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After slamming Florida and lashing Georgia, Michael is far from finished as it swirls northeast, threatening the storm-weary Carolinas. Since making landfall on Wednesday as a powerful Category 4 hurricane, the now tropical storm has left thousands of people without power, uprooted trees, turned homes and marinas into ruins and killed at least 2 people.Live updates on Hurricane Michael"It feels like a nightmare," Linda Albrecht, a councilwoman in Mexico Beach, Florida, said of the catastrophic damage in her town. "Somebody needs to come up and shake you and wake you up."The wrath of Michael continued into Georgia, bringing possible tornadoes and winds that kept first responders away from the streets for hours --- even as the storm weakened and became a tropical storm.On Thursday, authorities and residents will begin to discover the full extent of Michael's destruction in Florida and Georgia while the Carolinas brace for possible flooding, tornadoes and dangerous winds in many of the same areas still recovering from Hurricane Florence flooding.Michael is expected to drop 4 to 7 inches of rain from eastern Georgia to the southern Mid-Atlantic and up to 9 inches of rain in isolated parts of North Carolina and Virginia, the National Hurricane Center said."While we will not see the full force of Hurricane Michael the way Florida will, we could see gusty winds, rain, flash flooding and even tornadoes," South Carolina Emergency Management Director Kim Stenson told CNN affiliate WACH.  1520

A woman who was 16 when she killed a Nashville man who solicited her for sex must serve at least 51 years in prison before she's eligible for release, according to the Tennessee Supreme Court.On Thursday the court said defendants like Cyntoia Brown, who are convicted of first-degree murder committed after July 1, 1995, and sentenced to life imprisonment, can't become eligible for release from prison before serving more than five decades.The court's five justices were unanimous in their decision against Brown, who was convicted of killing a 43-year-old man in 2004 when he took her to his house for sex. Brown has said she killed him after she feared he would kill her.Thursday's ruling came in response to a lawsuit in which Brown argues her sentence is unconstitutional, citing a 2012 opinion by the US Supreme Court that said mandatory life sentences without parole for juvenile offenders violate the US Constitution.The Tennessee Supreme Court explained in a statement that "under state law, a life sentence is a determinate sentence of 60 years. However, the sixty-year sentence can be reduced by up to 15 percent, or 9 years, by earning various sentence credits."According to the Tennessee code, those credits include recognition for good behavior or participation in educational or vocational training programsA district court previously denied Brown's motion, per court documents, pointing out she hadn't been sentenced to life in prison without the possibility of parole -- just a life sentence.The case is pending judgment by the US Sixth Circuit Court of Appeals, which asked the Tennessee Supreme Court to share its opinion. 1649

After struggling to ramp up coronavirus testing, the U.S. can now screen several million people daily, thanks to a growing supply of rapid tests. But the boom comes with a new challenge: keeping track of the results.All U.S. testing sites are legally required to report their results, positive and negative, to public health agencies. But state health officials say many rapid tests are going unreported, which means some new COVID-19 infections may not be counted.And the situation could get worse, experts say. The federal government is shipping more than 100 million of the newest rapid tests to states for use in public schools, assisted living centers and other new testing sites.“Schools certainly don’t have the capacity to report these tests,” said Dr. Jeffrey Engel of the Council of State and Territorial Epidemiologists. “If it’s done at all it’s likely going to be paper-based, very slow and incomplete.”Early in the outbreak, nearly all U.S. testing relied on genetic tests that could only be developed at high-tech laboratories. Even under the best circumstances, people had to wait about two to three days to get results. Experts pushed for more “point-of-care” rapid testing that could be done in doctors offices, clinics and other sites to quickly find people who are infected, get them into quarantine and stop the spread.Beginning in the summer, cheaper, 15-minute tests — which detect viral proteins called antigens on a nasal swab — became available. The first versions still needed to be processed using portable readers. The millions of new tests from Abbott Laboratories now going out to states are even easier to use: they’re about the size of a credit card and can be developed with a few drops of chemical solution.Federal health officials say about half of the nation’s daily testing capacity now consists of rapid tests.Large hospitals and laboratories electronically feed their results to state health departments, but there is no standardized way to report the rapid tests that are often done elsewhere. And state officials have often been unable to track where these tests are being shipped and whether results are being reported.In Minnesota, officials created a special team to try and get more testing data from nursing homes, schools and other newer testing sites, only to be deluged by faxes and paper files.“It’s definitely a challenge because now we have to do many more things manually than we were with electronic reporting,” said Kristen Ehresmann, of the Minnesota Department of Health.Even before Abbott’s newest BinaxNOW rapid tests hit the market last month, undercounting was a concern.Competitors Quidel and Becton Dickinson have together shipped well over 35 million of their own quick tests since June. But that massive influx of tests hasn’t showed up in national testing numbers, which have mostly ranged between 750,000 and 950,000 daily tests for months.Besides tallying new cases, COVID-19 testing numbers are used to calculate a key metric on the outbreak: the percentage of tests positive for COVID-19. The World Health Organization recommends countries test enough people to drive their percent of positives below 5%. And the U.S. has mostly been hovering around or below that rate since mid-September, a point that President Donald Trump and his top aides have touted to argue that the nation has turned the corner on the outbreak. The figure is down from a peak of 22% in April.But some disease-tracking specialists are skeptical. Engel said his group’s members think they aren’t getting all the results.“So it may be a false conclusion,” he said.One of the challenges to an accurate count: States have wildly different approaches. Some states lump all types of tests together in one report, some don’t tabulate the quick antigen tests at all and others don’t publicize their system. Because antigen tests are more prone to false negatives and sometimes require retesting, most health experts say they should be recorded and analyzed separately. But currently the vast majority of states do not do that and post the results online.The federal government is allocating the tests to states based on their population, rather than helping them develop a strategy based on the size and severity of their outbreaks.“That’s just lazy” said Dr. Michael Mina of Harvard University. “Most states won’t have the expertise to figure out how to use these most appropriately.”Instead, Mina said the federal government should direct the limited test supplies to key hot spots around the country, driving down infections in the hardest-hit communities. Keeping tighter control would also ensure test results are quickly reported.Johns Hopkins University researcher Gigi Gronvall agrees health officials need to carefully consider where and when to deploy the tests. Eventually, methods for tracking the tests will catch up, she said.“I think having the tools to determine if someone is infectious is a higher priority,” she said.___AP data journalist Nicky Forster contributed to this story___Follow Matthew Perrone on Twitter: @AP_FDAwriter___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5285

ALEXANDRIA, Ind. -- More than a dozen small dogs were rescued from one of the worst cases of animal hoarding officials in Madison County, Indiana say they have ever seen. Madison County Sheriff's deputies responded to a complaint about dogs barking at a home on Trenton Street in Alexandria on Saturday just after 2 p.m. Responding deputies said the smell from the home was so strong that it reached the driveway and the homeowner had to walk around feces to exit the home. Inside the home, deputies found 18 Shih-Tzu and Rat Terrier mixed dogs with severely matted and unkempt fur and fecal matter on the floors throughout the home. The dogs appeared to be well fed, according to deputies but were in need of intensive care. “When we’re called to help with a situation like this, and you can smell the urine from the driveway…you know it’s going to be really bad,” said Maleah Stringer, Director of the Animal Protection League, Inc. (APL), the city of Anderson’s animal shelter. “There has to be some point along the way that people have to realize they can’t handle caring for this many dogs, and they need help. Sadly, too many don’t make that call and the dogs end up paying the price.”Several of the dogs in the home were being kept inside a small bedroom that was covered in mold and feces. The smell of ammonia inside the home was so intense that two deputies had to be treated for exposure. The owner voluntarily surrendered all 18 dogs to the Animal Protection League of Madison County. According to the APL, one of the dogs was in such poor shape that it had to be euthanized.  “We are hopeful the remaining 17 dogs are eventually healthy enough to be adopted," said Stringer. "Right now, we’re looking at about 0 per dog just to get the basic veterinary care. The cost for those with medical issues is going to be even more.”You can follow the dog’s progress and learn more about how you can help on the Animal Protection League of Madison County's Facebook page. 2041

Allergan has recalled almost 170,000 sample packs of birth control pills because of a packaging error that could put consumers at risk for unintended pregnancy.According to the recall, four placebo capsules were placed out of order in a sample pack of Taytulla and the first four days of therapy had four non-hormonal placebo capsules instead of active capsules."As a result of this packaging error, oral contraceptive capsules, that are taken out of sequence, may place the user at risk for contraceptive failure and unintended pregnancy," The recall states. "The reversing of the order may not be apparent to either new users or previous users of the product, increasing the likelihood of taking the capsules out of order."Allergan says they are notifying customers by recall letter and is arranging for return of all recalled sample pack product with the lot #5620706 Exp. May 2019. Consumers who have the sample pack product with the associated lot number should notify their physician to arrange a return.   Consumers with questions regarding this recall can contact Allergan by phone at 800-678-1605 8 a.m. to 8 p.m. Monday through Friday. Consumers should contact their physician or healthcare provider if they have questions.Click here for more information. 1308

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