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As New Haven, Connecticut, Fire Chief John Alston Jr. spoke to reporters about a spate of drug overdoses on Wednesday, he heard shouting coming from behind him."We're getting another call of a person," Alston said.He quickly helped coordinate the response, and then returned to the microphone.That scene came on the same day that as many as 40 people in the area of New Haven Green were believed to have overdosed on some form of K2 that may have been laced with opioids, according to New Haven police spokesman Officer David Hartman.New Haven Green is a large park and recreation area in the city's downtown.The patients included people of various ages and demographics, Alston said."It's a nationwide problem. Let's address it that way," he said. "It's a nationwide problem that people are self-medicating for several different reasons, and every agency -- police, fire, medical hospitals -- all are strained at this time. This is a problem that's not going away."New Haven police said one person is in custody.Director of Emergency Operations for New Haven Rick Fontana said the patients had symptoms of increased heart rates, decreased respiratory rates and a lot of vomiting. Some people were unconscious, others were semi-conscious.No one has died, but two individuals are considered to be in serious, life-threatening condition. Some individuals who were released from the hospital needed to be treated a second time for an additional apparent overdose, Fontana said.K2 is a synthetic cannabinoid related to marijuana that is frequently laced with other drugs, said Dr. Sandy Bogucki of the Yale School of Public Health.In two cases, Narcan was not effective in the field, but a high dose of Narcan at the hospital was effective in combating the overdose effects. Because of that, authorities believe there was some form of opioid or synthetic fentanyl involved in the substance.The response from emergency responders has been "tremendous," Fontana said.He said authorities have been treating and sometimes transporting six or seven people at one time and the actions of first responders have been "lifesaving." 2131

AVENAL, Calif. (AP) — Authorities say an inmate at a central California prison died of complications from the coronavirus Saturday, becoming the state’s 79th person to have a fatal case of COVID-19 while they were incarcerated. The Avenal State Prison inmate died at a hospital. The prisoner’s name was not released. There have been 15,872 confirmed cases of the coronavirus in the state prison system. Advocates say jails and prisons nationwide are prime locations for the virus to spread between inmates and staff. Officials have released hundreds of inmates to decrease jail and prison populations across the country during the pandemic. 648

AURORA, Colo. -- An undercover investigation by Scripps station KMGH in Denver has revealed another unlicensed person practicing health care in defiance of multiple state cease and desist orders handed down by regulators. A February KMGH?revealed 28 people had received such cease and desist orders from state regulators, but the state did little to ensure they actually stopped, and most never faced criminal charges. One of those people was Alfredo Ruiz, also known as Alfredo Ruiz Rueda, who received cease and desist orders from the Colorado Medical Board in 2013 and again in 2017. A search of the state’s professional license database shows Ruiz does not hold any kind of license in Colorado. In the orders, the board said Ruiz used laser equipment only appropriate for licensed medical professionals, and ordered him to stop providing skin injections.State records show Ruiz previously operated clinics called CI Laser Clinic and Central Integral de Belleza y Salud in the Denver area.It appeared Ruiz closed his clinics after receiving each order, but KMGH recently called the number posted online for those clinics and discovered Ruiz had reopened his business at another location.A producer left a message and received a phone call back in Spanish and a text with the clinic’s new address. The producer made an appointment for a Botox treatment.  Outside of the clinic’s door, a sign is posted listing various skin care services, injections and laser treatments in Spanish along with Ruiz’s name. Two KMGH producers brought hidden cameras into the office to speak to Ruiz about Botox.  When asked if he was a doctor, Ruiz responded affirmatively multiple times. He said he had 12 years experience and estimated he sees 10 patients per day. He showed the producers needles he would use to administer Botox, and he estimated one 28-year-old producer would likely need extra treatment costing between 5-0. When confronted after the appointment by KMGH reporter Ryan Luby, Ruiz claimed he was a doctor in Mexico. He also pointed out the certificates -- not state licenses -- on his wall indicating he had completed laser training. Ruiz indicated he works under the supervision of two licensed doctors whose names were posted on the sign outside of his clinic. Neither doctor was present in the office. When KMGH reached one of the doctors by phone, he said he had not worked with Ruiz in years and was surprised to learn his name was posted at the office. The other doctor could not be reached.When KMGH returned to the office days after the initial confrontation, the sign bearing the names of the other two doctors had been removed from the door, but the sign with Ruiz’s name and the services he offers remained. State rules allow some unlicensed individuals to provide medical-aesthetic treatmentThe state does allow for some “medical-aesthetic services” including laser treatment and injections to be administered by unlicensed individuals under the close supervision of a licensed physician.The medical board’s rules for such agreements requires documentation of the arrangement be “available to the public at the site where the delegated medical services are performed.” Ruiz did not produce any such documentation nor was it readily visible in his office.The board’s rules also require that patients are fully informed of such arrangements and sign forms affirming they have been made aware they are receiving care from an unlicensed person. “When the delegating physician is not actively involved in the patient encounter, the disclosure shall include: the service the patient is receiving is a medical service; the delegatee of the service is not licensed by the state of Colorado or is acting beyond the scope of his or her Colorado license, certification or registration; the delegatee is providing the service pursuant to the delegated authority of a physician; and, the delegating physician is available personally to consult with them or provide appropriate evaluation or treatment in relation to the delegated medical services,” the rules say in part.KMGH’s undercover producers received no such information during their discussion with Ruiz about Botox treatments.   State regulators, police take actionThe Department of Regulatory Agencies (DORA) acted quickly upon learning from KMGH that Ruiz was still practicing. The state’s medical board convened an emergency meeting and the state obtained a temporary restraining order against Ruiz. The state also referred the case to law enforcement for potential criminal charges for the second time.In 2017, DORA alerted the Denver district attorney about Ruiz but the DA’s office did not pursue an investigation because his previous office was already closed.Aurora police are now investigating Ruiz’s latest clinic, which police say is now vacant. Attorney General subpoenas KMGH again The office of Colorado Attorney General Cynthia Coffman sent subpoenas to KMGH seeking its video and a producer’s testimony to present as evidence in court as it seeks a permanent injunction against Ruiz. That marked the second time the state has subpoenaed KMGH’s investigative materials as evidence in court to seek court orders against unlicensed individuals.Last month, a KMGH producer testified in court in response to a subpoena in injunctive proceedings against Randy Flynt, who claimed to be a clinical psychologist and kept his office open more than a year after the state issued three cease and desist orders against him. In that case, the attorney general’s office played a portion of KMGH’s undercover video in court and the judge granted the temporary injunction. Pueblo police have also issued a warrant for Flynt’s arrest.In the Ruiz case, an injunction hearing is set for April 23. DORA is making changes DORA said it is making numerous improvements to its process for handling unlicensed individuals in the wake of KMGH’s investigation – changes first ordered by Governor John Hickenlooper in the days after the initial stories aired.The changes include: 6166

Atal Bihari Vajpayee, India's tenth prime minister, died Thursday in New Delhi at the age of 93.A statement released by the hospital treating him said "his condition deteriorated over the last 36 hours and he was put on life support systems. Despite the best of efforts, we have lost him today.""India grieves the demise of our beloved Atal Ji. His passing away marks the end of an era. He lived for the nation and served it assiduously for decades. My thoughts are with his family, BJP Karyakartas and millions of admirers in this hour of sadness. Om Shanti," tweeted Indian Prime Minister Narendra Modi.Celebrity deaths of 2018: Remembering those we've lost this yearVajpayee was prime minister briefly in 1996 and 1998 before eventually serving a full term as premier from 1999 to 2004. He had been admitted in June to the All India institute of Medical Sciences in the capital, suffering from a urinary tract infection and chest congestion. His condition worsened, eventually becoming fatal.Vajpayee never married. He is survived by his adopted daughter, Namita.During his political career, Vajpayee's name became synonymous in India with the rise of the ruling Bhartiya Janata Party (BJP), which he helped found in the 1980s. His ascent to the premiership signaled the renewal of the party, which had grown to become the main opposition to the Indian National Congress before eventually overtaking that party.Vajpayee's tenure as India's leader was marked by significant developments in the country's defense policy, and he oversaw India joining the world's nuclear weapons club in 1998.Facing heavy criticism at home and abroad over India's nuclear ambitions, Vajpayee defied the threat of economic sanctions, telling parliament that "we have never made a decision after coming under international pressure and we will never do so in the future."Born in December 1924, Vajpayee grew up in the central Indian state of Madhya Pradesh and was one of the founders of the Janata Party, a splinter group of which became the modern BJP. During his youth he was briefly a member of the right wing Hindu nationalist group Rashtriya Swayamsevak Sangh (RSS), and was arrested along with his brother in 1942 for protesting against British rule.Vajpayee won his first election to parliament in 1957, a decade after independence. He would go on to hold that role for nine terms.Though he was elected prime minister three times, Vajpayee only competed an entire term once. His first government collapsed in less than three weeks in 1996, and while he took power again in 1998, this only last 13 months before a disagreement within the ruling coalition sparked new elections.Vajpayee was returned to the premiership in 1999 after his BJP-led coalition secured a comfortable majority in the wake of a two-month long war with Pakistan over control of Kashmir.In late 2001, India's parliament was hit by a terrorist attack which Delhi blamed on Pakistan, while in 2002, riots in Gujarat claimed the lives of hundreds of Muslims.Despite India's contentious seven-decade relationship with Pakistan, Vajpayee is credited with being the only Indian leader to make significant progress in peace talks with the country's nuclear-armed neighbor.Even as he pursued a nuclear agreement with Pakistan, Vajpayee remained a defiant defender of India's security policy, an approach which eventually paid off. Economic sanctions imposed after the country's first atomic test were finally lifted in 2000 when Bill Clinton visited the country, the first US President to do so in 22 years. Vajpayee also improved relations with Beijing, officially recognizing Tibet as part of China.A talented orator, one of Vajpayee's most remembered speeches was a hugely critical one, bemoaning India's lack of progress after five decades of independence."Our country is counted amongst the poorest in the world," he said. "We can't make primary education a necessity. We are still expecting that girls should be educated. The birth of a girl in this country is still a curse."More than 15 years after the speech was given, however, the country continues to be plagued by many of the same problems.Away from politics, Vajpayee is also remembered as an accomplished poet, releasing many books over the years filled with Hindi poems.Just as his fellow BJP prime minister, Narendra Modi, has focused on promoting "brand India," Vajpayee saw great success in building his country's reputation around the world. He addressed the United Nations General Assembly in 2001 and a joint session of the US Congress in 2000. Bilateral agreements signed between his government and Moscow set the stage for annual summits which continue to this day, as does the close relationship with China he cultivated."At a time when an external stimulus has motivated us to unite against terrorism and for security, let us summon an equally strong inner resolve for development and poverty alleviation," Vajpayee said in his speech to the UN. "They are just as crucial for a global order at peace with itself."The-CNN-Wire 5061

As part of regular protocols, Secretary @stevenmnuchin1 has been tested daily for COVID-19. He tested negative for COVID-19 this morning and will continue to be tested daily.— Monica Crowley (@TreasurySpox) October 2, 2020 230