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CINCINNATI, Ohio — Margaret Fitzwater insisted she wasn't going to cry, but her eyes quickly turned red and watery as the 69-year-old grandmother of six described the impact of 189

Creating vape juice, the liquid inside e-cigarettes, is a complicated process, that someone like George Cassels-Smith can talk for hours about. Cassels-Smith’s knowledge of e-juice and the electronic tobacco business stems from his family’s long history in traditional tobacco. In the early 1900s, his great grandfather ran a company around flavoring cigarettes. His father took the business over and eventually, it fell into his hands after his father passed. “I lost my father due to cigarettes,” said Cassels-Smith. “He was a lifetime smoker. He had three heart attacks and two strokes and cancer twice, and that’s why I entered into manufacturing e-juice.”The family business is now eLiquidTech, located outside Maryland. “I’d like to try and help people with their nicotine dependence with a safer alternative,” he said.When it comes to the safety of vaping, the Centers for Disease Control says almost 1,500 people around the country with a reported a history of vaping have been hospitalized with acute lung illnesses. More than two dozen people have died from it. “For the last 10 years, there have been relatively no health risk associated with it or very low,” said Cassels-Smith. “Now, all of a sudden, people are dropping like flies. What has been new that’s been introduced?”The CDC is still trying to figure that out. However, that question bothered George Cassels-Smith so much, he decided to test every product eLiquidTech makes. The test revealed, “that we were not introducing a biological problem to the agents that we compound.”Weeks of talking with other vaping manufacturers and industry insiders has left Cassels-Smith believing the cause of the outbreak may stem from black-market products or people introducing additional substances to legally manufactured vaping products. His strongest suggested culprit is THC. “I have a hypothesis that it is cannabis related,” Cassels-Smith said. “Those are oil-based products for delivering big aerosol, as opposed to PG glycerin-based, which is for making nicotine products.”Around 78 percent of the people who have come down with vaping related illness, or who have died, have reported using THC liquids in their e-cigarettes. However, the CDC has not definitively pointed to that being the cause of this outbreak. The CDC’s current statement on the cause of the rash of recent lung illnesses and deaths is, “At this time, FDA and CDC have not identified the cause or causes of the lung injuries in these cases, and the only commonality among all cases is that patients report the use of e-cigarette, or vaping, products.”“I would ask the CDC and the FDA to carefully look at the delineation into scrutinize what these elements are associated with,” said Cassels-Smith. “We need to do more effort to find out what is exactly doing this.” Answers would help eLiquidTech’s business, which typically it produces 80,000 to 100,000 kilos of vape juice. But this month, it is only projected to produce 10,000. Answers would also help George-Cassel Smith’s conscience. “With people dying, I need answers. I need to sleep well at night,” he said. “I am doing everything I can to make sure I am not part of the problem.”But most importantly, answer would help families, losing love ones around the country from vaping related illnesses. 3305

Chicago Blackhawks assistant coach Marc Crawford has been suspended by the organization on Monday, one day after a former player under Crawford accused the coach of kicking him during a game. According to an interview with the 239

Dozens of National Guard troops from South Carolina were seen checking out of their Washington, D.C., hotel shortly before President Donald Trump tweeted Sunday he was giving the order to withdraw guard forces from the nation’s capital. 248

Defense Secretary Mark Esper said that as the U.S. military prepares for another potential wave of the coronavirus, it may do things a bit differently, providing more targeted aid for cities and states and possibly shorter quarantine times for troops.Speaking as he flew back from a trip to the Marine Corps recruit base at Parris Island, South Carolina, Esper said the Pentagon is looking at a variety of plans. But he said U.S. forces may not be deployed the same way if or when the virus surges in a second large wave or even, more likely, a series of smaller bursts.He also said that the military has already started doing antibody tests on service members who had COVID-19 and recovered, in order to determine if their plasma can be used in others to prevent or treat the virus.Esper said he spoke with military service leaders the other day and asked if they would be interested in getting units of blood or plasma to send aboard ships or with deployed forces to use as needed. And he said they all responded that it would be helpful. Esper said he has taken the test to see if he has the virus antibodies but doesn’t yet have the results.Unlike the nasal swab tests being used to diagnose active infections, antibody tests look for blood proteins called antibodies, which the body produces days or weeks after fighting an infection. The blood test could show if someone had the coronavirus in the recent past, which most experts think gives people some protection.It’s not yet known what antibody level would be needed for immunity or how long any immunity might last and whether people with antibodies can still spread the virus.The Pentagon, Esper said, is also taking a broad look at how best to respond to any future outbreaks.Noting that a lot of the military aid rushed to communities as the pandemic struck ended up going unused or was used much less than anticipated, he said the military may send medical staff rather than entire hospital ships and Army field hospitals.The two U.S. Navy hospital ships that went to New York City and Los Angeles, for example, treated few patients. And Army field hospitals deployed to other cities also got less use than initially anticipated. Instead, they ended up pulling doctors and nurses out of those facilities and sending them to local hospitals, where they could bolster overworked and stressed medical staffs.“I think that’s a big lesson learned,” Esper said.Saying that he and Gen. Mark Milley, the chairman of the Joint Chiefs of Staff, think the virus may come back in smaller waves, Esper said the result may be that the military may be more likely to provide personal protective equipment and doctors to cities in need.“If one were to assume that the biggest wave that hit is the first wave, we’ve demonstrated that we have the hospital capacity, the ventilator capacity, all those other,” Esper said. “If we can handle that first wave, we can handle anything else after that.”Esper added that Dr. Anthony Fauci, the federal government’s top infectious-disease expert, and Dr. Deborah Birx, the White House coronavirus task force coordinator, suggested in a recent Pentagon meeting that a 14-day quarantine may not be necessary. He said they thought fewer days might work, and the Pentagon is looking at that idea now. 3295