") no-repeat center center;background-size:10px 16px;content:' '}@media(min-width:768px){.gBkjJh::before{display:none}}.dgxXeU{min-height:389px;margin-bottom:16px;clear:both}@media(min-width:1000px){.dgxXeU{min-height:380px}}@media(min-width:1000px){.iZwHvr .taboola{display:none}}.iZwHvr:has(#taboola-carousel-thumbnails){min-height:426px}.iZwHvr:has(#taboola-mid-article-thumbnails-crime){min-height:405px}@media(min-width:1000px){.iZwHvr:has(#taboola-carousel-thumbnails),.iZwHvr:has(#taboola-mid-article-thumbnails-crime){min-height:0}}.bwJFag{display:flex;width:80px;align-items:center;margin:22px 12px 0 0;float:left}.article-voices .bwJFag{margin-top:4px}.article-climate .bwJFag path{fill:#ec1a2e}.article-sgi .bwJFag path{fill:#ec1a2e}.iKYdHn{box-sizing:border-box;padding:0 12px 12px;border:solid #919191;border-width:0 1px;font-style:italic}.iKYdHn .sc-i07cwn-0{width:64px;margin:0;float:none}.iKYdHn .sc-i07cwn-0 svg{width:64px;height:37px}.iKYdHn blockquote{margin:12px 0 0;font-weight:bold}.fwyRXf{width:100%;margin:0}.grZpvb{color:#919191;font-size:15px;text-align:right}.cwMTma{width:100%;box-sizing:border-box}@media(min-width:768px){.cwMTma{max-width:634px}}@media(min-width:1250px){.cwMTma{max-width:622px}}.friMnV{display:flex;width:auto;box-sizing:border-box;align-items:center;justify-content:flex-start;gap:4px;color:#ec1a2e}.jTCgmP{display:block;font:bold 14px/20px 'Indy Sans','Indy Sans Fallback',sans-serif;text-decoration-line:underline;margin-block:0;text-align:center}.ijwenW{display:inline-flex;align-items:center;justify-content:center;gap:4px}.ijwenW:hover .sc-aja53j-2,.ijwenW:hover .sc-a5wy94-0{color:#ac2a2c}.iFuNKC{font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.eNLq{display:flex;position:relative;overflow:hidden;width:auto;height:40px;flex-direction:column;order:-1;gap:8px;opacity:1;transition:all .5s ease-in-out;transition-behavior:allow-discrete}.eNLq::after{--fade-from:rgba(255,255,255,0);--fade-mid:rgba(255,255,255,0.5);--fade-to:#fff;position:absolute;bottom:0;left:0;z-index:1;width:100%;height:40px;background-image:linear-gradient(to bottom,var(--fade-from) 0,var(--fade-mid) 50%,var(--fade-to) 100%);content:'';opacity:1;transition:opacity 150ms ease-out}@media(min-width:768px){.dDDDDM{order:-1}}@media(min-width:768px){.jGWtsz{display:flex;position:relative;align-items:flex-start;margin-top:12px}}.jImJId .tp-container-inner,.jImJId .sc-1suqprf-0{position:relative;box-shadow:0 -22px 16px 22px rgba(255,255,255,0.95)}.jImJId.closed{display:none}.buqclE{width:32px;color:#627aac}@media(min-width:768px){.buqclE.mobile-only{display:none}}.buqclE:hover{color:#9cabcb}.iVjrWB{width:32px;color:#4e4e4e}@media(min-width:768px){.iVjrWB.mobile-only{display:none}}.iVjrWB:hover{color:#919191}.icVQKT{width:32px;color:#25d366}@media(min-width:768px){.icVQKT.mobile-only{display:none}}.icVQKT:hover{color:#66e093}.gfyViz{width:32px;color:#ef4757}@media(min-width:768px){.gfyViz.mobile-only{display:none}}.gfyViz:hover{color:#f58992}.dJrOFo{display:flex;gap:12px}.eZumoJ{position:fixed;top:0;left:0;z-index:2147483644;background:rgba(0,0,0,0.5);cursor:pointer;opacity:0;transition:opacity 300ms ease-in-out}.eZumoJ.overlay-background--open{width:100vw;height:100vh;opacity:1}.dRVLpc{--trans:300ms ease-in-out;position:fixed;top:0;left:0;z-index:2147483645;width:100vw;height:100vh;opacity:0;pointer-events:none;transform:translateY(-24px);transform-origin:top center;transition:transform var(--trans),opacity var(--trans)}.dRVLpc.overlay--open{opacity:1;transform:translateY(0);transition-delay:150ms}.dRVLpc.overlay--open>:first-child{pointer-events:auto}.cWTSTp .sc-17yxc4y-0{display:none}.cWTSTp:hover .sc-17yxc4y-0,.cWTSTp.bookmark-button-saved .sc-17yxc4y-0{display:block}.cWTSTp:hover .sc-17yxc4y-1,.cWTSTp.bookmark-button-saved .sc-17yxc4y-1{display:none}.cWTSTp.bookmark-button-saved .sc-17yxc4y-0{display:block}.cWTSTp.bookmark-button-saved .sc-17yxc4y-1{display:none}.cWTSTp.bookmark-button-saved:hover .sc-17yxc4y-0{display:none}.cWTSTp.bookmark-button-saved:hover .sc-17yxc4y-1{display:block}.eoIBc{--margin-x:12px;--modal-width:calc(100% - (var(--margin-x) * 2));--modal-max-width:351px;--padding:60px 16px 42px;--line-height:1.25;display:flex;position:fixed;top:50%;left:50%;overflow:auto;width:var(--modal-width);max-width:var(--modal-max-width);max-height:100vh;box-sizing:border-box;flex-direction:column;align-items:center;justify-content:center;padding:var(--padding);background-color:#eaf2f2;box-shadow:0 1px 1px rgba(0,0,0,0.5);line-height:var(--line-height);transform:translate(-50%,-50%)}@media(min-width:768px){.eoIBc{--modal-width:600px;--modal-max-width:none;--padding:72px 80px 64px;--line-height:1.2}}@media(min-width:1000px){.eoIBc{--modal-width:635px}}.fNhASP{--close-button-margin:16px;position:absolute;top:var(--close-button-margin);right:var(--close-button-margin)}@media(min-width:768px){.fNhASP{--close-button-margin:24px}}.caBZHW{width:100%;max-width:437px;margin-bottom:20px}@media(min-width:768px){.caBZHW{margin-bottom:18px}}.dgWryu{position:absolute;overflow:hidden;width:.01em;height:.01em;padding:0;border:0;clip:rect(0,0,0,0);white-space:nowrap}.eUOcMf{width:100%;margin:0}.dEYNzg{margin:0 0 30px;font:bold 26px/1.15 'Indy Serif','Indy Serif Fallback',serif}@media(min-width:768px){.dEYNzg{font:bold 28px/1.15 'Indy Serif','Indy Serif Fallback',serif}}.itdeLI{display:block;width:100%;padding:0;margin:0 0 30px;font:normal 16px/1.44 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.itdeLI{font:normal 20px/1.44 'Indy Sans','Indy Sans Fallback',sans-serif}}.funPAy{display:block;margin-top:30px;color:#222;font:normal 16px/normal 'Indy Sans','Indy Sans Fallback',sans-serif}.bXVQbr{padding:0}.gzKeOP{display:inline-block;width:32px;height:32px;color:#70a5a7}.cJKiex{display:flex;flex-direction:row;justify-content:center;gap:12px}.eEPVRy{display:flex;position:relative;justify-content:center}@media(min-width:768px){.eEPVRy{justify-content:flex-end;padding-top:12px;margin:0}}.kdvWjb{display:flex}.sticky .kdvWjb{flex-direction:column}.bfkmcy{overflow:hidden;height:23px;margin-bottom:8px;border-bottom:0;clear:both}@media(min-width:768px){.bfkmcy{height:25px}}.fczuIa{display:inline-block;flex-shrink:0;margin:0 12px 0 0;font:bold 14px/normal 'Indy Sans','Indy Sans Fallback',sans-serif}.fczuIa::after{content:':'}.IOUwh{display:inline-block;margin-right:12px;margin-bottom:4px;color:#222;font:normal 14px/1.29 'Indy Sans','Indy Sans Fallback',sans-serif;text-decoration:underline}.IOUwh::first-letter {text-transform:capitalize}@media(min-width:1000px){.subscribed .bwpCMN{margin-top:-184px}.article-feature:not(.article-feature-video) .subscribed .bwpCMN{margin-top:-407px}}.bwpCMN>p{margin:16px 0}.article-premium .bwpCMN>p{line-height:27px}.bwpCMN>h2{font-size:21px}.article-climate .bwpCMN>h2{color:#ec1a2e}.article-sgi .bwpCMN>h2{color:#ec1a2e}.bwpCMN>p:first-child{margin-top:0}.bwpCMN span:first-child~p:first-of-type{margin-top:0}.hQjaQn{display:flex;position:relative;max-width:100%;min-height:600px;justify-content:center;margin:0 auto;background-color:transparent;clear:both}@media(min-width:1000px){.hQjaQn{min-height:450px}}.teads .hQjaQn{display:block}.hQjaQn [data-mpu]{position:sticky;top:16px}@media(min-width:1000px){.jZcooN{display:none}}.jZcooN[data-mpu1]{min-height:600px}.jZcooN.pb-20{padding-bottom:20px}.hlPMMm{margin:0 0 24px;font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.euTVax{font:bold 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.jBfdop{overflow:hidden;width:100%;box-sizing:border-box;margin-bottom:16px}@media(min-width:768px){.jBfdop{max-width:634px}}@media(min-width:1250px){.jBfdop{max-width:622px}}.hKRbzg{width:100%;box-sizing:border-box;padding:8px 12px 12px;border-top:8px solid #ec1a2e;background-color:#fde8ea}@media(min-width:768px){.hKRbzg{padding-top:4px;padding-bottom:12px}}.cKIkhp{font:bold 22px/26px 'Indy Serif','Indy Serif Fallback',serif;margin:0 0 12px;text-align:center}@media(min-width:768px){.cKIkhp{font:bold 30px/34px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.048px;margin-bottom:12px;text-align:left}}.feSJtK{display:block;margin-bottom:12px}@media(min-width:768px){.feSJtK{display:none}}.bErStG{display:flex;width:100%;box-sizing:border-box;align-items:center;justify-content:center;gap:4px;background-color:#fde8ea;color:#ec1a2e}@media(min-width:768px){.bErStG{width:auto;justify-content:flex-start}}.vaVnf{display:block;font:bold 14px/20px 'Indy Sans','Indy Sans Fallback',sans-serif;text-decoration-line:underline;margin-block:0;text-align:center}.jWuFRk{display:inline-flex;align-items:center;justify-content:center;gap:4px}.jWuFRk:hover .sc-hez36s-5,.jWuFRk:hover .sc-a5wy94-0{color:#ac2a2c}.hKrnEq{font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.dWUzhG{display:flex;width:100%;flex-direction:column}@media(min-width:768px){.dWUzhG{display:flow-root;gap:24px;transition:margin-bottom .3s ease-in-out}}.bDgIJb{display:flex;width:100%;flex-direction:column;align-items:center;justify-content:center}@media(min-width:768px){.bDgIJb{position:relative;z-index:1;width:212px;flex-shrink:0;justify-content:flex-start;margin-left:24px;float:right}}.EYumw{display:none;flex-direction:row;align-items:center;justify-content:center;gap:8px;margin-top:8px}@media(min-width:768px){.EYumw{display:flex;margin-top:12px}}.kCOwPr{display:flex;width:100%;align-items:center;justify-content:center;gap:8px;margin-top:8px;margin-bottom:12px}@media(min-width:768px){.kCOwPr{display:none}}@media(min-width:768px){.doTReP{order:-1}}.bwouQi .sc-aja53j-5::after{--fade-from:rgba(253,232,234,0);--fade-mid:rgba(253,232,234,0.5);--fade-to:#fde8ea}@media(min-width:360px){.bwouQi .sc-aja53j-5 .sc-aja53j-7{display:none}}.dxwzhm{display:flex;min-height:600px;justify-content:center}@media(min-width:1000px){.dxwzhm{min-height:450px}}.gHNATZ{min-height:600px}@media(min-width:1000px){.gHNATZ{min-height:450px}}.gHNATZ.mobile-only{display:block}@media(min-width:1000px){.gHNATZ.mobile-only{display:none}}.gHNATZ.desktop-only{display:none}@media(min-width:1000px){.gHNATZ.desktop-only{display:block;margin-bottom:16px}}.gHNATZ.desktop-only+p{margin-top:0}.gHNATZ .third-party-ad{position:sticky;top:16px}.bJycyU{width:100%;flex-grow:1}.bJycyU .amp-article-content[amp-access][amp-access-hide]{display:block;overflow:hidden;max-height:360px}.bJycyU .amp-article-content[amp-access][amp-access-hide] .social-share{display:none}.bJycyU .amp-article-content[amp-access][amp-access-hide].show-all-content{max-height:100%}@media(max-width:594px){.bJycyU .amp-article-content[amp-access][amp-access-hide]{max-height:530px}}.bJycyU .amp-newsletter-reg-gate{position:relative;left:-12px;width:calc(100% + 24px)}.bJycyU .social-share{width:100%;padding-top:10px;padding-bottom:20px}@media(min-width:768px){.bJycyU .social-share{justify-content:flex-start}}.bJycyU .social-share.sticky{display:none}@media(min-width:1000px){.bJycyU .social-share.sticky{display:flex;position:sticky;top:14px;width:34px;flex-direction:column;padding-top:0;margin-top:0;margin-left:-25%}.bJycyU .social-share.sticky amp-social-share,.bJycyU .social-share.sticky .sc-mgcah7-0{margin:0 0 16px}.article-feature-video .bJycyU .social-share.sticky{margin-top:0}.article-feature:not(.article-feature-video) .bJycyU .social-share.sticky{margin-top:35%}}.bJycyU.sponsored-article img,.bJycyU.sponsored-article video{width:100%;max-width:602px;height:auto}.bJycyU.sponsored-article iframe{max-width:602px;max-height:400px}.bJycyU .under-article-prompt-donations{padding-bottom:8px;margin-top:-3px}.bJycyU .big-letter{--color:#222;display:flex;position:relative;width:0;height:0;align-items:center;justify-content:center;padding:40px;margin-top:22px;margin-right:12px;border:1px solid var(--color);float:left;font:normal 52px/1 'Indy Serif','Indy Serif Fallback',serif;text-transform:uppercase}.bJycyU .big-letter:first-child{margin-top:6px}.bJycyU .big-letter::before{position:absolute;top:0;left:0;width:100%;height:100%;box-sizing:border-box;border:1px solid var(--color);border-radius:50%;content:''}.bJycyU #taboola-below-article-1{min-height:2350px}@media(min-width:768px){.bJycyU #taboola-below-article-1{min-height:3370px}}.bJycyU #taboola-below-article-1-split-num-1{min-height:130px}@media(min-width:768px){.bJycyU #taboola-below-article-1-split-num-1{min-height:415px}}.bJycyU .sc-fwko30-0+.sc-1xtsh2b-0{margin-top:-16px}@media(min-width:768px){.bJycyU{max-width:636px;margin:0}}@media(min-width:1000px){.bJycyU{max-width:624px;margin:0}.bJycyU.subscribed{max-width:636px}}@media(max-width:999px){.bJycyU{padding-right:0}.bJycyU .under-article-prompt-donations{margin-top:-18px}}.bJycyU .anchor-nav-header{scroll-margin-top:79px}.bJycyU .anchor-nav-header a{color:#222}.bJycyU .anchor-nav-header a:hover{color:#222}.kvSKnI{display:flex;flex-wrap:wrap;justify-content:flex-start;margin-bottom:8px;color:#646464;font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.kvSKnI{width:70%;align-items:center;justify-content:flex-start;margin-bottom:0;font:normal 16px/24px 'Indy Sans','Indy Sans Fallback',sans-serif}}@media(min-width:1000px){.kvSKnI{width:70%;margin-bottom:0}}.eXEVFg{display:flex;height:20px;margin:0 12px 8px 0}.article-voices .eXEVFg{height:auto}@media(min-width:425px){.article-voices .eXEVFg{height:20px}}.eXEVFg::before{display:inline-block;align-self:center;margin-top:1px;margin-right:12px;content:'\2022';transform:scale(1.5)}.eXEVFg:first-child::before{content:none}@media(min-width:768px){.eXEVFg{height:24px;margin-bottom:0}.eXEVFg::before{margin-top:2px}}.eXEVFg time{display:block}.eXEVFg time::first-letter {text-transform:capitalize}.eUdsoy{color:#fff}.jGlqRq{display:inline-block;margin:0 12px 8px 0;color:#ef4757;font:bold 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif;letter-spacing:-0.5px}.jGlqRq:hover,.jGlqRq:active{color:#f58992}@media(min-width:768px){.jGlqRq{margin-bottom:0}}.dFlLus{display:flex;justify-content:flex-start;padding:0;margin:0 0 16px}@media(min-width:768px){.dFlLus{display:flex;width:30%;align-items:center;justify-content:flex-end;margin:0}}@media(min-width:1000px){.dFlLus{width:30%}}.gjgca{padding-top:0;border-top:0;border-bottom:0}@media(min-width:768px){.gjgca{display:flex;flex-flow:row wrap;padding-bottom:16px}.gjgca .sc-1qz44j0-0{order:1}.gjgca .sc-1qz44j0-9{order:2}}@media(min-width:1000px){.gjgca{flex-direction:row}}.dnLbAr{padding:16px 12px 12px;text-align:left;font:bold 14px/18px 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.dnLbAr{padding:16px 16px 12px}}.article-infact .dnLbAr{padding:16px 0}@media(min-width:1000px){.dnLbAr{padding:24px 0 19px}.article-feature .dnLbAr{max-width:968px;margin:0 auto}}.dnLbAr a{color:#fff}.dnLbAr a:hover{color:#f58992}.dnLbAr a:hover::after{color:#fff}.dnLbAr a::after{margin-right:4px;margin-left:4px;content:'>'}.dnLbAr a:last-child::after{display:none}.azcVx{margin:0 0 20px;letter-spacing:0}.VFZbw{margin:0;color:#646464;font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.VFZbw{font:normal 18px/22px 'Indy Sans','Indy Sans Fallback',sans-serif}}@media(min-width:1000px){.VFZbw{font:normal 20px/24px 'Indy Sans','Indy Sans Fallback',sans-serif}}.VFZbw p{font:inherit}.article-feature .VFZbw a{font-weight:bold}.hsJCLD{max-width:968px;margin:0 auto;background:#222}@media(min-width:1000px){.hsJCLD{padding:0 16px}.parallax .hsJCLD{max-width:1240px}}.bJjAgi{font:bold 32px/36px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.0156em}@media(min-width:768px){.bJjAgi{font:bold 44px/48px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.0113em}}@media(min-width:1000px){.bJjAgi{font:bold 54px/58px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.0092em}}.fdbwOY{background:#222}.fdbwOY .sc-qvufca-1{max-width:968px;background:#222}.fdbwOY .sc-qvufca-0{margin:0}@media(max-width:999px){.fdbwOY .sc-qvufca-0{margin:0 12px 0}}.fdbwOY .sc-qvufca-2,.fdbwOY .sc-aeekvc-0{color:#fff}.fdbwOY .sc-qvufca-2{margin:0 0 20px}.fdbwOY .sc-aeekvc-0{margin-bottom:16px}@keyframes slidedown-video{from{transform:translateY(-100%)}to{transform:translateY(0)}}@keyframes slideup-video{from{transform:translateY(200%)}to{transform:translateY(0)}}.ghXxSp .video-top-container-inner{position:relative}.ghXxSp .video-popout-close{display:none}.ghXxSp .video-hero-wrapper-inner{display:block}.ghXxSp .video-hero-video{width:100%;margin:0;transition:height .2s}.ghXxSp .video-hero-wrapper.sticky-video{position:fixed;top:95px;width:400px;margin-left:-332px;transition:margin-left .3s,top .3s .1s}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video{position:static;right:0;left:auto;width:100%}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video.liveblog{margin-left:-12px}@media(min-width:768px){.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video{position:absolute;width:400px}}@media(min-width:1000px){.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video{top:94px;right:-56px}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video.liveblog{right:-400px}}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video .video-sticky-video{position:fixed;top:0;left:auto;z-index:9;width:100%;background-color:#fff;box-shadow:0 0 40px 10px rgba(0,0,0,0.5)}@media(min-width:768px){.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video .video-sticky-video{width:400px;animation:slidedown-video .4s}}@media(min-width:1000px){.ghXxSp .video-top-container.video.sticky:not(.closed) .video-hero-video .video-sticky-video{top:auto;bottom:0;animation:slideup-video .4s}}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-popout-close{display:none;width:100%;box-sizing:border-box;align-items:center;justify-content:flex-end;padding:4px 8px 3px;color:#222;cursor:pointer;font-family:'Indy Sans','Indy Sans Fallback',sans-serif;font-size:14px;line-height:14px}@media(min-width:1000px){.ghXxSp .video-top-container.video.sticky:not(.closed) .video-popout-close{justify-content:flex-start}}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-popout-close::after{display:flex;align-items:center;padding-left:4px;content:'\2715';font-size:12px}.ghXxSp .video-top-container.video.sticky:not(.closed) .video-popout-close.shown{display:flex}.rdSkV{max-width:100%}.DduFK{position:relative}.hBOwuD{position:relative;width:100%;padding-top:56.25%;background:#000}.fSyNsa{display:flex;position:absolute;top:0;left:0;width:100%;height:100%;align-items:center;justify-content:center}.cZXjIc{width:10%}.bFEGho.fullscreen{position:fixed;top:0;left:0;z-index:3000000000;width:100%;height:100%;background:#000}.bFEGho .closebtn{display:none;position:absolute;top:0;right:0;width:100px;height:100px}.bFEGho .closebtn.show{display:block}.bFEGho .btn{position:absolute;top:5px;right:5px;width:25px;height:25px;color:#fff;font-family:helvetica,sans-serif;font-size:20px;line-height:25px;text-align:center}.caHAeU{max-width:100%;clear:both}.dyGKzS{--bleed:12px;display:flex;box-sizing:border-box;flex-direction:row;gap:32px;padding:16px var(--bleed);background-color:#fff}.article-liveblog .dyGKzS{background-color:#f7f7f7}@media(min-width:768px){.dyGKzS{--bleed:0;max-width:1000px;margin:0 auto}}@media(min-width:1000px){.dyGKzS{--bleed:16px;max-width:1000px;padding:var(--bleed)}}.gIldS{overflow:hidden;height:0;color:transparent}.kFPmfF{max-width:100%;margin:0 0 20px}.kFPmfF.sticky{position:sticky;top:16px}.iaRZct{min-height:600px}.iaRZct #mpu1{position:sticky;top:16px}.bFiDnI{min-height:250px}.jAzEot{max-width:100%}.eDScvc{margin:0 0 6px;color:#646464;font-family:'Indy Sans','Indy Sans Fallback',sans-serif;font-size:15px}.CmSgF{margin:0 0 12px}.lbFVDq{height:380px}.bsSHYO{width:100%;height:51px}.bjKtIv{margin-bottom:16px;border-bottom:1px solid #919191}.jLzsCV{margin-bottom:16px}.jLzsCV [role='listitem']{position:relative;margin-bottom:12px;border-bottom:1px solid #d3d3d3}.jLzsCV [role='listitem'] .sc-u4n1j-0{display:flex;position:absolute;bottom:16px;left:10px;width:32px;height:32px;align-items:center;justify-content:center;border-radius:50%;background-color:#ec1a2e}.jLzsCV [role='listitem'] .sc-u4n1j-0>svg{width:90%;fill:#fff;stroke:transparent}.jLzsCV [role='listitem']:first-child{display:block;padding-bottom:0;margin-bottom:12px}.jLzsCV [role='listitem']:first-child .sc-u4n1j-0{top:-15px;bottom:auto;left:12px;width:35px;height:35px}.jLzsCV [role='listitem']:first-child>*:first-child{display:block;width:100%;height:205px}.jLzsCV [role='listitem']:first-child>*:last-child{position:absolute;bottom:0;width:100%;padding:28px 12px 12px;background:linear-gradient(to top,#222 50%,rgba(34,34,34,0.9) 100%) no-repeat;color:#fff;font-size:17px;font-weight:bold}.jLzsCV [role='listitem']:last-child{margin-bottom:0;border-bottom:0 none}.kNZMQb{min-height:1924px}@media(max-width:767px){.kNZMQb{display:none}}.iFeFcz{width:308px}.iFeFcz.hidden{display:none}@media(max-width:999px){.iFeFcz{display:none}}.article-liveblog .fbWdwj{background-color:#f7f7f7}.eFgmkR{justify-content:center}.cvujVr{justify-content:center}
Stay up to date with notifications from The Independent Notifications can be managed in browser preferences.
Not now Yes please
News UK Home News Groundbreaking migraine treatment offers ‘new hope’ for patients ‘It will especially benefit those who have not found a treatment that works’
Subscribe to Independent Premium to bookmark this article Want to bookmark your favourite articles and stories to read or reference later? Start your Independent Premium subscription today.
Subscribe Already subscribed? Log in 4 At-Home Remedies To Get Rid Of A Headache
Your support helps us to tell the story From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.
At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.
The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.
Your support makes all the difference. Read more A treatment for acute migraines has been approved for NHS use for the first time, with experts saying the move could be a “step-change” for thousands of people who suffer from the condition.
The National Institute for Health and Care Excellence (Nice) said its final draft guidance on Rimegepant “addresses the high unmet need for treatment options for acute migraine”.
Rimegepant, also known as Vydura and made by Pfizer , will be available to adults who have tried at least two triptans – medication usually given to tackle headaches or migraines – but found they did not work well enough.
It can also be administered to those who are not able to take triptans or have an intolerance, or patients who have tried nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol.
Helen Knight, director of medicines evaluation at Nice , said: “Migraine is a condition described in comments to Nice from carers and people with migraine as an invisible disability that affects all aspects of life including work, education, finances, mental health, social activities and family.
“Today’s final draft guidance addresses the high unmet need for treatment options for acute migraine, once again demonstrating our ability to ensure clinically and cost-effective medicines are available to those who need them as quickly as possible.”
Rimegepant is taken as a wafer, which dissolves under the tongue and works by stopping the release of a protein around the brain called calcitonin gene-related peptide.
In July, the medicine was recommended as an option for preventing episodic migraines in adults who have at least four and fewer than 15 attacks per month if “at least” three other treatments have not worked.
This is the first and only Nice-recommended medicine that can help alleviate the misery of acute migraines, and may be considered a step-change in treatment
Helen Knight, Nice
Under the latest guidance, it will also be used to relieve symptoms of a migraine, which can include pain, nausea and sensitivity to light, but also painless symptoms such as temporary visual disturbances known as “aura”, which Nice said “is not well managed with existing treatments”.
The recommendation is expected to benefit about 13,000 people.
Ms Knight added: “This is the first and only Nice-recommended medicine that can help alleviate the misery of acute migraines, and may be considered a step-change in treatment.”
Migraine is an incredibly misunderstood condition that can have a significant impact on all areas of life, including ability to work, maintain relationships and mental health
Robert Music, The Migraine Trust
Robert Music, chief executive of The Migraine Trust, said the Nice guidance “provides people with migraine valuable options to help reduce the pain and length of a migraine attack”.
“It brings new hope,” he added. “It will especially benefit those who have not found a treatment that works, those who get debilitating side effects – including medicine overuse headache – from them, and those with cardiovascular disease who cannot take existing treatments.
“Migraine is an incredibly misunderstood condition that can have a significant impact on all areas of life, including ability to work, maintain relationships and mental health.”
Thank you for registering Please refresh the page or navigate to another page on the site to be automatically logged in Please refresh your browser to be logged in