内容摘要：“The colonoscopy requires a pre-op, and you have to drive maybe 70 miles for it,” said Dr. Steven Furr, board chair of the American Academy of Family Physicians who practices in rural Alabama. “You get anesthesia. It’s actually almost like a surgical procedure in many ways.

“The colonoscopy requires a pre-op, and you have to drive maybe 70 miles for it,” said Dr. Steven Furr, board chair of the American Academy of Family Physicians who practices in rural Alabama. “You get anesthesia. It’s actually almost like a surgical procedure in many ways.

Vaccination rates in Gray County dropped 23 percentage points after the pandemic, from 94% to 71%.Haskell County dropped 18 percentage points to 65%. And Stevens County dropped 0.5 percentage points to 90.5%.

Colorado’s outbreak, which is linked to an international flight that landed at the Denver airport in mid-May, involves seven cases: six in state residents and one out-of-state traveler.Two people who got measles live in Arapahoe County in the Denver metro, where the vaccination rate dropped 3.5 percentage points to 88.4%. Three others live in El Paso County, home to Colorado Springs, where the vaccination rate dropped 3.8 percentage points to 80% post-pandemic.Pre-pandemic data in North Dakota wasn’t available to Johns Hopkins researchers, but they looked at rates from school years ending in 2022, 2023 and 2024.

North Dakota’s first outbreak started in Williams County, which now has 16 measles cases. In the timeframe researchers looked at, vaccination rates in Williams rose from 84.6% in 2022 to 87.7% in 2023, only to drop back to 83.5% in 2024.Cass County has seven cases, and its rate has stayed steady at about 92.7%, while Grand Forks County, which has 10 measles cases, dropped from 95.4% to 93.4%.

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Labubu, the plush toy from China’s Pop Mart is a social media darling, but the toothy little monsters are far from an overnight success. Having appeared a decade ago, Labubus may have finally cemented their place in the collectible toy market for years to come.But clear cutting creates sediment that winds up in streams, making them shallower, more prone to warming and worsening water quality, according to Josh Kling, conservation director for the conservancy. Sediment, including from roads, can also smother salmon eggs and kill small fish.

Culverts, common on Western logging roads, have also been an issue here. Most “were undersized relative to what a fish needs for passage,” Kling said.Land management decisions for commercial timber have also created some dense forests of small trees, making them wildfire prone and water thirsty, according to Williams-Claussen.

“I know a lot of people would look at the forested hillsides around here and be like, ‘It’s beautiful, it’s forested.’ But see that old growth on the hill, like way up there?” asked Sarah Beesley, fisheries biologist for the Yurok Tribe, sitting on a rock in Blue Creek. “There’s like one or two of those.”Fire bans, invasive plants and encroachment of unmanaged native species have contributed to loss of prairies, historically home to abundant elk and deer herds and where the Yurok gathered plants for cultural and medicinal uses.