children

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Mixup of drinking and irrigation water sparks dangerous outbreak in children

CDC, children, E. coli, hemolytic uremic syndrome, irrigation water, outbreak, Science, Shiga toxin–producing Escherichia coli (STEC) O157:H7, Utah / /

fearsome faucets —

Of 13 children sickened, 7 hospitalized and 2 had life-threatening complications.

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A child cools off under a water sprinkler.

Enlarge / A child cools off under a water sprinkler.

In 1989, a city in Utah upgraded its drinking water system, putting in a whole new system and repurposing the old one to supply cheap untreated water for irrigating lawns and putting out fires. That meant that the treated water suitable for drinking flowed from new spigots, while untreated water gushed from the old ones. Decades went by with no apparent confusion; residents seemed clear on the two different water sources. But, according to an investigation report published recently by state and county health officials, that local knowledge got diluted as new residents moved into the area. And last summer, the confusion over the conduits led to an outbreak of life-threatening illnesses among children.

In July and August of 2023, state and local health officials identified 13 children infected with Shiga toxin-producing Escherichia coli (STEC) O157:H7. The children ranged in age from 1 to 15, with a median age of 4. Children are generally at high risk of severe infections with this pathogen, along with older people and those with compromised immune systems. Of the 13 infected children, seven were hospitalized and two developed hemolytic uremic syndrome, a life-threatening complication that can lead to kidney failure.

Preliminary genetic analyses of STEC O157:H7 from two of the children suggested that the children’s infections were linked to a common source. So, health officials quickly developed a questionnaire to narrow down the potential source. It soon became clear that the irrigation water—aka untreated, pressurized, municipal irrigation water (UPMIW)—was a commonality among the children. Twelve of 13 infected children reported exposure to it in some form: Two said they drank it; five played with UPMIW hoses; three used the water for inflatable water toys; two used it for a water table; and one ran through sprinklers. None reported eating fruits or vegetables from home (noncommercial) gardens irrigated with the UPMIW.

The report on the investigation, published in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report, did not name the city in Utah. But press releases from a county health department identified the affected city as Lehi, about 30 minutes south of Salt Lake City.

Further genetic testing of STEC O157:H7 isolates linked all of the children’s infections together, as well as to water from five of nine UPMIW exposure sites and samples from the reservoir where the irrigation water is sourced. Microbial source tracking indicated that the contamination could have come from the feces of birds or ruminants.

The county health department and the city put out press releases and informational mailers. They warned residents about the risks of UPMIW, telling them not to drink it or let children play in it. “Do not use irrigation water for bounce houses, pools, slip-n-slides, or any other recreational activities. It is common for children to swallow or get water in their mouths while playing.”

The notices also said that the CDC recommended against watering lawns with the water, though the county advised residents to merely “use caution” when allowing children to play on grass irrigated with UPMIW. “Keep an eye on them,” the advisers warned, and try to prevent them from putting their hands or anything from the lawn in their mouths. “E. coli is hardy and can stick.”

This is not the first time that irrigation water has been linked to outbreaks. In 2010 and 2015, two other Utah cities reported campylobacteriosis outbreaks linked to cross-connections between UPMIW and drinking water lines.

The researchers say such outbreaks can be avoided by efforts to prevent contamination in irrigation water, such as treating water, cleaning reservoirs, and covering them. And, of course, clearly labeling irrigation water and keeping residents informed about its dangers are key to preventing infections.

Mixup of drinking and irrigation water sparks dangerous outbreak in children Read More »

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Health experts plead for unvaxxed Americans to get measles shot as cases rise

American Medical Association, CDC, children, health, health advisory, infectious diseases, measles, Science, travel, vaccination, vaccines / /

MMR is safe and effective —

The US hit last year’s total in under 12 weeks, suggesting we’re in for a bad time.

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A view from a hospital as children receiving medical treatment, in capital Kabul, Afghanistan on April 18, 2022. More than 130 children have died from the measles in Afghanistan since the beginning of this year.

Enlarge / A view from a hospital as children receiving medical treatment, in capital Kabul, Afghanistan on April 18, 2022. More than 130 children have died from the measles in Afghanistan since the beginning of this year.

The Centers for Disease Control and Prevention and the American Medical Association sent out separate but similar pleas on Monday for unvaccinated Americans to get vaccinated against the extremely contagious measles virus as vaccination rates have slipped, cases are rising globally and nationally, and the spring-break travel period is beginning.

In the first 12 weeks of 2024, US measles cases have already matched and likely exceeded the case total for all of 2023. According to the CDC, there were 58 measles cases reported from 17 states as of March 14. But media tallies indicate there have been more cases since then, with at least 60 cases now in total, according to CBS News. In 2023, there were 58 cases in 20 states.

“As evident from the confirmed measles cases reported in 17 states so far this year, when individuals are not immunized as a matter of personal preference or misinformation, they put themselves and others at risk of disease—including children too young to be vaccinated, cancer patients, and other immunocompromised people,” AMA President Jesse Ehrenfeld said in a statement urging vaccination Monday.

The latest data indicates that vaccination rates among US kindergarteners have slipped to 93 percent nationally, below the 95 percent target to prevent the spread of the disease. And vaccine exemptions for non-medical reasons have reached an all-time high.

The CDC released a health advisory on Monday also urging measles vaccination. The CDC drove home the point that unvaccinated Americans are largely responsible for importing the virus, and pockets of unvaccinated children in local communities spread it once it’s here. The 58 measles infections that have been reported to the agency so far include cases from seven outbreaks in seven states. Most of the cases are in vaccine-eligible children aged 12 months and older who are unvaccinated. Of the 58 cases, 54 (93 percent) are linked to international travel, and most measles importations are by unvaccinated US residents who travel abroad and bring measles home with them, the CDC flagged.

The situation is likely to worsen as Americans begin spring travel, the CDC suggested. “Many countries, including travel destinations such as Austria, the Philippines, Romania, and the United Kingdom, are experiencing measles outbreaks,” the CDC said. “To prevent measles infection and reduce the risk of community transmission from importation, all US residents traveling internationally, regardless of destination, should be current on their [measles-mumps-rubella (MMR)] vaccinations.” The agency added in a recommendation to parents that “even if not traveling, ensure that children receive all recommended doses of MMR vaccine. Two doses of MMR vaccine provide better protection (97 percent) against measles than one dose (93 percent). Getting MMR vaccine is much safer than getting measles, mumps, or rubella.”

For Americans who are already vaccinated and communities with high vaccination coverage, the risk is low, the CDC noted. “However, pockets of low coverage leave some communities at higher risk for outbreaks.” This, in turn, threatens wider, continuous spread that could overturn the country’s status of having eliminated measles, which was declared in 2000. The US was close to losing its elimination status in 2019 when outbreaks among unvaccinated children drove 1,247 cases across 31 states. Vaccination rates have only fallen since then.

“The reduction in measles vaccination threatens to erase many years of progress as this previously eliminated vaccine-preventable disease returns,” the AMA’s Ehrenfeld warned.

As Ars has reported previously, measles is among the most contagious viruses known and can linger in airspace for up to two hours. Up to 90 percent of unvaccinated people exposed will contract it. Symptoms can include high fever, runny nose, red and watery eyes, and a cough, as well as the hallmark rash. About 1 in 5 unvaccinated people with measles are hospitalized, while 1 in 20 infected children develop pneumonia, and up to 3 in 1,000 children die of the infection. Brain swelling (encephalitis) can occur in 1 in 1,000 children, which can lead to hearing loss and intellectual disabilities. The virus can also destroy immune responses to previous infections—a phenomenon known as “immune amnesia”—which can leave children vulnerable to various other infections for years afterward.

Health experts plead for unvaxxed Americans to get measles shot as cases rise Read More »

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Thousands of US kids are overdosing on melatonin gummies, ER study finds

children, emergency department, ingestion, melatonin, poison control, Science, sleep aid, supplement / /

treats or treatment? —

In the majority of cases, the excessive amounts led to only minimal side effects.

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In this photo illustration, melatonin gummies are displayed on April 26, 2023, in Miami, Florida.

Enlarge / In this photo illustration, melatonin gummies are displayed on April 26, 2023, in Miami, Florida.

Federal regulators have long decried drug-containing products that appeal to kids—like nicotine-containing e-cigarette products with fruity and dessert-themed flavors or edible cannabis products sold to look exactly like name-brand candies.

But a less-expected candy-like product is sending thousands of kids to emergency departments in the US in recent years: melatonin, particularly in gummy form. According to a new report from researchers at the Centers for Disease Control and Prevention, use of the over-the-counter sleep-aid supplement has skyrocketed in recent years—and so have calls to poison control centers and visits to emergency departments.

Melatonin, a neurohormone that regulates the sleep-wake cycle, has become very popular for self-managing conditions like sleep disorders and jet lag—even in children. Use of melatonin in adults rose from 0.4 percent in 1999–2000 to 2.1 percent in 2017–2018. But the more people have these tempting, often candy-like supplements in their homes, the more risk that children will get ahold of them unsupervised. Indeed, the rise in use led to a 530 percent increase in poison control center calls and a 420 percent increase in emergency department visits for accidental melatonin ingestion in infants and kids between 2009 and 2020.

And the problem is ongoing. In the new study, researchers estimate that between 2019 and 2022, nearly 11,000 kids went to the emergency department after accidentally gulping down melatonin supplements. Nearly all the cases involved a solid form of melatonin, with about 47 percent identified specifically as gummies and 49 percent listed as an unspecified sold form, likely to include gummies. These melatonin-based emergency visits made up 7 percent of all emergency visits by infants and kids who ingested medications unsupervised.

The candy-like appeal of melatonin products seems evident in the ages of kids rushed to emergency departments. Most emergency department visits for unsupervised medicine exposures are in infants and toddlers ages 1 to 2, but for melatonin-related visits, half were ages 3 to 5. The researchers noted that among the emergency visits with documentation, about three-quarters of the melatonin products involved came out of bottles, suggesting that the young kids managed to open the bottles themselves or that the bottles weren’t properly closed. Manufacturers are not required to use child-resistant packaging on melatonin supplements.

Luckily, most of the cases had only mild to no effects. Still, about 6.5 percent of the cases—a little over 700 children—were hospitalized from their melatonin binge. A 2022 study led by researchers in Michigan found that among poison control center calls for children consuming melatonin, the reported symptoms involved gastrointestinal, cardiovascular, or central nervous systems. For children who are given supervised doses of melatonin to improve sleep, known side effects include drowsiness, increased bedwetting or urination in the evening, headache, dizziness, and agitation.

According to the National Center for Complementary and Integrative Health—part of the National Institutes of Health—supervised use of melatonin in children appears to be safe for short-term use. But there’s simply not much data on use in children, and the long-term effects of regular use or acute exposures are unknown. The NCCIH cautions: “Because melatonin is a hormone, it’s possible that melatonin supplements could affect hormonal development, including puberty, menstrual cycles, and overproduction of the hormone prolactin, but we don’t know for sure.”

For now, the authors of the new study say the data “highlights the continued need to educate parents and other caregivers about the importance of keeping all medications and supplements (including gummies) out of children’s reach and sight.”

Thousands of US kids are overdosing on melatonin gummies, ER study finds Read More »

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Ala. hospital halts IVF after state’s high court ruled embryos are “children”

Alabama, assisted reproductive technology, children, embryo, fertility, frozen embryo, health, IVF, Science / /

Consequences —

Anger and uncertainty spread in wake of Friday’s ruling by the state’s Supreme Court.

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Nitrogen tanks holding tens of thousands of frozen embryos and eggs sit in the embryology lab at New Hope Fertility Center in New York City on December 20, 2017.

Enlarge / Nitrogen tanks holding tens of thousands of frozen embryos and eggs sit in the embryology lab at New Hope Fertility Center in New York City on December 20, 2017.

The University of Alabama at Birmingham (UAB) health system is halting in vitro fertilization treatment in the wake of a ruling by the state’s Supreme Court on Friday that deemed frozen embryos to be “children,” The ruling opens up anyone who destroys embryos to liability in a wrongful death lawsuit, according to multiple media reports.

The announcement—the first facility to report halting IVF services—is the much-feared outcome of Friday’s ruling, which was widely decried by reproductive health advocates.

“We are saddened that this will impact our patients’ attempt to have a baby through IVF, but we must evaluate the potential that our patients and our physicians could be prosecuted criminally or face punitive damages for following the standard of care for IVF treatments,” UAB said a statement to media. The statement noted that egg retrieval would continue but that egg fertilization and embryo development are now paused.

Ars has reached out to UAB for further comment and will update this story with any additional information.

Production of extra embryos is a normal part of IVF treatment for several reasons. Most notably, not all embryos will be viable, implant in a uterus, and lead to a live birth. So, creating as many embryos as possible is a common strategy to ensure that people who wish to conceive have the best chance of doing so. Embryos can also be screened for genetic conditions, allowing only the healthiest to be implanted, while those with debilitating or fatal abnormalities can be discarded.

In 2021, approximately 238,126 patients in the US had 413,776 rounds of IVF, resulting in 97,128 live-born infants, according to the Centers for Disease Control and Prevention. The percentage of egg retrievals that lead to a live birth ranges from 54 percent to 9 percent, depending on a patient’s age.

But, the standard practices of IVF used for hundreds of thousands of patients each year were thrown into question and upheaval Friday when the Alabama Supreme Court ruled that all embryos, even those outside of a uterus or frozen in storage, are “children” under state law. Anyone who destroys them is liable under the state’s Wrongful Death of a Minor Act, the court concluded. Chief Justice Tom Parker cited his religious beliefs and quoted the Bible to support the stance.

Reproductive health experts quickly speculated that the ruling would roll back IVF treatment in the state. Some facilities, such as the case of UAB, may halt treatment entirely. While others may choose to fertilize eggs conservatively, adding cost and time to the already arduous process of IVF. Genetic screening of embryos from couples who carry debilitating or fatal mutations may no longer be possible. Doctors could be sued if an embryonic ball of a few cells does not survive the treatment. Insurance rates for fertility clinics could skyrocket. Patients, meanwhile, may have to keep unneeded embryos frozen indefinitely.

On Tuesday, The Washington Post reported that the ruling had created a wave of anger, shock, and confusion across the state. Patients are considering moving frozen embryos—some leftover from IVF rounds, some purposely banked for future use—to storage facilities out of the state. Lawyers cautioned that divorce settlements that stipulate frozen embryos must be destroyed may now be void.

But the fear and confusion don’t end there. Health advocates worry more states will follow Alabama’s lead. And, if small clumps of cells gain personhood rights in more states, liability could spread to contraceptive use and people who suffer a miscarriage.

Ala. hospital halts IVF after state’s high court ruled embryos are “children” Read More »

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Chromium found in lead-tainted fruit pouches may explain contamination

adulteration, CDC, children, chromium, cinnamon, cinnamon applesauce, contamination, fda, fruit pouches, health, lead, lead chromate, lead poisoning, Science, spices, WanaBana / /

Nightmare —

Lead chromate, an artificial coloring, has been used in other spices to conceal poor quality.

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The three recalled pouches linked to lead poisonings.

Enlarge / The three recalled pouches linked to lead poisonings.

The Food and Drug Administration has discovered a second metal contaminant—chromium—in the recalled cinnamon applesauce pouches found to contain cinnamon contaminated with extremely high levels of lead. The products have now poisoned nearly 300 young children in 37 states.

The health implications of the additional contaminant are not clear. There is no antidote for chromium exposure, and the Centers for Disease Control and Prevention recommends supportive care. But the finding does hint at the possible motivation behind the tragic poisonings.

In the FDA’s announcement, the agency noted that “The lead-to-chromium ratio in the cinnamon apple puree sample is consistent with that of lead chromate (PbCrO4).” This is a notorious adulterant of spices used to artificially bolster their color and weight.

Lead chromate is a vibrant yellow substance that has frequently turned up in turmeric sourced from India and Bangladesh. In a 2017 study by public health researchers at Boston University, 16 of 32 turmeric products bought in markets in the Boston area had lead levels over the FDA’s allowable lead level for candy (the FDA does not have guidelines for lead levels in spices, specifically). Two samples, the only two samples sourced from Bangladesh, exceeded the allowable lead level by two orders of magnitude. The researchers had conducted the study after a string of lead poisoning cases in US children were linked to contaminated spices, including turmeric. Other studies have also identified spices as a source of lead exposure in US children.

The 2017 study highlighted the reason that lead chromate is used as an adulterant. A media outlet in Bangladesh quoted one turmeric trader’s explanation: “Traders use the artificial color [lead chromate] to hide the marks of pest attacks and other spots on raw turmeric. It is used during boiling and polishing to make the spice look brighter to attract big buyers, including spice processing firms.”

The FDA’s testing does not definitively conclude that lead chromate was in the contaminated cinnamon, which was sourced from an Austrofoods manufacturing facility in Ecuador and used in the recalled applesauce pouches. But it does bolster the FDA’s suspicion that the poisonings were the result of “economically motivated adulteration,” a specific category of food fraud defined by the FDA.

Jim Jones, FDA’s deputy commissioner for human foods, told Politico in December that the agency believed then that the contamination was economically motivated. “My instinct is they didn’t think this product was going to end up in a country with a robust regulatory process,” Jones said. “They thought it was going to end up in places that did not have the ability to detect something like this.”

Health effects

For the hundreds of US children poisoned by the applesauce pouches, the finding of chromium adds yet more nightmarish uncertainty of possible long-term health effects. Lead is a potent neurotoxic metal that can damage the brain and nervous system. In developing toddlers and younger children, the effects of the acute exposures could manifest as learning and behavior problems, as well as hearing and speech problems in the years to come.

The effects of chromium exposure are less clear. Chromium is a naturally occurring metal and an essential trace nutrient. But there are two notable forms: chromium III and the more toxic chromium VI. The FDA’s testing couldn’t identify which form of chromium was present in the cinnamon applesauce pouches, but the more toxic chromium VI is what’s present in lead chromate. Chromium VI is considered a carcinogen, and chronic, prolonged inhalation and skin exposure is associated with chronic lung disease and ulceration of skin and mucous membranes, the CDC notes. But the effects of eating chromium VI are not well studied or understood beyond the immediate, nonspecific effects of an acute exposure—which might include abdominal pain, nausea, vomiting, diarrhea, anemia, and kidney and liver dysfunction.

The CDC and the FDA note that it’s possible that even if chromium VI contaminated the applesauce pouches, the acidity of the applesauce and the stomach may have converted the chromium VI to chromium III.

The FDA recommends that the families of children exposed to the recalled pouches—especially those with elevated blood lead levels—should inform their health care providers of potential chromium exposure. The CDC provided clinical guidance for doctors on how to test and care for children with exposure.

The recalled cinnamon applesauce pouches include WanaBana apple cinnamon fruit puree pouches (sold nationally and through multiple retailers, including Amazon and Dollar Tree), Schnucks-brand cinnamon-flavored applesauce pouches and variety packs (sold at Schnucks and Eatwell Markets grocery stores), and Weis-brand cinnamon applesauce pouches (sold at Weis grocery stores).

According to the CDC’s latest numbers, which, as of the time of publication, were last updated on December 29, there have been a total of 287 cases identified across 37 states.

Chromium found in lead-tainted fruit pouches may explain contamination Read More »

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“The Bear Who Touched the Northern Lights” Is a Charming AR Story Puzzle

AR Apps, AR games, augmented reality, children, featured, Reviews / /

When a polar bear sees the northern lights for the first time, he wants to reach out and touch them. How will he get there and who will he meet along the way? That’s up to you with this charming interactive AR story puzzle.

The Bear Who Touched the Northern Lights

“The Bear Who Touched the Northern Lights” is a sort of choose-your-own-adventure AR story for children where the “chapters” are physical puzzle pieces. The artwork and story are by Julie Puech and Karl Kim.

The ways in which these pieces fit together (or don’t) helps the AR story keep a logical narrative. However, pieces can be added and removed or swapped out resulting in multiple different possible tellings of the tale.

Of course, the adorable puzzle doesn’t tell the whole story. The puzzle pieces come to life with the help of a free AR mobile app for Apple and Android devices. The mobile app recognizes the pieces and animates their artwork, as well as queueing an audio narration by Kasey Miracle.

As a weary old XR veteran with a cold little heart, I sometimes find it helpful to recruit fresh eyes for product reviews – like when my younger brother provided his insights for my Nreal Air review. This time I recruited the help of my fiancée’s eight-year-old daughter.

What’s in the Box?

The puzzle comes with 15 AR story cards and an instructional booklet. The instructional booklet has information about the product, links to the app, and some advice for doing the puzzle for the first time – but don’t panic if you lose it. The puzzle information and a QR code to the app are both on the outside of the box and the first puzzle piece triggers an AR guide to using the app.

AR app - The Bear Who Touched the Northern Lights - AR Story Puzzle

The free app, powered by Unity, opens with a quick warning about being aware of your surroundings while using AR and encourages you to supervise children when using the app. From there, the app only has a play button and a settings button. Settings include background dimming to make the animations stand out better, or an option to turn the animations off.

Do be aware that the app is 394 MB and does require a fairly modern device to run. Like any AR app, it requires the use of your camera while the app is running.

Following Directions

Some pieces have special icons on them. Cards with a blue “+” are optional chapters that don’t have to be included in the AR story. Cards with green and orange arrows can be swapped out for one another, changing how the story unfolds.

The play guide recommends that you remove the optional chapters and two of the interchangeable chapters the first time that the puzzle is constructed. This is presumably an introductory version of the puzzle to avoid throwing too much at first-time players.

As with any puzzle, it’s important to find a flat surface large enough for the puzzle when completed. The play guide recommends a space of two feet by three-and-a-half feet. The AR story puzzle is long and narrow in nature, particularly with all of the possible pieces in play, but has some curves in the overall shape so it isn’t just a straight line.

AR app - The Bear Who Touched The Northern Lights

The AR instructions at the beginning of the puzzle remind you that you also need to have space to sit comfortably with the puzzle in front of you for about 20 minutes (give or take). After all, the play guide also recommends additional activities like asking the child to try to construct the story from the puzzle before watching the narration.

Putting the Pieces Together

The first time putting the puzzle together, we followed the play guide’s advice to remove extra pieces and one set of interchangeable chapters. The shapes of the pieces are similar enough to make it a little challenging for young hands to assemble without it being frustrating. They’re also different enough that the story can’t be constructed in an order that wouldn’t make sense.

It only took a few minutes to assemble the puzzle for the first time, and then we fired up the app. The AR instructions are short, cute, and very informative, telling us everything we needed to know without being boring. It takes the app a second or so to recognize the cards, so moving from one chapter to the next is neither seamlessly fast nor frustratingly slow.

The Bear Who Touched the Northern Lights - AR Story Puzzle

The animations are cute and colorful, and the effects are simply but beautifully done. The default background dimming on the app is 35%, and it certainly worked. Turning it up can make the background disappear completely, which makes for optimum viewing quality, but also makes it harder to find the pieces in the camera. Pick what setting you like best.

At one point in the story, the bear starts receiving items for his journey. The Child got to choose which items he used when, but only one item was ever needed in the story, and selecting the wrong item isn’t penalized – you just pick again. We were split on this. It’s nice that we couldn’t pick wrong, but picking at all felt kind of unnecessary. (This made more sense later on.)

We reached the end of the AR story. Sort of. Immediately upon finishing the puzzle and the story the first time, The Child asked to do the puzzle again with the extra chapters.

Putting the Pieces Together Again

We added in the two optional AR story pieces and swapped out both of the interchangeable pieces and put the puzzle together again. Suddenly, the choices made a much bigger difference and a lot more sense.

The interchangeable pieces provide the bear with a different item and see him use it in a different way. The additional chapters introduce new characters, which the bear befriends by using the different items. This gave The Child a new appreciation for the AR story, but it gave me a new appreciation for the AR app.

Doing the puzzle the first time, one would be forgiven for assuming that the chapters are stand-alone pieces that don’t affect one another. Doing the puzzle again makes it clear that the app is telling a new story each time based on the pieces, their placement, and your choices throughout the story.

AR Story Puzzle - The Bear Who Touched the Northern Lights

We’ve only done the puzzle those two times so far. I haven’t done the math to figure out how many different versions of the story are possible with different choices, pieces, and arrangements, but I know that there are a lot of versions of the story that we have yet to hear.

And that’s a good thing. As soon as we finished doing the puzzle the second time, The Child immediately asked if there were any more AR story puzzles like this one.

Where to Find the AR Story Puzzle

So far, The Bear Who Touched the Northern Lights is the only product by Red+Blue Stories (but we’re hopeful for more). The company is based in Canada but also ships to the US. Prices start at around US$34, but you can pay more for different shipping options. As of this writing, the AR story puzzle is not available on other online retailers like Amazon.

The AR instructions say that a child can use the product by themselves after the first go-around. That may be true, but if you’re letting your child construct this AR story puzzle without you, you’re missing out.

“The Bear Who Touched the Northern Lights” Is a Charming AR Story Puzzle Read More »