
As the GM strike entered its fifth week, the United Auto Workers union announced that picketing workers can expect an extra $25 a week from the union’s strike fund. GM, on the other hand, can expect its dealers to face increased difficulty in sourcing certain replacement parts, while others worry about the prospect of subpar inventory. The UAW’s bargaining team presented a new comprehensive offer to GM as talks continued. In addition to the slightly boosted strike pay, the UAW also lifted the cap on cash earned at outside jobs. Starting Sunday, workers moonlighting at other jobs can keep the full strike payment, regardless of what they made in their alternate gig. Strike payments are typically clawed back on a dollar-for-dollar basis after the worker passes the $250 threshold.
In addition to a host of other issues, health care sits near the top of UAW concerns in this latest round of talks. With GM looking to downsize in an era of shrinking auto sales and economic uncertainty, offering generous health benefits represents a major cost to each company. An agreement was reached between GM and the UAW that keeps the previous health care arrangement intact. The agreement keeps the arrangement where workers cover just 3 percent of their health care costs — an agreement GM briefly abandoned earlier in the bargaining process. The automakers would undoubtedly seek concessions in other areas but unions are not prone to accept concessions lightly.
In the tentative deal with General Motors, the union won on many of its goals, including a path to permanent employment for temporary autoworkers, a faster route to top pay for workers hired after 2007 and a flattened pay structure for permanent employees, who would reach $32.32 per hour by the end of the four-year deal. The biggest obvious loss for the union is the continued closure of the Lordstown Assembly plant in Ohio.
The Lordstown Assembly Plant in Ohio is to remain closed, as will transmission plants in Warren and Baltimore; and a parts distribution center in Fontana, California, will close during the term of the contract. The union said it negotiated assistance packages for workers at Lordstown, Warren and Baltimore transmission plants, including $75,000 payments for eligible production workers and $85,000 for skilled workers who retire. There are also buyout options for those not eligible to retire.
Some other features of the deal include UAW-represented GM workers will get a bonus of $11,000 upon ratification of the deal and temporary workers will get $4,500. GM will invest $7.7 billion in U.S. facilities to create or retain 9,000 jobs. There will be wage increases of 3% in the second and fourth year of the contract, with 4% lump sum payments in the first and third years. Temporary workers, who have been paid $15-$19 an hour with inferior benefits to permanent autoworkers, get a path to a permanent role starting next year. Part-time workers get a path to regular status starting in 2021. These workers also get improved paid and unpaid time off. By September 2023, all permanent manufacturing employees will be at $32.32 per hour.
The tentative deal is far from perfect and the UAW is trying to persuade union workers to accept the deal. Experts said General Motors has lost more than $1 billion in profits, while line workers have lost nearly $750 million in income. With the state of Michigan are losing tax dollars, there’s a growing sentiment that something has to change soon and many hope this deal will finally end the strike.
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A suspect has been arrested after four homeless men were killed and one was critically injured when they were attacked in New York City early Saturday morning. Police said Randy Rodriguez-Santos, 24, who is homeless, wielded a 15-pound metal pipe and apparently attacked the men randomly as they slept on the sidewalks of Lower Manhattan’s Chinatown. Santos is reportedly also homeless and has struggled with addiction. He is charged with four counts of murder, one count of attempted murder and unlawful possession of marijuana.
Police responded to reports of an assault in progress at Doyers Street and Bowery around 2:10 a.m. and found two men with head wounds. One victim was pronounced dead at the scene and another was taken to the hospital in critical condition. Over the next hour, police discovered additional victims in the area, two men were found outside of 2 East Broadway and another was found outside of 17 East Broadway.
Two witnesses told responding officers that the suspect was wearing a black jacket and black pants, which helped police find him quickly just a few streets away. Rodriguez-Santos was apprehended a few blocks from the scene of the attacks and the weapon was recovered nearby. The attacks left blood splattered on the doorways and sidewalks where the men had been sleeping.
The victims, whose ages range from 48 to 83, were bludgeoned as they slept on the street. Three of the four men killed were identified Monday, as lawmakers and mourners gathered at an emotional memorial for the men at Chatham Square. Several sidewalk tributes of flowers, candles and food were placed for the men who were allegedly killed by another homeless man as they slept. One of the mourners cried as she recalled the oldest victim, 83-year-old Chuen Kwok, always being grateful for the food she gave him. New York State assembly woman Yuh-Line Niou choked back tears as she spoke on the mens’ deaths. “If the change isn’t now, after this, I don’t know when it is.”
The medical examiner’s office later confirmed his identity and those of two other victims: 55-year-old Nazario Vazquez Villegas and 49-year-old Anthony Manson. Santos was arraigned on charges of murder and attempted murder for the bloody rampage. He did not enter a plea and was ordered held without bail. Police officials said Santos has been arrested 14 times, some of those for assault, including one in May for an alleged assault at a Brooklyn homeless shelter.
The suspect’s mother, Fioraliza Rodriguez, 55, told news outlets she had kicked him out about three years ago. He struggled with drugs, assaulted her and his grandfather, and stole from the family, she said. “I never thought he would kill someone,” she said. “I was afraid of him, though, because he punched me. That’s when I told him to get out of my house.”
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MGM Resorts International has agreed to an $800 million settlement with more than 4,000 survivors of the 2017 massacre outside the Mandalay Bay casino. The settlement was announced after survivors joined friends and families of those killed at a commemoration ceremony marking the second anniversary of the massacre. An independent claims administrator will be appointed by a court to distribute money from a settlement fund. The payout process is expected to be completed by late 2020, lawyers said.
It was October 1, 2017, when a lone gunman named Stephen Paddock used semiautomatic rifles altered with bump stocks to open fire from the resort’s 32nd floor on a country music festival below, killing 58 people and wounding 851 others. Paddock, a reclusive 64-year-old gambler, sprayed bullets on a crowd of 22,000 concertgoers from the 32nd floor of the Mandalay Bay Resort and Casino, which is owned and operated by MGM Resorts. He fired for between 10 to 15 minutes at the country music festival.
It remains the worst mass shooting in modern U.S. history. Lawyers representing survivors and victims’ wanted MGM held liable for negligence because the shooter was able to enter the hotel with luggage that held an arsenal of high-powered, assault-style weapons and thousands of rounds of ammunition. Paddock was found dead in his hotel room from a self-inflicted gunshot wound. Federal investigators have still not been able to identify a motive for the shooting.
Police found 23 guns inside his hotel suite and discovered that he had brought more than 10 suitcases to the room over several days, authorities said. Lawsuits filed since the shooting questioned how and why the hotel did not know he was hoarding high-powered weapons and ammunition in his hotel room in the days leading up to the attack. Attorney Jim Frantz, who represents nearly 200 survivors and the families of four victims, said the settlement “should be a message to all the other corporations and businesses around the country-that they need to step up their security.”
MGM Resorts International and attorneys for about 4,440 plaintiffs, said the final amount of money awarded will depend on the number of plaintiffs who choose to take part in the settlement. “While nothing will be able to bring back the lives lost or the undo the horrors so many suffered on this day, this settlement will provide fair compensation for thousands of victims and their families,” Robert Eglet, one of the lead lawyers for the plaintiffs, told reporters. Eglet called the settlement a “milestone in the recovery process for the victims of the horrifying events” of Oct. 1, 2017. Eglet and lawyers from two California firms represent about 2,500 plaintiffs.
In July 2018, MGM spurred outrage when it aggressively tried to avoid liability by filing federal lawsuits against more than 1,000 victims in a legal maneuver aimed at avoiding liability. In its civil actions, MGM claimed it did not have to pay damages to shooting victims because the company was protected by 2002 legislation, the Support Anti-Terrorism by Fostering Effective Technologies, or Safety Act. It protects corporations in the event of mass attacks committed on U.S. soil, provided services certified by the Department of Homeland Security were deployed. The company cited a federal law passed after the Sept. 11, 2001, attacks that encouraged companies to deploy anti-terrorism security technology without fear of being held responsible for damages in the event of a terrorist attack.
MGM Resorts Chairman and CEO Jim Murren now says that “prolonged litigation around these matters is in no one’s best interest. It is our sincere hope that this agreement means that scenario will be avoided.” The deal is not an admission of any wrongdoing by MGM, Murren said in the statement
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Daily HI4E.org Trivia Contest Winners For The Week Ending: Sunday, October 6th, 2019.
In an effort to broaden the company’s “social interaction” with our clients and FaceBook fans, Daily Trivia Questions are posted on both of our business pages. Here are the weekly standings for this past week, and the winner of the Sunday night Weekly Drawing for an AmEx/VISA gift card!
Congratulations – To this past week’s Trivia Contest Winner!! Our latest contest winner for the weekly FaceBook HealthInsurance4Everyone/Health & Life Solutions, LLC Trivia Contest, drawn randomly by computer late Sunday evening, October 6th, 2019 was:
MEGAN RHYNE
Three Oaks, MI
Winner Of A $25.00 VISA Gift Card
Each day, fans who have “liked” either of our company FaceBook pages (HealthInsurance4Everyone or Health & Life Solutions LLC) are able to test their skills with our Daily TRIVIA QUESTION. The first 20 winners who post the correct answer to the TRIVIA QUESTION, will then get entered into the weekly drawing held late on Sunday evenings for a $25.00 Am Ex/Visa Gift Card.
Weekly Gift Card winners will be posted in our blog at this site. Remember to become a FaceBook fan and “Like and Follow” either of our company pages to enter and post your answers.

The Trivia drawing entries 9/30/19 thru 10/6/19 are:
9/30/19
Christy Hawkes
Paula Gillespie
Connie Lynn Merritt
June Rivera
Vinessa Vasquez
Angela Janisse
Jenifer Garza
Stephanie Beckwith
Sarah Harrison
Derek Jennings
Esther Harrell Tartaglia
Becky Holland
Holly Cajigas
Angel Shearl
Rhonda Grisham
Megan Rhyne
Karen Brunet Moore
Melissa Ann Stura-Bassett
Jo Bhagavathula
Jennifer Ramlet
Adaria Johnson
Emily Rice Bowersock
Jill Nauyokas
Sherri Kidwell
10/1/19
Joann Tompkins-Winborn
Nicole Blaha
Christina McKinnon
Brooke Scott
Sherri Kidwell
Elizabeth Gordon
Beth Epley Minton
Alicia Johnson
Alexis Maureen
Kristina Rosson
Marilyn Wall
Tera Lee Culverwell
Dean Bruss
Rose Elizabeth Cantu
Meg Marshall
Steph Lesliebonton
Lena Perry
Jenifer Garza
Connie Lynn Merritt
Dan Maloney
Sonali Jain Modi
10/2/19
Amanda Rosario
Sunney Michelle Johnson
Beth Epley Minton
Isis Sample
Donna Porter
Dawn Raasch
Brittany Deaver
Trish Musgrave
Kelsey Brooke Vinson
Jane Peterson
Cheryl Stoker Hall
Janice McKay Donahue
Sherry Lilly
Tina Auth
Maggie Smith
Kassie Lynn DiFazio
Karron Redfield
Rushell Tuggle
Stephanie Beckwith
Traci Anderson
Trish Hysell
10/3/19
Nikki Hunsaker
Lisa A Mazola
Brittany Doerfler
Christy Hawkes
Rhonda Grisham
Brittany Deaver
Teena Sierson
Lena Perry
Andrea Ayala
Amanda Rosario
Alana Dimambro
Christine McKinnon
Jennifer Leffler
Karen Brunet Moore
Nelle Bailey
Shelley Ann Peoples
Emily Rice Bowersock
Destiny Landsaw Davis
Sunney Michelle Johnson
Althea Thomas
Jenifer Garza
10/4/19
Brooke Scott
Marilyn Wall
MarcyLynn Coull
Nai Merri
Kim Avery
Derelys Peterson
Barbara Austin
Rhonda Grisham
Brittany Deaver
Paula Gillespie
Beth Epley Minton
Ambreen Javed
Brandi K Chaney
Teena Sierson
Carole Jacobs
Thomas Ryan
Jane Peterson
Mya Murphy
Rosanne Clark
Stacy Nelson
Lisa Marie Ferraiolo Whitener
Carl Buddy Mizell
Sheila Carvell
10/5/19
Phylicia Phillips
Eleazar Ruiz
Jessica Steiner
Paula Johnson
Shannon Rush
Rhonda Grisham
April Ashcraft
Patricia Oehlert Vazquez
Bea Patrick
Dave Miller
Tracy Heyer
Nacole Patrick
Angela Janisse
Debbie Gremlin
Johanna Landsaw-Davis
Rosanne Clark
Kim Avery
Amy L Sass
Robin Griffitts Pratt
Jennifer Ramlet
Jenifer Garza
10/6/19
Christy Hawkes
Phylicia Phillips
Kimberly Taylor Hall
Andrea Somers
Nicole Blaha
Amber Chandler
Karen Brunet Moore
Morgan Fam
Rhonda Grisham
Kristina Harris
Brittany Doerfler
Jill Nagel
Alicia Dansby
Elizabeth Wilson
MarcyLynn Coull
Rose Elizabeth Cantu
Kizzy Alvarez DeSantis
Patricia Oehlert Vazquez
Tracy Heyer
Dale Fish
Alexis Maureen
Eleazar Ruiz
Becky Hartman
Rosanne Clark

Be sure to watch both of our FaceBook pages for your chance to win and enter again next week, with questions posted daily on HealthInsurance4Everyone or at Health & Life Solutions, LLC!!
Remember that if you try your hand at answering the Trivia Question several days each week, your odds of winning the Sunday weekly drawing are much better.
Also note that a number of the posted answers each day are from contestants who have forgotten to “Like” one of our pages, so their names WILL NOT be entered at the end week drawing for the gift card, giving our fans a better chance!
You may also find that if you “Like” BOTH of the business pages, you will receive faster notifications of the other players as they post their answers to compete with you! 
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General Motors has told the UAW that it will continue to pay for health coverage for striking workers. GM told the union after it went on strike Sept. 16 at company sites nationwide that it was kicking health care costs to the union, a move that UAW leaders said blindsided them, even though they had anticipated picking up those costs at some point through the strike fund. GM stated they have chosen to work with their providers to keep all benefits fully in place for striking hourly employees, so they have no disruption to their medical care, including vision, prescription and dental coverage.
The strike is the UAW’s first since the Great Recession and GM’s federally induced bankruptcy in 2009. Experts say as the strike continues toward the end of its second week, it has left a lasting economic impact. Strike pay is $250 per week, but it won’t be distributed until the 15th day of picketing. The starting wage for temporary production workers at GM is $15.78 per hour, which is about $630 per 40-hour week. Top-paid production employees, however, earn $30.46 per hour, or about $1,218 per week.
The UAW says that temporary workers are union members doing the same work as permanent employees, but they get half the pay and far fewer benefits. The union wants those workers to get a path to being permanent and get pay and benefits that more closely match their permanent counterparts, even when they’re temporary. GM counters that employing temporary workers is good for permanent employees because they enable the full-time staff to take time off. Hiring temps also gives the company flexibility to scale up production for new models and combat employee absenteeism
The UAW is also fighting for the retention of a health insurance plan in which workers pay about 4% of the costs, an improved pension and assurances that GM — the maker of Buick, Cadillac, GMC and Chevrolet — will not close four plants in Maryland, Ohio and Michigan.
The strike has affected GM facilities in Ohio and Ontario not represented by the UAW. All told more than 3,200 GM workers represented by other unions have been laid off. On Monday, the automaker notified 525 employees at its DMax Ltd. engine plant in Moraine, Ohio, that they temporarily were laid off. GM suppliers, such as Magna International Inc. and Nexteer Automotive, also said they temporarily have had to lay off employees during the strike.
Analysts agree that the cost of the strike is mounting daily for both GM and striking workers, as well as for the broader community. Anderson Economic Group, an East Lansing-based consultant, said in a new analysis Thursday that GM probably has lost profits of $113 million so far, and is now losing money at the rate of $25 million a day. As talks continue toward a UAW-GM contract, negotiations have entered a new stage and moved to the main table. In recent days, talks have been confined to smaller committees as the two sides struggled to hammer out details.
Union leaders have argued that GM workers deserved a bigger slice of the company’s profits, which they say have totaled $35 billion in North America over the last three years. Union members are calling for fair wages, saying for every $1 a GM employee made, CEO Mary Barra made $281. As the strike enters its 3rd week, the national impact will continue until an agreement is reached.
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U.S. District Judge Indira Talwani sentenced actress Felicity Huffman to two weeks in prison for paying $15,000 to get her daughter into college by having someone correct her answers on the SATs. Huffman also received a $30,000 fine and 250 hours of community service. She had pleaded guilty to conspiracy to commit mail fraud and honest services mail fraud. Her lawyers asked for no jail time, one year of probation, 250 hours of community service and a $20,000 fine. Her sentence likely means other parents who’ve pleaded guilty in the nation’s college admissions scandal will spend time behind bars. It could also mean that others who made significantly larger payments will end up with more lenient prison terms than prosecutors say are fair.
During Huffman’s sentence she told the courtroom she was deeply ashamed. Judge Indira Talwani said, “Ultimately, you knew it was fraud, it was not an impulsive act. Trying to be a good mother doesn’t excuse this.” Talwani added that the sentence she handed down was “the right sentence here,” but also told Huffman “You can rebuild your life after this,” the judge said. “You’ve paid your dues.” Huffman will report to prison in six weeks, on October 25. Where she’ll serve her sentence has not been announced and will ultimately be decided by the Bureau of Prisons.
Fifty-two people have been charged as part of the college admissions bribery scandal known as “Varsity Blues.” Of the 52 people charged in the scandal, 35 are parents. Fifteen, including Huffman, have pleaded guilty in deals with prosecutors, while 19, including actress Lori Loughlin, have pleaded not guilty and are preparing for trial. Rick Singer, the mastermind of the nationwide college admissions scandal, was paid to have cheat on their children’s SAT or ACT while others paid substantially more to get their children falsely tagged as athletic recruits as a way into prestigious schools. Huffman is the first parent to be sentenced and prosecutors sought one month prison time for Huffman. Prosecutors are pushing for longer sentences for other defendants — more than three years in some cases.
The next parent to be sentenced in Boston federal court is Devin Sloane, CEO of Los Angeles-based waterTALENT. He pleaded guilty to paying $250,000 to Singer’s sham nonprofit to falsely designate his son as a water polo player to gain acceptance into the University of Southern California. Prosecutors are seeking one year in prison for Sloane. Sloane’s hearing is scheduling for September 24th. Two days later, Stephen Semprevivo, a former executive at Cydcor, also based in Los Angeles, will be sentenced. He pleaded guilty to paying $400,000 to Singer to get his son admitted into Georgetown University as a fake tennis recruit. Prosecutors have asked that Semprevio receive 15 months in prison.
Both upcoming cases will reveal whether the judge treats the recruiting scheme the same as the testing scam, and whether she comes down harder on parents who paid more to Singer. Longer sentences could be in store for parents who participated in the recruitment scheme because it had a more “direct effect” on the admissions process than test tampering. Such parents, including Loughlin, accused of paying $500,000 to Singer, have argued they made “legitimate donations” to Singer’s nonprofit, which they said had a history of donating to colleges.
Prosecutors have argued parents who paid more money to Singer should receive longer prison terms. An order by the judge released hours before Huffman’s sentencing could cap sentences at six months for parents regardless of their how much they paid. Judge Talwani ruled against the government’s request to sentence defendants under the federal commercial bribery statute, which allows more severe sentences depending on the amount of money paid. Instead, all sentences will be based on fraud statute guidelines, which recommend six months or less in prison for the offense.
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Hurricane Dorian ravaged the Bahamas, killing at least 50 people. As the clean-up operation continues, the death toll is expected to rise. About 1,300 people are missing after Dorian, while at least 15,000 are in need of shelter, food and medical care. Compounding the Bahamas’ misery is a massive oil spill that’s begun to spread into the ocean off the southern coast of Grand Bahama island after Hurricane Dorian blew the lids off six giant crude oil tanks.
Dorian was packing Category 5 winds with speeds of 185mph when it made landfall at Elbow Cay on the Abacos on September 1st. It is the strongest hurricane to make landfall in the Atlantic basin since 1935. Rescue efforts were hampered as Dorian stalled, grinding in place for hours instead of moving back over open ocean. It equaled the highest winds ever recorded for a hurricane at landfall when it struck the Abaco Islands.
On the Abaco island chain, which is less developed than the tourist areas of the country and populated by fishermen and Haitian migrants — thousands of homes are expected to have been damaged or destroyed. A Redcross spokesman said it is believed that 13,000 houses — nearly half of all the homes on Grand Bahama and Abaco — suffered severe damage or were entirely destroyed. During the storm, images showed profound levels of flooding and rainfall, with as much as 30 inches falling in some areas. The Grand Bahama International Airport in Freeport, the archipelago’s second-largest city, was five feet underwater.
United Nations officials say that over 60,000 people on the two islands need emergency food access, and that around 62,000 need access to clean water. The main hospital on Grand Bahama is reportedly unusable, while the hospital on Abaco desperately requires food, water, and medical supplies. The U.N. estimated that at least 70,000 people are homeless on Abaco and Grand Bahama. More than 5,000 people have been evacuated from those islands to New Providence, where the country’s capital Nassau is located. The Minister of Health, Dr. Duane Sands, said 80 people with injuries were evacuated from the island of Abaco and five or six from Grand Bahama island. He said injuries ranged from broken bones to head injuries to “maternity-based issues.” Sands said some among the dead succumbed to their injuries after being evacuated. The Prime Minister encouraged parents to send their kids to school when they are evacuated to Nassau, and said the government would continue to provide food and healthcare.
The devastation wrought by Dorian after its day-and-a-half mauling of the Bahamas, left ravaged infrastructure that has impeded search and recovery efforts. The islands remain a mess of splintered buildings, torn-off roofs, snapped power poles and scattered vehicles. The hurricane destroyed the island’s power grid and severed most communications, although occasional text messages were getting through in Marsh Harbor, the biggest town. Risk modeler Karen Clark & Co. estimates that devastation from the storm could cost the country $7 billion in insured and uninsured losses. The preliminary estimate combines damage to commercial, residential and industrial properties as well as business-interruption expenses, the company said in a report. The figure doesn’t include vehicle losses or damage to infrastructure.
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A 50-year-old Kansas woman became the sixth person in the USA to die of a vaping-related lung illness, an outbreak that has ramped up health concerns nationwide. Kansas State Epidemiologist Farah Ahmed said in a statement that the unidentified patient had a history of underlying health issues and had been hospitalized with symptoms that progressed rapidly. Dr. Lee Norman, secretary of the Kansas Department of Health and Environment said that the patient did have underlying health issues but nothing that would have foretold the fact that within a week after starting using e-cigarettes for the first time, she developed full-blown acute respiratory distress. Doctors say it’s clear the vaping related lung illness is responsible for her rapid deterioration.
Kansas health officials noted six more cases associated with the outbreak, three patients confirmed with the illness and three cases under investigation. Five previous vaping-related deaths were confirmed in California, Illinois, Indiana, Minnesota and Oregon. After the Kansas fatality, the Centers for Disease Control and Prevention tallied six deaths and more than 450 possible cases of severe lung injury in 33 states and one jurisdiction. The CDC confirmed that investigators narrowed their focus and that the additive vitamin E acetate is a chemical involved in many of the cases, but officials emphasized it is not in all of the cases being reviewed.
People with a history of vaping who experience lung injury symptoms should seek medical care, according to Kansas health officials. Nationally, symptoms include shortness of breath, fever, cough, vomiting and diarrhea. Other symptoms reported by some patients include headache, dizziness and chest pain. Though many patients across the nation have been in their late teens, 20s or 30s, the Kansas death is a warning that older adults may be at particular risk.
Patients tend to arrive at the hospital short of breath and coughing. Many have also had fevers, general fatigue and gastrointestinal problems. It is not unusual for patients to be put into intensive care units, and on ventilators. All reported vaping nicotine, THC or a combination of the two in the days and weeks before falling ill. The CDC has recommended people stay away from vaping devices while investigators work to pinpoint exactly what’s behind the illnesses.
The rapid and worrisome increase has now prompted a Congressional hearing on the matter, after a policy discussion on the matter. The recent death has prompted the U.S. President to call for a ban on thousands of e-cigarette flavors in an effort to get people to give up e-cigarettes. E-cigarette companies have been given years to gather and submit evidence their products are safe and effective ways to quit smoking traditional tobacco. A federal judge has set a May 2020 deadline for companies to do so.
Dr. Norman said “God only knows what all is in there. There should be a moratorium on the sale of these products until we know more.” The American Lung Association also released a statement warning the public that e-cigarettes could cause irreversible lung damage. “No one should use e-cigarettes or any other tobacco product,” Harold Wimmer, national president of the American Lung Association, wrote in the statement. “This message is even more urgent today following the increasing reports of vaping-related illnesses and deaths nationwide.”
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Five deaths in the US have been linked to vaping as health officials continue to grapple with the dangers of e-cigarette use and the exact cause of the deaths. All five died after developing a severe lung illness that is believed to be linked to vaping. The exact cause of the deaths and the dangers of vaping still remain unclear but are being investigated on both the federal and state level.
More than 450 possible cases of respiratory illnesses have been reported in 33 states after use of e-cigarette products, according to the Centers for Disease Control and Prevention. The average age of those with the illness is 19, which is not surprising considering of the almost 10 million vapers in the US, nearly half of those are under 35, with 18-24-year-olds the most regular users.
Those who have suffered from the lung illness reported experiencing coughing, chest pain or shortness of breath before their health deteriorated to the point of respiratory failure and they needed to be hospitalized, according to the Centers for Disease Control and Prevention. Respiratory failure is where your body either can’t break down oxygen, produce carbon dioxide, or both. The result is that your lungs stop working and breathing becomes difficult. Other reported symptoms include nausea, vomiting, diarrhea, fatigue, fever and weight loss. Many victims have ended up with acute respiratory distress syndrome, a life-threatening condition in which fluid builds up in the lungs and prevents the oxygen people’s bodies need to function from circulating in the bloodstream.
Those affected used a number of different devices from vaporizers to smaller e-cigarettes and a variety of different brands of liquids and cartridges. Health officials recently said many cases involved products that contained THC, the mind-altering substance in marijuana. The FDA has now collected over 120 samples to test for different chemicals, including nicotine, cannabinoids, additives and pesticides.
They also recently identified a common contaminant in some of the cannabis products used by patients across the country — an oil derived from vitamin E. It remains unclear whether this is the cause or one of the causes of the illnesses. The Centers for Disease Control and Prevention issued a statement that advised against using electronic cigarettes while it investigates the issue. The agency also said people should stop buying vaporizers, cartridges and liquids off the street or modifying vaping products bought legally.
New York Health officials have focusing their investigation on Vitamin E acetate after they found high levels of it in nearly all of the cannabis-containing vapes tested. At least one vape containing both cannabis and vitamin E has been linked to every patient who submitted products for testing, the New York health department said. Vitamin E isn’t known to be harmful if ingested as a vitamin supplement, but it could be dangerous if inhaled because of its “oil-like” properties. It has not been approved as an additive for New York’s medical marijuana program.
Federal health officials are warning that vitamin E is likely only one piece of the puzzle. The CDC is running its own tests on more than 100 samples for vitamin E, pesticides, opioids, poisons and other toxins. “No one substance or compound, including vitamin E acetate, has been identified in all the samples tested,” Zeller said. “The samples we’re continuing to evaluate show a mix of results.”
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A patient in Illinois is believed to be the first death linked to vaping. Health officials said the patient died after contracting a severe respiratory illness, but did not give details about what the patient was vaping or which device was used. They did not provide details about the patient’s identity, saying only that the person was an adult who had vaped recently and then succumbed to a severe respiratory illness.
This comes as the Centers for Disease Control and Prevention has identified nearly 200 possible cases of lung disease linked to vaping in at least 22 states, including 22 cases in Illinois. The Illinois patients range in age from 17 to 38. Illinois state officials are working with local health departments to investigate another 12 individuals. Officials said earlier this week that many patients, most of whom were adolescents or young adults, had described difficulty breathing, chest pain, vomiting and fatigue. The most seriously ill patients have had extensive lung damage that required treatment with oxygen and days on a ventilator. Some are expected to have permanent lung damage.
Many patients have acknowledged vaping of tetrahydrocannabinol, or (T.H.C.), the high-inducing chemical in marijuana, according to statements from federal and state health agencies. Officials still don’t know whether the ailments have been caused by marijuana-type products, e-cigarettes, or some type of street concoction that was vaped, or whether a contaminant or defective device may have been involved.
The F.D.A. does not regulate what ingredients are used in vaping devices. The e-cigarette market has broadened to counterfeiters and a range of devices that can be packed with different substances, including marijuana, but also various flavors and concoctions that may be mixed inexpertly. Some speculate that people are emptying out commercial nicotine pods and filling them up with a combination of T.H.C. oil and other chemicals. Cannabis liquids and oils have become more widely available online and in many stores. The ingredients may not be disclosed at all so unsuspecting consumers may be exposed to a cocktail of hazardous chemicals.
State health departments are handling most investigations into the respiratory illnesses. So far, public health officials have declined to say if they are seeing a pattern that would make clear whether the problematic products are made by mass-market companies or counterfeiters, or whether the inhalants involved are standard to many vaping products or made or mixed by consumers themselves. Even though cases appear similar, it is not clear whether all these cases have a common cause or whether they are different diseases with similar symptoms.
Dozens of young people with an unidentified lung illness have been hospitalized around the country in recent weeks. It’s unclear if the condition is linked to the vaping devices or what the patients were smoking before they became sick. A recent study says that e-cigarettes impact people’s blood vessels after a single use. Officials said they don’t know why a surge of illnesses is surfacing now since various forms of the battery-powered e-cigarette devices have existed for more than a decade. E-cigarettes have grown in popularity over the past decade despite little research on their long-term effects. Millions of Americans use e-cigarettes, with the greatest use among young adults. Lat year, more than 3.6 million U.S. middle and high school students said they had used e-cigarettes in the past 30 days, according to the CDC.
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