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The same day, the Forest Service fired around 10% of its highly versatile workforce, many of whom were qualified to respond to fires and integral to their prevention.

Even without serious financial strain — if a spouse, for example, has secure employment — losing a job can be highly detrimental to mental health.

But this is all highly speculative and a US Department of State spokesperson said that there was "nothing to preview or announce at this time".

Cladribine can help people with the active relapsing-remitting version of the disease, as well as more severe, highly active MS, for which it is already used, says drug advisory body NICE.

PrEP tablets are highly effective but taking them every day can be difficult.