliance to End Homelessness.Roman says on any given night, there are more than half a million homeless people in the United States.There are not enough shelter beds in the U.S. to meet the homeless population, no matter where you are. From Los Angeles to North Carolina, North Dakota to Chicago, there is simply nowhere for the homeless to go.The National Law Center on Homelessness & Poverty has been tracking the laws that criminalize homelessness since 2006. The most recent data says 33% of those cities prohibit camping in public citywide, 18% prohibit sleeping, 47% ban lying down and 39% ban living in vehicles.“Criminalizing homelessness is not an effective strategy. It doesn’t solve the problem because you give someone a citation or you put them in jail overnight, but they leave the next day, they’re still homeless,” said Roman.So, what can be done?“The solutions that people need are long-term, stable, adequate housing,” said Westbrook.It might seem obvious, but many groups say building more affordable housing is the most effective way to end homelessness.According to the Coalition for the Homeless federal programs like Housing Choice Vouchers, also known as Section 8 housing, are the most cost-effective way to get people into homes.“Provide people who are eligible by income and need it with rental assistance so that the market could address the affordable housing shortage,” said Roman.And provide mental health services. Many mental health issues are exacerbated by homelessness.“Folks are sleeping less because of their anxiety, waking up in the middle of the night, sleeping short bursts so that they can move along or move camp to make sure they aren’t exposing themselves to interactions with law enforcement,” said Westbrook.Solutions can be complicated, expensive and not as simple as making arrests. 3223

Day two of the Paul Manafort trial resumed Wednesday with testimony from a FBI agent who raided Manafort's home -- as well as President Donald Trump's repeated Twitter attacks on special counsel Robert Mueller's probe, which at one point included a comparison between Manafort and Al Capone.Prosecutors also raised the prospect that Manafort's longtime deputy, Rick Gates, would not be called as a witness after the defense team indicated in its opening statement Tuesday that Manafort's lawyers planned to make Gates' role a key element of the defense.Should Gates not testify as a witness for the prosecution, it would complicate the ability for Manafort's team to make their case against Gates, and might prompt them to call him as a defense witness instead.As Mueller's team made its case against Trump's former campaign chairman in the courtroom, the President took to Twitter to call the prosecution a "hoax" and claim that Manafort worked for the campaign "for a very short time." 995