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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
 — 

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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Caitlin Clark shines in her WNBA debut, a preseason sellout

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Caitlin Clark shines in her WNBA debut, a preseason sellout

Indiana Fever guard Caitlin Clark (22) drives past Dallas Wings forward Natasha Howard (6) during their WNBA basketball game in Arlington, Texas, on Friday.

Michael Ainsworth/AP


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Michael Ainsworth/AP


Indiana Fever guard Caitlin Clark (22) drives past Dallas Wings forward Natasha Howard (6) during their WNBA basketball game in Arlington, Texas, on Friday.

Michael Ainsworth/AP

Caitlin Clark made her WNBA debut with the Indiana Fever on Friday night — and her “effect” showed no signs of waning.

The preseason game against the Dallas Wings was another sellout match with enthusiastic fans lining up outside College Park Center in Arlington, Texas, to watch the NCAA’s all-time leading scorer play in her first professional game.

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“My biggest goal coming into tonight was being myself, have fun playing basketball, be aggressive. Thought that’s what I did,” Clark said Friday in a post-game press conference.

Similar to her time at the University of Iowa, Clark shined Friday on the court — scoring 21 points with three rebounds, two assists, two steals, despite it being a losing match. The Wings won 79-76.

Fever head coach Christie Sides applauded Clark’s performance but noted that the rookie star and the rest of the team were still in an adjustment period.

“We’re still learning each other,” Sides said Friday at the press conference.

Sides noted that in the first quarter, Clark appeared fatigued. The head coach said she hopes Clark will lean on her teammates in the future.

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Clark was asked what the biggest difference was between professional and college basketball.

“Everybody’s super physical, it doesn’t always get called. I would say that’s the biggest thing,” she said.

Clark’s debut in a regular-season game will be against the Connecticut Sun on May 14.

“It’s a big milestone for somebody that’s always dreamed of playing in the WNBA,” Clark said.

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Berkshire Hathaway’s cash pile hits new record as Buffett dumps stocks

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Berkshire Hathaway’s cash pile hits new record as Buffett dumps stocks

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Berkshire Hathaway’s cash pile swelled to a record $189bn in the first quarter of 2024 as Warren Buffett’s sprawling conglomerate continued to dump stocks, including Apple, one of its largest positions.

The figure underscores the difficulty the billionaire investor and his team have had in trying to find worthwhile investments, as well as the relative allure of the high yield on US government debt.

The company on Saturday disclosed it had sold just under $20bn-worth of stocks in the first three months of the year, buying $2.7bn over the same period. As a result the value of its stock portfolio slipped to $336bn, from $354bn at year-end.

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The filing with US securities regulators indicated that Berkshire had sold a significant portion of its stake in Apple, which had become a core holding for the Omaha-based business since one of Buffett’s deputies first invested in 2016.

The company said its position in the iPhone maker was worth $135.4bn in the first quarter, down from $174.3bn at the end of 2023, suggesting it had sold more than 100mn shares in the company at the start of the year. Berkshire started to pare its holdings in Apple in late December, selling roughly 10mn shares.

Buffett has long heaped praise on Apple’s management team and in 2022 he described the company as one of Berkshire’s “four giants”, alongside its insurance operations, the BNSF railroad and its energy and utility business Berkshire Hathaway Energy.

Tim Cook, Apple’s chief executive, told CNBC that Buffett had told him about the stock sales on Friday. Cook added that it was still “a privilege to have Berkshire as a shareholder”.

The figures come as Berkshire shareholders gather in Omaha, Nebraska, for the company’s annual meeting, dubbed the Woodstock of capitalism. It is the first time Buffett will take to the stage since his longtime business partner Charlie Munger died in November.

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Berkshire reported solid earnings in the first quarter, driven almost entirely by improvements in its insurance businesses as well as a boost from higher interest rates. Operating profits across the company jumped 39 per cent from the year before to $11.2bn.

The company disclosed that its auto insurer Geico had passed along higher rates to customers and had suffered fewer claims, lifting its results. The unit has scaled back its footprint since the pandemic after it suffered a period of losses.

Line chart of Total return (%) showing Berkshire shares have largely kept pace with the  broad market

Auto insurers across the US had struggled with the high replacement costs of new cars, exacerbated by supply chain issues and surging inflation.

Geico, which is led by one of Buffett’s top investment deputies, cut millions of policies in a drive to return to profitability. The move has been successful. Pre-tax profits at Geico more than doubled from a year ago to $1.93bn. The unit also signalled its retrenchment could be near its end, saying that “the rate of decline” had slowed and it was winning new business.

The company has also benefited from the US Federal Reserve’s decision to raise interest rates in a bid to quell inflationary pressures. Berkshire said it earned $1.9bn in the quarter in interest income from its cash pile, which is largely invested in short-term Treasuries.

Over the past year, it has earned almost $7bn on that portfolio.

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Column chart of Quarterly investment income ($bn) showing Higher interest rates have been a boon to Berkshire Hathaway

Overall, Berkshire said it generated a net profit of $12.7bn in the first quarter, down 64 per cent from $35.5bn a year earlier.

Buffett has long discouraged his shareholders from relying on the company’s net income figures — calling them “meaningless” — as they are affected by swings in value of its stock portfolio from quarter to quarter. It can result in huge losses or profits that do not reflect the underlying business performance.

Berkshire’s results are typically pored over by investors, given the company employs nearly 400,000 people and touches almost every part of the US economy. The results were generally upbeat and pointed to an improving US outlook.

Sales at Precision Castparts, an aeroplane parts manufacturer that supplies Boeing, jumped 10 per cent to $2.5bn. Sales at Berkshire’s home building group, which includes the modular home builder Clayton Homes and roofing maker Johns Manville, also rose.

The BNSF railroad’s revenues fell 4.1 per cent, almost entirely driven by lower shipments of coal. The unit, which has more than 32,000 miles of track criss-crossing the US, said it had shipped more consumer and agriculture products than previously.

Shares of Berkshire have climbed 11 per cent this year, outpacing the 8 per cent total return of the S&P 500. Berkshire has not paid a dividend since the 1960s.

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A group of Republicans has united to defend the legitimacy of US elections and those who run them

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A group of Republicans has united to defend the legitimacy of US elections and those who run them

ATLANTA (AP) — It was Election Day last November, and one of Georgia’s top election officials saw that reports of a voting machine problem in an eastern Pennsylvania county were gaining traction online.

So Gabriel Sterling, a Republican who had defended the 2020 election in Georgia amid an onslaught of threats, posted a message to his nearly 71,000 followers on the social platform X explaining what had happened and saying that all votes would be counted correctly.

He faced immediate criticism from one commenter about why he was weighing in on another state’s election while other responses reiterated false claims about widespread fraud in the 2020 presidential election.

“It’s still the right thing to do,” Sterling told a gathering the following day, stressing the importance of Republican officials speaking up to defend elections. “We have to be prepared to say over and over again — other states are doing it different than us, but they are not cheating.”

Sterling, the chief operating officer for the Georgia Secretary of State’s Office, is part of an effort begun after the last presidential election that seeks to bring together Republican officials who are willing to defend the country’s election systems and the people who run them. They want officials to reinforce the message that elections are secure and accurate, an approach they say is especially important as the country heads toward another divisive presidential contest.

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The group has held meetings in several states, with more planned before the Nov. 5 election.

With six months to go before the likely rematch between Democratic President Joe Biden and former Republican President Donald Trump, concerns are running high among election officials that public distrust of voting and ballot counting persists, particularly among Republicans. Trump, the presumptive GOP nominee, continues to sow doubts about the last presidential election and is warning his followers — without citing any evidence — that Democrats will try to cheat in the upcoming one.

This past week, during a campaign rally in Michigan, Trump repeated his false claim that Democrats rigged the 2020 election. “But we’re not going to allow them to rig the presidential election,” he said.

Just 22% of Republicans expressed high confidence that votes will be counted accurately in November, according to an Associated Press-NORC Center for Public Affairs Research poll last year.

“It’s an obligation on Republicans’ part to stand up for the defense of our system because our party — there’s some blame for where we stand right now,” said Kentucky’s secretary of state, Michael Adams, who is part of the group and won reelection last year. “But it’s also strategically wise for Republicans to say, ‘Hey Republicans, you can trust this. Don’t stay at home.’”

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The effort, which began about 18 months ago, is coordinated by the SNF Agora Institute at Johns Hopkins University and the center-right think tank R Street Institute. The goal has been to start conversations about trust in elections, primarily among conservative officials, and to develop a set of principles to accomplish that.

“This has never been and will never be about Trump specifically,” said Matt Germer, director of governance for the R Street Institute and a lead organizer of the effort. “It’s about democratic principles at a higher level –- what does it mean to be a conservative who believes in democracy, the rule of law?”

He said an aim is to have a structure in place to support election officials who might find themselves in situations like that of Georgia’ secretary of state, Brad Raffensperger in 2020, when he supported Trump but rejected false claims that the election was stolen. Prosecutors in Georgia have since charged Trump and others, alleging a plot to overturn the results. Trump has pleaded not guilty.

“You can be a Republican and you can believe in all the Republican ideas without having to say the election was stolen,” Germer said.

A guiding principle for the group is that Republican officials should “publicly affirm the security and integrity of elections across the U.S. and avoid actively fueling doubt about elections in other jurisdictions.”

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Kim Wyman, a Republican who previously served as Washington state’s top election official, said it’s imperative when officials are confronted with questions about an election somewhere else that they don’t avoid the question by promoting election procedures in their own state.

It’s OK to say you don’t know the various laws and procedures in another state, Wyman said, but she urged fellow Republicans to emphasize what states do have in common — “the security measures, the control measures to make sure the election is being conducted with integrity.”

Kansas’ secretary of state, Scott Schwab, a Republican who has participated in meetings organized by the group, said he believes there are certain aspects of elections that officials should feel comfortable talking about. But he said he would remain cautious of speaking directly about something specific happening in another state.

“If I start going beyond my realm and my role, then they don’t trust me. And if they don’t trust me, then they don’t trust the elections in Kansas, and that’s pretty important,” Schwab said in an interview.

Some election officials who have questioned election procedures outside their state have a different perspective.

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Secretary of State Mac Warner of West Virginia, a Republican who has questioned the legitimacy of the 2020 election, said the focus should be on improving policies, such as putting in place voter ID requirements across the country, not silencing those who have questions.

“Our primary job as election officials is to build confidence, and that comes from strengthening protocols and not weakening them,” he said.

Ohio Secretary of State Frank LaRose, a Republican who has raised questions about the way elections are run in other states, criticized what he called “activist lawsuits” and state officials who seek to change voting rules previously set by legislators.

“The things that happen in other states that go wrong are not the result of some cloak and dagger, secretive cabal conspiracy,” he said in an interview. “That’s the far-fetched stuff that makes for great YouTube videos and what have you. But the real things that go wrong in other states, are out in the open, are in full public view.”

Utah Lt. Gov. Deidre Henderson, a Republican who is the state’s top election official and has been participating in the group’s discussions, said avoiding criticism of other states and vouching for the legitimacy of election procedures is important for another reason: It can help reduce the threats and harassment directed toward election workers.

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A recent survey by the Brennan Center for Justice at New York University’s Law School found that nearly 40% of local election officials had experienced such abuse. It’s caused many to leave their jobs. Of 29 clerks in Utah, Henderson said 20 are new since 2020 and nine have never overseen an election.

“It’s one thing to suggest that someone could do something better. It’s another thing to impugn their integrity, their character, accuse them of cheating, accuse them of nefarious things that don’t happen,” Henderson said. “It’s exhausting.”

___

Associated Press writer Julie Carr Smyth in Columbus, Ohio, contributed to this report.

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