1
FRIDAY, MARCH 16, 2018 • 3A OMAHA WORLD-HERALD MAIN NEWS MIAMI (AP) — A pedes- trian bridge that was un- der construction collapsed onto a busy Miami highway Thursday afternoon, crush- ing vehicles beneath mas- sive slabs of concrete and steel and killing at least four people, authorities said. Search-and-rescue crews worked into the night, using dogs, search cameras and sensitive listening devices in a frantic search to find survivors among the debris. “Everybody is working hard to make sure we res- cue anyone who can be res- cued,” Florida Gov. Rick Scott said. But Miami-Dade Police Director Juan Perez said hopes were dwindling as the hours passed. “We know that there’s go- ing to be a negative outcome at the end of the day,” Perez said. Four people were found dead amid the chaotic scene, and nine victims were taken to hospitals, Fire Chief Dave Downey said without elabo- rating on their conditions. The partially built 950-ton bridge had been assembled at the side of the highway and moved into place Sat- urday to great fanfare. The span stretched almost 200 feet to connect Florida In- ternational University with the city of Sweetwater. It was expected to open to foot traffic next year. Scott said an exhaustive investigation will uncov- er “why this happened and what happened,” and he vowed to hold accountable those responsible. National Transportation Safety Board Chairman Robert Sumwalt III said a team of specialists was heading to Miami on Thurs- day night to investigate. Jacob Miller, a senior at FIU, was visiting a friend in a dorm when he heard si- rens and horns honking. He went to a balcony and could see rubble coming down. “I saw there were multi- ple cars crushed under the bridge. It was just terrible,” he said. An accelerated construc- tion method was supposed to reduce risks to workers and pedestrians and mini- mize traffic disruption, the university said. Renderings of the fin- ished bridge showed a tall, off-center tower with cables attached to the walkway to support it. When the bridge collapsed, the main tower had not yet been installed, and it was unclear what the builders were using as tem- porary supports. MIAMI At least 4 dead in bridge collapse THE WASHINGTON POST Seven of the patients were dead, and two more were dying of a rare chron- ic, progressive lung disease that can be treated but not cured. It’s estimated that about 200,000 people in the United States have idiopathic pul- monary fibrosis, or IPF, at any one time. But the common denom- inator of a small group of patients at a Virginia clin- ic over a 15-year period is worrying the Centers for Disease Control: Eight were dentists; a ninth was a den- tal technician. The dental professionals were 23 times more likely to have IPF than the rest of the population, the CDC said in its Morbidity and Mortal- ity Weekly Report, released last week. Something in their workplace environ- ment may have been poison- ing them, investigators said, although they don’t know what. IPF causes scarring of the lungs, according to the report. It can be slowed, but nothing can remove the scar tissue. Over time, the lungs have difficulty getting oxy- gen to vital organs like the heart and brain. In April 2016, a Virginia dentist who had just been diagnosed with IPF and was undergoing treatment at a specialty clinic called the CDC with a warning: Sever- al other dental professionals had sought treatment at the same facility. Investigators dug deep- er, poring over nearly 900 records of IPF patients at that clinic over 21 years and found the nine patients with the common work history. The median survival age of IPF after diagnosis is three to five years. But first, patients experience shortness of breath, a dry, chronic cough, weight loss, joint and muscle pain and clubbed fingers or toes. Dentists and people who work in their offices are exposed to a specific set of hazards, particularly silica, polyvinyl siloxane, alginate and other toxic substances that can be inhaled when they’re polishing dental ap- pliances or preparing amal- gams. Older dentists usually fare worse, both because of increased opportunities for exposure and because they may have practiced at a time when safety standards weren’t as stringent. “We do work with mate- rials and with human bio- products that are potentially damaging to our bodies if we inhale them,” Paul Casa- massimo, chief policy offi- cer of the American Acade- my of Pediatric Dentistry’s Pediatric Oral Health & Re- search Center, told CNN. For example, the dentist who alerted the CDC never smoked, “but reported not wearing a National Institute for Occupational Safety and Health-certified respira- tor during dental activities throughout his 40-year den- tal practice,” the CDC said. During the past 20 years, he started wearing a surgical mask, which still may have been inadequate. Even though CDC investi- gators have not figured out what, specifically, caused IPF in the patients, the re- port’s release may still do some good. Before, workers exposed to dust from wood and met- al have been warned to take precautions to prevent IPF, but this is the first time the CDC has warned that den- tists and the people who work in their offices are vul- nerable. Lung disease is killing dentists; CDC wonders why Omaha.com Be the first to know when big news breaks. Subscribe today at Omaha.com/signup. Structure was only partially built and not yet open to foot traffic BY ANDREW J. NELSON WORLD-HERALD STAFF WRITER Inspections are a regular event for pedestrian bridges in the Omaha area, officials in Omaha and La Vista said Thursday, hours after the bridge collapse in the Miami area. In Omaha, the 50-year- old bridge crossing Dodge Street, linking Memorial and Elmwood Parks, is inspect- ed once every two years. In La Vista, the 20-year-old pedestrian bridge over 72nd Street at G. Stanley Hall El- ementary School is formally inspected once per year. Bridge inspections are governed by Nebraska De- partment of Transportation regulations, said Bob Stub- be, public works director for the City of Omaha. Most bridges in the city, including the pedestrian bridge, are inspected by a civil engi- neer every two years. “We just redid it last year,” Stubbe said of the bridge over Dodge Street, a local landmark. “We did some work on the abut- ments, on the deck itself.” In La Vista, City Engi- neer John Kottmann said the 72nd Street pedestrian bridge undergoes weekly maintenance and gets an annual formal inspection by city staff. If city workers see some- thing they will contact Kott- mann, a civil engineer. If a structural engineer was needed, the city would hire a consultant. “So far that has not been an issue,” he said.“We have kids going to school there so we’re looking for loose flooring or safety hazards as opposed to structural haz- ards.” The inspection process for the Bob Kerrey Pedestri- an Bridge was not available Thursday a represen- tative of the Omaha Parks and Recreation Department could not be reached. Local pedestrian bridges are inspected regularly THE WASHINGTON POST WASHINGTON Pres- ident Donald Trump has decided to remove H.R. McMaster as his national security adviser and is ac- tively discussing potential replacements, according to five people with knowledge of the plans. Trump recently told White House chief of staff John Kelly that he wants McMaster out and asked for help weighing replacement options, according to two people familiar with their conversations. Several candidates have emerged as possible Mc- Master replacements, in- cluding John Bolton, a for- mer U.S. ambassador to the United Nations, and Keith Kellogg, the chief of staff of the National Security Coun- cil. Kellogg travels with Trump on many domestic trips. Bolton has met with Trump several times. White House press secre- tary Sarah Huckabee Sand- ers denied the report Thurs- day night on Twitter. “Just spoke to @POTUS and Gen. H.R. McMaster — contrary to reports they have a good working rela- tionship and there are no changes at the NSC,” she wrote. Just days ago, Trump fired Rex Tillerson, the secretary of state, and moved to install his close ally, CIA Director Mike Pompeo, in the job. On Wednesday, he named TV analyst Larry Kudlow to replace his top economic ad- viser, Gary Cohn, who quit over trade disagreements. And on Thursday, Trump signaled that more per- sonnel moves were like- ly. “There will always be change,” the president told reporters. “And I think you want to see change. I want to also see different ideas.” McMaster is not the only senior official said to be on thin ice with the president. Veterans Affairs Secretary David Shulkin has attracted Trump’s ire for his spending decisions as well as for gen- eral disorder in the senior leadership of his agency. Others considered at risk for being fired or rep- rimanded include Housing and Urban Development Secretary Ben Carson, who has generated bad headlines for ordering a $31,000 din- ing room set for his office; Environmental Protection Agency Administrator Scott Pruitt, who has been under fire for his first-class trav- el at taxpayer expense; and Interior Secretary Ryan Zinke, whose agency spent $139,000 to renovate his of- fice doors. Trump reportedly plans to replace adviser McMaster 180th & Center 17915 Arbor Street (402) 758-9504 168th & Q 16727 Q Street (402) 895-5368 156th & Dodge 15635 West Dodge Road (402) 697-0431 140th & Center 2630 S. 140th Street (402) 334-9166 120th & Pacific 11955 Pacific Street (402) 333-0890 I-80 & 144th Street 14403 Frontier Road (402) 895-2647 I-80 & 144th Street 9501 S. 145th Avenue (402) 895-6856 114th & Davenport 123 N. 114th Street (402) 330-2432 how to enter Fill out the form below and drop it off at one of these Anderson Convenience Market locations before March 19: one winner will receive: Two tickets to the Men’s College Basketball Tournament on Friday, March 23rd at CenturyLink Center Omaha. Tickets are good for both games that day. $50 gift card to Anderson Convenience Market. men’s college basketball tournament ticket package Win This Ultimate Drop off at your local Anderson’s Convenience Market, or mail to: Men’s College Basketball Tournament Ticket Package Omaha World-Herald, 1314 Douglas Street, Suite 800 Omaha, NE 68102 Entry Deadline: March 19 by 5pm men’s college basketball tournament ticket package Friday, March 23, 2018 Name ____________________________________________________ Address ___________________________________________________ City ______________________________ State ______ Zip ____________ Phone ____________________________________________________ Cell Phone _________________________________________________ Email ____________________________________________________ No purchase necessary. Subject to official rules. Go to www.omaha.com for official rules and contest details. Yes, I’d like to receive Omaha World-Herald updates, services and valuable special advertising offers (including Daily Deals) & 2083244-01 50% OFF INSTALLATION * For more information, see shelfgenie.com/omaha. ACCESS EVERYTHING YOU NEED, every time you nd it. * Limit one offer per household. Applies to purchases of 5 or more Classic or Designer Glide-Out shelves. Expires 4/30/2018. Lifetime warranty valid for Classic or Designer Solutions. Learn more at shelfgenie.com. ® Schedule your free design consultation (402) 704-3309 50% OFF INSTALLATION 5 0 % O F F I N S TA TA L L AT AT I O N * * For more information, see shelfgenie.com/omaha. Fo o r m ge m a h a . ACCESS EVERYTHING YOU NEED, A C C E S S E V E R Y T H I N G Y O U N E E D , Enjoy more access to your kitchen with custom pull-out shelves for your existing cabinets . 2081633-08 Don't put up with pain. Discover your options at OrthoNebraska's FREE Joint Pain Seminar! OrthoNebraska's FREE Joint Pain Seminars will cover the anatomy, diagnosis and care of your joints including both surgical and non-surgical treatment options. Save yourself a seat by calling (402) 609-2806, or visit us online at OrthoNebraska.com/jointpain. OrthoNebraska.com Hip/Knee Pain Seminar Tuesday, March 27 at 5:00PM with Joshua Urban, MD OrthoNebraska Hospital (144 th & West Center Road) Nebraska Orthopaedic Hospital, LLC and OrthoWest, PC are each operating under the name OrthoNebraska. For more information, visit OrthoNebraska.com/legal. 2084761-01

MaiN NEWS Friday, March 16, 2018 • MiaMi iskilling ... · to hospitals, Fire Chief Dave Downey said without elabo-rating on their conditions. The partially built 950-ton bridge

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Page 1: MaiN NEWS Friday, March 16, 2018 • MiaMi iskilling ... · to hospitals, Fire Chief Dave Downey said without elabo-rating on their conditions. The partially built 950-ton bridge

Friday, March 16, 2018 • 3aOMaha WOrLd-hEraLd MaiN NEWS

MIAMI (AP) — A pedes-trian bridge that was un-der construction collapsedonto a busy Miami highwayThursday afternoon, crush-ing vehicles beneath mas-sive slabs of concrete andsteel and killing at least fourpeople, authorities said.

Search-and-rescue crewsworked into the night, usingdogs, search cameras andsensitive listening devicesin a frantic search to findsurvivors among the debris.

“Everybody is workinghard to make sure we res-cue anyone who can be res-cued,” Florida Gov. RickScott said.

But Miami-Dade PoliceDirector Juan Perez saidhopes were dwindling as the

hours passed.“We know that there’s go-

ing to be a negative outcomeat the end of the day,” Perezsaid.

Four people were founddead amid the chaotic scene,and nine victims were takento hospitals, Fire Chief DaveDowney said without elabo-rating on their conditions.

The partially built 950-tonbridge had been assembledat the side of the highwayand moved into place Sat-urday to great fanfare. Thespan stretched almost 200feet to connect Florida In-ternational University withthe city of Sweetwater. Itwas expected to open to foottraffic next year.

Scott said an exhaustiveinvestigation will uncov-er “why this happened andwhat happened,” and hevowed to hold accountablethose responsible.

National TransportationSafety Board Chairman

Robert Sumwalt III saida team of specialists washeading to Miami on Thurs-day night to investigate.

Jacob Miller, a senior atFIU, was visiting a friendin a dorm when he heard si-rens and horns honking. Hewent to a balcony and couldsee rubble coming down.

“I saw there were multi-ple cars crushed under thebridge. It was just terrible,”he said.

An accelerated construc-tion method was supposedto reduce risks to workersand pedestrians and mini-mize traffic disruption, theuniversity said.

Renderings of the fin-ished bridge showed a tall,off-center tower with cablesattached to the walkway tosupport it. When the bridgecollapsed, the main towerhad not yet been installed,and it was unclear what thebuilders were using as tem-porary supports.

MiaMi

At least 4dead inbridge collapse

The WashingTon PosT

Seven of the patientswere dead, and two morewere dying of a rare chron-ic, progressive lung diseasethat can be treated but notcured.

It’s estimated that about200,000 people in the UnitedStates have idiopathic pul-monary fibrosis, or IPF, atany one time.

But the common denom-inator of a small group ofpatients at a Virginia clin-ic over a 15-year period isworrying the Centers forDisease Control: Eight weredentists; a ninth was a den-tal technician.

The dental professionalswere 23 times more likelyto have IPF than the rest ofthe population, the CDC saidin its Morbidity and Mortal-ity Weekly Report, releasedlast week. Something intheir workplace environ-ment may have been poison-ing them, investigators said,although they don’t knowwhat.

IPF causes scarring ofthe lungs, according to thereport. It can be slowed, butnothing can remove the scartissue. Over time, the lungshave difficulty getting oxy-gen to vital organs like theheart and brain.

In April 2016, a Virginiadentist who had just beendiagnosed with IPF and wasundergoing treatment at aspecialty clinic called theCDC with a warning: Sever-al other dental professionalshad sought treatment at thesame facility.

Investigators dug deep-er, poring over nearly 900records of IPF patients atthat clinic over 21 years andfound the nine patients withthe common work history.

The median survivalage of IPF after diagnosisis three to five years. Butfirst, patients experienceshortness of breath, a dry,chronic cough, weight loss,joint and muscle pain andclubbed fingers or toes.

Dentists and people whowork in their offices areexposed to a specific set ofhazards, particularly silica,polyvinyl siloxane, alginateand other toxic substancesthat can be inhaled whenthey’re polishing dental ap-pliances or preparing amal-gams.

Older dentists usuallyfare worse, both because ofincreased opportunities forexposure and because theymay have practiced at atime when safety standardsweren’t as stringent.

“We do work with mate-rials and with human bio-products that are potentiallydamaging to our bodies ifwe inhale them,” Paul Casa-massimo, chief policy offi-cer of the American Acade-my of Pediatric Dentistry’sPediatric Oral Health & Re-search Center, told CNN.

For example, the dentistwho alerted the CDC neversmoked, “but reported notwearing a National Institutefor Occupational Safety andHealth-certified respira-tor during dental activitiesthroughout his 40-year den-tal practice,” the CDC said.During the past 20 years, hestarted wearing a surgicalmask, which still may havebeen inadequate.

Even though CDC investi-gators have not figured outwhat, specifically, causedIPF in the patients, the re-port’s release may still dosome good.

Before, workers exposedto dust from wood and met-al have been warned to takeprecautions to prevent IPF,but this is the first time theCDC has warned that den-tists and the people whowork in their offices are vul-nerable.

Lungdiseaseiskillingdentists; CDCwonderswhy

Omaha.com

Be the first toknow when bignews breaks.

Subscribe today atOmaha.com/signup.

Structure was onlypartially built and notyet open to foot traffic

By andreW J. nelson

WORLD-HERALD STAFF WRITER

Inspections are a regularevent for pedestrian bridgesin the Omaha area, officialsin Omaha and La Vista saidThursday, hours after thebridge collapse in the Miamiarea.

In Omaha, the 50-year-old bridge crossing DodgeStreet, linking Memorial andElmwood Parks, is inspect-ed once every two years.In La Vista, the 20-year-oldpedestrian bridge over 72ndStreet at G. Stanley Hall El-ementary School is formallyinspected once per year.

Bridge inspections are

governed by Nebraska De-partment of Transportationregulations, said Bob Stub-be, public works directorfor the City of Omaha. Mostbridges in the city, includingthe pedestrian bridge, areinspected by a civil engi-neer every two years.

“We just redid it lastyear,” Stubbe said of thebridge over Dodge Street,a local landmark. “We didsome work on the abut-ments, on the deck itself.”

In La Vista, City Engi-neer John Kottmann saidthe 72nd Street pedestrianbridge undergoes weeklymaintenance and gets anannual formal inspection by

city staff.If city workers see some-

thing they will contact Kott-mann, a civil engineer. Ifa structural engineer wasneeded, the city would hirea consultant.

“So far that has not beenan issue,” he said.“We havekids going to school thereso we’re looking for looseflooring or safety hazards asopposed to structural haz-ards.”

The inspection processfor the Bob Kerrey Pedestri-an Bridge was not availableThursday — a represen-tative of the Omaha Parksand Recreation Departmentcould not be reached.

Local pedestrian bridges are inspected regularly

The WashingTon PosT

WASHINGTON — Pres-ident Donald Trump hasdecided to remove H.R.McMaster as his nationalsecurity adviser and is ac-tively discussing potentialreplacements, according tofive people with knowledgeof the plans.

Trump recently toldWhite House chief of staffJohn Kelly that he wantsMcMaster out and asked forhelp weighing replacementoptions, according to twopeople familiar with theirconversations.

Several candidates haveemerged as possible Mc-Master replacements, in-cluding John Bolton, a for-mer U.S. ambassador to theUnited Nations, and KeithKellogg, the chief of staff ofthe National Security Coun-cil. Kellogg travels withTrump on many domestictrips. Bolton has met withTrump several times.

White House press secre-tary Sarah Huckabee Sand-ers denied the report Thurs-day night on Twitter.

“Just spoke to @POTUSand Gen. H.R. McMaster— contrary to reports theyhave a good working rela-tionship and there are nochanges at the NSC,” shewrote.

Just days ago, Trump fired

Rex Tillerson, the secretaryof state, and moved to installhis close ally, CIA DirectorMike Pompeo, in the job.On Wednesday, he namedTV analyst Larry Kudlow toreplace his top economic ad-viser, Gary Cohn, who quitover trade disagreements.

And on Thursday, Trumpsignaled that more per-sonnel moves were like-ly. “There will always bechange,” the president toldreporters. “And I think youwant to see change. I want toalso see different ideas.”

McMaster is not the onlysenior official said to be onthin ice with the president.Veterans Affairs SecretaryDavid Shulkin has attractedTrump’s ire for his spendingdecisions as well as for gen-eral disorder in the seniorleadership of his agency.

Others considered atrisk for being fired or rep-rimanded include Housingand Urban DevelopmentSecretary Ben Carson, whohas generated bad headlinesfor ordering a $31,000 din-ing room set for his office;Environmental ProtectionAgency Administrator ScottPruitt, who has been underfire for his first-class trav-el at taxpayer expense; andInterior Secretary RyanZinke, whose agency spent$139,000 to renovate his of-fice doors.

Trump reportedly plans toreplace adviser McMaster

• •••

180th & Center17915 Arbor Street(402) 758-9504

168th & Q16727 Q Street

(402) 895-5368

156th & Dodge15635West Dodge Road

(402) 697-0431

140th & Center2630 S. 140th Street(402) 334-9166

120th & Pacific11955 Pacific Street(402) 333-0890

I-80 & 144th Street14403 Frontier Road(402) 895-2647

I-80 & 144th Street9501 S. 145th Avenue(402) 895-6856

114th & Davenport123 N. 114th Street(402) 330-2432

how to enterFill out the form below and drop it off at one of these

Anderson Convenience Market locations before March 19:

one winnerwill receive:

■ Two tickets to the Men’s CollegeBasketball Tournament on Friday,March 23rd at CenturyLink CenterOmaha. Tickets are good for bothgames that day.

■ $50 gift card to AndersonConvenience Market.

men’s collegebasketballtournamentticket package

Win This Ultimate

Drop off at your local Anderson’s Convenience Market, or mail to:Men’s College Basketball Tournament Ticket PackageOmahaWorld-Herald, 1314 Douglas Street, Suite 800

Omaha, NE 68102

Entry Deadline: March 19 by 5pm

men’s college basketballtournament ticket package

Friday, March 23, 2018

Name ____________________________________________________

Address ___________________________________________________

City______________________________State______Zip____________

Phone ____________________________________________________

Cell Phone _________________________________________________

Email ____________________________________________________

No purchase necessary. Subject to official rules. Go to www.omaha.com for official rules andcontest details.

■ Yes, I’d like to receive OmahaWorld-Herald updates, services and valuablespecial advertising offers (including Daily Deals)

&

2083244-01

*Limit one offer per household. Applies to purchases of 5 or more Classic or Designer Glide-Out™ shelves.Expires 4/30/2018. Lifetime warranty valid for Classic or Designer Solutions. Learn more at shelfgenie.com.

®

Schedule your free design consultation(402) 704-3309

50% OFF INSTALLATION*

For more information, see shelfgenie.com/omaha.

ACCESS EVERYTHING YOU NEED,every time you need it.Enjoy more access to your kitchen with custompull-out shelves for your existing cabinets.

*Limit one offer per household. Applies to purchases of 5 or more Classic or Designer Glide-Out™ shelves.Expires 4/30/2018. Lifetime warranty valid for Classic or Designer Solutions. Learn more at shelfgenie.com.

®

Schedule your free design consultation(402) 704-3309

50% OFF INSTALLATION50% OFF INSTATALLATATION**

For more information, see shelfgenie.com/omaha.FoFor mo fgen mamahahaha.

ACCESS EVERYTHING YOU NEED,ACCESS EVERYYTTHING YOU NEED,

Enjoy more access to your kitchen with custompull-out shelves for your existing cabinets.

2081633-08

Don't put up with pain.Discover your options

at OrthoNebraska's FREEJoint Pain Seminar!

OrthoNebraska's FREE Joint Pain Seminars willcover the anatomy, diagnosis and care of your joints

including both surgical and non-surgicaltreatment options.

Save yourself a seat by calling (402) 609-2806,or visit us online at OrthoNebraska.com/jointpain.

OrthoNebraska.com

Hip/Knee Pain SeminarTuesday, March 27 at 5:00PM

with Joshua Urban, MDOrthoNebraska Hospital (144th & West Center Road)

Nebraska Orthopaedic Hospital, LLC and OrthoWest, PC are each operating under the name OrthoNebraska.For more information, visit OrthoNebraska.com/legal.

2084761-01