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Four physicians -- experts in pediatrics, infectious diseases and health policy -- have a message for White House Press Secretary Sarah Sanders: Contrary to what she says, it's not clear that the federal government is doing everything it can to care for children crossing the border.And they'd like to help her understand what the government could do better so more children don't die.When asked Friday about the recent deaths of two migrant children in US custody, Sanders told reporters that it was "an absolutely tragic situation" and that "we are doing everything in our capacity to make sure that when people do come, that they're taken care of so we don't have these types of instances."But the physicians say there are steps the government needs to take before Sanders can truthfully say officials are doing "everything in our capacity" to make sure children don't die."In her mind, she may think they're doing everything possible, but we can tell you, you're not doing everything," said Dr. Colleen Kraft, president of the American Academy of Pediatrics. "Look at the facts. The record shows us that more needs to be done."Dr. Buddy Creech, a pediatric infectious disease specialist, said authorities need to do thorough reviews of the children's deaths before declaring that everything possible is being done to prevent more deaths."In hospitals, when someone has a tragic event, a near miss, a drug error, we don't lead with 'we're doing everything we can.' It's ideal to lead with 'let's make ourselves open to self-criticism to make sure that we're taking care of the people who come to us for help,' " said Creech, associate professor of pediatrics at Vanderbilt University Medical Center."The real tragedy would be to say we're doing everything we can when we're not," he added.Internal reviews of the children's deaths are being conducted within the US Department of Homeland Security.Here are three things the physicians say the government could be doing better.Triage children more effectivelyOver the past several years, the United States has seen a large influx of children coming across the border.Before about 2013, about 90% of migrants apprehended at the border were adult men. In contrast, last month, 59% of apprehended migrants were families or unaccompanied minors, according to the Department of Homeland Security.That means about 1,400 to 1,500 unaccompanied minors or family members are apprehended every day, according to the agency."This has created enormous strain on our resources as we tackle the issue of how to deal with large numbers of kids," said Andrew Meehan, US Customs and Border Protection's assistant commissioner for public affairs.There's also been an uptick in the number of apprehended migrants who are ill, Homeland Security officials said at a briefing last week. They said border officers transport dozens of apprehended migrants to hospitals every day."We are doing all we can to handle this flood as humanely and professionally as possible," an official said.Homeland Security Secretary Kirstjen Nielsen has asked the US Centers for Disease Control and Prevention to look into the causes of the migrants' illnesses. She also said that children will receive a "more thorough hands-on assessment" as soon as possible after they're apprehended and that the US Department of Defense has been asked to provide additional medical professionals.Taking care of children -- especially such a large number of children -- requires special training and expertise, said Kraft, president of the pediatricians' group."Children are not just little adults; they have a whole physiology all their own," Kraft said.For example, she points out that children, much more than adults, can look fine but actually be quite ill."A child can be running around and playing while their little systems are breaking down," she said. "When they triage these children and they don't have that pediatric oversight and expertise, they're going to miss kids who don't look like they're ill when they really are."Kraft said she was pleased that on Wednesday, Customs and Border Protection Commissioner Kevin McAleenan reached out to her to ask whether the American Academy of Pediatrics could become involved in giving 4249

Google kept tabs on the whereabouts of its users even if they had turned off location tracking, an Arizona official alleged in a lawsuit filed Wednesday.The suit filed by Attorney General Mark Brnovich stemmed from an investigation that began after The Associated Press 282

Ford unveiled a fully electric Mustang with over 900 horsepower at a car show in Las Vegas Wednesday. It's not for sale, but the customized Mustang is intended to gauge interest in a high-performance 212

Federal officials on Wednesday banned electrical shock devices used to discourage aggressive, self-harming behavior in patients with mental disabilities.The announcement from the Food and Drug Administration follows years of pressure from disability rights groups and mental health experts who have called the treatment outdated, ineffective and unethical. The agency first announced its intent to ban the devices in 2016.For years, the shock devices have been used by only one place in the U.S., the Judge Rotenberg Educational Center of Canton, Massachusetts, a residential school for people with autism and other psychiatric, developmental or mental disabilities. The FDA said Wednesday it estimates 45 to 50 people at the school are currently being treated with the device.School administrators have called the shocks a last resort to prevent dangerous behaviors, such as head-banging, throwing furniture or attacking teachers or classmates. The center has continued to use the shock devices under a decades-old legal settlement with the state of Massachusetts, but needs court approval before beginning use on each resident.School officials said in a statement they plan to challenge the government ban in court. A parents’ group also defended the practice and said it would fight the ban.“FDA made a decision based on politics, not facts, to deny this life saving, court-approved treatment,” the school said. Electric shocks and other painful or unpleasant treatments known as “aversive conditioning” were more widely accepted decades ago. But mainstream psychiatry now relies on behavioral modification, prescription drugs and other therapies that have proven more effective.“Through advancements in medical science, there are now more treatment options available to reduce or stop self-injurious or aggressive behavior,” said Dr. William Maisel, a director in the FDA’s device center, in a statement.The Rotenberg school has used shock devices carried in students’ backpacks, which were attached to their arms and legs via electrodes. School staffers could trigger a two-second shock to a patient’s skin by using a remote controller.Some patients from the Rotenberg center have compared the shocks to a bee sting or worse. The school has faced several lawsuits brought by families who said their children were traumatized by the shocks.Other parents say that the technique is the only thing that prevents violent, sometimes life-threatening behavior in their children.“We will continue to fight to keep our loved ones safe and alive and to retain access to this treatment of last resort which has allowed them to live a productive life,” said members of the Rotenberg’s parents association, in a statement. “There is simply no alternative.” The FDA, echoing psychiatric experts, said that the shock therapy can exacerbate dangerous behaviors and lead to depression, anxiety and post-traumatic stress disorder. Patients have also suffered burns and tissue damage due to the device, the agency said.Regulators said patients should instead receive treatments that focus on eliminating factors that trigger the behaviors or teaching patients coping skills to deal with them. The FDA has only banned two other products in more than 40 years of regulating medical devices -- powdered surgical gloves, which can cause allergic reactions, and fake hair implants, which caused infections and didn’t work. Typically, the FDA addresses safety issues by adding new warning labels or modifying instructions for devices. But the agency concluded that the problems with the shock devices could only be addressed by banning them.___Follow Matthew Perrone on Twitter: @AP_FDAwriter___The Associated Press receives 3717

Hundreds of people stranded on hurricane-ravaged Great Abaco in the Bahamas waited Friday for a way off the islands as the death toll rose to 43 and rescue and recovery crews arrived with body bags and coolers.The number of fatalities is expected to rise as the extent of the damage becomes clear, but the search and recovery is being impeded by a broken infrastructure covered by debris left in the storm's wake.CNN's Gary Tuchman toured some of the hardest hit areas, and he said he could smell death. As he approached destroyed homes in Abaco, he said the scent grew stronger.The only way to know if there are bodies underneath the piles of debris was to remove it with heavy machinery, which will need to be brought in."I am sure that your reporters have seen uncollected bodies on the ground. I am sure there are many persons who know individuals who have personally lost loved ones," Health Minister Duane Sands told reporters during a briefing. "So where we end up with the death toll is likely to be significantly higher than where we are right now."In a text message to CNN, Sands confirmed Friday the death toll rose to 43.The national security minister surveyed the devastation from the air. He said rescue and recovery work needed to be completed before a full picture of the death toll emerges.Damaged infrastructure, such as impassable roads, and the lack of working government vehicles, such as patrol cars and ambulances, are adding to the frustration, Iram Lewis, a member of Parliament, said on AC360 Friday.Assistance from the US Coast Guard and Air Force will help the Bahamian government determine where rescues need to be made by Saturday, Lewis said.At least, he said, the airport in Freeport has been examined and the runway is open to receive more aid.Immediately after the storm, the runway was littered with debris. Inside the domestic terminal, the wreckage of a small passenger plane lay among the detritus.The long wait to evacuateDuring an aerial survey of Abaco, CNN saw large groups of people waiting for ships and planes. Hundreds of cars were parked haphazardly near the airport and port, appearing to have been left where they were forced to stop by people trying to leave.Those who made their way to the Leonard M. Thompson International Airport in Marsh Harbour waited hours for a possible flight out, while others went to the island's main port.Only a few buildings still stood in a sea of debris, where twisted metal and broken wood littered the landscape. Boats were scattered among the piles of debris left by homes knocked off their foundations.But those trying to get a flight out of the airport will likely wait for hours or even days to evacuate.Help arrivesAs people waited to leave the island, search and rescue personnel arrived bringing body bags and coolers.Additional morticians, body bags and refrigerated coolers to store bodies are being brought in to Abaco and other affected areas, Sands told Guardian Radio 96.9 FM. Four morticians in Abaco embalmed remains because officials have run out of coolers, he said.Volunteers with cadaver dogs have arrived to help with the recovery process, Joy Jibrilu, director general of the country's tourism and aviation ministry, told CNN.She said those workers brought equipment which will help people on the island get an accurate count of the dead and understand the full extent of damage the archipelago suffered.But the first priority remain rescuing and evacuating the living, especially those who are elderly or unwell, Jibrilu said.Estimated death tolls have been "harrowing and deeply distressing," Jibrilu said. She declined to speculate on the toll out of respect for the families.But a day earlier, she said "hundreds, up to thousands, of people are still missing."Trying to evacuateTed Curry was one of more than 300 people at the airport waiting to be evacuated Friday. He rode out the storm in Abaco.Curry told CNN via WhatsApp many people had grown tired of waiting for a plane and moved on to Marsh Harbour's main entry point, where roughly 700 people had gathered to await evacuation to Nassau.Among those seeking a way off Abaco were families who have been separated.Elizabeth Nixon was in Nassau waiting for her children, who were left behind when the family tried to to escape the island.She told CNN she had struggled to get her three children through the storm, carrying some of them in coolers to escape the flooding.Crying and worried, Nixon said she is anxious because her children have not eaten in at least a day as they await a flight out."If those little kids trying to push through, it's a lot," she said.Hers was not the only family forced to make difficult decision.Nixon said several families were put in terrible positions, with some having to choose who they could save during the storm.By Friday afternoon at least one cargo ship had agreed to take evacuees from Marsh Harbour on Abaco to Nassau. The announcement was met with cheers from those waiting to leave.More than 230 people have been rescued by the Coast Guard.Rescues have concentrated on Bahamas' northern islands as international teams sent small planes and helicopters to reach those stranded and feed the displaced.But Curry said the exodus from the island is only temporary. "This hurricane will set us back for years to come," Curry said."Abaconians are a resilient group of people," he said. "When we do come back we will be bigger, stronger and better than before." 5474