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As a deadly fungus spreads across the country, is Illinois prepared?

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As a deadly fungus spreads across the country, is Illinois prepared?


The recognition of HBO’s online game adaptation “The Final of Us,” set in a post-apocalyptic United States ravaged by a pandemic attributable to a parasitic fungus, has evoked fears for a few of an identical mass an infection on the heels of COVID-19.

Now, the unfold of a lethal fungus often called Candida auris throughout america has solely intensified the general public’s uneasiness. However well being specialists and medical doctors say that the multidrug-resistant yeast — a sort of fungus — doesn’t usually have an effect on wholesome folks.

“We do have to be vigilant and, as a result of we nonetheless are at a degree of the place issues aren’t completely out of hand, then perhaps we are able to curb this earlier than it will get too loopy,” stated Sharon Welbel, director of hospital epidemiology and an infection management for Cook dinner County Well being Division. “However the backside line is, folks don’t have to panic.”

The fungus may be severe in people who find themselves immunocompromised, on ventilators or actually ailing in hospitals, Dr. Allison Arwady, commissioner of the Chicago Division of Public Well being, stated in an unrelated Fb Q&A on Tuesday. Provided that it could possibly dwell on surfaces for a number of weeks, C. auris is unfold primarily in well being care settings and nursing houses by way of contact with affected sufferers and contaminated surfaces or tools.

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Although the primary case of C. auris occurred in america in 2013, the fungus was first recognized as a major public well being menace in 2016, significantly in New York and Illinois. In response to a C. auris tracker on the Facilities for Illness Management and Prevention web site, Illinois had 276 scientific instances between January and December 2022 out of the two,377 scientific instances reported throughout america in that very same interval. Illinois had the fifth most instances, behind Nevada, California, Florida and New York.

As of Thursday, there have been 37 instances of C. auris reported within the state this yr, in response to the Illinois Division of Public Well being.

Signs associated to a C. auris an infection embody fever and chills that don’t enhance after antibiotic therapy for a suspected bacterial an infection, in response to the CDC.

“Candida basically, together with Candida auris, may cause bloodstream infections, urinary tract infections and pores and skin and pores and skin construction infections,” Welbel stated.

The CDC says that 30% to 60% of sufferers contaminated with C. auris die, although that is primarily based on data collected from a restricted variety of folks.

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A research printed Tuesday by the Annals of Inner Drugs and performed by CDC researchers decided that C. auris unfold significantly quick throughout america through the COVID-19 pandemic. In 2021, 1,471 scientific instances have been reported, a major improve from 476 instances in 2019.

“If you consider the pandemic, lots of people acquired sick after which went to the hospital,” stated Daniel Raudabaugh, a senior analysis scientist at Purdue College’s Aime Lab. “So it sort of is smart that you just see the next outbreak (of C. auris) as a result of there’s extra those who go to the hospitals and it’s extra probably that persons are getting contaminated.”

Arwady additionally referred to the primary months of the pandemic, when a damaged provide chain prompted a stark lower within the availability of disposable masks, gloves and robes for well being care employees, creating the necessity to reuse a lot of this tools.

“Throughout COVID, the place there was plenty of stress on the well being care system, there could have been some extra reuse of non-public protecting tools early on when these provide chains have been disrupted,” she stated. “Not surprisingly, the unfold of those organisms — that may be very laborious to deal with or are drug-resistant or can unfold in well being care — we’ve seen some extra of that.”

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Medical technologist II, Mitan Shah uses a florescent microscope to examine a slide with a sample as he tests for Candida Auris, March 24, 2023, at Stroger Hospital in Chicago.

Modifications in cleansing and disinfection practices through the pandemic may additionally have contributed to the unfold of C. auris in well being care settings. Moreover, COVID-19 impacts the immune system and coverings, corresponding to steroids, can weaken the physique’s defenses in opposition to fungi, which probably has considerably elevated the chance for fungal infections, in response to the CDC.

Arwady stated that, earlier than working on the CDPH, she was assigned by the CDC to the Illinois Division of Public Well being. Throughout her time there, she joined the yearslong battle in opposition to C. auris alongside native well being departments, long-term care services and educational researchers.

“In Illinois, the place we had it early, even throughout COVID, we’ve had excellent success in containing it,” she stated. “The excellent news is that whereas there’s been plenty of give attention to Candida auris — and there ought to be, it’s an actual concern — we’re identified right here in Chicago and Illinois as being one of many locations that detected it early, has put plenty of sources into controlling it and, even throughout COVID, have managed to maintain it underneath moderately good management.”

Welbel stated data in regards to the fungus has been disseminated effectively in Illinois, which has allowed well being care services to display for C. auris and take measures — corresponding to isolation precautions and cleansing protocols — so it doesn’t transmit between sufferers.

Some methods to stop these infections embody good hand-washing habits and sanitizing procedures in well being care services. The Environmental Safety Company, Welbel stated, has launched “Record P,” which enumerates permitted disinfectant merchandise for C. auris.

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“The most important concern is the resistance” to therapy, Welbel stated.

In response to the CDC, some C. auris infections have been proof against all three varieties of antifungal medicines. One motive why it’s significantly tough to search out efficient antifungal therapies, researchers say, lies throughout the genetic similarities between fungi and animals — together with people.

“Fungi are extra carefully associated to us than crops,” stated Raudabaugh, the researcher from Purdue. “So, it simply limits our capability to search out variations that we are able to goal to kill (fungi) and never damage us.”

However there’s a silver lining. Remedies can goal these traits which can be totally different between fungi and people, Welbel stated. “Precise fungi have gotten totally different properties to it that we are able to use antifungal brokers to assault and that aren’t just like human cells,” she stated. “So (antifungal therapies) can assault the cell partitions and inhibit sure processes that (fungi) have to dwell.”

Raudabaugh additionally identified that prime physique temperatures typically shield people from fungal infections. However many individuals consider warming international temperatures are rising fungal resistance to hotter situations, thus making folks extra susceptible.

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“So, realistically, we simply have to put extra sources into looking for new antifungals,” he stated.

Chicago Tribune’s Lisa Schencker contributed.

adperez@chicagotribune.com



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Illinois

Illinois lands $100M federal grant for EV truck chargers

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Illinois lands 0M federal grant for EV truck chargers


Public charging for electric trucks — including the largest semi-trailers — is on the way in Illinois.

The state has landed a $100 million federal grant for the construction of 14 public charging stations for medium- and heavy-duty trucks.

Located at strategic points along major truck routes, the charging stations will have a total of 345 ports — enough to charge up to 3,500 trucks a day, according to Illinois electric vehicle officer Megha Lakhchaura.

“Illinois can be a critical connecting node for (electric) trucks going across the county,” said Lakhchaura, noting there is already some charging infrastructure on the East Coast and in the West.

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“This would be that critical node that helps trucks actually go across the country, north to south and east to west,” she said.

Charging station locations will include the Chicago area, Springfield, and the Metro East and Quad Cities regions.

Medium- and heavy-duty trucks are responsible for 21% of the country’s transportation-related greenhouse gas emissions, although they account for just 5% of vehicles on the road.

In addition, most of these trucks run on diesel fuel, a growing health concern in neighborhoods such as Little Village, which experience heavy truck traffic.

Exposure to diesel exhaust can lead to asthma and respiratory illnesses and worsen existing heart and lung disease, especially in children and the elderly, according to the Environmental Protection Agency. The agency considers diesel exhaust a likely carcinogen.

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At the Chicago-based Respiratory Health Association, Brian Urbaszewski, environmental health programs director, said 14 truck-charging stations is a good start for Illinois.

“It’s really encouraging that the state went for this money, got this money, and is working with businesses to get (the chargers) into the ground,” he said.

Urbaszewski noted that the state also landed a $430 million EPA climate pollution reduction grant in July, of which $115 million will be aimed at truck electrification. And in November, the EPA awarded the state $95 million to electrify transportation and equipment at ports, including the Illinois International Port in the East Side neighborhood.

“This is another piece to a larger puzzle,” Urbaszewski said of the truck-charging grant, “and more funding aimed at things like electrifying trucks.”

Electric trucks remain less than 1% of the medium- and heavy-duty trucks on the road, but sales have been rising.

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Lakhchaura said that the future of big electric trucks in Illinois is hard to predict, and a lot is going to depend on the broader market.

“The big problem has been that battery costs haven’t gone down, which is why the long-range (option) hasn’t taken off,” she said.

Medium-duty trucks with ranges of 150 to 160 miles are selling, she said, but for long-distance hauls you need a semi with a range of 500 miles and an attractive price.

Among the companies in the race to produce that truck is Tesla, which has announced plans to begin high-volume production of its semi in late 2025. The Tesla semi has an advertised range of up to 500 miles.

Lakhchaura noted that Tesla’s breakthrough electric cars — the Model 3 and Model Y — changed consumer perceptions of EVs, and she said she’s hoping that a similarly game-changing semi is on the horizon.

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In the meantime, she is encouraged by the private sector’s response to Illinois’ grant proposal for the 14 truck charging stations.

Illinois applied for the funds from the U.S. Department of Transportation, but private companies will build the stations and pay some of the cost.

“The state said, ‘Who’s interested in building these chargers?’ and the private sector came, so that gives me a lot of confidence. It’s them coming to us and saying, ‘Yes, we see this (coming),’” she said.

The companies building the charging stations include Tesla, Prologis, Gage Zero and Pilot.

The truck charging stations — some of which will have onsite solar and batteries — should start appearing within two or three years, Lakhchaura said, although that’s a conservative estimate.

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“I think (the companies building them) would like to do it sooner,” she said.

nschoenberg@chicagotribune.com



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How Booked is building a community one stellar reading recommendation at a time

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How Booked is building a community one stellar reading recommendation at a time


Independent bookstores are the heartbeats of their communities. They provide culture and community, generate local jobs and sales tax revenue, promote literacy and education, champion and center diverse and new authors, connect readers to books in a personal and authentic way, and actively support the right to read and access to books in their communities.

Each week we profile an independent bookstore, sharing what makes each one special and getting their expert and unique book recommendations.

This week we have Booked in Evanston, Illinois!

What’s your store’s story?

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Chelsea Elward, a lifelong Evanstonian, opened Booked in 2018 as Chicagoland’s first children’s focused independent bookstore — and the only one with a tiny door just for kids. Today, the store is owned by two employees, Abby Dan and Betsy Haberl. 

Recently, we’ve filled the shelves, launched weekly kids’ programming (including two trans and nonbinary Dungeons & Dragons Groups for tweens and teens), expanded the adult section, and added adult book clubs! 

Our aim is to be a community space and a community asset, helping Evanston’s families, schools, congregations and businesses connect through books.

What makes your independent bookstore unique?

We’re the store with the tiny door! (Technically, our door is called a “wicket,” but Evanstonians and visitors know that we’ve got a little door within a door just for kids.)

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We love to see them confidently (or nervously) striding through our tiny door to find a magical space with books at their level, a cozy rainbow rug, as well as puzzles and toys. 

We’re a storytime spot for a fleet of toddler parents and caregivers, thanks to our musically talented and enthusiastic staff. We also host our trans and nonbinary Dungeons & Dragons group, began with four kids and has expanded to a weekly after-hours event for tweens and teens. And as we’ve grown and curated our adult shelves, we’ve built two enthusiastic, committed book clubs: Booked Club (which reads literary fiction and nonfiction) and Sunday Smut (which reads modern romance). 

Many community members come in to talk books with us, and we love building these relationships. Most importantly, we are all hand-sellers. You tell us what you need, what you’re feeling, what you want to feel or communicate with a gift, and we can find you the right title.

What’s your favorite section in your store?

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I love our Middle Grade section — there is just so much depth there! Middle Grade authors are doing everything from talking dogs to neurodivergent narrators in verse to dragon flights to dust bowl family sagas to elite private schools and everything in between. 

I love it when parents or grandparents come in with a great idea of who their kid is but no idea what they should read next. We always have something new or different, and we love it when they come back to tell us we nailed it!

Why is shopping at local, independent bookstores important?

Evanston is everything to Abby and Betsy — we both live here, send our kids to schools here, employ fellow Evanstonians, spend our own money at local businesses. 

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Booked is a physical place where kids and adults can come to gather and shop, but we’re also a community entity that gets diverse books into classrooms, homes, shelters and other community spaces. We bring authors to the community and its schools, and we bring people of all ages together. Without customers, we can’t add this layer of richness to Evanston, enrich the lives we touch, and we can’t be a cool spot to pick out great stickers. We just won’t be here.

Check out these titles recommended by Booked owner, Abby Dan:

  • “The Sentence” by Louise Erdrich
  • “Shark Heart” by Emily Habeck
  • “Finally Heard” by Kelly Yang
  • “The Other Valley” by Scott Alexander Howard
  • “Sheine Lende” by Darcie Little Badger
  • “Funny Story” by Emily Henry
  • “The Birchbark House” by Louise Erdrich
  • “Pretty Ugly” by David Sedaris



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Illinois counties exploring succession would be welcomed in Indiana: House speaker

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Illinois counties exploring succession would be welcomed in Indiana: House speaker


Several Illinois counties that have explored the idea of secession might be welcomed with open arms in Indiana.

Legislators in Indiana’s Republican-majority General Assembly have introduced a house bill that would establish a commission to discuss whether it’s advisable to adjust the boundary between Illinois and Indiana.

The House Republicans included the bill on a list of their top priorities for the 2025 session, which specifically noted that dozens of counties in Illinois have voted since 2020 “to secede from their high-tax state,” the Indianapolis Star reported.

“To all of our neighbors in the West, we hear your frustrations and invite you to join us in low-cost, low-tax Indiana,” House Speaker Todd Huston said, according to the newspaper.

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In the November election, a total of seven counties in Illinois faced a ballot question on exploring the idea of secession, and all seven voted in favor of the proposal, according to county clerks’ offices. The group includes: Iroquois, Calhoun, Clinton, Green, Jersey, Madison and Perry counties.

Prior to the 2024 election cycle, at least two dozen counties voted affirmatively on the non-binding initiatives.

The reasoning behind the referendums, according to supporters, is that the city of Chicago and Cook County have a sizable impact on the policies enacted by the state legislature, and rural counties share different interests that are not being represented by the actions of the General Assembly.

Illinois Gov. J.B. Pritzker called Indiana’s proposal “a stunt” earlier this week.

“…It’s not going to happen, he said. “But I’ll just that say Indiana is a low-wage state that doesn’t protect workers, a state that does not provide health care for people when they’re in need and so I don’t think it’s very attractive for anybody in Illinois…”

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Many legal experts have expressed skepticism that such an effort could ever be successful. That group includes Illinois Attorney General Kwame Raoul, who penned a letter to the state’s attorney of Jersey County on the issue in 2023.



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