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An explosion from an electronic cigarette has killed a man in St. Petersburg, Florida, according to authorities who are investigating the circumstances surrounding his death.Tallmadge D'Elia, 38, was found dead this month after a fire alarm went off at his home and officers arrived on the scene, according to his autopsy report. Officials found him with a wound to his top lip area and areas of burns to his body. His death has been ruled accidental.The cause of death is identified as a projectile wound to the head, Bill Pellan, director of investigations at the Pinellas County Medical Examiner's Office, said Tuesday.The projectile was from a section of an e-cigarette. The autopsy noted that the e-cigarette was manufactured by Smok-E Mountain and was a "mod" type device.E-cigarettes are battery-operated devices that produce an aerosol by heating a liquid, usually containing nicotine, flavorings and other chemicals, according to the US Centers for Disease Control and Prevention. Users inhale the aerosol.More than one in every 10 adults has tried an e-cigarette even just one time, according to the CDC. E-cigarettes can come in many shapes and sizes; some are made to look like regular cigarettes, while others are larger devices such as tank systems or "mods."The exact causes of e-cigarette explosion incidents sometimes are unclear, but evidence suggests that battery-related issues may lead to explosions, according to the US Food and Drug Administration.E-cigarettes that are similar in size and shape to traditional cigarettes come with a smaller wattage unit and therefore may not have the power to fail as dramatically, said Thomas Kiklas, chief financial officer of the Tobacco Vapor Electronic Cigarette Association.Larger vaporizers -- such as the device found in the St. Petersburg case -- come with much larger and more powerful batteries."The two major causes of dramatic failures with the larger units are overcharging of the battery and then the shorting of the battery," Kiklas said."Lithium ion batteries fail in other devices as well, but in a laptop, it's on your lap," he said. "In this case, with an e-vapor product, it's close to the face."Though such incidents are rare, this isn't the first time a spontaneous e-cigarette explosion has raised concerns.There were 195 separate e-cigarette fire and explosion incidents in the United States reported by the media between 2009 and 2016, according to data released last year by the US Fire Administration.For example, in 2015, an e-cigarette exploded in a man's face in Naples, Florida, burning his face, chest, hands and lungs. In 2016, an e-cigarette exploded in a New York man's pants pocket. He suffered third-degree burns.Also that year, a 14-year-old girl had mild to moderate burns after an e-cigarette exploded in the pocket of a person nearby while on a Harry Potter ride at Universal Studios in Orlando, Florida.None of those cases was fatal.Kiklas said there are two steps e-cigarette users can take to avoid the risk of an explosion."We've put the caution out before," Kiklas said."Make sure that you use the charger that comes with the battery, and make sure the charger has a shutoff device, an automatic shutoff device, so it's not overcharged. That's typically the biggest issue which causes batteries to fail," he said. "And two, never carry a battery alone, out of its case, in your pocket with change or keys, because that's another way the batteries can short themselves out."The FDA also recommends replacing batteries if they get damaged or wet. 3627

As an organization dedicated to the fight to #EndExtinction, we must provide a voice for wildlife. Last year, we added our voice to many other conservationists expressing concerns about these proposed changes & we feel compelled to do so again in light of the current situation.— San Diego Zoo (@sandiegozoo) August 15, 2019 342

Anthony Wall's night started at the prom with his sister, followed by a stop at a Waffle House in Warsaw, North Carolina. While at the restaurant, he got into a heated argument with employees, who called police.It's unclear what happened moments before the confrontation Saturday, but cellphone video widely shared on Facebook showed an officer putting his hand around Wall's neck and shoving him up against a glass wall as he tries to arrest him.Wall screams, "Get your hands off me!" as the officer throws him to the ground and handcuffs him. 562

ANN ARBOR, Mich. (AP) — Students at the University of Michigan are being ordered to stay in place for two weeks after a surge of coronavirus cases driven by social gatherings on and off-campus.Local health officials said Tuesday that the surge is overwhelming their ability to confront the pandemic. Officials say coronavirus cases related to the university represent 61% of the total in Washtenaw County, compared to just 2% in August.More than 1,000 students have been infected since the start of the fall term despite limits on gatherings and classes that are mostly held online. Undergraduate students can attend in-person classes and also leave their residences for exercise, work, food, medical appointments, voting, and religious services.In response to the order, university President Mark Schlissel says even more undergraduate classes will shift to remote instruction. Students who want to leave campus housing for the balance of the term could receive a refund or credit. 990

As health system budgets continue to recover from deep losses caused by the COVID-19 pandemic, questions are being raised about why hospitals with billions in reserves still received hundreds of millions of dollars through taxpayer bailouts.As part of the CARES Act in April, the federal government infused billions of dollars into the economy, with much of the money going to hospitals across the country.“The CARES Act basically said hospitals had to apply for money and had to demonstrate need,” said Robert Berenson, a fellow at the Urban Institute. “That was completely ignored under the pressure to get the money out the door.”According to COVID Stimulus Watch, Beaumont Health System received more than 3,377,370 while McLaren Health System took in 6,502,427. Henry Ford Health System reports receiving 0,538,048 through the CARES Act. Spectrum Health collected 9,000,000.According to the health systems’ most recent quarterly financial filings, each had billions in cash and investment reserves.At the end of March, Beaumont reported .05 billion in cash and investments, McLaren had .18 billion and Henry Ford had .25 billion.Spectrum Health, based in Grand Rapids, reported the most: .2 billion in cash and investments — enough to run the health system for 246 days.Berenson, who studies healthcare costs, said the vast revenues should have been utilized, at least in part, to offset costs that were shouldered by taxpayers.“What’s the purpose for not-for-profit hospitals to have large surpluses, other than for this kind of an emergency?” he said.Without question, all of the hospitals saw significant losses in revenue due to elective procedures being canceled and increased expenses in security and scarce personal protective equipment.Each of the health systems stresses that while they appreciate the federal grants, they will not cover all of their losses.Beaumont, McLaren and Spectrum all declined on camera interviews, but Henry Ford’s Health System CFO Robin Damschroder agreed to an interview."It was critical for us to be able to pay payroll, buy pharmaceuticals, pay our utility bills," Damschroder, who leads the Michigan-based system said. "If we didn’t have those accelerated loans, we would have been going out on our credit lines very, very quickly in an effort to keep everything moving."Damschroder estimated the hospital will have lost 0 million due to the pandemic, and is bracing for a second wave to slash revenues further.“We’re anticipating a wave two. We are unclear given the amount of money that’s been given out today whether there will be more money,” Damschroder said. “So if the second wave were as big as the first, or half of the first, you can imagine that Henry Ford is going to have to look to those reserves then.”Grants to hospitals weren’t based on need, but rather on past revenues. It prioritized large health providers first, and smaller, more rural hospitals last.North Ottawa Community Health System in Grand Haven, Michigan, a small hospital with under 500 employees, was struggling well before the pandemic and was late to receive any federal funds after it took hold.“It has shown the light about the inequities of hospital funding,” said Jennifer VanSkiver, chief communications officer for the health system.In total, the health system received .2 million through the CARES Act, not enough to offset .7 million in losses.“With smaller hospitals,” VanSkiver said, “you don’t typically have huge cash reserves or the ability to forever rely on investment income.”Niall Brennan, the CEO of the Healthcare Cost Institute in Washington, doesn’t blame Michigan hospitals for accepting the federal funds because they all lost significant revenues. Back in April, he said, no one knew if the surge of COVID-19 patients would last weeks or months.But where he does fault hospitals is for accepting federal funds and still furloughing or laying off employees. Beaumont furloughed nearly 2,500. Henry Ford furloughed 2,800.McLaren and Spectrum also furloughed employees, but the final numbers were not publicized. Both released statements."McLaren has taken decisive action to stabilize its operations and protect its financial strength during the pandemic," said spokesman Kevin Tompkins in an e-mail."We’ve focused our resources, reduced expenses and boosted our liquidity to ensure we have adequate cash on hand to support normal operations and the increase in COVID-19-related cash obligations that will extend well into 2021. Unfortunately, this pandemic is far from over," he said."The financial impact of COVID-19 is far-reaching and will suppress our health system’s revenues for the remainder of the year, which will end in a loss," said Spectrum Health spokesman Bruce Rossman. "This makes financial adjustments imperative. The most difficult adjustment involved the furloughing of team members and the elimination of positions that would not be needed in the future. These were roles that did not involve direct patient care."Beaumont did not release a statement..“Maybe a CFO can look at the bottom line and say look, we’re not utilizing these people and therefore they need to be furloughed,” Brennan said. “But this was an extraordinary time for our country, and if an organization could afford to keep their workers paid, I think they should have made every effort to do so.”Each of the hospitals said furloughs were necessary to ensure they’d survive longer than just the next year. Most furloughed employees have returned to the workforce."When people start to read about the reserves that certain facilities have or the profits that certain facilities are making or the furloughs that certain facilities are engaging in,” Brennan said, “people sort of question the optics.”This article was written by Ross Jones for WXYZ. 5825