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The US will respond to the Assad regime's alleged chemical attack against Syrian civilians, US Ambassador Nikki Haley told the United Nations as she excoriated Russia, saying its hands are "covered in the blood of Syrian children.""Chemical weapons have once again been used on Syrian men, women and children," Haley said at a special meeting of the United Nations Security Council to discuss what appeared to be a chemical attack on Douma, the last rebel-held town in Syria, on Saturday that left 49 people dead and scores injured."History will record this as the moment when the Security Council either discharged its duty or demonstrated its utter and complete failure to protect the people of Syria," Haley said. "Either way, the United States will respond."Images of gasping children struggling to breathe shocked the world and galvanized President Donald Trump, who condemned the attack as "sick" and upbraided Russian President Vladimir Putin and Iran for supporting Syrian President Bashar al-Assad.Trump threatened that there would be "a big price to pay" for the attack.On Monday, Haley made clear that Russia could "pay" as well, as tensions between Washington and Moscow were laid bare in the Security Council. Russia's ambassador accused the US of plotting against Moscow and Syria, threatening international security, stoking global tensions and operating outside the confines of international law.Haley described at length and in detail blue-skinned Syrian toddlers lying dead in their parents' arms after the suspected chemical attack and made clear that the US sees Moscow as responsible. Russia, she implied, is not even a civilized nation."The monster who was responsible for these attacks has no conscience to be shocked by pictures of dead children," Haley said, explaining that she wouldn't show photos of the victims as she had after a chemical attack in April 2017 that led to US strikes on Syria."The Russian regime, whose hands are also covered in the blood of Syrian children, cannot be shamed by pictures of its victims," she said. "We've tried that before.""Russia could stop this senseless slaughter, if it wanted," she said. "But it stands with the Assad regime and supports it without hesitation. What's the point of trying to shame such people? After all, no civilized government would have anything to do with Assad's murderous regime.""Russia's obstructionism will not continue to hold us hostage when we are confronted with an attack like this one," she added.Russia pushed back hard. "Nobody has invested you with the authority to act as gendarmes, policemen of the world ... we call on you to return to the legal fold," Ambassador Vassily Nebenzia said. Earlier, Russian Foreign Minister Sergey Lavrov had argued that there is no evidence chemical weapons were used, a claim Nebenzia echoed."The use of sarin and chlorine is not confirmed," Nebenzia echoed in the Monday meeting. He went on to say that the US, along with the UK and France, is acting "without any justifications, and without considering the consequences have engaged in a confrontational policy toward Russia and Syria."In extended, rambling remarks, Nebenzia accused the US of plotting a strike against Damascus and planting the "fake news" of the Douma attack Saturday as justification. He then veered off onto the subject of an alleged nerve agent attack on a former Russian spy in the UK, attempting to link all the events."Is it not clear to all? Syria, Russia, Salisbury," Nebenzia said, referring to the British city where the spy was poisoned.The UN's special envoy for Syria, Staffan di Mistura, noted that some states have publicly raised their suspicions that Syria was behind the attack. Other states, he said, "have strongly questioned the credibility of these allegations.""What reason more, then, for a thorough, independent investigation," he concluded, as he denounced the use of chemical weapons as "abhorrent" and called for a thorough investigation.Nongovernmental organizations on the ground had documented "hundreds of cases of civilians with symptoms consistent with exposure to chemical weapons," he said.Between August 2013 and February 2018 there have been at least 85 confirmed chemical attacks in Syria, with the Syrian government responsible for at least 50 of them, according to Human Rights Watch.Even before Nebenzia's accusations, Mistura warned about the hostilities in Syria spiraling out of control to threaten international stability. "I have reached a point in which I am expressing a concern about international security," he told the council.Telling the gathered officials that recent developments carry more danger than ever, he said that "different fault lines that are completely crossing each other and are interconnected" and escalation could "have absolutely devastating consequences that is difficult for us to even imagine.""The council cannot allow a situation of uncontrollable escalation in Syria on any front," he said.Haley and other speakers stressed that a dangerous precedent is being set."We are on the edge of a dangerous precipice," Haley said. "The great evil of chemical weapons use that once unified the world in opposition is on the verge of becoming the new normal. The international community must not let this happen." 5312

The Trump administration is planning to expand an operation that would send federal law enforcement agents to Detroit, Cleveland and Milwaukee in the coming weeks, the White House announced Wednesday night.According to a recap of the day's events on the White House website, President Donald Trump and the Department of Justice plan to expand the program into the three Midwestern cities in the next three weeks.Trump and Attorney General William Barr announced Wednesday that they would send federal agents to Chicago and Albuquerque to combat rising crime under the "law and order" push.“In recent weeks there has been a radical movement to defund, dismantle and dissolve our police department,” Trump said Wednesday at a White House event, blaming the movement for “a shocking explosion of shootings, killings, murders and heinous crimes of violence.”“This bloodshed must end,” he said. “This bloodshed will end.”Detroit Mayor Mike Duggan, Police Chief James Craig and Michigan Gov. Gretchen Whitmer spoke out earlier this week after Trump said they were looking into the plan to bring agents to Detroit."There could be no possible justification for such an action. The Detroit Police Department has had the support of the Detroit community in making sure our City did not have a single store looted or a single fire started during the protests," Duggan and Craig said in a joint statement. "Unlike nearly every other major city in the country, the Detroit Police Department never requested assistance from the National Guard - we handled our issues as a community. We definitely have no need for any federal presence being sent in now.""It is deeply disturbing that President Trump is once again choosing to spread hateful rhetoric and attempting to suppress the voices of those he doesn't agree with," Whitmer said. "Quite frankly, the president doesn't know the first thing about Detroit. If he did, he would know that for nearly two months now, Detroiters have gathered to peacefully protest the systemic racism and discrimination that Black Americans face every day. There is no reason for the president to send federal troops into a city where people are demanding change peacefully and respectfully."Federal officers are already in Portland, Oregon and have clashed with protesters over the previous few days."Portland is a very different place than Chicago, but Chicago should be calling us, and so should Philadelphia and Detroit and others to go in and really help them," he said. "Because when you're losing many people a weekend... you see the same numbers as I do. When you're losing these people they should call us and they should say come on in. It's incredible to me, but they're not doing it. At some point they will; at some point we may have no other choice but to go in."This story was originally published by Max White at WXYZ. 2860

The US Food and Drug Administration on Thursday announced the approval of?the first generic version of EpiPen.The auto-injector pen delivers the drug epinephrine to patients experiencing a severe allergic reaction that, if untreated, could develop into the life-threatening condition of anaphylaxis. The medication is delivered into a muscle as a single dose, like a shot, through an injector pen with a spring.Allergies from food, bug bites, medications and latex can cause life-threatening reactions.The newly approved generic is made by Teva Pharmaceuticals and offers an alternative for patients who, until now, have been able to use only the brand-name EpiPen made by Mylan. It is approved in a smaller dose for children, as well.There are two other brand products on the market for a severe allergic reaction: Adrenaclick and Auvi-Q.The newly approved option made by Teva is the only approved non-brand option and can be substituted only for Mylan's EpiPen."Today's approval of the first generic version of the most-widely prescribed epinephrine auto-injector in the U.S. is part of our longstanding commitment to advance access to lower cost, safe and effective generic alternatives once patents and other exclusivities no longer prevent approval," FDA Commissioner Dr. Scott Gottlieb said in a statement announcing the approval.In recent years, Mylan came under fire for a price increase that put the product out of reach for many who needed to keep the drug on hand. 1488

The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The U.S. Supreme Court has declined to weigh in on the battle over pension reform in the city of San Diego. The decision leaves in place a California Supreme Court decision from last year that called pension reform into question and required a lower court to come up with a remedy. It could end up costing the city billions. In 2012, San Diego voters approved Proposition B with 65 percent in-favor. The measure ended pensions for nearly all new city hires, instead switching them to 401(k) type plans. Around the time, the city faced a billion pension liability, comprising 20 percent of the budget. "It is saving us, literally, hundreds of millions of dollars," Mayor Kevin Faulconer said Monday. "That's why it's important, so we can invest dollars back into neighborhoods."The city, however, is now on the legal defensive. Back in 2012, then-mayor Jerry Sanders campaigned on behalf of the measure. Labor unions argued Sanders' involvement required the city to meet and confer with unions before changing their terms of employment. The city argued that Sanders was exercising his First Amendment right to endorse the measure, which got to the ballot via a citizens initiative. The state Public Employee Retirement Board sided with the unions. So did the California Supreme Court, which last year ordered lower courts to decide a remedy. "There is not even a breath of a suggestion in this case that any public officials First Amendment rights have been violated," said Ann Smith, the attorney representing the labor unions. In a statement, Sanders, who now heads the San Diego Regional Chamber of Commerce, called the Supreme Court's decision disappointing but not unexpected. Smith said a lower court decision could make a decision within 30 days. It could impact as many as 4,000 city employees. 1813