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At least 15 states have identified more than 120 cases of lung disease or injury that could be linked to vaping, a CNN survey of state health departments has found.States with the most cases include Wisconsin, with 15 confirmed cases and 15 more under investigation. Illinois has 10 confirmed cases, while 12 more are under investigation. California is looking into 19 such cases. The New York State Department of Health said Friday it was "actively investigating" 11 cases. Indiana and New Jersey both reported nine cases, of which Indiana has confirmed six.Health officials in Connecticut, Florida, Iowa, Michigan, Minnesota, North Carolina, Pennsylvania, Texas and Utah also said they were aware of confirmed or potential cases. A total of 42 states and Washington, DC, provided CNN with a response."These latest reports of pulmonary disease in people using vaping products in New York and other states are proof that more study is needed on the long-term health effects of these products," Dr. Howard Zucker, health commissioner for New York State, said in a 1075
At any moment, the calmness in the critical care unit at Swedish Medical Center can change to something intense.“We bring people back to life,” said Emily Belfoure, a nurse there. She said they are caring for people who have been in major car crashes, had cardiac arrests, recent open heart surgeries — people with huge medical need.She called it amazing … but challenging.“The families are very emotional, and so you kind of take on some of that stress as a secondary type trauma,” she said.Belfoure decided to start a group for her team to debrief after a traumatic event. The goal is for folks to express their feelings about what they just went through and to cope with the stress of such intense experiences.She wants to help prevent burnout.“There's kind of like a four -or five-year mark in nursing where people either can deal with the burnout they learn coping mechanisms or they find a different job,” she said.The World Health Organization now recognizes burnout as an occupational phenomenon. It’s described as a syndrome resulting from chronic workplace stress.WHO says there are three major symptoms: Feeling exhausted or depleted of energy, being mentally disconnected from or cynical about one’s job and problems getting the job done successfully.“It's something that we don't want to just ignore,” Belfoure said.Dr. Monique Butler is the chief medical officer at Swedish and says burnout can take a toll on health.“It can cause a number of different additional symptoms including chest pain shortness of breath and it could really manifest itself into physical symptoms,” she said.The doctor advises acknowledging symptoms, talking to trusted people and seek professional advice if necessary.Have the debriefing meetings, Belfoure said, has made a big difference for people working there.“It's kind of more of a team and more of a family than just you alone taking care of these challenging patients and dealing with this by yourself,” she said. 1974

BROKEN ARROW, Okla. — Mother Nature has been all over the place the past few weeks in Oklahoma, but one family has been impacted by disaster twice in the same week. The Williams family has been forced to wait as floodwaters rise near the home they were given through a veterans program. Joshua Shorty Williams served in the U.S. Army. On May 22, Joshua and his wife, Jenny, and their three kids — Kayla, 15; Bryson, 14; and Aiden, 12 — evacuated their Broken Arrow, Oklahoma, home due to the flooding in their neighborhood. They went to stay at a relative's place in downtown Sapulpa and were slammed by the tornado on Sunday night. “Yes, we've had an eventful week or so, unfortunately,” Joshua Williams said. “We moved into our house in the Indian Springs Estate on January 7, 2019. When they issued the voluntary evacuation for our neighborhood on Wednesday, we left our home. We came to stay at my brother-in-law's building in downtown Sapulpa. We were hit by the tornado last night. Thankfully, everyone is safe and well.” The Williams family is not out of the woods yet. They spotted their house on a drone video posted online with the most recent footage of their neighborhood. They could see that the water is rising and slowly creeping up their driveway. The family’s plan is to stay at their brother-in-law's place in Sapulpa for now. With the pending storms and rising waters, the future of their family house is uncertain.“Yes, we are unfortunately playing the waiting game,” Joshua Williams said. “Hoping and praying the levels don't rise to the house. But all we can do is wait and see. Everything that's there can be replaced though. Just sucks as we were just awarded the house through the 1718
An Illinois man who harassed a woman for wearing a Puerto Rico flag shirt has been found guilty of hate crime.A jury convicted Timothy G. Trybus of two felony hate crime charges Wednesday, the Cook County State's Attorney 234
Apple has removed 181 vaping-related apps from its mobile App Store globally, the company said on Friday."Recently, experts ranging from the CDC to the American Heart Association have attributed a variety of lung injuries and fatalities to e-cigarette and vaping products, going so far as to call the spread of these devices a public health crisis and a youth epidemic. We agree, and we've updated our App Store Review Guidelines to reflect that apps encouraging or facilitating the use of these products are not permitted," the company said in a statement.Apple said the apps are a mix of stores, social networks, news and games. They represent 0.00010% of the 1.8 million apps available through the mobile App Store, the company said.The company said it had been moving in this direction for months. In June, Apple prohibited the promotion of vaping products in its app store and had not approved any new vaping-related apps since.The apps now banned from the App Store will continue to work for customers who already have them downloaded on their devices, and they can be transferred to new devices.Apple's move was applauded by groups such as the American Heart Association and the ghd Campaign for Tobacco-Free Kids."By taking e-cigarette related apps off the App Store, Apple will help reduce youth exposure to e-cigarette marketing and discourage youth use of these products. Apple is setting a welcome example of corporate responsibility in protecting our kids," Matthew L. Myers, president of the Campaign for Tobacco-Free Kids, said in a statement.Research published recently in the medical journal JAMA found that in 2019, 27.5% of high school students and 10.5% of middle school students currently use e-cigarettes. Based on that data from the National Youth Tobacco Survey, researchers estimated 4.1 million US high school students and 1.2 million middle school students currently use e-cigarettes, and 970,000 use them daily.Aside from the youth vaping epidemic, there were 2,172 cases of lung injury linked to vaping as of November 13, the US Centers for Disease Control and Prevention said on Thursday. The CDC also reports 42 confirmed deaths in 24 states and the District of Columbia.The CDC says it has yet to identify the official cause or causes of the outbreak, but the investigation has increasingly focused on products containing THC. Last week, the agency reported its first "potential chemical of concern": vitamin E acetate?, an additive sometimes used in THC and other vaping products. 2525
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