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The search for a 12-year-old thought to be trapped in a Mexico City elementary school ended Thursday with the news that all students have been accounted for.But rescuers will continue their work, as signs suggest that someone may still be alive in the rubble, Angel Enrique Sarmiento, Mexico's sub-secretary of Navy, said Thursday.For days, Colegio Enrique Rebsamen was the site of a massive search and rescue operation offering a glimmer of hope in the chaotic aftermath of Tuesday's magnitude 7.1 quake. Reports of the missing 12-year-old riveted people across the country, who watched the rescue efforts unfold live on television. 656
The U.S. Supreme Court has declined to weigh in on the battle over pension reform in the city of San Diego. The decision leaves in place a California Supreme Court decision from last year that called pension reform into question and required a lower court to come up with a remedy. It could end up costing the city billions. In 2012, San Diego voters approved Proposition B with 65 percent in-favor. The measure ended pensions for nearly all new city hires, instead switching them to 401(k) type plans. Around the time, the city faced a billion pension liability, comprising 20 percent of the budget. "It is saving us, literally, hundreds of millions of dollars," Mayor Kevin Faulconer said Monday. "That's why it's important, so we can invest dollars back into neighborhoods."The city, however, is now on the legal defensive. Back in 2012, then-mayor Jerry Sanders campaigned on behalf of the measure. Labor unions argued Sanders' involvement required the city to meet and confer with unions before changing their terms of employment. The city argued that Sanders was exercising his First Amendment right to endorse the measure, which got to the ballot via a citizens initiative. The state Public Employee Retirement Board sided with the unions. So did the California Supreme Court, which last year ordered lower courts to decide a remedy. "There is not even a breath of a suggestion in this case that any public officials First Amendment rights have been violated," said Ann Smith, the attorney representing the labor unions. In a statement, Sanders, who now heads the San Diego Regional Chamber of Commerce, called the Supreme Court's decision disappointing but not unexpected. Smith said a lower court decision could make a decision within 30 days. It could impact as many as 4,000 city employees. 1813

The University of Washington’s Institute for Health Metrics and Evaluation now projects that 67,000 American lives would be saved between now and December 1 by near universal wearing of masks.The IHME released the updated model on Thursday. As part of the update, the IHME said that four states, Arizona, Florida, Mississippi, and South Carolina, have hit an important metric of a daily death rate of eight per one million residents, and that those states should re-impose statewide closures of non-essential businesses.The IHME’s coronavirus projections have been frequently cited in the past by the White House’s coronavirus task force. The group uses state data along with other metrics to create projections on the number of coronavirus-related deaths throughout the US.The model projects with inconsistent use of masks, the US death toll for the coronavirus will be up to 295,000 by December 1, an increase from the current figure of 158,000, per Johns Hopkins University data. The IHME’s projections drops considerably to 228,000 if masks are worn universally outside of the home.IHME director Dr. Christopher Murray said at a news conference on Thursday that mask wearing mandates work, but communities also respond when they see cases are spreading.“People do respond to the circumstances in their community,” Murray said. “Mandates have an important effect.”One thing the model does not take into account is the use of therapeutics of a possible vaccine. Murray said that the IHME is closely monitoring the effectiveness of two potential therapeutics – remdesivir and dexamethasone – and may adjust future models as more is learned about those drugs.The model expects the number of coronavirus-related deaths to ebb and flow into the fall, but begin to increase by November. "November is a month we expect the spread to increase due to seasonality," Murray said. We are expecting considerable daily deaths. That pushes up our projections."“We expect it rise later in the fall,” Murray added.One cause for concern comes at the end of November when families begin to travel for holidays such as Thanksgiving.Murray said that while mask-wearing is not necessary when around family members of the same household, he said mask-wearing may be necessary for holiday gatherings. Murray said his family is taking the recommendation one step further, and is simply not gathering with extended relatives this fall.What’s built into the IHME’s projection is that a number of states will need to implement stricter closures in order to slow the spread. As part of the IHME’s recommendation, states implement closures of non-essential businesses when there is a threshold of eight deaths a day per million. Also part of the modeling is based on 50% of schools being closed in each state for the upcoming year. Murray said with many schools opening or implementing hybrid models, more will be learned in the coming weeks on how easily the virus spreads within schools.Recent measures in Arizona, California, Florida, and Texas has allowed a small decline in cases, but deaths in those states have not dropped off, according to Murray.“We have been seeing cases peaking and hospitalizations peaking and deaths not quite yet peaking, but we expect them to peak in the near future but we don’t expect a sharp decline," Murray said.To see a state-by-state breakdown of the IHME’s projections, click here. 3403
The US House of Representatives will vote on whether to legalize marijuana across the country in September. This would be the first time a chamber of Congress has ever voted on removing marijuana from the Controlled Substances Act.Cannabis was included as what is called a Schedule I drug under the Controlled Substances Act in 1970. Schedule I drugs are defined as having a high potential for abuse and no medical benefit. Other Schedule I drugs include heroin, LSD, ecstasy and peyote.On Friday, representatives were informed the MORE Act will come up for a vote in the September work period of the House.The MORE Act - Marijuana Opportunity Reinvestment and Expungement Act - will expunge some cannabis records and create grant opportunities for people who have been negatively impacted by the criminalization of marijuana in addition to removing it from its Schedule I classification, according to Politico.Marijuana is already legal in 11 states, despite the federal designation as a Schedule I drug.Senate Majority Leader Mitch McConnell is opposed to the act, and some say the odds of it passing the senate are very slim.Even if the MORE Act passes both chambers of Congress, it would not make sales of marijuana legal. Regulation of marijuana would be left to states to decide how to handle it. 1310
The use of telehealth has become a common practice during the pandemic. Now, some doctors hope it continues to be an important tool in the healthcare industry."There are a number of bills have been proposed," said Dr. Tesh Monteith, a neurologist and fellow with the American Academy of Neurology.Dr. Monteith says Congress is considering several bills to keep telehealth, which allows patients to video conference with a doctor instead of going in for a physical appointment, around for the long run.When the pandemic hit, rules regarding telehealth changed, allowing for doctors to be financially reimbursed for the virtual appointments."It's allowed patients to access care. They're patients that would normally have to take days off, or to keep providers, multiple providers, and if they can do that, they may have childcare issues and not be able to get to a clinic," said Dr. Monteith.The bills would allow for everything from permanent reimbursement for physicians to allowing doctors to virtually see patients across state lines."Some of these bills are proposing that there are not limitations within states. For example, there are issues of licensing. A doctor licensed in New York should they be able to see a patient with a specialized disorder in Minnesota or does that patient have to come in Minnesota," explained Dr. Monteith.While telemedicine has been an important part of making sure people received medical care and diagnoses during the pandemic, doctors agree that the virtual visits in no way can replace seeing your physician in person."Because I know my patients well, I’m a pediatrician, I can do so much over telehealth with the kids I know. When they're sick I can look at them. I can watch them breathe. I can ask them to jump up and down and have the parents press on their tummy, but I can’t look in their ears. I can’t listen to their heart, and if it’s a family that I don’t know, there is concern that I might miss something," said Dr. Tanya Altmann, a pediatrician in California.Dr. Altmann says telehealth can also be a very valuable tool.As for reimbursement for physicians, Dr. Altmann says, "anyway that a physician or healthcare provider reaches out to a family to help with anything medical, it should be compensated."Dr. Altmann says pediatricians can sometimes spend hours on the phone with patients at night, work they don't get paid for. Getting reimbursed for telehealth visits with patients would be a plus."Patients need to empower themselves to learn about telemedicine, to learn what questions to ask a doctor. Have an advocate or family member there to even help with the physical examination," suggested Dr. Monteith.Dr. Monteith says medical professionals estimate there have been more than one billion telemedicine appointments since the pandemic began. She hopes Congress passes the telehealth-related bills to further expand medical access to people across the country. 2932
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