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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

David Katz, the shooter who killed two people and wounded 10 others before taking his own life at an e-sports tournament in Jacksonville, Florida, on Sunday, was in treatment for psychiatric issues at least as early as the age of 12, according to family divorce records.Katz, who was 24, was prescribed a number of psychiatric medications, including an antipsychotic, and saw "a succession of psychiatrists," according to a 2006 letter from the father's attorney. A separate 2006 court filing states that a therapist said David had experienced a "psychiatric crisis."CNN also obtained police records that show 26 calls for service to the police from the Katz family home in Columbia, Maryland, from 1993 to 2009, for issues ranging from "mental illness" to domestic disputes. At least two of those calls involved Katz arguing with his mother, though none of the reports provided to CNN show any physical violence. The Howard County Police Department declined to release the reports from a number of the incidents, citing statutory restrictions.Since Sunday's shooting, the family has told investigators that David Katz suffered from mental health issues, according to a law enforcement source who described the family as being very cooperative with investigators. Both parents have worked for the federal government. Richard Katz is a NASA engineer employed at the Goddard Space Flight Center outside Washington, DC, according to an agency spokesperson. Elizabeth Katz was listed as an employee of the Food and Drug Administration at the time of her divorce. 1566

DES MOINES, Iowa (AP) — Tuesday night's Mega Millions numbers for an estimated 7 million prize are 3, 45, 49, 61, 69, with a Mega Ball of 9  Lottery officials earlier in the day increased the estimated jackpot for Tuesday night's drawing from 4 million to 7 million, making it the third-largest grand prize in U.S. history. The increase reflects a surge in ticket sales.The record lottery jackpot was a .6 billion Powerball prize won in January 2016.Although the Mega Millions prize has grown larger, the odds of winning remain the same, at a dismal one in 302.5 million.The 7 million jackpot refers to the annuity option, paid out over 29 years. The cash option, which is favored by nearly all winners, is 0 million.Mega Millions is played in 44 states, Washington, D.C., and the U.S. Virgin Islands.UPDATE:No one won tonight's Mega Millions jackpot. The jackpot is now worth an estimated 8 million, making it the second-highest grand prize in U.S. history. The next drawing will be on Friday at 8 p.m. 1051

DENVER - A Colorado gun store owner who appeared on the reality TV show 'American Guns' on Discovery Channel has been sentenced to 6.5 years in prison for tax fraud and dealing without a license.Richard Wyatt, 54, was sentenced to 78 months on Thursday.Wyatt operated the Gunsmoke gun shop in Wheat Ridge, Colorado. He was convicted last year on 10 counts, including not reporting income to the IRS.According to court records, Wyatt surrendered his federal firearms license in 2012 for unspecified violations but continued to sell guns from his store by working with another gun shop that had a license. Prosecutors said Wyatt entered sales from his store into the computer system as "miscellaneous" instead of gun sales and had customers go to the other store to fill out the background check paperwork.The court found that a total of 490 guns were involved in Wyatt's illegal operation, all of which the court ordered forfeited. 938

DENVER, Colorado — Katherin Silvas has spent a lifetime wondering where she came from. When she was a baby, she was adopted.“You feel kind of alone,” Silvas said.She only knows a few things about her biological mother; she was 15 years old when she had Katherin, and she is from Kentucky."I even went to the extent of giving my biological mother a name. I called her Cindy,” Silvas said.She started searching and reached out to the adoption agency but they didn't have any information they could give her. That’s when she head about an option using DNA testing."This thing on adopted.com that myheritage.com and quest were offering like x amount in promo DNA test for adopted or adopted related families," Silvas said.She thought trying to track down her biological family using DNA might be the answer."I know how hard it is to feel alone and how hard it is to even make the decision to try and contact them," Silvas said.The process has only just begun. She's received a test kit from MyHeritage. The company will then look for any DNA connections it may have in its system."I have to tell you so far we've already had thousands of people apply. You know when you say compelling, I mean heartbreaking," said Rafi Mendelsohn with MyHeritage. "We've seen and almost been surprised actually how for adoptees it's incredibly powerful and the technology is. It can be incredibly powerful for those searching for their biological family, so we're going to be sending out 15,000 kits."DNA can connect people to anyone else who has already taken the test."Everyone receives matches. Whether you receive matches to your parents or siblings, it depends who's taking the test. Even if you don't as an adoptee get a match with the parent or the sibling you're looking for, we've seen so many cases where people have had a match with an uncle or even a second or third fourth cousin and it's through that match that they're able to close the loop," Mendelsohn said.One of the biggest concerns is privacy, people who've given up a baby for adoption who did so with an understanding that it would be completely private, not knowing that DNA technology years later could ignore that."For someone who may have over a long period of time built up expectations for whatever reunion would look like they would be very disappointed if it didn't go the way that they had hoped," said Ryan Hanlon with the National Council for Adoption. He thinks it can be problematic; some people don't want to be found and when people go looking it can end in heartache."For those instances where an individual doesn't want to be found or doesn't want to be connected to it can be disconcerting for them," Hanlon said.But others point to the examples of good outcomes times when people are able to reunite.That's why Silvas is looking forward to the possibility of finding her biological family even if there's a risk she will be disappointed."It's a need to feel connected with anyone else on this globe besides my daughter," she said. 3034