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It happens countless times on roads across America: a vehicle gets a flat tire, usually just a temporary inconvenience.But on one road near Redding, California, when a tire failed last month on a trailer and its rim scraped the asphalt, the result proved to be catastrophic for an entire region.The sparks that shot out July 23 from that minor incident, California fire officials said, ignited what is now the sixth-most destructive wildfire in state history.The Carr Fire blazed a fiery path along Highway 299, lighting up mile after mile of dry brush as it crept up on residential areas. 597

In hospitals, one bacterial species is becoming increasingly tolerant to the alcohols used in hand sanitizers, according to research published Wednesday in the journal Science Translational Medicine.Globally, hospitals use isopropyl or ethyl alcohol-based disinfectants, such as hand rubs, to prevent patients from becoming sick from many germs. These are the same active ingredients found in hand sanitizers available for personal use and at schools -- but that doesn't mean people should give up on them.The bacterium Enterococcus faecium resides in our guts, but if encountered in a hospital, it can cause various complicated infections affecting the abdomen, skin, urinary tract and blood. This particular bug is a member of the Enterococci family, which ranks as the fourth and fifth leading cause of sepsis, a life-threatening bloodstream infection, in North America and Europe, respectively.Many hospital-acquired infections have decreased or been kept in check by Australia's strict hygiene practices that rely on alcohol-based hand sanitizers. Yet drug-resistant E. faecium infections have increased in Australian hospitals over time, according to the study authors.This alarming pattern prompted them to investigate whether E. faecium might be developing resistance to the alcohols used in hand rubs. 1343

In the wake of COVID-19, doctors officers switched to treatment through telehealth to keep patients safe. For addicts and recovering addicts, the idea of getting help though virtual connections was a little different.“I’ve continually gone to meetings for 39 years, and now all of a sudden I’m not going to meetings,” Kathleen Gargan said. She’s been sober since 1981. “Thirty-nine years. I’m very lucky.”She has been going to meetings with different recovery groups for decades.“I think that's what’s kept me sober all this time is continually going to meetings and being reminded of what my life was like when I drank,” she explained. Most recently through LifeRing, a peer-to-peer support organization.For the last few months, group meetings have been mostly non-existent. The COVID-19 pandemic forced support groups to move online, which has its pros and cons.“It has made treatment available to some people who otherwise wouldn't be able to get it because they're in rural areas or far away, but it is lacking some of that in person interaction, accountability,” Doctor Christian Hopfer, an addiction psychiatrist, said. He is with the UCHealth Center for Dependency, Addiction and Rehabilitation in Colorado. “A lot of the treatment is connecting with other people in person.”Quarantinis, virtual happy hours, physical isolation. Market research firm Nielsen found that in-store alcohol sales growth for the week of March 31 spiked 54 percent compared to the year before. For the entire month of April, online alcohol sales were up 400 percent or more compared to the same time in 2019.“We have patients who lost their jobs, were at home, and just started drinking all day,” Dr. Hopfer said. He said he’s even had some patients show up to virtual sessions intoxicated.Still -- he says virtual support is better than no support.“We felt having a telemedicine option was incredibly important to people. Both for people who live in an area where they don't have resources available for addiction treatment, but also for people who have busy lives,” Doctor Abe Malkin, a Medical Advisor for Monument, said.Monument is a new platform aimed at connecting patients to doctors.“Initially, the founder Mike Russell created Monument through his own journey to change his relationship with alcohol,” Dr. Malkin said. “Due to the pandemic and to social distancing and stay-at-home orders, people have had to deal with increasing anxiety, feelings of isolation, which have further triggered relapses in the community.”Monument doesn’t replace the detox process, but it works for those looking for a treatment center, a doctor to connect with, or for peer support.“We’re really trying to make this more welcoming, more inviting to people. Something they can feel that they’re part of a community without having to depart from their normal daily routines,” Dr. Malkin said.Even with new platforms to help with connection, Gargan says nothing beats in-person interaction.“Since we have the Zoom meetings, they feel great about it, they don't have to get out of their pajamas ….and they don't have to drive anywhere,” she said. “Face to face experience is, in general, richer.” 3174

Is the Oprah Winfrey halo starting to fade from Weight Watchers?Weight Watchers shares fell nearly 15 percent Tuesday after the company reported a decline in subscribers between the first and second quarters.But the market may be overreacting to a calendar problem.For the past few years, Weight Watchers has reported a similar dip in subscribers during that period. The rolls grow again as the year progresses, which makes sense.People are often gung-ho about exercising, eating better and losing weight right after the winter holidays. But New Year's resolutions can be hard to maintain in the spring and summer.Even though some subscribers drop out in the first few months of the year, total subscribers are actually way up since Winfrey joined. The base grew 28 percent from a year ago to 4.5 million.In the third quarter of 2015, the company had fewer than 2.6 million subscribers.Despite the big drop in the stock Tuesday, the company's latest profits actually topped forecasts, and it raised its outlook.Shares in the company are up nearly 80 percent this year and have skyrocketed more than 1,000 percent since Winfrey first invested about million.Weight Watchers has done an extraordinary job over the past few years of making the company's programs more exciting for a broader base of people, particularly since Mindy Grossman — formerly of HSN — took over as CEO last year.The new Weight Watchers Freestyle program lets you eat a wider variety of food. Weight Watchers has also partnered with meditation company Headspace to provide exclusive content on the Weight Watchers app to its subscribers.It's all about wellness, not necessarily how many pounds you've lost.Grossman said during an earnings call with analysts Monday evening that beginning next January, no artificial ingredients will appear in any Weight Watchers-branded products. And she quoted Winfrey, who said at a Weight Watchers event in February that "healthy is the new skinny."In addition to Winfrey, who is also a board member and the company's third largest investor with a 5 percent stake worth about 0 million, Weight Watchers has brought on actor Kevin Smith, music star DJ Khaled and celebrity chef Eric Greenspan as "ambassadors" for the company.So there is no issues with Oprah's halo. Weight Watchers still looks pretty healthy. 2337

Is it an addictive drug, or a way to actually overcome addiction? The FDA is considering regulating an herbal drug called Kratom. But a group of doctors is pushing back, saying it's part of the solution not part of the problem. They may be color coded, but for Catherine Nieves, the liquid she's pouring in her cups are more than trendy new drinks. She says what's inside them, changed her life."I was homeless and a drug addict who lost custody of my oldest child," Nieves says.Nieves owns a store and prepares drinks made with Kratom, a coffee-like herb. After a C-section a few years back, she started taking Kratom for pain, instead of the addictive opioid Percocet her doctor prescribed."It made the pain just as manageable," Nieves says. "But it was healthier for me mentally just to not get back in the habit with pills when it was something that I was already very sensitive to.But the FDA describes Kratom differently, calling it dangerously addictive, and similar to narcotics like opioids with respect to addiction and death."Yes they interact similar with opioid receptors in the body but the effects are very different," says Oliver Grundmann Ph.D. with the University of Florida.Dr. Grundmann is one of several doctors publicly rejecting the FDA's position on Kratom. He says it doesn't impact breathing the way opioids do, so that lessens the chance of an overdose. And he says the FDA is wrong to link it to 44 deaths in the last decade."So we are not saying that Kratom doesn't have potential adverse effects," Dr. Grundmann says. "But is it positively linked to these deaths? We don't think so."Grundmann believes it should be regulated by the FDA but not as a narcotic."What is at the heart of all of this is we want to consumers to be protected and we want them to have quality products," Grundmann."I have children I have a great life that I've made for myself it's just entirely too much to possibly jeopardize," Nieves says.Nieves wants people who are in her situation to see a safer way out.Nieves says, "It seems like a bottomless hole, addiction. But there is so much hope and Kratom gives people hope." 2147