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The American Academy of Pediatrics published a new clinical report accompanying the study, with recommendations for breastfeeding and pregnant women who use marijuana.The recommendations state that marijuana should not be used during pregnancy and that marijuana use while breastfeeding is discouraged -- but they also recommend women be informed about the lack of definitive research on this topic and counseled about the current concerns regarding potential adverse effects of THC on pregnancy and child development.This emphasis on being informed was something that stood out to Dr. Alison Stuebe, an associate professor of maternal-fetal medicine at the University of North Carolina School of Medicine in Chapel Hill, who was not involved in the clinical report or the study."Very often, medical documents make statements that women should 'not be allowed to breastfeed when they use marijuana.' That approach presumes that women need to be told what to do, rather than being given information to make informed decisions," said Stuebe, who is also a board member of the Society for Maternal-Fetal Medicine."As a women's health provider, I believe we should provide women with information and advance their understanding so they can make informed choices," she said. "I was really happy to see counseling as an emphasis of this document."Dr. Sheryl Ryan, a professor of pediatrics and chief of the Division of Adolescent Medicine at Penn State Health Milton S. Hershey Medical Center, wrote an editorial that accompanied the new study.She wrote that both the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists recommend counseling moms to abstain from all cannabis products if they wish to breastfeed.The new study provides support for those recommendations, she wrote."But the picture is incomplete without our understanding of what is happening at the level of those infants exposed to cannabinoid-containing breast milk," she wrote. "Hopefully, the calls for research to answer these important questions will not go unheeded." 2072
The coalition didn't name the country. Saudi Arabia has been fighting a proxy war in Yemen against Iran, which it accuses of arming the Houthi rebels. Saudi Arabia has led a military operation in Yemen in support of the internationally recognized government, which was driven out of the capital by the Shite Houthi rebels and is now based in the southern city of Aden. 368

The driver was arrested without incident.Police told 10News there was a felony warrant for his arrest, but no other details were provided. 138
The couple got to hug each other for the first time since the pandemic.Joseph was in rehab when his wife, Eve, was also added to the Rosecastle at Delaney Creek family.The two were able to have phone calls and a few window visits, but they pushed through.After graduating from rehab, Joseph was able to reunite with Eve.This story was originally published by Lisette Lopez at WFTS. 381
The Cuyahoga County Board of Health and Summit County Public Health are both applying for state funding, as is the Cleveland Department of Public Health."I think that the funds show a commitment by the state level health department to aggressively address this outbreak," said Andrew Heffron, clinic supervisor at the Cuyahoga County Board of Health.Heffron said the number of hepatitis A cases statewide has been steadily increasing since the outbreak began more than a year ago.Hepatitis A is a virus that affects the liver, according to Heffron, who described some of the common symptoms as "abdominal pain, very dark yellow urine, nausea and the most common symptom that people think about is jaundice, which is yellowing of the skin."The virus is commonly foodborne, but according to Persis Sosiak, commissioner of health at the Cleveland Department of Public Health, that's not the case in this outbreak."In this particular outbreak, it is much more associated with intimate contact and risky behaviors," Sosiak said.County and local health departments are trying to reach at-risk populations through vaccination and education."That includes individuals incarcerated, the homeless population, men who have sex with men," Heffron said.It also includes people traveling to developing countries and people who use illicit drugs, whether the drugs are injected or not.The number of cases in this outbreak is much higher than in a typical year, Heffron said, and those who are most in need of vaccination are very young children and people with liver diseases such as hepatitis B or hepatitis C."Historically, Ohio has about 40-some cases a year, so it’s a little concerning that we’re at the numbers we’re at," Heffron said."The hepatitis A vaccine consists of two doses, one of which is 94 to 95% effective on its own," Sosiak said."We would always recommend two doses, but if even getting one, you are giving yourself or your family a high degree of protection against the infection," Sosiak said.While medication can be given to help with hepatitis A symptoms, Heffron said the virus usually clears itself from someone's system with rest and fluids. 2154
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