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Tribune News Service

News Budget for Saturday, September 28, 2019

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Updated at 2 p.m. EDT (1800 UTC).

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Additional news stories appear on the MCT-NEWSFEATURES-BJT.

This budget is now available at TribuneNewsService.com, with direct links to stories and art. See details at the end of the budget.

^TOP STORIES<

^Why Pelosi is confident as she confronts Trump on impeachment inquiry<

IMPEACHMENT-PELOSI-TRUMP:LA — House Speaker Nancy Pelosi and President Donald Trump have been at odds virtually since he took office.

They squared off in the Oval Office over shutting down the government. She insulted his "manhood," and he dubbed her "Nervous Nancy." He's trashed her home of San Francisco, and she dismissed him as unworthy of his office.

But their political rivalry — which at times included kitschy tweets and sarcastic memes that did little more than rile up both parties' bases — has spiraled into one of the gravest questions Congress can consider: impeachment of the president.

1150 by Jennifer Haberkorn in Washington. MOVED

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^WASHINGTON<

^Conservative group to pressure Republicans to call out Trump over Ukraine<

TRUMP-UKRAINE-ADS:WA — A conservative group is launching a series of ads this weekend urging House and Senate Republicans to condemn President Donald Trump for prodding the president of Ukraine to investigate a political rival.

Republicans for the Rule of Law will spend $1 million — its biggest ad buy to date — on a series of TV and digital ads that will target more than 20 members of Congress, including Sen. Richard Burr, R-N.C., the chairman of the Senate Intelligence Committee.

450 by Lesley Clark in Washington. MOVED

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^UNITED STATES <

^Hurricanes don't ask for directions: Here are some of the weirdest storm paths<

WEA-HURRICANES-PATHS:OS — Before Tropical Storm Karen dissipated into a tropical depression and then just a surface trough on Friday, the storm was projected to take a weird turn. Tropical systems do that sometimes.

Most Atlantic tropical systems follow a pretty straightforward track with a slight latitudinal curve or a beeline through the Gulf of Mexico before fizzling out. But then you have the storms that take the path less traveled — wild and erratic trajectories.

750 by Joe Mario Pedersen in Orlando, Fla. MOVED

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^THE WORLD<

^A Jewish community is making a big difference in hurricane-ravaged Bahamas<

^BAHAMAS-JEWS:MI—<In the days after Hurricane Dorian ravaged the islands of Grand Bahama and Abaco in the Bahamas, many focused on sending food, water and hygiene products to those affected by the storm.

But for Sholom Bluming, the island nation's only rabbi — who had been leading a small congregation of Jews in the country long before the devastation — there was one need that he saw being overlooked: addressing the mental health of the children.

Bluming, 32, the spiritual leader of the only Jewish center in the Bahamas, Chabad of the Bahamas, quickly mobilized, reaching out to business owners and organizations, securing warehouses in Freeport and ordering water and other supplies for the thousands in need. Within three days, Bluming boarded a plane from Nassau to Freeport and spoke to community leaders to get a better sense of what was needed.

1300 (with trims) by Carli Teproff. MOVED

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^THE WORLD<

^Prince Harry wraps up trip to Angola before heading to Malawi<

AFRICA-ROYALS:DPA — Britain's Prince Harry met with Angola's presidential couple, Joao and Ana Dias Lourenco, on Saturday, before heading off to Malawi on the sixth day of his visit to Southern Africa.

Harry, dressed more formally than usual in a light grey suit, met the couple at the presidential palace before visiting the Lucrecia Paim maternity hospital, where Angola's first lady has spearheaded a project focused on preventing mothers from transmitting HIV to their babies.

500 by Leizl Eykelhof in Johannesburg. MOVED

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^SCIENCE, MEDICINE, ENVIRONMENT<

^Florida is in for more dead corals, sea rise and floods, says new UN climate report<

ENV-CLIMATECHANGE-FLA:MI — Oceans have spared the world the worst of climate change, but those days may be over soon, according to a new United Nations report on climate change.

The ripple effect for Florida, whose economy depends on the bright blue waters that ring the state, could include more dramatic flooding, faster, as well as a scary new phenomenon that's killing coral reefs and reefs.

The Intergovernmental Panel on Climate Change report, released this week, said the ocean's days of soaking up excess carbon and insulating the world from the worst impacts of climate change are numbered.

1200 (with trims) by Alex Harris in Miami. MOVED

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^WEEKEND STORIES<

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These stories moved earlier in the week and are still suitable for publication.

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^These LA parents don't want to assign a gender to their baby, so the government did it for them<

PARENTS-NONBINARY:LA — When Azul Ruelas-Brissette was born in the summer of 2018, the baby's parents were resolute: They did not want "male" or "female" spelled out on their child's birth certificate.

Jay Brissette and Miguel Ruelas had weighed their decision carefully. They are part of a small but burgeoning cohort of parents who are raising their children in what they call a "gender creative" or "gender expansive" way.

In the couple's Los Angeles social network alone, several of their friends have chosen not to reveal the gender of their children until the kids are old enough to articulate their identities on their own.

2500 (with trims) by Laura Newberry in Los Angeles. MOVED

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^Community health centers teeter on financial cliff, courtesy of Congress<

HEALTHCENTERS-FUNDING:SH — Down in the Louisiana bayou, Dr. Gary Wiltz is wondering how he's supposed to run 14 community health centers and treat 30,000 patients without a large chunk of federal money. Again.

As happened in 2017, Congress is on the precipice of failing to meet the Sept. 30 deadline for reauthorizing the Community Health Center Fund that supports nearly 1,400 community health centers, which treat more than 27 million predominately poor patients.

As a result — according to a recent survey of community health centers conducted by the Kaiser Family Foundation — nearly 60% of centers have frozen hiring or are considering doing so; 42% already have or might reduce staff hours; and 42% have laid off staff or are contemplating it. Many may delay planned renovations or expansions, reduce operating hours or shutter locations.

1250 (with trims) by Michael Ollove in Washington. MOVED

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^For 156 years, a mighty oak in Virginia has stood as a symbol of freedom across the nation<

EMANCIPATION-OAK:LA — Most locals don't know exactly how long it's been here. They say at least 300 years.

It was around before any of the buildings that stand today in this city of 134,000 on the Chesapeake Bay, preceded only by the Powhatan people — the native tribes and the plants they cultivated.

Born of a single seed, its trunk is now 16 feet around with a 100-foot-wide canopy that, at its height, soars 50 feet. A small studio apartment would easily fit under its shade.

In Hampton, where colonial and Civil War markers abound, the tree is perhaps one of the best known, if sometimes taken for granted, reminders of history.

It's where abolitionists — in the midst of the Civil War — secretly taught blacks from the Tidewater region to read and write. On a winter day in 1863, enslaved people flocked to it to hear the first Southern reading of the Emancipation Proclamation. The war would go on for more than two years, and freedom from bondage, if not discrimination, would not reach Texas — the Confederacy's last stand — until 1865.

1050 by Jaweed Kaleem in Hampton, Va. MOVED

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^As off-label use spreads, supplies of niche drugs and patients' patience grow short<

^DRUGS-OFFLABEL-SUPPLY:KHN—<Medical treatment has knocked down tumors in 6-year-old Easton Daniels' brain, but the drug used also wiped out his immune system.

To bolster his immune function and help keep him healthy, he has visited a hospital for intravenous infusions of immune globulin about every month for the past year and a half.

But in early July, his family was stunned by a letter from Cincinnati Children's Hospital: "All of Easton's appointments canceled until further notice," said his dad, Jeremy Daniels, who works in custodial services for a school.

Like Cincinnati Children's, hospitals and clinics nationwide report a shortage of the medication, whose long manufacturing process starts with donated blood plasma. Often referred to as IVIG, intravenous immune globulin is used for a wide variety of medical conditions, beyond those for which it was first targeted — some treatments proven effective and some not. It is rich in antibodies, which are proteins that help fight off infection.

1150 by Julie Appleby. MOVED

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^Want to reduce suicides? Follow the data — to medical offices, motels and even animal shelters<

^MED-SUICIDES-DATA:KHN—< On Kimberly Repp's office wall is a sign in Latin: Hic locus est ubi mors gaudet succurrere vitae. This is a place where the dead delight in helping the living.

For medical examiners, it's a mission. Their job is to investigate deaths and learn from them, for the benefit of us all. Repp, however, isn't a medical examiner; she's a Ph.D. microbiologist. And as the Washington County epidemiologist, she was most accustomed to studying infectious diseases like flu or norovirus outbreaks among the living.

But in 2012 she was asked by county officials to look at suicide. The request led her into the world of death investigations, and also appears to have led to something remarkable: In this suburban county of 600,000 just west of Portland, the suicide rate now is going down. It's remarkable because national suicide rates have risen despite decadeslong efforts to reverse the deadly trend.

While many factors contribute to suicide, officials here believe they've chipped away at this problem through Repp's initiative to use data

1450 by Maureen O'Hagan in Hillsboro, Ore.. MOVED

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