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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770
Dominica Prime Minister Roosevelt Skerrit confirmed on his Facebook page on Monday that he was rescued as Hurricane Maria hit his small island nation. Hurricane Maria made landfall just before 10 p.m. ET on the island of Dominica with top winds of 160 MPH. Skerrit's roof was one of many that were ripped off as Maria came on shore. "My roof is gone. I am at the complete mercy of the hurricane. House is flooding," Skerrit said just before being rescued. Hurricane Maria is the second Category 5 hurricane to strike the Caribbean in the last two weeks. Hurricane Maria is following a similar path as Hurricane Irma, which devastated parts of the Caribbean before coming on shore in Florida on Sept. 10.Local radio reports said that parts of Dominica are flooded, and there has been roof failure at a local hospital. Dominica has a total population of 73,000 residents. 934

EL CAJON, Calif. (KGTV) -- El Cajon city leaders will consider the possibility of a ban on the sale of vaping products at their next meeting in November. Tuesday evening, city council leaders heard from dozens of people for and against the idea; but the issue was not on the agenda.Councilman Gary Kendrick first brought up a city-wide ban in July. Tuesday afternoon, he was joined by school leaders, doctors, health officials, and parents who all believe vaping is an epidemic targeting kids. "These people who are selling vaping devices and vaping liquids to our children are profiting from the suffering of our children," said councilman Kendrick. A member of the Cajon Valley Union School Board said vaping is rampant in children as young as elementary age. "The liquids that are being used our being promoted to our youth , having vaping devices available at a very low cost in our liquor stores or 7/11/'s for approximately a dollar is promoting to our children that they can easily have access to them," said Jill Barto. Joey Johnson works at United Smoke Shop and Vape. He says if it weren't for vaping, he'd still be smoking two packs a day. "It's astonishing how much it’s truly helped me," said Johnson. Johnson believes a ban punishes legitimate businesses and will only create a bigger black market. "Gas stations places like that don’t care, so it’s either that or people on the streets or getting THC cartridges from people on the street who don’t know what they’re doing , they’re adding stuff to it to make it “vapable” or able to smoke and that’s the people that are dying," said Johnson. At least twenty-three people across the country have died from vaping related illnesses. In San Diego County, there have been no deaths, but at least twenty-two people have been sickened. One high school student told the council that vaping is rampant in the school bathrooms."The athletic kids vape, the honors kids vape, the college prep kids vape and their parents vape and at this point, it's sad to say, I think it's become a part of high school culture," said the student. Deborah Kelly told city leaders she was outraged at the failure of government to protect children. "Flavored tobacco products taste like candy, but act as poisons and kids don't smoke marijuana, they vape it," said Kelly. The council decided more research is needed before it takes any action on a possible ban. City leaders did vote to increase suspensions and fines for businesses that sell tobacco products to minors. Under the new rules, fines start at ,500 instead of ,000. If a business has a fourth violation within a five-year period, the retailer is subject to a permanent suspension. 2692
Dozens of trucks and thousands of volunteers delivered more than 260,000 Christmas wreaths to Arlington National Cemetery to honor fallen heroes.The rain Saturday didn't stop the day of service, which was made possible by the Wreaths Across America organization. "If you look across this field of stones, it's massive, but we want to make sure that every individual receives a wreath and their name is spoken out loud,” says Karen Worcester, executive director of Wreaths Across America.Larry Landon, a Boy Scout troop leader, donated his time, unboxing and placing wreaths with 14 of his Boy Scouts.“Our troop unloaded trucks,” he says. “Over 36,000 wreaths were laid here at Arlington, with the help of these boys.”It’s a tradition in its 27th year, spanning all 50 states and into 26 countries. Nearly 2 million wreaths in total were placed.The goal is to give heroes across the world a gift this holiday season. 929
Dollar Tree and Family Dollar have reversed course with their mask requirement and are now "requesting" customers to wear them inside their stores.On July 8, the retailer announced on their website that masks were required for anyone that was inside the store - associates, vendors, and customers, Forbes reported.But in an update that was posted to their site on Thursday, the company is requesting masks to be worn.But will "require face coverings where required by state or local ordinance," the company said. 520
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