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The Retrograde Shame of The Biggest Loser – The Atlantic

Posted: January 29, 2020 at 5:47 pm

The longer The Biggest Loser went on, though, the harder it was to maintain this position. Though participants were reportedly forbidden from talking to reporters without the shows permission (and were warned about potential fines of up to $1 million if they broke the rules), news began to eke out about what happened behind the scenes. In 2007, the Season 3 contestant Kai Hibbard spoke out about the tactics shed used to shed weight before the finale, which included eating only sugar-free Jell-O and asparagus (a diuretic) for days at a time, and sitting in a sauna for prolonged periods to sweat out more water. In 2014, after the Season 15 winner, Rachel Frederickson, weighed in at an emaciated 105 pounds, a visibly shocked Michaels quit for the third time, with People reporting that she was deeply concerned that attention wasnt being paid to the contestants health. In 2016, Biggest Loser alums told The New York Post that they were given diet pills on the show, sparking an internal NBC investigation. (Producers, doctors, and trainers on the series denied all allegations.) Most damning of all was a wide-ranging National Institutes of Health study published the same year, which revealed not only that the majority of former contestants had regained the weight theyd lost, but that their extreme dieting had also permanently damaged their metabolism.

Read: Can television destroy diet culture?

Even after so much scrutiny, The Biggest Loser wasnt officially canceled by NBC in 2016. It just never came back. And, in the four years it was off the air, a lot changed. Weight Watchers pivoted to wellness, supposedly rebranding itself away from the hard focus of numbers on a scale and toward more general encouragement of health and well-being. Consumers became more skeptical of diet culture, and more cognizant of the societal factors that lead to obesity. TV also adjusted to the times. Dietland and Shrill premiered, deftly dissecting fatphobia and the self-hatred that products like The Biggest Loser subliminally encourage. As if to illustrate how anachronistic the NBC show seems now, Michaelswhose unfiltered, unflinching style was historically a big part of her appealwas broadly denounced for fat-shaming this month after making comments about Lizzos weight on a BuzzFeed show.

And yet, despite everything, The Biggest Loser has shuffled, zombielike, back to prime time, with a new season debuting this week. USA Network, the sister network to NBC where the show has found a new home, announced last year that in its new incarnation the series was going to offer a holistic, 360-degree look at wellness. In a panel at the Television Critics Association conference in January, Harper (now serving as the shows host) and two new trainers insisted that this time around, things would be differentthat the focus would be on health rather than weight. Which is both a funny comment about a series whose final 20 minutes still revolve around mass weigh-ins optimized for peak drama in a TV studio, and, it turns out, completely untrue.

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The Retrograde Shame of The Biggest Loser - The Atlantic

Eat What You Want and Still Lose Weight: Take Control of Your Diet with Noom – Men’s Journal

Posted: January 29, 2020 at 5:47 pm

Mens Journal aims to feature only the best products and services. We update when possible, but deals expire and prices can change. If you buy something via one of our links, we may earn a commission.Questions? Reach us at shop@mensjournal.com.

Tired of weight loss plans that make you miserable? Its no funand sometimes downright difficultto stick to a strict diet that keeps you from enjoying the foods you love. How would you like to eat what you want and still lose weight?

You can, with Noom.

Noom doesnt tell you what to eat and when. It doesnt cut your favorites from your diet. Noom doesnt make your sell meal plans or force you to eat things you hate. Noom restricts calories rather than specific foods. By setting a limit on your daily caloric intake, you can eat what you want and still lose weight. You just have to watch how much you eat instead of what you eat.

Noom is different because it treats you like an adult, holding you accountable to things like portion size. It does that through a supportive community of fellow Noom users, Plus, you get a personal health coach whose job is to offer guidance, advice, and help you make smarter lifestyle decisions.

Hold on a second. A diet plan that treats you like a grown-up, holding you accountable and putting you in charge? If Noom sounds groundbreaking, thats because it is.

Most diet plans are strict regimens that tell you what you can and cant eat. Many force you to buy into their food services. So you pay a bunch of money to get boxes and boxes of pre-packaged meals. You either eat themall the time, every dayor they spoil and youve wasted your money.

Sure, theyre healthy and good for you. And some of the food can be tasty. More of then than not, though, it tastes about as appetizing as the packing its delivered in.

Isnt there an easier way to lose weight, one that puts you in charge? Thats Noom.

Noom stands out because of its revolutionary and easy to use app. Log what you eat, and you keep track of your calories. Log what you do, and keep track of the calories you burn. Thats it. Just as in life, success, or failure, is entirely up to you.

Of course, Noom is full of suggestions and tips on the right foods to eatand which to avoid. But it doesnteliminate the choice altogether. It simply gives you the information you need to make a prudent, educated decision.

And if you ever have a question or concern, if youre feeling tempted or weak, just reach out to someone for support and advice. You can quickly and easilyand often immediatelytalk to any of the thousands of Noom users who are going through the exact same weight-loss struggle. Talking with someone who knows what youre experiencing can be a super-helpful tool in fighting cravings and urges.

Plus, youve got access to your personal health coach, 24/7/365. Your Noom coach is trained to motivate you, to assist you every step of the way. And theyre always there to chat.

Starting out, you and your coach will work out a daily calorie limit, as well as an exercise and fitness plan. Your coach will hold you accountable to put in the work and keep your calories down. Its not painful. Its not bland and tasteless. From Nooms perspective, its your diet, your life, and your plan. So its your responsibility.

By focusing on making smart decisions and doing the right thingand holding you accountableNoom helps you control the little things in life you can control. Like how much you eat.

After a while, making the right decision about your diet and fitness can bleed over into other aspects of your lifesay, your drinking or your relationships. Soon, thanks to Noom you could be making smarter choices up and down the board. Getting healthier and making better decisions. Putting you in charge of our own health. Thats what makes Noom different.

By controlling what you can, and being accountable to yourself, Noom helps you be the person you always knew you could be. It sounds too simple, too good to be true. But once you start seeing results, as tens of thousands of noom users already have, youll start to understand how Noom is so successful.

The Noom app, found in the App Store and Google Play, offers two monthly memberships: a Healthy Weight Program for $45 per month, or a Diabetes Prevention Program for $90. Theres no free version of the app, but Noom does offer a 14-day trial to start out.

Why not try Noom today? Take control of your life. Youre already an adult. Its time you started being treated like it. Eat what you want and still lose weight with Noom

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Eat What You Want and Still Lose Weight: Take Control of Your Diet with Noom - Men's Journal

"I was so impressed." Tucson woman says this weight loss program really worked – KGUN

Posted: January 29, 2020 at 5:47 pm

What were you weight loss goals at the beginning of the year? Have you met your weight loss goals? Are you moving in the right direction? Is it hard to stay on track?

Losing "stubborn" fat is hard and as you get older - it just gets harder and harder. You might go to the gym five days a week, sweat on the treadmill for an hour, and see maybe a pound or two drop in a month. Is that really worth your time? Or... imagine going to a medical facility, laying down, spending 25 minutes relaxing, then getting up and finding out you've lost two inches around your waist. Which do you prefer? What if you could keep doing that and losing more and more fat until you looked like you did years ago? If you have any interest in this and how it works when it comes to inch loss, you should stop what you're doing and call the office for an appointment immediately. This new treatment technology - now available in Tucson - uses a special light therapy to trick your mitochondria (in your fat cells) to release their fat content. ULTRASLIM is now cleared for prescription use in the United States as the only noninvasive treatment for immediate fat removal without dieting, exercise, or pills.This treatment is safe and painless!If you eat better, drink plenty of water, stay away from sugars, and carbohydrates, this can lead to permanent fat loss without surgery. Here's a heads up. If you have tried liposuction in the past - you know that when you"regain the weight" it goes to different places-making your body look distorted and then unfortunately, you're back to where you started, only worse. With this technology we don't destroy your fat cells. What we do is we simply drain the contents of the fat cells so you lose the inches and look good again.Click here to learn more.

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"I was so impressed." Tucson woman says this weight loss program really worked - KGUN

Diets That Can Jumpstart Your Weightloss – Latin Post

Posted: January 29, 2020 at 5:47 pm

The decision to lose weight is a very important one because it means you want to start taking more control over your health. With the many fad diets that everyone seems to be on these days, it can feel overwhelming to know which one to even bother with.

When deciding, keep in mind that diets should not be considered a quick way to lose weight; instead, think of them as lifestyle changes, and something you will want to stick with. The reason why there are many different diets is that everyone is different, and everyone has different needs when it comes to what they eat and the goals they want to accomplish.

Intermittent fasting is when you have cycles of eating and not eating. A common cycle is going 16 hours without eating anything, and then have an 8-hour window for eating. There are several variations when it comes to fasting, but mostly, you don't consume anything with calories during your fasting period, and you can drink water. One reason why intermittent fasting is so helpful for weight loss is that it forces people to eat less, resulting in a calorie deficit. Intermittent fasting can also be good for your heart health, reduce inflammation, and can reduce insulin resistance.

The ketogenic, or simply keto, diet is one where you consume high fat and low carbohydrates. This diet is a lot like the Atkins diet, except with this one, you're eating even fewer carbs. The reason why keto helps with weight loss is that when you consume very few carbs, your body will focus on burning fat rather than carbs. The ketogenic diet is when you eat 20 net carbs a day or less so that you enter the state of ketosis. Instead of eating carbs, you get to fill up on healthy fats and green vegetables. You are limited to only berries for fruits because fruits contain a lot of sugar. Followers of the keto diet tend to eat a lot of bacon, (yes you can have bacon on a diet!!!) and it can be helpful to check out bacon of the month options for variety.

The Mediterranean diet is when you eat plenty of fruits and vegetables, as well as potatoes, beans, nuts, seeds, and grains, and your primary source of fat comes from olive oil. You can consume dairy products, fish, eggs, and poultry, but in small amounts. This diet is mainly eating plant-based foods and a drastic reduction in the number of processed foods you eat. With this diet, you normally would eat a piece of fruit instead of sweets for dessert. The good thing about the Mediterranean diet is that it encourages you to eat more fruits and vegetables, and it limits the amount of sugar and highly processed foods you consume.

A vegetarian diet is when you avoid eating meat and fish, but you're able to eat dairy products and eggs. Vegans eliminate all animal products from their diet, and this includes eggs and dairy. The staples of a vegan diet include whole grains, leafy greens, legumes, fruits, and seeds. If you're sticking to one of these diets, you need to consider where you're getting your protein and calcium from. Soy products such as tofu, are a good source of protein, as well as beans and peas.

Anytime you want to make significant changes to your diet, you should always consider consulting your medical professional first. Instead of making drastic changes, gradually make the changes to your diet. The key is to find a program you can implement with your life, and have it be something you'll be able to do on a daily basis without getting tired of. With any diet, you want to be consistent. It's okay to fall off the wagon, but if you find yourself falling off more often than actually following the diet, you may want to find something that works better for you.

2015 Latin Post. All rights reserved. Do not reproduce without permission.

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Diets That Can Jumpstart Your Weightloss - Latin Post

Cline Dion weight loss how did the singer lose weight? – The Sun

Posted: January 29, 2020 at 5:47 pm

CELINE Dion has made headlines for her slimmer frame in recent years.

While the singer's transformation has received a mixed response from fans, Cline insists she is feeling "strong and feminine".

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Cline Dion, 51, is most famous for her unbelievable singing talents.

But the superstar singer has been seeing the conversation about her appearance take up more headlines in the past few years.

The Because You Loved Me hitmaker has been looking noticeably slimmer following the death of her husband Ren Anglil in 2016.

However the exact amount of weight she has lost over recent years has never been confirmed.

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Talking to The Sun's Dan Wootton about her approach to fashion and health since the death of her husband Rene, Celine explained: "Im doing this for me. I want to feel strong, beautiful, feminine and sexy."

And as for criticism of her slimmer frame, Celine added: "If I like it, I dont want to talk about it. Dont bother. Dont take a picture. If you like it, Ill be there. If you dont, leave me alone."

The star also stated she has been dancing and training with her stylist and close friend Pepe Munoz.

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Cline Dion has previously denied claims that she has an unhealthy diet.

She admitted to The Guardian: "I'm not anorexic. It pisses people off that I am thin and I don't make any effort."

But the singer continued: "I have been thin all my life. Nobody in my family is overweight."

Meanwhile, she also credited her life as a performer for her slim frame.

She explained to People magazine: "Dancing has been in my DNA all of my life. Its a dream. And so hard!

"I do [ballet practice] four times a week. People say, 'Shes a lot thinner' but Im working hard. I like to move and [weight loss] comes with it."

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Fans have expressed concern that the star might have lost a bit too much weight, with some commenting on her Instagram pictures to share their thoughts.

Hundreds of comments poured in largely reiterating the same point: that Cline looks very slim.

One wrote: "She looks so fragile."

Another added: "Celine, you are too skinny."

While one fan mused: "Ive never seen her look this skinny."

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Cline Dion weight loss how did the singer lose weight? - The Sun

How much weight can you expect to lose in a week according to experts – The Sun

Posted: January 29, 2020 at 5:46 pm

WHEN anyone sets off on a quest to lose weight, the first thing they usually want to know is the amount of weight they can lose in a week.

And, of course, everyone wants that to be a big number.

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However, it's important that people know what is really possible in just seven days when it comes to blitzing body fat - before setting unrealistic weight loss goals.

The number of pounds you can shed differs from person to person because of different factors including your gender, how active you are and your starting weight.

The NHS recommends using a BMI calculator to work out how much weight you need to lose in the first place before trying to lose weight.

Then, the amount you drop over the course of just one week has to do with how many more calories you burn than you take in.

According to experts, a pound of fat is accumulated when you eat 3,500 calories more than you burn.

So, if you eat 3,500 calories a week less than you burnall else being equalyoull lose around a pound. If you manage a deficit of 7,000 calories, youll lose two.

The NHS says that one to two pounds in a week is a safe amount to lose if youre doing it gradually and steadily.

And they warn that losing weight any faster than this can increase the risk of health problems, including malnutrition and gallstones - and it can make you feel tired and unwell.

Similarly, Slimming World encourages members lose an average of one to two pounds a week, adding: "this is a realistic and achievable goal for most people".

They say: "Being too restrictive and losing more than one to two pounds a week on a long-term basis can result in losing excess muscle tissue as well as body fat, and will increase the likelihood of you regaining your lost weight."

Despite this, weight management expert Lauren Slayon says some people can lose more than a couple of pounds in one week but this is mainly down to the loss of body water.

NHS weight loss tips

The NHS has shared five simple actions that will start your journey towards a healthy weight:

And Lauren points out that those who lose more than a couple of pounds a week are more likely to put itback on again.

She told Prevention: "People who try to lose weight in a week or a month are going to gain it back."

She also warns that it's important not to crash diet - as this can result in losing excess muscle tissue as well as body fat.

"Were not into double workouts, laxatives, counting and aggressively skipping calories, skipping meals or anything that leaves you feeling poorly," Lauren says.

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If you really want to look thinner in a week she recommends eating de-bloating foods including avocado, asparagus, dandelion tea, lemons and parsley.

She claims these foods will make you feel a little less puffy.

But in general, if you're doing it safely, you shouldn't be losing more than a couple of pounds a week on your weight loss journey.

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How much weight can you expect to lose in a week according to experts - The Sun

Sabril Approved for Younger Patients With Complex Partial Seizures – Monthly Prescribing Reference

Posted: January 29, 2020 at 5:46 pm

The Food and Drug Administration (FDA) has expanded the approval of Sabril (vigabatrin; Lundbeck) to include treatment of refractory complex partial seizures (CPS) in pediatric patients aged 2 to <10 years of age who have inadequately responded to several alternative treatments and for whom the potential benefits outweigh the risk of vision loss. Previously, the treatment had only been approved for CPS in patients 10 years of age and older.

The approval was based on data from 3 randomized, double-blind, placebo-controlled, parallel-group, adjunctive-treatment studies in patients aged 3-16 years with uncontrolled CPS with or without secondary generalization (N=373). Data from these studies were pooled and used in a pharmacometric bridging analysis, which consisted of defining a weight-normalized dose response, and showing that a similar dose response relationship exists between pediatric patients and adult patients when Sabril was given as adjunctive therapy. The dosing recommendations in pediatric patients 2 to 16 years of age were derived from simulations using these pharmacometric dose-response analyses.

Commenting on the approval, Darcy Krueger, MD, PhD, Director of the Cincinnati Childrens Hospital Medical Center Tuberous Sclerosis Complex (TSC) Clinic, said: Vigabatrin has been used safely for many yearsyet patients were having difficulty getting medication approved by their insurance because the previous FDA approval didnt include patients aged 2 to 10. We were able to work with TSC Clinics like ours with considerable experience treating children in this age range to collect safety and efficacy data so it could be included in the FDAs new review.

With regard to safety, among pediatric patients with CPS, weight gain was observed to be the most common adverse reaction. Sabril carries a Boxed Warning regarding the risk of permanent vision loss. Because of this risk, the drug is only available through a restricted distribution program called the Vigabatrin REMS Program.

Sabril is also indicated for use as monotherapy for pediatric patients 1 month to 2 years of age with infantile spasms for whom the potential benefits outweigh the potential risk of vision loss.

The product is supplied in 500mg tablets and 500mg packets of powder for oral solution.

For more information visit sabril.net.

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Sabril Approved for Younger Patients With Complex Partial Seizures - Monthly Prescribing Reference

Integrated Health: running and jogging injury prevention – Post South

Posted: January 29, 2020 at 5:46 pm

There are four periods of time when runners are most vulnerable to injury.

Most running and jogging injuries are caused by recurring factors that runners and joggers can often prevent or avoid:

What causes running injuries?

There are four periods of time when runners are most vulnerable to injury:

--During the initial 4 to 6 months of running

--Upon returning to running after an injury

--When the quantity of running is increased (distance)

--When the quality of running is increased (speed)

Training errors are the most common source of injury, particularly lack of adequate stretching; rapid changes in mileage; an increase in hill training; interval training (going from slow speeds over long distances to faster over less ground); and insufficient rest between training sessions.

Running and Jogging Injuries

Runners should also keep in mind potential anatomic abnormalities:

--Hip disorders typically manifest themselves as groin pain. Back discomfort that radiates down the leg is cause for referral to a sports medicine specialist.

--The patella (kneecap) is a common site of overuse injuries that can benefit from a 20 minute ice massage, a program of stretching and strengthening of the hamstring and quadriceps muscles, and a short course of an over-the-counter anti-inflammatory medication. Surgery is rarely indicated.

--Ankle laxity can lead to frequent ankle sprains and pain. Beneficial treatment includes muscle strengthening to increase stability, shoe modification to alter gait, and change of a running surface. Foot problems in runners are related to foot.

How are running injuries treated?

The basic approach to treating running injuries includes rest or modification of activity to allow healing and reduction of inflammation. To avoid overuse injuries, or to allow for a safe return to running after a break, a runner should follow the 10 percent rule (limit the increase in weekly mileage or pace by 10% per week). Thus, if you are running 10 miles per week and want to increase your training regimen, run 11 miles the next week, and 12 miles the week after that. This program should be followed while flexibility, strength, and endurance are restored. When severe pain, swelling, loss of motion, and/or other alterations in running form are present, immediate medical treatment is advised (see reverse for specific injuries).

Cross-training can be extremely beneficial to the runner in times of recovery from injury or when starting out a running program. This may involve swimming, aqua jogging, stationary bike, or any other low impact activity that helps build endurance. Start with a higher percentage of low impact activities and then increase your mileage while decreasing the cross-training activity.

The goal of rehabilitation is to safely return the runner to the desired level of running. Remember, training errors constitute the most common cause of injuries. A well-planned program prevents injury while benefiting the athlete.

Prevention running/jogging injuries:

When selecting a running shoe, the athlete should look for a style that will fit comfortable and that will accommodate his or her particular foot anatomy. When a shoes mileage exceeds 500600 miles, it should be replaced.

The ideal surface on which to run is flat, smooth, resilient, and reasonably soft. Avoid concrete or rough road surfaces. If possible, use community trails that have been developed specifically for jogging and running. Hills should be avoided at first because of the increased stress placed on the knee and ankle.

During warmer, humid weather, increase fluid intake; in cool weather, dress appropriately. It is often helpful to weigh yourself before and after running on a hot, humid day. One pint of water should be consumed for every pound of weight lost. Avoid running during extremely hot and cold temperatures or when the air pollution levels are high. When running at higher altitudes, the runner should gradually acclimate to the lower oxygen levels by slow, steady increases in speed and distance

Pre-participation Musculoskeletal Health Assessment can identified asymmetries and imbalances. Integrated Health provides a 3d imaging musculoskeletal assessment. The assessment tool is state of the art technology utilized by Professional Sports and Corporations for preventing and increasing performances. For more information on the assessment contact Jeff Faucheux LAT, ATC,CES at 225-933-1526.

Integrated Health is a health management solutions company that promotes musculoskeletal health via active and passive range of motion assessments. Benefits include injury prevention, improved performance, faster recovery, and feeling healthy. Jeff Faucheux LAT ATC CTPS CES specializes in Ergonomics in the Workplace. Brandon Albin, MHRD, ATC, director of musculoskeletal assessments, is a former Division 1 collegiate director of sports medicine who specializes in injury prevention and corrective exercise. http://www.integrated-health.com, 800-292-1617, Choices Family Medical Clinic.

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Integrated Health: running and jogging injury prevention - Post South

High Waters, More Hazardous Cargo In The Ohio Watershed Complicate The Job Of Keeping Waterways Safe – West Virginia Public Broadcasting

Posted: January 29, 2020 at 5:46 pm

Just before dawn in January 2018, 27 barges were floating like a net along the banks of the Ohio River, downstream of the city of Pittsburgh. Instead of fish, the fleet caught chunks of ice that broke off in the warming, fast-moving waters as it waited for a tow through the nearby Emsworth Locks and Dams.

The area had experienced record rainfall, and the river rose more than 12 feet in about 30 hours. The barges, some loaded with coal and cement, were lashed together with steel cables in a grid-like pattern, then secured to pilings equipped with large metal mooring rings.

Crews had worked through the night to monitor the cable tension as ice and rising waters caused the lines to tighten. At 6:15 a.m., a towing vessel captain saw sparks.

His vessel and all of the 27 barges began drifting downstream, propelled by the fast current and extreme weight of ice. Unable to control the barges, the towing vessels saved two and let the rest go.

In the first light of day, they reached the Locks and Dams and met their fate. Seven flowed through the open lock gate. Three hit the dams and sank, taking their cargo with them. The rest grounded on the banks of the river or lodged themselves between the dams and the raging river.

As is typical with marine accidents, no single factor can be blamed. But federal investigators determined the problem that pushed everything over the edge was the weather. The same day, just south of Wheeling, West Virginia, another 27 barges set loose on the Ohio River due to increased rainfall and ice buildup.

Over the past decade in the Ohio watershed, which encompasses 15 states from southwestern New York to the northeast corner of Mississippi, extreme weather has been cited more and more frequently as a contributing cause in serious marine accidents. At the same time, a KyCIR analysis found that shipping of hazardous materials like crude oil and kerosene are rising.

These issues have ramifications all along the Ohio River, but particularly in Louisville, home to one of the most difficult passages to navigate. As the conditions on the Ohio and its cargo become more hazardous, key regulatory organizations struggle to keep up with the growing demands of this water highway.

More Serious Marine Accidents

Inland marine accidents dont attract as much publicity as accidents on the oceans. Generally, inland vessels are much smaller, and fewer deaths result from single incidents.

But navigating inland waterways can still be a treacherous endeavour, made more hazardous when the river is high. A 2017 U.S. Army Corps of Engineers report estimates that up to 50% more water could be coursing through the Ohio River watershed within this century due to climate change.

The rivers rise obscures river banks and changes river beds. It creates currents that can pull vessels off course, or throw debris into mariners paths.

KyCIR analyzed federal data from 2010 to 2018 on serious marine accidents, which the U.S. Coast Guard defines as incidents involving death or serious injury, excessive property damage or a discharge of hazardous materials.

Nearly 3,400 marine incidents occurred in a nine-year period in the Ohio watershed. In 2010, about 8% were serious. By 2018, serious incidents accounted for 12%.

Incidents citing high waters as a contributing factor are on the rise, data show.

Coast Guard serious incident reports from 2010 to 2015 occasionally cited high waters or fast-moving currents as contributing factors to the accidents. But these terms began to show up more frequently in accident descriptions starting in 2016, data show.

In one 2018 incident near Louisville, barges loaded with crude oil condensate got stuck on the river bank. The pilot struggled to avoid being overtaken by strong currents.

Liam LaRue, chief of investigations for the Office of Marine Safety at the National Transportation Safety Board [NTSB], said the agency has noticed more and more accidents tied to high rivers.

We'd get a few accidents a week, and they were all just high-water related, LaRue said. That's definitely something that we've seen a lot of.

NTSB only investigates major marine accidents, which involves six or more fatalities, $500,000 of damage or the total loss of a vessel.

LaRue has been with NTSB for 14 years, and he said their normal annual workload is between 30 and 40 major cases nationwide. Last year was a record year for his team, he said: they investigated 52 major marine accidents. Most happened on oceanic routes or at coastal shipping ports. But inland accidents like the Emsworth barge breakaway outside of Pittsburgh make the list because of the costly property damage they leave in their wake.

And these accidents are not uncommon in the Ohio watershed, in part because the Ohio River is so difficult to navigate.

Louisvilles section of the Ohio River is one of only 12 places in the country with a Vessel Traffic Service essentially an escort system to help vessels navigate dangerous or congested stretches of river. It is the only inland traffic service and the only one that operates solely during times of high water.

Louisvilles service was established in 1973 after a series of accidents, such as the February 1972 incident when a barge carrying chlorine gas became lodged in the McAlpine dam, threatening lives and requiring the evacuation of the nearby Portland neighborhood.

Between 2012 and 2016, Louisvilles traffic service was activated for an average of 59 days a year. In the last two years, it was active for 151 days and 130 days, respectively.

More Hazardous Cargo

More than 180 million tons of cargo travel up and down the rivers of the Ohio watershed each year, according to a KyCIR analysis of commodities data from the U.S. Corps of Engineers. The river carries shipments of food, alcohol, fuel, construction supplies and even rocket parts.

More and more, those cargo vessels are carrying non-solid fuels.

Kerosene shipments increased 1,372% in 2017 when compared to data from 2000. Crude petroleum shipments increased 675%. By contrast, coal and lignite shipments decreased 35%.

This trend follows the decline of coal and the increase in natural gas production in this region. Less coal is being mined as more companies go bankrupt and coal becomes harder to extract. Power plants are retiring coal generators in favor of natural gas units, which are not only cheaper but cleaner.

But the non-solid materials taking their place are more hazardous to ship. When a coal barge sinks, it generally stays in one place, said Sam Dinkins, a technical programs manager at the Ohio River Valley Water and Sanitation Commission, an interstate water quality agency known as ORSANCO. But when an oil or liquid hazardous material spills, things get messier, faster.

Containment of that release becomes problematic because it's going to flow with the river downstream, Dinkins said. And so it spreads out, along with the river flow.

In many cases, the liquid can change the composition and quality of the water water that residents in the watershed ultimately drink.

The Louisville water supply faced a potential disaster in December 2017. A barge holding more than 300,000 gallons of liquid fertilizer broke in half just south of Cincinnati, Ohio, threatening the citys water supply downstream.

This particular spill wasnt due to high water, but it illustrates the potential for danger. As thousands of gallons of urea ammonium nitrate drifted downriver toward Louisville, the citys water authority took action.

This spill was unique because it wasnt like an oil spill where you could see it on the river, Louisville Water Company spokeswoman Kelley Dearing Smith told WFPL in 2017. The chemical was soluble, so our scientists really had to track the spill ... to understand how this plume was moving.

In this case, rain diluted the contamination, and helped it move swiftly through the city. But less than a month later, the rain would cause the barge breakaways near Pittsburgh and in West Virginia.

These inland spills may seem less catastrophic than ocean spills, but theyre more likely to cause harm to the surrounding area, said Lt. Cmdr. Takila Powell, U.S. Coast Guard marine investigations supervisor for the district that includes most of the Ohio watershed.

When you have an oil spill on an inland river, Powell said, water is more shallow and the currents are different than on the ocean. It takes a lot less oil to pose a big threat.

And plus, there's a higher chance of impact to the shoreline because you're on a river and there's two banks on either side, Powell said. So at least one could potentially be impacted.

Whats Being Done

Government agencies and regulatory bodies say they are working together to improve safety and mitigate harm after accidents occur. But change is slow to come.

For example, Congress passed legislation in 2004 that established mandatory inspections for towing vessels. But mandatory inspections didnt actually begin until 2018, nearly 14 years later.

But as each year brings more volatile weather than the year before, the agencies say theyre trying to be proactive, rather than reactive.

Only recently did the NTSB begin documenting its accident investigations with an internal database. LaRue said the effort will help provide a better idea about trending and things like that, and hopefully spot safety issues.

Such a database, when implemented, could help NTSB create a recommendation report on how to avoid weather-related incidents in the future, but the NTSB still lacks enforcement power. Even if its investigators identify safety protocols that could help mariners deal with extreme weather, it would be up to the Coast Guard to implement them.

Currently, the Coast Guard maintains and operates regional plans that help mariners respond to hazards such as high water or inclement weather on specific stretches of river.

Powell said that during times of high water, the Coast Guard subsectors hold conference calls to discuss river levels, vessel restrictions and weather and river forecasts.

Those forecasts are available for mariners from the National Oceanic Atmospheric Association [NOAA], which uses various data points about rainfall and terrain to predict how waterways will react to extreme weather up to 10 days ahead of time.

That gives them the opportunity to make decisions that are going to help them navigate the rivers safely if the water is coming up quickly, said Trent Schade, hydrologist in charge of NOAAs Ohio River Forecast Center. They have an opportunity to move their boat into a safe harbor.

But these forecasts give only a short lead on the future of the river. Both the Coast Guard and NOAA say they arent focused right now on climate changes long-term impacts on river safety. When it comes to next year or the next 10 years, the state of the water is much murkier.

Alexandra Kanik is the data reporter for Kentucky Center for Investigative Reporting which is part of Louisville Public Media. She can be reached at akanik@louisvillepublicmedia.org

Caitlin McGlade contributed to this report.

Good River: Stories of the Ohio is a series about the environment, economy, and culture of the Ohio River watershed, produced by seven nonprofit newsrooms. To see more, please visit ohiowatershed.org.

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High Waters, More Hazardous Cargo In The Ohio Watershed Complicate The Job Of Keeping Waterways Safe - West Virginia Public Broadcasting

The 5 most common travel-related illnesses and how to avoid them – Canada.com

Posted: January 29, 2020 at 5:46 pm

Staying healthy while travelling means you can spend more time enjoying yourself so take precautions.Xavier Mouton Photographie on Unsplash

With the news of the coronavirus, a flu-like illness that started in Wuhan, China, making headlines, falling ill abroad is top of mind for many. And while this and other past viruses, like SARS and swine flu, can cause serious outbreaks and cause for concern, there other more common illnesses that you can still easily catch while travelling.

Read on to discover five of the most common illnesses you can get abroad, plus some advice on how to avoid them in the first place.

Where: Anywhere, though places with poor food handling and sanitation are higher risk

Theres no mistaking that rumbling feeling that strikes your lower guts before a bout of travellers diarrhea. Its the most common sickness people face when travelling. Generally, you wind up with travellers diarrhea by eating or drinking something thats been contaminated with a variety of bacteria, including E. coli or salmonella. Symptoms include sudden diarrhea, painful stomach cramps, fever and vomiting. Usually, it will clear up on its own within two days to a week.

How to avoid it: Always choose a safe water source (avoid tap water in certain places) and ensure that the spots youre dining at are preparing food safely. Wash your hands with soap and water often to avoid the spread of gems. Opting for hot/cooked foods and skipping undercooked meats can also help.

Where: the Caribbean, Central and South America, Southeast Asia and even parts of the United States, like Hawaii

Mosquitoes arent just worth avoiding because of the relentless itching caused by their bites. Dengue fever is the number one mosquito-borne virus, despite zika getting more media play as of late. Dengue symptoms, which include headache, body pain (and specifically eye pain), nausea and vomiting come on rapidly once youve been bitten by an infected mosquito. Following infection, a rash will also present itself.

How to avoid it: Use bug spray when in mosquito-dense areas and cover up at dusk and dawn when theyre most active. In some cases, sleeping beneath a bug net can also keep the pests at bay while you rest.

Where: Parts of the Caribbean, Mexico, Southeast Asia, Central and South America, Africa and parts of the Middle East

Malaria is another sickness that you can get from mosquito bites. It causes unpleasant flu-like symptoms including chills, sweating, headache, nausea and vomiting and abdominal pain.

How to avoid it: Like dengue, malaria can be avoided by using mosquito repellent and covering your skin. Some people might choose to use prescription medication that provides protection from the disease, which can be taken orally two days before you arrive in an at-risk area and for four weeks after you get home.

Where: Worldwide

Tetanus, also known as lock-jaw syndrome, is a bacterial infection that you get from cutting yourself on a dirty metal or stepping on an old, rusty nail and puncturing your skin. It will cause severe stiffness of the jaw and neck muscles, tremors and difficulty swallowing and in many cases, death.

How to avoid it: Stay vaccinated. If youre unsure when you had your last tetanus shot, visit your medical practitioner to determine whether you need a booster or fresh round of vaccinations.

Where: Most common in South and Central America, Asia and parts of AfricaTuberculous, also known as TB, is a bacteria that can be spread by coughing, sneezing or even speaking, which makes it incredibly contagious. It causes a persistent cough that result in coughing up blood, as well as chest pain, weight loss and chills. Many people die from TB.

How to avoid it: The Bacillus CalmetteGurin (BCG) vaccine, which is most commonly administered during childhood here in Canada, is the best form of protection against TB.

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The 5 most common travel-related illnesses and how to avoid them - Canada.com


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