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While officials in Puerto Rico placed the official death toll from last year's Hurricane Maria at 64, researchers from Harvard believe the death toll was actually in the thousands. According to Harvard's study, there were an estimated 4,645 deaths directly or indirectly tied to the hurricane, which struck the island in September. Harvard estimated a mortality rate of 14.3 deaths per 1.000 people from September 20 through December 31, 2017 in Puerto Rico. Harvard said in its study that it believes its estimate is rather conservative due to a "survivor bias."Harvard conducted the study by performing a random survey of 3,299 households in Puerto Rico. "In our survey, interruption of medical care was the primary cause of sustained high mortality rates in the months after the hurricane, a finding consistent with the widely reported disruption of health systems," the study says. "Growing numbers of persons have chronic diseases and use sophisticated pharmaceutical and mechanical support that is dependent on electricity. Chronically ill patients are particularly vulnerable to disruptions in basic utilities, which highlights the need for these patients, their communities, and their providers to have contingency plans during and after disasters."Part of why there the death toll might have been underreported is due to how hurricane-related deaths are counted. In order to have a death counted as storm related, bodies had looked at by a medical examiner, which required a body to be transported to San Juan, or the medical examiner to travel to remote locations. With a lack of electricity and blocked roads, some bodies were likely buried before the government could count fatalities. Maria is considered the third-costliest hurricane in US history.  1816

When Allison Weiss Brady and Michael Ladin emerged from weeks of locking down during the pandemic, they needed new clothes in new sizes — for different reasons.Brady, 49, a charity fundraiser from a Philadelphia suburb, had been pulling back on her candy buying sprees during the lockdown and stepped up the cardio workouts at her home gym out of boredom. She lost 20 pounds and went down two sizes. In contrast, Ladin, 58, of Oak Park, Illinois, gained 10 pounds this past spring after sitting around eating chips and dip.“I’m not surprised. If I don’t work out consistently, I gain weight,” said Ladin, who works in marketing.Many Americans like Ladin and Brady are changing clothing sizes depending on how they spent their time sheltering at home. And brands from Levi Strauss & Co. to lingerie label Cosabella are taking note. So are body measuring technology companies, which report that shoppers are changing their measurements on their online profiles.The trend could be good for clothing companies — new sizes likely mean that customers’ wardrobes need to be updated. But retailers, already feeling the pain of decreased spending during uncertain economic times, are also facing an increase in costly returns as shoppers try to figure out their new sizes.“Anecdotally, we’re seeing shoppers come back into stores unsure of their size,” said Marc Rosen, executive vice president and president of Levi Strauss Americas, in a statement to The Associated Press. “For most, it’s been a long time since they’ve tried on a pair of jeans, and they may be up or down a size.”Some companies are even adding larger sizes in response to shoppers’ gaining weight, or what has been dubbed COVID-15.Guido Campello, co-CEO of luxury lingerie brands Cosabella and Journelle, said that his two brands have been adding more generous cuts of some of its most popular styles in bras and sleepwear in recent weeks because of interest from its 2,100 store accounts. Loyal customers at its store locations are also requesting new sizes while making more exchanges.Size fluctuations are bearing out in data from body measuring app Perfitly LLC. It cites a 20% increase in users redoing their avatars in April and May, compared with the same period a year ago, according to the company’s co-founder and CEO Dave Sharma. That spike is similar to what it sees in January after the winter holidays, he says.“Because it is a huge spike, we think it is because of the weight gain,” said Sharma, whose app has about 50,000 users nationwide. “They are sitting around, they don’t go to the gym, and they don’t go for jogs.”Fit Match, a startup firm that’s rolling out 3D technology to scan customers bodies at malls, found only one-third of the hundred women it surveyed in Texas where it piloted its first program had no weight change during the lockdown, says founder and CEO Haniff Brown. Of the remainder, 15% gained more than 5 pounds, while 20% lost more than five pounds. Brown called this change “pronounced,” noting two-thirds of customers typically don’t have any weight change during such a short time period.Narvar Inc., a software company that powers returns for more than 200 brands, says online returns have doubled from mid-March to early June, according to founder and CEO Amit Sharma. Retailers face more than 0 million in expenses from the additional returns in the second quarter, in part because of sizing issues but also because of buyers’ remorse and shipping delays.Brady took advantage of sales and spent several thousands of dollars in recent weeks on a new wardrobe that included, T-shirts, inexpensive summer dresses, and designer sweatshirts. She also sent her new measurements to her personal shoppers at Neiman Marcus and Saks.“I feel great. My (old) clothes are huge,” said Brady, who hadn’t modeled in years but was recently hired on by a local agency.Still, weight fluctuations may be here to stay as surges in new cases around the country force states like California to re-close businesses like gyms and encourage shoppers to shelter at home again.Lauren Wire a 32-year-old publicist who lives in Manhattan, says she worries that another lock down could keep her gym closed during the winter months.She gained back 12 of the 50 pounds she lost leading up to the pandemic because she was ordering in a lot from restaurants and partaking in social distance cocktails with friends. She says she bought new shorts and swimwear when she gained the weight but now she’s starting to shed pounds again by biking outside.Ladin went to a local Kohl’s to buy several pairs of shorts.“This will be enough to get me through the summer,” he said, trying on his new clothes in the Kohl’s parking lot because the store’s fitting room was temporarily closed out of safety concerns. “I am not buying any more clothes until I lose weight.”__________Follow Anne D’Innocenzio: http://twitter.com/ADInnocenzio 4912

When students of Marjory Stoneman Douglas return to class after spring break next week, they'll be required to carry clear backpacks.The move is meant to ramp up security measures after last month's deadly shooting and a series of breaches since then."Clear backpacks are the only backpacks that will be permitted on campus," said Broward County School Superintendent Robert Runcie said in a letter sent to parents. 423

WHITESTOWN, Ind. -- Family and friends gathered Saturday to salute and lay to rest a Whitestown, Indiana veteran who was buried in the wrong grave for nearly 12 years. Family members discovered the casket of Charles Bovenschen missing when they went to bury his wife in the same burial plot earlier this year at the Lincoln Memorial Gardens. Bovenschen passed away in 2006. His wife, Mary, died on February 18. A few days later, the cemetery found Bovenschen's casket buried in the wrong plot. The cemetery covered the costs of Saturday's ceremony, even providing a new casket for Bovenschen for him to be laid to rest next to his wife. Charles and Mary are now together forever.The troubling discovery could be the result of the business practices of the previous cemetery operator which oversaw several sites including Lincoln Memory Gardens. 892

While the calls to defund police departments continue, there are some major cities that have already had success in changing police involvement in certain scenarios.That includes programs that limit police interaction and bring in proper reinforcements in situations where mental health is a primary factor."A police officer, a paramedic and a social worker in one vehicle in response to mental health crises as one unit, so they're not waiting for the social worker to arrive or they're not waiting for the paramedic to come," said Kurtis Young, Social Work Director at Parkland Health & Hospital System.Young is talking about cooperation with Dallas police to bring specialized mental health treatment to 911 emergencies. It’s been in place since 2018.It’s critical because people with untreated mental illness are 16 times more likely to be killed during a police encounter. And at least one in four deadly law enforcement encounters involve an individual with serious mental illness.Our partners at Newsy found since January, the "right care" team has handled more than 6,000 calls. Less than 4% of those calls resulted in an arrest.Also, "quality of life" citations for things like disorderly conduct and public intoxication have dropped.The program is an alternative to policing, but at the same time, Young says it doesn't work without police.“We are a partnership with the police department,” he said. “And that's such an integral piece of it that we're not just social workers out there going house to house and taking 911 calls ourselves, you know. We have been folded into the system and very much welcomed by the police department."A similar program in Eugene, Oregon, has been around for more than 30 years and responds to about 24,000 calls annually.The CAHOOTS co-response team says it has never had a “serious injury or death that their team was responsible for.” 1891

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