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The United States has more than double the rate of premature overdose deaths of at least 12 other countries, according to a new?study.The research, published Monday in the Annals of Internal Medicine, says that there were an estimated 63,632 drug overdose deaths in 2016 in the US."The U.S. has the highest death rate due to drug overdoses for both men and women (35 deaths in 100,000 men and 20 deaths in 100,000 women) in 2015, more than double those of any other country in our study," Yingxi Chen, one of the researchers and a postdoctoral fellow at the National Institutes of Health's National Cancer Institute, wrote in an email.Mexico had the lowest rates: 1 death per 100,000 men and 0.2 deaths per 100,000 women.The researchers also found that the United States had the second-highest increase in drug overdose deaths: 4.3% per year in men and 5.3% per year in women, Chen said. Only Estonia had a higher increase.Norway was found to have the biggest decrease in drug overdose mortality for the whole population. Decreases were also found among men and women in Mexico, Spanish men and Danish women.Researchers "looked at the trends and patterns of drug overdose deaths among people age 20 to 64 years in 13 countries of the Organisation for Economic Co-Operation and Development?between 2001-2015," Chen said.These countries were Australia, Chile, Denmark, England, Wales (the data for these two countries was combined), Estonia, Finland, Germany, Mexico, the Netherlands, Norway, Spain and the United States."I think it reinforces what we know about the United States but also points out some of the contrast in terms of the ways other countries have dealt with similar issues," said Caleb Banta-Green, principal research scientist at the University of Washington Alcohol and Drug Abuse Institute, who was not involved in the research.Banta-Green and the researchers both point out that opioids play a part in the high levels of drug overdose deaths in the US.The study describes US opioid deaths as "triple epidemic waves," starting with prescription opioid deaths in the late 1990s, heroin deaths beginning in 2010 and finally deaths due to synthetic opioids, which include fentanyl.Other countries have found solutions to high rates of opioid-related deaths, according to Banta-Green, who cited France, which was not included in the research."When France got rid of the restrictions on prescribers using the medication buprenorphine, their national mortality, opiate overdose mortality rate dropped 79%," he said.Buprenorphine is a drug approved by the US Food and Drug Administration that can be used, alongside behavioral therapies and counseling, to help with the treatment of opioid addiction. It is the "first medication to treat opioid dependency that is permitted to be prescribed or dispensed in physician offices, significantly increasing treatment access," according to the US Substance Abuse and Mental Health Services Administration.Banta-Green believes that creating better access to substance abuse disorder treatments, along with a better national understanding that these are treatable medical conditions, would help reduce the number of overdose-related deaths in the US. This includes giving more people access to medications that could help treat and manage opiate addiction."That's really fundamentally what I think we need to take away from these data finding is that there are solutions, other countries have them, and we are not doing the dramatic things that we need to be doing," he said. 3565
The State Fair of Texas will not open for the 2020 season after "extensive consideration of the current landscape related to the COVID-19 pandemic."The State Fair of Texas, which takes place every year in Dallas, made the official announcement on their website."With a heavy heart, we are announcing that the State Fair of Texas will not open for the 2020 season. We believe the spirit of the Lone Star state lies in every Texan’s ability to care and look out for their neighbor and it is with this in mind, we have decided to keep our guests, staff, and partners safe and healthy during these uncertain time," the statement said."We look forward to giving y’all a great big Howdy in 2021."The State Fair of Texas Board of Directors voted to cancel the 2020 State Fair of Texas.“This was an extremely tough decision. The health and safety of all involved has remained our top priority throughout the decision-making process,” said Gina Norris, board chair for the State Fair of Texas. “One of the greatest aspects of the Fair is welcoming each and every person who passes through our gates with smiles and open arms. In the current climate of COVID-19, there is no feasible way for the Fair to put proper precautions in place while maintaining the Fair environment you know and love. While we cannot predict what the COVID-19 pandemic will look like in September, the recent surge in positive cases is troubling for all of North Texas. The safest and most responsible decision we could make for all involved at this point in our 134-year history is to take a hiatus for the 2020 season.”The announcement also said while the State Fair of Texas is canceled for 2020, the NCAA, respective conferences, and participating universities – the University of Texas & University of Oklahoma and Prairie View A&M University & Grambling State University – will be in charge of making decisions regarding the football games that occur at Cotton Bowl Stadium."Should football be played this fall, the schools will be playing in the Cotton Bowl as scheduled, despite the cancellation of the 2020 State Fair. We will share those details as soon as we know more."University of Oklahoma's Vice President and Director of Athletics Joe Castiglione issued a statement after the fair was canceled. “We understand and respect the decision made by the State Fair of Texas and acknowledge that it was an extremely difficult one," Castiglione said in the release. "Our hope remains that we can play the OU-Texas game at the Cotton Bowl, but obviously every aspect of our season requires constant monitoring and planning. The best thing all of us can do at this time is closely follow CDC guidelines to reduce the spread of the virus."This will be the first time since World War II that the State Fair of Texas has not opened. The State Fair of Texas has previously canceled Fairs because of World War I (1918), planning for the 1936 Texas Centennial Exposition and 1937 Pan American Exposition at Fair Park (1935 – 1937), and World War II (1942 – 1945).The 2021 State Fair of Texas is scheduled to run Friday, September 24 through Sunday, October 17 in Fair Park.KXXV's Thalia Brionez first reported this story. 3206
The Trump administration will end the protected immigration status of thousands of Central Americans who have been living in the US nearly two decades, urging Congress to act if it wants to spare those individuals from being uprooted.Department of Homeland Security acting Secretary Elaine Duke has decided to terminate Temporary Protected Status for Nicaragua with a 12-month delay, the department announced Monday night. DHS also said Duke has not been able to reach a decision on Honduras despite different agencies' input, triggering an automatic six-month extension. At the end of that six-month window, the homeland security secretary will make a decision to terminate or further extend the status.The Trump administration has signaled a desire to wind down the protections of Temporary Protected Status, which is an immigration status allowed by law for certain countries experiencing dire conditions, such as a natural disaster, epidemic or war. TPS protects individuals from deportation and authorizes them to work in the US. Without TPS, those individuals revert to whatever status they had previously -- which could leave large numbers as undocumented immigrants.In encouraging Congress to act if it wants to extend those protections permanently, the Trump administration echoed its move in ending the popular Deferred Action for Childhood Arrivals program, which protects hundreds of thousands of young undocumented immigrants brought to the US as children and which President Donald Trump decided to sunset this fall.Both decisions were due by Monday, as the status was set to expire January 5. There is a 60-days-in-advance requirement by law to make a determination on extending or terminating Temporary Protected Status.The roughly 5,300 individuals from Nicaragua affected by this decision have lived in the US roughly 20 years: To qualify for TPS, Nicaraguans must have been living in the US continuously since January 5, 1999, after Hurricane Mitch devastated the country.DHS officials told reporters that Duke did not yet have enough information to make a decision on the 86,000 individuals covered under the Honduran protections, which by law triggers a six-month extension. Hondurans also have to have been living in the US continuously since January 5, 1999 to qualify, also due to Hurricane Mitch.The move was being closely watched and heavily lobbied on both sides.Though the administration says it is evaluating each country on its own, it has been more aggressive than previous administrations in evaluating only whether conditions have improved from what triggered the initial designation, regardless of dire conditions continuing due to other causes. That has the support of conservatives like Senate Judiciary Chairman Chuck Grassley, who wrote DHS last week urging them to not perpetually renew TPS.In the next few months, the status of hundreds of thousands of TPS recipients will be up for decision. The Trump administration has already terminated the status for Sudan, extended protections for South Sudan, and given itself an extra six months to decide on protections for roughly 58,000 Haitians. That will be the next decision due, at the end of the month. When former Homeland Security Secretary John Kelly extended Haitian TPS another six months over the summer, he encouraged recipients to either apply for status under some other means or prepare to depart the US.In extending Nicaraguan protections for a final 12 months, DHS officials on a call with reporters urged those recipients to "seek an alternative lawful immigration status in the United States, if eligible, or, if necessary, arrange for their departure."Coming up early next year is also a decision for El Salvador, with roughly 260,000 people covered from that country, who have lived in the US more than 15 years.One official also called on Congress to act if they want individuals to remain permanently. Democrats have heavily lobbied DHS to preserve the protections, as have advocacy groups and business groups like the US Chamber of Commerce."Only Congress can legislate a permanent solution and provide those in an otherwise perpetually temporary status with a certain future," the official said.Democrats were quick to call out the administration's move. The Congressional Hispanic Caucus called on Congress to act following the administration's "reckless" action."The Trump administration's irresponsible decision to end TPS for Nicaraguans will tear apart families and upend the lives of these hard-working individuals," CHC Chairwoman Michelle Lujan Grisham said in a statement. "These immigrants have lived in the United States for nearly 20 years and have raised US citizen children, contributed to our economy and enriched our communities. Deporting families who are contributing to the economic and social fabric of our nation isn't leadership; it's a reckless and callous abuse of power." 4920
The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472
The US asked China to close Consulate General in Houston in 72 hours. This is a crazy move.— Hu Xijin 胡锡进 (@HuXijin_GT) July 22, 2020 141