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Dining out frequently is known to increase one's intake of unhealthy sugars and fats. But a new study suggests that there's another reason to eat at home more often: phthalates.Phthalates are potentially harmful chemicals found in hundreds of consumer products, including perfumes, hair sprays, shampoos and the plastics used in food processing and packaging.Consumption of these chemicals has?been linked to birth defects in young boys as well as behavioral problems and obesity in older children and adults. Exposure in utero can alter the development of the male reproductive tract, resulting in incomplete descent of one or both testicles.Scientists also suspect that the chemicals can disrupt hormones and may cause fertility problems. They've connected them to childhood obesity, asthma, neurological problems, cardiovascular issues and even cancer."Phthalates are a class of synthetic chemicals known as endocrine disruptors, meaning they affect hormones in the body," said Dr. Sheela Sathyanarayana, an associate professor of pediatrics at Seattle Children's Hospital and the University of Washington and past chairwoman of the Environmental Protection Agency's Children's Health Protection Advisory Committee, who was not involved in the study. "Hormones are essential for normal body functions such as reproduction or metabolism."The?study, published Wednesday in the journal Environment International, found that the phthalate levels of participants who had eaten at restaurants, cafeterias and fast-food outlets in the previous day were 35% higher than those who reported eating food purchased at the grocery store.Those who dined out were probably exposed to the chemicals via foods that had been in contact with plastic packaging, said Ami Zota, an assistant professor of environmental and occupational health at George Washington University and a leading author on the study."The main idea is that food that is made in restaurants and cafeterias may be coming into contact with materials containing phthalates in part because some portion of the food is made in decentralized locations," Zota said."Most of the phthalates that are of most concern from a health perspective are plasticizers; they're added to make plastics soft," she added. "They're added to food packaging, they can be in food handling gloves, and they can be found in food tubing."The study relied on data collected between 2005 and 2014 from the National Health and Nutrition Examination Survey, administered every two years by the US Centers for Disease Control and Prevention. It included 10,253 people who were asked about their dining habits over the past 24 hours and who provided urine samples to evaluate phthalate levels in the body.The researchers found that about two-thirds of respondents reported dining out at least once the previous day. Those who dined out also had significantly greater levels of phthalate metabolites in their urine.This association was consistent across all ages, genders and ethnicities, but it was strongest among teenagers who ate out: They had phthalate levels 55% higher than those who ate at home."The association between phthalate exposure and dining out existed in all age groups, but the magnitude of the association was highest for teenagers," Zota said. "Certain foods, especially cheeseburgers and other sandwiches, were also associated with increased levels of phthalates, but only if they were purchased from a dining-out establishment."This is not the first time phthalate levels have been linked to food sources. In 2016, Zota led?a study?that showed a connection between phthalate exposure and fast-food restaurants. The new study expands on this research by showing that the link persists even when eating at other types of establishments, such as sit-down restaurants and cafeterias, she said."We first used this methodology to focus on fast food and found some striking associations between recent fast food consumption and phthalate exposure," Zota said. "And now, we extended that to see if the findings were unique to fast food, or how do they compare to other food outlets that may reflect other types of food processing and manufacturing systems?"Last year,?a report found high concentrations of phthalates in macaroni and cheese mixes, which prompted a push for additional regulation of the chemicals in food. Although the US Food and Drug Administration monitors levels of phthalates in a number of cosmetics, it does not regulate its presence in food or beverage products."Policy would need to focus on reducing phthalate exposures in food production processes. Food manufacturers would need to know about sources of contamination and work to reduce these," Sathyanarayana said. "The other way to approach it is to either reduce or ban phthalate use in food manufacturing."The good news, though, is that phthalates linger in the body for only about a day. Changing your eating habits and consuming more home-cooked meals could therefore have almost immediate health benefits, according to Zota."Preparing food at home may represent a win-win," Zota said. "Home-cooked meals can be a good way to reduce sugar, unhealthy fats and salt, and this study suggests that they may not have as many harmful phthalates as restaurant meals."The other important point is that these chemicals are ubiquitous in the environment," she added."So, to really reduce everyone's exposure to these potentially harmful chemicals, we need systemic changes to how our food is produced and transported, and that's going to require changes in policy as well as market-based solutions." 5643

DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601

EL CAJON, Calif. (KGTV) - A former El Cajon high school teacher is in custody on suspicion of sexually assaulting five young victims and attempting to lure a sixth, including two students, the San Diego County Sheriff's Department said Friday.38-year-old Dustin Sniff, also known as Dustin Stevens, is suspected of multiple counts of assaulting a minor, deputies said. Charges include rape by force/fear and oral copulation by force.The alleged victims were between 16 and 22 years old. Sniff is a former teacher at Christian High School, a private evangelical school in El Cajon. None of the assaults happened on campus, according to investigators.A student told 10News Sniff taught Film and Bible classes, and was well liked. The student said Sniff abruptly left the school about two years ago, around the time of the last reported incident.Some of the victims knew Sniff from a website called Model Mayhem, deputies said in a news release.Deputies said anyone who may be a victim of a similar crime or has information about the cases should call the Sheriff's Sex Assault Unit at 858-285-6222. 1106

Does undocumented immigration lead to more violent crimes? A study looking at the increase of illegal immigrants over 24 years says no.There's a stigma linking violent crime with illegal immigrants and part of that has to do with the spotlight on MS-13 gang arrests across the country and specifically in Lake Worth. But, a state-by-state study says an increase in undocumented immigration actually makes communities safer.The study was conducted by sociologists Michael Light of the University of Wisconsin at Madison and Ty Miller of Purdue University.The FBI's Uniform Crime Report statistics show Florida's violent crime rate over time and statistics from the Pew Research Center show the increase in undocumented immigrants.The study looked at those statistics from 1990 to 2014. In those 25 years, Florida's undocumented immigration was at its lowest in 1990 and its violent crime rate for those years was at its highest. Fast forward to 2007, the undocumented immigration population peaked in the state, and the violent crime rate had dropped by 40 percent and continued to decrease. The study echoes what many immigration advocates argue. "We don’t see a large criminal underground in Lake Worth. What we see are families struggling to get by," said Tim Gamwell, Executive Director of the Guatemalan-Maya Center which helps immigrant families. Big dreams hang up on the walls of the Escuelita Maya in Lake Worth, an after-school and VPK program run by the center.Hopefully, he is going to have a better life than other kids in my country," said Esmeralda about her son.Esmeralda came to the United States when she was five to escape crime in El Salvador.  "It's not an option to come here and be illegal, it's something that we have to do," she said. Getting involved in criminal activity could mean losing everything you've worked for. Patricia Vargas works with families at the Guatemalan Maya Center and said many are afraid of being deported. Gamwell said in some cases they don't even report when they are victims of crimes. "We've seen a history of that, where people are targeted because they have cash on them on payday," said Gamwell. Gamwell said the focus for the 600 plus families they serve in Lake Worth is making ends meet and providing for their children."The big issues are:  How do I educate my children? how to do I get access to a computer? How am I going to pay the rent this month? Not bailing someone out of jail," added Gamwell.  2559

EL CAJON, Calif. - A plane made an emergency landing Friday on westbound Interstate 8, according to the California Highway Patrol.A student pilot and instructor from California Flight Academy were above El Cajon and had engine trouble about 11:15 a.m., the CHP reported.Both men were trying to land at Gillespie Field but were forced to touch down on the freeway. The instructor took over the controls and landed safely in lanes near Second Ave.No cars were hit and no one was injured. The plane, a Piper aircraft based in El Cajon, remained intact.The pilot and instructor pushed the plane to the right shoulder.Officers shut down the Mollison Ave. off-ramp of westbound I-8 due to the plane emergency.CHP Officer Jim Bettencourt said the CHP would be in contact with the National Transportation Safety Board to determine the best way to remove the plane."Try not to stop and slow down," Bettencourt recommended to drivers in the area. 969