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Following the CDC's recent No Sail Order extension , cruise lines say they'll not only create a bubble, but they'll test everyone who steps onboard. The tourism industry has been hit hard by the pandemic, and industry leaders say people are ready to take their coronavirus precautions and set sail.“We’ve been out of California, we’ve done all the Mexican, Caribbean, Bahama, Alaska, Hawaii, we’re planning on Panama Canal next year. After that we want to go to Europe and do a riverboat cruise,” said Betsy Atwood, a passenger on 37 past cruises.When she's not "cruising,” Atwood calls Vassar, Michigan, home. She was onboard a ship last spring when cruise lines were ordered back home. Ever since then, she's been ready to get back out on the high seas.“They need to sail, they need to get them going. You’re safer on the ship then you are to the grocery store. They’re so clean to begin with and I know now they’re cleaner than they were before,” Atwood said.Cleaning is just one part of the broad plan to get passengers back said Joe Leon, vice president of field sales for Silversea in the Americas. Silversea in the Americas is the luxury arm of Royal Caribbean and its ships only carry 600 people on board, which is small by industry standards. Other vessels have capacities of five to six thousand guests.Leon said since the shutdown, they've been simulating what life would be like on the ship, including dining and egress.He said the team of experts behind "Healthy Sail Panel" detailed all of that in a 65-page report for the cruise industry.The "74-point memo on exactly what their recommendations are, assessment of our current protocols and how the science applies and why it should apply and why these are the recommended action and result is a safe environment, our idea is to create a bubble for customers,” Leon said.Testing 100% of passengers, face coverings, enhanced sanitation methods will be everywhere. Leon says the report details multiple focal points.“First is embarkation and screening,” Leon said. “That’s testing and how strict we are with crew and passengers and contractors. Then there's public safety on board and public access where you will have to wear masks and what’s the proper social distancing measures.”They're taking shore excursions into account too, and medical facilities. While things will be different, he says, it's everyone's responsibility to do their part so that everyone can safely sail when it's time.For Atwood, who has a new excursion planned for March, what they're doing is more than enough. She's part of a group who is anxiously awaiting their annual cruise, and says, “We’ll all be heartbroken; they need to open them back up," Awtood said.The CDC's No Sail Order expires October 31, but some cruise lines are postponing voyages through the end of 2020. 2823

Former Trump campaign chairman Paul Manafort has lost his lawsuit claiming that Deputy Attorney General Rod Rosenstein and special counsel Robert Mueller exceeded their authority in charging him with alleged crimes that he says have nothing to do with the 2016 campaign.A judge said Friday that Manafort can't use this lawsuit to stop the special counsel's office from continuing to pursue an investigation of him.Rosenstein's order appointing Mueller makes clear that the special counsel is authorized to investigate Russian meddling in the 2016 election, potential links or coordination between Trump campaign associates and the Russians, as well as "any matters that arose or may arise directly from the investigation."  736

Finding mental health resources in a small town can be a challenge, and in a time when more people are isolated inside their homes, that support is more important than ever before.“I’m 28 years old. I deal with depression. I have bipolar disorder, I have epilepsy, I’m schizophrenic, and I have multiple personalities,” said Sam, a father who meets with a group from the Mental Health Center in Hagerstown each week to help him get his symptoms under control.Sam is one of several adults struggling with mental health disorders who come from all over a rural Maryland county to heal as a group.“We are kind of a beacon of light for others who need help,” said Tamara Warfield, the Adult Psychiatric Rehabilitation Program manager.That help is offering a support system in places where people are geographically isolated, making their symptoms even tougher to deal with.“It’s hard getting the help that you need when you have mental health issues,” said Sam. “If it wasn’t for this group, I wouldn’t be out in the community. I would be home, not doing anything.”Finding connection is not only key to helping these men and women overcome their mental health symptoms, but it’s also key to overcoming the stigma they face every day—a stigma that’s often harsher in rural communities.“We want to be treated like everybody else, not like we’re stupid or special,” said Sam. “We just want to be treated like a regular person—to go out and communicate with people, make friends with people.”“We help folks that have cancer or any type of physical disorder, so why shouldn’t we reach out to those who have a mental illness? It’s no different,” said Warfield.Health care workers in smaller communities already deal with fewer resources. But for mental health treatment, it’s even tougher. There is a shortage of mental health care workers in rural communities, fewer transportation options to get to services, and more widespread poverty.The U.S. Department of Health and Human Services said these factors combined contribute to the suicide rate being nearly twice as high in the most rural counties compared to urban areas.“If you don’t have those basic needs like housing food, and finances, you’re not going to be able to care for your mental health. You’re just trying to survive to get to the next day,” said Warfield.Warfield and her team at the Mental Health Center are doing everything they can to fight that statistic by providing transportation to services and doing telehealth visits during the pandemic. However, there's always the fear they won’t be enough.“I’ve seen so many folks come in who have hit rock bottom,” said Warfield. “They haven’t had services in so long their symptoms are taking over and they can barely function.”To those Warfield does see, her help is not just life-saving, it’s life-starting.“I never finished school because of my mental health issues, but right now I’m working on getting my GED, so that I can be a better person for my kids," Sam said. "And that’s one of my big goals is being a better person for my kids, for my family, and they’re helping me with that. They’re helping me be a better person."If you'd like resources to help improve your mental health, click HERE. 3216

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

Former Vice President Joe Biden regrets saying that if he were in high school, he would fight President Donald Trump over the way Trump has talked about women."I shouldn't have said what I said," Biden told the hosts of the "Pod Save America" podcast in an interview."I don't want to get down in the mosh pit with this guy," Biden said, referring to the President.Earlier this month, Biden said that he would "beat the hell out of" Trump if the two were in high school, citing comments Trump made in an?"Access Hollywood" video unearthed by The Washington Post in October 2016. In the video, Trump talks about grabbing women's genitals and says that "you can do anything" when you're "a star."In the wake of Biden's "beat the hell out of him" comments, Trump punched back on Twitter, calling Biden "weak, both mentally and physically," and saying that "he would go down fast and hard, crying all the way."Biden emphasized in the "Pod Save America" interview that he was referring to how he would have acted if he were in high school, not how he would act toward the President today."Now, the idea that I would actually physically get in a contest with a President of the United States or anybody else now is not what I said," Biden told the podcast. "It is not what this was about, but I should have just left it alone."The former vice president added: "What I did say back when he was running, when he made these comments about being able to grab women in their private places and so on and so forth -- I was asked during the campaign whether or not, do I regret not being able to debate Trump. And I said, you know if we were in high school -- and I did this again, I said if we were in high school -- and he said that in the presence of my sister, I would take him behind the gym," Biden said. 1834