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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
Florida Gov. Rick Scott signed Senate Bill 7026 into law Friday, the first gun control legislation enacted in the state after the Parkland school massacre on February 14.The new law, known as the Marjory Stoneman Douglas High School Public Safety Act, tightens gun control in several ways but also allows some teachers to be armed."The hardest thing I've ever had to do as governor is try to console a parent who has lost a child," said Scott, surrounded by families of the victims. Scott received the bill Thursday following days of impassioned, often contentious debate in the majority-Republican House and Senate. 631

For 11 days, as a series of women testified that Bill Cosby had drugged and sexually assaulted them, the comedian's wife, Camille, stayed away.But on Tuesday, she made her first appearance as his lawyers presented closing arguments in Cosby's retrial on three counts of aggravated indecent assault. Camille Cosby, in a flowing orange-and-white jacket, smiled as she held her husband's arm and walked from an SUV to the Montgomery County Courthouse in Norristown, Pennsylvania.Bill Cosby wore a dark suit as the couple, escorted by court officers, declined to comment.Cosby has pleaded not guilty. This is the comedian's second trial after jurors failed to reach a unanimous verdict in the first case.The core of the case against Cosby comes from Andrea Constand, who says Cosby drugged her and then assaulted her at his home in January 2004. Constand worked for the Temple University women's basketball team at the time, and Cosby, a Temple trustee, mentored her and then betrayed that trust, she testified. 1015
Florida's largest airports closed down over the weekend as Hurricane Irma slammed into the state. Now that the storm has passed, the airports are assessing damage and updating travelers on their plans to restart operations.Here's a rundown on when Florida's airports plan to resume commercial flights and when airlines intend to restart flights.Miami International AirportFlorida's largest airport said limited operations will resume at 7 a.m. on Tuesday, September 12. 477
FRANKFORT, Ky. -- Kentucky Gov. Matt Bevin is taking a stand on school shootings after 17 people died in a Florida school this week.It's a societal scourge that's top of mind for Bevin since not even a month has passed since a shooting killed two at Marshall High School in the small western Kentucky town of Benton.RELATED: Trump cites mental health in shooting, no mention of gunsIn a Facebook video posted Thursday night, Bevin called on producers of movies, music, television shows and video games to be part of an effort to “figure out how to try to repair this fabric of America that’s getting shredded beyond recognition.”"Our culture is crumbling from within, and the cost of it is high," Bevin said. "All of you, we've got to step up. We're the adults -- let's act like it. Let's step forward. Let's start a conversation."He also made the more standard overtures to fellow governors, the president and Congress to strike up a dialogue that can prevent future school shootings.Watch the video in the player below.The Associated Press reports Bevin also?told talk radio hosts on Thursday that guns are not the reason for the increase in school shootings. He blamed a culture that delegitimizes life through violent video games, TV shows and music lyrics.Bevin called video games where people kill others “garbage” and said “it’s the same as pornography.” He said “freedom of speech” has been abused by allowing things that are “filthy and disgusting and have no redeemable value.” 1505
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