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The new recommendation is a simple update of the task force's long-standing position. Since 1996, the task force has recommended doctors screen and briefly counsel adults for unhealthy drinking and before that, in 1989, it recommended physicians ask their patients to describe how they use alcohol."Yet implementation of screening and brief intervention still remains quite low," Angela Bazzi and Dr. Richard Saitz, both of Boston University School of Public Health, wrote in an editorial published with the new guidelines in JAMA. "For example, in the United States, 1 in 6 patients reports having discussed alcohol with their physician; rates in Europe are similarly low."Bazzi and Saitz note that the World Health Organization supports screening and brief counseling for unhealthy drinking in adults, while the American Academy of Pediatrics does so for youth. 873

The indictment includes instances from 2009 through 2016. The couple is also accused of filing false campaign finance records with the Federal Election Commission. 163

The NWS issued an excessive heat warning that will be in effect from 11 a.m. to 8 p.m. Wednesday in the county deserts.High temperatures on Monday could reach 81 degrees near the coast and inland, 84 in the western valleys, 92 near the foothills, 94 in the mountains and 111 in the deserts. 290

The goats, supplied by Environmental Land Management of Valley Center, eat a quarter of their weight per day, devouring some 2,500-3,000 pounds of food per day. 160

The official also said, “The District is committed to ensuring safe and equal access to education for all students free from bullying and harassment based on religion or otherwise. Individuals who experience any such conduct are encouraged to report it to school site administration so it may be appropriately investigated and addressed pursuant to District Board Policy and Administrative Regulations.” 403