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TIJUANA, Mexico (AP) — Hundreds of Tijuana residents have congregated around a monument in an affluent section of the city south of California to protest the thousands of Central American migrants who have arrived there via caravan in hopes of a new life in the U.S.The locals waved Mexican flags, sang the Mexican national anthem and chanted "Out! Out!" on Sunday in front of a statue of the Aztec ruler Cuauhtemoc, 1 mile from the U.S. border.They accused the migrants of being messy, ungrateful and a danger to Tijuana.RELATED: CBP commissioner nearly clobbered with rock while touring Friendship Park borderThey also complained about how the caravan forced its way into Mexico, calling it an "invasion." And they voiced worries that their taxes might be spent to care for the group as they wait possibly months to apply for U.S. asylum.RELATED: Migrants won't see armed US soldiers on border 918
There's a new push to acknowledge the greater impact of racism on health.Three Democratic lawmakers created the Anti-Racism and Public Health Act, which would create two new programs within the Centers for Disease Control and Prevention (CDC).One is a National Center for Anti-Racism to research health disparities and develop policies to close the divide. The other is a new program within the CDC’s Center for Injury Prevention and Control that would be focused on preventing law enforcement violence.The bill also calls on the federal government to declare racism a public health crisis. Meanwhile, many state and local governments have already done that.The American Public Health Association says federal action would identify racism as an issue of national importance.“I think the goal is to get us to take our heads of the sand and not be afraid to call racism for what it is,” said Dr. Georges Benjamin, Executive Director at the American Public Health Association.Benjamin says the pandemic has shown the extent of racism as a health issue, pointing to matters that prevent people of color from getting tested and the apprehension Black men face when it comes to putting on a mask, because it can be seen as threatening.He says the stress can raise blood pressure and cause health issues.“If you actually go in and understand their life experiences, they have higher degrees of stress,” said Benjamin. “Stress, it changes a whole range of bodily hormones that have negative impacts on the body.”The American Public Health Association declared systemic racism a public health crisis in June, shortly after George Floyd’s death.A U.S. Senate version of the bill has been referred to committee. 1708
This year has certainly been the year of comfortable clothing as coronavirus pandemic lockdowns and safety precautions meant millions of Americans are spending more time at home. Fashion Week collections this fall have featured comfortable fabrics and elastic waistbands.Justin Bieber is getting into the trend with his new collection of Crocs. The singer shared images on his Instagram account showing off the new partnership, including one of himself cutting into a cake shaped like the iconic rubber shoe."As an artist, it's important that my creations stay true to myself and my style. I wear Crocs all the time, so designing my own pair came naturally," Bieber said in a statement. 694
There's an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs.In America, experienced nurses are retiring at a rapid clip, and there aren't enough new nursing graduates to replenish the workforce. At the same time, the nation's population is aging and requires more care."It's really a catch 22 situation," said Robert Rosseter, spokesman for the American Association of Colleges of Nursing."There's tremendous demand from hospitals and clinics to hire more nurses," he said. "There's tremendous demand from students who want to enter nursing programs, but schools are tapped out."There are currently about three million nurses in the United States. The country will need to produce more than one million new registered nurses by 2022 to fulfill its health care needs, according to the American Nurses Association estimates.That's a problem.In 2017, nursing schools turned away more than 56,000 qualified applicants from undergraduate nursing programs. Going back a decade, nursing schools have annually rejected around 30,000 applicants who met admissions requirements, according to the American Association of Colleges of Nursing."Some of these applicants graduated high school top of their class with a 3.5 GPA or higher," said Rosseter. "But the competition to get into a nursing school right now is so intense."Because of the lack of openings, nursing programs across the board -- in community colleges to undergraduate and graduate schools -- are rejecting students in droves.Erica Kay is making her third attempt to get into a nursing program offered in a community college near where she lives in southern California.Kay, 35, already is a certified surgical technician and a certified medical assistant."I've been working in health care since I was 21. This is my passion," she said. "I know I will be a great nurse and I'm studying very hard to get accepted into a program," she saidShe's taken the standardized admissions test for nursing schools twice and applied to three community colleges. She didn't get in."One school responded in a letter they had 343 applications and only accepted 60 students," she said. Another school had 60 slots for 262 applications."Some programs won't even consider you if you score less than 80% even if you meet all other criteria," she said. Kay is retaking the nearly four-hour-long test next month, hoping to better her score."It shocks and upsets me that there are so many hurdles to get into nursing school when we have a nursing shortage," said Kay. "But I am going to keep trying."Jane Kirschling, dean of the University of Maryland School of Nursing in Baltimore, said her school admits new students in the undergraduate program twice a year."We're averaging 200 applications each time for 55 slots," she said. "So we're turning away one student for every student we accept."She said the nursing profession has surged in popularity for a few reasons. "Nursing offers an entry-level living wage with which you can support a family," said Kirschling.There's built-in flexibility and mobility. "You can work three 12-hour shifts and get four days off," she said. And nurses aren't locked into a specific location, employer or specialty for the rest of their lives. "There's tremendous growth opportunity," said Kirschling.But Kirschling said increasing school class size to accommodate more students isn't easy or practical.For one thing, nursing schools are struggling to hire more qualified teachers. "The annual national faculty vacancy rate in nursing programs is over 7%. That's pretty high," said Rosseter. "It's about two teachers per nursing school or a shortage of 1,565 teachers."Better pay for working nurses is luring current and potential nurse educators away from teaching. The average salary of a nurse practitioner is ,000 compared to an average salary of ,575 for a nursing school assistant professor, according to the American Association of Nurse Practitioners.Mott Community College in Flint, Michigan, last year reduced its new admissions from 80 to 64 students accepted twice a year into its two-year associate degree in nursing program.The move was partly in response to a decision by the Michigan Board of Nursing to shrink the nursing student-to-faculty ratio for clinical training in hospitals and clinics. This was aimed at improving safety and avoiding crowded clinical settings."It changed from 10 students for one educator to 8 students. So we had to adjust our class size accordingly," said Rebecca Myszenski, dean of the division of Health Sciences at Mott Community College.Kirschling's school in Baltimore has made similar adjustments. "We used to send eight to 10 nursing students per instructor to hospitals for clinical rotations. Now it's six students," she said.Pediatrics, obstetrics and mental health are the areas where nursing students have the most unmet demand for clinical training," said Kirschling. "As we try to increase the number of nursing students, these three areas will be bottlenecks for nursing programs."Rosseter agrees that class size presents another challenge for nursing schools. "There's not enough available clinical space to train students," he said.Despite the constraints, nursing programs are thinking of ways to accommodate more students."We're expanding our program to new campuses, we're looking at new models of partnering with hospitals to allow [their] nursing staff to [be able] to teach," said Tara Hulsey, dean of West Virginia University's School of Nursing.For example, Anne Arundel Community College in Arnold, Maryland, offers an accelerated associate nursing program that allows qualified paramedics or veterans to be admitted straight into the second year of the two-year program.In Flint, Mott Community College has partnered with University of Michigan's accelerated 16-month undergraduate program designed for veterans with medical experience who want to transition into a nursing career."These bridge programs could really help with the [nursing] shortage," said Myszenski. "You have to address the nursing shortage by thinking out of the box." 6239
There is growing concern within the US military about the costs of President Donald Trump's proposed military parade and the disruption it could cause.If Trump insists on a military parade through Washington involving thousands of troops, armored vehicles, missiles and other heavy weapons the event could disrupt crucial military training schedules, according to a defense official directly familiar with the initial planning efforts.There are also concerns over the cost of the event, and a second defense official tells CNN that the Pentagon is considering seeking out private donations to offset some of the non-military costs of the event. The donations could not cover military salaries or the cost of moving equipment but they could be used to pay for other aspects of the parade.There are no firm cost estimates until President Trump orders the military to stage a specific event, but very preliminary estimates suggest the cost could run between million and million, the first official said, emphasizing that nothing is certain at this point. There is no money currently allocated for a parade in the defense budget. Budget director Mick Mulvaney said Wednesday that he has seen estimates that a military parade could cost million to million.On wider concerns about a large scale parade, "we don't have troops and units sitting around waiting to do a parade," the first defense official said. A large parade could require weeks of preparation, including the early shipment of equipment such as tanks, and personnel would need to arrive days ahead to be ready to man the gear during a parade.One solution being considered to alleviate that concern is a so-called multimedia option, which could include a concert and large video screens on the National Mall displaying images of military gear rather than bringing large amounts of hardware to Washington, the official said.The Army, which is in charge of developing options for a parade or celebratory event, has compiled five preliminary options that have been forwarded to Pentagon leadership.The initial options are broadly characterized as "small, medium, heavy, hybrid and a multimedia display." Each could be fine-tuned to meet specific requests by Trump.The small and medium options could include varying levels of troops marching from ceremonial units stationed in Washington and some equipment located nearby from the Maryland and Virginia National Guard.The so-called heavy option would bring active duty units to Washington. Generally, all active duty units that are not deployed have ongoing and regular stateside training and exercise commitments that may have to be halted if they were involved in a parade.According to the official, one indicator of the Pentagon's lack of enthusiasm for the project is that the Defense Department told the Army to include a significant amount of aircraft in the ceremony to mitigate the burden on ground forces.The Pentagon is not commenting on potential options. Chief spokesperson Dana White told CNN her previous public comments still stand. On February 8 she told reporters, "We're still in the nascent stages. When we have those options, we will provide that to the White House, and the President will decide. "Defense Secretary James Mattis and Gen. Joseph Dunford, chairman of the Joint Chiefs of Staff, have publicly said the department will develop options to address the President's request for a parade. Trump brought up the matter after seeing France's Bastille Day celebrations in Paris last year but did not specify what he wanted.Pentagon officials have previously indicated they may look to schedule an event on November 11, which is Veterans Day. This year is the 100th anniversary of the end of World War I.Several commemorations are already planned in Europe with US forces participating. One advantage of holding the event Trump wants in November is that with cooler weather, there is less potential for damage to city streets from heavy equipment being driven on them.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 4114