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A New Jersey man became the ninth American to die at a Dominican Republic resort over the past year, as authorities say the island nation is safe for visitors. According to 185

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 wet spring in Las Vegas has spawned hordes of grasshoppers so large, they're showing up on the weather radar.In viewing the radar, CNN meteorologist Allison Chinchar said it looked like there were two storms over the Vegas area: one north of the city (that was actual rain) and another right over Las Vegas. But the second one wasn't moving as rain normally would, she said."It looked as though it should be torrentially downpouring in Las Vegas," said Chinchar.By changing the settings on the radar, meteorologists could see that the other "storm" was actually the massive hordes of grasshoppers that have settled over the city in recent days, Chinchar said. 673

A shop selling President Donald Trump-themed merchandise in a strip mall in suburban Philadelphia has emerged as a magnet for the president’s backers and a reflection of Pennsylvania’s status as a political battleground this year. The Trump Store in Bensalem sells hats, T-shirts, mugs, water bottles and even an inflatable Trump-shaped innertube. On a recent weekday afternoon, it did steady business over about three hours, with two to three customers continually streaming in and out. Bensalem, in Bucks County, voted for the Democrat in the last two presidential elections despite Republicans’ cutting into Democrats’ margins. Trump won Pennsylvania over Hillary Clinton by less than 1 percentage point in 2012.Photo caption: In this Thursday, Feb. 13, 2020, photo, a man walks to The Trump Store in Bensalem, Pa. The shop selling President Donald Trump-themed merchandise in a strip mall in suburban Philadelphia has emerged as a magnet for the president’s backers and a reflection of Pennsylvania’s status as a political battleground this year. (AP Photo/Matt Slocum) 1085

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