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  • Federal judge says insurers no longer have to provide some preventive care services, including cancer and heart screenings, at no cost | CNN Politics

    Federal judge says insurers no longer have to provide some preventive care services, including cancer and heart screenings, at no cost | CNN Politics

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    CNN
     — 

    A federal judge in Texas said Thursday that some Affordable Care Act mandates cannot be enforced nationwide, including those that require insurers to cover a wide array of preventive care services at no cost to the patient, including some cancer, heart and STD screenings, and tobacco programs.

    In the new ruling, US District Judge Reed O’Connor struck down the recommendations that have been issued by the US Preventive Services Task Force, which is tasked with determining some of the preventive care treatments that Obamacare requires to be covered.

    The decision applies to task force recommendations issued on or after March 23, 2010 – the day the Affordable Care Act was signed into law. While the group had recommended various preventive services prior to that date, nearly all have since been updated or expanded.

    O’Connor’s ruling comes after the judge had already said that the task force’s recommendations violated the Constitution’s Appointments Clause. The judge also deemed unlawful the ACA requirement that insurers and employers offer plans that cover HIV-prevention measures such as PrEP for free.

    Other preventive care mandates under the ACA remain in effect.

    The full extent of the ruling’s impact and when its effects could be felt are unclear.

    It is likely the case will be appealed, and the Justice Department has the option to ask that O’Connor’s ruling be put on pause while the appeal is litigated.

    The Justice Department did not immediately respond to a CNN request for comment, nor did the US Department of Health and Human Services.

    White House spokesperson Karine Jean-Pierre called the case “yet another attack on the Affordable Care Act” and said that DOJ and HHS were reviewing Thursday’s ruling.

    The decision, in a case brought by employers and individuals in Texas, represents the latest legal affront to the landmark 2010 health care law. It is unclear what immediate practical effect O’Connor’s new ruling will have for those with job-based and Affordable Care Act policies because insurance companies will likely continue no-cost coverage for the remainder of the contracts even though the Obamacare requirements in question have been blocked. Contracts often last one calendar year.

    O’Connor’s Thursday ruling is expected to kick off a new phase of the legal battle over Obamacare’s preventive care measures. The judge rejected other claims that the ACA’s foes brought against the law – including challenges to the entities that determine no-cost coverage mandates for vaccines, an assortment of women’s health preventive care treatments, and services for infants and children. It’s possible that the plaintiffs appeal those aspects of O’Connor’s handling of the case, which could put at risk coverage requirements for additional preventive services at no cost.

    A lawyer for the challengers did not respond to CNN’s inquiry about Thursday’s decision.

    O’Connor is a George W. Bush-appointee who sits in the Northern District of Texas and who has issued anti-Obamacare rulings in major challenges to the law in the past. An appeal of the current case would head to the 5th US Circuit Court of Appeals, perhaps the most conservative federal appeals court in the country.

    While the case does not pose the existential threat to the Affordable Care Act that previous legal challenges did, legal experts say that O’Connor’s ruling nonetheless puts in jeopardy the access some Americans will have to a whole host of preventive treatments.

    “We lose a huge chunk of preventive services because health plans can now impose costs,” said Andrew Twinamatsiko, associate director of the O’Neill Institute for National and Global Health Law at Georgetown University. “People who are sensitive to cost will go without, mostly poor people and marginalized communities.”

    Thursday’s ruling, if left standing, could have significant consequences for Americans nationwide by limiting access to key preventive services aimed at early detection of diseases, including lung and colorectal cancer, depression and hypertension.

    Some of the US Preventive Services Task Force’s recommendations – including lung and skin cancer screenings, the use of statins to prevent cardiovascular disease and the offer of PrEP for those at high risk of HIV – were issued after the ACA’s enactment.

    Certain older recommendations have been updated with new provisions, such as screening adults ages 45 to 49 for colorectal cancer.

    “It would effectively lock in place coverage of evidence-based prevention with no cost sharing from 13 years ago,” said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation.

    Some of the cost-sharing for these preventive services can be substantial. PrEP, for instance, can cost up to $20,000 a year, plus lab and provider charges, according to Kaiser.

    In an earlier ruling, the judge upheld certain free preventive services for children, such as autism and vision screenings and well-baby visits, and for women, such as mammograms, well-woman visits and breastfeeding support programs.

    O’Connor also upheld the mandate that provides immunizations at no charge for the flu, hepatitis, measles, shingles and chickenpox.

    These services are recommended by the Health Resources and Services Administration and the Advisory Committee on Immunization Practices.

    Insurers will have to continue to cover preventive and wellness services since they are one of the Affordable Care Act’s required essential health benefits. But under O’Connor’s ruling, they could require patients to pick up part of the tab.

    Insurers’ trade associations stressed there would be no immediate disruption to coverage.

    “It is vitally important for patients to know that their care and coverage will not change because of today’s court decision,” said David Merritt, senior vice president of policy and advocacy for the Blue Cross Blue Shield Association. “Blue Cross and Blue Shield companies strongly encourage their members to continue to access these services to promote their continued well-being. We will continue to monitor further developments in the courts.”

    More than 150 million people with private insurance can receive preventive services without cost-sharing under the Affordable Care Act, according to a 2022 report published by HHS.

    Overall, about 60% of the 173 million people enrolled in private health coverage used at least one of the ACA’s no-cost preventive services in 2018 prior to the Covid-19 pandemic, according to a recent Kaiser analysis. These include some services that will continue to be available at no charge under the judge’s ruling.

    The most commonly received preventive care includes vaccinations, not including Covid-19 vaccines, well-woman and well-child visits, and screenings for heart disease, cervical cancer, diabetes and breast cancer, according to Kaiser. The most commonly used preventive services will continue to be covered at no cost.

    Studies have shown the Obamacare mandate prompted an uptake in preventive services and narrowed care disparities in communities of color.

    “There’s plenty of evidence that people responded to this incentive and started using preventive care more often,” said Paul Shafer, assistant professor of health policy at Boston University.

    This story has been updated with additional details.

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  • WHO advisers to consider whether obesity medication should be added to Essential Medicines List | CNN

    WHO advisers to consider whether obesity medication should be added to Essential Medicines List | CNN

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    CNN
     — 

    Advisers to the World Health Organization will consider next month whether to add liraglutide, the active ingredient in certain diabetes and obesity medications, to its list of essential medicines.

    The list, which is updated every two years, includes medicines “that satisfy the priority health needs of the population,” WHO says. “They are intended to be available within the context of function health systems at all times, in adequate amounts in the appropriate dosage forms, of assured quality and at prices that individuals and the community can afford.”

    The list is “a guide for the development and updating of national and institutional essential medicine lists to support the procurement and supply of medicines in the public sector, medicines reimbursement schemes, medicine donations, and local medicine production.”

    The WHO Expert Committee on the Selection and Use of Essential Medicines is scheduled to meet April 24-28 to discuss revisions and updates involving dozens of medications. The request to add GLP-1 receptor agonists such as liraglutide came from four researchers at US institutions including Yale University and Brigham and Women’s Hospital.

    These drugs mimic the effects of an appetite-regulating hormone, GLP-1, and stimulate the release of insulin. This helps lower blood sugar and slows the passage of food through the gut. Liraglutide was developed to treat diabetes but approved in the US as a weight-loss treatment in 2014; its more potent cousin, semaglutide, has been approved for diabetes since 2017 and as an obesity treatment in 2021.

    The latter use has become well-known thanks to promotions from celebrities and on social media. It’s sold under the name Ozempic for diabetes and Wegovy for weight loss. Studies suggest that semaglutide may help people lose an average of 10% to 15% of their starting weight – significantly more than with other medications. But because of this high demand, some versions of the medication have been in shortage in the US since the middle of last year.

    The US patent on liraglutide is set to expire this year, and drugmaker Novo Nordisk says generic versions could be available in June 2024.

    The company has not been involved in the application to WHO, it said in a statement, but “we welcome the WHO review and look forward to the readout and decision.”

    “At present, there are no medications included in the [Essential Medicines List] that specifically target weight loss for the global burden of obesity,” the researchers wrote in their request to WHO. “At this time, the EML includes mineral supplements for nutritional deficiencies yet it is also described that most of the population live in ‘countries where overweight and obesity kills more people than underweight.’ “

    WHO’s advisers will make recommendations on which drugs should be included in this year’s list, expected to come in September.

    “This particular drug has a certain history, but the use of it probably has not been long enough to be able to see it on the Essential Medicines List,” Dr. Francesco Blanca, WHO director for nutrition and food safety, said at a briefing Wednesday. “There’s also issues related to the cost of the treatment. At the same time, WHO is looking at the use of drugs to reduce weight excess in the context of a systematic review for guidelines for children and adolescents. So we believe that it is a work in progress, but we’ll see what the Essential Medicines List committee is going to conclude.”

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  • The US sanctioned Chinese companies to fight illicit fentanyl. But the drug’s ingredients keep coming | CNN

    The US sanctioned Chinese companies to fight illicit fentanyl. But the drug’s ingredients keep coming | CNN

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    CNN
     — 

    The seller, who went by the name Linda Wang, was curt when asked if she sold a chemical often used to create fentanyl.

    “That’s banned,” Wang replied, before quickly providing an alternative: “CAS79099 powder is best. U can have a try.” 

    After more than a week of back and forth, she seemed impatient. “Ok. 79099 powder in USA warehouse now…if you need. Pls order asap,” she wrote in a text message exchange.

    The interaction is part of a CNN investigation that explored whether US-sanctioned chemical companies in China are evading Washington DC’s crackdown on illicitly made fentanyl – finding at least one China-based company that had links to a sanctioned entity, and a seller eager to ship potential ingredients for the lethal drug.

    More than 100,000 Americans died from drug overdoses in 2021, and two-thirds of the fatalities involved synthetic opioids – much of it believed from illicitly made fentanyl, according to the Centers for Disease Control.

    The drug can be 50 times stronger than heroin and 100 times stronger than morphine – and pharmaceutical grade versions of it can be prescribed by doctors for severe pain. But illegally manufactured fentanyl has turbocharged the US’s opioid overdose crisis in the last decade, according to data from the CDC.

    Controlling the illegal trade of the drug has turned into a geopolitical headache for the Biden administration, as China’s vast chemicals market – which supplies the world with raw materials for everything from perfume to explosives– is also a major pipeline of the building blocks of fentanyl, known as fentanyl precursors, according to US officials. 

    Further complicating the fight against fentanyl is the sheer variety of precursors that can be used to make fentanyl and other illicit drugs. Most such precursors also have legitimate uses – including for medical research – and are perfectly legal to sell, making up part of the booming transnational trade.

    China has strict anti-drug policies domestically, but critics in the US say it is not doing enough to help monitor or regulate purchases from buyers aiming to use Chinese-made ingredients to manufacture illegal drugs overseas.

    In 2019, Beijing stepped up its crack down on the production and sale of finished fentanyl and its variants, but US-China anti-drug cooperation has since stalled amid disagreements on trade, human rights, the Covid-19 outbreak and Taiwan. Hopes that US Secretary of State Antony Blinken would bring up fentanyl during a planned visit to Beijing died in early February, when Blinken postponed his trip after a surveillance balloon from China floated over the continental US. 

    As the opioid crisis topped the domestic agenda in 2021, the US sanctioned four companies in China accused of exporting fentanyl or fentanyl precursor chemicals. Online commercial records suggest ties between one of those sanctioned companies, Hebei Atun Trading Co., Ltd., and another China-based company called Shanxi Naipu Import and Export Co., Ltd., that continues to sell fentanyl precursors legally.

    According to official public records in China, Hebei Atun Trading Co., Ltd., began liquidating in June 2021 and was formally dissolved in August that year. Shanxi Naipu Import and Export Co., Ltd. was registered in the same period, according to official records, and it shares a number of key things in common with Hebei Atun.

    For example, Hebei Atun’s still-active Facebook page once linked to a now-defunct website of Shanxi Naipu – which is where CNN found Wang’s phone number.

    The two companies’ websites are registered to the same email address, and at one time appeared to share an IP address. Today, Shanxi Naipu’s websites appear to be carbon copies of Hebei Atun’s since-deleted page – with the same navigation tabs, email address and stock photo of a pipette dropping amber-colored liquid into a cell tray. The Russian and Portuguese versions of the site list “Hebei Atun Trading Co. Ltd.” as their copyright holder.

    One post on a Shanxi Naipu website was titled, “Hebei ATUN Trading Co., Ltd. Wishes you a Happy New Year!” (sic). It has since been deleted. 

    When presented with CNN’s findings, Shanxi Naipu denied ties to Hebei Atun, saying, “we are not related at all.” In statements emailed to CNN, Shanxi Naipu said it had purchased the sanctioned company’s Facebook account, email and cell phone number in order to “attract internet traffic.”

    Shanxi Naipu also denied selling the fentanyl precursor that Wang offered by text, and stressed that everything they sell is legal, and said that they were taking steps to stop the repercussions from the apparent links to Hebei Atun.

    “To prevent further impact from Hebei Atun, we have immediately removed relevant promotional websites and platforms,” the company said in an emailed statement.”

    Logan Pauley, a China analyst who tracks criminal and drug networks, told CNN, “It’s easy on the Chinese side to start a new company to copy and paste the same text that you’re posting on social media or you’re posting on a trade website, and then just to recreate the same operation over and over again.”

    And Gary Hufbauer, trade expert at the Peterson Institute for International Economics and former US treasury official, likens it to a game of cat-and-mouse. While the US government can add an entity to its sanctions list “overnight,” said Hufbauer, there may not be the resources in the US Treasury’s Office of Foreign Assets Control, which enforces sanctions, to keep tabs on new companies that may leverage sanctioned companies’ branding or operations. 

    In a statement to CNN, a spokesperson for the US Treasury said it “had not hesitated” to go after “bad actors” – citing the four sanctioned Chinese companies – and would continue to sanction companies and individuals involved in the drug trade.

    “Treasury continues to monitor the effects of our designations,” they said. “If additional information becomes available that can assist sanctions compliance efforts, when appropriate, we provide that information to industry and/or the public.”

    Asked if Beijing was knowingly lax in its efforts to stem the flow of precursor chemicals from its country, the Chinese Foreign Ministry pointed out that most were not controlled substances, in a lengthy statement that also questioned US efforts to treat addiction and demand for opioids.

    “China has always strictly controlled precursor chemicals in accordance with international conventions and domestic laws. The US side’s so-called ‘fentanyl precursors,’ a small number of them are listed substances by the United Nations, and China has always been resolute in implementing the listed measures. But most of the rest are common chemicals that are not listed by the United Nations, China or even the United States itself,” it said in a written statement to CNN.

    “Government departments do not have the right or the possibility to regulate non-listed chemicals and common commodities,” it added.

    The ministry statement went on to highlight China’s harsh domestic penalties on drug trade and consumption. “The Chinese people deeply resent drugs. the Opium War was the beginning of China’s modern history of humiliation. The Chinese government has always cracked down on drug crime, and China is a no-go area for international drug dealers.”

     Such unregulated precursors, like the one offered by Wang, are not illegal to sell but can be used in the manufacture of illicit substances like fentanyl, methamphetamine, and cocaine.

    Several precursors used to create fentanyl have been put under international control since 2017, but a savvy chemical engineer can combine legal precursors further up the synthesis chain to make similar compounds.

    “What we have seen illicit chemists doing now is that certain components of the synthesis are now … harder for them to purchase, so what they’re doing now is they’re buying compounds that are structurally very, very similar,” Alexandra Evans, a forensic chemist with the D.C. Department of Forensic Sciences, told CNN from her lab in the US capital.

    Or they can create fentanyl analogues, substitutes that are chemically similar to fentanyl and which has made the crisis more deadly in recent years. One fentanyl analogue was found to be 10,000 times stronger than morphine, according to a 2021 US government report.

    Controlling the stream of chemicals has turned into a deadly game of whack-a-mole – where manufacturers are able to use a variety of precursors to synthesize fentanyl and its analogues faster than either can be identified, banned, or regulated. 

    Many of the building blocks to fentanyl have benign purposes and are legal to buy, but a menu Wang sent of Shanxi Naipu’s chemical products for sale appeared designed to support illegal drug manufacture, according to a synthetic chemist who analyzed the list for CNN. 

    It was “obviously a list curated to help people create illicit drugs,” Lyle Isaacs, a professor in the Department of Chemistry and Biochemistry at the University of Maryland, told CNN of the more than 25 chemical compounds on the menu. 

    At least three compounds on the list could be made into fentanyl, he said. One of the compounds, CAS 79099-07-3, also known as 1-Boc-4-piperidone, was what Wang offered to sell CNN; the other two compounds also have legitimate uses and can be found, for example, in academic laboratories researching future medicines, Isaacs said. 

    Still more compounds on the list appeared to be building blocks for meth, ecstasy, ketamine, and the cutting of cocaine, as well as over-the-counter drugs like paracetamol, a common pain medication that can also be used to cut heroin and other narcotics, he added. 

    Asked about the list, Shanxi Naipu reiterated in its statement to CNN that all products on it are legal in China, stating: “We are not professional chemists but just a trading company. Even though we don’t have an intimate knowledge of the composition and use of thousands of chemicals, we have always strictly ensured the legality of our products!”

    Attempts to contact Wang through the company for comment were not successful, and the company said in its statement that she no longer works for them.

    There are measures that responsible chemical sellers can take to avoid their products being used for illegal drugs.

    Identity checks are a hallmark of reputable sellers, said a former Drug Enforcement Administration (DEA) official. The source spoke to CNN on the condition of anonymity because they were not authorized to speak to the media. To sell non-listed chemicals, a good-faith seller would normally ask a buyer about the intended use of the compound, and whether the buyer had the backing of a company or institution, such as a research organization or university.  

    American buyers of regulated chemicals require licenses from the DEA, depending on how hazardous they are. Reputable sellers may also ask for tax identifications even for chemicals that are not controlled, like precursor materials, the source said.

    At no point in the conversation was Wang aware, nor did she ask for the identities of the CNN reporters speaking to her or what CNN planned on using it for. She even offered a “door to door” precursor delivery service via warehouses in the US or Mexico – locations that CNN has been unable to verify.

    In its statement to CNN, Shanxi Naipu denied that it had warehouses in either country.

    The small quantity of precursor needed to manufacture fentanyl ultimately makes shipments destined for illicit ends hard to catch at the border, points out Martin Raithelhuber, an illicit synthetic drugs expert at the United Nations Office on Drugs and Crime.

    “You have hundreds of thousands of tonnes (of chemicals in a shipment), and you are looking for a few kilograms, which are sufficient to produce a supply of millions of doses (of fentanyl),” he said. 

    Since China banned the production of fentanyl and related substances in 2019, Mexican criminal organizations have largely taken control of the drug’s production and sale, smuggling finished fentanyl to consumers in the US, according to a 2022 report from the Congressional Research Service.

    Mexico is now the source of “the vast majority” of meth, heroin and illicit fentanyl seized in the US, according to the US International Narcotics Control Strategy Report (INCSR) released in March 2023. “In 2022, the United States identified Mexico as the sole significant source of illicit fentanyl and fentanyl analogues significantly affecting the United States,” it reads.

    “Criminal elements, mostly in the People’s Republic of China, ship precursor chemicals to Mexico, where they are used to produce illicit fentanyl,” Dr. Rahul Gupta, director of the White House’s Office of National Drug Control Policy, told the Senate Foreign Relations Committee earlier this year. 

    “The only limit on how much fentanyl they can make is the amount of precursor chemicals they can get,” DEA Administrator Anne Milgram told CNN in early March.

    The Biden administration has taken aim at these groups and in February sanctioned a network of Sinaloa Cartel members and associated entities for their involvement in the fentanyl and methamphetamine trade. 

    Mexico’s law enforcement has also fought the trade, seizing and impounding hundreds of kilos of fentanyl precursors and pills – including a cache of over a million potential fentanyl pills in the Mexican border city of Tijuana on March 13.

    Ultimately, tackling fentanyl requires close coordination between the US, Mexico, and China. Even if countries like Mexico had the best national control measures, international cooperation is needed to understand “which flows are the ones we need to watch or [be] worried about,” Raithelhuber said.

    Former DEA official Matthew Donahue told CNN he would like to see Mexico do more, including cracking down on properties and other assets of those involved in the drug trade.

    But as the US pressures other governments to help slow the flow of illicit fentanyl, relations between the three countries have turned into a three-way blame game.

    Following the kidnapping of four Americans in a Mexican border town by cartel members in early March, US Republicans called for the US military to be allowed to fight cartels and destroy drug labs in Mexico – something Mexican President Andrés Manuel López Obrador called “an offense to the people of Mexico.” 

    “We are not a protectorate of the United States or a colony of the United States. Mexico is a free, independent, sovereign country. We don’t take orders from anyone,” López Obrador said at a news conference on March 9. 

    Washington has also called on Beijing to do more, with the latest US INCSR report describing China’s oversight functions as “poorly staffed and under-resourced to oversee its massive chemical industry.” Though it acknowledges Beijing’s harsh penalties for drug trafficking, the report laments ineffective controls on shipment labeling, customer vetting and pill-making equipment.

    The Ministry of Foreign Affairs’ statement to CNN emphasizes its “stringent” control of listed chemicals that could be used for drug-making and argues that Beijing has “improved” several “regulatory mechanisms such as end-user verification, leakage monitoring, and source backtracking, and has strengthened management of more than 200,000 chemical companies.”

    Both China and Mexico have called on the US to do some soul-searching about demand for illicit fentanyl.

    “US legislators and the authorities there are not doing their job because they are not addressing the causes (of addiction); there are no care programs for young people in the US,” López-Obrador said last week.

    “Using China as a scapegoat will not solve the drug crisis in the United States … ,” the Chinese Foreign Ministry’s statement to CNN read. “We advise the US side to reflect on itself, stop shifting blame, strengthen domestic prescription drug control, enhance publicity on the dangers of drugs, and take practical measures to reduce domestic drug demand.”

    Prescription opioids like oxycodone and hydrocodone – which have a similar chemical structure to heroin and fentanyl – were major contributors to the early opioid crisis in the US. Pharmaceutical giants, notably Purdue Pharma, downplayed the potentially addictive properties of the drugs and incentivized US doctors to prescribe the painkillers. But prescribing was curtailed as overdoses from prescription opioids climbed and now waves of heroin and illicit fentanyl took over, making the crisis far more deadly. 

    Amid the recriminations, fentanyl products continue to pour through US borders and Americans continue to die. 

    To raise awareness of the human toll, the US Drug Enforcement Administration last year created “The Faces of Fentanyl” exhibit at its headquarters in Arlington, Virginia where families can submit a photo of a loved one lost to the fentanyl crisis. So far more than 5,000 photos have been submitted.

    “We can’t be desensitized” to the number of lives lost to drug overdoses,” Donahue, the former DEA official, said. “The pain and suffering that these families are going through. That has got to mean something.” 

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  • At Irvo Otieno’s funeral, calls for reform on treating those with mental illness | CNN

    At Irvo Otieno’s funeral, calls for reform on treating those with mental illness | CNN

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    CNN
     — 

    Irvo Otieno had a million-dollar smile, respected others and stood up for what he believed was right, family and friends said Wednesday at the funeral for the man who died after he was pinned to the floor by security officers at a Virginia mental health hospital.

    Now it’s time for society to stand for what is right – by implementing law enforcement and mental health care reforms, speakers told mourners during Otieno’s service at First Baptist Church of South Richmond.

    Seven sheriff’s deputies and three hospital employees are accused of second-degree murder in the March 6 death of the aspiring musician, 28, who prosecutors say was smothered during what the family said was a mental health crisis.

    “What kind of sickness would make men pile on a man that’s already handcuffed and shackled?” Rev. Al Sharpton said during the eulogy.

    “He had an illness. He should have been doctored to, not treated with brutality,” Sharpton said.

    The minister and family attorney Ben Crump said police need to be better equipped to deal with those with mental illness.

    They also encouraged Virginia officials to make reforms.

    “We can develop mental health courts where they will be treated like they have illness and not like they are criminals and degenerates not worthy of dignity and respect,” Crump told mourners. “Irvo deserved dignity and respect.”

    On March 3, Henrico Police responded to a report of a possible burglary and encountered Otieno. Police officers – along with the county’s crisis intervention team – put Otieno under an emergency custody order due to their interactions with and observations of him, police said.

    According to Virginia law, a person can be placed under an emergency custody order when there is reason to believe they could hurt themselves or others as a result of mental illness.

    The officers transported Otieno to a hospital where authorities say he assaulted three officers. Police took him to county jail and he was booked. At around 4 p.m. on March 6, Otieno was taken to Central State Hospital, a state-run mental health facility south of Richmond, by the Henrico County Sheriff’s Office, according to the commonwealth attorney’s office. It’s not clear why deputies transferred Otieno.

    State police investigators were later told Otieno became “combative” and was “physically restrained” during the intake process, the commonwealth attorney’s office said on March 14.

    Surveillance video recently released by a prosecutor shows Otieno being pinned to the floor.

    Dinwiddie County Commonwealth’s Attorney Ann Cabell Baskervill’s office released 911 calls about the incident in which a caller described Otieno as “very aggressive” and repeatedly asked for an ambulance, saying he was not breathing.

    The video begins as Otieno, bound by his hands and feet, is forcibly taken into a room and dragged into an upright seated position on the floor with his back against a chair. Ten minutes later, after Otieno has turned onto his side with three people holding him, his body jerks, and five more deputies and workers move to pin Otieno to the floor.

    A clear view of Otieno is blocked in much of the video, but one deputy appears to be lying across Otieno for most of the incident as he is forced onto his stomach. Eventually, Otieno is rolled onto his back, where several deputies appear to be restraining him with their knees. One deputy holds Otieno’s head still by grabbing his braided hair.

    After 12 minutes of Otieno being pinned to the ground, one deputy can be seen shaking Otieno’s hair and attempting to take a neck pulse, but Otieno is unresponsive. Three more minutes pass before CPR begins, with Otieno’s limbs still shackled.

    Medical workers from the hospital are seen converging on the room as CPR continues for nearly an hour. After he is pronounced dead, Otieno is covered in a white sheet, still lying on the floor, his body briefly left alone in the room.

    An attorney for one of the deputies charged in the case told CNN he’s “disappointed” the prosecutor released the video because he thinks it could influence the jury pool.

    Seven Henrico County deputies, who turned themselves in to state police earlier this month, are on administrative leave as investigations by their agency and state police continue, Henrico County Sheriff Alisa Gregory said in a statement.

    CNN has sought comment from the deputies. Caleb Kershner, deputy Randy Joseph Boyer’s attorney, told CNN recently that they had yet to see video but claimed “nothing was outside of the ordinary” in the lead-up to Otieno’s death.

    “They delivered him as fast as they could because obviously this was a man in tremendous need of some sort of medical attention,” Kershner said. He added that his client said they had dealt with Otieno “for a long time and he had a significant amount of violent noncompliance.”

    exp TSR.Todd.Henrico.deputies.charged.prosecutor.speaks_00020801.png

    Prosecutor describes VA death in custody

    Three Central State Hospital workers who were arrested were placed on leave “pending the results of the legal proceedings,” the Department of Behavioral Health and Developmental Services and Central State Hospital said in a statement. Officials said they will ensure the family receives information about “the tragic events at the hospital.”

    The Henrico Fraternal Order of Police Lodge 4, the local law enforcement officers’ union, “stands behind” the deputies, it said in a statement on Facebook.

    CNN has reached out to attorneys, the hospital and jail for additional comment.

    Crump has said Otieno was not being aggressive or resisting during the incident. “He was trying to breathe,” he told reporters. “If you were down there, restrained and all of these people on top of you, you would be trying to breathe. You would try to move, too, to let your lungs expand.”

    The Rev. Al Sharpton speaks at Irvo Otieno's funeral at a Richmond area church on March 29.

    The attorney told those attending Wednesday’s funeral that the situation should have been treated differently.

    “When Black people in America have mental health issues, we cannot treat them like criminal issues,” Crump said.

    Sharpton said Otieno was a man of talent whose life was unnecessarily cut short.

    “If he’d been cared for, rather than cared-less law enforcement, he could have been a shining example of how people, despite their challenges, can be productive anyway.”

    The musician’s mother spoke near the end of the service, saying her son had character and will be missed.

    “May your spirit lead us in this pursuit of truth and justice. I will miss your infectious smile and your big hugs,” said Caroline Ouko. “We will get to the bottom of what happened to you.”

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  • Fetterman to return to Senate week of April 17 | CNN Politics

    Fetterman to return to Senate week of April 17 | CNN Politics

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    CNN
     — 

    Sen. John Fetterman, who checked himself into Walter Reed National Military Medical Center last month for treatment for clinical depression, will return to the Senate during the week of April 17, according to a person familiar with his plans.

    The Pennsylvania Democrat has made progress throughout his treatment, the source said, adding that his stay has been this long because doctors have tried to ensure his medication was effective.

    Fetterman is one of three senators who have been sidelined for months due to injuries and ailments. Senate GOP Leader Mitch McConnell, 81, who suffered a concussion and broken rib after falling earlier this month, is expected to return to the Senate in mid-April as well, while Sen. Dianne Feinstein, an 89-year-old California Democrat, has been recovering from home this month after being hospitalized for shingles. It is not yet known when Feinstein will return.

    Fetterman, the 53-year-old freshman who helped cement Democrats’ 51-49 Senate majority last fall, suffered a stroke last year during the days ahead of the primary. And when he returned to the campaign trail, Fetterman often struggled to communicate with lingering auditory processing issues, relying on assistance through devices with closed captioning in order to properly have conversations and answer questions.

    The same auditory processing issues impacted him in his early days in the Senate. And when he struggled with substantial weight loss and a loss of appetite in recent weeks, he was diagnosed with clinical depression, later checking himself into Walter Reed for treatment.

    Politico first reported Fetterman’s plans to return to the Senate April 17.

    CNN earlier reported that Fetterman was expected to soon leave the hospital due to progress with his treatment.

    The source, who has spent ample time with Fetterman since he checked in on February 16, said the senator’s physician recently informed him that he will be “as good or better than his best days post-stroke,” referring to the near-fatal stroke he suffered last May.

    “He’s doing extremely well,” the source said.

    Fetterman’s stay at Walter Reed has lasted this long because the doctors have been trying to get his “medication balance exactly right,” the source said. For instance, doctors learned that his blood pressure medication was too high, which they believed contributed to his dizziness when he checked into George Washington University Hospital last month. A few days after that hospital visit, Fetterman was diagnosed with clinical depression, an illness many stroke survivors have struggled with.

    The goal, the source said, has been to take full advantage of his care at Walter Reed to help with other major impacts from his stroke. For instance, neuropsychiatric doctors have helped with the auditory processing issues he’s struggled with in the aftermath of the stroke.

    While Fetterman hasn’t left Walter Reed since checking himself in, he hasn’t been confined to his room. There are trails, restaurants like Wendy’s and other parts of the facility that he spends time in, the source said.

    This story has been updated with additional developments.

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  • Covenant School shooter was under care for emotional disorder and hid guns at home, police say | CNN

    Covenant School shooter was under care for emotional disorder and hid guns at home, police say | CNN

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    Editor’s Note: This story contains graphic descriptions of violence.



    CNN
     — 

    The 28-year-old who killed three children and three adults at a private Christian school in Nashville was under care for an emotional disorder and had legally bought seven firearms that were hidden at home, Metro Nashville Police Chief John Drake said Tuesday.

    The parents of the shooter, Audrey Hale, spoke to police and said they knew Hale had bought and sold one weapon and believed that was the extent of it.

    “The parents felt (Hale) should not own weapons,” the chief said.

    On Monday morning, Hale left home with a red bag, and the parents asked what was inside but were dismissed, Drake said.

    Three of the weapons were used in the attack Monday. Police also said Tuesday they did not know a motive.

    The shooter targeted the school and church in the attack but did not specifically target any of the six people killed, police spokesman Don Aaron said. He also said Hale’s writings mentioned a mall near the school as another possible target.

    Live updates: Nashville Covenant School shooting

    The news conference came a day after Hale, a former student at the Covenant School, stormed into the elementary school and killed six people before being fatally shot by responding police officers.

    The attack was the 19th shooting at an American school or university in 2023 in which at least one person was wounded, according to a CNN tally, and the deadliest since the May attack in Uvalde, Texas, left 21 dead. There have been 42 K-12 school shootings since Uvalde.

    The victims included three 9-year-old students: Evelyn Dieckhaus, William Kinney and Hallie Scruggs, the daughter of lead church pastor Chad Scruggs. Also killed were Cynthia Peak, 61, believed to be a substitute teacher; Katherine Koonce, the 60-year-old head of the school; and Mike Hill, a 61-year-old custodian, police said.

    Earlier Tuesday, police released body-camera footage from the two officers who rushed into the Covenant School on Monday and fatally shot the mass shooter.

    The footage is from the body-worn cameras of officers Rex Engelbert and Michael Collazo, who police said fatally shot the attacker on Monday at 10:27 a.m. The videos show a group of five officers entered the school amid wailing fire alarms and immediately went into several rooms to look for the suspect.

    They heard gunfire on the second floor and so hustled up the stairs as the bangs grew louder, the video shows. The officers approached the sound of gunfire and Engelbert, armed with an assault-style rifle, rounded a corner and fired multiple times at a person near a large window, who dropped to the ground, the video shows.

    Collazo then pushed forward and appeared to shoot the person on the ground four times with a handgun, yelling “Stop moving!” The officers finally approached the person, moved a gun away and then radioed “Suspect down! Suspect down!”

    The video adds further insight into the timeline of the shooting and the police response. The first 911 call about the shooting came in at 10:13 a.m., and the shooter was killed 14 minutes later, according to police. The bodycam footage of Engelbert entering the school and shooting the attacker lasts about three to four minutes.

    The Covenant school is a private Christian school educating about 200 students from Pre-K through 6th grade. The school is a ministry of Covenant Presbyterian Church, its website states.

    Nashville Mayor John Cooper told CNN the swift police response prevented further disaster.

    “It could have been worse without this great response,” the mayor of the police response. “This was very planned and numerous sites were investigated.”

    The police chief similarly praised the response as swift.

    “I was hoping this day would never ever come here in the city. But we will never wait to make entry and to go in and to stop a threat especially when it deals with our children,” Drake said in a Monday news conference.

    This undated picture provided by the Metro Nashville Police Department shows Audrey Elizabeth Hale.

    Police said the shooting was targeted, closely planned and outlined in documents from the shooter.

    Hale left writings pertaining to the shooting and had scouted a second possible attack location in Nashville, “but because of a threat assessment by the suspect – there’s too much security – decided not to,” Drake said on Monday.

    The shooter left behind “drawn out” maps of the school detailing “how this was all going to take place,” he added.

    The writings revealed the attack at the Christian school “was calculated and planned,” police said. The shooter was “someone that had multiple rounds of ammunition, prepared for confrontation with law enforcement, prepared to do more harm than was actually done,” Drake said.

    Three weapons – an AR-15, a Kel-Tec SUB 2000, and a handgun – were found at the school, he said. A search warrant executed at Hale’s home led to the seizure of a sawed-off shotgun, a second shotgun and other evidence, according to police.

    “They found a lot of documents. This was clearly planned,” Mayor Cooper said. “There was a lot of ammunition. There were guns.”

    Police have referred to Hale as a “female shooter,” and at an evening news conference added Hale was transgender. Hale used male pronouns on a social media profile, a spokesperson told CNN when asked to clarify.

    Hale graduated from Nossi College of Art & Design in Nashville last year, the president of the school confirmed to CNN. Hale worked as a freelance graphic designer and a part-time grocery shopper, a LinkedIn profile says.

    nashville teammate lemon split

    Former teammate of Nashville school shooter got unusual Instagram messages before rampage

    Information from police and from the shooter’s childhood friend helped illuminate a timeline of the deadly attack.

    Just before 10 a.m. Monday, the shooter sent an ominous message to a childhood friend, the friend told CNN on Tuesday. In an Instagram message to Averianna Patton, a Nashville radio host, just before 10 a.m. Monday, the shooter said “I’m planning to die today” and that it would be on the news.

    “One day this will make more sense,” Hale wrote. “I’ve left more than enough evidence behind. But something bad is about to happen.”

    Patton told CNN’s Don Lemon she was the shooter’s childhood basketball teammate and “knew her well when we were kids” but hadn’t spoken in years and is unsure why she received the message. Disturbed by its content, she called a suicide prevention line and the Nashville Davidson County Sheriff’s Office at 10:13 a.m.

    At that very minute, police in Nashville also got a 911 call of an active shooter inside Covenant School and rushed there.

    The moment school shooter Audrey Hale arrived at the Covenant School was captured in 2 minutes of surveillance video released by Metro Nashville Police.

    Armed with three firearms, the shooter got into the school by firing through glass doors and climbing through to get inside, surveillance video released by Metro Nashville Police shows. Pointing an assault-style weapon, the shooter walked through the school’s hallways, the video shows.

    As the first five officers arrived, they heard gunfire from the second floor. The shooter was “firing through a window at arriving police cars,” police said in the news release.

    Police went upstairs, where two officers opened fire, killing the shooter at 10:27 a.m., police spokesperson Don Aaron said.

    After the shooter was dead, children were evacuated from the school and taken in buses to be reunited with their families. They held hands and walked in a line out of the school, where community members embraced, video showed.

    “This school prepared for this with active shooter training for a reason,” Nashville Metropolitan Councilman Russ Pulley told CNN. “We don’t like to think that this is ever going to happen to us. But experience has taught us that we need to be prepared because in this day and time it is the reality of where we are.”

    Patton, meanwhile, had “called Nashville’s non-emergency line at 10:14 a.m. and was on hold for nearly seven minutes before speaking with someone who said that they would send an officer to my home,” she told CNN affiliate WTVF. An officer did not come to her home until about 3:30 p.m., she said.

    Students from the Covenant School hold hands Monday after getting off a bus to meet their parents at a reunification site after a mass shooting at the school in Nashville.

    Two Covenant School employees are among the victims of Monday’s mass shooting, according to the school.

    Katherine Koonce was identified as the head of the school, its website says. She attended Vanderbilt University and Trevecca Nazarene University in Nashville and got her master’s degree from Georgia State University.

    Sissy Goff, one of Koonce’s friends, went to the reunification center after the shooting and suspected something was wrong when she didn’t see Koonce there.

    “Knowing her, she’s so kind and strong and such a voice of reason and just security for people that she would have been there in front handling everything, so I had a feeling,” Goff said.

    She said Koonce was a calming influence and even got a dog named “Covie” who greeted students before and after school.

    “Parents are so anxious, kids are so anxious, and Katherine had such a centering voice for people,” Goff said.

    Mike Hill was identified in the staff section of the Covenant Presbyterian Church’s website as facilities/kitchen staff. Hill, 61, was a custodian at the school, per police. A friend confirmed his image to CNN.

    Cynthia Peak, 61, was believed to be a substitute teacher, police said Monday.

    The family of Evelyn Dieckhaus, one of the 9-year-old victims, provided a statement to CNN affiliate KMOV.

    “Our hearts are completely broken. We cannot believe this has happened. Evelyn was a shining light in this world. We appreciate all the love and support but ask for space as we grieve,” the family said.

    The Covenant School issued a statement Monday night grieving the shooting.

    “Our community is heartbroken. We are grieving tremendous loss and are in shock coming out of the terror that shattered our school and church. We are focused on loving our students, our families, our faculty and staff and beginning the process of healing,” the school said in a statement.

    “Law enforcement is conducting its investigation, and while we understand there is a lot of interest and there will be a lot of discussion about and speculation surrounding what happened, we will continue to prioritize the well-being of our community.

    “We appreciate the outpouring of support we have received, and we are tremendously grateful to the first responders who acted quickly to protect our students, faculty and staff. We ask for privacy as our community grapples with this terrible tragedy – for our students, parents, faculty and staff,” the statement said.

    Cooper, the Nashville mayor, said he is “overwhelmed at the thought of the loss of these families, of the future lost by these children and their families.”

    “The leading cause of kids’ death now is guns and gunfire and that is unacceptable,” Cooper said.

    A recent study published in the journal JAMA Pediatrics in December backs that point, finding that homicide is a leading cause of death for children in the United States and the overall rate has increased an average of 4.3% each year for nearly a decade.

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  • Government to step up efforts to monitor health of East Palestine residents, first responders | CNN

    Government to step up efforts to monitor health of East Palestine residents, first responders | CNN

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    CNN
     — 

    Almost two months after a train carrying hazardous materials derailed in the town of East Palestine, Ohio, the state Department of Health is preparing to offer blood and urine testing and physical exams to first responders who rushed to fight the blaze.

    The testing is set to start within the next two weeks and will be the first step in a long-term effort to monitor the health of responders to the accident, according to an email obtained by CNN.

    This move closely follows an announcement that a health assessment clinic for East Palestine residents that has been operating out of a local church will become permanent and expand its services.

    Roughly 300 firefighters from 50 departments – many of whom were volunteers – responded to the derailment and fire, which happened the night of February 3 and continued to burn for several days.

    Many of the firefighters had their gear ruined by the heat and chemicals. Some wore breathing apparatus to protect themselves from the fumes and smoke, but others didn’t have or didn’t know that they needed self-contained breathing apparatus to protect their lungs and airways, according to firefighters who were at the scene and spoke with CNN.

    The email about health testing, which was sent to area fire chiefs Sunday, says the long-term monitoring plans for the first responders are still being developed, but a first step will be the physicals, which will include “blood work, urinalysis, and an exam.” It does not describe what the tests will look for or their purpose.

    The Ohio Department of Public Health said in a statement Monday that it “has been working with the East Palestine fire chief to make sure responders’ unique needs are addressed.

    “In early March, ODH began soliciting first responders to voluntarily fill out a specialized After Chemical Exposure (ACE) survey, and more than 200 have filled those out so far. This collects information on type of exposure and PPE worn as well as any health impacts responders may be experiencing,” the statement says. “The next step in our comprehensive plan of ongoing monitoring of first responders involves creating a clinical service within the next several weeks. This service is in the planning stages and many details still have not been determined, but it would include voluntary laboratory testing.”

    In addition to the testing through the health department, firefighters who responded to the derailment will be followed by the Firefighter Cancer Cohort Study, Candice McDonald, deputy chief executive of the National Volunteer Fire Council, said Monday.

    The study, which is funded by the Federal Emergency Management Agency, aims to follow 10,000 firefighters for 30 years to learn more about how their exposures contribute to cancer risks.

    Cancer caused by chemicals in smoke is the leading cause of death for firefighters, according to the International Association of Fire Fighters.

    First responders to the Ohio derailment were among the most heavily exposed to a cocktail of chemicals that spilled into the ground and nearby creeks.

    David Comstock, chief of the Western Reserve Joint Fire District, says there are still a lot of unknowns about the nature of the chemical hazards that the firefighters were exposed to that night.

    “One of the things that I’ve raised is, what’s in tank car A? And what’s in tank car B? But what happens when they mix and burn? Now, what do I have?” he said.

    Comstock says that three firefighters from his station responded to the derailment and were 50 to 100 feet from a burning railcar. He asked them what was in the derailed cars, “and my crews couldn’t answer me,” he said.

    It was hard to get information about the chemicals on the scene, he said.

    He arranged physical exams for the firefighters at his station within a week, but he wishes they had happened even faster. He spoke to some doctors who advised blood testing within 48 hours.

    “Your blood, your body, processes many of the chemicals out of it within that time period, that they don’t become detectable at that point,” he said.

    It’s unclear how much information testing will yield now, Comstock said, but he hopes the exams and tests from the Department of Health will offer a baseline so the first responders will know if their health changes over time.

    East Palestine residents will also soon get expanded access to health services. The temporary health assessment clinic that opened in downtown in the wake of the train derailment will remain open permanently, Gov. Mike DeWine testified Wednesday before the US Senate Committee on Commerce, Science and Transportation.

    “We started back clinic shortly after this tragedy occurred. This morning … I met with medical leaders from the East Liverpool City Hospital. And we are announcing today that we’ll be making this clinic into a permanent clinic for the community,” DeWine said last week.

    “This is going to be a full-service clinic that will provide comprehensive care and treatment. Anybody can walk in anyone can be treated. And this is a long-term commitment to the health of the people of East Palestine,” said DeWine, who offered his testimony remotely, from the library of East Palestine High School.

    DeWine gave few details on the services that might be available to the clinic or who would ultimately pay for them.

    Currently, residents can walk into the clinic to get information about their risk, answer questions as part of an ongoing health study, and meet with a physician to get a basic exam and advice on any necessary follow-up care.

    DeWine suggested that these offerings might be expanded under a partnership with East Liverpool City Hospital. His comments were also an acknowledgment of ongoing health needs in the community.

    East Palestine residents are “worried about their future they’re worried about where things are going to be in five or 10 or 15 years. It’s important that they be able to continue to get assessed,” he said.

    DeWine said it would be particularly important for the health of the first responders to continue to have regular checkups.

    “They all need to be assessed. That needs to be established – a baseline – and they need to be assured that in five years or 10 years, there’s still a place where they can go.”

    DeWine said Norfolk Southern would be expected to pay for those things.

    “We look to the railroad to establish that fund,” he said.

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  • 5 children among 6 killed in a car crash on an interstate in Tennessee | CNN

    5 children among 6 killed in a car crash on an interstate in Tennessee | CNN

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    CNN
     — 

    Six people, including five children, were killed and one woman was injured in a car crash on Interstate 24 in Tennessee early Sunday morning.

    Emergency medical services responded to a collision of two vehicles at the interstate’s westbound mile marker 23 in Robertson County, according to a news release from Robertson County Emergency Medical Services.

    “A total of 4 Advanced Life Support ambulances responded to this scene and one helicopter/air ambulance,” the release said. “Initial arriving units worked quickly to search for, assess and triage the total 9 patients involved.”

    The driver of one of the vehicles involved in the accident was not injured, according to the release.

    “Only one other vehicle was involved. The vehicle was a car that was found upside down with very extensive damage,” the release read. “Another adult male was ambulatory on the scene and reported to responders that he had been in this car. This man was stable with what appeared to be minor injuries at that time.”

    An adult female “believed to have been ejected from the car” was found in critical condition, according to the release. The woman was flown to Vanderbilt University Medical Center in Nashville. Her current condition is unclear.

    Six others, including five children, were pronounced deceased on the scene “with injuries that could not be resuscitated,” the release read. All six, whose ages range from 1 to 18 years old, are believed to have been ejected from the vehicle.

    The Tennessee Highway Patrol told CNN in a statement they are investigating the crash and will release additional information when it becomes available.

    “Our office recognizes the incredible difficulty of this scene. Further coordination to involve professional mental health and counseling services for responders has been established,” Robertson County Emergency Medical Services said in its release. “Please keep the families and persons involved in your thoughts and prayers.”

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  • A hidden pandemic: the orphans Covid has left behind | CNN

    A hidden pandemic: the orphans Covid has left behind | CNN

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    CNN
     — 

    “Papa died last night, but his death is not the end.”

    Those are the first words Veronica Fletcher uttered to her three children after her husband, Joseph Fletcher, died from Covid-19 on April 11, 2020.

    “We’re going to keep papa’s name alive,” Fletcher, 49, later told her children. “He lives in us.”

    The Fletchers’ 17-year-old son, Joshua, recalled the day his mother told him about the death of his “papa”: “It’s so real, but not real at the same time,” he said. He says he felt compelled to step into his father’s shoes as the eldest child.

    “Being a better role model for my siblings,” he told CNN. “Instilling things that I learned from my father that they might not have the opportunity to have because they didn’t have as much time with him that I did.”

    Joshua, his younger brother, Zachary, 14, and sister, Maddie, 10, are among the estimated 238,500 Covid orphans in the United States whose lives have been upended in the past three years by the loss of a parent or primary caregiver, according to the Imperial College London COVID-19 Orphanhood Calculator. Globally, there have been more than eight million Covid orphans since the World Health Organization declared Covid-19 a pandemic in March 2020.

    Orphanhood increases the likelihood of poverty, abuse, delayed development, mental health challenges and reduced access to education, according to the Centers for Disease Control and Prevention.

    Veronica Fletcher grew up an orphan – her father was not present during her childhood and her mother died when she was nine.

    “To be able to usher my children through this loss, it comes from 40 years of pain and knowing what that little nine-year-old girl needed and received,” said Fletcher as she recalled the day she learned of her mother’s death. “To lose a parent is traumatic, and the way the parents were lost during the pandemic, to have to grieve in isolation, that compounds the pain exponentially.”

    Christopher Kocher is honoring those who died from Covid and supporting those who survived through his organization, COVID Survivors for Change. The group offers resources and programs to families like the Fletchers. It also pushes for legislative and cultural change. Kocher says much more needs to be done for Covid orphans.

    “I was in New York on 9/11. I know how much the city and the nation stepped up to support those families,” Kocher told CNN. “We need to see something similar here. We’re fighting to make sure that we hear a lot more from the president, from the states around the country and from local communities to make sure that they are providing the support that these children need.”

    Targeted efforts are gaining traction in many states, albeit slowly.

    California state Sen. Nancy Skinner helped her state become the first in the country to pass legislation in June 2022. She introduced a bill strengthening the HOPE (Hope, Opportunity, Perseverance and Accountability) Account law she authored last year. That law made California the first in the nation to create savings accounts for children who lost a parent or guardian to Covid. The California State Budget Act of 2022-23 included $100 million to fund the HOPE program.

    California is one of six states that accounts for half of national caregiver loss. New York is another state and has become the second in the nation to introduce legislation that would fund scholarships for children who lost a parent or caregiver to Covid. Each qualifying student would be eligible for a scholarship that covers the equivalent cost of SUNY tuition, plus room and board, books as well as supplies.

    New York’s legislation, if approved, would come too late for Joshua Fletcher’s first year of college. “I got accepted into schools that I wanted to go to, but I couldn’t afford to go to them because papa died,” he said. However, Joshua would be eligible for his remaining years of college.

    Asian, Hispanic and Black families are more likely to experience a loss, with Black families, like the Fletcher family, twice as likely to suffer from a Covid death, according to the National Institutes of Health.

    “Pain is pain, trauma is trauma,” Veronica Fletcher said. “This power is turning your pain into purpose. Those are the kinds of lessons that are helping my children to find hope, to be resilient, to know that they’re not alone. It helps you to help someone else.”

    It’s why Fletcher now finds support through external groups, such as COVID Widow Sisters, which connects grieving wives across the country. Fletcher also plans to start her own organization, Widows Tears Collective, a support group for women who have lost loved ones to the illness.

    “Especially early on the pandemic, you didn’t get to say goodbye. You didn’t get to be in the hospital. You didn’t get to hold their hand. That loss impacts you dramatically and sits with you for a really long time,” Kocher said. “When that loss is for a young person, someone who’s losing a parent, it’s a really different kind of loss.”

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  • Sen. Mitch McConnell released from physical therapy rehab after fall | CNN Politics

    Sen. Mitch McConnell released from physical therapy rehab after fall | CNN Politics

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    Washington
    CNN
     — 

    Senate Minority Leader Mitch McConnell said Saturday that he has been released from an inpatient physical therapy facility after he fell earlier this month and was treated for a concussion and rib fracture.

    “I want to sincerely thank everyone for all the kind wishes. I’m happy to say I finished inpatient physical therapy earlier today and I’m glad to be home,” McConnell said in a statement.

    “I’m going to follow the advice of my physical therapists and spend the next few days working for Kentuckians and the Republican Conference from home. I’m in frequent touch with my Senate colleagues and my staff. I look forward to returning in person to the Senate soon.”

    McConnell will work from his Washington, DC, home this week and is not expected to return to the Senate before the chamber breaks for their two-week recess, a McConnell aide told CNN.

    The Senate minority leader was admitted to a hospital after he tripped and fell at a dinner event earlier this month. He remained in the hospital for several days. After that, he began physical therapy at an inpatient rehabilitation facility.

    Previously, a McConnell aide had said that the length of the 81-year-old Senate Republican leader’s stay at the facility would be decided “by the Leader’s physicians and the therapists.” The aide said, “It is very common to undergo physical therapy to regain strength after a hospital stay and this ranges anywhere from a week to two weeks.”

    Republican senators who have spoken with McConnell have told CNN that he wants to get back to work. Texas Sen. John Cornyn said recently that McConnell is “chomping at the bit” to return to the Capitol, and Senate Minority Whip John Thune, a South Dakota Republican, noted that he was “anxious” to come back.

    This was not McConnell’s first fall. In 2019, he fractured his shoulder in a fall at his home in Kentucky.

    The top Republican is not the only absent senator. Across the aisle, 89-year-old Sen. Dianne Feinstein of California has been receiving treatment for shingles at home following a brief stay in the hospital. And Pennsylvania Democratic Sen. John Fetterman is undergoing inpatient treatment for clinical depression at Walter Reed National Military Medical Center.

    This story has been updated with additional information.

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  • Gwyneth Paltrow testifies in a civil trial that she ‘froze’ in 2016 skiing crash at a Utah resort | CNN

    Gwyneth Paltrow testifies in a civil trial that she ‘froze’ in 2016 skiing crash at a Utah resort | CNN

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    CNN
     — 

    Gwyneth Paltrow, the award-winning actress facing a civil trial for a 2016 skiing crash at a Utah resort, testified that she “froze” when a man allegedly skied directly into her back, causing them to collapse to the ground as their skis tangled together.

    Paltrow testified on Friday that the collision forced her legs apart as she felt someone from behind her.

    “I was skiing, and two skis came between my skis, forcing my legs apart. And then there was a body pressing against me. And there was a very strange grunting noise. So, my brain was trying to make sense of what was happening,” Paltrow testified. “I froze when he slid between my skis. I absolutely froze.”

    “I was confused at first, and I didn’t know exactly what was happening. It’s a very strange thing to happen on the ski slope,” Paltrow continued.

    Paltrow and the man both fell slowly and were nearly spooning once they hit the ground, “and I moved away quickly,” Paltrow said previously in a deposition read during the trial Friday in Park City, Utah.

    Friday marked the fourth day in the skiing crash case against Paltrow, who is being sued by Terry Sanderson, a 76-year-old retired optometrist – the man she maintains crashed into her in February 2016 at Deer Valley Resort in Park City.

    Meanwhile, Sanderson claims that Paltrow crashed into him and caused him lasting injuries and brain damage while they were both skiing on a beginner’s run. Sanderson also accuses Paltrow and her ski instructor of skiing away after the incident without getting him medical care.

    Kristin A. VanOrman, an attorney representing Sanderson, questioned Paltrow for nearly two hours Friday. At one point, VanOrman asked whether Paltrow can demonstrate the crash with her in at the courtroom, but the judge declined that request.

    Instead, VanOrman walked around the courtroom trying to reenact where the skis were and how Paltrow and Sanderson were positioned, based on how Paltrow described the incident.

    VanOrman asked Paltrow whether the actress had been present when paperwork about the crash was filled out, and Paltrow said she was not but that her ski instructor stayed with Sanderson and made sure he was OK.

    Later, Paltrow said she stayed on the mountain “long enough for him to say that he was OK” and to stand up, saying it was “absolutely not” a hit-and-run.

    Paltrow didn’t seek medical treatment after that crash, she said, but she pointed out her knee felt like it had been “over-stretched” and her “back hurt” and decided to go for a massage later that day.

    Sanderson had initially sued Paltrow for $3.1 million dollars, later amending his complaint to seek more than $300,000 in damages, according to court documents.

    Paltrow has filed a counter lawsuit in which she is seeking $1 in damages plus attorneys’ fees.

    Court is slated to resume Monday.

    VanOrman pressed Paltrow more than once about whether the actress had sought information about Sanderson’s medical condition following the crash.

    “I think you have to keep in mind when you’re the victim of a crash, right, your psychology is not necessarily thinking about the person who perpetrated it,” Paltrow testified.

    Paltrow also did not ask anyone at the resort about Sanderson “because at the time I did not know that he had sustained injuries like that. I thought it was very minor on the day,” she said.

    Throughout the testimony, Paltrow maintained that Sanderson skied into her and that she did not cause the crash.

    “Mr. Sanderson categorically hit me on that ski slope, and that is the truth,” adding that she feels sympathetic for him.

    “I feel very sorry for him. It seems like he’s had a very difficult life, but I did not cause the accident so I cannot be at fault for anything that subsequently happened to him,” she testified.

    The collision happened on the first day of a family trip that Paltrow, her now-husband Brad Falchuk and both of their children were attending. It was the first time Paltrow and her then-boyfriend were introducing their children to each other to gauge whether they had a future as a “blended family.”

    According to Paltrow’s countersuit, she “was enjoying skiing with her family on vacation in Utah, when Plaintiff – who was uphill from Ms. Paltrow – plowed into her back. She sustained a full ‘body blow.’ Ms. Paltrow was angry with Plaintiff, and said so. Plaintiff apologized. She was shaken and upset, and quit skiing for the day even though it was still morning.”

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  • Georgia’s governor signs ban on certain gender-affirming care for minors | CNN Politics

    Georgia’s governor signs ban on certain gender-affirming care for minors | CNN Politics

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    CNN
     — 

    Georgia’s Republican Gov. Brian Kemp signed a bill Thursday to ban certain gender-affirming care for minors, joining a growing number of GOP-led states looking to restrict the treatments across the country.

    Senate Bill 140 will bar licensed medical professionals in Georgia from providing patients under the age of 18 with hormone therapy or surgery related to gender transition. Violations of the legislation could lead to the revocation of a health practitioner’s license.

    Kemp announced the signing in a tweet, saying that the law would “ensure we protect the health and wellbeing of Georgia’s children.”

    “As Georgians, parents, and elected leaders, it is our highest responsibility to safeguard the bright, promising futures of our kids – and SB 140 takes an important step in fulfilling that mission,” he said.

    LGBTQ advocates, however, have expressed concern over restricting access to such treatment, which is medically necessary, evidence-based care that uses a multidisciplinary approach to help a person from their assigned gender – the one the person was designated at birth – to their affirmed gender, the gender by which one wants to be known.

    “SB 140 will outlaw the care necessary to save children’s lives,” Rep. Nikema Williams, who chairs the Democratic Party of Georgia, said in a statement after the signing. “It is not only cruel, but it flies in the face of medical science, standards of patient care, and the lived experiences of those whom it impacts.”

    Democratic state Sen. Josh McLaurin shared similar concerns about the bill’s consequences for Georgia’s youth, after it passed in Georgia’s Senate Tuesday with a 31-21 vote.

    “Kids will commit suicide. Kids will feel like they’re not being heard, that their basic existence is being invalidated and erased,” McLaurin said.

    The Trevor Project, a suicide prevention and crisis intervention organization for LGBTQ youth, noted in a 2022 report that 55% of transgender and nonbinary youth in Georgia “seriously considered suicide in the past year” and 16% attempted suicide in the same timeframe.

    While the bill grants exemptions to the law “for individuals born with a medically verifiable disorder of sex development” and other medical conditions, it does not count gender dysphoria – a psychological distress that may result when a person’s gender identity and sex assigned at birth do not align, according to the American Psychiatric Association – among them.

    Minors who started hormone replacement therapy before July 1, 2023, will be allowed to continue the treatment under the new legislation.

    Cory Isaacson, a legal director for the American Civil Liberties Union of Georgia, warned ahead of the signing that the legal organization would sue the state over the law, claiming that Georgia’s politicians are “interfering with the rights of Georgia parents to get life-saving medical treatment for their children and preventing physicians from properly caring for their patients.”

    “The ACLU of Georgia and our partners will now consider all available legal options in order to protect the rights of parents, young people, and medical providers in our state,” she said

    Major medical associations agree that gender-affirming care is clinically appropriate for children and adults with gender dysphoria.

    Though the care is highly individualized, some children may decide to use reversible puberty suppression therapy. This part of the process may also include hormone therapy that can lead to gender-affirming physical change. Surgical interventions, however, are not typically done on children and many health care providers do not offer them to minors.

    The Georgia bill does not explicitly prohibit puberty blockers, breaking with similar bans across the country. Instead, the bill takes aim at hormone therapy that comes with more permanent effects than puberty blockers, according to The American College of Obstetricians and Gynecologists, which notes the treatment is shown to help transgender people with depression and boost self-esteem.

    Georgia’s legislation is similar in its goal to dozens of bills seeking to restrict access to gender-affirming care across the country, according to data compiled by the American Civil Liberties Union and shared with CNN.

    Some GOP-led states have already made restrictions on transgender youth’s access to health care in their states. On Wednesday, Iowa enacted its own ban on all forms of gender affirming care for minors, joining Tennessee, Mississippi, Utah and South Dakota, which passed their own bans earlier this year. Alabama, Arizona and Arkansas also enacted bans on gender-affirming care in recent years, though the laws in Alabama and Arkansas have been temporarily blocked by federal courts.

    Other potential bans are waiting in the wings, with Missouri’s Republican attorney general Monday announcing he would seek to implement an emergency regulation restricting gender-affirming care. Kentucky’s Republican-led legislature passed its own ban earlier this month while boasting a majority that could overturn the likely veto of its Democratic governor. That bill would also allow educators to refuse to refer to transgender students by their preferred pronouns and would not allow schools to discuss sexual orientation or gender identity with students of any age.

    This story has been updated with additional information.

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  • Wisconsin Supreme Court candidates clash over 1849 abortion ban in lone debate | CNN Politics

    Wisconsin Supreme Court candidates clash over 1849 abortion ban in lone debate | CNN Politics

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    CNN
     — 

    The two candidates battling for a seat on Wisconsin’s Supreme Court clashed Tuesday over the state’s 1849 abortion ban in their lone debate, underscoring the high stakes of an election that could decide the issue in one of the nation’s most important swing states.

    Former Justice Daniel Kelly, a conservative, and liberal opponent Milwaukee County Judge Janet Protasiewicz will square off April 4 in an election that will decide the balance of the Wisconsin Supreme Court. In a state where control is split between a Democratic governor and a Republican-controlled legislature, the high court could decide the outcome of legal battles over the state’s abortion laws, its legislative maps and more.

    The debate – the only one scheduled between Protasiewicz and Kelly – took place on the same day Wisconsin voters began casting early ballots in person.

    It’s the nation’s most expensive judicial contest on record, with about $30 million already spent on advertising and counting, as there are two weeks remaining in the campaign. Wisconsin is one of 14 states in the country that directly elects Supreme Court justice in this manner.

    Protasiewicz focused her attacks on Kelly on abortion, with the state’s 1849 ban on nearly all abortions currently being challenged in court and likely to land before the state Supreme Court.

    “If my opponent is elected, I can tell you with 100% certainty, that 1849 abortion ban will stay on the books. I can tell you that,” Protasiewicz said in Tuesday’s debate.

    She said she is “making no promises” on how she would rule on the 1849 abortion law. But she also noted her personal support for abortion rights, as well as endorsements from pro-abortion rights groups. And she pointed to Kelly’s endorsement by Wisconsin Right to Life, which opposes abortion rights.

    Kelly shot back that Protasiewicz’s comments are “absolutely not true.”

    “You don’t know what I’m thinking about that abortion ban,” he said. “You have no idea. These things you do not know.”

    The debate took place before a crowd of about 100 people who were seated in an auditorium at the offices of the State Bar of Wisconsin in Madison. The candidates answered questions from a panel of three Wisconsin reporters as the audience watched in silence.

    The rhetoric grew increasingly bitter and testy, particularly on the topics of abortion, redistricting and criminal sentencing, with the two rivals standing several feet apart on a small stage. The differences that have been aired in a multi-million television ad campaign came alive.

    Kelly looked directly at his opponent and repeatedly raised pointed questions about her integrity, saying at one point: “This seems to be a pattern for you, Janet, telling lies about me.” He called her by her first name, Janet, rather than judge.

    Protasiewic only occasionally looked toward her challenger, but pushed back against an allegation that she is soft on crime: “I have worked very hard to keep our community safe, each and every day I’m on the bench.”

    Kelly accused Protasiewicz of handing down light sentences to violent offenders.

    He cited the case of Anton Veasley, who in 2021 was convicted of child enticement and third degree sexual assault and was released after Protasiewicz stayed his five-year prison sentence with four years of probation, giving him credit for 417 days he’d already spent in jail.

    “We look at the sentencing she has composed and the reasoning she used to reach those conclusions, and that’s just irresponsible to allow dangerous convicted criminals back out so easily with no repercussions into the communities they just got done victimizing,” Kelly said.

    Protasiewicz acknowledged that “hindsight is 20/20.” But she said Kelly was mischaracterizing her record.

    “I have sentenced thousands of people. And it’s interesting that a handful of cases have been cherry-picked and selected and twisted, and insufficient facts have been provided to the electorate,” she said.

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  • China approves its first mRNA Covid-19 vaccine | CNN Business

    China approves its first mRNA Covid-19 vaccine | CNN Business

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    Hong Kong
    CNN
     — 

    China has approved its first Covid-19 vaccine based on mRNA technology, months after the country lifted strict pandemic measures.

    The vaccine was developed by CSPC Pharmaceutical Group, a homegrown firm based in the northern Chinese city of Shijiazhuang, it said in a Wednesday statement to the Hong Kong stock exchange. The vaccine targets the Omicron variant and was tested in China with over 5,500 people, it added.

    The approval comes just weeks after China declared a “major and decisive victory” in its handling of the coronavirus outbreak that swept the country in recent months following an abrupt relaxation of its “zero-Covid” policy late last year.

    “This is a positive step because there is strong scientific evidence that mRNA vaccines do much better than non-MRA vaccines,” Jin Dong-yan, a professor in molecular virology at the University of Hong Kong, told CNN.

    “Whether this product … is as good as other products on market is still to be determined.”

    CSPC said in the statement the results had demonstrated the vaccine’s “safety, immunogenicity and efficacy,” but it didn’t offer additional details.

    Until now, China has approved only inactivated vaccines made by Sinovac Biotech and Sinopharm Group, two Beijing-based drugmakers.

    The inactivated vaccines have been found to elicit lower levels of antibody response compared to ones using the newer messenger RNA technology. Biotech firms Pfizer

    (PFE)
    and Moderna

    (MRNA)
    make rRNA vaccines.

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  • Beijing’s population has declined for the first time in 19 years | CNN

    Beijing’s population has declined for the first time in 19 years | CNN

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    CNN
     — 

    Beijing, the sprawling Chinese capital and one of the world’s biggest cities, saw its population drop last year for the first time in 19 years as the country grapples with a demographic crisis decades in the making.

    The city’s population of permanent residents fell from 21.88 million in 2021 to 21.84 million in 2022, a decline of 84,000. The number of migrants in Beijing – many of whom leave their rural homes to find work in the city – also fell from 2021 to 2022.

    The last time Beijing saw more deaths than births was 2003, when the fatal severe respiratory syndrome (SARS) outbreak emerged in southern China and ultimately infected more than 8,000 people around the world.

    Last year’s drop is a relatively small one, with the population’s natural growth rate dropping to -0.05 per thousand residents, according to official data.

    But it represents a larger problem seen across the country – China’s national population also shrank last year for the first time since the great famine in 1961.

    There are a combination of factors behind the drop: the far-reaching consequences of the one-child policy China introduced in the 1980s (but has since abandoned); changing attitudes toward marriage and family among Chinese youth; entrenched gender inequality and the challenges of raising children in China’s expensive cities.

    These issues are exacerbated by entrenched gender roles that often place the bulk of housework and child care on women – who, more educated and financially independent than ever, are increasingly unwilling to bear this unequal burden.

    The result has been years of stubbornly falling birth rates, as well as rising death rates as the country’s elderly population swells. The shrinking workforce has also prompted concerns about economic decline, which would pose a potential problem for the rest of the world, given China’s key role as the second-largest global economy.

    Beijing is far from the only Chinese hub experiencing this decline. The northeastern province of Liaoning, part of China’s rust belt, saw more than twice as many deaths as births last year, with the population falling by 324,000, according to provincial authorities.

    Various efforts by policymakers have so far failed to reverse the trend.

    Authorities launched a multi-agency plan last year to strengthen maternity leave and offer tax deductions and other perks to families; some cities have offered longer paternity leave, boosted childcare services and even offered cash handouts for families who have a third child.

    Weifang, a city in the central Shandong province, announced a new initiative earlier this week offering free public high school education for families’ third child, according to state media. And in January, the southwestern province of Sichuan announced it would drop restrictions on unmarried people having children, granting single parents access to benefits previously reserved for married couples.

    But many activists, women and other critics have said it’s not enough to solve deep-rooted structural problems.

    Frustrations rose during the pandemic, with many young Chinese fed up with the increasing pressure to have children – from a society and government that many say has provided them with little of the material and emotional security they need to raise a child.

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  • Why Bucks County, Pennsylvania, is suing social media companies | CNN Business

    Why Bucks County, Pennsylvania, is suing social media companies | CNN Business

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    CNN
     — 

    One mother in Bucks County, Pennsylvania, said her 18-year-old daughter is so obsessed with TikTok, she’ll spend hours making elaborate videos for the Likes, and will post retouched photos of herself online to look skinnier.

    Another mother in the same county told CNN her 16-year-old daughter’s ex-boyfriend shared partially nude images of the teen with another Instagram user abroad via direct messages. After a failed attempt at blackmailing the family, the user posted the pictures on Instagram, according to the mother, with some partial blurring of her daughter’s body to bypass Instagram’s algorithms that ban nudity.

    “I worked so hard to get the photos taken down and had people I knew from all over the world reporting it to Instagram,” the mother said.

    The two mothers, who spoke with CNN on condition of anonymity, highlight the struggles parents face with the unique risks posed by social media, including the potential for online platforms to lead teens down harmful rabbit holes, compound mental health issues and enable new forms of digital harassment and bullying. But on Friday, their hometown of Bucks County became what’s believed to be the first county in the United States to file a lawsuit against social media companies, alleging TikTok, Instagram, YouTube, Snapchat and Facebook have worsened anxiety and depression in young people, and that the platforms are designed to “exploit for profit” their vulnerabilities.

    “Like virtually everywhere in the United States now … Bucks County’s youth suffer from a high degree of distraction, depression, suicidality, and other mental disorders, caused or worsened by the overconsumption of social media on a daily basis, which substantially interferes with the rights of health and safety common to the general public,” the lawsuit alleged.

    The lawsuit, which was filed in California federal court, said “the need is great” to continue to fund mental health outpatient programs, mobile crisis units, family-based mental health services, and in-school mental health programming and training to address the mental health of young people. Bucks County is seeking unspecified monetary damages to help fund these initiatives.

    Bucks County is joining a small but growing number of of school districts and families who have filed lawsuits against social media companies for their alleged impact on teen mental health. The unusual legal strategy comes amid broader concerns about a mental health crisis among teens and hints at the urgency parents and educators feel to force changes in how online platforms operate at a time when legislative remedies have been slow in coming.

    Seattle’s public school system, which is the largest in the state of Washington with nearly 50,000 students, and San Mateo County in California have each filed lawsuits against several Big Tech companies, claiming the platforms are harming their students’ mental health. Some families have also filed wrongful death lawsuits against tech platforms, alleging their children’s social media addiction contributed to their suicides.

    “I want to hold these companies accountable,” Bucks County district attorney Matthew Weintraub told CNN. “It is no different than opioid manufacturers and distributors causing havoc among young people in our communities.”

    He believes he has an actionable cause to file a lawsuit “because the companies have misrepresented the value of their products.”

    “They said their platforms are not addictive, and they are; they said they are helpful and not harmful, but they are harmful,” he said. “My hope is that there will be strength in numbers and other people from around the country will join me so there will be a tipping point. I just can’t sit around and let it happen.”

    In response to the lawsuit, Antigone Davis, the global head of safety for Instagram and Facebook-parent Meta, said the company continues to pour resources into ensuring its young users are safe online. She added that the platforms have more than 30 tools to support teens and families, including supervision tools that let parents limit the amount of time their teens spend on Instagram, and age-verification technology that helps teens have age-appropriate experiences.

    “We’ll continue to work closely with experts, policymakers and parents on these important issues,” she said.

    Google spokesperson José Castañeda said it has also “invested heavily in creating safe experiences for children across our platforms and have introduced strong protections and dedicated features to prioritize their well being.” He pointed to products such as Family Link, which provides parents with the ability to set reminders, limit screen time and block specific types of content on supervised devices.

    A Snap spokesperson said it is “constantly evaluating how we continue to make our platform safer, including through new education, features and protections.”

    TikTok did not respond to a request for comment.

    The latest lawsuit comes nearly a year and a half after executives from several social media platforms faced tough questions from lawmakers during a series of congressional hearings over how their platforms may direct younger users — particularly teenage girls — to harmful content, damaging their mental health and body image. Since then, some lawmakers have called for legislation to protect kids online, but nothing has passed at the federal level.

    Carl Tobias, a professor at the University of Richmond School of Law, believes it will be “difficult” for counties and school districts to win lawsuits against social media companies.

    “There will be the issues of showing that the social media content was the cause of the harm that befell the children,” he said. “But that doesn’t mean they shouldn’t file these lawsuits.”

    Tobias added that increased support for government regulation that would impose more restrictions on companies could impact the outcome of these lawsuits in their favor.

    “For now, there will be different judges or juries with diverse views of this around the country,” he said. “They aren’t going to win all of the cases but they might win some of them, and that might help.”

    Whatever the outcome, the mother of the 16-year-old whose intimate photos were shared on Instagram is applauding the district attorney’s office for sending a strong message to social media companies.

    “Before the incident with my daughter, I would not have given a lawsuit filed by the county much thought,” she said. “But now that I know how hard it was to take content down and there’s only so much people can do; corporations need to do so much more to protect its users.”

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  • UN and US join chorus of condemnation against Uganda’s hardline anti-LGBT bill | CNN

    UN and US join chorus of condemnation against Uganda’s hardline anti-LGBT bill | CNN

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    CNN
     — 

    The United Nations and United States on Wednesday added to international outrage over a hardline bill passed by Ugandan lawmakers that criminalizes simply identifying as LGBTQ+, prescribes a life sentence for convicted homosexuals and a death penalty for “aggravated homosexuality.”

    The UN’s High Commissioner for Human Rights asked Ugandan President Yoweri Museveni not to sign the bill passed by lawmakers on Tuesday. Volker Türk called the Anti Homosexuality Bill 2023 “draconian,” saying it would have negative repercussions on society as a whole and violates the nation’s constitution.

    “The passing of this discriminatory bill – probably among the worst of its kind in the world – is a deeply troubling development,” said a statement from Türk’s office.

    “If signed into law by the President, it will render lesbian, gay and bisexual people in Uganda criminals simply for existing, for being who they are. It could provide carte blanche for the systematic violation of nearly all of their human rights and serve to incite people against each other.”

    US Secretary of State Antony Blinken slammed the bill, which would “undermine fundamental human rights of all Ugandans and could reverse gains in the fight against HIV/AIDS,” he tweeted on Wednesday. “We urge the Ugandan Government to strongly reconsider the implementation of this legislation.”

    US Ambassador to the United Nations Linda Thomas-Greenfield spoke twice this week with Museveni to express “deep concern” about the legislation, a US official told CNN Wednesday.

    The new legislation constitutes a further crackdown on LGBTQ+ people in a country where same-sex relations were already illegal – punishable by life imprisonment. It targets an array of activities, and includes a ban on promoting and abetting homosexuality as well as conspiracy to engage in homosexuality.

    According to the bill, the death penalty can be invoked for cases involving “aggravated homosexuality” – a broad term used in the legislation to describe sex acts committed without consent or under duress, against children, people with mental or physical disabilities, by a “serial offender,” or involving incest.

    The bill must now go to Museveni for assent. Last week he derided homosexuals as “deviants.”

    Uganda made headlines in 2009 when it introduced an anti-homosexuality bill that included a death sentence for gay sex.

    The country’s lawmakers passed a bill in 2014, but they replaced the death penalty clause with a proposal for life in prison. That law was ultimately struck down.

    The new bill has wide public support in the highly conservative and religious East African nation, where anti-LGBTQ+ sentiment is deeply entrenched.

    But it has drawn strong criticism from civil society groups and LGBTQ+ activists. “It is another way of using the law to punish people who cause no harm but for being who they are,” said a tweet from Pan Africa ILGA.

    “As a community, partners and allies, we’ll do everything to ensure that the constitutional rights that are given to the LGBTI community are met and the legal provisions that are available for us will definitely be looked into if the president assents to this bill and it gets to be law,” activist Richard Lusimbo told CNN.

    Pepe Onziema, a transgender LGBTQ rights activist and program director of Sexual Minorities Uganda (SMUG), a non-governmental organization for LGBTQ rights, whose operations were shut by authorities last year, told CNN members of the community were now living in fear.

    “We’ve been having quite excruciating anxiety from the threats of the bill. And now that it has actually passed in Parliament, the (LGBTQ) community is quite in fear,” Onziema said. “There’s a large community of LGBTQ persons in the country, so we can’t just give up. We’ll find different ways of working. We might not be as visible as we’ve been because there are attacks online as well.”

    African Rainbow Family, a UK-based charity that supports LGBTQ+ Africans seeking refuge in the UK, described the bill as an “assault” and “persecution” of Uganda’s LGBTQ community.

    “African Rainbow Family condemns in its entirety, the passing of the Ugandan ‘Anti-Homosexuality Bill 2023’ into law. The law is a violation of the fundamental human rights of LGBTIQ people in Uganda.

    “African Rainbow Family sees this law as again, an assault and added layer of State and non-State agents’ persecution of Ugandan LGBTIQ community,” it told CNN.

    Feminist writer and Human Rights Activist Rosebell Kagumire told CNN the new legislation could have other consequences beyond human rights violation.

    “Seeking to strip LGBTQIA persons of their whole humanity, it extends to deny them housing, education and health care. In a country where AIDS is still an epidemic and men who have sex with men and trans women (and) sex workers are still faced with higher incidence, this law will criminalize health care provision and defeat the whole struggle to end AIDS,” Kagumire said.

    For human rights lawyer Sarah Kihika Kasande, “If President Museveni assents to the bill, it will authorize state-sanctioned attacks and persecution against LGBTQ persons.”

    Seeking refuge elsewhere might be the “last resort” for some members of Uganda’s LGBTQ community, Onziema says.

    “Asylum is sort of a last resort for us, but for people who are really under a lot of threat and feel that they can’t live here anymore, as a leader in this community, I would definitely support them to seek refuge elsewhere.

    “But it’s difficult to seek asylum, especially as a Black queer person. Your chances are sort of narrowed down even further. But I believe that the few people who are looking at that as an option, we are hoping that the countries that they choose to go to for refuge will actually accept them and not further marginalize them,” he told CNN.

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  • Man swims to safety after being attacked by shark off Hawaii’s Big Island | CNN

    Man swims to safety after being attacked by shark off Hawaii’s Big Island | CNN

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    CNN
     — 

    A 60-year-old man was swimming in Hawaii’s Anaehoomalu Bay Sunday when he was attacked by a shark, local officials say.

    The man was about 200 yards offshore when a shark attacked him around 12:40 p.m. HST, according to a news release from the Hawaii Fire Rescue Department.

    The man was able to swim to a catamaran, whose crew helped him out of the water, the release said.

    Crew members helped control the man’s bleeding until rescuers arrived on the scene, according to officials. A first responder on a personal watercraft “transported the patient from the catamaran to the beach where HFD personnel were waiting,” the release said.

    The man was taken to North Hawaii Hospital with bites to his left hand and the back of his leg, said the fire rescue department. His current condition is unknown.

    Anaehoomalu Bay – also known as A-Bay – is located on the west shore of the Big Island. The scenic area is a popular spot for recreational activities like snorkeling.

    Authorities said they do not know the size or species of the shark involved in Sunday’s attack.

    Overall, the risk of being attacked by sharks remains low. Worldwide, there were a total of 73 confirmed, unprovoked shark bites on people and 39 confirmed, provoked bites in 2021, according to the Florida Museum of Natural History’s International Shark Attack File.

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  • Former Florida lawmaker pleads guilty in Covid-19 loan fraud case | CNN Politics

    Former Florida lawmaker pleads guilty in Covid-19 loan fraud case | CNN Politics

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    CNN
     — 

    A former Florida lawmaker pleaded guilty Tuesday to wire fraud, money laundering and making false statements in connection with Covid-19 relief fraud, according to a news release from the Department of Justice.

    Former Republican state Rep. Joseph Harding acquired more than $150,000 in Small Business Administration loans by lying on loan applications, the department said.

    Harding is scheduled to be sentenced on July 25, the release said.

    A wire fraud conviction carries a maximum sentence of 20 years in prison, while money laundering and making false statements carry a maximum of 10 and five years, respectively.

    Peg O’Connor, an attorney for Harding, said in a statement that her client “made the best decision available to him under the circumstances to protect his family and his future.”

    She added that she looks forward to providing a “fuller picture” and “insight into who Mr. Harding is as a person” at sentencing.

    Prosecutors previously said Harding listed dormant business entities on his applications, fabricated the numbers of people he employed and submitted fake bank statements.

    Harding was elected to the Florida House of Representatives in 2020 and announced his resignation after he was charged in December.

    In a statement to The New York Times last year, he said he had pleaded not guilty during an initial court appearance. “I want the public and my constituents to know that I fully repaid the loan and cooperated with investigators as requested,” Harding told the newspaper at the time.

    The Florida Republican has drawn the national spotlight before, as a sponsor of the controversial legislation that banned certain instruction about sexual orientation and gender identity in the classroom that opponents dubbed the “Don’t Say Gay” law. The legislation officially named the “Parental Rights in Education” law, signed by Florida Republican Gov. Ron DeSantis in March 2022, set off a national firestorm and drew immediate pushback from LGBTQ advocates.

    Investigators have said that billions of dollars of Covid-19 relief funds have been obtained using fabricated, stolen or fake information. The Justice Department’s Covid-19 Fraud Enforcement Task Force has brought several high-profile fraud cases across the country.

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  • Pandemic lowered US step count and Americans haven’t bounced back, study says | CNN

    Pandemic lowered US step count and Americans haven’t bounced back, study says | CNN

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    Editor’s Note: Sign up for CNN’s Fitness, But Better newsletter series. Our seven-part guide will help you ease into a healthy routine, backed by experts.



    CNN
     — 

    Americans took fewer steps during the height of the Covid-19 pandemic, and they still haven’t gotten their mojo back, a new study found.

    “On average, people are taking about 600 fewer steps per day than before the pandemic began,” said study author Dr. Evan Brittain, associate professor of cardiovascular medicine at Vanderbilt University Medical Center in Nashville.

    “To me, the main message is really a public health message — raising awareness that Covid-19 appears to have had a lasting impact on people’s behavioral choices when it comes to activity,” he said.

    The study used data from the National Institutes of Health’s All of Us Research Program, which is focused on identifying ways to develop individualized health care. Many of the 6,000 participants in the program wore activity trackers for at least 10 hours a day over multiple years and allowed researchers access to their electronic health records.

    Brittain and his colleagues have used the ensuing data before, publishing a study in October 2022 that found overweight people could lower their risk of obesity by 64% by increasing their steps taken from about 6,000 to 11,000 per day.

    In the new study, published Monday in JAMA Network Open, researchers compared steps taken by nearly 5,500 people who wore the program’s activity trackers. Most were White women, with an average age of 53.

    Step counts collected between January 1, 2018, and January 31, 2020, were considered pre-Covid. Steps tracked after that date until the end of 2021, which is when the study ended, were considered post-Covid.

    Results showed no difference in identified step activity based on sex, obesity, diabetes and other illnesses or conditions such as coronary artery disease, hypertension or cancer.

    People who took the fewest steps were socioeconomically disadvantaged, under psychological stress and not vaccinated, the study said.

    Age made a difference as well, but in an unexpected manner: People over 60 were not impacted by the pandemic, the study found — they continued to keep their steps up.

    Oddly, it was younger people between 18 and 30 whose step counts were most impacted, Brittain said. “In fact, we found every 10-year decrease in age was associated with a 243 step reduction per day.”

    “If this persists over time, it could certainly raise the risk of cardiovascular disease, obesity, hypertension, diabetes and other conditions strongly linked to being sedentary,” Brittian said. “However, it’s too soon to know whether this trend will last.”

    Why would a younger generations lose steps while older people did not?

    “I think it’s difficult to interpret because it’s only 600 steps, which you could argue is what some people would get simply walking into work and through their day,” said Dr. Andrew Freeman, director of cardiovascular prevention and wellness at National Jewish Health, a hospital in Denver, who was not involved in the research. “I think the question is who is more likely to work from home?”

    Younger generations make up the majority of workers in technology, software and other professions that are able to work from anywhere, “whereas older people may have less of those jobs,” Freeman said.

    Whatever the reason, the study data shows that people were not moving as much during the pandemic as they used to. That is worrisome, Freeman added.

    “If this trend remains, we should really be cognizant that if you’re going to work from home, use either a standing, treadmill or bike desk,” he said, adding that managers of remote employees should “insist people take periodic breaks for people to do exercise, which also is proven to improve mental clarity and acuity,” he said.

    Health professionals should always be talking to their patients about activity levels, but “the impact of Covid-19 might make those kinds of messages all the more important to discuss with patients,” Brittain said.

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