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Dharamvir Singh is the leader of a team of six men tackling their latest tough assignment in the flood-ravaged southern Indian state of Kerala.Their mission is to safely evacuate stranded residents and to deliver supplies to desperate flood victims who have been without food and clean water for days.Members of the Indian government's National Disaster Response Force are working to reach isolated pockets of people after deadly flash floods devastated the region's idyllic countryside.Singh holds the rope of an inflatable orange dinghy as the team makes its way through a stew of river water and sewage that's now become a cesspool of infection.His team draws on years of training as they navigate the dinghy through narrow streets that are filled with up to six feet of filthy water."Rescuers have to become friends with water. Otherwise they can't rescue anyone successfully," said Singh.In the small town of Peringara, in the Thiruvalla district, water flooded hundreds of houses with no warning Wednesday. Banana trees are split down the middle and their leaves float forlornly in the water, walls have crumbled and cars filled with water are sitting abandoned in the streets. 1191
Dr. Scott Gottlieb, commissioner of the US Food and Drug Administration, announced Tuesday a "blitz" on retailers?for violations related to sales of Juul and other e-cigarettes to minors.Forty warning letters were sent to brick-and-mortar retailers as a first step toward stopping underage use of e-cigarettes, the FDA said. The government agency also said it sent Juul Labs, the maker of an e-cigarette popular among teens, a request to submit documents related to product marketing and research, including information about "youth initiation and use.""We don't yet fully understand why these products are so popular among youth," Gottlieb wrote in the public statement. "But it's imperative that we figure it out, and fast. These documents may help us get there."Juul spokeswoman Victoria Davis said the company "agrees with the FDA that illegal sales of our product to minors are unacceptable. We already have in place programs to prevent and, if necessary, identify and act upon these violations at retail and online marketplaces, and we will announce additional measures in the coming days."Electronic cigarettes (also called e-cigarettes or e-cigs), vapes, vaporizers and hookah pens are among the terms used to describe electronic nicotine delivery systems. These products use an "e-liquid" that may contain nicotine as well as flavorings and other ingredients. The liquid is heated into an aerosol that the user inhales. Some products resemble conventional cigarettes, but others look like pens or other ordinary items. Juul resembles an everyday flash drive, which may explain its popularity among teens.The FDA has conducted 908,280 inspections of tobacco retailers, issued 70,350 warning letters and initiated about 17,000 civil money penalty cases in its efforts to fight the sale of e-cigarettes and other tobacco products to minors, it said Tuesday. For the current "blitz," the agency said, it also contacted one online retailer, which removed listings for Juul products and then voluntarily implemented policies to prevent future listings.More than 2 million middle and high school students described themselves as current users of e-cigarettes in 2016 (the most recent year studied), according to a government report: about 11% of high school students and 4.3% of middle school students. Overall, e-cigarette use by high school students increased 900% from 2011 to 2015, according to a separate 2016 report from the US surgeon general.In a recent Johns Hopkins Bloomberg School of Public Health survey, 81% of minors who currently vape said their primary reason for doing so is "availability of appealing flavors.""Widespread reports of youth use of JUUL products are of great public health concern," Gottlieb said in the announcement. "Youth may not understand the nicotine or other characteristics of JUUL."On March 20, the FDA issued a warning that it would act to end the use of e-cigarettes among minors.Juul Labs' website tells the story of two founders, smokers and product designers who had become "increasingly dissatisfied with the health and social impacts of cigarettes" but could find no viable alternative and so created their own -- with "adult smokers in mind.""We are working with the FDA, lawmakers, parents and community leaders to combat underage use, and we will continue working with all interested parties to keep our product away from youth," Davis said on behalf of the company. 3473

Dr. Scott Gottlieb, commissioner of the US Food and Drug Administration, announced Tuesday a "blitz" on retailers?for violations related to sales of Juul and other e-cigarettes to minors.Forty warning letters were sent to brick-and-mortar retailers as a first step toward stopping underage use of e-cigarettes, the FDA said. The government agency also said it sent Juul Labs, the maker of an e-cigarette popular among teens, a request to submit documents related to product marketing and research, including information about "youth initiation and use.""We don't yet fully understand why these products are so popular among youth," Gottlieb wrote in the public statement. "But it's imperative that we figure it out, and fast. These documents may help us get there."Juul spokeswoman Victoria Davis said the company "agrees with the FDA that illegal sales of our product to minors are unacceptable. We already have in place programs to prevent and, if necessary, identify and act upon these violations at retail and online marketplaces, and we will announce additional measures in the coming days."Electronic cigarettes (also called e-cigarettes or e-cigs), vapes, vaporizers and hookah pens are among the terms used to describe electronic nicotine delivery systems. These products use an "e-liquid" that may contain nicotine as well as flavorings and other ingredients. The liquid is heated into an aerosol that the user inhales. Some products resemble conventional cigarettes, but others look like pens or other ordinary items. Juul resembles an everyday flash drive, which may explain its popularity among teens.The FDA has conducted 908,280 inspections of tobacco retailers, issued 70,350 warning letters and initiated about 17,000 civil money penalty cases in its efforts to fight the sale of e-cigarettes and other tobacco products to minors, it said Tuesday. For the current "blitz," the agency said, it also contacted one online retailer, which removed listings for Juul products and then voluntarily implemented policies to prevent future listings.More than 2 million middle and high school students described themselves as current users of e-cigarettes in 2016 (the most recent year studied), according to a government report: about 11% of high school students and 4.3% of middle school students. Overall, e-cigarette use by high school students increased 900% from 2011 to 2015, according to a separate 2016 report from the US surgeon general.In a recent Johns Hopkins Bloomberg School of Public Health survey, 81% of minors who currently vape said their primary reason for doing so is "availability of appealing flavors.""Widespread reports of youth use of JUUL products are of great public health concern," Gottlieb said in the announcement. "Youth may not understand the nicotine or other characteristics of JUUL."On March 20, the FDA issued a warning that it would act to end the use of e-cigarettes among minors.Juul Labs' website tells the story of two founders, smokers and product designers who had become "increasingly dissatisfied with the health and social impacts of cigarettes" but could find no viable alternative and so created their own -- with "adult smokers in mind.""We are working with the FDA, lawmakers, parents and community leaders to combat underage use, and we will continue working with all interested parties to keep our product away from youth," Davis said on behalf of the company. 3473
EL CAJON, Calif. (KGTV) - As 10News explores Life in El Cajon, we’re examining the rich history of a city that started with “gold in them thar hills.” The name means “the box” or drawer in Spanish, referring to the way the valley is boxed in by the mountains in East County. A structure that survived El Cajon’s long history is the Knox Hotel, which opened in 1876 to house people drawn to Julian during the Gold Rush. “The people who came here were not poor, they came and they could build lovely houses and buildings like this,” said Eldonna Lay, curator of the Knox House Museum. Complete Coverage: Life in El CajonThe location was halfway between Old Town and Julian, a bend in the road that came to be known as “Knox’s Corners.” It would later grow into El Cajon. In 1889, the railroad arrived and the town began to thrive. El Cajon was incorporated in 1912, bringing advancements like street lights and cement sidewalks. El Cajon’s main attractions were citrus and chicken farming and a warm climate for people suffering from tuberculosis. Gillespie Field played a big role in World War II. It was then known as “Camp Gillespie.” “All of the planes were being made in San Diego but they were out in what became our airfield,” said Lay. In 1947, the Mother Goose Parade was a gift to children from local businesses. In 1961, Interstate 8 opened and businesses started booming. Lay believes growth means the sky is the limit for the city. “They're going to have to go higher, because we've run out of land,” said Lay. 1529
Dr. Anthony Fauci warned Sunday that even if a COVID-19 vaccine becomes available, it still may not yield herd immunity.In an interview with the Aspen Institute on Sunday, Fauci — the U.S.'s top infectious disease expert — said he would settle for a vaccine that is between 70 and 75% effective."I doubt seriously that any vaccine will ever be a hundred percent protective. The best we've ever done is measles, which is 97 to 98% effective. That would be wonderful if we get there. I don't think we will," Fauci said. "I would settle for 70, 75% effective vaccine because that would bring you to that level of would-be herd immunity level."But a CNN poll says one-third of Americans do not plan to get a vaccine if it becomes available. Fauci said Sunday that if those figures hold true and a potential COVID-19 vaccine is only 75% effective, the U.S. population would not reach the herd immunity threshold that would kill the virus."That's one of the reasons why we have to make sure we engage the community as we're doing now to get community people, to help us for people to understand that we are doing everything we can to show that it's safe and that it's effective," Fauci said. "And it's for the good of them as individuals and in society to take the vaccine."Three coronavirus vaccines are expected to be studied in large-scale clinical trials in the next three months.Herd immunity comes when a sufficient portion of a population is immune to an infectious disease. That can come either come through prior illness or vaccination, making the disease unlikely to spread further. 1594
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