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CHICAGO, Ill. For the last few years, libraries have begun leveraging their resources in the fight against the deadly opioid crisis, providing critically needed information, and services. And while it’s too early to measure the impact they are having, libraries are playing an increasingly active role in prevention and recovery efforts. Every day, 130 Americans die from an opioid overdose. It’s an epidemic that Public Library Association Deputy Director Larra Clark says has placed libraries and their staff on the frontlines. “If there is an issue that's playing out in this country libraries are almost certainly part of that story,” said Clark. According to the Centers for Disease Control and Prevention, from 1999 to 2017, almost 400,000 people died from an overdose involving an opioid, including prescription and illicit drugs. Three overdoses inside the Peoria Public Library in central Illinois in less than a year forced administrators there to act. Deputy director of the Peoria Public Library Roberta Koscielski says on one occasion, a man in the midst of an overdose came up to a librarian in the middle of the day. “He collapsed right in front of her at the desk. So, she called the security card called emergency responders and he was revived with Narcan,” said Koscielski. About 80 staff members at all five of their branches are now trained on how to administer the life-saving overdose antidote Narcan or naloxone. “This role of library as an intermediary intervener supporter is not new but I think this crisis is new and we have to help the people who are coming in our doors” said Clark. The nonprofit Online Computer Library Center released a report this past fall detailing some of the ways libraries are playing a larger part in battling the national opioid crisis. At the top of that list, says Clark, is education. “How can we translate that into better services and support for people for individuals who may be addicted or for their families and their communities?” 7,000 pill bottles representing the number of opioid prescriptions filled each day in Utah hung from the ceiling at the Salt Lake County Library as part of a marketing campaign titled “Use Only as Directed” meant to represent the magnitude of the crisis. Many libraries are stocking books like Sam Quinones’s Dreamland: The True Tale of America’s Opiate Epidemic. “I had no idea when I read it just about the size of the problem and that people can work a job and be very addicted to a substance,” said Koscielski. With the threat from opioids in the form of pills, heroin and fentanyl not going away, Clark says many libraries are helping to search for answers and provide them to those who need them most.“One of the things that we heard from people is do something, right? There's not one right answer to this. It is not going to be libraries alone. It is not going to be any of these other agencies by themselves. This issue is too big.” 2954

CHICAGO, Ill. – Shortages of ventilators and personal protective equipment mean many healthcare providers are going into battle unarmed. It’s sparked a heated debate behind closed doors about balancing efforts to save patients versus exposing doctors and nurses to the virus. Who lives? Who dies? Who gets priority to a ventilator? All complex questions health providers are being confronted with. “We've never had this situation before. This is unprecedented,” said Craig Klugman a professor of bioethics at DePaul University in Chicago. Bioethicists say widespread infection, protective equipment and ventilator shortages are creating unique ethical dilemmas for healthcare workers. “We will start to care for the person who is at risk of dying first,” explained Dr. Ricardo Gonzalez-Fisher, a surgical oncologist who teaches healthcare ethics at Metropolitan State University of Denver. “But if we have more people than resources that we have to. Try to save those that are savable.” “The obligation for a healthcare provider to treat the patient doesn't necessarily have a limit,” said Klugman. In Spain, some 13,000 medical workers have been infected. In Italy, more than 60 workers have died since the outbreak began. “It's not just their life. They can assume this risk for themselves,” said Klugman. “If they don’t have the right equipment, they also have the risk of infecting other patients, other healthcare providers. Their family.” Some health systems around the country are reportedly discussing unilateral do-not-resuscitate policies. It’s something that was debated during the Ebola outbreak in 2015. Determining who gets treatment and who does not is something Klugman says is taken very seriously. “We think about it very carefully and with great deliberation.” In Italy, that meant denying some care to the elderly in favor of the young. Klugman says in Illinois, a pandemic flu plan created a decade ago includes care procedures built around ethical frameworks and algorithms that help decide who should for example, get a ventilator. “We have to consider things like what is our most important value. So, the value that we're considering is maximizing the number of years of life that we can save,” said Klugman. Ultimately, a balance must be struck. “You have to make sure that the benefit of the patient overrides the harm or the risk that you're getting in,” said Dr. Gonzalez-Fisher. Otherwise, bioethicists say there may not be enough first responders to treat the infected.“When you call 9-1-1 because your loved one can't breathe, there will be nobody coming. That's the worst-case scenario,” said Klugman. 2653

AURORA, Colo. -- For a two-and-a-half-month-old baby, Huntleigh has gone through a lot. She was born with her organs outside her body due to a rare birth defect called Omphalocele. "Omphalocele is a developmental anomaly that is a failure of the normal enfolding of the baby during development,” said Dr. Ken Liechty, a pediatric and fetal surgeon at Children's Hospital Colorado. Basically, omphalocele means organs like the stomach, bowel, and intestines are outside the baby’s abdominal wall, but still inside a sack. Surgeons are challenged with assessing each individual case and getting those organs back into the baby’s body. Thankfully, for Huntleigh, that surgical correction was possible almost immediately after birth. "Her organs and intestine were slowly reduced back into her abdomen – similar to rolling up a tube of toothpaste where you’re slowly pushing things back down into the abdomen and then closing the muscles over it,” Dr. Liechty said. Every case is different, and some are more severe. But overall, the birth defect is quite rare. According to 1084

New York, New Jersey and Connecticut have added three new states to the tri-state travel advisory as more areas across the nation see an uptick in coronavirus cases.The advisory requires travelers from certain states hit hard by COVID-19 to quarantine for 14 days upon arrival in the tri-state area.New York Gov. Andrew Cuomo first announced Tuesday that Delaware, Kansas and Oklahoma will now join the growing list. Soon after, New Jersey and Connecticut added the states to their lists.States under the travel advisory must have an infection rate above 10 cases per 100,000 people, or if 10% of the total population tests positive. Both metrics will be monitored on a rolling seven-day average.As of July 7, there are currently 19 states that meet the criteria:AlabamaArkansasArizonaCaliforniaDelawareFloridaGeorgiaIowaIdahoKansasLouisianaMississippiNorth CarolinaNevadaOklahomaSouth CarolinaTennesseeTexasUtah"As states around the country experience increasing community spread, New York is taking action to ensure the continued safety of our phased reopening," Gov. Cuomo said. "Our entire response to this pandemic has been by the numbers, and we've set metrics for community spread just as we set metrics for everything."Of the 56,736 COVID-19 tests conducted Monday in New York, only 588 of them – or about 1.04% – came back positive, Cuomo said.The governors of New York, New Jersey and Connecticut imposed a 14-day quarantine on people traveling to the tri-state area from states with a high transmission rate of coronavirus last week.The advisory also applies to tri-state area residents who are traveling back to their home state from areas with a high rate of transmission.The travel advisory comes as all three states continue to make great strides in slowing the spread of COVID-19.The tri-state area was considered the epicenter of the country's coronavirus outbreak as the number of cases in March and April soared into the hundreds of thousands and the death toll continued to climb for weeks. WPIX's Mark Sundstrom first reported this story. 2092

Nevada is still undecided when it comes to the 2020 presidential election as the ballot counting continues in Southern Nevada at the Clark County Elections Department.And tensions remained high on Thursday regarding ballot counting in the Silver State. The Trump campaign filed a lawsuit against the state over allegations of voter fraud earlier in the day and pro-Trump demonstrators were out in front of the elections department Thursday night. The Nevada Democratic party responded to the lawsuit threat launched by the Trump campaign, calling it a "shameful display."This article was written by Jordan Gartner for KTNV. 674

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