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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
First Lady-elect Dr. Jill Biden took to Twitter to respond to a Wall Street Journal opinion-editorial column in which the author called on the incoming First Lady to drop "Dr." before her name."Together, we will build a world where the accomplishments of our daughters will be celebrated, rather than diminished," Dr. Biden tweeted Sunday. 347
Former NBA player Delonte West last played basketball in 2012. For years, several former teammates and coaches have reached out to West to get him some help after videos circulated on social media of him being homeless and getting handcuffed after a fight in Maryland.In 2015, West revealed that he had bipolar disorder.On Monday, West and Dallas Mavericks owner Mark Cuban reportedly got in touch with one another, after Cuban saw a picture of West panhandling in Dallas.Cuban is now helping him get on a path to recovery, TMZ reported.According to The Athletic's Sham Charania, West was reunited with his mother in Dallas and has since entered a Florida rehab facility. 679
Firefighters battling the West Coast wildfires say this year's blazes are some of the worst they have ever seen.They say the fires are taxing the human, mechanical and financial resources of the nation's wildfire fighting forces to an extraordinary degree. And half of the fire season is yet to come.Heat, drought and a strategic decision to attack the flames early combined with the coronavirus to put a historically heavy burden on fire teams.Justin Silvera is a 43-year-old battalion chief with Cal Fire, California's state firefighting agency. He says new fires break out before existing ones are contained.“There’s never enough resources,” said Silvera, one of nearly 17,000 firefighters in California. “Typically with Cal Fire we’re able to attack — air tankers, choppers, dozers. We’re good at doing that. But these conditions in the field, the drought, the wind, this stuff is just taking off. We can’t contain one before another erupts.”According to The Associated Press, fire crews have been summoned from at least nine states and several other countries, including Canada and Israel. Mutual agreements for agencies to offer assistance have been maxed out at nearly all levels of government."We know that there's really nothing left in the bucket," Washington State Forester George Geissler told The Associated Press. "Our sister agencies to the south in California and Oregon are really struggling."Western states have been seeking assistance in fighting wildfires since mid-August. On Aug. 19, California, Gov. Gavin Newsom asked for assistance from other states in fighting fires, saying that resources were already "stretched." Since then, hundreds of thousands of acres have forest has continued to burn.The Associated Press also reports that experts believe the COVID-19 pandemic has contributed to the historic fire season. In June, U.S. Forest Service Chief Vickie Christiansen issued a directive to aggressively fight all fires, hoping to minimize the need for large groups of firefighters before blazes got out of control.However, experts say that the directive allowed forest fire fuels that would have typically already burned to build up, allowing the fires to spread more quickly in recent weeks.Officials hope that cooler, wet weather in the Pacific Northwest could assist firefighters in containing blazes in the coming days. However, forest fire season lasts through October on the West Coast, meaning officials still face an uphill battle. 2475
For generations, in Lincoln, Nebraska, the community has thrived on the return of the University of Nebraska’s legendary football team each fall.“Nebraska football, not just for Lincoln, but for Nebraska is a huge thing,” said Joey Rupp, who owns a store that sells all things Huskers.But if 2020 has proven anything, it’s that few things are promised.“When this first all started in March, we really saw a decline. We’ve seen a decline each month,” Rupp said.Rupp manages Best of Big Red, which is located in Lincoln’s Haymarket district, an area within walking distance of Nebraska’s Memorial Stadium filled with bars, shops, and restaurants.Rupp typically has a lot riding on college football season.A Nebraska home game can draw around 150,000 people to town.“Football season probably generates about 75 percent revenue for the year,” Rupp said.2020 has been different.Coronavirus cut the Nebraska Cornhuskers' home games from the typical seven to four. Crowd restrictions mean the team will play in a mostly empty stadium.Nebraska fans have sold out their 85,000-seat stadium for every home game since 1962.“We’re not a heavy tourist destination but relying on college football is our biggest tourist draw for the entire year,” explained Todd Ogden, the president and CEO of the Downtown Lincoln Association.A pandemic and postponed football season put a lot of pressure on Ogden.“A lot of our businesses completely rely on those seven Saturdays to survive,” Ogden said.He’s leading an effort called City of Red. The campaign pushes for Husker faithful to still support places that depend on football dollars. That includes bars and restaurants.Bar owner Matt Taylor says his bar has been playing old, classic Nebraska games on TV since real Cornhusker games won’t start until Oct. 24.“Normally, I think it’s the best place to watch a game including the stadium,” Taylor said of his bar Tavern on the Square.Taylor loves owning his bar, but love is a tough word for the bar business in 2020."I usually love my job, but this year has not been very fun,” Taylor said.He says while it's good there will be a football season, it's unclear what the financials will look like.“It definitely helps but it won’t be a normal game day. Obviously, with decrease capacity in the stadium, I think less people will travel,” Taylor said.It could be easy to see red as a color of anger this year, but in the fall, especially in Lincoln, red has a more optimistic meaning."This has been a strange time, because it feels like we’re more divided than ever,” Taylor said. “I think if we can center around a team and all cheer for a single goal, I think it brings people together.” 2673