Fleas in 2 Arizona counties tested positive for the plague, an infectious disease that killed millions in the Middle Ages. According to ABC News, the Navajo County Health Department is urging the public to take precautions to reduce their risk of exposure to this disease, warning it can be transmitted to humans and other animals by a bite from an infected flea or by direct contact with an infected animal. Symptoms of the plague include sudden onset of fever, headache, chills, weakness, and 1 or more swollen, tender, and painful lymph nodes. If left untreated, the bacteria can spread to other areas of the body. The CDC notes that studies suggest plague outbreaks occasionally occur in southwestern states, such as Arizona, during cooler summers following wet winters, according to ABC News.
If cost-sharing reduction payments under the Affordable Care Act (ACA) are cut, it will cost taxpayers approximately $194 billion over 10 years, according to NPR. The findings come from the Congressional Budget Office, which also reported that premiums for benchmark plans sold on the ACA exchanges will rise approximately 20% next year and 25% by 2020. The cost to consumers, however, would stay the same or decline due to premium increases being offset by tax credits, NPR reported.