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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

Fox News and ABC News report that President Trump has submitted written answers to questions posed by special counsel Robert Mueller. Trump told reporters before boarding Marine One that he finished the written answers on Monday and provided them to his lawyers, and that he expects them to submit the responses "today or soon." "The written answers are finished," Trump said. "The written answers to the witch hunt that's been going on forever."Asked whether he thought Mueller would be fair, Trump said he hopes so.The responses from the President signify a major development in the Mueller probe following months of negotiations between the special counsel's office and Trump's legal team, and could be a sign of the end stages of the investigation.But it's not yet clear whether the answers will be enough for Mueller to finish his investigation, as there could be additional questions — and the special counsel's office could still try to pursue an in-person interview with Trump.Trump and his legal team balked at some of the questions from Mueller that covered the presidential transition and Trump's time in the White House, believing those could be off limits due to executive privilege, CNN has previously reported.The questions also cover only issues related to the potential collusion investigation and not the probe into possible obstruction of justice.Once Trump submits his answers, the ball will be back in Mueller's court to decide whether to pursue additional questions, follow-ups to the President's response or an in-person interview.When Trump's legal team agreed to answer questions about collusion, they put off decisions about answering questions related to obstruction or sitting down for an interview. And Trump suggested in a recent interview with "Fox News Sunday" that those could be off the table."I think we've wasted enough time on this witch hunt and the answer is probably, we're finished," Trump told Fox's Chris Wallace when asked if he would say no to an in-person interview or providing answers on obstruction questions.If Trump's legal team rebuffs further inquiries from Mueller, it will be up to the special counsel to decide whether he has enough to finish writing his report or he needs an interview. Mueller could try to subpoena Trump for an interview, but Deputy Attorney General Rod Rosenstein and acting Attorney General Matt Whitaker likely would need to sign off on that decision.The big looming question over the agreement for Trump to provide the written answers related to the period during the campaign is whether that satisfies Mueller's questions about the transition and inauguration. Trump's legal team was provided a list of questions in the spring that included asking about efforts during the transition to establish a back channel to Russia and a 2017 meeting in the Seychelles involving Trump ally Erik Prince, a businessman and founder of the private security company formerly known as Blackwater.The-CNN-Wire 2991

Firefighters battling the Holy Fire in Southern California took care of a dehydrated fawn Monday afternoon. Officials with the Cleveland National Forest tweeted that the firefighters stumbled upon the fawn and discovered she was heat exhausted and dehydrated. The men can be seen in a photo giving the fawn a much-needed drink of water before helping get her back on her feet.  410

First Lady Melania Trump did not visit her husband, President Trump, over the weekend as he is getting treatment at Walter Reed Medical Center and has no plans to, according to multiple reports.A spokesperson for the first lady said she is remaining at the White House executive residence in quarantine after her own COVID-19 diagnosis early Friday morning."Melania is aware of the dangers of COVID-19," the official told CNN. "Potentially exposing others is not a risk she would take."In another response to the question of First Lady Trump visiting her husband at Walter Reed, an official said “that would expose the agents who would drive her there and the medical staff who would walk her up to him,” according to NBC News.The reaction from the First Lady is drawing a comparison to the president's reaction. On Sunday, President Trump and a few members of Secret Service, all wearing masks, drove around the Walter Reed facility to see supporters waiting outside. Monday morning, the First Lady tweeted she was “feeling good (and) will continue to rest at home.” 1075

Former Trump foreign policy adviser Carter Page told the House intelligence committee last week that he floated the idea of then-candidate Donald Trump taking a trip to Russia in May 2016, according to transcript of his interview."The idea there was bearing in mind Barack Obama's speech as a candidate in Germany 2008. That was what I was envisioning," Page told lawmakers in more than six hours of closed-door testimony Thursday.Page raised the idea of an Obama-like foreign speech for Trump in Russia with JD Gordon, who was running the foreign policy adviser team, and another adviser, Walid Phares.In his email to the two advisers in May 2016, Page wrote about Trump: "If he'd like to take my place (on a trip to Russia) and raise the temperature a little bit, of course I'd be more than happy to yield this honor to him."Page appeared last week before the House intelligence committee under an unusual arrangement that he requested. The interview was conducted in the committee's secure spaces, but the transcript was made available publicly Monday night.In another atypical move, Page did not bring an attorney to his interview. Lawmakers have described his testimony as meandering, at-times confusing and contradictory.George Papadopoulos, who became an informant to federal prosecutors and pleaded guilty to lying to investigators last week, separately pursued arranging a trip for Trump during the campaign. Page testified that he wasn't aware of Papadopoulos' intended plans.Page told the committee that he had mentioned to then-Sen. Jeff Sessions -- now Trump's attorney general -- about his coming July 2016 trip to Russia, CNN reported last week."I mentioned it briefly to Senator Session as I was walking out the door... it was in the context of saying, because I have -- I'm traveling. You know, it's like discussing your travel schedule... He had no reaction whatsoever," Page told the committee. "It was just an administrative point... And no discussion of substance in any way, shape or form, that's for sure. And, again, it was sort of in one ear and out the other."But Page also testified that he had told Gordon, Hope Hicks and Corey Lewandowski about the invitation to go to Moscow. Lewandowski said he should go if he wanted to, given it was not affiliated with the campaign. "If you'd like to go on your own, not affiliated with the campaign, you know, that's fine," Page recalled during the interview.Page has described the trip as not campaign related, and while he was there he briefly met Russian Deputy Prime Minister Arkady Dvorkovich.Page also said he had "recently been in contact" with Justice Department special counsel Robert Mueller, deputy attorney general Rod Rosenstein and other senior Justice officials regarding the "multiple outstanding requests" he made to get more info about FISA warrants reportedly used against him by the Obama administration.Rep. Adam Schiff of California, the top Democrat on the committee, said in a statement that Page was "forced to acknowledge that he communicated with high level Russian officials while in Moscow, including one of Russia's deputy prime ministers," Schiff said."Perhaps most important, Page -- after being presented with an email he sent to his campaign supervisors, and which he did not disclose to the Committee prior to the interview and despite a subpoena from the Committee -- detailed his meetings with Russian government officials and others, and said that they provided him with insights and outreach that he was interested in sharing with the campaign," Schiff added.Page's disclosure that he met with Dvorkovich differed from his description he gave to CNN's Jake Tapper last week, in which he said he had only met with academics and a few business people whom he had "known for over a decade," though he had acknowledged the meeting earlier this year.In addition, Page said he was interviewed by the FBI four or five times in 2017. Previously, he had said those interviews happened in March.Page denied any collusion during the interview, saying he "played no role in any government active measures in the 2016 election other than being a target of the Obama administration's efforts to support Mrs. Clinton's campaign."The only discussion he could recall where WikiLeaks came up, he said, was during a TV interview with RT in London on October 24. The host and staffed mentioned "in passing" that it "might be potentially interesting."Schiff's statement noted that Page also took trips to Budapest, Hungary, in September 2016, and again to Moscow in December 2016.Page was also interviewed last month by the Senate intelligence committee as part of its probe into Russian election meddling, but that transcript is not being made public.Page traveled to Moscow for a few days in early July 2016, where he gave a lecture critical of US foreign policy. He has said that the topic of sanctions might have come up in his conversations but that he was not there as an emissary of the Trump campaign.After the trip, the FBI grew concerned that he had been compromised by Russian operatives, US officials previously told CNN. 5147