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Smoke masks. Eye drops. No outdoor exercise. This is how Californians are trying to cope with wildfires choking the state, but experts say an increase in serious health problems may be almost inevitable for vulnerable residents as the disasters become more commonplace.Research suggests children, the elderly and those with existing health problems are most at risk.Short-term exposure to wildfire smoke can worsen existing asthma and lung disease, leading to emergency room treatment or hospitalization, studies have shown.Increases in doctor visits or hospital treatment for respiratory infections, bronchitis and pneumonia in otherwise healthy people also have been found during and after wildfires.RELATED: Missing-persons list tops 600 in Camp FireSome studies also have found increases in ER visits for heart attacks and strokes in people with existing heart disease on heavy smoke days during previous California wildfires, echoing research on potential risks from urban air pollution.For most healthy people, exposure to wildfire smoke is just an annoyance, causing burning eyes, scratchy throats or chest discomfort that all disappear when the smoke clears.But doctors, scientists and public health officials are concerned that the changing face of wildfires will pose a much broader health hazard."Wildfire season used to be June to late September. Now it seems to be happening all year round. We need to be adapting to that," Dr. Wayne Cascio, a U.S. Environmental Protection Agency cardiologist, said this week.In an overview published earlier this year, Cascio wrote that the increasing frequency of large wildland fires, urban expansion into wooded areas and an aging population are all increasing the number of people at risk for health problems from fires.Wood smoke contains some of the same toxic chemicals as urban air pollution, along with tiny particles of vapor and soot 30 times thinner than a human hair. These can infiltrate the bloodstream, potentially causing inflammation and blood vessel damage even in healthy people, research on urban air pollution has shown. Studies have linked heart attacks and cancer with long-term exposure to air pollution.Whether exposure to wildfire smoke carries the same risks is uncertain, and determining harm from smog versus wildfire smoke can be tricky, especially with wind-swept California wildfires spreading thick smoke hundreds of miles away into smoggy big cities."That is the big question," said Dr. John Balmes, a University of California, San Francisco, professor of medicine who studies air pollution."Very little is known about the long-term effects of wildfire smoke because it's hard to study populations years after a wildfire," Balmes said.Decreased lung function has been found in healthy firefighters during fire season. They tend to recover but federal legislation signed this year will establish a U.S. registry tracking firefighters and potential risks for various cancers, including lung cancer. Some previous studies suggested a risk.Balmes noted that increased lung cancer rates have been found in women in developing countries who spend every day cooking over wood fires.That kind of extreme exposure doesn't typically happen with wildfires, but experts worry about the kinds of health damage that may emerge for firefighters and residents with these blazes occurring so often.Whether that includes more cancer is unknown. "We're concerned about that," Balmes said.Regular folks breathing in all that smoke worry about the risks too.Smoke from the fire that decimated the Northern California city of Paradise darkened skies this week in San Francisco, nearly 200 miles southwest, and the air smelled "like you were camping," said Michael Northover, a contractor.He and his 14-year-old son have first-time sinus infections that Northover blames on the smoke."We're all kind of feeling it," Northover said.The smoke was so thick in San Francisco, the skyline was barely visible from across the Bay. The city's iconic open-air cable cars that are popular with tourists were pulled off the streets Thursday because of the bad air.An Environmental Protection Agency website said air quality in Sacramento was "hazardous" Thursday and San Francisco's was "very unhealthy." Many people walking around the cities wore face masks.Most schools in San Francisco, Sacramento, Oakland and Folsom said they would be closed Friday. At least six universities in Northern California canceled classes Thursday.At Chico State University, 11 miles (18 kilometers) from Paradise, ash fell this week and classes were canceled until after Thanksgiving."It's kind of freaky to see your whole town wearing air masks and trying to get out of smoke," said freshman Mason West, 18. "You can see the particles. Obviously, it's probably not good to be breathing that stuff in."West returned home this week to Santa Rosa, hard hit by last year's wine country fires, only to find it shrouded in smoke from the Paradise fire 100 miles (160 kilometers) away. West's family had to evacuate last year for a week, but their home was spared."It's as bad here as it was in Chico," West said. "It almost feels like you just can't get away from it."Smoke has been so thick in Santa Rosa that researchers postponed a door-to-door survey there for a study of health effects of last year's fire."We didn't feel we could justify our volunteer interns going knocking on doors when all the air quality alerts were saying stay indoors," said Irva Hertz-Picciotto, a public health researcher at the University of California, Davis. The study includes an online survey of households affected by last year's fire, with responses from about 6,000 people so far.Preliminary data show widespread respiratory problems, eye irritations, anxiety, depression and sleep problems around the time of the fire and months later."Conventional thinking is that these effects related to fires are transient. It's not entirely clear that's the case," Hertz-Picciotto said.Researchers also will be analyzing cord blood and placentas collected from a few dozen women who were pregnant during the fire, seeking evidence of stress markers or exposure to smoke chemicals.They hope to continue the study for years, seeking evidence of long-term physical and emotional harms to fire evacuees and their children.Other studies have linked emotional stress in pregnant women to developmental problems in their children and "this was quite a stress," Hertz-Picciotto said.It's a kind of stress that many people need to prepare for as the climate warms and wildfires proliferate, she said."Any of us could wake up tomorrow and lose everything we own," she said. "It's pretty scary."___Follow AP Medical Writer Lindsey Tanner at https://twitter.com/LindseyTanner . Her work can be found here .___The Associated Press Health & Science Department receives supportfrom the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content. 7036

Sen. Rand Paul shared an update on his medical status Wednesday, tweeting that he has six broken ribs following an incident last week where a neighbor allegedly assaulted the Kentucky Republican at his home in Bowling Green."I appreciate all of the support from everyone. A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion," Paul tweeted Wednesday.The attorney representing the man who was charged with assaulting Paul called it an "unfortunate occurrence" in a statement and said it had nothing to do with politics."It was a very regrettable dispute between two neighbors over a matter that most people would regard as trivial," a statement by attorney Matthew Baker said.A neighbor who did not want to be identified previously told CNN?the two men have been "quibbling" over yard waste for years.According to the neighbor, Paul and Rene Boucher, who was charged with attacking Paul, share a property line in a gated community and have a long-running dispute over grass clippings and leaves blown onto each others' lawns.The neighbor did not witness Boucher allegedly assaulting Paul on Friday, and therefore could not say definitely if this is what led to the attack.It was initially reported that Paul had only sustained minor injuries, but Sunday, a senior adviser to Paul said the senator had five rib fractures, including three displaced fractures and bruised lungs.Paul tweeted Sunday?about the event: "Kelley and I appreciate the overwhelming support after Friday's unfortunate event. Thank you for your thoughts and prayers."CNN previously reported that Boucher was charged with one count of fourth-degree assault. He is currently out of jail after posting ,500 bail.According to the Bowling Green Daily News, Boucher is an anesthesiologist and pain specialist, and Boucher's attorney's statement noted that the two men worked together when they "were both practicing physicians.""We sincerely hope that Senator Paul is doing well and that these two gentlemen can get back to being neighbors as quickly as possible," Baker's statement Monday said. 2148

Special counsel Robert Mueller's team could reveal tantalizing new details in its investigation into possible Russian collusion on Friday thanks to a pair of court filing deadlines involving President Donald Trump's former campaign chairman Paul Manafort and former lawyer Michael Cohen.Mueller's office has a Friday deadline to explain to the court why it accused Manafort of lying to investigators and breaking his cooperation deal. Separately, the special counsel's office and federal prosecutors in New York have to provide memos to recommend a sentence for Cohen -- filings that are expected to detail how he has cooperated in multiple investigations.The memos from Mueller come the same week that the special counsel's office said in court Tuesday that former Trump national security adviser Michael Flynn provided "substantial assistance" to the special counsel's office and should not receive jail time.In addition, former FBI Director James Comey is testifying behind closed doors on Friday before the House Judiciary and Oversight committees for a Republican-led probe into the origins of the FBI's Russia investigation. Also Friday, George Papadopoulos -- the first person to plead guilty in the Mueller probe -- is being released from prison after serving a two-week sentence.It all adds up to one of the busiest weeks in the 19-month Mueller investigation -- and potentially one of the most revealing.  1428

Special counsel Robert Mueller's team has so far discussed with President Donald Trump's lawyers four main topics they want to talk about with the President.According to two sources, the areas that the special counsel investigators have indicated they want to pursue with Trump are the President's role in crafting a statement abroad Air Force One that miscast Donald Trump Jr.'s campaign June 2016 meeting with Russians in Trump Tower, the circumstances surrounding that Trump Tower meeting as well as the firings of FBI Director James Comey and national security adviser Michael Flynn.One of the sources said the bulk of the topics conveyed surround the President's actions with the Comey and Flynn firings.The topics are not the extent of Mueller's interest, but, based on discussions between the two sides, they represent significant areas of focus so far for a Trump interview.CNN previously reported that after presenting some topics weeks ago, Mueller's team got more granular in a face-to-face meeting. The two sides are still discussing a potential interview and other topics include Attorney General Jeff Sessions' involvement in Comey's firing as well as the President's knowledge of Flynn's phone calls with the Russian ambassador.A source familiar with the matter says the President's legal team has created dozens of potential questions Mueller's team could ask in an interview based off the topics that have been conveyed verbally. Both sides could come to terms on whether there will be a sit-down interview in the coming weeks, according to a source familiar with the matter.The focus on Trump himself in Mueller's pursuits has alarmed and angered the President, who adhered to a legal strategy of holding back set by his attorney John Dowd and White House special counsel Ty Cobb, who have said for months the investigation was likely to conclude soon. On Twitter Wednesday, the President pointed to Alan Dershowitz, the Harvard Law professor, who questioned the appointment of a special counsel.The President called the investigation a "witch hunt" earlier in the week.As the investigation seems to be intensifying, the President, according to multiple sources, is convinced he needs to take the reins of his own legal strategy. His recent pushes include the hiring of attorney Joe diGenova and overtures made to other lawyers like former Solicitor General Ted Olson, who declined to take a job this week.A source familiar with the matter said the legal team could add more lawyers as they enter "the next phase" of deciding what to do about a potential interview between Mueller's team and the President.Trump also continues to speak regularly with Marc Kasowitz, his longtime lawyer who stepped back from leading the team months ago but remains involved.Kasowitz has long recommended that Trump take a more aggressive posture toward the Mueller investigation. That strategy was on the backburner as Dowd and Cobb worked with Mueller. Now that has all changed, as the President has reverted to his initial strategy to attack. An experienced cable news commentator, diGenova shares the President's view that the FBI and the Department of Justice have waged a corrupt battle against him.Trump's shift to managing his own legal strategy has distressed some of his lawyers. While current attorney Jay Sekulow and diGenova are friendly, lead attorney Dowd was blindsided and insulted by the President's change -- and privately threatened to quit, according to two sources.If Dowd were to leave, the other attorneys worry the change could spell disaster in their ongoing negotiation with Mueller about the President testifying. Dowd has been the main point of contact with the special counsel's team throughout the investigation. One source dismissed questions about Dowd's departure, saying that Dowd makes such threats from time to time.White House deputy press secretary Raj Shah said during an interview on Fox News Tuesday morning that there will be "no changes to the White House legal team.""We will not comment about conversations with lawyers with whom we have or have not had conversations," Sekulow said Tuesday.Trump has had trouble finding lawyers to represent him since Mueller's investigation started.Part of the hang-up for many lawyers in Washington has been the perception that the President is a politically unpopular and difficult client, one who doesn't always take the advice of his attorneys, according to multiple sources familiar with conversations with Washington attorneys.Over the weekend and Monday, Trump shouted on Twitter about the "WITCH HUNT" he perceives from Mueller. The White House was forced to declare it would not fire Mueller, even after Dowd said in an interview on Saturday that the special counsel's investigation should end. According to two sources, Trump encouraged Dowd to speak out.The President's lawyers would not be surprised if Cobb left his post, since he has essentially completed his tasks of providing witnesses for interviews and documents to Mueller, sources said. But Cobb has made it known that he would like to stay through the President's interview, if there is one.Yet Mueller's federal grand jury in Washington continues to meet weekly or more often to review evidence and hear testimony, and has even welcomed at least two witnesses in past weeks, former Trump campaign adviser Sam Nunberg and foreign policy expert George Nader, who attended meetings between foreign officials and Trump's advisers during the campaign and presidential transition. 5586

Sparkly evening dresses, corsages, and... modesty ponchos?That was a Catholic high school's solution for girls who didn't follow its prom dress code.It swiftly backtracked Tuesday after it came under a firestorm of criticism for what students called a misogynistic policy. 280