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Walmart is making its opioid policy more strict, limiting the duration of such prescriptions and requiring that they be filled electronically.The company announced on Monday that within 60 days, it will only fill first-time acute opioid prescriptions for seven days or less nationwide, and it will limit the dosage to 50 morphine milligram equivalents, or MMEs, per day. The CDC publishes?MME conversion guides to help pharmacists figure out the right dosage for each type of prescribed opioid.There are more than 5,300 Walmart and Sam's Club locations in the United States.The new restrictions follow recommendations from the Centers for Disease Control and Prevention. A CDC study found that people who were prescribed at least one day of opioid therapy had a 6% chance of being addicted a year later — but for those prescribed eight or more days of treatment saw that chance spiked to 13.5%. The CDC also notes that patients who are prescribed higher dosages are more likely to die from an overdose.Some states already limit prescriptions to seven days or fewer. Walmart will go by state law when the cap is lower than one week.Walmart also said that starting in 2020, it will require e-prescriptions for controlled substances. The company explained that online prescriptions will help prevent prescription fraud and minimize error.The new measures are an extension of Walmart's efforts to fight the US opioid epidemic.In January, the company introduced a way to safely destroy leftover opioids at home. DisposeRx is a powder that, when combined with water and the pills, creates a gel that is difficult to remove from its container. The mixture can be thrown out at home or left at a drop off location. The company said on Monday that it will make DisposeRx available online.Plus, Walmart and Sam's Club pharmacists will continue to recommend the anti-overdose drug naloxone, which is available over the counter in some states, to customers who may be at risk of an overdose. They will complete a pain management curriculum by the end of August.Other companies are making similar efforts to help fight the epidemic.Aetna started waiving co-pays for the anti-overdose drug Narcan, a branded version of the naloxone nasal spray, and limiting first-time opioid prescriptions to seven days in January. And CVS Caremark, the prescription benefit manager for CVS Health, began capping first-time prescriptions at seven days in February.Purdue Pharma, which makes the opioid OxyContin, said in February that it will stop promoting the addictive painkiller to doctors.The CDC said in March that more than 63,000 Americans died of a drug overdose in 2016, and that nearly two-thirds of those overdoses involved either a prescription or illegal opioid, like heroin and fentanyl. 2830

VISTA, Calif. (KGTV) - The Vista Unified School District's school board on Tuesday passed new rules for its middle and high schools seeing cases of COVID-19In a special meeting, the school board discussed a staffing issue that’s occurred since reopening for in-person learning last week.There have been at least four confirmed COVID-19 cases within the district. As a result, teachers are being quarantined and school officials say they’re having difficulty finding substitute teachers to fill in.The board unanimously approved a plan that would allow in-person learning to continue as the district addresses the staffing issue. The plan is to use a threshold system to close down some of its middle schools and high schools with positive COVID-19 cases.The details have yet to be hashed out, but in principle, the district's board agreed the new rules would be:-- If one school has two positive cases in a specific time, the whole school would have to switch to virtual learning for 14 days-- If three secondary schools see one case each within a certain period, all three would have to go virtual for two weeksMission Vista High School already has two positive COVID-19 cases, so the district plans to close the school on Thursday and transition students and staff to virtual learning. They plan to notify families and faculty on Wednesday.The new threshold system does not apply to elementary schools.There is one reported case each at Roosevelt Middle Schoo, Alamosa Park Elementary School, Mission Meadows Elementary, and Alta Vista High.In light of the positive cases, at least 400 students and nearly two dozen staff members have been ordered to quarantine. 1672

WASHINGTON — Melania Trump has announced plans to renovate the White House Rose Garden — the outdoor space steps away from the Oval Office. President Donald Trump has been using the Rose Garden a lot more lately for statements and news conferences in the age of coronavirus. The First Lady says the renovation will make the garden more accessible to people with disabilities, and make improvements for audiovisual and broadcasting needs. It will also provide improve drainage and conditions for the plants and flowers. “The very act of planting a garden involves hard work and hope in the possibility of a bright future,” the First Lady said in a statement published to the White House website. “Preserving the history and beauty of the White House and its grounds is a testament to our nation’s commitment to the care of this landscape and our dedication to American ideals, safeguarding them for our children and their children for generations to come.”The Rose Garden was first installed in 1962 during the Kennedy Administration. Trump's plan will restore the Rose Garden to its original footprint and, as the White House said "restore its elegant symmetry."Since moving to the White House, Mrs. Trump has renovated the White House bowling alley, and refreshed the Red and Blue Rooms, among other projects. 1318

VOLUSIA COUNTY, Fla. -- Michael Yager says he was outraged after learning his son, Jacob, bullied multiple classmates at New Smyrna Beach Middle School in Volusia County, Florida. "I figured I would teach him a lesson that would embarrass him and make him feel the way kids feel," he said.Wanting to teach his 13-year-old a lesson the frustrated father took an unorthodox approach. "I wrote the sign, I'm a bully. Honk if you hate bullies." Yager drove his son to nearby State Route 442 and parked him on a busy corner.His son had to hold the sign high."Embarrassed and kind of nervous," Jacob admitted.He says it did not take long for people to start honking.  Some even stopped to talk to father and son."I had Edgewater Police stop by, I had Volusia County Sheriffs. I had a good response from the neighborhood," Jacob's father said.But he acknowledged not everyone agrees with his parenting. "I had one woman come up and call me every name in the book. "How do you respond to parents who say putting your son out on the road is, in fact, bullying your own son?" he was asked."In my mind, I was doing the right thing, but I guess you cannot please everybody," Michael Yager said. A recent staggering statistic shows one out of every five students report being bullied. Jacob said he has learned a valuable lesson. "You never know what someone can be going through. Like, if you want to be the bully and if you have something inside you to tell someone go to a guidance counselor or something," he said.  1574

WASHINGTON — Congress is defying President Donald Trump on removing Confederate symbolism from the military.The Senate on Thursday joined the House in approving legislation that would rename bases like Fort Bragg and Fort Benning that are named for Confederate officers.The Senate vote was an overwhelming 86-14 vote. Earlier this week, the House passed the measure with a 295-125 vote.The Senate passage opens the door for the Senate and House Armed Services Committees to open negotiations for a final version of the bill. Once that bill is passed, it would head to Trump's desk.Even if Trump were to veto the bill, Thursday's vote indicates that Congress could override it and make the bill a law.Trump has said he favors that military bases keep the names of Confederate military leaders, despite efforts from Pentagon officials to change the name. Trump says renaming the bases would be re-writing history; critics say it's inappropriate for U.S. military bases to bear the names of those who fought on the side of slavery and against the Union.There are currently 10 Army bases throughout the U.S. named after Confederate generals, as well as a number of smaller military institutions with such names.The legislation would approve 1 billion in spending for the military and also includes a 3% pay raise for the troops. 1335