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Thousands of elevator permits in San Diego County are out of date, according to the Department of Industrial Relations. In San Diego and Imperial Counties, a DIR spokesperson said there are 12,541 elevator permits issued. Of those, 6,932 are expired. DIR spokesperson Frank Polizzi said there is no penalty for expired permits, “but a unit should not be running if it has been tagged out of service for a maintenance/safety reason.”Team 10 visited several elevators in downtown San Diego and found there was no permit displayed in the elevator at all—including an elevator at Horton Plaza and one operated by the City of San Diego. Polizzi said there are other reasons a displayed permit could be expired, besides the elevator being out of compliance. The owner could be waiting for a Cal/OSHA permit inspection or they have not posted the most updated permit. 868

This is the street party/protest that is on the back part of the @WhiteHouse at 15th and Constitution - lotta loudspeakers & a live band jamming out of this bus pic.twitter.com/r3cR3hN6Iz— Elizabeth Landers (@ElizLanders) August 28, 2020 249

Too few new antibiotics are under development to combat the threat of multidrug-resistant infections, according to a new World Health Organization report published Tuesday. Adding to the concern: It is likely that the speed of increasing resistance will outpace the slow drug development process.As of May, a total of 51 antibiotics and 11 biologicals -- medical products often made from natural sources -- are being developed, the new report said."The idea is that biologicals could replace use of antibiotics, which could help in overcoming the resistance problem," Peter Beyer, an author of the report and senior adviser to the WHO's Department of Essential Medicines and Health Products, wrote in an email.Seemingly, this large number of potential new drugs should suffice, yet it is not nearly enough.First, just 33 of the antibiotics in the pipeline target priority pathogens. This year, the WHO published a list of a dozen "priority pathogens": 12 separate families of antibiotic-resistant bacteria that pose the greatest threat to human health.Among the priority pathogens is a drug-resistant tuberculosis, which kills about 250,000 people around the world each year, and a variety of multidrug resistant strains -- Acinetobacter, Pseudomonas and various Enterobacteriaceae -- which are responsible for infections in hospitals and nursing homes and among patients whose care requires ventilators and catheters.Of the 33 potential medicines for treating priority bug infections, only eight are innovative treatments. The other 25 are simple modifications of existing families of antibiotics. At best, then, the 25 will serve as short-term solutions since it is expected bacteria will quickly adapt to and resist these new (though somewhat familiar) drugs, according to the WHO."It is difficult to speculate why companies develop specific new medicines," Beyer noted. "But in general many new treatments do not necessarily constitute advances over existing treatments."TB infections require a combination of at least three antibiotics, according to the new report, yet only seven of the new TB medicines are even in clinical trials. Soon, there will be a serious lack of treatment options for this infection, the report warns.The same is true for gram-negative pathogens, which can cause severe, often deadly infections typically in hospitals and nursing homes.Gram-negative bacteria have more complex cell walls than gram-positive, explained Beyer. "In a nutshell, it is more complex to develop a novel antibiotic that can penetrate the complex gram-negative cell wall and stay inside the bacterium," he wrote.Finally, the WHO sees too few oral antibiotics being developed. These are necessary "to target the critical priority pathogens (and) be accessible in low- and middle-income countries," Beyer noted.To address the problem of developing new antibiotics, the WHO and the Drugs for Neglected Diseases Initiative set up the Global Antibiotic Research and Development Partnership. However, new drugs alone cannot combat the threat of antimicrobial resistance. The WHO is also working to improve infection prevention and control while developing guidance for the responsible use of antibiotics."Always seek medical advice before taking antibiotics and then always follow the advice of the health-care professional," Beyer noted.The new report is a "fantastic (and very useful!) summary" of the antibiotic situation, wrote Bill Hanage, an associate professor of epidemiology at Harvard T.H. Chan School of Public Health, in an email. Hanage, who has also published studies of antibiotic resistance, was not involved in the new report.Although the risk of getting a completely resistant infection is low in the United States, about 2 million people each year become infected with "resistant enough" bacteria that are harder to treat, Hanage said. And every year, more than 20,000 people die of these infections."More resistant infections don't just mean you or someone you care about is more likely to die from one, they also mean healthcare will get even more expensive," Hanage said. "Many of the procedures we take for granted in medicine, from cancer treatments to surgeries, depend on our ability to handle infections that happen in the course of treatment."The number of new drugs in development is simply not enough, he said."The great majority will not make it into the hands of doctors or your treatment," Hanage wrote. "As the report states, for drugs to be used in humans they have to pass 3 hurdles, the phase 1, 2 and 3 trials. Drugs entering that pipeline have just a 14% chance of getting all the way through to be used in humans." 4676

This morning, I tested positive for COVID-19. I am experiencing mild symptoms, and am following all appropriate protocols, including being in quarantine and conducting contact tracing.— Andrew H. Giuliani (@AndrewHGiuliani) November 20, 2020 249

They say music is a universal language, something that can connect us on many different levels. So when it shows up where you least expect it, that makes it even more special.One woman's dream is translating across an entire community in more ways than she could have imagined.Listen closely and you can hear the sweet sound of jazz in one park. There's no band, and you can't see any speakers. But if you happen to stumble upon a small door tucked inside a tree trunk, you'll stumble upon your own personal performance."I was in awe to actually hear music coming out of a tree," says Bruce Bo-Wdry who lives near the park.He still remembers the moment he first heard music flowing from this sound totem, and seeing neighborhood kids share his excitement."They were all over it," Bo-Wdry recalls. "And then they go to the box and then they open up the door, and you can see the gleam on their little faces like awh you know!" Artist Nikki Pike came up with the idea. "I had a dream where there was a miniature opera singer singing in the hollow of the tree," Pike says. "And then I realized that maybe there was an opportunity." A sound totem in Denver, Colorado, was the first realization of that dream. From there she built more, putting the solar and battery powered music boxes in trees across her city, and filling them with music performed by people who live in those neighborhoods. "I sort of built the stage and they are the performers," Pike says. "So it's a real community effort." She doesn't share exactly where the totems are, instead she allows people's curiosity lead them to discovering music, art and community. An idea she believes can spread across the country."The leap in peoples mind to imagine them in their own community is easy," Pike says. "Whereas before when it was an idea and a drawing it was harder to imagine."While the totems add a special spark to the trees and communities they call home, Pike said these small spaces do so much more."I do think this is how you change the world," Pike says. "Just a little sliver of hope a little example of magic or positivity."A sweet surprise to brighten your day, and connect a community. 2194