Gov. Mike DeWine pleads for Ohioans to rally to fight ‘common enemy’ as COVID cases surge

ABC News Corona Virus Government. Response

Ohio records a record number of new coronavirus cases on Friday.

Facing an alarming increase in new COVID-19 cases in his state, Ohio Gov. Mike DeWine pleaded in an open letter for residents to come together, regardless of political affiliation, to fight a “common enemy” that has claimed nearly 230,000 lives in America.

DeWine released a video Sunday reading a letter he penned to Ohioans stressing the urgency of joining forces to keep the virus at bay until there is a vaccine.

The Republican governor began the video by appearing in a face mask and conceded that his request comes as Americans are “more divided than any of us can ever remember.”

“Today and for some time to come we also share a common enemy, one that cares not whether we vote for Donald Trump or Joe Biden, an enemy that is relentless and now clearly on the march,” DeWine said.

He implored Ohioans to immediately pull together and focus on fighting the virus, saying “the stakes could not be higher” and that “time is not on our side.”

PHOTO: Republican Gubernatorial-elect Ohio Attorney General Mike DeWine gives his victory speech after winning the Ohio gubernatorial race at the Ohio Republican Party's election night party on Nov. 6, 2018 in Columbus, Ohio.

DeWine’s call to arms came after Ohio posted a record high 3,845 newly reported cases of coronavirus on Friday, according to the Ohio Department of Health. In the past month, the state has more-than-doubled its number of hospitalized COVID-19 patients and seen its positivity rate for cases nearly tripled from 2.7% in mid-September to nearly 7% now.

Even as DeWine released his video, Ohio reported another 3,303 new cases on Sunday with two additional deaths and 88 more hospitalizations. DeWine said the contagion has killed nearly 5,300 Ohioans.

“Now it’s been said one can find common ground only by moving to higher ground. Now is the time to move to that higher ground,” DeWine said. “We must come together, come together as Ohioans have always done. We must put the past behind us to move forward.”

DeWine also called on Congress to quickly pass a new bipartisan COVID-19 relief package that has been stalled due to a disagreement between Republicans and Democrats over the amount of money needed to prop up the sluggish U.S. economy and fund efforts to slow the virus, which has been raging across the country.

October marked the second-highest month on record for daily cases in the United States with more than 1.8 million new cases, according to data compiled by the Center for Systems Science and Engineering at Johns Hopkins University. The nation reported 99,321 new COVID-19 cases on Friday, a record-high for single-day new cases, according to the Johns Hopkins data.

Ohio’s seven-day average of new cases is 2,984.

The data from October shows that 30 states and Puerto Rico reported record-high COVID-19 cases, 22

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Coronavirus transmission at home ‘common,’ over 50% household contacts infected, CDC finds

Coronavirus spread within households is common, and “substantial transmission” occurs from both children and adults, according to a report from the Centers for Disease Control and Prevention (CDC).

Health officials have been warning about virus transmission occurring inside homes. Dr. Deborah Birx, White House coronavirus task force coordinator, for instance, has warned that coronavirus-related closures of public places won’t stop virus spread in this phase of the pandemic, where at-home gatherings are contributing to cases, reported the Chicago Tribune. 

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 Also, Dr. Allison Arwady, commissioner of the Chicago Department of Public Health, has said: “In fact where we see the spread of COVID-19 is where we let down our guard, where we literally let down our mask because we feel comfortable with those we love, but the virus is just looking for opportunities to spread.”

In its latest report, the CDC assessed 101 households in Nashville, Tenn., and Marshfield, Wis., from April to September. The households included 101 index patients (or the believed source of infection) and 191 household contacts. These people took self-samples for the virus everyday for two weeks.

Over half (53%) of all household contacts were infected and “secondary infections occurred rapidly, with approximately 75% of infections identified within 5 days of the index patient’s illness onset,” the health agency wrote.

Younger index patients aged 12 to 17 years infected about 38% of household contacts, according to the data.

CORONAVIRUS IN THE US: STATE-BY-STATE BREAKDOWN

The CDC advises using separate bathrooms and bedrooms, if possible, to reduce virus spread at home, among other measures. (iStock)

The CDC advises using separate bathrooms and bedrooms, if possible, to reduce virus spread at home, among other measures. (iStock)

To lower the risk of virus spread at home, the CDC recommends isolating immediately upon coronavirus-like symptoms, testing positive, or testing due to high-risk exposure, whichever happens first. Also, everyone should wear masks in shared spaces at home.

Members of the same household should use separate bedrooms and bathrooms if possible, the CDC wrote. Finally, a significant number of infected people in the study were asymptomatic, which further emphasizes the importance of isolation, the agency wrote.

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European Commission approves Roche’s Tecentriq in combination with Avastin for the treatment of people with the most common form of liver cancer

  • Tecentriq in combination with Avastin is the first and only cancer immunotherapy regimen approved in Europe for the treatment of unresectable hepatocellular carcinoma (HCC), the most common form of liver cancer

  • Tecentriq combination improved overall survival and progression-free survival compared with the previous standard of care

Basel, 2 November 2020 – Roche (SIX: RO, ROG; OTCQX: RHHBY) today announced that the European Commission has approved Tecentriq® (atezolizumab) in combination with Avastin® (bevacizumab) for the treatment of adult patients with advanced or unresectable hepatocellular carcinoma (HCC) who have not received prior systemic therapy.

“Tecentriq in combination with Avastin is the first treatment to be approved in over a decade that has improved overall survival for people with previously untreated advanced or unresectable hepatocellular carcinoma,” said Levi Garraway, M.D., Ph.D., Roche’s Chief Medical Officer and Head of Global Product Development. “We’re delighted that people in Europe can now benefit from this combination and we look forward to working with individual countries within the EU to ensure people can access the combination as soon as possible.”

“The results of the IMbrave150 study mark a breakthrough in the treatment of advanced liver cancer, one of the few cancers with a rising death rate and limited options in the first-line setting,” said Dr Arndt Vogel, Professor of Medicine at Hannover Medical School. “After many failures in the last 12 years, the combination of Tecentriq and Avastin shows improvement in overall survival compared to sorafenib and offers patients the opportunity for improved disease control with a high overall response rate.”

The approval is based on results from the Phase III IMbrave150 study, which showed that Tecentriq in combination with Avastin reduced the risk of death (overall survival [OS]) by 42% (hazard ratio [HR]=0.58; 95% CI: 0.42–0.79; p=0.0006) and reduced the risk of disease worsening or death (progression-free survival [PFS]) by 41% (HR=0.59; 95% CI: 0.47–0.76; p<0.0001), compared with sorafenib. IMbrave150 is the first Phase III cancer immunotherapy study to show an improvement in both OS and PFS in people with unresectable HCC compared with sorafenib. Grade 3–4 adverse events occurred in 57% of people receiving Tecentriq and Avastin and 55% of people receiving sorafenib. The most frequent serious adverse reactions for the combination (≥2%) were bleeding in the gastrointestinal tract and fever. These results were published in the New England Journal of Medicine on 14 May 2020.

Today’s approval follows a positive opinion from the European Medicines Agency’s (EMA) Committee for Medicinal Products for Human Use (CHMP) in September 2020. In May 2020, the US Food and Drug Administration approved Tecentriq in combination with Avastin for the treatment of people with unresectable or metastatic HCC who have not received prior systemic therapy. In addition, in October 2020 the China National Medical Products Administration approved the combination for the treatment of people with unresectable HCC who have not received prior systemic therapy. In total, the combination is now approved in 59 countries for people with unresectable HCC. Tecentriq in combination with Avastin was also recently included as

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CDC: household COVID-19 transmission common, usually within 5 days

  • A new CDC study suggests it’s very easy to get the coronavirus from someone who’s living in your household.
  • The report showed that roughly half (53%) of people surveyed who were living with a COVID-19 positive person wound up sick within a week, according to their daily self-administered tests.
  • Illnesses were transmitted quickly, with 75% of infections being passed along in five days. 
  • The study authors said that people “who suspect that they might have COVID-19 should isolate, stay at home, and use a separate bedroom and bathroom if feasible.”
  • Visit Business Insider’s homepage for more stories.

A US Centers for Disease Control and Prevention (CDC) report released Friday suggests that getting the coronavirus from someone you live with can be quick and easy, no matter their age.

The study, which is ongoing in over 100 households in Nashville, Tennessee and Marshfield, Wisconsin since April, found that roughly half (53%) of study participants living with a sick person who tested positive for COVID-19, the disease caused by the coronavirus, wound up sick themselves within a week. 75% of those secondary cases tested positive for the virus within five days or less, according to their daily, self-administered tests.

“Persons who suspect that they might have COVID-19 should isolate, stay at home, and use a separate bedroom and bathroom if feasible,” the study authors wrote in their report, stressing that isolation should start as soon as the person suspects that they might be sick, even before any testing is done.

Being in the same room with a sick person is dangerous

In the study, most sick patients said they had spent many hours (four or more) together in the same room with the people they live with on the day before they started feeling unwell. That pre-symptomatic period is exactly when health experts suspect that people with the virus are at their most infectious.

Read more: Biotech execs hunting for COVID-19 vaccines and treatments have raked in more than $1 billion by selling company stock this year. Here are the 27 leaders who’ve cashed in the most.

“It’s because the disease can spread at that moment that the disease is so contagious,” the World Health Organization’s Executive Director of Health Emergencies, Mike Ryan, said earlier this year. “That’s why it’s spread around the world in such an uncontained way.”

Another factor working against people who share a home with sick patients: airflow. The coronavirus spreads well between people who are indoors, and gathered close together, in poorly-ventilated spaces, so it makes sense that people would be getting infected from those they live, breathe, sleep, and eat with every day.

“We know that the biggest risk is these closed, indoor environments,” University of Maryland virologist Don Milton previously told Insider.

(However, as the study authors noted, it is always possible that some of the participants might’ve gotten infected in some other way.)

In the study, 40% of sick patients were sleeping in the same room as another person in their household, before they

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Skin Symptoms Common in COVID ‘Long-Haulers’

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center.

A small subset of SARS-CoV-2 patients with “COVID toes” can be categorized as COVID long-haulers, with skin symptoms sometimes enduring for more than 150 days, a new analysis revealed.

Evaluating data from an international registry of COVID-19 patients with dermatologic symptoms, researchers found that retiform purpura rashes are linked to severe COVID-19, with 100% of these patients requiring hospitalization and 82% experiencing acute respiratory distress syndrome (ARDS).

Meanwhile, pernio/chilblains rashes, dubbed “COVID toes,” are associated with milder disease and a 16% hospitalization rate. For all COVID-related skin symptoms, the average duration is 12 days.

“The skin is another organ system that we didn’t know could have long COVID” effects, said principal investigator Esther Freeman, MD, PhD, from Massachusetts General Hospital and Harvard Medical School in Boston.



Dr Esther Freeman

“The skin is really a window into how the body is working overall, so the fact that we could visually see persistent inflammation in long-hauler patients is particularly fascinating and gives us a chance to explore what’s going on,” Freeman told Medscape Medical News. “It certainly makes sense to me, knowing what we know about other organ systems, that there might be some long-lasting inflammation” in the skin as well.

The study is a result of the collaboration between the American Academy of Dermatology and the International League of Dermatological Societies, the international registry launched this past April. While the study included provider-supplied data from 990 cases spanning 39 countries, the registry now encompasses more than 1000 patients from 41 countries, Freeman noted.

Freeman presented the data at the virtual 29th European Academy of Dermatology and Venereology (EADV) Congress.

Many studies have reported dermatologic effects of COVID-19 infection, she said, but information was lacking about duration. The registry represents the largest dataset to date detailing these persistent skin symptoms and offers insight about how COVID-19 can affect many different organ systems even after patients recover from acute infection, Freeman said.

Eight different types of skin rashes were noted in the study group, of which 303 were lab-confirmed or suspected COVID-19 patients with skin symptoms. Of those, 224 total cases and 90 lab-confirmed cases included information on how long skin symptoms lasted. Lab tests for SARS-CoV-2 included PCR and serum antibody assays.

Freeman and her team defined “long haulers” as patients with dermatologic symptoms of COVID-19 lasting 60 days or longer. These “outliers” are likely more prevalent than the registry suggests, she said, since not all providers initially reporting skin symptoms in patients updated that information over time.

“It’s important to understand that the registry is probably significantly underreporting the duration of symptoms and number of long-hauler patients,” she explained. “A registry is often a glimpse into a moment in time to these patients. To combat that, we followed up by email twice with providers to ask if patients’ symptoms were still ongoing or completed.”

Results showed a wide spectrum in average duration of symptoms among lab-confirmed

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The Top 10 Health & Fitness Apps Of 2020 Have One Thing In Common (Mostly)

Health and fitness apps are winning the Covid-19 era, thanks to closed gyms. But a certain kind of health and fitness app is winning mobile, according to a new report from Apptopia.

“Six out of ten of the top Health & Fitness apps are apps that offer video workouts or video-guided exercises,” Apptopia says. “If non-workout apps like Calm, Headspace, and Flo were not included here, the ratio of video to non-video fitness apps would be even greater.”

Indeed.

Listen to this story on the TechFirst podcast:

Without those wellness apps, six of the top seven fitness apps include video components. Which says something about fitness in the Coronavirus era.

The top 10 health and fitness apps in the U.S. by downloads in the first half of 2020, according to Apptopia, are:

  1. Calm: 8.6 million installs
  2. Fitbit: 4.8 million installs
  3. MyFitnessPal: 3.9 million installs
  4. Headspace: 3.8 million installs
  5. Flo: 3.6 million installs
  6. Muscle Booster Workout: 3.4 million installs
  7. BetterMe: 3.2 million installs
  8. Fitness Coach: 2.9 million installs
  9. Samsung Health: 2.8 million installs
  10. Home Workout – No Equipment: 2.7 million installs

Video workout apps got 65% more downloads than non-video-based workout apps, Apptopia says. What’s more, they had almost 40% more daily active users, and generated 15% more revenue.

MORE FROM FORBES7 Key Differences Between Fitbit Sense And Apple Watch

The United States led the world in fitness and health app installs so far in 2020, with 146% more app downloads than India, and almost 300% more than Brazil or Russia. 64% of us are spending more time in fitness apps than we were last year, according to the report.

One caveat about this data: Chinese mobile app installs are typically not well-represented in mobile analytics companies’ data, since Google Play is not available in China, and many Chinese consumers install apps from a wide range of mobile app stores.

When you just look at video fitness apps, Fitbit’s app is a clear winner.

The Fitbit app has the most installs, the highest number of daily active users, and ranks fourth in in-app purchase revenue at $4.4 million, according to Apptopia. Video is a core part of the Fitbit app, which also has a premium version.

Fitbit is about to experience increased competition, however, as Amazon has started a paid subscription health service paired with its Halo Band and Apple has announced Fitness+, which will include personalized workouts and recommendations in nine categories and “world-class trainers.”

It’s always a good time to be fit.

And while now appears to be a particularly bad time to be an in-person gym, it also seems to be a good time to have a next-generation video-based fitness app.

The full report is available here.

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Study: Loss of smell in COVID-19 far more common than thought

Loss of smell is common in COVID-19, but fewer people say they have this symptom than objective tests reveal, a new study finds.

In fact, about 77% of COVID-19 patients who were directly measured had smell loss, but only 44% said they did, researchers found.

Direct measures of smell involve having patients smell and report on actual odors, while self-reporting includes getting data through patient questionnaires, interviews or electronic health records, the study authors explained.

“Objective measures are a more sensitive method to identify smell loss related to COVID-19,” said study co-author Mackenzie Hannum, a postdoctoral fellow at Monell Chemical Senses Center in Philadelphia.

Subjective measures, “while expedient during the early stages of the pandemic, underestimate the true prevalence of smell loss,” said Vicente Ramirez, a doctoral student at the University of California, Merced, and summer intern at Monell.

The research suggests subjective measures underestimate the true extent of smell loss and that it may be an effective tool for diagnosing COVID-19 early, the authors said in a Monell news release.

For the study, the researchers reviewed previously published studies on COVID-19 and loss of smell.

Their findings were published online recently in the journal Chemical Senses.

Senior author Danielle Reed, associate director at Monell, suggested that “measuring people for smell loss may become as routine as measuring body temperature for fever.”

More information

For more on COVID-19, head to the U.S. Centers for Disease Control and Prevention.

Copyright 2020 HealthDay. All rights reserved.

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Dentist dispels common MYTHS that may be putting you off going fora check-up

One of the most common reasons people fear the dentist is from horror stories that have spread through the gripe vine.

Dentist Dr Safa Al-Naher, who works at The Care Dental Practice and Care Dental Platinum in Hammersmith, West London, which specialises in the treatment of nervous patients, has debunked several myths that may be putting you off booking a check-up. 

Speaking exclusively to FEMAIL, Dr Safa, who provides treatments as well as facial aesthetics to those who normally struggle with fear, has explained why going to the dentist shouldn’t be ‘scary’ – adding that the professionals are not ‘money grabbers’ – despite what people may think. 

The expert has also offered her top tips to overcome fears of going to the dentist – including seeing a therapist to help you talk through your phobias or trying Cognitive Behavioural Therapy.

Dentist Dr Safa Al-Naher, who works at The Care Dental Practice and Care Dental Platinum in Hammersmith, West London, has debunked common misconceptions about dentists and treatment. Pictured, stock image

Dentist Dr Safa Al-Naher, who works at The Care Dental Practice and Care Dental Platinum in Hammersmith, West London, has debunked common misconceptions about dentists and treatment. Pictured, stock image

1. GOING TO THE DENTIST IS SCARY

This is a completely understandable fear that many people have, and most of the time dental anxiety and phobias are a result of a particularly bad past experience. 

Dentists know this and are highly trained in the psychology of dental phobias, how to spot them, and how to manage them. 

Dentists receive experience in sedation and the management of nervous patients during their university training. 

No two dental phobias are the same, and they range in severity, triggers and experiences. 

Most people are afraid of pain, but other reasons for being afraid of the dentist include the feeling of loss of control, the fear of being told off and the various sounds and smells inside a dental practice. 

Making an appointment and turning up is often the first step and usually an in-depth discussion takes place about what your problems are, what you would like to achieve and whether they are able to help you or need to refer you to someone who can.  

2. PATIENT CAN’T GET OVER BAD EXPERIENCE THEY HAD AS A CHILD 

This is the most common cause of dental phobias that we treat. As a child you don’t understand strange situations and cannot rationalise that sometimes it is necessary to experience pain for the greater good, so you develop an irrational fear of certain aspects of visiting the dentist. 

There are many ways this can be addressed. The simplest way is by many small visits and discussions about your fears, and slowly becoming more familiar and comfortable with the dental environment and treatment. 

Dr Safa Al-Naher (pictured), is a Dentist and Facial Aesthetics Practitioner and Trainer, and is Clinical Lead at her family-run dental clinics - The Care Dental Practice and Care Dental Platinum in Hammersmith, West London

Dr Safa Al-Naher (pictured), is a Dentist and Facial Aesthetics Practitioner and Trainer, and is Clinical Lead at her family-run dental clinics – The Care Dental Practice and Care Dental Platinum in Hammersmith, West London

This is a form of Cognitive Behavioural Therapy, and hypnosis with a registered Hypnotherapist can also help. 

You can have dental sedation with ‘happy air’ or nitrous oxide sedation,

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Two Virtual Trainers Share The Most Common Home Fitness Mistakes

The at-home fitness industry has had an explosive year. Dumbells are sold out at major retailers, fitness streaming apps are reporting record memberships, and luxe gyms are sailing on troubled waters. All signs indicate that yoga mats on living room floors could be a mainstay for a new wave of fitness enthusiasts finding their groove during the pandemic.

Taking the matter of personal fitness into your own hands is certainly more cost effective—and these days, poses a lower risk of COVID-19 exposure than venturing into your gym. But if you’ve recently had your first foray into home fitness, there’s also a bit of a learning curve. Certain mistakes can inhibit or prolong results, cause muscle strain, or even lead to injury. So ahead, two group fitness instructors from Obé Fitness—Walter Kemp and Alex Scolari—share the most common at-home fitness mistakes they see among trainees.

Failure to Devise a Consistent (and Varied) Workout Schedule

Both trainers agree that consistency is key. In order to optimize results, you should devise a workout schedule that features a variety of workout types and targeted muscle groups—then stick to it. “Don’t let your body get too comfortable; challenge yourself and mix things up,” says Scolari. “Varying workouts will help you target your full body.” If you’re on a five workouts per week schedule, Kemp recommends scheduling in three full body classes, plus two classes that target specific muscle groups. For example, you might complete a 30 minute HIIT class three days a week, then a targeted arms class one day and a targeted abs class another day.

Skipping Rest Days

Recovery is an often overlooked part of a balanced fitness routine. “Recovery is a key aspect of training. I’d say it’s the key aspect of training,” says Kemp. “You aren’t gaining muscle or losing fat in the gym or after all your grueling at home workouts. It [happens during] your recovery process. Proper sleep and adequate protein, water, mineral, and vitamin intake are vital for not only changing one’s physique but keeping your body strong and resilient.” Scolari echoes this sentiment, but notes that a rest day doesn’t mean spending the day on the couch. Scolari works out five days a week, then uses the remaining two days to take a restorative yoga class or long walk as her recovery days.

Disregarding Nutrition

While it can be tempting to indulge after a tough workout, Kemp underscores the importance of fueling your body properly in conjunction with your fitness routine. “Movement and effort is great, but follow that up with general lethargy and a poor diet after every workout and you have a recipe for not achieving your goals,” he says.

Skipping a Warm-Up to Save Time

According to Kemp, skipping a warm-up is one of the most common home fitness mistakes that leads to injury. “You have to get the blood flowing to the areas of your body that are about to endure the stress you’re going to give to your body during

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Dentist Dr. Frank Roach Atlanta Explains the Field’s Most Common Area of Practice, Centered Around Preventive and Restorative Care

Press release content from Accesswire. The AP news staff was not involved in its creation.

ATLANTA, GA / ACCESSWIRE / October 9, 2020 / Focused on preventive and restorative services intended to promote optimum oral health, general dentists make up more than two-thirds of the profession. A popular dentist based in the so-called Peach State of Georgia, Dr. Frank Roach Atlanta explains more about the field.

“Often I’m asked, ‘What is general dentistry?’” says Dr. Frank Roach Atlanta, speaking from his office in the Gwinnett County city of Norcross.

According to Dr. Frank Roach Atlanta, as many as 80 percent of all qualified individuals-those using their dental degree in some fashion-in the United States are considered general dentists. “Distinct from those who are focused primarily on one area of dental practice, such as periodontics, general dentists handle an array of different services, vital to the continued oral health of their patients,” he explains.

The general dentistry field, Dr. Frank Roach Atlanta goes on to illustrate, primarily covers preventive and restorative services. “General dentists may also take care of cosmetic procedures,” adds the expert, “as well as overall health concerns, such as in the case of obstructive sleep apnea.”

For many people, the one healthcare provider that they see more than any other is their dentist. Invariably, this will be a general dentist, says Dr. Frank Roach Atlanta. “As general dentists, we are the primary providers of dental care to patients of all ages,” he points out.

Routine visits, Dr. Frank Roach Atlanta suggests, to a family dentist, are the most common occurrence in a general dentistry practice, followed by professional cleaning, and, in the presence of decay, the process of filling an affected tooth.

The majority of patients are advised, Dr. Roach says, to visit their dentist at regular intervals to keep their pearly whites in tip-top condition. “Anywhere from quarterly to once or twice per year should be the norm for a typical patient,” proposes Dr. Frank Roach Atlanta, “although a quick conversation with your chosen dentist will provide a more concrete idea.”

All general dentists, Dr. Frank Roach Atlanta reports, have successfully completed four years of education at an accredited dental school. “They will also have fulfilled the requirements of their local state licensing board,” he explains, “including testing and, in some instances, continuing education.”

Proudly practicing dentistry for more than two decades, Dr. Frank Roach is based in the Atlanta-Sandy Springs-Marietta metropolitan statistical area city of Norcross. Norcross, in turn, is located in Gwinnett County – a suburban county of Atlanta in the north-central portion of Georgia. Home to almost a million people, Gwinnett County is the second-most populous in the so-called Peach State after Fulton County.

In addition to general dentistry, Dr. Frank Roach Atlanta also focuses on dental implants, veneers, and teeth whitening, among a number of other services. In his spare time, Dr. Roach is a keen scuba diver, an avid tennis player, and is the proud guardian

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