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VCU Health resumes gender-affirming care — but only for some

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virginiamercury.com – Charlotte Rene Woods – 2025-02-25 10:53:00

VCU Health resumes gender-affirming care — but only for some

by Charlotte Rene Woods, Virginia Mercury
February 25, 2025

After pausing gender-affirming care for minors amid legal uncertainty, The Children’s Hospital of Richmond at VCU Health has resumed services — at least for existing patients.

New patients, however, are out of luck. The hospital won’t take on any new cases as legal battles continue over an executive order from President Donald Trump aimed at cracking down on such care. 

Last week, the University of Virginia’s Board of Visitors grappled with the same dilemma in a closed-door meeting before ultimately landing on the same decision as VCU.

Meanwhile, Norfolk-based Children’s Hospital of the King’s Daughters has kept its care paused by the time of this publication. 

Public hospitals have been in a limbo since Trump’s order threatened to pull federal funding from those providing gender-affirming care to transgender youth. Federal judges have blocked the order, but appeals keep hospitals on edge. 

UVa’s Board of Visitors made it clear that financial risk still looms large, stating in its resolution that there “remains a significant legal uncertainty and institutional risk.”

Beyond the legal fight, doctors are bracing for another crisis — the impact on mental health.

Emails between doctors reveal hospital staff scrambling to prepare for an anticipated surge in emergency department visits and mental health crises due to the disruption in care. The correspondence, shared with The Mercury, was obtained by Sen. Danica Roem, D-Prince William, through a Freedom of Information Act request. 

“I know many of us are anticipating a large spike in children who are in acute mental health crises,” wrote Dr. Frank Petruzella, division chief of emergency pediatric medicine, in an email sent shortly after Trump’s order. 

Petruzella urged colleagues to act fast, calling for an emergency meeting to assess how many patients were at risk and to develop a contingency plan.

“I think we should try to get this group together in the next few days to try to get an idea of the potential scope of patients at risk, as well as to develop a contingency plan for how best to help these children,” he wrote. 

Petruzella also warned that some cases could be so severe that sending patients home might not be safe. Medical staff, he said, should brace for a surge in consultation calls from families and providers seeking urgent guidance.

With transgender youth already at a hightened risk for self harm and suicidal ideation, Roem told The Mercury last week that she was heartened to see “kids-first” conversations taking place. 

Although VCU Health will not offer transgender care for new patients, it has outlined a plan to offer education, counseling, and mental health services.

In an updated statement on its website Tuesday, the institution affirmed its commitment, writing, “We are grateful for your support as we navigate these times and continue to advocate with a focus on the health of our patients and providers.”

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Virginia Mercury is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Virginia Mercury maintains editorial independence. Contact Editor Samantha Willis for questions: info@virginiamercury.com.

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News from the South - Virginia News Feed

Warm, sunny Friday

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Warm, sunny Friday

www.youtube.com – 13News Now – 2025-04-18 06:11:37

SUMMARY: The weather forecast for the upcoming days shows temperatures above average, with highs reaching 79°F today and possibly 86°F tomorrow. Sunday will remain warm with temperatures in the upper 70s, but a backdoor front may cause a slight afternoon cool down. Easter Sunday will see dry conditions in the morning but potential severe storms in the Midwest. Monday will be mild, but showers and storms are expected Tuesday through Thursday. By Friday, conditions should improve, with temperatures in the upper 70s to low 80s as the week ends. Skies will be mostly clear today, with light winds from the south.

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Highs in the 70s and 80s for Easter weekend.

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Local candidates raise big ahead of 2025 elections | Virginia

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Local candidates raise big ahead of 2025 elections | Virginia

www.thecentersquare.com – By Shirleen Guerra | The Center Square – (The Center Square – ) 2025-04-17 14:09:00

(The Center Square) – Local races for school board, sheriff and county supervisor are bringing in big money across Virginia, with some candidates already raising tens of thousands of dollars ahead of the 2025 elections.

Over $170,000 has already poured into Virginia’s board of supervisors races, according to finance reports compiled by The Virginia Access Project. The latest filings show a small group of local candidates pulling in five-figure hauls months ahead of the primaries.

Botetourt County’s Dirk Padgett, a Republican running for an open seat in the Amsterdam District, has raised over $8,000. His opponent, Tim Snyder, has raised $1,200.

In Montgomery County, Todd King is facing a primary challenge from Dale Buckner, who raised $211 in the first quarter, while King raised a reported $22,000.

Jason Capelle of Orange County raised the most, with a reported $31,375 in the first quarter. Capelle brought in donations from business leaders and developers and has no challenger heading into the election.

Duane Adams, the incumbent chairman of the Louisa County Board of Supervisors, will also not face a primary challenger and reported raising $17,271, all transferred from a prior campaign account.

In sheriff races, the biggest total so far came from Chesapeake’s Dave Rosado. He raised nearly $70,000 in the first quarter and ended March with more than $114,000 in the bank. His top donors include construction companies, campaign consultants and local businesses.

Richmond Sheriff William Burnett raised about $52,000 in the first quarter, with major contributions from Leipertz Consulting and several family contributors

Virginia election dates for 2025:

  • May 2: Early voting begins in the June primaries.

  • June 17: Primary elections are held.

  • Nov. 4: Virginians vote for governor, lieutenant governor, attorney general, members of the House of Delegates and multiple local offices.

The post Local candidates raise big ahead of 2025 elections | Virginia appeared first on www.thecentersquare.com

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State faults Richmond for water failures and demands corrective action

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virginiamercury.com – Markus Schmidt – 2025-04-17 12:14:00

by Markus Schmidt, Virginia Mercury
April 17, 2025

The Virginia Department of Health (VDH) on Wednesday issued a blistering final report on the January water crisis that left Richmond residents and businesses without clean drinking water for days — and delivered a second formal notice of violation against the city, demanding a full corrective action plan.

The 314-page VDH report, based on a 60-day independent investigation by the engineering firm Short Elliott Hendrickson (SEH), found a long chain of preventable failures at the city’s 100-year-old Water Treatment Plant. 

These included neglected maintenance, faulty backup systems, poor emergency planning, and risky decisions that left the plant vulnerable during a winter storm. A single power outage on the morning of Jan. 6 led to catastrophic flooding of underground equipment rooms, halting water production and triggering a system-wide drop in pressure that forced boil water advisories across the city and surrounding counties for nearly a week.

“This crisis could have been prevented with better operational decisions,” said State Health Commissioner Dr. Karen Shelton, who described the findings in stark terms. “Our goal now is to ensure corrective actions are taken swiftly and effectively, so Richmond-area families can trust their water supply.”

The report revealed that city officials were operating the plant in “winter mode,” relying solely on overhead power lines despite known flood risks and vulnerabilities. When those lines failed, the backup systems didn’t work — largely because of neglected maintenance. Critical batteries weren’t tested. Key valves didn’t shut, and manual procedures meant to kick in during emergencies proved ineffective.

In her letter to Gov. Glenn Youngkin and Richmond Mayor Danny Avula, Shelton didn’t mince words. As reported by The Richmonder this week, she contrasted VDH’s investigation with the city’s own internal review, asserting that “the water crisis was completely avoidable and should not have happened.”

Youngkin echoed that sentiment in a statement Wednesday, calling the disruption of a safe and reliable water supply “unacceptable.” He said, “It should never happen again, and I’ve directed the Department of Health to ensure Richmond takes all corrective actions necessary to achieve that objective.” 

The governor praised Richmond-area residents for their resilience, saying they “persevered through this preventable crisis,” and now city leaders must “step up for their citizens.”

The report outlines a cascade of failures triggered by a relatively minor snow and ice event. 

Around 5:45 a.m. on Jan. 6, the Water Treatment Plant lost power. A bus tie switch designed to transfer power from a backup source failed, and for over an hour, the facility operated in the dark. Water continued to flow through the plant by gravity — into a subsurface clearwell — but without power, key valves stayed open. 

Water inundated the underground equipment rooms, flooding critical pumps and electrical systems. Backup batteries, which were supposed to shut valves and prevent flooding, had not been maintained and failed.

By the time the city issued a Boil Water Advisory that afternoon, it was already too late. Pressure had dropped below safe levels, and the city struggled for days to restore full water service. Water production was partially restored on Jan. 8, and fully restored the next day. The boil order wasn’t lifted until Jan. 11.

The VDH and SEH review paints a broader picture of systemic dysfunction at the Department of Public Utilities (DPU). Investigators described a “culture of complacency,” where staff had normalized working around broken or substandard systems instead of fixing them. Manual operation was routine. Training was limited. And serious risks — like flooding from the clearwell — were well known but never resolved.

Despite this, officials say there are signs of progress. 

Mayor Danny Avula said he was “incredibly proud” of the work DPU Director Scott Morris and his team have done since the crisis, noting that much of the VDH’s report aligns with an independent investigation the city commissioned from the firm HNTB. 

“We’ll of course review it and think through the best ways to integrate its recommendations into our work moving forward,” Avula said in a statement.

The city has already spent $5 million on emergency repairs and is proposing more than $60 million in upgrades as part of its five-year capital improvement plan. The plan includes electrical upgrades, automation improvements, and a redesigned overflow system for the clearwell to prevent future flooding. 

Still, the city will now be required to implement a formal Corrective Action Plan under the second notice of violation issued by VDH this week.

Janet Kelly, Virginia’s Secretary of Health and Human Resources, said the water crisis exposed both long-standing infrastructure problems and serious day-of operational failures. 

“An entire region including businesses, restaurants, schools, and the most vulnerable citizens in Richmond lost a basic human need,” she said. “We hope that the city of Richmond continues to address both the long-term and immediate components of this crisis.”

The SEH report also includes a sweeping “needs assessment” of Richmond’s water infrastructure, identifying over $63 million in additional improvements needed across the treatment plant and distribution system. These include relocating vulnerable electrical equipment, installing automated transfer switches, and updating decades-old design elements that are still allowed under legacy exemptions to state water regulations.

In all, the SEH team spent nearly 1,500 hours combing through records, touring facilities, interviewing staff, and analyzing system data. They concluded that while DPU staff showed commitment and technical know-how, the broader system failed to prioritize its most important goal: delivering safe, reliable water to the people of Richmond.

To help local businesses and nonprofits recover from the storm’s economic toll, Youngkin also announced Wednesday that the U.S. Small Business Administration has made Economic Injury Disaster Loans available. These loans aim to help organizations hurt by January’s power and water outages to cover ongoing operational costs.

Looking ahead, the state says it will work closely with city officials to ensure every recommendation is taken seriously. 

“We can’t afford another crisis like this,” said Shelton. “And we won’t accept another excuse.”

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Virginia Mercury is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Virginia Mercury maintains editorial independence. Contact Editor Samantha Willis for questions: info@virginiamercury.com.

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