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Harry M. Voulgarakis, Ph.D. – Sought After For His Expertise In Psychological and Neuropsychological Assessment

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Mental health evaluation is an important process that involves the assessment of an individual’s mental and emotional well-being. These evaluations help to identify potential mental health issues and determine appropriate treatment options.

New York, New York, August 12, 2023, Dr. Voulgarakis’s primary expertise is in psychological and neuropsychological assessment. Paired with his training in behavior analysis, he uses his diverse pre- and post-doctoral training experiences to tailor the assessment battery to the needs of each person and referral question. Dr. Voulgarakis has provided clinical evaluations for infants through adults and also teaches and conducts research on clinical child and adult assessment.

Mental health evaluation is an important process that involves the assessment of an individual’s mental and emotional well-being. These evaluations help to identify potential mental health issues and determine appropriate treatment options. Dr. Voulgarakis offers various types of mental health evaluations, each with its own purpose and scope. The type of evaluation used will depend on the individual’s needs, symptoms, and the reason for seeking evaluation.

The most common evaluations include:

  • ADHD Evaluation: Attention Deficit Hyperactivity Disorder (ADHD) is a mental disorder that affects adults as well as children. It is characterized by difficulty in maintaining attention and controlling behavior.
  • Autism Evaluation: Dr. Voulgarakis is an expert in autism and neurodevelopmental disorders. He has trained in a variety of settings including the Seaver Autism Center for Research and Treatment at the Icahn School of Medicine at Mount Sinai, Spectrum Services NYC, and the NYU Langone Medical Center.
  • Disability Evaluation: Psychological disability evaluations are a crucial part of determining whether an individual is eligible for certain types of benefits or services. These evaluations are typically conducted by an experienced clinical psychologist who has the necessary training and expertise to assess the individual’s mental health and functioning.
  • Neurodevelopmental and Early Childhood Evaluation: Neurodevelopmental disorders are a group of conditions that affect the development of the brain. Common examples include autism, attention-deficit/hyperactivity disorder (ADHD), language and communication disorders, and learning disabilities. These conditions can cause difficulty with communication and social interactions, learning, and behavior.
  • Neuropsychological Evaluation: Neuropsychological testing is a comprehensive assessment of a person’s cognitive and social-emotional functioning. It is used to assess learning, memory, cognition, intelligence, academic ability and other psychological processes.
  • General Psychological Evaluation: Adult psychological evaluations are an important part of understanding the mental health and wellbeing of individuals. These evaluations can provide insight into a person’s general functioning, personality, mental status, mental health challenges, and more.
  • Health/Pre-Surgical: Health Psychology evaluation is a process of evaluating how a person’s behavior, illness and wellness are related to their psychological state. It involves examining the psychological, social, environmental, and biological factors that influence an individual’s health and healing.
  • Psychoeducational Evaluations:  Psychoeducational evaluations are a comprehensive assessment of an individual’s cognitive, academic, and psychological functioning. It is used to identify learning disorders such as dyslexia or math disorder, as well as other specific learning disabilities.

He is currently an Assistant Professor of Child Study at St. Joseph’s University, New York, and Adjunct Assistant Professor at Teachers College, Columbia University. Dr. Voulgarakis maintains a private practice in New York City, is currently an executive board member of the NYSPA Forensic Psychology division. He regularly provides consultation and training, and has served as an expert witness and evaluator.

Dr. Voulgarakis is also active in research, policy, and teaching. He is an editorial board member for The Clinical Neuropsychologist, reviewer for Children’s Health Care, and sits on several university and external committees. His work has appeared in other outlets such as Autism Spectrum News and at both national and international research conferences.

Dr. Voulgarakis is currently available in-person by appointment at his office on the Upper West Side of Manhattan, or for evaluations with advanced scheduling in San Francisco. Telehealth is offered for individuals located anywhere in the state of New York or California.

For complete information, visit:  https://drharryv.com/

Media Contact: Harry M. Voulgarakis, Ph.D.
Attn: Media Relations
New York, NY
203-451-0549
info@drharryv.com

From Below Canyon’s Rim, Finding a New Perspective

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Walking a dog during the summer in Phoenix begins with a test: Hold the back of your hand to the sidewalk for a few seconds. If your hand can’t take the heat, neither can your dog’s bare paws.

Since returning to Phoenix from a 36-hour reporting trip in Grand Canyon National Park, I’ve added another step to my routine: I throw my T-shirt in the kitchen sink and soak it with “cold” water. Park rangers recommend the trick for hot days, and I can testify that it makes a huge difference. During triple-digit temperatures, the only way to experience anything resembling a cooling sensation is to feel moisture wicking off your skin.

Avery ThomasCredit…Avery Thomas

You might think that living in the Southwest would automatically build up your tolerance for this kind of heat. But the reality for most people living through summer in the Sonoran Desert is that life unfolds indoors. You scuttle from a temperature-controlled house to your baking car, crank the air-conditioning and, within a few minutes, arrive at another man-made oasis.

With its supermarket and steakhouses, hotels and chilled coach buses, Grand Canyon Village extends this bubble to the edge of the wilderness. For a recent article that appeared in the Travel section of The New York Times, I wanted to understand how the park’s search-and-rescue staff mitigated risk in this borderland, a place where you can buy a milkshake a few steps away from a trail that leads to some of the world’s most rugged terrain.

Much of that work is focused on what rangers call preventive search-and-rescue, known as P-SAR, which amounts to making sure people have the information and supplies they need to get through a hot hike.

Talking to rangers who have watched people reach critical condition within a couple of miles of an air-conditioned food court has a way of changing your perspective on risk. Even as an avid hiker with a few years of desert living under my belt, I realized while reporting this article that I had never really considered the hows and whys behind lifelong trail habits, like snacking on potato chips or dipping a bandanna in the river.

In “Desert Solitaire,” the naturalist Edward Abbey famously railed against the paved roads and utility projects being pushed into remote parts of the country. “Why is the Park Service so anxious” to cater to “the indolent millions born on wheels and suckled on gasoline, who expect and demand paved highways to lead them in comfort, ease and safety into every nook and cranny of the national parks?” he wrote.

For the most part, his argument lost out to what he called “industrial tourism,” and as a result, about five million of us get to see the wonders of the Grand Canyon every year. But topography has put at least part of this impulse in check: If you want to see the canyon from below the rim, you have to walk or hire a mule to take you down. And, as the park’s superintendent, Ed Keable, told me during my visit in June, “Some of our visitors just aren’t prepared for the extreme conditions of hiking in the Grand Canyon.”

Conventional wisdom is that the population most at risk of needing rescue is “YAMs” — young adult males with too much testosterone to heed warnings from nature (or their wise, naysaying friends and relatives). But data from Grand Canyon National Park in 2018 showed that people over 60 needed help most often. The altitude, and the effects of global warming, which push more days over temperatures that we can stand, conspire to make a bad time creep up on you, or accentuate the effects of a chronic health condition.

When I asked one ranger how people who got into trouble in the canyon usually explained how they had ended up in the situation, he answered, “They thought they’d be fine.”

Fourteen years ago, I spent a month floating through the Grand Canyon on a rafting trip down the Colorado River. For my latest trip, I was careful not to tempt disaster and packed a few essentials: a water bladder, a wide-brimmed hat, a pair of sunglasses and good shoes. But after a day of interviews with search-and-rescue rangers, I felt unprepared for the trail. I hadn’t studied maps or plotted out my descent with target departure and return times. Rather than heed their advice to avoid hiking between 10 a.m. and 4 p.m., when the sun is at its most punishing, I overslept and followed the June crowds down into the canyon shortly before 9 in the morning. The temperature was already in the 80s and climbing.

I’m usually an overambitious, seat-of-the-pants kind of hiker. But when I reached Havasupai Gardens, which is four and a half miles into the journey along the Bright Angel Trail, I resisted the temptation to go another mile and a half to Plateau Point, where you can see the blue thread of the Colorado. I turned around instead.

The advice of the rangers had entered my subconscious.

DeSantis Gets Heckled and Trolled on His Big Day With Trump in Iowa

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It’s been said that a bad day at the fair is always better than a good day at work. For Gov. Ron DeSantis of Florida, those two ideas collided on Saturday in Iowa.

Mr. DeSantis, who has been struggling to gain ground on former President Donald J. Trump and is counting on making his mark in the state’s first nominating contest, suffered a series of moments — all beyond his control — that would be enough for any candidate to question his place in the political universe, especially before a near face-to-face encounter with the front-runner at the Iowa State Fair.

Ahead of the Florida governor’s appearance with Gov. Kim Reynolds of Iowa at a “fair-side chat,” a plane flew overhead with a banner that read “Be likable, Ron!” Although it wasn’t immediately clear who was responsible for the stunt, the joke was a reference to advice given to Mr. DeSantis before a 2018 debate during his first run for Florida governor.

Then, during the interview, a small group of liberal protesters with cowbells and whistles sought to interrupt the conversation with Ms. Reynolds, who reminded the crowd to be “Iowa Nice.” Several of the protesters were removed from the event by the Iowa State Patrol. For other candidates, Ms. Reynolds’s interviews have been a safe space with softball questions and few unpredictable moments. Not so for Mr. DeSantis.

But drawing scorn from the left has always been part of the Florida governor’s brand. And Mr. DeSantis’s appearances on Saturday with two of Iowa’s top Republicans — in addition to the interview with Ms. Reynolds, the governor and his family rode the Ferris wheel with Senator Joni Ernst — reflected the attention his campaign is showering on Iowa, where he has pledged to visit all 99 counties.

Mr. DeSantis leaned into his Iowa-centric approach, criticizing Mr. Trump for his attacks on Ms. Reynolds, which the governor called “totally out of bounds” as he spoke briefly with reporters. “She’s never done anything to him,” Mr. DeSantis said of Ms. Reynolds, who is staying neutral in the caucuses. “But that’s just how he operates, to attack one of the best governors in the country.”

Accompanied by his wife, Casey, and three small children, Mr. DeSantis walked through crowds of fairgoers to join Ms. Ernst and Representative Zach Nunn, also a Republican, for a session at the grill flipping burgers and pork chops. Donning a red Iowa Pork Producers Association apron, Mr. DeSantis dove into the retail politics demanded at the busy state fair.

But Mr. Trump, who also visited the fair on Saturday, proved impossible to escape, although the paths of the two candidates never directly intersected.

Mr. DeSantis was trailed for much of the day by Trump supporters with placards trumpeting Mr. Trump as a “back-to-back Iowa champ” in 2016 and 2020. Mr. Trump of course did not win the 2016 Iowa caucuses, placing second to Senator Ted Cruz of Texas. He never conceded defeat.

And while the Trump Team handed out anti-DeSantis fliers before the former president’s speech at the Steer N’ Stein, the trolling was not limited to the fairgrounds, it seems. As Mr. DeSantis finished flipping pork chops, Mr. Trump’s plane appeared overhead, circling the fairgrounds in what Iowa locals say is a nonstandard flight path into Des Moines International Airport, and prompting chants of “We love Trump” from supporters in the crowd.

Mr. DeSantis’s tour through the state fair also exposed him to the kind of unscripted interactions his campaign usually avoids. Some people shouted positive encouragement as he and his family walked by (“We love you, Governor!” “Go get ’em, Ron!”), to which Mr. DeSantis often responded with a smile or a wave.

Others — on both the left and the right — jeered him with cries of “Loser!” “Fascist!” or “DeSanctimonious” (a favored insult of Mr. Trump’s), which Mr. DeSantis ignored. One woman hurled an expletive at him as he carried his young daughter on his shoulders.

All the while, Mr. DeSantis’s family, his wife, Casey, and the children (Madison, 6, Mason, 5, and Mamie, 3), reaped a prize bounty at the fair games, including a milk jug toss and balloon popping. They walked away with at least two oversize Pikachu stuffed animals and what appeared to be a giant koala.

Anjali Huynh contributed reporting.

Miami woman whips out gun after Florida Keys crash, cops say. She squeezed the trigger

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A fit of road rage after a crash in the Florida Keys on Saturday morning led to a gun being whipped out, the trigger being pulled several times and a Miami couple facing serious jail time.

However, in a strange turn of events, no shots were actually fired, deputies say.

“This was an unfortunate crash that should have been resolved peacefully,” Monroe County Sheriff Rick Ramsay said. “Instead, we have people in jail facing serious legal charges.”

Miami couple Mario Barbado Pichardo, 59, and Damarys Pichardo, 54, were both arrested Saturday. Mario is facing a battery charge and bonded out of Monroe County jail. Damarys is facing charges of attempted murder and criminal solicitation — she is still in jail.

Around 12:25 a.m., the Miami couple were driving a Ford pickup truck near Mile Marker 26, close to Big Pine Key, when they were involved in a crash with a Chevrolet pickup truck, the Monroe County Sheriff’s Office said.

When both cars pulled over, Barbado Pichardo, who was driving, instigated a physical fight with the driver of the Chevrolet, a 38-year-old from Marathon.

Damarys got a .380-caliber handgun and called 911, deputies said. A 911 operator heard her threaten to kill the 38-year-old.

The Chevrolet driver told deputies he heard the handgun click, the trigger being pulled several times, but the weapon never fired. The operator also heard Damarys ask why the gun wasn’t loaded and not firing.

Deputies later learned the gun had a loaded magazine, however a round was not chambered.

No life-threatening injuries were reported.

“It’s a valuable reminder to always let law enforcement address disputes,” Sheriff Ramsay said.

Joshua Cheptegei Leads Uganda to the World Championships

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It is here that Ugandan running is now thriving, though the region’s talent took time to develop. While Kenya enjoyed relative stability in the decades after it gained independence in 1963, Uganda was at war for much of the 1970s and 1980s. Lawlessness pervaded the Mount Elgon region until the turn of the century: Bandits from neighboring tribes would sweep in at night and conduct raids on cattle, often killing locals in the process.

The area was also slow to modernize. Until the 1990s, the ancestors of many current athletes, including Cheptegei, Kiplimo and Chemutai, lived inside the forests of Elgon’s upper belt, part of a small group of Sabaot that subsisted on milk, honey and meat from antelope and buffalo they hunted. Here, 9,000 feet up, there were no roads or schools, and no pipeline into competitive athletics. But according to Moses Kiptala, an elder who grew up in this community, endurance was of great value: The group’s method of persistence hunting involved chasing animals for hours until they overheated.

Kiplimo, who comes from a family of runners and had planned to contest the 5,000 and 10,000 meters in Budapest before being sidelined by an injured hamstring, is of particularly distinguished stock. Kiptala recalls Kiplimo’s grandfather being such a prolific hunter that the community called him Simba, or Lion.

Much had changed by the time today’s stars were born: In 1983, Uganda’s government began resettling the group, known as the Mosopisiek, downslope from the forest to make way for a national park. Most are now small-scale farmers. The resettlement process, Kiptala said, was traumatic, but it also helped unlock running talent. Through school, children could access competitions, and by the early 2000s, athletes from the Elgon region were beginning to appear in World Championship and Olympic finals.

Uganda’s first champion of this period was a runner from the country’s north, Dorcus Inzikuru, who won the 3,000-meter steeplechase at the 2005 World Championships in Helsinki. Elgon’s watershed moment came seven years later, when the Kapchorwa native Stephen Kiprotich notched an upset win in the 2012 London Olympics marathon — the country’s first Olympic gold since 1972. He doubled down with a marathon title the following year in Moscow.

England, Bruised but Unbowed, Reaches World Cup Semifinals

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England entered the World Cup knockout stages still waiting to look like the dominant team it had hoped it could be. Sure, England had yet to lose a game — an accomplishment during this chaotic tournament — but so far its performances had seemed a few rungs short of the level required to accomplish its goals: to reach its first final, to lift the World Cup trophy for the first time.

England had arrived in Australia last month without three of the country’s best players, all ruled out because of serious knee injuries. Another starter was hurt in the group stage and missed a game and a half. Then the Lionesses lost their best offensive player at this World Cup, the young midfielder Lauren James, to a suspension after she stamped on a Nigerian player in the round of 16.

But on Saturday night, in front of a Sydney crowd that presented yet another hurdle by favoring the upstart Colombians as the host nation’s preferred next opponent, England found a way forward again.

Overcoming an early goal with one of their own just before halftime and a second midway through the second half, the Lionesses delivered the kind of performance they had been saying was just around the corner, beating Colombia, 2-1, to advance to the semifinals for the second straight World Cup.

There, England will face Australia, which hours earlier had claimed its place by winning an extended penalty shootout against France up the coast in Brisbane.

“We have been put up against a lot this tournament,” said forward Alessia Russo, “and we always find a way through.”

Russo scored the winner in the 63rd minute, a right-footed finish after an assist from midfielder Georgia Stanway and a momentary lapse by Colombia’s defense that sent her in alone. Her coach and teammates used the word “clinical” to describe both Russo’s shot and the team’s focus, refusing to panic despite falling behind.

The stands were late to fill up at the start of the match, as many of the spectators appeared to be lingering outside, part of a raucous crowd in Cathy Freeman Park watching Australia edge France on an outdoor viewing screen. But when they did, it was clear the crowd favored the Colombians, who entered, against all odds, as the last team from the Americas still standing.

Those supporters erupted when Colombia midfielder Leicy Santos opened the scoring from the right side of the penalty area in the 44th minute, her shot arcing just over the outstretched right glove of England goalkeeper Mary Earps, who had surrendered only one other goal all tournament.

Surprised by the goal, England was reminded by its captain, Millie Bright, to stick to its game plan, to trust that its chances would come, too. Lauren Hemp provided the evidence almost immediately, tying the score only seconds before halftime by pouncing on a free rebound after Colombia’s goalkeeper fumbled the ball just steps from her goal line.

England, the reigning European champion and a World Cup semifinalist four years ago in France, entered this tournament as a top contender but a wounded one, having lost forward Beth Mead, midfielder Fran Kirby and defender Leah Williamson to serious knee injuries in the months before the World Cup. The depth that had delivered a title at last summer’s Euros offered a measure of comfort for Coach Sarina Wiegman and her team, but a lack of goals that had marked the team’s run-up to the tournament showed no sign of abating once it began.

Apart from a 6-1 win against China in the group stage, England had struggled to score, relying instead on Earps and a veteran defense. England produced single goals in its other two wins in the group stage, against Haiti and Denmark, and none at all in its round-of-16 win over Nigeria, which was only settled in a penalty-kick shootout after 120 scoreless minutes.

Two goals against Colombia will not answer all of those questions for England, but the Lionesses turned in a far stronger showing than they had in the previous round. For one day at least, that counted as a positive.

“You want to get better as the tournament goes, and I think we did just that tonight,” forward Chloe Kelly said.

England will face an even taller task in the next round against Australia in front of another crowd even more eager to see it defeated. It will again be without James, whose two-game ban means she will miss the semifinal, too. But for Wiegman, neither the fans nor the stakes will be England’s biggest challenge.

“No, it’s the opponent,” Wiegman said. “And ourselves.”

In Istanbul, Tombs of Religious Figures Still Draw Pilgrims

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Years ago, when her sister was diagnosed with ovarian cancer, Mahire Turk sought divine intervention.

She trekked to a shrine atop a hill overlooking the Bosporus, sat under an ornate dome close to the grave of a Sufi master who died nearly 400 years ago and prayed intensely for her sister to beat the disease.

After chemotherapy, her sister was declared cancer free — and is now expecting a baby, said Ms. Turk, 40, who works in a pharmaceutical warehouse.

So to this day, when worries cloud her mind, Ms. Turk, like many of her compatriots in this ancient, sprawling city of 16 million, visits one of its many shrines to long-dead religious figures to seek a spiritual boost.

“These are the protectors of Istanbul,” Ms. Turk said during a return pilgrimage to the shrine of Aziz Mahmud Hudayi, where she had prayed for her sister. “I am sure that if I pay them a visit, they will protect me, too.”

Centuries of civilization have left Istanbul dotted with such graves. More than just historical relics, many are well-kept, living sites that receive crowds of visitors seeking quiet places to pray, make wishes and unburden themselves from the woes of the modern metropolis.

The shrines combine Islamic devotion, Turkish history and Istanbul folklore. The city’s sailors, for example, have traditionally viewed Aziz Mahmud Hudayi and three other men buried near the Bosporus, which flows through Istanbul, as the waterway’s protectors.

Some of the shrines mark the resting places of documented historical figures. Others are of more dubious historicity, which does not diminish their role in the spiritual life of the city, a role that endures largely unaffected by Turkey’s contemporary political and economic gyrations.

Turkey’s religious authorities have posted signs at some sites to remind visitors that Islam forbids praying to anyone but God. But many of the faithful still seek the intercession of the interred to help them land jobs, buy cars, get healthy, find spouses or have children. And some express a deep affinity for the dead.

“I love him,” Fatma Akyol, a university student in theology, said of Yahya Efendi, a 16th-century Sufi scholar and poet who now rests in a shrine on the southwestern bank of the Bosporus. “I visit him very often.”

Yahya Efendi’s tomb sits under a pistachio-colored dome in an airy room surrounded by the graves of 10 others, including his mother, wife and son. The complex has separate prayer facilities for men and women, both with commanding views of the Bosporus. Outside, stone paths wind through a graveyard shaded by towering trees to a terrace where visitors take photos.

One recent afternoon, cats dozed in the mausoleum’s marble entryway as visitors drank from a stone fountain and removed their shoes before entering to pray. Parents brought their children. A mosque preacher with a long beard said he had brought his wife and her sister “to receive spiritual health.” A teenager in a Metallica T-shirt emerged from the mausoleum, retrieved his shoes and wandered off.

Ms. Akyol said she often spent hours praying and reading scriptures in the shrine. She shrugged off warnings about seeking help from the dead, comparing it to working a connection to get a job.

“When you ask for something from God, those who are beloved by God can be a go-between,” she said.

The shrine of Aziz Mahmud Hudayi sits on the waterway’s opposite bank.

Visitors come to pray near his grave, often returning to distribute sweets after their prayers have been answered, as they do at many shrines.

Outside, teachers told girls from an Islamic summer school to keep quiet during their visit. A brother and sister from a Turkish Black Sea town said they each were seeking “a benevolent affair,” meaning they hoped to get married. And a retired man said the buried mystic had walked on water across the Bosporus, proving his spiritual prowess.

Omer Arik, the vice president of the foundation that oversees the site, told a different version of the mystic’s story, in which the mystic guided a boatman across the water during a storm, using a route that is still named for him. It didn’t bother Mr. Arik that some visitors believed a more miraculous, water-walking version, he said, citing a Turkish proverb: “The sheikh doesn’t fly. The follower makes him fly.”

Near the northern end of the Bosporus’s western bank sits the shrine of Telli Baba, or the Father of the Threads, a figure whose story is imbued with so much lore that even the retired sailor who oversees the shrine doesn’t claim to know his exact history, or even his full identity.

He might have served in the sultan’s army during the conquest of Constantinople by the Ottoman army in 1453. He might have carried in his turban a length of silvery thread that brides traditionally braided into their hair as a sign of his devotion to the Almighty (probably the source of his nickname).

His grave, in a small room with hanging lamps, is covered with silver threads. Visitors cut a piece when they make a wish and are supposed to return it after it comes true.

Hatice Aydin, a retired teacher who cleans the shrine and feeds the local cats, said a minority of visitors wished for children and new jobs.

“Most of them are looking for husbands,” she said.

Sure enough, a preschool teacher soon emerged from the shrine and revealed that she had been asking for a groom. It was her third visit.

Later, a young woman appeared at the entrance in a blue hoop dress that was too large to fit in the stairwell that led to the grave. Her uncle said he had prayed there for her to get married and so had brought her back on her engagement day. They snapped photos near the entrance and left.

Fatma Yilmaz, a financial manager, came bearing wishes for herself and a number of others, she said. She cut 13 pieces of thread: four for her, five for her sister, one each for her son and her ex-husband, and two for friends.

“Now it is on them,” she said. “If their wishes are accepted, they have to come here.”

Atop a hill on the opposite bank stands the fourth of the Bosporus’s protectors, a shrine to Hazreti Yusa, or the prophet Joshua, who is revered by Christians, Jews and Muslims.

A sign from the local religious authorities stops short of claiming that he is actually buried there, noting instead that the site has held religious significance for many centuries. The site is centered on a grave — a more than 50-foot-long raised flower bed. It may be that long because those who built it may not have known exactly where the body was buried and wanted to make sure it was covered.

One recent evening, Rumeysa Koc, 35, stood by the grave, her palms raised. She had come to Istanbul with a colleague to buy merchandise for her women’s clothing line but had woken that morning after a terrible nightmare. The women had finished their work early and decided to squeeze in a shrine visit.

As they drove toward the shrine, she said, she had received a call telling her that the very thing she had dreamed about — she declined to provide specifics — had not come to pass.

“Without even setting foot on this hill, God solved the issue for me,” Ms. Koc said.

So at the grave she had given thanks, she said, and left feeling that her day had been miraculous.

“I am feeling free as a bird,” she said.

What are the symptoms of new COVID variant Eris taking over the US?

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A new COVID-19 variant called EG.5 is sweeping across the United States as cases and hospitalizations rise. The fast-spreading new COVID subvariant, also referred to as Eris, is now the dominant strain circulating in the U.S., health officials say.

As of last week, EG.5 accounted for the largest proportion of COVID-19 infections in the country compared to any other variant, according to the latest data from the U.S. Centers for Disease Control and Prevention,

Eris is also on the rise in several other countries around the globe. On Wednesday, Aug. 9, the World Health Organization decided to classify EG.5 as a “variant of interest.”

The new subvariant, which experts nicknamed “Eris” on social media, started circulating in the U.S. earlier this spring. Last month, EG.5 quickly overtook the prevailing omicron XBB subvariants, which had been driving the largest share of cases in the country.

During a two-week period ending on Aug. 5, Eris accounted for an estimated 17.3% of new confirmed COVID-19 cases in the U.S., up from 12% two weeks prior, according to the latest CDC data.

Many are wondering if the EG.5 subvariant is more transmissible or severe, and whether it’s causing different symptoms.

What is EG.5 , aka Eris?

EG.5 is a descendant of the omicron XBB sublineage of the virus (specifically, XBB.1.9.2), but it has an extra mutation in its spike protein, according to a WHO risk evaluation report.

“When we look at its sequence, EG.5 is really similar to the other XBB variants that are circulating right now, with a couple of small changes,” Dr. Andrew Pekosz, a virologist at Johns Hopkins University, tells TODAY.com.

The WHO added EG. 5 to its list of variants under monitoring on July 19, 2023, but the variant was first detected in February 2023. “Scientists have known about this variant, and it’s been present in other countries, as well,” says Pekosz.

So far, EG.5 has been reported in 51 countries and there has been a steady increase in prevalence globally — the majority of sequences are from China, followed by the U.S., South Korea, Japan and Canada, per WHO.

XBB.1.16, also called the “Arcturus” variant, remains the most prevalent strain of COVID-19 worldwide.

WHO considers the public health risk posed by EG.5 to be “low” and similar to that of XBB.1.16 and other variants of interest.

Is EG. 5 more transmissible?

The EG.5 variant is very similar to other omicron variants, which means it’s highly transmissible, Dr. Albert Ko, an infectious disease physician and professor at Yale School of Public Health, tells TODAY.com.

However, EG.5 is likely more transmissible than other XBB variants, Dr. Sharon Nachman, chief of the division of pediatric infectious diseases at Stony Brook Children’s Hospital, tells TODAY.com.

“If it was equally transmissible, then we wouldn’t see it gaining strength number-wise compared to some of the other variants,” says Nachman, adding that EG.5 quickly pushed out other XBB variants in the U.S., which were dominant over the summer.

Why exactly EG.5 is more transmissible is not yet known, Ko says.

“Whether it’s escaping population immunity or it has some intrinsic factor that makes it better able to transmit from one person to another … it’s hard to separate,” he adds.

According to WHO, EG.5 has increased immune escape properties compared to other variants. “EG.5 may cause a rise in case incidence and become dominant in some countries or even globally,” WHO said in a report.

However, Pekosz notes that the EG.5 variant may not be the sole reason for the U.S. summer uptick. “When you have a new variants, and cases creeping up, there’s always concern about whether that variant could be driving the increase,” says Pekosz.

“Right now, it doesn’t look like that variant alone is driving the case increases (in the U.S.) … there’s still a lot of other variants co-circulating,” he adds.

According to CDC estimates, EG.5 accounted for about 17% of COVID-19 cases in the U.S. during the two-week period ending on Aug. 3. — after EG.5, the next most common variants were XBB.1.16, XBB.2.3, and XBB.1.5, which accounted for 15%, 11% and 10% of cases, respectively.

“We’re keeping an eye on (EG.5) because of the uptick in cases, but it doesn’t look like there’s anything particularly concerning about this variant,” says Pekosz.

More data is needed to understand how EG.5’s transmissibility compares to other strains. However, decreased levels of testing and genomic sequencing are making it harder to accurately track new COVID-19 cases and which variants are driving them, Pekosz notes.

“Right now, there’s an awful lot of guesswork,” he says.

Is EG.5 more severe?

The data available do not indicate that EG.5 causes a more severe infection compared to other variants, the experts note.

In its risk assessment of EG.5, WHO said, “There have been no reported changes in disease severity to date.”

Although the U.S. recently saw the first increase in COVID-19 hospitalizations of the year, there isn’t evidence that EG.5 is causing this uptick or that it’s more likely to cause hospitalizations in general, Nachman notes.

“The people that are getting hospitalized often have lots of co-morbidities, and they’re at-risk no matter what COVID strain they get,” says Nachman.

However, it’s possible that hospitalizations could increase even more because of more people getting infected with EG.5, says Ko. “There’s no clear evidence of that at this point, but we have to keep on evaluating,” Ko adds

Population immunity from vaccination and prior infection should protect people from severe illness as EG.5 continues to circulate.

What are the symptoms?

There isn’t enough clinical data about the most common symptoms of EG.5 yet, NBC News previously reported.

“There’s no change in EG.5 symptoms right now,” says Pekosz. So far, the symptoms of EG.5 look very similar to the standard omicron symptoms, says Ko. These include:

  • Cough
  • Sore throat
  • Runny nose
  • Sneezing
  • Fatigue
  • Headache
  • Muscle aches
  • Altered sense of smell

“It may progress to some more significant feelings of difficulty in breathing as the infection spreads into your lungs,” says Pekosz.

Certain groups are at higher risk of developing severe illness or complications, including people over 65 and those who are immunocompromised or have underlying medical conditions.

Can COVID-19 tests detect EG.5?

All COVID-19 tests — including PCR tests performed by a medical provider and rapid at-home antigen tests sold over-the-counter — should be detecting EG.5, says Pekosz.

The experts emphasize the importance of getting tested as COVID-19 cases increase, and especially during the fall when viruses that cause similar symptoms (such as flu and RSV) are circulating.

“If you’re in one of the high-risk groups for getting severe COVID, you really shouldn’t hesitate to get a test,” says Pekosz, adding that early detection and treatment is key. COVID-19 antivirals such as Paxlovid are effective against EG.5 and other variants, but they work best when taken early, he adds.

Whether your insurance covers COVID-19 testing may have changed since the end of the U.S. federal public health emergency in May, TODAY.com previously reported, so check with your insurer if you have questions about testing costs.

It’s also important to check the expiration date of at-home tests. The shelf life of rapid tests ranges from four to 24 months, according to the U.S. Food and Drug Administration, but the expiration dates of some tests have been extended.

Will I need a COVID-19 booster this fall?

The experts encourage everyone to stay up to date on COVID-19 vaccines, which may include a new booster dose in the coming months. In June 2023, the FDA advised vaccine manufacturers to update their boosters to target omicron XBB.1.5, which was the dominant strain at the time.

These shots haven’t been approved yet, but the FDA could authorize Pfizer’s booster shot by the end of August, NBC News reported.

Although the new boosters will not include the EG.5 strain, they may still provide protection, the experts note. “If I vaccinate you with the vaccine that contains XBB, you will make antibodies that are specific to XBB and pretty close to EG.5,” says Nachman.

“Right now, EG.5 looks like it’s very closely matched to the vaccine that’s going to be available this fall,” says Pekosz.

However, the CDC has not yet released any firm guidance or recommendations around booster doses for the fall.

“The message is to pay attention to the COVID vaccine program that’s going to come out in the fall. … It’s a vaccine that many people (especially high-risk individuals) should consider taking,” says Pekosz.

How to protect yourself from EG.5:

In addition to staying up to date on COVID-19 vaccinations, the experts emphasize taking precautions to protect yourself and curb transmission of COVID-19, including:

  • Washing your hands with soap and water frequently
  • Staying home when sick
  • Avoiding contact with sick people
  • Improving ventilation
  • Wearing a mask in crowded, indoor spaces
  • Covering coughs and sneezes

This article was originally published on TODAY.com

We’re Drinking More Water. How to Hold It: That’s the Question.

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Carrie Frost is well equipped for hydration. A registered nurse and a mother of two from Colorado, she estimates that her family has accumulated “upward of 25 to 30” reusable flasks at home for keeping cold drinks: flasks large and small, of various designs and colors, with a straw and without. But last month, as she sat in 90-degree heat at her son’s travel baseball tournament, she drank from a plastic water bottle that she had purchased for $3 at a local grocery store.

“Convenience,” she said, laughing, as she tried to piece together why, once again, she was not using one of her many beverage containers. “I guess we’re just a lazy society.”

Americans are drinking a lot of water, but they are on the fence about how best to do it. More than $2 billion in reusable water bottles were sold in the United States in 2022, up from around $1.5 billion in 2020, according to Greg Williamson, the president of CamelBak, which is a maker of reusable bottles.

And sales of single-serving water bottles have been rising steadily, too, reaching 11.3 billion gallons in 2022, according to the most recent data from the Beverage Marketing Association, which tracks beverage sales.

In other words, consumers are spending billions of dollars a year on reusable bottles to stay hydrated and then buying bottled water anyway, even as faucet water remains free.

“Faucet?” said Jason Taylor from Georgia, whose son was playing the same Birmingham baseball tournament. “Faucet? I haven’t drunk from the faucet since I was 18.” He had heard stories about tainted water, like in Flint, Mich., and did not trust the faucet water at the hotel, he said, so he filled his reusable flask with ice from the hotel and poured bottled water over it. The hotel ice he trusted; the faucet water there, not so much.

Beverage consumption is in a fluid period. Americans are moving away from empty sugar calories but are still hooked on the convenience of a chilled plastic bottle from the corner-store fridge. So we are amassing containers, single-use and reusable, in kitchen cabinets and landfills alike.

Sales of reusable water bottles “are absolutely skyrocketing,” said Jessica Heiges, a sustainability consultant based in Berkeley, Calif., where she recently completed a Ph.D. in the creation of waste-free systems. But, she added, people who fill their reusable flasks with water from a bottle have not fully embraced the environmental proposition.

“They are not all the way there or are not fully convinced,” Dr. Heiges said. And, she noted, reusable water bottles take resources to make, so having too many isn’t great for the environment, either. “You can find them at every Goodwill and Salvation Army. People are overflowing with them.”

Alaina Waldrop, in Birmingham, has around 20 water bottles, as precious to her as purses, she said: “You have a decent water bottle and you get sick of it, or you’re used to seeing it all the time, and find a new one that’s pretty or it’s a new color or it holds more water or fits in a cup holder better.”

Ms. Waldrop, 20, works at Dick’s Sporting Goods, about a mile from Birmingham’s baseball fields. The store has multiple displays of reusable flasks, featuring major brands like Yeti and Hydro Flask. A display of Stanley flasks ($45 each) came with a sign: limit four per customer. “They’re so popular,” Ms. Waldrop said. “I bought one for my mom and one for my sister. We’re all water-bottle freaks. We all have this obsession. I wish it made more sense but it doesn’t.”

She tends to fill her bottles at home with filtered water but doesn’t trust faucets on the go, so she buys single-serving bottles at the gas station or convenience store and pours that water into her reusable container. “I drink whatever is in the plastic and then I throw the plastic away,” she said with a laugh. Why not simply drink all the water from the plastic bottle she just purchased? “It doesn’t stay cold for as long,” she said.

In practice, there may be little difference in quality or safety between bottled water and tap water, said Ronnie Levin, an instructor and expert in American public drinking water at the Harvard T. H. Chan School of Public Health. “It’s often just some random tap filling those water bottles,” Ms. Levin said. “Monitoring of bottled water is somewhere between zero and not routine.”

When putting bottled water in the flask, “you’re not necessarily getting anything better, except that you’re now polluting the environment.”

In the baking heat at the baseball fields, a line had formed at a snack shack that sold water for $3 and charged $2 for ice in a Styrofoam cup. Steps away was a refillable filtered-water tap that was used by some people but had no line. Maybe that’s because the filtered tap was free.

Water has become popular enough that it is often as or more expensive than soda, despite having less substance — in the form of sugar — to offer. At a handful of nearby convenience stores, the prices of water and soda were neck and neck; at Walgreens, bottles of Dr Pepper and other sodas sold at $4 for two, as did bottles of Dasani and Aquafina water.

Michael Bellas, the chairman and chief executive of the Beverage Marketing Company, said that bottled water remained far less expensive if purchased in bulk, at Costco, say, or the supermarket. But prices rise sharply for single-serving bottles when the retailer has a thirsty audience on the go, he noted.

“The airports just soak you,” Mr. Bellas said.

At the Hudson store at the Birmingham airport, 20-ounce bottles of Dasani water and Smartwater (both owned by the Coca-Cola Company) cost $4.29 with tax, while all the 20-ounce sodas (Coca-Cola, Diet Coke, Sprite) cost $4.09.

“Everyone has to hydrate, and people think it makes their skin look nice,” Kim Shoemaker, a Hudson employee, said of water. “No sugar, no chemicals, no additives.” Ms. Shoemaker, 60, said she bought cases of water at Costco and kept single-serving bottles in every room of her home, but also owned many reusable flasks. “Oh, my gosh, probably about six,” she said. “I don’t use them. I don’t know why.”

Just outside the Hudson store was a water dispenser for reusable containers, its water filtered and free of charge and mostly going unused.

Out at the baseball fields, Ms. Frost, who had traveled from Colorado for the tournament, said she had family members who didn’t understand why a person would spend on a reusable water container and single-serving water bottles and not just fill a cup from the tap.

“Ask my husband,” she offered. “He thinks it’s the stupidest thing in the world.”

To which her husband, Spencer Frost, gruffly added: “Just drink from the hose.”

U.K. Evacuates Asylum Seekers From Barge Over Bacteria in Water

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Just four days ago, asylum seekers were moved onto an austere barge moored off the British coast as the government rolled out a new policy aimed at illustrating its tough approach on migration.

On Friday that vessel was evacuated, after bacteria that can cause Legionnaires’ disease was found in the water system, leaving in disarray plans to showcase the government’s strategy.

The evacuation was an embarrassing end to what some in government had called “small boats week,” a publicity blitz intended to prove it was delivering on a promise to make changes that would stop migrants from crossing the English Channel in often unseaworthy vessels. Critics say it was also meant to appeal to right-wing voters ahead of a likely election next year.

But it also underscored deeper concerns about a divisive migration strategy that has so far failed to achieve its aims.

The week began with a flurry of policy announcements, interviews and social media posts from the government, including an enthusiastic prerecorded video from Prime Minister Rishi Sunak, who was on vacation in California. The transfer of 15 asylum seekers onto the barge on Monday was intended to be the highlight. By Friday, 39 people were onboard.

The vessel, called the Bibby Stockholm, is moored at Portland Port in Dorset, on England’s southern coast. The government says that the barge, along with two more vessels and three military bases, will help cut the cost of housing 51,000 asylum seekers in hotels, which it estimates at 6 million pounds — about $7.6 million — a day.

In a statement on Friday, the Home Office, the government department responsible for migration, said that samples from the water system on the Bibby Stockholm had shown “levels of Legionella bacteria which require further investigation.”

All those who arrived on the barge this week were being disembarked as “a precautionary measure,” it said, “while further assessments are undertaken.”

The Home Office said that no individuals on board had presented with symptoms of Legionnaires’ disease — a sometimes fatal respiratory condition — and that asylum seekers were being provided with appropriate advice and support.

But Care4Calais, a charity that supports refugees, said that as of Friday afternoon three men remained on the Bibby Stockholm. “No one has told them anything about the Legionella outbreak and they are frantically trying to find staff on board. It’s been left to our caseworkers to tell them to avoid the water,” the charity said in a post on X, formerly Twitter.

Legionella bacteria is commonly found in fresh water sources such as lakes and streams, where it usually poses no risk. But when it grows inside purpose-built plumbing, such as hot water tanks, shower heads and large water systems in hotels and offices, it becomes a concern.

Legionnaires’ disease is contracted when someone inhales aerosols — tiny droplets of water suspended in the air — that contain the bacteria. Certain conditions increase the risk from the bacteria, including the existence of rust, sludge and other deposits that support bacterial growth, and the storing and re-circulation of water, according to Britain’s Health and Safety Executive, a government agency.

The Home Office said that the contaminated samples came from water found in the barge’s internal systems and carried no direct risk for the wider community of Portland. The municipality, Dorset Council, said it was advising the government and environmental agencies in the wake of the results.

Neither it nor the Home Office would comment on when the test results were first available. Steve Smith, chief executive officer of Care4Calais, told Channel 4 News that water samples were taken on July 25 and that he believed the outcome was known on Monday.

The development will raise further concerns about the public health risks of housing large numbers of asylum seekers on a barge. When some individuals refused to move on board earlier this week, a Home Office minister, Robert Jenrick, insisted that it was a “perfectly decent accommodation” that had been used by other nations in a similar way.

In fact, the transfer of asylum seekers to the Bibby Stockholm was held up for several weeks because of fears over fire safety. Even after essential checks were carried out, the Fire Brigades Union, which represents rank-and-file firefighters, said barges were “a potential deathtrap,” and described the policy as “cruel and reckless.”

Part of the concern has focused on the number of people who might be brought aboard. The barge has 222 rooms but asylum seekers faced having to share them, and as many as 500 could ultimately be accommodated there.

The latest setback for the government comes as its flagship migration policy — flying some asylum seekers to Rwanda before their cases are assessed — is currently blocked by a legal judgment that the government is appealing.

Small boat crossings have meanwhile continued, with little sign that other policies are deterring them. Indeed the statistics passed a symbolic threshold on Wednesday, when the total number of migrants to have made the journey since 2018 passed 100,000.

Yvette Cooper, who speaks for the opposition Labour Party on home affairs issues, said in a statement that “the Conservatives have slogans and gimmicks, but no real solutions and no grip” on the migrant situation.

Greg Ó Ceallaigh, a lawyer who specializes in immigration and human rights law, said that the root cause of the large numbers of asylum seekers in hotels was the slow pace at which the government has been processing asylum applications. That has led to a backlog of people who need to be housed while they await processing.

“It’s boring and they are not going to get headlines but what they need to do is make decisions on asylum claims,” he said. “It’s the incompetence that stands out — but I do also think that this is performative cruelty. The fact that they have a ‘small boats week’ really shows that this is more of a public-relations campaign than a policy solution to a real problem.”