Why young athletes may be more at risk for sudden cardiac arrest

Why young athletes may be more at risk for sudden cardiac arrest
Why young athletes may be more at risk for sudden cardiac arrest
ABC News

(NEW YORK) — When 16-year-old Haley Meche stepped out onto the flag football field, she didn’t know it would nearly kill her.

“My brain hurt so bad,” Meche told ABC News’ Good Morning America. “And then, like, everything went black.”

Meche almost died from sudden cardiac arrest. She survived because she had known she had a heart condition and already had a defibrillator. Her doctors said that Meche’s heart screening test detected her risk early — and saved her life.

Studies have also shown that sudden cardiac arrest is the leading medical cause of death in athletes.

According to the Centers for Disease Control and Prevention, approximately 2,000 young people die from sudden cardiac arrest each year — many without previously known heart issues.

“1 in 300 young persons has a condition at risk for sudden cardiac arrest,” said Dr. Jonathan Drezner, the head of the UW Medical Center for Sports Cardiology in Washington, to GMA.

The risk is nearly four times higher in student athletes, according to Drezner. A risk that most athletes don’t even know about, he said.

“Research shows that up to 80% of kids who suffer sudden cardiac arrest have no symptoms prior,” said Drezner.

In Florida, non-profit “Who We Play For” is raising awareness around detecting risk earlier. They offer low-cost Electrocardiograms, or ECGs.

“It’s never okay for a kid to die out of nowhere because they never know that they have a heart condition,” said Meche.

Meche’s school was one out of more than 150 schools in Florida that require student athletes to get an ECG before they play. Her doctors told her that early detection saved her life.

Similarly, Josh Tetteh was also able to detect a heart condition last year that, if gone unnoticed, could have led to sudden cardiac arrest.

He said he didn’t have any symptoms so he wouldn’t have known if it weren’t for his preventative heart screening.

“My whole life was perfect,” said Tetteh to GMA. “We had this screening, they found something within my heart that is one of the reasons why athletes die.”

A majority of high schools across the country require student athletes to pass a thorough questionnaire endorsed by the American Heart Association (AHA) and a physical exam before playing sports. If a child is found at higher risk, guidelines call for additional testing and ECG.

Drezner said it’s not enough.

“There is robust evidence that using that model for screening leaves the majority of kids at risk undetected,” said Drezner.

The AHA told Good Morning America that it supports ECG testing for children at the highest risk, but stood by the current guidelines, which considers the latest research findings and patient safety.

The association also expressed concern that universal ECG screening may miss cases by de-emphasizing the importance of proper exams. Also, it would cost an estimated $2 billion that they said could be spent on other potentially life-saving interventions.

Dr. Eli Friedman, the medical director of sports cardiology at Miami Cardiac and Vascular Institute, agreed with the AHA guidelines and he advocated for other interventions.

“It’s not a tool for everybody. The infrastructure is definitely a concern that I have because there’s disparities in our healthcare system,” said Friedman to GMA. “I advocate more than anything for emergency action planning, CPR and AED training.”

The AHA said that it is an important area of study that needs more rigorous research and that there is concern that not all doctors are following screening guidelines.

As the debate continues, Bernadette Littles, Tetteh’s mother, said she was grateful an ECG screening led to her son’s diagnosis. She said she now volunteers to help other kids who may be in the same situation.

“After what happened to Josh, I volunteer. That’s my way of saying thank you,” she said to GMA. “Can’t wait to go to Mayville State and watch him on the field.”

Copyright © 2022, ABC Audio. All rights reserved.

Hurricane Ian’s damage will reach up to $65 billion

Hurricane Ian’s damage will reach up to  billion
Hurricane Ian’s damage will reach up to  billion
Ricardo Arduengo/AFP via Getty Images

(NEW YORK) — Hurricane Ian flooded major cities and devastated homes after it made landfall in Florida — but the damage isn’t done.

After temporarily becoming a tropical storm, Hurricane Ian accelerated to Category 1 strength on Thursday night as it barreled toward South Carolina, with landfall expected on Friday.

In all, the economic damage wrought by the hurricane could reach up to $65 billion, according to a projection released on Thursday by data firm Enki Research, which studies the financial impact of storms.

The estimate put the best-case scenario for storm damage at $55 billion, Enki Research said.

The historic storm demolished homes and businesses, damaged infrastructure like roads and bridges and appears to have harmed citrus fruit trees that make up a key industry in the state.

Florida accounts for 70% of citrus fruits — such as oranges, grapefruits and tangerines — produced in the U.S.

Fixtures of the state’s tourism industry, like Disney World and Universal Orlando, temporarily closed as the storm approached earlier this week. On Friday, the parks announced that they would begin to reopen in phases.

President Joe Biden on Thursday approved a major disaster declaration for Florida, allowing additional federal aid to flow to the state.

Speaking on Thursday, Biden vowed support for state and local officials as they assess the damage caused by the storm, saying the federal government will cover the full cost of clearing debris and of rebuilding public buildings like schools and state fire stations.

The government will also be providing support to people with destroyed or damaged homes.

More than 8,700 people have registered for aid from the Federal Emergency Management Agency, or FEMA.

On Wednesday, the then-Category 4 hurricane sustained wind speeds of 150 mph as it made landfall on Florida’s west coast.

The storm struck the coastal city of Fort Myers, and affected nearby cities of Tampa Baby and Sarasota, before traveling east across the peninsula toward Orlando.

“It’s definitely going to be one of the stronger storms and more damaging storms,” Chuck Watson, Enki Research founder and director of research and development, told Bloomberg on Tuesday.

Hurricane Charley, a major storm that struck Florida in 2004, caused damage that today would amount to between $20 billion and $25 billion, Watson said.

The projected costs for Hurricane Ian would amount to less than half of the damage caused by Hurricane Katrina, which totaled $161 billion.

While it caused major damage, Hurricane Ian avoided a large disruption of the U.S. oil and gas industry, which would have come about if the storm had traveled toward Texas and Louisiana, industry analysts previously told ABC News.

The state doesn’t host any oil refineries and accounts for about 6,000 barrels of oil production each day, said Andy Lipow, a longtime oil analyst and president of Lipow Oil Associates.

That output makes up a tiny fraction of overall U.S. oil production, which amounts to 11.8 million barrels per day, the U.S. Energy Information Administration reported this month.

Copyright © 2022, ABC Audio. All rights reserved.

Race to November: Dr. Oz lays out his platform as Senate race heats up

Race to November: Dr. Oz lays out his platform as Senate race heats up
Race to November: Dr. Oz lays out his platform as Senate race heats up
ABC News

(NEW YORK) — With just a little over a month before the Nov. 8 elections, Dr. Mehmet Oz tells ABC News that he is gearing up for a tight campaign schedule as he tries to convince Pennsylvania voters that he’s the best choice for their U.S. Senator.

Oz laid out more specifics of his agenda and responded to criticism by his opponent, Pennsylvania Lt. Gov. John Fetterman, in a wide-ranging interview and run with ABC News’ Linsey Davis.

Oz, a former heart surgeon turned TV talk show host, said he decided to run for office because of the legacy he has as a first-generation American. The GOP candidate said that his father, who immigrated to the U.S. from Turkey, instilled in him pride in his adopted land and encouraged him to work hard.

“My life is a living testimony to the American dream,” he told Davis. “I want everyone to have that, and I don’t want that getting squandered away.”

Oz’s residency has come into question from Fetterman and other opponents who have noted that Oz moved to Pennsylvania in 2020 after residing in New Jersey. Fetterman has frequently brought up this point in social media posts.

Oz pushed back against the criticism, calling the residency complaints a “preposterous issue.”

“I had two kids in Pennsylvania, married my wife 37 years ago in the house we live in now, which was the best decision I made in my life, and we moved back couple of years ago,” he said.

“It’s a deeper reality that, in Pennsylvania, we don’t care where you’re from. We care what you stand for,” Oz added.

Oz added that he was a Philadelphia Eagles fan.

The Republican candidate said his first priority as a senator would be health care. Oz said every American should have access to health care but added, “we’ve got to deal with the cost issues as well.”

When asked if he supported U.S. Sen. Lindsey Graham’s bill to ban abortion nationwide, Oz, who has supported banning abortions with exceptions for lifesaving instances, didn’t directly answer but reiterated his stance that the issue should be left up to the states.

“I don’t think the federal government should play a role in telling states how to make decisions around some of these issues, especially sensitive ones like those involving the pro-life movement,” he said.

Health has come up in the campaign after Fetterman suffered a stroke in May.

Last month, Oz distanced himself from a comment made by one of his campaign staffers who was quoted saying that if Fetterman “had ever eaten a vegetable in his life, then maybe he wouldn’t have had a major stroke and wouldn’t be in the position of having to lie about it constantly.”

Oz reiterated that he has empathy for Fetterman and his recovery.

“It’s an area that I specialize in medicine, recovering from a stroke,” he said. “All of these issues are challenges, especially if you’re in the political arena, which is physically demanding, and you’ve got to articulate your thoughts on this campaign.”

Oz, however, criticized his opponent for not having more facetime during the campaign. Fetterman has kept most of his campaigning online and with few public appearances since the stroke.

There is only one debate scheduled between the candidates on Oct. 25.

“Focus on the voters,” Oz said. “They have a right to hear my opponent articulate and defend his policies.”

Oz said he is focused on winning over all voters — Republicans, Democrats and Independents. However, he has faced criticism for his ties to the far-right, but also from the far-right for not being conservative enough.

Oz was endorsed by Former President Donald Trump, but he has contended he wants to be a leader for all.

“I think I’m a moderate leader, but not passive. I feel very strongly about the positions I have,” he said.

“Politics is a game of addition and multiplication, not division. I have lots of people endorsing me. Some of those people don’t like President Trump. Many do. But I want everybody endorsing me,” he added.

Copyright © 2022, ABC Audio. All rights reserved.

Biden slaps new sanctions on Russia after Putin annexes parts of Ukraine

Biden slaps new sanctions on Russia after Putin annexes parts of Ukraine
Biden slaps new sanctions on Russia after Putin annexes parts of Ukraine
omersukrugoksu/Getty Images

(WASHINGTON) — For months, the U.S. has warned that the Kremlin would move to annex occupied areas of Ukraine. But now that Russian President Vladimir Putin on Friday has certified the annexation of four territories into the Russian Federation, all eyes turned to the Western response to the provocation.

Within minutes of Putin’s action, President Joe Biden shot back.

“The United States condemns Russia’s fraudulent attempt today to annex sovereign Ukrainian territory. Russia is violating international law, trampling on the United Nations Charter, and showing its contempt for peaceful nations everywhere,” he said in a statement.

“Make no mistake: these actions have no legitimacy. The United States will always honor Ukraine’s internationally recognized borders. We will continue to support Ukraine’s efforts to regain control of its territory by strengthening its hand militarily and diplomatically, including through the $1.1 billion in additional security assistance the United States announced this week,” he said.

He announced new sanctions, in conjunction with Western allies and partners.

“These sanctions will impose costs on individuals and entities — inside and outside of Russia — that provide political or economic support to illegal attempts to change the status of Ukrainian territory. We will rally the international community to both denounce these moves and to hold Russia accountable. We will continue to provide Ukraine with the equipment it needs to defend itself, undeterred by Russia’s brazen effort to redraw the borders of its neighbor. And I look forward to signing legislation from Congress that will provide an additional $12 billion to support Ukraine,” Biden said.

The European Union has already moved to implement a host of new trade restrictions. At the United Nations, a U.S. sponsored resolution condemning the land grab will soon be introduced before the organization’s Security Council.

But so far, financial restrictions and public shaming have done little to constrain Putin’s imperialistic goals, prompting Ukrainian officials to call for a shift in strategy.

Ukraine’s President Volodymyr Zelenskyy has pushed the U.S. to designate Russia as a state sponsor of terrorism, which installs secondary sanctions — penalizing any business or entity that does business with the country. So far, the Biden administration has been adamantly against it, saying it could inhibit efforts to move aid to Ukraine and other needy countries, as well hinder any future peace talks.

Still, Kyiv has been undeterred.

David Arakhamia, one of Zelenskyy’s closest advisers, during a visit to Washington on Thursday, said that he felt “more optimistic” after meeting with lawmakers, saying he felt Congress was continuing to “put political pressure” on the White House to shift its policy.

“We want to see as much financial impact on Russia as possible,” Arakhamia said during a press conference. “If we make Russia poor, that means we increase our chances for Ukraine to win.”

Oleksandra Ustinova, a member of Ukraine’s parliament, argued at the same event that the administration also needs to specifically say how it will punish Putin.

“It is very important for us that the United States exactly what they’re going to do before Putin makes the next steps,” Ustinova said. “Because he’s a bully. He’s testing how far he can go.”

Ustinova said Ukrainian officials had directly pushed the U.S. government to “state how hard you’re going to hit him” and to crack down harder on Russian financial institutions.

“That would make him think twice,” she said.

When it comes to Putin’s nuclear threats, the administration has been especially stringent, sticking to its policy of “strategic ambiguity” — declining to say just how the West might respond to the ultimate aggression — as an attempt to walk the line between deterrence and escalation.

Arakhamia said he was hopeful NATO would spell out specifically what it would do in that worst-case scenario and that Ukraine would receive collective defense guarantees, but either would mark a significant shift and one that could have weighty implications for the conflict.

A more likely and immediate response is expected to be an infusion of military and economic aid from Congress, which is set to pass a stopgap funding bill with more than $12 billion more for Ukraine on Friday. But already, some of the recent rounds of aid announced have included weaponry that still needs to be produced, meaning it won’t make it to the battlefield for months or years — and signaling surpluses in allies’ armories are running low.

“We think it’s high time the United States and other allies actually warm up production up to the scale of wartime,” urged Anastasia Radina, another member of Ukraine’s parliament. “Because it is now wartime for the whole civilized world.”

“No one has seen anything like this since World War II,” said Ustinova.

Copyright © 2022, ABC Audio. All rights reserved.

Turkey prices soar ahead of Thanksgiving, what consumers can expect

Turkey prices soar ahead of Thanksgiving, what consumers can expect
Turkey prices soar ahead of Thanksgiving, what consumers can expect
Juanmonino/Getty Images

(NEW YORK) — The centerpiece for Thanksgiving tables across the country will cost more than ever this holiday season.

The American Farm Bureau Federation announced Wednesday that “families can expect to pay record high prices at the grocery store for turkey” due to bird flu and inflation.

The organization analyzed turkey costs in their latest Market Intel, finding retail prices on fresh boneless, skinless turkey breast reached a record high of $6.70 per pound in September, which is up 112% from 2021. The previous record high price was $5.88 per pound in November 2015, during the highly pathogenic avian influenza outbreak.

“This is particularly challenging for turkey production, because it takes a really long time to grow a turkey to its market weight of about 30 pounds. So when we saw these significant shocks to supply this spring, we’re now seeing it in grocery stores reflected in those prices today,” American Farm Bureau Federation senior economist Veronica Nigh told ABC News’ Good Morning America.

With inflation at a near 40-year high, retail food prices were up 11.4% in August compared to the same time last year.

Despite higher prices, farmers and retailers believe there should be enough turkeys to meet the holiday demand.

“All of us are feeling the pain of higher prices at the grocery store,” American Farm Bureau Federation President Zippy Duvall said in a statement. “HPAI outbreaks in the spring and an uptick in cases in the fall are taking a toll, but farmers remain dedicated to ensuring America’s food supply remains strong.”

Over 40 states have confirmed cases of bird flu, which has wreaked havoc on 46 million birds in the U.S.

In Minnesota, the top turkey supplier in the U.S., the situation has gotten so dire with the deadly outbreak that Gov. Tim Walz signed an executive order to waive trucking regulations in an effort to help fight the spread.

“If your turkeys end up with bird flu, any other poultry on the farm, whether it’s meat chickens, egg layers, they all have to be exterminated and that’s not only a huge financial loss that’s just a really sad situation,” Nellie Lovenduski of Slate River Farms told local affiliate WXXA-TV.

But farmers maintain that consumers can still find their Thanksgiving turkeys.

“I think at a minimum you’re going to see an increase in price in turkeys even in the big box turkey providers,” Lovenduski said.

But Nigh explained there’s still ways to save.

“We’re looking at ways to perhaps mitigate cheaper Thanksgiving dinner and maybe more side dishes to go along with that with that turkey and looking for substitutes at the grocery store,” she suggested. “Think about getting a frozen burger rather than a fresh turkey this year. Ways to really stretch that dollar and so that we can all be together but still have that traditional Thanksgiving dinner.”

Copyright © 2022, ABC Audio. All rights reserved.

Ex-Trump adviser Tom Barrack’s emails to Paul Manafort, Jared Kushner, Ivanka Trump read aloud during trial

Ex-Trump adviser Tom Barrack’s emails to Paul Manafort, Jared Kushner, Ivanka Trump read aloud during trial
Ex-Trump adviser Tom Barrack’s emails to Paul Manafort, Jared Kushner, Ivanka Trump read aloud during trial
Michael M. Santiago/Getty Images

(NEW YORK) — Government prosecutors in the case of Tom Barrack on Thursday read aloud hundreds of emails and texts sent by the former Trump fundraiser, who is on trial at a federal courthouse in Brooklyn, New York, for allegedly illegally lobbying on behalf of the United Arab Emirates.

The hours-long recitation included messages to Donald Trump’s daughter Ivanka Trump, her husband Jared Kushner, and Trump’s 2016 campaign manager, Paul Manafort.

Barrack, a billionaire California-based businessman and longtime Trump associate, has pleaded not guilty to charges that he acted as a foreign agent for the UAE from 2016 to 2018 and failed to register with Justice Department, which prosecutors say constitutes a crime. The government alleges that Barrack illegally lobbied on behalf of the UAE while seeking investments from two UAE sovereign wealth funds — a charge his defense attorneys have dismissed as ridiculous.

“[The government’s] accusations are nothing short of ridiculous. Tom Barrack was never under anybody’s direction. Tom Barrack was never under anybody’s control,” said Michael Schachter, Barrack’s attorney. “Tom Barrack was his own man [and] said things because he wanted to.”

After several days of testimony, prosecutors on Thursday laid out communications from Barrack in an effort to prove their case. The messages largely focused on discussions surrounding an energy speech that Trump, who was then a presidential candidate, was set to deliver in early 2016.

Prosecutors have alleged that Barrack shared an early draft of the speech with UAE government officials for feedback, and then inserted language favorable to the UAE.

“Wow, I’m just stunned by how bad this is,” Barrack wrote in an email to Manafort in May, 2016, upon receiving a new draft of the proposed energy speech that did not include his earlier additions praising the UAE. “We better figure out a way to get one paragraph to balance foreign policy concerns for energy dependent allies in the gulf.”

“Send me an insert that will work for our friends. I will push to get it included,” replied Manafort, who was later pardoned by Trump after being sentenced in 2019 to seven years in prison for charges related to special counsel Robert Mueller’s investigation. “This is easier than fighting to get the speech back to where it was.”

According to emails presented by prosecutors, Barrack, seeking feedback, had first sent a draft of the speech to Rashid Al Malik, whom the government describes as a UAE national who is also charged alongside Barrack. Al Malik then forwarded the speech to a member of the UAE government, and after much back-and-forth, language praising the UAE was inserted.

“Here is my latest draft, I will give it to him tomorrow,” Barrack wrote days later to Al Malik, in an email with the subject line “totally confidential.” Amidst more back-and-forth that followed, Barrack pushed back on some suggestions, writing to his aide, Matthew Grimes — who is also charged and has pleaded not guilty — “do not include any of their other comments please.”

On May 26, 2016, Trump delivered the speech — which included a pledge to “work with our Gulf allies.”

“Amazing speech!” Al Malik wrote to Barrack shortly thereafter.

“MBZ and MBS were watching,” added Al Malik, referring to UAE President Mohamed bin Zayed Al Nahyan and then-Deputy Crown Prince of Saudi Arabia Mohammed bin Salman Al Saud.

Prosecutors also displayed emails from months before the speech, in which Barrack pushed to get Manafort hired by the Trump campaign.

“I think it’s really, really important and Manafort is a genius killer [sic] but the opposite of [Trump adviser Roger] Stone,” Barrack wrote in a Feb. 29, 2016, email to Ivanka Trump and Kushner.

Barrack also forwarded an email he had previously sent to Trump saying that Manafort was “the most serious and lethal of managers.”

“Thank you for being such a great friend,” Manafort emailed to Barrack after Manafort was hired as the campaign’s GOP convention manager. No responses from Ivanka Trump or Kushner were included.

Other emails also appeared to show an effort by Barrack to prevent others from meeting with UAE officials. In early May, Barrack emailed Al Malik that a sheikh had “reached out to the Trump Organization to Jared … to try and set up a meeting.”

“I intercepted,” Barrack wrote in the May 5, 2016, email, which prosecutors read as a picture of Kushner was displayed for the jury.

“I told him to cancel that is bulls—,” Barrack wrote days later regarding a separate potential meeting.

Later, Barrack emailed Jared that the man he was supposed to meet with was a “mid level bureaucrat.”

“You are the only direct channel to the candidate and no one else,” Al Malik told Barrack in a later email.

Copyright © 2022, ABC Audio. All rights reserved.

What the new FDA ‘healthy’ definition means for food labeling, consumers

What the new FDA ‘healthy’ definition means for food labeling, consumers
What the new FDA ‘healthy’ definition means for food labeling, consumers
d3sign/Getty Images

(SILVER SPRING, Md.) — Foods that claim to be “healthy” on their packaging will soon be subject to a new set of labeling guidelines, part of an effort by the U.S. Food and Drug Administration to help educate consumers on nutrition literacy and align packaging language with current nutritional guidance.

The FDA announced the new rules on Wednesday.

The proposed update will ensure that food labels with “healthy” content claims are better aligned with current nutrition science, the updated Nutrition Facts label and the current Dietary Guidelines for Americans.

For example, foods like salmon, despite having higher fat content, can now be labeled as “healthy,” as it is a nutrient-dense food.

According to the FDA, “The proposed rule would update the ‘healthy’ claim definition to better account for how all the nutrients in various food groups contribute and may work synergistically to create healthy dietary patterns and improve health.”

“Diet-related chronic diseases, such as cardiovascular disease and Type 2 diabetes, are the leading causes of death and disability in the U.S. and disproportionately impact racial and ethnic minority groups,” FDA Commissioner Robert M. Califf, M.D., said in a statement on Wednesday. “Today’s action is an important step toward accomplishing a number of nutrition-related priorities, which include empowering consumers with information to choose healthier diets and establishing healthy eating habits early. It can also result in a healthier food supply.”

The moves by the FDA are part of a broader anti-hunger push from President Biden. The changes were announced ahead of the White House Conference on Hunger, Nutrition, and Health.

The FDA also plans move nutrition labels from the back to the front of a food package to help consumers “with lower nutrition literacy.”

The newly proposed rule on healthy labels is part of the agency’s ongoing commitment to help improve nutrition and dietary patterns for consumers to ultimately help reduce the burden of chronic disease and advance health equity.

According to the FDA, 80% of Americans don’t eat enough vegetables, fruit and dairy, and most consume too much added sugars, saturated fat and sodium.

“Nutrition is key to improving our nation’s health,” HHS Secretary Xavier Becerra said in a statement. “Healthy food can lower our risk for chronic disease. But too many people may not know what constitutes healthy food. FDA’s move will help educate more Americans to improve health outcomes, tackle health disparities and save lives.”

Copyright © 2022, ABC Audio. All rights reserved.

Charleston is vulnerable to storm surge, and Hurricane Ian is taking aim

Charleston is vulnerable to storm surge, and Hurricane Ian is taking aim
Charleston is vulnerable to storm surge, and Hurricane Ian is taking aim
Manuel Augusto Moreno/Getty Images

(CHARLESTON, S.C.) — Another coastline known for its sensitivity to storm surge will feel Ian’s wrath as the storm system strengthens back into a hurricane and makes another landfall in a vulnerable region.

While Ian made a slow crawl through central and northern Florida on Thursday as a tropical storm, its sights will soon be set on the coast of South Carolina — specifically Charleston, which historically does not do well with storm surge.

After exiting into the Atlantic Ocean, the warms waters, combined with the Gulf Stream, could allow Ian to regain strength as it heads toward the South Carolina coast as a Category 1 or even Category 2 storm.

Charleston is extremely susceptible to storm surge due to its geography and proximity to the coast.

Nearly 90% of Charleston homes and businesses are vulnerable to storm surge, a 2020 report conducted by the City of Charleston found.

During a major flooding event, emergency responders would not be able to reach about 86% of properties citywide due to roadway flooding, the report found.

Many areas surrounding Charleston Bay could be flooded with even just over 3 feet of surge.

Meteorologists are forecasting a storm surge in Charleston topping 7 feet, putting those who live near the coast in peril. The all-time record for storm surge in the region is 9 feet after Hurricane Irma struck in 2017.

A hurricane warning has been issued for the entire coast of South Carolina, while parts of Georgia are now under hurricane watch advisories, and parts of North Carolina are under tropical storm warnings.

The system is expected to form back into a hurricane Thursday night and could make landfall in South Carolina Friday morning.

Ian had already threatened other regions particularly vulnerable to storm surge.

South Carolina will be Ian’s fourth landfall. The hurricane first made landfall as a Category 3 storm near La Coloma, Cuba, on the southwest side of the island, early Tuesday morning.

The system then traveled up the Gulf of Mexico and made landfall twice in Florida on Wednesday afternoon — first near Cayo Costa, near Fort Myers Beach, as a Category 4 storm with 150 mph winds and again 90 minutes later in Punta Gorda, near Pirate Harbor, with winds at 145 mph.

Ian’s path of destruction is far from over.

ABC News’ Max Golembo contributed to this report.

Copyright © 2022, ABC Audio. All rights reserved.

Multiple deaths reported after Hurricane Ian slams into Florida

Multiple deaths reported after Hurricane Ian slams into Florida
Multiple deaths reported after Hurricane Ian slams into Florida
Lokman Vural Elibol/Anadolu Agency via Getty Images

(NEW YORK) — At least nine people in Florida died due to Hurricane Ian, according to preliminary reports from local officials.

The Category 4 storm slammed into Florida’s west coast Wednesday afternoon, causing catastrophic  damage and dangerous, record-breaking storm surge.

At least six storm-related deaths have been reported in Charlotte County, on Florida’s west coast, county commissioner Chris Constance said on CNN.

Door-to-door search and rescue efforts are still ongoing and it’s unclear how many people may be unaccounted for, he said on Thursday.

The Sarasota County Sheriff’s Office confirmed Thursday the county had at least two storm-related deaths.

One death was also reported overnight in Volusia County, in central Florida. A 72-year-old man in Deltona died after attempting to drain his pool during the storm, the Volusia Sheriff’s Office said Thursday.

The man, who was not publicly identified, “disappeared” after heading outside, the sheriff’s office said. Deputies found him unresponsive in a canal behind the home and he was pronounced dead at a local hospital, the sheriff’s office said.

The Florida Department of Law Enforcement will ultimately release figures on the estimated death toll due to the storm.

Emergency response was largely halted Wednesday as the storm slammed Florida with high winds and heavy rain. Search and rescue efforts were underway throughout the state Thursday.

Florida Rep. Kathy Castor, who represents the Tampa Bay area, called the situation a “major catastrophe.”

“I’m afraid we’re going to be dealing with a larger loss of life than we anticipated,” she said on “ABC News Live” Thursday.

Florida Sen. Rick Scott told “Good Morning America” Thursday morning there were “thousands of rescue efforts going on right now.”

“We’ve got great sheriff’s departments, police departments, fire departments, state rescue teams. They’re working hard. But there’s a lot of people that need help right now,” he said.

He expressed concern for the state’s many low-lying areas.

“The water kills and I’m just — I’m scared to death of, you know, what’s happened here and I hope everybody stays safe,” he said.

Lee County Sheriff Carmine Marceno, whose county is home to hard-hit Fort Myers and the barrier island Sanibel, told “Good Morning America” Thursday that they had thousands of 911 calls that they were currently answering.

“We still cannot access many of the people that are in need,” Marceno said. “It’s a real, real rough road ahead.”

Marceno said there are fatalities, including drownings, but that he does not know the exact number of people dead.

ABC News’ Benjamin Stein and Will Gretsky contributed to this report.

Copyright © 2022, ABC Audio. All rights reserved.

Many people evacuating Hurricane Ian face dire financial choices

Many people evacuating Hurricane Ian face dire financial choices
Many people evacuating Hurricane Ian face dire financial choices
Franz Marc Frei/Getty Images

(NEW YORK) — Fleeing Hurricane Ian, Kallie Collins, her fiance and four of her children flew out of Tampa Bay on Tuesday hours before the airport halted flights. However, her fifth child, a 14-year-old boy, wasn’t on the plane with them.

Months earlier, the family had purchased plane tickets for an October visit to her parents in Minnesota. As the storm headed straight toward their Tampa Bay-area home, the airline allowed them to move up their departure date and evacuate.

But her eldest son hadn’t wanted to come along back when they scheduled the trip, and they couldn’t afford to add a ticket for him.

“Leaving your child behind in a situation like this is just horrible,” she said. “I felt so guilty.”

The family had spent all of its savings, a total $1,100, on hurricane preparations like storage for their valuables and medical supplies for her two children with special needs, Collins said. Ultimately, she found a brother-in-law who could shelter her son at his home in Jacksonville.

“With our savings depleted, plus inflation, we’re in a really, really tough financial spot,” Collins said. “I have no idea how we’re going to get through this.”

Collins is hardly the only person fleeing Hurricane Ian who faced dire financial choices in recent days.

More than 2.5 million Floridians fell under an evacuation order on Wednesday as the hurricane barreled toward the state, where 13% of people live in poverty and the median annual household income is about $58,000.

For low- and middle-income households, the costs of evacuation can force individuals to put themselves in harm’s way, go into credit card debt or rely on support from family members and charity, advocates and experts said.

“The insecurity that so many people in this country are facing — you see it play out during a hurricane,” Mechele Dickerson, a professor at the University of Texas Law School who has studied the costs of living through a hurricane, told ABC News.

“The evacuations show the same thing we saw during COVID,” she added. “As soon as everything was shut down, the disparities were on display.”

Evacuating Hurricane Ian is unaffordable for many

During Hurricane Harvey, which struck Texas and Louisiana in 2017, hurricane evacuation cost households an average of $1,200, David Bierling, a researcher at A&M’s Texas Transportation Institute and Hazard Reduction and Recovery Center, told the Texas Observer. Costs add up from transportation, lodging, food and lost wages, his research showed.

That sudden financial burden would prove out of reach for most Americans. More than half of people across the U.S. cannot afford to cover a $1,000 emergency, according to a Bankrate survey in January.

Many people cannot afford to evacuate because they lack a car and the savings to pay for alternate transportation, Dickerson said, noting the costs of staying at a hotel also exceed many household budgets.

Further, people who work for hourly wages often cannot afford to miss days or weeks of work as they shelter elsewhere, Dickerson added. “If somebody could be making money if they stay, there’s also the income component,” she said.

‘For low-income people, this is a disaster’

Still, many people have chosen to evacuate from the path of Hurricane Ian, even as they struggle to afford basic needs, said Vanessa Tinsley, the executive director of a Miami-area food bank called Bridge to Hope.

A local influx of evacuees has dramatically increased the number of people seeking food, she said.

“My phone has been ringing off the hook,” Tinsley told ABC News. “The increased need is enormous.”

Bridge to Hope, which typically provides food to 100 clients by appointment each day, saw the number of appointments shoot up to 156 on Thursday, she added. Tinsley hired two additional staff members to work the food pantry, nearly doubling a staff that usually stands at three. The heightened need will continue for at least a month, she said.

“For low-income people, this is a disaster,” she said. “The food budget is the last flexible piece they have.”

“You can’t call the bank and say, ‘I need a lower car payment,'” she added. “You can’t lower your car insurance, the cost of your housing, your utility bill.”

Jasmine King, a customer service representative for Enterprise Rent-A-Car who makes $16 per hour, evacuated from the Western coastal city of Bradenton on Tuesday night with her five children.

Staying with her kids at a hotel near the Miami airport, King faces $178 per night for lodging as she suffers lost wages from missing her job. In all, King’s savings have dwindled to $240, she said on Thursday, adding that she hopes to go home as soon as possible when the roads are navigable.

“This experience has been an eye-opener,” she told ABC News. “It’s not just the glitz and glam of living in a state like Florida, but do you have a financial backup plan if something goes wrong?”

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