Global Medicine: Flotsam and Jetsam

"......Of the 37 sick, 22 people were said to have consumed Wendy's sandwiches with romaine lettuce in Michigan, Ohio, Indiana and Pennsylvania in the week before they fell ill.....Illness started between July 26 and Aug. 8 and a total of 10 people have been hospitalized, of which three in Michigan have developed a type of kidney failure......."

Wendy's customers fall ill, CDC probes E.coli outbreak in four states Of the 37 sick, 22 people were said to have eaten Wendy's sandwiches with romaine lettuce in Michigan, Ohio, Indiana and Pennsylvania in the week before they fell ill.

".......Widespread rainfall totals of 2 to 3 inches, with locally higher totals of 5 to 7 inches, are forecast across the region -- leading the WPC to issue a level 3 out of 4 "moderate" risk for excessive rainfall ahead of the wet forecast. That could mean widespread flash flooding across the Southwest....."

'Prolific rainfall and widespread flash flooding' threaten nearly 10 million people across the Southwest Nearly 10 million people across Arizona, New Mexico and western Texas are under flood watches Saturday, including Phoenix, Albuquerque and El Paso.

"......The attackers blasted their way into the Hayat Hotel on Friday evening with two car bombs before opening fire. Somalia's al Shabaab insurgents claimed responsibility.

"So far we have confirmed 12 people, mostly civilians, died," Mohammed, an intelligence officer who only gave one name, told Reuters.

The gunmen were holding an unknown number of hostages on the second floor of the building.........

They had also bombed out the stairs to make it harder to access certain floors........"

Somalia hotel siege enters second day, at least 12 killed The attackers blasted their way into the Hayat Hotel on Friday evening with two car bombs before opening fire.

"......The power had been out earlier, and the generator and electrical outlets were running at the same time — a fatal miscalculation.

As the power came back on, witnesses said, the generator exploded, followed by an air-conditioning unit. It set off a blaze that tore through the four-story building housing Abu Sefein Church in Giza. The fire led to a stampede of churchgoers, the government said.

Some fled to the windows. Rescuers hauled some up to the roof. Footage shared on social media and verified by The New York Times showed worshipers screaming for help as smoke poured from the building. Others were seen on the roof as flames spread around them.

By day’s end, at least 41 bodies had been counted, including those of children and the church’s bishop, Abdul Masih Bakhit. At least a dozen other people had been injured. The majority of the deaths and injuries were the result of smoke inhalation and the stampede,....."

A Boom, a Fire and a Stampede: Dozens Die at a Coptic Church in Egypt A blaze that killed at least 41 at a church in greater Cairo caused anguish among a religious minority that has long felt itself oppressed in Egypt.

"Gov. Gretchen Whitmer declared a state of emergency for Lapeer, Macomb, Oakland, and St. Clair counties following Saturday’s water main break.

This state of emergency follows the activation of the State Emergency Operations Center that was activated Saturday at 4 p.m.

Officials say that crews have identified the location of a leak on a 120-inch water transmission main that distributes finished drinking water from a Lake Huron water treatment facility. According to Great Lakes Water Authority, an estimated 935,000 people were impacted as of Saturday morning......."

Whitmer declares emergency for 4 Metro Detroit counties as water main break affects thousands On Sunday, Gov. Gretchen Whitmer declared a state of emergency for Lapeer, Macomb, Oakland, and St. Clair counties following Saturday’s water main break.

".....Local media reported that the wounded also included four members of a family from New York who were waiting for a taxi at the bus stop. The father was said to have suffered wounds to the head and neck and was in a serious condition in hospital.,...."

Palestinian gunman wounds eight in Jerusalem attack The attacker opened fire on a bus as well as people waiting in a car park near the Western Wall.

The Great Shrinking Lake
June, 1985 to July, 2022

Death Valley Flash Flooding

".......Emergency physicians should be aware of first amendment protections for speech about self-managed abortion; legal protections for post-abortion care; the potential conflicts of state law with federal laws like HIPAA and EMTALA; the harm that can be caused by reporting self-managed abortion to law enforcement; as well as the risks of and protections against patient criminalization......"

Self-Managed Abortion: Legal Considerations for Emergency Physicians - ACEP Now ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.

".......The new plan, titled "California's Water Supply Strategy, Adapting to a Hotter, Drier Future," highlights methods to boost water levels and make up for water loss caused by climate change. The four main goals outlined are to create storage for four million acre-feet of storm water, recycle and reuse 800,000 acre-feet of wastewater per year by 2030, employ more efficient water conservation techniques to free up 500,000 acre-feet of water, and desalinate more sea water......"

California governor announces aggressive $8 billion plan to boost water supply Gov. Gavin Newsom said California is expected to lose 10% of its water supply by 2040.

".....At least one person was killed and 17 others were injured when a car crashed into a crowd gathered at a Pennsylvania bar to support the victims of a recent deadly fire, state police said.

Geisinger Hospital confirmed in a statement that they were providing care for more than 15 patients, including four in critical condition........"

1 dead, 17 injured after car crashes into crowd at fundraiser for fire victims A local fire company said crews responded to the "mass casualty event."

"......the fire started around 9 a.m. local time and was caused by an electrical failure in an air conditioning unit on the church's second floor.
Most of the deaths and injuries were caused by smoke inside church classrooms after the electric failure......"

Dozens killed in Egypt church fire At least 41 people were killed, and at least 14 injured after a fire broke out at a church in Giza's Imbaba neighborhood in greater Cairo on Sunday, according to a spokesperson for the Egyptian Coptic Church citing health officials.