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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 woman is in custody and a toddler is missing from Penn Hills, Pennsylvania, after the child's father said a rideshare driver abducted his daughter on Saturday evening, according to police documents and a news release.Paul Johnson said he was riding in a car with Lyft and Uber stickers with his daughter and a friend, according to a criminal complaint filed by the Allegheny County police.Johnson said that when he got out of the car and went to get his daughter out of the car seat, the driver drove away with the toddler, the complaint said. The complaint didn't identify the child, but a police news release said she is named Nalani.Johnson told detectives he tried calling the driver's cellphone multiple times but she never picked up, so he called 911 around 5 p.m. ET.Police arrested driver Sharena Nancy, 25, in the vehicle during a traffic stop around 7:30 p.m. ET, but did not find the child inside, the complaint said.According to the complaint, Nancy told detectives that Johnson sold the child to an individual for ,000 and asked her to complete the dropoff.Nancy said he showed her a photo of a black woman she was supposed to meet and asked her to drive the toddler "20 minutes" from a gas station in Monroeville along US Route 22 to meet the woman, the complaint says.Nancy said she was told the woman would then "flag" her down and Nancy was to turn over the toddler, the complaint says.Nancy told detectives she encountered a silver SUV with out-of-state plates parked on the side of the road and did as she had been instructed -- passing the toddler and the carseat over to a woman standing next to the car and then driving off. Nancy told police she also saw a second woman inside the SUV.Nancy said she then drove around, smoked cigarettes and talked on the phone with her husband, the complaint said.Nancy, who is being held without bail at the Allegheny County jail, was arraigned on Monday after being charged with kidnapping of a minor, interference with custody of children and concealment of whereabouts of a child. Her preliminary hearing is scheduled for September 16.CNN was unable to identify or reach an attorney for Nancy.Nalani's grandmother, Taji Walsh, told 2210

A Pennsylvania couple is facing felony theft charges after their bank accidentally put 0,000 in their account, and the couple spent most of it instead of contacting the bank, police said.Robert and Tiffany Williams of Montoursville are also facing overdraft fees from the bank of about 7,000, according to the criminal complaint filed in the Lycoming County magisterial district court.In an interview with law enforcement, Tiffany Williams said the money was spent on an SUV, a camper, two four wheelers and a car trailer, among other things, according to an affidavit.The bank error occurred May 31 when a customer in Georgia made a deposit of 0,000, and the BB&T Bank teller entered a wrong account number. When the customer contacted the bank to ask about the missing deposit, investigators discovered the funds had gone into the Williams' joint account, the affidavit said."While we can't comment on the specifics of this issue due to client privacy practices, we always work as quickly as possible to address any issue that affects our clients," Brian Davis, a spokesman for BB&T, told CNN in a statement."We're also continuously working to enhance our client service and operating procedures to provide the best client experience possible."The bank tried to call the couple several timesWhen Tiffany Williams was contacted by the bank on June 21, she said "she no longer had the funds because she had already paid off bills," the affidavit said.Some of the money also went to pay bills and for car repairs, and the couple gave ,000 to "friends in need of money," Tiffany Williams told investigators, according to the affidavit.Tiffany Williams told the bank she would try to come up with a repayment agreement for the money owed, but the bank wasn't able to contact the couple after that June 21 phone conversation, the affidavit said.The bank credited the correct account with the 0,000 and debited the same amount from the incorrect one, the affidavit said.Both Tiffany and Robert Williams told investigators they knew the money didn't belong to them, according to the affidavit.Reached by CNN under a phone number listed in public records for Robert Williams, a man who didn't identify himself said he had "no comment about that at this time," and doesn't yet know the name of the public defender in the case.Nate Weaver, a neighbor of the couple, told 2397

A woman who gave birth alone in her jail cell in Denver is suing the city after jail deputies and nurses allegedly ignored her pleas for help during about five hours of labor.Silent surveillance video released by her lawyer shows Diana Sanchez eventually lying down on a narrow bed, crying out in pain, before she pulls off her pants and deliveries a baby boy in July 2018.The federal lawsuit filed Wednesday says a van was requested to take Sanchez to the hospital. But jail workers knew the ride likely wouldn't be available for hours until after the morning booking process was finished.The Denver County Sheriff's Department said Thursday that it has since changed its policy to ensure that pregnant inmates who are in any stage of labor are immediately taken to the hospital. The agency declined to comment on the lawsuit. 839

A total of 37 former Ohio State students filed a lawsuit against the school Wednesday alleging the university "actively concealed" its knowledge of actions by a doctor who they say was a sexual predator.Sexual abuse allegations against Dr. Richard Strauss -- who died by suicide in 2005 -- emerged last year after former Ohio State athletes came forward to claim the doctor had sexually abused them under the guise of a medical examination.The lawsuit says Strauss sexually assaulted and abused hundreds of male students and that "OSU officials aided, abetted, and actively concealed Strauss' sexual predation" on students."We agree with OSU president (Michael) Drake that there was an 'institutional failure' on the part of Ohio State to protect these athletes," attorney Michael Wright said. "It is our hope that OSU takes full responsibility for that failure."An Ohio State University spokesman declined to comment on the lawsuit Wednesday.The litigation comes about two weeks after an independent 1013