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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

FORT LAUDERDALE, Fla. — A family is suing over the fatal December shooting of a Florida UPS driver who was taken hostage by two robbers and killed in a torrent of gunfire after he and the suspects got stuck in rush-hour traffic. Attorneys representing the two young daughters of driver Frank Ordonez filed the lawsuit in Broward County on Wednesday. They say officers from several agencies acted negligently when they opened fire on the van when he got stuck in traffic. The Dec. 5 gun battle happened on national television after a long chase. Ordonez, the two robbers and a nearby driver all died. The police agencies declined comment Wednesday. 655

For the second and final time during the 2020 presidential race, President Donald Trump and Democratic presidential nominee Joe Biden square off on the debate stage.Current polls show Trump trailing in most national polls by a 6 to 10 percent margin and trailing in three key states that he won in 2016: Pennsylvania, Wisconsin, and Michigan — though Trump did outperform poll numbers during the 2016 election.The debate also comes amid a flood of political news out of Washington that could impact talking points.Republicans on the Senate Judiciary Committee sent Judge Amy Coney Barrett's Supreme Court nomination to the Senate floor — a significant step that could allow the Senate to confirm her nomination as soon as Monday.A day after leaving in the middle of a 60 Minutes interview, the White House scooped CBS and published the full, unedited footage online.Weekly unemployment claims dipped below 800,000 for the first time in months, though those figures remain historically high.Thursday's debate was originally slated to be the third debate between the two candidates. However, a town hall debate that was scheduled to take place on Oct. 15 was canceled after Trump declined to participate. Trump objected to the Commission on Presidential Debates announced the town hall would take place virtually due to the President's COVID-19 diagnosis.Thursday's debate will also feature a format change that requires a candidates' microphone to be turned off while his opponent is delivering his opening remarks during a given topic.Last Friday, moderator Kristen Welker announced that the following topics would be addressed Thursday night: fighting COVID-19, American families, race in America, climate change, national security, and leadership.Watch the debate live in this story beginning at 9 p.m. ET. 1816

Florida State University held a vigil Sunday night for the two women fatally shot at a Tallahassee yoga studio Friday as investigators try to establish why the alleged gunman opened fire.Scott Paul Beierle, 40, posed as a customer when he walked into Hot Yoga Tallahassee on Friday evening and fired a handgun without warning, police said.The yoga students fought back, police said, but two women were killed and five people were wounded. The gunman had fatally shot himself by the time officers arrived.Tallahassee yogis as well as the health care and college communities are mourning the victims: Maura Binkley, 21, and Nancy Van Vessem, 61.On Sunday evening, FSU students and faculty came together for a vigil honoring Van Vessem -- a faculty member -- and Binkley, a student.The crowd gathered on Langford Green on Sunday evening and held up battery-powered tea candles that flickered under an overcast sky as a small choir sang, "Hymn to the Garnet and Gold.""Our hearts are broken as we gather to mourn the loss of two members of our Florida State University family and offer prayers for those who were injured and affected by this horrific attack. This hateful and despicable act has affected our community profoundly," Florida State President John Thrasher told those assembled.Authorities say it's not clear why Beierle carried out the attack. Investigators have not discovered any links so far between the gunman and the victims or the yoga studio, Tallahassee Police Chief Michael DeLeo said. 1511

FedEx and Happy Returns are partnering up for a new venture: making returns easier.By the end of October, FedEx will accept certain returns without a box or label, the e-commerce return technology company announced in a press release on Tuesday.“We are thrilled to grow with FedEx Office to bring in-person returns to more online shoppers,” said David Sobie, Co-Founder, and CEO of Happy Returns, in the news release. “In a time of retail uncertainty due to the coronavirus, it is incredibly valuable to add an essential services provider like FedEx Office to our growing network.”To make a return, consumers will first need to receive a QR code from either the retailers' or Happy Returns' website, then bring the item(s) and QR code with you to any of the 2,000 FedEx locations across the nation to complete the return.Customers will also be able to make returns at the FedEx stations that'll be available in 343 Walmart stores across the U.S., USA Today reported.In most cases, Happy Returns initiates refunds and exchanges immediately, the company said. 1065