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Drug kingpin Joaquin "El Chapo" Guzman will be examined by a psychologist next week after his lawyer argued the conditions of his confinement in New York have taken a toll on his memory and mental state.US District Judge Brian Cogan in Brooklyn granted permission Wednesday for Guzman to be evaluated following a defense motion alleging that solitary confinement in a cold, small cell at a federal lockup in Manhattan had the drug lord forgetting names and places and suffering from hallucinations, paranoia and depression."I'm not alleging that he's not competent" to stand trial, Guzman's new attorney, Eduardo Balarezo, told reporters after a pretrial hearing."I'm alleging that the conditions that he's been under for the last nine months or so are affecting his memory, affecting his ability to relay information that I need as his lawyer to defend him."Guzman, who is commonly known by his nickname "El Chapo," which loosely translates as "shorty," was extradited to the United States from Mexico in January and immediately brought to the federal courthouse in Brooklyn for his arraignment on a 17-count indictment.His trial in Brooklyn is set to begin in April 2018.Wednesday's hearingThe 60-year-old defendant, dressed in a dark blue prison uniform, entered the courtroom for Wednesday's brief hearing smiling and waving at his former beauty queen wife, Emma Coronel, and their six-year-old twin daughters. He followed the proceedings through an interpreter.Federal prosecutors have turned over 90,000 pages of discovery -- most detailing drug shipments and seizures -- but Balarezo said he took issue with government plans to wait until two weeks before trial to share the testimony of alleged collaborators."Every one of them is going to be here trying to reduce their sentence," the attorney said outside court.The head of the Sinaloa Cartel, Guzman is named in a sweeping 17-count indictment alleging that from 1989 to 2014 he led a continuing criminal enterprise responsible for importing and distributing massive amounts of narcotics and conspiring to murder rivals who posed a threat, according to federal prosecutors.Guzman is also charged with firearm violations related to drug trafficking and money laundering connected to the smuggling from the United States to Mexico of more than billion in cash from narcotics sales.Guzman has pleaded not guilty to the charges, which carry a minimum sentence of life in prison. Federal prosecutors also intend to seek a billion criminal forfeiture order against him.Years as a fugitiveGuzman has been confined to a solitary windowless cell, removed from the general population in a facility that is part of the federal Bureau of Prisons.Chasing 'El Chapo': Prison breaks, hideaways and life on the lamBefore hiring Balarezo, Guzman last summer retained attorney Jeffrey Lichtman, who represented John Gotti Jr. in a 2005 federal trial which ended with the dismissal of murder conspiracy charges.Prior to Lichtman, the man accused of running one of the world's largest drug trafficking organizations was represented by court-appointed public defenders.After more than a dozen years on the run after escaping from prison in 2001 -- allegedly by hiding in a laundry cart -- Guzman was again arrested in 2014.However, a year later he escaped through a hole in his cell block that led to a tunnel nearly a mile long. In 2016 Mexican security forces rearrested Guzman in Sinaloa.Mexican drug cartels take in between and billion annually from US drug sales, and a 2015 Congressional Research Service report estimates at least 80,000 people have been killed due to organized-crime-related incidents since 2006.RELATED: Mexico arrests top Sinaloa cartel heroin trafficker 3743

Dr. Anthony Fauci, the nation's top expert on infectious diseases, gave a live interview with The Washington Post Monday as cases of COVID-19 are spiking across the country at unprecedented levels.Fauci's interview comes just ahead of Thanksgiving — an event that health experts warn could cause further spread of the virus despite warnings from the CDC against gathering in-person.While Fauci said every family needed to assess their own situation and make their own determination, he recommended that Thanksgiving gatherings should be limited to the members of a single household.He added that if Americans do travel to another home for Thanksgiving, he recommended everyone should wear masks while indoors, except when eating or drinking.In the month of November alone, more than 3 million people across the U.S. are confirmed to have contracted COVID-19. The 3 million cases represent about 25% of all cases the country has seen since the pandemic reached the U.S. in February.The spike in cases has prompted a frightening jump in hospitalizations and deaths linked to the virus. A record 83,000 people are currently battling COVID-19 in a hospital, and for the last week, an average of 1,400 people in the U.S. have died of the virus each day.Fauci said that if Americans don't follow common-sense public health measures over the Thanksgiving holiday, that it could exacerbate the current spike in cases. He said that within two or three weeks, the already steep spike in cases could become even steeper."The chances are that you will see a surge superimposed on a surge," Fauci said.Fauci again recommended that Americans adopt uniform mask-wearing, keep social distance, avoid large crowds, gather outdoors as opposed to indoors and continuously wash hands to avoid spreading the virus.There are some encouraging signs that there may be some relief soon. On Monday, AstraZeneca joined Pfizer and Moderna in reporting that initial studies show its vaccine candidate is 90% effective in preventing the virus. All three vaccines may soon be authorized for emergency use in the coming weeks.Fauci said he hopes the encouraging news on vaccines is an "incentive" for Americans to double down on public health measures."Help is on the way," Fauci said.Fauci said Pfizer's and Moderna's vaccines could be out for distribution as soon as mid-December. However, it will be initially rationed for people in vulnerable populations before becoming available to the general public by spring 2021.Finally, Fauci says he has not yet spoken to president-elect Joe Biden. While he did not go into specifics, his comments are consistent with the Trump administration's refusal to work with Biden's transition team. The General Services Administration still has not ascertained Biden as the winner of the 2020 election, meaning the incoming Biden administration does not yet have access to funds and information a transition team would typically have. 2948

Each winter, many people wonder whether its worth getting a flu shot while health officials repeatedly warn against not getting one.Now a new study sheds light on the benefit of doing so. Even when the flu shot is just 20% effective it can still reduce US doctor visits due to illness by an estimated 20 million in a single year, the new report published in the scientific journal PNAS (Proceedings of the National Academy of Sciences of the United States) finds.In addition, vaccination also can prevent thousands of hospitalizations and deaths, the study authors estimated based on the average vaccination coverage rate in the United States."Getting vaccinated against influenza is beneficial to the individual and to the community even when the vaccine is of relatively low efficacy," said Burton H. Singer, co-author of the study and an adjunct professor for the Emerging Pathogens Institute at University of Florida in Gainesville.Caused by viruses, flu is a contagious respiratory illness with mild to severe symptoms that can sometimes lead to death. The flu virus evolves rapidly and new viruses circulate in different parts of the world, so each year scientists must reformulate the vaccine. Add to that an imperfect manufacturing process and even a 'good match' formulation may not be as effective as scientists would like.In fact, the Centers for Disease Control and Prevention estimated just 36% effectiveness for the 2017-18 seasonal vaccine as of February 3. (The season ends in May.)For the new study, Singer and his colleagues created a mathematical model of flu transmission and vaccination to evaluate how much illness is prevented by even a very low effectiveness flu vaccine. The research team found that at the average rate of US coverage even a poor vaccine would prevent a significant amount of illnesses, hospitalizations and deaths.For example, at just 43% coverage (the average rate of Americans who received a flu shot for the years 2012 through 2017), a vaccine with just 20% effectiveness could avert more than 20 million infections or illnesses as compared to not getting the vaccine. In addition, 129,000 hospitalizations and 61,000 deaths could be prevented.Based on the model, if more people got a flu shot, say half of the US population, the same 20% effective flu shot would prevent an additional 3.63 million infections, 21,987 hospitalizations and 8,479 deaths."When a vaccine is fully effective on 50% or more of the people who are vaccinated, you need to primarily focus on vaccinating young children," said Singer. The reason? Children are still building immunity and they pass germs around at school."As efficacy of the vaccine decreases, it becomes increasingly important for the elderly to be vaccinated in addition to young children," said Singer, since the elderly are more likely to develop complications from the flu, such as pneumonia, which can be deadly.The CDC reported a total of 160 flu-related deaths in children and 30,064 flu-related hospitalizations overall?between October 1, 2017 and April 21, 2018. The highest rate of hospitalization occurred among adults 65 years old and older.Richard Webby, a flu scientist who is part of the World Health Organization's advisory board and a member of St. Jude Children's Research Hospital's Department of Infectious Diseases, said "effectiveness estimates go up and down based on a number of factors including match of vaccine and circulating strain and probably other factors we don't fully understand.""The take home message from the past few seasons is that there is much room for improvement," said Webby, who was not involved in the research.Still, more people, particularly the elderly, need to get vaccinated even when the vaccine effectiveness is lower than hoped, Webby said: "This study suggests that even with a less than optimal vaccine there is still much public health benefit that can be achieved if these are used properly and widely." 3992

Doctors treating a patient who had complained of repeatedly losing his balance made an unexpected discovery: The 84-year-old man had a 3?-inch pocket of air in his brain.The man had been referred to the emergency room by his primary physician in Northern Ireland.He told his doctor about weeks of recurrent falls and three days of left-side arm and leg weakness, according to?the report, published in the journal BMJ Case Reports. The patient, who is not identified in the report, did not have any visual or speech impairments and did not seem confused or have facial weakness, according to the authors."The thing I was most concerned about in an elderly patient with new onset limb weakness and balance disturbance was some form of stroke," said Dr. Finlay Brown, a leading author of the report and a general practitioner in Belfast who treated the man.The physicians performed scans of the brain to identify any signs of bleeding or brain damage caused by blocked blood vessels, according to Brown.But what they found was much more unusual. 1050

Disney World is set to reopen in Florida on Saturday after being closed for several months due to COVID-19. Here are several things you need to know before you and your loved ones go and visit Mickey Mouse and Co.Magic Kingdom Park and Disney’s Animal Kingdom Park will reopen Saturday. EPCOT and Disney’s Hollywood Studios will reopen on July 15.Disney World has been closed since March 15. Back in May, Disney received word from the state they can reopen in July, which Orange County Mayor Jerry Demings tweeted the news back on May 29. I am pleased to announce that I have received word from Halsey Beshears, Secretary of @FloridaDBPR, that @WaltDisneyWorld Resort and @SeaWorld have received approval of their re-opening plans. #SeaWorld will re-open June 10 and #WaltDisneyWorld Resort will be July 11. pic.twitter.com/vNKgSxZvbC— Orange County Mayor Jerry L. Demings (@OCFLMayor) May 29, 2020 Disney said in a press release that new safety measures are being put in place to keep you and your loved ones safe.RESERVATIONSTo visit the parks, you must have a reservation and a valid park ticket for the same park on the same date to enter. At this time, park officials say new tickets are currently unavailable to purchase but will be available sometime in the future.SAFETY MEASURESTemperature checks: All guests to the park will be screened by no-touch thermometers at Disney Springs or at the Walt Disney World theme parks. Park officials say anyone displaying a temperature of 100.4 F or above will not be allowed entry. Officials ask that you check you and your entire party's temperature before leaving you home.Parking: Complimentary transportation will also be provided between the guests' Disney Resort hotel and Disney theme parks. Face coverings are required at all times while boarding and using Walt Disney World transportation. Valet service is temporarily unavailable, with the exception of guests with disabilities.Face masks: Anyone over the age of 2 will be required to wear a face mask. Park guests are not allowed to wear costume masks.Social distancing: The parks will have signs and ground markings to help guests practice physical distancing. Physical barriers will be placed around cash registers or at Guest Relations to help keep everyone safe.Cashless transactions: Officials recommend guests use cashless payment options, including debit cards, credit cards, and Disney Gift Cards, which can be purchased with cash.Hand sanitizer: Hand sanitizer locations will be made available all throughout the park. Hand washing will also be made easily available for guests.RESORT SERVICESIf you are staying at a Disney Park resort, guests will see the following changes:Bell Services will deliver luggage to rooms, but will not escort guestsClub-level service is temporarily unavailableDeliveries may only be made to occupied roomsIn-room celebrations are not availableIn-room dining is not availableDry-cleaning and valet laundry services is temporarily unavailable; self-service laundry is availableShipping services are temporarily unavailableResort airline check-in service may be temporarily unavailableDININGIf you are planning to dine at a table-service restaurant at Disney Resort hotel a confirmed dining reservation is required for day guests. If you are staying overnight, officials highly recommend you make a reservation.IN-PARK DININGGuests will need valid park admission and a reservation for park entry through the new Disney Park Pass system—as well as a dining reservation—to dine at an in-park, table-service restaurant. Dining reservations do not guarantee admission to the park.CHARACTER EXPERIENCESDue to COVID-19, meet and greets with Disney characters are currently unavailable. Characters will still be found roaming around the parks to say hello to guests.To avoid large crowds gathering, parades and fireworks shows have been postponed until further notice.TOURSThe following tours are currently unavailable:Backstage MagicBehind the SeedsDisney Private VIP ToursDisney’s Family Magic TourDisney’s Keys to the Kingdom TourDisney’s The Magic Behind Our Steam Trains TourTaste of Magic Kingdom Park VIP TourThe UnDISCOVERed Future WorldUltimate Day of Thrills VIP TourUltimate Disney Classics VIP TourUltimate Nights of Adventure VIP TourUp Close with RhinosWalt Disney: Marceline to Magic Kingdom TourWorld Showcase: DestiNations DiscoveredWild Africa TrekWild Africa Trek (Morning)For more information, before you travel to Florida, you can check out the Walt Disney World website. 4538