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When cruise lines begin sailing again, the Centers for Disease Control and Prevention has some guidance. The health agency issued their “framework for resuming safe and responsible cruise ship” operations Friday, ahead of the no-sail order expiring Saturday.The no-sail order, which originally began in April, prohibits cruise ships from carrying 250 passengers in waters subject to US jurisdiction.The CDC said it has identified at least 3,689 coronavirus-related illnesses, and 41 associated deaths, connected to cruise ships. Although the CDC cautions these figures are likely an underestimate.The framework urges a phased approach, and applies to ships that have the capacity to carry at least 250 passengers in waters subject to U.S. jurisdiction.“A phased approach is necessary because of the continued spread of the COVID-19 pandemic worldwide, risk of resurgence in countries that have suppressed transmission, ongoing concerns related to restarting of cruising internationally, and need for additional time for the cruise industry to test the effectiveness of measures to control potential COVID-19 transmission on board cruise ships with passengers without burdening public health,” a statement from the CDC reads.During the beginning, cruise line operators will have to demonstrate adherence to testing, quarantine and isolation plans, as well as social distancing requirements for passengers and crew members.The CDC says they will help by “establishing a laboratory team dedicated to cruise ships to provide information and oversight of COVID-19 testing,” updating instructions and creating a system to track ship status and passenger cases.Meanwhile, cruise lines will need to build out the capacity and ability to test crew and passengers on a regular basis.In their framework, the CDC says there may be simulated, or mock, voyages with volunteers to test cruise ship operators’ ability to apply COVID-19 mitigation measures.Although the no-sail order will be lifted, Carnival, Royal Caribbean and other cruise lines have already cancelled sailings until 2021. 2083

While public health experts have acknowledged the risk for healthy athletes when becoming infected with the coronavirus has been rather low, lingering questions have remained on if the virus causes long-term cardiac damage.Doctors from the Sports and Exercise Cardiology Section of the American College of Cardiology released some of their preliminary findings on the effect the coronavirus has on athletes’ hearts.With college football fully resuming this week with the return of the Pac-12, and college basketball slated to get underway next month, sports are beginning to return to normal amid the pandemic. While some athletes are being frequently tested for the virus, testing alone has not stopped team-wide outbreaks from occurring.Despite there being some limited evidence that the virus causes cardiac injury to athletes, researchers wrote in JAMA that heart damage alone should not be the primary reason to postpone athletic competitions amid the pandemic.“While concerns about the implications of cardiac injury attributable to COVID-19 infection deserve further study, they should not constitute a primary justification for the cancellation or postponement of sports,” the researchers wrote.“Rather than canceling sports because of unsubstantiated concerns about cardiac safety based on limited data of unestablished clinical relevance, this decision should be driven by the need to limit viral spread,” researchers added. “With uncontrolled community transmission, we share concerns with public health officials about risks of increased disease transmission attributable to the resumption of organized sports. Accordingly, the decision to proceed with or delay organized sports should be based on community disease prevalence, coupled with the availability of resources that can be responsibly allocated to identify and prevent new infections among athletes.”The researchers said that initial findings have produced only a handful of cases of cardiac injury, but stressed that more research is needed.“Reports of presumptive myocarditis among several athletes with high profiles have magnified concerns about COVID-19 CV sequelae in athletes,” the researchers wrote. “Our combined experience suggests that most athletes with COVID-19 are asymptomatic to mildly ill, and to date, (return to play) risk stratification has yielded few cases of relevant cardiac pathology. However, we underscore that these observations may not reflect the true prevalence and attendant prognosis of COVID-19 CV involvement in athletes.”As far as what players should do following their 10-day isolation period, assuming they minimal coronavirus symptoms?“We do not advocate for (cardiovascular) risk stratification among athletes who remain completely asymptomatic with prior COVID-19 infection, following completion of US Centers for Disease Control and Prevention (CDC) guided self-isolation,” the researchers wrote. “Given the current lack of published data, consideration of comprehensive screening for this population could be reasonable if it is based on research and data collection.”The Big Ten, which was among several leagues that held out on playing at the start of the football season, requires athletes to undergo cardiovascular screening following a positive coronavirus test. Part of what concerned the Big Ten initially was reports that a number of its athletes who tested positive for the virus had shown myocarditis symptoms.According to the National Institutes of Health, myocarditis is an acute injury that “leads to myocyte damage, which in turn activates the innate and humeral immune system, leading to severe inflammation.”“All COVID-19 positive student-athletes will have to undergo comprehensive cardiac testing to include labs and biomarkers, ECG, Echocardiogram and a Cardiac MRI,” the Big Ten said in a statement. “Following cardiac evaluation, student-athletes must receive clearance from a cardiologist designated by the university for the primary purpose of cardiac clearance for COVID-19 positive student-athletes. The earliest a student-athlete can return to game competition is 21 days following a COVID-19 positive diagnosis. “In addition to the medical protocols approved, the 14 Big Ten institutions will establish a cardiac registry in an effort to examine the effects on COVID-19 positive student-athletes. The registry and associated data will attempt to answer many of the unknowns regarding the cardiac manifestations in COVID-19 positive elite athletes.”To read an abstract of the research, click here. 4546

With most Kindergarten through grade 12 schools starting in less than a month, many parents are trying to figure out what is best for their family when given the option between in-person or virtual learning?What about preschool for 3 to 5-year-olds who were looking forward to in-person learning this fall?For parents who believe it’s safer to keep their child home, there are ways to get them learning beyond the A, B, C’s.“With our younger children we know they really thrive in predictability and routine and that is all gone right now,” said parenting expert Carly Dorogi.Preschool participation has fallen by half during the pandemic, according to the National Institute for Early Education Research. But that doesn’t mean kids can’t learn at home.Dorogi says children ages 3 to 5 can learn math using everyday items.“If I have five Cheerios on the table this is what five looks like and it’s a small amount compared to when I have ten Cheerios on the table,” Dorogi said.Playing with dolls or action figures can help language skills, forcing children to talk and put sentences together. Playtime is motor skills time.“Our little guys can actually improve their handwriting by playing with play dough or doing anything that’s a small motor that strengthens their hand muscles,” Dorogi said.If you want to introduce virtual learning, Dorogi suggests Osmo’s starter kit. It’s an app and hands-on play.If you’re looking for workbooks, check out Grand Haven-Based School Zone Publishing. They say their preschool-aged items have been selling more now due to the pandemic. And they have an app called Anywhere Teacher that has a curriculum to follow.Barbara Peacock is the managing director of School Zone Publishing.“What they need to learn first, then next and it’s a step by step program so it’s really nice to kind of tie the two together both print material, doing flashcards, working on worksheets and then putting them for 30-minutes a day on Anywhere Teacher and working with them,” she said.It is OK if your preschooler can’t sit still.“They need to move," Dorogi explained. "Sitting at a desk for even an hour is too much and I don’t want parents to feel like that’s the expectation. So, think about alternative seating. If your child learns best laying on the floor or sitting in a bean bag.”Dorogi suggests something as simple as a yoga ball on a milk crate that allows your fidgety child to focus.“That is truly how their brain works and when we allow them to move and interact and talk that’s when they are going to learn,” she said.This story was originally reported by Syma Chowdhry at WXYZ. 2615

When you leave the big cities and head out to lesser populated areas of the United States, you realize President-elect Joe Biden may have won but President Donald Trump still enjoys plenty of support. "Since I was 18, I voted for Democrats, every time, but this year I voted for Trump," Scott Will, a new Trump voter in Westmoreland County, Pennsylvania, said. "My dad, he is a Joe Biden fan. He is calling me and teasing me about," Will said jokingly. While Trump is projected to lose the 2020 election, he did set voting records. Thus far, Trump has received more than 10 million more votes than four years ago. That is more votes than any American presidential candidate in history, except Biden. CHANGING REGIONS POLITICALLY While he lost the election, Trump did improve his margins in several key areas around the country. In Kenosha County, Wisconsin, Trump did 3% better. In Miami-Dade County, Florida, Trump did `12% better. And in Mahoning County, Ohio Trump actually flipped this county for the first time since Eisenhower. For perspective, this county, which includes Youngstown, Ohio, went for the Obama/Biden ticket in 2008 by 30 points. "The funny thing here is Trump stole the Democratic message. Can the Democrats steal it back?" Paul Sracic, a political scientist at Youngstown State University, said. Sracic said in defeat, Trump's legacy maybe forever changing politically places like Youngstown. Sracic said old trade deals, like NAFTA, were particularly toxic in this part of Ohio and voters rewarded Trump for getting rid of it and promising old jobs would come back. "Trump didn’t create these voters, they were waiting for Trump," Sracic said.WILL THESE VOTERS RESPECT BIDEN? At Thanos Restaurant in Mahoning County, Ohio, diners here know how Trump changed this area's politics. Ken Morrow eats here twice a day. In 2016, he voted for Bernie Sanders. In 2020 he voted for Trump. "For me, it's confusing," Morrow said, commenting on the election results and Trump's refusal to concede. His advice to Biden? "We need a lot of good paying jobs around here, everything is gone," Morrow said. Every Trump voter we spoke with said they would respect Biden come January 20th."I am very conservative," Jean Hasey said. "He’s going to be my president because I'm an American and a patriot," Hasey added. But she said -- uniting the country may be a tall task. "I think it’s going to be hard, very very hard," Hasey added. 2447

When Linda Beigel Schulman heard that a geography teacher was among the victims of the Parkland shooting, she knew it was her son. And she knew she had to be with him.Schulman, her husband and her brother rushed to look for flights out of the New York area. They couldn't find an open seat with a commercial airline, so they called Talon Air, a charter jet company, to fly to Scott's side.The company's clients include Martha Stewart and Lebron James, according to their website."I had no idea what the charge was at the time. It really didn't matter what the charge was," she told CNN. "I was convinced in my mind that my son was in the hospital and I needed to get to him as fast as possible."What Schulman did not expect, however, was that she would be charged an additional ,000 for the empty plane's return to New York the next day, bumping the bill up to a total of ,459.13 dollars.Once she landed, Schulman learned her son, Scott J. Beigel, had died that February day after unlocking his classroom door to allow students to seek shelter. He was one of the 17 people who lost their lives after Nikolas Cruz opened fire in the halls of Marjory Stoneman Douglas High School.The family promptly paid the whole amount with funds from Scott's life insurance policy. But they asked Talon Air to reconsider the return flight charge since they did not travel back on the plane. The company refunded ,000 dollars and told them it was all they could do. 1475

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