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What is Valley fever? Symptoms of the fungus disease spreading in California, explained

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Climate change fuels spread of Valley fever in California


Climate change fuels spread of Valley fever in California

04:02

Valley fever, a disease caused by breathing in a type of fungus primarily found in the Southwest, is on the rise in California, according to the state’s department of public health. 

“People who live in or travel to the Central Valley or Central Coast regions of California may be at increased risk of Valley fever through the fall,” the department recently warned.

Compared to more than 9,000 reported cases statewide in 2023, there have already been more 5,000 preliminary cases reported this year as of July 1, the department reported. 

Valley fever, also known as coccidioidomycosis or “cocci,” is caused by inhaling dust or dirt containing a fungus called Coccidioides. It can infect the lungs and cause respiratory symptoms. In rare cases, it can be fatal.

“Anyone who lives, works, or travels in an area where Valley fever has been reported can become infected, including pets,” the health department said in a news release. “Valley fever is not contagious and cannot spread from one person or animal to another.”

Where is Valley fever found

In addition to California, Valley fever is typically reported in other western states including Arizona, Nevada, New Mexico and Utah.

Within the past two decades, cases of the illness have increased across the country, according to data from the CDC. Still, thousands of cases are not reported, and many are never diagnosed or are misdiagnosed, the CDC says. 

Researchers recently found that drought seasons and climate change play a role in increasing the risk of infection.

During drought periods, peaks in Valley fever cases are less severe, but when rain returns, peaks are particularly high, according to the study published recently in The Lancet Regional Health — Americas journal.

Though timing can differ depending on exact location and year, the study also found that most cases in California occur from September to November. 

Valley fever symptoms

Valley fever often starts mild, with signs similar to the flu or COVID-19, including fever and cough. People may also experience rashes, headaches, fatigue, night sweats, muscle aches or joint pain, according to the CDC.

Symptoms typically develop between 1 and 3 weeks after breathing in spores of the fungus, which occur naturally in the soil of some Western states, primarily across the Southwest.

While some people recover on their own, dangerous complications can develop in as many as 10% of cases, the CDC says. 

Certain factors can also increase a person’s risk of getting a severe case, including being 60 years of age or older, having diabetes or a condition that weakens the immune system, or being pregnant, according to California’s Department of Public Health. 

How to treat Valley fever

While potential vaccines have been tested in animals, there is currently none available for treating or preventing Valley fever.

Instead, antifungal treatments, typically fluconazole or amphotericin B, are used to treat some cases of the illness. In other cases, infections resolve without antifungal treatment, the CDC says.

To help prevent Valley fever in areas with high rates, the California health department suggests:

  • Staying indoors when it’s windy outside and the air is dusty
  • Keeping car windows closed and using recirculating air when driving through dusty areas
  • Wetting dirt before digging to reduce dust
  • Wearing a N95 mask if you must be outdoor in these dusty areas

contributed to this report.



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Judge expected to reveal next steps in Trump sentencing in “hush money” case

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A New York judge is set to decide how to move forward with President-elect Donald Trump’s conviction and sentencing in his “hush money” case. CBS News investigative reporter Graham Kates has more.

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Chicago owed nearly $20 million in police overtime for special events this year; taxpayers may be on the hook

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Chicago street festivals underestimate crowds by tens of thousands, endangering attendees


Chicago street festivals underestimate crowds by tens of thousands, endangering attendees

07:32

CITY HALL — The city spent $22.6 million on police overtime for special events this year but has only been reimbursed $2 million, leaving taxpayers to cover the remaining costs.

City law requires special event producers to pay for police services beyond 12 shifts. However, an investigation by Block Club Chicago and CBS Chicago revealed through records requests that the city has not been retroactively charging for those costs.

Chicago hosts hundreds of street festivals each year, with approximately 1,300 events held between 2021 and 2023. During that period, nearly 2,800 Chicago police officers logged a combined total of 27,000 overtime hours to patrol these events, according to a CBS News Data Team analysis of police overtime records and special event permits.

At a Chicago Police budget hearing on Friday, officials confirmed that a significant portion of the overtime associated with special events has gone unreimbursed, attributing the issue to a “decentralized system.”

In 2024, the police department spent $22.6 million on special event overtime across various music, street, and neighborhood festivals. About $7.2 million of that is attributed to ticketed events like Lollapalooza, the Chicago Marathon, and NASCAR. However, the city has only been reimbursed for Lollapalooza and the Chase Corporate Challenge, totaling just under $2 million, police officials disclosed on Friday.

The 2024 figures are an increase from 2023, which saw $19.2 million spent in police overtime across all special events, police officials said. It’s currently unknown how much of that was reimbursed to the department. Special events include large ticketed festivals, street festivals, athletic events and bar crawls. Chicago hosted 677 special events in 2023, according to records obtained by CBS Chicago. 

The revelation aligns with months of unanswered public records requests directed at the Department of Finance, which has been unable to produce invoices for police overtime at street festivals.

While the department did provide invoice data for traffic control aides at events like Riot Fest, Lollapalooza, and several 5Ks, it referred CBS News to the city’s Public Safety Administration for police overtime. However, the Public Safety Administration has not responded to records requests for police overtime details and did not return requests for comment.

“What may make more sense is we can provide all of our historical data about what our costs are, and we can provide that to DCASE, we can provide that to the Department of Finance. We can give a unified city service quote at the front end,” said Ryan Fitzsimons, Deputy Director at the Chicago Police Department.

During a budget hearing for the Department of Cultural Affairs and Special Events last week, officials revealed that their department is not involved in the invoicing process for reimbursing police overtime, raising concerns among aldermen that permits are being issued to event producers with outstanding balances.

On Friday, police officials said that despite the lack of reimbursement, they do not have the authority to block special event permits unless there are safety concerns. This lack of enforcement power leads to ongoing accountability issues with invoicing, they noted.

“We conduct numerous after-action meetings with OEMC and other city agencies. The problem is that, while we identify these reimbursement issues during those meetings, they are not addressed in subsequent permits issued the following year,” said Chief Duane DeVries, head of the Bureau of Counterterrorism with the Chicago Police Department.

After each permitted special event, the Chicago Police Department generates an “event evaluation form” that tracks the number of incidents and officers assigned to the event.

On Friday several aldermen requested event evaluation forms for various Chicago’s special events.

In July, the CBS News Data Team and Block Club Chicago requested event evaluation data for various events from 2019 to 2024, including PrideFest, Market Days, Wicker Park Fest, and Lollapalooza. The department said the evaluations were kept on paper. A request for those documents was made in August. As of last week, the department is still working on that request. 

All special event producers are required to present security plans to Chicago Police for feedback before the city’s events department issues a permit. The amount of private security is determined by various factors, including the event’s history, location, current events and crime trends. Event organizers suggest a security plan and the police department approves, denies and makes suggestions.

Because of this, some special event producers have argued that they should not be required to pay for police overtime. 

“It’s like someone coming and painting your house and then saying, ‘I want you to pay for it.’ … Well, I didn’t want you to paint my house,” Hank Zemola, CEO of Special Events Management, previously said. “I ordered all this (security) so we wouldn’t have to do that.”

Special Events Management puts on numerous special events including street races and neighborhood street festivals. The company organizes some of the city’s most popular street festivals like Pridefest, Ribfest and others.

By city law, street festivals cannot charge an entry fee but can propose suggested donations for entry. With suggested donations in decline, inflation making festivals more expensive to produce and consumers spending less, Zemola estimates that at least 50% of the company’s events this year lost money.

Still, with the City Council looking for cost-saving measures aldermen are eager to close the loophole that is hemorrhaging money from this city.

“I hope that with the information … your department provides us, we can, from the council side, work on maybe a better process that gives you guys … a seat at the table … so that we can better manage and join our resources,” said Ald. Maria Hadden (49th).


This story was produced under a collaboration with Block Club Chicago, a nonprofit newsroom focused on Chicago’s neighborhoods, and CBS News Chicago. Melody Mercado contributed to this report.



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As Canada delays medically assisted dying in mental illness cases, some find relief, others fear consequences

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When Savannah Meadows had lunch last October with her mother, Sharon Turcott, Meadows was “all smiles,” the mother told CBS News. 

“Maybe she’s turned a corner,” Turcott recalled thinking about her daughter, who had been struggling with serious mental illness.

The next morning, she received a scheduled email: “Mom, if you’re reading this, I’m probably on my way to heaven,” it said. Her daughter had taken her own life at the age of 44.

canada-maid.jpg
Savannah Meadows is seen at lunch with her mother, Sharon Turcott, in an October 2023 photo shared with CBS News by Turcott. 

Sharon Turcott


“She did not want to die by suicide. She did not want to die alone,” Turcott said.

Instead, Meadows had been seeking a medically assisted death — something Canada legalized in 2016. It had been set to expand last year to patients who were suffering solely from mental illness, but that expansion was delayed, and Meadows ultimately died by suicide. 

The delay has been welcomed by some, but condemned by others. 

The history of Canada’s, still evolving MAID law

In 2016, Canada enacted a law allowing medical assistance in dying, known as MAID, for people whose natural death is reasonably foreseeable. Under the law, following a process establishing that all eligibility criteria have been met, a physician or nurse either directly administers a substance that induces death or prescribes a drug that the person takes themselves.

Five years later, the law was expanded, no longer requiring a person’s death to be reasonably foreseeable as an eligibility criterion for adults with a grievous and irremediable medical condition. Under the changes, individuals suffering solely from mental illness were temporarily excluded for eligibility until March 2023. 

Meadows, described by her mother as a proud trans woman, had picked a date and began preparations for the end of her life. 

“It gave me time to accept the fact that my daughter was going to die,” Turcott said.

A few days before Meadows would potentially have been eligible to seek a medically assisted death, however, the government announced a yearlong delay for the consideration of cases of mental illness. Seven months later, Meadows died by suicide.

The delayed inclusion of patients seeking MAID on the basis of mental illness has been met with apprehension from the start. 

Canada’s Expert Panel on MAID and Mental Illness, established to assist in developing the government’s approach to the expansion of the law, outlined concerns in a 2022 report, including the daunting task for clinicians asked to make predictions about individual patients and establish incurability and irreversibility despite the difficulties of predicting the evolution of mental disorders.

Another factor was what the report referred to as structural vulnerability, or the risk of factors such as unstable housing or lack of employment opportunities resulting in individuals viewing death as an only option.

The panel offered a number of recommendations in its report for establishing an expanded MAID regime.

The future of the MAID law’s expansion, however, is also dependent to some degree on domestic politics, which appear set to shift. Pierre Poilievre, whose Conservative Party is up by a significant margin in polls ahead of national elections set to take place within a year, has vowed to “revoke entirely” the expansion of the law to include solely mental health cases, arguing that it blurred a line “between suicide prevention and suicide assistance.”

“She would have died the way she wanted to.”

Since her daughter’s death, meanwhile, Turcott has become an advocate for MAID access for those whose sole underlying condition is mental illness.

“She would have died the way she wanted to, and because that’s what she wanted, that would have been fine with me,” Turcott said. “Suicide was not fine with me.”

canada-maid2.jpg
Savannah Meadows is seen during a shopping trip with her mother, Sharon Turcott, in a photo shared with CBS News by Turcott. 

Sharon Turcott


In February, the government further postponed MAID eligibility for patients whose sole condition is mental illness until March 2027 — four years after it was initially slated to go into effect. 

Mark Holland, Canada’s Minister of Health, said that while “significant progress has been made in supporting practitioners in assessing MAID eligibility in complex cases,” the country’s health system was “not yet ready for MAID where the sole underlying condition is mental illness.”

The delay has been condemned by some MAID advocates. Dying With Dignity Canada, an organization that advocates for end-of-life rights, filed a lawsuit in August alleging discriminatory exclusion in the law against people with mental illness.

An ongoing debate over access to MAID

Others, however, view the delay as a step to ensure necessary safeguards are in place and health care providers are prepared to handle relevant cases. The Canada Mental Health Association said in a January statement that it supported the postponement, citing what it called insufficient time and resources allocated to ensure that people with mental illnesses can access the necessary care.

Some groups oppose the law’s expansion outright. In September, Inclusion Canada, a nonprofit group that advocates for Canadians with intellectual disabilities, filed a lawsuit challenging MAID for people with a disability who are not dying or whose death is not “reasonably foreseeable.” 

The lawsuit argues that MAID Track 2, the 2021 expansion of the law to include patients whose deaths are not reasonably foreseeable, had already resulted in premature deaths.

“People are dying. We are witnessing an alarming trend where people with disabilities are seeking assisted suicide due to social deprivation, poverty and lack of essential supports,” Krista Carr, executive vice-president of Inclusion Canada, said in September.

Compounding CMHA and Inclusion Canada’s concerns, an expert committee of professionals from disciplines including ethics, social work and medicine that reviewed MAID deaths in Ontario identified cases in which it said isolation and unmet social needs, such as housing, had fueled several euthanasia recipient’s requests. 

The committee also found that patients seeking eligibility under the expanded Track 2 criteria were about 8% more likely to reside in areas of the province with high levels of social marginalization than MAID Track 1 recipients.

The committee’s report acknowledged that while the deaths discussed were not necessarily representative of frequent reasons for accessing MAID Track 2, or even the majority of MAID Track 2 deaths, the themes identified were “not uncommon within the MAID review process.” 

Out of 4,644 medically assisted deaths carried out during 2023 under Canada’s MAID law, only 116 deaths were Track 2 patients, according to the committee.

But the report’s findings don’t resonate with everyone, and opposition to the law’s proposed inclusion of patients who suffer from only mental illness has been deeply frustrating for some people seeking MAID. 

Jason, a Toronto resident who didn’t want to be fully identified over concerns that his future MAID review process could be affected, is one of those people.

“When I first heard that it was delayed, my world came crashing down,” he said.

Jason told CBS News that he’s struggled with depression, anxiety and panic attacks for decades, and has attempted suicide twice. He said he’s tried inpatient programs, medication, electroconvulsive therapy and ketamine treatment, among other remedies, to little avail.

“I would not be alive today if there wasn’t the possibility of MAID going through in 2027,” he said, saying the chance of MAID’s expansion was the only reason he hadn’t attempted suicide a third time.

The current safeguards for those seeking MAID whose death is not reasonably foreseeable include two independent practitioners — one of whom must have expertise in the condition affecting the patient — confirming that all eligibility criteria are met, a minimum period of 90 days for eligibility assessments to be made, and the opportunity for the patient to withdraw consent at any point up until the procedure is carried out.

The patient must also be informed of counseling and palliative care options, support for disabilities and mental health, and be offered consultation with relevant professionals in addition to having discussed with their practitioner “reasonable and available means to relieve the person’s suffering, and agree [with the practitioner] that the person has seriously considered these means.”

In a poll conducted in 2023 by Dying with Dignity Canada, 78% of respondents said they supported the removal of the “reasonably foreseeable” natural death requirement from the MAID law, indicating strong support for the Track 2 expansion. But a 2017 survey gauging the attitudes of Canadian psychiatrists toward medical assistance in death found only a minority of 29.4% supported MAID on the basis of mental illness alone, compared to 71.8% who said other factors should also be present to determine eligibility.

Jason said he understood some doctors’ opposition to MAID for mental illness.

“Doctors are there to make you better,” he said. But he added that as mental illness isn’t something that “shows up on a screen,” it can be difficult for people without direct experience to understand the extent of someone else’s pain.

“I don’t have the physical pain that someone else has, but the psychological pain is just as bad,” he said.

In 2022, MAID deaths accounted for 4.1% of overall deaths in Canada, with the average age of MAID patients being 77, according to Canada’s fourth and most recent annual report on Medical Assistance in Dying. Since the law was introduced in 2016 there have been a total of 44,958 medically assisted deaths in the country.

Jason said he didn’t want to put his family through the trauma of another suicide attempt, and that his brother and mother were helping him explore options abroad. Those options, especially for people suffering mental illness, are limited, and often complicated by varying domestic laws around the world.  

Jason said that, like Turcott, his own mother is supportive of his choice to seek MAID.  

“As much as she doesn’t want me to do this again, she would rather I die properly with the assistance of a doctor than have it done by suicide,” he said.

Turcott said she was concerned that the postponement of MAID on the basis of mental health would result in more suicides, leaving families to mourn unexpectedly.

“I don’t want anybody to experience the loss of their child through suicide, and their child being so desperate that they saw no other choice but to take their life,” she said.



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