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The Centers for Disease Control and Prevention has issued recommendations for those looking to receive vaccinations during the pandemic.The CDC said that anyone who needs a vaccine, they recommend getting them at a medical home to "ensure that patients receive other preventive services that may have been deferred during the COVID-19 pandemic.""However, vaccination at locations outside the medical home may help increase access to vaccines in some populations or situations, particularly when the patient does not have a primary care provider or when care in the medical home is not available or feasible," the CDC said. "Regardless of vaccination location, best practices for storage and handling of vaccines and vaccine administration should be followed. In addition, information on administered vaccines should be documented (e.g., through the state-based immunization information system [IIS], patient’s electronic medical record, client-held paper immunization records) so that providers have accurate and timely information on their patients’ vaccination status and to ensure continuity of care in the setting of COVID-19-related disruptions to routine medical services."The CDC said that if your vaccines are due or overdue, they should be "administered according to the recommended CDC immunization schedules during that visit."If you are a child or an adolescent, the CDC recommends that healthcare providers should contact parents of those who have missed well-child visits and schedule an in-person appointment.If you are pregnant, the CDC says if an appointment for your vaccinations is delayed, they should be received on the next in-person appointment.For adults, the CDC said healthcare providers should ensure that steps are taken that their patients receive vaccines according to the Standards for Adult Immunization Practice."Older adults and adults with underlying medical conditions are particularly at increased risk for preventable disease and complications if vaccination is deferred," the CDC said.If you believe you have COVID-19, the CDC says vaccinations should be postponed until you are feeling better. 2141

The COVID-19 pandemic has ensured that holiday gatherings will look a lot different for many this year, and for some parents, it might be difficult to explain why to their children.Children's mental health experts at Children's Hospital Colorado say parents need to be direct with kids about the importance of keeping loved ones safe and healthy.Dr. Jenna Glover says that encouraging kids to share their ideas for family gatherings could help them accept the changes. She adds that parents should also emphasize that smaller gatherings are still worth celebrating."(Parents should) really have their kids focus on what they can control and what is still available to them, rather than on a deficit and what they don't have," Dr. Glover said. "So shifting the perspective to, 'this is what we're grateful for having,' rather than, 'this is why we're sad.'"Doctors say it's important to recognize when children are having a hard time accepting smaller gatherings or missing family members. Children may change how they interact with others or express increased irritability or a desire to be alone. Parents might also notice changes in eating or sleeping habits.Experts say that if behavioral changes get serious enough, parents might want to consider professional help for their kids. And with a rise in telemedicine, getting help is a little easier."If a kid can Zoom in with somebody from their bedroom, laying on their bed flopped over, they might feel a lot more comfortable," Dr. Glover said. "That really informal setting, of being in their own space and being able to connect with somebody and share thoughts that maybe they're not willing to talk about with their parents right now."Dr. Glover says parents should be prepared for their kids to compare how their family celebrates with how their friends are celebrating the holidays. She says it's important to empathize with their children and acknowledge their concerns — but adds that parents should remind kids that the pandemic won't go on forever. 2018

The E. coli outbreak linked to romaine lettuce has sickened 43 people in 12 states, the US Food and Drug Administration said Monday.The FDA said that the ongoing outbreak is linked to the "end of season" harvest in some parts of California -- but the agency still says people should not eat any romaine lettuce.People have become sick in California, Connecticut, Illinois, Massachusetts, Maryland, Michigan, New Hampshire, New Jersey, New York, Ohio and Wisconsin.An additional 22 people in Canada are also ill, so the FDA is coordinating its investigation with the Canadian health and food safety authorities, the agency said.When the outbreak was announced last week, the FDA and the Centers for Disease Control and Prevention warned consumers to stay away from all romaine lettuce, but the FDA said the investigation was focused on California and Mexico."Over the Thanksgiving holiday, the FDA continued to investigate the outbreak," according to a statement from FDA Commissioner Dr. Scott Gottlieb. "Our investigation at this point suggests that romaine lettuce associated with the outbreak comes from areas of California that grow romaine lettuce over the summer months, and that the outbreak appears to be related to 'end of season' romaine lettuce harvested from these areas. The involved areas include the Central Coast growing regions of central and northern California."Lettuce growing and harvesting in the winter months is taking place in California and Arizona's desert regions and Florida, as well as Mexico. Currently, the FDA investigation does not implicate lettuce from any of these areas.While the romaine supply undergoes a "clean break" to ensure all the contaminated lettuce is effectively gone from the market, the FDA has asked producers and distributors to provide clear labeling with the lettuce's date and origin in the future.A task force within the lettuce industry has also been established to determine better solutions for labeling long-term in order to help with tracing."Based on discussions with major producers and distributors, romaine lettuce entering the market will now be labeled with a harvest location and a harvest date," Gottlieb said. "Romaine lettuce entering the market can also be labeled as being hydroponically or greenhouse grown. If it does not have this information, you should not eat or use it."If consumers, retailers and food service facilities are unable to identify that romaine lettuce products are not affected -- which means determining that the products were grown outside the California regions that appear to be implicated in the current outbreak investigation -- we urge that these products not be purchased, or if purchased, be discarded or returned to the place of purchase."Symptoms of E. coli infection, which usually begin about three or four days after consuming the bacteria, can include watery or bloody diarrhea, fever, abdominal cramps, nausea and vomiting, according to the CDC. Most people infected by the bacteria get better within five to seven days, though this particular strain of E. coli tends to cause more severe illness.People of all ages are at risk of becoming infected with Shiga toxin-producing E. coli, according to the FDA. Children under 5, adults older than 65 and people with weakened immune systems, such as people with chronic diseases, are more likely to develop severe illness, but even healthy children and adults can become seriously ill. 3450

The captain of a duck boat that capsized in July on a Missouri lake, killing 17 people, has been indicted by a federal grand jury in connection with the wreck.Kenneth Scott McKee, 51, faces 17 counts related to "acts of misconduct, negligence or inattention to duty," one for each victim, according to the indictment, which was announced Thursday by the US Attorney for the Western District of Missouri, Tim Garrison.The violations are colloquially known as "seaman's manslaughter," Garrison said.A federal grand jury found that McKee failed to properly assess incoming weather before and while he put the vessel in the water, entered the vessel on the water as severe weather approached, failed to instruct passengers to put on personal flotation devices and operated the duck boat in violation of its conditions and limitations, among other acts, according to the indictment.The federal criminal investigation into the deadly wreck on Table Rock Lake, near the tourist hub of Branson, Missouri, began after the US Coast Guard in July determined the deaths resulted from the captain's actions. The investigation is ongoing, Garrison told reporters Thursday.Ripley Entertainment, which runs the duck boat tours called Ride the Ducks Branson, did not immediately respond Thursday CNN's requests for comment. McKee's attorney, J.R. Hobbs, confirmed to CNN he is reviewing the indictment against his client but is not making any additional comment regarding the allegations.McKee is not in custody, Garrison said, adding that the charges announced Thursday are the first criminal indictments related to the incident. The US attorney would not say whether McKee has been cooperating with the probe. Hobbs said he is in the process of scheduling an initial court appearance by McKee.Survivor Tia Coleman, whose husband, three children and five other relatives were killed in the duck boat wreck, commended Garrison as the indictments were announced."While nothing can ever ease the grief in my heart, I am grateful that the US Attorney's Office is fighting for justice for my family, and the other victims, and is committed to holding fully accountable all those responsible for this tragedy," she said in a statement.In case of a conviction, each count against McKee carries possible prison time of up to 10 years and a fine of as much as 0,000. 2352

The City of San Diego was awarded a million state grant that will help save food, save the planet, and save people.  The city will use a majority of the grant to convert its composting system at the Miramar Landfill into a closed system.  A news release from the city said that will reduce air emissions and continue to divert tons of food waste from the landfill.The City of San Diego currently keeps more than 100,000 tons of food waste out of the landfill by composting or making sure it’s diverted to food rescue non-profits before it’s thrown away.“It’s getting tossed because people don’t find the need for it or it’s got a slight cosmetic defect,” said Aviva Paley of Kitchens for Good, a food rescue that feeds hundreds of people a day by using food that could have been thrown away.“You can still make really good food with stuff that you just have to clean it up a little bit,” said Kitchens for Good Chef Trainer Theron Fisher.“It is so heartbreaking to see how much food goes to waste in this country,” said Paley.A portion of the state grant will allow Kitchens for Good to expand its operation.  It fed 35,000 people in 2016.  It would like to feed more than 50,000 by 2018.It would keep more food out of the landfill and feed more people who need meals.  Paley said one in six San Diegans go hungry every day.Another benefit for the Kitchens for Good program:  The cooks who prepare the meals are going through a 12-week training program to prepare them for culinary careers.  Paley said most of the participants have overcome obstacles from crime and drugs to mental disabilities.  The program opens them to a career they could otherwise never reach. 1718

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