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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 music teacher at Mason Elementary School in Grosse Pointe Woods, Michigan, is on paid leave and under investigation for allegedly asking a kindergarten boy to rub lotion on his back. The incident was first reported by a 5-year-old girl in the class to her parents. The father of the boy, Dr. Chris Seitz, met with the Deputy Superintendent this morning and was told the music teacher would remain in class during the investigation. The dad is Dr. Chris Seitz and says why he needed our help to get the schools to do the right thing... 551

According to sources these are details emerging from the tentative agreement reached between General Motors and the United Autoworkers Union.The overall package from the company is valued at billion dollars. That's up from the company's original offer of billion.The deal means 9,000 jobs - retained or new. That's up from the company's original offer of 5,400.The deal allows the closing of Warren Transmission, Baltimore Transmission and Lordstown, Ohio assembly. The Detroit Hamtramck plant will remain open past January making an all-electric truck. The exact number of jobs has not been made public.The 4-year deal includes 3% pay raises for two of the years and 4% lump sum payments for the other two.There will be a ratification bonus for workers, but my sources can't confirm the number. Published reports put the number at ,000 and ,500. The original offer from GM was ,000.The path for temporary workers to reach full time will be 3 years. They make up 7% of the GM union workforce. They will get a ,000 signing bonus.In-Progression workers are 35% of the GM union workforce. They will have a shortened path to reach top tier wages. The current path is 8 years of employment.Profit-sharing is uncapped. This means if GM has a record year, individual profit-sharing checks will not be limited. The current limit is ,000.Health care remains unchanged, workers pay 3% of their insurance. The company had wanted to increase that. 1465

A now-deceased University of Michigan doctor is being investigated for complaints of sexual abuse.The university is asking any former patients of Robert E. Anderson who believe they were subjected to sexual misconduct during a medical exam to contact the U-M Compliance Hotline.Anderson was a former director of University Health Service and a former athletic team physician who worked at the university from 1968 until his retirement in 2003. He died in 2008.An investigation began in July 2018 when a former student athlete wrote to Athletic Director Warde Manual to detail abuse during medical exams by Anderson in the early 1970s, the university says.During the investigation, the university says it identified dozens of people who described incidents of sexual misconduct by Anderson. Now, the university is asking anyone with additional information to come forward.“The allegations that were reported are disturbing and very serious,” said President Mark Schlissel in a news release. “We promptly began a police investigation and cooperated fully with the prosecutor’s office.The former patients describe sexual misconduct and unnecessary medical exams, the university says. The exams reportedly took place in the 1970s, with at least one incident reported in the 1990s.“As part of our commitment to understanding what happened and inform any changes we might need to make, we now are taking the next step to reach out to determine who else might be affected or have additional information to share. Every person in our community should expect to feel safe and supported.”The Washtenaw County Prosecutor's Office determine that no criminal charges would be authorized.To submit a report, call the Compliance Hotline at 866-990-0111."I want to urge any former student athlete with information they are willing to share confidentially to come forward," Manuel said. "The health and safety of our student athletes is our highest priority."This article was written by 1982

ALACHUA COUNTY, Florida — A portion of southbound I-75 remains closed Friday after five children and two adults were killed in a fiery crash on Thursday afternoon near Gainesville. The five children were reportedly on their way to Disney World, according to FHP. According to the Florida Highway Patrol, at least six patients were transported to area hospitals from the scene — multiple patients with critical injuries. Alachua County Fire Rescue says the crash occurred at 3:42 p.m. in the southbound lanes of I-75 near mile marker 393 north of Northwest 39th Avenue. The crash involved two tractor-trailers, a passenger van and a mid-size four-door sedan, according to Florida Highway Patrol. As of Friday morning, northbound lanes and only one southbound lane of I-75 is open in the area. During a news conference on Friday morning, Lt. Patrick Riordan said the church passenger van carrying the children was from the Avoyelles Parish in Louisiana. They were traveling to Disney World when the crash occurred.The deceased children range in age from eight years old to teenagers. The two deceased adults were driving the tractor trailers. 1153