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ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) is warning parents to be on the lookout for symptoms of acute flaccid myelitis (AFM) in children.The public health agency said Tuesday that it anticipates that 2020 will be another peak year AFM, an uncommon but serious neurologic condition that affects mostly children.AFM can progress rapidly over the course of hours or days, leading to permanent paralysis and/or the life-threatening complication of respiratory failure in previously healthy patients, so it’s important to seek medical care as soon as possible.The disease has peaked every two years between August and November in the U.S. since 2014, when the nation experienced the first peak of 120 cases, according to the CDC. There were also peaks in 2016 and 2018.The third and largest peak of AFM occurred in 2018, with 238 cases in 42 states. Most cases were in children (94%) and most patients (86%) had AFM onset during August through November. Most patients had a fever and/or respiratory illness approximately six days before limb weakness onset. Other common early symptoms were difficulty walking, neck or back pain, fever, and limb pain.The CDC says parents and doctors should suspect AFM in patients with sudden limb weakness, especially during August through November. Recent respiratory illness or fever and the presence of neck or back pain or any neurologic symptom should heighten their concern.Experts say enteroviruses, particularly enterovirus-D68 (EV-D68), are likely responsible for these peaks in cases. EV-D68 is the most common virus identified among specimens collected from patients with AFM. However, other viruses can cause AFM and may also be contributing to the biennial peaks.Although AFM symptoms resemble those of polio, all specimens have tested negative for poliovirus.There is currently no specific test, proven treatment or prevention method for AFM.“As we head into these critical next months, CDC is taking necessary steps to help clinicians better recognize signs and symptoms of AFM in children,” said CDC Director Robert Redfield, M.D. “Recognition and early diagnosis are critical. CDC and public health partners have strengthened early disease detection systems, a vital step toward rapid treatment and rehabilitation for children with AFM.”AFM and COVID-19The CDC says AFM is a medical emergency and patients should seek immediate medical care, even in areas with high COVID-19 activity.It’s not known how the COVID-19 pandemic and the social distancing measures may affect the circulation of viruses that can cause AFM, or if COVID-19 will impact the health care system’s ability to promptly recognize and respond to AFM.There is one bright side. If social distancing measures decrease circulation of enteroviruses this year, AFM cases may be fewer than expected or the outbreak may be delayed.Learn more about AFM here. 2901

AUSTIN, Texas (AP) — A federal judge has ruled that Texas’ statewide mask mandate must extend to inside polling places. But election officials Wednesday did not appear to be rushing to enforce the order. It was handed down after more than 8 million people have already cast ballots. U.S. District Judge Jason Pulliam said not requiring face coverings in Texas polling places created a discriminatory burden on Black and Latino voters, who are at higher risk of death and severe illness from the coronavirus. Texas Governor Greg Abbott had included an exemption for polling places in his statewide mask mandate. The governor said he encourages people to wear a face mask but exempted polling places from the mandate because he didn't want voters turned away from the polls just because they didn't have a mask, according to the Texas Tribune. Texas Attorney General Ken Paxton immediately appealed Tuesday’s ruling. Texas is three weeks into early voting, but Pulliam said enforcing a mask order would not be disruptive.According to the U.S. Elections Project, which is tracking early voter data, there have been more than 8.1 million votes cast already in Texas as of Wednesday afternoon. That's roughly 90 percent of all votes cast in the 2016 election. 1263

AZUSA (CNS) - A 600-acre brush fire was burning close to houses in Azusa Thursday afternoon, prompting evacuations for the Mountain Cove community.The Ranch Fire was reported about 2:45 p.m. near North San Gabriel Canyon Road and North Ranch Road, according to the Azusa Police Department and the Los Angeles County Fire Department, which called in a second-alarm response.The blaze was initially burning uphill in medium to heavy brush, and by 4:30 p.m., the fire had grown to 600 acres with no containment.At 3:30 p.m., mandatory evacuation orders were issued for Mountain Cove residents who live south of Highwood Court, according to the Azusa Police Department. Mountain Cove residents north of Highwood Court were asked to voluntarily evacuate.Shortly after, mandatory evacuation orders were extended to include Mountain Cove residents who live north and west of Turning Leaf and Boulder Ridge, according to the Azusa Police Department.Helicopters and crews on the ground worked to prevent the fire from reaching nearby homes, and shortly before 4:30 p.m., the Los Angeles County Fire Department reported the blaze was growing but "burning away from foothill cities and into the forest." Evacuation orders remained in effect.State Route 39, also called San Gabriel Canyon Road, was closed in each direction in the area. Northbound lanes were closed at Sierra Madre Avenue and southbound lanes were closed at East Fork Road, according to Caltrans. 1459

Atal Bihari Vajpayee, India's tenth prime minister, died Thursday in New Delhi at the age of 93.A statement released by the hospital treating him said "his condition deteriorated over the last 36 hours and he was put on life support systems. Despite the best of efforts, we have lost him today.""India grieves the demise of our beloved Atal Ji. His passing away marks the end of an era. He lived for the nation and served it assiduously for decades. My thoughts are with his family, BJP Karyakartas and millions of admirers in this hour of sadness. Om Shanti," tweeted Indian Prime Minister Narendra Modi.Celebrity deaths of 2018: Remembering those we've lost this yearVajpayee was prime minister briefly in 1996 and 1998 before eventually serving a full term as premier from 1999 to 2004. He had been admitted in June to the All India institute of Medical Sciences in the capital, suffering from a urinary tract infection and chest congestion. His condition worsened, eventually becoming fatal.Vajpayee never married. He is survived by his adopted daughter, Namita.During his political career, Vajpayee's name became synonymous in India with the rise of the ruling Bhartiya Janata Party (BJP), which he helped found in the 1980s. His ascent to the premiership signaled the renewal of the party, which had grown to become the main opposition to the Indian National Congress before eventually overtaking that party.Vajpayee's tenure as India's leader was marked by significant developments in the country's defense policy, and he oversaw India joining the world's nuclear weapons club in 1998.Facing heavy criticism at home and abroad over India's nuclear ambitions, Vajpayee defied the threat of economic sanctions, telling parliament that "we have never made a decision after coming under international pressure and we will never do so in the future."Born in December 1924, Vajpayee grew up in the central Indian state of Madhya Pradesh and was one of the founders of the Janata Party, a splinter group of which became the modern BJP. During his youth he was briefly a member of the right wing Hindu nationalist group Rashtriya Swayamsevak Sangh (RSS), and was arrested along with his brother in 1942 for protesting against British rule.Vajpayee won his first election to parliament in 1957, a decade after independence. He would go on to hold that role for nine terms.Though he was elected prime minister three times, Vajpayee only competed an entire term once. His first government collapsed in less than three weeks in 1996, and while he took power again in 1998, this only last 13 months before a disagreement within the ruling coalition sparked new elections.Vajpayee was returned to the premiership in 1999 after his BJP-led coalition secured a comfortable majority in the wake of a two-month long war with Pakistan over control of Kashmir.In late 2001, India's parliament was hit by a terrorist attack which Delhi blamed on Pakistan, while in 2002, riots in Gujarat claimed the lives of hundreds of Muslims.Despite India's contentious seven-decade relationship with Pakistan, Vajpayee is credited with being the only Indian leader to make significant progress in peace talks with the country's nuclear-armed neighbor.Even as he pursued a nuclear agreement with Pakistan, Vajpayee remained a defiant defender of India's security policy, an approach which eventually paid off. Economic sanctions imposed after the country's first atomic test were finally lifted in 2000 when Bill Clinton visited the country, the first US President to do so in 22 years. Vajpayee also improved relations with Beijing, officially recognizing Tibet as part of China.A talented orator, one of Vajpayee's most remembered speeches was a hugely critical one, bemoaning India's lack of progress after five decades of independence."Our country is counted amongst the poorest in the world," he said. "We can't make primary education a necessity. We are still expecting that girls should be educated. The birth of a girl in this country is still a curse."More than 15 years after the speech was given, however, the country continues to be plagued by many of the same problems.Away from politics, Vajpayee is also remembered as an accomplished poet, releasing many books over the years filled with Hindi poems.Just as his fellow BJP prime minister, Narendra Modi, has focused on promoting "brand India," Vajpayee saw great success in building his country's reputation around the world. He addressed the United Nations General Assembly in 2001 and a joint session of the US Congress in 2000. Bilateral agreements signed between his government and Moscow set the stage for annual summits which continue to this day, as does the close relationship with China he cultivated."At a time when an external stimulus has motivated us to unite against terrorism and for security, let us summon an equally strong inner resolve for development and poverty alleviation," Vajpayee said in his speech to the UN. "They are just as crucial for a global order at peace with itself."The-CNN-Wire 5061

Attendance at San Diego Padres home games is on pace to finish more than 11 percent higher than the turnout for 2018. Through 65 home games, the team has drawn an average 30,200 fans per game. In 2018, the Padres drew an average 26,967 fans to games at Petco Park.The team made a splash in the offseason by signing superstar third baseman Manny Machado to a 0 million contract. Plus, excitement surrounding rookie Fernando Tatis Jr., now injured, has helped to draw fans. The Padres, still below .500, have also won 10 more games at this point in the season than they had at the same time last year. Olivia Millay, a server at Social Tap, which is next to Petco Park, says the increased attendance has helped business. "People are getting a lot more excited," she said. "I feel like last year there was almost more people cheering for the other team that would come here. Now you're seeing a lot more Padres jerseys. You've got Machado, Tatis, ya know?"But the uptick in attendance hasn't helped all business equally. There are still multiple shuttered storefronts near Petco Park, including the site of what used to be Tilted Kilt on 10th Avenue. Alina Ahmed, who owns Cafe de L'Opera, across from Petco Park, said high rents hurt. Plus, she pointed to issues with the area's homeless population that can keep customers away. "In the morning everyday we have to remove transients that are sleeping, along with many other issues," she said. Ahmed said the increased attendance has helped a bit, but can only do so much. 1531