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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
Harley-Davidson's motorcycle sales are struggling. Competing with Bird, Lime, Uber and Lyft might be an answer.The classic brand, which has been around for 116 years, is looking to reinvent itself as more scooters, e-bikes and ride-sharing services hit urban communities and offer alternative ways to get around in congested cities.New transportation companies such as Bird and Lime have launched thousands of rentable e-scooters in cities but continue to face questions about product 497

I’m told scene at 24th St./Vineyard is now a police investigation. Three kids unresponsive. Phoenix Fire did confirm they did *not transport anyone to the hospital but won’t comment further on their conditions. Awaiting update from PD @abc15 pic.twitter.com/VTNuICAvmQ— Mike Pelton (@MikePeltonABC15) January 21, 2020 329
Former Trump campaign official Rick Gates, who was charged in special counsel Robert Mueller’s Russia investigation, will learn how much his extensive cooperation with the Justice Department has paid off when he is sentenced in Washington’s federal court.Neither his lawyers nor federal prosecutors are seeking prison time for Gates, who pleaded guilty in February 2018 to charges relating to lucrative political consulting work he did in Ukraine. The Justice Department says Gates provided “extraordinary assistance” in multiple investigations and that prosecutors will not oppose his request for probation. The decision will be up to the judge, who is expected to sentence Gates on Tuesday.Gates is one of a half-dozen associates of President Donald Trump charged in Mueller’s investigation into ties between the Trump campaign and Russia. All six have either pleaded guilty or been found guilty at trial. The three who have already been sentenced have all received prison time. Two others, former Trump administration national security adviser Michael Flynn and Trump confidant Roger Stone, are awaiting sentencing.Gates was among the first defendants charged in Mueller’s investigation. An indictment accused him and Paul Manafort, his onetime mentor and the chairman of the 2016 Trump campaign, of failing to disclose the work they did for then-Ukraine President Viktor Yanukovych and of hiding their proceeds from U.S. tax authorities to fund lavish lifestyles and pay for personal expenses.Gates pleaded guilty to charges of false statements and conspiracy against the United States, and he agreed to cooperate with prosecutors.He has met with prosecutors more than 50 times, testified in three criminal trials — including the cases against Manafort and Stone — and admitted to crimes that the government didn’t already know about, according to a Justice Department court filing last week.“Gates’ cooperation has been steadfast despite the fact that the government has asked for his assistance in high profile matters, against powerful individuals, in the midst of a particularly turbulent environment,” prosecutors wrote. “Gates received pressure not to cooperate with the government, including assurances of monetary assistance.”____Follow Eric Tucker on Twitter at 2287
Flooding, mudslides and snow closed several highways in California over the weekend, with more rain and snow set to hit later in the week.The 154
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