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Tag: St. Louis

  • Police: 3 killed in shooting at St. Louis high school

    Police: 3 killed in shooting at St. Louis high school

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    ST. LOUIS — St. Louis police say three people are dead, including the shooter, after a shooting at a high school Monday morning.

    Speaking at a news conference, Police Commissioner Michael Sack said the three dead included a woman, a teenage girl and the shooter, described as a man about 20 years old.

    The shooting just after 9 a.m. at Central Visual and Performing Arts High School forced students to barricade doors and huddle in classroom corners, jump from windows and run out of the building to seek safety.

    Sack said security officials initially became alarmed when the shooter tried to get into the locked school building. He declined to say how the man got inside, armed with what he described as a long gun.

    Officers “ran to that gunfire, located that shooter and engaged that shooter in an exchange of gunfire,” killing him, Sack said.

    Sack declined to name the victims and did not say if the woman who was killed was a teacher.

    Six other injured people were hospitalized. Sack said some suffered gunshot wounds, while others were struck by shrapnel. He did not provide any information on their conditions.

    One student, 16-year-old Taniya Gholston, told the St. Louis Post-Dispatch she was in a room when the shooter entered.

    “All I heard was two shots and he came in there with a gun,” Gholston said. “And I was trying to run and I couldn’t run. Me and him made eye contact but I made it out because his gun got jammed. But we saw blood on the floor.”

    Another student, ninth-grader Nylah Jones, told the Post-Dispatch she was in math class when the shooter fired into the room from the hallway. The shooter was unable to get into the room and banged on the door as students piled into a corner, she said.

    Sack said the shooting happened at 9:10 a.m. Crime tape was placed around the school and some parents arrived to pick up kids and check on their safety. The district, in a tweet, said students could be picked up at another school building or a nearby grocery store.

    Central Visual and Performing Arts High School is a magnet school specializing in visual art, musical art and performing art with about 400 students. The district website says the school’s “educational program is designed to cre­ate a nurturing environment where students receive a quality academic and artistic education that prepares them to compete successfully at the post-secondary level or perform competently in the world of work.”

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  • 2 students injured in school shooting in St. Louis, suspect in custody police say | CNN

    2 students injured in school shooting in St. Louis, suspect in custody police say | CNN

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    CNN
     — 

    Two students were injured in a shooting at Central Visual and Performing Arts High School in St. Louis on Monday morning, according to a tweet from the district, and police report the suspect is in custody.

    “Police are on site … following reports of an active shooter and both CVPA and Collegiate are on lockdown,” St. Louis Public Schools tweeted, referring to the adjacent Collegiate School of Medicine and Bioscience.

    The “shooter was quickly stopped by police inside CVPA,” the post said.

    The St. Louis Police Metropolitan Police Department reporting the active shooter on Twitter, and about 45 minutes later, tweeted, “At this time, the scene is secure and there is no active threat.”

    The high school is a magnet school about 6 miles southwest of downtown.

    Students were being evacuated from campus “to safe and secure sites,” the district said. People are being asked to avoid the area, and parents have been informed they can pick up their children at Gateway Stem High School, about a mile and a half north of CVPA.

    Word of the shooting comes on the same day Michigan teen Ethan Crumbley pleaded guilty to murder charges in a Michigan school shooting last year that left four people dead and seven injured. On November 1, Nikolas Cruz will be sentenced for the February 2018 shooting at Florida’s Marjory Stoneman Douglas High School, where 17 people died.

    As the shooting in St. Louis was unfolding, a Michigan prosecutor addressed the nation’s gun violence in the wake of Crumbley’s guilty plea.

    “It’s not just about sharing with other departments. Gun violence is preventable. That’s what I’ve learned, and the fact that there is another school shooting does not surprise me – which is horrific,” Oakland County Prosecutor Karen McDonald said. “It is preventable, and we should never, ever allow that to be something we just should have to live with.”

    The FBI’s St. Louis field office is assisting local law enforcement in its response to the shooting, spokesperson Rebecca Wu said. The Kansas City, Missouri, field office for the Bureau of Alcohol, Tobacco, Firearms and Explosive is assisting as well, spokesperson John Ham said in a statement.

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  • “Unacceptable levels” of radioactive contamination at St. Louis elementary school, study finds

    “Unacceptable levels” of radioactive contamination at St. Louis elementary school, study finds

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    Parents are outraged over a new study which shows “unacceptable levels” of radioactive contamination at a St. Louis elementary school. Radioactive contamination detected at Jana Elementary School’s playground measured 22 times higher than normal, according to a study commissioned for a class-action lawsuit.

    The study, conducted by the Boston Chemical Data Corp, also found “unacceptable levels” in the school’s kitchen, gym and ventilation systems. When Patrice Strickland, a parent, heard about the contamination, she decided to keep her two children home to learn virtually.

    “It’s overwhelming right now,” she told CBS News.

    Strickland spoke at a school board meeting Tuesday night, where she said she first hear about the contamination from the news. The district apologized, and said that the elementary school will be virtual starting next Monday, Oct. 24.

    “There’s a lot of things you can protect your kids from, but that felt like something I had no control. And as a parent, it’s not easy to feel like you don’t have control,” Strickland said.

    The U.S. Army Corps of Engineers informed the Hazelwood School District in January of “low-level radioactive contamination” on the banks of Coldwater Creek, which is on the school grounds. The Corps has been cleaning up nuclear waste from the creek for years. Thousands of barrels dating back to the 1940s containing radioactive waste from uranium processing for the nation’s atomic bombs were improperly stored. They contaminated the soil and Coldwater Creek.

    The Corps regularly tests the creek and nearby areas, which is how it found the “low-level” contamination. But in a letter to the superintendent, it said there is no “immediate risk to human health.” The Corps told CBS News the lawsuit’s study “is not consistent with our accepted evaluation techniques and must be thoroughly vetted.”

    The school building is outside the Corps’ testing boundaries, but Jana Elementary PTA president Ashley Bernaugh said the Corps has not been transparent.

    “I believe sunshine is an excellent disinfectant, and so I am willing to disinfect everywhere we got to go by pulling every rug out and shaking it,” Bernaugh said. “To get to the truth. No more dirt is swept under them.” 

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  • February execution date set for Missouri man who killed four

    February execution date set for Missouri man who killed four

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    JEFFERSON CITY, Mo. — The Missouri Supreme Court on Tuesday set a February execution date for a suburban St. Louis man who was convicted of killing his girlfriend and her three young children nearly 18 years ago.

    Leonard Taylor is scheduled to be executed on Feb. 7 at the state prison in Bonne Terre. He was convicted in 2008 in the shooting deaths of Angela Rowe, 28, and her three children, Alexis, 10; AcQreya, 6; and Tyrese Conley, 5. Their bodies were found in their home in Jennings on Dec. 3, 2004.

    In May 2022, the U.S. Supreme Court declined to hear Jennings’ case, leading to the setting of an execution date.

    Taylor’s execution would come about a month after another convicted killer is scheduled to die. Scott McLaughlin, who was convicted of raping and killing an ex-girlfriend 19 years ago, is scheduled for execution on Jan. 3.

    Another convicted killer, Kevin Johnson, faces the death penalty on Nov. 29 for killing Kirkwood Police Sgt. Bill McEntee in suburban St. Louis in 2005.

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  • Radioactive waste found at Missouri elementary school

    Radioactive waste found at Missouri elementary school

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    FLORISSANT, Mo. (AP) — There is significant radioactive contamination at an elementary school in suburban St. Louis where nuclear weapons were produced during World War II, according to a new report by environmental investigation consultants.

    The report by Boston Chemical Data Corp. confirmed fears about contamination at Jana Elementary School in the Hazelwood School District in Florissant raised by a previous Army Corps of Engineers study.

    The new report is based on samples taken in August from the school, according to the St. Louis Post-Dispatch. Boston Chemical did not say who or what requested and funded the report.

    “I was heartbroken,” said Ashley Bernaugh, president of the Jana parent-teacher association who has a son at the school. “It sounds so cliché, but it takes your breath from you.”

    The school sits in the flood plain of Coldwater Creek, which was contaminated by nuclear waste from weapons production during World War II. The waste was dumped at sites near the St. Louis Lambert International Airport, next to the creek that flows to the Missouri River. The Corps has been cleaning up the creek for more than 20 years.

    The Corps’ report also found contamination in the area but at much at lower levels, and it didn’t take any samples within 300 feet of the school. The most recent report included samples taken from Jana’s library, kitchen, classrooms, fields and playgrounds.

    Levels of the radioactive isotope lead-210, polonium, radium and other toxins were “far in excess” of what Boston Chemical had expected. Dust samples taken inside the school were found to be contaminated.

    Inhaling or ingesting these radioactive materials can cause significant injury, the report said.

    “A significant remedial program will be required to bring conditions at the school in line with expectations,” the report said.

    The new report is expected to be a major topic at Tuesday’s Hazelwood school board meeting. The district said in a statement that it will consult with its attorneys and experts to determine the next steps.

    “Safety is absolutely our top priority for our staff and students,” board president Betsy Rachel said Saturday.

    Christen Commuso with the Missouri Coalition for the Environment presented the results of the Corps’ study to the school board in June after obtaining a copy through a Freedom of Information Act request.

    “I wouldn’t want my child in this school,” she said. “The effect of these toxins is cumulative.”

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  • Barges grounded by low water halt Mississippi River traffic

    Barges grounded by low water halt Mississippi River traffic

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    The unusually low water level in the lower Mississippi River is causing barges to get stuck in mud and sand, disrupting river travel for shippers, recreational boaters and even passengers on a cruise line.

    Lack of rainfall in recent weeks has left the Mississippi River approaching record low levels in some areas from Missouri south through Louisiana. The U.S. Coast Guard said at least eight “groundings” of barges have been reported in the past week, despite low-water restrictions on barge loads.

    One of the groundings happened Friday between Louisiana and Mississippi, near Lake Providence, Louisiana. It halted river traffic in both directions for days “to clear the grounded barges from the channel and to deepen the channel via dredging to prevent future groundings,” U.S. Army Corps of Engineers spokesperson Sabrina Dalton said in an email.

    As a result, dozens of tows and barges were lined up in both directions, waiting to get by. The stoppage also brought a halt to a Viking cruise ship with about 350 passengers on board, said R. Thomas Berner, a Penn State professor emeritus of journalism and American studies, and one of the passengers.

    The Viking ship was originally supposed to launch from New Orleans on Saturday, but the water there was so low that the launch was moved to Baton Rouge, Louisiana, Berner said.

    By Tuesday, the ship was halted near Vicksburg, Mississippi, due to the backup caused by the grounding. It wasn’t near a dock so passengers couldn’t leave. The ship’s crew kept people entertained as much as possible with music, games and other activities.

    “Some of us are taking naps,” Berner joked.

    The stuck barges were freed midday Tuesday. Berner said the cruise ship restarted Tuesday night, but the restart didn’t last long: Viking told passengers in a letter Wednesday that the rest of the scheduled two-week trip was being called off, citing low water problems causing additional closures. Viking made arrangements to get passengers home and the letter said they would get a full refund.

    Nearly all of the Mississippi River basin, from Minnesota through Louisiana, has seen below-normal rainfall since late August. The basin from St. Louis south has been largely dry for three months, according to the National Weather Service.

    The timing is bad because barges are busy carrying recently harvested corn and soybeans up and down the river.

    Lucy Fletcher of the agricultural retailer AGRIServices of Brunswick, who serves on the board for the St. Louis-based trade association Inland Rivers, Ports & Terminals, said navigation woes on the Mississippi, Missouri and other major rivers have some shippers looking at other means of transportation.

    “Can they divert to rail?” Fletcher asked. “Well, there’s not an abundance of rail availability. And usually people are booking their transportation for fall early in the season. So if they haven’t booked that freight already, you’re going to see people in dire straits.”

    Fletcher said that with the supply chain still snagged following the COVID-19 pandemic, trucks also are largely booked and unavailable.

    Mike Steenhoek, executive director of Soy Transportation Coalition, said 29% of the nation’s soybean crop is transported by barge. He estimated that barge capacity is down by about one-third this fall because of limits on the tows caused by the low water. That reduced capacity at a time when demand remains high is contributing to a 41% jump in barge shipping prices over the past year.

    Matt Ziegler, manager of public policy and regulatory affairs for the National Corn Growers Association, said about 20% of the corn crop is exported, and nearly two-thirds of those exports typically travel down the Mississippi River on barges before being sent out of New Orleans.

    “It’s certainly the worst time possible for these bad conditions,” Ziegler said.

    To keep river traffic flowing, the Corps of Engineers has been dredging the Mississippi at several spots and placed limits on the number of barges each tow can move.

    The forecast for much of the Mississippi River basin calls for continued dry weather in the near future. Fletcher is hopeful the winter will bring some relief.

    “We need a good year for lots of snow melt,” she said. “The whole system’s just going to need some water.”

    ———

    AP journalists Josh Funk in Omaha, Nebraska, and Adrian Sainz in Memphis, Tennessee, contributed to this report.

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  • Post Malone, experiencing ‘stabbing pain,’ postpones show

    Post Malone, experiencing ‘stabbing pain,’ postpones show

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    BOSTON (AP) — Post Malone went to the hospital again Saturday after experiencing what he described on social media as difficulty breathing and stabbing pain, forcing him to postpone a scheduled show in Boston.

    It was the second time in about a week that he went to the hospital. He was treated for bruised ribs after falling into a hole on stage at the Enterprise Center in St. Louis last weekend.

    “On tour, I usually wake up around 4 o’clock PM, and today I woke up to a cracking sounds on the right side of my body,” he wrote on Twitter on Saturday. “I felt so good last night, but today it felt so different than it has before. I’m having a very difficult time breathing and there’s like a stabbing pain whenever I breathe or move.”

    He pledged to reschedule the show.

    “I love y’all so much. I feel terrible, but I promise I’m going to make this up to you. I love you Boston, I’ll see you soon,” wrote the singer, whose real name is Austin Richard Post.

    The venue, TD Garden, said in a tweet that the show was “postponed due to unforeseen circumstances” and tickets for Saturday’s show would be honored for a rescheduled date.

    Malone is scheduled to perform in Cleveland on Tuesday.

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  • When’s the Perfect Time to Get a Flu Shot?

    When’s the Perfect Time to Get a Flu Shot?

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    For about 60 years, health authorities in the United States have been championing a routine for at least some sector of the public: a yearly flu shot. That recommendation now applies to every American over the age of six months, and for many of us, flu vaccines have become a fixture of fall.

    The logic of that timeline seems solid enough. A shot in the autumn preps the body for each winter’s circulating viral strains. But years into researching flu immunity, experts have yet to reach a consensus on the optimal time to receive the vaccine—or even the number of injections that should be doled out.

    Each year, a new flu shot recipe debuts in the U.S. sometime around July or August, and according to the CDC the best time for most people to show up for an injection is about now: preferably no sooner than September, ideally no later than the end of October. Many health-care systems require their employees to get the shot in this time frame as well. But those who opt to follow the CDC current guidelines, as I recently did, then mention that fact in a forum frequented by a bunch of experts, as I also recently did, might rapidly hear that they’ve made a terrible, terrible choice.

    “There’s no way I would do what you did,” one virologist texted me. “It’s poor advice to get the flu vaccine now.” Florian Krammer, a virologist at Mount Sinai’s Icahn School of Medicine, echoed that sentiment in a tweet: “I think it is too early to get a flu shot.” When I prodded other experts to share their scheduling preferences, I found that some are September shooters, but others won’t juice up till December or later. One vaccinologist I spoke with goes totally avant-garde, and nabs multiple doses a year.

    There is definitely such a thing as getting a flu shot too early, as Helen Branswell has reported for Stat. After people get their vaccine, levels of antibodies rocket up, buoying protection against both infection and disease. But after only weeks, the number of those molecules begins to steadily tick downward, raising people’s risk of developing a symptomatic case of flu by about 6 to 18 percent, various studies have found. On average, people can expect that a good portion of their anti-flu antibodies “are meaningfully gone by about three or so months” after a shot, says Lauren Rodda, an immunologist at the University of Washington.

    That decline is why some researchers, Krammer among them, think that September and even October shots could be premature, especially if flu activity peaks well after winter begins. In about three-quarters of the flu seasons from 1982 to 2020, the virus didn’t hit its apex until January or later. Krammer, for one, told me that he usually waits until at least late November to dose up. Stanley Plotkin, a 90-year-old vaccinologist and vaccine consultant, has a different solution. People in his age group—over 65—don’t respond as well to vaccines in general, and seem to lose protection more rapidly. So for the past several years, Plotkin has doubled up on flu shots, getting one sometime before Halloween and another in January, to ensure he’s chock-full of antibodies throughout the entire risky, wintry stretch. “The higher the titers,” or antibody levels, Plotkin told me, “the better the efficacy, so I’m trying to take advantage of that.” (He made clear to me that he wasn’t “making recommendations for the rest of the world”—just “playing the odds” given his age.)

    Data on doubling up is quite sparse. But Ben Cowling, an epidemiologist and flu researcher at Hong Kong University, has been running a years-long study to figure out whether offering two vaccines a year, separated by roughly six months, could keep vulnerable people safe for longer. His target population is Hong Kongers, who often experience multiple annual flu peaks, one seeded by the Northern Hemisphere’s winter wave and another by the Southern Hemisphere’s. So far, “getting that second dose seems to give you additional protection,” Cowling told me, “and it seems like there’s no harm of getting vaccinated twice a year,” apart from the financial and logistical cost of a double rollout.

    In the U.S., though, flu season is usually synonymous with winter. And the closer together two shots are given, the more blunted the effects of the second injection might be: People who are already bustling with antibodies may obliterate a second shot’s contents before the vaccine has a chance to teach immune cells anything new. That might be why several studies that have looked at double-dosing flu shots within weeks of each other “showed no benefit” in older people and certain immunocompromised groups, Poland told me. (One exception? Organtransplant recipients. Kids getting their very first flu shot are also supposed to get two of them, four weeks apart.)

    Even at the three-ish-month mark past vaccination, the body’s anti-flu defenses don’t reset to zero, Rodda told me. Shots shore up B cells and T cells, which can survive for many months or years in various anatomical nooks and crannies. Those arsenals are especially hefty in people who have banked a lifetime of exposures to flu viruses and vaccines, and they can guard people against severe disease, hospitalization, and death, even after an antibody surge has faded. A recent study found that vaccine protection against flu hospitalizations ebbed by less than 10 percent a month after people got their shot, though the rates among adults older than 65 were a smidge higher. Still other numbers barely noted any changes in post-vaccine safeguards against symptomatic flu cases of a range of severities, at least within the first few months. “I do think the best protection is within three months of vaccination,” Cowling told me. “But there’s still a good amount by six.”

    For some young, healthy adults, a decent number of flu antibodies may actually stick around for more than a year. “You can test my blood right now,” Rodda told me. “I haven’t gotten vaccinated just yet this year, and I have detectable titers.” Ali Ellebedy, an immunologist at Washington University in St. Louis, told me he has found that some people who have regularly received flu vaccines have almost no antibody bump when they get a fresh shot: Their blood is already hopping with the molecules. Preexisting immunity also seems to be a big reason that nasal-spray-based flu vaccines don’t work terribly well in adults, whose airways have hosted far more flu viruses than children’s.

    Getting a second flu shot in a single season is pretty unlikely to hurt. But Ellebedy compares it to taking out a second insurance policy on a car that’s rarely driven: likely of quite marginal benefit for most people. Plus, because it’s not a sanctioned flu-vaccine regimen, pharmacists might be reluctant to acquiesce, Poland pointed out. Double-dosing probably wouldn’t stand much of a chance as an official CDC recommendation, either. “We do a bad enough job,” Poland said, getting Americans to take even one dose a year.

    That’s why the push to vaccinate in late summer and early fall is so essential for the single shot we currently have, says Huong McLean, a vaccine researcher at the Marshfield Clinic Research Institute in Wisconsin. “People get busy, and health systems are making sure that most people can get protected before the season starts,” she told me. Ellebedy, who’s usually a September vaccinator, told me he “doesn’t see the point of delaying vaccination for fear of having a lower antibody level in February.” Flu seasons are unpredictable, with some starting as early as October, and the viruses aren’t usually keen on giving their hosts a heads-up. That makes dillydallying a risk: Put the shot off till November or December, and “you might get infected in between,” Ellebedy said—or simply forget to make an appointment at all, especially as the holidays draw near.

    In the future, improvements to flu-shot tech could help cleave off some of the ambiguity. Higher doses of vaccine, which are given to older people, could rile up the immune system to a greater degree; the same could be true for more provocative vaccines, made with ingredients called adjuvants that trip more of the body’s defensive sensors. Injections such as those seem to “maintain higher antibody titers year-round,” says Sophie Valkenburg, an immunologist at Hong Kong University and the University of Melbourne—a trend that Ellebedy attributes to the body investing more resources in training its fighters against what it perceives to be a larger threat. Such a switch would likely come with a cost, though, McLean said: Higher doses and adjuvants “also mean more adverse events, more reactions to the vaccine.”

    For now, the only obvious choice, Rodda told me, is to “definitely get vaccinated this year.” After the past two flu seasons, one essentially absent and one super light, and with flu-vaccination rates still lackluster, Americans are more likely than not in immunity deficit. Flu-vaccination rates have also ticked downward since the coronavirus pandemic began, which means there may be an argument for erring on the early side this season, if only to ensure that people reinforce their defenses against severe disease, Rodda said. Plus, Australia’s recent flu season, often a bellwether for ours, arrived ahead of schedule.

    Even so, people who vaccinate too early could end up sicker in late winter—in the same way that people who vaccinate too late could end up sicker now. Plotkin told me that staying apprised of the epidemiology helps: “If I heard influenza outbreaks were starting to occur now, I would go and get my first dose.” But timing remains a gamble, subject to the virus’s whims. Flu is ornery and unpredictable, and often unwilling to be forecasted at all.

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    Katherine J. Wu

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  • Should Your Flu and COVID Shots Go in Different Arms?

    Should Your Flu and COVID Shots Go in Different Arms?

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    At a press briefing earlier this month, Ashish Jha, the White House’s COVID czar, laid out some pretty lofty expectations for America’s immunity this fall. “Millions” of Americans, he said, would be flocking to pharmacies for the newest version of the COVID vaccine in September and October, at the same appointment where they’d get their yearly flu shot. “It’s actually a good idea,” he told the press. “I really believe this is why God gave us two arms.”

    That’s how I got immunized last week at my local CVS: COVID shot on the left, flu shot on the right. I spent the next day or so nursing not one but two achy upper arms. Reaching high shelves was hard; putting on deodorant was worse. And it did make me wonder what would have happened if I’d ignored Jha’s teleological advice and gotten both jabs in the same arm. Maybe my annoyance would have been lessened. Or perhaps the same-side shots would have made the soreness in my left arm way worse. When I posed this puzzle to immunologists, vaccinologists, and pharmacists, I got back a lot of hems and haws. For the millions of Americans who will be getting two-shot appointments by fall’s end, they told me, the choice really does come down to personal preference in the absence of clear data: You’ve just gotta pick a side. Or, you know, two.

    On the one hand (sorry), there are the vaccine double-downers. Sallie Permar, a pediatrician at Weill Cornell Medicine, and Stephanie Langel, an immunologist at Duke University, both said they’d probably get both shots in the same shoulder; so would Rishi Goel, an immunologist at the University of Pennsylvania. “Personally, I’d rather have one arm that’s slightly uncomfortable than both,” Goel told me.

    On the other hand, we’ve got Team Divide-and-Conquer. Several experts said they’d follow the White House protocol of splitting shots left and right. Ali Ellebedy, an immunologist at Washington University in St. Louis, told me he’d prefer to have two slightly sore arms to one totally dead one. Jacinda Abdul-Mutakabbir, a pharmacist at Loma Linda University, says she generally recommends that her patients get the vaccines on separate sides “for comfort.” Last year, she opted to get the flu shot and a COVID booster within a few inches of each other, and “I wanted to chop my arm off,” she told me. “Never again.”

    The deciding logic here should be pretty intuitive, Permar told me. Two shots on one side might be expected to double how sore that arm will get, though the experience of each vaccine recipient will depend on a bevy of factors, including the ingredients in the shots and that person’s infection and vaccination history, as well as their immune-system health. Also, for people like my husband—who’s prone to very heavy vaccine side effects—the choice may not matter at all. He was so knocked out by the fever and chills that came with his COVID-flu-shot combo, he couldn’t have cared less which arms got the shots.

    I dug around for studies examining the consequences of the one-versus-two-arm choice and found only one: a Canadian trial from 2003, which vaccinated a few hundred sixth-graders at two dozen middle schools against group C meningitis and hepatitis B at the same time. Roughly half the kids got both shots in the same arm; the others received one on each side. (Some kids in the latter group requested that their shots be administered by a pair of nurses who could plunge both syringes at the same time.) Among students in the same-arm group, 18 percent ended up with tenderness at the injection site that they rated “moderate or severe.” But those kids fared better than the ones in the two-arm group, 28 percent of whom experienced moderate or severe tenderness in at least one arm, and 8 percent of whom had it in both arms at the same time.

    But those results apply only to that group of kids in that setting, with those two specific vaccines; there’s no telling whether the same trends would be seen with flu shots and COVID shots when given to children or adults. Michela Locci, an immunologist at the University of Pennsylvania, told me she suspects that combining flu and COVID inoculations in the same arm could actually drive extra side effects: “The overall inflammation might be higher,” she said.

    Many pediatricians, who often have to administer four or five shots to a baby at once, are habitual splitters. “If there’s more than one vaccine syringe to give to a baby, generally, two legs are used,” Permar told me. (Kids usually upgrade to arm shots sometime in toddlerhood—it’s all about finding a muscle that’s big enough for the needle to hit its mark.) Doctors also have a nerdy reason to split shots between arms or legs. “If there’s a local reaction to the vaccine,” Permar said, “you can identify which vaccine it was if you separate them by space.” (For the record, I had a more painful reaction in my left arm, where I got the COVID shot. Others I’ve spoken with have reported the same disparity.)

    The CDC advocates for separating vaccination shots by at least one inch of space. Per the agency, if a COVID shot is being given at the same time as a vaccine “that might be more likely to cause a local injection site reaction,” the shots should be dosed into “different limbs, if possible.” Two types of flu shots cleared for use in people 65 years and older—the high-dose vaccine and the adjuvanted one—fall into that category. But the different-limb advice doesn’t seem to apply to other flu shots, including those cleared for use in younger adults and kids.

    However someone ends up taking simultaneous flu and COVID shots, the placement is unlikely to affect how much protection the vaccines provide. There could be an argument for letting “each side focus on its own thing,” says Gabriel Victora, an immunologist at Rockefeller University. “But it probably doesn’t make a whole lot of difference.” Children routinely get combo vaccines, such as DTaP and MMR, each of which combines multiple disease-fighting ingredients in a single syringe. The triple-threat formulas work just as well as injecting their individual parts. The immune system is used to multitasking: It spends all day being bombarded by microbes, so there’s good reason to believe that with vaccines, too, our body will see simultaneous shots “as independent events,” Goel told me.

    Which arm gets picked for which shot, though, will affect where the jab’s contents end up. After a vaccine is injected, its immunity-inducing ingredients meander to the nearest lymph node, such as the ones in the armpits. There, hordes of immune cells fight over the vaccine’s bits, and the fittest and fiercest among them are selected to leave the lymph node and fight. Here, again, doubling up on one arm shouldn’t be an issue, Goel said: The immune-cell boot camps in these lymph nodes have “a good amount of real estate.”

    It might even be a good idea to stick the same limb—and thereby, the same lymph node—every time you get another dose of a particular vaccine. After immune cells in a lymph node spot a particular bit of pathogen, some of them march off into battle, but others may hang around like reserve troops, mulling over what they’ve learned. A couple of recent studies, one of them in mice, hint that repeated delivery of the same ingredients to those veteran learners could give the body a slight edge—though the extent of that advantage “might be marginal,” Victora told me. Still, Langel, of Duke, told me jokingly that because she usually gets all of her vaccines in her “non-writing” arm, the lymph node beneath it could now be especially superpowered—a “nice bonus” for her defenses on the whole.

    That said, no one should stress too much about getting a shot in the “wrong” arm. “It’s not like you’re immune on the left side and not on the right side,” Goel told me. Immune cells travel throughout the body; there is no midline DMZ. Permar even points out that getting the newly formulated COVID vaccine, which includes new ingredients tailored to fight Omicron subvariants, on the opposite side from the previous rounds could help its ingredients reach a fresher slate of cells. “I think you could convince yourself either way,” she told me. Which, honestly, leaves me totally at peace with my choice. Apart from arm achiness, I had no other side effects—and in a way, I preferred the symmetry of the one-on-each-side injections.

    With all that said, it’s worth briefly acknowledging a third option: Splitting the flu and COVID vaccines into separate visits. I was, before my most recent COVID shot, some 10 months out from my previous dose. But it felt awfully early for my flu shot, which might be better timed for peak protection if taken later in the season. Still, the allure of getting it all over with was too tantalizing, especially because I happen to have a lot of travel up ahead. In the grand scheme of things, the bigger, more important choice was opting into the shots at all.

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    Katherine J. Wu

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  • Stange Law Firm Founding Partner Kirk C. Stange Recognized by The Missouri Bar

    Stange Law Firm Founding Partner Kirk C. Stange Recognized by The Missouri Bar

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    Press Release



    updated: Dec 10, 2017

    The Missouri Bar has recognized St. Louis Divorce Attorney Kirk C. Stange for his service on behalf of the legal community in their Best of CLE Spotlight.

    By volunteering his time, Kirk C. Stange has made substantial contributions to the continuing legal education of Missouri’s attorneys. Stange has served as a recurrent speaker for MoBarCLE’s Annual Law Update. He has also presented at the Annual Family Law Conference, CLE by the Sea, Family Law Essentials, and How to Build and Manage Firm Success seminars…

    Stange authored a chapter in a book through Thomson Reuters (Aspatore Publishing) titled: “Strategies for Military Family Law: Leading Lawyers on Navigating Family Law in the Armed Forces (Inside the Minds).” He released a full-length book through Thomson Reuters (Aspatore Publishing) in 2014 titled: “Prenuptial Agreements Line by Line.” In 2015, Stange authored another chapter in a book through Thomson Reuters (Aspatore Published) titled: “Strategies for Illinois Family Law: Leading Lawyers on Leveraging Alternative Dispute Resolution, Negotiating Alimony and Child Support, and Managing Client Expectations (Inside the Minds).”

    Stange Law Firm, PC was founded in 2007 by Kirk and Paola Stange. Since then, the St. Louis Family Law Firm has expanded to 16 offices across Missouri, Illinois and Kansas. They provide clients with 24/7 access to their file online via “Your Case Tracker,” as well as providing clients with their attorney’s personal cell phone numbers. Stange Law Firm, PC dedicates its practice to divorce and family law, reassuring clients that their attorney is knowledgeable in their case.

    Note: The choice of a lawyer is an important decision and should not be based solely upon advertisements. Kirk C. Stange is responsible for this content. Principal place of business: 120 S. Central Avenue, Suite 450, St. Louis (Clayton), MO 63105.

    Source: Stange Law Firm, PC

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  • Kirk Stange Teaching CLE for Missouri Association of Trial Attorneys’ 59th Annual Convention

    Kirk Stange Teaching CLE for Missouri Association of Trial Attorneys’ 59th Annual Convention

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    Press Release



    updated: May 18, 2017

    On Saturday, June 24th, Kirk Stange, St. Louis, Missouri Divorce Lawyer and Founding Partner of Stange Law Firm, PC, will be speaking at the Lodge of Four Seasons (Lake of the Ozarks) for the Missouri Association of Trial Attorneys’ 59th Annual Convention. This three-day event will cover various CLE topics, including:

    • Pursuing Claims without Introducing Medical Bills
    • Recognizing Bad Faith
    • Using Technology in Depositions and Client Interviews
    • Update on the Law
    • Preparing for Critical Depositions That Will Win Your Case
    • The Importance of Dredd Scott Ethics
    • Investigating Claims in a Digital Age
    • Update on Worker’s Compensation Law
    • Keep the Process Moving – Service Issues & Motion Practice
    • Administrative Law Judge Panel
    • Judicial Roundtable
    • Preparing Your Client for the Case
    • What Would You Do? Ethics
    • When Good Clients Go Bad

    Kirk Stange will be teaching on the topic of Investigating Claims in a Digital Age. This topic will point out the newer ways to obtain information digitally in litigation. In litigation, there are conventional ways to obtain material, which are Interrogatories, Requests for Production, and Depositions. Kirk will be teaching about the broader arrays to find discovery, which are home and work computers; cell phones and tablets; flash drives and external hard drives; cloud storage/vendor’s servers; social media; and much more.

    “It is an honor to present for the Missouri Association of Trial Attorneys on a topic as important as investigating claims in the digital age.”

    Kirk C. Stange, Esq., Founding Partner

    MATA was founded in 1951 as the Missouri Association of Claimants Attorneys (MACA) by a small group of attorneys from across the state who recognized the value of banding together to gain more equitable rights for their clients. Injured people in the state of Missouri have no better advocate in the legislative process than MATA. MATA’s legislative committee, leadership, staff and lobbying team review more than 1,500 pieces of legislation each year and lobby Missouri legislators in the Capitol in Jefferson City to protect consumers’ rights.

    Stange Law Firm, PC is based out of Clayton, Missouri, with offices across Missouri, Illinois and Kansas. Kirk and Paola Stange founded Stange Law Firm, PC in 2007, and from there it has become one of the fastest-growing family law firms in the country. If you are in need of legal assistance for matters such as a Divorce in Missouri, Illinois and Kansas, child custody disputes, child support litigation, adoption, or any other family law matter, please contact our attorneys.

    Note: The choice of a lawyer is an important decision and should not be based solely upon advertisements. Kirk C. Stange is responsible for this content. Principal place of business 120 South Central Avenue, Suite 450, St. Louis (Clayton), MO 63105.

    Source: Stange Law Firm, PC

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  • Kirk Stange Presenting at the Missouri Bar’s 16th Annual Family Law Conference

    Kirk Stange Presenting at the Missouri Bar’s 16th Annual Family Law Conference

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    Founding Partner, Kirk C. Stange, of Stange Law Firm, PC and divorce and family law attorney, to be apart of the 16th Annual Family Law Conference. Kirk will be teaching on the important and emerging topic titled: Facebook Evidence and Divorce.

    Press Release



    updated: Jan 7, 2022

    St. Louis divorce lawyer Kirk Stange, Founding Partner at Stange Law Firm, PC, will be teaching a section at the 16th Annual Family Law Conference presented by The Missouri Bar. The conference will be from August 4th until August 6th, and will be held in Branson, Missouri. Kirk will be teaching on a much anticipated section entitled: Facebook Evidence and Divorce for Missouri Divorce Attorneys.  This is Kirk’s third straight year teaching a the Missouri Bar Family Law Conference.

    The conference is held each year to educate attorneys on a wide range of different family law topics. Other than St. Louis, Missouri divorce lawyer Kirk Stange’s topic, some of the highlighted sections that are during the conference include:

    It is an honor to be presenting at the Missouri Bar Family Law Conference again, especially on an important topic such as Facebook Evidence and Divorce.

    Kirk C. Stange, Esq., Founding Partner

    • GAL Workshops
    • Basic Family Law Track
    • Judicial Panels
    • Mediation Workshops
    • Litigation Track
    • Legislative Workshop
    • Case Law Update
    • Legal Ethics at the Movies
    • Evidence and Advocacy
    • Minimizing Miscommunication in Child Interviews
    • & many more.

    During Kirk’s seminar section about Facebook Evidence and Divorce, he will be teaching an array of subjects that include social media and divorce. The discussion will go as follows:

    • Introduction: What Type of Information to Look For
    • Subpoenaing Facebook for Relevant Records
    • Ethical Risks of Using “Friending” to Obtain Personal Information
    • How to Authenticate the Data
    • Latest Court Opinions
    • and, Social Media When Divorcing

    Kirk has dedicated his practice to family law, and has had gathered the experience and knowledge on teaching sections about how Facebook and social media can ultimately effect a divorce proceeding. Kirk is very excited to be a part the 16th Annual Family Law Conference by the Missouri Bar and to be able to educate his fellow attorneys on how social media may pertain to a divorce.

    Note: The choice of a lawyer is an important decision and should not be based solely upon advertisements. Kirk C. Stange is responsible for the content. Principal place of business 120 South Central Avenue, Suite 450, St. Louis (Clayton), Missouri 63105.  Toll Free: 1-855-805-0595.

    Source: Stange Law Firm, PC

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  • St. Louis school shooter had an AR-15-style rifle, 600 rounds of ammo and a note saying ‘I don’t have any friends. I don’t have any family,’ police say | CNN

    St. Louis school shooter had an AR-15-style rifle, 600 rounds of ammo and a note saying ‘I don’t have any friends. I don’t have any family,’ police say | CNN

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    CNN
     — 

    The 19-year-old gunman who killed two people and wounded several others at his former high school left a note saying his struggles led to “the perfect storm for a mass shooter,” St. Louis police said.

    Orlando Harris graduated from Central Visual and Performing Arts High School last year and returned Monday with an AR-15-style rifle, over 600 rounds of ammunition and more than a dozen high-capacity magazines, St. Louis police Commissioner Michael Sack said.

    Harris died at a hospital after a gun battle with officers.

    Investigators found a handwritten note in the car Harris drove to the school. Sack detailed some of the passages:

    “I don’t have any friends. I don’t have any family. I’ve never had a girlfriend. I’ve never had a social life. I’ve been an isolated loner my entire life,” the note said, according to Sack. “This was the perfect storm for a mass shooter.”

    Given the gunman’s extensive arsenal, the tragedy could have been “much worse,” the police chief said.

    Authorities credited locked doors and a quick law enforcement response – including by off-duty officers – for preventing more deaths at the school.

    But the shooter did not enter a checkpoint where security guards were stationed, said DeAndre Davis, director of safety and security for St. Louis Public Schools.

    Davis also said the security guards stationed in the district’s schools are not armed, but mobile officers who respond to calls at schools are.

    “For some people that would cause a stir of some sort,” Davis said Tuesday. “For us, we thought it’s best for our officers, for the normalcy of school for kids, to not have officers armed in the school.”

    Student Alexandria Bell, 15, and teacher Jean Kuczka, 61, were gunned down in the attack.

    One of the teacher’s colleagues, Kristie Faulstich, said Kuczka died protecting her students.

    During the rush to evacuate students from the school, “One student looked at me and she said, ‘They shot Ms. Kuczka.’ And then she said that Ms. Kuczka had put herself between the gunman and the students,” Faulstich said.

    Jean Kuczka

    Kuczka was looking forward to retiring in just a few years, her daughter Abigail Kuczka told CNN.

    Alexandria was looking forward to her Sweet 16, her father Andre Bell told CNN affiliate KSDK.

    “It’s a nightmare,” Bell said. “I am so upset. I need somebody – police, community folks, somebody – to make this make sense.”

    He joins a growing list of parents grappling with the reality of their child being killed at school.

    Across the country, at least 67 shootings have happened on school grounds so far this year.

    As the shooting unfolded in St. Louis, a Michigan prosecutor who just heard the guilty plea of a teen who killed four students last fall said she was no longer shocked to hear of another school shooting.

    “The fact that there is another school shooting does not surprise me – which is horrific,” Oakland County Prosecutor Karen McDonald said.

    “We need to keep the public and inform the public … on how we can prevent gun violence. It is preventable, and we should never ever allow that to be something we just should have to live with.”

    Students grieve near Central Visual and Performing Arts High School, where two people were killed.

    Bell, the father of the slain teen, said he’s struggling to get answers about what happened.

    “I really want to know: How did that man get inside the school?” he told KSDK.

    Authorities have said the doors were locked. But the St. Louis police commissioner declined to detail how the shooter got in.

    “I don’t want to make this easy for anybody else,” Sack said.

    The gunman didn’t conceal his weapon when entering the school, Sack said.

    “When he entered, it was out … there was no mystery about what was going to happen,” the commissioner said. “He had it out and entered in an aggressive, violent manner.”

    Faulstich said school’s principal came over the intercom and used the code phrase “Miles Davis is in the building” to let faculty know an active shooter was in the building.

    “I instantly but calmly went to lock my door and turn off the lights,” the teacher said. “I then turned to my kids and told everyone to get in the corner.”

    Within a minute of locking her second-floor classroom door, Faulstich said, someone started “violently jostling the handle, trying to get in.”

    “I absolutely commend my students for their response,” Faulstich said. “Even in the moments when they were hearing gunfire going on all around they stood quiet and I know they did it to keep each other safe.”

    Adrianne Bolden, a freshman at the school, told KSDK that students thought the school was conducting a drill – until they heard the sirens and noticed their teachers were scared.

    “The teacher, she crawled over and she was asking for help to move the lockers to the door so they can’t get in,” Bolden said. “And we started hearing glass breaking from the outside and gunshots outside the door.”

    Sophomore Brian Collins, 15, suffered gunshot wounds to his hands and jaws. He escaped by jumping from a classroom window onto a ledge, his mother VonDina Washington said.

    “He told me they heard an active shooter notification over the intercom so everyone in the class hid,” Washington said. According to her son, the gunman then came into the classroom and fired several shots before leaving.

    After the gunman left the third-floor classroom, Washington said another student opened a classroom window, and some of them jumped.

    Brian has numbness in his hands and trouble moving some of his right-hand fingers.

    “He’s really good at drawing,” Washington said. “He went to CVPA for visual arts, and we’re hoping he’ll be able to draw again.”

    Math teacher David Williams told CNN everyone went into “drill mode,” turning off lights, locking doors and huddling in corners so they couldn’t be seen.

    He said he heard someone trying to open the door and a man yell, “You are all going to f**king die.”

    A short time later, a bullet came through one of the windows in his classroom, Williams said.

    His classroom is on the third floor, where Sack said police engaged the shooter.

    Eventually, an officer said she was outside, and the class ran out through nearby emergency doors.

    Security personnel were at the school when the gunman arrived, St. Louis Public Schools Communications Director George Sells said.

    “We had the seven personnel working in the building who did a wonderful job getting the alarm sounded quickly,” Sells said.

    The commissioner did say the school doors being locked likely delayed the gunman.

    “The school was closed and the doors were locked,” Sack told CNN affiliate KMOV. “The security staff did an outstanding job identifying the suspect’s efforts to enter, and immediately notified other staff and ensured that we were contacted.”

    After widespread controversy over the delayed response in confronting school shooters in Uvalde, Texas, and Parkland, Florida, Sack said responding officers in St. Louis wasted no time rushing into the school and stopping the gunman.

    “There was no sidewalk conference. There was no discussion,” Sack said. “There was no, ‘Hey, where are you going to?’ They just went right in.”

    A call about an active shooter at the high school came in around 9:11 a.m., according to a timeline provided by the commissioner.

    Police arrived on scene and made entry four minutes later.

    Officers found the gunman and began “engaging him in a gunfight” at 9:23 a.m. Two minutes later, officers reported the suspect was down.

    Asked about the eight minutes between officers’ arrival and making contact with the gunman, Sack said “eight minutes isn’t very long,” and that officers had to maneuver through a big school with few entrances and crowds of students and staff who were evacuating.

    Police found the suspect “not just by hearing the gunfire, but by talking to kids and teachers as they’re leaving,” Sack said.

    As phone calls came in from people hiding in different locations, officers fanned out and searched for students and staff to escort them out of the building.

    Officers who were at a church down the street for a fellow officer’s funeral also responded to the shooting, the commissioner said.

    A SWAT team that was together for a training exercise was also able to quickly load up and get to the school to perform a secondary sweep of the building, Sack said.

    Some officers were “off duty; some were in T-shirts, but they had their (ballistic) vests on,” the commissioner said. “They did an outstanding job.”

    Correction: An earlier version of this story gave the wrong age for 15-year-old Alexandria Bell, who was killed in the shooting.

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