WASHINGTON (AP) — Defense Secretary Lloyd Austin said Sunday he has ordered the Ford carrier strike group to sail to the Eastern Mediterranean to be ready to assist Israel after the surprise attack by Hamas that has left more than 1,000 dead and thousands wounded on both sides.

The USS Gerald R. Ford and its approximately 5,000 sailors and deck of warplanes will be accompanied by cruisers and destroyers in a show of force that is meant to be ready to respond to anything, from possibly interdicting additional weapons from reaching Hamas and conducting surveillance.

The large deployment, which also includes a host of ships and warplanes, underscores the concern that the United States has in trying to deter the conflict from growing. The Israeli government formally declared war Sunday and gave the green light for “significant military steps” to retaliate against Hamas.

Secretary of State Antony Blinken said the U.S. was trying to verify reports that several Americans were killed and some were taken captive by Hamas.

Along with the Ford the U.S. is sending the cruiser USS Normandy, destroyers USS Thomas Hudner, USS Ramage, USS Carney, and USS Roosevelt and the U.S. is augmenting Air Force F-35, F-15, F-16, and A-10 fighter aircraft squadrons in the region.

“The U.S. maintains ready forces globally to further reinforce this deterrence posture if required,” Austin said in a statement.

In addition, the Biden administration “will be rapidly providing the Israel Defense Forces with additional equipment and resources, including munitions. The first security assistance will begin moving today and arriving in the coming days,” Austin said.

The Norfolk, Virginia-based carrier strike group( was already in the Mediterranean. Last week it was conducting naval exercises with Italy in the Ionian Sea. It’s the United States newest and most advanced aircraft carrier and this is its first full deployment.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696803172229.png" alt="The USS Gerald R. Ford and its approximately 5,000 sailors and deck of warplanes will be accompanied by cruisers and destroyers in a show of force that is meant to be ready to respond to anything, from possibly interdicting additional weapons from reaching Hamas and conducting surveillance.-photo U.S. Central Command" />
 <figcaption>The USS Gerald R. Ford and its approximately 5,000 sailors and deck of warplanes will be accompanied by cruisers and destroyers in a show of force that is meant to be ready to respond to anything, from possibly interdicting additional weapons from reaching Hamas and conducting surveillance.-photo U.S. Central Command</figcaption>
 </figure>WASHINGTON (AP) — Defense Secretary Lloyd Austin said Sunday he has ordered the Ford carrier strike group to sail to the Eastern Mediterranean to be ready to assist Israel after the surprise attack by Hamas that has left more than 1,000 dead and thousands wounded on both sides.<div><blockquote class="twitter-tweet">Strengthening our joint force posture, in addition to the materiel support—including munitions—that we will rapidly provide to Israel, underscores the United States’ ironclad support for Israel.&mdash; Secretary of Defense Lloyd J. Austin III (@SecDef) <a href="https://twitter.com/SecDef/status/1711075334827675754?ref_src=twsrc%5Etfw">October 8, 2023</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script></div>The USS Gerald R. Ford and its approximately 5,000 sailors and deck of warplanes will be accompanied by cruisers and destroyers in a show of force that is meant to be ready to respond to anything, from possibly interdicting additional weapons from reaching Hamas and conducting surveillance.The large deployment, which also includes a host of ships and warplanes, underscores the concern that the United States has in trying to deter the conflict from growing. The Israeli government formally declared war Sunday and gave the green light for “significant military steps” to retaliate against Hamas.Secretary of State Antony Blinken said the U.S. was trying to verify reports that several Americans were killed and some were taken captive by Hamas.Along with the Ford the U.S. is sending the cruiser USS Normandy, destroyers USS Thomas Hudner, USS Ramage, USS Carney, and USS Roosevelt and the U.S. is augmenting Air Force F-35, F-15, F-16, and A-10 fighter aircraft squadrons in the region.“The U.S. maintains ready forces globally to further reinforce this deterrence posture if required,” Austin said in a statement.In addition, the Biden administration “will be rapidly providing the Israel Defense Forces with additional equipment and resources, including munitions. The first security assistance will begin moving today and arriving in the coming days,” Austin said.The Norfolk, Virginia-based carrier strike group( was already in the Mediterranean. Last week it was conducting naval exercises with Italy in the Ionian Sea. It’s the United States newest and most advanced aircraft carrier and this is its first full deployment.

 US sending warships, weapons to support Israel

DETROIT (AP) — Union workers at Mack Trucks went on strike Monday after voting down a tentative five-year contract agreement that negotiators had reached with the company.

The United Auto Workers said 4,000 unionized workers walked out at 7 a.m., adding to&nbsp;<a href="https://apnews.com/article/auto-workers-strike-ford-general-motors-stellantis-5f185f6615a1b3690af744641508c8e2">labor turmoil in the industry</a>&nbsp;that has ensnared all three big Detroit automakers.

With those workers joining picket lines, the total number of UAW members that are on strike now exceeds 30,000 across 22 states, the union said Monday.

Union President Shawn Fain said in a letter to Mack parent company Volvo Trucks that 73% of workers voted against the deal in results counted on Sunday.

The UAW represents Mack workers in Pennsylvania, Maryland and Florida. Union leaders had reached a tentative agreement on the deal on Oct. 1.

UAW Locals 171, 677, 1247, 2301, and 2420 in UAW Region 8 and Region 9 represent workers at Mack Trucks in Macungie and Middletown, Pennsylvania; Hagerstown and Baltimore, Maryland; and Jacksonville, Florida.

The deal negotiators had reached with Mack just over a week ago included a 19% pay raise over the life of the contract with 10% upon ratification. There also was a $3,500 ratification bonus, no increase in weekly health care contributions, increased annual lump sum payments for retirees and a $1,000 annual 401(k) lump sum to offset health care costs for employees who don’t get health insurance after retirement.

Fain said in his letter to Volvo Trucks' head of labor relations that employees working early Monday would exit the factories after performing tasks needed to prevent damage to company equipment.

Fain wrote that UAW members and workers across the country are seeking their fair share in wages and benefits.

The company and union are still apart on work schedules, health and safety, pensions, health care, prescription drug coverage, overtime and other issues, he wrote.

The contract may have been sunk by high expectations Fain has set in bargaining with Detroit’s three automakers. In those talks, the UAW has asked for 36% raises over four years, while Ford has offered 23% and the other two firms are at 20%.

“I’m inspired to see UAW members at Mack Trucks holding out for a better deal, and ready to stand up and walk off the job to win it,” Fain said in a prepared statement. “The members have the final say, and it’s their solidarity and organization that will win a fair contract at Mack.”

Mack Trucks President Stephen Roy said in a statement Sunday night that the company is “surprised and disappointed” that the union chose to strike. The union, he wrote, called the tentative agreement a record for the heavy truck industry. “We trust that other stakeholders also appreciate that our market, business and competitive set are very different from those of the passenger car makers,” the statement said.

Mack, he wrote, is part of the only heavy truck manufacturing group that assembles all of its vehicles and engines for North America in the U.S., competing against trucks built in lower-cost countries.

The company is committed to collective bargaining and is confident both sides will reach a deal that delivers competitive wages and benefits while safeguarding the company’s future, the statement said.

The UAW went on strike at selected factories run by automakers General Motors, Ford and Jeep maker Stellantis on Sept. 15. It started with one assembly plant for each company, then spread to 38 GM and Stellantis parts warehouses. Two additional assembly plants at Ford and GM were added later.

DETROIT (AP) — Union workers at Mack Trucks have voted down a tentative five-year contract agreement reached with the company and plan to strike at 7 a.m. Monday, the United Auto Workers union says.

The UAW represents about 4,000 Mack workers in three states. Union leaders had reached a tentative agreement on the deal on Oct. 1.

The deal included a 19% pay raise over the life of the contract with 10% upon ratification. There also was a $3,500 ratification bonus, no increase in weekly health care contributions, increased annual lump sum payments for retirees and a $1,000 annual 401(k) lump sum to offset health care costs for employees who don’t get health insurance after retirement.

Fain said in his letter to Volvo Trucks’ head of labor relations that employees working early Monday will exit the factories after performing tasks needed to prevent damage to company equipment.

The workers are in Pennsylvania, Maryland and Florida.

Fain wrote that UAW members and workers across the country are seeking their fair share in wages and benefits. “The union remains committed to exploring all options for reaching an agreement, but we clearly are not there yet.”

On Friday, the union decided not to expand the strikes to any more plants for the time being after GM agreed to bring its electric vehicle battery factories into the UAW’s national contract, assuring that they’ll be unionized. The union also reported progress with all three automakers.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696847042061.png" alt="The UAW represents about 4,000 Mack workers in three states." />
 <figcaption>The UAW represents about 4,000 Mack workers in three states.</figcaption>
 </figure>DETROIT (AP) — Union workers at Mack Trucks went on strike Monday after voting down a tentative five-year contract agreement that negotiators had reached with the company.The United Auto Workers said 4,000 unionized workers walked out at 7 a.m., adding to&nbsp;<a href="https://apnews.com/article/auto-workers-strike-ford-general-motors-stellantis-5f185f6615a1b3690af744641508c8e2">labor turmoil in the industry</a>&nbsp;that has ensnared all three big Detroit automakers.With those workers joining picket lines, the total number of UAW members that are on strike now exceeds 30,000 across 22 states, the union said Monday.Union President Shawn Fain said in a letter to Mack parent company Volvo Trucks that 73% of workers voted against the deal in results counted on Sunday.The UAW represents Mack workers in Pennsylvania, Maryland and Florida. Union leaders had reached a tentative agreement on the deal on Oct. 1.UAW Locals 171, 677, 1247, 2301, and 2420 in UAW Region 8 and Region 9 represent workers at Mack Trucks in Macungie and Middletown, Pennsylvania; Hagerstown and Baltimore, Maryland; and Jacksonville, Florida.The deal negotiators had reached with Mack just over a week ago included a 19% pay raise over the life of the contract with 10% upon ratification. There also was a $3,500 ratification bonus, no increase in weekly health care contributions, increased annual lump sum payments for retirees and a $1,000 annual 401(k) lump sum to offset health care costs for employees who don’t get health insurance after retirement.Fain said in his letter to Volvo Trucks' head of labor relations that employees working early Monday would exit the factories after performing tasks needed to prevent damage to company equipment.Fain wrote that UAW members and workers across the country are seeking their fair share in wages and benefits.The company and union are still apart on work schedules, health and safety, pensions, health care, prescription drug coverage, overtime and other issues, he wrote.The contract may have been sunk by high expectations Fain has set in bargaining with Detroit’s three automakers. In those talks, the UAW has asked for 36% raises over four years, while Ford has offered 23% and the other two firms are at 20%.“I’m inspired to see UAW members at Mack Trucks holding out for a better deal, and ready to stand up and walk off the job to win it,” Fain said in a prepared statement. “The members have the final say, and it’s their solidarity and organization that will win a fair contract at Mack.”Mack Trucks President Stephen Roy said in a statement Sunday night that the company is “surprised and disappointed” that the union chose to strike. The union, he wrote, called the tentative agreement a record for the heavy truck industry. “We trust that other stakeholders also appreciate that our market, business and competitive set are very different from those of the passenger car makers,” the statement said.Mack, he wrote, is part of the only heavy truck manufacturing group that assembles all of its vehicles and engines for North America in the U.S., competing against trucks built in lower-cost countries.The company is committed to collective bargaining and is confident both sides will reach a deal that delivers competitive wages and benefits while safeguarding the company’s future, the statement said.The UAW went on strike at selected factories run by automakers General Motors, Ford and Jeep maker Stellantis on Sept. 15. It started with one assembly plant for each company, then spread to 38 GM and Stellantis parts warehouses. Two additional assembly plants at Ford and GM were added later.---------------DETROIT (AP) — Union workers at Mack Trucks have voted down a tentative five-year contract agreement reached with the company and plan to strike at 7 a.m. Monday, the United Auto Workers union says.Union President Shawn Fain said in a letter to Mack parent company Volvo Trucks that 73% of workers voted against the deal in results counted on Sunday.The UAW represents about 4,000 Mack workers in three states. Union leaders had reached a tentative agreement on the deal on Oct. 1.<div><blockquote class="twitter-tweet">BREAKING: 4,000 UAW members at Mack Trucks have voted to REJECT a tentative agreement, and will STRIKE at 7 am on Monday. &quot;I&#39;m inspired to see UAW members at Mack holding out for a better deal, and ready to stand up and walk off the job to win it,&quot; said UAW President Shawn Fain. <a href="https://t.co/YFYfqikSMh">pic.twitter.com/YFYfqikSMh</a>&mdash; UAW (@UAW) <a href="https://twitter.com/UAW/status/1711186526153900080?ref_src=twsrc%5Etfw">October 9, 2023</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script></div>The deal included a 19% pay raise over the life of the contract with 10% upon ratification. There also was a $3,500 ratification bonus, no increase in weekly health care contributions, increased annual lump sum payments for retirees and a $1,000 annual 401(k) lump sum to offset health care costs for employees who don’t get health insurance after retirement.Fain said in his letter to Volvo Trucks’ head of labor relations that employees working early Monday will exit the factories after performing tasks needed to prevent damage to company equipment.The workers are in Pennsylvania, Maryland and Florida.Fain wrote that UAW members and workers across the country are seeking their fair share in wages and benefits. “The union remains committed to exploring all options for reaching an agreement, but we clearly are not there yet.”The company and union are still apart on work schedules, health and safety, pensions, health care, prescription drug coverage, overtime and other issues, he wrote.The contract may have been sunk by high expectations Fain has set in bargaining with Detroit’s three automakers. In those talks, the UAW has asked for 36% raises over four years, while Ford has offered 23% and the other two firms are at 20%.Mack Trucks President Stephen Roy said in a statement Sunday night that the company is “surprised and disappointed” that the union chose to strike. The union, he wrote, called the tentative agreement a record for the heavy truck industry. “We trust that other stakeholders also appreciate that our market, business and competitive set are very different from those of the passenger car makers,” the statement said.Mack, he wrote, is part of the only heavy truck manufacturing group that assembles all of its vehicles and engines for North America in the U.S., competing against trucks built in lower-cost countries.The company is committed to collective bargaining and is confident both sides will reach a deal that delivers competitive wages and benefits while safeguarding the company’s future, the statement said.The UAW went on strike at selected factories run by automakers General Motors, Ford and Jeep maker Stellantis on Sept. 15. It started with one assembly plant for each company, then spread to 38 GM and Stellantis parts warehouses. Two additional assembly plants at Ford and GM were added later.On Friday, the union decided not to expand the strikes to any more plants for the time being after GM agreed to bring its electric vehicle battery factories into the UAW’s national contract, assuring that they’ll be unionized. The union also reported progress with all three automakers.

Workers at Mack Trucks go on strike after rejecting contract deal

SHAWNEE COUNTY —Law enforcement authorities are investigating a suspect on drug allegations.

On Oct. 6, members of the Topeka Police Department Narcotics Unit served a search warrant in the 1900 Block of SE 24th Street related to an ongoing investigation, according to Police Lt. Ronnie Connell.

While conducting the search warrants, officers located methamphetamine, marijuana, and drug paraphernalia. As a result, Baileah Flynn, 25, was transported to the Shawnee County Department and booked into jail on requested charges Possession of methamphetamines and Possession of drug paraphernalia.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696588969908.png" alt="Flynn-photo Shawnee Co." />
 <figcaption>Flynn-photo Shawnee Co.</figcaption>
 </figure>SHAWNEE COUNTY —Law enforcement authorities are investigating a suspect on drug allegations.On Oct. 6, members of the Topeka Police Department Narcotics Unit served a search warrant in the 1900 Block of SE 24th Street related to an ongoing investigation, according to Police Lt. Ronnie Connell.While conducting the search warrants, officers located methamphetamine, marijuana, and drug paraphernalia. As a result, Baileah Flynn, 25, was transported to the Shawnee County Department and booked into jail on requested charges Possession of methamphetamines and Possession of drug paraphernalia.

Police found meth and marijuana at Kansas home

SEDGWICK COUNTY — A man from Texas is going to prison for a deadly Memorial Day weekend crash in 2021 that killed a Kansas woman.

A judge sentenced 37-year-old Scott Cabrales to 24 months with 36 months post-release supervision, according to the Sedgwick County District Attorney's office.

In July, Cabrales he pleaded guilty to involuntary manslaughter while driving under the influence and no proof of insurance, according to the district attorney's office.

In May of 2021, police responded to an injury accident with a driver pinned in a vehicle at Maple and Martinson, according to Officer Charley Davidson.

Upon arrival, officer’s located 80-year-old Frankie Baxter pinned inside of a vehicle. Police with the assistance of the Wichita Fire Department removed her from the vehicle and she pronounced deceased on the scene, according to Davidson.

The investigation revealed that Baxter was driving a 2015 Hyundai Tucson northbound on Elizabeth Street in Wichita. She turned to travel eastbound on Maple.

A 2008 Maxda Six driven by Cabrales, who lived in Wichita at the time, was eastbound on Maple at a high rate of speed and believed to be under the influence of alcohol.&nbsp; The Mazda struck the rear driver's side of the Hyundai. The impact caused the Hyundai to strike the curb and a tree.

EMS transported Cabrales to an area hospital for medical treatment of minor injuries and then booked him into jail.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/2/1676078965589.png" alt="Cabrales-photo Sedgwick County" />
 <figcaption>Cabrales-photo Sedgwick County</figcaption>
 </figure>SEDGWICK COUNTY — A man from Texas is going to prison for a deadly Memorial Day weekend crash in 2021 that killed a Kansas woman.A judge sentenced 37-year-old Scott Cabrales to 24 months with 36 months post-release supervision, according to the Sedgwick County District Attorney's office.In July, Cabrales he pleaded guilty to involuntary manslaughter while driving under the influence and no proof of insurance, according to the district attorney's office.In May of 2021, police responded to an injury accident with a driver pinned in a vehicle at Maple and Martinson, according to Officer Charley Davidson.Upon arrival, officer’s located 80-year-old Frankie Baxter pinned inside of a vehicle. Police with the assistance of the Wichita Fire Department removed her from the vehicle and she pronounced deceased on the scene, according to Davidson.The investigation revealed that Baxter was driving a 2015 Hyundai Tucson northbound on Elizabeth Street in Wichita. She turned to travel eastbound on Maple.A 2008 Maxda Six driven by Cabrales, who lived in Wichita at the time, was eastbound on Maple at a high rate of speed and believed to be under the influence of alcohol.&nbsp; The Mazda struck the rear driver's side of the Hyundai. The impact caused the Hyundai to strike the curb and a tree.EMS transported Cabrales to an area hospital for medical treatment of minor injuries and then booked him into jail.

Man sentenced for crash that killed 80-year-old Kan. woman

WASHINGTON (AP) — Updated&nbsp;<a href="https://apnews.com/article/covid-vaccines-coronavirus-234f27c74438fb4812a014dbd98ddbde">COVID-19 vaccines</a>&nbsp;may be getting a little easier for adults to find but they’re still frustratingly scarce for young children. Health officials said Thursday the kid shots have started shipping — and reminded most everyone to get a fall flu shot too.

About 2 million Americans have gotten the new COVID-19 shot in the&nbsp; weeks since its approval despite&nbsp;<a href="https://apnews.com/article/covid-vaccine-delays-cdc-moderna-pfizer-ba66d06cbcc31ba4b22d60e93d3d5024">early barriers from insurance companies</a>&nbsp;and other glitches, according to the Department of Health and Human Services.

For the first time, the U.S. has vaccines to fight a trio of viruses that cause fall and winter misery. But health officials worry that shot fatigue and hassles in getting them will leave too many people needlessly unprotected.

“We need to use them,” Dr. Mandy Cohen, director of the Centers for Disease Control and Prevention, said Thursday. “Right now is the right time.”

A flu vaccination and that updated COVID-19 shot are urged for just about everyone, starting with babies as young as 6 months.

Also this year, a vaccine against another scary virus called RSV is&nbsp;<a href="https://apnews.com/article/rsv-vaccine-adults-gsk-pfizer-cdc-virus-592dcd5ae36cdbec8c003511f5fd27f0">recommended for people 60 and older</a>&nbsp;and for&nbsp;<a href="https://apnews.com/article/rsv-vaccine-infants-cdc-e30abab0c84ab22ddddc4963dad7c0ad">certain pregnant women</a>. And for babies,&nbsp;<a href="https://apnews.com/article/rsv-babies-drug-cdc-astrazeneca-sanofi-shot-c03b72aaa51e59176cfa3feb3ceac06c">a vaccinelike medicine</a>&nbsp;to guard against that respiratory syncytial virus is expected to arrive next month.

“These vaccines may not be perfect in being able to prevent absolutely every infection with these illnesses, but they turn a wild infection into a milder one,” said Dr. William Schaffner of Vanderbilt University and the National Foundation for Infectious Diseases.

This year’s vaccine is updated to protect against newer versions of the constantly evolving coronavirus. Already there’s been a late summer jump in infections, hospitalizations and deaths. And so far the new vaccine recipe appears to be a good match to the variants currently circulating.

Protection against COVID-19, whether from vaccination or from an earlier infection, wanes over time — and most Americans haven’t had a vaccine dose in about a year. Everyone 5 and older will need just one shot this fall even if they’ve never had a prior vaccination, while younger children may need additional doses depending on their vaccination and infection history.

The rollout's start has been messy. This time the government isn't buying and distributing shots for free. Now drugstores, doctors' offices and other providers had to place their own orders, and sometimes canceled appointments if supplies didn't arrive in time. Some people had to wait for their insurance companies to update the billing codes needed to cover them or risk paying out of pocket.

Manufacturers Pfizer and Moderna have shipped millions of doses, and say there’s plenty of supply — and in recent days, more appointments have started opening, at least for people 12 and older. In a Wednesday meeting, insurance companies told HHS Secretary Xavier Becerra they've largely resolved the paperwork issues blocking some patients' vaccinations.

The shots are supposed to be provided free in-network to the insured. For the uninsured or underinsured, CDC has opened what it's calling a&nbsp;<a href="https://www.cdc.gov/vaccines/programs/bridge/index.html">“bridge”</a>&nbsp;program to provide free shots at certain sites.

WHY CAN’T PARENTS FIND COVID-19 SHOTS FOR YOUNGER KIDS?

Adult doses got shipped first, CDC’s Cohen said. Doses for the under-12 set have begun shipping, and “the supply is filling out,” she said.

Drugstore chain CVS said its doses for ages 5 and older began arriving last week, although supplies vary by location, while its MinuteClinic locations anticipate opening appointments for tots as young as 18 months in the coming days.

As for pediatricians, they’ve had to guess how many doses to buy up-front while waiting to learn how much insurance companies would reimburse them for each shot, said Dr. Jesse Hackell of the American Academy of Pediatrics. He said early parent demand is heartening but that pediatricians expect to spend lots of time this fall explaining to hesitant families how important COVID-19 vaccination is even for healthy children.

In Redmond, Washington, Ania Mitros got herself, her husband and her 13-year-old vaccinated pretty easily but despite calls to multiple pharmacies and clinics can't find anyone to tell her when shots for her 8- and 11-year-old will be available. “There need to be clear expectations,” she said.

Fewer Americans got a flu vaccine last year than before the coronavirus pandemic –- a discouraging gap that CDC hopes to reverse.

People need a flu vaccine every fall because influenza also mutates each year. Like with COVID-19, flu is most dangerous to older adults, the very young and people with weak immune systems, lung, heart or other chronic health problems, or who are pregnant.

There are multiple kinds of flu vaccines, including a nasal spray version for certain younger people. More important, three kinds are specifically recommended for seniors because they do a better job revving up an older adult’s immune system.

CAN I GET A FLU SHOT AND COVID-19 SHOT AT THE SAME TIME?

Yes, although one in each arm might be more comfortable.

RSV is a cold-like nuisance for most people, and not as well-known as the flu. But RSV packs hospitals every winter and kills several hundred tots and thousands of seniors. The CDC says already, RSV cases are rising in the Southeast.

RSV vaccines from GSK and Pfizer are approved for adults 60 and older.

Drugstores have adequate supplies but some seniors are reporting hurdles such as requirements to get a prescription. That’s because the CDC recommended that seniors talk with their doctors about the new vaccine. Cohen said it was meant just for education about a virus that people may not know much about.

“We want folks to ... get access to the vaccine as quickly as possible,” she said.

The FDA also has approved Pfizer’s RSV vaccine to be given late in pregnancy so moms-to-be pass virus-fighting antibodies to their fetuses, offering some protection at birth. The CDC is recommending that pregnancy vaccinations be offered between September and January, when RSV tends to be most common.

There's no vaccine for children but babies whose mothers didn't get vaccinated in pregnancy may get&nbsp;<a href="https://apnews.com/article/rsv-babies-drug-cdc-astrazeneca-sanofi-shot-c03b72aaa51e59176cfa3feb3ceac06c">an injection of lab-made antibodies</a>&nbsp;to guard against RSV. Called Beyfortus, the one-dose shot from Sanofi and AstraZeneca is different than a vaccine, which teaches the body to make its own infection-fighting antibodies, but is similarly protective. Cohen said it should be available in October.

<figure>
 <img src="https://media.eaglewebservices.com/public/2022/12/1672157207598.jpg" alt="" />
 <figcaption></figcaption>
 </figure>WASHINGTON (AP) — Updated&nbsp;<a href="https://apnews.com/article/covid-vaccines-coronavirus-234f27c74438fb4812a014dbd98ddbde">COVID-19 vaccines</a>&nbsp;may be getting a little easier for adults to find but they’re still frustratingly scarce for young children. Health officials said Thursday the kid shots have started shipping — and reminded most everyone to get a fall flu shot too.About 2 million Americans have gotten the new COVID-19 shot in the&nbsp; weeks since its approval despite&nbsp;<a href="https://apnews.com/article/covid-vaccine-delays-cdc-moderna-pfizer-ba66d06cbcc31ba4b22d60e93d3d5024">early barriers from insurance companies</a>&nbsp;and other glitches, according to the Department of Health and Human Services.For the first time, the U.S. has vaccines to fight a trio of viruses that cause fall and winter misery. But health officials worry that shot fatigue and hassles in getting them will leave too many people needlessly unprotected.“We need to use them,” Dr. Mandy Cohen, director of the Centers for Disease Control and Prevention, said Thursday. “Right now is the right time.”A flu vaccination and that updated COVID-19 shot are urged for just about everyone, starting with babies as young as 6 months.Also this year, a vaccine against another scary virus called RSV is&nbsp;<a href="https://apnews.com/article/rsv-vaccine-adults-gsk-pfizer-cdc-virus-592dcd5ae36cdbec8c003511f5fd27f0">recommended for people 60 and older</a>&nbsp;and for&nbsp;<a href="https://apnews.com/article/rsv-vaccine-infants-cdc-e30abab0c84ab22ddddc4963dad7c0ad">certain pregnant women</a>. And for babies,&nbsp;<a href="https://apnews.com/article/rsv-babies-drug-cdc-astrazeneca-sanofi-shot-c03b72aaa51e59176cfa3feb3ceac06c">a vaccinelike medicine</a>&nbsp;to guard against that respiratory syncytial virus is expected to arrive next month.“These vaccines may not be perfect in being able to prevent absolutely every infection with these illnesses, but they turn a wild infection into a milder one,” said Dr. William Schaffner of Vanderbilt University and the National Foundation for Infectious Diseases.Some things to know:WHY DO I NEED ANOTHER COVID-19 SHOT?This year’s vaccine is updated to protect against newer versions of the constantly evolving coronavirus. Already there’s been a late summer jump in infections, hospitalizations and deaths. And so far the new vaccine recipe appears to be a good match to the variants currently circulating.Protection against COVID-19, whether from vaccination or from an earlier infection, wanes over time — and most Americans haven’t had a vaccine dose in about a year. Everyone 5 and older will need just one shot this fall even if they’ve never had a prior vaccination, while younger children may need additional doses depending on their vaccination and infection history.HOW HARD IS IT TO FIND COVID-19 SHOTS?The rollout's start has been messy. This time the government isn't buying and distributing shots for free. Now drugstores, doctors' offices and other providers had to place their own orders, and sometimes canceled appointments if supplies didn't arrive in time. Some people had to wait for their insurance companies to update the billing codes needed to cover them or risk paying out of pocket.Manufacturers Pfizer and Moderna have shipped millions of doses, and say there’s plenty of supply — and in recent days, more appointments have started opening, at least for people 12 and older. In a Wednesday meeting, insurance companies told HHS Secretary Xavier Becerra they've largely resolved the paperwork issues blocking some patients' vaccinations.The shots are supposed to be provided free in-network to the insured. For the uninsured or underinsured, CDC has opened what it's calling a&nbsp;<a href="https://www.cdc.gov/vaccines/programs/bridge/index.html">“bridge”</a>&nbsp;program to provide free shots at certain sites.WHY CAN’T PARENTS FIND COVID-19 SHOTS FOR YOUNGER KIDS?Adult doses got shipped first, CDC’s Cohen said. Doses for the under-12 set have begun shipping, and “the supply is filling out,” she said.Drugstore chain CVS said its doses for ages 5 and older began arriving last week, although supplies vary by location, while its MinuteClinic locations anticipate opening appointments for tots as young as 18 months in the coming days.As for pediatricians, they’ve had to guess how many doses to buy up-front while waiting to learn how much insurance companies would reimburse them for each shot, said Dr. Jesse Hackell of the American Academy of Pediatrics. He said early parent demand is heartening but that pediatricians expect to spend lots of time this fall explaining to hesitant families how important COVID-19 vaccination is even for healthy children.In Redmond, Washington, Ania Mitros got herself, her husband and her 13-year-old vaccinated pretty easily but despite calls to multiple pharmacies and clinics can't find anyone to tell her when shots for her 8- and 11-year-old will be available. “There need to be clear expectations,” she said.WHAT ABOUT FLU VACCINE?Fewer Americans got a flu vaccine last year than before the coronavirus pandemic –- a discouraging gap that CDC hopes to reverse.People need a flu vaccine every fall because influenza also mutates each year. Like with COVID-19, flu is most dangerous to older adults, the very young and people with weak immune systems, lung, heart or other chronic health problems, or who are pregnant.There are multiple kinds of flu vaccines, including a nasal spray version for certain younger people. More important, three kinds are specifically recommended for seniors because they do a better job revving up an older adult’s immune system.CAN I GET A FLU SHOT AND COVID-19 SHOT AT THE SAME TIME?Yes, although one in each arm might be more comfortable.WHO NEEDS THE NEW RSV VACCINE?RSV is a cold-like nuisance for most people, and not as well-known as the flu. But RSV packs hospitals every winter and kills several hundred tots and thousands of seniors. The CDC says already, RSV cases are rising in the Southeast.RSV vaccines from GSK and Pfizer are approved for adults 60 and older.Drugstores have adequate supplies but some seniors are reporting hurdles such as requirements to get a prescription. That’s because the CDC recommended that seniors talk with their doctors about the new vaccine. Cohen said it was meant just for education about a virus that people may not know much about.“We want folks to ... get access to the vaccine as quickly as possible,” she said.WHAT ABOUT BABIES AND RSV?The FDA also has approved Pfizer’s RSV vaccine to be given late in pregnancy so moms-to-be pass virus-fighting antibodies to their fetuses, offering some protection at birth. The CDC is recommending that pregnancy vaccinations be offered between September and January, when RSV tends to be most common.There's no vaccine for children but babies whose mothers didn't get vaccinated in pregnancy may get&nbsp;<a href="https://apnews.com/article/rsv-babies-drug-cdc-astrazeneca-sanofi-shot-c03b72aaa51e59176cfa3feb3ceac06c">an injection of lab-made antibodies</a>&nbsp;to guard against RSV. Called Beyfortus, the one-dose shot from Sanofi and AstraZeneca is different than a vaccine, which teaches the body to make its own infection-fighting antibodies, but is similarly protective. Cohen said it should be available in October.___

What to know as fall vaccinations against COVID, flu and RSV underway

By RACHEL MIPRO&nbsp;<a href="http://www.kansasreflector.com/">Kansas Reflector</a>

TOPEKA — The death of a homeless 5-year-old girl has reignited anger and conversation about the efficacy of the state’s child welfare services.

During a Wednesday meeting on child welfare oversight, lawmakers questioned Kansas Department for Children and Families secretary Laura Howard about the case.

“There’s a very tragic murder that took place here in Shawnee County just a couple of days ago, where a 5-year-old child was brutally killed,” Howard said. “Very, very tragic circumstances.”

On Monday, officers were sent to a gas station in southeast Topeka, where first responders were treating a young child who had been sexually assaulted, according to police. She was taken to a local hospital for treatment of life-threatening injuries and was later pronounced dead.&nbsp;

Her former neighbors said she had been living in a homeless camp at the time of her death, the&nbsp;<a target="_blank" href="https://www.cjonline.com/story/news/local/2023/10/05/zoey-felix-former-topeka-home-city-evergy-utilities-shut-off/71061637007/">Topeka Capital-Journal reported</a>.&nbsp;&nbsp;

Howard said she couldn’t legally say anything about the case in a public setting before investigation protocols had been settled but would speak with lawmakers privately during an executive session. During the meeting, lawmakers talked with Howard behind closed doors.&nbsp;

“I know it sounds technical, but it’s the law,” Howard said. “It’s really about protecting children and families. I can make comments in a closed executive session that this committee has the authority to do.”

In cases where a child dies in state custody, or in cases that had been referred to DCF investigators before the child’s death, DCF has to decide whether the child’s death was the result of abuse or neglect. If it is, DCF has seven days to release information on reports of abuse or neglect received by the agency, as well as the department’s response to these reports when the information is requested.

That law grew out of&nbsp;<a target="_blank" href="https://kansasreflector.com/2021/02/17/parents-grandparents-of-kansas-foster-kids-cry-out-for-new-oversight-office/">another case</a>&nbsp;that sparked public horror and outcry — a 7-year-old boy who was killed in 2015 after DCF ignored repeated warnings about his living conditions.

His case, along with repeated&nbsp;<a target="_blank" href="https://kansasreflector.com/2021/12/23/audit-of-kansas-foster-care-provider-scrutinizes-financial-controls-it-costs-ceo-travel-ppp-loan/">oversight failures</a>&nbsp;within the foster care system, was the impetus for&nbsp;<a target="_blank" href="https://kansasreflector.com/2021/02/17/parents-grandparents-of-kansas-foster-kids-cry-out-for-new-oversight-office/">the creation of the Office of the Child Advocate</a>. In a<a target="_blank" href="https://www.ag.ks.gov/docs/default-source/reports/scdrb/2023-scdrb-annual-report-final.pdf?sfvrsn=e98abf1a_4">&nbsp;recently released report</a>&nbsp;on adolescent deaths in the state for 2021, officials asked for more oversight of the child welfare system.

A board of health professionals, law enforcement officers, educators and attorneys examines each child death in Kansas, and the resulting report in 2021 recommended consistent case monitoring and better communication within child welfare agencies.&nbsp;

Between 2019 to 2021, 392 out of 1,074 child fatalities reviewed by the board had history with DCF’s child protective services, according to a yearly analysis, with situations like being held in state custody, having siblings removed from the home, or having open child protective services cases.&nbsp;

There were 32 child homicides in 2021. Twenty-three of those families had been involved with child protective services before death.&nbsp;

“Additional child welfare improvement is needed in Kansas to reduce the number of child abuse and neglect deaths,” according to the report.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696769820568.png" alt=" In reviews of child fatalities from 2021, DCF had been involved with a majority of the children before they died. (Sam Bailey/Kansas Reflector)" />
 <figcaption> In reviews of child fatalities from 2021, DCF had been involved with a majority of the children before they died. (Sam Bailey/Kansas Reflector)</figcaption>
 </figure>By RACHEL MIPRO&nbsp;<a href="http://www.kansasreflector.com/">Kansas Reflector</a>TOPEKA — The death of a homeless 5-year-old girl has reignited anger and conversation about the efficacy of the state’s child welfare services.During a Wednesday meeting on child welfare oversight, lawmakers questioned Kansas Department for Children and Families secretary Laura Howard about the case.“There’s a very tragic murder that took place here in Shawnee County just a couple of days ago, where a 5-year-old child was brutally killed,” Howard said. “Very, very tragic circumstances.”<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696600819324.png" alt="Authorities continue to investigate the tragic death of 5-year-old Zoey Felix photo GoFundMe" />
 <figcaption>Authorities continue to investigate the tragic death of 5-year-old Zoey Felix photo GoFundMe</figcaption>
 </figure>On Monday, officers were sent to a gas station in southeast Topeka, where first responders were treating a young child who had been sexually assaulted, according to police. She was taken to a local hospital for treatment of life-threatening injuries and was later pronounced dead.&nbsp;Her former neighbors said she had been living in a homeless camp at the time of her death, the&nbsp;<a target="_blank" href="https://www.cjonline.com/story/news/local/2023/10/05/zoey-felix-former-topeka-home-city-evergy-utilities-shut-off/71061637007/">Topeka Capital-Journal reported</a>.&nbsp;&nbsp;Howard said she couldn’t legally say anything about the case in a public setting before investigation protocols had been settled but would speak with lawmakers privately during an executive session. During the meeting, lawmakers talked with Howard behind closed doors.&nbsp;“I know it sounds technical, but it’s the law,” Howard said. “It’s really about protecting children and families. I can make comments in a closed executive session that this committee has the authority to do.”In cases where a child dies in state custody, or in cases that had been referred to DCF investigators before the child’s death, DCF has to decide whether the child’s death was the result of abuse or neglect. If it is, DCF has seven days to release information on reports of abuse or neglect received by the agency, as well as the department’s response to these reports when the information is requested.That law grew out of&nbsp;<a target="_blank" href="https://kansasreflector.com/2021/02/17/parents-grandparents-of-kansas-foster-kids-cry-out-for-new-oversight-office/">another case</a>&nbsp;that sparked public horror and outcry — a 7-year-old boy who was killed in 2015 after DCF ignored repeated warnings about his living conditions.His case, along with repeated&nbsp;<a target="_blank" href="https://kansasreflector.com/2021/12/23/audit-of-kansas-foster-care-provider-scrutinizes-financial-controls-it-costs-ceo-travel-ppp-loan/">oversight failures</a>&nbsp;within the foster care system, was the impetus for&nbsp;<a target="_blank" href="https://kansasreflector.com/2021/02/17/parents-grandparents-of-kansas-foster-kids-cry-out-for-new-oversight-office/">the creation of the Office of the Child Advocate</a>. In a<a target="_blank" href="https://www.ag.ks.gov/docs/default-source/reports/scdrb/2023-scdrb-annual-report-final.pdf?sfvrsn=e98abf1a_4">&nbsp;recently released report</a>&nbsp;on adolescent deaths in the state for 2021, officials asked for more oversight of the child welfare system.A board of health professionals, law enforcement officers, educators and attorneys examines each child death in Kansas, and the resulting report in 2021 recommended consistent case monitoring and better communication within child welfare agencies.&nbsp;Between 2019 to 2021, 392 out of 1,074 child fatalities reviewed by the board had history with DCF’s child protective services, according to a yearly analysis, with situations like being held in state custody, having siblings removed from the home, or having open child protective services cases.&nbsp;There were 32 child homicides in 2021. Twenty-three of those families had been involved with child protective services before death.&nbsp;“Additional child welfare improvement is needed in Kansas to reduce the number of child abuse and neglect deaths,” according to the report.

Child’s murder reignites debate on how Kan. protects children from abuse and neglect

WASHINGTON (AP) - Preliminary reports indicate at least four American citizens were killed in the attacks against Israel, a United States official told AP on Sunday.

Earlier Sunday, Secretary of State Antony Blinken told CNN that the U.S. could soon be sending additional military assets to Israel after the surprise attack by Hamas that has left more than 1,000 dead and thousands wounded on both sides.

We want to make sure that Israel has what it needs,” Blinken told CNN on Sunday.

Blinken said an announcement on additional aid to Israel could be made as soon as Sunday.

The number of dead in Israel following the attack by Hamas on Saturday is likely to be over 500.

Israel formally declared war on Hamas on Sunday.

TEL AVIV, Israel (AP) — The Israeli government formally declared war Sunday and gave the green light for “significant military steps” to retaliate against Hamas for its surprise attack from the Gaza Strip, portending greater fighting ahead as the toll from the conflict passed 900 dead and thousands wounded on both sides.

More than 24 hours after&nbsp;<a href="https://apnews.com/live/israel-hamas-war-live-updates">Hamas launched its unprecedented incursion</a>&nbsp;out of Gaza, Israeli forces were still trying to crush the last groups of militant fighters holed up in several towns of southern Israel. At least 600 people have reportedly been killed in Israel — a staggering toll on a scale the country has not experienced in decades — and more than 300 have been killed in Gaza as Israeli airstrikes pound the territory.

Authorities were still trying to determine how many civilians and soldiers were seized by Hamas fighters during the mayhem and taken back to Gaza. From videos and witnesses, the captives are known to include women, children, and the elderly.

As many as 1,000 Hamas fighters were involved in the assault, U.S. Secretary of State Andrew Blinken said on ABC’s “This Week” – a high figure that underscored the extent of planning by the militant group ruling Gaza. The gunmen rampaged for hours, firing on civilians in towns, along highways and at a techno music festival being held in the desert near Gaza.

Civilians on both sides were already paying a high price.

A line of Israelis snaked outside a central Israel police station to supply DNA samples and other means that could help identify missing family members. Israeli TV news aired a stream of accounts from relatives of captive or missing Israelis who wept and begged for assistance and information.

In Gaza, the tiny enclave of 2.3 million people sealed off by an Israeli-Egyptian blockade for 16 years since the Hamas takeover, residents feared an intensified onslaught. Israeli strikes flattened a number of residential buildings. More than 20,000 people who fled their homes crowded into schools run by the U.N. agency for Palestinian refugees, UNWRA, the agency said.

Several Israeli media outlets, citing rescue service officials, said at least 600 people have been killed in Israel, including 44 soldiers. The Gaza Health Ministry said 313 people, including 20 children, were killed in the territory. Some 2,000 people have been wounded on each side. An Israeli official said security forces have killed 400 militants and captured dozens more.

An exchange of fire in northern Israel with the Lebanese militant group Hezbollah raised fears of a spread of the conflict. Hezbollah fired dozens of rockets and shells Sunday at three Israeli positions in a disputed area along the border, and the Israeli military fired back using armed drones. Two children were lightly wounded by broken glass on the Lebanese side, according to the nearby Marjayoun Hospital.

The Israeli military said the situation since was calm after the exchange.

Iranian-backed Hezbollah is estimated to have tens of thousands of rockets at its disposal. Since its brutal 2006 war with Israel, Hezbollah has stayed on the sidelines amid previous outbreaks of Israeli-Hamas fighting. But if destruction in Gaza escalates, it may feel pressure to intervene.

A major question was whether Israel will launch a ground assault into Gaza, a move that in the past has brought intensified casualties.

The declaration of war announced by Israel’s Security Cabinet was largely symbolic, said Yohanan Plesner, the head of the Israel Democracy Institute, a local think tank. But it “demonstrates that the government thinks we are entering a more lengthy, intense and significant period of war.”

Israel has carried out major military campaigns over the past four decades in Lebanon and Gaza that it portrayed as wars, but without a formal declaration.

The Security Cabinet also approved “significant military steps.” The steps were not defined, but the declaration appears to give the military and Prime Minister Benjamin Netanyahu a wide mandate.

Speaking on national television Saturday, Netanyahu vowed that Hamas “will pay an unprecedented price.” He further warned: “This war will take time. It will be difficult.”

In a statement, his office said the aim will be the destruction of Hamas’ “military and governing capabilities” to an extent that prevents it from threatening Israelis “for many years.”

Israelis were still reeling from the breadth, ferocity and surprise of the Hamas assault. The group’s fighters broke through Israel’s security fence surrounding the Gaza Strip early Saturday. Using motorcycles and pickup trucks, even paragliders and speedboats on the coast, they moved into nearby Israeli communities — as many as 22 locations.

The high death toll and slow response to the onslaught pointed to a major intelligence failure and undermined the long-held perception that Israel has eyes and ears everywhere in the small, densely populated territory it has controlled for decades.

Hamas said that overnight it continued to send forces and equipment into southern Israel. On Sunday, fighting continued in some parts of the south, and gunmen still held hostages in some locations, Israeli Rear Adm. Daniel Hagari told reporters. The Israeli military said it was evacuating at least five towns close to Gaza.

“We will go through every community until we kill every terrorist that is in Israeli territory,” Hagari said. In Gaza, “every terrorist located in a house, all the commanders in houses, will be hit by Israeli fire. That will continue escalating in the coming hours.”

Israel struck 426 targets in Gaza so far, its military said Sunday. Much of the territory’s population was thrown into darkness Saturday night as Israel cut off electricity and said it would no longer supply power, fuel or other goods to the territory.

One woman sheltering at an UNWRA school in Gaza City’s Sheikh Radwan neighborhood described a panicked flight from her home in the middle of the night. The Israeli military made announcements on loudspeakers telling people to leave.

“We didn’t know where to go,” she said. “It was a miracle we arrived at the schools because there was no transport.”

The presence of hostages in Gaza complicates Israel’s response. Hamas officials have said they will seek the release of thousands of Palestinian prisoners, and Israel has a history of making heavily lopsided exchanges to bring captive Israelis home.

The military has confirmed that a “substantial” number of Israelis were abducted Saturday without giving an exact figure.

An Egyptian official said Israel sought help from Cairo to ensure the safety of the hostages, and that Egypt’s intelligence chief contacted Hamas and the smaller but more radical Islamic Jihad group, which also took part in the incursion, to seek information. Egypt has often mediated between the two sides in the past.

The official said Palestinian leaders claimed they don’t yet have a “full picture” of the number of hostages but said those who were brought into Gaza were taken to “secure locations” across the territory.

“It’s clear that they have a big number — several dozens,” said the official, who asked not to be identified because he was not authorized to brief media.

Egypt also spoke with both sides about a potential cease-fire, but the official said Israel was not open to a truce “at this stage.”

In Iran, which has long supported Hamas and other militant groups, senior officials have openly praised the incursion. President Ebrahim Raisi spoke by phone with Hamas leader Ismail Haniyeh and Islamic Jihad leader Ziad al-Nakhalah, the state-run IRNA news agency reported Sunday.

The shadowy leader of Hamas’ military wing, Mohammed Deif, said the assault, named “Operation Al-Aqsa Storm,” was in response to the 16-year blockade of Gaza, the Israeli occupation and a series of recent incidents that have brought Israeli-Palestinian tensions to a fever pitch.

Over the past year, Israel’s far-right government has&nbsp;<a href="https://apnews.com/article/israel-palestinians-settlements-west-bank-biden-49c4788ffc5f5ee41d5c48365ac5395b">ramped up settlement construction</a>&nbsp;in the occupied West Bank.&nbsp;<a href="https://apnews.com/article/israel-palestine-settler-bedouin-displacement-violence-un-108e11712310b5ea099dbded7be8effb">Israeli settler violence</a>&nbsp;has displaced hundreds of Palestinians there, and tensions have flared around the Al-Aqsa mosque,&nbsp;<a href="https://apnews.com/article/israel-palestinians-violence-jerusalem-explainer-1a269c8cc748d8e6f5eb9eabb6d9b860">a flashpoint Jerusalem holy site</a>.

TEL AVIV, Israel (AP) — Israeli soldiers battled Hamas fighters in the streets of southern Israel on Sunday and launched retaliation strikes that leveled buildings in Gaza, while in northern Israel a brief exchange of strikes with Lebanon's Hezbollah militant group raised fears of a broader conflict.

There was still some fighting underway more than 24 hours after&nbsp;<a href="https://apnews.com/live/israel-hamas-war-live-updates">an unprecedented surprise attack</a>&nbsp;from Gaza, in which Hamas militants, backed by a volley of thousands of rockets, broke through Israel's security barrier and rampaged through nearby communities. They took captives back into the coastal Gaza enclave, including women, children and the elderly, who they will likely try to trade for thousands of Palestinian prisoners held by Israel. Hundreds have been killed on both sides.

The high death toll, multiple captives and a slow response to the onslaught pointed to a major intelligence failure and undermined the long-held perception that Israel has eyes and ears everywhere in the small, densely populated territory it has controlled for decades.

Israeli Prime Minister Benjamin Netanyahu said the country was at war and would exact a heavy price from its enemies. Hamas leaders said they were prepared for further escalation.

A major question now was whether Israel will launch a ground assault into Gaza, a move that in the past has brought intensified casualties. Netanyahu vowed that Hamas “will pay an unprecedented price.” But, he warned, “This war will take time. It will be difficult.”

Civilians paid a staggering cost for the violence on both sides. Israeli media, citing rescue service officials, said at least 300 people were killed in Israel, including 44 soldiers, while officials in Gaza said 313 people had died in the territory. An Israeli official said the military had killed 400 militants and captured dozens more.

Israeli TV news aired a stream of accounts from the relatives of captive or missing Israelis, who wailed and begged for assistance amid a fog of uncertainty surrounding the fate of their loved ones. In Gaza, residents fled homes near the border to escape Israeli strikes, fleeing deeper inside the territory after warnings in Arabic from the Israeli military.

In neighboring Egypt, a policeman shot dead two Israeli tourists and an Egyptian at a tourist site in Alexandria, the Interior Ministry said. Egypt made peace with Israel decades ago, but anti-Israel sentiment runs high in the country, especially during bouts of Israeli-Palestinian violence.

The flare-up on Israel's northern border also threatened to draw into the battle Hezbollah, a fierce enemy of Israel's which is backed by Iran and estimated to have tens of thousands of rockets at its disposal. Hezbollah fired dozens of rockets and shells on Sunday at three Israeli positions in a disputed area along the border and Israel’s military fired back using armed drones. Two children were lightly wounded by broken glass on the Lebanese side, according to the nearby Marjayoun Hospital.

Rear Adm. Daniel Hagari, an Israeli military official, told reporters the situation at the northern border was calm after the exchange. But he said fighting was still underway in the south and that there were still hostage situations there.

He said troops had moved into every community near the Gaza frontier, where they planned to evacuate all civilians and scour the area for militants.

“We will go through every community until we kill every terrorist that is in Israeli territory," he said. In Gaza, “every terrorist located in a house, all the commanders in houses, will be hit by Israeli fire. That will continue escalating in the coming hours.”

Hamas said that overnight it had continued to send forces and equipment into “a number of locations inside our occupied territories,” referring to Israel. Hamas-linked media reported that the son of Nizar Awadallah, a senior political official, was killed. The Islamic militant group has not reported any senior members being captured, killed or wounded.

The surprise attack Saturday was the deadliest on Israel in decades. In&nbsp;<a href="https://apnews.com/article/israel-gaza-hamas-militants-conflict-war-b6ea877aa1ee96303aa0870d741da777">an assault of startling breadth</a>, Hamas gunmen used explosives to break through the border fence enclosing Gaza, then crossed with motorcycles, pickup trucks, paragliders and speed boats on the coast.

They rolled into as many as 22 locations outside the Gaza Strip early Saturday morning, including towns and other communities as far as 24 kilometers (15 miles) from the Gaza border, while Hamas launched thousands of rockets at Israeli cities.

“Israel is waking up this morning to a terrible morning,” said Lt. Col. Richard Hecht, an Israeli military spokesman. “There are a lot of people killed ... children, grandmothers, families, bodies.”

Israeli media said at least 300 people were killed and 1,500 wounded in Saturday’s attack. Hamas fighters took an unknown number of civilians and soldiers captive into Gaza, and a line of Israelis with missing relatives snaked outside a police station in central Israel to supply investigators with DNA samples and other means that could help identify their family members.

Israel struck 426 targets in Gaza, its military said, flattening residential buildings in giant explosions.

Among the 313 killed in Gaza were 20 children, and close to 2,000 people were wounded, the Palestinian Health Ministry said. UNRWA, the United Nations agency for Palestinians, said more than 20,000 Palestinians left Gaza's border region to head further inside the territory and take refuge in U.N. schools.

In a televised address Saturday night, Israeli Prime Minister Benjamin Netanyahu said the military will use all of its strength to destroy Hamas’ capabilities.

“Get out of there now,” he told Gaza residents, who have no way to leave the tiny, overcrowded Mediterranean territory. Gaza’s 2.3 million people have endured a border blockade, enforced to varying degrees by Israel and Egypt, since Hamas militants seized control in 2007.

In Gaza, much of the population was thrown into darkness Saturday night as Israel cut off electricity and said it would no longer supply power, fuel or other goods to the territory.

Hamas said it had planned for a long fight. “We are prepared for all options, including all-out war,” the deputy head of the Hamas political bureau, Saleh al-Arouri, told Al-Jazeera TV.

Israel has a history of making heavily lopsided exchanges to bring captive Israelis home. The military has confirmed that a “substantial” number of Israelis were abducted Saturday without giving an exact figure.

An Egyptian official said Israel has sought help from Cairo to ensure the safety of the hostages, and that Egypt’s intelligence chief had contacted Hamas and the smaller but more radical Islamic Jihad group, which also took part in the incursion, to seek information. Egypt has often mediated between the two sides in the past.

The official said Palestinian leaders claimed that they don’t yet have a “full picture” of hostages, but said those who were brought into Gaza were taken to “secure locations” across the territory.

The shadowy leader of Hamas’ military wing, Mohammed Deif, said the assault, named “Operation Al-Aqsa Storm,” was in response to the 16-year blockade of Gaza, and a series of recent incidents that have brought Israeli-Palestinian tensions to a fever pitch.

Over the past year, Israel’s far-right government has&nbsp;<a href="https://apnews.com/article/israel-palestinians-settlements-west-bank-biden-49c4788ffc5f5ee41d5c48365ac5395b">ramped up settlement construction</a>&nbsp;in the occupied West Bank,&nbsp;<a href="https://apnews.com/article/israel-palestine-settler-bedouin-displacement-violence-un-108e11712310b5ea099dbded7be8effb">Israeli settler violence</a>&nbsp;has displaced hundreds of Palestinians there, and tensions have flared around the Al-Aqsa mosque,&nbsp;<a href="https://apnews.com/article/israel-palestinians-violence-jerusalem-explainer-1a269c8cc748d8e6f5eb9eabb6d9b860">a flashpoint Jerusalem holy site</a>.

President Joe Biden said from the White House that the U.S. “stands with the people of Israel in the face of these terrorist assaults," and said Israel has the right to defend itself.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696679013332.png" alt="Palestinians wave their national flag and celebrate by a destroyed Israeli tank at the Gaza Strip fence east of Khan Younis southern Saturday, Oct. 7, 2023. The militant Hamas rulers of the Gaza Strip carried out an unprecedented, multi-front attack on Israel at daybreak Saturday, firing thousands of rockets as dozens of Hamas fighters infiltrated the heavily fortified border in several locations by air, land, and sea and catching the country off-guard on a major holiday. (AP Photo/Yousef Masoud)" />
 <figcaption>Palestinians wave their national flag and celebrate by a destroyed Israeli tank at the Gaza Strip fence east of Khan Younis southern Saturday, Oct. 7, 2023. The militant Hamas rulers of the Gaza Strip carried out an unprecedented, multi-front attack on Israel at daybreak Saturday, firing thousands of rockets as dozens of Hamas fighters infiltrated the heavily fortified border in several locations by air, land, and sea and catching the country off-guard on a major holiday. (AP Photo/Yousef Masoud)</figcaption>
 </figure>WASHINGTON (AP) - Preliminary reports indicate at least four American citizens were killed in the attacks against Israel, a United States official told AP on Sunday.Earlier Sunday, Secretary of State Antony Blinken told CNN that the U.S. could soon be sending additional military assets to Israel after the surprise attack by Hamas that has left more than 1,000 dead and thousands wounded on both sides.We want to make sure that Israel has what it needs,” Blinken told CNN on Sunday.Blinken said an announcement on additional aid to Israel could be made as soon as Sunday.The number of dead in Israel following the attack by Hamas on Saturday is likely to be over 500.Israel formally declared war on Hamas on Sunday.-------------TEL AVIV, Israel (AP) — The Israeli government formally declared war Sunday and gave the green light for “significant military steps” to retaliate against Hamas for its surprise attack from the Gaza Strip, portending greater fighting ahead as the toll from the conflict passed 900 dead and thousands wounded on both sides.More than 24 hours after&nbsp;<a href="https://apnews.com/live/israel-hamas-war-live-updates">Hamas launched its unprecedented incursion</a>&nbsp;out of Gaza, Israeli forces were still trying to crush the last groups of militant fighters holed up in several towns of southern Israel. At least 600 people have reportedly been killed in Israel — a staggering toll on a scale the country has not experienced in decades — and more than 300 have been killed in Gaza as Israeli airstrikes pound the territory.Authorities were still trying to determine how many civilians and soldiers were seized by Hamas fighters during the mayhem and taken back to Gaza. From videos and witnesses, the captives are known to include women, children, and the elderly.As many as 1,000 Hamas fighters were involved in the assault, U.S. Secretary of State Andrew Blinken said on ABC’s “This Week” – a high figure that underscored the extent of planning by the militant group ruling Gaza. The gunmen rampaged for hours, firing on civilians in towns, along highways and at a techno music festival being held in the desert near Gaza.Civilians on both sides were already paying a high price.A line of Israelis snaked outside a central Israel police station to supply DNA samples and other means that could help identify missing family members. Israeli TV news aired a stream of accounts from relatives of captive or missing Israelis who wept and begged for assistance and information.In Gaza, the tiny enclave of 2.3 million people sealed off by an Israeli-Egyptian blockade for 16 years since the Hamas takeover, residents feared an intensified onslaught. Israeli strikes flattened a number of residential buildings. More than 20,000 people who fled their homes crowded into schools run by the U.N. agency for Palestinian refugees, UNWRA, the agency said.Several Israeli media outlets, citing rescue service officials, said at least 600 people have been killed in Israel, including 44 soldiers. The Gaza Health Ministry said 313 people, including 20 children, were killed in the territory. Some 2,000 people have been wounded on each side. An Israeli official said security forces have killed 400 militants and captured dozens more.An exchange of fire in northern Israel with the Lebanese militant group Hezbollah raised fears of a spread of the conflict. Hezbollah fired dozens of rockets and shells Sunday at three Israeli positions in a disputed area along the border, and the Israeli military fired back using armed drones. Two children were lightly wounded by broken glass on the Lebanese side, according to the nearby Marjayoun Hospital.The Israeli military said the situation since was calm after the exchange.Iranian-backed Hezbollah is estimated to have tens of thousands of rockets at its disposal. Since its brutal 2006 war with Israel, Hezbollah has stayed on the sidelines amid previous outbreaks of Israeli-Hamas fighting. But if destruction in Gaza escalates, it may feel pressure to intervene.A major question was whether Israel will launch a ground assault into Gaza, a move that in the past has brought intensified casualties.The declaration of war announced by Israel’s Security Cabinet was largely symbolic, said Yohanan Plesner, the head of the Israel Democracy Institute, a local think tank. But it “demonstrates that the government thinks we are entering a more lengthy, intense and significant period of war.”Israel has carried out major military campaigns over the past four decades in Lebanon and Gaza that it portrayed as wars, but without a formal declaration.The Security Cabinet also approved “significant military steps.” The steps were not defined, but the declaration appears to give the military and Prime Minister Benjamin Netanyahu a wide mandate.Speaking on national television Saturday, Netanyahu vowed that Hamas “will pay an unprecedented price.” He further warned: “This war will take time. It will be difficult.”In a statement, his office said the aim will be the destruction of Hamas’ “military and governing capabilities” to an extent that prevents it from threatening Israelis “for many years.”Israelis were still reeling from the breadth, ferocity and surprise of the Hamas assault. The group’s fighters broke through Israel’s security fence surrounding the Gaza Strip early Saturday. Using motorcycles and pickup trucks, even paragliders and speedboats on the coast, they moved into nearby Israeli communities — as many as 22 locations.The high death toll and slow response to the onslaught pointed to a major intelligence failure and undermined the long-held perception that Israel has eyes and ears everywhere in the small, densely populated territory it has controlled for decades.Hamas said that overnight it continued to send forces and equipment into southern Israel. On Sunday, fighting continued in some parts of the south, and gunmen still held hostages in some locations, Israeli Rear Adm. Daniel Hagari told reporters. The Israeli military said it was evacuating at least five towns close to Gaza.“We will go through every community until we kill every terrorist that is in Israeli territory,” Hagari said. In Gaza, “every terrorist located in a house, all the commanders in houses, will be hit by Israeli fire. That will continue escalating in the coming hours.”Israel struck 426 targets in Gaza so far, its military said Sunday. Much of the territory’s population was thrown into darkness Saturday night as Israel cut off electricity and said it would no longer supply power, fuel or other goods to the territory.One woman sheltering at an UNWRA school in Gaza City’s Sheikh Radwan neighborhood described a panicked flight from her home in the middle of the night. The Israeli military made announcements on loudspeakers telling people to leave.“We didn’t know where to go,” she said. “It was a miracle we arrived at the schools because there was no transport.”The presence of hostages in Gaza complicates Israel’s response. Hamas officials have said they will seek the release of thousands of Palestinian prisoners, and Israel has a history of making heavily lopsided exchanges to bring captive Israelis home.The military has confirmed that a “substantial” number of Israelis were abducted Saturday without giving an exact figure.An Egyptian official said Israel sought help from Cairo to ensure the safety of the hostages, and that Egypt’s intelligence chief contacted Hamas and the smaller but more radical Islamic Jihad group, which also took part in the incursion, to seek information. Egypt has often mediated between the two sides in the past.The official said Palestinian leaders claimed they don’t yet have a “full picture” of the number of hostages but said those who were brought into Gaza were taken to “secure locations” across the territory.“It’s clear that they have a big number — several dozens,” said the official, who asked not to be identified because he was not authorized to brief media.Egypt also spoke with both sides about a potential cease-fire, but the official said Israel was not open to a truce “at this stage.”In Iran, which has long supported Hamas and other militant groups, senior officials have openly praised the incursion. President Ebrahim Raisi spoke by phone with Hamas leader Ismail Haniyeh and Islamic Jihad leader Ziad al-Nakhalah, the state-run IRNA news agency reported Sunday.The shadowy leader of Hamas’ military wing, Mohammed Deif, said the assault, named “Operation Al-Aqsa Storm,” was in response to the 16-year blockade of Gaza, the Israeli occupation and a series of recent incidents that have brought Israeli-Palestinian tensions to a fever pitch.Over the past year, Israel’s far-right government has&nbsp;<a href="https://apnews.com/article/israel-palestinians-settlements-west-bank-biden-49c4788ffc5f5ee41d5c48365ac5395b">ramped up settlement construction</a>&nbsp;in the occupied West Bank.&nbsp;<a href="https://apnews.com/article/israel-palestine-settler-bedouin-displacement-violence-un-108e11712310b5ea099dbded7be8effb">Israeli settler violence</a>&nbsp;has displaced hundreds of Palestinians there, and tensions have flared around the Al-Aqsa mosque,&nbsp;<a href="https://apnews.com/article/israel-palestinians-violence-jerusalem-explainer-1a269c8cc748d8e6f5eb9eabb6d9b860">a flashpoint Jerusalem holy site</a>.TEL AVIV, Israel (AP) — Israeli soldiers battled Hamas fighters in the streets of southern Israel on Sunday and launched retaliation strikes that leveled buildings in Gaza, while in northern Israel a brief exchange of strikes with Lebanon's Hezbollah militant group raised fears of a broader conflict.There was still some fighting underway more than 24 hours after&nbsp;<a href="https://apnews.com/live/israel-hamas-war-live-updates">an unprecedented surprise attack</a>&nbsp;from Gaza, in which Hamas militants, backed by a volley of thousands of rockets, broke through Israel's security barrier and rampaged through nearby communities. They took captives back into the coastal Gaza enclave, including women, children and the elderly, who they will likely try to trade for thousands of Palestinian prisoners held by Israel. Hundreds have been killed on both sides.The high death toll, multiple captives and a slow response to the onslaught pointed to a major intelligence failure and undermined the long-held perception that Israel has eyes and ears everywhere in the small, densely populated territory it has controlled for decades.Israeli Prime Minister Benjamin Netanyahu said the country was at war and would exact a heavy price from its enemies. Hamas leaders said they were prepared for further escalation.A major question now was whether Israel will launch a ground assault into Gaza, a move that in the past has brought intensified casualties. Netanyahu vowed that Hamas “will pay an unprecedented price.” But, he warned, “This war will take time. It will be difficult.”Civilians paid a staggering cost for the violence on both sides. Israeli media, citing rescue service officials, said at least 300 people were killed in Israel, including 44 soldiers, while officials in Gaza said 313 people had died in the territory. An Israeli official said the military had killed 400 militants and captured dozens more.Israeli TV news aired a stream of accounts from the relatives of captive or missing Israelis, who wailed and begged for assistance amid a fog of uncertainty surrounding the fate of their loved ones. In Gaza, residents fled homes near the border to escape Israeli strikes, fleeing deeper inside the territory after warnings in Arabic from the Israeli military.In neighboring Egypt, a policeman shot dead two Israeli tourists and an Egyptian at a tourist site in Alexandria, the Interior Ministry said. Egypt made peace with Israel decades ago, but anti-Israel sentiment runs high in the country, especially during bouts of Israeli-Palestinian violence.The flare-up on Israel's northern border also threatened to draw into the battle Hezbollah, a fierce enemy of Israel's which is backed by Iran and estimated to have tens of thousands of rockets at its disposal. Hezbollah fired dozens of rockets and shells on Sunday at three Israeli positions in a disputed area along the border and Israel’s military fired back using armed drones. Two children were lightly wounded by broken glass on the Lebanese side, according to the nearby Marjayoun Hospital.Rear Adm. Daniel Hagari, an Israeli military official, told reporters the situation at the northern border was calm after the exchange. But he said fighting was still underway in the south and that there were still hostage situations there.He said troops had moved into every community near the Gaza frontier, where they planned to evacuate all civilians and scour the area for militants.“We will go through every community until we kill every terrorist that is in Israeli territory," he said. In Gaza, “every terrorist located in a house, all the commanders in houses, will be hit by Israeli fire. That will continue escalating in the coming hours.”Hamas said that overnight it had continued to send forces and equipment into “a number of locations inside our occupied territories,” referring to Israel. Hamas-linked media reported that the son of Nizar Awadallah, a senior political official, was killed. The Islamic militant group has not reported any senior members being captured, killed or wounded.The surprise attack Saturday was the deadliest on Israel in decades. In&nbsp;<a href="https://apnews.com/article/israel-gaza-hamas-militants-conflict-war-b6ea877aa1ee96303aa0870d741da777">an assault of startling breadth</a>, Hamas gunmen used explosives to break through the border fence enclosing Gaza, then crossed with motorcycles, pickup trucks, paragliders and speed boats on the coast.They rolled into as many as 22 locations outside the Gaza Strip early Saturday morning, including towns and other communities as far as 24 kilometers (15 miles) from the Gaza border, while Hamas launched thousands of rockets at Israeli cities.“Israel is waking up this morning to a terrible morning,” said Lt. Col. Richard Hecht, an Israeli military spokesman. “There are a lot of people killed ... children, grandmothers, families, bodies.”Israeli media said at least 300 people were killed and 1,500 wounded in Saturday’s attack. Hamas fighters took an unknown number of civilians and soldiers captive into Gaza, and a line of Israelis with missing relatives snaked outside a police station in central Israel to supply investigators with DNA samples and other means that could help identify their family members.Israel struck 426 targets in Gaza, its military said, flattening residential buildings in giant explosions.Among the 313 killed in Gaza were 20 children, and close to 2,000 people were wounded, the Palestinian Health Ministry said. UNRWA, the United Nations agency for Palestinians, said more than 20,000 Palestinians left Gaza's border region to head further inside the territory and take refuge in U.N. schools.In a televised address Saturday night, Israeli Prime Minister Benjamin Netanyahu said the military will use all of its strength to destroy Hamas’ capabilities.“Get out of there now,” he told Gaza residents, who have no way to leave the tiny, overcrowded Mediterranean territory. Gaza’s 2.3 million people have endured a border blockade, enforced to varying degrees by Israel and Egypt, since Hamas militants seized control in 2007.In Gaza, much of the population was thrown into darkness Saturday night as Israel cut off electricity and said it would no longer supply power, fuel or other goods to the territory.Hamas said it had planned for a long fight. “We are prepared for all options, including all-out war,” the deputy head of the Hamas political bureau, Saleh al-Arouri, told Al-Jazeera TV.Israel has a history of making heavily lopsided exchanges to bring captive Israelis home. The military has confirmed that a “substantial” number of Israelis were abducted Saturday without giving an exact figure.An Egyptian official said Israel has sought help from Cairo to ensure the safety of the hostages, and that Egypt’s intelligence chief had contacted Hamas and the smaller but more radical Islamic Jihad group, which also took part in the incursion, to seek information. Egypt has often mediated between the two sides in the past.The official said Palestinian leaders claimed that they don’t yet have a “full picture” of hostages, but said those who were brought into Gaza were taken to “secure locations” across the territory.“It’s clear that they have a big number — several dozens,” said the official, who asked not to be identified because he was not authorized to brief media.Egypt also spoke with both sides about a potential cease-fire, but the official said Israel was not open to a truce “at this stage.”The shadowy leader of Hamas’ military wing, Mohammed Deif, said the assault, named “Operation Al-Aqsa Storm,” was in response to the 16-year blockade of Gaza, and a series of recent incidents that have brought Israeli-Palestinian tensions to a fever pitch.Over the past year, Israel’s far-right government has&nbsp;<a href="https://apnews.com/article/israel-palestinians-settlements-west-bank-biden-49c4788ffc5f5ee41d5c48365ac5395b">ramped up settlement construction</a>&nbsp;in the occupied West Bank,&nbsp;<a href="https://apnews.com/article/israel-palestine-settler-bedouin-displacement-violence-un-108e11712310b5ea099dbded7be8effb">Israeli settler violence</a>&nbsp;has displaced hundreds of Palestinians there, and tensions have flared around the Al-Aqsa mosque,&nbsp;<a href="https://apnews.com/article/israel-palestinians-violence-jerusalem-explainer-1a269c8cc748d8e6f5eb9eabb6d9b860">a flashpoint Jerusalem holy site</a>.President Joe Biden said from the White House that the U.S. “stands with the people of Israel in the face of these terrorist assaults," and said Israel has the right to defend itself.___

U.S. officials: Americans killed in the attacks against Israel

WASHINGTON (AP) —&nbsp;<a href="https://apnews.com/hub/jill-biden" target="_blank">Jill Biden</a>&nbsp;is urging women to consult their doctors about getting mammograms or other cancer screenings, saying in a new public service announcement for Breast Cancer Awareness Month that early detection saves lives.

“October is Breast Cancer Awareness Month, and I’m asking you to put your health first,” the first lady says in the 30-second spot recorded amid flower blooms in the White House Rose Garden.

“Take a moment to talk to your doctor about whether it’s time for your mammogram or other cancer screenings,” she says in the announcement airing this week on the Lifetime cable network. “There is no one-size-fits-all approach, but we know that early detection of cancer saves lives.”

Biden’s ad is part of an annual breast cancer awareness campaign by Lifetime, according to the cable network. A separate public service announcement featuring similar messages from actor Keshia Knight Pulliam and TV correspondent Rachel Lindsay will also be broadcast by the network.

The first lady is&nbsp;<a href="https://apnews.com/article/health-cancer-skin-brain-5a441b53e825895d029d0255c10816d3" target="_blank">a longtime advocate for breast cancer education</a>&nbsp;and prevention dating to 1993, when four of her friends were diagnosed with the disease. Shortly afterward, she launched the Biden Breast Health Initiative to teach high school girls in Delaware about the importance of early detection.

In the White House, she and her husband, President Joe Biden, are driving&nbsp;<a href="https://www.whitehouse.gov/cancermoonshot/" target="_blank">efforts to prevent more than 4 million cancer deaths by 2047</a>&nbsp;and improve the experience for people who are touched by cancer, including patients, their families and their caregivers.

<a href="https://www.cdc.gov/cancer/breast/basic_info/" target="_blank">Breast cancer is the most common cancer in U.S. women</a>&nbsp;after skin cancer, according to the Centers for Disease Control and Prevention. Breast cancer deaths have declined over time but remain the second leading cause of cancer death among women overall, the CDC said.

One in eight women in the U.S. will be diagnosed with breast cancer in her lifetime.

The first lady is among the millions of people in the U.S. who have been touched by cancer.

Earlier this year,&nbsp;<a href="https://apnews.com/article/biden-health-maryland-mexico-city-surgery-545cac7c3ddca1f095e84383fdf8cd2d" target="_blank">she had cancerous lesions removed</a>&nbsp;from above her right eye and her chest. In 2015, she and the president&nbsp;<a href="https://apnews.com/general-news-d8f69eb645d74b7886387f713981b739" target="_blank">lost their 46-year-old son, Beau, to brain cancer</a>.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696431702577.png" alt="Image from the public service announcement courtesy White House" />
 <figcaption>Image from the public service announcement courtesy White House</figcaption>
 </figure>WASHINGTON (AP) —&nbsp;<a href="https://apnews.com/hub/jill-biden" target="_blank">Jill Biden</a>&nbsp;is urging women to consult their doctors about getting mammograms or other cancer screenings, saying in a new public service announcement for Breast Cancer Awareness Month that early detection saves lives.<div><blockquote class="twitter-tweet">Right now, I know you’re busy taking care of everyone else, but when was the last time you took care of yourself? This Breast Cancer Awareness Month, <a href="https://twitter.com/lifetimetv?ref_src=twsrc%5Etfw">@lifetimetv</a> and I are encouraging you to talk to a doctor about whether it’s time for your mammogram or other cancer screenings. <a href="https://t.co/pKtNLp7IRe">pic.twitter.com/pKtNLp7IRe</a>&mdash; Jill Biden (@FLOTUS) <a href="https://twitter.com/FLOTUS/status/1709600221016076643?ref_src=twsrc%5Etfw">October 4, 2023</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script></div>“October is Breast Cancer Awareness Month, and I’m asking you to put your health first,” the first lady says in the 30-second spot recorded amid flower blooms in the White House Rose Garden.“Take a moment to talk to your doctor about whether it’s time for your mammogram or other cancer screenings,” she says in the announcement airing this week on the Lifetime cable network. “There is no one-size-fits-all approach, but we know that early detection of cancer saves lives.”Biden’s ad is part of an annual breast cancer awareness campaign by Lifetime, according to the cable network. A separate public service announcement featuring similar messages from actor Keshia Knight Pulliam and TV correspondent Rachel Lindsay will also be broadcast by the network.The first lady is&nbsp;<a href="https://apnews.com/article/health-cancer-skin-brain-5a441b53e825895d029d0255c10816d3" target="_blank">a longtime advocate for breast cancer education</a>&nbsp;and prevention dating to 1993, when four of her friends were diagnosed with the disease. Shortly afterward, she launched the Biden Breast Health Initiative to teach high school girls in Delaware about the importance of early detection.In the White House, she and her husband, President Joe Biden, are driving&nbsp;<a href="https://www.whitehouse.gov/cancermoonshot/" target="_blank">efforts to prevent more than 4 million cancer deaths by 2047</a>&nbsp;and improve the experience for people who are touched by cancer, including patients, their families and their caregivers.<a href="https://www.cdc.gov/cancer/breast/basic_info/" target="_blank">Breast cancer is the most common cancer in U.S. women</a>&nbsp;after skin cancer, according to the Centers for Disease Control and Prevention. Breast cancer deaths have declined over time but remain the second leading cause of cancer death among women overall, the CDC said.One in eight women in the U.S. will be diagnosed with breast cancer in her lifetime.The first lady is among the millions of people in the U.S. who have been touched by cancer.Earlier this year,&nbsp;<a href="https://apnews.com/article/biden-health-maryland-mexico-city-surgery-545cac7c3ddca1f095e84383fdf8cd2d" target="_blank">she had cancerous lesions removed</a>&nbsp;from above her right eye and her chest. In 2015, she and the president&nbsp;<a href="https://apnews.com/general-news-d8f69eb645d74b7886387f713981b739" target="_blank">lost their 46-year-old son, Beau, to brain cancer</a>.

🎥 First lady urges breast cancer screenings: Put your health first

KANSAS CITY—Law enforcement authorities are investigating a deadly shooting.

Just after noon Saturday, police responded to report of a shooting in the 2700 block of Independence Avenue in Kansas City, according to Sheriff Darryl Forte'.

First responders located a man inside a business who was unresponsive. He was pronounced deceased at the scene.&nbsp; Police are questioning a subject of interest.&nbsp; The name of the victim has not been released.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696716538765.png" alt="Police on the scene of the investigation -photo courtesy Sheriff Daryl Forte'" />
 <figcaption>Police on the scene of the investigation -photo courtesy Sheriff Daryl Forte'</figcaption>
 </figure>KANSAS CITY—Law enforcement authorities are investigating a deadly shooting.Just after noon Saturday, police responded to report of a shooting in the 2700 block of Independence Avenue in Kansas City, according to Sheriff Darryl Forte'.First responders located a man inside a business who was unresponsive. He was pronounced deceased at the scene.&nbsp; Police are questioning a subject of interest.&nbsp; The name of the victim has not been released.

Police found shooting victim inside Kansas City business

SEDGWICK COUNTY—Law enforcement authorities are investigating an alleged sexual battery and continue asking the public&nbsp; for help identifying a suspect, according to a social media report from Wichita police.

If you have any information on who this suspect is, please contact detectives at 316-268-4380.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/10/1696453447690.png" alt="Photo Wichita Police" />
 <figcaption>Photo Wichita Police</figcaption>
 </figure>SEDGWICK COUNTY—Law enforcement authorities are investigating an alleged sexual battery and continue asking the public&nbsp; for help identifying a suspect, according to a social media report from Wichita police.If you have any information on who this suspect is, please contact detectives at 316-268-4380.

Police still working to ID Kansas sexual battery suspect

DES MOINES, Iowa (AP) — The Powerball jackpot climbed to an estimated $1.55 billion after no one matched the game’s six numbers Saturday and won the giant prize.

The numbers drawn Saturday night were: 47, 54, 57, 60, 65 and red Powerball 19.

The $1.55 billion prize is for a sole winner who is paid through an annuity, with annual checks over 30 years. Most jackpot winners opt for cash, which for the next drawing Monday night would be an estimated $679.8 million.

The jackpot is now the world’s&nbsp;<a href="https://apnews.com/article/lottery-jackpot-mega-millions-powerball-b77dd9c7de3f0ab09545a01113b1f111">fourth-largest lottery prize</a>&nbsp;after rolling over for 34 consecutive drawings, since the last time someone won the&nbsp;<a href="https://apnews.com/article/powerball-jackpot-winner-california-9f0e98a47c96c2b3087a68b33195dd50">top prize on July 19</a>. That streak trails the record of 41 draws set in 2021 and 2022.

The scarcity of Powerball jackpot winners reflects the game’s daunting odds of 1 in 292.2 million.

Powerball is played in 45 states as well as Washington, D.C., Puerto Rico and the U.S. Virgin Islands.

DES MOINES, Iowa (AP) — The Powerball jackpot climbed to an estimated $1.55 billion after no one matched the game’s six numbers Saturday and won the giant prize.The numbers drawn Saturday night were: 47, 54, 57, 60, 65 and red Powerball 19.The $1.55 billion prize is for a sole winner who is paid through an annuity, with annual checks over 30 years. Most jackpot winners opt for cash, which for the next drawing Monday night would be an estimated $679.8 million.The jackpot is now the world’s&nbsp;<a href="https://apnews.com/article/lottery-jackpot-mega-millions-powerball-b77dd9c7de3f0ab09545a01113b1f111">fourth-largest lottery prize</a>&nbsp;after rolling over for 34 consecutive drawings, since the last time someone won the&nbsp;<a href="https://apnews.com/article/powerball-jackpot-winner-california-9f0e98a47c96c2b3087a68b33195dd50">top prize on July 19</a>. That streak trails the record of 41 draws set in 2021 and 2022.The scarcity of Powerball jackpot winners reflects the game’s daunting odds of 1 in 292.2 million.Powerball is played in 45 states as well as Washington, D.C., Puerto Rico and the U.S. Virgin Islands.

Powerball jackpot up to $1.55 billion as lottery losing streak continues

BY:&nbsp;<a href="https://kansasreflector.com/author/jennifer-shutt/">JENNIFER SHUTT</a>&nbsp;<a href="http://www.kansasreflector.com/">Kansas Reflector</a>

WASHINGTON — Additional military and humanitarian aid for Ukraine was on shaky ground earlier this week, before U.S. House Republicans evicted Kevin McCarthy from the speaker’s office.

The revolt by eight members of the House GOP Conference, largely spurred by bipartisan deals McCarthy struck on the debt limit and a short-term government funding bill, complicated prospects for moving additional aid to Ukraine through Congress.

Future relief dollars are now closely tied to who House Republicans elect as their next speaker. The&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/louisianas-steve-scalise-and-ohios-jim-jordan-jump-race-us-house-speaker">mid-session contest for the gavel</a>&nbsp;currently pits Louisiana’s Steve Scalise against Ohio’s Jim Jordan, though more GOP lawmakers are mulling campaigns to lead their party. An election could be as soon as next week though that’s not certain.

The two lawmakers have slightly different records on Ukraine, with Scalise having supported relief funding in the beginning, while Jordan voted against all the bills that included military and humanitarian assistance.

<figure>
 <img src="https://media.eaglewebservices.com/public/2023/9/1695327062140.png" alt="Ukrainian President Volodymyr Zelenskyy on a September visit with President Biden-photo White House" />
 <figcaption>Ukrainian President Volodymyr Zelenskyy on a September visit with President Biden-photo White House</figcaption>
 </figure>BY:&nbsp;<a href="https://kansasreflector.com/author/jennifer-shutt/">JENNIFER SHUTT</a>&nbsp;<a href="http://www.kansasreflector.com/">Kansas Reflector</a>WASHINGTON — Additional military and humanitarian aid for Ukraine was on shaky ground earlier this week, before U.S. House Republicans evicted Kevin McCarthy from the speaker’s office.The revolt by eight members of the House GOP Conference, largely spurred by bipartisan deals McCarthy struck on the debt limit and a short-term government funding bill, complicated prospects for moving additional aid to Ukraine through Congress.Future relief dollars are now closely tied to who House Republicans elect as their next speaker. The&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/louisianas-steve-scalise-and-ohios-jim-jordan-jump-race-us-house-speaker">mid-session contest for the gavel</a>&nbsp;currently pits Louisiana’s Steve Scalise against Ohio’s Jim Jordan, though more GOP lawmakers are mulling campaigns to lead their party. An election could be as soon as next week though that’s not certain.The two lawmakers have slightly different records on Ukraine, with Scalise having supported relief funding in the beginning, while Jordan voted against all the bills that included military and humanitarian assistance.<h2>Senate backing continues</h2>In the U.S. Senate, both Republicans and Democrats say they’re looking for a path to keep Ukraine in Ukrainian hands and resist the Russian military onslaught to end democracy in the Eastern European country.Montana Democratic Sen. Jon Tester, chair of the Defense spending panel, said there is likely a path forward for Ukraine aid, despite House GOP infighting.“I think you’ve got to continue to work in a positive way in the Senate,” Tester said. “And I think, as I told people in the caucus this morning, it’ll always be a s- – – show over there, so let’s do our job.”Indiana Republican Sen. Mike Braun said any aid for Ukraine will likely be tied to additional funding for border security.“I think that would unite our conference for the ones that have been lukewarm on Ukraine — thinking that the top priority should be the border. And I think that’s the way it gets through,” Braun said.“And then the next issue would be for any of us that are fiscal conservatives — are you going to actually pay for it?” he added.The change in House Republican leadership shouldn’t impact those discussions, Braun said.Virginia Democratic Sen. Tim Kaine said there are enough votes to pass Ukraine aid in the House if the next GOP speaker puts a bipartisan bill on the floor.“My hope is that we’ll do something significant and bipartisan in the Senate and we may be able to act first to sort of lead the way,” Kaine said.The next Ukraine aid bill to go to the Senate floor, Kaine said, will likely be structured to provide longer term aid to the country, saying there’s a “logic” to that proposal.“Rather than try to do this in small bites that make it harder and harder and harder. Let’s just be candid with people about what the longer term need is and see if we could do it,” Kaine said. “And we do think we’ve got the votes in both houses.”Iowa Republican Sen. Joni Ernst, who sits on the Armed Services Committee, said Wednesday there were no updates on negotiations over military aid to Ukraine.“We’re going to have to work it with the House obviously, so we’ll see,” Ernst said, deferring to House lawmakers on how a change in leadership could impact prospects in that chamber.Kansas Republican Sen. Jerry Moran, a senior appropriator, said discussions about providing aid for Ukraine and approving additional money for border security are moving on a separate track from conversations about getting all dozen of the full-year spending bills approved.<h2>Deadline for new spending bill</h2>The deadline for funding the government or passing a second stopgap spending bill is Nov. 17, though that timeline wouldn’t impact negotiations on Ukraine and border security — unless party leaders decide to roll them into one package as they have in the past.The typical conference process, where House and Senate lawmakers meet to reconcile the differences on legislation, cannot begin until the House GOP decides who leads the party, Moran said.Conferencing bills, he said, “suggests that someone has the ability to negotiate and work on behalf of the House, which yet has to be determined.”“It’s a huge challenge but we can compromise on numbers. That’s among the easiest things to do,” Moran said of the full-year government spending bills. “It’s the policy kinds of things that make conference more difficult.”Senate Majority Leader Chuck Schumer, a New York Democrat, and Senate Minority Leader Mitch McConnell, a Kentucky Republican, have pledged to provide more relief funding to Ukraine, though those plans were&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/next-battle-congress-over-ukraine-aid-biden-presses-house-speaker-vote">already in trouble</a>&nbsp;before McCarthy’s removal as speaker.<h2>Scalise and Jordan’s records</h2>Congress has approved four relief packages for Ukraine so far, totaling more than $110 billion in military, economic and humanitarian support. The funding has gone to departments and agencies run by the U.S. government, including the Defense and State departments.The&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/congress-reaches-deal-massive-spending-package-billions-covid-aid-ukraine">first aid bill</a>, enacted in March 2022, included $13.6 billion. The funding was added to a $1.5 trillion spending package that included all 12 of the annual government spending measures, but the House used a procedural tool, called “dividing the question,” to take two votes on the package.The&nbsp;<a target="_blank" href="https://clerk.house.gov/Votes/202265">vote</a>&nbsp;on the portions that included military aid to Ukraine as well as other items, got Scalise’s vote, but not Jordan’s support. Both men&nbsp;<a target="_blank" href="https://clerk.house.gov/Votes/202266">voted</a>&nbsp;against passing the sections of the package that provided non-military assistance to Ukraine and held numerous other bills.The&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/congress-clears-40b-ukraine-aid-bidens-signature-some-gop-balk">second assistance package</a>, passed in May 2022, appropriated $40 billion. Scalise&nbsp;<a target="_blank" href="https://clerk.house.gov/Votes/2022145">voted</a>&nbsp;for aid while Jordan voted against the bill.The&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/hours-ahead-shutdown-deadline-us-house-sends-biden-stopgap-spending-bill">third relief package</a>, cleared in September 2022, provided more than $12 billion. Both men&nbsp;<a target="_blank" href="https://clerk.house.gov/Votes/2022476">voted</a>&nbsp;against the legislation, which included a stopgap spending bill, billions in natural disaster relief and increased funding for the Low Income Home Energy Assistance Program.The&nbsp;<a target="_blank" href="https://www.newsfromthestates.com/article/us-house-approves-17-trillion-funding-package-and-sends-it-biden">fourth supplemental package</a>, enacted in December 2022, included $45 billion. Both Scalise and Jordan&nbsp;<a target="_blank" href="https://clerk.house.gov/Votes/2022549?Date=12%2F23%2F2022">voted</a>&nbsp;against approving the package, which also included all of the full-year government spending bills and other provisions.Scalise, unlike Jordan, originally backed funding for Ukraine and wrote in a statement alongside other House GOP leaders in February 2022 that Russia’s invasion of Ukraine was “reprehensible.”“We stand in complete solidarity with the innocent Ukrainian people and vow to continue to support them as they defend themselves from Putin’s unprovoked onslaught,” they&nbsp;<a target="_blank" href="https://scalise.house.gov/media/press-releases/house-republican-leadership-s-statement-russia-s-invasion-ukraine">wrote</a>.The group of six GOP leaders said that China, Iran and North Korea were watching how the United States would respond to Russia’s war against Ukraine. “They must see us respond firmly to this Russian aggression.”