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At least eight members of the same family were among the 26 people killed Sunday when a man armed with a rifle burst into the sanctuary of a church in Texas and started firing.The mass shooting left about 20 others wounded at the First Baptist Church in Sutherland Springs, about 30 miles east of San Antonio.The massacre killed about 4% of the small town's population. And no one at the church was left unscathed, Wilson County Sheriff Joe Tackitt said."I think nearly everyone had some type of injury," the sheriff told reporters Monday.Texas Gov. Greg Abbott called the slaughter "the largest mass shooting" in the state's history. But it's still unclear what motivated the killer.Latest developments-- The killer had in-laws who attended the church, but they were not present at the time of the massacre, the sheriff said.-- The shooter was first shot by an armed resident who confronted the gunman outside the church. The suspect then turned the gun on himself, authorities said. He was dressed in all-black tactical gear, including a ballistic vest, and was later found dead in his vehicle.-- The victims ranged in age from 5 to 72 years old, said Freeman Martin, a regional director with the Texas Department of Public Safety. The visiting pastor was among those killed, Tackitt said.-- The 14-year-old daughter of the church's regular pastor was among those killed, said Sherri Pomeroy, the girl's mother. Her parents were traveling out of state when the shooting occurred.-- At least eight of the people killed were members of one family, according to a relative and a community leader. Those relatives span three generations and include a woman who was about five months pregnant and three of her children.-- A witness told CNN affiliate KSAT that he and the armed resident pursued the gunman in a car chase for about 11 miles.-- Speaking from Japan, President Donald Trump expressed condolences for the victims during a Monday news conference and said he believes the shooting was caused by a "mental health problem," not an issue with US gun laws.Who was the shooter?The gunman has been identified as 26-year-old Devin Patrick Kelley, according to two law enforcement sources who have been briefed on the investigation.But police have not officially named Kelley as the shooter. They described the gunman as a white man in his 20s. Authorities have not said what the motive was.Kelley was a member of the US Air Force and served at Holloman Air Force Base in New Mexico from 2010 until his discharge, according to Air Force spokeswoman Ann Stefanek.He was court-martialed in 2012 for assault on his spouse and assault on their child, according to Stefanek. He served a year in confinement, received a bad conduct discharge and had his rank reduced, she said.In April 2016, Kelley purchased the Ruger AR-556 rifle he allegedly used in the shooting from a store in San Antonio, Texas, a law enforcement official said. There was no disqualifying information in the background check conducted as required for the purchase, a law enforcement official told CNN.At one point, the shooter tried to get a license to carry a gun in Texas but was denied by the state, Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott said. "So how did this happen?"How the attack unfoldedThe gunman was first spotted at a Valero gas station across the street from the church at about 11:20 a.m. (12:20 p.m. ET).He drove across the street, got out and began firing even before he entered the church, Martin said.David Flores told CNN that his father saw the shooter."My dad saw the gunman run into the church building and then he heard shots and saw people running," Flores told CNN. "People covered in blood and screaming. It was pandemonium everywhere."As the shooter left the church, a local resident used his own rifle to engage him, Martin said. The gunman dropped his weapon and fled.Johnnie Langendorff said he was driving to his girlfriend's house when he saw the shootout between the shooter and the armed resident.The gunman took off in a Ford Explorer, Langendorff told CNN affiliate KSAT.The resident "briefed me quickly on what had just happened and said we had to get him, and so that's what I did," Langendorff said.They gave chase in his truck and called police. As they sped after him, Langendorff said, the shooter "eventually lost control on his own and went off into the ditch" in neighboring Guadalupe County."The gentleman that was with me got out and rested his rifle on my hood and kept it aimed at him [shooter], telling him to get out. There was no movement, there was none of that. I just know his brake lights were going on and off, so he might've been unconscious from the crash or something like that. I'm not sure."Law enforcement later found the suspect dead of a gunshot wound inside his vehicle.A law enforcement official briefed on the investigation said multiple weapons were found in the shooter's car. The FBI and the Bureau of Alcohol, Tobacco, Firearms and Explosives are involved in the investigation.The victims and griefHours after the shooting, residents of Sutherland Springs hugged one another, held candles and sang hymns in a vigil Sunday night. Abbott attended the event, in which faith leaders offered words of solace and prayers.Sutherland Springs is the kind of place where "everybody knows everybody," said Gloria Rodriguez Ximenez, who attended the vigil."This is a small, Christian town, a very small community," she said. "Everybody's united. Everybody's so close to everybody."She knows the First Baptist Church's pastor and his family, including their daughter who died."I can feel the pain everybody's going through. There's so much hurt for a small town," Ximenez said.Others echoed the feeling of shock and heartache."My heart is broken," Wilson County Commissioner Albert Gamez Jr. told CNN. "We never think where it can happen, and it does happen. It doesn't matter where you're at. In a small community, real quiet and everything, and look at this."Twenty-three people died inside the church, which has a small sanctuary with wooden pews and red carpeting. Two died outside the church, and one at the hospital.The wounded are being treated at three hospitals including the Connally Memorial Medical Center in Floresville, University Hospital and Brooke Army Medical Center in San Antonio.The-CNN-Wire 6515

As someone who once criticized President Barack Obama for offering public timelines on American military engagement overseas, US President Donald Trump may have backed himself into a corner following his own promise to respond, and respond harshly, to the deadly chemical attacks in Syria.Last week he declared he wanted to withdraw US troops from Syria as soon as possible. But the suspected use of chemical weapons in Syria over the weekend may force him to reevaluate the US mission in that country.Vowing on Monday to come to a decision "over the next 24 to 48 hours" on how to make Syria pay a "big price," Trump's White House now appears to be scrambling to match its policy to his words.Trump tweeted Wednesday that missiles "are coming" in response to a threat from Russia to shoot down missiles coming into Syria.  836

At 16 years old, Gabe Richards has been working hard to get good grades.He's secured straight As while being a part of the special education program at Marysville High School in Michigan.But, after getting invited to be honored at an academic awards ceremony Monday night, Gabe said he was disappointed to be told at the event that his invite was a mistake."We were really excited and don't get the chance to celebrate achievements all the time," said his mother Stefanie Grassel.Grassel said the faculty did apologize and acknowledge they mistakenly sent an invitation letter.However, as a mother, Grassel said she wants to see the policy changed to become more inclusive."It sends the message that they are less than a general education student, and that's wrong," she added.Richards also told us he feels disappointed after what happened. District superintendent Shawn Whiteman refused to do an interview in response to what happened. Instead, he issued the following statement addressing the matter:"The criteria for students to receive the distinguished “Academic Award” from Marysville High School are a GPA greater than or equal to 3.5 and that they are enrolled in a certain amount of academic-based classes.After speaking with our high school principal, it was evident that a mistake was made when identifying students for this award, due to the fact that a letter was sent home inviting a student to the ceremony who didn’t meet the full criteria.It is clear that the high school made an error in identifying students for this year’s award and we respectfully apologize for any grief this has caused.  Because of this, we will be taking corrective action so that this does not happen again in the future." 1768

As the coronavirus pandemic surges across the nation and infections and hospitalizations rise, medical administrators are scrambling to find enough nursing help — especially in rural areas and at small hospitals.Nurses are being trained to provide care in fields where they have limited experience. Hospitals are scaling back services to ensure enough staff to handle critically ill patients. And health systems are turning to short-term travel nurses to help fill the gaps.Adding to the strain, experienced nurses are “burned out with this whole (pandemic)” and some are quitting, said Kevin Fitzpatrick, an emergency room nurse at Hurley Medical Center in Flint, Michigan, where several left just in the past month to work in hospice or home care or at outpatient clinics.“And replacing them is not easy,” Fitzpatrick said.As a result, he said, the ER is operating at about five nurses short of its optimal level at any given time, and each one typically cares for four patients as COVID-19 hospitalizations surge anew. Hospital officials did not respond to requests for comment.But the departures are not surprising, according to experts, considering not only the mental toll but the fact that many nurses trained in acute care are over 50 and at increased risk of complications if they contract COVID-19, while younger nurses often have children or other family to worry about.“Who can actually work and who feels safe working are limited by family obligations to protect their own health,” said Karen Donelan, professor of U.S. health policy at Brandeis University’s Heller School for Social Policy and Management. “All of those things have been factors.”Donelan said there is little data so far on how the pandemic, which has killed more than 231,000 people in the country, is affecting nursing overall. But some hospitals had a shortage even before the virus took hold, despite a national rise in the number of nurses over the past decade.With total confirmed coronavirus cases surpassing 9 million in the U.S. and new daily infections rising in 47 states, the need is only increasing.Wausau, Wisconsin-based Aspirus Health Care is offering ,000 signing bonuses for nurses with at least a year of experience and hiring contract nurses through private staffing companies to handle a surge in hospitalizations that prompted the system to almost quadruple the number of beds dedicated to COVID-19 patients.Aspirus, which operates five hospitals in Wisconsin and four in small communities in Michigan’s Upper Peninsula, also is moving nurses around between departments and facilities as hot spots emerge, said Ruth Risley-Gray, senior vice president and chief nursing officer at Aspirus.Outside help still is needed, in part because some nurses have gotten sick from or were exposed to the cornavirus during the current wave, which “came with a vengeance” starting in August, Risley-Gray said. At one point in mid-October, 215 staffers were in isolation after showing symptoms or being exposed to someone who tested positive, and some are just starting to return to work.Aspirus recently was able to hire 18 nurses from outside agencies, and may need more if the surge continues.Because the pandemic is surging just about everywhere in the country, hospitals nationwide are competing for the same pool of nurses, offering pay ranging from ,500 a week to more than ,000, said April Hansen, executive vice president at San Diego-based Aya Healthcare, which recruits and deploys travel nurses.She said demand for their services has more than doubled since early in the pandemic when the greatest need was in hot spots like New York and New Jersey and then moved to southern states. In recent weeks the virus has been spiking across the country, with the new hot spots in places like the rural upper Midwest and southern-border communities such as El Paso, Texas.Now placing nurses where they’re needed is “like a giant game of whack-a-mole,” said Hansen, whose company has about 20,000 openings for contract nurses.In North Dakota, where infection rates are exploding, hospitals may cut back on elective surgeries and seek government aid to hire more nurses if things get worse, North Dakota Hospital Association president Tim Blasl said.In Texas, Gov. Greg Abbott recently announced he was sending 75 nurses and respiratory therapists to El Paso to help handle the city’s surge. Wisconsin Gov. Tony Evers, meanwhile, issued emergency orders making it easier for nurses from elsewhere to practice in his state and for retired nurses to come back.“This has been a challenge, and we’ve been pleading with the community members to protect themselves and others,” by wearing masks and social distancing, said Aspirus’ Risley-Gray, who said the positivity rate among community members tested by Aspirus rose from under 10% in September to 24% last week.To combat the emotional toll and fatigue that comes with caring for COVID-19 patients, including just donning and removing protective equipment all day, Aspirus has been giving nurses microbreaks and quiet places to get away and collect themselves when they feel overwhelmed.Travel nurses say the need at small hospitals tends to be greater than at larger facilities.Robert Gardner, who’s currently assigned to a hospital in a small town about 20 miles west of Atlanta, said he did search and rescue in the Coast Guard during Hurricane Katrina and the pandemic is “a lot worse.”He worked at a large New Jersey hospital when that state was swamped by the virus in the spring, and now worries that flu season could bring further chaos to hospitals. But he’s determined to stick it out, no matter what.“It’s not even a question,” Gardner said. “Nursing is a calling.” 5727

As we're all on screens now more than ever, new data suggests a difference in opinion between teens and their parents. Turns out, there's an increase in teens hiding their online activity from mom and dad.“I think pretty early on my husband and I decided that it wasn’t for us,” Stephanie Murphy said, talking about devices. Video games, iPads, Nintendo, you name it, she doesn't want it in her house. The 2nd grade teacher in New York City is also a busy mom of 4. Only her 13-year-old daughter has access to a device.“She’s not the majority, she does have a phone we did give her one when she went into middle school for safety reasons,” Murphy said.Murphy knows her family isn't the majority either. For the second year in a row, AT&T and Quadrant Strategies teamed up to conduct their "digital family poll."“We do it to benchmark what teens are doing online, how are teens interacting online, and how are parents looking at the digital life of their kids,” said Nicole Anderson. She's the Assistant Vice President for Social Responsibility at AT&T. This year's data was interesting in comparison to last year, when there wasn't a pandemic.“From last year to this year - parents actually feel more confident: 71% felt more confident than at any point they could see what their teens are doing online. They’re spending more time together so parents felt more confident. 'I can check anytime and see what they’re doing,'” Anderson said.But, add that stat to the one they got from teens, who also felt more confident that they could do a better job at hiding things. “Seeing that discontent made us want to double down saying we’ve got parental controls; we have resources you can use on the screen ready website,” Anderson said.The poll, which focuses on teens, also found that parental controls made a difference. And not just an obvious one.“The teens who do have parental controls on their devices reported that they’re happier; feel safer, more productive, and they’re able to follow their passions online and digitally more so then these teens who don’t have parental controls set,” Anderson explained. We asked about those parental controls, and where one would even begin. "You can set a time limit that your child spends on a device, it can screen by age what sites are appropriate and it can block certain programming depending on the device," Anderson said.AT&T launched a new parental controls campaign using super heroes. She says the controls take away the fight between kids and their parents.As for Stephanie Murphy, she says, “I’m going to be honest, they are going to search. I’m hoping I’m instilling that they come to me and ask me questions.” She says she's armed and ready with answers and she also says, what's most important for her family is being present.“When they were online, they’re near me. When they were working on their computers, they’re right next to me, when he finished it was to talk to his friends and he was in another room and I could hear them. They were never where they were so far that I couldn’t hear what they were doing,” Murphy said.Murphy says, when and if that day comes, she'll launch parental controls. But for now, in these challenging times, remind yourself that no one has parenting down to a perfect science.“Everyone is different and everyone is in a different situation. I’m not in a position to give advice, but I could just say that you do what’s best, they’re your children and you know them best.” 3481