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      A Patchwork of Cannabis Laws Creates Health Risks, Study Finds

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      A new report calls for public education and closing of legal loopholes to keep the public safe.The NewsAs more states have legalized the sale of cannabis, a fractured and inconsistent legal framework has emerged across the country that has prioritized sales income and tax revenue over public health, a new report finds.The report, issued Thursday by the National Academies of Sciences, Engineering and Medicine, describes an “urgent need for a coordinated public health response.” The academies, a nonprofit advisory group of the nation’s leading scientists, said that such a response should include a federally led campaign to educate parents, children and others about the risks of a drug that is increasingly potent.Among the other suggestions, the report also calls for a lifting of research restrictions on cannabis. In recent years, many claims have been made about the medicinal and other health effects of the drug but often without substantiation from science.Even as a patchwork of laws and regulations have emerged, the potency of cannabis products has surged.Cindy Schultz for The New York TimesPotencyCurrently 24 states, the District of Columbia and two U.S. territories have legalized the sale of cannabis for recreational use, according to the National Conference on State Legislatures. In 13 other states, cannabis is legal for medicinal use.Even as a patchwork of laws and regulations have emerged, the potency of cannabis products has surged, as measured by the growing concentration of THC, the main psychoactive compound in cannabis. The rapid increases have left the public unaware of the health risks, particularly to young people, pregnant women and seniors, according to Yasmin Hurd, director of the Addiction Institute at the Icahn School of Medicine and the vice chair of the committee that issued the latest report.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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      ‘He Saved Many Lives’: Small Kentucky Community Mourns Slain Judge

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      The fatal shooting of the judge has rocked the town of Whitesburg. On Sunday, friends, family and community members gathered to remember the victim.As a rural Kentucky town reeled from the fatal shooting of a judge, residents over the weekend mourned the victim whom many saw as a kind man who loved his community.The judge, Kevin Mullins, 54, was remembered by many for providing second chances to people struggling with drug addiction in Letcher County, Ky., a tight-knit Appalachian community located about 150 miles southeast of Lexington. Tributes to Judge Mullins poured in on social media over the weekend, from friends, relatives and others who simply knew him as a judge. Some posted memories of him chatting with colleagues outside the courthouse on smoke breaks and talking about his love for his wife and two daughters. “Kevin was a lot of things to a lot of people,” his wife, Kimberly Mullins, wrote on Facebook. “But he was Everything to me and my girls.” Ms. Mullins said on Sunday that she could not comment further.But the mystery around what transpired between Judge Mullins and Shawn Stines, the sheriff who is accused of shooting him, was still top of mind for many in the community.On Thursday afternoon, Judge Mullins and Sheriff Stines, also known as Mickey, ate lunch together before meeting in the judge’s chambers in the Letcher County Courthouse in Whitesburg. According to investigators, the two men got into an argument and, around 3 p.m., Sheriff Stines shot Judge Mullins multiple times in the chest before surrendering to the police. Sheriff Stines is facing a charge of first-degree murder and being held in the nearby Leslie County Detention Center.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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      Telegram’s Top Executive Pavel Durov Reportedly Detained in France

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      The founder of Telegram, an app with more than 900 million users, was taken into custody by the authorities, French media reported.The French authorities on Saturday detained Pavel Durov, the top executive of the online communications platform Telegram, on charges related to the spread of illicit material on the service, according to French news reports.Mr. Durov, 39, a Russian-born entrepreneur, was reportedly arrested at Le Bourget Airport near Paris after landing from Azerbaijan. His detention could not immediately be confirmed.The Russian Embassy in France said in a statement on Sunday that it had asked the French authorities for clarification on news of the arrest.Representatives of the French police and Interior Ministry declined to comment and redirected questions to the Paris prosecutor’s office. The Paris prosecutor’s office, citing an open investigation, also declined to comment.Telegram did not respond to requests for comment.In an interview on Telegram, George Lobushkin, a former press secretary for Mr. Durov who remains close to him, wrote, “This is a monstrous attack on freedom of speech worldwide.”Telegram, with more than 900 million users, has long been on the radar of law enforcement agencies around the world because terrorist organizations, drug runners, weapons dealers and far-right extremist groups have used it for communicating, recruiting and organizing.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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      Matthew Perry and the People Who Prey on Addicts

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      Deep into my love affair with cocaine, I sat in the living room of a neighbor’s house with several other people, waiting for the mirror with the coveted white lines on it to come my way. It’s why we were all there — to buy coke and get high during the transaction. The woman sitting nearest to me yelped in pain as she snorted the lines through a white plastic straw. She explained that she’d burned a hole through her septum from doing coke. Then she shrugged and said something about having to get it repaired at some point.There was a moment, as the mirror came to me and I bent over it, seeing my reflection beside the lines I so desperately wanted, when I saw clearly the cost of this addiction. But that brief moment was swallowed by the desire that propelled me, her and everyone else in that room. I watched as our host — our dealer — escorted her to the door, handed her the small zip-lock bag containing the love of her life, and took a wad of cash in exchange. I’m quite sure he never had a moment of hesitation or guilt.The recent charges made in connection with the death of Matthew Perry sent these memories hurling back at me. It’s no surprise to encounter the callousness, the greed of dealers who know with expert precision how to prey on addicts. But in Mr. Perry’s case, we’ve seen a murkier area — a messy middle ground where people apparently start out thinking they’re helping but end up enabling and eventually hurting. Two doctors and Mr. Perry’s personal assistant have been charged, in addition to two other people. Maybe I’m being generous, but I’m assuming that the doctors, at least at one time, respected the pledge to “do no harm.” Yet it was one of the doctors who sent the text that read, “I wonder how much this moron will pay.” Matthew Perry ended up paying $55,000 for roughly 20 vials of ketamine. I have no idea what the market price for ketamine is, but $55,000 seems a bit steep.Matthew Perry was not a moron. He was a man in a dark tunnel, a tunnel that echoes with desperate desires he had tried, but in the end failed, to control. I have seen some in that tunnel who understand, with chilling cruelty, how to prey on addicts and have no pangs of conscience about doing so. They know that rational thought and instincts of self-preservation get drowned out by the raging desire to feel a drug coursing through one’s body.When I worked in a restaurant, I could tell intuitively when customers had coke on them. I was almost always right. I went out to the parking lot and sat in cars with total strangers just to do a line. As stupid as that was, I’m not a moron either. I was led by an addiction that blindfolds you and shoves you in the direction of only one thing — the drug you crave.Did some of the people charged in connection with Mr. Perry’s death start out rationalizing? Saying things like, “We’re helping to lessen his pain” or “If we don’t give this to him, he’ll get it somewhere else?” However they started out, they seem to have ended up in the same cold terrain as the dealers. When Matthew Perry died, a text went out between two of the five people charged saying to delete all previous texts.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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      Arrest Made in Investigation Into Matthew Perry’s Death

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      Law enforcement agencies have been working to identify the source of the ketamine that led to the “Friends” star’s death.The authorities in Los Angeles have made an arrest as part of their investigation into the death of Matthew Perry, according to a person with knowledge of the situation.The person, who was granted anonymity to discuss an ongoing investigation, said that more details, including the name of the person arrested, would be released at a news conference in Los Angeles on Thursday morning.The Los Angeles County medical examiner’s office said in an autopsy report released in December that Mr. Perry had died of “acute effects of ketamine.” The actor, who gained sitcom superstardom as Chandler Bing on the show “Friends,” was discovered “floating face down” in the heated end of a pool at his home in Los Angeles.Ketamine, a powerful anesthetic with psychedelic properties, is increasingly being used as an alternative therapy for depression, anxiety and other mental health problems. It is also used, and abused, recreationally.The police in Los Angeles acknowledged this year that they were working with the federal Drug Enforcement Administration to investigate the source of Mr. Perry’s ketamine and whether it was obtained legally. A spokesman for the United States Postal Inspection Service said it was assisting with the investigation.The autopsy report said that Mr. Perry had been on ketamine infusion therapy, but it determined that the ketamine in his system could not have been from his last known therapy session, about a week and a half before he died. The autopsy said the level of ketamine found in Mr. Perry’s blood was equivalent to the amount that would be used during general anesthesia.Mr. Perry had a history of drug and alcohol addiction, which he wrote about in a memoir.The medical examiner’s office said that drowning, coronary artery disease and buprenorphine, which is used to treat drug addiction and for pain, had contributed to his death. More

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      Sadness Among Teen Girls May Be Improving, C.D.C. Finds

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      A national survey found promising signs that key mental health measures for teens, especially girls, have improved since the depths of the pandemic.In 2021, a survey by the Centers for Disease Control and Prevention on teen mental health focused on a stark crisis: Nearly three in five teenage girls reported feeling persistent sadness, the highest rate in a decade.But the newest iteration of the survey, distributed in 2023 to more than 20,000 high school students across the country, suggests that some of the despair seen at the height of the pandemic may be lessening.Fifty-three percent of girls reported extreme depressive symptoms in 2023, down from 57 percent in 2021. For comparison, just 28 percent of teenage boys felt persistent sadness, about the same as in 2021.Suicide risk among girls stayed roughly the same as the last survey. But Black students, who reported troubling increases in suicide attempts in 2021, reported significantly fewer attempts in 2023.Still, the number of teens reporting persistent sadness in 2023 remained higher than at any point in the last decade aside from 2021. And around 65 percent of lesbian, gay, bisexual and transgender high school students reported persistent hopelessness, compared with 31 percent of their cisgender or heterosexual peers. One in five L.G.B.T.Q. students reported attempting suicide in the past year.“For young people, there is still a crisis in mental health,” said Kathleen Ethier, head of the C.D.C.’s adolescent and school health program. “But we’re also seeing some really important glimmers of hope.”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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      2 Top Leaders of Mexico’s Sinaloa Cartel, Including ‘El Mayo,’ in U.S. Custody

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      The two men, Ismael Zambada García and Joaquín Guzmán López, run the Sinaloa Cartel, one of the most dominant criminal groups in Mexico. American law enforcement officials arrested two top leaders of the powerful Sinaloa Cartel, one of the most dominant criminal organizations in Mexico, the Justice Department said on Thursday.The two operatives, Ismael Zambada García and Joaquín Guzmán López, are among the most powerful drug traffickers in Mexico and command massive transnational cocaine and fentanyl businesses that move narcotics into the United States, Europe and elsewhere. The Sinaloa Cartel they help lead is one of the two biggest drug trafficking groups in Mexico, and is among the most sophisticated and dangerous criminal enterprises in the world. Both men were in custody in El Paso, Texas. “Fentanyl is the deadliest drug threat our country has ever faced,” Attorney General Merrick Garland said in a statement. “The Justice Department will not rest until every single cartel leader, member, and associate responsible for poisoning our communities is held accountable.”Mr. Zambada García, 76, who is known as “El Mayo,” has been pursued by the U.S. government for years as a co-founder of the Sinaloa Cartel and has been charged in several federal indictments stretching back more than two decades.Mr. Guzmán López is a son of the notorious crime boss Joaquín Guzmán Loera, known as El Chapo, and is said to have been elevated to a leadership role in the cartel along with his three other brothers after the extradition of his father to the United States in 2017. His brother Ovidio Guzmán López was arrested in Mexico and extradited to stand trial in Chicago in September.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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      President Biden and Donald Trump, Some Tough Questions for Each of You

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      The stakes in this year’s presidential election are the greatest in my lifetime. So as a way to frame the choice before voters, I offer these foreign policy questions for President Biden and Donald Trump in the debate on Thursday:President Biden, for months you called on Israel to refrain from invading Rafah and to allow more food into Gaza. Yet Israel did invade Rafah, and half a million Gazans are reported starving. Haven’t you been ignored? And isn’t that because of your tendency to overestimate how much you can charm people — Senate Republicans, Xi Jinping, Benjamin Netanyahu — to cooperate with you? When will you move beyond charm and use serious leverage to try to achieve peace in the Middle East?Mr. Trump, the Abraham Accords you achieved among Israel and several Arab countries were a legitimate foreign policy success, but you largely bypassed Palestinians. Perhaps as a result, those accords may have been a reason Hamas undertook its terror attack on Israel on Oct. 7, to prevent Saudi Arabia from joining and recognizing Israel. So did the Abraham Accords bring peace or sow the seeds of war? Isn’t it a mistake to ignore Palestinians and to give Israel what it wants, such as moving the U.S. Embassy to Jerusalem, without getting anything in return?President Biden, you have been pushing a plan for Gaza that involves a cease-fire and a three-way deal with Saudi Arabia, America and Israel ending in a path to Palestinian statehood. Maybe it’ll come together, but if not, what’s your Plan B? If this war drags on, or expands to include Lebanon and perhaps Iran, how do you propose to deal with the Middle East more effectively than you’ve dealt with it so far?Mr. Trump, you’ve suggested that Israel is taking too long to finish the war in Gaza. So what precisely are you advocating? Are you saying that Israel should use more 2,000-pound bombs to level even more of Gaza and kill many more civilians? Or are you saying that Israel should cut a deal that leaves Hamas in place and then pull out?President Biden, Iran has enriched uranium to close to bomb-grade levels. In days or weeks, it could probably produce enough fuel for three nuclear weapons (though mastering a delivery system would take longer). Can we live with an Iran that is a quasi-nuclear power? What is the alternative?Mr. Trump, the reason Iran is so close to having nuclear weapons is that you pulled out of the international nuclear deal in 2018, leading Iran to greatly accelerate its nuclear program. Since you created this dangerous situation, how do you suggest we get out of it? If you are president again, do you contemplate solving this problem through a war with Iran — one that might now involve nuclear weapons? Or will you accept a nuclear Iran as the consequence of your historic mistake?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