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For many of us, the word “outbreak” has taken a more personal meaning this year.For the people of Austin, Indiana, it’s not the first time they’ve dealt with an outbreak.“We’re an itty-bitty town, but we got big city problems,” said Austin resident Ethan Howard.By 2015, the opioid crisis had ravaged Howard’s hometown for years. People became hooked on painkillers and often used needles to take them. The same syringes would be passed from person to person.Dr. William Cooke arrived in Austin in 2004. Back then, he was the town’s only doctor. In fact, he was the town’s first doctor in a generation. He says he saw several issues in the southern Indiana community, including people’s health to poverty.As the opioid crisis started to wrap its grip across parts of the country, Dr. Cooke says he started to see another health issue spread in the community, starting around 2010.“What we saw was a really quick in dramatic rise in Hepatitis C around that time,” Dr. Cooke said. “Any community that has a high Hepatitis C rate is at high risk for an HIV outbreak.”By 2015, the opioid crisis had ravaged the city for years.“Opiates were my devil,” Howard recalled.Howard says his mom convinced him one day to go get tested, after he says he had shared a needle with his cousin.His test revealed he was positive for HIV.“I thought I was dead. I thought it was a death sentence,” Howard said.He wasn’t alone with testing positive for HIV in Austin.“In that first year, we had almost 200 cases,” Dr. Cooke said. “It was almost a quarter of the HIV cases in the state and this is a town of 4,200 people.”Austin had become home to one of the largest HIV outbreaks in rural America ever.Dr. Cooke helped convince then-Indiana Gov. Mike Pence to change his stance on needle exchanges.“It took a few months, but eventually, he signed the executive order allowing us to operate syringe service programs here,” Cooke said.That program, access to addiction recovery services and powerful HIV medicine has led to a dramatic drop in new cases.In 2015, Scott County, Indiana had 157 new HIV cases. In 2019, the county had only five, according to the Indiana Department of Health."The medications today are powerful enough and well tolerated enough that you should not spread the disease to anyone else and you should never worry about dying from HIV,” Dr. Cooke said.Dr. Cooke says Austin is still working to overcome some of the social challenges he found when he first arrived in the community in 2004.It’s been five years after the largest HIV outbreak in Indiana history. Like many communities across the world, this one is now dealing with the impacts of COVID-19.Nurse Jessica Howard is a proud native of Austin. She’s seen the challenges her community has faced over the years. She also sees the good in Austin, pointing to a local church pantry providing food and clothes to those in need.Jessica Howard in charge of coronavirus testing at Dr. Cooke’s office. She grew up in Austin and knows many of the patients that come through the door.As of early July, Scott County has not seen a large amount of coronavirus cases like other parts of the country, but the nurse worries about her patients that struggle with addiction who are now in quarantine and could relapse."These are people these are our people and we have to take care of them and protect them,” she said.Austin has come a long way from where it was in 2015, when HIV spread through a large part of the community.Last year, Dr. Cooke was named by American Academy of Family Physicians the AAFP 2019 Family Physician of the Year for his efforts to help stop the 2015 HIV outbreak.As for Howard, he says medication has made it so HIV is no longer detectable in his blood.He now travels as a musician and points to music as a source of strength that helped him through the darkest of times.“I fought and clawed my way out of a dark place,” Howard said.His fighting spirit is one this small Indiana city has used to battle through crisis before.“We’ve been through a healthcare disaster before,” Dr. Cooke said. “And there is a light on at the end of a tunnel.”It’s a mindset Dr. Cooke says we need now, as we all fight this new crisis of a coronavirus pandemic. 4221

Former Sheriff Joe Arpaio, who served as sheriff of Arizona's Maricopa County’s from 1993 to 2017, filed a libel lawsuit against The New York Times and a member of its editorial board Tuesday evening. Court documents obtained by show Arpaio is suing The Times and Michelle Cottle for the publication of Cottle’s August 2018 op-ed titled, “Well, at Least Sheriff Joe Isn’t Going to Congress - Arpaio’s loss in Arizona’s Senate Republican primary is a fitting end to the public life of a truly sadistic man.” In the opinion piece, Cottle calls Arpaio’s “24-year reign of terror” “medieval in its brutality,” and makes reference to the former Sheriff’s controversial practices, which include the creation of Tent City, the implementation of chain gangs, and forcing prisoners to wear pink underwear. The Times published Cottle’s op-ed after Arpaio was defeated by Martha McSally in the primary race for Jeff Flake's Senate seat.In the complaint, filed with the U.S. District Court for the District of Columbia, Arpaio’s team noted,  “While the Defamatory Article is strategically titled as an opinion piece, it contains several false, defamatory factual assertions concerning Plaintiff Arpaio.”A complaint within the lawsuit states Arpaio plans to run for Senate in 2020. The publication of Cottle's op-ed may prevent a successful run for Arpaio, according to court documents. "Plaintiff Arpaio’s chances and prospects of election to the U.S. Senate in 2020 have been severely harmed by the publication of false and fraudulent facts in the Defamatory Article," the lawsuit notes. "This also harms Plaintiff financially, as his chances of obtaining funding from the Republican establishment and donors for the 2020 election have been damaged by the publication of false and fraudulent representations in the Defamatory Article."Arpaio is seeking 7,500,000 in damages, as well as attorneys’ fees and costs. He is being represented by Larry Klayman, the chairman and general counsel for Freedom Watch, a conservative watchdog group.  2088

Former Mets great Tom Seaver, a member of the 1992 Baseball Hall of Fame class, has died at the age of 75, the Baseball Hall of Fame announced on Wednesday.The Hall of Fame said Seaver died in his sleep due to complications from Lewy body dementia and COVID-19.Seaver was a 13-time All Star and three-time Cy Young Award winner. He won a World Series title in 1969 with the Mets, and won all three of his Cy Young Awards with the Mets, during his tenure with the club that spanned from 1967 through 1977.He also joined the Reds in 1977 and stayed with the team until 1982. After a return to the Mets in 1982, Seaver finished his career with stints with the White Sox and Red Sox.With 311 victories, Seaver is one of just 24 MLB pitchers to win 300 games.Baseball commissioner Robert Manfred issued a statement following Wednesday's news."I am deeply saddened by the death of Tom Seaver, one of the greatest pitchers of all-time," Manfred said. "Tom was a gentleman who represented the best of our National Pastime. He was synonymous with the New York Mets and their unforgettable 1969 season. After their improbable World Series Championship, Tom became a household name to baseball fans – a responsibility he carried out with distinction throughout his life." 1268

Former California governor and film star Arnold Schwarzenegger had open-heart surgery in California on Thursday to replace an aging pulmonic valve.His representative, Daniel Ketchell, said that the surgery was successful and that 70-year-old Schwarzenegger is in stable condition at Cedars-Sinai Hospital in Los Angeles."Schwarzenegger is awake and his first words were actually 'I'm back', so he is in good spirits," Ketchell tweeted. 443

Feeding the country during a pandemic is no short order. In fact, it's an incredibly tall one stacked 60 feet high inside grocery warehouses across the country.Mike Violette is the CEO at Associated Grocers of New England. We first met Mike back in March, when Americans were buying food in record numbers. Workers in this warehouse could barely keep up with demand. Shelves sat as empty as suppliers couldn't keep up with the demand for everything from paper towels to flour."What we saw last March, you won’t see that again. Paper manufacturers have changed their lines, what they’re producing, and how they’re producing," Violette explained.Demand for groceries across the country is still up 20 percent over this time last year. While suppliers have kept up with demand, there are random shortages for things like glass mason jars."People are cooking, people are eating at home and they’re cooking. A lot of people learned to cook from last March forward, and they’re doing more of it," Violette added.This time around, Violette and other grocers are urging Americans to avoid panic buying as some states reimpose COVID-19 restrictions."There’s no need to stock up. There’ll be plenty of product; the food supply is strong and by people stocking up, it makes it harder for people to get products and people have to make more frequent stops to go to the store,” Violette said.There’s something else this grocery distributor has realized in recent months: even with near-record numbers of Americans unemployed, they’re having trouble filling jobs.Warehouses and factories across the country have noticed similar trends. Part of the reason is that workers are concerned about catching COVID-19 and not filling open positions. This is also not the kind of job that can be done from home."I think a lot of it is the type of work that it is. It involves heavy lifting, so it can be hard work," Violette said.But all that aside, these men and women will keep working to keep grocery store shelves stocked to keep America fed during the pandemic. 2050

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