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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 Texas police officer shot his adult son Saturday, thinking he was an intruder.Dispatchers received a call around 6 p.m. CDT from a man reporting a shooting at his home. The man said he was an off-duty Dallas officer who mistook his son for an intruder and accidentally shot him, according to a release from the DeSoto Police Department. DeSoto is a city south of Dallas.When officers arrived on scene, they found the victim bleeding from his right forearm. The victim was taken to a hospital with non-life-threatening injuries, the release said."It was a startling situation, it was an accident," Pete Schulte, DeSoto police spokesman, told 655

A woman was arrested in Crossville, Tennessee, after allegedly riding an electric shopping scooter from Walmart to Waffle House. Crossville police said 45-year-old Sally Selby was charged with theft after officers pulled her over driving in the slow lane on Main Street. She claimed she got the cart from Walmart and was driving it to Waffle House to get a cup of coffee.Selby told police she had built the cart and someone had ripped the lights off of it. Walmart employees confirmed the cart belonged to them. Investigators said surveillance video showed her enter the store and began shopping with the scooter. She then exited and drove through the parking lot, police said. The scooter was later returned to the store. 736

After Denmark's Prime Minister Mette Frederiksen said that Greenland is not for sale, President Donald Trump said on Tuesday evening that he will postpone an upcoming meeting between the two leaders, citing Frederiksen's comments as the reason. Trump said on Sunday that his meeting with Frederiksen was "not for this reason at all. But we're looking at it."But Trump's tweet goes against what he said on Sunday. "Denmark is a very special country with incredible people, but based on Prime Minister Mette Frederiksen’s comments, that she would have no interest in discussing the purchase of Greenland," Trump tweeted, "I will be postponing our meeting scheduled in two weeks for another time. The Prime Minister was able to save a great deal of expense and effort for both the United States and Denmark by being so direct. I thank her for that and look forward to rescheduling sometime in the future!"Trump's interest in Greenland was revealed last week. The island, which is the world's largest by land area, has 55,000 residents. While Greenland is an autonomous nation for domestic issues, Denmark manages the island's foreign policy.Frederiksen 1162

A shooting at a Mississippi Walmart left two people dead, a police officer wounded and a community in shock.But if not for recent active shooter training, the outcome could have been far worse, police said.The gunfire broke out Tuesday morning at a store in Southaven, the 285

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