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According to President Donald Trump, the tragic Texas church shooting that left 26 people dead was "a mental health problem at the highest level."If you ask mental health researchers, such mass shootings are much more complicated than that.On Sunday, 26-year-old Devin Kelley sprayed bullets across the sanctuary of First Baptist Church in Sutherland Springs, Texas, about 30 miles east of San Antonio. The youngest killed at the church was 17 months old; the oldest was 77 years old."We have a lot of mental health problems in our country, as do other countries, but this isn't a guns situation," Trump said during a joint news conference Monday in Tokyo."This is a mental health problem at the highest level," he said. "It's a very, very sad event."Trump's response to the Texas church shooting echoed previous comments he has made on gun violence. In 2015, Trump said he was opposed to tightening gun laws in the United States but was in favor of addressing mental health to prevent shootings.Yet various epidemiological studies over the past two decades show that the vast majority of people with severe mental illnesses, such as schizophrenia, bipolar disorder or severe depression, are no more likely to be violent than anyone else.Rather, people with severe mental illnesses are more than 10 times more likely to be victims of violent crime than the general population. And, only about 3% to 5% of violent acts can be attributed to individuals living with a serious mental illness, according to the US Department of Health and Human Services.But those statistics have "almost nothing to do with mass casualty shootings," said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University who specializes in gun violence and mental illness.So exactly how are mental health and gun violence intertwined, and what is needed to end the violence?Gun violence and mental illness are public health problems "that intersect at the edges" but have very little overlap, Swanson told CNN last year.There's no doubt that America's systems of care for mental health are overburdened, expensive and inaccessible for many who need them, he said. But when it comes to gun violence among this community, suicide tends to occur at higher rates than homicides, he said."If we back up and think about firearm-related injuries and mortality as a public health problem, it turns out there is a mental health-related story, and it's suicide," he said. "If we had better mental health care and could get people better access and break down barriers to care, then yes, we might reduce gun violence by a lot but it would be from reducing suicides."Otherwise, mental illness is just one "highly unspecific" factor that may contribute to gun violence, along with being young, white and male, or a history of violence, Swanson said.Instead of policies that restrict gun access based solely on mental illness diagnoses or because a person has made contact with the judicial system or health care agencies due to mental illness, the American Psychological Association, the National Alliance on Mental Illness and other advocacy groups have called for gun access criteria based on more subtle indicators of potentially dangerous behavior.Those indicators -- such as having past or pending violent misdemeanor convictions or charges, domestic violence restraining orders or multiple DUI convictions -- have been largely informed by the work of Swanson and others.Swanson supports intervention at the point of purchase through comprehensive background checks -- but to make background checks work, criteria for inclusion on the database should be based on other indicators of risk besides mental health history, such as those indicators of aggressive, impulsive or risky behavior."A history of violent behavior is a far better predictor of future violence than mental illness," he said.Calling gun violence a mental health issue is to scapegoat and stigmatize people with mental illness, he said."It's kind of a canard, a convenient explanation that exploits the tremendous fear people have with these horrifying mass shootings," he said. "If people fear those with mental illness they're going to treat them with scorn and support public policies that restrict their liberties."After all, mental illness affects millions of adults across the country.In 2015, there were an estimated 43.4 million adults in the United States with some form of mental illness within the past year, which represented 17.9% of adults nationwide, according to the National Institute of Mental Health.The American Psychological Association recommends prohibiting firearms for high-risk groups, such as domestic violence offenders or persons convicted of violent misdemeanor crimes."Reducing the incidence of gun violence will require interventions through multiple systems, including legal, public health, public safety, community, and health. Increasing the availability of data and funding will help inform and evaluate policies designed to reduce gun violence," according to the association's website.Swanson and his colleagues examined the proportion of people in the United States with impulsive angry behavior who own or carry guns and have a diagnosable mental illness in a paper published in the journal Behavioral Sciences & the Law in 2015.They conducted household surveys with 9,282 people from February 2001 to April 2003, excluding people who carried guns for work, resulting in a response rate of 70.9%.An analysis of the survey results estimated that nearly one in 10 adults has access to firearms and has a problem with anger and impulsive aggressive behavior.These people were more likely to be male, younger and married and to live in outlying areas around metropolitan centers rather than in central cities, Swanson and his colleagues wrote in their paper.They were significantly more likely to meet diagnostic criteria for a wide range of mental disorders, including depression, bipolar and anxiety disorders, PTSD, intermittent explosive disorder, pathological gambling, eating disorder, alcohol and illicit drug use disorders, and a range of personality disorders.What's more, despite evidence of "considerable psychopathology" in many of these respondents, only a very small proportion, 8% to 10%, were ever hospitalized for a mental health problem."Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment," Swanson and his colleagues wrote in the paper's abstract.As for Texas gunman Kelley, the state denied him a license to carry a gun, Gov. Greg Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott told CNN's Chris Cuomo. "So how did this happen?"On Monday, Trump said his "thoughts and prayers" were with the victims and their families but did not suggest plans to take any legislative or other policy action to address the shooting. 7228

According to multiple media outlets, steakhouse chain Sizzler has filed for bankruptcy amid the pandemic.CNN reported the California-based chain filed for chapter 11 bankruptcy protection, which only covers 14 company-owned restaurants, not its international locations or more than 90 franchised restaurants in the US.According to Business Insider, the restaurant filed for bankruptcy due to closing its indoor dining and declining sales.The Wall Street Journal reported that Sizzler USA CEO Chris Perkins also blamed the landlords refusing to abate rent due to an economic impact due to the coronavirus.Sizzler was founded in 1958 and once was one of the casual restaurant chains in the US. 699

After the rapid roll out in the U.K. of Pfizer and BioNtech’s COVID-19 vaccine, Britain’s Medical and Healthcare Products Regulatory Agency is warning people who have severe allergies, like those who have to carry around an adrenaline shot, to refrain from getting the vaccine for now.“Two individuals seemed to have a severe allergic reaction,” Dr. William Moss said.Dr. Moss is the executive director of International Vaccine Access Center at Johns Hopkins Bloomberg School of Public Health. He says we need to better understand what those two people had an allergic reaction to.“This isn’t kind of completely out of the blue," Dr. Moss said. "These kinds of things are rare events, but they sometimes occur, and it’s usually to some kind of component or chemical in the vaccine that the individual’s immune system is responding to in a very abnormal way, creating this very intense allergic reaction.”Even though it’s rare, Dr. Moss says it’s important to provide clarity on issues like this so people can trust the information they’re getting is reliable and true. Otherwise, there’s room for misinformation to spread. Many myths have already been circulating online about the vaccine.Myths include things like Dr. Anthony Fauci will personally profit from a COVID-19 vaccine, or government food stamps will be denied to those who refuse COVID-19 vaccines, or the mRNA vaccines being developed for COVID-19 will alter human DNA.“The MRNA vaccine, that doesn’t change our DNA in any way," Dr. Moss said. "These are not genetically altering vaccines. That Messenger RNA stays in the cytoplasm. It’s basically just a code for our bodies to make the spike protein of the SARS coronavirus-2 and then induce our immune response.”One internet resource that can help you discern which sources offer actual facts is NewsGuard. The company has a team of journalists who review and rank the credibility of sources to help people know whether or not they can trust the information is true.NewsGuard Health Editor John Gregory says each myth has a tiny grain of truth that is taken out of context and exaggerated. For example, another popular myth is that the COVID-19 vaccine will use microchip surveillance technology created by Bill Gates-funded research.“Bill Gates did fund research into what is not a microchip, but what was supposed to be a detectable tattoo that would help track vaccines in the third world where there’s not robust medical records so you could just scan something, and a doctor would be able to tell ‘ok this child got this vaccine,’" Gregory said. "It’s not a tracking device because you can’t track it unless you’re in direct contact with the person, and it also had nothing to do with the pandemic.”Dr. Moss says the microchip myth sounds like a sci-fi movie."These are vaccines," Dr. Moss said. "These are biological products that are designed to produce an immune response against the SARS-Coronavirus-2 so that individuals who are exposed to the virus either don’t get infected – that would be ideal – or at least are protected from developing severe disease, hospitalization and death.”Living in a society where we’re constantly bombarded with new information right at our fingertips, how are we supposed to know who we can trust?“The best thing people can do is know more about the sources of information that they are absorbing about the vaccine," Gegory said. "What their history and what their agenda may be when it comes to previous disease outbreaks and previous vaccines.”Dr. Moss says even though it’s been done in a quick manner, it’s critical people understand these vaccines have gone through a rigorous scientific process to be approved.“Vaccines are going to be key, a key tool in our toolbox to getting out of this pandemic.” 3771

Across dinner tables in America, the green bean casserole is a Thanksgiving staple and has been for years. One month before the casserole's customary time to shine, the woman who created it has passed away.Dorcas Reilly was 92 and died of Alzheimer's disease on October 15 in Camden, New Jersey, the Hinski-Tomlinson Funeral Home told CNN.Reilly was one of the first full-time members of Home Economics department at Campbell's. That's where she came up with what the company calls "the mother of all comfort foods" in 1955.She simply combined green beans and Campbell's Cream of Mushroom Soup, and called it "Green Bean Bake.""Dorcas would often share that the first time she made her famous recipe, it did not receive the highest rating in Campbell's internal testing," the company said in a statement.But she kept at it. And today, the casserole is a holiday feast must-have.Dorcas left Campbell in 1961 to be a full-time mom but returned in 1981 to serve as manager of the Campbell's Kitchen, a position she held until her retirement in 1988.In 2002, Campbell donated Dorcas' original recipe card to the National Inventors Hall of Fame.She leaves behind her husband, Tom; her son and daughter; their spouses; four grandchildren; a great grandchild and several nieces, nephews and cousins. 1305

After asking for coronavirus-related deadline extensions in April, the Trump administration now appears to be abandoning that request by asking Congress for extra funding to wrap up the 2020 census “as quickly, and safely as possible” in a move that could help ensure the number-crunching for redrawing congressional districts takes place on President Donald Trump’s watch.Census Bureau officials had warned as recently as early July that it was already too late to have the numbers ready without an extension. And outside experts predicted Tuesday that speeding up the timetable would lead to an inaccurate head count that misses people in hard-to-count minority communities.“It would be like giving an expectant mother in the early stages of pregnancy a lot of money to have the baby in 4.5 months,” said John Thompson, a former Census Bureau director in the Obama administration.The Census Bureau is in the middle of the 2020 census, and some of the bureau’s 500,000 door-knockers started heading out this month to households that haven’t yet answered the questionnaire.With the new coronavirus disrupting census operations in April, the Trump administration asked Congress to extend the deadlines required for the U.S. Census Bureau to turn in the head count data used for redrawing congressional district and legislative districts. The Census Bureau also postponed finishing field operations for the 2020 census from the end of July to the end of October.The Democratic-controlled House agreed to the extensions as part of coronavirus-relief legislation, but the Republican-controlled Senate has yet to do so. Senate Republicans on Monday instead proposed an additional 8 million in funding for the 2020 census in its coronavirus-relief bill.“This funding would allow for additional hiring, staffing resources, and replenished contingency funding to provide schedule flexibility as the Census Bureau conducts its largest field operation, nonresponse followup,” the Census Bureau said Monday on its website. “This flexibility is critical to helping the Census Bureau operate in the midst of unprecedented public health crisis, including trying to wrap up field data collection as quickly, and safely as possible, while ensuring a complete and accurate count. “When asked about the status of the deadlines request, the office of Senate Majority Leader Mitch McConnell referred to existing policy for the census timeline and said it had nothing further to add.Historically, the Census Bureau is required to turn over numbers for apportionment, the process of divvying up congressional seats, by Dec. 31, and the numbers used for redrawing legislative districts by March 30. The deadline extensions would push back the apportionment deadline to April 30 and the redistricting deadline for state and local districts to July 31.If the deadline extension for the apportionment numbers is granted by Congress, there’s a chance the final months of the data-crunching would take place under a new administration if presumptive Democratic presidential nominee Joe Biden defeats Trump, a Republican, in the November election.Wary of what they see as Trump’s attempts to politicize the 2020 census, House Democrats say Senate Republicans should approve the request for deadline extensions.“Otherwise, American taxpayers would be forced to pay for the most expensive and potentially least accurate census in our nation’s history,” said U.S. Rep. Carolyn Maloney, a Democrat from New York who chairs the House Committee on Oversight and Reform.Earlier this month, House Democrats asked U.S. Commerce Secretary Wilbur Ross to withdraw two appointees from top positions at the U.S. Census Bureau, claiming they represented the latest effort by the Trump administration to politicize the 2020 census.Then last week, Trump issued a memorandum seeking to exclude people in the country illegally from being included during the process for redrawing congressional districts. Civil rights group have filed multiple lawsuits challenging the memorandum as unconstitutional and an attempt to limit the power of Latinos and immigrants of color. Two more lawsuits were filed Tuesday, including one by California Attorney General Xavier Becerra and several California cities, which said California stood to lose a congressional seat if Trump’s order succeeds.“The timing of the executive memorandum issued last week coupled with what now appears to be abandonment of the request to push back the reporting deadlines clearly suggests that the White House wants to ensure that the president receives the numbers for apportionment while he is still in office. It’s hard to draw any other conclusions,” said Terri Ann Lowenthal, a census expert who worked on census issues as a congressional aide.More than 62% of households had responded to the census as of Sunday, leaving about 55 million households that will require visits by census takers. A Pew Research Center survey taken in June highlights the difficulties already facing census takers, with 40% of adults who say they have not yet responded to the census answering that they wouldn’t be willing to open their door for a census taker.The Census Bureau said Monday that it will start sending out emails to residents in neighborhoods with low response rates, encouraging them to fill out the questionnaire.Talking to reporters at the beginning of the month, Al Fontenot, the bureau’s associate director for decennial programs, said the bureau was “past the window of being able to get those counts” by the end of the year.Kenneth Prewitt, who served as a Census Bureau director in the Clinton administration, said an accelerated census in the middle of a pandemic “can only be explained politically.”“I believe the odds of being able to produce the census between now and the end of the year is extremely low. COVID is in charge. The Census Bureau is not in charge,” Prewitt said. “To finish the census by the end of the year, COVID has got to go away, and it’s not.”___AP Congressional Correspondent Lisa Mascaro in Washington contributed to this report.___Follow Mike Schneider on Twitter at https://twitter.com/MikeSchneiderAP 6170