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SACRAMENTO, Calif. (AP) — A man charged with killing a rookie California police officer made his first brief court appearance Monday wearing a four-inch gauze pad covering what officials said was a self-inflicted injury.Adel Sambrano Ramos was appointed a public defender during a five-minute court hearing, and spoke only to acknowledge his name.Ramos, 45, faces a murder charge that could bring him the death penalty in Wednesday's slaying of 26-year-old Sacramento Officer Tara O'Sullivan. He's also charged with attempting to murder her training officer and with possessing two illegal assault-style rifles.He did not enter a plea.Assistant Chief Deputy District Attorney Rod Norgaard defended police from criticism that they took 45 minutes to rescue O'Sullivan with an armored vehicle because they were pinned down by rifle fire that could penetrate standard bulletproof vests."There was nothing that could have been done to save her life," he said after the hearing. "The nature of that injury is such that it could happen in an emergency room and she would not be save-able. So I find it very disheartening that people are criticizing the police response time to evacuate her. That has no merit whatsoever."He also took exception to questions of whether O'Sullivan was properly trained."Nothing in the training or lack thereof is the cause of this," he said. "There is an individual responsible for this, not law enforcement."Assistant Public Defender Diane Howard declined comment, as did Police Chief Daniel Hahn, who sat quietly in the back of the courtroom. Hahn was one of at least a dozen uniformed police officers and deputies watching as the hearing unfolded.Ramos was shackled at the hands, waist and ankles and surrounded by three deputies in the courtroom's holding cage. Two more stood just outside the cage.He was wearing a standard orange jail uniform during the hearing, though officials said that has been taken away from him at the jail after he tried to harm himself Sunday morning.Ramos suffered "some self-inflicted head wounds. He had smashed his head against a bed frame in his cell," Sacramento County Sheriff's Sgt. Tess Deterding said before the hearing.Jail employees immediately stopped him from further injury and took him to an outside hospital, she said. He was returned to the jail 12 hours later.He's now in a psychiatric wing of the jail "where we've taken even further precautions to make sure he doesn't hurt himself like that," Deterding said.He is under constant watch in what is called a safety cell, which has no bunk or other furnishings."Obviously we can't take away the walls and floor," she said, but "there's nothing inside the room. It's just basically four walls."He is provided a thin mattress and what is known as a suicide smock instead of regular jail garb: "It's tear-resistant, things like that, they can't turn it into a noose," she said. There are mental health employees in that unit in the event they are needed or requested by Ramos.Ramos also has had no contact with other inmates since he arrived.Memorial services for a O'Sullivan are set for Thursday at the Bayside Church's Adventure Campus in Roseville, California. She was fatally shot during a domestic violence call as she and other officers helped an unidentified woman pack her belongings from the garage of a North Sacramento home, authorities said.Authorities said Ramos was heavily armed with assault rifles, a shotgun and a handgun and fired dozens of times at officers during an hours-long standoff before surrendering. 3558

SACRAMENTO, Calif. (AP) — California Gov. Gavin Newsom cracked down on oil producers Tuesday, halting approval of hundreds of fracking permits until independent scientists can review them and temporarily banning new wells using another drilling method that regulators believe is linked to one of the largest spills in state history.The state Division of Oil, Gas and Geothermal Resources announced it will not approve new wells that use high-pressure steam to extract oil from underground. It’s the type of process Chevron uses at an oil field in the Central Valley that leaked more than 1.3 million gallons (4.9 million liters) of oil and water this summer.That process is different from fracking, which uses water and other chemicals at high pressure to extract oil. California has 263 pending fracking permits but has not approved any of them since July. That’s when Newsom fired California’s top oil and gas regulator after learning the state had increased fracking permits by 35% since he took office in January, angering environmental groups.Newsom, a Democrat, called the crackdown necessary to strengthen the state’s oversight of oil and gas extraction “as we phase out our dependence on fossil fuels and focus on clean energy sources.”“This transition cannot happen overnight; it must advance in a deliberate way to protect people, our environment and our economy,” Newsom said.California has been a leader on environmental issues, with Newsom's Democratic predecessor, Jerry Brown, making climate change his signature effort. Brown was criticized for failing to ban fracking or oil drilling, arguing that the state needed to tackle demand before moving on to supply.The oil industry called Newsom’s changes “disappointing,” with the Western States Petroleum Association saying California’s environmental regulations already lead the world.“Every barrel delayed or not produced in this state will only increase imports from more costly foreign sources that do not share our environmental safety standards,” group president Catherine Reheis-Boyd.California is one of the top five states for oil production, producing more than 161 million barrels last year. Fracking occurs in some of the state’s largest oil fields, mostly in the Central Valley.The steam method is less prevalent but accounted for 8 million barrels of the state’s oil production in 2018, according to the Department of Conservation. But regulators believe it is linked to the oil spill at a Chevron well that began in May.It was the largest oil spill in California since 1990, when a tanker unleashed more than 400,000 gallons (1.5 million liters) of crude oil off the coast of Huntington Beach.But despite its size, the Chevron spill has had minimal effects on the environment.The oil spilled into a dry creek bed, and the company cleaned it up before rains could wash it into fresh water. It also did not significantly harm wildlife, with just a “handful of birds” needing to be euthanized, according to Jason Marshall, chief deputy director of the California Department of Conservation.A second well at the oil field about 35 miles (55 kilometers) west of Bakersfield has been leaking intermittently since 2003. State officials ordered Chevron to stop the leak in April, and the company has been making progress, Marshall said.Regulators have fined the energy giant .7 million for the leaks. A Chevron spokeswoman referred comment to the Western States Petroleum Association, whose leader said, “There is nothing more important than the health and safety of the communities where the women and men of our industry work, live and raise their families."The moratorium will be in place while two national laboratories — Lawrence Livermore and Sandia — study the high-pressure steam process to see what regulations, if any, can make it safer. Other wells in California use the steam method and have not had any spills.“These oil leaks cannot be the cost of doing business,” California Natural Resources Secretary Wade Crowfoot said. “There needs to be a clear trajectory to eliminate them. Not reduce them in number, but fully eliminate them.”The moratorium will not affect existing wells, which will be assessed individually. Some existing wells have been using high-pressure steam for so long that stopping it could weaken the geology and cause more spills, Crowfoot said.Officials said they would seek an independent audit of California’s permitting process for fracking and other types of oil extraction.In July, advocacy groups Consumer Watchdog and FracTracker revealed the state’s fracking permits had doubled during the first six months of Newsom’s administration. The groups said that of those permits, 45% benefited companies where state officials owned stock.Jamie Court, president of Consumer Watchdog, called Newsom’s new orders “an important step toward reining in the most high risk extraction techniques.”“The ultimate test of his tenure for climate change and the public will be simple math about how many fewer permits are issued and how many existing wells are closed,” Court said. “Net zero wells should be his goal.” 5122

SACRAMENTO, Calif. (AP) — California's top health official says the state remains in a “range of stability” on coronavirus cases and hospitalizations and will continue moving ahead with reopening efforts. That's despite recent widespread protests over racial injustice that have brought people together in mass gatherings not seen in months. Mark Ghaly says the state plans to keep releasing reopening guidance, though he didn't give specifics. Guidance on how to reopen schools is highly anticipated. Gov. Gavin Newsom hasn't given any coronavirus updates this week after months of steady updates on the state's response. 630

Robert Davis, 70, faces criminal charges after he was caught in South Florida allegedly using a device that concealed his license plate while driving past toll stations, WPLG-TV reported. For the last 18 months, social media users have been posting videos of a Chrysler van driving past toll stations with a concealed license plate. Until last week, Florida Highway Patrol was unable to find the van. But on Saturday, an off-duty Florida Highway Patrol officer finally spotted the van near Homestead, Fla. "I kind of realized that is the guy and I had to call it in," Lieutenant Alejandro Camacho told WPLG. "And then troopers came and stopped him and made an arrest. "Florida Highway Patrol officials allege that Davis used a remote control that drops a cover over the license plate to conceal the license plate. It is unclear how many times Davis allegedly used the device. Davis was arrested on charges of organized fraud, cheating and petty theft, WPLG said.  1006

Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

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