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Smoke masks. Eye drops. No outdoor exercise. This is how Californians are trying to cope with wildfires choking the state, but experts say an increase in serious health problems may be almost inevitable for vulnerable residents as the disasters become more commonplace.Research suggests children, the elderly and those with existing health problems are most at risk.Short-term exposure to wildfire smoke can worsen existing asthma and lung disease, leading to emergency room treatment or hospitalization, studies have shown.Increases in doctor visits or hospital treatment for respiratory infections, bronchitis and pneumonia in otherwise healthy people also have been found during and after wildfires.RELATED: Missing-persons list tops 600 in Camp FireSome studies also have found increases in ER visits for heart attacks and strokes in people with existing heart disease on heavy smoke days during previous California wildfires, echoing research on potential risks from urban air pollution.For most healthy people, exposure to wildfire smoke is just an annoyance, causing burning eyes, scratchy throats or chest discomfort that all disappear when the smoke clears.But doctors, scientists and public health officials are concerned that the changing face of wildfires will pose a much broader health hazard."Wildfire season used to be June to late September. Now it seems to be happening all year round. We need to be adapting to that," Dr. Wayne Cascio, a U.S. Environmental Protection Agency cardiologist, said this week.In an overview published earlier this year, Cascio wrote that the increasing frequency of large wildland fires, urban expansion into wooded areas and an aging population are all increasing the number of people at risk for health problems from fires.Wood smoke contains some of the same toxic chemicals as urban air pollution, along with tiny particles of vapor and soot 30 times thinner than a human hair. These can infiltrate the bloodstream, potentially causing inflammation and blood vessel damage even in healthy people, research on urban air pollution has shown. Studies have linked heart attacks and cancer with long-term exposure to air pollution.Whether exposure to wildfire smoke carries the same risks is uncertain, and determining harm from smog versus wildfire smoke can be tricky, especially with wind-swept California wildfires spreading thick smoke hundreds of miles away into smoggy big cities."That is the big question," said Dr. John Balmes, a University of California, San Francisco, professor of medicine who studies air pollution."Very little is known about the long-term effects of wildfire smoke because it's hard to study populations years after a wildfire," Balmes said.Decreased lung function has been found in healthy firefighters during fire season. They tend to recover but federal legislation signed this year will establish a U.S. registry tracking firefighters and potential risks for various cancers, including lung cancer. Some previous studies suggested a risk.Balmes noted that increased lung cancer rates have been found in women in developing countries who spend every day cooking over wood fires.That kind of extreme exposure doesn't typically happen with wildfires, but experts worry about the kinds of health damage that may emerge for firefighters and residents with these blazes occurring so often.Whether that includes more cancer is unknown. "We're concerned about that," Balmes said.Regular folks breathing in all that smoke worry about the risks too.Smoke from the fire that decimated the Northern California city of Paradise darkened skies this week in San Francisco, nearly 200 miles southwest, and the air smelled "like you were camping," said Michael Northover, a contractor.He and his 14-year-old son have first-time sinus infections that Northover blames on the smoke."We're all kind of feeling it," Northover said.The smoke was so thick in San Francisco, the skyline was barely visible from across the Bay. The city's iconic open-air cable cars that are popular with tourists were pulled off the streets Thursday because of the bad air.An Environmental Protection Agency website said air quality in Sacramento was "hazardous" Thursday and San Francisco's was "very unhealthy." Many people walking around the cities wore face masks.Most schools in San Francisco, Sacramento, Oakland and Folsom said they would be closed Friday. At least six universities in Northern California canceled classes Thursday.At Chico State University, 11 miles (18 kilometers) from Paradise, ash fell this week and classes were canceled until after Thanksgiving."It's kind of freaky to see your whole town wearing air masks and trying to get out of smoke," said freshman Mason West, 18. "You can see the particles. Obviously, it's probably not good to be breathing that stuff in."West returned home this week to Santa Rosa, hard hit by last year's wine country fires, only to find it shrouded in smoke from the Paradise fire 100 miles (160 kilometers) away. West's family had to evacuate last year for a week, but their home was spared."It's as bad here as it was in Chico," West said. "It almost feels like you just can't get away from it."Smoke has been so thick in Santa Rosa that researchers postponed a door-to-door survey there for a study of health effects of last year's fire."We didn't feel we could justify our volunteer interns going knocking on doors when all the air quality alerts were saying stay indoors," said Irva Hertz-Picciotto, a public health researcher at the University of California, Davis. The study includes an online survey of households affected by last year's fire, with responses from about 6,000 people so far.Preliminary data show widespread respiratory problems, eye irritations, anxiety, depression and sleep problems around the time of the fire and months later."Conventional thinking is that these effects related to fires are transient. It's not entirely clear that's the case," Hertz-Picciotto said.Researchers also will be analyzing cord blood and placentas collected from a few dozen women who were pregnant during the fire, seeking evidence of stress markers or exposure to smoke chemicals.They hope to continue the study for years, seeking evidence of long-term physical and emotional harms to fire evacuees and their children.Other studies have linked emotional stress in pregnant women to developmental problems in their children and "this was quite a stress," Hertz-Picciotto said.It's a kind of stress that many people need to prepare for as the climate warms and wildfires proliferate, she said."Any of us could wake up tomorrow and lose everything we own," she said. "It's pretty scary."___Follow AP Medical Writer Lindsey Tanner at https://twitter.com/LindseyTanner . Her work can be found here .___The Associated Press Health & Science Department receives supportfrom the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content. 7036
Since the Parkland, Florida, school shooting on Valentine's Day, there have been at least 20 reports of other incidents involving a threat to a school or a weapon on a school campus.Spartanburg, South Carolina 217

SOLANA BEACH, Calif. (KGTV) -- Solana Beach’s alternative to San Diego Gas and Electric appears to be in store for financial headwinds. A new city report says that the Solana Energy Alliance could run at a deficit for the next two years, which look to be more challenging than originally forecast. The city launched the alliance in June to help the city reach its goal of 100 percent renewable energy by 2035 and provide competition to SDG&E. Currently, more than 90 percent of Solana Beach energy and businesses buy their electricity from the alliance. It saves them about 2 percent from SDG&E. “They’re definitely stepping into deep water to try to do this themselves,” said Solana Beach resident Ed Radcliffe. “I hope they do it right.”Solana Beach City Councilman Peter Zahn said overall the energy program is healthy. It has high enrollment and is paying off expenses from the launch. He said it had higher revenues than expected while also having higher expenses than expected. Zahn said the report examined the alliance’s first three months, so it’s still early. He added a big hit came from a recent Public Utilities Commission decision to hike the exit fees residents pay SDG&E to buy it elsewhere. The Solana Beach city report says the fees could rise by as much as 50 percent. “While we are not happy with some of the factors that have influenced this - like the exit fee - we are really optimistic about going out into the future,” Zahn said.The report said higher energy prices and lower SDG&E electricity generation rates are also impacting revenue.In October, the city of San Diego announced plans to create its own alternative to SDG&E, called a Community Choice Aggregator. A spokesman for Mayor Kevin Faulconer says comparing Solana Beach’s organization to what is in store in San Diego is apples to oranges. That’s because the city would have a much larger group of customers, hence buying power. The San Diego program could launch in 2021. 1988
September is Prostate Cancer Awareness Month. According to American Cancer Society, one out of nine men will be diagnosed with prostate cancer during his lifetime. Ted was diagnosed two years ago at the age of 71.“The percentage of men my age that do come down with it is quite high, so I was startled – obviously nobody wants to find out they have cancer – but I wasn’t shocked,” prostate cancer patient Ted said.However, Ted found out he was a prime candidate for a type of treatment called HIFU, which stands for high-intensity focused ultrasound. The procedure has been around for quite a while, but it wasn’t approved for use on prostate cancer in the U.S. until 2015.“The HIFU procedure is basically a high-intensity focused ultrasound beam that oblates the cancer cells – basically blasts the cells away,” Ted said.Urologic surgeon Dr. Andre Abreu with Keck Medicine of USC says there’s a spectrum of patients who develop prostate cancer. Some are very low-risk, meaning they have very little cancer. They’re chosen for active surveillance where they are closely watched to make sure they don’t develop more cancer. Others have very advanced forms of cancer and need radical treatment like radiation or removal of the prostate. Then there are patients in the middle who largely benefit from HIFU.“In between, there are some patients with intermediate risk disease that are not the best candidate for us to watch them for active surveillance, however, the radical treatment would probably be associated with side effects,” Dr. Abreu said.Side effects like leaking urine, or issues with erectile dysfunction.“Some of these patients, they would be even willing to trade off some years of life, but having more quality of life,” Dr. Abreu said.A study at Keck Medicine of USC shows focal HIFU ablation carries a low risk of complication and can help preserve quality of life. That was certainly the case for Ted.“I experienced very little pain with the procedure," Ted said. "I took ibuprofen which is an over-the-counter pain reliever. And the only negative thing I did experience was wearing a catheter for a week.”“HIFU is repeatable, HIFU is non-invasive, HIFU is an out-patient procedure,” Dr. Abreu said.An out-patient procedure means the patient can be in and out of the hospital in one day without staying overnight. For Ted, it only took three hours. He says he would recommend the procedure to other men in a similar situation.“As I understand it, it’s been used in Europe for 15 years already with no problems. So, I think to take advantage of the technology that’s there is something the doctors should rely on,” Ted said. 2645
Some of the other dogs rescued from the burning home by #DCsBravest. pic.twitter.com/QmncgZ91Qy— DC Fire and EMS (@dcfireems) July 21, 2020 147
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