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      Biden Admin Struggles to Address Sharp Rise in Deaths From Extreme Heat

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      For more than two years, a group of health experts, economists and lawyers in the U.S. government has worked to address a growing public health crisis: people dying on the job from extreme heat.In the coming months, this team of roughly 30 people at the Occupational Safety and Health Administration is expected to propose a new rule that would require employers to protect an estimated 50 million people exposed to high temperatures while they work. They include farm laborers and construction workers, but also people who sort packages in warehouses, clean airplane cabins and cook in commercial kitchens.The measure would be the first major federal government regulation to protect Americans from heat on the job. And it is expected to meet stiff resistance from some business and industry groups, which oppose regulations that would, in some cases, require more breaks and access to water, shade and air-conditioning.But even if the rule takes effect, experts say, the government’s emergency response system is poorly suited to meet the urgency of the moment.Last year was the hottest in recorded history, and researchers are expecting another record-breaking summer, with temperatures already rising sharply across the Sun Belt. The heat index in Miami reached 112 degrees Fahrenheit last weekend, shattering daily records by 11 degrees.The surge in deaths from heat is now the greatest threat to human health posed by climate change, said Dr. John M. Balbus, the deputy assistant secretary for climate change and health equity in the Health and Human Services Department.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Un escenario colapsa en mitin de Álvarez Máynez en México

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      El fuerte viento provocó el colapso en el norte del país mientras un aspirante presidencial hacía campaña por una candidata local, según las autoridades. Decenas de personas resultaron heridas.Footage widely shared on social media shows strong winds buffeting the stage as it collapses.Daniel Becerril/ReutersUn escenario en el norte de México, donde un aspirante presidencial estaba haciendo campaña para una candidata local, se derrumbó después de una ráfaga de viento que sopló en la noche del miércoles, dejando al menos nueve personas muertas y al menos otras 60 heridas, dijo un gobernador del estado.El escenario se derrumbó en San Pedro Garza García, un municipio de Monterrey, en el estado de Nuevo León, durante un acto al que asistían el candidato progresista Jorge Álvarez Máynez y otros miembros del partido Movimiento Ciudadano. El derrumbe fue provocado por el fuerte viento, según informó el presidente de México, Andrés Manuel López Obrador, en las redes sociales.El viento se levantó repentinamente cuando los candidatos estaban cantando eslóganes de campaña en el escenario, según muestran los videos publicados en las redes sociales. Cuando la iluminación del escenario se estrelló contra el suelo, la gente se precipitó fuera del escenario para evitar ser aplastada. Otros entre la multitud huyeron gritando, algunos sujetándose unos a otros por el intenso viento. More

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      The Disease Detectives Trying to Keep the World Safe From Bird Flu

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      As Dr. Sreyleak Luch drove to work the morning of Feb. 8, through busy sunbaked streets in Cambodia’s Mekong river delta, she played the overnight voice messages from her team. The condition of a 9-year-old boy she had been caring for had deteriorated sharply, and he had been intubated, one doctor reported. What, she wondered, could make the child so sick, so fast?“And then I just thought: H5N1,” she recalled. “It could be bird flu.”When she arrived at the airy yellow children’s ward at the provincial hospital in Kratie, she immediately asked the child’s father if the family had had contact with any sick or dead poultry. He admitted that their rooster had been found dead a few days before and that the family had eaten it.Dr. Luch told her colleagues her theory. Their responses ranged from dubious to incredulous: A human case of avian influenza had never been reported in their part of eastern Cambodia. They warned her that if she set off the bird flu warning system, many senior government officials might get involved. She risked looking foolish, or worse.Anxious but increasingly certain, Dr. Luch phoned the local public health department, located just across the street. Within minutes, a team arrived to collect a sample from the child, Virun Roeurn, for testing in a lab.By then, Virun’s distraught parents had lost faith in the hospital. They demanded that he be sent by ambulance to the capital, Phnom Penh. His flu swab sample traveled with him.Virun died on the journey. At 8 p.m., Cambodia’s National Public Health Laboratory confirmed Dr. Luch’s suspicion: He had died of highly pathogenic avian influenza.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Riverside County Jail Death Lawsuit Is Settled for $7.5 Million Amid Inquiry

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      A violent encounter captured on video was part of a surge in jail deaths that spurred an inquiry into the Riverside County Sheriff’s Department.Video from inside a Southern California jail shows a violent confrontation in October 2020 in which 10 sheriff’s deputies burst into the cell of a man who was having delusions and resisting medical care, restrained him and repeatedly shocked him, leading to his death days later.Officials in Riverside County did not bring charges against any of the deputies involved in the encounter with the man, Christopher Zumwalt, 39, but quietly agreed in December 2023 to pay $7.5 million to settle a lawsuit filed by his family.Depositions from the case and video footage obtained by The New York Times show the frantic and violent minutes when deputies tried to force Mr. Zumwalt out of his cell as he paced and talked incoherently. In the video, deputies wearing helmets and shields toss canisters of pepper spray into the small concrete room, struggle with Mr. Zumwalt, and strap him to an emergency restraint chair. They cover his head with a spit mask and move him to another cell, where he sat unmonitored and appeared to stop breathing for at least five minutes. He died on Oct. 25, 2020, after experiencing cardiac arrest.Mr. Zumwalt, who was arrested near his home on Oct. 22, 2020, on suspicion of public intoxication, was never charged with a crime, and the arrest report indicates that he was to be released with a citation after he sobered up from the methamphetamine he admitted to taking the night before. On the day of his arrest, he was issued a citation for bringing drugs into a jail.In a statement Friday, Sheriff Chad Bianco said his deputies did nothing wrong and characterized the settlement as a business decision by lawyers that does not imply wrongdoing.“The facts of this case clearly show the actions of our deputies were appropriate and lawful,” Sheriff Bianco said, adding that actions taken by Mr. Zumwalt in a “methamphetamine-induced psychosis caused his death.” More

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      Patient Dies Weeks After Kidney Transplant From Genetically Modified Pig

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      Richard Slayman received the historic procedure in March. The hospital said it had “no indication” his death was related to the transplant.Richard “Rick” Slayman, who made history at age 62 as the first person to receive a kidney from a genetically modified pig, has died about two months after the procedure.Massachusetts General Hospital, where Mr. Slayman had the operation, said in a statement on Saturday that its transplant team was “deeply saddened” at his death. The hospital said it had “no indication that it was the result of his recent transplant.”Mr. Slayman, who was Black, had end-stage kidney disease, a condition that affects more than 800,000 people in the United States, according to the federal government, with disproportionately higher rates among Black people.Surgeons performing the world’s first kidney transplant from a genetically modified pig into a living human in March.Michelle Rose/Massachusetts General Hospital, via Agence France-Presse — Getty ImagesThere are far too few kidneys available for donation. Nearly 90,000 people are on the national waiting list for a kidney.Mr. Slayman, a supervisor for the state transportation department from Weymouth, Mass., had received a human kidney in 2018. When it began to fail in 2023 and he developed congestive heart failure, his doctors suggested he try one from a modified pig.“I saw it not only as a way to help me, but a way to provide hope for the thousands of people who need a transplant to survive,” he said in a hospital news release in March.His surgery, which lasted four hours, was a medical milestone. For decades, proponents of so-called xenotransplantation have proposed replacing ailing human organs with those from animals. The main problem with the approach is the human immune system, which rejects animal tissue as foreign, often leading to serious complications.Recent advances in genetic engineering have allowed researchers to tweak the genes of the animal organs to make them more compatible with their recipients.The pig kidney that was transplanted into Mr. Slayman was engineered by eGenesis, a biotech company based in Cambridge, Mass. Scientists there removed three genes and added seven others to improve compatibility. The company also inactivated retroviruses that pigs carry and could be harmful to humans.“Mr. Slayman was a true pioneer,” eGenesis said in a statement on social media on Saturday. “His courage has helped to forge a path forward for current and future patients suffering from kidney failure.”Mr. Slayman was discharged from the hospital two weeks after his surgery, with “one of the cleanest bills of health I’ve had in a long time,” he said at the time.In a statement published by the hospital, Mr. Slayman’s family said he was kind, quick-witted and “fiercely dedicated to his family, friends and co-workers.” They said they had taken great comfort in knowing that his case had inspired so many people.“Millions of people worldwide have come to know Rick’s story,” they said in the statement. “We felt — and still feel — comforted by the optimism he provided patients desperately waiting for a transplant.” More

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      Canada Re-Criminalizes Public Drug Use in British Columbia

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      A province that was a global pioneer in harm reduction took a step back after a political backlash.The government of Canada on Tuesday walked back part of a program allowing people in British Columbia to possess small amounts of drugs, including heroin and cocaine, without fear of criminal charges. At the request of the province and after a public backlash, people in British Columbia are no longer permitted to use drugs in public places.Under the changes, which went into effect immediately, adults will still be allowed to possess small amounts of drugs. But they will now have to use them in legal residences, at safe injection sites and at other harm-reduction centers established by the health authorities.The re-criminalization of public drug use in British Columbia underscores the difficulties that governments face as they grapple with the opioid crisis. Even in a province that has been a global pioneer of the harm reduction movement, an approach that seeks to reduce risky behavior rather than to punish drug users, there are no easy answers.The province’s coroner estimated that there were a record 2,511 toxic drug deaths last year. Drug overdoses from toxic substances kill more people ages 10 to 59 than homicides, suicides, accidents and natural diseases combined in British Columbia, according to the provincial coroner’s office.The goals of decriminalizing possession were to enable police officers to focus their time on large drug distributors rather than users and encourage users to be open to treatment. But concerns about public drug use have quickly surfaced and raised repeatedly in the provincial legislature by members of opposition parties.Eugenia Oviedo-Joekes, a professor in the medical school at the University of British Columbia who studies addiction and public health policy, said the decision amounted to “three steps back” in dealing with the opioid crisis.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Body of Final Victim in Baltimore Bridge Collapse Is Found

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      The victim, José Mynor López, was a member of a work crew that had been filling potholes on the bridge when it was struck in March by a container ship.The body of the sixth and final victim who died in the collapse of the Francis Scott Key Bridge in Baltimore was found on Tuesday, officials said, bringing to a close a difficult salvage mission after the country’s deadliest bridge collapse in more than a decade.The victim, José Mynor López, 37, was a member of a work crew that had been filling potholes on the bridge when it was struck on March 26 by the Dali, a container ship on its way to Sri Lanka that apparently lost power after leaving the Port of Baltimore.Five of his co-workers also died in the collapse, though it took six weeks to find all of the bodies, a daunting task that required divers to sift through mangled steel and crumbled concrete amid swift currents in murky water. Two other workers were rescued from the waters in the hours after the collapse.All of the men who died were immigrants, from El Salvador, Guatemala, Honduras and Mexico. Mr. López was from Guatemala and had come to Baltimore for a better life, his brother, Jovani López, told The New York Times. He was married with two young children, a boy and girl, Jovani López said.“With heavy hearts, today marks a significant milestone in our recovery efforts and providing closure to the loved ones of the six workers who lost their lives in this tragic event,” Col. Roland L. Butler Jr., superintendent of the Maryland Department of State Police, said in a statement on Tuesday.Gov. Wes Moore, in a statement, offered prayers to the friends and families of the six men who died. “We remain steadfast in our commitment to enduring support and will forever remember the lives of these six Marylanders,” he said.There is still work ahead. The Dali, which was carrying 4,700 shipping containers when it left the port, is still sitting in the Patapsco River under an enormous piece of the bridge, which is part of Interstate 695 and a critical transportation link on the East Coast. The authorities have announced a goal of restoring full access to the channel by the end of May.This week, engineers are planning to remove a huge section of bridge weighing thousands of pounds that is sitting across the bow of the Dali, a complex task that involves handling collapsed pieces of the roadway, damaged shipping containers and pieces of the bridge supports.Crews have removed 182 containers from the Dali as part of this operation. When completed, it will free the ship to be refloated and guided back to port. More

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      Inquiry Into Johannesburg Fire Blames City Officials for Deadly Conditions

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      Although a resident confessed to setting the August 2023 blaze that killed 76 people in a dilapidated building, a report found that officials had ignored warning signs for years.An inquiry into a deadly fire in Johannesburg last August that killed 76 people and exposed a housing crisis in South Africa’s largest city placed the blame on officials who ignored “ringing alarm bells” for years.The eight-month inquiry, led by a retired constitutional court justice, released its findings in a report on Sunday. The report said that years of inaction by city agencies had allowed the building to fall into lethal disrepair, and singled out a high-ranking official for blame.“The consequences of the fire would have been mitigated had the city complied with its legal obligations as owner and municipality,” the report said.In the early hours of Aug. 31, a fire ripped through a derelict building in downtown Johannesburg. Once a women’s shelter, it had been all but abandoned by city agencies although it was owned by the government and managed by the Johannesburg Property Company, a government agency. Instead, about 600 people desperate for affordable accommodation were squatting in the five-story building, creating a tinderbox that would lead to one of the deadliest residential fires in South Africa’s recent history.While a resident in the building later confessed to setting the fire, the report found that city officials knew about the “distressing conditions” and had allowed the building to become a firetrap. Once known as the Usindiso women’s shelter, the building was taken over by criminal organizations who collected rent.The structure had no municipal electricity or running water. Instead, residents used the building’s fire hoses and fire extinguishers to collect and store water, and created illegal electricity connections. They erected partitions of wood, cardboard and cloth, built shacks within rooms and cooked on paraffin stoves. Heaps of trash piled up around the building. The structure was known as a haven for crime in the area, and yet law enforcement was virtually nonexistent, the report found.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More