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State officials said Director James D. Coffey forwarded the complaint to the board’s attorney, Susan Manning, who also failed to act. Mr. Coffey was fired Tuesday. Ms. Manning is on administrative leave.

A state health and human services spokesman said neither Ms. Manning nor Mr. Coffey notified the state Department of Public Health leadership about the complaint.

The outbreak has spread to 19 states and killed 31 people.


Shooting-spree suspect arraigned, jailed

HOWELL — Michigan prosecutors have charged a 43-year-old man suspected in a shooting spree along a 100-mile stretch of roads with assault with a dangerous weapon and other gun charges.

A district court judge set Raulie Casteel’s bond at $2 million during Wednesday’s hearing in Howell, a community 55 miles northwest of Detroit. Mr. Casteel’s next court date was scheduled for Nov. 14.

Mr. Casteel was arrested Monday at his home in Wixom. He’s suspected of 24 shootings, mostly at moving vehicles. They occurred in four counties beginning Oct. 16. One person was wounded.

Mr. Casteel’s mother, Lana Hunt, has told the Detroit Free Press that she’s worried he might be mentally ill but refuses to see a doctor.


Man guilty of torching woman, 73, in elevator

NEW YORK — A New York City man has pleaded guilty to fatally burning an elderly woman inside the elevator of her apartment building.

Prosecutors announced Wednesday that Jerome Isaac had pleaded guilty to first-degree murder, arson and torture in the December 2011 death of Deloris Gillespie in Brooklyn.

The plea bargain calls a sentence of 50 years in prison.

Prosecutors say Isaac attacked the 73-year-old woman because he believed she owed him money. They say he doused her with gasoline, set her on fire and then threw a firebomb inside the elevator.

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