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Column: As measles spreads, 'herd stupidity' grips Florida's government

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Column: As measles spreads, 'herd stupidity' grips Florida's government

As of this writing, the measles outbreak in Florida is up to nine cases, including the first one recorded outside the epicenter in Broward County, in the vicinity of Fort Lauderdale.

Nine cases may not seem like a lot, but it’s enough to alarm epidemiologists. They point out that measles is among the most contagious viruses known to humankind, which means that the cases identified thus far are likely to be the tip of the iceberg.

Who’s unconcerned? The chief public health official of the state of Florida, that’s who. He’s Joseph Ladapo, whom I earlier identified as “the most dangerous quack in America.”

That was before the measles outbreak, when Ladapo was known chiefly for opposing COVID vaccination despite incontrovertible evidence that it saves lives.

1 in 5 will be hospitalized, 1 in 20 will develop pneumonia (the most common way measles kills young kids), 1 in 1,000 will develop encephalitis (infection of the brain, sometimes causing permanent brain damage), and 1-3 in 1,000 will die.

— Epidemiologist Katelyn Jetelina on measles

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Ladapo has now cemented his position at the top of the list of public officials hazardous to your health. He did so with a letter issued Feb. 20 to parents with children at the elementary school suffering the outbreak.

The letter noted that it is “normally recommended” that children stay home until the end of the infectious period, which he pegged at March 7.

But he added: “Due to the high immunity rate in the community, as well as the burden on families and educational cost of healthy children missing school,” his agency would let parents or guardians make their own decisions about sending their kids to school.

The letter was also notable for what it did not say. It did not recommend that parents of nonimmunized children get them vaccinated immediately.

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Ladapo was installed as surgeon general by Republican Gov. Ron DeSantis, largely because he mouthed the same propaganda opposing anti-COVID measures, including the vaccines, as the governor. DeSantis hasn’t spoken in public about the measles outbreak, but make no mistake: He deserves equal blame for the consequences.

To say that Ladapo’s advisory left physicians and epidemiologists aghast would be a massive understatement. Allowing unimmunized children to go to school where they could be exposed to measles contradicts every responsible recommendation from medical science.

Ladapo tried to justify the decision to let unimmunized children exposed to measles go to school by asserting that the vaccination rate is high enough.

But as epidemiologist Katelyn Jetelina observed on her blog, Your Local Epidemiologist, while the vaccination rate in Florida is just over 90%, that’s “not high enough — because measles is so contagious, the threshold for herd immunity against measles is 95%. This means there are pockets in the school, other schools, and a community that measles could burn through.”

Measles is already on the march in the U.S. in 2024. Case numbers are current to Feb. 22.

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(Centers for Disease Control and Prevention)

To put it another way, Ladapo’s appeal to the principle of “herd immunity” is outweighed by the herd stupidity of the anti-vaccination movement that he is a part of.

She also points out that “unvaccinated kids can still get protection from a vaccine within 72 hours of exposure.” That generally reduces the severity of symptoms. But Ladapo didn’t point that out.

Ladapo also minimized the consequences of measles infection. The rate of measles in the U.S. has been so low in recent years that the severity of the disease for the unimmunized can be deadly. Ladapo advised parents to be on the lookout for “a rash that often develops on the face and neck before spreading to the rest of the body as well as “high fever, which can reach 105°F, cough, runny nose, and red, watery eyes.”

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Is that sufficient warning? No. The Centers for Disease Control and Prevention reports that among the unimmunized, 9 out of 10 people exposed will get infected.

Jetelina adds that among the unimmunized, “1 in 5 will be hospitalized, 1 in 20 will develop pneumonia (the most common way measles kills young kids), 1 in 1,000 will develop encephalitis (infection of the brain, sometimes causing permanent brain damage), and 1-3 in 1,000 will die.”

Also, measles can “cause ‘immune amnesia,’ where the immune system loses its ability to fight other viruses that people were previously immune to.”

In other words, measles is not something to view casually. The CDC has identified 35 cases nationwide this year so far. That’s more than half the total of cases in all of 2023, registered after less than two months of 2024. This figure is certain to rise as public health officials such as Ladapo fail to do their jobs.

The measles vaccine — MMR, which includes immunity for mumps and rubella — has been a prime target of the anti-vaccination cabal ever since the British physician Andrew Wakefield published a fraudulent and long-debunked report in 1998 linking it to autism. Wakefield lost his medical license in Britain as a result, but his work has remained a blot on public health ever since.

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Ladapo has made common cause with the anti-vaccine movement over COVID vaccines. Doubts about the MMR shots may have infected his judgment in the measles outbreak.

His inadequate response to the outbreak finally has some Floridians and the state’s media taking note of the danger his policies represent to the health and well-being of Florida’s children and others. But given the virulence of measles, it may be too late.

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Cable giant Charter to buy Cox in a $34.5-billion deal, uniting providers that serve SoCal

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Cable giant Charter to buy Cox in a .5-billion deal, uniting providers that serve SoCal

Charter Communications and Cox Communications plan to merge in a $34.5-billion deal that would unite Southern California’s two major cable TV and internet providers to sell services under the Spectrum brand.

The proposed consolidation, announced Friday, comes as the industry grapples with accelerating cable customer losses amid the shift to streaming.

The companies could face even more cord-cutting after their long-time programming partner, Walt Disney Co., begins offering its ESPN sports channel directly to fans in a stand-alone streaming service debuting this fall.

If approved by Charter shareholders and regulators, the merger would end one of the longest TV sports blackouts.

Cox customers in Rancho Palos Verdes, Rolling Hills Estates and Orange County would finally have the Dodgers’ TV channel available in their lineups. For more than a decade, Cox has refused to carry SportsNet LA because of its high cost.

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Charter distributes the Dodgers channel as part of a $8.35-billion television contract signed with the team’s owners in 2013. Charter has bled hundreds of millions of dollars on that arrangement and now offers the channel more widely via a streaming app.

The Atlanta-based Cox is the nation’s third-largest cable company with more than 6.5 million digital cable, internet, telephone and home security customers. Stamford, Conn.-based Charter has more than 32 million customers.

Charter dramatically expanded its Los Angeles presence in 2016 by acquiring Time Warner Cable for more than $60 billion.

The Charter-Cox combination would have 38 million customer homes in the country — a larger footprint than longtime cable leader, Philadelphia’s Comcast Corp.

“This transformational transaction will create an industry leader in mobile and broadband communication services and seamless video entertainment,” Charter Chief Executive Christopher Winfrey said in a conference call with analysts.

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Winfrey would become the proposed entity’s CEO.

A major motivation for the deal was to be able to combine operations in Los Angeles, Orange and San Diego counties where both services currently operate and add attractive markets like Phoenix, Winfrey told analysts.

“Our network will span approximately 46 states passing nearly 70 million homes and businesses,” Winfrey said.

Cox is privately held. The billionaire Cox family, descendants of an Ohio press baron who bought his first newspaper in 1898, began acquiring cable systems in 1962 and has since held them with a tight grip. The Cox cable assets were long seen as a lucrative target.

Last year, Cox generated $13.1 billion in revenue and $5.4 billion in adjusted earnings before interest, taxes, depreciation and amortization.

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“Cox was always the first name that would come up in consolidation conversations… and it was always the first name dismissed,” longtime cable analyst Craig Moffett wrote in a Friday research note. “Cox wasn’t for sale.”

Until it was.

In an unexpected twist, the name of the merged company would be changed to Cox within a year of the deal closing. However, its products would carry the Spectrum moniker.

The Cox family would be the largest shareholder, owning about 23% of the combined entity’s outstanding shares.

Charter shares got a slight bump on Friday’s news, climbing nearly 2% to $427.25.

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“Cable is a scale business. [The] added size should help Charter compete better with the larger telcos, tech companies and [Elon Musk’s] Starlink,” said Chris Marangi, co-chief investment officer of value at the New York-based Gabelli Funds, a large media investor.

Adding the Cox homes will allow Charter to expand distribution for its El Segundo-based Spectrum News channel.

Charter said it would absorb Cox’s commercial fiber, information technology and cloud businesses. Cox Enterprises agreed to contribute the residential cable business to Charter Holdings.

Cox Enterprises would be paid $4 billion in cash and receive about $6 billion in convertible preferred units, which could eventually be exchanged into Charter shares. The Cox family would get about 33.6 million common units in the Charter Holdings partnership, worth nearly $12 billion.

The combined entity will absorb Cox’s $12 billion in outstanding debt.

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Charter’s ability to navigate the challenged landscape was a factor in the family’s decision, said Cox Enterprises Chief Executive Alex Taylor, a great-grandson of the company’s founder, told analysts.

“Charter has really impressed us above all others with the way they have spent capital,” Taylor said. “In the last five years, they’ve spent over $50 billion investing” in internet infrastructure and building a wireless phone service.

“This deal starts with mobile,” cable analyst Moffett wrote. “Cox is relatively late to the wireless game. But that only means that the opportunity in [the combined companies’] footprint is that much larger.”

The companies said they could wring about $500 million a year in annual cost savings.

The combined company would have about $111 billion of debt.

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Cox would have two directors on the 13-member board, including Taylor, who would serve as chairman.

Advance/Newhouse would keep its two board members. Advance/Newhouse would hold about 10% of the new company’s shares.

The transaction is expected to close at the same time as Charter’s merger with Liberty Broadband, which was approved by Charter and John Malone’s Liberty Broadband stockholders in February.

After the consolidation, Liberty Broadband will no longer be a direct Charter shareholder.

The Associated Press contributed to this report.

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Video: How Staffing Shortages Have Plagued Newark Airport

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Video: How Staffing Shortages Have Plagued Newark Airport

What’s causing major flight delays and disruptions at Newark Liberty International Airport? Niraj Chokshi, a reporter at The New York Times covering transportation, explains how a staffing shortage has contributed to the chaos and what’s being done to address it.

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L.A. council members were told a vote could violate public meeting law. They voted anyway

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L.A. council members were told a vote could violate public meeting law. They voted anyway

When Los Angeles City Council members took up a plan to hike the wages of tourism workers this week, they received some carefully worded advice from city lawyers: Don’t vote on this yet.

Senior Assistant City Atty. Michael J. Dundas advised them on Wednesday — deep into their meeting — that his office had not yet conducted a final legal review of the flurry of last-minute changes they requested earlier in the day.

Dundas recommended that the council delay its vote for two days to comply with the Ralph M. Brown Act, the state’s open meeting law.

“We advise that the posted agenda for today’s meeting provides insufficient notice under the Brown Act for first consideration and adoption of an ordinance to increase the wages and health benefits for hotel and airport workers,” Dundas wrote.

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The council pressed ahead anyway, voting 12-3 to increase the minimum wage of those workers to $30 per hour by 2028, despite objections from business groups, hotel owners and airport businesses.

Then, on Friday, the council conducted a do-over vote, taking up the rewritten wage measure at a special noon meeting — one called only the day before. The result was the same, with the measure passing again, 12-3.

Some in the hotel industry questioned why Council President Marqueece Harris-Dawson, who runs the meetings, insisted on moving forward Wednesday, even after the lawyers’ warning.

Jackie Filla, president and chief executive of the Hotel Assn. of Los Angeles, said the decision to proceed Wednesday gave a political boost to Unite Here Local 11, which represents hotel workers. The union had already scheduled an election for Thursday for its members to vote on whether to increase their dues.

By approving the $30 per hour minimum wage on Wednesday, the council gave the union a potent selling point for the proposed dues increase, Filla said.

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“It looks like it was in Unite Here’s financial interest to have that timing,” she said.

Councilmember Monica Rodriguez, who opposed the wage increases, was more blunt.

“It was clear that Marqueece intended to be as helpful as possible” to Unite Here Local 11, “even if it meant violating the Brown Act,” she said.

Harris-Dawson spokesperson Rhonda Mitchell declined to say why her boss pushed for a wage vote on Wednesday after receiving the legal advice about the Brown Act. That law requires local governments to take additional public comment if a legislative proposal has changed substantially during a meeting.

Mitchell, in a text message, said Harris-Dawson scheduled the new wage vote for Friday because of a mistake by city lawyers.

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“The item was re-agendized because of a clerical error on the City Attorney’s part — and this is the correction,” she said.

Mitchell did not provide details on the error. However, the wording on the two meeting agendas is indeed different.

Wednesday’s agenda called for the council to ask city lawyers to “prepare and present” amendments to the wage laws. Friday’s agenda called for the council to “present and adopt” the proposed changes.

Maria Hernandez, a spokesperson for Unite Here Local 11, said in an email that her union does not control the City Council’s schedule. The union’s vote on higher dues involved not just its L.A. members but also thousands of workers in Orange County and Arizona, Hernandez said.

“The timing of LA City Council votes is not up to us (sadly!) — in fact we were expecting a vote more than a year ago — nor would the precise timing be salient to our members,” she said.

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Hernandez said Unite Here Local 11 members voted “overwhelmingly” on Thursday to increase their dues, allowing the union to double the size of its strike fund and pay for “an army of organizers” for the next round of labor talks. She did not disclose the size of the dues increase.

Dundas’ memo, written on behalf of City Atty. Hydee Feldstein Soto, was submitted late in Wednesday’s deliberations, after council members requested a number of changes to the minimum wage ordinance. At one point, they took a recess so their lawyers could work on the changes.

By the time the lawyers emerged with the new language, Dundas’ memo was pinned to the public bulletin board in the council chamber, where spectators quickly snapped screenshots.

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