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. What might be a minor cold to me or i think are allergies, could be a devastating illness in a child or infant. Dont kiss those cute babies. Dont complain about washing your hands. Its just good sense. Thank you so much. Re at times, New York City was receiving eight to ten buses a day, all filled with migrants seeking asylum here in the u. S. Now new yorks mayor says places like el paso will not be sending any more migrants. Find out why. Plus, with abortions now illegal in several states, some women are turning to a secret network to get an Abortion Pill from mexico. L later, how easy is it for hackers to gets into your personal accounts . vo get the new iphone 14 pro on us. Right now tmobile is including apple Business Essentials so you can easily manage your teams devices. On the network with h more 5g coverage. Only from tmobile for business. Agerelated Macular Degeneration may lead to severe vision loss. 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They show record high migrant own counters last month, more than 227,000. That brings the total number of Land Encounters for the fiscal year that just ended to more than 2. 3 million, the highest on record. White house Officials Say the increase stems from political upheaval in countries like cuba, nicaragua and venezuela. In the meantime, new york mayor eric adams says he has been informed that el paso, texas, will stop sending migrants to new york. This comes just days after adams opened two migrant relief centers, including a tent city on randalls island. Reporter New York City mayor eric adams is certainly crediting the Biden Administration, at least for now, for what appears to be a significant decrease in the number of migrants that are arriving here to New York City. The Biden Administration shifted course several days ago and now the policy is that venezuela migrants will be turned back at the border. Now an Administration Official tells us they have already seen a significant decrease at the border by 80 . Now the mayor spoke with cnns chris wallace, telling him that even though the numbers may be decreasing, there are still thousands of people here in new york who will need access to resources. In fact, the city of el paso alone sent more than 10,000 migrants here to the city in the last couple months. The mayor says the city is preparing and will need federal resources to deal with people here who will need that help. We must sit down at the table and have a Clear Pathway for those seeking to experience the american dream. I think we have failed to do that for generations. Im hoping with the decompressing strategy and the real strategy that the white house has put in place, were finally going to deal with, number one, allowing those who are here to work, to give Financial Resources to those who are really carrying the responsibility of those coming here to our country. Reporter what the mayor is saying there is also what as much as Service Providers here in the city have been telling me, that even as the numbers continue to decrease, there are thousands of people now living here in new york that will need to be connected to legal resources, health care, Public Education and who will likely need housing as they move through what are very complicated asylum cases. Even as the arrivals begin to decrease, still thousands of people here in the city who will likely be in need of help for severalm months to come. A consequence of post roe america that could complicate republicans plans. An activist moving Abortion Pills across borders to help women in states where abortion is banned. For a wipe . Think again. Neutrogena® makeup remover wipes remove the 30 of makeup ordinary cleansers can leave behind. Your skin will thank youou. Neutrogena®. For people with skin. [school bells] when pain says, im here, i say, so are they. aleve who do youake it for . Me . 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So who are these who you describe as this growing number of Community Based distributors, who are these people and why are they helping women connect with Abortion Medicines . So this woman, monica, she is in a state where abortion is banned. She is completely freaked out, doesnt know where to turn. She writes a post on reddit saying, can anyone help me . Almost immediately she hears from somebody who says, i can send you the Abortion Pills tomorrow. From there, she gets them within 24 hours. I wanted to know she was the first person i spoke to for this story. I wanted to know who are these people . It turns out that there are hundreds, at least hundreds of distributors across the United States that are working with suppliers in mexico who are sending pills across the border to these distributors, who then connect with women like monica through Word Of Mouth or social media and get those pills to the women in banned states so they can have an abortion at home. But on its face, these women are connecting with strangers online and receiving and taking medication from the stranger. On its face, that sounds really risky. How do women know this is safe . They warn people not to buy makeup on amazon. Arent there serious risks here . Well monica was terrified. I think a lot of women who are getting pill this s this way ar. Medication is safe, its fda approved but many of these pills are coming unmarked and unsealed. The question is, are we sure they really are what they purport to be. In my reporting across the board, yes, they were what they purported to be. They were the Abortion Pills. But i also spoke to experts who were concerned that as these networks expand to include less credible suppliers than the women i followed in mexico, that who knows, there could be fake pills that start to circulate and thats a real concern as we go further into post roe america. How safe is it to carry out abortions without medical supervision . What are the medical risks and also the potential legal risks for anyone who participates in this . Well, really across the board the experts that i spoke to said that if these pills Abortion Pills, then theres nothing to worry about. This is widely regarded to be an extremely safe medical procedure. Now, it can be scary. This is happening when youre alone in your bathroom. What i was hearing from women who were taking the pills is they were too terrified to call a doctor or to go to the e. R. If they had concerns or thought they might be bleeding too much. There is a lot of fear there in not being able to contact a medical professional because of the state of the law. In terms of legal risks, theyre significant. Theyre much more significant for the people distributing these pills, that the laws dont actually target the women who are taking them. The distributors could be facing up to ten years in prison through much of the south and midwest. Incredible reporting. 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In the subpoena letter, the committee wrote, we have assembled overwhelming evidence that you personally orchestrated and oversaw a multipart effort to overturn the 2020 president ial election and to obstruct the peaceful transition of power. Now joining us for more is former federal prosecutor prose. Now that this subpoena has been issued weve been covering the former president and his legal issues for a long time. It seems unlikely that he would just comply and convey legitimacy to this committee. What do you see happening next . I think hes going to delay this as long as possible, file a court action thats likely frivolous, but will nonetheless run the clock until the next Congress Comes in. Then i think hes going to take his chances that the next congress is not going to push forward with the subpoena. So the January 6th Investigation is, of course, just one of the many legal problems that he and his attorneys are facing. Huge reporting yesterday from the Washington Post revealing that some of the documents seized at maralago contained highly Sensitive Information about iran and china and could potentially reveal sensitive sources and methods. Now, this really does increase the seriousness of this investigation, right . Because part of the calculus when deciding whether or not to bring charges when its related to mishandling classified information, is what was the information, what was in there . This really raises the stakes, doesnt it . I think so. First of all, on the one hand, it makes the former president s conduct very, very serious. As youre suggesting, i do think it does raise the stakes from that perspective and also undercuts any potential defense he has that he was doing this to get at the truth regarding the Mueller Investigation or something else. This is unrelated to any of that. However, i will say it also raises the stakes regarding what is called in the trade gray mail, where theres a concern that because theres going to be a public trial, the former president could say, i am going to make all these facts public if we go to trial, which really could create a situation where the federal government and the Justice Department have to make a very difficult decision, do we want to protect these secrets or do we want to have accountability and justice in this case . An interesting possibility if there are charges and if there was to be a trial. Well continue to watch that. Before i let you go, i want to get your thoughts on another case outside washington. Daryl brooks is the man accused of killing six people after driving through a parade. Hes representing himself. Hes disrupted Court Proceedings by arguing the with judge and trying to intimidate witnesses. Is it possible for a defendant whos representing himself to create a mistrial due to this conduct and what happens . Is there a possibility he could prevent these victims from getting justice . I have a lot of personal experience with this, because i actually prosecuted a man who did represent himself and did a lot of crazy things in the courtroom, trying to escape from the courtroom, scaring the judge, as he did here. In that case, though, ultimately he did not have a mistrial and ultimately he was convicted and is serving time in a supermax prison. I think thats likely the result here. Theres an old adage that a person who represents themselves has a fool for a client. I think that is likely going to be the result here, because hes not going to make objections at the right time. Hes going to waive a lot of issues. The sort of mistrial hes going to create is a situation where potentially if the judge shows that she believes hes a danger, she said outside the presence of the jury shes scared of the defendant. As long as shes careful how she conducted himself in front of the injure, i jury, i dont thi of appeals is going to want to go through this again. Thank you so much for joining us. Thank you. And lordstown, once a Manufacturing Mecca is back on the road to recovering its glory days. But as critical elections in ohio loom, are the residents there actually feeling that comeback . Well have more coming up. How would you describe the state of the economy right now . I would say its bad. Gas prices through the roof, Cost Of Living is ridiculous. I think its horrible. Inflation is number one thing in our house. If you still have symptoms of moderate to severe Rheumatoid Arthritis or active Psoriatic Arthritis after a tnf blocker like humira or enbrel, rinvoq is different and may help. 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He used to do side jobs installing windows, charging Something LikeA Hundred Bucks a window when other guys were charging four to fivehundred bucks. He just didnt wanna do that. He was proud of the price he was charging. My dad instilled in me, always put the people before the money. Be proud of offering a good product at a fair price. I think hed be extremely proud of me, yeah. Americans everywhere have inflation on their minds as they consider who to vote for this election season. The people of lordstown, ohio, are no exception. Their city may be the model for a rust belt revival after seeing their gm plant shut down three years ago. Theyve bounced back with a new industry but now face a new challenge in the form of higher prices. Reporter lordstown, ohio, once considered a mecca of manufacturing, propped up by a behemoth General Motors and the 10,000 jobs it brought. We did have, id have to say, the monster in the back yard, which was General Motors. Reporter but in 2019, that monster left town. When the last chevy cruz came off the lot, what is your memory of that event day and that time . It was a very somber day. Reporter lordstown lost millions of dollars in revenue. Its just light switch off. Reporter Earl Ross Owns rosss eat riery and pub. With gm workers gone, he didnt know if hed survive. But then lordstown started blooming with thousands of jobs again with Companies Like foxconn and the Old Gm Plant Producing Electric Batteries and vehicles and a Tj Maxx Home Goods distribution center. This place was available and they purchased and here we are. Reporter this was once a plant that built seats for gm. Now its m and m industries a plastic manufacturer that opened a year we have 11 machines. Our goal is 16 machines and 110 employees. Reporter and where are these employees coming from . All local. Reporter but despite the local economy on the rebound with new jobs and rising wages, ohioans in this area dont feel the same about the overall economy. How would you describe the state of the economy right now . I would say its bad. Gas prices are through the roof. Cost of living is ridiculous. I think its horrible. Inflation is numberone thing in our house. Costs a lot to feed four teenagers. Reporter and roughly nine in ten voters in the u. S. Say the economy and inflation still running hot at 8. 2 are extremely or very important to their vote in this years midterm elections. My turn, pal. My turn. Reporter it could swing undecided voters in the close Ohio Senate Race between democrat tim ryan and republican j. D. Vance. What do you want to hear from either of them that will help inform your vote . Not as much bashing each other, how are you going to combat inflation. Reporter for ross, it comes down to which candidates policies will bring lordstown and the Mahoning Valley back to its glory days but with a new name. I just see so many leaders on both sides coming together to try to make it a real thing. Reporter do you think its because they want to take credit for it . Thats not for me to say. As long as the result is helping me, my family, and the local economy, im stoked. Reporter cnn, lordstown, ohio. Still ahead in the cnn newsroom, a strange end to the gathering of the communist Party Leaders in china. Their former leader seen being unexpectedly led out of a closing ceremony. More on this unceremonial exit next. 600,000 vehicles passing through their Uk Port Every year. Dont just connect your business. Right on time. Make it even smarter. We call this enterprise intelligence. Among my patients, i often see them have Teeth Sensitivity as well as gum issues. Does it worry me . Absolutely. 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What will you do . What will you change . Will you make Something Better . Will you create something entirely new . Our Dell Technologies advisors provide you with the tools and expertise you need to do incredible things. Because we believe theres an innovator in all of us. Voltaren. The joy of movement. Chinas communist Party Congress is wrapping up today with xi jinping set to begin a third term. Chinas president consolidated his power after retiring key Party Leaders from the top ruling body to make room for his own allies. Now in what is normally a highly choreographed closing event, xis move ended up with unexpected drama. Reporter xi jinpingser totarian rule over china is going to be ironclad into the future. Hes all but assured on sunday to be reanointed for an unprecedented third term as chinas Supreme Leader setting himself up in to be ruler for life. Today marks the official close of the 20th Party Congress, chinas most important political meeting in decades. This is a highly scripted and choreographed Communist Party event that happens once every five years. There was a bizarre and astonishing moment that was caught on camera by journalists in that ceremony room. See in the video the man seated next to xi is chinas former top leader. After several confusing moments, hes led out of the room, escorted by two men. A staff member holding his arm. He appears reluctant to leave. On his way out hes seen saying something to xi and patting another on the shoulder. Chinese politics is incredibly opaque. Well never know the true circumstances around this incident. And it has not been reported at all by chinese media. But this dramatic moment has already set off a firestorm of speculation overseas. People are wondering was this because of a health issue, or was it a political statement . Some analysts are saying regardless of the reason, it is a symbolic moment. It shows the exit of a man who represented collective rule. While xi jinping, while he represents strong rule. Since he took over in 2012 he has purged his rivals, he has crushed ascent and reasserted communist Party Control over every aspect of chinese society. Tomorrow we will see who xis closest advisers will be, but we already got a lot of hints today. We learned that a prem oar and another top leader who are not seen as having close ties to xi, they are set to retire. Whats clear is that xi is going to stack the top leadership positions with his loyalists. So in the third term, expect to see xi jinping double down on his iron rule over china. That means a more authoritarian china at home and a more aggressive china abroad. Cnn, hong kong. A story with massive consequences for countries across the globe. Thank you so much. And this weekend, on searching for italy, join Stanley Tucci as he explores pulia, a region known for its fresh and simple food along with its famous olive oil. Heres a sneak peek. [ speaking nonenglish ] thats fantastic. I love that you made this look [ speaking nonenglish ] yeah, thats amazing. [ speaking nonenglish ] beautiful. Thank you. Now [ speaking nonenglish ] that is amazing. Ive got to say. Wow