ReportWire

Tag: Emergency care

  • A cyberattack has disrupted hospitals and health care in several states

    A cyberattack has disrupted hospitals and health care in several states

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    MANCHESTER, Conn. — A cyberattack has disrupted hospital computer systems in several states, forcing some emergency rooms to close and ambulances to be diverted, and many primary care services remained closed on Friday as security experts worked to determine the extent of the problem and resolve it.

    The “data security incident” began Thursday at facilities operated by Prospect Medical Holdings, which is based in California and has hospitals and clinics there and in Texas, Connecticut, Rhode Island and Pennsylvania.

    “Upon learning of this, we took our systems offline to protect them and launched an investigation with the help of third-party cybersecurity specialists,” the company said in a statement Friday. “While our investigation continues, we are focused on addressing the pressing needs of our patients as we work diligently to return to normal operations as quickly as possible.”

    In Connecticut, the emergency departments at Manchester Memorial and Rockville General hospital were closed for much of Thursday and patients were diverted to other nearby medical centers.

    “We have a national Prospect team working and evaluating the impact of the attack on all of the organizations,” Jillian Menzel, chief operating officer for the Eastern Connecticut Health Network, said in a statement.

    The FBI in Connecticut issued a statement saying it is working with “law enforcement partners and the victim entities” but could not comment further on an ongoing investigation.

    Elective surgeries, outpatient appointments, blood drives and other services were suspended, and while the emergency departments reopened late Thursday, many primary care services were closed on Friday, according to the Eastern Connecticut Health Network, which runs the facilities. Patients were being contacted individually, according to the network’s website.

    Similar disruptions also were reported at other facilities system-wide.

    “Waterbury Hospital is following downtime procedures, including the use of paper records, until the situation is resolved,” spokeswoman Lauresha Xhihani, said in a statement. “We are working closely with IT security experts to resolve it as quickly as possible.”

    In Pennsylvania, the attack affected services at facilities including the Crozer-Chester Medical Center in Upland, Taylor Hospital in Ridley Park, Delaware County Memorial Hospital in Drexel Hill and Springfield Hospital in Springfield, according the Philadelphia Inquirer.

    In California, the company has seven hospitals in Los Angeles and Orange counties including two behavioral health facilities and a 130-bed acute care hospital in Los Angeles, according to Prospect’s website. Messages sent to representatives for these hospitals were not immediately returned.

    ____

    Associated Press writer Amy Taxin in Santa Ana, California contributed to this report

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  • Deck collapse at Montana country club leaves multiple people injured, police say

    Deck collapse at Montana country club leaves multiple people injured, police say

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    A deck has collapsed at a Montana country club, leaving up to 25 people injured

    BILLINGS, Mont. — A deck collapsed at a Montana country club, leaving up to 25 people injured on Saturday evening, police and news reports said.

    Emergency services responded to a report of a collapsed patio on the 3400 block of Briarwood Boulevard in Billings at 7:50 p.m., the Billings Police Department said in a statement posted on social media.

    There were “multiple individuals with injuries” but no fatalities and a large number of people were transported to local hospitals, Billings Police Lt. Matt Lennick said in the statement.

    News outlets including The Billings Gazette and KTVQ-TV identified the location as the Briarwood Country Club.

    Up to 25 people were transported to hospitals, KTVQ reported.

    Police shut down roads near the Billings Clinic and St. Vincent Healthcare to clear access to the hospitals, the Gazette reported.

    Dr. Clint Seger, CEO of the Billings Clinic, said in a statement that the hospital received six patients and was expecting another three. Another Billings Clinic official separately said 11 victims were admitted, the Gazette reported.

    “We have multiple trauma surgeons, ER physicians and the ER team along with critical care staff on site receiving patients,” Seger said.

    The Briarwood website says the club opened in 1984 and offers golf, dining and swimming.

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  • US Southwest swelters under dangerous heat wave, with new records on track

    US Southwest swelters under dangerous heat wave, with new records on track

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    PHOENIX — A dangerous heat wave threatened a wide swath of the Southwest with potentially deadly temperatures in the triple digits on Saturday as some cooling centers extended their hours and emergency rooms prepared to treat more people with heat-related illnesses.

    “Near record temperatures are expected this weekend!” the National Weather Service in Phoenix warned in a tweet, advising people to follow its safety tips such as drinking plenty of water and checking on relatives and neighbors.

    “Don’t be a statistic!” the weather service in Tucson advised, noting extreme heat can be deadly. “It CAN happen to YOU!”

    About 110,000 people, or about a third of Americans, were under extreme heat advisories, watches and warnings Saturday as the blistering heat wave was forecast to get worse this weekend for Nevada, Arizona and California. Temperatures in some desert areas were predicted to soar past 120 degrees Fahrenheit (48.8 degrees Celsius) during the day, and remain in the 90s F (above 32.2 C) overnight.

    Around 200 hydration stations distributing bottles of water and cooling centers where potentially thousands of people can rest in air-conditioned spaces opened Saturday in public spaces like libraries, churches and businesses around the Phoenix area.

    Charles Sanders spent Friday afternoon with his Chihuahua mix Babygirl at the air-conditioned Justa Center, which offers daytime services to older homeless people in downtown Phoenix. It’s also serving as a hydration station, distributing free bottles of water.

    Because of funding and staffing limitations, the center can only stay open until 5:30 p.m., so Sanders, a 59-year-old who uses a wheelchair, has spent the sweltering nights with his pet in a tattered tent behind the building.

    “I’ve been here for four summers now and it’s the worst so far,” said Sanders, a former welder originally from Denver.

    David Hondula, chief heat officer for the City of Phoenix, said Friday that because of the health risks some centers were extending hours that are sometimes abbreviated because of limited volunteers and money.

    “This weekend there will be some of the most serious and hot conditions we’ve ever seen,” said Hondula.

    He said just one location, the Brian Garcia Welcome Center for homeless people in downtown Phoenix, planned to be open 24 hours and direct people to shelters and other air-conditioned spaces for the night. During especially hot spells in the past, the Phoenix Convention Center has opened some space as a nighttime cooling center, but Hondula said he had not heard of that possibility this year.

    Stacy Champion, an advocate for homeless people in Phoenix, took to Twitter this week to criticize the lack of nighttime cooling spaces for unsheltered individuals, saying they are “out of luck” if they have no place to go.

    In Las Vegas, casinos offered respite from the heat for many. Air-conditioned libraries, police station lobbies and other places from Texas to California planned to be open to the public to offer relief for at least part of the day.

    Emergency room doctors in Las Vegas have been treating more people for heat illness as the heat wave threatened to break the city’s all-time record high of 117 degrees Fahrenheit (47.2 degrees Celsius) this weekend.

    Dr. Ashkan Morim, who works in the ER at Dignity Health Siena Hospital in suburban Henderson, Nevada, spoke Friday of treating tourists this week who spent too long drinking by pools and became severely dehydrated, and a stranded hiker who needed liters of fluids to regain his strength.

    In New Mexico’s largest city of Albuquerque, splash pads will be open for extended hours and many public pools were offering free admission. In Boise, Idaho, churches and other nonprofit groups were offering water, sunscreen and shelter.

    In Southern California, temperatures soared into the triple digits in inland areas, and a ridge of high pressure was expected to keep its hold on the region for a couple of weeks.

    In Lancaster and Palmdale, north of Los Angeles, temperatures hit 108 degrees Fahrenheit (42.2 degrees Celsius), said National Weather Service meteorologist Mike Wofford. In Los Angeles’ San Fernando Valley, the thermometer cleared triple digits in some areas.

    “We are going to be pretty warm for a while,” Wofford said, adding that temperatures would be above normal for about two weeks. “There’s been a lot of triple digits” across the region.

    In Los Angeles, Mayor Karen Bass announced the city was opening cooling centers where residents can escape the heat. “The extreme heat that is forecasted this weekend can pose serious risks,” she warned.

    The hot, dry conditions sparked a series of blazes in Southern California, where firefighters on Saturday battled three separate brush fires that started Friday afternoon amid the year’s hottest weather so far. The fires are in mostly rural areas of Riverside County, southeast of Los Angeles.

    Phoenix on Saturday saw the city’s 16th consecutive day of 110 degrees Fahrenheit (43.3 degrees Celsius) or higher temperatures, hitting that mark before noon and putting it on track to beat the longest measured stretch of such heat. The was record 18 days, in 1974.

    The heat was expected to continue into next week.

    Regional health officials in Las Vegas launched a new database Thursday to report “heat-caused” and “heat-related” deaths in the city and surrounding Clark County from April to October.

    The Southern Nevada Health District said seven people have died since April 11, and a total of 152 deaths last year were determined to be heat-related.

    Arizona’s Maricopa County, home to Phoenix, reported this week that so far this year there have been 12 confirmed heat-associated deaths going back to April, half of them people who were homeless. Another 55 deaths are under investigation.

    There were 425 confirmed heat-associated deaths in Maricopa County last year, with more than half of them occurring in July and 80% of them happening outdoors.

    Closer to the Pacific coast, temperatures were less severe, but still have made for sweaty days on picket lines in the Los Angeles area, where actors joined screenwriters in strikes against producers.

    In Sacramento, the California State Fair kicked off with organizers canceling planned horseracing events due to concerns for animal safety. Pet owners around the Southwest were urged to keep their animals mostly inside.

    _____

    Associated Press reporters Michael Blood in Los Angeles, Ken Ritter in Las Vegas, and Susan Montoya in Albuquerque, New Mexico, contributed to this report.

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  • How extreme heat takes a toll on the mind and body, according to experts

    How extreme heat takes a toll on the mind and body, according to experts

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    ALBUQUERQUE, N.M. — The Southwestern U.S. is bracing for another week of blistering temperatures, with forecasters on Monday extending an excessive heat warning through the weekend for Arizona’s most populated area, and alerting residents in parts of Nevada and New Mexico to stay indoors.

    The metro Phoenix area is on track to tie or to break a record set in the summer of 1974 for the most consecutive days with the high temperature at or above 110 degrees Fahrenheit (43 Celsius). Even the morning low temperatures are tying historic records.

    Along the U.S.-Mexico border, federal agents reported that extreme temperatures over the weekend contributed to 45 people being rescued and another 10 dying.

    With so many consecutive days of excessive heat, forecasters, physicians and local health officials throughout the Southwest are recommending that people limit their outdoor exposure and know the warning signs of heat illness.

    ___

    KNOWING THE SIGNS

    From heavy sweating and dizziness to muscle spasms and even vomiting, experts say heat exhaustion and heat stroke are likely to become more common. In coming decades, the U.S. is expected to experience higher temperatures and more intense heat waves.

    Heat stroke is the most serious heat-related illness and happens when the body loses its ability to sweat.

    The skin gets hot and red, and the pulse quickens as the person’s body temperature climbs to 103 F (39 C) or higher. Headaches set in, along with nausea, confusion and even fainting.

    Jon Femling, an emergency medicine physician and scientist at the University of New Mexico, said the body tries to compensate by pumping blood to the skin as a way to cool off. And the more a person breathes, the more they lose fluids, becoming increasingly dehydrated.

    Important electrolytes like sodium and potassium also can be lost when sweating.

    “So one of the first things that happens is, your muscles start to feel tired as your body starts to shunt away,” he said. “And then you can start to have organ damage where your kidneys don’t work, your spleen, your liver. If things get really bad, then you start to not be perfusing your brain the same way.”

    Experts say it’s important to recognize the signs of heat stroke in others, as people may not realize the danger they’re in because of an altered mental state that may involve confusion.

    In the case of heat stroke, experts suggest calling 911 and trying to lower the person’s body temperature with cool, wet cloths or a cool bath.

    With heat exhaustion, the body can become cold and clammy. Other signs include heavy sweating, nausea, muscle cramps, weakness and dizziness. Experts say the best thing to do is to move to a cool place, loosen clothing and sip some water.

    Older people, children and those with health conditions can face greater risks when the temperatures are high.

    During extreme heat events, one of the most common ways people can die is from cardiovascular collapse, experts said, because of the extra energy the heart has to expend to help the body compensate for the hot temperatures.

    In general, health officials say staying indoors, seeking air-conditioned buildings and drinking more water than usual can stave off heat-related illnesses. Caffeine and alcohol are no-nos. Eating smaller meals more often throughout the day can help.

    ___

    LEARNING THE LIMITS

    Researchers at Arizona State University are trying to better understand the effects of extreme heat on the body and what makes hot weather so deadly.

    They’re using a special thermal mannequin called ANDI that is outfitted with nearly three dozen different surface areas that are individually controlled with temperature sensors and human-like pores that produce beads of sweat.

    “A lot of research that I and my colleagues do is just really focused on understanding how people are responding to higher levels of extreme heat over longer periods of time and then what we can do about it,” said Jenni Vanos, an associated professor at ASU’s School of Sustainability.

    There are 10 thermal mannequins in existence, with most used by athletic clothing companies for testing. ASU’s manikin is the first that can be used outdoors thanks to a unique, internal cooling channel.

    The university also has developed a new “warm room,” or heat chamber where researchers can simulate heat-exposure scenarios from around the globe. Temperatures can reach 140 F (60 C) inside the room — and wind and solar radiation can be controlled for experiments.

    Vanos said measuring short- and long-wave radiation in the environment can also tell researchers how much a surface — or a person — in a specific location of a city would heat up.

    “And so under these extreme conditions, what’s going to really be able to be modified or changed within the urban environment is shade,” she said. “In a place like Phoenix or really any sunny hot area, shade is a really critical factor to be able to reduce that overall heat load of the human body.”

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    FINDING RELIEF

    While air conditioners are cranked up and fans are blowing full blast, residents across the region are anxiously awaiting the start of the monsoon season, hoping it will help to keep the heat at bay.

    But so far, the summer thunderstorms — which usually bring cloud cover, lightning and downpours to the Southwestern desert — are absent due to the ongoing El Niño weather pattern, National Weather Service meteorologist Sam Meltzer said.

    “It looks like things are going to be abnormally dry over the next couple of months,” Meltzer said, noting that storms that might break the heat depend on wind patterns drawing moist air from the Gulf of California into Arizona, New Mexico and Nevada.

    “But that doesn’t mean we aren’t going to get thunderstorm activity,” Meltzer said. “It just might be delayed.”

    Meltzer worked in Phoenix before transferring last winter to Las Vegas. He noted that while temperatures rose last month in the Phoenix area, June stayed abnormally cool in southern Nevada.

    The official daytime temperature at Harry Reid International Airport in Las Vegas remained below 100 F (37.8 C) for a record 294 days before temperatures reached 102 F (38.9 C) on June 30. The previous record of 290 days, from 1964 to 1965, had stood for 58 years.

    Still, it’s not just the air temperature that people need to worry about, Vanos said. Humidity can make it more difficult for the body to produce sweat as a way to cool off.

    ___

    Associated Press writers Ken Ritter in Las Vegas and Walter Berry in Phoenix contributed to this report.

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  • What to know about Fourth of July holiday origins and traditions

    What to know about Fourth of July holiday origins and traditions

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    ST. LOUIS (AP) — The Fourth of July is Americana at its core: parades and cookouts and cold beer and, of course, fireworks.

    Those pyrotechnics also make it an especially dangerous holiday, typically resulting in more than 10,000 trips to the emergency room. Yet fireworks remain at the center of Independence Day, a holiday 247 years in the making.

    Here are five things to know about July Fourth, including the origin of the holiday and how fireworks became part of the tradition.

    The American flag will be flown throughout the country on July 4, but it wasn’t always a revered and debated symbol.

    A 40-year-old man with a rifle, a pistol, a bulletproof vest, extra magazines and a police scanner fatally shot four men on the streets of a Philadelphia neighborhood and chased and killed a fifth man inside a home, police say.

    The “parental rights” group Moms for Liberty is looking to expand its efforts to elect school board candidates in 2024 and beyond, as well as get involved in other education races.

    Through history, the Fourth of July has been a day for some presidents to declare their independence from the public.

    WHAT’S THE ORIGIN OF INDEPENDENCE DAY?

    The holiday celebrates the Second Continental Congress’ unanimous adoption of the Declaration of Independence on July 4, 1776, a document announcing the colonies’ separation from Great Britain.

    One year later, according to the Library of Congress, a spontaneous celebration in Philadelphia marked the anniversary of American independence.

    But across the burgeoning nation, observations didn’t become commonplace until after the War of 1812. It quickly took off: The Library of Congress notes that major historic events in the 19th century, such as groundbreaking ceremonies for the Erie Canal and the Baltimore and Ohio Railroad, were scheduled to coincide with Fourth of July festivities.

    HOW DID FIREWORKS BECAME A JULY FOURTH TRADITION?

    The display of pyrotechnics has been a big part of Independence Day from the outset. Founding Father John Adams saw it coming.

    Commemoration of America’s independence “ought to be solemnized with Pomp and Parade, with Shews, Games, Sports, Guns, Bells, Bonfires and Illuminations from one End of this Continent to the other from this Time forward forever more,” Adams wrote in a letter to his wife, Abigail, dated July 3, 1776.

    Fireworks were around centuries before America became a nation. The American Pyrotechnics Association says many historians believe fireworks were first developed in the second century B.C. in ancient China by throwing bamboo stalks into fires, causing explosions as the hollow air pockets overheated.

    By the 15th century, fireworks were widely used for religious festivals and public entertainment in Europe and early U.S. settlers carried on those traditions, the association said.

    HAS A PRESIDENT EVER REFUSED TO CELEBRATE?

    Presidents from George Washington to Joe Biden have celebrated the nation’s birth on the Fourth of July, with one exception: Adams.

    His letter to his wife aside, Adams refused to celebrate the holiday on July 4 because he felt July 2 was the real Independence Day. Why? It was on July 2, 1776, that the Continental Congress voted in favor of the resolution for independence, though the Declaration of Independence wasn’t formally adopted until two days later.

    Adams was so adamant that he turned down invitations to festivals and other events, even while serving as the nation’s second president. Ironically, Adams and Thomas Jefferson, the primary author of the Declaration of Independence, both died on the 50th anniversary of the document’s formal adoption, July 4, 1826.

    HOW POPULAR ARE FIREWORKS?

    Consumer sales of fireworks have grown rapidly over the past two decades.

    Statistics from the American Pyrotechnics Association show that in 2000, American consumers spent $407 million on fireworks. By 2022, that figure rose to $2.3 billion. The biggest jump came during the COVID-19 pandemic, when public fireworks displays were shut down. Consumer sales jumped from $1 billion in 2019 to $1.9 billion in 2020.

    “People went to the fireworks store beginning Memorial Day weekend and they just didn’t stop,” said Julie Heckman, executive director of the American Pyrotechnics Association. “They were firing off fireworks all of 2020. It shocked the industry, to be quite honest with you.”

    Sales are expected to rise another $100 million this year, the association said. It helps that the Fourth of July is on a Tuesday, creating essentially a four-day weekend.

    ARE FIREWORKS DANGEROUS?

    Despite widespread education efforts, thousands of Americans are badly injured by fireworks each year, and this year is no exception.

    Late Saturday night, firefighters and medics were called to Lexington Township, a suburb of Kansas City, Kansas, for reports of a shed on fire and arrived to find fireworks actively exploding from the burning shed and several people lying injured on the ground. Firefighters, medics and local police dragged the victims from the area to safety, and four people were taken to hospitals — two with serious injuries, Northwest Consolidated Fire District Chief Todd Maxton said in a statement.

    The U.S. Consumer Product Safety Commission reports that in 2022, 10,200 people were treated at emergency rooms and 11 deaths were blamed on fireworks. About three-quarters of injuries happened in the period around the Fourth of July.

    About one-third of the injuries were to the head, face, ears or eyes. Finger, hand and leg injuries are common, too.

    “I have seen people who have blown off fingers,” said Dr. Tiffany Osborn, an emergency room physician at Barnes-Jewish Hospital in St. Louis. “I’ve seen people who have lost eyes. I’ve seen people who have significant facial injuries.”

    Children under 15 make up nearly one-third of those injured by fireworks. Sparklers often are blamed for burns to children under age 5. Osborn suggested giving small children glow sticks or colorful streamers instead.

    For those planning to shoot off fireworks, Heckman urged finding a flat, hard, level surface away from structures and other things that could catch fire. The person responsible for the fireworks should avoid alcohol. Children should never ignite them.

    Osborn encouraged having a bucket or hose nearby in case of fire or explosion. Shoot off one at a time and walk away quickly after igniting, she said, and never relight or handle a malfunctioned firework. When done, shovel up the remains and soak them before disposing.

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  • What to know about Fourth of July holiday origins and traditions

    What to know about Fourth of July holiday origins and traditions

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    ST. LOUIS — The Fourth of July is Americana at its core: parades and cookouts and cold beer and, of course, fireworks.

    Those pyrotechnics also make it an especially dangerous holiday, typically resulting in more than 10,000 trips to the emergency room. Yet fireworks remain at the center of Independence Day, a holiday 247 years in the making.

    Here are five things to know about July Fourth, including the origin of the holiday and how fireworks became part of the tradition.

    WHAT’S THE ORIGIN OF INDEPENDENCE DAY?

    The holiday celebrates the Second Continental Congress’ unanimous adoption of the Declaration of Independence on July 4, 1776, a document announcing the colonies’ separation from Great Britain.

    One year later, according to the Library of Congress, a spontaneous celebration in Philadelphia marked the anniversary of American independence.

    But across the burgeoning nation, observations didn’t become commonplace until after the War of 1812. It quickly took off: The Library of Congress notes that major historic events in the 19th century, such as groundbreaking ceremonies for the Erie Canal and the Baltimore and Ohio Railroad, were scheduled to coincide with Fourth of July festivities.

    HOW DID FIREWORKS BECAME A JULY FOURTH TRADITION?

    The display of pyrotechnics has been a big part of Independence Day from the outset. Founding Father John Adams saw it coming.

    Commemoration of America’s independence “ought to be solemnized with Pomp and Parade, with Shews, Games, Sports, Guns, Bells, Bonfires and Illuminations from one End of this Continent to the other from this Time forward forever more,” Adams wrote in a letter to his wife, Abigail, dated July 3, 1776.

    Fireworks were around centuries before America became a nation. The American Pyrotechnics Association says many historians believe fireworks were first developed in the second century B.C. in ancient China by throwing bamboo stalks into fires, causing explosions as the hollow air pockets overheated.

    By the 15th century, fireworks were widely used for religious festivals and public entertainment in Europe and early U.S. settlers carried on those traditions, the association said.

    HAS A PRESIDENT EVER REFUSED TO CELEBRATE?

    Presidents from George Washington to Joe Biden have celebrated the nation’s birth on the Fourth of July, with one exception: Adams.

    His letter to his wife aside, Adams refused to celebrate the holiday on July 4 because he felt July 2 was the real Independence Day. Why? It was on July 2, 1776, that the Continental Congress voted in favor of the resolution for independence, though the Declaration of Independence wasn’t formally adopted until two days later.

    Adams was so adamant that he turned down invitations to festivals and other events, even while serving as the nation’s second president. Ironically, Adams and Thomas Jefferson, the primary author of the Declaration of Independence, both died on the 50th anniversary of the document’s formal adoption, July 4, 1826.

    HOW POPULAR ARE FIREWORKS?

    Consumer sales of fireworks have grown rapidly over the past two decades.

    Statistics from the American Pyrotechnics Association show that in 2000, American consumers spent $407 million on fireworks. By 2022, that figure rose to $2.3 billion. The biggest jump came during the COVID-19 pandemic, when public fireworks displays were shut down. Consumer sales jumped from $1 billion in 2019 to $1.9 billion in 2020.

    “People went to the fireworks store beginning Memorial Day weekend and they just didn’t stop,” said Julie Heckman, executive director of the American Pyrotechnics Association. “They were firing off fireworks all of 2020. It shocked the industry, to be quite honest with you.”

    Sales are expected to rise another $100 million this year, the association said. It helps that the Fourth of July is on a Tuesday, creating essentially a four-day weekend.

    ARE FIREWORKS DANGEROUS?

    Despite widespread education efforts, thousands of Americans are badly injured by fireworks each year. The U.S. Consumer Product Safety Commission reports that in 2022, 10,200 people were treated at emergency rooms and 11 deaths were blamed on fireworks. About three-quarters of injuries happened in the period around the Fourth of July.

    About one-third of the injuries were to the head, face, ears or eyes. Finger, hand and leg injuries are common, too.

    “I have seen people who have blown off fingers,” said Dr. Tiffany Osborn, an emergency room physician at Barnes-Jewish Hospital in St. Louis. “I’ve seen people who have lost eyes. I’ve seen people who have significant facial injuries.”

    Children under 15 make up nearly one-third of those injured by fireworks. Sparklers often are blamed for burns to children under age 5. Osborn suggested giving small children glow sticks or colorful streamers instead.

    For those planning to shoot off fireworks, Heckman urged finding a flat, hard, level surface away from structures and other things that could catch fire. The person responsible for the fireworks should avoid alcohol. Children should never ignite them.

    Osborn encouraged having a bucket or hose nearby in case of fire or explosion. Shoot off one at a time and walk away quickly after igniting, she said, and never relight or handle a malfunctioned firework. When done, shovel up the remains and soak them before disposing.

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  • What to know about Fourth of July holiday origins and traditions

    What to know about Fourth of July holiday origins and traditions

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    ST. LOUIS — The Fourth of July is Americana at its core: parades and cookouts and cold beer and, of course, fireworks.

    Those pyrotechnics also make it an especially dangerous holiday, typically resulting in more than 10,000 trips to the emergency room. Yet fireworks remain at the center of Independence Day, a holiday 247 years in the making.

    Here are five things to know about July Fourth, including the origin of the holiday and how fireworks became part of the tradition.

    WHAT’S THE ORIGIN OF INDEPENDENCE DAY?

    The holiday celebrates the Second Continental Congress’ unanimous adoption of the Declaration of Independence on July 4, 1776, a document announcing the colonies’ separation from Great Britain.

    One year later, according to the Library of Congress, a spontaneous celebration in Philadelphia marked the anniversary of American independence.

    But across the burgeoning nation, observations didn’t become commonplace until after the War of 1812. It quickly took off: The Library of Congress notes that major historic events in the 19th century, such as groundbreaking ceremonies for the Erie Canal and the Baltimore and Ohio Railroad, were scheduled to coincide with Fourth of July festivities.

    HOW DID FIREWORKS BECAME A JULY FOURTH TRADITION?

    The display of pyrotechnics has been a big part of Independence Day from the outset. Founding Father John Adams saw it coming.

    Commemoration of America’s independence “ought to be solemnized with Pomp and Parade, with Shews, Games, Sports, Guns, Bells, Bonfires and Illuminations from one End of this Continent to the other from this Time forward forever more,” Adams wrote in a letter to his wife, Abigail, dated July 3, 1776.

    Fireworks were around centuries before America became a nation. The American Pyrotechnics Association says many historians believe fireworks were first developed in the second century B.C. in ancient China by throwing bamboo stalks into fires, causing explosions as the hollow air pockets overheated.

    By the 15th century, fireworks were widely used for religious festivals and public entertainment in Europe and early U.S. settlers carried on those traditions, the association said.

    HAS A PRESIDENT EVER REFUSED TO CELEBRATE?

    Presidents from George Washington to Joe Biden have celebrated the nation’s birth on the Fourth of July, with one exception: Adams.

    His letter to his wife aside, Adams refused to celebrate the holiday on July 4 because he felt July 2 was the real Independence Day. Why? It was on July 2, 1776, that the Continental Congress voted in favor of the resolution for independence, though the Declaration of Independence wasn’t formally adopted until two days later.

    Adams was so adamant that he turned down invitations to festivals and other events, even while serving as the nation’s second president. Ironically, Adams and Thomas Jefferson, the primary author of the Declaration of Independence, both died on the 50th anniversary of the document’s formal adoption, July 4, 1826.

    HOW POPULAR ARE FIREWORKS?

    Consumer sales of fireworks have grown rapidly over the past two decades.

    Statistics from the American Pyrotechnics Association show that in 2000, American consumers spent $407 million on fireworks. By 2022, that figure rose to $2.3 billion. The biggest jump came during the COVID-19 pandemic, when public fireworks displays were shut down. Consumer sales jumped from $1 billion in 2019 to $1.9 billion in 2020.

    “People went to the fireworks store beginning Memorial Day weekend and they just didn’t stop,” said Julie Heckman, executive director of the American Pyrotechnics Association. “They were firing off fireworks all of 2020. It shocked the industry, to be quite honest with you.”

    Sales are expected to rise another $100 million this year, the association said. It helps that the Fourth of July is on a Tuesday, creating essentially a four-day weekend.

    ARE FIREWORKS DANGEROUS?

    Despite widespread education efforts, thousands of Americans are badly injured by fireworks each year. The U.S. Consumer Product Safety Commission reports that in 2022, 10,200 people were treated at emergency rooms and 11 deaths were blamed on fireworks. About three-quarters of injuries happened in the period around the Fourth of July.

    About one-third of the injuries were to the head, face, ears or eyes. Finger, hand and leg injuries are common, too.

    “I have seen people who have blown off fingers,” said Dr. Tiffany Osborn, an emergency room physician at Barnes-Jewish Hospital in St. Louis. “I’ve seen people who have lost eyes. I’ve seen people who have significant facial injuries.”

    Children under 15 make up nearly one-third of those injured by fireworks. Sparklers often are blamed for burns to children under age 5. Osborn suggested giving small children glow sticks or colorful streamers instead.

    For those planning to shoot off fireworks, Heckman urged finding a flat, hard, level surface away from structures and other things that could catch fire. The person responsible for the fireworks should avoid alcohol. Children should never ignite them.

    Osborn encouraged having a bucket or hose nearby in case of fire or explosion. Shoot off one at a time and walk away quickly after igniting, she said, and never relight or handle a malfunctioned firework. When done, shovel up the remains and soak them before disposing.

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  • Florida center says ‘Grey Team’ technology, exercise help veterans overcome PTSD and other ailments

    Florida center says ‘Grey Team’ technology, exercise help veterans overcome PTSD and other ailments

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    BOCA RATON, Fla. — Before Fred Kalfon began exercising at the Grey Team veterans center a couple months ago, the 81-year-old rarely left his Florida home.

    Parkinson’s disease, an inner ear disorder and other neurological problems, all likely caused by the Vietnam vet’s exposure to the infamous defoliant Agent Orange, made it difficult for him to move. His post-traumatic stress disorder, centering on the execution of a woman who helped his platoon, was at its worst.

    Treatment through the federal Department of Veterans Affairs didn’t work, he said.

    “I felt stupid the way I walk around and stumble,” said Kalfon, who led a medical aid unit as a first lieutenant in 1964-65. “I was depressed.”

    But after months in a veteran-specialized gym and recovery program, the retired pharmaceutical researcher and sales manager is socializing and has thrown aside his walker for a cane.

    He’s among the latest of 700 veterans of all ages working with the Grey Team, a 7-year-old organization combining personalized workouts, camaraderie, community outings and an array of machines in a 90-day program targeted at improving physical and mental health.

    “It’s the machines, sure. It’s the therapy you are taking. It’s the (staff’s) encouragement — they are there all the time for you. They are caring. Caring makes a difference,” Kalfon said.

    The nonprofit center, located in a converted warehouse in Boca Raton, Florida, gets its name, in part, from the brain’s nickname: “gray matter.” Many of the vets who apply and are accepted into the free program suffered head trauma in battle or have PTSD.

    “What we have created here is really magical,” said Grey Team co-founder Cary Reichbach, 62, a physical trainer and former Army police officer. The goal, he said, is to get the vets off medications for their mental and physical ailments when possible. Even after completing the program, participants can still workout, hang out and participate in outings.

    With the government saying vets are 50% more likely to kill themselves than non-veterans, Reichbach is proud the center helps combat that statistic.

    “We want to tackle the suicidal ideation before it even starts,” he said.

    He concedes suicide prevention is easier because the center doesn’t accept clients who are homeless or have uncontrolled addictions.

    “I wish we had the funding to tackle” those issues, he said.

    The Grey Team’s program features an array of machines using infrared light, lasers and sound waves meant to relieve stress, heal mental and physical wounds and help the vets sleep without the use of pharmaceuticals. The program is run by a primary team of seven, including a medical director.

    Drugs are overutilized in other veteran programs, such as those in VA hospitals, often because “they have a budget and they have to spend it,” Reichbach said.

    Ohio State University psychologist Craig Bryan, a former executive director of the National Center for Veterans Studies, said the successes of the Grey Team program are not surprising given the selective participant pool.

    “They are selecting from a subgroup with less severe problems,” said Bryan, a former Air Force captain who now works with the VA.

    His skepticism also extends to the effectiveness of the machines.

    “To my knowledge, they’ve never been rigorously studied so it’s hard to know if they have any benefit at all and/or if they have side effects or cause harms,” Bryan said. “Exercise is a common feature of many therapies and treatments that have demonstrated efficacy for PTSD, depression and suicide risk.”

    University researchers are collecting data that Reichbach said he believes will show his program’s treatments work.

    Reichbach’s 93-year-old father, Ed, offers hugs and back slaps to everyone entering the Grey Team lobby. Sometimes the Army vet and former university professor drops to give 10 rapid-fire pushups — a demonstration to give older vets a jolt on their first visit.

    “We have to get them in here, that’s the difficult part,” he said.

    Upstairs in the center’s “safe space” community area, Navy vet Bill Tolle discussed his service as a meteorologist and oceanographer from 1983 to 1990. As a petty officer second-class stationed in Puerto Rico, Hawaii and Antarctica, he never experienced combat.

    But in 1988, Tolle witnessed a plane crash at his Antarctic base that killed two people. A year later, he sustained a back injury in a helicopter crash. The back-to-back traumas left him with PTSD. He worked as a firefighter and then a registered nurse in an inner-city emergency room. His PTSD led to alcoholism.

    “I really wasn’t familiar with what PTSD was. I always thought it was combat-related,” Tolle said. “For years I went untreated and it got progressively worse.”

    He finally was diagnosed in 2016 but didn’t get treatment until 2020 through a residential VA program. He then lived at the Salvation Army, which introduced him to the Grey Team.

    Tolle is a believer in the center’s machines.

    “My thinking was foggy, at best. A lot of short-term memory stuff. I would forget. I can now think things through, resolve things,” he said. “My whole cognitive function is sharper.”

    In the center’s gym, Kalfon talked about walking through Vietnam jungles still wet with Agent Orange, the herbicide sprayed by the U.S. from planes to kill the brush where enemy soldiers hid. It has been linked to veterans’ health problems.

    His health began failing about seven years ago. First, a heart attack and quintuple bypass. Then the neurological problems. His health insurance agent told him about the Grey Team and he applied, seeing it as a last hope.

    For about two months, Kalfon has been coming to the center three times weekly. He can now walk up stairs and has set a goal to jog 3 miles (5 kilometers).

    “When I can do that,” he said, “I think I will have accomplished everything I need.”

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  • Hawaii allows more concealed carry after US Supreme Court ruling, but bans guns in most places

    Hawaii allows more concealed carry after US Supreme Court ruling, but bans guns in most places

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    HONOLULU — Hawaii Gov. Josh Green on Friday signed legislation that will allow more people to carry concealed firearms but at the same time prohibit people from taking guns to a wide range of places, including beaches, hospitals, stadiums, bars that serve alcohol and movie theaters. Private businesses allowing guns will have to post a sign to that effect.

    The legal overhaul comes in response to a U.S. Supreme Court ruling from last year that expanded gun rights by saying Americans have a right to carry firearms in public for self-defense.

    New York and New Jersey adopted similar laws last year that quickly met legalchallenges which are making their way through federal courts.

    Green, who is a physician by training and has been an emergency room doctor in Hawaii for decades, said gun violence is a public health crisis and action needs to be taken to address it.

    “On many occasions in my training back on the mainland, I was one of the physicians that took care of individuals who were victims of gun violence. Not only that, I lost a loved one to a suicide with a gun,” Green said before signing the measure. “And so anything that we can do, we should.”

    Rep. David Tarnas, chair of the House judiciary committee, said lawmakers carefully crafted the measure to be consistent with the high court’s interpretation of the Second Amendment right to bear arms and also establish what he called a “fair system” for regulating concealed carry permits.

    “We aim to create a balanced approach that respects the rights of gun owners and the need to maintain a safe and protected space in Hawaii,” Tarnas said.

    Hawaii has long had some of the strictest gun laws in the nation.

    Before the Supreme Court ruling, Hawaii law gave county police chiefs the discretion to determine whether to issue gun owners a permit to carry. Police chiefs rarely did. They issued just six such permits in 21 years, making it virtually impossible for civilians to carry guns in Hawaii. Otherwise state law only allowed people to keep firearms in their homes and to transport them – unloaded and locked up – to shooting ranges, hunting areas and other limited places like repair shops.

    In 2022, Hawaii had the second-lowest gun death rate among the 50 states, according to data from the U.S. Centers for Disease Control and Prevention. Only Massachusetts had a lower figure.

    Andrew Namiki Roberts, the director of the Hawaii Firearms Coalition, said Hawaii lawmakers wanted the law to be a “workaround” of the high court’s decision in New York State Rifle and Pistol Association v. Bruen. He said the new law effectively makes it so people can’t carry firearms in public for self-defense and is a “gross infringement” on the Second Amendment.

    “It limits carrying a firearm to public sidewalks and private businesses — if you can get permission. All other places in the state, it’s going to be illegal to carry a firearm,” he said.

    Kainoa Kaku, president of the Hawaii Rifle Association, said it showed the state’s leaders viewed “law-abiding, gun-owning citizenry of Hawaii as criminals.”

    “They are so stupid they cannot tell the difference between someone who doesn’t follow the law and commits crimes with firearms and someone that just wants to protect themselves and their family with a gun,” he said.

    Both gun rights groups plan to challenge the new law in court.

    Attorney General Anne Lopez said her office was prepared to fight these lawsuits.

    Kaku also objected to the anticipated expenses of the new law, estimating it will cost gun owners $1,000 to take all the classes and proficiency tests required to obtain a concealed carry permit that will only be valid for four years.

    The governor also signed another bill requiring the state Department of Education to develop a training program to help public and charter schools respond to school shootings.

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  • Hawaii allows more concealed carry after US Supreme Court ruling, but bans guns in most places

    Hawaii allows more concealed carry after US Supreme Court ruling, but bans guns in most places

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    HONOLULU — Hawaii Gov. Josh Green on Friday signed legislation that will allow more people to carry concealed firearms but at the same time prohibit people from taking guns to a wide range of places, including beaches, hospitals, stadiums, bars that serve alcohol and movie theaters. Private businesses allowing guns will have to post a sign to that effect.

    The legal overhaul comes in response to a U.S. Supreme Court ruling from last year that expanded gun rights by saying Americans have a right to carry firearms in public for self-defense.

    New York and New Jersey adopted similar laws last year that quickly met legalchallenges which are making their way through federal courts.

    Green, who is a physician by training and has been an emergency room doctor in Hawaii for decades, said gun violence is a public health crisis and action needs to be taken to address it.

    “On many occasions in my training back on the mainland, I was one of the physicians that took care of individuals who were victims of gun violence. Not only that, I lost a loved one to a suicide with a gun,” Green said before signing the measure. “And so anything that we can do, we should.”

    Rep. David Tarnas, chair of the House judiciary committee, said lawmakers carefully crafted the measure to be consistent with the high court’s interpretation of the Second Amendment right to bear arms and also establish what he called a “fair system” for regulating concealed carry permits.

    “We aim to create a balanced approach that respects the rights of gun owners and the need to maintain a safe and protected space in Hawaii,” Tarnas said.

    Hawaii has long had some of the strictest gun laws in the nation.

    Before the Supreme Court ruling, Hawaii law gave county police chiefs the discretion to determine whether to issue gun owners a permit to carry. Police chiefs rarely did. They issued just six such permits in 21 years, making it virtually impossible for civilians to carry guns in Hawaii. Otherwise state law only allowed people to keep firearms in their homes and to transport them – unloaded and locked up – to shooting ranges, hunting areas and other limited places like repair shops.

    In 2022, Hawaii had the second-lowest gun death rate among the 50 states, according to data from the U.S. Centers for Disease Control and Prevention. Only Massachusetts had a lower figure.

    Andrew Namiki Roberts, the director of the Hawaii Firearms Coalition, said Hawaii lawmakers wanted the law to be a “workaround” of the high court’s decision in New York State Rifle and Pistol Association v. Bruen. He said the new law effectively makes it so people can’t carry firearms in public for self-defense and is a “gross infringement” on the Second Amendment.

    “It limits carrying a firearm to public sidewalks and private businesses — if you can get permission. All other places in the state, it’s going to be illegal to carry a firearm,” he said.

    Kainoa Kaku, president of the Hawaii Rifle Association, said it showed the state’s leaders viewed “law-abiding, gun-owning citizenry of Hawaii as criminals.”

    “They are so stupid they cannot tell the difference between someone who doesn’t follow the law and commits crimes with firearms and someone that just wants to protect themselves and their family with a gun,” he said.

    Both gun rights groups plan to challenge the new law in court.

    Attorney General Anne Lopez said her office was prepared to fight these lawsuits.

    Kaku also objected to the anticipated expenses of the new law, estimating it will cost gun owners $1,000 to take all the classes and proficiency tests required to obtain a concealed carry permit that will only be valid for four years.

    The governor also signed another bill requiring the state Department of Education to develop a training program to help public and charter schools respond to school shootings.

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  • Inquiry continues in Alabama shooting that killed 4, hurt 28

    Inquiry continues in Alabama shooting that killed 4, hurt 28

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    DADEVILLE, Ala. — Students at a small-town Alabama school returned to class Monday morning, even as investigators continued to piece together what happened at a Saturday night shooting that killed four including two Dadeville High School students, as well as two others. The melee at a teenager’s birthday party also injured 28.

    The dead include Marsiah Emmanuel “Siah” Collins, 19, of Opelika; Corbin Dahmontrey Holston, 23, of Dadeville; Philstavious “Phil” Dowdell, 18, of Camp Hill and Shaunkivia Nicole “Keke” Smith, 17, of Dadeville, Tallapoosa County Coroner Mike Knox told The Associated Press on Monday. Relatives had identified Dowdell and Smith on Sunday.

    The Saturday night shooting took place at a birthday party for Dowdell’s sister at the Mahogany Masterpiece dance studio in Dadeville. It’s not clear if all of the 28 people who were injured were shot, although Heidi Smith, spokesperson for Dadeville’s Lake Martin Community Hospital, said 15 people with gunshot wounds were received there. Others were taken to other hospitals.

    Tallapoosa County Superintendent Raymond Porter said counselors would be present at the school Monday. Smith said her hospital and others would provide at least some of those, saying students “are going to arrive today to a tragedy.”

    “It’s going to be a tough time for graduation and for these kids and we will be here for them and their families for the duration,” Smith said.

    Flags flew at half-staff outside the school Monday as an electronic sign displayed information about the prom and make-up days to take college entrance exams.

    It’s also unclear who may have started the shooting and why, or whether investigators have made any arrests. Sgt. Jeremy Burkett of the Alabama Law Enforcement Agency did not take questions during news conferences Sunday. Officials repeatedly asked others to come forward with information on the shooting.

    Dowdell was a Dadeville High School student who planned to attend Jacksonville State University to play .

    Michael Taylor, an assistant coach, said he met Dowdell when the boy was 9 and coached him in youth . Taylor said the team was invited to Atlanta to play in the stadium used by the NFL’s Atlanta Falcons.

    “He did some amazing things there, and he never stopped doing them since then,” he said. “He was the No. 1 athlete in the school.”

    Smith was also a Dadeville High senior who managed the basketball and track teams.

    Collins had played football at Opelika High School before graduating in 2022, his father, Martin Collins, told AL.com. Collins was an aspiring rapper and his father said Collins planned to attend Louisiana State University, where the father is a law student.

    Keenan Cooper, the DJ at the party, told WBMA-TV the party was stopped briefly when attendees heard someone had a gun. He said people with guns were asked to leave, but no one left. Cooper said when the shooting began some time later, some people took shelter under a table where he was standing, and others ran out.

    At least five bullet holes were visible in the windows of the front of the dance studio Sunday. Investigators combed the scene for more than 12 hours, including climbing onto the roof of the one-story brick building to look for evidence.

    The shooting sparked what Mayor Frank Goodman said was a “chaotic” scene at the town’s small hospital, where emergency workers, relatives and friends swarmed on Saturday. Smith said six people were treated locally and have been released, but said others were transferred to larger hospitals in Birmingham, Montgomery, Opelika and Columbus, Georgia. She said transfers by helicopter were slowed by stormy weather Saturday.

    “It’s very traumatic in a health care setting, in an emergency room setting when you have one gunshot wound come through, but when you have 15 and they’re all teenagers, our staff has been through a lot,” Smith said.

    Antojuan Woody, from the neighboring town of Camp Hill, was a senior and fellow wide receiver with Dowdell on a Dadeville Tigers football team that went undefeated before losing in the second round of the playoffs last year. He said he and Dowdell had been best friends for all of their lives.

    He described the victims “as great people who didn’t deserve what happened to them.”

    Other Dadeville High students returned to class Monday, where Tallapoosa County Superintendent Raymond Porter said counselors would be present. Flags flew at half-staff outside the school Monday as an electronic sign displayed information about the prom and make-up days to take college entrance exams.

    The 485-student high school includes grades 6-12. It’s a center of civic life in the small town, where “Home of the Tigers” is painted on the water tower. Dadeville, population 3,200, is tucked off a busy highway that runs from Birmingham to Auburn near Lake Martin, a popular recreational area.

    ___

    Amy reported from Atlanta.

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  • California looks to spend some Medicaid money on housing

    California looks to spend some Medicaid money on housing

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    SACRAMENTO, Calif. — At the start of 2022, Thomas Marshall weighed 311 pounds. He had been hospitalized 10 times in five years, including six surgeries. He had an open wound on his left leg that refused to heal — made worse by living in a dirty, moldy house with five other people, two ball pythons, four Chihuahuas and a cage full of rats.

    More than a year later, Marshall has lost nearly 100 pounds. His wound has healed. His blood pressure has returned to normal levels. His foot, which had nerve damage, has improved to the point he goes on regular walks to the park.

    Lots of factors are at play in Marshall’s dramatic turnaround, but the one he credits the most is finally having stable housing, after the nonprofit Sacramento Covered helped him get a one-bedroom, 500 square-foot (46.4-square-meter) apartment in a downtown high rise. He has hardwood floors, white pine cabinets and a glass jar on the counter filled with Bit-O-Honeys.

    “To me it’s the most important 500 square feet I’ve ever had,” he said. “Living here has just improved my well-being in every possible way.”

    Marshall’s story is part of a radical rethinking of the relationship between housing and health care in the U.S. For decades, Medicaid, the joint state and federal health insurance program for people with disabilities or low incomes, would only pay for medical expenses. But last year the Biden administration gave Arizona and Oregon permission to use Medicaid money for housing — a nod to reams of research showing people in stable housing are healthier.

    Now California wants to join those states, building on the success of programs like the one that got Marshall housing. Gov. Gavin Newsom has proposed spending more than $100 million per year in the state’s Medicaid program to pay for up to six months of housing for people who are or risk becoming homeless; are coming out of prison or foster care; or are at risk for hospitalization or emergency room visits.

    It would be the biggest test yet of using Medicaid money for housing. California has the nation’s largest Medicaid program, with more than 13 million patients — or about a third of the state’s population. California also has nearly a third of the nation’s homeless population, according to federal data.

    “It’s a huge step toward breaking down the silos that have gotten in the way of taking care of the whole person rather than limb by limb and illness by illness,” said Anthony Wright, executive director of Health Access California, a consumer advocacy group.

    It would also be an expensive step. California is expected to have a $22.5 billion budget deficit this year, and it could get bigger in years to come. Meanwhile the state’s Medicaid spending is projected to increase by $2.5 billion over the next three years, according to the nonpartisan Legislative Analyst’s Office.

    “What we’re really doing is expanding the welfare state, which is going to become just a huge financial problem,” said Wayne Winegarden, senior fellow at the Pacific Research Institute, a group that advocates for free-market policies.

    California experimented with using Medicaid money for some housing-related expenses in 2016 when it launched a pilot project in 26 counties. While Medicaid did not pay for rent, it paid for things like security deposits and furniture.

    In Marshall’s case, he pays his own rent, using some of the $1,153 per month he gets from Social Security and Supplemental Security Income. But Medicaid paid for his security deposit, bed, sofa, table, chairs and nearly 3 1/2 gallons of Pine Sol. Marshall said keeping his apartment clean is one thing that helped his leg wound to finally heal.

    Over five years the program has reduced expensive hospital stays and emergency room visits for people on Medicaid, saving taxpayers an average of $383 per patient per year, according to an analysis by researchers at UCLA.

    Now California wants to go further by using Medicaid money to directly pay some people’s rent. Democratic Assemblymember Joaquin Arambula, who chairs the budget subcommittee that will vet Newsom’s proposal, said lawmakers are supportive. Arambula spent a decade as an emergency room doctor.

    “I became very good at being able to get cockroaches out of people’s ears,” Arambula said. “The living conditions of many of our communities, especially in our rural communities, really can affect a person’s ability to get adequate sleep, to be prepared for the next day and to stay healthy.”

    Advocates for homeless people say they welcome such programs but spending more money on rent isn’t enough, noting the state still has a massive shortage of affordable housing.

    Kelly Bennett, founder and CEO of Sacramento Covered, said that during California’s first experiment with using Medicaid money for housing services, it would often take up to eight months for workers to place a patient in an apartment. In some cases, people have waited for years to find a place.

    “Even when you have the deposit money and you have some rental subsidy, it’s still very, very challenging to find units — and to find units where the landlords will lease to our clients,” Bennett said.

    Marshall said he grew up in Sacramento and got a degree in dietic technology and culinary arts. But a 30-year addiction to meth landed him on the streets from the late 1990s through about 2006. He camped at an old landfill, often eating leftovers from people’s picnics at a nearby park.

    He applied for apartments at multiple subsidized housing buildings, but never made it off the wait list. It took him about a year to get his current apartment, where he pays $186 per month with the help of a subsidy.

    “I feel like I’m electric. … I have power and ability to do things that I could not do for a very long time,” Marshall, 64, said. “Whatever years I’ve got left now, I’m going to spend them up here in the glass tower.”

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  • UK Treasury chief seeks drama-free budget day amid strikes

    UK Treasury chief seeks drama-free budget day amid strikes

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    LONDON — U.K. Treasury chief Jeremy Hunt will stage a moment of high political theater Wednesday, unveiling his budget to a crowd of baying lawmakers as consumers demand more help with the high cost of living and workers press for higher wages with strikes at schools, hospitals and the offices of civil servants.

    Even as Hunt plays his historically scripted role — emerging from his official residence with the spending plan in a battered red dispatch box, then carrying it to the House of Commons where he will be greeted by jeers and cheers — the truth is he will try to be as boring as possible.

    That’s because the last time the government staged a similar “fiscal event,” the mini-budget presented by Hunt’s predecessor last September, it set off an economic catastrophe by promising huge tax cuts without saying how it would pay for them. The value of the pound plunged, mortgage rates soared and the central bank was forced to intervene to protect pension funds.

    This time, strong and stable is the goal. Most of the big-ticket items — an extra 5 billion pounds ($6.1 billion) of defense spending over the next two years, increased funding for child care and help for workers saving for retirement — have already been announced.

    “We shouldn’t expect much in the way of rabbits or hats in this budget,” said Sarah Coles, head of personal finance at the investment adviser Hargreaves Lansdown. “Jeremy Hunt needs to remain boring and predictable to avoid unsettling the markets.”

    But even as Hunt delivers his remarks to Parliament, many people across the country are seething about a cost-of-living crisis that is eroding the spending power of workers as Russia’s war in Ukraine has helped fuel the highest inflation in four decades.

    Government workers, teachers and the young doctors who staff the nation’s hospitals will be walking the picket line Wednesday, furious that public-sector workers have borne the brunt of the budget austerity implemented by Hunt’s Conservative Party after it took power following the global financial crisis.

    The British Medical Association, which represents the fully qualified physicians known in the U.K. as “junior doctors,” says first-year doctors have seen their pay fall by 26% over the past 15 years after accounting for inflation.

    That means first-year doctors now earn as little as 14.09 pounds an hour, compared with up to 14.10 pounds an hour for baristas at Pret a Manger, a sandwich and coffee shop chain that just gave workers a third raise in less than 12 months, the group said.

    Rebecca Lissman, 29, a trainee in obstetrics and gynecology, said junior doctors are just asking is to be “paid a wage that matches our skill set.”

    “I want to be in work, looking after people, getting trained,” she said. “I don’t want to be out here striking, but I feel that I have to.”

    The government says the medical association’s comparison to baristas is misleading because most doctors actually make more than the basic minimum salary and have much higher lifetime earning potential than shop workers.

    Hunt and Prime Minister Rishi Sunak are trying to hold the line on public-sector salaries because they say big pay increases will only fuel inflation.

    Consumer prices rose 10.1% in the year through January, the fifth consecutive month of double-digit increases. To combat inflation, the Bank of England has approved 10 interest rate increases over the past 15 months, raising the cost of mortgages, consumer and business loans.

    That is crimping economic growth, with the central bank forecasting a recession that may last a year or more.

    Hunt’s other major goal is rebuilding Britain’s reputation for fiscal responsibility by reducing the public debt built up during the financial crisis and the COVID-19 pandemic. The government wants to cut borrowing to less than 3% of economic output and begin reducing debt as a percentage of output within five years.

    As a result, Hunt has been cautious about increasing government spending or boosting salaries.

    But higher-than-expected revenue and lower spending, combined with more optimistic forecasts for economic growth and interest rates, may mean the government has room to spend an additional 166 billion pounds without endangering its targets, according to estimates from the National Institute of Economic and Social Research, an independent think tank.

    And several spending initiatives have been leaked ahead of the release of what is being called a “back-to-work budget.”

    Those include increased child care payments to help young mothers return to work and more generous allowances for tax-free pension saving to entice early retirees back into the workforce.

    Hunt also is expected to extend the government-subsidized energy price guarantee that has helped shield consumers from the soaring cost of electricity and natural gas amid the war in Ukraine.

    During a meeting with U.S. President Joe Biden and Australian Prime Minister Anthony Albanese last weekend in San Diego, Sunak announced plans to boost defense spending to 2.5% of economic output amid increasing threats from Russia and China.

    But back home, thousands of doctors, nurses and other workers are picketing in front of hospitals and other government buildings.

    Outside St. Thomas’ Hospital in central London, Leah Sugarman, 33, joined other strikers as they chanted, ‘’What do we want? Fair pay! When do we want it? Now!”

    The emergency medicine doctor, who has been on the job for nine years, said she can’t pay a mortgage and struggles to live a normal life.

    “We’ve all lived through COVID, that was horrendous. Most of us have come out mentally scarred from that,” she said. “And every day that I leave work, I pretty much want to cry because I haven’t been able to do the job that I chose to go into this profession for.”

    She added that she has been forced to drop her hours to less than 40 hours a week, “because I can’t mentally go to work full time anymore.”

    “It is just a car crash,” she said. “So that’s why I’m here.”

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  • Fired Memphis EMT says police impeded Tyre Nichols’ care

    Fired Memphis EMT says police impeded Tyre Nichols’ care

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    MEMPHIS, Tenn. — A former Memphis Fire Department emergency medical technician told a Tennessee board Friday that officers “impeded patient care” by refusing to remove Tyre Nichols ‘ handcuffs, which would have allowed EMTs to check his vital signs after he was brutally beaten by police.

    Robert Long, whose license was suspended for failing to give aid to Nichols and who has also been fired, appeared by livestream before the state Emergency Medical Services Board to share his version of events. He provided details about how he and another EMT, JaMichael Sandridge, responded after five Memphis police officers had punched, kicked and hit Nichols with a baton during an arrest following Nichols fleeing a traffic stop Jan. 7.

    Long and Sandridge were fired by the department Jan. 30. Their licenses were suspended by the board Feb. 3, after members watched a 19-minute video taken at the beating location. Officials said the EMTs failed to render aid to Nichols, who died three days after the beating.

    The board determined that Long and Sandridge did not perform basic emergency medical examinations while Nichols was handcuffed on the ground and slumped against a squad car, documents obtained by The Associated Press showed. Nichols showed “clear signs of distress, such as the inability to remain in a seated posture and laying prone on the ground multiple times,” the documents showed.

    Both Long and Sandridge failed to initiate a primary examination, which could have helped identify the presence of any life-threatening injuries, the documents showed. Nichols’ vital signs were not checked, he did not receive high-flow oxygen or an intravenous line, and he was not placed on a heart monitor.

    The two EMTs were joined at the arrest location by a third fire department employee, Lt. Michelle Whitaker, who officials said remained in the fire engine with the driver during the response to Nichols’ beating. She has since been fired, but it was not immediately clear if the state board would take action towards suspending her license.

    The five officers who were seen on video beating Nichols have been fired and charged with second-degree murder. They have pleaded not guilty.

    Before Long testified Friday, his lawyer, Darrell O’Neal, noted that the 19-minute video taken by an elevated pole camera and seen by the board did not have sound, and it did not capture what was said during the violent arrest.

    Long gave a detailed account of what officers, Nichols and he himself said.

    Long said he approached Nichols and saw that he had “a bump on his head, a busted lip and a dried bloody nose on both nostrils,” but that he answered “Tyre Nichols” when asked his name.

    He also said Nichols then asked him for help standing up and to remove the handcuffs. Nichols repeated this request several times, Long said.

    Long said he repeatedly tried to place a monitor on Nichols to check his vital signs, including blood pressure, but Nichols would roll away. Long said he interpreted this movement as Nichols rejecting care and refusing cooperation.

    “He wouldn’t stay still for assessment,” Long said.

    Long said he did not force the blood pressure cuff onto Nichols or hold him down in fear of being accused of assault.

    He also said he asked Nichols if had been using drugs or alcohol, and Nichols said he had only been drinking. Long said he interpreted some of Nichols’ movements, including being slumped against the car or on the ground, as the result of drinking alcohol.

    At one point, officers leaned over Nichols and were “in his face, saying loudly that the patient is not going anywhere and that they are not going to uncuff him, impeding patient care,” according to Long.

    They continued to impede his care, Long said.

    Eventually, Nichols stopped moving and became unresponsive, Long said. An ambulance arrived, and Nichols was taken to a hospital. Officials have said 27 minutes elapsed from the time the EMTs arrived on the scene to the moment the ambulance left for the hospital.

    Matt Gibbs, an Tennessee Department of Health lawyer, asked Long if a field sobriety test or a blood alcohol exam had been administered. Long said he was not aware if those were done.

    Long also acknowledged that Nichols never verbally refused care from the EMTs, and he spent several minutes without directly engaging with Nichols.

    Long’s lawyer called a former Memphis paramedic and EMT, John Holloway, as an expert to testify. Holloway praised the actions that Long took and said that if he had touched Nichols, Long may have been in danger of accusations of assaulting him. Holloway said he did not believe Long would be a danger to the public if allowed to resume working as an EMT.

    Holloway also noted that Long was the lowest ranking EMT on the scene, and the other two fire department employees who had more years of experience failed to step in to help.

    Holloway also said that Nichols could have been moving away from Long for a number of reasons. One board member suggested that Nichols could have been moving away from Long because Nichols was scared of being beaten again.

    After fours hours of testimony and questioning, the board voted to keep Long’s suspension in place.

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  • Lawsuit: Mentally ill man froze to death in Alabama jail

    Lawsuit: Mentally ill man froze to death in Alabama jail

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    MONTGOMERY, Ala. — A mentally ill man froze to death at an Alabama jail, according to a lawsuit filed by the man’s family who say he was kept naked in a concrete cell and believe he was also placed in a freezer or other frigid environment.

    Anthony Don Mitchell, 33, arrived at a hospital emergency room with a body temperature of 72 degrees (22 degrees Celsius), and was pronounced dead hours later, according to the lawsuit. He was brought to the hospital on Jan. 26 from the Walker County Jail, where he’d been incarcerated for two weeks.

    An emergency room doctor, who tried unsuccessfully to revive Mitchell, wrote, “I do believe hypothermia was the ultimate cause of his death,” according to the lawsuit filed Monday by Mitchell’s mother in federal court.

    Mitchell, who had a history of drug addiction, was arrested Jan. 12 after a cousin asked authorities to do a welfare check on him because he was rambling about portals to heaven and hell in his home and appeared to be suffering a mental breakdown. Jail video shows Mitchell was kept naked in a concrete-floored isolation cell, according to the lawsuit. The lawsuit speculates that Mitchell was also placed in the jail kitchen’s “walk-in freezer or similar frigid environment and left there for hours” because his body temperature was so low.

    “It is clear that Tony’s death was wrongful, the result of horrific, malicious abuse and mountains of deliberate indifference,” Jon C. Goldfarb, a lawyer representing the family, wrote in the lawsuit. “Numerous corrections officers and medical staff wandered over to his open cell door to spectate and be entertained by his condition.”

    The lawsuit also accuses the sheriff’s office of a cover-up. The sheriff’s office issued a statement after the death saying Mitchell “was alert and conscious when he left the facility.” Jail security footage provided to The Associated Press by lawyers for Mitchell’s mother shows officers carrying Mitchell’s limp body to a transport car, then putting him on the ground before placing him in the car.

    The suit names Walker County Sheriff Nick Smith and jail officers as defendants.

    Lawyers representing the Walker County Sheriff’s Office said it could not comment before the conclusion of a requested investigation. The sheriff’s office, following routine procedures, contacted the State Bureau of Investigation after Mitchell’s death to ask for the investigation, according to a statement from Jackson, Fikes & Brakefield.

    “The WCSO offers and extends its condolences to the family of Mr. Mitchell and asks for your support and patience for the men and women of the WCSO,” the firm wrote in the statement.

    A photo of of Mitchell being arrested was posted by the sheriff’s office on its Facebook page, adding that Mitchell “brandished a handgun, and fired at least one shot at deputies” before running into the woods.

    The photo shows Mitchell’s face is painted black. According to the lawsuit, officers told a family member that Mitchell said he spray painted his own face black in preparation to enter the portal to hell. An officer told family members they planned “to detox him and then ‘we’ll see how much of his brain is left,’ or words to that effect,” according to the suit.

    According to the lawsuit, a doctor wrote in emergency room notes that Mitchell was “unresponsive apneic and pulseless and cold to the touch” when he arrived.

    “I am not sure what circumstances the patient was held in incarceration but it is difficult to understand a rectal temperature of 72° F 22° centigrade while someone is incarcerated in jail. The cause of his hypothermia is not clear. It is possible he had a underlying medical condition resulting in hypothermia. I do not know if he could have been exposed to a cold environment,” the lawsuit quotes the doctor as writing.

    Cameron Mixon, a spokesperson for Alabama Attorney General Steve Marshall, said the office is aware of the matter and it’s “being investigated by the Alabama Law Enforcement Agency and the Federal Bureau of Investigation.” He said the office will ensure that any appropriate action is taken after the investigation is complete.

    The allegations of death by hypothermia come as the state prison system also faces a lawsuit over the death of a mentally ill man who “baked to death” in an overheated prison cell. Thomas Lee Rutledge died of hyperthermia on Dec. 7, 2020, at William E. Donaldson Correctional Facility in Bessemer. Rutledge had an internal temperature of 109 degrees when he was found unresponsive in the mental health cell, according to the suit filed by his sister. It names prison staff, wardens and contractors as defendants.

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  • Union: Fired EMTs didn’t get enough info in Nichols response

    Union: Fired EMTs didn’t get enough info in Nichols response

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    MEMPHIS, Tenn. — The head of a union representing most of the Memphis Fire Department said three employees who were fired after the death of Tyre Nichols weren’t given enough information as they responded to the call for medical help.

    Thomas Malone, president of the Memphis Fire Fighters Association, also wrote in a letter to city councilmembers that information was withheld from those first responders by people on the scene.

    Nichols, who is Black, was beaten by Memphis police after he was pulled over Jan. 7 for an alleged traffic violation. However, police Chief Cerelyn “CJ” Davis has said publicly released footage failed to show why Nichols was stopped at all.

    The union leader came to the defense of the fire department as a whole, saying its more-than-1,600 employees “serve this city and its citizens with purpose and intent each and every day.”

    The Daily Memphian reported on and published a copy of the letter, which says “there is no way any member could be truly prepared for a situation that occurred on January 7, 2023.”

    “Our members were not given adequate information upon dispatch or upon arrival of the scene,” Malone wrote. “Quite frankly, there was information withheld by those already on the scene which caused our members to handle things differently than they should have.”

    Three fire department employees were fired after Nichols died. In all, 13 police officers have either been disciplined or are under investigation for their roles in Nichols’ death. Six were fired, and five of them are charged with murder. Two Shelby County sheriff’s deputies were also suspended.

    Two of the former fire department employees, EMT Robert Long and advanced EMT JaMichael Sandridge, had their professional licenses suspended by a state medical board. Lt. Michelle Whitaker was the third employee let go. Her license was not considered for suspension, though state Emergency Medical Services board members commented that more actions could follow.

    Memphis city spokeswoman Arlenia Cole told the Daily Memphian that all three former fire department employees have appealed their firings.

    Fire Chief Gina Sweat has said the department received a call from police after someone was pepper-sprayed. When the workers arrived at 8:41 p.m., Nichols was handcuffed on the ground and slumped against a squad car, the statement said.

    Long and Sandridge, based on the nature of the call and information they were told by police, “failed to conduct an adequate patient assessment of Mr. Nichols,” the statement said. Whitaker remained in the vehicle with the driver during the response to Nichols’ beating, the department said.

    An ambulance was called, and it arrived at 8:55 p.m., the statement said. An emergency unit cared for Nichols and left for a hospital with him at 9:08 p.m., which was 27 minutes after Long, Sandridge and Whitaker arrived, officials said. Nichols died three days later.

    An investigation determined that all three violated multiple policies and protocols, the statement said.

    “They were reacting to what they saw, what they were told at the scene,” Sweat recently told city council members. “Obviously, they did not perform at the level that we expect, or that the citizens of Memphis deserve.”

    Before suspending the licenses of Long and Sandridge earlier this month, the state EMS board watched 19 minutes of surveillance video that showed the two first responders as they failed to care for Nichols, who couldn’t stay seated upright against the side of the vehicle, laying prone on the ground multiple times.

    EMS board member Sullivan Smith said it was “obvious to even a lay person” that Nichols “was in terrible distress and needed help.”

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  • Northeast temperatures soar a day after bone-numbing cold

    Northeast temperatures soar a day after bone-numbing cold

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    BOST0N — Temperatures in many areas of the Northeast U.S. climbed to the mid-40s Fahrenheit on Sunday, a day after the region suffered through temperatures that plummeted into the negative teens and felt like minus 45 to minus 50 degrees with the wind chill.

    Atop 6,288-foot Mount Washington in New Hampshire, the temperature rose to a relatively balmy 18 degrees (8 Celsius) a day after the actual temperature nosedived to minus 47 F (minus 44 C) and the wind chill was measured in excess of minus 108 degrees.

    There was some collateral damage from the extreme cold and high winds.

    Boston Medical Center closed its emergency department after a pipe froze and burst on Saturday night. It is expected to remain closed until Tuesday.

    “All patients in the affected areas of the Emergency Department were safely moved to other areas of the hospital,” the center said in a tweet.

    A Providence, Rhode Island armory being used as a warming center had some of its windows blown out by raging winds on Friday into Saturday, but repairs were soon completed.

    No one at the Cranston Street Armory was ever in danger, Matthew Sheaff, a spokesperson for Gov. Dan McKee, said in an email Sunday. People simply moved to other rooms, he said.

    Boston’s Boch Center Wang Theater was forced to cancel two soldout shows by the Impractical Jokers when a sprinkler pipe in the boiler room burst at about 5 p.m. Saturday, the theater said on social media.

    The building was evacuated and the shows canceled when the fire department and theater management determined the system could not be quickly repaired. The shows were rescheduled for late April.

    James “Murr” Murray of the Impractical Jokers posted his own apology on Twitter.

    “To all of our Boston fans, so sorry about tonight. We were five minutes from showtime, with a full theater, at the first show tonight, and the pipes burst from the cold in Boston and flooded the entire basement of the theater,” he said in a short video.

    Sunday’s above average temperatures in the region were expected to stick around awhile, said Bob Oravec, the lead forecaster at the National Weather Service in College Park, Maryland.

    “We’re having much more milder flow across a good part of the country and we do expect the temperatures to be above average for the upcoming week across the good part of the country, especially the Northeast,”Oravec said.

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  • 6th officer fired after beating death of Tyre Nichols

    6th officer fired after beating death of Tyre Nichols

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    MEMPHIS, Tenn. — A sixth Memphis officer was fired Friday after an internal police investigation showed he violated multiple department policies in the violent arrest of Tyre Nichols, including rules surrounding the deployment of a stun gun, officials said.

    Preston Hemphill had been suspended as he was investigated for his role in the Jan. 7 arrest of Nichols, who died in a hospital three days later. Five Memphis officers have already been fired and charged with second-degree murder in Nichols’ death.

    Nichols was beaten after police stopped him for what they said was a traffic violation. Video released after pressure from Nichols’ family shows officers holding him down and repeatedly punching, kicking and striking him with a baton as he screamed for his mother.

    The officers who have been fired and charged are Black, as was Nichols. Hemphill is white. One other officer has been suspended, but has not been identified.

    Hemphill was the third officer at the traffic stop that preceded the arrest but was not at the location where Nichols was beaten after he ran away.

    On body camera footage from the initial stop, Hemphill is heard saying that he used a stun gun against Nichols and declaring, “I hope they stomp his ass.”

    Along with breaking rules regarding the use of a stun gun, Hemphill was also fired for violations of personal conduct and truthfulness, police said in a statement.

    Police announced Hemphill’s suspension on Jan. 30, but they said Hemphill was actually suspended shortly after the arrest.

    Memphis police spokeswoman Karen Rudolph has said information about Hemphill’s suspension was not immediately released because Hemphill had not been fired. The department generally gives out information about an officer’s punishment only after a department investigation into misconduct ends, Rudolph said.

    After the suspension was announced, lawyers for Nichols’ family questioned why the department did not disclose Hemphill’s discipline earlier.

    “We have asked from the beginning that the Memphis Police Department be transparent with the family and the community — this news seems to indicate that they haven’t risen to the occasion,” attorneys Ben Crump and Anthony Romanucci said in a statement. “It certainly begs the question why the white officer involved in this brutal attack was shielded and protected from the public eye, and to date, from sufficient discipline and accountability.”

    Also Friday, a Tennessee board suspended the emergency medical technician licenses of two former Memphis Fire Department employees for failing to render critical care.

    The suspensions of EMT Robert Long and advanced EMT JaMichael Sandridge build on efforts by authorities to hold officers and other first responders accountable for the violence against Nichols. The Justice Department has opened a civil rights probe into the attack that was captured on video.

    Three fire department employees were fired after Nichols died. Former fire department Lt. Michelle Whitaker was the third employee let go, but her license was not considered for suspension Friday. The department has said she remained in the engine with the driver during the response to Nichols’ beating.

    Emergency Medical Services Board member Jeff Beaman said during Friday’s emergency meeting that there may have been other licensed personnel on scene — including a supervisor — who could have prevented the situation that led to the death of Nichols. Beaman said he hopes the board addresses those in the future.

    Matt Gibbs, an attorney for the state Department of Health, said the two suspensions were “not final disposition of this entire matter.”

    Board members watched 19 minutes of surveillance video that showed Long and Sandridge as they failed to care for Nichols, who couldn’t stay seated upright against the side of the vehicle, laying prone on the ground multiple times. They also considered an affidavit by the Memphis Fire Department’s EMS deputy chief.

    “The (state) Department (of Health) alleges that neither Mr. Sandridge nor Mr. Long engaged in emergency care and treatment to patient T.N., who was clearly in distress during the 19 minute period,” Gibbs said.

    Board member Sullivan Smith said it was “obvious to even a lay person” that Nichols “was in terrible distress and needed help.”

    “And they failed to provide that help,” Smith said. “They were his best shot, and they failed to help.”

    Fire Chief Gina Sweat has said the department received a call from police after someone was pepper-sprayed. When the workers arrived at 8:41 p.m., Nichols was handcuffed on the ground and slumped against a squad car, the statement said.

    Long and Sandridge, based on the nature of the call and information they were told by police, “failed to conduct an adequate patient assessment of Mr. Nichols,” the statement said.

    There was no immediate response to a voicemail seeking comment left at a number listed for Long. A person who answered a phone call to a number listed for Sandridge declined to comment on the board’s decision.

    An ambulance was called, and it arrived at 8:55 p.m., the statement said. An emergency unit cared for Nichols and left for a hospital with him at 9:08 p.m., which was 27 minutes after Long, Sandridge and Whitaker arrived, officials said.

    An investigation determined that all three violated multiple policies and protocols, the statement said, adding that “their actions or inactions on the scene that night do not meet the expectations of the Memphis Fire Department.”

    The fired officers involved were part of the so-called Scorpion unit, which targeted violent criminals in high-crime areas. Police Chief Cerelyn “CJ” Davis said after the video’s release that the unit has been disbanded.

    Mayor Jim Strickland said Friday that the city has ordered up a review of its police department – including special units and use-of-force policies – through the U.S. Department of Justice’s Office of Community Oriented Policing Services, or COPS, through the Collaborative Reform Initial Technical Assistant Center program, and the International Association of Police Chiefs. The COPS group is also aiding a review of the law enforcement response to the Uvalde, Texas, elementary school shooting that left 19 children and two teachers dead.

    The killing led to renewed public discussion of how police forces can treat Black residents with excessive violence, regardless of the race of both the police officers and those being policed.

    At Nichols’ funeral on Wednesday, calls for reform and justice were interwoven with grief over the loss of a man remembered as a son, a sibling, a father and a passionate photographer and skateboarder.

    ___

    For more coverage of the Tyre Nichols case, go to https://apnews.com/hub/tyre-nichols.

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  • 7th Memphis officer disciplined, EMTs fired in Nichols death

    7th Memphis officer disciplined, EMTs fired in Nichols death

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    MEMPHIS, Tenn. — Two more Memphis police officers have been disciplined and three emergency responders fired in connection with the death of Tyre Nichols, officials said Monday, widening the circle of punishment for the shocking display of police brutality after video showed many more people failed to help him beyond the five officers accused of beating him to death.

    Officer Preston Hemphill, who is white, was relieved of duty shortly after Nichols’ Jan. 7 arrest, the police department announced. Later in the day it said another officer had also been relieved, but without naming the person or specifying what role they played in the incident.

    That brought the total number of Memphis officers who have been disciplined to seven, including the five Black officers who were fired and charged last week with second-degree murder and other offenses in Nichols’ beating and Jan. 10 death.

    Also Monday, Memphis Fire Department officials announced the dismissal of emergency medical technicians Robert Long and JaMichael Sandridge and Lt. Michelle Whitaker. The EMTs had previously been suspended.

    Fire Chief Gina Sweat said in a statement that the department received a call from police to respond to a report of a person who had been pepper-sprayed. The workers arrived at 8:41 p.m. as Nichols was handcuffed on the ground and slumped against a squad car, the statement said.

    Long and Sandridge, based on the nature of the call and information they were told by police, “failed to conduct an adequate patient assessment of Mr. Nichols,” the statement said. Whitaker and the driver remained in the engine.

    An ambulance was called, and it arrived at 8:55 p.m., the statement said. An emergency unit cared for Nichols and left for a hospital with him at 9:08 p.m. — 27 minutes after Long, Sandridge and Whitaker arrived, officials said.

    An investigation determined that all three violated “multiple” policies and protocols, the statement said, adding that “their actions or inactions on the scene that night do not meet the expectations of the Memphis Fire Department.”

    The killing of Nichols, who was Black, has led to days of public discussion of how police forces can treat Black citizens with excessive violence, regardless of the race of both the police officers and those being policed.

    On body camera footage from the initial stop, Hemphill is heard saying that he stunned Nichols and declaring, “I hope they stomp his ass.”

    Nichols’ death was the latest example in a long string of early police accounts regarding use of force that were later shown to have minimized or ignored violent and sometimes deadly encounters.

    Memphis Police Department officers used a stun gun, a baton and their fists as they pummeled Nichols during the nighttime arrest. Video shows Nichols running away from officers toward his house after he was pulled over on suspicion of reckless driving. Nichols, a 29-year-old father, was heard calling for his mother and seen struggling with his injuries as he sat helpless on the pavement, video footage released Friday showed.

    The five officers chatted and milled about for several minutes as Nichols remained on the ground, but there were other authorities on the scene. Two Shelby County sheriff’s deputies have been relieved of duty without pay while their conduct is investigated.

    In the Nichols case, the police department has been responsible for internal disciplinary measures, such as firings, while the Shelby County district attorney has handled the criminal charges.

    Hemphill was the third officer at a traffic stop that preceded the violent arrest but was not at the scene where Nichols was beaten, his lawyer Lee Gerald said. Hemphill turned on his body camera, in line with department policy, he added.

    Lawyers for the Nichols family questioned Monday why the department did not disclose Hemphill’s discipline earlier and why he has not been fired or charged.

    “We have asked from the beginning that the Memphis Police Department be transparent with the family and the community — this news seems to indicate that they haven’t risen to the occasion,” attorneys Ben Crump and Anthony Romanucci said in a statement. “It certainly begs the question why the white officer involved in this brutal attack was shielded and protected from the public eye, and to date, from sufficient discipline and accountability.”

    Memphis police spokeswoman Karen Rudolph said information on disciplinary action taken against Hemphill was not immediately released because Hemphill was not fired. The department generally gives out information about an officer’s punishment only after a department investigation into misconduct ends, Rudolph said.

    Memphis Police Director Cerelyn “CJ” Davis told The Associated Press in an interview Friday that a “lack of supervision in this incident was a major problem.”

    “When officers are working, you should have at least one supervisor for every group or squad of people,” Davis said. “Not just somebody who’s at the office doing the paperwork, somebody who’s actually embedded in that unit.”

    Calls for more officers to be fired or charged have been loud and persistent from the Nichols family, their lawyers and community activists who have peacefully protested in Memphis since the video was released. The video was evocative of the arrest of George Floyd in 2020 and officers’ failure to intervene.

    On Saturday, Nichols’ stepfather, Rodney Wells, told The Associated Press that the family was going to “continue to seek justice and get some more officers arrested.”

    “Questions were raised before the video was released, I raised those questions,” Wells said. “I just felt there was more than five officers out there. Now, five were charged with murder because they were the main participants, but there were five or six other officers out there that didn’t do anything to render any aid. So they are just as culpable as the officers who threw the blows.”

    Memphis City Council member Martavius Jones said Monday that police policies on rendering aid and de-escalation appeared to have been violated.

    “When everybody saw the video, we see that you have multiple officers just standing around, when Mr. Nichols is in distress, that just paints a totally different picture,” Jones said

    Jones said he believes more officers should be disciplined.

    “At this point, what’s going to be helpful for this community is to see how swiftly the police chief deals with those other officers now that everybody has seen the tape and knows that is wasn’t only five officers who were at the scene the entire time,” Jones said.

    The five fired officers and Hemphill were part of the so-called Scorpion unit, which targeted violent criminals in high-crime areas. Davis, the police chief, said Saturday that the unit has been disbanded.

    Nichols’ funeral service is scheduled for Wednesday at a Memphis church.

    ___

    This story was first published on January 30, 2023. It was updated on February 2, 2023, to correct the spelling of the name of one of the fired workers to JaMichael Sandridge, not JaMicheal Sandridge.

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