WEBVTT

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UP.

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>> BRANDIS BACK TO YOU.

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>> ILLINOIS' SCHOOLS ARE

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CHANGING QUARANTINE

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RECOMMENDATIONS TO ALIGN WITH

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GUIDANCE FROM THE C.D.C.

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THE NEW GUIDELINES RECOMMEND

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KINDERGARTEN-12TH GRADE STUDENTS

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ISOLATE FOR FIVE DAYS AFTER

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BEING EXPOSED TO COVID.

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PREVIOUSLY THE GUIDANCE WAS A

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10-DAY ISOLATION PERIOD.

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JOINING US TO DISCUSS THE

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CHANGES ARE Dr. ROBERT MURPHY

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AT NORTHWESTERN UNIVERSITY'S

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FEINBERG SCHOOL OF MEDICINE AND

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THE IS DIRECTOR OF THE INSTITUTE

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FOR GLOBAL HEALTH.

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AND Dr. TODD FLORIN, A

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DIRECTOR OF RESEARCH IN

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EMERGENCY MEDICINE AT LURIE

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CHILDREN'S HOSPITAL.

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THANK YOU FOR JOINING US.

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Dr. MURPHY LET'S START WITH

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YOU, PLEASE, WHAT IS THE

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ARGUMENT FOR THE NEW GUIDANCE

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THIS UPDATED GUIDANCE?

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>> WELL, THE ARGUMENT FOR THE

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NEW GUIDANCE IS THAT TWO THINGS;

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ONE WE DON'T HAVE ENOUGH TESTS

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FLOATING IN THE SYSTEM AT THIS

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PARTICULAR POINT.

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IT'S NOT BASED ON THE SCIENCE

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THAT YOU DON'T NEED A TEST.

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THE OTHER THING IS THAT MANY

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COMPANIES INCLUDING MANY

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HEALTHCARE FACILITIES, AIRLINES

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AND OTHER BIG BUSINESSES ARE

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LOSING HUGE CHUNKS OF THEIR

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EMPLOYEES BECAUSE THE QUARANTINE

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IS SO LONG OF A PERIOD OF TIME.

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SO THERE WAS PRESSURE TO SHORTEN

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THAT.

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THERE IS SOME SCIENCE THAT SAYS

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PARTICULARLY IN VACCINATED

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PEOPLE THAT THEY TEND NOT TO

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SHED THE VIRUS AFTER FIVE DAYS.

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THEY SHED MORE IN THE FIRST FIVE

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DAYS.

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BUT THIS REALLY CAN'T BE

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EXTRAPOLATED TO THE GROUP.

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I THINK IT'S PREMATURE WITHOUT

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TESTING INVOLVED.

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>> YOU ARE MAKING THE CASE THAT

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IN THE CASE OF STUDENTS YOUNG

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PEOPLE, ARE YOU CONCERNED THAT

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THIS COULD LEAD TO --

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THERE'S CRITICISM THIS ISOLATION

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PERIOD IS NOT LONG ENOUGH.

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WHAT ABOUT FOR KIDS?

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>> RIGHT IT IS THE SAME WITH

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THEM.

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WHY DO YOU HAVE THEM COME BACK

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WHEN THEY ARE POTENTIALLY

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INFECTIOUS?

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I MEAN THAT IS THE QUESTION.

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ESPECIALLY WITHOUT ANY TESTING

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INVOLVED.

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>> NOW, ACCORDING TO DISTRICT

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DATA FROM CHICAGO PUBLIC SCHOOLS

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12,000 STUDENTS ARE IN

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QUARANTINE.

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AND 2300 ADULTS ARE IN

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QUARANTINE TODAY.

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Dr. MURPHY STICKING WITH YOU

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ARE YOU CONCERNED THIS REDUCED

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ISOLATION TIME COULD LEAD TO AN

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INCREASE IN CASES IN SCHOOLS?

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>> YOU KNOW, IN-PERSON LEARNING

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IS OBVIOUSLY GOOD FOR KIDS.

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HOWEVER AT THE VERY PEAK OF THIS

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PANDEMIC AFTER TWO YEARS OF

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THIS, WITH THE NUMBERS THAT

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WE'RE SEEING AROUND THE COUNTRY

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AND THE CITY OF CHICAGO AND

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STATE OF ILLINOIS AND

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EVERYWHERE, IT REALLY WAS TOO

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RISKY TO BRING THE CLASSROOM AT

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THIS POINT.

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THIS MAY CHANGE SOON.

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IT'S ALREADY STARTING TO LEVEL

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OFF IN THE CITY OF CHICAGO.

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IN THE STATE OF VERMONT IT'S

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GOING DOWN, THE UNITED KINGDOM

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IS GOING DOWN, SOUTH AFRICA AND

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OTHER STATES ARE CONTINUING TO

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INCREASE BUT THAT INCREASE IS

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DECELERATING.

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SO IT WAS --

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IT'S JUST PREMATURE AND WHY SO

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MANY STUDENTS ARE OUT AND

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TEACHERS ARE OUT.

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>> Dr. TODD FLORIN YOU

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PUBLISHED A STUDY ON THE SEVERE

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OUTCOMES OF COVID-19 IN

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CHILDREN.

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AND IN THAT STUDY RESEARCHERS

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FOUND THAT 3% OF CHILDREN

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EXPOSED TO THE VIRUS SUFFERED

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SEVERE SYMPTOMS AFTER TWO WEEKS

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OF BEING HOSPITALIZED AND 25%

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WERE HOSPITALIZED FOR TREATMENT.

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WHAT DOES THIS RESEARCH TELL YOU

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ABOUT THE IMPACT OF COVID ON

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CHILDREN?

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>> RIGHT.

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SO IF YOU LOOK AT THE STUDY WE

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LOOKED AT OVER 3200 KIDS IN 41

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EMERGENCY DEPARTMENTS IN 10

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COUNTRIES.

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60% OF THOSE WERE HERE IN THE

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UNITED STATES.

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AND WE FOUND THAT IN THIS KIDS

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WHO PRESENTED TO THE EMERGENCY

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DEPARTMENTS THESE ARE NOT KIDS

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IN THE COMMUNITY THEY WERE SICK

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ENOUGH TO COME TO AN ER.

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ONE IN FOUR WERE ADMITTED TO

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HOSPITAL.

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AND OF THOSE THAT WERE ADMITTED

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TO HOSPITAL, 3% DEVELOPED A VERY

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SEVERE OUTCOME.

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DEFINED AS NEEDING INTENSIVE

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INTERVENTIONS LIKE MECHANICAL

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VENTILATION, MEDICATIONS TO

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SUPPORT BLOOD PRESSURE.

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NOW, THE REASSURING PIECE OF

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THIS IS THAT IF YOU ARE A CHILD

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WHO PRESENTED TO THE EMERGENCY

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DEPARTMENT AND WELL ENOUGH TO GO

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HOME YOUR RISK OF SEVERE

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OUTCOMES WAS LOW.

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.5% HAD ONE OF THE SEVERE

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OUTCOMES AND NONE OF THE

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CHILDREN SENT HOME FROM THE

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EMERGENCY ROOM DIED.

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SO AS A PARENT AND PEDIATRICIAN,

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THAT DATA IS VERY REASSURING TO

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US.

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AND IT IS IMPORTANT TO

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UNDERSTAND THIS STUDY BECAUSE OF

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ITS SCOPE WAS DONE OVER A TIME

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PERIOD THAT WAS BEFORE OMICRON.

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THE STUDY DID NOT HAPPEN

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OVERNIGHT.

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AND SO WE CAN'T NECESSARILY

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EXTRAPOLATE IT TO THE CURRENT

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VARIANT OF CONCERN AND THE

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CURRENT STATUS WITH REGARD TO

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VACCINATION.

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>> HOW CAN IT HELP DOCTORS AND

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HOSPITALS IN DECIDING HOW TO

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TRIAGE PATIENTS AS THEY ARE

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OVERRUN WITH CASES?

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>> IT IS A GREAT QUESTION.

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AND WE FOUND FOUR FACTORS THAT

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WERE ASSOCIATED WITH THE VERY

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SEVERE OUTCOMES.

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ONE WAS OLDER AGED CHILDREN.

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ADOLESCENTS WERE MUCH MORE

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LIKELY TO DEVELOP SEVERE

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OUTCOMES COMPARED WITH THE

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INFANTS AND TODDLERS.

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A PAST HISTORY OF PNEUMONIA AND

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WE THINK THAT IS DUE TO

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SUSCEPTIBILITY TO HAVING

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PULMONARY DISEASE AND YOU KNOW

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PRIOR VARIANTS OF COVID WERE

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HIGHLY ATTRACTED TO THE LUNGS.

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THIRD IS A HISTORY OF REPORTED

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CHRONIC COMPLEX CONDITIONS,

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PREEXISTING CONDITIONS IN THE

05:42.866 --> 05:51.500 align:start position:10% line:74% size:22.5%
CHILDREN.

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AND THE FOURTH WAS PRESENTING A

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LITTLE BIT LATER IN THE ILLNESS.

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FOUR TO SEVEN DAYS INTO SYMPTOMS

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AS OPPOSED TO EARLIER IN THE

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ILLNESS.

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>> Dr. MURPHY LESS THAN 10% OF

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ICU BEDS ARE AVAILABLE IN

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ILLINOIS.

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WE KNOW THERE IS AN UPTICK IN

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HOSPITALIZATIONS WHAT DO YOU

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RECOMMEND PARENTS AND CHILDREN

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DO IN THE MEANTIME, PARTICULARLY

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WITH REGARD TO THESE ISOLATION

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RECOMMENDATIONS IN ABOUT 25

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SECONDS?

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>> 25 SECONDS.

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NUMBER ONE IF YOUR KID IS

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ELIGIBLE FOR A VACCINATION GET

06:18.933 --> 06:24.700 align:start position:10% line:74% size:40%
THEM VACCINATED.

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NUMBER TWO, IF THEY GO INTO

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ISOLATION OR INTO QUARANTINE,

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WHEN THEY COME OUT MAKE SURE

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THEY ARE WEARING A GOOD MASK

06:28.100 --> 06:33.133 align:start position:10% line:74% size:75%
THAT IS THE BEST YOU CAN DO AT

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THIS POINT.

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BUT ANOTHER THING ABOUT THESE

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KIDS, THOUGH, MOST OF THOSE KIDS

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THAT ARE HOSPITALIZED ARE

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UNVACCINATED.

06:37.800 --> 06:43.266 align:start position:10% line:74% size:80%
THEY ARE UNDER FIVE YEARS OF AGE

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OR THEY DID NOT GET VACCINATED.

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THE VACCINATION RATE IS LOW IN

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KIDS 5-11.

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I THINK IT'S ONLY 12% AND 50%

06:48.866 --> 06:53.533 align:start position:10% line:74% size:27.5%
ABOVE THAT.

06:49.800 --> 06:55.066 align:start position:10% line:74% size:72.5%
AND YOU LOOK IN THE HOSPITALS

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AND IT'S THE SAME WITH THE