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LIRR Misses Critical Juncture for Positive Train Control

Last week, the Long Island Rail Road (LIRR) confirmed interruptions in its ability to fully install positive train control (PTC) across its system by the end of the year. Newsday reported that the LIRR system, which is a unit of the Metropolitan Transportation Authority’s (MTA) network, failed 16 out of 52 factory tests performed in early March using a computerized simulation of the new technology.

Although its PTC contractor continues to investigate the cause of the failures, MTA officials said they believe it stems from the complexity and density of the LIRR, which is the busiest commuter railroad in the country averaging more than 311,000 daily riders.

PTC is designed to eliminate human error by using four components: GPS satellite data, onboard locomotive equipment, the dispatching office and wayside interface units. The system communicates with the train’s onboard computer, allowing it to audibly warn the engineer and display its safe braking distance based on its speed, length, width and weight, as well as the grade and curvature of the track, according to railroad operator Metrolink.

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If the engineer does not respond to the warning, the onboard computer will activate the brakes and safely stop the train.

An approved PTC System must protect against:

  • Passing a stop signal.
  • Train-to-train collision.
  • Overspeed on curves and other civil restrictions.
  • Unauthorized incursions by a train into a work zone.

The installation began in January as part of a $1 billion safety upgrade, although it had been on the LIRR’s strategic plans for years. So far, substandard testing results are not instilling much confidence that PTC will be complete by the federal deadline of Dec. 31, 2018. If that deadline is missed agencies without properly-installed PTC may face fines of up to $25,000 per day, as enforced by the U.S. Rail Safety Improvement Act of 2008.

MTA Board member Neal Zuckerman told Newsday he is less concerned about meeting a federal deadline than he is about “having a system that works for riders.”

“It is better to have this right than fast,” Zuckerman said. “A nonfunctioning system is not worthwhile. It’s a waste of money and time and ultimately will not serve the needs of the riders.”

The LIRR is not the only major transit system to be missing the mark. Risk Management Monitor reported on Amtrak’s struggle to meet the deadline in February and that by the end of 2017, only 8% of NJ Transit’s locomotives and none of its tracks were updated with PTC.

Efforts to upgrade train technology has been a nationwide priority. There have been a number of accidents in recent years. The most recent was a major derailment occurring on Dec. 18, 2017 when an Amtrak train derailed near Tacoma, Washington, killing three passengers and injuring about 100. That crash was the result of excessive speed in a steep curve, which experts suggested could have been prevented with PTC’s automatic braking technology. Amtrak Train No. 501, on its inaugural run, was traveling 80 miles per hour in an area limited to 30 miles per hour when it derailed on an overpass, sending the train’s 12 coaches and one of its two engines careening onto the highway below.

As previously reported in Risk Managementa similar derailment in Philadelphia in May 2015 that killed eight, was also blamed on excessive speed and could have been avoided if PTC had been in place.

After Congress passed the PTC Enforcement and Implementation Act of 2015 it also authorized the FAST Act, which allocated $199 million in PTC grant funding and specifically prioritized PTC installation projects for Railroad Rehabilitation and Improvement Financing funding. The Association of American Railroads estimates that freight railroads will spend $10.6 billion implementing PTC, with additional hundreds of millions each year to maintain.

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 The American Public Transportation Association has estimated that the commuter and passenger railroads will need to spend nearly $3.6 billion on PTC.

200 New ‘Nightmarish’ Reasons to Wash Your Hands

New nationwide testing in 2017 uncovered 221 instances of unusual resistance genes in what is known as “nightmare bacteria,” according to the Center for Disease Control and Prevention’s (CDC) monthly Vital Signs report, released last week. Germs with unusual antibiotic resistance (AR) include those that cannot be killed by all or most antibiotics, are uncommon in a geographic area or the U.

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S., or have specific genes that allow them to spread their resistance to other germs.

Examples of AR germs include: Vancomycin-resistant Staphylococcus aureus (VRSA), Candida auris, and certain types of nightmare bacteria such as carbapenem-resistant Enterobacteriaceae (CRE).

“CDC’s study found several dangerous pathogens, hiding in plain sight, that can cause infections that are difficult or impossible to treat,” said CDC Principal Deputy Director Anne Schuchat, M.D.

With spring break in full effect and peak travel season on the horizon, the timing of this new information should be noted by businesses and the public, since AR has been found in every state and can spread between facilities and even people without symptoms of infection.

The CDC warned that germs “will continuously find ways to resist new and existing antibiotics” and that it is currently impossible to stop new resistances from developing. Recent nationwide infrastructure investments in laboratories, infection control, and response are enabling aggressive investigations to keep resistance from spreading in health care settings.

According to the CDC, a hard-to-treat germ that spreads easily was found in 11% of screening tests among subjects who displayed no symptoms. The nightmare germs sicken 2 million Americans and kill 23,000 every year. Additional study findings showed that:

  • One-in-four germ samples sent to the AR Lab Network for testing had special genes that allow them to spread their resistance to other germs.
  • Further investigation in facilities with unusual resistance revealed that about one in 10 screening tests, from patients without symptoms, identified a hard-to-treat germ that spreads easily.
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    This means the germ could have spread undetected in that health care facility.

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  • For CRE alone, estimates show that the containment strategy would prevent as many as 1,600 new infections in three years in a single state—a 76% reduction.

The CDC’s rapid response Containment Strategy is launched at the first sign of unusual resistance. Recent cases were found and isolated in Tennessee, after a patient received health care outside the U.S.; and in Iowa, when a nursing home patient was diagnosed with an AR germ that spread to five other people. Follow-up assessments revealed the outbreak had been contained.

To mitigate the risk of contracting these germs, employees should:

  • Inform your healthcare provider if you recently received health care in another country or facility.
  • Talk to your healthcare provider about preventing infections, taking good care of chronic conditions and getting recommended vaccines.

CDC recommends practicing good hygiene, such as keeping hands clean with hand washing or alcohol-based hand rubs, and keeping cuts clean until healed.

Black Coffee Blues

If a new court decision in California is enforced, baristas will have to place another label on cups next to customers’ names—a cancer warning.

Last week, a Los Angeles Superior Court proposed a decision against coffee makers in a lawsuit that has been brewing in courts for years. The Council for Education and Research on Toxics claim that by selling coffee with trace amounts of acrylamide—a chemical classified as a carcinogen, but one that occurs naturally from the roasting process—retailers are exposing consumers to a health hazard. This would ultimately put sellers in violation of California Proposition 65, the Safe Drinking Water and Toxic Enforcement Act, which requires businesses that expose customers to hundreds of chemicals to post warning labels notifying them as such.

In his proposed decision, Los Angeles Superior Court judge Elihu Berle wrote:

“Since defendants failed to prove that coffee confers any human health benefits, defendants have failed to satisfy their burden of proving that sound considerations of public health support an alternate risk level for acrylamide in coffee.”

Should the decision go into effect, businesses that fail to provide the warning notice will be subject to a fine of up to $2,500 a day for each violation.

This news has California’s coffee drinkers, sellers and roasters boiling. After all, people have been imbibing the dark nectar of the gods for hundreds of years and very few, if any, causal connections have been made between it and cancer.

On March 29, the National Coffee Association (NCA) released a statement in response to the ruling and dispelled the notion that coffee can be cancerous:

The industry is currently considering all of its options, including potential appeals and further legal actions. Cancer warning labels on coffee would be misleading. The U.S. government’s own Dietary Guidelines state that coffee can be part of a healthy lifestyle. The World Health Organization (WHO) has said that coffee does not cause cancer. Study after study has provided evidence of the health benefits of drinking coffee, including longevity—coffee drinkers live longer.

Retailers have some options in reaction to the developments. Last year, Bloomberg reported that the “few coffee sellers that have settled rather than keep fighting,” were hopeful that “people in California are so accustomed to seeing the signage that they will tune it out.” In October 2017, Starbucks and some other retailers preemptively placed warnings signs in stores—which may serve as a hedge against fines for millions of cups of coffee sold over several years.

Sellers could create cups specially marked for California sales, which may disrupt its supply chain and increase costs. They could also opt not to sell in California at all, which is unlikely, since the state’s economy is booming with coffee suppliers. With nearly 75% of California’s population being older than age 18, millions of dollars in per-cup sales may hang in the balance.

The decision is not final, however. In the NCA’s statement, president and CEO William “Bill” Murray said: “Coffee has been shown, over and over again, to be a healthy beverage. This lawsuit has made a mockery of Prop 65, has confused consumers, and does nothing to improve public health.”

For further insight into the unintended consequences of Proposition 65 and other well-intentioned regulations visit here.

2016 Drug Overdose Death Rate 3-Times Higher than in 1999

Deaths from drug overdose have reached crisis proportions in the United States, with more than 63,600 deaths in 2016—more than three times that of 1999.

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The majority were males, whose deaths increased from 8.2 in 1999 to 26.2 in 2016; compared to females, whose rate rose from 3.9 in 1999 to 13.4 in 2016, according to the Centers for Disease Control and Prevention (CDC).

Authors of the report noted, “The pattern of drugs involved in drug overdose deaths has changed in recent years. The rate of drug overdose deaths involving synthetic opioids other than methadone (drugs such as fentanyl, fentanyl analogs, and tramadol) doubled in a single year from 3.1 per 100,000 in 2015 to 6.2 in 2016. Additionally, it’s important to note that many drug overdose deaths may involve multiple drugs.”
Of people age 15 and above:

• Rates of drug overdose deaths increased from 1999 to 2016 for all groups studied.

• Rates in 2016 were highest for people between the ages of 25 and 54.

• From 2015 to 2016, the drug overdose death rates for adults age 45-54, 55-64 and 65 and above went up 15%, 17% and 7% respectively, the CDC said.
In 2016, 22 states and the District of Columbia had overdose death rates that were statistically higher than the national rate. States with the highest number of overdose deaths were: West Virginia, with 52 per 100,000; Ohio with 39.1; New Hampshire with 39; District of Columbia with 38.8; and Pennsylvania, which had 37.9 deaths per 100,000.

States with the lowest age-adjusted drug overdose rates were: Iowa, which had 10.6 deaths; North Dakota, 10.6; Texas, 10; South Dakota, 8.4; and Nebraska, which had 6.4 deaths.
In it’s most recent study, Quest Diagnostics found that workforce use of illicit drugs across the board—including cocaine, marijuana and methamphetamine—has climbed to the highest rate in 12 years.

Overall positivity in urine drug testing among the combined U.S. workforce in 2016 was 4.2%, a 5% relative increase over last year’s rate of 4%—the highest annual positivity rate since 2004 (4.

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5%), according to an analysis of more than 10 million workforce drug test results.