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The United States has more than double the rate of premature overdose deaths of at least 12 other countries, according to a new?study.The research, published Monday in the Annals of Internal Medicine, says that there were an estimated 63,632 drug overdose deaths in 2016 in the US."The U.S. has the highest death rate due to drug overdoses for both men and women (35 deaths in 100,000 men and 20 deaths in 100,000 women) in 2015, more than double those of any other country in our study," Yingxi Chen, one of the researchers and a postdoctoral fellow at the National Institutes of Health's National Cancer Institute, wrote in an email.Mexico had the lowest rates: 1 death per 100,000 men and 0.2 deaths per 100,000 women.The researchers also found that the United States had the second-highest increase in drug overdose deaths: 4.3% per year in men and 5.3% per year in women, Chen said. Only Estonia had a higher increase.Norway was found to have the biggest decrease in drug overdose mortality for the whole population. Decreases were also found among men and women in Mexico, Spanish men and Danish women.Researchers "looked at the trends and patterns of drug overdose deaths among people age 20 to 64 years in 13 countries of the Organisation for Economic Co-Operation and Development?between 2001-2015," Chen said.These countries were Australia, Chile, Denmark, England, Wales (the data for these two countries was combined), Estonia, Finland, Germany, Mexico, the Netherlands, Norway, Spain and the United States."I think it reinforces what we know about the United States but also points out some of the contrast in terms of the ways other countries have dealt with similar issues," said Caleb Banta-Green, principal research scientist at the University of Washington Alcohol and Drug Abuse Institute, who was not involved in the research.Banta-Green and the researchers both point out that opioids play a part in the high levels of drug overdose deaths in the US.The study describes US opioid deaths as "triple epidemic waves," starting with prescription opioid deaths in the late 1990s, heroin deaths beginning in 2010 and finally deaths due to synthetic opioids, which include fentanyl.Other countries have found solutions to high rates of opioid-related deaths, according to Banta-Green, who cited France, which was not included in the research."When France got rid of the restrictions on prescribers using the medication buprenorphine, their national mortality, opiate overdose mortality rate dropped 79%," he said.Buprenorphine is a drug approved by the US Food and Drug Administration that can be used, alongside behavioral therapies and counseling, to help with the treatment of opioid addiction. It is the "first medication to treat opioid dependency that is permitted to be prescribed or dispensed in physician offices, significantly increasing treatment access," according to the US Substance Abuse and Mental Health Services Administration.Banta-Green believes that creating better access to substance abuse disorder treatments, along with a better national understanding that these are treatable medical conditions, would help reduce the number of overdose-related deaths in the US. This includes giving more people access to medications that could help treat and manage opiate addiction."That's really fundamentally what I think we need to take away from these data finding is that there are solutions, other countries have them, and we are not doing the dramatic things that we need to be doing," he said. 3565

The Singapore Tourism Board is partnering with two cruise lines to provide cruises that won't visit any ports.The agency announced the pleasure cruises would operate at a 50% capacity, round-trip with no stops, and only open to Singapore residents."To provide assurance for safe cruising, the Singapore Tourism Board (STB) is developing a mandatory CruiseSafe certification program, which sets out stringent hygiene and safety measures throughout the passenger journey – from prior to boarding, to after disembarkation," the agency said in a press release.Before the ships can set sail, they must follow strict protocols to ensure everyone's safety, including passengers taking a mandatory COVID-19 test before boarding, providing 100% fresh air throughout the ship, and frequent cleaning.The Genting Cruise Lines' World Dream will begin sailing Nov. 6, and Royal Caribbean International's Quantum of the Seas will begin sailing in December, the agency said. 966

The romance between "Sweetener" singer Ariana Grande and "SNL" performer Pete Davidson has turned sour.The couple, whose whirlwind romance-turned-engagement powered the celebrity gossip machine through the summer, has split, a source close to the singer tells CNN.Davidson confirmed their engagement in June. They had been dating a few weeks at the time. 362

The Trump Administration wants to change the definition of a showerhead to let more water flow, addressing a pet peeve of the president who complains he isn’t getting wet enough.Publicly talking about the need to keep his hair “perfect,” President Donald Trump has made increasing water flow and dialing back long held appliance conservation standards — from light bulbs to toilets to dishwashers — a personal issue.But consumer and conservation groups said the Department of Energy’s proposed loosening of a 28-year-old energy law that includes appliance standards is silly, unnecessary and wasteful, especially as the West bakes through a historic two-decade-long megadrought.Since 1992, federal law has dictated that new showerheads shouldn’t pour more than 2.5 gallons of water per minute (9.5 liters). As newer shower fixtures came out with multiple nozzles, the Obama administration defined the showerhead restrictions to apply to what comes out in total. So if there are four nozzles, no more than 2.5 gallons total should come out between all four.The new proposal Wednesday would allow each nozzle to spray as much as 2.5 gallons, not just the overall showerhead.With four or five or more nozzles, “you could have 10, 15 gallons per minute powering out of the showerhead, literally probably washing you out of the bathroom,” said Andrew deLaski, executive director of the energy conservation group Appliance Standards Awareness Project.On the White House South Lawn in July, Trump made the issue personal:“So showerheads — you take a shower, the water doesn’t come out. You want to wash your hands, the water doesn’t come out. So what do you do? You just stand there longer or you take a shower longer? Because my hair — I don’t know about you, but it has to be perfect. Perfect.”DeLaski and officials at Consumer Reports said there’s been no public outcry or need for change. The Department of Energy’s own database of 12,499 showerheads showed 74% of them use two gallons or less water per minute, which is 20% less than the federal standard.“Frankly it’s silly,” deLaski said. “The country faces serious problems. We’ve got a pandemic, serious long-term drought throughout much of the West. We’ve got global climate change. Showerheads aren’t one of our problems.”Energy Department spokeswoman Shaylyn Hynes said the 2013 Obama definition of showerhead clashes with what Congress intended and the standards of the American Society of Mechanical Engineers.If the rule is adopted, Hynes said it would be “allowing Americans — not Washington bureaucrats — to choose what kind of showerheads they have in their homes.”Officials at the industry group Plumbing Manufacturers International did not respond to a request for comment.Appliance and plumbing energy and water conservation standards save consumers about 0 a year on energy bills, deLaski said.If people are having trouble getting water flowing in their shower, they should check their home’s water pressure and can replace a faulty showerhead for not much money, deLaski said.A 2016 test of showerheads by Consumer Reports found that the best rated showerheads — including a model — provided a pleasing amount of water flow and met federal standards, according to David Friedman, a Consumer Reports vice president and former acting assistant energy secretary.DeLaski said he has had a hard time understanding the president’s shower concerns.“If the president needs help finding a good shower, we can point him to some great consumer websites that help you identify a good showerhead that provides a dense soak and a good shower,” deLaski said. 3624

The Trump administration on Thursday imposed penalties on 17 individuals over their alleged roles in the killing of dissident journalist Jamal Khashoggi.The fresh sanctions from the Treasury Department come hours after Saudi prosecutors said they would seek the death penalty for five people charged in the death of Khashoggi, who was a contributor to The Washington Post."The Saudi officials we are sanctioning were involved in the abhorrent killing of Jamal Khashoggi," said Treasury Secretary Steven Mnuchin in a statement. "These individuals who targeted and brutally killed a journalist who resided and worked in the United States must face consequences for their actions."The secretary said the US government would work "diligently" to obtain all the facts on the death of Khashoggi and hold "accountable" any individual found responsible."The Government of Saudi Arabia must take appropriate steps to end any targeting of political dissidents or journalists," he said.Mnuchin had previously told reporters it would be "premature" to discuss whether the US would impose sanctions on the Saudi government.Earlier on Thursday, the Saudi Public Prosecutor's office said a total of 11 people were charged, adding that the five people facing capital punishment were directly involved in "ordering and executing the crime."The prosecution also shared details of the journalist's murder, saying Khashoggi was killed on October 2 following "a fight and a quarrel" at the Saudi consulate in Istanbul. Prosecutors say Khashoggi was tied up and injected with an overdose of a sedative that killed him, then his body was chopped up and given to a local collaborator. 1668

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