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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 United States Postal Service mail carrier has been chased by a turkey for months in Pewaukee, Wisconsin, according to a resident's Facebook post. 160

A member of the Minneapolis City Council revealed this week that he and several other council members are working on finding out what it would take to disband the Minneapolis Police Department. The announcement from Councilmember Steve Fletcher comes a week after George Floyd died while in police custody in Minneapolis. During an appearance on CNN on Wednesday, he called the city’s police department “ungovernable.”"The department is ungovernable,” Fletcher said. “Chief (Medaria) Arradondo is a leader that we've all had very high hopes in and that I imagined could play a role in envisioning the next version of public safety. But he has clearly not been able to make the culture change happen that we were hoping for and investing in.”What it would take to disband the department is unclear. But what is clear is that the department is already seeing a reduced role in the protection of the city. On Wednesday, the Minneapolis Park Board voted to terminate its relationship with the department, and the Minneapolis Police will no longer be involved in guarding events on park property.Fletcher said in a Twitter post that it’s time to “declare policing as we know it a thing of the past.”“Our city needs a public safety capacity that doesn’t fear our residents,” Fletcher said. “That doesn’t need a gun at a community meeting. That considers itself part of our community. That doesn’t resort quickly to pepper spray when people are understandably angry. That doesn’t murder black men.”Despite tensions among the community, a number of leaders from the black community spoke up to defend Arradondo, according to 1629
A Michigan man has been arrested and charged with trying to hire someone to kill his wife and then fatally poisoning her cereal with heroin in 2014, authorities said.Jason T. Harris, 44, was arrested Tuesday and is being charged with three felonies, Genesee County Prosecutor David Leyton announced at a news conference filmed by 342
After 21 years, an innocent man was released from prison. "Behind the wall, behind the barbed wire, a week is like a month and a month is like a year,” Terrance Lewis describes about life behind bars.Lewis was wrongfully arrested in December of 1998.“Living that life every day for 21 years was beyond a hardship," he says.Lewis was 17-years-old when he was arrested in connection with a murder. Two years later, a jury deemed him guilty and he went to prison."It was alleged that I was a participant in a robbery, a botched robbery that went wrong," he explains. "And they felt me guilty of second-degree murder, which was a felony murder, meaning that the allegation of me being there. I was given a life sentence for practically being in the house when the murder occurred,"A witness, who admitted later in court that she was high at the time, gave false information. Her statements sent him behind bars, forcing him to leave his family, including his 1-year-old son."He's a grown man now; he's 21," Lewis says. "I wind up spending 21 years trying to convince the court, trying to convince anyone who would hear my cries and my grievances that they had an innocent man in jail."In Pennsylvania, a life sentence is imposed without the possibility of parole. However, Lewis didn't give up hope."I had to keep on keeping on," he says. He took matters into his own hands, representing himself. When he got to the court door, the judge insisted on appointing him an attorney. This time, it was David Laigaie. However, it wasn't until 10 years later that Terrance was finally released. In 2012, the U.S. Supreme Court ruled automatic life sentences for juveniles were unconstitutional."The judge granted Terrance a new trial because his due process rights had been trampled, the district attorney's office withdrew the charges, and the judge then discharged Terrance because there were no live charges against him," attorney David Laigaie says."We are very happy to see my nephew home after 21 years. We was heartbroken," Judy Waters, Lewis' aunt, says. Since the day he got out, Terrance has been bombarded with love from people he hasn't seen for decades."This is my high school friend. We grew up together," Lewis says, while hugging his friend Richenda White. "I haven't seen her. When was the last time I saw you? Since you was 18."The beautiful reunions are no secret to neighbors. "He can get his life back and that's more than anything anybody can ask for," one of Lewis' neighbor says. "Life, ya know what I’m saying? And freedom." Lewis is now a free man, nostalgically visiting places where he holds fond memories and re-introducing his taste buds to the food of his childhood.The world in 1998 is very different from the world today. “It's foreign to me. It's different. The world is different. Downtown Philadelphia is completely different," he observes. "Only thing that's not different, for the most part, which is sad, is my neighborhood. My neighborhood is still the same."This is why the crime is so prevalent in my community, because they don't have nothing; it's just torn down. There's not much here, as far as for the kids or the youth."Lewis' experience and the state of his neighborhood has inspired him to make a difference.He plans to keep on fighting to make sure what happened to him doesn't continue with other innocent people."I'm gonna be a voice for the voiceless. I'm gonna hopefully bring into existence some type of change and I'm going to use my journey as a catalyst to bring about it, because it's needed. I'm living proof that it's needed."Styled by a former cellmate, getting a haircut has become a symbol of freedom."We could only get a haircut once a month," Lewis says. As he settles into modern-day life, he can finally focus on his future. He plans to get a degree in criminal justice and was offered a job as an attorney's paralegal, a job Laigaie thinks he's well cutout for."He keeps me on my toes. In the 10 minutes you get on a phone call with a prisoner he'd ask me two dozen hard questions about the law and about the facts," Laigaie says.Both Terrance and Laigaie agree great changes are already happening in the justice system, but there's still work that needs to be done."Terrance's case, and many others like Terrance, should prove to people that while our system of justice is good," Laigaie says. "It isn't perfect, and they should always keep in mind that mistakes are possible, and mistakes need to be fixed and corrected."Lewis plans to the motivation for that change using his optimism to push him forward."Don't lose hope," he says. "Put your best foot forward and constantly pound on the door. Somebody gonna hear you."********************If you'd like to reach out to the journalist for this story, email elizabeth.ruiz@scripps.com 4806
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