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Trump announced last Tuesday he had hired Brad Parscale, the digital media director of his 2016 campaign, as his 2020 campaign manager. 140

There have been just a handful of cases in which mothers have been criminally charged in cases related to drugs and breastfeeding.In 2006, a California woman pleaded guilty to the involuntary manslaughter of her 3-month-old son by nursing him while on methamphetamine. In 2012, Maggie Jean Wortman, also of California, was sentenced to six years in prison for voluntary manslaughter of her 6-week-old due to methamphetamine in her breast milk. In 2014, a Washington woman was charged with endangerment with a controlled substance by breastfeeding her 2-year-old daughter while using methamphetamine, cocaine and marijuana.In the medical literature, the cases of fatal infant poisonings by breastfeeding are also few and far between. One of the few examples was a letter in the medical journal JAMA regarding a 1994 case; it involved a?2-month-old in California who was found dead eight hours after breastfeeding. Although prosecutors were able to charge the mother with child endangerment, doctors who wrote the letter questioned the role low levels of meth concentration played in the infant's death.Dr. Poj Lysouvakon, pediatric director of the Mother-Baby Unit at University of Chicago Medicine, said such cases are controversial."There is no definitive proof that these substances were the primary [or] sole cause of death for these babies. There is not a huge body of medical literature that can definitely prove or disprove that the small amounts of these substances found in breast milk are enough to be the cause of death in these babies," he said.But as a drug overdose epidemic continues to ravage America, prosecutors have become more aggressive in charging drug overdose cases as homicides.The US Centers for Disease Control and Prevention estimates that over 72,000 people died of drug overdoses last year, many of them from opioid-related overdoses. The number of opioid overdose deaths is now more than five times high as in 1999.The crisis extends to pregnant women, as well. The CDC's latest numbers say the rate of women delivering babies while abusing opioids has more than quadrupled between 1999 and 2014.It's a public health problem that doctors say needs medical attention, for the benefit of both the user and the child -- and that can extend to breastfeeding. 2344

They were about 1,500 miles south of the US-Mexico border as they started heading northwest to the city of Celaya.As the train slowed down, migrants scrambled around the train cars to find a way to climb aboard, throwing small bags of belongings onto the train and hastily helping one another.Police and guards watched from a few feet away. Some took photos. None took action to stop the migrants as they climbed the train.Gabriela Hernandez of Honduras handed her toddler to another migrant who pulled him up. Then, she pushed her 6-year-old boy up the ladder. When it was Hernandez's turn, the pregnant 27-year-old struggled to find the strength to pull herself onto the train.With help from others, Hernandez swung her leg onto the top of the car only to find a massive pile of scrap metal and trash. She will have to sit on the pile for hours until she reaches the next destination. She grabbed her two boys tightly, sat on a blanket above the pile and sobbed as her two boys consoled her.Hernandez said she is exhausted."It's difficult, but I will have to find the strength to carry on," she said.As migrants set makeshift tents with blankets to protect them from the dusty wind and scorching sun, people from the ground and a bridge above waved. Some tossed water and snacks. As the train pulled forward, one migrant yelled out, "Gracias Mexico!" ("Thank you Mexico!")More than 1,100 people?set on the journey across Mexico on March 25, but they have dispersed into smaller groups as they headed north, organizers said.The government of Mexico has granted many of the migrants temporary permission to stay in the country. Most of the migrants agree Mexico has been a welcoming place. Police have escorted the caravan at times and stopped traffic to help the convoys stay together. Churches and shelters have opened their doors, providing food and a safe place to sleep. Some of the migrants have decided to stay in Mexico.The migrants, most from Honduras, say they are fleeing violence and poverty. Honduras and El Salvador are among the countries with the highest homicide rates in the world.A few days after the caravan launched its journey, US President Donald Trump warned on Twitter about "these big flows of people" heading to the US border and said they must be stopped.Laura, who didn't want to share her name for fear that gangs in Honduras could track her down, said she takes offense to Trump's comments. She insisted the migrants are not dangerous, and that they are just families escaping violence.She called for her daughter to show evidence of the violence she is fleeing in Honduras. Pulling the young girl's shirt over her shoulder to show the scars, she explained that the gang in her neighborhood set her house on fire last year. She managed to pull her three children out of the home, but not in time to save her daughter from the burns that have scarred her face, arms and stomach."I can't go back to Honduras," she said.Laura said she doesn't know anyone in the United States but wants to reach the border to seek asylum. Like many of the families traveling with the caravan, she said she wants her children to attend school without having to worry about gangs, and she dreams of a better life for her family. 3262

There's also a singing group who would make "Weird Al" Yankovic proud with their willingness to fit mission-related lyrics into popular songs. 142

They’re really exciting theaters, they’re on the cutting edge of new technology, but they still give a nice family feel, said Santee City Manager Marlene Best. 159

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