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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

A real-life Grinch took nastiness to a new level after snatching a gift from a doorstep and leaving a sarcastic "thank you" note for the victim.Hilary Smith ordered a Christmas gift for her boss and had it delivered to her snowy home in St. Paul, Minnesota. But she never saw the package."I looked down, and there was a piece of notebook paper folded neatly on the top step, where the package probably should have been," Smith told 443

A new report about the close relationship between Fox News and President Donald Trump says the President personally asked a top White House aide to make sure the Justice Department stopped AT&T from purchasing Time Warner.Ever since the Justice Department sued in 2017 to block AT&T's acquisition of Time Warner, theories and accusations of political animus has swirled around the antitrust case.At the heart of the theories is Trump's public dislike of CNN, which was a division of Time Warner. The company that has since been renamed WarnerMedia, which also includes networks such TNT and HBO, in addition to CNN.In 638

A toddler was injured after he climbed onto a baggage conveyor belt behind a ticket counter at Atlanta's Hartsfield-Jackson airport and rode it all the way to the TSA bag room, authorities said.Edith Vega said she put her son down to print her boarding pass at the Spirit Airlines kiosk on Monday, according to an incident report from the Atlanta Police Department. When she looked away briefly, he disappeared, she told authorities.The boy had climbed onto the conveyor belt and was taken back to the TSA bag room, where agents saw him and stopped the belt.Vega said she was told her son was on the belt for about five minutes."He just went a long ride away, I couldn't even catch up," Vega told 709

After years of development in the desert north of Los Angeles, a gigantic, six-engined megajet with the wingspan of an American football field flew Saturday morning for the first time.Stratolaunch Systems, the company founded in 2011 by the late Microsoft co-founder Paul Allen, conducted the first test flight of the world's largest plane.Basically, 362