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The Illinois Department of Public Health is investigating nine recent cases of acute flaccid myelitis, also called AFM, according to a statement Wednesday.All of the cases are in patients younger than 18 and have been clinically diagnosed by health care providers, the statement said. State health officials are working with the care providers to obtain the samples and information to send to the US Centers for Disease and Prevention for testing and confirmation of the diagnoses."The CDC will make the final determination on diagnoses and numbers are subject to change," the statement said.All of the patients are "from northern Illinois," according to the health department, but no other location information was provided.Since 2015, when Illinois began monitoring reports of AFM in the state, four confirmed cases have been identified.AFM is a polio-like illness that affects a person's nervous system, including the spinal cord. Symptoms can include sudden limb weakness, loss of muscle tone and reflexes, facial and eyelid drooping, facial weakness, difficulty moving the eyes, swallowing difficulty or slurred speech, according to the CDC.The rare condition can be caused by a virus, a genetic disorder and environmental toxins.There is no treatment other than managing each patient's symptoms.Dr. Rachel Herlihy, the Colorado state epidemiologist, said the best prevention is frequent handwashing and keeping kids home when they are sick.On Tuesday, the Colorado Department of Health said?it has confirmed 14 cases there this year. All of the patients are children who have needed to be hospitalized, the department said, noting that "nearly all have fully recovered.""The state health department has been monitoring this situation closely since early spring. In addition to investigating the outbreak, the state health department has issued alerts to health care providers on how to test for the viruses and enhanced guidance to child care centers on infection prevention," the department said in a statement.The type of viruses found in 12 of the Colorado cases, enterovirus, typically increases in summer and fall and is common, the state department of health said. However, 11 of the Colorado cases of AFM have tested positive for EV A71, a rare type of enterovirus not usually seen in the US, rather in Asia and other parts of the world, according to Herlihy. "This is certainly the largest outbreak of enterovirus A71 we've seen in Colorado."She referred to these 11 cases as an outbreak within an outbreak. "We have 41 cases of children who have had some sort of illness of enterovirus A71, which is causing a wide spectrum of neurological illness."In previous years, cases of AFM in Colorado and elsewhere have been positive for a different enterovirus, EV-D68.On Friday, the Minnesota Department of Health said it was investigating six cases of AFM in children over the past few weeks but did not identify what virus or other cause may have led to the illnesses.As of September 30, according to the CDC, 38 cases of AFM have been confirmed in 16 states. This does not include all of the 14 cases announced by Colorado, as some of those cases were confirmed after September 30. It also does not include the cases in Minnesota or Illinois, as they are not confirmed.Since August 2014, when the CDC began tracking the illness more closely, the agency has reported 362 cases.In 2017, 33 cases were reported in 16 states. One hundred forty-nine cases were reported in 39 states in 2016 and 22 cases in 17 states in 2015. 3570

The Michigan Department of Transportation says 40-50 cars and semis have been involved in an accident on I-94 in Jackson County, located about 80 miles west of Detroit.According to an MDOT traffic map, the crash appears to be on Westbound I-94 at Race Rd., exit 147 between Ann Arbor and Jackson.Three people reportedly suffered minor injuries in the pileup.According to the Jackson County Sheriff's Office, Michigan State Police, the Jackson County Sheriff's Office and Blackman-Leoni Public Safety are responding to the crash scene.Westbound I-94 is currently closed at the accident site.   610

The killing of the Saudi journalist Jamal Khashoggi in Saudi Arabia's Istanbul consulate was premeditated, the country's attorney general said Thursday.According to the statement posted by the Saudi state news agency, the latest evolution in the official version of events surrounding Khashoggi's death came after new information was received from Turkish investigators."The public prosecution received information from the Turkish side through the Joint Working Group between the Kingdom of Saudi Arabia and the Turkish Republic, indicating that the suspects in Khashoggi's case premeditated their crime," Attorney General Shaikh Suood bin Abdullah Al Mo'jab said."The public prosecution continues its investigations with the accused in accordance with the latest investigation results to reach the facts, God willing, and complete the course of justice."The development comes as CIA director Gina Haspel is set to brief US President Donald Trump on the investigation into Khashoggi's death.Haspel traveled to Turkey on Monday, apparently to assess information the Turks have collected on Khashoggi's killing inside the Saudi Consulate in Istanbul. The Washington Post reported Wednesday that Haspel listened to audio purportedly of his interrogation and murder while she was in Turkey. Trump also said the US has sent officials to Saudi Arabia to get more information on the killing, which has spiraled into a crisis.Turkish investigators continue to hunt for clues to the whereabouts of Khashoggi's body.  1521

The Iran nuclear deal may be doomed, at least if you believe the global oil market.Oil prices have surged?partly because of mounting expectations that President Trump will kill the 2015 agreement, which allowed Iran to export more crude. Trump must decide by May 12 whether to re-impose sanctions on the OPEC nation.Brent crude, the global benchmark, briefly soared above a barrel on Monday after Israel leveled new nuclear allegations against Iran.Bringing back sanctions on Iran could knock out as much as 1 million barrels per day of crude supply, dealing a blow to increasingly fragile energy markets."There will be a significant disruption," said Michael Wittner, global head of oil research at Societe Generale."The market is assuming that oil sanctions will snap back onto Iran," he said.Trump said on Monday that Israeli Prime Minister Benjamin Netanyahu's speech on Iran helps show he's "100% right" about the Iranian nuclear agreement, which was signed by former President Barack Obama."We'll see what happens," Trump said about his decision on the Iran deal. "I'm not telling you what I'm doing, but a lot of people think they know."The oil market certainly thinks it knows. The price of Brent crude has soared 7% this year, and the US benchmark has soared 8% to nearly a barrel for the first time since late 2014. Oil prices have been lifted by concerns about the fate of the Iran deal as well as strong demand and supply cuts by OPEC and Russia."The Iranian nuclear deal is dead in the water and a Trump torpedo is fast approaching," Stephen Brennock, oil analyst at brokerage firm PVM Oil Associates, wrote to clients late last week.Under the deal, Iran agreed to limits on its nuclear activities, including bans on enrichment at key facilities. In exchange, sanctions were lifted in early 2016, freeing Iran to quickly boost its oil production by about 1 million barrels per day. Iran found eager customers for its crude in Europe, Japan, India and South Korea.It's "now looking increasingly likely" that Trump will not renew the waiver on Iranian sanctions by May 12, according to energy research firm FGE. 2153

The National Rifle Association should move its annual convention from Dallas to somewhere else after last week's massacre at a Florida high school that left 17 students dead, a Dallas city official says.It's not appropriate for the group to meet in Dallas in May because there's so much gun violence in the United States, Dallas City Council Member Dwaine Caraway saidAssault rifles like the one used in the Florida school shooting should be outlawed, he said Monday at a news conference, and "the NRA needs to step up to the plate and they need to show leadership."CNN's calls to the NRA for comment were not immediately returned.Caraway, who is serving as mayor pro tem, meaning he fills in when the mayor is absent, said he's expressing a personal belief about the NRA and has not initiated any action in the city government to stop the convention.At a Monday news conference, Caraway said he had not spoken directly to any NRA officials."I am saying to the NRA, reconsider yourselves coming to Dallas," Caraway said. "There will be marches and demonstrations should they come to Dallas and we, Dallas, will be the ones that have to bear the cost and the responsibility and to protect the citizens."Caraway noted that gun violence has visited Dallas before, with the 1963 assassination of President John F. Kennedy and the 2016 slaying of five city police officers. Caraway said he owns five firearms himself but thinks assault rifles should only be available for the military and law enforcement."Who needs an AR-15 to go hunting?" he said. "Who needs an AR-15 to protect their house?"The NRA convention is scheduled to take place May 3-6 in the Kay Bailey Hutchison Convention Center in Dallas. This is the group's 147th annual meeting, according to the NRA website, which invites "over 80,000 patriots and 800+ exhibitors" to attend."Why the NRA now?" Caraway said. "Because it's their convention. It's because it's their responsibility. It's because they stand for the very things we are confronted with every day of our lives. Those kids in Florida, they will have to live with these nightmares the rest of their lives."In a Tuesday interview with CNN, Caraway said leaders should listen to those students."If those kids in Florida, for example, knew that something was being addressed then they wouldn't be staging protests," he said. "Those kids need to be at the table, and voicing their opinions. The NRA needs to open their ears and hear what is it we need to strengthen, what it is we need to limit, and then everyone comes out happier and safer."Dallas Mayor Mike Rawlings issued a statement saying he disagreed with the NRA's viewpoint and tactics, but "they have a legal contract that was signed in 2012 and I'm not advocating that we violate that agreement. Hopefully we will take the opportunity in Dallas to engage in meaningful dialogue about how we work together to end mass killings in America."President Trump spoke at the 2017 NRA convention, which was held in Atlanta. It's not known if he will attend the 2018 meeting.  3059