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Toxic smog cloaks New Delhi morning after Diwali festivities

Toxic smog shrouded the Indian capital as air quality plummeted to hazardous levels Thursday after t..

Toxic smog shrouded the Indian capital as air quality plummeted to hazardous levels Thursday after tens of thousands of people set off a multitude of firecrackers to celebrate the major Hindu festival of Diwali.

With schools closed for holidays, many young children stayed indoors to escape the pollution levels in New Delhi that shot up to 681, as reported by the U.S. Embassy Thursday morning from 200 a day earlier. That measurement of small particulate matter in the air is 20 times higher than what's considered safe by the World Health Organization and could seriously aggravate heart or lung diseases.

The government blamed the toxic stew on a combination of burning of stubble in agricultural fields and firecrackers. The Indian Institute of Tropical Meteorology said an increasing surface wind speed is expected to disperse pollutants in two to three days.

Many revelers flouted the Supreme Court order that firecrackers could be exploded only between 8 p.m. and 10 p.m. Wednesday. It also said that only less polluting firecrackers could be made and sold.

Rias Ahmed, an auto rickshaw driver, said it was highly unlikely that air pollution was going to decrease in and around the Indian capital.

"I have been driving an auto rickshaw since 1994, for 24 or 25 years, and it has been very difficult due to the high pollution. Sometimes when we clean our nose, it's all black. When we spit or cough, that's all black. This is a problem."

Mohammad Shahid Raza, a young student, said people let off firecrackers until 1 a.m. Thursday in a south Delhi neighborhood where he lived. "It was very noisy, and on top of that the pollution level was so high, that when I went outside my house to buy some water, I could see dark clouds, and everything was completely dark. This is not good."

Authorities this week tried to reduce dust by sprinkling water in many neighborhoods and ordering builders to cover construction sites. Coal-based power stations in the Indian capital region have been shut down.

The transport department was checking buses entering the region for valid emission papers and threatening to punish violators. The government has banned diesel vehicles that are more than 10 years old. On Wednesday, it banned the entry of diesel-run trucks into New Delhi from Nov. 8-10 to control the pollution levels. Only those bringing food supplies and vegetables are being allowed.

Crop burning peaks in early November as farmers prepare their fields for sowing winter crops, mainly wheat. They have been ignoring government warnings of a penalty, saying they can't afford to buy harvesting machines.

The Central Pollution Control Board is considering cloud seeding to induce artificial rain to the air wasn't clearer by next week, the Press Trust of India reported.

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Officials investigating 252 possible cases of polio-like illness AFM

Officials are now investigating 252 cases of possible acute flaccid myelitis (AFM), including 90 con..

Officials are now investigating 252 cases of possible acute flaccid myelitis (AFM), including 90 confirmed cases in 27 states, according to the Centers for Disease Control and Prevention.

The number of cases under investigation by the CDC is up 33 from last week, and the number of confirmed cases rose by 10, Dr. Nancy Messonnier, the director of CDCs National Center for Immunization and Respiratory Diseases, told reporters Tuesday.

Acute flaccid myelitis is a condition that has polio-like symptoms such as partial paralysis. The virus mostly affects children and young adults. The CDC said they do not know why the condition is impacting these individuals, but many believe it is caused by viruses. The CDC emphasized it remains a rare condition and said there have been no reported deaths from AFM so far in 2018.

The typical symptoms of AFM are similar to those of a severe respiratory illness, along with a fever, but then progress into neurological symptoms. Some patients with AFM feel weakness in their arms or legs, a loss of muscle tone or slower reflexes.

Some patients may also exhibit facial droop or weakness, difficulty moving their eyes and drooping eyelids or difficulty with swallowing or slurred speech. The most severe symptom is respiratory failure.

Messonnier said the CDC doesn't yet have enough information to definitively say what causes AFM and are casting a wide net for information. Part of that is studying the long-term health of AFM patients. Scientists are also looking for a pathogen in AFM patients' spinal fluid, but haven't yet found a pathogen that's a clear cause, she said.

The CDC said it sees an uptick in AFM cases every two years, and so far, the curve of the cases being investigated this year looks very similar to that of 2014 and 2016.

Officials don't expect many more cases in 2018 compared to 2016 and 2014, Messonnier said.

The best advice available is to wash your hands regularly, which lowers the chances of getting sick or spreading germs from many of the viruses linked to AFM, and protect against mosquito bites by using repellent, in addition to staying indoors at dusk and dawn.

The CDC said the vaccines your pediatrician suggests are very effective and children should continue to receive them on schedule even though there is no vaccine for AFM. (more…)

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‘Make-a-Wish’ wishes decrease trips to hospital for sick children: Study

A recent study from the Nationwide Childrens Hospital in Columbus, Ohio shows that participation in ..

A recent study from the Nationwide Childrens Hospital in Columbus, Ohio shows that participation in the Make-A-Wish program may give children better quality of life and reduce hospital visits and healthcare costs.

Patients who received a wish were 2.5 times more likely to have fewer unplanned hospital admissions and 1.9 times more likely to have fewer unplanned emergency department visits compared to patients of similar age, gender, disease category, and disease complexity who would also quality for a wish but did not receive one.

What is the Make-A-Wish Foundation?

The Make-A-Wish Foundation is a non-profit organization whose goal is to provide children aged three to 17-years-old who have progressive, life-limiting, or life-threatening medical conditions, with experiences known as “wishes.” These wishes include “I wish to…” “go,” “be (someone for a day),” “meet,” and “have” (i.e. receive gifts.) The foundation is funded by contributions from individual donors, corporations, and other organizations.

What are the goals and mission of the Make-A-Wish Foundation?

The Make-A-Wish Foundation “serves a unique, and vital, role in helping strengthen and empower children battling illnesses.” And, “wishes make life better for kids with critical illnesses.”

How many “wishes” does the foundation grant?

The Make-A-Wish Foundation was founded in November 1980 and the first wish was granted in the spring of 1981 to Frank “Bopsy” Salazar, a 7-year-old who had leukemia. Bopsy had three wishes: to be a fireman, go to Disneyland, and ride in a hot air balloon — all of which were granted to him. Since then, more than 285,000 children in the United States and its territories have benefited from experiencing their wishes. The foundation granted 15,300 wishes last year alone; which means on average, a wish is granted every 34 minutes.

What are the potential benefits of receiving a “wish?"

There is a long-held belief that receiving a wish improves a childs quality of life and potentially improves their familys quality of life, enhances family bonding, reduces stress, increases hope and serves as a distraction from illness. (more…)

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To curb STD rise, doctors treat patients’ partners without an office visit

This is a Kaiser Health News story.

If patients return to Dr. Crystal Bowe soon after taking medi..

This is a Kaiser Health News story.

If patients return to Dr. Crystal Bowe soon after taking medication for a sexually transmitted infection, she usually knows the reason: Their partners have re-infected them.

“While you tell people not to have sex until both folks are treated, they just dont wait,” she said. “So they are passing the infection back and forth.”

Thats when Bowe, who practices on both sides of the North and South Carolina border, does something doctors are often reluctant to do: She prescribes the partners antibiotics without meeting them.

Federal health officials have recommended this practice, known as expedited partner therapy, for chlamydia and gonorrhea since 2006. It allows doctors to prescribe medication to their patients partners without examining them. The idea is to prevent the kind of reinfections described by Bowe — and stop the transmission of STDs to others.

However, many physicians arent taking the federal governments advice because of entrenched ethical and legal concerns.

“Health care providers have a long tradition of being hesitant to prescribe to people they havent seen,” said Edward Hook, professor at the University of Alabamas medical school in Birmingham. “There is a certain skepticism.”

A nationwide surge of sexually transmitted diseases in recent years, however, has created a sense of urgency for doctors to embrace the practice. STD rates have hit an all-time high, according to the Centers for Diseases Control and Prevention. In 2017, the rate of reported gonorrhea cases increased nearly 19 percent from a year earlier to 555,608. The rate of chlamydia cases rose almost 7 percent to 1.7 million.

“STDs are everywhere,” said Dr. Cornelius Jamison, a lecturer at the University of Michigan Medical School. “We have to figure out how to … prevent the spread of these infections. And its necessary to be able to treat multiple people at once.”

A majority of states allow expedited partner therapy. Two states — South Carolina and Kentucky — prohibit it, and six others plus Puerto Rico lack clear guidance for physicians. (more…)

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