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The US Food and Drug Administration pressed forward with its investigation of e-cigarette companies Friday, sending letters to 21 companies in an effort to uncover whether they are marketing products illegally and outside the agency's compliance policy.This latest phase of the investigation addresses more than 40 e-cigarette products and is part of the agency's ongoing efforts to combat e-cigarette use among youth. It also comes less than two weeks after the agency conducted a surprise inspection of e-cigarette maker Juul's corporate headquarters in San Francisco, seizing thousand of documents, many of which relate to its sales and marketing practices."Companies are on notice," FDA Commissioner Dr. Scott Gottlieb said in a statement Friday. "The FDA will not allow the proliferation of e-cigarettes or other tobacco products potentially being marketed illegally and outside of the agency's compliance policy, and we will take swift action when companies are skirting the law."In September, Gottlieb called the increasing teen use of e-cigarettes "an epidemic," adding that teen nicotine use is dangerous to young people's health and brains.Federal law prohibits the sale of e-cigarettes to people under the age of 18, but more than 2 million middle and high school students were current users of e-cigarettes in 2017, according to the FDA. The US Centers for Disease Control and Prevention says it's the most common nicotine product used by middle and high schoolers.Also last month, the FDA requested that five major e-cigarette manufacturers, including Juul, explain how they plan to combat the use of their products by minors. The agency said it was looking into steps to eliminate the sale of flavored products and unveiled a public education campaignabout e-cigarettes.The FDA said it's considering civil and criminal avenues to enforce these regulations, including fines, seizures and injunctions, according to Friday's announcement.CNN reached out to some of the companies that received letters for comment but did not immediately receive a response."We're going to address issues related to the access kids have to e-cigarettes, as well as the youth appeal of these products," Gottlieb said Friday. "We know flavors are one of the principal drivers of the youth appeal of e-cigarettes and we're looking carefully at this."No reasonable person wants to see these products reaching epidemic use among kids," he said. 2500

The rise in telemedicine could lead to more problems for people who need to keep an eye on their heart health.A study published by JAMA showed televisits accounted for 35% of primary care cases from April to June. Office-based visits declined by half.The study found blood pressure tests also declined by 50% and cholesterol checks went down by 37%.A doctor with the American Heart Association says that could be the result of the uncertainty surrounding the start of the pandemic.“They were doing the COVID tests in the same place as normal labs, so people were hesitant to go, and when you think of cholesterol panel, its fasting, which means a lot of lab places were getting top heavy with people in the mornings,” said Dr. Reshmaal Gomes, a volunteer with the American Heart Association.Gomes says labs now separate COVID-19 tests from other lab work. She says home lab testing has become more efficient and many insurance companies now pay for it.She says telehealth has also proved to be important for those recovering from heart attacks and strokes.“They have shown that telehealth rehab after a stroke is working and working for patients who would not have been able to make those three or four visits to the physical therapist,” said Gomes.Gomes says people who had blood pressure and cholesterol checks done in between doctor visits reduced their likelihood of a heart related emergency by 50%. 1412

The White House said Thursday that new national security adviser John Bolton met with Russian ambassador to the US Anatoly Antonov."Bolton reiterated that it is in the interest of both the United States and Russia to have better relations, but that this will require addressing our concerns regarding Russia's interference in the 2016 election, the reckless use of a chemical weapon in the United Kingdom, and the situations in Ukraine and Syria," the White House statement said.This was the first meeting between the two in their current roles. Bolton officially stepped into the role of White House national security adviser earlier this month after President Donald Trump announced his appointment in March.The meeting came amid heightened tensions between the two nations over Syria, the poisoning in the UK of a former Russian spy and the ongoing special counsel investigation into Russian interference in the 2016 election.Last year, Trump?met with Russian Foreign Minister Sergey Lavrov and Sergey Kisylak, who was Russia's ambassador to the US at the time. Russian state media posted photos of that Oval Office meeting. 1160

The stomach-churning market scare continues.The Dow tumbled 546 points, or 2.1%, on Thursday following another rollercoaster session. The index briefly turned positive during morning trading before succumbing to heavy selling pressure. At one point the Dow was down 699 points. The Dow has shed 1,378 points over the past two days.The mood on Wall Street was only slightly calmer than Wednesday's 832-point nosedive.The S&P 500 closed down 2.1%, notching its sixth-straight losing session. It's the longest slump for the broad index since just prior to President Donald Trump's election more than two years ago.The Nasdaq briefly tumbled into a correction, signaling a 10% decline from previous highs. But the index climbed out of correction territory and closed down 1.3%.All three major indexes have lost more than 5% this week. That hasn't happened since March."This kind of washout doesn't get accomplished in a day. Even though yesterday felt traumatic, it tends to be a three-day process," said Art Hogan, chief market strategist at B. Riley FBR.The VIX volatility index touched its highest level since February.One positive is that unlike on Wednesday, the market did not close on the lows of the day. The rebound was helped by fresh?reports that President Donald Trump and Chinese leader Xi Jinping have agreed to meet next month at the G-20 summit. Such a meeting could ease fears that the US-China trade war will hurt corporate profits and slow the US economy.Tech stocks have come under fire because they are some of the riskiest and most expensive parts of the market. Investors fear how these momentum names will hold up in a downturn, particularly as interest rates spike. A proxy for the tech sector had its sharpest plunge in seven years on Wednesday."Halloween started early this month for investors," Ed Yardeni, president of investment advisory firm Yardeni Research, wrote to clients.The afternoon sell-off comes even though a new report showed that consumer prices rose less than expected in September.Stocks have turned sharply south in large part because investors are concerned about rising interest rates. As the Federal Reserve raises rates to prevent runaway inflation, investors have been getting out of bonds, driving down their price and driving up their yields. Suddenly, the return on bonds has become competitive with some stocks — particularly risky tech stocks.Rising interest rates also increase borrowing costs for households and businesses, eating into corporate profits. 2551

The United States plans to end enhanced health screening of travelers from certain countries next week, and those visitors will no longer be funneled through 15 large U.S. airports.Those requirements were imposed in January to prevent the spread of COVID-19. The Centers for Disease Control and Prevention said the government will remove those edicts beginning Monday.The CDC said the current screening, which includes temperature checks and questioning travelers about COVID-19 symptoms, “has limited effectiveness” because some infected people have no symptoms or only minor ones. Travelers go through customs only after the health screening.The health agency said that of the 675,000 travelers who went through the process, fewer than 15 were found to have COVID-19 because of the extra screening.The health agency said that instead it will focus on other measures, including a stronger response to reports of illness at airports, collecting passenger-contact electronically to avoid long lines, and “potential testing to reduce the risk of travel-related transmission” of the virus.The extra health screening applies to people who have been in China, Iran, most countries in continental Europe, the United Kingdom, Ireland and Brazil. Most people coming from those countries who aren’t U.S. citizens have been barred entry to the country.The Homeland Security Department did not immediately respond to a request for comment Thursday.A trade group representing the nation’s largest carriers praised the change.“We continue to support spending scarce screening resources where they can best be utilized,” Airlines for America said in a statement Thursday, “and, given the extremely low number of passengers identified by the CDC as potentially having a health issue, agree that it no longer makes sense to continue screening at these airports.”Separately, 18 travel and airline groups asked the administration to start pre-flight virus testing as a way to reopen international travel. The groups argue that more screening could allow countries to lift travel restrictions and quarantines that have shut down most travel between the U.S. and Europe.Airlines including Delta and Southwest have lobbied the Transportation Security Administration to screen passengers for fever before allowing them on flights within the United States. However, the CDC questioned the usefulness of temperature screening because of the large number of infected people who do not have fevers, and no widespread screening of domestic passengers was launched.___This story has been updated to read that screening began at some airports in January, not February.___This story has been corrected to note that the COVID-19 health screening began at some airports in January, not February. 2771

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