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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 of all, let's be clear: Every dog is the best dog, especially yours. But unfortunately, it looks like your drooling, howling, underwear-sniffing, sock-eating angel of perfection is not, you know, especially smart.This distressing news comes?from a new study in the journal Learning & Behavior, which seeks to answer the question, "Are dogs really that special?"While our hearts say yes, the data says no.The study compares canine cognition to other carnivores, social hunters and domestic animals (all groups that dogs fall into). Researchers used existing information on the behavior of several animals, including wolves, cats, dolphins, chimpanzees, pigs and pigeons to see if dogs possessed any special skills that weren't recorded in other species.They did not. 779

For the first time in 78 years, the Rose Bowl will not be played in Pasadena, California.Over the weekend, it was announced that the College Football Playoff semifinal game between No. 1 Alabama and No. 4 Notre Dame would be relocated from the Rose Bowl to AT&T Stadium in Arlington, Texas, due to California's ban on fans being allowed at live sporting events during the coronavirus pandemic.CFP Executive Director Bill Hancock made the announcement Saturday in a press release after the Tournament of Roses.Hancock said the committee mutually agreed to relocate the game to the Dallas Cowboys home stadium amid rising cases of COVID-19 in Southern California."We know that the decision was not an easy one to make," said David Eads, Tournament of Roses CEO and Executive Director. "While we remain confident that a game could have been played at the Rose Bowl Stadium, as evident in the other collegiate and professional games taking place in the region, the projection of COVID-19 cases in the region has continued on an upward trend."According to the press release, the State of California would not make a notable exception for player guests at the game, requesting in November and December that the state create a "special exception" to allow players' parents to attend the game. Both requests were denied.According to the Associated Press, this will be the first time in 78-straight years that the Rose Bowl will not be played in Pasadena.According to the press release, it hasn't been determined if the semifinal game will be called the Rose Bowl because the City of Pasadena owns the game's rights. 1619

Fiat Chrysler is recalling 4.8 million vehicles over an issue that could prevent drivers from turning off cruise control.Only one incident related to the malfunction has been reported to Fiat Chrysler, and there are no reported injuries.The issue can be triggered when a driver taps on the gas pedal while cruise control is activated, the company said, potentially causing a short circuit.Related: Why the auto tariffs would be bad for AmericaWhen that happens, the vehicle can become locked in cruise control. The typical methods for exiting cruise control — tapping on the brakes or hitting the designated switch — can stop working. However, drivers would still be able to slow down or stop their vehicles by hitting the brakes, shifting into neutral or both.FCA is asking owners of the recalled vehicles to bring them into dealerships for a no-cost software update that can prevent the short circuit. In the meantime, the company is advising drivers of the involved vehicles to avoid using cruise control.The models covered under the recall include:2015-17 Chrysler 200 sedan2014-18 Chrysler 300 sedan2017-18 Chrysler Pacifica minivan 1145

Former Trump campaign chairman Paul Manafort sought a plea deal before his trial in Washington, DC, federal court next month, but talks stalled over issues raised by special counsel Robert Mueller, The Wall Street Journal reported Monday, citing people familiar with the matter.Manafort was found guilty last Tuesday in a separate trial in Virginia federal court on eight counts of financial crimes, including tax fraud, bank fraud and hiding foreign bank accounts. He faces a second set of criminal charges next month in Washington of failure to register his foreign lobbying and money laundering conspiracy.The talks between the defense and prosecutors occurred last week as the Virginia jury was deliberating, people familiar with the matter told the Journal. The newspaper said it was unclear what issues Mueller raised or what terms for a potential plea might have been proposed.Representatives for Manafort and Mueller declined to comment to the Journal.The second trial is scheduled to begin on September 17 and is also related to Manafort's political consulting work in Ukraine. Mueller's office has almost three times as many exhibits?it wants to show a jury as it did in the Virginia case, indicating how expansive Mueller's investigation of Manafort has been. 1298

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