References to non-CDC sites on the Internet are Improvements were found in the Pacific Northwest and northern Rockies with drought removal in parts of Washington and Montana. Wu J, Huang Y, Tu C, et al. Flooding in southeastern Pennsylvania, Delaware, and portions of New Jersey and Maryland led to road closures, stranded vehicles, and water rescues. Precipitation totals averaged 8.30 inches (211 mm) for September through November which was 0.93 inches (24 mm) below normal. However, the liquid equivalent precipitation produced by the storm generally ranged from 0.50-1.50 inches (13-38 mm), which helped ease drought conditions in these areas. Sea ice extent across the Chukchi Sea for November was third lowest on record while the Bering Sea was second lowest. Monthly mean temperatures were at least 3 degrees F (1.7 degrees C) above average for over 80 percent of the 185 long-term (i.e., period of record equaling or exceeding 50 years) stations across the region. Temperatures were well above average across much of the Southeast region during November. Lei H, Xu X, Xiao S, Wu X, Shu Y. Water restrictions remained in place for numerous locations in Massachusetts and several locations in Connecticut, Rhode Island, and Pennsylvania. Household transmission of COVID-19-a systematic review and meta-analysis. Haemophilus influenzae type b vaccination (minimum age: 6 weeks) Routine vaccination ActHIB, Hiberix, or Pentacel: 4-dose series at 2, 4, 6, 12–15 months PedvaxHIB: 3-dose series at 2, 4, 12–15 months Catch-up vaccination. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. In addition, about 25 percent (47 of 185) of the long-term stations observed monthly mean temperatures that were ranked within their three warmest values on record, including West Palm Beach, FL (1888–2020; second warmest), Augusta, GA (1874–2020; second warmest), Charleston, SC (1938–2020; second warmest), Elizabeth City, NC (1934–2020; second warmest), and Roanoke, VA (1912–2020; third warmest). November precipitation for the Midwest averaged 2.17 inches (55 mm) which was 0.60 inches (15 mm) below normal. Parts of central and southern Arkansas, central Mississippi, and central Louisiana experienced temperatures 0 to 2 degrees F (0.00 to 1.11 degrees C) above normal. Daily minimum temperatures fell below 40 degrees F (4.4 degrees C) across much of the region north of Florida, with numerous stations in North Carolina and Virginia reaching the 20s F (-6.7 to -1.7 degrees C). Early and absentee votes cast by the weekend before the election should be pre-counted and those results are expected to be released shortly after 10 p.m. Eastern (the earliest time results can be reported in Arizona, under state law). Upper Missouri Basin mountain snowpack got off to a pretty good start this season. No notable regions of below-average temperatures were present across the Lower 48 during November. Abbreviation: IQR = interquartile range. Dryness, above normal temperatures, and further drought expansion persisted in the southern tier of the West with little-to-no precipitation for southern California, southern Nevada, Arizona, and New Mexico. In parts of North Carolina, the soybean harvest was delayed due to heavy rainfall and flooding from Eta, while newly seeded livestock pastures sustained damage. F4 U.S. Shuffles Schedule Ahead of 2021 Season. However, extreme drought conditions improved slightly across western Oklahoma and northern Texas. McCulloch DJ, Kim AE, Wilcox NC, et al. innesota receiving more than 16 inches (41 cm). provided as a service to MMWR readers and do not constitute or imply After enrollment, index patients and household members were trained remotely by study staff members to complete symptom diaries and obtain self-collected specimens, nasal swabs only or nasal swabs and saliva samples, daily for 14 days. Department of Health and Human Services. * Percentages might not sum to 100% because of rounding.† Data available for 98 index cases and 166 household members. 2020 Team Championship Standings. The Cuba Hurricane of 1932 made landfall on November 8 and had 175 mph peak winds. Epub September 30, 2020. All nine Midwest states ranked among the warmest 10 percent of their respective November histories as well. Nine states received below-normal precipitation, with amounts for precipitation for all states ranging from 77 percent of normal in New Hampshire to 140 percent of normal in Delaware, its eighth wettest autumn on record. However, abnormally dry (D0) conditions expanded across portions of Georgia and southern Alabama during the month. This ongoing household transmission study will provide critical data regarding the recommended timing and frequency of testing. The potato crop in northern Maine is expected to be reduced by at least 20 percent. Persons should self-isolate immediately at the onset of COVID-like symptoms, at the time of testing as a result of a high risk exposure, or at time of a positive test result, whichever comes first. Three states (Mississippi, Oklahoma, and Texas) tallied the most tornado reports (2), Oklahoma tallied the most hail reports (11), and Arkansas tallied the most wind reports (15). The Northeast had its ninth warmest November on record with an average temperature of 43.2 degrees F (6.2 degrees C), 3.7 degrees F (2.1 degrees C) above normal. Competitors . Household transmission of SARS-CoV-2 is common and occurs early after illness onset. For the majority of the High Plains, precipitation was less than 50 percent of normal. Because household transmission of SARS-CoV-2 is common and can occur rapidly after the index patient’s illness onset, persons should self-isolate immediately at the onset of COVID-like symptoms, at the time of testing as a result of a high risk exposure, or at the time of a positive test result, whichever comes first. Suggested citation for this article: Grijalva CG, Rolfes MA, Zhu Y, et al. Conditions worsened in western Colorado as well, with exceptional drought (D4) extending further into southwestern and northern areas of the state. The timing was particularly bad for farmers that were in the midst of harvesting a variety of vegetable crops bound for holiday tables, including sweet corn, green beans, lettuce, cabbage, and radishes. At another Rhode Island Christmas tree farm, drought-stressed trees turned yellow and hundreds of saplings were a loss, causing the farm not to open for the upcoming holiday season. There was an increase in the overall area experiencing abnormally dry conditions, with conditions developing or expanding across central, southern, and western Arkansas, northern and southern Mississippi, western Tennessee, southeastern and northwestern Louisiana, southeastern and central Oklahoma, and north-central Texas. Boston, MA Experience the beautiful colors of fall in Boston . 135) The bill increases the ratio by which health insurance premiums may vary by age, from a three to one ratio to a five to one ratio. A complex storm system moved across the Northeast from November 30 to December 1. The Mullen Fire, a large fire burning in the Medicine Bow National Forest on the Colorado/Wyoming state border, was 97 percent contained as of November 19th. The winds caused water levels to rise significantly along Lake Erie’s eastern shoreline, resulting in flooding near Erie, Pennsylvania, and Buffalo, New York. Fall temperatures were close to normal across the Midwest with all areas except the northernmost extents of the region falling within 2 degrees F (1 C) of normal. Pensacola, FL (1879–2020) observed its highest count of 13 days during November with a maximum temperature at or above 80 degrees F (26.7 degrees C), while Athens, GA (1902–2020) tied its highest count of 20 days during November with a maximum temperature at or above 70 degrees F (21.1 degrees C). However, parts of northern and western Oklahoma as well as northwestern Arkansas saw improvement, with moderate drought conditions shrinking or even being removed. Judy King, Dayna Wyatt, Robert Lyons, Carleigh Frazier, Emily Jookar, Karen Malone, Olivia Doak, Sarah Davis, Jorge Celedonio, Rendie McHenry, Claudia Guevara, Vanderbilt University Medical Center; Jennifer Meece, Lynn Ivacic, Hannah Gourdoux, Vicki Moon, Jennifer Anderson, Elizabeth Armagost, Deanna Cole, Joe Finamore, Erica Joy Graves, Sherri Guzinski, Linda Heeren, Jacob Johnston, Chris Kadolph, Julie Karl, Tamara Kronenwetter Koepel, Diane Kohnhorst, Erik Kronholm, Eric LaRose, Karen McGreevey, Sudha Medabalimi, Nidhi Mehta, Nan Pan, Rebecca Pilsner, DeeAnn Polacek, Martha Presson, Carla Rottscheit, Jacklyn Salzwedel, Ram Shrestha, Sandy Strey, Melissa Wendt, Marshfield Clinic Research Institute. Moderate drought classifications expanded or developed across southern Oklahoma, central and southwestern Arkansas, northwestern Mississippi, northwestern Louisiana, and much of Texas. Oklahoma tallied the most reports (25) while Tennessee tallied the fewest (1). Wind gusts of 40 mph (18 m/s) to 80 mph (36 m/s) damaged buildings and downed trees and wires, leading to power outages. As soils freeze, what little moisture is available will be locked in place until spring, which is very concerning for spring planting. Methods A total of 110 cases were examined among eleven clusters and sporadic cases, and investigated who acquired infection from whom. Drought impacts were evident throughout the region. NASA's Mars 2020 Perseverance rover will look for signs of past microbial life, cache rock and soil samples, and prepare for future human exploration. As of December 2, 164 community water systems, eight municipalities, and some private well users in New Hampshire had restrictions in place. Thirty named storms formed in the Atlantic, which breaks the previous record of 27 set in 2005. Precipitation across Alaska during autumn ranked in the driest third of the historical record. The greatest totals of over 12 inches (30 cm) were reported in northwestern Pennsylvania, with a location in Erie County picking up 22.5 inches (57.2 cm). For instance, Caribou not only had its hottest November day, it also recorded its second, fifth, and eighth hottest November days. Caribou and Portland, Maine, had/tied their hottest November day on record, while Burlington, Vermont, had its warmest November low temperature on record. Drought conditions (D1 and greater) were not observed across the Southeast region during November. These findings suggest that transmission of SARS-CoV-2 within households is high, occurs quickly, and can originate from both children and adults. For Arizona, Phoenix was the 6th warmest at 67.8 °F (19.9 °C), +3.7 °F (+2.1 °C) above normal and Tucson was the 4th warmest at 64. BMJ Glob Health 2020;5:e002794. La star du catch Jonathan Huber, aussi connue sous le pseudonyme « Brodie Lee », est décédée samedi 26 décembre à 41 ans. Catcheur américain devenu une légende du catch, il mesurait 2,09 m et pesait au meilleur de sa forme près de 195 kg. The statewide temperature rankings for November were as follows: Arkansas (sixteenth warmest), Louisiana (fifteenth warmest), Mississippi (sixteenth warmest), Oklahoma (eighth warmest), Tennessee (thirteenth warmest), and Texas (fourth warmest). ACEP is always a great event to learn, catch-up with colleagues and network ... truly top-notch. ... Catch américain : Raw samedi 2 janvier 2021 09h55 ... a … Clin Infect Dis 2020;ciaa557. Index patients received testing for SARS-CoV-2 a median of 1 day (IQR = 1–2) after illness onset and were enrolled in the study a median of 4 days (IQR = 2–4) after illness onset. Prompt adoption of disease control measures, including self-isolating at home, appropriate self-quarantine of household contacts, and all household members wearing a mask in shared spaces, can reduce the probability of household transmission. Overall, fall temperatures were near normal throughout the High Plains, except for Colorado, where temperatures were well above normal. Both improvements and degradations in drought conditions occurred throughout the High Plains in November. On the 11th and 12th, the interaction of moisture surging northward from Tropical Storm Eta and an approaching cold front produced 3 to more than 8 inches (76 to more than 203 mm) of rainfall across much of the Carolinas and Virginia. Introducing Apple Watch Series 6, Apple Watch SE, Apple Fitness+, the new iPad Air and iPad, and Apple One — the all-new Apple services bundle. Following a warm week, a strong cold front came through and brought a variety of precipitation types, including freezing rain and snow. The American system of manufacturing was a set of manufacturing methods that evolved in the 19th century. Additionally, wind gusts of 60 mph (96.56 kph) were reported near Webster, Louisiana and Shreveport, Louisiana. Up to 5 inches (127 mm) of rain fell, with the greatest amounts in northern and eastern Maine. All state rankings are based on the period spanning 1895-2020. Approximately 75% of secondary infections were identified within 5 days of the index patient’s illness onset, and substantial transmission occurred whether the index patient was an adult or a child. †† 95% CIs around the estimated secondary infection rates were calculated using the Wilson method. Discussion. Precipitation values for the month of November were primarily below normal across the Southern Region. Very warm conditions in the first third of the month led to more than 1,900 daily temperature records from the 3rd through the 11th. For instance, Pueblo received 11.1 inches (28 cm) of snow in October but only a trace of snow in November. Active monitoring of persons exposed to patients with confirmed COVID-19—United States, January–February 2020. There have been 18 other Novembers since 1948 with zero precipitation at Las Vegas. Average temperatures for the region were 43.5 degrees F (6.4 C) which was 5.0 degrees F (2.8 C) above normal. However, few studies have systematically characterized the transmission of SARS-CoV-2 in U.S. households (1). This conversion might result in character translation or format errors in the HTML version. In contrast, the wettest locations were found across much of the Carolinas, Virginia, and the Florida Peninsula, as well as portions of central Georgia, Puerto Rico, and the U.S. Virgin Islands. All twelve Northeast states ranked this November among their 13 warmest on record: Delaware and Maryland, second warmest; New Jersey, fourth warmest; Connecticut, Pennsylvania, and Rhode Island, sixth warmest; Massachusetts, seventh warmest; New York and West Virginia, ninth warmest; Maine, 12th warmest; and New Hampshire and Vermont, 13th warmest. MMWR Morb Mortal Wkly Rep 2020;69:245–6. All HTML versions of MMWR articles are generated from final proofs through an automated process. The U.S. Drought Monitor released on December 3 showed 21 percent of the Northeast in an extreme, severe, or moderate drought and 33 percent as abnormally dry. The findings in this study are subject to at least four limitations. The rates of symptomatic and asymptomatic laboratory-confirmed SARS-CoV-2 infection among household members was 36% (95% CI = 29%–43%) and 18% (95% CI = 13%–24%), respectively. Winds were estimated around 100 mph (160.93 kph) and damage was reported at the McComb Airport. Persons aware of recent close contact with an infected person, such as a household member, should quarantine in their homes and get tested for SARS-CoV-2.¶¶. Above-average precipitation occurred across portions of the North Slope, Northeast Interior and Bristol Bay regions while the Northeast Gulf and Panhandle regions had below-average precipitation for the season. In southeast Alaska, Ketchikan recorded 30.1 in (763.3 mm) of precipitation (181% of normal) making it the 5th wettest November since 1910. Parts of eastern, central, and western Tennessee, northern Mississippi, northern Louisiana, eastern, southern, central, and western Oklahoma, northern, eastern, central, southern, and western Texas, and most of Arkansas received 50 percent or less of normal precipitation. Most of the region had alternating swaths of slightly above or below normal precipitation. Arecibo Observatory, PR (1980–2020) and Wise 1 SE, VA (1955–2020) observed their second and third driest November on record, with only 2.06 and 1.25 inches (52 and 32 mm) of precipitation, respectively. 2020 F4 U.S. On November 14, 2020, there were 16 wind reports across Arkansas, Oklahoma, and Tennessee. However, this storm has a strong rain shadow and also a sharp moisture gradient with the southern half of the state seeing no precipitation. Based on the United States Drought Monitor over 75% of the area in the West is in at least moderate drought (D1) with 22% of the area in exceptional drought (D4). Dryness was accompanied by well above normal temperatures in Arizona and New Mexico. (Sec. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Through November 30, the streak of dry days in Las Vegas reached 224. WPBeginner is the largest WordPress resource site for WordPress Beginners with easy to understand WordPress tutorials for mastering the basics and beyond. Team Finder. Monthly precipitation totals ranged from 150 to more than 500 percent of normal in these areas. Exceptional drought conditions expanded and persisted across western and northwestern Texas, with new areas developing in southern Texas. Most of Wisconsin, Michigan and Iowa had less than half the normal amount of snowfall for November, while only a few areas in Minnesota were above normal. Row crop harvesting and cover crop planting were hindered in areas that received above-average precipitation, but the abundant rainfall was beneficial for the growth of winter grazing. Timing of results. 1Vanderbilt University Medical Center, Nashville, Tennessee; 2CDC COVID-19 Response Team; 3Marshfield Clinic Research Institute, Marshfield, Wisconsin. To complement these measures within the household, a potential approach to reduce SARS-CoV-2 transmission at the community level would involve detecting infections before onset of clinical manifestations; this would require frequent and systematic testing in the community with rapidly available results to enable prompt adoption of preventive measures. Below-average precipitation was observed across much of the West, the northern and central Plains and across parts of the Northeast. CDC twenty four seven. As of December 10, there were 10,860 warm daily high (6,173) and low (4,687) temperature records tied or broken during November. The two largest fires burning in Colorado, the Cameron Peak Fire and the East Troublesome Fire, were both 100 percent contained by the beginning of December, thanks in part to a brief episode of cooler temperatures and snowfall in late October. The majority of the region entered the winter season with depleted soil moisture, with over 50 percent of topsoil and subsoil moisture rated as short to very short in all six High Plains states, according to the December 1st USDA Weekly Weather and Crop Bulletin. † https://www.fda.gov/media/134922/downloadexternal icon. Parts of northern and eastern Arkansas, western and southern Mississippi, central and western Oklahoma, southeastern Louisiana, and northern, western, southern, southeastern, and eastern Texas experienced temperatures 4 to 6 degrees F (2.22 to 3.33 degrees C) above normal, while parts of central, southern, and western Texas experienced temperatures 6 to 8 degrees F (3.33 to 4.44 degrees C) above normal. of pages found at these sites. At the end of November, the record for consecutive days with no measurable precipitation stands at 227 at the Las Vegas airport which is far greater than the previous record of 150 days ending July 21, 1959. ¶ https://news.vumc.org/2020/06/30/new-study-examines-coronavirus-transmission-within-households/external icon; https://www.marshfieldresearch.org/News/research-institute-to-study-transmission-of-covid-19-in-householdsexternal icon. This is approximately six-times the number of cold records reported during the month. Near-average temperatures were observed in pockets across the northern Rockies, northern Plains as well as the southern Plains. Epub August 25. Weekly / November 6, 2020 / 69(44);1631–1634. Transmission of SARS-CoV-2 occurs within households; however, transmission estimates vary widely and the data on transmission from children are limited. Concurrently, all household members, including the index patient, should start wearing a mask in the home, particularly in shared spaces where appropriate distancing is not possible. Saliva or nasopharyngeal swab specimens for detection of SARS-CoV-2 [Letter]. Monthly precipitation totals ranged from 50 to 25 percent of normal in these areas. Miami, FL (1895–2020) and Sarasota-Bradenton, FL (1911–2020) observed their second highest count of 25 and 11 days during November, respectively, with a minimum temperature at or above 70 degrees F. The warmest weather of the month occurred from the 8th through the 11th, as unusually warm, moist air surged westward off the Atlantic Ocean. Drought conditions worsened across northern and central Kansas, as well as southwestern Nebraska, due to persistent dryness in these areas. Sect. Drought and abnormally dry conditions continued to have impacts. During November, streamflow and groundwater levels were below normal in some drought areas. The freezing rain was most impactful, as it caused power outages, downed tree limbs, and slick roads. Catch up on Instagram. Axios PM. More than 185,000 customers lost power in Pennsylvania. Ses 2 finish favoris étaient le Big Hug (prise du dos et du torse consistant à ceinturer le corps de l'adversaire avec les bras à partir du dos) et le Heart Punch (un coup de poing pouvant arrêter le coeur de son adversaire). The region as a whole experienced its ninth warmest November on record. The vast majority of the region had between 50 and 150 percent of normal precipitation for the month. Below-average precipitation occurred across parts of the West, northern Rockies, much of the northern Plains and from portions of the South to the Northeast. It was the coolest January-November across. Early on the 30th, an EF-1 tornado caused significant tree damage and minor structural damage to a home in Madison County, FL. Numerous locations in the High Plains ranked among the top 10 of warmest Novembers (see the rankings table on page 6 for more details). However, it is still very early in the mountain snowpack season, and there is plenty of time for these areas to catch up. The U.S. Drought Monitor released on November 5 showed 37 percent of the Northeast in an extreme, severe, or moderate drought and 24 percent as abnormally dry. (The 2020 thresholds are expected to be issued in final form in September 2021; a preliminary version of the 2020 thresholds is now available from the Census Bureau.) However, the area experiencing abnormal dryness and drought (D0-D4) actually decreased from about 98 percent to 96 percent. J Infect 2020. In 5 quick questions or less, you’ll be able to identify any insect above or below the water in seconds AND match that insect to a fly in your box from our recommendations. Rethinking Covid-19 test sensitivity—a strategy for containment. Household transmission of SARS-CoV-2 in the United States. During 7 days of follow-up, 67% (68 of 102) of infected household members reported symptoms, which began a median of 4 days (IQR = 3–5) after the index patient’s illness onset. Announcing our biggest updates ever to iOS, iPadOS, watchOS — and the entirely reimagined macOS Big Sur. Four days later, Tropical Storm Eta made a second landfall near Cedar Key, FL, with maximum sustained winds of 50 mph. Wildfire concerns will continue into December for places that saw a lack of soaking rains, especially southern California. Four injuries were reported near Romance, Arkansas due to strong winds. The core of his fortune is tied up in a half-dozen buildings in and … November was warm throughout the High Plains, which was a dramatic change from the below-normal temperatures experienced in October. These six regions differ spatially from the nine climatic regions of the National Centers for Environmental Information. Start Your F4 Career Here! Daily maximum and minimum temperatures were well above average across much of the region, as periodic influxes of tropical moisture enhanced daytime warming and suppressed nighttime cooling during the month. November was warm and dry across much of the High Plains, resulting in below-normal snowfall and the expansion and intensification of drought conditions in many areas. Isolation should begin before seeking testing and before test results become available because delaying isolation until confirmation of infection could miss an opportunity to reduce transmission to others. Around the San Francisco Bay area Oakland had its driest November on record since 1970 with 0.19 in (4.8 mm; 7% of normal) logged and San Jose was the 12th driest since 1893 with 0.13 in (3.3 mm; 7% of normal). Extremes contributing to this record include record warm minimum temperatures, record high extremes in 1-day precipitation as well as extremes in warm maximum temperatures, wet PDSI and days with precipitation. On the 11th, Sarasota-Bradenton, FL (1911–2020) observed its wettest November day on record, with 6.41 inches (163 mm) of rainfall. According to the U.S. Army Corps of Engineers, as of December 1st, Snow Water Equivalent (SWE) above Fort Peck Reservoir was 90 percent of average, while the reach between Fort Peck and Garrison Reservoirs was 99 percent of average. 8 °F (18.2 °C), +4.2 °F (+2.3 °C) above normal. A wind gust of 69 mph (111.05 kph) was reported near Marble City, Oklahoma. Results. November was drier than normal in the Northeast, with the region seeing 3.04 inches (77.22 mm) of precipitation, 79 percent of normal. There were four tornado reports, two each in Oklahoma and Texas. On the 11th, Norfolk, VA (1874–2020) tied its second highest daily maximum temperature on record for November, at 85 degrees F. In addition, Greensboro, NC (1946–2020), Charlotte, NC (1941–2020), and Augusta, GA (1947–2020) recorded their highest hourly dew point temperature for November, at 73, 74, and 76 degrees F (22.8, 23.3, and 24.4 degrees C), respectively. Numerous long-term stations observed November precipitation totals that were ranked within their three highest values on record, including Fort Lauderdale, FL (1912–2020; 17.39 inches, 442 mm), Sarasota-Bradenton, FL (1911–2020; 7.62 inches, 194 mm), Hickory, NC (1949–2020; 8.02 inches, 204 mm), and Lynchburg, VA (1893–2020; 8.51 inches, 216 mm). The 3-month average temperature was 51.1 degrees F (10.6 C) which was 0.3 degrees F (0.2 C) below normal. Each report was tallied over four days (November 14, 24, 25, and 27). 134) Beginning in 2020, health insurance benefits no longer must conform to actuarial tiers (e.g., silver level benefits). ** https://www.project-redcap.org/external icon. In this ongoing prospective study that includes systematic and daily follow-up, transmission of SARS-CoV-2 among household members was common, and secondary infection rates were higher than have been previously reported (1,3–7). As for the Plains, this region was largely snow-free at the end of November. The combination of below normal precipitation, above normal temperatures, and lack of snowpack led to expansion of drought in California, Nevada, Arizona, New Mexico and Utah. All household members, including the index case, should wear masks within shared spaces in the household.

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