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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
A number of companies changed policies and say they plan to offer employees paid sick leave to those sickened or quarantined amid the novel coronavirus outbreak.According to the Washington Post, more than 30 million workers in the U.S. lack access to sick pay, giving them few options to pay bills should they be forced to take time off work if contracting the disease.But this week, companies like McDonald's, Uber and Walmart have announced that they have changed their sick-leave policies in order to prevent the spread of the disease and to support employees that become sick.On Monday, Vice President Mike Pence floated that the Trump administration may soon introduce a stimulus package that would include paid sick leave for some employees, but did not go into specifics.Here's how different companies plan on handling sick leave amid the COVID-19 outbreak.Darden RestaurantsThe parent company of LongHorn Steakhouse, Olive Garden and Yard House restaurants said it would begin offering employees a maximum of 40 hours of paid sick leave a year to all employees.Employees will earn one hour of sick leave for every 30 hours they work. Current employees will receive sick leave for the time they've worked in the past six months.According to 1260

A self-destructing robot will be sent into orbit on the world's first space cleanup mission, European scientists announced Monday, a fresh approach to fixing up the galaxy's junk graveyard.Our orbit is filled with garbage, including chunks of dead satellites, discarded rockets, and paint flecks that have fallen off them. The mission, named ClearSpace-1, will take the first step in tidying up this extraterrestrial wasteland, according to 452
According to the Consumer Product Safety Commission, more than 8,000 Americans end up in the hospital annually this time of year due to a firework-related accident. According to the commission, the majority of the injuries are to the hands and head. Of the injuries, eight were fatal in 2017. Children younger than 15 years of age were responsible for 36 percent of the firework-related hospital visits in 2017. According to a June 2018 report from the Consumer Product Safety Commission, the majority of the injuries were due to misuse or malfunctions of fireworks. "Misuse included: igniting fireworks too close to someone; lighting fireworks in one’s hand; setting off fireworks improperly; having lit fireworks too close to other fireworks/explosives; and touching lit fireworks," a previous report states. "Typical malfunctions included: errant flight paths; early or late ignition; tip-over incidents; and blowout. In addition, debris from fireworks was involved in some of the injuries."Even though sparklers are legal in many jurisdictions, one of the fatalities was from a sparkler.Homemade and altered fireworks accounted for 3 percent of firework injuries. With a few simple precautions, you can stay safe this July 4. Here are 10 tips from the Consumer Product Safety Commission to help you avoid the emergency room. Never allow young children to play with or ignite fireworks.Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.Always have an adult supervise fireworks activities. Parents don't realize that young children suffer injuries from sparklers. Sparklers burn at temperatures of about 2,000 degrees - hot enough to melt some metals.Never place any part of your body directly over a fireworks device when lighting the fuse. Back up to a safe distance immediately after lighting fireworks.Never try to re-light or pick up fireworks that have not ignited fully.Never point or throw fireworks at another person.Keep a bucket of water or a garden hose handy in case of fire or other mishap.Light fireworks one at a time, then move back quickly.Never carry fireworks in a pocket or shoot them off in metal or glass containers.After fireworks complete their burning, douse the spent device with plenty of water from a bucket or hose before discarding it to prevent a trash fire.Also keep in mind different jurisdictions have varying laws involving fireworks. 2522
A Virginia doctor convicted in May of illegally prescribing more than half a million opioid tablets was sentenced Wednesday to 40 years in a federal prison, according to a federal court in Virginia.Joel Smithers, who was convicted of 859 counts of illegally prescribing drugs, had faced between 20 years and life in prison, 336
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