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Dr. Scott Gottlieb, commissioner of the US Food and Drug Administration, announced Tuesday a "blitz" on retailers?for violations related to sales of Juul and other e-cigarettes to minors.Forty warning letters were sent to brick-and-mortar retailers as a first step toward stopping underage use of e-cigarettes, the FDA said. The government agency also said it sent Juul Labs, the maker of an e-cigarette popular among teens, a request to submit documents related to product marketing and research, including information about "youth initiation and use.""We don't yet fully understand why these products are so popular among youth," Gottlieb wrote in the public statement. "But it's imperative that we figure it out, and fast. These documents may help us get there."Juul spokeswoman Victoria Davis said the company "agrees with the FDA that illegal sales of our product to minors are unacceptable. We already have in place programs to prevent and, if necessary, identify and act upon these violations at retail and online marketplaces, and we will announce additional measures in the coming days."Electronic cigarettes (also called e-cigarettes or e-cigs), vapes, vaporizers and hookah pens are among the terms used to describe electronic nicotine delivery systems. These products use an "e-liquid" that may contain nicotine as well as flavorings and other ingredients. The liquid is heated into an aerosol that the user inhales. Some products resemble conventional cigarettes, but others look like pens or other ordinary items. Juul resembles an everyday flash drive, which may explain its popularity among teens.The FDA has conducted 908,280 inspections of tobacco retailers, issued 70,350 warning letters and initiated about 17,000 civil money penalty cases in its efforts to fight the sale of e-cigarettes and other tobacco products to minors, it said Tuesday. For the current "blitz," the agency said, it also contacted one online retailer, which removed listings for Juul products and then voluntarily implemented policies to prevent future listings.More than 2 million middle and high school students described themselves as current users of e-cigarettes in 2016 (the most recent year studied), according to a government report: about 11% of high school students and 4.3% of middle school students. Overall, e-cigarette use by high school students increased 900% from 2011 to 2015, according to a separate 2016 report from the US surgeon general.In a recent Johns Hopkins Bloomberg School of Public Health survey, 81% of minors who currently vape said their primary reason for doing so is "availability of appealing flavors.""Widespread reports of youth use of JUUL products are of great public health concern," Gottlieb said in the announcement. "Youth may not understand the nicotine or other characteristics of JUUL."On March 20, the FDA issued a warning that it would act to end the use of e-cigarettes among minors.Juul Labs' website tells the story of two founders, smokers and product designers who had become "increasingly dissatisfied with the health and social impacts of cigarettes" but could find no viable alternative and so created their own -- with "adult smokers in mind.""We are working with the FDA, lawmakers, parents and community leaders to combat underage use, and we will continue working with all interested parties to keep our product away from youth," Davis said on behalf of the company. 3473

During his questioning of Judge Amy Coney Barrett during Supreme Court nomination hearings on Tuesday, Senate Judiciary Chairman Lindsey Graham championed Barrett's nomination as a win for conservative, pro-life women."This hearing to me is an opportunity to not punch through a glass ceiling, but a reinforced concrete barrier around conservative women. You're going to shatter that barrier," Graham said."This is history being made, folks. This is the first time in American history that we've nominated a woman who's unashamedly pro-life and embraces her faith without apology."Barrett has mostly avoided sharing her personal political views and her views on hot-button court topics. However, Barrett did say Monday that she did not believe that the statute set in Roe v. Wade — the case that gave women the right to seek an abortion — was not a "superprecedent" that was beyond consideration of being changed.Barrett has issued legal opinions in the past in favor of limiting abortion. She's also a practicing Catholic — a church that is ardently against abortion — and The New York Times reports that she signed an anti-abortion ad in 2006.President Donald Trump has said in the past that he would only nominate judges that he believed would be committed to overturning Roe v. Wade and the Affordable Care Act. 1323

Editor's note: A full statement from the head of IU Health was released Thursday evening. A copy of that statement is included at the end of this story. INDIANAPOLIS, Ind. — A Black Indianapolis physician died on Sunday with COVID-19 after she complained of racist treatment from IU Health North Hospital, according to her family. In a now-viral video, Dr. Susan Moore recorded her every step when seeking treatment after contracting COVID-19 on Nov. 29. Moore claimed she had to beg for CT scans and a drug that could significantly reduce her recovery time called remdesivir. "Why do I have to prove that there’s something wrong with me in order for my pain to be treated," Moore wrote on her Facebook post. After receiving two transfusions of remdesivir, Dr. Moore asked for a third because she was in so much pain. But, the white doctor on her case denied her request. Moore said the doctor claimed he didn't feel "comfortable" giving her any more narcotics. The doctor even tried to send her home after she complained of excruciating neck pain."I was crushed. He made me feel like I was a drug addict, and he knew I was a physician," Dr. Moore said in a Facebook video posted on Dec. 4 from her hospital bed. "I don't take narcotics."After speaking with a patient advocate, Moore said she asked to be moved to another hospital. "If they're not going to treat me here properly, send me to another hospital," she claimed. "Next thing I know, I'm getting a stat CT of my neck with and without contrast."The CT showed that Moore's pain was coming from new pulmonary infiltrates in her lungs and pleural effusion, according to Moore. The hospital staff said they would then treat Moore's pain. "I put forward and I maintain if I was white I wouldn't have to go through that," Moore stated. "And that man never came back and apologized."According to Moore, she continued to wait for hours to get the pain medicine that IU North said they would give her. When she complained to nurses, they fired back, allegedly claiming they "have more patients than you, you know?""This is how Black people get killed. When you send them home and they don't know how to fight for themselves," Moore said toward the end of the video. "Being Black up in here, this is what happens."After talking further with IU Healthcare's chief medical officer, Moore updated that she received much better treatment. She was still sent home, but less than 12 hours later, she was back in the hospital. This time, she went to St. Vincent Hospital in Carmel, where she said, "I am getting very compassionate care. They are offering me pain medicine.""Those people were trying to kill me. Clearly, everyone has to agree they discharge me way too soon," Moore wrote. The 54-year-old's seventh and final update said, "On (BiPAP) being transferred to ICU."Moore leaves her parents, both suffering from dementia, and her 19-year-old son, Henry Muhammed. After graduating from Carmel High School last year, Muhammed enrolled at Indiana University at Bloomington. But, after his grandparents and mother fell ill, he had to put his schooling aside to aide them. His former high school coach, Rashad Elby, wrote this about Muhammed:"For those of you not familiar with Henry and his struggles, he is a young man whose life to date is best summed as a story of obstacles, perseverance, and triumph. Through Henry’s tenure at Carmel High School, he faced many unforeseen adversities that were out of his control."Elby and another local physician close to Dr. Moore created a GoFundMe fundraiser on Wednesday for Muhammed, who is currently one of the only few left caring for his grandparents. The fund has almost raised ,000 from supporters across the country. "Henry greatly appreciates the outpouring of love from supporters near and far," Elby wrote as an update on the GoFundMe page. In a statement provided to WRTV, an IU Health spokesperson said: 3917

Devastating wildfires across the Western United States has sent smoke traveling across the country and even into Europe. With that smoke comes bad air quality, not just for those near the fires, but for the entire continent.Satelite images from NASA shows smoke thousands of miles from the fire. NASA says the smoke contains aerosols, a combination of particles which carry harmful things into the air and into your lungs. All the things that are burning, trees, grass, brush, homes, are turned into soot and absorbed by our lungs.“This pollution, nobody knows how badly it will be affected but if we extrapolate from previous air quality it's not good,” Dr. Malik Baz, the medical director at the Baz Allergy and Sius Center, said. “The long-term side effect, we’ll see many, many years down the line.”Baz’s operates 13 locations in California, all of them are busy as Central California is essentially a big bowl surrounded by mountains which trap pollution over the valley. Air quality is always an issue for this part of the state and fires multiply the problem.“People with respiratory, allergy, asthma, ,sinus problem, anytime the air quality goes bad, their symptoms get worse,” Baz said. “It affects them but this air quality, it doesn’t matter whether you have respiratory problems or not, everyone is affected.”It's bad in other western cities too."This is really an unprecedented wildfire season in 2020,” said Jon Klassen, director of air quality science and planning for San Joaquin Valley Air Pollution Control District. “We have fires across most of the states in the western US, Washington, Oregon, California, Seattle. Portland has some of the worst air quality in the world right now, which is shocking because normally they have pretty good air quality."Klassen’s job is to monitor and improve air quality and help reduce emissions.“Those sorts of emissions can come off of wildfires or different industrial sources, the burning of different material, and the challenge and the health challenge is that because it’s so small, it can get into your lungs, your bloodstream, cause damage to internal organs,” Klassen said.A good air quality index score is anywhere from 0 to 50. Some of the cities next to the fires are seeing numbers in the 400s or 500s. California, Klassen says, has had fires burn 3.4 million acres. That's larger than the state of Connecticut as a whole. And that smoke from the western United States isn't just staying local.“Just the enormous amount of emissions that are going into the atmosphere can get caught up in transport flow from the Pacific over to the Atlantic,” Klassen said. “It can slowly cross the content and into different parts of the country, which is what we’re observing right now.”Which means use the "see and smell" rule, and watch the air quality index wherever you are.Sometimes that air can make you feel bad, and doctors advise you watch your symptoms.“[Symptoms include] lethargy, coughing, wheezing, difficulty breathing, irritation of the eyeballs, sneezing, itching, nasal congestion, headaches,” Baz said. These are also the symptoms of COVID-19, which makes some problems hard to diagnose.If your air quality isn't good, Baz suggests staying in, avoiding strenuous exercise outside, changing the filters in your home and car and keeping up on your medications and hydration.And while fires aren't forever, we are unfortunately just starting a season that's shaping up to be unprecedented.“The concern here is we are in the middle of wildfire season,” Baz said. “The past few years, the season has ended in November and we’re in September, so we’ll have a couple months left to go with these fires.” 3678

EL CENTRO, Calif. -- The four Marines who died in a Marine Corps helicopter crash during a training mission in El Centro Tuesday have been identified.Military officials say Capt. Samuel A. Schultz, 28, of Huntington Valley, Pennsylvania; First Lt. Samuel D. Phillips, 27, of Pinehurst, North Carolina; Gunnery Sgt. Derik Holley, 33, of Dayton, Ohio; and Lance Cpl. Taylor J. Conrad, 24, of Baton Rouge, Louisiana, all died in the crash.According to officials, the CH-53E Stallion helicopter took off from the Strategic Expeditionary Landing Field at Marine Corps Air Ground Combat Center Twentynine Palms to conduct squadron training.RELATED:  671