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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 white rhino born last month at San Diego Zoo Safari Park has been named Future for what the calf represents to rhino conservation worldwide, officials said. The baby is bonding with her mother and frolicking in a maternity yard left wet by recent storms. “Future’s new favorite thing is mud,” zookeeper Marco Zeno said. “She sees a puddle and she wants to roll in it!” Future is the 100th southern white rhino to be born at the park and the second conceived through artificial insemination. The first, Edward, was born to a different mother in July.The zoo births using frozen sperm are part of efforts to develop knowledge needed to save a subspecies called the northern white rhino, officials said. Only two currently remain and both are female. Several other rhino species also are being pushed to toward extinction.Future was born Nov. 21 to an 11-year-old mother named Amani. At 19 days old, the baby weighed 193 pounds (88 kilograms). She could weigh 20 times that when fully grown.Rhinos typically coat themselves with a thick layer of mud that helps act as a sunscreen and bug repellent, and helps to keep them cool. ”Future is not only exhibiting natural rhino behavior, she appears to be having a ton of fun doing it,” Zeno said. 1253

A Michigan high school marching band had no football team to play for, but not too far away, a football team needed a band. Luckily, they found each other and completed the perfect pair.The match was made last Friday night when the Glen Lake Lakers football team heard that their neighboring Forest Area Marching Band had no one to play for after their football team's season was canceled -- Forest Area suspended its season due to low player participation.So, the Lakers invited the band to come play at theirs."No Friday night football game under those lights is complete without your sideline cheer team and a marching band," Mark Mattson, Assistant Principal and Athletic Director at Glen Lake, told CNN.Thrilled at the opportunity to perform for a crowd, the band quickly learned the Lakers' fight song. Meanwhile, an hour away, Glen Lake was adding extra seating and erecting tents to ward off the impending rain."They were just over the moon excited to go be able to play at a different location," Forest Area Principal Kelly Holeman told CNN. "It was something new and fun."The night ended in a victory for Glen Lake, played out against the backdrop of the music they've been lacking all season long.The Glen Lake athletic director said that the band undoubtedly made an impact on the atmosphere of the night."It didn't take long for the two schools to connect and become one in supporting each others' cause," Mattson said. He added they were welcome back anytime. 1485

A music teacher at Mason Elementary School in Grosse Pointe Woods, Michigan, is on paid leave and under investigation for allegedly asking a kindergarten boy to rub lotion on his back. The incident was first reported by a 5-year-old girl in the class to her parents. The father of the boy, Dr. Chris Seitz, met with the Deputy Superintendent this morning and was told the music teacher would remain in class during the investigation. The dad is Dr. Chris Seitz and says why he needed our help to get the schools to do the right thing... 551

A man who has bipolar disorder is using his experience to fuel a nonprofit to improve mental help through volunteering and kindness.Justin Kruger is the CEO of Project Helping — a nonprofit that aims to provide opportunities for people to build a sense of purpose and connection by volunteering.That includes making 'Kynd Kits' with positive messages and helpful resources for someone in need."I started it based on my own struggle with mental health," Justin Kruger said."At a point where I was really struggling with my mental and had tried a number of treatments, I was invited to volunteer. And I went -- sort of begrudgingly, but I went – and found that the sense of purpose and connection that I got from that was really powerful for me in dealing with my own mental health challenges," Kruger said.Kruger is living with bipolar disorder."I feel like I'm always coming into or coming out of one episode or another," Kruger said.Bipolar disorder is a genetically-based mental disorder that affects a person's ability to regulate emotion. It leads to extreme mood swings – Kruger explains it as a rollercoaster with endless ups and downs. Psychotherapist and author Michael Pipich says those peaks and valleys are referred to as manic and depressive states."We see symptoms including grandiose feelings and inflated self-esteem or high levels of irritability and agitation along with what we call 'decreased need for sleep' — which is not insomnia — in which you try to sleep and you can't," Pipich said. "A person in this manic episode very much doesn't want to sleep so that they can keep going because they're just enthralled with this high level of energy.""It almost feels like a superpower when it happens because you can be so productive and get so much done, but yet it's so deeply exhausting," Kruger said.That 'super' feeling is only temporary because then the depressive state kicks in."That's a period of days and nights of very deep depression where they feel hopeless and where they feel quite the opposite of what they were in that manic episode," Pipich said.Pipich says they also have damaged self-esteem, they lose a sense of pleasure in their daily activities, they disconnect from relationships and they can often feel suicidal. Kruger says he deals with a lot of fear of the unknown because he never knows when an episode will hit, or how long it will last."And especially in the depressive side – like it feels like it's never going to end. Though it almost inevitably does," Kruger said.Pipich says it's important to raise awareness of the disorder because it's far more prevalent than people even realize."We believe that up to five percent of the total population may have some form of bipolar disorder," Pipich said.According to Pipich, recent studies show it typically takes 10 years for someone to be accurately diagnosed with bipolar disorder. Many people get misdiagnosed, and improper treatment can lead to more needless suffering -- especially if loved ones don't understand what's going on either. Justin's wife Ashlee says he's the most loving and passionate person she's ever known, but there are days that are more challenging than others."It's hard because you're not quite sure sometimes what to do. You feel like you're almost paralyzed like if you do something a little bit wrong, it's going to be dissected, and it might spiral him," Ashlee Kruger said.Since Justin has learned to be open about his feelings, Ashlee now feels like she can be the support system he needs."The best way I feel like I can support him is just by letting him know I'm there," she said.And she also supports him in his endeavors to fulfill his purpose in life — which he found through Project Helping. Justin says he's now living a life with much more hope and happiness. However, he does realize he's in for a continuous battle with ups and downs. But it's a battle worth fighting alongside the people he loves."There are things that work, and it's just a matter of finding them. And it's not linear you're going try things that'll work, you're gonna try things that don't. But you gotta keep trying," Kruger said.  4155