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After smoking cigarettes for 15 years, Joe Vondruska decided to make a change in his life. “I have not smoked a combustible cigarette in over seven years. Knowing that, I wanted to spend the rest of my life healthy with my wife, I looked for an alternative to ingest my nicotine,” Joe Vondruska said.For him, that alternative was vaping. His wife Monica says the switch has been beneficial for the both of them.“I’m not smelling cigarette smoke in the morning when I wake up. I’m not hearing him cough and hack loogies off the front deck,” Monica Vondruska said.Monica says multiple people in her life have used vape products to quit traditional smoking. In fact, that’s one of the biggest reasons she and Joe decided to open a vape shop.“We all know that smoking kills, we’ve known that since the 60s and yet today we still have people smoking. In order for us to get that smoking rate down, there needs to be a viable option for people,” Monica Vondruska said.But is vaping a safe alternative to traditional cigarettes? Pulmonary Physician Jeff Sippel with UCHealth in Colorado says first you have to look at the differences between the two. “Smoking of tobacco and marijuana leaves has both dust particulate matter and oils – that’s the tar aspect that someone inhales. Whereas vaping is purified oil from a plant – it’s extracted from a plant,” Dr. Sippel said.According to Dr. Sippel, people who vape aren’t exposed to the harmful particles of combustible cigarettes. However, both products contain oils, which he says isn’t great for the lungs either. “Our lungs like water, our lungs don’t like oil. And so if we vape or smoke, and we get oil products into our lungs, that’s when we have problems,” Dr. Sippel said.Dr. Sippel says vape products often have more concentrated oils of flavoring, CBD, or THC, and that’s why we’re seeing some lung-related illnesses emerge. Consequently, Dr. Sippel says vaping is still a health risk and can’t be recommended by doctors as a good alternative to traditional smoking. Nevertheless, when you put the two side by side, he says there is more evidence to show combustible cigarettes are worse.“We could say that vaping is probably the lesser of two evils.” Dr. Sippel says it will take more time to really study the potential risks to vaping.“Lung cancer as an example takes 20 to 50 years for someone to have that condition related to smoking. So what we don’t know is what is the vaping risk going to look like 20 to 50 years from now,” Dr. Sippel said.He says e-cigarettes haven’t been around long enough for medical professionals to know the extent of their impact. But as a pulmonary physician, Dr. Sippel suggests staying away from both.“I think a goal for this whole category of smoking and vaping would be for somebody to go from their current state of affairs, to less, to zero. And ultimately a goal is zero cigarettes or zero vaping, because that’s in somebody’s health best interest,” Dr. Sippel said.The Vondruska family has witnessed some people achieving that goal with the help of vaping. ”We don’t mind if people get off vaping at all because we’re still a community and we’re still a family and they still drop in which is pretty neat. Probably one of the neatest things about opening a vape shop,” Monica Vondruska said.It’s that community the Vondruskas feel is necessary to help people quit their smoking habit if that’s what they desire. Whatever the case, they stick together like a family. “For years and years and years we’ve been demonized as smokers and kind of outcasted. And when you have a support system of ‘ok let’s step your nicotine down. If this is your goal, let’s do it’. A lot of smokers don’t have that support system,” Monica Vondruska. ************************************If you’d like to contact the journalist for this story, please email elizabeth.ruiz@scripps.com 3869

All four crew members aboard a cargo ship that capsized off the coast of Georgia have been rescued, the Coast Guard said Monday.Cpt. John Reed of the US Coast Guard said the first three rescued crew members were hospitalized, but were doing well considering the circumstances. The condition of the fourth crew members is unknown.The Coast Guard had been working since early Sunday to rescue four South Korean crew members that were on the ship when it tipped onto its side in St. Simons Sound.Complicating efforts are the size of the 656-foot ship and the fact it has watertight doors, numerous compartments and no power, Coast Guard Petty Officer 1st Class Luke Clayton said.A call for helpThe first dispatches from the ship came at around 2 a.m. Sunday, VanderWeit said.South Korea's Foreign Ministry said the ship began "listing heavily," about 80 degrees, to the port side before overturning. Help arrived about two hours after the first call came in, VanderWeit said.Twenty members of the crew were rescued around 4 and 5 a.m., VanderWeit said. They exited via various parts of the vessel, which posed a challenge in getting them off the ship.Some crew members were hoisted onto helicopters while others were lowered — in some cases by fire hoses — onto boats, VanderWeit said.Fires broke out on the ship, preventing rescuers from continuing their efforts to save the remaining four crew members, said Capt. John Reed, commander of the Coast Guard Sector Charleston."As smoke and flames began to appear our crews, along with the Glynn County heavy rescue team, assessed that the situation was too risky to further go inside the vessel to attempt to locate the four individuals who remain missing at this time," Reed said.The Coast Guard remained on the scene, trying to stabilize the ship, and they continued to search the waters surrounding the vessel, VanderWeit said.The ship, sailing under the flag of the Marshall Islands, was bound for Baltimore, where it was expected to arrive Monday, according to 2023

A semi-trailer carrying panels to be used in border wall construction rolled over Wednesday and shut down traffic on SR-86 in Arizona.According to the Tohono O'odham Nation, the crash happened just west of Sells. Eastbound and westbound lanes were closed in both directions between San Simon VIllage and Covered Wells Village, but reopened after the crash was cleared.Tohono O'odham officials say they're not sure what caused the crash.Border Patrol officials in Tucson confirmed the crash involved a semi trailer that was hauling pieces of the border wall being constructed in southern Arizona. Construction of the wall is 636

American reporters asked President Trump about Michael Cohen's testimony during a photo opportunity between Trump and North Korean dictator Kim Jong Un on Wednesday.Trump didn't answer. Less than an hour later, the White House blocked several reporters from attending the next media availability between Trump and Kim.Press secretary Sarah Sanders cited "the sensitive nature of the meetings."But the press limitations were an abrupt change -- suggesting that the president didn't want to hear any more questions about Cohen.The result: Fewer eyewitnesses were present at the start of Trump and Kim's controversial meeting in Hanoi, Vietnam.The episode came two days after the international media was forced to move out of a hotel in Hanoi because, it turned out, Kim was also staying there.TV networks and other news outlets had to relocate -- prompting grumbling from reporters who said that the White House should have stood up for the American pressPast administrations have pointedly advocated for press access during meetings with repressive governments. The idea was to demonstrate what American democracy looks and sounds like -- pesky reporters and all.Several White House correspondents said the Trump administration is behaving differently."A lot of catering to Kim Jong Un going on in Vietnam," CNN's Jim Acosta tweeted. "First press is kicked out of hotel where Kim is staying. Now some reporters are blocked from pool spray because the dictator doesn't like shouted questions.""Pool sprays" are when a representative group of journalists are allowed to witness a presidential event. Normally they also shout some questions when they see an opening to do so. This custom has existed for decades.Reporters from the Associated Press and Reuters asked about Cohen and North Korean denuclearization during Wednesday's first "pool spray" with Trump and Kim.Staffers from North Korea's government-controlled media were also in the room, but they don't have the same freedom to shout questions.American reporters were anticipating the same level of access for the evening's next photo op, during dinner, but then "Sanders informed us that no print reporters would be allowed in due to sensitivities over shouted questions in the previous sprays," according to Vivian Salama of the Wall Street Journal. Salama was Wednesday's assigned "print pooler," one of many people who serves in a rotation.So in other words, according to Salama, the White House was okay with photographers and camera crews being present -- to take pictures -- but not with the AP and Reuters reporters being there. Correspondents from the Los Angeles Times and Bloomberg were also blocked.Thanks to a show of press solidarity, the White House opened up access a little bit."When our photo colleagues joined us in protest, they decided to allow one print reporter in," Salama wrote.So Salama was in the room to witness Trump and Kim's Wednesday night dinner. The other reporters were not.According to Salama's recap, Trump asked the small group of journalists if they were all "having a good time."He pointed to photographer Doug Mills of The New York Times and told Kim that Mills is "one of the great photographers of the world."Sanders said in a statement that the White House "ensured that representation of photographers, tv, radio and print Poolers are all in the room.""We are continuing to negotiate aspects of this historic summit and will always work to make sure the U.S. media has as much access as possible," she added.A similar dispute happened during Trump and Kim's first summit in Singapore last year.Acosta was excluded "from the first couple of pool sprays," he said on CNN, "and the reason I was given is they were concerned that Kim Jong Un had not been around American reporters yelling questions, shouting questions and so on."After Wednesday's episode, The Associated Press issued a statement that sharply criticized the Trump administration."The AP decries such efforts by the White House to restrict access to the president," the news service said. "It is critically important that any president uphold American press freedom standards, not only at home but especially while abroad." 4198

A pinch in the leg, a squeal and a trickle of tears. One baby after another in Malawi is getting the first and only vaccine against malaria, one of history’s deadliest and most stubborn of diseases.The southern African nation is rolling out the shots in an unusual pilot program along with Kenya and Ghana. Unlike established vaccines that offer near-complete protection, this new one is only about 40% effective. But experts say it’s worth a try as progress against malaria stalls: Resistance to treatment is growing and the global drop in cases has leveled off. With the vaccine, the hope is to help small children through the most dangerous period of their lives. Spread by mosquito bites, malaria kills more than 400,000 people every year, two-thirds of them under 5 and most in Africa.Seven-month-old Charity Nangware received a shot on a rainy December day at a health clinic in the town of Migowi. She watched curiously as the needle slid into her thigh, then twisted up her face with a howl.“I’m very excited about this,” said her mother, Esther Gonjani, who herself gets malaria’s aches, chills and fever at least once a year and loses a week of field work when one of her children is ill. “They explained it wasn’t perfect, but I feel secure it will relieve the pain.”There is little escaping malaria -- “malungo” in the local Chichewa language -- especially during the five-month rainy season. Stagnant puddles, where mosquitoes breed, surround the homes of brick and thatch and line the dirt roads through tea plantations or fields of maize and sugar cane. In the village of Tomali, the nearest health clinic is a two-hour bike ride away. The longer it takes to get care, the more dangerous malaria can be. Teams from the clinic offer basic medical care during visits once or twice a month, bringing the malaria shot and other vaccines in portable coolers. Treating malaria takes up a good portion of their time during the rainy season, according to Daisy Chikonde, a local health worker.“If this vaccine works, it will reduce the burden,” she said.Resident Doriga Ephrem proudly said her 5-month-old daughter, Grace, didn’t cry when she got the malaria shot.When she heard about the vaccine, Ephrem said her first thought was “protection is here.” Health workers explained, however, that the vaccine is not meant to replace antimalarial drugs or the insecticide-treated bed net she unfolds every night as the sun sets and mosquitoes rise from the shadows. “We even take our evening meals inside the net to avoid mosquitoes,” she said.It took three decades of research to develop the new vaccine, which works against the most common and deadly of the five parasite species that cause malaria. The parasite’s complex life cycle is a huge challenge. It changes forms in different stages of infection and is far harder to target than germs.“We don’t have any vaccines against parasites in routine use. This is uncharted territory,” said Ashley Birkett, who directs PATH’s Malaria Vaccine Initiative, a nonprofit that helped drugmaker GlaxoSmithKline develop the shot, brand-named Mosquirix. The bite of an infected mosquito sends immature parasites called sporozoites into the bloodstream. If they reach the liver, they’ll mature and multiply before spewing back into the blood to cause malaria’s debilitating symptoms. At that point, treatment requires medicines that kill the parasites.Mosquirix uses a piece of the parasite — a protein found only on sporozoites’ surface — in hopes of blocking the liver stage of infection. When a vaccinated child is bitten, the immune system should recognize the parasite and start making antibodies against it.Scientists also are searching for next-generation alternatives. In the pipeline is an experimental vaccine made of whole malaria parasites dissected from mosquitoes’ salivary glands but weakened so they won’t make people sick. Sanaria Inc. has been testing its vaccine in adults, and is planning a large, late-stage study in Equatorial Guinea’s Bioko Island.And the U.S. National Institutes of Health soon will start initial tests of whether injecting people periodically with lab-made antibodies, rather than depending on the immune system to make them, could offer temporary protection during malaria season. Think of them as “potentially short-term vaccines,” NIH’s Dr. Robert Seder told a recent meeting of the American Society of Tropical Medicine and Hygiene.For now, only babies in parts of Malawi, Kenya and Ghana are eligible for the Mosquirix vaccine. After the vaccine was approved in 2015, the World Health Organization said it first wanted a pilot roll-out to see how well it worked in a few countries — in real-world conditions — before recommending that the vaccine be given more widely across Africa. “Everyone is looking forward to getting it,” said Temwa Mzengeza, who oversees Malawi’s vaccine programs. Those eager for the shots include her husband, whom she had to stop from trying to get them, she said.Mzengeza used to come down with malaria several times a year until she started following her own advice to sleep under a net every night. Unlike many other kinds of infections, people can get malaria repeatedly, building up only a partial immunity.In the pilot program that began last year, 360,000 children in the three countries are meant to be vaccinated annually. The first dose is given at about age 5 months and the final, fourth booster near the child’s second birthday.Experts say it is too early to know how well the vaccine is working. They’re watching for malaria deaths, severe infections and cases of meningitis, something reported during studies but not definitively linked to the vaccine.“To do something completely new for malaria is exciting,” said researcher Don Mathanga, who is leading the evaluation in Malawi. The rainy season has brought new challenges, making some rural roads impassable and complicating efforts to track down children due for a shot. So far in Malawi, the first dose reached about half of the children targeted, about 35,000. That dropped to 26,000 for the second dose and 20,000 for the third. That’s not surprising for a new vaccine, Mzengeza said. “It will pick up with time.”At the health clinic in Migowi in Malawi’s southern highlands, workers see signs of hope. Henry Kadzuwa explains the vaccine to mothers waiting at the clinic. He said there was a drop in malaria cases to 40 in the first five months of the program, compared to 78 in the same period in 2018.Even though he wishes his 3-year-old daughter, Angel, could receive the vaccine, “it’s protecting my community. It also makes my work easier,” Kadzuwa said. The Migowi area has one of the country’s highest rates of malaria, and a worn paper register in the clinic’s laboratory lists scores of cases.At the clinic, Agnes Ngubale said she had malaria several years ago and wants to protect her 6-month-old daughter, Lydia, from the disease.“I want her to be healthy and free,” she said. “I want her to be a doctor.”And she has memorized the time for Lydia’s second dose: “Next month, same date.”___Neergaard reported from Washington.___The Associated Press Health and Science Department receives 7200