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The opioid crisis cost the U.S. economy 1 billion from 2015 through last year — and it may keep getting more expensive, according to a study released Tuesday by the Society of Actuaries.The biggest driver of the cost over the four-year period is unrealized lifetime earnings of those who died from the drugs, followed by health care costs.While more than 2,000 state and local governments have sued the drug industry over the crisis, the report released Tuesday finds that governments bear less than one-third of the financial costs. The rest of it affects individuals and the private sector.The federal government is tracking how many lives are lost to the opioid crisis (more than 400,000 Americans since 2000), but pinning down the financial cost is less certain.A U.S. Centers for Disease Control and Prevention report from found the cost for 2013 at billion. That’s less than half the cost that the latest report has found in more recent years. The crisis also has deepened since 2013, with fentanyl and other strong synthetic opioids contributing to a higher number of deaths. Overall, opioid-related death numbers rose through 2017 before leveling off last year at about 47,000.A study published in 2017 by the White House Council of Economic Advisers estimated a far higher cost — just over 0 billion a year. The new study notes that the White House one used much higher figures for the value of lives lost to opioids — attempting to quantify their economic value rather than just future income.The actuaries’ report is intended partly to help the insurance industry figure out how to factor opioid use disorder into policy pricing.It found that the cost of the opioid crisis this year is likely to be between 1 billion and 4 billion. Even under the most optimistic scenario, the cost would be higher than it was in 2017.The study was released just ahead of the first federal trial on the opioid crisis, scheduled to start next week in Cleveland where a jury will hear claims from Ohio’s Cuyahoga and Summit counties against six companies. The counties claim the drug industry created a public nuisance and should pay.The report found that criminal justice and child-welfare system costs have been pushed up by the opioid epidemic.Most of the added health care costs for dealing with opioid addiction and overdoses were borne by Medicaid, Medicare and other government programs, according to the report. Still, the crisis rang up billion in commercial insurance costs last year. Lost productivity costs added another billion.Businesses have begun noticing. Last week, a small West Virginia home improvement company, Al Marino Inc., filed a class-action lawsuit against several companies, claiming the opioid crisis was a reason its health insurance costs were skyrocketing.Still, the biggest cost burden fell on families due to lost earnings of those who died. Those mortality costs alone came to more than billion last year, the report said.Members of a committee representing unsecured creditors helping guide opioid maker Purdue Pharma’s bankruptcy process have been calling for money in any settlement to go toward to people affected by the crisis and not just governments. 3225

The Defense Department announced Tuesday that it had awarded 6 million in contracts to build President Donald Trump's much-sought-after border wall with a completion date for these projects of October 2020.A 9 million contract was awarded to the Texas-based company SLSCO Ltd. for the construction of border wall in Santa Teresa, New Mexico which is located in the El Paso sector of the border.A second 7 million contract was awarded to the Montana-based Barnard Construction Company for work in Yuma, Arizona.The contracts were awarded by the US Army Corps of Engineers.Lt. Col. Jamie Davis, a spokesman for the Department of Defense, told CNN that the El Paso sector contract would include the construction of "30-foot bollard fencing and a five-foot anti-climb plate," and that the Yuma Sector project will feature "18-foot bollard fencing and a five-foot anti-climb plate."A spokesperson for the Army Corps of Engineers told CNN last month that the plan was to install 46 miles at El Paso and 11 miles of fencing at Yuma. CNN has reported that DHS had asked the Pentagon for assistance replacing existing vehicle barriers with pedestrian fencing, as well as light installation in El Paso and Yuma.These are the first border wall contracts to use Pentagon funds that the Trump administration had repurposed from other Defense Department accounts to support the border wall.CNN 1401

TEHRAN, Iran — Iran's state television has issued its most drastic warning so far about the new coronavirus, saying the outbreak could kill “millions” in the Islamic Republic if the public keeps traveling and ignoring health guidance. The warning came in a bulletin broadcast on Tuesday afternoon. Roughly nine out of 10 of the over 18,000 cases of the new virus confirmed across the Middle East come from Iran, where authorities denied for days the risk the outbreak posed. Iran's supreme leader also on Tuesday issued a religious order prohibiting “unnecessary” travel in the country. 599

The 73rd Annual Tony Awards were presented Sunday to celebrate Broadway's best performances of the year.James Corden served as host of the event for the second time and kicked off the show with a nine minute opening number in which he poked fun at live TV versus streaming services.When it came to the coveted Best Play and Best Musical categories the winners were "The Ferryman" by Jez Butterworth and "Hadestown" respectively.It was a big night for "Hadestown," starring Reeve Carney, Amber Gray and André De Shields, who lead the way with 14 nominations and scored 8 wins.Tony's history was made by Ali Stroker as the first actor in a wheelchair to ever win a Tony Award. She took home the award for featured actress in a musical for her role in "Oklahoma!"But it didn't stop there, it was an entire night of firsts.Rachel Chavkin won the Tony for best director of a musical for "Hadestown" as the only female nominated in that category this year and Elaine May won her first ever Tony Award for best leading actress for her role in "The Waverly Gallery."Andre DeShields won his first ever Tony Award in the featured actor in a musical category for his role in "Hadestown." Santino Fontana was awarded Best performance by an actor in a leading role in a musical for "Tootsie" and Stephanie J. Block won her first Tony for Best performance by an actress in a leading role in a musical for "The Cher Show."When the Tony nominations were announced in April, some Broadway observers were surprised that both "To Kill Mockingbird" and "Network" were not nominated in the best play category.CNN caught up with Corden earlier in the week to discuss his hosting duties, and he revealed that, believe it or not, he gets incredibly nervous."I get nerves to an almost crippling degree," he said. "I actually went to see someone about it at one point because it was getting to a point where I was so nervous, it was unmanageable.See below for a full list of winners.Best play"Choir Boy" by Tarell Alvin McCraney"The Ferryman" by Jez Butterworth *WINNER"Gary: A Sequel to Titus Andronicus" by Taylor Mac"Ink" by James Graham"What the Constitution Means to Me" by Heidi SchreckBest revival of a musical"Kiss Me, Kate"Rodgers and Hammerstein's "Oklahoma!" *WINNERBest musical"Ain't Too Proud to Beg""Beetlejuice""Hadestown" *WINNER "The Prom""Tootsie"Best revival of a playArthur Miller's "All My Sons""The Boys in the Band" by Mart Crowley *WINNER"Burn This" by Lanford Wilson"Torch Song" by Harvey Fierstein"The Waverly Gallery" by Kenneth LonerganBest performance by an actor in a leading role in a musicalBrooks Ashmanskas, "The Prom"Derrick Baskin, "Ain't Too Proud"Alex Brightman, "Beetlejuice"Damon Daunno, "Oklahoma!"Santino Fontana, "Tootsie" *WINNERBest performance by an actress in a leading role in a musicalStephanie J. Block, "The Cher Show" *WINNERCaitlin Kinnunen, "The Prom"Beth Leavel, "The Prom"Eva Noblezada, "Hadestown"Kelli O'Hara, "Kiss Me, Kate"Best performance by an actor in a leading role in a playPaddy Considine, "The Ferryman"Bryan Cranston, "Network" *WINNERJeff Daniels, "To Kill a Mockingbird"Adam Driver, "Burn This"Jeremy Pope, "Choir Boy"Best performance by an actress in a leading role in a playAnnette Bening, "All My Sons"Laura Donnelly, "The Ferryman"Elaine May, "The Waverly Gallery" *WINNERJanet McTeer, "Bernhardt/Hamlet"Laurie Metcalf, "Hillary and Clinton"Heidi Schreck, "What the Constitution Means to Me"Best book of a musical"Ain't Too Proud," Dominique Morisseau"Beetlejuice," Scott Brown and Anthony King"Hadestown," Ana?s Mitchell"The Prom," Bob Martin and Chad Beguelin"Tootsie," Robert Horn *WINNERBest original score (music and/or lyrics) written for the theater"Be More Chill," Joe Iconis"Beetlejuice," Eddie Perfect"Hadestown," Ana?s Mitchell *WINNER"The Prom," Matthew Sklar and Chad Beguelin"To Kill a Mockingbird," Adam Guettel"Tootsie," David YazbekBest direction of a musicalRachel Chavkin, "Hadestown" *WINNERScott Ellis, "Tootsie"Daniel Fish, "Oklahoma!"Des McAnuff, "Ain't Too Proud"Casey Nicholaw, "The Prom"Best direction of a playRupert Goold, "Ink"Sam Mendes, "The Ferryman" *WINNERBartlett Sher, "To Kill a Mockingbird"Ivo van Hove, "Network"George C. Wolfe, "Gary: A Sequel to Titus Andronicus"Best performance by an actor in a featured role in a musicalAndré De Shields, "Hadestown" *WINNERAndy Grotelueschen, "Tootsie"Patrick Page, "Hadestown"Jeremy Pope, "Ain't Too Proud"Ephraim Sykes, "Ain't Too Proud"Best performance by an actress in a featured role in a musicalLilli Cooper, "Tootsie"Amber Gray, "Hadestown"Sarah Stiles, "Tootsie"Ali Stroker, "Oklahoma!" *WINNERMary Testa, "Oklahoma!"Best performance by an actor in a featured role in a playBertie Carvel, "Ink" *WINNERRobin De Jesús, "The Boys in the Band"Gideon Glick, "To Kill a Mockingbird"Brandon Uranowitz, "Burn This"Benjamin Walker, "All My Sons"Best performance by an actress in a featured role in a playFionnula Flanagan, "The Ferryman"Celia Keenan-Bolger, "To Kill a Mockingbird" *WINNERKristine Nielsen, "Gary: A Sequel to Titus Andronicus"Julie White, "Gary: A Sequel to Titus Andronicus"Ruth Wilson, "King Lear"Best choreographyCamille A. Brown, "Choir Boy"Warren Carlyle, "Kiss Me, Kate"Denis Jones, "Tootsie"David Neumann, "Hadestown"Sergio Trujillo, "Ain't Too Proud" *WINNERBest orchestrationsMichael Chorney and Todd Sickafoose, "Hadestown" *WINNERLarry Hochman, "Kiss Me, Kate"Daniel Kluger, "Oklahoma!"Simon Hale, "Tootsie"Harold Wheeler, "Ain't Too Proud"Best scenic design of a musicalRobert Brill and Peter Nigrini, 'Ain't Too Proud"Peter England, "King Kong"Rachel Hauck, "Hadestown" *WINNERLaura Jellinek, "Oklahoma!"David Korins, "Beetlejuice"Best scenic design of a playMiriam Buether, "To Kill a Mockingbird"Bunny Christie, "Ink"Rob Howell, "The Ferryman" *WINNERSanto Loquasto, "Gary: A Sequel to Titus Andronicus"Jan Versweyveld, "Network"Best costume design of a musicalMichael Krass, "Hadestown"William Ivey Long, "Beetlejuice"William Ivey Long, "Tootsie"Bob Mackie, "The Cher Show" *WINNERPaul Tazewell, "Ain't Too Proud"Best costume design of a playRob Howell, "The Ferryman" *WINNERToni-Leslie James, "Bernhardt/Hamlet"Clint Ramos, "Torch Song"Ann Roth, "Gary: A Sequel to Titus Andronicus"Ann Roth, "To Kill a Mockingbird"Best sound design of a musicalPeter Hylenski, "Beetlejuice"Peter Hylenski, "King Kong"Steve Canyon Kennedy, "Ain't Too Proud"Drew Levy, "Oklahoma!"Nevin Steinberg and Jessica Paz, "Hadestown" *WINNERBest sound design of a playAdam Cork, "Ink"Scott Lehrer, "To Kill a Mockingbird"Fitz Patton, "Choir Boy" *WINNERNick Powell, "The Ferryman"Eric Sleichim, "Network"Best lighting design of a musicalKevin Adams, "The Cher Show"Howell Binkley, "Ain't Too Proud"Bradley King, "Hadestown" *WINNERPeter Mumford, "King Kong"Kenneth Posner and Peter Nigrini, "Beetlejuice"Best lighting design of a playNeil Austin, "Ink" *WINNERJules Fisher and Peggy Eisenhauer, "Gary: A Sequel to Titus Andronicus"Peter Mumford, "The Ferryman"Jennifer Tipton, "To Kill a Mockingbird"Jan Versweyveld and Tal Yarden, "Network" 7087

The Massachusetts Department of Health confirmed on Friday that a second person in the state has died from Eastern Equine Encephalitis (EEE), which is a deadly disease carried through mosquito bites. Friday's announced marked the sixth known fatality in the United States this year from EEE. There have been two confirmed cases in Massachusetts, three in Michigan and one in Rhode Island. 2019 marks the deadliest year for EEE in more than a decade, according to the CDC.The vast majority of cases over the last decade have been reported in the eastern half other United States. Only one case, reported in Montana, has occurred in the western United States. “We continue to emphasize the need for people to protect themselves from mosquito bites,” said Massachusetts Public Health Commissioner Monica Bharel, MD, MPH. “The unusually warm weather expected this weekend will increase outdoor activity among people and mosquitoes. It is absolutely essential that people take steps to avoid being bitten by a mosquito.”On average, there are seven confirmed cases a year of EEE in the U.S, according to the CDC. In 2018, there were six cases of EEE with one being fatal. In 2017, there were five cases, two of which fatal. In 2016, there were seven cases, three of them fatal. The CDC said that on average, one third of all cases are fatal, and death usually occurs 2 to 10 days after the onset of symptoms. The CDC says that survivors of the disease frequently have severe neurological damage.Using insect repellent, wearing long sleeves and pants, and removing standing water are ways to prevent being infected with EEE. 1630

来源：资阳报