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The Cuyahoga County Board of Health and Summit County Public Health are both applying for state funding, as is the Cleveland Department of Public Health."I think that the funds show a commitment by the state level health department to aggressively address this outbreak," said Andrew Heffron, clinic supervisor at the Cuyahoga County Board of Health.Heffron said the number of hepatitis A cases statewide has been steadily increasing since the outbreak began more than a year ago.Hepatitis A is a virus that affects the liver, according to Heffron, who described some of the common symptoms as "abdominal pain, very dark yellow urine, nausea and the most common symptom that people think about is jaundice, which is yellowing of the skin."The virus is commonly foodborne, but according to Persis Sosiak, commissioner of health at the Cleveland Department of Public Health, that's not the case in this outbreak."In this particular outbreak, it is much more associated with intimate contact and risky behaviors," Sosiak said.County and local health departments are trying to reach at-risk populations through vaccination and education."That includes individuals incarcerated, the homeless population, men who have sex with men," Heffron said.It also includes people traveling to developing countries and people who use illicit drugs, whether the drugs are injected or not.The number of cases in this outbreak is much higher than in a typical year, Heffron said, and those who are most in need of vaccination are very young children and people with liver diseases such as hepatitis B or hepatitis C."Historically, Ohio has about 40-some cases a year, so it’s a little concerning that we’re at the numbers we’re at," Heffron said."The hepatitis A vaccine consists of two doses, one of which is 94 to 95% effective on its own," Sosiak said."We would always recommend two doses, but if even getting one, you are giving yourself or your family a high degree of protection against the infection," Sosiak said.While medication can be given to help with hepatitis A symptoms, Heffron said the virus usually clears itself from someone's system with rest and fluids. 2154
The Fake News photoshopped pictures of Melania, then propelled conspiracy theories that it’s actually not her by my side in Alabama and other places. They are only getting more deranged with time!— Donald J. Trump (@realDonaldTrump) March 13, 2019 248

The as-yet-named rhino was born to Kendi, who was the first white rhinoceros born at the animal theme park back in 1999. "Kendi was paired with dad Dugan through one of the Species Survival Plans overseen by the Association of Zoos and Aquariums to ensure the responsible breeding of endangered species," Disney said in a press release.Disney officials say both mom and son are doing well under the care of their human keepers. In the upcoming weeks, the newborn rhino will be introduced to his crash — or group of rhinos — on the theme park's savanna. Disney says it was the 11th white rhino born at Walt Disney World, and two more are on the way and should be born sometime in 2021, Disney said in a press release. 716
The drill was the first such show of force since a group of migrants from a Central American caravan rushed the border Sunday, leading to a closure of the San Ysidro checkpoint and two San Diego County freeways. 211
The doctor says they have seen a lot of colds and other illnesses that are typical for this time of year, but nothing that poses a health risk to San Diego.“Whenever you have a large group of people in a confined space with limited access to sanitation you have the potential for multiple different diseases spread,” said Sierra, “so we’re hoping that we can contain any problems that might have arisen.” 404
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