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A record number of unaccompanied immigrant children, about 14,000, are currently in US custody, a Health and Human Services spokesman said Friday.The spokesman, Mark Weber, said the additional requirements put in place by the Trump administration to "reduce risk and increase safety" for immigrant children contributed to the high number."We are taking all possible steps to protect children in an environment with many bad actors," Weber said. "We are balancing speed with safety and will err on the side of safety."The Houston Chronicle earlier reported the figure.Last spring, the Trump administration heightened scrutiny of adults coming forward to take care of the immigrant children, and Immigrations and Customs Enforcement now conducts exhaustive screenings of the adults. But many of them are undocumented themselves and fearful of ICE obtaining their information.These Trump administration policies are likely keeping these children in custody.Lawsuits have also accused the administration of extending children's stays, including allegedly holding them intentionally until they turn 18 and are eligible for stricter adult detention. Many of the children do have a legal right to stay in the US, but the legal process can take years.Weber said the high number was also due to the 50,000 Department of Homeland Security referrals of unaccompanied children this year, which he said is the third-highest annual total. DHS referred 59,170 unaccompanied children to HHS in fiscal year 2016, according to a HHS fact sheet, and 40,810 in fiscal year 2017.The number of children in custody changes daily because of referrals by DHS and HHS releases of children to sponsors, Weber said.Most of these children arrived in the US unaccompanied. Children separated under Trump's so-called "zero tolerance" policy account for less than 200 of the reported 14,000. CNN reported earlier this month there are still 171 children separated from their families, four months after a judge ordered the US government to reunite the undocumented immigrant families it had split up at the border, according to court documents.In 2016, the monthly average of the number of children in HHS's care ranged from just over 4,000 to over 9,000. 2230

A San Diego woman spent months stealing from visitors inside some of the city's fanciest waterfront hotels, Harbor Police say.Anjeanette Crumrine, 49, allegedly stole more than ,000 worth of items -- largely from the Hilton Bayfront, Manchester Grand Hyatt, and Sheraton Harbor Island. Harbor Police say she also stole a violin worth ,000 from a classroom at Point Loma Nazarene University. "It worked for her, so she just continued to do what she was comfortable with," said Harbor Police Sgt. Michael Dye. Crumrine often targeted guests attending conventions at the large hotels. She'd walk in, pick up a suitcase, purse, or briefcase, go into an empty bathroom, pick through it, before leaving, police say. Crumrine is also accused of using the stolen credit cards to buy gift cards, and one time changed into stolen clothes inside one of the hotel bathrooms before walking out. "If it's a convention you have people moving in and out of rooms," Dye said. "It's an easy target because she would go unnoticed."Police arrested Crumrine?on April 18 after a slow speed chase through Valencia Park. But the threat of petty crime isn't over.Harbor Police report 218 property crime instances so far this year, up 22 percent from the same time period in 2017."We're just extra careful. We carry all of our stuff most of the time," said Jennifer Jones, visiting from Denver. "I don't put my stuff down. I hear too many stories like that."Crumrine is now in custody at Las Colinas, accused of, identity theft, burglary, and felony evading police, among other charges. Her next court date is May 1.  1654

A Seattle woman rinsed her sinuses with tap water. A year later, she died of a brain-eating amoeba.Her case is reported this week in the International Journal of Infectious Diseases.The 69-year-old, whose name was not given, had a lingering sinus infection. For a month, she tried to get rid of it using a neti pot with tap water instead of using sterile water, as is recommended.Neti pots are used to pour saline into one nostril and out of the other to irrigate the sinuses, usually to fight allergies or infections.According to the doctors who treated the woman, the non-sterile water that she used it thought to have contained Balamuthia mandrillaris, ?an amoeba that over the course of weeks to months can cause a very rare and almost always fatal infection in the brain.Once in her body, the amoeba slowly went about its deadly work.First, she developed a raised, red sore on the bridge of her nose. Doctors thought it was a rash and prescribed an antibiotic ointment, but that provided no relief. Over the course of a year, dermatologists hunted for a diagnosis.Then, the left side of the woman's body started shaking. She'd experienced a seizure that weakened her left arm. A CT scan showed an abnormal lesion in her brain that indicated she might have a tumor, so doctors sent a sample of tissue for testing.Over the next several days, additional scans revealed that whatever was happening in her brain was getting worse. The mass was growing, and new lesions were starting to show up.Finally, a neurosurgeon at Swedish Medical Center, where the woman was being treated, opened her skull to examine her brain and found that it was infected with amoebae.The US Centers for Disease Control and Prevention rushed the anti-amoeba drug miltefosine to Seattle to try to save the woman's life, but she fell into a coma and died.According to the CDC, most cases of Balamuthia mandrillaris aren't diagnosed until immediately before death or after death, so doctors don't have a lot of experience treating the amoeba and know little about how a person becomes infected.The amoeba was discovered in 1986. Since 1993, the CDC says, there have been at least 70 cases in the United States.As in the Seattle woman's case, the infections are "almost uniformly fatal," with a death rate of more than 89%, according to the doctors who treated her and the CDC.The amoeba is similar to Naegleria fowleri, which has been the culprit in several high-profile cases.In 2011, Louisiana health officials warned residents not to use nonsterilized tap water in neti pots after the deaths of two people who were exposed to Naegleria fowleri while flushing their nasal passages. An official urged users to fill the pots only with distilled, sterile or previously boiled water, and to rinse and dry them after each use."Improper nasal irrigation has been reported as a method of infection for the comparably insidious amoeba," the doctors say in the research paper about the Seattle woman. "This precedent led us to suspect the same route of entry for the ... amoeba in our case."The woman's doctors say they weren't able to definitely link the infection to her neti pot, as the water supply to her home was not tested for the amoeba. They hope her case will let other doctors know to consider an amoeba infection if a patient gets a sore or rash on the nose after rinsing their sinuses.Kristen Maki, a spokeswoman for the Washington State Department of Health, said in an email that "Large municipal water supplies ... have robust source water protection programs" and treatment programs, and she noted that "Well protected groundwater supplies are logically expected to be free of any such large amoeba" such as Balamuthia. 3746

A new study out of a pediatric medical center in Chicago suggests that young children do not only spread COVID-19 more efficiently than adults, but they could be major drivers in the pandemic as schools start to reopen.The report was published at the end of July and examined concentrations of COVID-19 in the nasopharynx, or the upper region of the throat that connects nasal passages. According to the results, children ages 5 and younger who develop mild to moderate symptoms have 10 to 100 times as much COVID-19 in their nasopharynx as adults.“This is a very complex issue involving not just the virus, but everything else,” said Dr. Kwang Sik Kim, director of pediatric infectious disease at Johns Hopkins University Hospital. "We don’t have any real data to indicate to schools what they should do, what is the best recipe they need to follow.”The study raised concerns about the erratic behavior of children and how it could play a factor in the virus’ spread, reading, "Behavioral habits of young children and close quarters in school and daycare settings raise concern for SARS-CoV-2 amplification in this population as public health restrictions are eased. In addition to public health implications, this population will be important for targeting immunization efforts as SARS-CoV-2 vaccines become available.”“Don’t, under any circumstance, even think about opening that school for in-class instruction until you’ve got the virus under control,” said Lily Eskelsen Garcia, president of the National Education Association.Eskelsen Garcia teaches 39 6th-graders in Salt Lake City and says unless the infection rate of a community is below 5 percent, as outlined by the CDC and WHO, school districts should not even consider opening for in-person instruction.Currently, the infection rate in the United States is 7.8 percent."If you open a school before you get the infection rate under control, you will turn that school into the community’s super-spreader,” said Eskelsen Garcia.“Make a decision for today based on the information available today, and then act differently when you have data tomorrow. I think that’s the right approach,” said Dr. Kim. 2170

A rare, deadly form of skin cancer is on the rise in the US, and dermatologists are warning people to take extra care of their skin as we head into the summer months.Merkel Cell Carcinoma is found mostly among older patients, but the American Cancer Society says that there are around 1500 cases reported each year."It's devastating because it's usually not picked up until later stages," says Dr. Melanie Palm. She works at Art of Skin in Solana Beach and has treated one case of MCC. "It's more lethal than melanoma. It often has lymph node involvement. It very quickly metastasizes."Research from the ACS says the disease is often associated with a virus. But it seems to affect older people because they have more, prolonged exposure to the sun.Doctors are calling attention to MCC and other forms of skin cancer all throughout May during Skin Cancer Awareness Month. They say it's much easier to prevent Merkel Cell and other cancers than it is to treat them."We live in San Diego. I don't want people to hide from the sun," says Dr. Palm. "But I think being responsible about it is reasonable."That includes wearing sunscreen, protective clothing and regular visits to a dermatologist."It's something I tell all my friends," says Jen Massara, a skin cancer survivor. "Best case scenario is you're fine, you check that box, you're good to go. Worst case scenario, they find something, and you get it taken care of."Self-inspections are also helpful. Dr. Palm tells her patients to keep the "ABCDE's" in mind when looking at moles."A is asymmetery, if it has an odd shape," she says. "B is Border, is the border irregular on the spot. C is color. Is it dark, pink or have several colors. D is diameter. We don't like anything bigger than a pencil head. And E is evolution, has it grown or changed over time."As for sunscreen, Dr. Palm says you want to make sure zinc oxide or titanium dioxide have the highest percentage of all the active ingredients. She says those minerals offer the best protection against the sun's rays.For more information about Merkel Cell Carcinoma, or to see a picture of what it looks like, visit the Mayo Clinic's Website here. 2172