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There have been 530 confirmed and probable cases of lung injury related to e-cigarettes as of September 17, the US Centers for Disease Control and Prevention said Thursday. That's 150 more than had been reported on September 11. There have been cases in 38 states and one US territory.Among the cases for which the CDC has received information about patients' sex and age, 72% are in men, 67% are in people ages 18 to 34, 16% are in people younger than 18 and 17% are in people age 35 and older. More than half of the cases are in people younger than 25.Vaping-related illnesses have been linked to seven deaths, two in California and one each in Kansas, Illinois, Indiana, Minnesota and Oregon.Health officials said the investigation is complex, involving hundreds of patients -- some who are reluctant or too ill to talk with investigators -- and multiple substances."I wish we had more answers," Dr. Anne Schuchat, principal deputy director of the CDC, said during a media briefing.Health officials haven't found a definitive cause or a clear connection between cases. The CDC and various state health departments have reported widespread use of products containing THC, or tetrahydrocannabinol, the psychoactive substance within cannabis. But health officials emphasized Thursday that not all people who became ill had used THC, and many had used multiple substances.Mitch Zeller, director of the US Food and Drug Administration's Center for Tobacco Products, said the agency has activated its law enforcement arm, the Office of Criminal Investigations, to identify what is making people sick and how it's supplied. Zeller said the investigation is ongoing, but the office is not pursuing any prosecutions related to personal use of e-cigarette products.Zeller also FDA has collected more than 150 vaping product samples for analysis in its forensic chemistry center and the number continues to grow. 1916

The overall quality of a new, model year 2019 vehicle was no better than in 2018, despite the average vehicle price increasing from year to year.In a study released Wednesday by J.D. Power and Associates, it measured the number of problems experienced during the first 90 days of ownership. Based on this standard, the study found 13 brands improved, while 18 worsened. Overall, it found that there were 93 problems per 100 vehicles with new cars. Some models, on average, had more than one problem per vehicle. The study found that Genesis was the best performing brand in 2019 with 63 problems per 100 vehicles. Genesis was followed by Kia with 70 problems per 100 vehicles. The worst performing auto brand was Jaguar with 130 problems per 100 vehicles. “Automakers continue to make progress in areas like infotainment that attract a lot of consumer attention,” said Dave Sargent, Vice President of Global Automotive at J.D. Power. “However, some traditional problems crept up this year including paint imperfections, brake and suspension noises, engines not starting and the ‘check engine’ light coming on early in the ownership experience. Also, more people are having issues with their advanced driver assistance systems, which are critical for building consumer trust in future automated vehicles.”J.D. Power notes that Hyundai Motor Group brands Genesis, Kia and Hyundai has widened the gap in quality. Hyundai ranked third with 71 problems per vehicle. The next best brand is Ford with 83 problems per vehicle. One area of improvement is car's infotainment units, but remains as the most problematic category for new vehicles. Although the quality has not increased among new cars, the price has. Kelley Blue Book found that new car prices increased 1.3 percent from the end of 2017 to the end of 2018. For more information on the study, click 1865

TROY, Michigan — As protesters took to the streets to call for justice for George Floyd, officers with the Troy Police Department 142

The US Food and Drug Administration on Monday warned leading e-cigarette maker Juul Labs about illegally marketing its product as a safer alternative to cigarettes.The FDA ordered Juul to respond within 15 days with corrective actions and its plan to comply with federal law. It noted that failure to comply could result in fines, seizures or injunction."Regardless of where products like e-cigarettes fall on the continuum of tobacco product risk, the law is clear that, before marketing tobacco products for reduced risk, companies must demonstrate with scientific evidence that their specific product does in fact pose less risk or is less harmful. JUUL has ignored the law, and very concerningly, has made some of these statements in school to our nation's youth," Acting FDA Commissioner Dr. Ned Sharpless said in a statement.The FDA sent a separate letter to Juul "expressing concern, and requesting more information, about several issues raised in a recent Congressional hearing regarding JUUL's outreach and marking practices, including those targeted at students, tribes, health insurers and employers."The agency requested documents related to marketing, including scientific evidence and data such as consumer perception studies "related to whether these statements and representations explicitly or implicitly convey that JUUL products pose less risk, are less harmful, present reduced exposure, are safer than other tobacco products or that the products are smoking cessation products.In November, the FDA revealed that vaping had increased nearly 80% among high schoolers and 50% among middle schoolers since a year earlier. Public health experts have said that Juul has largely propelled the rise, commanding about 75% of the e-cigarette market in the United States."We believe you have a continuing responsibility to take action to address the epidemic of youth use of your products, some of which appears to have been a direct result of your product design and marketing campaigns, whether or not some of these practices have been discontinued," the FDA's letter to Juul said.Juul has maintained that its products are intended to convert adult smokers to what it described in the past as a less-harmful alternative. In other communications, the company says it cannot make claims its products are safer, in line with FDA regulations."We are reviewing the letters and will fully cooperate," according to a Juul Labs spokesperson.Calls for action against JuulLast week, Rep. Raja Krishnamoorthi, chairman of the House Oversight Subcommittee on Economic and Consumer Policy, asked the FDA in a letter to take "appropriate enforcement action" against Juul. He said the agency should "protect the American public from the fraudulent and unapproved medical claims" made by the company.Krishnamoorthi's letter followed a two-day hearing in July, after which the committee concluded that "JUUL appears to be violating FDA regulations against making unapproved express and implied claims that its product helps users stop smoking cigarettes and is safer than cigarettes."At the subcommittee hearing in July, several people testified that the company was directly marketing to children in high school, to the Cheyenne River Sioux Tribe and to smoking cessation groups.On Friday, the US Centers for Disease Control and Prevention announced that the agency is now aware of at least 450 possible cases of severe lung disease that could be caused by vaping across 33 states. There have been at least five deaths across five states -- one each in Illinois, Oregon, Minnesota, Indiana and California -- linked to the illnesses.After news of additional deaths spread on Friday, US Senate Democratic Whip Dick Durbin called on FDA's Sharpless to act on regulating e-cigarettes and flavors in the next 10 days. Durbin said he would call for Sharpless' resignation if he did not take action."As Acting Commissioner of the FDA, you alone have the power to stop this vaping epidemic, which has now reached the point where children and young adults are getting sick and dying," Durbin said in a statement. "If you continue to refuse to do your job -- which is to protect the public health -- then it is time to allow someone else to take the helm." 4254

This year, voters in 31 of the nation’s 100 largest cities will choose a mayor in municipal elections that historically don’t garner the same numbers in terms of voter turnout as presidential elections.But the makers of a new smartphone voting app think they can make it easier for people to vote. This week, Denver became only the second place in the country to ever allow voting by smart phone.It’s called Voatz. Yes, a weird spelling, but it’s a straightforward concept: it’s an app for voting. “To get through verification, they have to take a ten second selfie video,” said Jocelyn Bucaro of Denver’s elections division, who says the app utilizes an individual’s biometric data—like face recogmition or thumbprint technology. “They have to look at the camera, they have to blink, move their head, so that the system knows it’s not a video of a photo," she said. Bucaro thinks that one day, this will be how we’ll all cast our ballots.“If we want to maintain a democratic system and have as many people participating as possible then some form of this will likely be available for all voters," Bucaro said.Right now, it’s just available for active duty military stationed overseas. But there’s a reason for that. Currently service members have to print, sign, scan, then email the document to election officials.Former FBI cybersecurity expert Andre McGregor said that made them the perfect group to pilot the technology.“When you compare it to the current, everything is better than a PDF sent via email, even fax is better than that,” McGregor said.McGregor is talking about the obvious concern with a voting system like this: security, something he says he was concerned about at first, too.“I had just as many skeptical thoughts as most other people thinking about the idea of voting on a device that’s in your hand.”McGregor looked into the potential pitfalls of the app before it went live with West Virginia’s military voters last year, and the app, which uses block chain technology, exceeded his expectations.He says trying it out on small groups is a good way to make sure it’s ready to go mainstream; disabled voters might be next to try it. 2168

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