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The epicenter of the quake was far from the central Sulawesi city of Palu, which was devastated by an earthquake and tsunami in September, but it was felt there and and people ran into the streets in panic. 206

The Cuyahoga County Board of Health and Summit County Public Health are both applying for state funding, as is the Cleveland Department of Public Health."I think that the funds show a commitment by the state level health department to aggressively address this outbreak," said Andrew Heffron, clinic supervisor at the Cuyahoga County Board of Health.Heffron said the number of hepatitis A cases statewide has been steadily increasing since the outbreak began more than a year ago.Hepatitis A is a virus that affects the liver, according to Heffron, who described some of the common symptoms as "abdominal pain, very dark yellow urine, nausea and the most common symptom that people think about is jaundice, which is yellowing of the skin."The virus is commonly foodborne, but according to Persis Sosiak, commissioner of health at the Cleveland Department of Public Health, that's not the case in this outbreak."In this particular outbreak, it is much more associated with intimate contact and risky behaviors," Sosiak said.County and local health departments are trying to reach at-risk populations through vaccination and education."That includes individuals incarcerated, the homeless population, men who have sex with men," Heffron said.It also includes people traveling to developing countries and people who use illicit drugs, whether the drugs are injected or not.The number of cases in this outbreak is much higher than in a typical year, Heffron said, and those who are most in need of vaccination are very young children and people with liver diseases such as hepatitis B or hepatitis C."Historically, Ohio has about 40-some cases a year, so it’s a little concerning that we’re at the numbers we’re at," Heffron said."The hepatitis A vaccine consists of two doses, one of which is 94 to 95% effective on its own," Sosiak said."We would always recommend two doses, but if even getting one, you are giving yourself or your family a high degree of protection against the infection," Sosiak said.While medication can be given to help with hepatitis A symptoms, Heffron said the virus usually clears itself from someone's system with rest and fluids. 2154

The case resulted in criminal convictions and Hannah was scheduled to begin serving her sentence at the Jackson County Jail on June 11th, 2019. She did not show up for her sentencing, police said.Concerned relatives, who'd not heard from the family, reported them missing to Medford police the same day her sentence was set to start.The search was conducted in Oregon and Montana. 380

The fire was reported shortly after 9 p.m. Tuesday at the Del Mar Beach Club at 825 South Sierra Ave., near the Del Mar Fairgrounds, according to authorities. 158

The cruise ship, which had roughly 3,500 people aboard -- with at least 900 of them Californians -- was being held off the coast of Northern California before it was allowed to dock in Oakland on Monday. 203