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Hurricane Lane's outer bands have been pummeling Hawaii's Big Island with rain Thursday, triggering landslides and threatening serious flooding as the Category 4 cyclone moves perilously close to the Aloha State.The center of the storm — which could become the first major cyclone to make landfall in the state in 26 years — is expected to move very close to the main islands or cross land Thursday through Friday, forecasters said.It could be so devastating that authorities are urging residents to set aside two weeks' worth of food and water."Be prepared to shelter in place with 14 days of food supplies and water and any other necessities," Hawaii Gov. David Ige said at a news conference Wednesday.Track the stormThe storm's center, with maximum sustained winds near 130 mph, was in the Pacific about 210 miles south-southwest of the Big Island town of Kailua-Kona around 5 a.m. HT Thursday (11 a.m. ET).Landslides are a concern, with 10-30 inches of rain forecast through the weekend -- and slides already were happening on the Big Island as the storm's outer bands hit Thursday morning.On the Big Island's northern tip, landslides were blocking parts of Route 19, the county civil defense agency said.About 7 to 12 inches of rain already had fallen on parts of the Big Island by early Thursday, the National Weather Service office in Honolulu said.Buses around Honolulu have been picking up residents in need and taking them to shelters. All public schools canceled classes until further notice, and many state employees have been asked to stay home.Tropical storm force winds (39-73 mph) stretch out to 140 miles, so even if the hurricane doesn't make landfall, it could have widespread impact. Lane threatens to bring dangerous winds, landslides, rough surf and major flooding.All of the islands are under weather alerts.A hurricane warning is in effect for the Big Island as well as Maui County and Oahu -- meaning hurricane conditions are expected there. Kauai and Niihau are under a hurricane watch, meaning hurricane conditions are possible and that winds of at least 39 mph are anticipated in the comings days. 2133

In a new effort to tackle the deadly opioid addiction crisis in the US, pharmacy giant CVS announced on Friday it will limit opioid prescriptions to seven days for certain conditions. This restriction will apply to patients who are new to pain therapy.The new pharmacy program will also limit the daily dosage of pain pills based on their strength and will require use of immediate-release formulations before extended release opioids -- intended for severe, long-term pain treatment -- are dispensed.The changes will roll out on February 1, 2018 and cover all commercial, health plan, employer and Medicaid clients.CVS, which manages medications for nearly 90 million plan members, is one of the largest pharmaceutical chains in the US, with approximately 9,600 CVS Pharmacy stores and more than 1,100 walk-in medical clinics."With a presence in nearly 10,000 communities across the country, we see firsthand the impact of the alarming and rapidly growing epidemic of opioid addiction and misuse," said Larry J. Merlo, president and CEO of CVS Health.From 1999 to 2014, sales of prescription opioids in the US almost quadrupled, according to the US Centers for Disease Control and Prevention, yet there has been no change in pain reported by Americans.CVS said its pharmacists will also counsel patients with opioid prescriptions about the risk of dependence and addiction based on CDC guidelines. These educational sessions will also emphasize the importance of keeping medications secure in the home and proper disposal of unused medication.To help patients wanting to follow these guidelines, the company will almost double the number of drug disposal units in its Medication Disposal for Safer Communities Program from 800 to 1,550 kiosks. This expansion will begin this fall with locations in Florida, Massachusetts, North Carolina, Pennsylvania, South Carolina and the District of Columbia.The company is also committing million to Community Health Centers that provide medication-assisted treatment and other addiction recovery services.The President's opioid commission says that about 142 Americans die every day from a drug overdose, equal to the death toll from the September 11 attacks every three weeks. Most of those overdoses are from opioids.Though there were over 30,000 fatal overdoses from opioid drugs in 2015, public health experts believe that for every fatal overdose, there are 30 non-fatal overdoses. That would mean over 900,000 overdoses in 2015 alone.According to the CDC, drug overdoses are the leading cause of unintentional death in the US.  2589

In a little more than a decade, more than 40 million diabetics worldwide could be left without insulin, the drug that is needed to help control the disease. It's a dire prediction from a study published in the journal Lancet Diabetes and Endocrinology that could have life-altering consequences. Health expert Dr. Dahlia Wachs likened insulin to being the key to a door. In most people, it's a naturally occurring hormone the pancreas secretes when we eat sugar so that it can go from the bloodstream and into our cells.But it's a different matter for the millions of people whose bodies either don't make insulin or who have insulin resistance."Type 1 diabetics — they are very dependent on insulin," Wachs said. "They don't make insulin. They get very skinny and we have to give them insulin. There really isn't a lot of other treatments for these Type 1 diabetics.”A shortage of insulin in drug form poses major challenges. "So those with Type 2 diabetes, many of them can take pills, but if they are in poor control we have to give them insulin," Wachs said.Wachs said insulin is expensive to make. She says only three major pharmaceutical companies make it. And the demand isn't the highest here in the United States but other parts of the world, including Africa and Asia. However, the U.S. will have the third highest number of people living with diabetes by 2030.Diabetes is growing at an epidemic rate in the U.S. More than 12 percent of the adult population in Nevada is diabetic, according to the Centers for Disease Control. Every year, 10,000 people are diagnosed with diabetes and an estimated 75,000 have diabetes and don't know it. "So what can we do to prevent the shortage? Well, try to prevent diabetes," she said.That means controlling obesity, exercising and eating healthy. 1943

In a year filled with uncertainty and anxiety for students across the country, the students at James Faulkner Elementary School have found safety and solitude, not inside their small southern New Hampshire schoolhouse, but in the woods behind it.As COVID-19 cases spiked across the country and school districts agonized over whether to send kids back to in-person learning, students and teachers in this picturesque New England town decided to move classes outdoors. Now, three months into the school year, there’s talk of making these newly constructed outdoor classrooms a permanent fixture for kids, pandemic or not.“We’ve experienced this and seen that we can make it work,” explained elementary school teacher Jacquie Cornwell. “There’s been discussions about whether this is something we want to continue doing. It’s just been such a positive experience for our kids.”Cornwell, 34, has been teaching for nearly a decade. Going into this school year, she was incredibly concerned about her own safety and the safety of her students. Stoddard is home to just over 1,200 people, and the small school building here doesn’t lend itself to much social distancing. So, as the school year began, students here started constructing two “base camps” in the woods behind the school. Each morning, students pack up their books, pencils and snacks and head outside.They even petitioned the town of Alderman to use some of the land that isn’t technically on school property.Now, dozens of kids spent three to four hours a day learning outside. On a recent afternoon this fall, Mother Nature had painted their classroom walls in vibrant orange hues, as the maple trees that surround the property here prepared to shed their leaves for the winter.All of it has helped to foster a learning environment that Cornwell says has been free of stress and anxiety. Something hard to come by during a pandemic.“I’ve noticed that on days when we are outside, negative behaviors really seem to much less than when we are indoors,” she said.Looking around at her students scattered on small wooden benches around the woods, Cornwell can’t help but reflect on how surprised she’s been at how well this school year has turned out.“It’s really turned something that could’ve made this year horrible, sitting in desks, facing forward, not playing with friends, into one of the best years I’ve had in my nine years of teaching,” she said.The New Hampshire air is plentiful out here, which minimizes concerns about ventilation and COVID-19 lingering in the air. There hasn't been a single case of COVID-19 reported here this year. With the risk of spreading COVID lower outdoors, students can even take off their masks sometimes when having snacks or reading in socially-distanced groups.It’s brought on a sense of normalcy for these students, something they’ve longed for since the spring.“The woods have all kinds of sounds, the birds, the planes going by. It makes it feel normal,” said 10-year-old student Brie Bell.Bell and her classmates have taken pride in this outdoor space they've built by hand. They've hung hammocks for reading time and even built a fire pit for the colder months. With coronavirus cases spiking across the country, students here seem genuinely invested in keeping this concept going as long as it means they get to continue in-person learning.“I feel like they’re having these impactful experiences they’re going to carry with them for the rest of their lives,” Cornwell said. 3486

In a series of unusually candid remarks, the US general in charge of the nation's nuclear arsenal has issued a stark warning that Russia and China are "aggressively" developing new high-speed, or hypersonic, weapons that the US currently has no defense against.The weapons might not be operational for several years, but Gen. John Hyten, the four-star head of US Strategic Command, is warning that changes to missile defenses are urgently needed or the US will be unable to detect them when they are operational."China has tested hypersonic capabilities. Russia has tested. We have as well. Hypersonic capabilities are a significant challenge," Hyten told CNN in an exclusive interview. "We are going to need a different set of sensors in order to see the hypersonic threats. Our adversaries know that."Hyten and other military officials say the current generation of missile detecting satellites and radars won't be enough to detect these new generation weapons. Hypersonic is generally defined as a speed of Mach 5 or over 3,806 miles per hour."We've watched them test those capabilities," Hyten told Congress last week. But with unusual public candor about potential US military shortfalls, he acknowledged "we don't have any defense that could deny the employment of such a weapon against us, so our response would be our deterrent force, which would be the triad and the nuclear capabilities that we have to respond to such a threat."Hypersonic missiles fly into space after launch, but then come down and fly at high speeds on a flight path similar to an airplane. Their lower trajectory make them more difficult for US missile defense satellites and radars to detect. Russia has openly stated it is developing high-speed air-launched missiles as well as underwater hypersonic drones.The Pentagon is currently writing a review of its missile defenses to help determine what new capabilities might be needed to deal with new classes of attack weapons. Hyten gave Congress a hint of what may be in that review stating "the first thing we need is better sensor capability, better tracking capabilities to make sure we can characterize and then respond to that threat."He also called for improved US warheads, essentially "better kill vehicles on the top of our interceptors so that those kill vehicles become more and more lethal." The Pentagon is also working on concepts for interceptor missiles that repel a barrage of enemy attack missiles. Current US missile defenses are designed to only shoot down a small number of enemy missiles.The US focus has largely been to work on hypersonic technologies across the board. But Russia is now well into testing some of its systems. Earlier this month Russia showed video of what the Kremlin said was an air-launched hypersonic ballistic missile.When asked how far along the Russian hypersonic program is, Hyten told CNN, "I don't want to put a who's winning the race, I'll just say there is a race."When asked how soon it could be before the Russians have an operational hypersonic weapon that could reach the US, Hyten said, "It's similar to the North Korea problem. If you continue to pursue that technology, you will get there. And the Russians will get there, the Chinese will get there and we'll get there -- and we'll have to figure out how to deal with that." 3323