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The Trump administration took hesitant first steps Wednesday to allow the importation of certain drugs from Canada and other countries.The historic move comes after President Donald Trump cast aside typical GOP opposition and pushed his health officials to find a way to approve the Republican governor of Florida's recent request to allow the importation of lower-cost drugs.The Department of Health & Human Services, which has long raised safety concerns over importation, released a Safe Drug Importation Plan that describes two ways certain drugs from abroad could enter the US. It marks a major turnaround for HHS Secretary Alex Azar, who called importation a "gimmick" in the past.But it will likely take a while before these lower-priced medications find their way into patients' hands.Under one scenario, states, pharmacists or drug wholesalers could submit plans to the agency for test projects on how they would import drugs approved by Health Canada. But the method also sets up many hurdles, including saying the tests would be limited in time and require regular reporting to ensure safety and costs are being met.The second pathway would allow manufacturers to import lower-cost versions of the drugs that they sell in foreign countries. Agency officials said drug makers are interested in doing this but have not been able to because of contracts with other players in the supply chain.Under the new plan, Insulin, however, cannot be imported from Canada, likely disappointing diabetics, some of whom have to travel north to purchase the costly, lifesaving medicine there.But HHS clearly put the burden on states and manufacturers to convince it that importing drugs would be safe for consumers and save them money. For instance, it would be up to states to negotiate with Canadian authorities to allow their drugs to be sent to the US, said Azar. 1878

Three people were shot and a pedestrian was hit by a vehicle during a chaotic night outside the main gates of the Minnesota State Fair.Monday was the final day for this year's state fair, which is located between the cities of Minneapolis and St. Paul.First, a 19-year-old woman who had been struck by a passing vehicle was found by Saint Paul police late Monday night.Witnesses said there had been a fight in the area just before the woman somehow ended up in the road and hit, according to a police statement. The driver of the vehicle initially stopped but left the scene after bystanders began kicking and hitting his vehicle. He drove a short distance away, pulled over and called 911.He is cooperating with investigators, who report no signs of impairment. The woman was taken to a local hospital and listed in critical condition.Gunshot heardSoon after that, gunfire was heard near where the officers were rerouting traffic around the crash scene. Police found one man about a block away with a gunshot wound. He was taken to the hospital with non-life threatening injuries. Two other people with gunshot wounds later turned up at separate hospitals."There's a lot of people in that area," Steve Linders, public information officers for the St. Paul Police Deparment, told 1292

Travel to Cuba has become more difficult -- and more confusing -- for US citizens and travelers subject to American jurisdiction.Cruise ships will no longer be allowed to sail to the Caribbean island, according to a Trump administration announcement Tuesday, and the industry is scrambling to understand the full implications of the policy change.Norwegian Cruise Line said in a statement that the company is "closely monitoring these recent developments and any resulting impact to cruise travel to Cuba. We will communicate to our guests and travel partners as additional information becomes available."Royal Caribbean Cruise Lines announced that it is changing itineraries for June 5 and June 6 sailings that were scheduled to go to Cuba. The cruise line also said it is still evaluating the impact of the announcement.Several other cruise companies did not immediately reply to CNN's request for comment.Confusion surrounding the ban is palpable among cruise companies, travel websites and passengers with tickets to Cuba.Erica Silverstein, a senior editor at cruise review site Cruise Critic says the company is "in a holding pattern, waiting on next steps as cruise lines work to decipher what today's announcement means for their specific products."As far as ticketed passengers go, Silverstein says they are fielding questions on what the ban means for people who've paid in full or who are waiting to make final payments on planned trips to Cuba."It's worth noting that cruise lines are able to swap itineraries relatively quickly. We see it often during inclement weather, or in the wake of disruption in particular regions," Silverstein explains. "While nothing is definitive right now, if the lines are mandated to cancel sailings to Cuba, we'll likely see changes in the form of itinerary adjustments."The Trump administration policy change also eliminates group people-to-people travel (educational and cultural exchanges of a non-academic nature) as an approved sub-category of travel for Americans.The Treasury Department in a statement clarified that "certain group people-to-people educational travel that previously was authorized will continue to be authorized where the traveler had already completed at least one travel-related transaction (such as purchasing a flight or reserving accommodation) prior to June 5, 2019."JetBlue, United Airlines and Southwest Airlines have released statements saying they are reviewing the changes and intend to comply with the new rules.Under former President Barack Obama, rules around travel to Cuba were loosened, making it easier for individual Americans to comply with certain approved categories of travel without a formal application and approval process.President Trump tightened those rules in November 2017, only allowing people-to-people travel in groups traveling under the supervision of a US entity."That sub-category of travel has been eliminated, but there is a grandfathering provision that basically allows US travelers that have, for example, booked a flight or booked rooms and were contemplating doing a people-to-people trip, they are allowed to complete it," said Pedro Freyre, a partner and chair of the international practice at national law firm Akerman, which has cruise lines and airlines among its clients."But that doesn't align with shutting down the ability of the cruises to go in," Freyre said.It's that misalignment that has cruise lines scrambling to figure out how the new policies will impact their operations.And it leaves passengers booked on upcoming sailings in limbo. 3578

The Wisconsin Department of Natural Resources is conducting an investigation into the illegal shooting of two bald eagles.The eagles were shot near Antigo, Wis. and have since died from their injuries, according to 227

The rigors and challenges of spaceflight are remarkably similar to the physical stress cancer patients experiment during chemotherapy and other treatments, according to researchers.For that reason, the researchers suggest that the countermeasures program used by astronauts before, during and after spaceflight to maintain their health could be developed and applied for cancer patients to help them recover after treatment.The details were published in a commentary written by researchers from Memorial Sloan Kettering Cancer Center and NASA on Thursday in the journal 582