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EMS calls increase as Boston heats up – The Boston Globe

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EMS calls increase as Boston heats up – The Boston Globe


Yun said that the department’s current system is unable to track what medical conditions are complicated by a heat related illness. However, emergency room doctors at hospitals in the greater Boston area told the Globe that the number of patients with heat-related complications rose during the heat waves this summer.

“The difference this year is that the heat wave has been earlier in the season,” said Scott Goldberg, director of EMS at Massachusetts General Brigham. “We’re generally not seeing this type of extreme heat for such a long period of time.”

A Globe analysis of EMS calls during the heat waves this summer shows that there were more calls when it was hotter outside. During the recent heat wave on the week of July 15, EMS calls were 6 percent to 21.6 percent above the daily call volume.

This was a consistent trend over the past four years. During a four-day heatwave that began on June 5, 2021, which EMS said was comparable to the one two weeks ago, calls were about 30 percent to 43 percent above the average daily volume.

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Center for Disease Control data also shows that emergency room admission for heat related illnesses picked up this summer compared to previous months this year.

According to the CDC Heat and Health tracker, a heat wave is defined as temperatures of 90 degrees and above each day for two days or more.

A threshold for declaring a heat emergency is a consecutive two days or more of 95 degree or higher heat index. The heat index takes into account both the temperature and relative humidity, which is a marker of how hot it feels outside. According to the National Weather Service, the heat index was 94 F at 12:45 p.m. on Thursday, the most current data available.

“When we’re hitting heat indexes above 90-95, it really does become dangerous,” said Yun.

The problem is poised to intensify.

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“Heat waves are unquestionably getting worse and will continue getting worse due to emissions,” said Mathew Barlow, a University of Massachusetts Lowell environmental Earth and atmospheric sciences professor.

Barlow says this heat is not a new normal, because we shouldn’t expect it to stay the same; instead, the next several years will be getting hotter.

Doctors are worried because the rising heat affects some of the region’s most vulnerable people such as the elderly and people with chronic medical conditions. Older people, who may have long term medical problems or take medications, need to be extra cautious with the intense heat, they said.

Some populations are at a higher risk of heat illness than others. There are those who are unable to limit their heat exposure such as outdoor workers, military personnel or unhoused people.

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A worker adjusts his helmet while working in temperatures above 90 degrees at a gas line work site, Thursday, June 20, 2024, on a street in Boston.Steven Senne/Associated Press

The lasting effects of heat are also known to impact those who do not have proper air conditioning, which represents about 5.5 percent of Boston households, according to a Boston Globe analysis of Census data.

Traditionally vulnerable low-income households are more affected by the heat waves because they often live in homes that are not energy-efficient and are expensive to cool. This “energy insecurity” makes it hard to stay comfortable and healthy during extreme heat, according to the US Environmental Protection Agency.

Heat has been rising across the country in the past decades. Major cities have been encountering heat waves more frequently, according to the agency. The average amount of annual heat waves rose from two a year during the 1960s to six a year during the 2010s and 2020s.

As heat waves become more common due to climate change, Massachusetts sits in an uncomfortable position where days will continue to be over 90 F during the summer. The populated urban areas with little tree coverage and open green space makes the region feel hotter.

There are predictions by the Massachusetts Department of Health Bureau of Climate and Environmental Health that by 2050 there will be a 10 to 28 day increase in extreme heat.

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“I’m worried that 10 to 15 years from now, we might be looking back in 2024 and say this was actually one of the coolest summers,” said Yun.

Warmer temperatures lead to more hospitalizations for health issues such as heart disease and heat exhaustion. If heat exhaustion isn’t treated, it can turn into heat stroke, which can cause serious illness, brain damage and death.

In severe cases, the heat waves can cause deaths. Even heat-related deaths have been rising in the U.S., with about 1,602 in 2021, 1,722 in 2022, and 2,302 in 2023.

Dr. Tess Wiskel, an emergency physician at Beth Israel Deaconess Medical Center, said the center saw more heat-related illnesses during the July 15 heat wave than in previous ones this summer.

“There’s no question that it’s adding to the burden of care that we need to give in the emergency department,” she said.

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Some doctors say they have experience with burnout and feeling stressed but not more than usual due to the ongoing issue of understaffing at ERs.

When temperatures reach high 80s and 90s, the Boston Public Health Commission recommends people to stay in air-conditioned spaces and limit outdoor activities.

“During heat emergencies, cooling centers are available for vulnerable residents. All Boston residents are encouraged to stay hydrated and check in on their neighbors,” said Dr. Bisola Ojikutu, executive director of the Boston Public Health Commission.


Rachel Umansky-Castro can be reached at rachel.umanskycastro@globe.com.

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Boston nightclub where woman suffered medical emergency and died has license reinstated

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Boston nightclub where woman suffered medical emergency and died has license reinstated


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After hearing testimony from club representatives and the loved ones of a woman who died there Dec. 21, regulators found no violations.

ICON, a nightclub in Boston’s Theater District, had its entertainment license reinstated at a hearing Thursday. Lane Turner/The Boston Globe

A Boston nightclub where a woman collapsed on the dance floor and died last month will have its entertainment license reinstated after the Boston Licensing Board found no violations Thursday.

Anastaiya Colon, 27, was at ICON, a nightclub in Boston’s Theater District, in the early hours of Dec. 21 when she suffered a fatal medical episode. Following the incident, her loved ones insisted that the club’s staff did not respond professionally and failed to control crowds.

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City regulators suspended ICON’s entertainment license pending an assessment of any potential violations. During a hearing Tuesday, they heard from attorneys representing the club and people who were with Colon the night she died.

Anastaiya Colon, 27, suffered a fatal medical episode Dec. 21 while at ICON.
Anastaiya Colon, 27, suffered a fatal medical episode Dec. 21 while at ICON. – GoFundMe

As EMTs attempted to respond, crowds inside the club failed to comply with demands to give them space, prompting police to shut down the club, according to a police report of the incident. However, the club and its representatives were adamant that staff handled their response and crowd control efforts properly.

Kevin Montgomery, the club’s head of security, testified that the crowd did not impede police or EMTs and that he waited to evacuate the club because doing so would have created a bottleneck at the entrance. Additionally, a bouncer and a bartender both testified that they interacted with Colon, who ordered one drink before collapsing, and did not see any signs of intoxication.

Angelica Morales, Colon’s sister, submitted a video taken on her phone to the board for them to review. Morales testified Tuesday that the video disproves some of the board’s claims and shows that ICON did not immediately respond to the emergency.

“I ran to the DJ booth, literally bombarded everybody that was in my way to get to the DJ booth, told them to cut the music off,” Morales said. “On my way back, the music was cut off for a minute or two, maybe less, and they cut the music back on.”

Shanice Monteiro, a friend who was with Colon and Morales, said she went outside to flag down police officers. She testified that their response, along with the crowd’s, was inadequate.

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“I struggled to get outside,” Monteiro said. “Once I got outside, everybody was still partying, there was no type of urgency. Nobody stopped.”

These factors, along with video evidence provided by ICON, did not substantiate any violations on the club’s part, prompting the licensing board to reinstate their entertainment license at a subsequent hearing Thursday.

“Based on the evidence presented at the hearing from the licensed premise and the spoken testimony and video evidence shared with us from Ms. Colon’s family, I’m not able to find a violation in this case,” Kathleen Joyce, the board’s chairwoman, said at the hearing.

However, Joyce further stated that she “was not able to resolve certain questions” about exactly when or why the club turned off the music or turned on the lights. As a result, the board will require ICON to submit an emergency management plan to prevent future incidents and put organized safety measures in place.

“This plan should outline detailed operational procedures in the event of a medical or any other emergency, including protocols for police and ambulance notification, crowd control and dispersal, and procedures regarding lighting and music during an emergency response,” Joyce said.

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Though the club will reopen without facing any violations, Joyce noted that there were “lessons left to be learned” from the incident.

“This tragedy has shaken the public confidence in nightlife in this area, and restoring that confidence is a shared obligation,” she said. “People should feel safe going out at night. They should feel safe going to a club in this area, and they should feel safe getting home.”

Keeana Saxon, one of three commissioners on the licensing board, further emphasized the distinction Joyce made between entertainment-related matters and those that pertained to licensing. Essentially, the deciding factor in the board’s decision was the separation of the club’s response from any accountability they may have had by serving Colon liquor.

“I hope that the family does understand that there are separate procedures for both the entertainment and the licensing, just to make sure that on the licensing side, that we understand that she was only served one drink and that it was absolutely unforeseeable for that one drink to then lead to some kind of emergency such as this one,” Saxon said.





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Battenfeld: Michelle Wu should demand better security after Boston Medical Center rape

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Battenfeld: Michelle Wu should demand better security after Boston Medical Center rape


In the middle of Michelle Wu’s orchestrated inaugural celebration, prosecutors described a senseless hospital horror that unfolded at Boston Medical Center – a rape of a partially paralyzed patient allegedly by a mentally ill man allowed to freely roam the hospital’s hallways.

It happened in September in what is supposed to be a safe haven but too often is a dangerous campus. Drug addicts with needles frequently openly camp in front of the hospital, and in early December a security guard suffered serious injuries in a stabbing on the BMC campus. The alleged assailant was finally subdued by other security guards after a struggle.

In the September incident, prosecutors described in court this week how the 55-year-old alleged rapist Barry Howze worked his way under the terrified victim’s bed in the BMC emergency room and sexually assaulted her.

“This assault was brutal and brazen, and occurred in a place where people go for help,” Suffolk County prosecutor Kate Fraiman said. “Due to her partial paralysis, she could not reach her phone, which was under her body at the time.”

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Howze, who reportedly has a history of violent offenses and mental illness, was able to flee the scene but was arrested two days later at the hospital when he tried to obtain a visitor’s pass and was recognized by security. Howze’s attorney blamed hospital staff for allowing him the opportunity to commit the crime and some city councilors are demanding answers.

“This was a horrific and violent sexual assault on a defenseless patient,” Councilor Ed Flynn said. “The safety and security of patients and staff at the hospital can’t be ignored any longer. The hospital leadership must make immediate and major changes and upgrades to their security department.”

Flynn also sent a letter to BMC CEO Alastair Bell questioning how the assailant was allowed to commit the rape.

Where is Wu? She was too busy celebrating herself with a weeklong inaugural of her second term to deal with the rape at the medical center, which is near the center of drug-ravaged Mass and Cass.

If the rape had happened at a suburban hospital, people would be demanding investigations and accountability.

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But in Boston, Wu takes credit for running the “safest major city in the country” while often ignoring crimes.

Wu should intervene and demand better security and safety for the staff and patients at BMC.

Although the hospital is no longer run by the city, it has a historic connection with City Hall. It is used by Boston residents, many of them poor and disabled or from marginalized communities. She should be out front like Flynn demanding accountability from the hospital.

Boston Medical Center, located in the city’s South End, is the largest “safety-net” hospital in New England. It is partially overseen by the Boston Public Health Commission, whose members are appointed by the mayor.

BMC was formed in 1996 by the Thomas Menino administration as a merger between the city-owned Boston City Hospital, which first opened in 1864, and Boston University Medical Center.

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Menino called the merger “the most important thing I will do as mayor.”

When he was appointed CEO by the hospital board of trustees in 2023, Bell offered recycled Wu-speak to talk about how BMC was trying to “reshape” how the hospital delivers health care.

“The way we think about the health of our patients and members extends beyond traditional medicine to environmental sustainability and issues such as housing, food insecurity, and economic mobility, as we study the root causes of health inequities and empower all of our patients and communities to thrive,” Bell said.

But the hospital has been plagued by security issues in the last few years, and a contract dispute with the nurses’ union. The nurses at BMC’s Brighton campus authorized a three-day strike late last year over management demands to cut staffing and retirement benefits.

Kirsten Ransom, BMC Brighton RN and Massachusetts Nurses Association co-chair, said, “This vote sends a clear message that our members are united in our commitment to make a stand for our patients, our community and our professional integrity in the wake of this blatant effort to balance BMC’s budget on the backs of those who have the greatest impact on the safety of the patients and the future success of this facility.”

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Boston City Hall intruder who stole from employees nabbed by police, after shoplifting arrest: BPD

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Boston City Hall intruder who stole from employees nabbed by police, after shoplifting arrest: BPD


Boston Police said they have nabbed the masked suspect who entered private office suites in City Hall during work hours and stole wallets stuffed with cash and credit cards from multiple employees.

The Boston Police Department identified Darrin O’Neil, 60, of Lowell as the suspect involved in the City Hall thefts, which occurred last month, on Dec. 1.

O’Neil was already being held after a prior shoplifting arrest at DICK’s House of Sport on Boylston Street when he was identified as the alleged perpetrator of the City Hall crime, following what the cops described as an “extensive investigation,” Boston Police said on Wednesday.

Three City Hall employees reported that their wallets, which contained cash, credit cards, health savings account cards, and personal ID were stolen from their offices, per Boston Police reports.

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One woman who had her wallet snatched out of her purse with two credit cards, her City Hall ID, Massachusetts driver’s license, insurance and library cards, and $100 in cash told police two of her coworkers saw an unknown man “in the area who was wearing a brown beanie, dark jacket, sweatpants, and a blue face mask.”

Two other employees told police that not only were cash and credit cards stolen from their offices, but the thief used the cards to rack up hundreds of dollars in unauthorized purchases — totaling $1,500 at Macy’s and Walgreens.

The incident led to calls from two city councilors, Ed Flynn and Erin Murphy, for the city to tighten up security protocols in light of the intrusion and theft, which occurred during work hours and was described by both as a “security breach.”

Mayor Michelle Wu’s office said a day later that steps have already been taken to increase security after the incident, which involved unauthorized access to “several” office suites that are restricted to authorized personnel only.

Municipal Protective Services, which provides security for city buildings, has increased internal patrols throughout City Hall as a result of the incident, the mayor’s office said.

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O’Neil was arrested on shoplifting charges on Dec. 27 at 760 Boylston St., after he was seen inside DICK’s House of Sport concealing merchandise, police said.

Police said they had responded to the store at 11:39 a.m. for a report of a theft in progress.

While police approached, O’Neil was seen exiting the sporting goods store. The cops “were able to quickly stop the suspect and could see clothing with tags affixed to them inside of a bag,” police said.

During a search, about $408 of stolen merchandise was recovered, police said.

For the shoplifting incident, O’Neil was arrested and charged with larceny under $1,200 and being a common and notorious thief, police said.

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After further investigation, police said they determined that O’Neil had seven active warrants for his arrest for charges of four counts of larceny from a building, three counts of receiving stolen property under $1,200, two counts of larceny of a credit card, shoplifting by asportation, credit card fraud under $1,200, and shoplifting by concealing merchandise.



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