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A common respiratory virus is spreading at unusually high levels, overwhelming children’s hospitals. Here’s what parents need to know | CNN

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A common respiratory virus is spreading at unusually high levels, overwhelming children’s hospitals. Here’s what parents need to know | CNN



CNN
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When Amber Sizemore and her household went out of state to have fun her birthday final week, she had hoped her toddler daughter, Raegan, would attempt swimming. However the 15-month-old, usually energetic and adventurous, wasn’t herself on Saturday.

“She hated it, and he or she usually loves water,” Sizemore stated.

By Sunday, when the household was heading again to Ohio, the little woman was “coughing like loopy.”

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“She coughed so exhausting, she threw up,” Sizemore stated. Raegan additionally stopped consuming and developed a fever.

When Tylenol didn’t assist, Sizemore took her to pressing care and instructed them that RSV or respiratory syncytial virus, a standard cold-like virus, was going round at Raegan’s day care, the place Sizemore additionally works.

The take a look at got here again constructive, and Raegan’s important indicators prompted the staffers on the pressing care to inform Sizemore to take her daughter to the hospital.

As quickly as they noticed her vitals, the workers at UH Rainbow Infants & Kids’s Hospital in Cleveland knew they needed to admit Raegan, her mother stated. She wanted oxygen.

“They’ve been nice right here and brought excellent care of her, however the scariest half is, had I not already recognized she was uncovered to RSV, I’ll have simply let her cough it out,” Sizemore stated. “I’m glad I didn’t wait.”

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There’s now an “unprecedented” rise in RSV instances amongst kids within the US, some medical doctors inform CNN.

The US Facilities for Illness Management and Prevention doesn’t monitor hospitalizations or deaths for RSV prefer it does for flu, however it stated Thursday there was an increase in RSV instances in lots of elements of the nation.

A number of kids’s hospitals instructed CNN that they’ve been “overwhelmed” with sufferers at a time of the yr when it’s uncommon to have a surge of RSV sufferers.

With the RSV surge, UH Rainbow Infants has had so many sufferers, it went on diversion for a few days in early October, which means it couldn’t take exterior emergency admissions. It’s taking sufferers once more now, however it’s nonetheless slammed with RSV instances.

There was such such a dramatic enhance in instances in Connecticut that Connecticut Kids’s Hospital has been coordinating with the governor and public well being commissioner to find out whether or not it ought to carry the Nationwide Guard in to increase its capability to take care of these younger sufferers.

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“I’ve been doing this a very long time. I’ve been a Connecticut Kids’s for 25 years, and I’ve by no means seen this degree of surge particularly for RSV coming into our hospital,” Dr. Juan Salazar, the hospital’s govt vp and doctor in chief, instructed CNN.

In Texas, the place RSV instances normally spike in December or January, the emergency division at Cook dinner Kids’s in Fort Price and its pressing cares are seeing a big variety of RSV instances. Almost half the ICU is stuffed with RSV instances, hospital spokesperson Kim Brown stated; between October 2 and eight, there have been 210 RSV instances at Cook dinner Kids’s; every week later, there have been 288.

Jeff and Zoey Inexperienced’s 4-month-old, Lindy, was admitted to Cook dinner on Sunday.

On the hospital, Lindy’s fever was so excessive at one level they stated they used ice packs to chill her down.

“I don’t understand how however she slept with these ice packs on prime of her,” Zoey Inexperienced stated, holding an exhausted Lindy on the hospital. She stated they’re making an attempt to maintain her hydrated so she doesn’t have to return on an IV.

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“We would like her to be higher, for positive.”

Dr. Mallory Davis, an an infection preventionist at Helen DeVos Kids’s Hospital in Grand Rapids, Michigan, can also be seeing an early surge.

“We’re very full, and our census numbers are fairly excessive as we work by means of sort of determining tips on how to accommodate all the sick kiddos in the neighborhood,” she stated.

Kids’s Hospital Colorado has seen an early uptick in RSV hospitalizations and is beginning to see the primary few flu instances of the season, stated Dr. Kevin Messacar, an infectious illness specialist and affiliate professor on the College of Colorado Faculty of Drugs.

“We’ve been seeing elevated affected person volumes because the late summer time, which began with rhinoviruses and enteroviruses as kids returned to highschool, and now’s being pushed by RSV and parainfluenza,” he stated. “With influenza season quickly approaching with what seems to be an early begin, we’re involved concerning the persistently elevated volumes of sick kids requiring hospitalization.”

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At UH Rainbow Infants, workers are hoping issues don’t get a lot worse. “I imply, I hope we’re peaking proper now, as a result of if we’re not, then holy hell,” stated Dr. Amy Edwards, affiliate medical director for pediatric an infection management.

RSV instances can usually fill hospitals, even in common seasons, since there aren’t many remedies and it could actually require a number of days of supportive care in extreme instances, Edwards stated.

Ailing kids “want that oxygen help, to allow them to’t be at residence,” she stated.

Specialists assume US instances could also be spiking now due to the part of the Covid-19 pandemic that we’re in.

When everybody stayed residence in 2020 and 2021 to stop the unfold of the coronavirus, it appeared to alter the standard RSV season. Case counts had been low, and that created an “immunity hole.”

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Children who usually would have caught the virus in these years are as an alternative catching it now.

The CDC says most children will catch RSV sooner or later earlier than they flip 2. It’s a extremely contagious virus that always doesn’t trigger severe sickness, besides in adults who’re aged or have persistent coronary heart or lung illness or a weakened immune system, and in some infants and youngsters.

There’s no particular therapy for RSV and no vaccine. The signs normally final every week or two and clear up with loads of fluids and relaxation.

For some youngsters, although, it may be a way more severe illness. RSV could be particularly harmful for preemies, newborns, kids with weakened immune techniques or neuromuscular problems, and people below age 2 with persistent lung and coronary heart situations, the CDC says.

RSV can flip into bronchiolitis, wherein the small airways can change into infected and congested, or pneumonia. A toddler may have to remain within the hospital to allow them to get additional oxygen and even mechanical air flow to assist them breathe.

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An contaminated individual can move on RSV by means of a cough or sneeze. If the respiratory droplets land on a floor like a doorknob or desk and another person touches it after which touches their face, they’ll get sick.

It’s usually such a light sickness that adults usually don’t understand they’ve it, or they assume it’s nothing greater than a chilly or allergic reactions and go on to work together with others.

“It’s not a fatiguing virus the way in which influenza or Covid is, so you actually do really feel positive,” Edwards stated. “After which what occurs is, your neighbor has that lovely child, and also you carry over a casserole, and also you kiss that little child since you really feel positive. You don’t really feel sick. And sadly, you move it on to them, and generally they find yourself on the hospital.”

Older siblings may move the virus alongside to youthful ones.

“Infants slobber on toys and on one another and every thing else, so day cares move it alongside, too,” Edwards stated.

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In case your baby is coughing or torpid, or if they only don’t seem to be themselves, it’s a good suggestion to take them to their pediatrician. The physician’s workplace could have the exams to determine if it’s RSV, the flu, Covid-19 or strep.

Pediatricians say a visit to the ER could also be mandatory if a child is dehydrated; if they’ve tough, labored, shallow or fast respiration; if they’ve a excessive fever or bluish pores and skin; or in the event that they change into unresponsive. The CDC says most enhance with supportive care and might usually go residence after a couple of days.

One of the best methods to stop RSV infections, medical doctors say, is to show youngsters to cough and sneeze right into a tissue or into their elbows moderately than their fingers. Additionally attempt to preserve steadily touched surfaces clear.

“Hand hygiene is the only most essential factor that we are able to do to maintain ourselves and others secure,” stated Davis, of the kids’s hospital in Grand Rapids. She tells individuals to by no means contact their faces except they lately washed their fingers.

When youngsters or grownups are sick, they should do one factor and one factor solely, she stated: “Keep residence when you find yourself sick so that you received’t unfold no matter respiratory sickness you’ve.”

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Sizemore, whose daughter continues to be within the hospital with RSV however appears to be getting higher, additionally advises individuals to take the virus severely.

“I would love different mother and father to know they shouldn’t watch their baby’s cough frivolously and take signs severely,” she stated. “This might have been a a lot worse scenario if we didn’t get Raegan assist.”

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Trump Shuts Down CBP One App, Signaling the Start of His Immigration Crackdown

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Trump Shuts Down CBP One App, Signaling the Start of His Immigration Crackdown

The Trump administration on Monday abruptly closed down a government program created by the Biden administration to allow migrants to use an app to secure an appointment for admission into the United States through legal ports of entry, signaling the start of President Trump’s promised crackdown at the southern border.

Moments after Mr. Trump took the oath of office, an announcement posted on the CBP One program’s website declared that the app would no longer function and that “existing appointments have been canceled.”

The program, which debuted in early 2023, allowed 1,450 migrants a day to schedule a time to present themselves at a port of entry and seek asylum through U.S. immigration courts. More than 900,000 migrants entered the country using the app from its launch in the beginning of 2023 to the end of 2024.

A former Department of Homeland Security official who spoke on the condition of anonymity said that around 30,000 migrants had appointments to enter the United States through the app as of Monday morning.

At the El Chaparral border crossing in Tijuana, Mexico, dozens of migrants who stared at their phone screens trying to check whether their appointments were still valid instead found the crushing message that they no longer existed.

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“I am in shock,” said Maura Hernandez, who received the news on Monday morning as she arrived in Tijuana with her four small children from the state of Michoacán. She had a scheduled appointment on Tuesday.

“I don’t know what is going to happen to us,” she said, adding that they had fled their home amid rampant insecurity.

The program was a key part of the Biden administration’s effort to gain control over migration through the southern border. On the one hand, the administration blocked asylum for migrants who crossed illegally. At the same time, U.S. officials believed that by offering migrants an organized way to enter legally through an app, they could discourage attempts to gain entry without authorization. Border numbers have dropped dramatically in recent months, and officials believe the program is a major reason.

“I would say that the model that we have built of restricting asylum at our southern border and building accessible, lawful, safe and orderly pathways for individuals to seek relief under our laws is the model that should be sustained,” said Department of Homeland Security Secretary Alejandro Mayorkas in an interview with NPR this month. “And we have delivered the border and those accessible pathways to the incoming administration.”

The end of the program will test that theory as the Trump administration moves toward a more restrictive policy at the border. The former homeland security official said that they estimated that, in total, nearly 300,000 migrants were in Mexico waiting to use the app.

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“We are so disappointed,” said Gustavo Selva from Venezuela after reading the update on his phone that the program had been shut down. He had received hopeful news of his scheduled appointment 21 days ago.

Two days ago, however, he received an email informing him that it had been delayed until Feb. 9. By then, he had already traveled to Tijuana from the southern state of Chiapas after waiting there for seven months for his appointment to go through.

“We thought we could enter today without a problem,” Mr. Selva added. “Now we will be stranded here indefinitely.”

Critics of the program, especially Republican lawmakers, viewed it as a way to allow those who otherwise had no way of entering the U.S. to come into the country and remain for years as their immigration cases languished in the courts.

“The fact that this application exists is the most underreported scandal of the Biden admin. They made an application to facilitate illegal immigration. It boggles the mind,” Vice President JD Vance said in a social media post last week.

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Matthew Hudak, a former senior Border Patrol official, said the decision was a clear sign that things were changing at the southern border.

“Simply wanting to immigrate to the U.S. and signing up to get in line will be replaced by more stringent policies that will significantly raise the bar for those seeking to come here, including reimplementing the Remain in Mexico program,” he said. “Many will be left to decide if they will work through the legal process or attempt to enter the country illegally and face what will likely be much more significant consequences.”

Aline Corpus contributed reporting from Tijuana, Mexico.

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Donald Trump vows new ‘golden age’ for US as he moves to unwind Joe Biden era

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Donald Trump vows new ‘golden age’ for US as he moves to unwind Joe Biden era

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Donald Trump promised a “golden age of America”, as he used his inaugural address to unveil sweeping moves to undo Joe Biden’s policies and reverse a “crisis of trust” he said had engulfed the government.

The new president announced aggressive new steps to boost energy production and curb immigration as he vowed to quickly deliver on the populist and nationalist platform that swept him to victory in last year’s White House race.

Trump also spoke of his own return to the White House as both personal vindication, following two assassination attempts, and a mission for dramatic overhauls of domestic and foreign policy.

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“I was saved by God to make America great again,” he said, in a speech that included echoes of his dystopian description of “American carnage” in his first inaugural address in 2017.

“For many years, a radical and corrupt establishment has extracted power and wealth from our citizens while the pillars of our society lay broken and seemingly in complete disrepair,” he said.

“We now have a government that cannot manage even a simple crisis at home, while at the same time stumbling into a continuing catalogue of catastrophic events abroad,” he said.

Trump said his return to office meant “America’s decline is over”, as he vowed to “again build the strongest military the world has ever seen”. But he also hinted at a new era of American expansion, when he said the country would take back control of the Panama Canal.

He echoed his campaign promises to end wars in Ukraine and the Middle East, saying he would be a “peacemaker”.

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“We will measure our success not only by the battles we win but also by the wars that we end and, perhaps more importantly, the wars we never get into,” Trump said. “My proudest legacy will be that of a peacemaker and unifier.”

In an apparent reference to previous efforts to prosecute him, Trump vowed “never again will the immense power of the state be weaponised to persecute political opponents”. He has previously threatened to prosecute his own political foes.

Former presidents including George W Bush and Barack Obama attended the ceremony, while technology billionaires such as Elon Musk and Jeff Bezos who have recently flocked to Trump’s side had prime spots in the audience.

Trump re-enters the White House with broader support from the public and business community than when he left office in 2021, just weeks after his supporters stormed the US Capitol to try to reverse Biden’s election.

Trump now faces the daunting task of delivering on his promise to lower the cost of living for middle-class households, a pledge that was his most potent political weapon in his victorious campaign against Kamala Harris.

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The new president said he would declare national emergencies on issues including immigration and energy, giving the president power to rush through new measures. As he was speaking, the White House said it was withdrawing from the Paris climate accord.

But Trump stopped short of announcing new tariffs immediately, instead planning to release a memorandum instructing government agencies to re-evaluate America’s trade relations with trading partners including China, Mexico and Canada.

The hesitance suggests his top aides are grappling with how aggressively to impose levies on America’s top trading partners. But Trump said tariffs would still be forthcoming.

“Instead of taxing our citizens to enrich other countries, we will tariff and tax foreign countries to enrich our citizens,” he said.

Before he spoke, the dollar dropped about 1 per cent against a basket of other currencies in US morning trading, putting it on course for its biggest daily decline in more than five months.

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Trump’s return to the White House has unnerved some of America’s closest allies who fear a further lurch towards protectionism and new turn towards isolationism in Washington.

But staunch conservative world leaders have cheered his election victory. Javier Milei, the president of Argentina, and Giorgia Meloni, Italy’s prime minister, were among leaders attending his inauguration.

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What to know about Donald Trump’s planned ‘national energy emergency’ declaration

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What to know about Donald Trump’s planned ‘national energy emergency’ declaration

Incoming President Donald Trump will declare a “national energy emergency” and roll back Biden-era environmental protections after he’s sworn into office, White House officials said Monday morning.

The new administration will enact a suite of reforms geared towards boosting U.S. fossil fuel production at a time when the country has set records as the biggest energy producer in the history of the world.

Those reforms will include reopening parts of Alaska for energy exploration, and getting rid of a requirement on auto manufacturers to phase down greenhouse gas emissions from cars.

Officials touted the plans as a way to lower costs for consumers and supply energy for technologies important for national security. They will set back the country’s progress when it comes to addressing climate change.

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What will the executive orders say?

By declaring a national emergency on energy, Trump will make it a priority of his administration to increase the domestic production of oil and other forms of fossil-fuel energy, officials said. It comes as U.S. crude oil production has already hit an all-time high over the past year.

Another executive order by Trump will roll back environmental protections in parts of Alaska, which officials called a “geostrategic” location, after Biden took action to limit both oil and gas drilling and mining in the state.

The scope of the Alaska order wasn’t immediately clear, though Trump has promised to work to overturn Biden’s recent action to ban offshore drilling on the Atlantic and Pacific coasts.

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The administration will also end the so-called “electric vehicle mandate,” Trump’s phrase for a Environmental Protection Agency rule that requires auto manufacturers cut greenhouse gas emissions by half in new light- and medium-duty vehicles beginning in 2027.

Trump, who campaigned on lowering costs for consumers, will also sign a presidential memorandum directing government agencies to focus on bringing down inflation.

Other actions are aimed at cutting “red tape” and “regulations” that have hurt the American economy, officials said. It wasn’t immediately clear which regulations Trump will target.

What could be the impact?

The suite of reforms will slow the country’s progress when it comes to addressing climate change, a trend that has made weather calamities more common worldwide and imposes large costs on the global economy every year.

The effect on consumer prices is difficult to predict, analysts say. Increasing the world’s energy supply would likely bring down costs for consumers in the long run, and energy is a key part of the U.S.’ strategy on the world stage. At the same time, the policy tools available to the president are limited, and they could take a while to translate into lower prices at the gas pump.

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Trump’s decision to end the clean vehicle rules will hinder the electric vehicle industry, which has created thousands of jobs across the U.S., including in Arizona. Some analysts believe that market forces will still drive a transition to electric vehicles in the long term.

‘Drill, baby, drill’

Talking to reporters Monday morning, incoming administration officials touted the effort as delivering on Trump’s promise to “drill, baby, drill” to deliver for the country’s economy.

They will help the U.S. “stay at the global forefront” of technology and provide power for technologies important for national security, like artificial intelligence, officials said.

“If I don’t win, you will have no auto industry in two to three years,” Trump said at a rally in Michigan last year. “China’s going to take all of your business because of the electric car.”

USA TODAY’s Joey Garrison contributed to this report.

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