Arsenal predicted line-up to face Wolves as Mikel Arteta sweats on duo’s fitness

Mikel Arteta is expected to make a number of changes to the team which beat Molde 3-0 in midweek as Arsenal prepare to host Wolves on Sunday night.

The Emirates clash is expected to come too soon for Bukayo Saka but Willian has a chance of making the starting XI after both stars were injured during last weekend’s 0-0 draw at Leeds.

Elsewhere, the Gunners will be without suspended winger Nicolas Pepe, while midfielder Thomas Partey and defender David Luiz are serious doubts.

A number of Arsenal’s youngsters impressed in the Europa League win on Thursday, but Arteta is expected to call on his seasoned performers for the testing visit of Wolves.

Arteta faces a late call on whether to include Willian and Saka

As such, Arsenal will likely line up with a back five ahead of goalkeeper Bernd Leno, with Rob Holding, Gabriel and Kieran Tierney fielded at centre-back.

Hector Bellerin and Ainsley Maitland-Niles may be called on in the wing-back roles, with the latter filling in for Saka as the 19-year-old continues his recovery from a knee injury.

“It’s very doubtful [that Saka will be back in time for Wolves],” Arteta said on Wednesday.

What would be your Arsenal starting XI to face Wolves? Have your say here.

Maitland-Niles may fill in at left wing-back if Saka misses out

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“He’s been in a lot of pain for the last few days so I cannot say today that he’s going to be fit.”

In midfield, Granit Xhaka and Dani Ceballos are expected to get the nod after their industrious displays at Elland Road last weekend.

But there may be a shake-up in attack that sees Pierre-Emerick Aubameyang return to the left flank after he was fielded as a centre-forward against Leeds.

This would allow Alexandre Lacazette to return to the forward trio and Willian to line up on the right wing, should he overcome his calf issue.

Discussing the Brazilian, Arteta said: “He has not travelled to Molde. He will continue to be assessed and aiming to be available for Sunday’s match against Wolves.”

Arsenal predicted starting XI: Leno; Bellerin, Holding, Gabriel, Tierney, Maitland-Niles; Ceballos, Xhaka; Willian, Lacazette, Aubameyang.

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Atalanta v Liverpool: Joel Matip and Naby Keita face late fitness tests before Champions League tie

Liverpool
Liverpool have won 1-0 away at Ajax and 2-0 at home against FC Midtjylland in the Champions League this season

Defender Joel Matip and midfielder Naby Keita face late fitness tests before Liverpool’s Champions League game at Atalanta on Tuesday (20:00 GMT).

The pair trained on Sunday, but midfielder Thiago Alcantara was absent as he recovers from a knee injury.

“We have to wait until the medical department gives us a green, orange or red light,” said manager Jurgen Klopp.

Liverpool have won both of their Champions League games this season and are top of Group D.

Meanwhile, Atalanta, who reached the quarter-finals of the 2019-20 competition, have picked up four points from their opening two matches and are second.

This will be Liverpool’s first European match against the Italian side and Klopp is expecting a tough game.

“They obviously have a really good atmosphere, a good mood and are a proper fighting unit,” said the German.

“They are very well organised; play their system with 100% conviction, they know exactly what everybody has to do.

“I know how good they are. I actually enjoyed the analysis, I enjoyed watching them because it’s really interesting.”

Premier League leaders Liverpool will be playing their sixth game in 18 days.

Matip has only featured twice this season and missed the past four matches, while Keita has been absent for five games because of a muscle injury.

Centre-half Virgil van Dijk is expected to miss most of the season with a cruciate knee ligament injury, while stand-in defender Fabinho sustained a hamstring problem in the 2-0 home win against Danish side FC Midtjylland last week.

“We have, in the moment, more centre-halves available than we probably will line up together, which is good,” added Klopp.

MATCH FACTS

Atalanta

  • Atalanta are set to face their third different English opponent, having previously met Everton in the 2017-18 Europa League (played two, won two) and Manchester City in the Champions League last season (played two, drew one, lost one).
  • Since losing their first three group-stage games in the Champions League last season, Atalanta have gone unbeaten in their past five group-stage games in the competition (won three, drew two), including both this season (won one, drew one).
  • Excluding qualifiers, Atalanta have only failed to score in one of their past 19 games in major European competition (4-0 v Dinamo Zagreb last season), while they have averaged 2.1 goals per game over the course of this run (40 goals in total).
  • Duvan Zapata has been directly involved in six goals in five Champions League starts for Atalanta (four goals and two assists), while he scored twice in their 2-2 draw against Ajax on matchday two.

Liverpool

  • Liverpool have lost all three of their away Champions League matches in Italy under manager Jurgen Klopp, losing to Roma in May 2018 and Napoli in October 2018 and September 2019.
  • Liverpool have won each of their past three away games in the Champions League group stage, after losing four in
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Trump Claims California Wants You To Eat ‘Through’ A Face Mask, Here Is What They Said

Well, isn’t that special.

During a campaign rally in Arizona, U.S. President Donald Trump said that “In California, you have a special mask. You cannot, under any circumstances, take it off. You have to eat through the mask.”

A special face mask? Really? What exactly did Trump mean by special, which incidentally is also the name of a song by the musical group Garbage.

Well, take a look at what Trump said in this AP News video of his campaign speech:

As you can see, Trump didn’t clarify what he meant by “special.” But he did add that eating spaghetti and meat sauce with a face mask on can make you look like you got into a fight with Dana White, President of the Ultimate Fighting Championship.

Of course, eating while wearing a face mask over your nose and mouth is not a good idea. Not only could it make you look like an axe murderer, which is not a great look on a date, getting your mask soiled with sauce and other food items could end up degrading the mask, thus reducing its protective effect. After all, as experience has probably taught you, ladling gravy into your swimsuit can make it more see-through, whether it’s your bikini or your Borat slingshot thong. That’s why all ladling of gravy on your body should be done in the privacy of your own home, regardless of whether mashed potatoes are involved.

In fact, in most cases, eating through your mask would not even be feasible, assuming that you don’t want to eat your face mask as well. That’s because you tend to eat through your mouth and not though another part of your body like your ear or belly button. And a barrier is a barrier. If a mask is supposed to block respiratory droplets, certainly a hot dog can’t make its way through either, unless you have somehow managed to get your hands on an inter-dimensional hot dog.

So who exactly has said that you should eat through your face mask? What public health experts actually recommended doing so? Why did Trump even claim that California doesn’t want you to ever take off your face mask?

Perhaps Trump was referring to the following October 3 tweet from the Office of the Governor of California:

Hmm. “Keep your mask on in between bites” is not the same as “eat through the mask.” That would like saying that “you can urinate when you can get breaks during a date” would be the same as “you can urinate throughout the date.” Doing the latter may not get you a second date and could get you thrown out of the restaurant.

That doesn’t mean that the tweet was perfect. Saying “keep your

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Patients face two-year wait to see dentist after waiting times double during coronavirus pandemic

PATIENTS are facing a two-year wait for dental surgery as waiting times have doubled in the last year because of the coronavirus pandemic.

Many people suffering with serious tooth problems have not been seen by specialists – months after being sent to hospitals by their high street dentists.

⚠️ Read our coronavirus live blog for the latest news & updates

Patients have been left in agony awaiting dentist appointments because of delays caused by the lockdown

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Patients have been left in agony awaiting dentist appointments because of delays caused by the lockdownCredit: Alamy

Dentist appointments had to be rescheduled because of the coronavirus lockdown, which pushed back surgeries and left tens of thousands in agony during the lengthy delays.

On top of routine checks, the delays have caused fears that people with early symptoms of serious mouth diseases may have been missed.

Matthew Garrett, of the dental faculty at the Royal College of Surgeons, said: “It is inevitable that planned dental surgery will be affected and these operations will be delayed. 

“Where it is safe to do so, we need to try to keep services going. 

“Already a considerable backlog has been created, and waiting lists will become insurmountable if we halt again, with disastrous consequences for patients.”

It’s been estimated that as many as 14million appointments have been missed across Britain – and it will take many more months to clear the backlog of check-ups, according to figures obtained by the DailyMail.

The average wait time at the Eastman Hospital in central London has almost doubled, from 16 weeks last October to 28 at the end of August. 

DENTIST DELAYS

The longest wait time, reaching nearly two years, soared from 60 weeks to 92 weeks for a patient needing corrective treatment to their teeth in the orthodontics department.

One of the victims of the long delays is a child, who has also been waiting 86 weeks to be seen by paediatrics specialists at the hospital.

One 7-year-old Jessica Brown was suffering from a wobbly baby tooth that was growing out of an extension to her gum back in March.

But instead of being treated by her local dental surgery in Norfolk, her father was told they would not seen anyone unless the patient was “bleeding or in agony.”

The tooth was removed in September after Jessica’s dad begged a specialist – who said that the 7-year-old’s gum “had thinned so much that the tooth came out in the dentist’s hand.”

In total, 10,303 patients are on the waiting list needing some form of oral surgery.

In total, 7,781 patients have been waiting more than 18 weeks between referral and treatment.

A spokesperson for University College London Hospital said: “[The trust] took a decision… to transform its services to be able to treat Covid-19 patients as well as the sickest patients in the community.

 “This meant that routine dental appointments were temporarily halted.”

Meanwhile, waiting times have almost tripled at both Liverpool University and Birmingham Dental Hospital.

Eddie Crouch, of the British Dental Association, said some patients waiting for hospital treatment will end up

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Hartford judge hears testimony on safety of masks in schools as parents seek to block face coverings rule

A Hartford judge heard hours of testimony on the safety and efficacy of masks to help prevent the spread of the coronavirus Friday as he decides whether to grant an emergency injunction blocking a state requirement that students wear face coverings in schools.

In a daylong hearing on the injunction, Judge Thomas G. Moukawsher heard from both those downplaying the effectiveness of masks as well as those who said face coverings do not negatively impact children and slow the spread of the virus.

The hearing came several weeks after a group of parents and the CT Freedom Alliance sued the state’s education department and top officials to lift the requirement that children wear masks in schools out of fear of the harms they pose to children both mentally and physically.

The assertions in the lawsuit are in direct conflict with scientific evidence that shows that mask-wearing slows the spread of COVID-19. Lawyers for the state have argued there is no evidence to support the claim that masks are dangerous and that in fact masks are protecting students as they attend in-person classes.

Quick to send students home for virtual learning in the spring, Connecticut education officials outlined extensive measures to safely return students to school this fall. Key among those measures was a requirement that students and staff wear masks in school.

Moukawsher set Friday’s hearing to get testimony from two expert witnesses called by the plaintiffs, as well as the state’s witnesses, before ruling on the request for an injunction. The state has filed a motion to dismiss the case, which Moukawsher will address after the injunction.

Lawyers for the parents and CT Freedom Alliance first called on a Los Angeles-based psychiatrist, who said that masks can inhibit development, cause stress and led to other complications for children.

“I am greatly concerned by what I am seeing … children who are forced to wear masks in a school settings as well as outside the school settings are in imminent harm,” said Dr. Mark McDonald. McDonald also noted that the risk of oxygen deprivation can led to “permanent neurological damage in children, which we will not be able to address because the window will have passed.”

The state questioned McDonald’s beliefs in masks and the government response to the pandemic. McDonald said he believes that a healthy person confers no benefits to others when wearing a mask.

The plaintiff’s second witness, Knut Whittkowski, a New York-based epidemiologist with 35 years in the field, said he reviewed scores of studies and could not find evidence that masks were effective outside a health care setting.

“I went through all the literature I could find, and all the literature I was presented and I could not find convincing evidence on the effectiveness of surgery masks or bandannas or other masks worn in non-health care settings in general,” Whittkowski said. “And in particular, I couldn’t find evidence for the effectiveness of mask wearing by children.”

The U.S. Centers for Disease Control and

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The politics of the pandemic lead Elkhart County, Ind., to face its worst covid-19 outbreak alone

But they also know that’s not going to happen now.

“There’s no help coming before the election,” said Lydia Mertz, the county’s health officer, calling the current situation “extremely alarming.”

“I think right now some elected officials are just looking to get through the first weeks of November before they do anything unpopular,” said Dan Nafziger, chief medical officer at Goshen Hospital, referring to the restrictions seen in the state earlier this year that he believes are needed again.

“Without a doubt the election is a factor,” said Mike Yoder, a Republican county commissioner.

The pandemic has become politics. And on the eve of a contentious national election, with cases of the novel coronavirus surging in many parts of the country, places like Elkhart County — where President Trump is popular — feel they are being left alone to face outbreaks spiraling out of control. Trump has long disparaged efforts to fight the virus, clashing at times with his own public health officials. On Sunday, White House Chief of Staff Mark Meadows reinforced the president’s message, saying during a CNN interview, “We’re not going to control the pandemic.”

The result, according to officials in Elkhart County, is that state and federal authorities in recent weeks have showed little interest in helping them push for the tougher measures needed to control the pandemic — a change from earlier this year, when they worked together on encouraging mask-wearing or limiting public gatherings. And local officials worry they lack the authority or support to go it alone.

“I’ve talked with the mayor, county officials and corresponded with the Indiana State Health Department and the governor, and I’ve asked them to make stronger interventions,” said Rebecca Stoltzfus, president of Goshen College, who is part of the county’s coronavirus fight. “There’s not been much of a response.”

The business community, too, has noticed the lack of action, said Levon Johnson, president of the Greater Elkhart Chamber of Commerce.

“Unfortunately, politics has gotten in the way of the common-sense things that need to be done,” said Johnson.

A spokeswoman for Indiana Gov. Eric Holcomb, a Republican, referred questions from The Washington Post to the state health department. A statement from the state health agency said cities and counties are free to impose, “ANY additional health emergency restriction they determine necessary to control the spread of the virus.” The agency said it has provided advice and funding for testing clinics and education campaigns in Elkhart and across the state.

Elkhart County is rural and conservative, home to 200,000 people, 150 miles north of Indianapolis and best known for a manufacturing base that makes it part of the “RV Capital of the World.” A Democrat hasn’t been elected to county office in years. Trump won nearly 57 percent of the vote here in 2016.

And the area is accustomed to serving as a stage for presidential politics. Barack Obama, when he was president, visited the county in 2009 to highlight how much work was needed to get the

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Britain’s Health Workers Face 2nd Virus Wave, but This Time With Less Support

People have also begun complaining about long wait times.

“There is some disbelief that you’ve had six months to prepare for this and why haven’t you been training more nurses,” said Dr. Tamás Szakmany, an intensive care doctor in Newport, Wales. But, he said, “it’s not just like you’ve got a car factory and you suddenly need more transmissions, so you train the factory workers to build more transmissions. It’s just not that simple.”

Among doctors and nurses, a sense of battle fatigue has set in. Extra weekend shifts that were intended to be temporary have lasted through the summer, especially in northern cities where coronavirus wards remained busy even as a national lockdown was lifted in the summer. Health workers are calling in sick, many of them with anxiety and depression.

Rapid testing remains scarce for doctors and nurses. And health workers on coronavirus wards are supplied only with basic surgical masks, not the heavier-duty N-95 masks reserved for intensive care units.

“The first time around, it’s almost like a once-in-a-lifetime kind of medical challenge,” said Paul Whitaker, a respiratory doctor in Bradford, in northern England, where the number of coronavirus patients has returned to its early May peak.

“The hospital provided packed lunches for us all,” Dr. Whitaker added. “People were sending good luck messages. But the prospect of going into another six months, which is almost certainly what it’s going to be, is relatively frightening. How are you going to maintain the morale, the focus and the energy of all these people?”

In the ex-mining and manufacturing towns in England’s north that have been hit hardest by the latest surge of infections, doctors are especially harried. Nearly 40 percent of critically ill patients are now classified as the country’s most deprived, compared to a quarter of such patients in the spring and early summer.

Source Article

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Low temps and high costs: Coronavirus vaccine distribution will face a “big challenge”

“CBS This Morning” explores whether America is ready for a coronavirus vaccine in a special three-part series, Road to a Vaccine. Part three airs Wednesday, October 28 on “CBS This Morning,” 7-9 a.m. on CBS. Watch part one here.


The earliest a coronavirus vaccine is expected to be ready for FDA authorization is the end of November. The CDC has already given states $200 million to prepare for distribution.

But shipping companies like DHL have a daunting task — preparing to transport a coronavirus vaccine without knowing where the vaccine will be manufactured, what the packaging will be or how cold it will need to be kept.

“There’s still a lot of things that are unknown. And we’ve been talking to the different manufacturers, who are in various phases of the clinical trials to get ready,” DHL’s CEO of Global Forwarding USA David Goldberg told CBS News senior medical correspondent Dr. Tara Narula. 

At the DHL cold-chain facility near Chicago’s O’Hare airport, vaccines are stored at various temperatures before they’re sent to doctors’ offices, pharmacies and hospitals.

“We’ve been moving the flu vaccine, the meningitis vaccine,” Goldberg said. “I think the challenge related to this vaccine is it’s, you know, a vaccine that the world needs as soon as possible, at once, which will make it very difficult in terms of logistics.”

The colder the vaccine, the more complicated the logistics. Pfizer’s coronavirus vaccine candidate needs to be kept at about minus 94 degrees Fahrenheit, while Moderna’s needs to be stored at minus 4 degrees Fahrenheit.

“A lot of providers don’t have that type of storage,” said North Dakota Immunization Program Manager Molly Howell.

The ultra-cold storage requirement will make it challenging for states to get the vaccine to their residents, Howell said. 

“Once a provider receives that vaccine, it really starts the clock that the vaccine needs to be administered within five days of when it’s put in the refrigerator,” she said. 

Pfizer’s vaccine is expected to ship in containers with almost 1,000 shots, which worries Howell.  

“The minimum increment of 1,000 doses and figuring out how we can get that to the rural areas is what’s keeping me up at night,” she said. “We’re thinking about the possibility of having to repackage and redistribute that vaccine into smaller quantities.”

While states like North Dakota gear up for mass distribution, the pandemic continues to batter state budgets. The trade associations that represent health officials across the country have asked Congress for $8.4 billion to help states distribute the vaccine.

States and their health departments are “tapped out financially,” said Georgetown professor Dr. Jesse Goodman. 

“Also, in terms of their human resources, they’ve been running at 100 miles an hour to do the contact tracing to make up for a not very efficient federal response,” he said. 

Goodman said there needs to be an effective national system for distributing and monitoring the vaccine.

“Otherwise, it’s going to be chaos,” Goodman said. “We may have multiple vaccines. We may

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Down syndrome: People with the syndrome face 10 times the risk of death from Covid-19

“This was after adjustment for cardiovascular and pulmonary diseases and care home residence, which our results suggest explained some but not all of the increased risk,” the researchers wrote.

Their analysis involved more than 8 million adults who were part of a coronavirus risk assessment project sponsored by the British government. Of the 8.26 million people in the tracking study, 4,053 had Down syndrome. Of those, 68 people with the disability died and 40% were killed by Covid-19. Seventeen died of pneumonia or pneumonitis and 35% died of other causes.

Those numbers compare with more than 41,000 people without Down syndrome who died, but just 20% died from the coronavirus, 14% from pneumonia or pneumonitis and 65% died of other causes.

Down syndrome is not included in any guidance from the US Centers for Disease Control and Prevention or the UK’s health ministry as a condition that would put people at increased risk for Covdi-19.

“However it is associated with immune dysfunction, congenital heart failure, and pulmonary pathology and, given its prevalence, may be a relevant albeit unconfirmed risk factor for severe COVID-19,” researchers concluded.

A community at risk

National Down Syndrome Society President and CEO Kandi Pickard said her group is grateful that the study has put a focus on the impact of Covid-19 on people with Down syndrome.

“From the beginning of the pandemic, we have been concerned about our community, especially given the complex medical histories of many of our loved ones,” Pickard said. “This recent study confirms our concerns.”

Kids struggle with Covid-19 and its months of aftermath
The society and other Down syndrome organizations worked together to issue the “Q&A on COVID-19 and Down Syndrome” resource guide to help caregivers and others. People with Down syndrome often communicate and understand information in different ways, and they may have trouble understanding social distancing, masking and other ways to prevent infection.

“People with Down syndrome may also have a hard time telling others when they don’t feel well,” according to the coalition. “They may have trouble knowing they have symptoms or how to describe them. For these reasons, they may not raise concerns or seek medical care quickly. Therefore, it is necessary to pay close attention and be watchful.”

Down syndrome is the most common genetic condition diagnosed in the United States every year, according to the CDC, with more than 6,000 babies born with the disability every year. Down syndrome occurs in one in every 700 babies.

Source Article

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Autistic individuals may have a hard time wearing a face mask. Here’s how experts help.

Health experts widely recommend wearing a face mask to prevent the spread of diseases, including COVID-19. Although there are reports of people who defy mask requirements, there are also people who may be struggling with face masks for physical reasons. Adults and children on the autism spectrum may have difficulty wearing masks.

People with autism may have sensory issues that can either be hypersensitivity or hyposensitivity, meaning overactive and underactive, respectively. Face masks can pose a problem for people with hypersensitivity because they may be unable to tolerate having something on their face or the material of the mask itself activates the touch senses to a point that is intolerable.

This could potentially lead to complications or confrontations in public spaces if masks are required. There are reports of families going shopping and who were asked to leave the store, a special needs student not being able to attend classes and a mother and a 5 year old were taken off a flight because of masks.

Changing America spoke to experts at Firefly Autism, a nonprofit that provides services to adults and children with autism in Colorado. “The very first thing to always remember when we’re talking about individuals with autism is every single person is completely different,” says Amanda Kelly, who is the Home-Based Programs Director at Firefly Autism. “It’s very hard to say broadly one type of mask is better than another because everybody is entirely individual and completely different.”


BREAKING NEWS ON THE CORONAVIRUS PANDEMIC

CDC ‘STRONGLY RECOMMENDS’ ALL PASSENGERS ON PLANES, TRAINS, BUSES WEAR MASKS TO SLOW SPREAD OF COVID-19

THE COMING WEEKS WILL BE ‘DARKEST OF THE ENTIRE PANDEMIC,’ INFECTIOUS DISEASES EXPERT SAYS

WISCONSIN REIMPOSES CORONAVIRUS RESTRICTIONS AMID SURGE IN HOSPITALIZATIONS

ANTIMICROBIAL RESISTANCE COULD GET WORSE DURING THE CORONAVIRUS PANDEMIC

PROPOSAL TO LET CORONAVIRUS SPREAD NATURALLY THROUGH US POPULATION INTERESTS WHITE HOUSE, ALARMS MEDICAL ESTABLISHMENT


An initial assessment could help understand what part of wearing a mask is difficult and why. It would also help set a baseline. For example, you can determine if the person can tolerate touching a mask, putting it on and wearing it for a few seconds.

A parent could introduce masks of varying styles and materials and see what the child chooses. Then, they could practice wearing the mask for short intervals. “We always want to make sure that we’re being very very clear with our expectations and explaining everything ahead of time,” says Kelly.

“Then the idea really is to just try and very strategically build tolerance,” says Kelly. “It might be very very small increments of time the person will tolerate having the mask on.” She suggests giving positive reinforcement along the way. Sesame Street made a video for children with autism to help them practice wearing a mask.

After tolerance has been built up, then you can begin practicing. For example, you can take a short trip to a public space with low stakes, like going to a drive through to get an ice cream. Eventually, they

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