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A New York woman drowned Friday while taking part in a stand-up paddleboard yoga class on Long Island, police said.Lisa Margaritis, 48, an experienced paddleboarder, was trying to help another woman who was struggling in the strong current under a bridge in Hashamomuck Pond when Margaritis' paddleboard got caught on a bridge piling and she fell in, Southold Police chief Martin Flatley said in a news release.Because she was tethered to the board, Margaritis wasn't able to free herself, Flatley said.A jogger passing by jumped in and was able to free Margaritis from the piling and bring her to land, he said.Southold police, the fire department's rescue squad and a hospital paramedic arrived and began CPR. Margaritis was taken to a Long Island hospital, where she was later pronounced dead, the release said. 826

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

According to sources these are details emerging from the tentative agreement reached between General Motors and the United Autoworkers Union.The overall package from the company is valued at billion dollars. That's up from the company's original offer of billion.The deal means 9,000 jobs - retained or new. That's up from the company's original offer of 5,400.The deal allows the closing of Warren Transmission, Baltimore Transmission and Lordstown, Ohio assembly. The Detroit Hamtramck plant will remain open past January making an all-electric truck. The exact number of jobs has not been made public.The 4-year deal includes 3% pay raises for two of the years and 4% lump sum payments for the other two.There will be a ratification bonus for workers, but my sources can't confirm the number. Published reports put the number at ,000 and ,500. The original offer from GM was ,000.The path for temporary workers to reach full time will be 3 years. They make up 7% of the GM union workforce. They will get a ,000 signing bonus.In-Progression workers are 35% of the GM union workforce. They will have a shortened path to reach top tier wages. The current path is 8 years of employment.Profit-sharing is uncapped. This means if GM has a record year, individual profit-sharing checks will not be limited. The current limit is ,000.Health care remains unchanged, workers pay 3% of their insurance. The company had wanted to increase that. 1465

A US Army soldier discussed bomb-making techniques and bombing a major American news network's headquarters, as well as named presidential candidate Beto O'Rourke as a possible target before being arrested this weekend, according to court documents released on Monday.Jarrett William Smith, 24, was charged with distribution of information related to weapons of mass destruction after offering to teach others bomb-making and discussing bombing the news network's headquarters, according to documents in Kansas federal court. He was stationed at Fort Riley in Kansas before his arrest on Saturday. The arrest of Smith comes amid a wave of arrests and charges the Justice Department has made disrupting possible domestic terror plots.Smith allegedly discussed with a confidential source to the FBI that "the headquarters of a major American news network would be a suggested target, utilizing a vehicle bomb," an FBI agent wrote in court papers. The news network is not named in the court documents.Smith made an initial appearance in Kansas federal court Monday afternoon. He is scheduled to appear again in federal court for a detention hearing on Thursday in Topeka. Smith's attorney did not immediately return a request for comment.According to court documents, Smith also mentioned O'Rourke, a former Texas congressman, in a chat with an undercover FBI agent on September 20. The undercover agent had told Smith he was looking to target a politician, and Smith responded with instructions on making a bomb or grenade."You got anyone down in Texas that would be a good fit for fire, destruction and death?" the undercover agent said to him. "Outside of Beto? I don't know enough people that would be relevant enough to cause a change if they died," Smith replied. The FBI had begun tracking Smith in March, who had been stationed in Texas since 2017. He was transferred to Fort Riley in July.O'Rourke campaign spokeswoman Aleigha Cavalier thanked the FBI for their work in the case."We take any threat like this very seriously, and our team is in direct contact with the FBI regarding this case," she said. "This isn't about any one person or one campaign, and we won't let this scare us or cause us to back down in fighting for what's right."Smith had discussed as early as 2016 joining a far-right paramilitary group in Ukraine before he became a US Army soldier in 2017. He then bragged in a Facebook chat about being able to build explosives "in the style of the Afghans," the court filings said.Then, about a month ago, Smith started speaking to the FBI's confidential source and an undercover federal agent. He discussed in an online chat group plotting an attack in the US, said he was looking for other "radicals," and suggested targeting the leftist group Antifa, cell towers and a local news station, authorities allege. Separately, Smith suggested a vehicle bomb could be used to target "the headquarters of a major American news network," and gave advice on building explosives.Army Lt. Col. Terence Kelley, the director of public affairs for the 1st Infantry Division in Kansas, confirmed Smith is an active duty soldier. He said the Army cooperated with the FBI in its investigation."These allegations violate our Army Values so we take them very seriously," Kelley said in the statement. "Our law enforcement team cooperated with the FBI on his arrest over the weekend." 3400

A study released on Wednesday claims that a small number of people are taking antibiotics designed for fish leading to dangerous unintended consequences. Co-author Brandon Bookstaver, Pharm.D., director of residency and fellowship training at the University of South Carolina College of Pharmacy, released a statement expressing concern over the trend. “While human consumption of fish antibiotics is likely low, any consumption by humans of antibiotics intended for animals is alarming,” Bookstaver said. “Self-medication and the availability of antibiotics without healthcare oversight might contribute to increasing antimicrobial resistance and delayed appropriate treatment. We were particularly concerned that the high volume of positive feedback on the comments about human use might encourage others to attempt to use these drugs.”What makes fish antibiotics unique is that its available over the counter. A bottle of 30 tablets sell for as low as .99 online, the study found. The study found that 55 out of 2,288 interviewed admitted to taking fish antibiotics. But what concerned Michael Ganio, ASHP Director of Pharmacy Practice and Quality, is that the fish pills have the same look as human antibiotics. “What might seem like a less expensive, easier way to treat an assumed infection can ultimately have very serious negative consequences,” said Ganio. “Unlike antibiotics for humans or other animals, these medications are completely unregulated by the Food and Drug Administration. Even if the pills look the same, it’s impossible to know that medications purchased in this manner contain what the label says and are safe for humans. Antibiotics, like all medications, should be dispensed from a licensed pharmacy after a diagnosis and prescription from a medical professional.” 1807