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After nearly a decade when US drug overdose death rates were higher in rural parts of the country, drug death rates have shifted to be higher in urban areas, according to a new analysis from the US Centers for Disease Control and Prevention's National Center for Health Statistics.Researchers found that from 1999 through 2003, drug overdose death rates were higher in urban counties than in rural counties. Then, from 2004 through 2006, overdose mortality rates in rural and urban counties were similar. In 2007 through 2015, overdose mortality rates were higher in rural counties than in urban counties. But in 2016 and 2017, urban counties once again had higher rates of drug overdose fatalities.While urban counties had higher rates of overdose deaths involving heroin, cocaine and synthetic opioids such as fentanyl in 2017, rural counties had higher rates of overdose deaths involving prescription opioids such as morphine, codeine, hydrocodone and oxycodone.The overdose death rate related to stimulants such as methamphetamine and amphetamines was 4 per 100,000 in rural counties, higher than the rate of 3.1 per 100,000 in urban counties.In 2017, There were 5.2 heroin-related overdose deaths for every 100,000 people in urban counties, whereas rural counties had a rate of 2.9 heroin-related fatalities for every 100,000 people.In urban counties, the rate of overdose deaths from synthetic opioids such as fentanyl, fentanyl analogs and tramadol was 9.3 per 100,000; and in rural counties that rate was 7 per 100,000. Death rates involving cocaine were also higher in urban counties, with a rate of 4.6 per 100,000, compared to 2.4 per 100,000 in rural counties.But, Dr. Caleb Alexander, co-director of the Center for Drug Safety and Effectiveness at Johns Hopkins, said it was important to not make too much of the distinction between rural and urban areas. "It's important not to lose the forest from the trees here," he wrote in an email to CNN. "Overall the trends and rates are much more similar than they are different between these communities."Alexander noted that the increased overdose rate in urban areas "is attributable to the greater use of heroin and illicit fentanyl in these settings.""The data demonstrate continued increases in mortality through 2017, and they underscore that the epidemic has had a profound impact in rural and urban areas alike," he added.Drug overdose deaths in the United States declined 5.1% in 2018, according to preliminary data released in July by the US Centers for Disease Control and Prevention's National Center for Health Statistics. Researchers estimate there were 68,557 drug overdose deaths in 2018, and 47,590 involved opioids. 2702

An American soldier and practicing Muslim says she is considering filing a civil rights lawsuit after she says she was harassed for wearing a religious headscarf.Spc. Cesilia Valdovinos, 26, is a seven-year Army veteran. According to 246

Alabama sent the most restrictive abortion bill in the country to date to the governor's desk Tuesday night, with the state's Senate passing legislation that could punish doctors who perform abortions with life in prison.After more than four hours of debate, the Republican-led Senate voted 25-6 to pass HB 314, which would slap doctors with up to 99 years in prison for performing an abortion. The 411

Americans have welcomed him into their living rooms since 1984, and for decades, the beloved host of Jeopardy became a daily staple in many people’s lives. This week, on the familiar set of the popular game show, Alex Trebek delivered somber news: he was diagnosed with pancreatic cancer. "Just like 50,000 others each year, this week I was diagnosed with stage 4 pancreatic cancer,” Trebek said in the video. “Now, normally the prognosis for this is not very encouraging, but I’m going to fight this, and I’m going to keep working." The sad reality is Trebek is right. Pancreatic cancer is one of the deadliest types of the disease. “The 5-year survival rate is just 9 percent,” says Julie Fleshman with the Pancreatic Cancer Action Network. Fleshman says it’s also not an easy disease to diagnose early, because symptoms like back pain and stomach aches can be benign. Therefore, pancreatic cancer is often only diagnosed when it's reached stage 4, meaning it has spread to other parts of the body. But Fleshman says Trebek's video message may be a breath of fresh air for anyone battling the disease. "I think having hope and empowerment when diagnosed with a difficult disease like pancreatic cancer is extremely important, and Alex’s message yesterday was courageous and inspiring to all of us," she says.In his announcement, Trebek inserted a bit of his trademark humor, saying he was going to fight this because “truth told, I have to, because under the terms of my contract I have to host Jeopardy for three more years!"Trebek asked for prayers from his fans. Watch his message to fans 1608

Actor Jussie Smollett, the former star of the Fox TV show "Empire," was indicted on Tuesday after prosecutors investigated claims that the 37-year-old faked being the victim of a hate crime in January 2019, 219