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Known as the Green Mountain State, Vermont’s bucolic natural beauty offers a sharp contrast to the reality facing some of its residents.“The room you're in here would be busy all day,” said Gary De Carolis, executive director of the Turning Point Center in Burlington, the state’s largest city.Normally, 3,000 people would come to that addiction treatment center each month.“Then, the pandemic hit and, of course, everything just went; everyone just retreated to their homes,” De Carolis said. “And we know that the enemy of recovery is isolation.”The most recent stats available from the state’s Department of Health, from April, show Vermont had 47 opioid-related deaths, which is an increase over the 38 overdose deaths seen at the same time last year.In addition, compared to April of last year, the rate of nonfatal opioid overdoses doubled from 14 percent to 36 percent.Nationwide, the American Medical Association said nearly 40 states have seen spikes in opioid overdoses since the pandemic began.“There is no question that the current COVID pandemic does increase risk factors that we know, even in typical times, are risk factors for overdose, more drug use,” said Dr. Patrice Harris of the American Medical Association.Those risk factors included not having regular access to health care providers and a disconnect from normal routine and community, especially when in-person addiction treatment centers closed all over the country.That’s where telehealth stepped in, up to a point.“However, let's note there that if you didn't have a data plan or phone or computer or access to even broadband, then you weren't able to take advantage of that,” Dr. Harris said.Back in Burlington, via phone calls or Zoom meetings, the Turning Point Center is seeing about 500 clients a month, a fraction of what they would normally see, but no less needed.“Until we have a vaccine, I don't think it'll ever be business as usual,” De Carolis said. “One day at a time, as they say.” 1983

Just weeks after the fall term began, the California State University (CSU) system announced most classes across its 23 campuses would remain virtual throughout the spring term.In a letter to the campus community, Chancellor Timothy P. White notes health as one factor."We know far more about it [the pandemic] now than we did back in May. The virus continues to spread. There is no vaccine and there likely will not be one widely available any time soon. The summer increase in infections that was forecast in the spring happened as predicted, and it was larger than expected."White says the decision will also provide faculty and staff more time to better prepare for a virtual learning environment. “I wasn’t that surprised because the virus doesn’t look like it’s going away any time soon and the conditions for spring look like the conditions for fall, so from a public health perspective it makes sense," said Robert Kelchen, an associate professor of higher education at Seton Hall University in New Jersey.Kelchen has been tracking reopening plans across the country."The advantage of deciding early is colleges have a lot of time to prepare classes the way they want to be fully online and get it the best they can be," said Kelchen. But as colleges face massive financial hits while struggling to maintain enrollment, Kelchen says it’s unlikely other colleges will solidify spring plans this soon.“CSU isn’t as concerned about losing students to other colleges because there’s lots of demand to go to CSU; it’s not like some of the colleges, say in the northeast and Midwest, that are really concerned about having enough students. They’re in a position of strength," said Kelchen. Kelchen says small private colleges will struggle to survive the pandemic.“If the fall is any indication, there will be some colleges that will try to come back in person and then fail spectacularly right before or right at the beginning of the term," said Kelchen. A CSU spokesperson says dating back to March, they estimate about 0 million in forgone or returned revenue and unexpected costs across the 23 campuses. To mitigate some of these losses, as well as a 0 million reduction in state funding, some cost-cutting measures include a system-wide hiring chill and the elimination of non-essential travel.Kelchen says professors at his university have taken pay cuts. "For most colleges that will make it through, they’ll have to make cuts. They’ve already laid off quite a few people; they're going to cut academic programs that are either really small or really expensive to run, they’re going to not invest as much in facilities, students are going to have larger classes, they'll have fewer full-time faculty teaching them or part-time adjuncts. It will be a different experience because colleges are trying to save money, and students are also going to want to spend less money," said Kelchen. The news leaves some students with little hope for a normal college experience. “I really only got one good semester when everything was normal, and it was fantastic. I loved the school, I loved the professors, I loved the people," said Kelsey Santin, a transfer student at San Diego State University.After losing access to resources like the library and health center, Santin started a petition calling for reduced fees and tuition.“The quality is severely diminished. And that’s not to say the professors aren’t doing their best, it's just, you can’t expect to take the way that education has been worked for years and completely change it and just expect it to go without a hitch," said Santin. “We understand why the education needed to change, why the style had to change. But we don’t understand if the product changed, why wouldn’t the price change as well?"After losing her job during the pandemic, Santin decided to move home to the Bay Area to do her online classes. Her petition has nearly 5,000 signatures and counting. “I was hoping just to kind of get a coalition formed and maybe start a class action lawsuit in some way, shape or form, but I definitely want to get some momentum going before that,” said Santin. The law firm Bryan Cave Leighton Paisner says over 250 refund-related lawsuits are pending by university students across the country. But Christopher Schmidt, a class action lawyer at the firm, says it will be difficult for students to win these legal battles. He says students sign financial contracts, which likely did not promise in-person instruction. A CSU system spokesperson says all campuses continue to provide instruction and are working to help students earn a degree, and that thousands of faculty and staff members participated in professional development opportunities to better prepare to help students learn in a virtual environment. The spokesperson also notes that many of the services offered on campuses are now offered virtually, like access to health services or advisors. 4931

KANSAS CITY, Mo. - CVS Pharmacy continues to work on a nationwide computer system glitch that some customers said prevented them from getting their medicine this week. The pharmacy giant said Tuesday customers should be now be able to fill and pick up their prescriptions. But customers took to Twitter to complain that some stores still couldn't dispense prescriptions. Others said CVS could not process insurance claims, forcing customers to pay out of pocket. The problem centers on interruptions CVS locations have connecting to the nationwide system.  If you're experiencing an issue, call 1-800-SHOP-CVS (746-7287). 649

John Kelly is expected to resign as White House chief of staff in the coming days, two sources familiar with the situation unfolding in the West Wing tell CNN.Seventeen months in, Kelly and President Donald Trump have reached a stalemate in their relationship and it is no longer seen as tenable by either party. Though Trump asked Kelly over the summer to stay on as chief of staff for two more years, the two have stopped speaking in recent days.Trump is actively discussing a replacement plan, though a person involved in the process said nothing is final right now and ultimately it is up to Trump. Potential replacements include Nick Ayers, Vice President Mike Pence's chief of staff, who is still seen as a leading contender.News of Kelly's imminent departure was first reported by Axios.Kelly has seen his status as chief of staff diminished in recent months, with the President circumventing many of the policies and protocols the retired Marine Corps general put in place when he entered the West Wing last year.In July, Kelly announced to White House staff that Trump had asked him to stay on as chief of staff until at least 2020, and that he had agreed.CNN reported last month that Trump was considering potential replacements for several senior positions in his administration as part of a post-midterms staff shakeup.The-CNN-Wire 1351

LA JOLLA, Calif. (KGTV) — City crews have started emergency repairs to an unstable cave located underneath a busy La Jolla street.Coast Blvd. was closed late Thursday after experts found weaknesses in Cook's Crack, a sea cave underneath Coast Blvd. near Cave St."We're starting to see above ... the looser, weaker material. That's a trigger right off the bat that, 'Oh my God, we don't have the beefy rock bridging across anymore. So that's what got out attention," said James Nagelvoort, city public works director.RELATED: La Jolla streets closed for emergency stabilization of Cook's Crack caveThe discovery came as crews prepared to repair Coast Blvd. Assessors discovered that if too much weight is above the cave or heavy seismic vibrations hit the area, the road could collapse, according to the city.A crew from Texas was called to lead the project, driving overnight to La Jolla Friday.Crews plan to first fill the cave's cracks with an eco-friendly polyurethane mix to strengthen the dirt. The next phase will be to clear out all of the water and fill the cave with a concrete mix.Construction is expected to last about six weeks, closing parts of Coast Blvd. and Cave St.Cook's Crack is located in the area between La Jolla Cove and the popular Cave Store. The strip of road leads down to seaside restaurants and parking for many tourists and residents.The project required the city to quickly close the road before locals realized what the issue was, though businesses and residents were allowed to pass through the area Friday."They said there's been some shift in the road itself," David Heine, owner of nearby Brockton Villa Restaurant, told 10News. "The busiest two weeks of summer, literally ... Obviously safety's the number one concern for any city, and we respect that." 1799

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