Newsroom starts right now. Live from washington, im paula reed in for pamela brown tonight. The top stories, surging cases of a respiratory illness are forcing some hospitals to create tent cities just to deal with all the patients as Health Officials say they have seen more cases now than in the past two years. Plus, an underground network sending Abortion Pills from mexico to women in states where the procedure is now illegal. And chinas former president seated right next to the current one is shockingly yanked from the room as the communist Party Congress party comes to an end. Youre in the cnn newsroom. First tonight, breaking news, a deadly shooting in a hospital in dallas, texas. Details are still coming in to cnn, but so far police are confirming that at least two people are dead, both employees at the hospital. I want to get right now to cnns camila bernal. What are you hearing so far . Reporter so this shooting took place at Methodist Dallas Medical Center. According to authorities, no one else is at risk at the moment, because that shooter was taken into custody. Now, it is interesting, because this shooter was essentially shot by a Health System police officer. This is something that was handled within the hospital, but we know that this suspect shot and killed two of the hospital employees. He was confronted by the Health System police officer, and that officer shot. Thats how they were able to arrest the suspect. He was taken into custody and taken to another hospital. The Health System, of course, putting out a statement where they say, the methodist Health System family is heartbroken at the loss of two beloved team members. Our entire organization is grieving this unimaginable tragedy. We want to ensure that Methodist Dallas Medical Center is safe and there is no ongoing threat. Our prayers are with our lost coworkers and their families as well as the entire methodist family. This is going to be difficult for the Hospital System as it is two employees that were killed today. When we have shootings like this, the shooter isnt always captured alive. Whats next in this investigation . Of course theyre going to be looking at motive, but whats The Next Step here . Theyll just determine if he is speaking and whether hes willing to say who he is. They know who he is now. Was he a former employee, a patient, a Family Member of a patient, or was there some ide ideology behind this. The questions you would want answered are who were the victims, were they known to the suspect or were they random victims, where were they in the hospital. If they are on the seventh floor and not the first floor, someone was looking for either them or the place they were working. Thats what our reporters are figuring out as well. Whats the narrative here behind a very not unusual shooting that happens a lot in the u. S. , but at a hospital where someone did not just come in shooting. This seems more targeted. The targeting we dont know if it was because of the individuals or something else. Were seeing deadly shootings in schools, supermarkets and hospitals. Some people may not even realize a lot of hospitals have their own police force. Is this just the reality in america now . It is. Its absolutely the reality. Its not surprising to me it was a Hospital Police armed officer who was able to stop the suspect alive. Once again, the investigation will continue. Anyone whos been to a hospital lately knows theres a lot of security at the front. There tends not to be the sort of patdowns or other things like that, because hospitals are big. They have a lot of people coming back and forth, so it would be hard to do. Emergency rooms are hard to secure. You also have covid. Most hospitals require masking a. I was in an Emergency Room last week. It was all masks and still distancing as if it was last year. Theres a lot of Security Measures in place. Whats unique about it is its not your typical Mass Shooting where someone comes in with a gun and is just sort of spraying, as we see unfortunately in the u. S. I am curious what floor it happened and where the employees work. They seem confident that the threat is over. Thank you so much for that analysis. Now we turn to this, Unpresseunpress Unpressen cases in the u. S. You can see the numbers skyrocketing over the past several weeks. A single week this month saw more than 7300 cases, more than any week in the past two years. This number representsl less thn 10 of the total u. S. Population, so the actual total is probably a lot higher. From new england to texas were seeing how fast these cases and other prrespiratory illnesses a filling many hospitals. One hospital says their pediatric e. R. Is more at capacity than it ever once even during the height of covid. Cnns brian todd on the toll this is taking on families and hospitals. The drive to Emergency Room was really scary and really intense. Reporter this mother of a 5yearold who was hospitalized with Difficulty Breathing told us of an anxious drive to the Emergency Room. Things have actually gotten worse since we were admitted. Ive seen starting last night that hes progressively having a harder time breathing. Rsv is one of the scariest infections to see in a child, especially when its your baby. Youll see your Baby Breathing really, really fast and you feel like theres nothing you can do. Reporter around the country doctors are reporting a spike in cases of rsv, a common respiratory illness that is occasionally severe in babies and young children. Pediatric hospital beds are more full now than theyve been in the last two years. Some Childrens Hospitals are overwhelmed, scrambling to make space, using tents. Its only october. Why is it spiking this year . Experts say one key reason is because kids are back in school after the pandemic. Many children havent built up their Immune Systems and masks and social distancing are a thing of the past. Rsv symptoms sometimes seem similar to cold and flu, runny nose, decrease in appetite, coughing, sneezing, wheezing and fever. You should think about bringing your child to the Emergency Room when you notice your child is having Respiratory Distress or increased work of breathing. Thats typically characterized by breathing really fast and difficulty catching their breath. We can see this disease rapidly progress. Children need attention quickly. Reporter theres no vaccine and no specific remedy, but severe cases can be treated in a hospital with fluids, oxygen and even a ventilator. 4 month old lindy green was taken by ambulance to Cook Hospital in houston. Doctors say to avoid rsv, clean surfaces in your home, have kids wash hands, cover your mouth when coughing and sneezing, dont share toys or cups. For cases that dont require hospitalization, keep a child hydrated and give tylenol or motrin if they have a fever. A doctor says what worries her about this uptick in rsv cases is unlike in previous years when the virus was seasonable and predictable, this time, she says, it has the potential to circulate beyond next spring when it might normally subside and extend into next summer or possibly beyond. Brian todd, cnn, washington. With us now an Infectious Disease specialist at Childrens Hospital colorado and dr. Amy edwards, associate medical director of pediatric Infection Control at rainbow baby and Childrens Hospital in cleveland. I want to talk to both of you about what youre seeing at your hospitals with respect to rsv. Were seeing kind of what everybody else in the country is seeing, which is a significant surge in cases over the last two weeks. One thing i want to point out about that fact is how unusual it is that all of us are experiencing this surge at the same time. I do Infection Control, which involves epidemiology. Were used to rsv kind of taking a more wave across the United States. These hospitals will peak and then these hospitals will peak. Instead, were all peaking simultaneously. We dont know what that means as far as what the next 8 to 12 weeks is going to look like. Its been busy in colorado, as it has throughout the rest of the country. This comes on the back of a busy late summer to early fall with viruses. Its early to be seeing rsv already. We keep referring to the past two years. Over the past two years most people have been trying to keep their kids indoors and somewhat isolated. Has that in any way played a role in making children more susceptible to rsv . Thats an interesting question and one that its going to take some time to answer. Rsv does not induce what we call sterile immunity. If i get rsv, i get it again. Kids who do get rsv, when they get it again years later do tend to have milder cases. Adults are also very dependent on getting multiple exposures to rsv back to back, which they havent been doing. We actually expect what we think is going on as one of the drivers of these higher case numbers might be adults who havent been getting exposed to rsv in the past couple of years are providing a larger reservoir of symptomatic patients and is driving more infection in kids. We used to have very predictable seasons when rsv would show up. Wed be prepared for it. Since the pandemic, patterns have been really thrown off. Its coming out of season, its coming multiple times per year. Youre both in town for an Infectious Disease conference. Thank you again for coming in studio. What are you hearing from your colleagues . Was there any discussion of strategies to combat this both in a hospital and also home and schools . A lot of it is preparedness work, being ready for the increased volume were seeing, making sure we have staff and resources to care for these children the best we can. Right. You have to remember that rsv, while most kids do make a full recovery, they really do require fairly intensive work in the hospital. The nurses have to keep their noses and mouths suctions to keep the mucus out of the way so they can breathe. These kids are often in the hospital two and three and four days. Some kids will be in the hospital for two weeks. Were not talking about in and out overnight with iv fluids. Staffing really is key with rsv season. As you mentioned, we just came out of enterovirus season and we saw more activity than we were used to. If you look in the southern United States, were already starting to see flu cases take a really big high jump. Were a little bit concerned about this overlapping of all these different viruses, because usually rsv comes a little bit later and flu comes very nicely after. They take their turn. It doesnt look like theyre doing that this year. Were very worried about pediatric capacity over the next few months. When do you know its time to bring your kid into the hospital . Weve seen hospitals say if your kid doesnt have something serious, dont come in because we are at or near capacity. When should a parent go to the hospital or take a pause . Many of these illnesses start with common cold symptoms that can be managed at home. Its really when your child is breathing harder or faster than usual, if they cant drink enough to stay hydrated, we want you to bring your child in to be evaluated. Thats what were here for. I dont think the message should be dont bring your child in if theyre sick. You can care for a cold at home, but if theyre struggling to breathe or having trouble drinking enough to stay hydrated, we want to see them. With infants sometimes it can be hard to know. They cant clear their nasal passages. How do you know when it comes to an infant what to do . With infants it can be a little bit harder because theyre often lacking symptoms we rely on, the cough and the significant runny nose. A lot of times with our youngest babies, especially under 2 months, theyre a little bit more lethargic and theyll actually start to refuse their bottle. Infants, their number one drive is milk. Babies should not be refusing their bottle. Thats often one of the first signs we see that rsv is getting out of control. They start to refuse their bottle. You start to have trouble waking them up. Any parent of a newborn knows babies wake up crying because they want their bottle. When you stop seeing that i instinctive need for fluid and the diapers dry up, thats when you know to come to the hospital. Prevention of transmission of these disease is routine Infection Control advice, wash your hands with soap and water, cover sneezes and coughs, stay home from work or school if youre sick, wear a mask if you have symptoms in crowded spaces. Were starting to see flu. That is a preventible disease. We have a vaccine for it. Because flu season is starting early, we want people to get vaccinated as soon as possible. Everyone over 6 months of age that is eligible should be vaccinated as soon as possible against flu. Ing a lot of confusion. Not all respiratory viruses are the same. Some respiratory viruses like rhino virus and rsv are spread by close contact with respiratory secretions. The virus can live on your hands for 30 minutes, an hour. It really is important to wash your hands frequently during rsv season. 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