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A preliminary report from the autopsy on Mollie Tibbetts' body determined that her death was a homicide resulting from multiple sharp force injuries, the Iowa State Medical Examiner said.Tibbetts, a 20-year-old student at the University of Iowa, went missing after an evening jog on July 18, sparking a major search in the region. A body that officials believed to be hers was found on Tuesday in a rural area, hidden under corn stalks, and the autopsy confirmed her identity.Cristhian Bahena Rivera, a 24-year-old Mexican man who illegally came to the United States, was charged with her murder on Wednesday after he confessed to following her on her run. In an arrest affidavit, Rivera said he remembered getting mad at her; what happened afterward was "blocked" from his memory. 789

A new art installation in Washington, D.C. is aiming to put the COVID-19 pandemic in a new perspective.WTOP-TV in Washington reports that on Friday, artist Suzanne Brennan Firstenberg was joined by the friends and family of coronavirus victims to set up her newest installation, "In America: How Could This Happen…"The installation, located on the D.C. Armory field near RFK Stadium, features more than 200,000 white flags — each one representing an America who has been killed by COVID-19.Community members are invited to continue planting the flags through Friday, Nov. 6. By the project's conclusion, Firstenberg hopes to plant more than 240,000 flags. She also invites volunteers to write the names of loved ones who have been killed by the disease on the flags."This is public participatory art," Firstenberg told NPR. "I want the community to come plant flags right alongside me. I want them to realize the importance of individual lives."According to NPR, Firstenberg has been searching for a place to display her project since August. She initially planned to use small American flags, but she ran into roadblocks."I would have had to source them from China, and that didn't really make sense to me," Firstenberg told NPR.White flags are typically used to represent surrender — which would be poignant given White House Chief of Staff Mark Meadows' weekend comments claiming the Trump administration isn't going to control the pandemic. But according to Firstenberg, the white flags are meant to represent innocence."I know how valuable each life is, because I've had the opportunity — the honor — to be with people at a very difficult time in their lives, as they're saying goodbye," Firstenberg told NPR.As of early Tuesday afternoon, Johns Hopkins reports that more than 225,000 Americans had died of COVID-19. 1829

A steady gust of an early winter’s wind was whipping through the last few pieces of corn still left standing on Paul Hamilton’s Northern Kentucky farm, their golden kernels exposed to the elements, naked wilted stalks all but dead. The corn here will soon be gone from this rolling farmland and so too will Paul Hamilton’s prized herd of dairy cows. Paul’s family has been on this 80 acres for three generations. His grandfather first purchased the land in the 1950’s before handing it over to Paul’s father, who ultimately sold it to Paul when he was in his 20’s.A legacy of family farming though will end with Paul Hamilton by the end of the year. He refuses to subject his 16-year-old son John to the uncertain life of farming. “If I had to do it all over again, 29 years ago when my dad offered me the land, I would have turned it down,” Paul admits as he struggles to cut a piece of plastic rope holding together a 100 pound barrel of hay. Paul has taken one vacation day in the last four years. There are no sick days for dairy farmers, no holidays and no weekends. Every day his 35 Holstein cows must be milked at 5 a.m. and then again at 5 p.m. to keep them producing. This 56-year-old hasn’t shaven in days; the bags under his eyes are so heavy they seem to stretch halfway down his face. His boots are caked with a thick layer of mud and manure that refuses to come off no matter how much he washes them. And yet he loves it here, if for no other reason than the fact that he knows no other way of living. “When you’ve done it your entire life, it gets to be where it’s a part of you,” he says leaning against the tire of a 1971 John Deere tractor that he repairs almost daily. Paul admits though that the end is near,“We’re hemorrhaging money. We’ve run through a pretty rough time right now and next year doesn’t look better either.” Last month, the Hamilton family farm lost ,500. The price of milk is playing a large role in the struggle dairy farmers are facing. While most consumers pay an average for a gallon of milk at the grocery store, most farmers only get about from that sale. Nearly 60 dairy farms have shut down across Indiana, Kentucky and Tennessee since the start of the year. Paul’s wife Paula Hamilton has run out of hope. “Always before it was maybe next year we’ll have a better crop, maybe next year prices will go up. And now we’re looking at it and we’re no longer saying next year and that’s really sad,” she said. Sitting in the front yard of the family’s century-old white farmhouse, beneath a bright orange maple tree, a small tear falls down her face.“We no longer have hope it’s going to keep going.” And that is a reality facing hundreds of farmers across the United States right now. A prospect so grim, that some are choosing to take their own lives instead of letting go of farms that have been in their families for decades. “You know I worry about him a lot. He’s working so hard and getting so tired and I wonder if he’s gotten to a point that he can’t come back from emotionally,” Paula says holding her husband’s hand. Farmers are notoriously reserved with their feelings and thoughts. The solitary occupation often leaves some feeling as though they have nowhere to turn as they are facing financial and emotional ruin.According to the University of Kentucky’s Vital Statistics Office, 15 farmers died by suicide in 2015. The number was even higher the year before as 21 farmers took their own lives. Since 2005, 142 farmers died by suicide in the Bluegrass State leaving behind countless broken families and prompting some public health officials to label this a “crisis.” That includes Debbie Reed who has worked as a nurse and professor at the University of Kentucky for nearly three decades. “When someone dies in the farming community people always bring over casseroles, but when someone commits suicide, it’s known as the ‘no casserole death’ because no one wants to bring a casserole over when a person has taken their own life,” Dr. Reed said. Dr. Reed believes suicide in farming communities are vastly underreported mainly because of the stigma associated with suicide, “These people are living in communities where they don’t interact with each other daily, so it’s hard for people to reach out for help.” The prospect of having to give up on his farm by the end of the year has left Paul Hamilton dealing with a severe case of depression. He’s never thought about taking his own life, but his wife Paula says the likelihood of facing financial ruin often leaves her feeling hopeless, “Sometimes I just feel overwhelmed. Sometimes you’re by yourself and at night you’re thinking, ‘God, how could I do it where he gets the insurance,’ but then you think, ‘I don’t need to be thinking this way.” Paula’s hope is that farmers start opening up about their feelings, especially when so many are facing such uncertain futures. Her eyes turn to a grazing herd of cattle nearby, “No one is telling the farmers about it, no one is saying, ‘Hey there’s other people that feel like you feel and it’s okay to feel like that.”’ But even with everything they are facing, both Paula and Paul aren’t ready to give up until they’ve exhausted every option. Their family’s legacy is all they have left.“You’re connected to the land, but the land is killing you.”   If you or someone you know is struggling and in need of help there are number of resources available:National Suicide Prevention Hotline: 1-800-273-8255https://suicidepreventionlifeline.org/ 5626

A rare, deadly form of skin cancer is on the rise in the US, and dermatologists are warning people to take extra care of their skin as we head into the summer months.Merkel Cell Carcinoma is found mostly among older patients, but the American Cancer Society says that there are around 1500 cases reported each year."It's devastating because it's usually not picked up until later stages," says Dr. Melanie Palm. She works at Art of Skin in Solana Beach and has treated one case of MCC. "It's more lethal than melanoma. It often has lymph node involvement. It very quickly metastasizes."Research from the ACS says the disease is often associated with a virus. But it seems to affect older people because they have more, prolonged exposure to the sun.Doctors are calling attention to MCC and other forms of skin cancer all throughout May during Skin Cancer Awareness Month. They say it's much easier to prevent Merkel Cell and other cancers than it is to treat them."We live in San Diego. I don't want people to hide from the sun," says Dr. Palm. "But I think being responsible about it is reasonable."That includes wearing sunscreen, protective clothing and regular visits to a dermatologist."It's something I tell all my friends," says Jen Massara, a skin cancer survivor. "Best case scenario is you're fine, you check that box, you're good to go. Worst case scenario, they find something, and you get it taken care of."Self-inspections are also helpful. Dr. Palm tells her patients to keep the "ABCDE's" in mind when looking at moles."A is asymmetery, if it has an odd shape," she says. "B is Border, is the border irregular on the spot. C is color. Is it dark, pink or have several colors. D is diameter. We don't like anything bigger than a pencil head. And E is evolution, has it grown or changed over time."As for sunscreen, Dr. Palm says you want to make sure zinc oxide or titanium dioxide have the highest percentage of all the active ingredients. She says those minerals offer the best protection against the sun's rays.For more information about Merkel Cell Carcinoma, or to see a picture of what it looks like, visit the Mayo Clinic's Website here. 2172

A settlement has been reached in a civil lawsuit against multimillionaire Jeffrey Epstein in Palm Beach County.An attorney for Bradley Edwards, who was seeking unspecified damages from Epstein, announced in court on Tuesday that a financial settlement has been reached, but the details are confidential.The deal came on the same day jury selection was set to begin in the civil case.Epstein was accused of luring underage girls into a life of sexual abuse. The 65-year-old pleaded guilty in 2008 to state prostitution charges and served 13 months in jail, although he was allowed to leave during the week to go to work. He also became a registered sex offender.Last week, a report from the Miami Herald revealed that current Labor Secretary Alex Acosta, then a federal prosecutor for the Southern District of Florida, cut a deal with Epstein that kept him out of prison.Edwards, who represented some of the alleged victims in the Epstein case, claimed Epstein tried to damage his reputation by suing him.In court on Tuesday, Epstein's attorney read back an apology letter from Epstein to Edwards."What happened today was a win," said Edwards at a news conference after the settlement was announced.E 1222