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This map from the Ohio Department of Health shows where cases of Hepatitis A have been diagnosed across the state since the beginning of 2018. 154
Travel to Cuba has become more difficult -- and more confusing -- for US citizens and travelers subject to American jurisdiction.Cruise ships will no longer be allowed to sail to the Caribbean island, according to a Trump administration announcement Tuesday, and the industry is scrambling to understand the full implications of the policy change.Norwegian Cruise Line said in a statement that the company is "closely monitoring these recent developments and any resulting impact to cruise travel to Cuba. We will communicate to our guests and travel partners as additional information becomes available."Royal Caribbean Cruise Lines announced that it is changing itineraries for June 5 and June 6 sailings that were scheduled to go to Cuba. The cruise line also said it is still evaluating the impact of the announcement.Several other cruise companies did not immediately reply to CNN's request for comment.Confusion surrounding the ban is palpable among cruise companies, travel websites and passengers with tickets to Cuba.Erica Silverstein, a senior editor at cruise review site Cruise Critic says the company is "in a holding pattern, waiting on next steps as cruise lines work to decipher what today's announcement means for their specific products."As far as ticketed passengers go, Silverstein says they are fielding questions on what the ban means for people who've paid in full or who are waiting to make final payments on planned trips to Cuba."It's worth noting that cruise lines are able to swap itineraries relatively quickly. We see it often during inclement weather, or in the wake of disruption in particular regions," Silverstein explains. "While nothing is definitive right now, if the lines are mandated to cancel sailings to Cuba, we'll likely see changes in the form of itinerary adjustments."The Trump administration policy change also eliminates group people-to-people travel (educational and cultural exchanges of a non-academic nature) as an approved sub-category of travel for Americans.The Treasury Department in a statement clarified that "certain group people-to-people educational travel that previously was authorized will continue to be authorized where the traveler had already completed at least one travel-related transaction (such as purchasing a flight or reserving accommodation) prior to June 5, 2019."JetBlue, United Airlines and Southwest Airlines have released statements saying they are reviewing the changes and intend to comply with the new rules.Under former President Barack Obama, rules around travel to Cuba were loosened, making it easier for individual Americans to comply with certain approved categories of travel without a formal application and approval process.President Trump tightened those rules in November 2017, only allowing people-to-people travel in groups traveling under the supervision of a US entity."That sub-category of travel has been eliminated, but there is a grandfathering provision that basically allows US travelers that have, for example, booked a flight or booked rooms and were contemplating doing a people-to-people trip, they are allowed to complete it," said Pedro Freyre, a partner and chair of the international practice at national law firm Akerman, which has cruise lines and airlines among its clients."But that doesn't align with shutting down the ability of the cruises to go in," Freyre said.It's that misalignment that has cruise lines scrambling to figure out how the new policies will impact their operations.And it leaves passengers booked on upcoming sailings in limbo. 3578

The Pentagon's controversial policy banning transgender recruits from joining the military went into effect on Friday.The Pentagon says the new policy does not affect transgender troops currently serving in the armed forces, a contention that's strongly denied by advocates, who point to the potential for discrimination and harassment.The ban blocks individuals who have been diagnosed with a condition known as gender dysphoria from joining. Transgender individuals can serve, but only if they meet the standards of the sex they were assigned at birth.The Pentagon says the policy doesn't block transgender individuals from service, but advocates say it is designed to operate as a comprehensive ban on their presence. Current military leaders have testified to Congress that transgender troops have not affected cohesion, while retired military leaders have decried the policy as misguided and damaging.'Bigoted'"It's a bigoted policy. It has not one shred of evidence behind it," Ray Mabus, a former secretary of the Navy, told CNN. "In fact, all the evidence goes the other way. It goes against the basic American notion that it should be about what you can do and not who you are. ... To do this to patriots who are willing to serve -- not only willing, but eager to serve, who have raised their hands and said send me -- weakens our democracy and seriously weakens our military."Anthony Kurta, a Pentagon official acting for the deputy under secretary of personnel and readiness, told reporters Friday that "the department will continue to treat all individuals with dignity and respect, and every service member is able to express their gender identity. DOD will take no action solely based on gender identity."The policy, signaled when President Donald Trump tweeted a call for a blanket ban in 2017, still faces lower court challenges, but the 1866
The suicide rate rose 41% in the United States from 1999 to 2016, and the people at the highest risk have a few factors in common, according to a study published in the journal 189
The US Coast Guard is helping with the search for a missing Air Force airman who fell out of a plane during a jump training mission, Coast Guard Mobile Sector spokesman Juston Lee told CNN.The missing staff sergeant deployed his parachute and fell about 1,500 feet into the Gulf of Mexico, he said. His name and age have not been released.The crew aboard the C-130 plane said the airman hit the water and was treading water, but when they turned back around to find him, they couldn't see him, Lee said.The crew is from Hurlburt Field in Okaloosa County, Florida.Multiple teams are continuing the search for the man. 628
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