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There have been 80 confirmed cases of the polio-like illness known as AFM in 25 states this year as of Friday, the US Centers for Disease Control and Prevention said Monday.In addition, there are 139 cases under investigation for a total of 219 confirmed and suspected.This is eight more confirmed cases than the agency reported last week and 20 additional patients under investigation.The CDC noted an increase in reports of patients under investigation who began experiencing symptoms in August, September and October. It has not identified the 25 states with confirmed illnesses, nor has it said how many states are reporting cases under investigation.AFM, or acute flaccid myelitis, is a rare illness that affects the nervous system, especially the gray matter in the spinal cord, and can cause muscle weakness and sudden onset of paralysis. Last month, the CDC said that 90% of patients since 2014 have been children under the age of 4, although adults can also develop AFM.Other symptoms include drooping of the face or eyelids, difficult eye movement, trouble swallowing or slurred speech.Research is underway to determine the cause of AFM, although there is a focus on enteroviruses, which can cause respiratory illness and West Nile virus, and other viruses in that family.According to the CDC, there have been 404 confirmed cases in the United States since August 2014. The number of cases may be higher, but the condition is not subject to mandatory reporting, so not all cases are reported to state health departments and therefore may not be counted by the CDC."Even with an increase in cases since 2014, AFM remains a very rare condition. Less than one in a million people in the United States get AFM each year," the CDC says.AFM peaks every other year seasonally in late summer and fall. but experts have yet to identify a single factor geographically or otherwise to explain the cause. Also unknown: why some patients recover and others have prolonged effects. 1985
This morning, I tested positive for COVID-19. I am experiencing mild symptoms, and am following all appropriate protocols, including being in quarantine and conducting contact tracing.— Andrew H. Giuliani (@AndrewHGiuliani) November 20, 2020 249

This year's pandemic could have a long-term impact on our country's healthcare system. The crisis is inspiring a new generation of health care professionals."Growing up, I was always pretty interested in science. I have a few family members who are in medicine and nursing," said University of Colorado fourth-year medical student Lauren Heery. "Helping people through my direct knowledge as a scientist, and now as a medical student, was I think what interested me the most."She, like many medical students across the country, has found herself in a unique situation because of the pandemic."As all of the COVID things happened, as medical students, we’re not able to continue with our clinical rotation, just given the increased risk to us, the patients, and limited supplies that needed to be prioritized for staff," said Heery.So, she shifted gears and ultimately made the decision to spend a year researching the virus."I got involved with a few projects with the infectious disease division at University Hospital, as I was sitting on my hands waiting to get back into the clinical setting," said Heery.One of those projects is looking at the racial and ethnic disparities in the disease."Coronavirus kind of came together with a lot of my interests that I had been kind of working on. But the pandemic really fueled me to do something a little bit different and try to help figure things out," said Heery.With thousands of medical students having to change their plans, Heery is not alone. But because of the pandemic, she says she has a renewed appreciation for her chosen field."Just hearing the frontline stories from the people who I know who have been working in the hospital during this time, just has made me so grateful that I am going into this profession," said Heery. 1793
Today, I issued the following statement in response to a tweet from President Trump, where he agrees with the false claim that Renown Hospital’s alternate care site is “fake.” My full statement is below: pic.twitter.com/6G1GqvDdRr— Governor Sisolak (@GovSisolak) December 1, 2020 287
TOPEKA, Kan. – Republican Rep. Roger Marshall has won an open Senate seat in Kansas in a tougher-than-expected race that saw his Democratic opponent far outraise him.Marshall is an obstetrician who has represented western and central Kansas in Congress for two terms. He prevailed against Democratic state Sen. Barbara Bollier.Marshall entered the campaign with the GOP’s traditional advantages in a state that tends to vote for conservatives. Republicans haven’t lost a Senate race in Kansas since 1932. But Bollier, a former Republican, excited Democrats and raised more than million to set a Kansas record that Marshall couldn’t match.Bollier pitched herself as an independent and common-sense centrist, but Marshall portrayed her as too liberal for Kansas.Marshall will succeed retiring four-term Republican Sen. Pat Roberts. 841
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