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Already burdened by the coronavirus pandemic and a tightened deadline, the Census Bureau must now contend with several natural disasters as wildfires and hurricanes disrupt the final weeks of the nation’s once-a-decade headcount.The fires on the West Coast forced tens of thousands of people to flee homes in California and Oregon before they could be counted, and tens of thousands of others were uncounted in Louisiana communities hit hard last month by Hurricane Laura. Nearly a quarter million more households were uncounted in areas affected this week by Hurricane Sally.The disasters add to the already laborious task of counting of every U.S. resident and increase the risk that the effort will miss people in some parts of the country.“I can’t project if Mother Nature is going to let us finish, but we are going to do the best we can,” said Al Fontenot, associate director of the Census Bureau, who has repeatedly said the bureau is on target to complete the count at the end of the month.The disasters make it challenging or impossible for census takers to visit households that have not yet answered questionnaires. And time is running out, with just two weeks left until the census is scheduled to end on Sept. 30.In major cities in California and Oregon, smoke from nearby wildfires poses a health threat for census takers as they knock on doors.“It’s really smoky, and no one wants to open their doors because of the hazardous air. I gave up yesterday and do not plan to go out today unless it improves,” said a San Francisco census taker, who spoke on the condition of anonymity out of fear that she could lose her job.Officials in San Jose, California, are encouraging residents to respond to census questions online or by phone or mail.“Frankly, it’s not safe to be outside for more than a little bit,” San Jose Mayor Sam Liccardo said. “So, yes, it will affect us. We are going to hustle every other way we possibly can.”If there is an undercount, states affected by the disasters could be shortchanged when some .5 trillion in federal spending is distributed annually to pay for roads, schools, health care and other programs. Since the census also determines how many congressional seats each state gets, states such as California that are on the verge of losing a seat because of declining population could see their political power diluted.Rep. Jimmy Gomez, a Democrat from Los Angeles, said the recent disasters are another reason the deadline for ending the 2020 census should be extended by a month.Because of the pandemic, the Census Bureau pushed back the deadline for finishing the count from the end of July to the end of October. Then the agency announced last month that the deadline would be changed to the end of September after the Republican-controlled Senate failed to pass a Census Bureau request for more time to turn in numbers used for redrawing congressional districts.Some Democrats and activists believe the expedited schedule is politically motivated. A coalition of cities and civil rights groups are suing in federal court in San Jose, seeking an extra month.“We know the shorter the time frame is, the more risk there is to an accurate count, and the more problems can arise,” Gomez said. “This is not usually the time of the year that the Census Bureau is doing the counting.”The San Jose lawsuit contends that the sped-up timetable will cause Latinos, Asian Americans and immigrants to be overlooked. Government attorneys say the Census Bureau will not have enough time to process the data to meet an end-of-the-year deadline if the count does not finish in September.“If you had a longer period, you would expect some people to return home, and you could concentrate on those geographies,” said Thomas Saenz, president and general counsel of the Mexican American Legal Defense and Educational Fund, which is seeking extra time in another lawsuit in Maryland.Census takers headed to evacuation centers to complete the count, and residents will be counted according to where they were on April 1, said Guillermo Gonzalez, a congressional liaison for the Census Bureau.In areas where there is extreme danger, such as parts of Oregon, census field offices had to close offices for several days and home visits were suspended. In some places where census takers cannot go out, they are trying to reach households by phone, according to Census Bureau officials.Fontenot said in court papers in the Maryland case that the natural disasters and other disruptions pose “significant risks” to finishing the count in all states by the deadline.The Census Bureau estimated there were 248,000 uncounted households affected by Hurricane Sally in Alabama and Florida; 34,000 uncounted households affected by Hurricane Laura in Louisiana; close to 80,000 uncounted households in California affected by wildfires; and 17,500 Oregon households also threatened by the flames.The disasters worry the federal judge in the San Jose lawsuit, who is considering whether to extend the count by a month. During a recent hearing, Judge Lucy Koh said some workers at her courthouse had been evacuated and their neighborhoods were destroyed.“Here we’ve been told not to go outside for 28 days because of unsafe air. How are you doing six visits to households when people can’t go outside?” Koh asked government attorneys. “How are we going to count in this reality for us?”___Follow Mike Schneider on Twitter at https://twitter.com/MikeSchneiderAP 5478

America has an opioid problem and more mothers are struggling with sobriety.“At the height of my addiction, I could take anywhere from 20 or 30 Percocets a day if I had them,” said Amanda Martin, who’s opioid addiction started shortly after the death of a child.“My third born son died shortly after he was born and that just made a huge impact on me,” Martin said.During her fourth and fifth pregnancies, Martin, a former nurse, started taking pain pills which she says impacted her other children’s health.“They both had delayed speech patterns,” she said. “My youngest son that I took the most opiates with, he did have some developmental delays.”Martin’s opioid addiction eventually led to heroin use and ultimately put her in jail.New research shows during the past two decades, four times as many pregnant women are struggling with opioid use disorder and almost eight times as many infants are diagnosed with opioid withdrawal.Now, health experts say that many are having a hard time getting proper treatment.“Hospitals are providing variable care,” said Stephen Patrick, MD, director of the Vanderbilt Center for Child Health Policy. "And we see systems in communities really stretched, everything from local community hospitals to the child welfare system."He says every 15 minutes in America, an infant is born having an opioid withdrawal, which accounts for half a billion dollars in healthcare expenditures nationwide.“This year it looks like we’re on record pace once again to have to have a record-number of opioid overdoses,” Patrick said.While the COVID-19 crisis has made it harder for pregnant women to get into treatment, Patrick says this is a fixable problem, but that America currently lacks to funding and political will to change it.“As we start to usher in a new administration, I really hope the unique needs of pregnant women and infants affected by the opioid crisis are front and center,” he said.More help is something Martin agrees with, especially during the COVID crisis.“We see a lot of people coming in that are relapsing just simply because of the pandemic,” said Martin.Now three-and-a-half years sober, Martin is working as a recovery coach for Vertava Health in Mississippi and encouraging pregnant moms battling opioid addiction to get help, no matter how hard it may be.“There’s help out there,” she said. “And there’s non-judgmental places that you can come and you can get your whole life together and never have to live that way.” 2482

A police chief in North Florida is receiving praise on social media after a tweet that called for any police officer to quit now if they are not willing to run toward gunfire.FULL COVERAGE:?Parkland school shootingThe tweet was made by Atlantic Beach Police Chief Michelle Cook after Broward County Sheriff Scott Israel said the deputy on duty during the Parkland shooting?at Marjory Stoneman Douglas High School on Feb. 14?failed to take action.Cook said in the tweet that she wouldn't even be mad if an officer decided to quit since "innocent lives depend on us to act."If you are a police officer and you think to yourself for even one second that you will not be able to run towards the gunfire...please quit now. We won't be mad. Innocent lives depend on us to act #dontletthemdown— Michelle Cook (@Wunulub) February 23, 2018 858

Almost a decade ago, Matt Wilson went to the emergency room after experiencing a lot of pain. It was pretty clear he had a kidney stone, but the doctors wanted to take a look to be sure.“After they identified the kidney stone, they told me I had a shadow in my pancreas," said Wilson.That shadow would lead to a few months without answers.“Went through testing and went through months of tests without knowing what it is, but they wouldn’t rule anything out. The months of not knowing were stressful. They were stressful on me, they were on my family,” said Wilson.Finally, after visiting a specialist in Philadelphia, he finally got an answer.“They said I had a cancerous tumor on the tail of my pancreas. I went in for a kidney stone and came out with a diagnosis of pancreatic cancer,” he recalled.Wilson knew he wanted to fight. He underwent surgery to remove part of his pancreas, his spleen, and 21 lymph nodes.Wilson has survived for nine years since his diagnosis. According to the American Cancer Association, the five-year survival rate for pancreatic cancer is just 9 percent.“It is one of the deadliest cancers,” said Julie Fleshman, the CEO of the Pancreatic Cancer Action Network. The group raises money and awareness for pancreatic cancer. She wants people to know why it’s such a hard disease to detect.“The symptoms of pancreatic cancer are quite vague. There’s things like stomach pain and back pain, unexplained weight loss. Things that could be associated with other diseases, so it’s not usually the first thing that someone thinks of as oh, maybe it’s pancreatic cancer,” said Fleshman.In addition to unclear symptoms, there’s no early detection test like you might have with other cancers."Usually, by the time it’s diagnosed, it’s late stage. It’s already metastasized or spread to other organs, and it’s more difficult to treat at that point,” said Fleshman.But Fleshman and Wilson hope the efforts of organizations like PanCan will lead to an early detection test and more treatments to help save lives.“I actually really think that it’s possible that in the next decade for us to have an early detection strategy,” said Fleshman.“My hope is that we continue to make advances. That we can have early detection for people for pancreatic cancer in the future, and I think we will get there. And that will continue to improve patient outcomes and improve the survival rate of this disease,” said Wilson. 2435

After a dramatic lead-up, the House of Representatives failed to pass a massive farm bill as Republicans were unable to shore up support from some of their conservative members amid an ongoing party fight on immigration, despite Republican leaders' confident predictions it would pass just minutes before.The vote was 198-213.While Republican leaders said they were confident ahead of the vote, it was clear the bill was in jeopardy, and members of leadership could be seen on the floor holding last-minute negotiations.Complicating matters was a threat by conservatives in the House Freedom Caucus to withhold their support as they sought to get their desired outcome on an unrelated issue involving immigration. Close to 30 Republicans voted against the bill.Democrats, meanwhile, rejected the farm bill out of opposition to stricter work requirements in the food stamps program, formally known as the Supplemental Nutrition Assistance Program, or SNAP.The deadline to pass a farm bill is September 30.Republicans want to require more people to work in order to receive the benefits, extending the mandate to parents of school-age children and to those in their 50s.That's the main reason why Democrats are rejecting the bill. They worry the new requirements will prove too onerous for some of the very beneficiaries in need of the assistance. Those who fail to work or enroll in job training could be locked out for up to three years.President Donald Trump voiced support for the bill Thursday in a tweet."Tomorrow, the House will vote on a strong Farm Bill, which includes work requirements. We must support our Nation's great farmers!"The 641-page bill also addresses a range of issues related to agriculture, such as livestock disaster programs, conservation, feral swine, farm loan programs and broadband services in rural areas, just to name a few.Given that the Senate is working on its own version of a farm bill -- one that has a less stringent approach on SNAP -- it's a foregone conclusion that the House bill, should it pass, won't be the final say on the matter, with a possible House-Senate conference looming to hash out the significant differences."There could not be a better time to take action to help more people join our workforce," House Speaker Paul Ryan told reporters during a news conference Thursday. "That is why the farm bill that we are debating today is so critical. It sets up a system for SNAP recipients where if you are able to work, you should work to get the benefits. And if you can't work, we'll help you get the training you need."  2587

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