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  • Biden and his team feeling vindicated by a 2022 turnaround built on the same decades-old principles | CNN Politics

    Biden and his team feeling vindicated by a 2022 turnaround built on the same decades-old principles | CNN Politics

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    CNN
     — 

    President Joe Biden spent hours during his first foreign trip behind closed doors, attempting to reassure a shaken group of US allies that America was back. It was clear, he later told advisers, just how much work remained to convince them of the durability of that commitment.

    Eighteen months after those meetings in Europe, Biden departed Washington on Tuesday for his year-end vacation, riding the momentum of historic legislative success and the defiance of political gravity that has reshaped the expectations for the critical months – and decisions – ahead. It’s a moment that Biden never seemed to doubt would come, even as his party – and some inside the White House – questioned or outright urged a change in approach to address political and economic headwinds driven primarily by soaring inflation that threatened to drag down his presidency.

    During those 2021 meetings in England and Belgium, Biden found a group of allies genuinely shaken by the January 6 insurrection and the events that led to it. But the president tried to reassure them that the visceral divides that culminated in the violence that day would heal and the bleak moment in US politics would pass.

    He was met with polite appreciation from his foreign counterparts. But the deep skepticism served only to underscore his commitment to a belief that sat at the heart of a pledge that was often pilloried during the campaign as naïve. The only real reassurance, Biden would note, was delivering on what he’d promised.

    “That’s why it’s so important that I succeed in my agenda, whether it’s dealing with the vaccine, the economy, infrastructure,” Biden told reporters in Brussels shortly before he boarded Air Force One for a flight to Switzerland and a sit down with Russian President Vladimir Putin. “It’s important that we demonstrate we can make progress and continue to make progress. And I think we’re going to be able to do that.”

    The moment provided a brief window into the president’s high-stakes theory of the case – one that appeared exceedingly aspirational given his party’s narrow congressional majorities and staunch GOP opposition. But even as this year began, Biden and his team were grasping to break free of a series of crises and the cornerstone of his agenda – a sweeping bill that included numerous administration priorities – appeared in shambles.

    Biden’s anticipated final major action before the end of 2022 serves as an almost poetic coda for his first two years. The $1.7 trillion bipartisan spending package he will sign will lock in key funding priorities and include an overhaul of the law his predecessor cited in the lead up to the January 6 riot.

    The turn from aspirational goals to palpable accomplishments – highlighted over the last several months by Biden’s travel to major corporate groundbreakings in states like Ohio, Arizona and Michigan – underpins the sharp reversal for the White House. That turnaround serves as evidence of Biden’s steely belief in his strategies and policy proposals –an approach deeply rooted over his decades in public service.

    “One thing that is foundational with him is if he says he’s going to do something, he does it,” Steve Ricchetti, one of Biden’s closest and longest-serving advisers, told CNN in an interview, underscoring an approach that has been defined by steady, and at times stubborn, persistence.

    Simple as it may seem, a campaign promise or commitment has tipped internal debates on policy decisions more than once, one White House official noted.

    Biden’s closest confidants also stress that it’s a perspective that is instructive as the White House prepares for the dramatically reshaped Washington that will confront him upon his return from his family vacation to the US Virgin Islands.

    “The whole idea of showing people government can work – we were mocked for that in some corners,” a Biden adviser said. “That’s literally what’s happening now.”

    There are still clear challenges ahead. Inflation remains high even if its grip appears to be easing. Biden’s advisers expect economic growth to slow in the quarters ahead, though they remain cautiously optimistic a recession can be avoided.

    Biden’s approval ratings, while ticking up, remain low and his age remains a real, if less publicly addressed, concern held by Democrats as they wait for an official decision about whether he will seek reelection.

    But Biden’s overarching approach has guided the early-stage planning for the legislative and political implications of a new House Republican majority and served as the basis for aides already working through the outlines of the State of the Union address that will come early next year.

    It’s also a defining element of the structure and message planning of a nascent campaign that has taken shape over the last several months and accelerated. Biden’s senior team has become increasingly confident that a reelection campaign will be green lit in the weeks ahead.

    White House officials view the political salience of his agenda as both an underappreciated element of their ability to defy the expectations of sweeping GOP gains in the midterms and as a critical piece of what comes next. The prospect of divided government – and the exceedingly narrow legislative pathway it brings – has limited effect on an agenda that is now in the implementation phase.

    “It forms the foundation for even stronger achievements as the nation heads into the New Year,” Mike Donilon, the White House senior adviser and long-standing member of Biden’s inner circle, wrote in a political memo circulated to allies this month.

    Biden, advisers said, has laid down strict directives to senior aides and Cabinet officials about the necessity of efficient implementation in the months ahead.

    “It’s not subtle,” a senior administration official said of the message from the top. “We have to get it right and in the moments we don’t, we damn well be ready to explain it – and fix it.”

    For Biden’s tight-knit and long-serving advisers, this is a moment that both vindicates and validates core elements of a campaign and presidency that at various points were dismissed, underestimated or at some points even mocked.

    “A lot of people told him that this wouldn’t resonate, or that it wasn’t the message, or that it’s outdated,” Stef Feldman, the longtime Biden aide who served as the 2020 campaign policy director before following him to the White House, told CNN.

    Biden viewed his infrastructure proposal, in particular, as a central policy plank of his campaign as Democratic primary opponents raced to outdo one another with transformational progressive proposals – none of which included a viable way to pass a bitterly divided Congress.

    Biden and his economic advisers zeroed in on an intensive manufacturing and supply chain agenda that grew more aggressive and transformational as a once-in-a-century pandemic gripped the country. They saw it as the key to reverse the accelerants at the heart of the atmosphere that created the opening for Donald Trump to reach the Oval Office.

    “This was the right moment for his theory of the case,” Feldman said. “He could apply the principles that have really guided him throughout his whole career.”

    Those principles have largely stayed with Biden through his time as a senator and vice president and were refined during the critical two years spent out of office as he weighed yet another run for the presidency.

    “Ever since I’ve talked to the president about the economy, he’s distinguished between the short-term and the long-term, between consumption and investment,” said Jared Bernstein, Biden’s chief economist as vice president who now sits on the Council of Economic Advisers. “These have always been foundational to his economic thinking.”

    The animating principles of Biden’s 2020 campaign hardly diverged from the key themes outlined by Donilon, Biden’s in-house mind-meld, in the 22-page memo he drafted in early 2015 as the then-vice president weighed jumping into the 2016 race.

    From think tanks to business schools to Davos, Biden took the role of a kind of middle class evangelist, pressing for the pursuit of policies that addressed short-term incentives that had driven jobs away and wages down. Those speeches and discussions served as a roadmap of sorts for an agenda that is now largely law. They detailed major infrastructure investments and a incentivizing research and development that had atrophied. There were broad outlines of nascent ideas to connect hollowed out manufacturing centers and communities to new opportunities. Biden proposed changes to the tax code that tracked near where his administration would eventually land as it sought to finance spending plans.

    Even the anecdotes from the period – whether the one about Chinese leader Xi Jinping and American “possibilities” or his father’s sayings about the dignity of work, or the importance of “breathing room” – are the same that populate his speeches as president.

    Ricchetti, who as counselor to the president helped lead the White House legislative effort, pointed to a clear “through-line” from Biden’s days as a senator, through his time as vice president and during the first two years of Trump’s presidency.

    Biden wrote a book detailing his decision not to run for president as he dealt with the pain of his son Beau’s fight with, and eventual death from, brain cancer. That process and the book tour that followed are viewed by Biden’s inner circle as an essential experience in the eventual decision to run in 2020.

    “Much of what we prioritized at that time we took with us and used as the foundation,” Ricchetti said of the years leading up to the campaign.

    If the effort to turn that foundation into a coherent policy agenda was accelerated and expanded in the final months of the campaign, it was turbocharged during a transition that saw Democrats take control of the Senate majority.

    Officials structured the infrastructure, manufacturing, research and development, climate and equity proposals into interlocking pieces, designed to work in tandem even if they were eventually scaled back during the legislative process.

    “At the core of this strategy was that the power of it is that these things work together,” National Economic Council Chairman Brian Deese, one of the architects of the package, said in an interview.

    What the proposals – particularly across industries and policy priorities tied to climate and manufacturing – also represented was a dramatic shift in what had become an entrenched, if not monolithic, economic orthodoxy. Biden would oversee the most consequential pursuit of an industrial policy strategy in decades. He’d do so in many cases with Republican support.

    To be clear, subscribing to the term “industrial policy” still isn’t universally embraced. Even Deese, who has driven and defined its core elements, prefers “Modern American Industrial Strategy.” In its simplest form, it’s the idea that “if you do public investment in a thoughtful way, what you’ll actually do is crowd in private investment,” Deese said.

    Deese likes to point out its roots in the American economy can be traced to Alexander Hamilton.

    But the convergence of factors that led it to once again gain broader, and bipartisan, traction was in many ways tailor-made for Biden.

    A resurgence in research and development funding. Significant public investments designed for critical areas of national and economic security. The elevation of labor unions and a focus on creating the conditions to bring manufacturing jobs back to the US.

    On their face, these issues are politically popular and hardly exclusive to Biden. They’re also exceedingly difficult to turn into policy. At least until the pandemic.

    “There’s a cost associated with industrial weakness,” Deese said. “The pandemic laid bare something that had been the case for years.”

    That was true for semiconductors – the tiny chips essential for everything from cars and washing machines to advanced weapons systems – that drove the bipartisan urgency behind the $280 billion CHIPS and Science law. Sen. Todd Young, an Indiana Republican up for reelection in 2022, drove the effort on Capitol Hill – something that underscored the salience of an issue that scrambled traditional political dynamics.

    For Young, who had pressed for legislation tied to the issue in the year before Biden entered the White House, it was less about embracing a broader shift in economic policy and more about addressing the fact China had pursued exactly that for a decade or longer. Young was one of 17 Senate Republicans who voted to advance the eventual law that has driven new private sector investment or commitments in the last several months.

    The pandemic. The rise of China as key feature of policy making in both parties. A president animated by the idea of long-term economic incentives crafted to connect workers and communities left behind for decades.

    “These policy insights might not have come to fruition were it not for a confluence of events,” Bernstein acknowledged.

    Ted Kaufman has a simple explanation for Biden’s approach and the places where it paid off after two years.

    “There’s a confidence that comes from knowing what you’re doing,” said Kaufman, the former Delaware senator, longtime Biden Senate chief of staff and one of the president’s closest friends. “This is a guy who is so incredibly well qualified to be president because of experience.”

    As to why that experience has rarely been rewarded by voters, Kaufman had another simple explanation.

    “It’s hard because you have a record,” he said.

    In a way it’s both an implicit acknowledgment of the unprecedented factors – most notably Trump, but in some ways the pandemic as well – that created an opening to the presidency for Biden. Another incumbent, or another moment, and advisers note that it wouldn’t be a question of if Biden would win. He wouldn’t have even run.

    Instead, as he weighs running for reelection at age 80, he enters the final two years of this term with much of his agenda now law. Core elements of that agenda were driven by bipartisan consensus. Even Biden’s final bipartisan achievement of the year – the $1.7 trillion spending package – includes an initial $500 million to seed the technology and innovation hubs created by the CHIPS and Science Act in parts of the country outside of traditional tech sectors.

    While Democrats narrowly lost their House majority in the midterm elections, the party expanded its Senate majority by a seat.

    Perhaps most critically for Biden, the voters sharply reject some of the most extreme voices parroting 2020 election lies in critical races for governor and secretary of state.

    In the months leading up to the midterm elections, Biden had started regularly recounting the experience with his foreign counterparts on that first foreign trip in an effort to underscore the stakes.

    In the weeks that followed, after his travel to Indonesia for the G-20 Summit, he was ready to provide an updated version as he stood against the backdrop of a new factory in Arizona to celebrate the announcement by a Taiwanese chip maker of what would mark one of the largest foreign investments in US history.

    “What was clear in those meetings is the United States is better positioned than any other nation to lead the world economy in the years ahead if we keep our focus,” Biden said.

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  • Novak Djokovic back in Australia following high-profile visa ban | CNN

    Novak Djokovic back in Australia following high-profile visa ban | CNN

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    CNN
     — 

    Novak Djokovic is back in Australia, according to a spokesperson with Tennis Australia, nearly a year after his high-profile visa ban from the country over his stance on the Covid-19 vaccination.

    The 21-time grand slam champion is slated to open his 2023 tennis season next week in Adelaide for the Adelaide International 1. It comes more than a month after Australian officials said that Djokovic’s three-year ban from entering the country would be overturned.

    The Serbian was deported from Australia in January after former immigration minister Alex Hawke found the tennis star posed a risk to public health and order because, as a celebrity sportsman who had previously expressed opposition to people being compelled to get the Covid-19 vaccine, he could be seen as an “icon” for anti-vaxxers.

    The minister’s decision to deport the former world No. 1 men’s player meant he was initially banned from reentry for three years.

    On Monday, Tennis Australia CEO Craig Tiley said, “We will welcome him back to Australia.”

    As for the reception Djokovic should expect to receive from Aussies, Tiley said, “I have a great deal of confidence in the Australian public. I think we have a very well-educated sporting public particularly those that come for tennis. They love their tennis. They love seeing greatness. They love seeing great athleticism, great matches.

    “I have a lot of confidence that the fans will react like we hope they would react and have respect for that,” he added.

    CNN has reached out to the tennis star for comment.

    Djokovic has won nine men’s singles titles at the Australian Open, more than anyone else in history. He is entered to play in the 2023 edition next month.

    Djokovic’s high-profile visa saga overshadowed the Australian Open earlier this year, pitting one of tennis’ biggest stars against the Australian government and dividing opinion in the country, which had enacted tough pandemic border restrictions.

    The government revoked the Serbian’s visa shortly after his arrival in Melbourne on January 5 because he was not vaccinated against Covid-19.

    Djokovic said he was under the impression he could enter the country because two independent panels associated with Tennis Australia and the Victorian state government had granted him an exemption on the grounds he had been infected with the virus a few weeks prior to his arrival.

    But the federal government argued that was not a valid reason for an exemption under its rules.

    A judge later ruled that border officers had been “unreasonable” when they canceled Djokovic’s visa and ordered his release from an immigration detention center.

    But his visa was then revoked for a second time and after losing his bid to challenge the decision, the tennis star left Australia.

    Despite his return to action in selected tournaments following the ordeal, the player’s Covid-19 vaccination stance restricted his participation in others.

    In July, Djokovic won his 21st grand slam title, beating Nick Kyrgios in the final at Wimbledon.

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  • Why eggs have been so expensive this year | CNN Business

    Why eggs have been so expensive this year | CNN Business

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    New York
    CNN Business
     — 

    Several grocery items have gotten more expensive this year. But nothing comes close to the rise in egg prices.

    In the year through November, not adjusted for seasonal swings, egg prices jumped 49%, according to data from the Bureau of Labor Statistics.

    Since early this year, a deadly avian flu has been reducing poultry flocks — specifically turkeys and egg-laying hens. That’s one reason for the unrelenting increase in prices. But the situation has been exacerbated by elevated feed and energy costs for producers, in addition to high demand in the supermarket.

    Experts think that the peak has passed, but until these conditions improve, expect to pay more for eggs in the grocery store.

    Avian flu has been a problem in the US for several months now, but in recent weeks wholesale prices have been hitting records.

    As of last week, “prices have been escalating for nine consecutive weeks… setting new record highs on a daily basis since the week of Thanksgiving,” said Karyn Rispoli, editor of the Egg Price Current for Urner Barry, which offers food market data.

    On Friday, Midwest large eggs, the benchmark for eggs sold in their shells, hit $5.46 per dozen, Rispoli said, citing Urner Barry’s data. This time last year, Urner Berry’s data shows, that price was around $1.70.

    One reason for the increase? Not enough supply.

    “There’s simply not been enough production to support the incredibly strong retail demand we’ve seen this year,” Rispoli said. Supply has been constrained by the deadly bird flu.

    The current outbreak of Highly-Pathogenic Avian Influenza started in the US around February, and has persisted throughout the year. The last major bird flu outbreak in the United States was in 2015. But that one was contained by June of that year, noted Brian Earnest, lead economist for animal protein in CoBank.

    “This year, we’ve continued to see flock depopulations throughout the entire year, and there’s an expectation that we’ll continue to see it into 2023,” he said, noting that he expects “we’re going to see a tight supply situation and elevated pricing environment moving forward.”

    About 60 million birds are gone because of the disease so far, according to the USDA. Of those, about 43 million are egg-laying hens, according to USDA data provided by the American Egg Board, a farmer-funded group which markets eggs.

    Still, farmers have been able to moderate the losses. “Our producers learned a lot of hard lessons from 2015,” said Emily Metz, CEO of the American Egg Board. Some farmers have been able to repopulate their flocks, decreasing the net impact on flock sizes and egg supplies. As of early December, there were about 308 million hens laying eggs for consumption, down from about 328 million in December 2021, according to the USDA.

    The supply squeeze isn’t the only thing contributing to higher egg prices, said Metz. Higher fuel, feed and other producer cost are also driving up wholesale prices, she said. And then there’s that high demand for eggs, which spikes this time of year.

    People buy more eggs around the holidays, when they’re baking and cooking more, and eating breakfast at home more often.

    Wholesale prices tend to go up in the winter because of those habits, noted Earnest. That has “brought about a very strong market condition.”

    Year-round demand for eggs has also also been strong.

    Even while prices have soared, sales of eggs have only ticked down about 2% by unit in retail in the year through December 4th, according to data from IRI, a market research firm.

    Shoppers have been accepting high prices at the grocery store as they pull back on restaurant visits. And even though eggs have gotten more expensive, they still cost less than other proteins.

    A deadly avian flu has led to the death of millions of poultry this year.

    As that peak holiday demand passes, wholesale prices are expected to fall.

    “Based on current trade values and market conditions, it appears that the market may have finally reached its peak,” said Rispoli. Friday’s wholesale prices were the same as Thursday’s, the first time pricing held steady since October, she said.

    “Several suppliers have reported to us… that they are seeing their orders slow,” in the week leading up to Christmas, she added. By then, “most grocers have pulled in whatever inventory they’ll need for the holidays.”

    It might take another three to six months for prices to moderate in retail, said KK Davey, president of thought leadership at IRI and NPD, and even longer for prices to come down to what they were last year.

    “It may take some more time,” he said.

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  • What older Americans need to know before undergoing major surgery | CNN

    What older Americans need to know before undergoing major surgery | CNN

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    KHN
     — 

    Larry McMahon is weighing whether to undergo a major surgery. Over the past five years, his back pain has intensified. Physical therapy, muscle relaxants, and injections aren’t offering relief.

    “It’s a pain that leaves me hardly able to do anything,” he said.

    Should McMahon, an 80-year-old retired Virginia state trooper who now lives in Southport, North Carolina, try spinal fusion surgery, a procedure that can take up to six hours? (Eight years ago, he had a lumbar laminectomy, another arduous back surgery.)

    “Will I recover in six months — or in a couple of years? Is it safe for a man of my age with various health issues to be put to sleep for a long period of time?” McMahon asked, relaying some of his concerns to me in a phone conversation.

    Older adults contemplating major surgery often aren’t sure whether to proceed. In many cases, surgery can be lifesaving or improve a senior’s quality of life. But advanced age puts people at greater risk of unwanted outcomes, including difficulty with daily activities, extended hospitalizations, problems moving around, and the loss of independence.

    I wrote in November about a new study that shed light on some risks seniors face when having invasive procedures. But readers wanted to know more. How does one determine if potential benefits from major surgery are worth the risks? And what questions should older adults ask as they try to figure this out? I asked several experts for their recommendations. Here’s some of what they suggested.

    Ask your surgeon, “How is this surgery going to make things better for me?” said Dr. Margaret “Gretchen” Schwarze, an associate professor of surgery at the University of Wisconsin School of Medicine and Public Health. Will it extend your life by removing a fast-growing tumor? Will your quality of life improve by making it easier to walk? Will it prevent you from becoming disabled, akin to a hip replacement?

    If your surgeon says, “We need to remove this growth or clear this blockage,” ask what impact that will have on your daily life. Just because an abnormality such as a hernia has been found doesn’t mean it has to be addressed, especially if you don’t have bothersome symptoms and the procedure comes with complications, said Drs. Robert Becher and Thomas Gill of Yale University, authors of that recent paper on major surgery in older adults.

    Schwarze, a vascular surgeon, often cares for patients with abdominal aortic aneurysms, an enlargement in a major blood vessel that can be life-threatening if it bursts.

    Here’s how she describes a “best case” surgical scenario for that condition: “Surgery will be about four to five hours. When it’s over, you’ll be in the ICU with a breathing tube overnight for a day or two. Then, you’ll be in the hospital for another week or so. Afterwards, you’ll probably have to go to rehab to get your strength back, but I think you can get back home in three to four weeks, and it’ll probably take you two to three months to feel like you did before surgery.”

    Among other things people might ask their surgeon, according to a patient brochure Schwarze’s team has created: What will my daily life look like right after surgery? Three months later? One year later? Will I need help, and for how long? Will tubes or drains be inserted?

    A “worst case” scenario might look like this, according to Schwarze: “You have surgery, and you go to the ICU, and you have serious complications. You have a heart attack. Three weeks after surgery, you’re still in the ICU with a breathing tube, and you’ve lost most of your strength, and there’s no chance of ever getting home again. Or, the surgery didn’t work, and still you’ve gone through all this.”

    “People often think I’ll just die on the operating table if things go wrong,” said Dr. Emily Finlayson, director of the UCSF Center for Surgery in Older Adults in San Francisco. “But we’re very good at rescuing people, and we can keep you alive for a long time. The reality is, there can be a lot of pain and suffering and interventions like feeding tubes and ventilators if things don’t go the way we hope.”

    Once your surgeon has walked you through various scenarios, ask, “Do I really need to have this surgery, in your opinion?” and “What outcomes do you think are most likely for me?” Finlayson advised. Research suggests that older adults who are frail, have cognitive impairment, or other serious conditions such as heart disease have worse experiences with major surgery. Also, seniors in their 80s and 90s are at higher risk of things going wrong.

    “It’s important to have family or friends in the room for these conversations with high-risk patients,” Finlayson said. Many seniors have some level of cognitive difficulties and may need assistance working through complex decisions.

    Make sure your physician tells you what the nonsurgical options are, Finlayson said. Older men with prostate cancer, for instance, might want to consider “watchful waiting” — ongoing monitoring of their symptoms — rather than risk invasive surgery. Women in their 80s who develop a small breast cancer may opt to leave it alone if removing it poses a risk, given other health factors.

    Because of McMahon’s age and underlying medical issues (a 2021 knee replacement that hasn’t healed, arthritis, high blood pressure), his neurosurgeon suggested he explore other interventions, including more injections and physical therapy, before surgery. “He told me, ‘I make my money from surgery, but that’s a last resort,” McMahon said.

    “Preparing for surgery is really vital for older adults: If patients do a few things that doctors recommend — stop smoking, lose weight, walk more, eat better — they can decrease the likelihood of complications and the number of days spent in the hospital,” said Dr. Sandhya Lagoo-Deenadayalan, a codirector in Duke University Medical Center’s Perioperative Optimization of Senior Health (POSH) program.

    When older patients are recommended to POSH, they receive a comprehensive evaluation of their medications, nutritional status, mobility, preexisting conditions, ability to perform daily activities, and support at home. They leave with a “to-do” list of recommended actions, usually starting several weeks before surgery.

    If your hospital doesn’t have a program of this kind, ask your physician, “How can I get my body and mind ready” before having surgery, Finlayson said. Also ask: “How can I prepare my home in advance to anticipate what I’ll need during recovery?”

    There are three levels to consider: What will recovery in the hospital entail? Will you be transferred to a facility for rehabilitation? And what will recovery be like at home?

    Ask how long you’re likely to stay in the hospital. Will you have pain, or aftereffects from the anesthesia? Preserving cognition is a concern, and you might want to ask your anesthesiologist what you can do to maintain cognitive functioning following surgery. If you go to a rehab center, you’ll want to know what kind of therapy you’ll need and whether you can expect to return to your baseline level of functioning.

    During the Covid-19 pandemic, “a lot of older adults have opted to go home instead of to rehab, and it’s really important to make sure they have appropriate support,” said Dr. Rachelle Bernacki, director of care transformation and postoperative services at the Center for Geriatric Surgery at Brigham and Women’s Hospital in Boston.

    For some older adults, a loss of independence after surgery may be permanent. Be sure to inquire what your options are should that occur.

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  • Brooklyn hospital network reverts to paper charts for weeks after cyberattack | CNN Business

    Brooklyn hospital network reverts to paper charts for weeks after cyberattack | CNN Business

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    New York
    CNN
     — 

    A network of three hospitals in Brooklyn, New York, has had to work off paper charts for weeks following a cyberattack on its computer systems in late November, the hospital group’s chief executive told CNN Monday.

    The hack affected “clinical applications,” including “those used for imaging and other critical services,” but many of those applications have been restored, One Brooklyn Health CEO LaRay Brown said in an email.

    It’s an example of how hacking incidents have continued to hamper hospitals as the coronavirus pandemic drags on — and of how recovering from the hacks can be painstaking and disruptive for hospital staff.

    One Brooklyn Health operates Brookdale University Hospital Medical Center, Interfaith Medical Center and Kingsbrook Jewish Medical Center.

    One staff member at Brookdale told the New York Times that, because of the hack, diagnostic imaging at the medical center had to be sent out to a third party provider rather than done in-house.

    “No patients were adversely effected,” Brown told CNN in an email Monday, adding that the hospitals remain open to patients. “We continue to provide care for our patients using downtime procedures for which our clinicians and administrators have been trained.”

    More than 80% of the computer workstations that One Brooklyn Health doctors and staff use to support hospital operations have been restored, Brown said. Hospital administrators have begun putting some clinical data into patients’ electronic medical records, she added.

    Brown did not answer questions about whether One Brooklyn Health was dealing with a ransomware attack, which locks up computer systems until a ransom is paid. But plenty of other hospitals across the country have had to deal with such extortion attempts.

    One IT administrator at a 100-bed hospital in Florida recounted to CNN how he shut down the facility’s computer systems in January to prevent a ransomware attack from spreading throughout the hospital.

    Many hospitals in rural or poor areas do not have the resources to defend their networks from hackers.

    “Cyber safety and resilience cannot be allowed to break across socioeconomic lines,” said Joshua Corman, who helped lead a taskforce at the US Cybersecurity and Infrastructure Security Agency to protect coronavirus research from hacking. “The majority of US hospitals are target-rich, but cyber poor.”

    The cybersecurity of computer networks that can affect human safety “needs to become a national priority,” said Corman, now a vice president at cybersecurity firm Claroty.

    Brookdale Hospital is located in the Brownsville neighborhood of Brooklyn, one of the poorest areas in New York City. It was so overwhelmed and desperate for resources at the height of the coronavirus pandemic in New York that one doctor told CNN at the time that his hospital had become “a war zone.”

    – CNN’s Sarah Boxer contributed to this report

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  • Beijing to distribute Pfizer antiviral drug as Covid wave strains health system | CNN

    Beijing to distribute Pfizer antiviral drug as Covid wave strains health system | CNN

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    Beijing
    CNN
     — 

    Beijing will begin distributing Pfizer’s Covid-19 drug Paxlovid to the city’s community health centers in the coming days, state media reported Monday.

    The report comes as the city grapples with an unprecedented wave of infections that has severely strained its hospitals and emptied pharmacy shelves.

    The state-run China News Service reported Monday that after receiving training, community doctors will administer the medicine to Covid-19 patients and give instructions on how to use them.

    “We have received the notice from officials, but it is not clear when the drugs will arrive,” it cited a worker at a local community health center in Beijing’s Xicheng district as saying.

    Paxlovid remains the only foreign medicine to treat Covid that has been approved by China’s regulator for nationwide use, but access is extremely difficult to come by. When a Chinese healthcare platform offered the antiviral drug earlier this month, it sold out within hours.

    Azvudine, an oral medicine developed by China’s Genuine Biotech, has also been approved.

    After nearly three years of lockdowns, quarantines and mass testing, China abruptly abandoned its zero-Covid policy this month following nationwide protests over its heavy economic and social toll.

    The sudden lifting of restrictions sparked panic buying of fever and cold medicines, leading to widespread shortages, both at pharmacies and on online shopping platforms. Long lines have become routine outside fever clinics and hospital wards overflowing with patients in the capital Beijing and elsewhere in the country.

    An emergency room doctor in Beijing told the state-run People’s Daily on Thursday that four doctors on his shift did not have time to eat or drink. “We have been seeing patients nonstop,” he said.

    Another emergency room doctor told the newspaper he had been working despite having developed fever symptoms. “The number of patients is high, and with fewer medical staff, the pressure is multiplied,” said the doctor.

    In a sign of the strain on Beijing’s medical system, hundreds of health professionals from across China have traveled to the city to assist medical centers.

    As the capital, Beijing has some of the best medical resources in the country. However, the abrupt zero-Covid u-turn has left people and health facilities ill-prepared to deal with a surge in infections.

    China’s official Covid case count has become meaningless after it rolled back mass testing and allowed residents to use antigen tests and isolate at home. It has stopped reporting asymptomatic cases, conceding it was no longer possible to track the actual number of infections.

    According to an internal estimate from the National Health Commission, almost 250 million people in China have caught Covid in the first 20 days of December – accounting for roughly 18% of the country’s population.

    Experts have warned that as people in big cities return to their hometowns for the Lunar New Year next month, the virus could sweep through China’s vast rural areas, where vaccination rates are lower and medical resources are severely lacking.

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  • This year’s top health-related Google searches are in, and Covid-19 is nowhere to be found | CNN

    This year’s top health-related Google searches are in, and Covid-19 is nowhere to be found | CNN

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    Editor’s Note: Sign up for CNN’s Stress, But Less newsletter. Our six-part mindfulness guide will inform and inspire you to reduce stress while learning how to harness it.



    CNN
     — 

    You can learn a lot from a search history.

    This month, Google released its annual “Year in Search” list to show which terms saw the highest spikes over the past year. The roundup offers some insight into what internet users around the world cared about, were curious about and concerned about in 2022.

    One big topic is noticeably absent this year: Covid-19. Last year, vaccination and preventing infection were of great interest, but this year saw no mention of coronavirus in the top health and wellness searches.

    Instead, this year’s searches focused on physical and mental recovery — how to get stronger physically and how to cope with issues like anxiety, depression, attention deficit hyperactivity disorder and obsessive-compulsive disorder.

    Here’s a breakdown of 2022 in Google searches and some ways to address these topics going into 2023.

    Workouts were a big focus of conversation this year: “Body weight workouts,” “weekly workouts,” “exercising for mental health,” and “core workouts at the gym” all were among the popular health searches.

    Body-weight workouts are a good access point for exercise because you don’t need expensive equipment, and you can build a foundation for eventual weight training, said Dana Santas, CNN fitness expert and a mind-body coach in pro sports, in a previous story.

    She laid out a 10-minute workout to get started.

    Try this 10-minute body-weight workout


    10:46

    – Source:
    CNN

    If you are looking to go further and build a regular exercise routine, a 2021 megastudy found that the keys are to make a plan, build in reminders and reward yourself for sticking to it.

    Google users asked “how to handle stress,” “how to stop a panic attack,” “how to cure depression” and “focus with ADHD.” They also looked up good mental health practices for little ones, with searches for breathing exercises for kids.

    It might not be surprising that many people were focused on coping and stress, especially in light of an ongoing global pandemic, economic concerns, and the adjustments associated with returning to school and workplaces.

    While stress is a normal physiological reaction that all people experience, it can slide into a severe condition like anxiety or depression if left unchecked. One thing to look for is whether the feeling goes away after a stressful event has ended, said Dr. Gail Saltz, clinical associate professor of psychiatry at the NewYork-Presbyterian Hospital in New York City.

    Stress can also exacerbate mental conditions like depression and obsessive-compulsive disorder, Saltz said in a 2021 interview with CNN.

    If you suspect you might have chronic stress or another mental health disorder, you should talk to a trusted friend or family member to see whether they have noticed differences and reach out to a mental health professional, said Dr. Alfiee Breland-Noble, psychologist and founder of the AAKOMA Project, a youth mental health nonprofit, in a 2021 story.

    The quest for better mental and physical health didn’t stop at a quick internet search, according to the data.

    Among the popular terms were searches for more resources on mental health, like books, podcasts and journaling techniques aimed at improving wellness.

    “Expressive writing works for a number of reasons,” said James Pennebaker, a psychologist, researcher and professor at the University of Texas at Austin. Acknowledging an upsetting event has value, he added in a previous CNN story. “And writing about it also helps the person find meaning or understand it.”

    There are also guided and formatted journals to help keep you going.

    One significant change this year was the addition of the National Suicide Prevention Lifeline for mental health crises. The number is as simple as three digits: 988.

    Those numerals were among the health-related searches that saw a surge this year.

    The dialing code is available across the United States and is meant to be easier to access for people in mental health crises, similar to 911.

    “One of the goals of 988 is to ensure that people get the help they need when they need it, where they need it. And so, when a person calls 988, they can expect to have a conversation with a trained, compassionate crisis counselor who will talk with them about what they’re experiencing,” said Dr. Miriam Delphin-Rittmon, the administrator of the US Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration in an interview with CNN in July.

    “If it’s the case that they need further intervention, then likely the crisis counselor will connect them with a local mobile crisis team,” she added.

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  • Nurse becomes a living organ donor for her mom — twice | CNN

    Nurse becomes a living organ donor for her mom — twice | CNN

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    CNN
     — 

    Marzena Stasieluk needed a new kidney. She’d been diagnosed with kidney disease in 2015, and ultimately needed dialysis, a grueling process where a machine did the work her kidneys could no longer do.

    But in order for a kidney transplant to succeed, she needed a liver first. Stasieluk’s liver disease had been controlled for more than a decade, but it worsened during the Covid-19 pandemic. It wasn’t so bad that she would be prioritized for a liver from a deceased donor, her family said, but bad enough that a kidney transplant likely wouldn’t work.

    Marzena’s daughter, Jennifer Stasieluk, is a nurse who has cared for patients in the hardest of times, through Covid-19 and cancer. She was willing, even eager, to give her mother a kidney. They’d done all the scans and test, but it wasn’t going to work.

    Although they had the same blood type, her mother is among a subset of patients called “highly sensitized.” Marzena had a high number of antibodies against foreign tissues – a factor that increases the likelihood an organ will be rejected and makes it much harder to find a match.

    “She needed a new liver to do a kidney transplant. However, her liver by itself wasn’t sick enough,” recalls Jennifer, 29. “So, they kind of, like, threw their hands up and were just, kind of, like, ‘sorry.’ ”

    In January 2020, an appointment with Mayo Clinic in Rochester, Minnesota, introduced a new idea: Doctors suggested Marzena get a portion of a liver from a living donor.

    Jennifer insisted she get tested. Despite her mother’s protests, she wouldn’t take no for an answer. And this time, the response was a good one.

    “I kicked her door open in the morning when I got that call that I was a match. I said ‘Mom, I’m a match, pack your bags, surgery’s in six weeks.’ We couldn’t believe I was a match,” Jennifer said.

    On June 25, 2021, Jennifer gave her mother a lobe of her liver. Jennifer spent five days recovering in the hospital, and Marzena spent 11. For living donors and recipients, the liver has the unique ability to regenerate in a matter of weeks, and recovery was successful for mother and daughter.

    But Marzena, affectionately known as a “professional grandma,” had to continue with dialysis, and was desperate for a normal life.

    “It was awful. You sit there three days a week for over three hours,” said Marzena, who lives in Illinois. “My kids and my grandkids are the whole world and that’s why I was fighting for so long. I don’t want them, the kids and my grandkids, to lose me.”

    After the liver transplant, Jennifer was prepared to donate a kidney to a stranger as part of a paired donation – a process in which living donor’s kidneys are swapped so recipients like Marzena receive a compatible organ.

    Jennifer went through another round of bloodwork and tests to prepare for kidney donation. But then came a surprise: Because of the effect Jennifer’s liver had on her mother’s immune system, she was now able to give her mother a kidney.

    “We never in a million years thought that I would be a direct match,” Jennifer said. “I was excited for it. I wasn’t nervous. I knew I was in good hands.

    “I gave her the bigger lobe of my liver on June 25, 2021. And then a year later, a kidney.”

    Jennifer Stasieluk, left, and her mother Marzena Stasieluk.

    Dr. Timucin Taner, division chair of transplant surgery at the Mayo Clinic in Minnesota, performed the liver transplant for the Stasieluks.

    He and his colleagues have been studying the effect of liver transplants on the immune system, including research into how a liver transplant before a heart transplant – not the typical order – can reduce organ rejection.

    Taner said the Stasieluks are the first case they’re aware of where a liver’s effect on a patient’s immune response allowed for a subsequent kidney transplant from the same donor. They’re planning to write a case report about the procedures.

    “She donated two organs a year apart to the same person,” Taner said of Jennifer. “So she saved her mom’s life twice.”

    Taner says organ donors, living or deceased, are heroes. There simply aren’t enough organs to provide for everyone who needs one.

    Across the country, nearly 106,000 people are on the national transplant waiting list according to the United Network for Organ Sharing. So far this year, nearly 40,000 transplants have been performed.

    “On average, typically about 25,000 people in the U.S. are waiting for a liver transplant on the waiting list,” Taner said. “And of those, every year we can only transplant up to about 9,000 of them because that’s only how many livers we have.

    Jennifer described working long, late shifts as a nurse helping patients and their families during the height of the pandemic. There were dark days when answers were few and hope was sometimes hard to come by.

    “Losing patients to Covid was devastating. I felt so helpless,” Jennifer said.

    But donating organs to her mother – twice – was empowering.

    “Just knowing that there is something I can do that is not hopeless … just having that power that I can actually do something and help her and save her life, it was amazing,” Jennifer said.

    This will be the first Christmas in about seven years when Marzena is feeling healthy. Jennifer said it’s more special than any holiday before.

    Marzena said her daughter’s gifts changed her life.

    “Today, I am grateful. I don’t think I’ll ever be able to say enough, thank you,” Marzena said, fighting back tears. “What do you say to a person that donated two organs, not just one?”

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  • Biden signs vital $858 billion defense bill into law, nixing military’s Covid-19 vaccine mandate | CNN Politics

    Biden signs vital $858 billion defense bill into law, nixing military’s Covid-19 vaccine mandate | CNN Politics

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    CNN
     — 

    President Joe Biden on Friday signed the National Defense Authorization Act into law, a massive defense spending bill with provisions that will give service members a pay raise, fund support for Ukraine and Taiwan and rescind the US military’s Covid-19 vaccine mandate.

    In a statement following the signing of the NDAA, Biden said the act “provides vital benefits and enhances access to justice for military personnel and their families, and includes critical authorities to support our country’s national defense, foreign affairs, and homeland security.”

    The Senate voted last week to pass the massive NDAA with bipartisan support. It follows the House’s bipartisan approval of the legislation the week prior.

    The defense bill outlines the policy agenda for the Department of Defense and the US military and authorizes spending in line with the Pentagon’s priorities. But it does not appropriate the funding itself. The legislation, which authorizes $817 billion specifically for the Department of Defense, will provide $45 billion more than Biden’s budget request earlier this year.

    The increase for fiscal year 2023 is intended to address the effects of inflation and accelerate the implementation of the national defense strategy, according to the Senate Armed Services Committee. It authorizes $12.6 billion for the inflation impact on purchases, $3.8 billion for the impact on military construction projects and $2.5 billion for the impact on fuel purchases, according to a bill summary from the committee.

    The NDAA includes provisions to strengthen air power and land warfare defense capabilities, as well as cybersecurity. And it shows Congress’ continued support for helping Ukraine repel Russia’s invasion, even though several Republican lawmakers have raised questions about the ongoing US aid. Additionally, the NDAA establishes a specific defense modernization program for Taiwan to deter aggression by China.

    Among a series of provisions to support service members and their families, the funding will provide a 4.6% increase in military basic pay for service members – the largest in 20 years. The Department of Defense’s civilian workforce will get the same raise. It also bumps up service members’ housing allowance.

    In addressing service member suicides, the act requires the Secretary of Defense to compile a report on suicide rates within the ranks.

    The act also ends the requirement that troops receive the Covid-19 vaccine. However, it will not reinstate members of the military who were discharged for refusing to get vaccinated.

    White House press secretary Karine Jean-Pierre previously said the White House had viewed the removal of the vaccine mandate as “a mistake,” but she declined to say whether Biden would sign a bill that ends the requirement, noting that the president would “judge the bill in its entirety.”

    Biden said in his statement on Friday that while he’s pleased the funding bill supports several critical objectives, “certain provisions of the Act raise concerns.”

    He repeated past concerns about barring funds to transfer Guantanamo Bay detainees into the custody of certain foreign nations and several “constitutional concerns or questions of construction” over other provisions – including concerns about the transmission of highly sensitive information to Congress.

    Biden also called a portion of the NDAA requiring that documents, including presidential communications, be shared unconstitutional.

    “I will commit to complying with its disclosure requirements only in such cases where a committee has a need for such Presidential communications that outweighs the potential harm to the confidentiality interests underlying the Presidential communications privilege,” the president’s statement said.

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  • Leaked notes from Chinese health officials estimate 250 million Covid-19 infections in December: reports | CNN

    Leaked notes from Chinese health officials estimate 250 million Covid-19 infections in December: reports | CNN

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    Hong Kong
    CNN
     — 

    Almost 250 million people in China may have caught Covid-19 in the first 20 days of December, according to an internal estimate from the nation’s top health officials, Bloomberg News and the Financial Times reported Friday.

    If correct, the estimate – which CNN cannot independently confirm – would account for roughly 18% of China’s 1.4 billion people and represent the largest Covid-19 outbreak to date globally.

    The figures cited were presented during an internal meeting of China’s National Health Commission (NHC) on Wednesday, according to both outlets – which cited sources familiar with the matter or involved in the discussions. The NHC summary of Wednesday’s meeting said it delved into the treatment of patients affected by the new outbreak.

    On Friday, a copy of what was purportedly the NHC meeting notes was circulated on Chinese social media and seen by CNN; the authenticity of the document has not been verified and the NHC did not immediately respond to a request for comment.

    Both the Financial Times and Bloomberg laid out in great detail the discussions by authorities over how to handle the outbreak.

    Among the estimates cited in both reports, was the revelation that on Tuesday alone, 37 million people were newly infected with Covid-19 across China. That stood in dramatic contrast to the official number of 3,049 new infections reported that day.

    The Financial Times said it was Sun Yang – a deputy director of the Chinese Center for Disease Control and Prevention – who presented the figures to officials during the closed-door briefing, citing two people familiar with the matter.

    Sun explained that the rate of Covid’s spread in China was still rising and estimated that more than half of the population in Beijing and Sichuan were already infected, according to the Financial Times.

    The estimates follow China’s decision at the start of December to abruptly dismantle its strict zero-Covid policy which had been in place for almost three years.

    The figures are in stark contrast to the public data of the NHC, which reported just 62,592 symptomatic Covid cases in the first twenty days of December.

    How the NHC came up with the estimates cited by Bloomberg and the Financial Times is unclear, as China is no longer officially tallying its total number of infections, after authorities shut down their nationwide network of PCR testing booths and said they would stop gathering data on asymptomatic cases.

    People in China are also now using rapid antigen tests to detect infections and are under no obligation to report positive results.

    Officially, China has reported only eight Covid deaths this month – a strikingly low figure given the rapid spread of the virus and the relatively low vaccine booster rates among the elderly.

    Only 42.3% of those aged 80 and over in China have received a third dose of vaccine, according to a CNN calculation of new figures released by the NHC on December 14.

    Facing growing skepticism that it is downplaying Covid deaths, the Chinese government defended the accuracy of its official tally by revealing it had updated its method of counting fatalities caused by the virus.

    According to the latest NHC guidelines, only deaths caused by pneumonia and respiratory failure after contracting the virus are classified as Covid deaths, Wang Guiqiang, a top infectious disease doctor, told a news conference Tuesday.

    The minutes of the Wednesday closed-door NHC meeting made no reference to discussions concerning how many people may have died in China, according to both reports and the document CNN viewed.

    “The numbers look plausible, but I have no other sources of data to compare [them] with. If the estimated infection numbers mentioned here are accurate, it means the nationwide peak will occur within the next week,” Ben Cowling, a professor of epidemiology at the University of Hong Kong told CNN in an emailed statement, when asked about the purported NHC estimates.

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  • Bidens read to children at Children’s National Hospital ahead of Christmas weekend | CNN Politics

    Bidens read to children at Children’s National Hospital ahead of Christmas weekend | CNN Politics

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    CNN
     — 

    President Joe Biden and first lady Jill Biden met with patients at Children’s National Hospital in Washington on Friday, carrying on a longstanding tradition during the holiday season.

    The first couple, sporting cloth masks, met with pediatric patients, their families and hospital staff, greeting leadership and emergency department workers. Dr. Biden read Ezra Jack Keats’ “The Snowy Day” before the Bidens visited with children and their families in the cardiac intensive care unit.

    “Thanks for coming and listening to me read and have the president hold the book,” she said after reading, as Biden deadpanned, “It’s my job.”

    And the president chimed in with a message for parents in the room before departing, saying, “To all you parents, be strong. We spent a lot of time in children’s hospitals with patients too, It’s going to be OK.”

    The Bidens’ travel within Washington comes as much of the nation – including the nation’s capital – faces extreme cold weather, such as frigid temperatures, high winds and heavy snow.

    According to the White House, President Biden’s visit last year marked the first time a sitting president made a holiday visit to Children’s National.

    The visit ahead of Christmas Eve comes a day after the president delivered his Christmas address, where he sought to strike a unifying message.

    Biden emphasized in his speech that “we’re surely making progress” and “things are getting better.”

    “Covid no longer controls our lives. Our kids are back in school. People are back to work. In fact, more people are working than ever before,” he said. “Americans are building again, innovating, dreaming again.”

    Still, he acknowledged that, for some, “Christmas can be a time of great pain and terrible loneliness,” drawing on his own experience with loss over the holidays – the deaths of his first wife and daughter 50 years ago this week.

    “I know how hard this time of year can be … no one can ever know what someone else is going through, what’s really going on in their life, what they’re struggling with, what to try and overcome. That’s why sometimes the smallest act of kindness can mean so much,” Biden remarked.

    “So, this Christmas, let’s spread a little kindness.”

    CORRECTION: This story and headline have been updated to correct the name of the hospital to Children’s National Hospital.

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  • Henrietta Lacks statue will replace Robert E. Lee monument in Roanoke, Virginia | CNN

    Henrietta Lacks statue will replace Robert E. Lee monument in Roanoke, Virginia | CNN

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    CNN
     — 

    A statue of Henrietta Lacks, whose cells were used without her consent in crucial medical research, will replace a monument to Confederate general Robert E. Lee in Roanoke, Virginia.

    Lacks, a Black mother of five receiving treatment for cervical cancer at John Hopkins Hospital, was undergoing radium treatments in 1951 when tissue from her cancer was removed and sent to another doctor’s lab without her consent. Cancer researcher George Gey used Lack’s tissue to cultivate a line of cells that are still used in medical research today. The hospital says on its website that while “the collection and use of Henrietta Lacks’ cells in research was an acceptable and legal practice in the 1950s, such a practice would not happen today without the patient’s consent.”

    Lacks died later that year from her cancer at age 31.

    A statue dedicated to Lacks and her contribution to science will be erected in Roanoke, Lacks’ hometown, in fall of 2023, according to the city’s Facebook page. The plaza, previously known as Lee Plaza, has also been renamed to Lacks Plaza in her honor.

    The city started the legal process to remove the Robert E. Lee statue, erected in 1960, in June of 2020. In July of that year, the statue was found knocked over and broken into two pieces, according to CNN affiliate WDBJ.

    In a December 19th press conference, city officials unveiled a preliminary sketch for the statue and celebrated Lacks’ life.

    “In the past, we commemorated a lot of men with statues that divided us,” said Ben Crump, a prominent civil rights attorney who has represented Lacks’ estate, at the press conference. “Here in Roanoke, Virginia, we will have a statue of a Black woman who brings us all together.”

    Trish White-Boyd, the city’s vice mayor, said that the Roanoke City Council had voted unanimously to rename the plaza.

    “We want to honor her, and to celebrate her,” White-Boyd said of Lacks.

    The city exceeded its goal of fundraising $160,000 for the statue, she added.

    The cell line produced from Lacks’ cells, called HeLa cells, allowed scientists to experiment and create life-saving medicine, including the polio vaccine, in-vitro fertilization, and gene mapping. They’ve also helped advance cancer and AIDS research.

    Ron Lacks, Henrietta’s grandson, said “it was an honor just to come down here” at the conference. He lauded Roanoke for actually working with Lacks’ family and estate to design the statue.

    And Lawrence Lacks, Henrietta’s only surviving child, said the statue of his mother would make him “the happiest person in the world.”

    Artist Bryce Cobbs crafted a sketch of Lacks that will be used as inspiration for the statue. Creating the sketch was “a humbling experience,” said Cobbs at the press conference. “Just being involved with something like this, that has so much historical impact, is a huge humbling moment. I couldn’t imagine being surrounded by more supportive people.”

    Larry Bechtel, the sculptor who will create the sculpture, called the project a “big deal” at the conference. “I’ve had a number of commissions, but this one is singular,” he said.

    Little was known about Lacks’ impact on modern medicine outside the medical community until author Rebecca Skloot’s 2010 book about her life, “The Immortal Life of Henrietta Lacks.”

    Since then, activists and institutions have worked to posthumously honor Lacks’ nonconsensual contributions and to raise awareness about the Black women’s often-unknown contributions to science. In 2018, the Smithsonian unveiled a portrait of Lacks at the National Portrait Gallery. And in 2021, the World Health Organization honored her with an award.

    “In honouring Henrietta Lacks, WHO acknowledges the importance of reckoning with past scientific injustices, and advancing racial equity in health and science,” WHO Director-General Tedros Adhanom Ghebreyesus said in a statement at the time.

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  • Democracy has its flaws, but it has emerged from the pandemic in much ruder health than the alternative | CNN

    Democracy has its flaws, but it has emerged from the pandemic in much ruder health than the alternative | CNN

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    CNN
     — 

    For nearly half a decade, you could be forgiven for thinking just about everything in Western democracy seemed a bit broken. The social-media yelling in 140 characters. The wild populism, and dog-whistle racism. The clumsy coronavirus lockdowns and their attendant conspiracy theories. The tolerance of absolute, constant falsehoods. The questioning and beleaguering of the electoral process.

    Some began to behave as if it were smoother on the other side of the fence, in autocracies where things are just ordered to happen, and criticism is swallowed whole.

    Yet, as we stagger past the third anniversary of Covid-19’s emergence, the fallacy that autocracies are a superior social contract is crumbling. At the end of 2022, the world is a place where consent matters, and debate might actually save your hide.

    The Trump era created a safe space for autocracies to flex on the global stage, while American tried to put itself First, and its commander-in-chief was happy to receive “lovely” letters from North Korea, or get very close to the Kremlin. But it took the pandemic to expose the utter mess one man in charge can create.

    The most glaring and unimaginably stark example is Russia. President Vladimir Putin bumbled his way through the pandemic with snap lockdowns, a poorly performing vaccine, and a general disregard for how useful accurate data can be in defeating a complex foe like Nature. But it was his personal choices that led to a disconnect which has proved fatal to tens of thousands of innocent Ukrainians, and perhaps even more Russian soldiers.

    The persistent warnings from Western intelligence in January that an invasion of Ukraine was imminent seemed far-fetched to many analysts, including me. Those analysts overlooked the enormity of the task, and the assumption the Kremlin remained a rational actor. Those calming caveats were swiftly whisked away when – in the days leading up to the war – Putin summoned his security henchmen and dressed them down, at a safe distance of well over 20 feet, and then delivered a 57-minute televised speech showing he had spent the pandemic reading all the wrong parts of the internet.

    His spoken dissertation even reminded Russians how mean Bill Clinton had been 20 years ago, shunning Putin’s stated desire to join NATO. Putin’s isolation had compounded not just his historical grievances. There were now fewer subordinates in contact with him, and fewer opinions voiced to counter the absurd assumption Russia’s invasion would be welcomed by Ukrainians and last about three days.

    A RUSI report recently noted that seized Russian orders showed units expected to be “cleaning up” within 10 days, and that no effective “red team” assessment of the plan – challenging its assumptions – had happened.

    And so, the largest land war in Europe for 75 years began, and with it a likely military defeat for Russia that may rewrite the established norms of European security and see Moscow’s place as a global superpower evaporate. Putin’s insecurities over NATO and the practical task of connecting the occupied Crimean Peninsula to the Russian mainland fueled his catastrophic decision. But the Kremlin head’s isolation – along with his echo chamber of paranoid nonsense – cemented it.

    But even now, in this late stage in the Russian military demise, when its readiest form of resupply is forced conscripts to the frontline, Moscow must be mindful of consent. The “partial mobilization” announced in September has sent 77,000 Russian men to Ukraine, Putin recently said. But it has also unleashed a wave of protests perhaps not seen in Russia since the 1990s.

    Tightening the screws on dissent is a sign opposition is growing, not ebbing. The nastier Russia gets, the more acutely aware the Kremlin is of its unpopularity. Invading Ukraine was the worst decision a Russian leader has made since the Soviets invaded Afghanistan. We know how that misadventure ended.

    Police officers detain demonstrators in St. Petersburg on September 21, 2022, following calls to protest against partial military mobilisation announced by President Vladimir Putin.

    The pandemic caused economic and emotional stress in every society, leaving citizens less tolerant of poor managers and outdated dogma. Even the United Kingdom swiftly ejected two prime ministers over issues of conduct and incompetence, not long after their ruling Conservative Party had won a landslide victory at the last election.

    The economic fallout from the pandemic is also the backdrop for another dazzling failure of autocracy, in Iran. But the focal point of recent protests has been the brutal treatment of teenagers for protesting mandatory headscarves. Killing a young woman for not wanting to dress more conservatively than her grandmother perhaps did (Iran was – as recently as the 1970s – secular) is grotesque in any society.

    Iranians protest the death of 22-year-old Mahsa Amini after she was detained by the morality police, in Tehran, Iran, on October 1, 2022.

    But it lit the touch paper in communities ravaged by years of sanctions, the pandemic, and persistent inflation of perhaps as much as 50%. Permit salaries and savings to diminish that much annually, and any elected government could expect to be ousted fast. In Iran’s cities, the violence around this dogma did not distract from the economic fury, but amplify it.

    Well over half of Iran’s population was born in the 1990s, when the Islamic Revolution was already a decade old. A system born in the era of the landline is telling youth born into the world of fax machines how to behave in the era of quantum computing.

    The pandemic hit Iran hard, and I witnessed in 2020 how poorly resourced Tehran’s hospitals were. When your parent is dying and you can’t get a ventilator for them, you don’t have time for a lengthy discourse blaming US sanctions imposed because of Iran’s confrontation of the American hegemony in the region. An emergency like Covid can damage what remains of the contract between ruling conservatives and citizens: If you cannot protect us from a disease at our time of need, then what is the purpose of the corruption, repression and rules on women’s dress?

    Medical workers transport a patient with Covid-19 at Rasoul Akram Hospital in Tehran on October 20, 2020.

    The recent public confusion over whether the country’s morality police would be disbanded – a statement made by the prosecutor general which was later mauled – is a sign of government reform perhaps, but also an indication of how state power is not a tidy behemoth in Iran. There is debate, too, and here it clearly, with hundreds of corpses already underfoot, considered bending to popular will.

    This stark and deadly repression does not at this time herald the demise of the Iranian regime. But it is perhaps a moment of irreversible acceptance that the people cannot just be Ctrl-Alt-Deleted when they don’t suit the state program. It is a recognition that even the best-resourced, most controlling and efficient of repressive regimes – China – has had to deal with.

    Iranians protest the death of 22-year-old Mahsa Amini after she was detained by the morality police, in Tehran on October 27, 2022.

    The pandemic led Beijing to resort to mass control on a whole new level. Its solution to the disease ravaging the planet was to be the harshest of all – in limiting movement. The authorities’ favored tool – used to its limits – was the one almost every other society realized would not work indefinitely.

    Until recently, Chinese citizens were still being welded into their homes in quarantine, and even burning to death in one tragic instance when they perhaps could have been rescued from a domestic fire. It’s perhaps the most damning indictment of China’s one-person rule this century.

    Workers in  protective clothes walk past barriers placed to close off streets in areas locked down after the detection of cases of Covid-19 in Shanghai on March 15, 2022.

    The world has been on a steep learning curve, where social distancing, economic subsidies, vaccines, agonizing deaths and limited global travel have led most societies to now accept the Covid-esque persistent cough as part of what happens in winter. Yet China’s initial decision – stifle the disease – has barely evolved. Its vaccine program has faltered, yet its original tool of mass surveillance has not.

    What is more remarkable is not protests breaking out under such an authoritarian yoke, but that President Xi Jinping did not presume they would.

    Beijing appeared to have been taken by surprise, but also believed it could repress its way out of the unrest. The recent removal of significant parts of the quarantine and testing systems does not solve China’s Covid problems. It was simply their authorities’ only choice. And it is a badly timed one. China is not adequately vaccinated to cope with a massive rise in cases, particularly its elderly population, many experts argue. Even if 1% catch it badly, that is 14 million people in need of medical care – roughly the population of Zimbabwe.

    A demonstrator holds a blank sign and chants slogans during a protest in Beijing, China, on Monday, November 28, 2022.

    Huge challenges require decision-makers of enormous ability. Xi has unparalleled power, evidenced when he sat by as his predecessor Hu Jintao was inexplicably led out during the highly choreographed closing moments of the recent National Congress. But it is pretty clear that Xi got the big decisions around Covid wrong. And that the country where SARS-Cov-2 first emerged is enduring the longest impact of the virus because of poor decisions by its leaders.

    It is a problem for Xi. The singular selling point of autocratic power is that it is absolute: that you can get things done without the delay of debate and compromise that democratic systems endure.

    The point is to be strong, implement decisions fast, and consider dissent the cost of tough, good decisions; not to appear strong, implement fast, and then change your mind publicly after months pursuing a bad idea. For Xi, it is also dangerous for a population to learn they can only truly communicate with their government through disobedience and protest.

    It’s important to feel discomfort when extolling the virtues of modern democracy. It doesn’t really work. It is slow and encourages ego and half-measures. It keeps changing its mind and wasting endless resources while stumbling for the solution.

    But it provides space for dissent and, more importantly, other, competing ideas. And, if you are forcing taxi drivers to fight in a war of choice you are losing, or shooting teenagers for taking off headscarves, or imprisoning people in their apartments to suppress a virus the rest of the world is living calmly with, alternative ideas are important.

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  • India on alert for new variants as Covid wave sweeps China | CNN

    India on alert for new variants as Covid wave sweeps China | CNN

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    New Delhi
    CNN
     — 

    India’s health minister has advised the public to take precautions against Covid-19, including getting vaccinated and wearing masks, as the country remains on alert for potential new variants that could emerge from the wave of infections sweeping neighboring China.

    Health Minister Mansukh Mandaviya on Thursday told Parliament that India would begin randomly testing 2% of international travelers arriving at the country’s airports, after he asked regional authorities to send positive samples to laboratories monitoring for new Covid strains.

    “States have been told to make people aware of (the need to) wear masks, use hand sanitizers, maintain respiratory hygiene and social distancing,” Mandaviya said, as he encouraged Indians to receive vaccines or booster shots.

    Speaking Wednesday at a meeting to review the Covid situation in the country amid rising cases in several Asian nations, Mandaviya said: “Covid is not over yet. I have directed all concerned to be on the alert, and strengthen surveillance.”

    India, a country of 1.3 billion, relaxed its Covid restrictions earlier this year after a drop in infections, and people have mostly stopped wearing masks outside.

    The warnings from the Indian minister come as China braces for infections to spread from its biggest cities to its vast rural areas following its hurried and under-prepared exit from the zero-Covid strategy earlier this month.

    On Wednesday, World Health Organization (WHO) chief Tedros Adhanom Ghebreyesus expressed concern over rising cases in China, emphasizing he was worried about “increasing reports of severe disease.”

    “In order to make a comprehensive risk assessment of the situation on the ground, WHO needs more detailed information on disease severity, hospital admissions and requirements for ICU support,” Tedros told a news conference.

    The surge could lead to nearly 1 million deaths in China, according to a study released last week, which added it was also likely to overload many local health systems in the country.

    Meanwhile, Chinese experts have warned that the worst may be yet to come. Wu Zunyou, chief epidemiologist at the Chinese Center for Disease Control and Prevention (CDC), said last week that China is being hit by the first of three expected waves of infections this winter.

    Last year, India was devastated by a second wave of Covid-19, which killed tens of thousands and overwhelmed the country’s health system.

    Since then, India has administered more than 2 billion Covid vaccines and nearly 75% of its population has received at least one dose, according to data from Johns’ Hopkins University.

    According to the Health Ministry, India had seen a “steady decline” in cases, with an average of about 150 infections a day nationwide as of December 19.

    “We are prepared to manage any situation,” Health Minister Mandaviya said in a Twitter post Wednesday.

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  • Having a credit card with trip insurance could save you thousands on your next vacation | CNN Underscored

    Having a credit card with trip insurance could save you thousands on your next vacation | CNN Underscored

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    CNN
     — 

    CNN Underscored reviews financial products such as credit cards and bank accounts based on their overall value. We may receive a commission through the LendingTree affiliate network if you apply and are approved for a card, but our reporting is always independent and objective. Terms apply to American Express benefits and offers. Enrollment may be required for select American Express benefits and offers. Visit americanexpress.com to learn more.

    Everyone is in need of that next big vacation, but before you go ahead and click the “book now” button, you’ll want to make sure you’re using a credit card that will cover you in case something unfortunate happens. Many people are unaware that some credit cards include various travel insurance benefits, which could come in handy during your next trip. For instance, if you ever need to cancel your trip because you get sick, or if your flight is delayed and you have to stay the night at a hotel, the right credit card can have you covered.

    Knowing the ins and outs of these travel insurance protections and which credit card provides what coverage could potentially save you a boatload of money. Hopefully you’ll never have to use these benefits, but if you do, your wallet could be pleasantly surprised.

    Credit card travel protections are not the same thing as travel insurance, which is a broad policy you can buy to cover a specific trip or series of trips. The travel protections that come on eligible credit cards are tailored to cover specific issues you might encounter on a trip. There are typically seven different benefits that credit cards can potentially cover — here’s a quick explanation of each type of coverage:

    Trip cancellation and interruption insurance: If you need to cancel a covered trip or if your covered trip is interrupted in the middle of travel due to illness, injury, weather or terrorist incident, this coverage will reimburse you for your nonrefundable expenses related to the delay cancellation. There are a number of exclusions, so you’ll need to read the fine print of your particular credit card for details.

    In regards to the coronavirus pandemic, this is where your credit card can help you out. If you fall ill with coronavirus and need to cancel your trip or cut it short as a result, you can file a claim with your credit card if it has trip cancellation or interruption coverage. The same coverage also applies if a quarantine is imposed by a physician due to coronavirus, or if an authoritative power imposes travel restrictions.

    However, if you choose to cancel a trip as a precautionary measure, this isn’t considered a covered event, and the travel insurance on your credit card most likely won’t reimburse you for your lost expenses.

    Trip delay insurance: If your common carrier (meaning an airine, bus, cruise ship or train) is delayed for a certain number of hours due to a covered reason, such as weather or mechanical issues, you can be reimbursed for many eligible out-of-pocket expenses, such as meals, transportation, lodging and toiletries.

    Lost luggage reimbursement: If your carrier loses or damages your carry-on or checked luggage, you’ll be reimbursed up to a maximum amount.

    Baggage delay reimbursement: If your checked baggage is delayed for a certain number of hours, you’ll be reimbursed up to a maximum amount per day for eligible essentials, such as clothing and toiletries.

    Rental car insurance: Many credit cards offer rental car damage coverage, which allows you to waive some of the pricey insurance policies offered by car rental agencies.

    Some cards offer what’s known as “secondary” car rental insurance, which means your credit card coverage will only kick in after any other insurance coverage takes place, such as your own personal auto policy. Other credit cards offer “primary” car rental insurance, meaning you don’t have to worry about filing a claim with anyone else first.

    Travel accident insurance: If you (or in some cases, your immediate family members) suffer an accidental death or dismemberment during travel, your beneficiary can make a claim for coverage on credit cards with this policy.

    Emergency evacuation insurance: If you’re injured or become sick during a trip far from home that results in an emergency evacuation, you’ll be covered for eligible medical services and transportation.

    Chase Sapphire Reserve: Best overall for travel protections
    Chase Sapphire Preferred Card: Best travel protections with a low annual fee
    The Platinum Card® from American Express: Best for earning flexible rewards
    United Club Infinite Card: Best for United flyers
    Delta SkyMiles® Reserve American Express Card: Best for Delta flyers
    Bank of America® Premium Rewards® credit card: Best for earning cash back
    Ink Business Preferred Credit Card: Best for business travelers

    Here’s a look at the specific travel protections that are available on each of these credit cards:

    Trip cancellation / trip interruption Trip delay Lost luggage Baggage delay Rental car Travel accident Emergency evacuation
    Chase Sapphire Reserve Yes Yes Yes Yes Yes Yes Yes
    Chase Sapphire Preferred Yes Yes Yes Yes Yes Yes No
    American Express Platinum Yes Yes Yes No Yes Yes Yes
    United Club Infinite Card Yes Yes No Yes Yes No No
    Delta SkyMiles Reserve Amex Yes Yes Yes No Yes Yes Yes
    Bank of America Premium Rewards Yes Yes Yes Yes Yes No Yes
    Ink Business Preferred Yes Yes Yes Yes Yes Yes No

    Let’s dive into the details of each of these cards and see which one might be the best choice for you when you’re booking a trip in 2022.

    If travel insurance is one of your top priorities when it comes to a credit card, the Chase Sapphire Reserve is the best choice out there. In fact, it’s the only card that offers all seven types of coverage mentioned in the chart above. And across those categories, it offers top-of-the-line insurance and generous reimbursement caps.

    Where this card really stands out is in its trip delay coverage. If your mode of transportation is delayed for six hours or more, the coverage kicks in immediately. On many credit cards that offer this protection, the coverage doesn’t apply until your transportation is delayed for 12 hours or more — or only when it requires an overnight stay.

    So if you were supposed to fly out in the morning, but your flight gets delayed seven hours to late in the afternoon, the Chase Sapphire Reserve will cover food for you in the interim, along with your traveling spouse or domestic partner and all traveling dependents under the age of 22. That could save you quite a bit of money on expenses you weren’t planning for.

    The Chase Sapphire Reserve also shines with its emergency evacuation and transportation insurance. This benefit will cover you for up to $100,000 in medical services or transportation. Many other cards don’t even offer this protection — or cover you for a lower amount. But if you do find you need to use this coverage, call the benefits administrator immediately, as they will need to approve and coordinate your evacuation.

    And while it’s a benefit you hope you never have to use, the Sapphire Reserve will insure you for up to $1,000,000 in the case of accidental death or dismemberment. Every other card on our list that offers this coverage only insures you to up to half the amount.

    Despite the Chase Sapphire Reserve truly having it all, its $550 annual fee isn’t something to balk at. But it’s a small price to pay to get so many protections on every trip you pay for with the card. And once you take into consideration the $300 yearly travel credit, Priority Pass Select lounge access and other benefits, your net out-of-pocket cost for being a card holder is relatively low.

    Read CNN Underscored’s review of the Chase Sapphire Reserve.
    Learn more and apply for the Chase Sapphire Reserve.

    The Chase Sapphire Preferred is only a slight step down from the Chase Sapphire Reserve — it includes most of the same travel insurance protections, just not to the same extent. But the annual fee on this card is significantly lower at just $95 per year.

    Sapphire Preferred card holders get the same trip interruption and cancellation coverage as the Sapphire Reserve — up to $10,000 per person and $20,000 per trip if your trip is halted or canceled for a covered reason. You’ll be reimbursed for any prepaid, nonrefundable travel expenses, such as airfare, tours and hotels. This will even cover you if you’re sick — just make sure to get a doctor’s note.

    Other travel protections are also comparable between the two cards, but the main difference is that to be eligible for trip delay insurance with the Chase Sapphire Preferred, your flight needs to be delayed at least 12 hours — or require an overnight stay — and there’s no emergency evacuation coverage.

    Additionally, the auto rental collision damage insurance on the Chase Sapphire Preferred is primary coverage but will only cover you for up to the actual cash value of the rental car. Conversely, the maximum on the Sapphire Reserve is $75,000, which could potentially cover damage beyond the car itself in the event of an accident.

    Read CNN Underscored’s review of the Chase Sapphire Preferred.
    Learn more and apply for the Chase Sapphire Preferred.

    The travel insurance benefits on the Amex Platinum card were improved at the start of 2020, which means you’ll now have even more protection on your next vacation.

    The Amex Platinum has the same trip cancellation and interruption insurance as the Chase cards, but with one limitation — you are limited up to $10,000 per trip and a maximum limit of $20,000 per eligible card per 12 consecutive month period. This shouldn’t be a problem for most travelers, but if you find yourself canceling trips regularly, you’ll want to use a different card. Neither the Amex Platinum nor the Chase cards cover voluntary cancellations.

    You’ll also get trip delay insurance with the Amex Platinum, up to $500 per ticket, and to be eligible, your trip only has to be delayed by six hours or more. You’re limited to a maximum of two claims per card in a 12-month period, but unlike the cancellation and interruption coverage, this is a benefit you might find yourself using somewhat often — especially if you travel often.

    Where this card falls short is that its car rental insurance only provides secondary coverage, so if you have an accident, you’ll first need to file a claim with any other insurance providers — such as your own personal auto insurance company — before this insurance kicks in. It’s much easier to have a card that offers primary coverage, though having some sort of protection is better than no protection at all.

    You'll have secondary car rental coverage on your Amex Platinum card if an accident occurs.

    The Amex Platinum also carries a $695 annual fee (see rates and fees), but it comes with many luxury perks such as airport lounge access — including the very popular American Express Centurion Lounges — elite hotel status, elite car rental status, monthly Uber Cash credits, airline incidental fee credits and credits for purchases at Saks Fifth Avenue.

    Read CNN Underscored’s review of the Amex Platinum Card.
    Learn more and apply for the Amex Platinum Card.

    The United Club Infinite Card doesn’t offer as many travel protections as some of the other high-end cards on our list. But if you’re flying United and want to reap the travel benefits of using the airline’s premium credit card, you’ll still receive a number of important protections with this card.

    Trip cancellation and trip interruption insurance both come with the United Club Infinite Card, as well as primary car rental insurance. You’ll also get trip delay reimbursement coverage, although travel must be delayed at least 12 hours or require an overnight stay to apply.

    The United Club Infinite Card also offers baggage delay reimbursement, which means if your bags are delayed in getting to your final destination by six hours or more, you can be reimbursed for essential toiletries and clothing until your bags arrive, up to $100 per day. However, you can only submit a claim for the first three days with this card, while many other cards provide reimbursement for up to five days.

    Despite not covering every travel protection on the list, the United Club Infinite Card also comes with United Club membership, a $100 statement credit for Global Entry or TSA Precheck and the ability to check your first and second bag for free when flying United, and it earns 4 miles for every dollar you spend on United purchases.

    Learn more and apply for the United Club Infinite Card.

    The Delta Reserve Amex comes with the exact same travel insurance protections as the Amex Platinum card. This means you’ll have access to trip cancellation and trip interruption insurance, trip delay reimbursement, lost luggage reimbursement, secondary auto rental collision damage insurance, travel accident insurance and emergency evacuation coverage.

    If you have a medical emergency during your trip, the Delta Reserve Amex has emergency evacuation coverage.

    But, if you’re a regular Delta flyer, you may want to have the Delta Reserve Amex over the American Express Platinum for its Delta perks, especially since it carries a lower $550 annual fee (see rates and fees). In addition to the card’s travel protections, you’ll get complimentary access to Delta Sky Clubs and Amex Centurion Lounges when flying Delta, complimentary upgrades on Delta when available and your first checked bag free on Delta flights.

    Read CNN Underscored’s review of the Delta Reserve Amex.
    Learn more and apply for the Delta Reserve Amex.

    For those looking for a simple credit card that earns cash back but also comes with some basic travel insurance protections, the Bank of America Premium Rewards Credit Card could be your best option.

    Like all the other cards on our list, you’ll get trip cancellation and trip interruption insurance with the Bank of America Premium Rewards, although your coverage is significantly lower than what the other cards provide — up to $2,500 per person.

    Many other cards cover you for up to $10,000 per person, so if your trips are typically on the expensive side, you’ll probably want to pick another card. But most travelers will find the $2,500 maximum more than sufficient.

    You’ll also be covered for essentials with the card if your trip is delayed by 12 hours or more (or requires an overnight stay) and if your luggage is lost or delayed. The card also has secondary auto rental collision damage insurance and provides emergency evacuation coverage.

    And when you’re not on the road, the Bank of America Premium Rewards card earns 2 points for every dollar you spend on travel and dining, and 1 point per dollar on everything else. Points can be redeemed for cash back at a rate of 1 cent apiece, and you can even increase those rates if you have status in Bank of America’s Preferred Rewards program.

    If you’re a business traveler who wants to keep all of your expenses on your business credit card, the Ink Business Preferred has you covered. You’ll find that the coverage on the Ink Business Preferred is almost exactly the same as the Chase Sapphire Preferred, which is great for a business card that only costs $95 a year.

    Related: Get a highest-ever bonus with these Chase business credit cards.

    The main difference between the Ink Business Preferred and other Chase credit cards is that while you’re insured if your trip is involuntarily interrupted or canceled, you’ll only be reimbursed for up to $5,000 per person and up to $10,000 per covered trip. Many other cards cover double that amount, but that’s typically only necessary if you’re booking a big, lavish trip.

    Other travel insurance protections on the Ink Business Preferred include trip delay insurance, baggage delay reimbursement, lost luggage reimbursement, primary auto rental collision damage waiver and travel accident insurance, all comparable to the protections on the personal Sapphire Preferred.

    Read CNN Underscored’s review of the Ink Business Preferred.
    Learn more and apply for the Ink Business Preferred.

    Make sure you book your trip with a credit card that has travel insurance protections to cover you if disaster strikes.

    With so many credit card travel insurance protections and the many nuances to each benefit, you’ll want to first consult with your credit card company to find out the exact coverage terms on your card. You might find that you’ll only be covered if your trip is over a certain number of miles from your home or a minimum number of days away — and in some cases, even a maximum number of days.

    Some credit cards also require that you pay for the trip entirely with your credit card, while other cards allow you to just put a portion of the trip on the respective card. In some cases, the rules can even differ across protections on the same card. But if you only need to put a portion of the trip cost on your card to be covered, you could use points or miles to pay for your trip and just put the taxes on the card.

    With the coronavirus pandemic dragging into 2021, it’s likely that travel may be touch and go for at least a portion of the upcoming year, and you’ll want to be protected if you have unanticipated issues before or during your trip. So before you book your 2022 — or even 2023 — travel, make sure you know what travel insurance protections are important to you, and use a credit card that will cover you in case the worst happens.

    Looking for a new credit card? Check out CNN Underscored’s list of the best credit cards currently available.

    Get all the latest personal finance deals, news and advice at CNN Underscored Money.

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  • It started as a one-time volunteer opportunity. 50,000 meals later, one volunteer is still making a difference | CNN

    It started as a one-time volunteer opportunity. 50,000 meals later, one volunteer is still making a difference | CNN

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    CNN
     — 

    ‘Tis the season for spreading cheer and joy, two holiday ingredients Lavon Lacey likes to deliver year-round. For the past 26 years, Lacey has volunteered with Open Hand Atlanta, a nonprofit delivering nutritious and healthy meals to Georgia’s chronically ill, disabled and homebound citizens.

    On his recent delivery rounds, Lacey was greeted at most of the apartment buildings like he lives there. That’s typical; he’s been delivering to some of these places for over 20 years. After exchanging pleasantries with various building employees who have became friendly acquaintances, Lacey continued his journey with a box of prepared meals tucked under his arm.

    It ended with a knock on one of the apartment doors, “Open Hand, I have your food.”

    His routes usually consist of 10 to 12 different stops around town. Some of the people he visits are new, some he’s been delivering to for years. On this particular route, one gentleman uses a wheelchair, so Lacey offered to bring the boxes of meals inside for him.

    “There are circumstances where they are too old to handle a box, so I take it in for them and put it in their kitchen. But usually, we hand it to them at the door.”

    It may seem like a small gesture, but for the people he’s helping, it makes a big difference. And all these small gestures add up. Lacey estimates he’s delivered over 50,000 meals to around 7,500 people and he’s done it all for just one organization – Open Hand Atlanta.

    “Open Hand Atlanta brings more than just food, it brings nutritious food to people who may not otherwise get to eat.”

    Open Hand got started in Atlanta in 1988 when a group of friends began cooking meals for people in their community with HIV/AIDS.

    Lacey got involved in the mid ’90s when the theater group he was working with decided to volunteer for a community service project.

    “We came and packed meals and I went, ‘I like this organization. I think I’ll start delivering meals.’”

    Once he began delivering meals, however, he felt compelled to continue after seeing the dire needs of those being served. He would revisit homes frequently, making friends along the way which made the work more personal, but sometimes heartbreaking.

    “Back when I first started, most of the clients had HIV/AIDS. You developed relationships with people as you delivered the meals,” Lacey said. “You got used to their names and saying hello and making their days a little brighter. Then suddenly their name would not be on the list anymore. You’d know at that point they’d either passed away or moved to a different level of care. That was hard to get accustomed to.”

    Over the years, the Open Hand clientele has changed. Seniors now make up a large portion. Open Hand Atlanta also delivers meals to families, those with disabilities or illness and any “at-risk individuals from all walks of life,” according to the organization.

    And demand is growing. In 2021, Open Hand Atlanta cooked and served around 1.5 million meals and now prepares and delivers an estimated 5,000 meals a day. It’s one of the largest community-based providers of home-delivered meals in the US and relies on staff and volunteers to package and deliver meals throughout the state of Georgia.

    With his 27th year coming up next summer, Lacey doesn’t see himself stopping anytime soon and says he’ll probably do it until he “can’t walk anymore.”

    “Volunteerism was just something I grew up with.”

    Lacey says volunteering broadens his horizons and makes him feel healthier and happier. He hopes his story will inspire others to volunteer, especially during the holiday season.

    “What better time to find an organization that you’re passionate about and volunteer your time. And then maybe you’ll just keep doing it through the New Year…or 26 years.”

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  • Here’s what’s in the $1.7 trillion federal spending bill | CNN Politics

    Here’s what’s in the $1.7 trillion federal spending bill | CNN Politics

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    CNN
     — 

    Senate leaders unveiled a $1.7 trillion year-long federal government funding bill early Tuesday morning.

    The legislation includes $772.5 billion for non-defense discretionary programs and $858 billion in defense funding, according to a bill summary from Democratic Sen. Patrick Leahy, chair of the Senate Committee on Appropriations.

    The sweeping package includes roughly $45 billion in emergency assistance to Ukraine and NATO allies, boosts in spending for disaster aid, college access, child care, mental health and food assistance, more support for the military and veterans and additional funds for the US Capitol Police, according to Leahy’s summary and one from Sen. Richard Shelby of Alabama, the top Republican on the Senate Appropriations Committee.

    However, the bill, which runs more than 4,000 pages, left out several measures that some lawmakers had fought to include. An expansion of the child tax credit, as well as multiple other corporate and individual tax breaks, did not make it into the final bill. Neither did legislation to allow cannabis companies to bank their cash reserves – known as the Safe Banking Act. Also, there was also no final resolution on where the new FBI headquarters will be located.

    The spending bill is the product of lengthy negotiations between top congressional Democrats and Republicans. Lawmakers reached a “bipartisan, bicameral framework” last week following a dispute between the two parties over how much money should be spent on non-defense domestic priorities. They worked through the weekend to craft the legislation.

    The Senate is expected to vote first to approve the deal this week and then send it to the House for approval before government funding runs out on December 23. The bill would keep the government operating through September, the end of the fiscal year.

    Congress originally passed a continuing resolution on September 30 to temporarily fund the government in fiscal year 2023, which began October 1.

    More aid for Ukraine: The spending bill would provide roughly $45 billion to help support Ukraine’s efforts to defend itself against Russia’s attack.

    About $9 billion of the funding would go to Ukraine’s military to pay for a variety of things including training, weapons, logistics support and salaries. Nearly $12 billion would be used to replenish US stocks of equipment sent to Ukraine through presidential drawdown authority.

    Also, it would provide $13 billion for economic support to the Ukrainian government.

    Other funds would address humanitarian and infrastructure needs, as well as support European Command operations.

    Emergency disaster assistance: The bill would appropriate more than $38 billion in emergency funding to help Americans in the west and southeast affected by recent natural disasters, including tornadoes, hurricanes, flooding and wildfires. It would aid farmers, provide economic development assistance for communities, repair and reconstruct federal facilities and direct money to the Federal Emergency Management Agency’s Disaster Relief Fund, among other initiatives.

    Overhaul of the electoral vote counting law: A provision in the legislation aims at making it harder to overturn a certified presidential election, in a direct response to the January 6 attack on the US Capitol.

    The changes would overhaul the 1887 Electoral Count Act, which then-President Donald Trump tried to use to overturn the 2020 election.

    The legislation would clarify the vice president’s role while overseeing the certification of the electoral result to be completely ceremonial. It also would create a set of stipulations designed to make it harder for there to be any confusion over the accurate slate of electors from each state.

    Higher maximum Pell grant awards: The bill would increase the maximum Pell grant award by $500 to $7,395 for the coming school year. This would be the largest boost since the 2009-2010 school year. About 7 million students, many from lower-income families, receive Pell grants every year to help them afford college.

    Increased support for the military and veterans: The package would fund a 4.6% pay raise for troops and a 22.4% increase in support for Veteran Administration medical care, which provides health services for 7.3 million veterans.

    It would include nearly $53 billion to address higher inflation and $2.7 billion – a 25% increase – to support critical services and housing assistance for veterans and their families.

    The bill also would allocate $5 billion for the Cost of War Toxic Exposures Fund, which provides additional funding to implement the landmark PACT Act that expands eligibility for health care services and benefits to veterans with conditions related to toxic exposure during their service.

    Beefing up nutrition assistance: The legislation would establish a permanent nationwide Summer EBT program, starting in the summer of 2024, according to Share Our Strength, an anti-hunger advocacy group. It would provide families whose children are eligible for free or reduced-price school meal with a $40 grocery benefit per child per month, indexed to inflation.

    It would also change the rules governing summer meals programs in rural areas. Children would be able to take home or receive delivery of up to 10 days worth of meals, rather than have to consume the food at a specific site and time.

    The bill would also help families who have had their food stamp benefits stolen since October 1 through what’s known as “SNAP skimming.” It would provide them with retroactive federal reimbursement of the funds, which criminals steal by attaching devices to point-of-sale machines or PIN pads to get card numbers and other information from electronic benefits transfer cards.

    More money for child care: The legislation would provide $8 billion for the Child Care and Development Block Grant, a 30% increase in funding. The grant gives financial assistance to low-income families to afford child care.

    Also, Head Start would receive nearly $12 billion, an 8.6% boost. The program helps young children from low-income families prepare for school.

    Help to pay utility bills: The bill would provide $5 billion for the Low Income Home Energy Assistance Program. Combined with the $1 billion contained in the earlier continuing resolution, this would be the largest regular appropriation for the program, according to the National Energy Assistance Directors Association. Home heating and cooling costs – and the applications for federal aid in paying the bills – have soared this year.

    Enhance retirement savings: The bill contains new retirement rules that could make it easier for Americans to accumulate retirement savings – and less costly to withdraw them. Among other things, the provisions would allow penalty-free withdrawals for some emergency expenses, let employers offer matching retirement contributions for a worker’s student loan payments and increase how much older workers may save in employer retirement plans.

    More support for the environment: The package would provide an additional $576 million for the Environmental Protection Agency, bringing its funding up to $10.1 billion. It would increase support for enforcement and compliance, as well as clean air, water and toxic chemical programs, after years of flat funding.

    It also would boost funding for the National Park Service by 6.4%, restoring 500 of the 3,000 staff positions lost over the past decade. This would be intended to help the agency handle substantial increases in visitation.

    Plus, the legislation would provide an additional 14% in funding for wildland firefighting.

    Additional funding for the US Capitol Police: The bill would provide an additional $132 million for the Capitol Police for a total of nearly $735 million. It would allow the department to hire up to 137 sworn officers and 123 support and civilian personnel, bringing the force to a projected level of 2,126 sworn officers and 567 civilians.

    It would also give $2 million to provide off-campus security for lawmakers in response to evolving and growing threats.

    Investments in homelessness prevention and affordable housing: The legislation would provide $3.6 billion for homeless assistance grants, a 13% increase. It would serve more than 1 million people experiencing homelessness.

    The package also would funnel nearly $6.4 billion to the Community Development Block Grant formula program and related local economic and community development projects that benefit low- and moderate income areas and people, an increase of almost $1.6 billion.

    Plus, it would provide $1.5 billion for the HOME Investment Partnerships Program, which would lead to the construction of nearly 10,000 new rental and homebuyer units and maintain the record investment from the last fiscal year.

    Increased health care funding: The package would provide more money for National Institutes of Health, the Centers for Disease Control and Prevention and the Assistant Secretary for Preparedness and Response. The funds are intended to speed the development of new therapies, diagnostics and preventive measures, beef up public health activities and strengthen the nation’s biosecurity by accelerating development of medical countermeasures for pandemic threats and fortifying stockpiles and supply chains for drugs, masks and other supplies.

    More resources for children’s mental health and for substance abuse: The bill would provide more funds to increase access to mental health services for children and schools. It also would invest more money to address the opioid epidemic and substance use disorder.

    Tiktok ban from federal devices: The legislation would ban TikTok, the Chinese-owned short-form video app, from federal government devices.

    Some lawmakers have raised bipartisan concerns that China’s national security laws could force TikTok – or its parent, ByteDance – to hand over the personal data of its US users. Recently, a wave of states led by Republican governors have introduced state-level restrictions on the use of TikTok on government-owned devices.

    Enhanced child tax credit: A coalition of Democratic lawmakers and consumer advocates pushed hard to extend at least one provision of the enhanced child tax credit, which was in effect last year thanks to the Democrats’ $1.9 trillion American Rescue Plan. Their priority was to make the credit more refundable so more of the lowest-income families can qualify. Nearly 19 million kids won’t receive the full $2,000 benefit this year because their parents earn too little, according to a Tax Policy Center estimate.

    New cannabis banking rules: Lawmakers considered including a provision in the spending bill that would make it easier for licensed cannabis businesses to accept credit cards – but it was left out of the legislation. Known as the Safe Banking Act, which previously passed the House, the provision would prohibit federal regulators from taking punitive measures against banks for providing services to legitimate cannabis businesses.

    Even though 47 states have legalized some form of marijuana, cannabis remains illegal on the federal level. That means financial institutions providing banking services to cannabis businesses are subject to criminal prosecution – leaving many legal growers and sellers locked out of the banking system.

    FBI headquarters: There was also no final resolution on where the new FBI headquarters will be located, a major point of contention as lawmakers from Maryland – namely House Majority Leader Steny Hoyer – pushed to bring the law enforcement agency into their state. In a deal worked through by Senate Majority Leader Chuck Schumer, the General Services Administration would be required to conduct “separate and detailed consultations” with Maryland and Virginia representatives about potential sites in each of the states, according to a Senate Democratic aide.

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  • ‘One extreme to the other’: Chinese megacity Chongqing says people with Covid can go to work | CNN Business

    ‘One extreme to the other’: Chinese megacity Chongqing says people with Covid can go to work | CNN Business

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    Hong Kong
    CNN
     — 

    The sprawling Chinese metropolis of Chongqing announced Sunday that public sector employees testing positive for Covid-19 can go to work “as normal,” a remarkable turnaround for a city that only weeks ago had been in the throes of a mass lockdown.

    The move comes as China continues to quickly unravel its once-stringent zero-Covid policy, with local governments across the nation relaxing costly rules around testing, quarantine and other pandemic policies amid a widespread economic downturn.

    “Asymptomatic and mildly ill employees of the (Communist Party) and government organizations at all levels, enterprises and institutions can go to work normally after taking protective measures as necessary for their health status and job requirements,” the Chongqing pandemic response office said in a statement published on the municipal government’s website.

    It added that government agencies would no longer check employees – including police, public school teachers and other workers – for daily negative Covid tests. Instead, authorities will shift the focus of work from preventing infection to health protection and preventing severe disease, it said.

    The abrupt U-turn is especially stunning in Chongqing, one of China’s largest cities, with 32 million residents and annual GDP of $400 billion.

    Jerry Cheng, who works at a state-owned construction company in the city and is currently Covid positive, voiced concerns about the announcement.

    “I won’t go unless they call my name,” he told CNN. “It’s definitely not a good thing to have a group of infected people working together,” he said, adding the new policy was to protect the local economy.

    Cheng’s anxiety was reflected on Weibo, China’s version of Twitter, on Monday as Chongqing residents reacted to the announcement.

    “Why do you need to go and infect healthy people?” read one top comment. Another user wrote: “This is going from one extreme to the other.”

    Several other places in China, including the eastern city of Wuhu and the province of Zhejiang, also announced similar measures this week.

    Chongqing, a hub for industry and agriculture, became a Covid hotspot last month. More than a million residents were told not to leave the city unless absolutely necessary, and several rounds of daily mass testing were rolled out.

    When China’s Vice Premier Sun Chunlan visited Chongqing on November 22, she urged local authorities to take “swift and decisive measures” to contain the outbreak by identifying positive cases and their close contacts, according to state-run outlet Global Times.

    But by then, some residents were losing patience. Three years of zero-Covid had taken its toll on the economy, disrupting daily life and people’s livelihoods.

    Photos from Chongqing had gone viral online in August, showing huge crowds standing under the sun for hours during a record heat wave as they waited for mandatory Covid tests. In the background, plumes of smoke from wildfires rose above the skyline.

    Reflecting the growing frustration, one Chongqing resident delivered a searing speech in late November criticizing the lockdown of his residential compound, shouting to a cheering crowd: “Without freedom, I would rather die!”

    Nationwide protests against the zero-Covid policy – and in some cases, against the central leadership itself – broke out just days later, marking the most significant challenge to the Communist Party and Chinese leader Xi Jinping in decades.

    The country’s rapid rollback of Covid restrictions came soon after. And while the easing of rules, such as allowing Covid patients to isolate at home instead of being taken to a government quarantine center, is a long-awaited relief for many, skyrocketing cases have also prompted widespread anxiety among a population that had been largely shielded from the virus since 2020.

    According to CNN calculations based on a study from Hong Kong researchers released last week, the country’s Covid death toll could reach almost one million over the course of its reopening.

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  • Manchin says Biden should ask for extension of Trump-era border policy | CNN Politics

    Manchin says Biden should ask for extension of Trump-era border policy | CNN Politics

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    Washington
    CNN
     — 

    Democratic Sen. Joe Manchin said Sunday that President Joe Biden should ask for an extension of Title 42, a public health authority that was invoked under former President Donald Trump and allows officials to expel migrants encountered at the US-Mexico border.

    “I understand that the president needs to use every bit of power he has as an executive to find a way or ask for an extension,” the West Virginia senator told CBS News’ Margaret Brennan on “Face the Nation.”

    “The president can basically, I think, ask for that extension. I think his administration is doing that or will do that. I sure hope they do. But we need an extension until we can get a viable answer for this,” Manchin said.

    Title 42 – which has been heavily criticized by public health experts and immigrant advocates – has largely barred asylum at the US-Mexico border, marking an unprecedented departure from traditional protocol.

    But while its origins were in the Trump administration, Title 42 has become a key tool for the Biden White House as it faces mass migration in the Western Hemisphere.

    A federal appeals court on Friday rejected a bid by several Republican-led states to keep Title 42 in force, after a district court struck the controversial border policy down. The Biden administration is set to stop enforcing the rule Wednesday, though the GOP-led states had previously indicated that they’d seek the intervention of the Supreme Court should the appeals court rule against them.

    The states argued in the case that allowing Title 42 to terminate would “cause an enormous disaster at the border” and that a big jump in the number of migrants “will necessarily increase the States’ law enforcement, education, and healthcare costs.”

    In an interview on ABC’s “This Week” that aired Sunday, Republican Gov. Greg Abbott of Texas said migrants coming across the border untested for Covid-19 or any other illness pose a “public health risk” to the United States.

    “Whether it’s Covid or some other issue, when you have people coming from across the globe, without knowing at all what their health status is, that almost by definition – is a public health risk,” Abbott said, while speaking about the end of Title 42. “There’s every reason to keep that in place.”

    On Saturday, Mayor Oscar Leeser of El Paso, Texas, declared a state of emergency in response to the surge in migrants arriving in the community in recent days.

    “If the courts do not intervene and put a halt to the removal of title 42, it’s going to be total chaos,” Abbott said.

    Biden administration officials have been bracing for an influx of migrants when the authority lifts. The Department of Homeland Security’s six-pillar plan for the scheduled end of Title 42 includes surging resources to the border, increasing processing efficiency, imposing consequences for unlawful entry, bolstering nonprofit capacity, targeting smugglers and working with international partners.

    Keisha Lance Bottoms, the White House senior adviser for public engagement, on Sunday defended the administration’s preparedness to deal with any influx at the southern border, telling CBS News, “What we are seeing happening is that many people are taking advantage of the fact that Title 42 may go away.”

    “This week, we see many people exploiting migrants, saying, ‘Come now or you lose your ability to come at all.’ And that’s simply not the case,” she said on “Face the Nation.”

    Lance Bottoms called on Congress to act on comprehensive immigration reform – something unlikely to happen before Title 42 is lifted or in the next Congress when Republicans will control the House.

    Bottoms would not foreshadow what executive actions Biden could take, in lieu of any larger action from Congress.

    Democratic Sen. Alex Padilla of California said Sunday the federal government should focus on funding humanitarian assistance upon the lifting of Title 42.

    “The state of California is a prime example. More than a billion dollars of state funds going into humanity assistance for asylum seekers when they come to the United States. While they wait for their hearing, do they deserve some basic food and shelter and health screening? Absolutely. Frankly, the federal government should be investing more in that humane treatment of asylum seekers,” Padilla said on ABC’s “This Week.”

    But Manchin stressed Sunday that “we have a crisis at the border. Everyone can see that. I think everyone realizes that something has to be done. [Title] 42 needs to be extended until we can get a really, truly immigration reform.”

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  • At least 36 people injured, some seriously, after ‘severe turbulence’ on Hawaiian Airlines flight | CNN

    At least 36 people injured, some seriously, after ‘severe turbulence’ on Hawaiian Airlines flight | CNN

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    CNN
     — 

    At least 36 people on a Hawaiian Airlines flight were injured, with 20 taken to emergency rooms, after their plane encountered “severe turbulence” on a flight from Phoenix to Honolulu on Sunday, authorities said.

    Eleven patients were in serious condition, Honolulu Emergency Medical Services said in a statement. Among those transported to the hospital was a 14-month-old child.

    The patients’ injuries included a serious head injury, lacerations, bruising and loss of consciousness, Honolulu EMS said.

    Hawaiian Airlines is “supporting all affected passengers & employees” and monitoring the situation, the company said.

    “Medical care was provided to several guests & crewmembers at the airport for minor injuries while some were swiftly transported to local hospitals for further care,” Hawaiian Airlines tweeted.

    The turbulence occurred 30 minutes before the plane landed in Honolulu.

    The EMS and the American Medical Response responded to a “mass casualty emergency” at Daniel K. Inouye International Airport just after 11 a.m. Sunday, according to the statement.

    Hawaiian Airlines Flight 35, an Airbus 330, reported the turbulence around 10:35 a.m. Hawaii Standard Time, according to the US Federal Aviation Administration.

    The FAA said it is investigating the incident.

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