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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

For the first time since the Camp Fire started its deadly rampage 11 days ago, firefighters will get a big assist from rain.The 4 to 6 inches expected later this week will help suppress an inferno that has already killed at least 77 people. It'll also finally improve the heavily polluted and unhealthy air smothering Northern California.But there's a catch: With more than 150,000 acres of newly scorched earth, there's little vegetation to soak up the rain.That means the region is now at risk of mudslides, which could be especially dangerous for firefighters battling the inferno."They're having to fight this fire right now in the mountainous areas -- the ravines, the canyons, very steep, rugged terrain," said Scott McLean, deputy chief for Cal Fire -- the state's forestry and fire protection agency."They're back there on dirt roads, dirt trails, trying to fight this fire. Now it's going to turn into mud, which will be another hazard for them to contend with."Along with mudslides comes the risk of debris flow gushing from the Camp Fire's charred rubble."Recently burned areas could see ash flow ... and even have the potential for debris flow if rain intensity is high enough," the National Weather Service's Sacramento office said.Since the Camp Fire broke out November 8, it's destroyed more than 10,500 homes and torched an area the size of Chicago.Even worse: Fire officials predict the Camp Fire is only halfway done burning. According to Cal Fire, the blaze might not be fully contained until November 30.  1538

French President Emmanuel Macron tested positive for COVID-19 on Thursday, according to CNN and the Associated Press.Macron's office confirmed Thursday that the 42-year-old Macron received a test after experiencing symptoms of the virus, which later came back positive.Macron will isolate himself for seven days but will continue to carry out his duties as president remotely.Macron's wife, Brigitte, 67, has no symptoms but will also self-isolate. She tested negative for the virus on Thursday, according to the Associated Press.According to CNN, Macron has met with several other world leaders in recent days, many of whom have now said they plan to isolate. Among them is Spanish Prime Minister Pedro Sanchez and European Council President Charles Michel. French Prime Minister Jean Castex is also self-isolating.The Associated Press also reports that Macron met with the prime minister of Portugal on Wednesday.Macron's planned trip to Lebanon next week has been canceled.Macron is just the latest world leader to test positive for the virus. President Donald Trump contracted the virus in October, which resulted in a short stay in the hospital. Several other top White House officials also contracted the virus.British Prime Minister Boris Johnson contracted the virus this spring and spent a week in the hospital — a stay that included three nights in the intensive care unit. 1391

Fox News wants its biggest fans to sign up for a streaming service called "Fox Nation."The network is preparing to announce the new product on Tuesday morning, according to The New York Times.The Times said it will be a "stand-alone subscription service available without a cable package."The online channel is expected to start "by the end of the year," according to the report. The content will consist primarily of "right-leaning commentary, with original shows and cameos by popular personalities like Sean Hannity."A Fox News spokeswoman declined to comment ahead of Tuesday's announcement.But the Times story quoted John Finley, a senior vice president at the network, as saying that the "Fox Nation" service is "designed to appeal to the Fox superfan," the "folks who watch Fox News every night for hours at a time, the dedicated audience that really wants more of what we have to offer."Fox's existing contracts with cable and satellite providers limit how much it can stream shows like "Fox & Friends," "Special Report" and "Hannity." So the new product will have new programs."Fox Nation" is the product that the executives had in mind when they hired Tomi Lahren, a stand-out social media commentator, last summer.At the time, the network said Lahren would have a "signature role on an FNC digital product currently in development."Lahren and other Fox personalities will create programming for the streaming service."Fox Nation" is currently the name of the company's conservative opinion site. On Monday night, the site was temporarily taken offline. Now it just says "coming soon," ahead of the official announcement on Tuesday.According to the Times, Fox is still determining how much it will charge for a subscription.Fox's parent company 21st Century Fox is just like many other media companies. The executives are exploring new business models that take advantage of the direct-to-consumer attributes of the web.  1948

Former FBI Deputy Director Andrew McCabe was set to officially retire on March 18, but according to a source familiar with the matter, he could be fired just days before and lose his pension after a more than two-decade career at the bureau.The embattled official abruptly stepped down at the end of January and has been on leave since that time.CNN has learned the FBI's Office of Professional Responsibility has recommended McCabe be fired and now the decision is up to Attorney General Jeff Sessions.The issue stems from findings in an internal Justice Department watchdog report that claims he misled investigators about his decision to authorize FBI officials to speak to the media about an investigation into the Clinton Foundation.A representative for McCabe declined to comment.That report, which has been complete for over a week, according to the source, has not been released publicly. The office is currently examining how investigations were handled at the department and the FBI in advance of the 2016 presidential election, including, notably, the Hillary Clinton email server probe."The Department follows a prescribed process by which an employee may be terminated. That process includes recommendations from career employees and no termination decision is final until the conclusion of that process. We have no personnel announcements at this time," Justice Department spokeswoman Sarah Isgur Flores said in a statement.The inspector general's report has taken on increased attention as President Donald Trump and his allies have railed against FBI officials like McCabe over the agency's handling of certain investigations and claims of political bias.The New York Times first reported the FBI recommendation. 1736