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 menthol. Lawmakers in Cleveland had also begun the Official Lead With Passion Win With Heart Patrick Mohames T-shirt Apart from…,I will love this process of prohibiting flavored tobacco products. That all went away Jan. 24 when the Ohio Senate voted to override its governor’s veto of this provision: “It is the intent of the general assembly to preempt political subdivisions from the regulation of tobacco products and alternative nicotine products.” In other words, cities, counties and townships in Ohio cannot take it upon themselves to enact or enforce any tobacco-control laws. The action negated Columbus’ ban on flavored tobacco products and erased any chance that Cleveland would put forth such a law. “This is beyond frustrating,” said Micah Berman, a public health and law expert with the Center for Tobacco Research at the Ohio State University Comprehensive Cancer Center. “This is about the most obvious thing that we can do to prevent people from getting cancer.” State tobacco regulation, such as the one that prohibits anyone under age 21 from buying cigarettes, will stand. But local jurisdictions would be powerless to enforce them, Berman said. The provision is expected to take effect at the end of April. Black smokers at risk The issue is a priority for health officials in Cleveland, where 35% of adults smoke. “Smoking is the No. 1 preventable cause of death and disease and disability in the city of Cleveland,” said Dr. David Margolius, Cleveland’s public health director. Black communities are impacted the most, and use menthol products at far higher rates. Nearly 85% of Black smokers use menthols, compared to 30% of white smokers, according to the Food and Drug Administration. And Black men have the highest lung cancer death rate in the U.S. “We had hoped to take our destiny into our own hands by passing a local law that would help save lives. But now the state has prohibited us from doing that,” Margolius said. “We are really counting on the White House to step in.”

The U.S. syphilis epidemic isn’t abating, with the Official Lead With Passion Win With Heart Patrick Mohames T-shirt Apart from…,I will love this rate of infectious cases rising 9% in 2022, according to a new federal government report on sexually transmitted diseases in adults. But there’s some unexpected good news: The rate of new gonorrhea cases fell for the first time in a decade. It’s not clear why syphilis rose 9% while gonorrhea dropped 9%, officials at the U.S. Centers for Disease Control and Prevention said, adding that it’s too soon to know whether a new downward trend is emerging for the latter. They are most focused on syphilis, which is less common than gonorrhea or chlamydia but considered more dangerous. Total cases surpassed 207,000 in 2022, the highest count in the United States since 1950, according to data released Tuesday. And while it continues to have a disproportionate impact on gay and bisexual men, it is expanding in heterosexual men and women, and increasingly affecting newborns, too, CDC officials said. A tissue sample with the presence of the bacterium responsible for causing syphilis.Skip Van Orden / CDC via AP file Syphilis is a bacterial disease that can surface as painless genital sores but can ultimately lead to paralysis, hearing loss, dementia and even death if left untreated. New syphilis infections plummeted in the U.S. starting in the 1940s when antibiotics became widely available and fell to their lowest by 1998. About 59,000 of the 2022 cases involved the most infectious forms of syphilis. Of those, about a quarter were women and nearly a quarter were heterosexual men. “I think its unknowingly being spread in the cisgender heterosexual population because we really aren’t testing for

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