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In an emergency, seconds count. But people living in low-income neighborhoods are waiting longer to get help.A new nationwide study released by the University of California San Francisco looked at more than 63,000 cardiac arrest cases and found, on average, it took ambulances nearly four minutes longer to get to patients in low-income neighborhoods compared to rich neighborhoods.“Ambulance response times is really, really important for health outcomes with regards to heart attacks,” says Andrew Friedson, an assistant professor of economics with the University of Colorado Denver.In fact, each minute delayed increases the odd that patient will not survive.“If you live in a wealthier area, your life expectancy is much longer than someone who lives in a poorer area,” Friedson says. “And this paper is starting to get into the mechanism as to one of the reasons this may be the case and that is ambulances tend to be a lot faster in area that are richer opposed to areas that are poorer.”Friedson, who studies economic disparities in healthcare, says one of the biggest reasons behind the difference in ambulance response times has to do with money.“You have a lot more specialty centers that are opening up in wealthier areas and you have hospitals that are closing in poorer areas, so it's not a question of the ambulances are going slower, but it's that the ambulances have further to travel.”With those hospital closures and the rising cost of health care, the authors of the study hope the report will start a conversation about what can be done to help vulnerable patients. 1593

House Democrats elected to keep their leaders in place on Wednesday, marking a win for the party's moderate wing.The party confirmed Wednesday that Rep. Nancy Pelosi, D-California, would continue to serve as Speaker of the House. Rep. Steny Hoyer, D-Maryland, will again serve as the House Majority Leader, Rep. James Clyburn, D-South Carolina, will continue to serve as the House Majority Whip, and Rep. Hakeem Jeffries will keep his role as the chairman of the House Democratic caucus.No other Democrats mounted serious challenges to current party leadership positions.Pelosi's upcoming term will mark her fourth as Speaker of the House. She previously served as speaking when Democrats held the majority in the House from 2007 to 2011, and she was elected as Speaker again when Dems won back control following the 2016 midterms.Though House Democrats will be working with a Democrat president in Joe Biden next term, serious questions remain about the future of the party.Democrats went into the 2020 election hoping to control both chambers of Congress and the White House — and plenty of polling suggested that they would do so. But Democrats lost seats in the House in the 2020 election, and the control of the Senate hinges on two January run-off elections in Georgia — meaning Biden could face significant challenges in getting his legislation passed. 1367

IMPERIAL BEACH, Calif. (KGTV) — A new initiative between California and Mexico officials could pave the way for solving the persistent issue of sewage flowing from Tijuana to the U.S.The sewage comes as runoff from the Tijuana River or as flow from the Punta Bandera treatment plant, leading to beach closures in Imperial Beach and Coronado. On Friday, officials from California and Mexico met in Imperial Beach to launch the California-Mexico Strategic Dialogue. The inaugural issue is to find solutions to stop the sewage from flowing into the U.S."While other leaders may use the border as an opportunity to distract and divide, we want to use this as an opportunity to convene and advance," said State Assemblyman Todd Gloria, a Democrat. Officials are reporting progress. Tijuana Councilman Manny Rodriguez said he and others just requested 300 million pesos, or about million dollars, to improve processing tanks at Punta Bandera."We need to focus more on treatment, and if we get the money for that, I think this problem can be fixed," Rodriguez said. Imperial Beach Mayor Serge Dedina said the International Boundary and Water Commission is installing an Earthen Dam in the Tijuana River channel to stop any accidental flows during the dry time of year. "That's a really good sign of little things that don't cost taxpayers any money that keep our beaches clean," Dedina said, adding that those kinds of short-term fixes should be a major part of the dialogue. 1480

HUNTINGTON BEACH (CNS) - A crowd estimated at 400 people gathered in front of the Huntington Beach pier to protest the first night of a statewide curfew aimed at slowing the spread of COVID-19, authorities said Sunday.The people gathered at 10 p.m. Saturday along Pacific Coast Highway at Main Street, crossing the highway when allowed by the traffic light, said Huntington Beach police Lt. Ryan Reilly.By 11:30 p.m., the crowd appeared about half that size, said Reilly, who was watching the gathering via surveillance cameras.The protest ended shortly after midnight, he said.The group was law-abiding "for the most part," Reilly said. One person was arrested for public intoxication. "Some, not all" wore face masks.It appeared the vehicles passing through the area were part of the demonstration and the same vehicles were seen moving north and south on PCH, Reilly said.Officers were there watching the activity but no illegal assembly was declared, he said.Sergeants posted in the Main Street area reported that all of the bars, restaurants and other businesses closed by 10 p.m., Reilly said.The department did not issue citations for curfew violations, he said. "We are seeking compliance and trying to educate people." 1235

If you are looking to avoid being quarantined in Hawaii for up to 14 days due to COVID-19, United Airlines and Hawaii Airlines are looking to make it easier on you by offering same-day COVID-19 tests at the airports.On Thursday, United announced that beginning Oct. 15, passengers traveling from San Francisco to Hawaii can either take a rapid test at the San Francisco International Airport (SFO) or a self-collected, mail-in test ahead of their trip.If you opt for the self-collected test, you must submit your sample within 72 hours of travel via overnight mail or an airport dropbox, United said."Our new COVID testing program is another way we are helping customers meet their destinations' entry requirements, safely and conveniently," said Toby Enqvist, Chief Customer Officer at United in the press release. "We'll look to quickly expand customer testing to other destinations and U.S. airports later this year to complement our state-of-the-art cleaning and safety measures that include a mandatory mask policy, antimicrobial and electrostatic spraying and our hospital-grade HEPA air filtration systems."On Friday, Hawaii Airlines announced that passengers traveling to Hawaii from Los Angeles (LAX) or the Bay Area would be able to use drive-through services at Worksite Labs locations near LAX and SFO."As Hawai'i's leading airline, it is critical to ensure that access to testing does not impede travel to Hawai'i, for visitors or our kama‘āina (residents)," said Avi Mannis, senior vice president of marketing at Hawaiian Airlines in a press release. "Our testing option will offer Los Angeles and Bay Area travelers superior value, and we look forward to expanding the program and bringing additional choices to more of our gateway cities as we welcome guests back with our industry-leading Hawaiian hospitality while keeping our community safe. We're grateful to the state of Hawai'i for its partnership in developing the pre-travel testing program."You have the option to pay either for results within 36 hours or 0 for same-day results, the airliner said. The company said the Droplet Digital PCR shallow nasal swab tests do meet Hawaii's testing requirements. 2193

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