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The Trump administration has finalized a regulation that overturns Obama-era protections for transgender people against sex discrimination in health care. Friday's action is certain to be challenged in court by LGBTQ groups and others.The policy shift, long-sought by the president’s religious and socially conservative supporters, defines gender as a person’s biological sex. The Obama regulation defined gender as a person’s internal sense of being male, female, neither, or a combination.The Trump administration said that the new rules come with a .9 billion budget reduction over the course of five years. The costs are associated with enforcement efforts. “HHS respects the dignity of every human being, and as we have shown in our response to the pandemic, we vigorously protect and enforce the civil rights of all to the fullest extent permitted by our laws as passed by Congress. We are unwavering in our commitment to enforcing civil rights in healthcare,” Roger Severino, Director of the Office for Civil Rights at HHS.The Human Rights Campaign already announced it will sue the Trump Administration to stop the move.“We cannot and will not allow Donald Trump to continue attacking us. Today, the Human Rights Campaign is announcing plans to sue the Trump administration for exceeding their legal authority and attempting to remove basic health care protections from vulnerable communities including LGBTQ people. And, to add insult to injury, the administration finalized this rule on the anniversary of the Pulse shooting, where a gunman killed 49 people in an LGBTQ nightclub,” said HRC President Alphonso David. “LGBTQ people get sick. LGBTQ people need health care. LGBTQ people should not live in fear that they cannot get the care they need simply because of who they are. It is clear that this administration does not believe that LGBTQ people, or other marginalized communities, deserve equality under the law. 1940

The recommended amount of sleep for adults is six to eight hours a night. Sleeping more than those hours is associated with an increased risk of death and cardiovascular diseases, says a global study published Wednesday in the European Heart Journal.Looking at data from 21 countries, across seven regions, the research team found that people sleeping more than the recommended upper limit of eight hours increased their risk of risk of major cardiovascular events, like stroke or heart failure, as well as death by up to 41%.But a possible reason for this could be that people have underlying conditions causing them to sleep longer, which in turn could raise the risk of cardiovascular disease or mortality, explain the authors of the study.The team, led by Chuangshi Wang, a Ph.D. student at McMaster and Peking Union Medical College in China, also identified a rising risk among daytime nappers."Daytime napping was associated with increased risks of major cardiovascular events and deaths in those with [more than] six hours of nighttime sleep but not in those sleeping [less than] 6 hours a night," Wang said.In those who underslept, "a daytime nap seemed to compensate for the lack of sleep at night and to mitigate the risks," Wang explained.Previous studies into this topic were mainly carried out in North America, Europe and Japan. The new study brings a global picture.But the findings are observational, meaning the cause of this association remains unknown."Even though the findings were very interesting they don't prove cause and effect," said Julie Ward, a senior cardiac nurse at the British Heart Foundation, who was not involved in the study.Having less sleep -- under six hours -- was also shown to increase these risks by 9%, compared with people who slept for the recommended six to eight hours, but this finding was not considered to be statistically significant by the team.In 2014, 35.2% of American adults reported not getting enough sleep with less than seven hours per night, according to the CDC. 2049

The U.S. reported yet another daily high mark for newly reported cases of COVID-19 on Thursday with nearly 188,000, according to a database kept by Johns Hopkins University.The U.S. reported at least 187,833 positive COVID-19 tests on Thursday, breaking the all-time record of 177,224 that was set six days prior, on Nov. 13.Thursday marked the eighth time in November that the U.S. broke the daily record for newly reported cases as the COVID-19 continues to spread across the country. About 2.5 million people in the U.S. have contracted the virus since the start of November.The spike in cases has led to all-time highs in hospitalizations linked to the virus. The COVID Tracking Project reports that more than 80,000 people are currently hospitalized with the virus across the country — an all-time record that surpasses even the early portions of the pandemic. According to the COVID Tracking Project, 71% of those hospitalizations occur in the Midwest and South, leading to many rural hospitals running short on resources. Some states like South Dakota and Iowa say their hospitals are at their breaking points.Thursday also saw reports of 2,000 deaths linked to the virus — the first time the U.S. has seen that many reported deaths in a single day since May 6. Since Oct. 17, daily deaths linked to COVID-19 on a seven-day rolling average have nearly doubled from about 700 a day to more than 1,300 a day. The continued spike comes amid a rash of promising news in the hope for a COVID-19 vaccine. On Friday, Pfizer announced that it had filed for Emergency Use Authorization for its vaccine candidate, two days after initial studies showed it to be 95% effective in large-scale trials. Several other drugmakers have also reported that their vaccines are on the precipice of authorization.However, health experts warn that the U.S. is in for a rough few months. Vaccines will initially need to be rationed for people in high-risk populations and health care workers. Dr. Anthony Fauci has said he believes vaccines won't be widely available until April. 2075

The strike that closed West Virginia's public schools for four days is over, West Virginia Gov. Jim Justice announced Tuesday evening.School will resume Thursday, he said.Teachers and school-related personnel will get a 5% raise in the first year and all other state employees will get a 3% raise, the governor said.The numbers still have to be passed by the Legislature.Justice said he had spoken to the leaders of the Senate and the House and he was "very, very hopeful" a bill would pass soon.The governor said he had changed his position on giving a raise this size after he had a conversation Monday with a sixth-grader named Gideon.Justice said Gideon was asking questions about tourism and the governor tried to explain about returns on investments in marketing.Turning one dollar into eight is a good investment, the governor told Gideon."Wouldn't it be an investment to invest in smart teachers that make me smart and then I can in turn, turn around and do smart, good things for our state?" the student replied.The governor said Gideon was right and he was approaching the strike wrong."I was looking at it as what the prudent thing was to do and not as investment." he said Tuesday.Dale Lee, president of the West Virginia Education Association, said the organization reserves the right to call teachers and service workers out again at a later date if the legislation gets bogged down or doesn't move ahead at their desired speed.Not all strikers pleasedThe strike put about 20,000 teachers and 13,000 school service employees on the picket lines to demand better pay and benefits.With the pay issue seemingly solved but insurance issues not, there was mixed reaction outside the state Capitol when the news was announced to the people on strike.There were big cheers for the pay raise, but boos for the lack of an immediate change to insurance.After they were told they would go back to schools Thursday with a possibility they might get called to strike again, teachers chanted "Back to the table!" and "Fix it now!"There are other issues, teacher saysWendy Peters, a third-grade teacher who traveled from Daniels, told CNN sister network HLN by phone that the primary issues are pay and insurance. But there are others, such as seniority and less stringent criteria that allow for noncertified teachers -- something Peters doesn't think should happen.She told "On the Story with Erica Hill" that teachers want to feel "valued and respected."Peters, who has 16 years of service and says she makes ,000, said teachers want a wage competitive with surrounding states. "We take care of the most important thing in our state, our children," she said.Legislation sparked strikeThe walkout -- which kept the state's roughly 277,000 public school students out of class -- came after Justice signed legislation late on the night of February 21, granting teachers a 2% pay increase starting in July, followed by 1% pay increases over the next two years.But the bill did not address further concerns of teachers, including issues with the teachers' public employees insurance program, the rising costs of health care and a tax on payroll deduction options, according to Christine Campbell, president of the American Federation of Teachers-West Virginia.Many people in West Virginia said that the high health insurance costs they face are the main sticking point in the work stoppage. That insurance affects all state employees.Tonya Spinella, a fourth-grade teacher in Mercer County, said rising insurance premiums are "going to be a real issue for us, for our family."She said she has a second job, teaching English to Chinese children online."And really, sometimes the only way we can make ends meet is through my second teaching job and through other little side jobs that I do," she?said. 3817

The U.S. Food and Drug Administration has issued a warning about several hand sanitizer products that have been found to contain wood alcohol, which can potentially be deadly to ingest or on the skin.The FDA said the products from EskBiochem SA de CV in Mexico contain methanol, also known as wood alcohol, which can be deadly when absorbed through the skin or ingested. Substantial methanol exposure can result in nausea, vomiting, headache, blurred vision, permanent blindness, seizures, coma, permanent damage to the nervous system or death."Methanol is not an acceptable ingredient for hand sanitizers and should not be used due to its toxic effects," the FDA wrote in their statement.While anyone who puts methanol on their hands is at risk, officials say young children who accidentally ingest these products and adolescents and adults who drink these products as an alcohol (ethanol) substitute, are most at risk for methanol poisoning.On June 17, the FDA contacted Eskbiochem to recommend they remove its hand sanitizer products from the market. However, to date, the company has not taken action to remove the products from the market and the FDA is urging people to stop using them, and dispose of them properly. 1231