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online casino live baccarat real money Davante Adams Gets Honest About His Future With The JetsIn the past few years, state and local governments across the U.S. have begun spending billions in opioid settlements paid by companies accused of fueling the overdose crisis. But where is that money going, who is getting it, and is it doing any good? KFF Health News, partnering with the Johns Hopkins Bloomberg School of Public Health and Shatterproof, a national nonprofit focused on addiction, undertook a yearlong investigation to find out. Dozens of interviews, thousands of pages of documents, an array of public records requests, and outreach to all 50 states resulted in a first-of-its kind database that catalogs more than 7,000 ways opioid settlement cash was used in 2022 and 2023. It’s the most comprehensive resource to date tracking some of the largest public health settlements in American history. “When people know that people aren’t watching and there’s no accountability, then they can kind of do what they want,” said Tonja Myles, a community activist in Baton Rouge, Louisiana, who is in recovery. “That’s why we have to have some kind of database and accountability.” Despite the recent decline in overall overdose deaths in the U.S., more than 90,000 people still died in the 12 months ending July 2024 and rates are rising in many Black and Native American communities. “We can’t mess up or miss this moment,” Myles said. Opioid settlement payouts are expected to total about $50 billion over nearly two decades, paid by more than a dozen companies that made or distributed prescription painkillers, including Johnson & Johnson, Walgreens, and Walmart. Although it’s a large sum, it’s dwarfed by the size of the crisis, making each dollar that’s spent critical. KFF Health News and its partners reviewed hundreds of settlement spending reports, extracting expenditures line by line, and developed a methodology to sort the expenditures into categories like treatment or prevention. States were given an opportunity to review the data and comment on their spending. To be sure, the database does not capture the full picture of opioid settlement spending nationwide. Some places do not publish spending reports, while others declined to engage with this project. The data presented here is a snapshot as of the end of 2023 and does not account for further spending in 2024. The differences in how states control, process, and report on the money make apples-to-apples comparisons nearly impossible. Still, the database helps fill a gap left by a lack of national reporting requirements and federal government inaction. It is “a tool for those who want to objectively measure whether everything that can be done is being done,” said Matthew Myers, a former president of the Campaign for Tobacco-Free Kids, which compiles similar annual reports on tobacco settlement money. The top priority to emerge from early opioid settlement spending was treatment, with more than $416 million spent or committed to residential rehabs, outpatient counseling, medications for opioid use disorder, and more. The state of New York — which spent the most on treatment — allocated about $22 million of that for programs that make the gold standard for care as easy as possible for patients: providing same-day prescriptions for buprenorphine, a medication that decreases cravings for opioids. The result was a program that John Greene said changed his life. Greene, 57, used to live in the woods down the street from Family & Children’s Counseling Services in Cortland, New York. He cycled through jails and hospitals, overdosing half a dozen times and trying rehab just as many. But now he has four months of recovery under his belt — the longest stint since he started regularly using drugs at 14. He said it’s because the counseling center’s new program— funded by a mix of state and local opioid settlement dollars — has a different approach. Counselors aren’t didactic and judgmental. They don’t force him to stop smoking marijuana. Several staff members have experienced addiction themselves. They drive Greene, who doesn’t have a car, to doctor appointments and the pharmacy for his buprenorphine prescription. Now Greene lives and works with his brother, looks forward to weekly counseling sessions, and is notching small victories — such as buying his nephew toy cars as a stocking stuffer. “It made me feel good to do something for somebody and not expect nothing back,” Greene said. Emily Georgia, one of Greene’s counselors, said the center has worked with nearly 200 people like him in the past year. Without the settlements, “the program probably wouldn’t exist,” she said. Across the country, the money supports other innovative treatment approaches: Philip Rutherford, an expert on substance use disorder at the National Council for Mental Wellbeing, said these efforts “are really positive” and many have been “historically difficult or impossible to achieve with federal or state funding.” But some funds are also flowing to treatment approaches that defy best practices, such as denying people medications for opioid use disorder. Some in the recovery community consider methadone and buprenorphine a crutch. But study after study show that the medications help people stay in treatment and reduce the risk of overdose and death. Research even suggests that treatment without these medications can be more harmful than no treatment at all. Although not everyone will want medication, settlement funds shouldn’t “prop up a system that doesn’t allow people to have that choice,” said Regina LaBelle, a professor of addiction policy at Georgetown University. While treatment received a windfall in early opioid settlement spending, another aspect of the crisis was neglected: neonatal abstinence syndrome, a condition in which babies exposed to drugs in the womb experience withdrawal. Nationwide, more than 59 newborns a day are diagnosed with it. Yet only about $8.4 million in settlement money was committed to the issue — less than 0.5% of all funds publicly reported as spent or committed in 2022 and 2023. Experts in public health and addiction, as well as affected families, say it’s due to stigma. “A mom using drugs and being a parent is a very uncomfortable reality to face,” said Ashley Grant, a 38-year-old mother of three in Mesa, Arizona. “It’s easier to just push it under the rug or let them fall through the cracks, as sad as that is.” It almost happened to her. Grant learned she was pregnant with her third child last year. At the time, her partner was in jail and she was using drugs after an eight-year period of recovery, was estranged from her family, and didn’t know how she’d survive the next nine months. During a visit to a methadone clinic, she saw a booth about Jacob’s Hope, a specialty nursery that cares for substance-exposed newborns and their moms. Nursery staff connected her with a therapist, helped her enroll in parenting classes, and dropped off diapers and a playpen at her home. After delivering at the hospital, Grant and her baby boy stayed at Jacob’s Hope for about a week. Nurses showed her how skin-to-skin contact calmed his withdrawal symptoms and more frequent feedings and burpings decreased gastrointestinal discomfort, which is common among substance-exposed newborns. Today, Grant has roughly five months of recovery. She got certified as a peer recovery specialist and hopes to join Jacob’s Hope one day to help moms like her. But the nursery’s future is uncertain. After opening in 2019, Jacob’s Hope nearly shut down this summer due to low reimbursements and delayed payments from insurers, said Lyndsey Steele, its associate director. Community donations kept the nursery afloat, but “it’s still hanging on by a thread,” she said. She’s hoping opioid settlement money can help. In 2022, Jacob’s Hope received about $250,000 from Arizona’s opioid settlements. But this year, the legislature captured the state’s share of remaining funds and, in a controversial move, gave it to the Department of Corrections. Jacob’s Hope has now turned to local governments, which control their own settlement dollars. Its home city of Mesa said a first round of grant applications should open in the spring. Steele prays it won’t be too late for babies in need — the epidemic’s “forgotten victims,” she called them. Heart Disease Screening, Robot Ambulances, and More Some opioid settlement expenditures have sparked fierce disagreement. They generally fall into three buckets: money for law enforcement, funding for youth prevention programs, and purchases unrelated to the opioid crisis. Settlement dollars nationwide have bought body scanners, K-9 units, bulletproof vests, patrol trucks, and laptops and printers for police and sheriffs. Some spending strayed even further from the spirit of the settlement. In Oregon City, Oregon, more than $30,000 was spent on screening first responders for heart disease. Police Chief Shaun Davis said his staff respond to opioid-related emergencies and experience trauma that increases their risk of heart attack. But some people question if settlement funds should be footing the bill. “This looks to me like you’re trying to defray other costs” from the police budget, said Stephen Loyd, chair of Tennessee’s Opioid Abatement Council. “I don’t think that there’s any way that this opioid money was earmarked for stuff like that.” A second area of contention is youth prevention. Although most people agree that stopping children from developing addictions is important, the execution is tricky. Nearly half a million settlement dollars have gone to the Drug Abuse Resistance Education program, commonly known as D.A.R.E. Decades of research suggest its original curriculum is ineffective. Robeson County, North Carolina, spent about $10,000 in settlement money to buy “ Andy the Ambulance,” a robot ambulance with big eyes and an audio system through which a human operator can discuss the dangers of drugs. EMS Director Patrick Cummings said his team has taken the robot to churches and elementary schools. We “don’t have any studies that show it’s working,” he said, but educating kids seems like a good investment because “if they never try it, they don’t get addicted.” Then there’s the chunk of money — up to 15% of each state’s funds — that’s a free-for-all. Flint, Michigan, spent nearly $10,000 on a sign for a community service center. The city reported that the expense did not qualify as “opioid remediation.” In other words, it’s unrelated to addressing the crisis. But Caitie O’Neill, a city spokesperson, said that “the building sign makes it possible for residents to find” the center, which houses city services, “including Narcan kits, fentanyl testing strips, and substance abuse referrals.” Jurisdictions across 29 states reported non-remediation spending in 2022 and 2023. Most opioid settlements require such reports but operate on an honor system. No one is checking if the other 21 states and Washington, D.C., were truthful. Jackie Lewis, an Ohio mother whose 34-year-old son, Shaun, died of an overdose in October 2022, finds that hard to stomach. “This is blood money,” she said. Some people have “lost sight of that.” Lewis is raising Shaun’s daughter, ensuring the 9-year-old receives counseling at school and can attend the hip-hop music classes she enjoys — all on Lewis’ Social Security payments. This year they moved to a smaller town with lower costs. As settlement funds continue flowing, she wants officials in charge of the money to help families like hers. “We still exist and we’re still struggling,” she said. ____ KFF Health News’ Henry Larweh and Megan Kalata, Johns Hopkins Bloomberg School of Public Health’s Sara Whaley and Vivian Flanagan, and Shatterproof’s Kristen Pendergrass and Sahvanah Prescott contributed to this article. The Johns Hopkins Bloomberg School of Public Health has taken a leading role in providing guidance to state and local governments on the use of opioid settlement funds. Faculty from the school collaborated with other experts in the field to create principles for using the money, which have been endorsed by over 60 organizations. Shatterproof is a national nonprofit that addresses substance use disorder through distinct initiatives, including advocating for state and federal policies, ending addiction stigma, and educating communities about the treatment system. Shatterproof is partnering with some states on projects funded by opioid settlements. KFF Health News, the Johns Hopkins Bloomberg School of Public Health, and the Shatterproof team who worked on this report are not involved in those efforts. Distributed by Tribune Content Agency, LLC.

Croatia's President Zoran Milanovic will face conservative rival Dragan Primorac in an election run-off in two weeks' time after the incumbent narrowly missed out an outright victory on Sunday, official results showed. The results came after an exit poll, released immediately after the polling stations closed, showed that Milanovic, backed by the opposition left-wing Social Democrats, had scooped more than 50 percent of the first round vote and would thus avoid the January 12 run-off. Milanovic won 49.11 percent of the first round vote and Primorac, backed by the ruling conservative HDZ party, took 19.37 percent, according to results released by the state electoral commission from nearly all of the polling stations. Such a strong lead for Milanovic, whom surveys labelled a favourite ahead of the vote, raises serious concerns for Prime Minister Andrej Plenkovic's HDZ. The election comes as the European Union and NATO member country of 3.8 million people struggles with biting inflation, widespread corruption and a labour shortage. Among the eight contenders, centre-right MP Marija Selak Raspudic and green-left MP Ivana Kekin followed the two main rivals, the exit poll showed. They each won around nine percent of the vote. Croatia's president commands the country's armed forces and has a say in foreign policy. But despite limited powers, many believe the office is key for the political balance of power in a country mainly governed by the HDZ since independence in 1991. "All the eggs should not be in one basket," Nenad Horvat, a salesman in his 40s, told AFP. He sees Milanovic, a former leftist prime minister, as the "last barrier to all levers of power falling into the hands of HDZ", echoing the view of many that was reflected in Sunday's vote results. The 58-year-old Milanovic has been one of Croatia's leading and most colourful political figures for nearly two decades. Sharp and eloquent, he won the presidency for the Social Democrats (SDP) in 2020 with pledges to advocate tolerance and liberalism. But he used the office to attack political opponents and EU officials, often with offensive and populist rhetoric. Milanovic, who condemned Russia's aggression against Ukraine, has nonetheless criticised the West's military aid to Kyiv. That prompted the prime minister to label him a pro-Russian who is "destroying Croatia's credibility in NATO and the EU". Milanovic countered that he wanted to protect Croatia from being "dragged into war". "As long as I'm president no Croatian soldier will wage somebody else's wars," he said this month. Milanovic regularly pans Plenkovic and his HDZ party over systemic corruption, calling the premier a "serious threat to Croatia's democracy". "I'm a guarantee of the control of the octopus of corruption... headed by Andrej Plenkovic," he said during the campaign. For many, the election is a continuation of the longstanding feud between two powerful politicians. "This is still about the conflict between the prime minister and president," political analyst Zarko Puhovski told AFP. "All the rest are just incidental topics." Primorac, a 59-year-old physician and scientist returning to politics after 15 years, campaigned as a "unifier" promoting family values and patriotism. "Croatia needs unity, global positioning and a peaceful life," he told reporters after casting his ballot in Zagreb, adding that he would later attend a mass. Primorac repeatedly accused Milanovic of "disgracing Croatia", a claim that resonated with his supporters. ljv/bc

Global stocks mostly rose Tuesday, with US and German indices posting records, as markets weighed Chinese stimulus hopes, political tensions in France and the US interest-rate outlook. Germany's blue-chip DAX stock index jumped above 20,000 points for the first time and Paris rebounded even as France braced for new political turmoil. In New York, both the S&P 500 and Nasdaq narrowly rose to finish at records, while the Dow pulled back. Oil prices jumped more than two percent following reports that crude exporters were near an agreement to extend production limits. A closely-watched labor market report showed an increase in US job openings in October, but also a decline in new job postings during the month, a less upbeat sign. Samuel Tombs, chief US economist at Pantheon Macroeconomics, said the data overall provides "good grounds" for the Federal Reserve to lower interest rates again this month. Still, the choppiness of Tuesday's trading session in New York points to reticence among US investors following a series of post-election records that many pundits believe have left stocks overvalued. "There wasn't a lot of conviction behind the upside moves," said Briefing.com . "The overall vibe in the market was more negative." Stocks in Paris edged higher even as France headed into a new political crisis as opposition lawmakers vowed to topple the minority government of Prime Minister Michel Barnier in a no-confidence vote after just three months in office. Germany's DAX, meanwhile, scored a fresh milestone, defying multiple headwinds battering Europe's biggest economy. The German economy, hit hard by a manufacturing slowdown and weak demand for its exports, has struggled in 2024. Yet the DAX has advanced in large part because companies in the index do heavy business abroad. In addition, the euro's recent weakness has boosted Germany's export-oriented companies, while easing interest rates both in the eurozone and the United States have also helped sentiment. Investors greeted a Bloomberg report that China's top leaders, including President Xi Jinping, would hold a two-day economic work conference next week to outline their targets and stimulus plans for next year. The report followed manufacturing activity data on Monday that suggested China's economic struggles may be coming to an end, but investors are looking for Beijing to step up support for the economy. The news helped push Hong Kong and Shanghai stock markets higher despite Washington announcing new export restrictions taking aim at Beijing's ability to make advanced semiconductors. The moves step up existing US efforts to tighten curbs on exports of state-of-the-art AI chips to China. Beijing hit back by saying it would restrict exports to the United States of some key components in making semiconductors. Oil prices jumped ahead of a meeting Thursday of members of the OPEC oil cartel and its allies "The forecast is that they will announce an extension until the end of the first quarter of 2025, and this should help put a floor under prices," said Trade Nation analyst David Morrison. New York - Dow: DOWN 0.2 percent at 44,705.53 (close) New York - S&P 500: UP 0.1 percent at 6,049.88 (close) New York - Nasdaq Composite: UP 0.4 percent at 19,480.91 (close) London - FTSE 100: UP 0.6 percent at 8,359.41 (close) Paris - CAC 40: UP 0.3 percent at 7,255.42 (close) Frankfurt - DAX: UP 0.4 percent at 20,016.75 (close) Tokyo - Nikkei 225: UP 1.9 percent at 39,248.86 (close) Hong Kong - Hang Seng Index: UP 1.0 percent at 19,746.32 (close) Shanghai - Composite: UP 0.4 percent at 3,378.81 (close) Euro/dollar: UP at $1.0511 from $1.0498 on Monday Pound/dollar: UP at $1.2673 from $1.2655 Dollar/yen: DOWN at 149.53 yen from 149.60 yen Euro/pound: DOWN at 82.94 from 82.95 pence Brent North Sea Crude: UP 2.5 percent at $73.62 per barrel West Texas Intermediate: UP 2.7 percent at $69.94 per barrel burs-jmb/dw

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Tweet Facebook Mail Harvey Weinstein was hospitalised following an "alarming blood test," his attorney said, less than a week after the disgraced movie mogul filed a legal claim alleging substandard medical care at New York City's notorious jail complex. Weinstein, 72, was sent to Bellevue Hospital in Manhattan for an "emergent treatment due to an alarming blood test result that requires immediate medical attention," his attorney, Imran Ansari, said in a statement. "It is expected that he will remain there until his condition stabilises," the statement continues. READ MORE: US-Israeli soldier held hostage in Gaza confirmed killed during October 7 attack  Harvey Weinstein has been hospitalised, his attorney said. (AP Photo/Julia Nikhinson, Pool) "His deprivation of care is not only medical malpractice, but a violation of his constitutional rights." A spokesperson for New York City's Department of Correction did not immediately respond to an email. The agency's inmate database confirmed that Weinstein had been transferred from Rikers Island to the Bellevue Hospital Prison Ward in Manhattan. Weinstein has been in city custody since earlier this year after the New York Court of Appeals overturned his 2020 rape conviction in the state. The case is set to be retried in 2025. Weinstein has denied any wrongdoing. READ MORE: Three dead and dozens sick from eating sea turtle stew  Rikers Island is the site of a notorious prison. (Getty) In a legal filing last week, Weinstein's attorneys accused the city of providing him with substandard medical care for a litany of medical afflictions, which include chronic myeloid leukemia and diabetes. "When I last visited him, I found him with blood spatter on his prison garb, possibly from IV's, clothes that had not been washed for weeks, and he had not even been provided clean underwear — hardly sanitary conditions for someone with severe medical conditions," Ansari said in a statement that likened Rikers Island to a "gulag." The troubled jail complex, located on an island in New York City's East River, has faced growing scrutiny for its mistreatment of detainees and dangerous conditions. Last week, a federal judge cleared the way for a possible federal takeover of the jail system, finding the city had placed its incarcerated population in "unconstitutional danger." READ MORE: Dozens killed, including children, in football match stampede  How this seven-year-old boy earned $34 million for one year View Gallery A publicist for Weinstein, Juda Engelmayer, echoed the allegation in a statement. "Mr Weinstein, who is suffering from a number of illnesses, including leukemia, has been deprived the medical attention that someone in his medical state deserves, prisoner or not," he said. "In many ways, this mistreatment constitutes cruel and unusual punishment." DOWNLOAD THE 9NEWS APP : Stay across all the latest in breaking news, sport, politics and the weather via our news app and get notifications sent straight to your smartphone. Available on the Apple App Store and Google Play .The AP Top 25 men’s college basketball poll is back every week throughout the season! Get the poll delivered straight to your inbox with AP Top 25 Poll Alerts. Sign up here . CONWAY, S.C. (AP) — CJ Happy scored 16 points off the bench to lead Princeton past Portland, 94-67 to claim the seventh-place trophy at the Myrtle Beach Invitational tournament on Sunday. Happy went 7 of 9 from the field (2 for 4 from 3-point range) for the Tigers (5-3). Caden Pierce went 6 of 8 from the field (3 for 4 from 3-point range) to add 15 points. Blake Peters shot 5 for 11, including 4 for 10 from beyond the arc to finish with 14 points. The Pilots (2-5) were led by Vukasin Masic, who posted 12 points and four assists. Mikah Ballew added 12 points for Portland. Jinup Dobuol finished with 10 points. Princeton took the lead with 19:43 left in the first half and did not relinquish it. The score was 52-29 at halftime, with Pierce racking up 15 points. Princeton extended its lead to 61-29 during the second half, fueled by a 9-0 scoring run. Malik Abdullahi scored a team-high eight points in the second half as their team closed out the win. NEXT UP Princeton next plays Wednesday against Nazareth at home, and Portland will host Denver on Sunday. ___ The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .Some Democrats are frustrated over Joe Biden reversing course and pardoning his son Hunter

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SANTA CLARA — No Brock Purdy. No Nick Bosa. No chance for the 49ers on Sunday in Green Bay? “We’re missing two good players definitely but we’ll have a lot of good players out there,” 49ers coach Kyle Shanahan countered. “By no means do we not have a chance to win. We’ll fight our tails off. We’ll expect a real good game.” Purdy’s throwing-shoulder soreness will force him to miss his first game due to injury since becoming the 49ers’ starting quarterback nearly two years ago, and that thrusts ninth-year journeyman Brandon Allen into his 10th career start and first since 2021 with Cincinnati. Bosa’s oblique and hip injuries will sideline him for his first game of this wobbly season. Also ruled out were cornerback Charvarius Ward (personal), return specialist Jacob Cowing (concussion), defensive tackle Kevin Givens (groin) and linebacker Tatum Bethune (knee), while left tackle Trent Williams (ankle) is questionable as a game-time decision for a second straight game. Tight end George Kittle (hamstring) and running back Christian McCaffrey (Achilles) are good to go for an offense that must make do without Purdy at the NFL’s most historic venue. Allen, who last threw a regular-season pass in 2022 as Joe Burrow’s backup in Cincinnati, will guide the 49ers’ offense in a key game as San Francisco aims to make a playoff push. “It’s an opportunity,” Allen said. “The circumstances are what they are. Our team all year long, we’ve been dealing with injuries here or there. It’s been a big next-man-up mentality. It’s definitely an opportunity for me to go out, play well, put our guys in a good position to win the game. “Obviously we want Brock back and healthy and all that,” Allen added. “For the time being, it is an opportunity for me.” Josh Dobbs, who lost out to Allen in training camp and the preseason for the QB2 role, will serve in that capacity Sunday at Lambeau Field, where neither quarterback has played a regular-season game. Rookie Tanner Mordecai likely will be elevated from the practice squad Saturday to serve as the emergency No. 3 quarterback. Purdy wore a resigned, dour expression but offered upbeat words as he walked through the locker room, saying: “We’re all good.” This is not how Shanahan scripted it earlier in the week. “(Purdy) got the MRI on Monday, we thought he just needed some rest and really weren’t concerned about not being there this week,” Shanahan said Friday. “I don’t want to say there’s long-term concern,” Shanahan said Friday. “We got the MRI on Monday. We thought he just needed some rest and really weren’t concerned about him not being good this week.” Purdy rested his arm Wednesday, then left the practice field Thursday after a few light throws. “It surprised him, surprised us how it felt, so we had to shut him down,” Shanahan said. “The MRI doesn’t look like (it’s serious) so it should be alright. But the way it responded this week, it’s really up in the air for next week. We’ll have to see on Monday.” The 49ers follow this week’s trip at Green Bay with a prime-time appearance next Sunday, Dec. 1 in Buffalo. “I know this is like the first time Brock’s missed a game probably in his life,” Allen said. “He’s a tough guy and I’m not too worried about it. I don’t think any of our guys are. He’ll rehab and get back as fast as he can.” No one is saying when Purdy got hurt in Sunday’s 20-17 loss to Seattle, whether it was from diving for the goal line on his first-quarter touchdown scramble or later in the game. Shanahan did note that Purdy struggled to keep his shoulder loose and threw on the sideline, then the pain intensified after the game and into Monday. “It was somewhere during that Seattle game and I’m not sure Brock knows,” general manager John Lynch said on KNBR. “He fought through it through the course of the game. I did see him during the course of the game, anytime there was a pause, he kept throwing. At that point, you’re feeling something but he was so focused on trying to win.” Shanahan lauded Allen as a “really good thrower” who “runs our offense well” and that “guys believe in him.” The feeling is mutual on Allen’s side, as he explained what it was like as Purdy’s stand-in on the starting unit in practice this week: “It’s been a blessing to have them in the huddle with me and the leadership that’s in the huddle, so I can just come in and fill the spot for Brock for now, just try to make some plays and get the ball in their hands.” Added Shanahan: “It’s not a big game-plan adjustment. This is something we didn’t think would happen early in the week. We were fully preparing for Brock to go.” The Packers prepared that way, too. Allen is no total stranger, however. Packers coach Matt LaFleur told reporters Friday in Green Bay, prior to Purdy’s no-show practice: “I know Brandon. I was with him in L.A. (in 2017). He’s been in the league a long time. But I wouldn’t expect their offense to change a whole bunch.” BOSA WILL REMAIN HOME While Purdy traveled with the 49ers to Green Bay, Bosa was staying behind to rehabilitate the upper-body injuries that forced him to miss Sunday’s fourth-quarter collapse against Seattle. It will be the first game Bosa has missed since Oct. 16, 2022 with a groin injury. The 49ers lost a road game that day to Atlanta 28-14 during a season in which Bosa was the NFL’s Defensive Player of the Year. Sam Okuayinonu figures to make his first career start in place of Bosa while Leonard Floyd makes his 11th start at the other defensive end slot. WILLIAMS QUESTIONABLE Williams, with the help of a pain-killing injection, made it through the Seattle loss at what he said afterwards was 65 percent. Although listed as questionable, Shanahan reiterated Williams’ status could go right up to kickoff. Jaylon Moore likely would start in place of Williams, if needed. WARD BACK NEXT WEEK? Ward, mourning the death of his 23-month-old daughter, was declared out but Shanahan hoped to have the All-Pro cornerback next week when the 49ers visit Buffalo. “He’s taken three full weeks off,” Shanahan said. “It’s not like dealing with all that stuff he’s getting workouts in and all that. We’re just happy to get him back in the building this week. We don’t want to put any pressure on him, hopefully he’ll be good to go next week.” Among those listed as questionable is guard/center Jon Feliciano, whose 21-day window of practicing while on injured reserve is about to expire. If the 49ers don’t put Feliciano on the 53-man roster by Monday, he’ll spend the rest of the season on injured reserve. PACKERS INJURIES Cornerback Jaire Alexander (knee) was ruled out after being unable to practice all week, and linebacker Edgerrin Cooper (hamstring) also will not suit up for Green Bay’s defense. Defensive tackle Colby Wooden is questionable as the only other Packers player on their injury report.

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