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Dr. Scott Gottlieb, commissioner of the US Food and Drug Administration, announced Tuesday a "blitz" on retailers?for violations related to sales of Juul and other e-cigarettes to minors.Forty warning letters were sent to brick-and-mortar retailers as a first step toward stopping underage use of e-cigarettes, the FDA said. The government agency also said it sent Juul Labs, the maker of an e-cigarette popular among teens, a request to submit documents related to product marketing and research, including information about "youth initiation and use.""We don't yet fully understand why these products are so popular among youth," Gottlieb wrote in the public statement. "But it's imperative that we figure it out, and fast. These documents may help us get there."Juul spokeswoman Victoria Davis said the company "agrees with the FDA that illegal sales of our product to minors are unacceptable. We already have in place programs to prevent and, if necessary, identify and act upon these violations at retail and online marketplaces, and we will announce additional measures in the coming days."Electronic cigarettes (also called e-cigarettes or e-cigs), vapes, vaporizers and hookah pens are among the terms used to describe electronic nicotine delivery systems. These products use an "e-liquid" that may contain nicotine as well as flavorings and other ingredients. The liquid is heated into an aerosol that the user inhales. Some products resemble conventional cigarettes, but others look like pens or other ordinary items. Juul resembles an everyday flash drive, which may explain its popularity among teens.The FDA has conducted 908,280 inspections of tobacco retailers, issued 70,350 warning letters and initiated about 17,000 civil money penalty cases in its efforts to fight the sale of e-cigarettes and other tobacco products to minors, it said Tuesday. For the current "blitz," the agency said, it also contacted one online retailer, which removed listings for Juul products and then voluntarily implemented policies to prevent future listings.More than 2 million middle and high school students described themselves as current users of e-cigarettes in 2016 (the most recent year studied), according to a government report: about 11% of high school students and 4.3% of middle school students. Overall, e-cigarette use by high school students increased 900% from 2011 to 2015, according to a separate 2016 report from the US surgeon general.In a recent Johns Hopkins Bloomberg School of Public Health survey, 81% of minors who currently vape said their primary reason for doing so is "availability of appealing flavors.""Widespread reports of youth use of JUUL products are of great public health concern," Gottlieb said in the announcement. "Youth may not understand the nicotine or other characteristics of JUUL."On March 20, the FDA issued a warning that it would act to end the use of e-cigarettes among minors.Juul Labs' website tells the story of two founders, smokers and product designers who had become "increasingly dissatisfied with the health and social impacts of cigarettes" but could find no viable alternative and so created their own -- with "adult smokers in mind.""We are working with the FDA, lawmakers, parents and community leaders to combat underage use, and we will continue working with all interested parties to keep our product away from youth," Davis said on behalf of the company. 3473

During the COVID-19 pandemic, researchers at the Cleveland Clinic have found a significant increase in patients experiencing stress cardiomyopathy, also known as "broken heart syndrome," which has symptoms similar to a heart attack, according to a new study from the clinic.“Especially when it comes to the loss of a job and economic stressors, those are things that the COVID pandemic is affecting in many people,” said Dr. Grant Reed. “So it’s not just the virus itself that’s causing illness in patients.”Heartbreak is a common thread in movies, pop culture, and music but Cleveland Clinic cardiologists are warning patients about the serious effects of a broken heart and the possible connection with the COVID-19 pandemic.“No one really expected to be in this situation and the pandemic has put dramatic, unprecedented stressors on our life,” Reed said. “These are patients that are coming in presenting very similar to how patients come in with a heart attack. They have EKG changes consistent with a heart attack and they have chest discomfort.”Researchers said stress cardiomyopathy happens in response to physical or emotional stress, which causes dysfunction or failure in the heart muscle.“The COVID-19 pandemic has brought about multiple levels of stress in people’s lives across the country and world. People are not only worried about themselves or their families becoming ill, but they are also dealing with economic and emotional issues, societal problems and potential loneliness and isolation,” said Ankur Kalra, M.D., a Cleveland Clinic cardiologist in the Sections of Invasive and Interventional Cardiology and Regional Cardiovascular Medicine, who led the study.Patients with this condition have experienced symptoms similar to a heart attack, such as chest pain, shortness of breath, but usually don’t have acutely blocked coronary arteries.“The stress can have physical effects on our bodies and our hearts, as evidenced by the increasing diagnoses of stress cardiomyopathy we are experiencing,” said Kalra.Patients can also experience irregular heartbeat, fainting, low blood pressure, and cardiogenic shock, which happens when the heart can’t pump enough blood to meet the body’s demand due to stress hormones.Researchers have admitted the causes of stress cardiomyopathy are not fully understood.Between March 1 and April 30, cardiologists looked at 258 patients with heart symptoms coming into Cleveland Clinic and Cleveland Clinic Akron General. Researchers compared them with four control groups and found a “significant increase” in patients diagnosed with cardiomyopathy, reaching 7.8% compared with a pre-pandemic incidence of 1.7%, the release states.All patients diagnosed with stress cardiomyopathy tested negative for COVID-19. Those with the condition since the COVID-19 outbreak had a longer hospital stay compared to those pre-pandemic. Doctors said patients with stress cardiomyopathy patients generally recover in a matter of days or weeks, although the condition can occasionally cause major adverse cardiac and cerebrovascular events.“For those who feel overwhelmed by stress, it’s important to reach out to your healthcare provider. Exercise, meditation, and connecting with family and friends, while maintaining physical distance and safety measures, can also help relieve anxiety," said Grant Reed, director of Cleveland Clinic’s STEMI program and senior author for the study.Reed said a number of factors can cause heart function to deteriorate, which include loneliness, financial stress, or overwhelming feelings of uncertainty brought on by stay-at-home orders.“You have to recognize when you need to seek help and say, ‘Okay I need to take a step back.’ Maybe disconnect from social media and not read so much because that can stress us all out,” Reed said.Researchers noted that additional research is needed in this area, especially if this trend in cases is present in other regions of the country.WEWS' Kaylyn Hlavaty and Emily Hamilton first reported this story. 4026

Do you find it hard to make friends as an adult? If you’re having a difficult time meeting new people, you’re not alone. There are reasons behind the struggle, but there are mobile apps that can actually help you make new friends.Relationship expert YY Wei says as we get older, our past gets in the way of putting ourselves out there and meeting new people."Anytime we get hurt, in any type of relationship, it's going to have an emotional impact on us," says Wei. "And that means it's going to impede our own courage to reach out to people again."  A recent study out of the University of Kansas found that it takes about 50 hours of socializing to go from an acquaintance to a casual friend. If you want to become close friends, the study found it takes 200 hours of socialization. Most of us don’t have that kind of time, so there are apps that can help. For example, there’s a newer app called Girl Crew. It’s similar to dating apps. You simply create a profile, begin a chat and then if you like the person, you can set up a time and place to meet. Another app is Skout. You can use it to meet new people, no matter where you are, even if you’re just visiting. "The app helps because you know the basic stuff about this person," explains Wei. "Do we share the same hobbies, do we like the same music, and do we like to do similar things going hiking, going out drinking or happy hour."  If apps aren’t for you, Wei says to do what you like to do and meet people that way. So, if you like working out, you can meet friends at the gym. But if you’re going to stay in your comfort zone, you need to push yourself a little. Wei says at the end of the day, you need to give a little to get a little. 1788

EL CAJON, Calif. (KGTV) -- A woman was arrested Wednesday morning after police in El Cajon say she reportedly stabbed her grandmother. The department received a 911 call around 10:18 a.m. from a woman who said her grandmother was stabbed during a burglary on the 1200 block of North Mollison Avenue. After officers arrived, they found the woman who appeared to have been stabbed several times. The woman was taken to the hospital with life-threatening injuries. After investigating the stabbing, police determined that the woman’s adult granddaughter, Elektra Del Sol, 19, was responsible for the crime. She was arrested and booked into jail. At this time, the victim hasn't been identified. Anyone with information on the crime is asked to call the El Cajon Police Department at 619-579-3300. 802

EL CAJON, Calif. (KGTV) - Plans for a new high school in El Cajon are facing opposition from neighbors.Literacy First Charter Schools wants to relocate their high school from its Lemon Grove location to a new spot near the intersection of Jamacha Blvd. and Chase Street. They bought an 8-acre plot of land five years ago on which they hope to build.Plans for the school call for a two-story building. It will have 22 classrooms, athletic fields, a 161-spot parking lot, and room for up to 450 students and 33 teachers.Officials with the Literacy First system say the old school is too small and too far away for their growing needs. They believe the new location will help them serve more families, and keep their current families from leaving after 8th grade."We hope it becomes what every one of our schools is," says Executive Director Debbie Beyer. "We hope it becomes a model for what great schools can be."But neighbors in the Rancho San Diego area worry that it will bring more traffic and congestion to an area that already has problems along Jamacha Boulevard."It's just incredible out here on Jamacha," says Veronica McGowan, who lives a block away. "People go about 50 miles an hour, and they're anxious to get in and out of these side streets. If you're turning right, you're safe, but if you're turning left, it could take a while."Social media posts on neighborhood Facebook groups raise concerns about delays at the intersection because of the addition of another school. They say nearby Valhalla and Steele Canyon High Schools already make the commute frustrating.Beyer says her school's small size will minimize the impact, as many students won't be driving. She adds the charter school system is ready to do their part to improve the roads and mitigate the traffic along both Chase and Jamacha."We have to add another lane. We're adding turning lanes. We're widening the street. We're adding sidewalks," she says. "We're paying hundreds of thousands of dollars to improve that intersection."She also says they're looking into staggering the start times, so not all grades begin at the same time, and having different start times from the other schools in the neighborhood.As for the complaint that the area already has enough schools, Beyer believes families will welcome another option."We let the market bear everything that there is when it comes to business and commerce and entrepreneurship," she says. "Why can't we do that in education? Why don't parents have a choice?"Beyer and Literacy First presented environmental review plans for the new school to the Valle Del Oro Community Planning Group last week. They hope to bring those same plans to the San Diego County Board of Supervisors this spring.There's still no official timeline for when they hope to start construction or open the new campus. 2833