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A steady gust of an early winter’s wind was whipping through the last few pieces of corn still left standing on Paul Hamilton’s Northern Kentucky farm, their golden kernels exposed to the elements, naked wilted stalks all but dead. The corn here will soon be gone from this rolling farmland and so too will Paul Hamilton’s prized herd of dairy cows. Paul’s family has been on this 80 acres for three generations. His grandfather first purchased the land in the 1950’s before handing it over to Paul’s father, who ultimately sold it to Paul when he was in his 20’s.A legacy of family farming though will end with Paul Hamilton by the end of the year. He refuses to subject his 16-year-old son John to the uncertain life of farming. “If I had to do it all over again, 29 years ago when my dad offered me the land, I would have turned it down,” Paul admits as he struggles to cut a piece of plastic rope holding together a 100 pound barrel of hay. Paul has taken one vacation day in the last four years. There are no sick days for dairy farmers, no holidays and no weekends. Every day his 35 Holstein cows must be milked at 5 a.m. and then again at 5 p.m. to keep them producing. This 56-year-old hasn’t shaven in days; the bags under his eyes are so heavy they seem to stretch halfway down his face. His boots are caked with a thick layer of mud and manure that refuses to come off no matter how much he washes them. And yet he loves it here, if for no other reason than the fact that he knows no other way of living. “When you’ve done it your entire life, it gets to be where it’s a part of you,” he says leaning against the tire of a 1971 John Deere tractor that he repairs almost daily. Paul admits though that the end is near,“We’re hemorrhaging money. We’ve run through a pretty rough time right now and next year doesn’t look better either.” Last month, the Hamilton family farm lost ,500. The price of milk is playing a large role in the struggle dairy farmers are facing. While most consumers pay an average for a gallon of milk at the grocery store, most farmers only get about from that sale. Nearly 60 dairy farms have shut down across Indiana, Kentucky and Tennessee since the start of the year. Paul’s wife Paula Hamilton has run out of hope. “Always before it was maybe next year we’ll have a better crop, maybe next year prices will go up. And now we’re looking at it and we’re no longer saying next year and that’s really sad,” she said. Sitting in the front yard of the family’s century-old white farmhouse, beneath a bright orange maple tree, a small tear falls down her face.“We no longer have hope it’s going to keep going.” And that is a reality facing hundreds of farmers across the United States right now. A prospect so grim, that some are choosing to take their own lives instead of letting go of farms that have been in their families for decades. “You know I worry about him a lot. He’s working so hard and getting so tired and I wonder if he’s gotten to a point that he can’t come back from emotionally,” Paula says holding her husband’s hand. Farmers are notoriously reserved with their feelings and thoughts. The solitary occupation often leaves some feeling as though they have nowhere to turn as they are facing financial and emotional ruin.According to the University of Kentucky’s Vital Statistics Office, 15 farmers died by suicide in 2015. The number was even higher the year before as 21 farmers took their own lives. Since 2005, 142 farmers died by suicide in the Bluegrass State leaving behind countless broken families and prompting some public health officials to label this a “crisis.” That includes Debbie Reed who has worked as a nurse and professor at the University of Kentucky for nearly three decades. “When someone dies in the farming community people always bring over casseroles, but when someone commits suicide, it’s known as the ‘no casserole death’ because no one wants to bring a casserole over when a person has taken their own life,” Dr. Reed said. Dr. Reed believes suicide in farming communities are vastly underreported mainly because of the stigma associated with suicide, “These people are living in communities where they don’t interact with each other daily, so it’s hard for people to reach out for help.” The prospect of having to give up on his farm by the end of the year has left Paul Hamilton dealing with a severe case of depression. He’s never thought about taking his own life, but his wife Paula says the likelihood of facing financial ruin often leaves her feeling hopeless, “Sometimes I just feel overwhelmed. Sometimes you’re by yourself and at night you’re thinking, ‘God, how could I do it where he gets the insurance,’ but then you think, ‘I don’t need to be thinking this way.” Paula’s hope is that farmers start opening up about their feelings, especially when so many are facing such uncertain futures. Her eyes turn to a grazing herd of cattle nearby, “No one is telling the farmers about it, no one is saying, ‘Hey there’s other people that feel like you feel and it’s okay to feel like that.”’ But even with everything they are facing, both Paula and Paul aren’t ready to give up until they’ve exhausted every option. Their family’s legacy is all they have left.“You’re connected to the land, but the land is killing you.”   If you or someone you know is struggling and in need of help there are number of resources available:National Suicide Prevention Hotline: 1-800-273-8255https://suicidepreventionlifeline.org/ 5626

A survey of parents across the United States estimates that one in 40 children has autism spectrum disorder, according to a study published Monday in the journal Pediatrics.In other words, the condition was reported in 2.5% of children, representing an estimated 1.5 million kids ages 3 to 17.A report released this year by the US Centers for Disease Control and Prevention estimated the prevalence at one in 59 children or about 1.7%, based on 2014 data."Prevalence is not growing that rapidly, although the CDC's data suggests it is still growing," Thomas Frazier, chief science officer of the advocacy organization Autism Speaks, said in an emailed statement. He was not involved in the new report."What is happening is that these studies use methods that are a bit more liberal and inclusive than the CDC's methods," Frazier said, adding that he prefers the CDC's numbers but understands "that they are likely a bit conservative."The new study is based on the 2016 National Survey of Children's Health, which was conducted by the US Census Bureau and which collected information from parents of more than 50,000 children up to age 17. To be included in the estimate, parents would have had to report that their child had ever received a diagnosis of autism spectrum disorder and that they currently had the condition.The new numbers were also slightly lower than those in the 2017 National Health Interview Survey. It estimated that 2.76% of children had ever received such a diagnosis, which the authors of the new report note is a broader definition.The fact that the new study relies on parental reporting -- which is not validated by health and education records, as in the CDC report -- may be a limitation despite the broad scope of the research, the authors say.Frazier said the 1-in-40 figure is "generally consistent with previous parent surveys and other direct prevalence studies where researchers directly screen for and attempt to identify autism."The parents in the new study also reported more difficulties getting the health care their children need, versus those with Down syndrome, or other behavioral disorder, such as attention-deficit hyperactivity disorder."Though we've seen progress in recent years, this confirms what we know from our parents -- that many children face unacceptable delays in getting a diagnostic evaluation, even after parents, teachers or other caregivers have recognized the signs of autism," Frazier said.In the new study, more than a quarter of children with autism spectrum disorder were taking medication for symptoms related to the condition, and nearly two-thirds have received "behavioral treatments" in the past year, the study says.It also found a higher prevalence for autism spectrum disorder among certain groups such as boys, children of single mothers and households below the federal poverty level, compared with those at least four times above that income threshold.The differences between the new study's numbers and those of the CDC study might be explained by the years they were conducted, the ages of children studied and where they lived, according to the new study.The CDC report was based on data collected from 11 communities across the country but was not necessarily nationally representative, according to that report's co-author Daisy Christensen, surveillance team lead in the developmental disabilities branch of the CDC's National Center on Birth Defects and Developmental Disabilities."Parents know their child best," Christensen, who was not involved in the new report, previously told CNN. "We want to encourage parents to be aware of their child's development, to be aware of the milestones that children achieve."Autism spectrum disorder, a lifelong developmental disability, is characterized by problems with communication and social interaction with accompanying repetitive behavior patterns.The authors note that it's difficult to compare the new report with prior iterations due to updates in how the survey collected its data and how questions were worded."We cannot tell what proportion was explained by internal survey changes rather than external factors," the authors wrote.Still, the report comes as estimated prevalences of the disorder have been rising for decades."Over the '80s and '90s, the diagnostic criteria expanded to include more children," Christensen said, "so I think that's definitely a possibility for the increase that we've seen."In the past, more than half of children identified with autism also had intellectual disability, and now it's about a third, she said. "And that's really consistent with identifying children who are perhaps at the milder end of the spectrum."The new study's authors also note that universal screening recommendations in the 2000s may have led to a rise in prevalence among younger children, for example."Because there is no biological marker, [autism spectrum disorder] is a particularly challenging condition to track," the authors note.But understanding how common it is allows health experts to distribute resources and get families the help they need, according to Frazier."Having prevalence estimates -- even if there is some variation -- helps us to advocate for improved screening, diagnosis, interventions and supports," he said. 5314

A Maryland woman says she failed a drug test the day she gave birth to her daughter and was reported to state social workers, all because she ate a poppy seed bagel for breakfast.WBAL-TV in Baltimore reports that Elizabeth Eden ate a poppy seed bagel for breakfast on the morning of April 4. She went into labor later that day and went to St. Joseph Medical Center in Towson to deliver her daughter.However, while she was in labor, a doctor told her she had tested positive for opiates.Poppy seeds come from the same plant which is used to make opium, heroin and other drugs, so it's common for drug tests to pick up on trace amounts of opiates.However, while the federal government measures a positive test at 2,000 nanograms a milliliter, St. Joseph Medical Center measures a positive test at 300 nanograms a milliliter. The hospital says the lower threshold for a positive test means they can treat more children born with drugs in their system — the Baltimore Sun reports that the number of babies born with drugs in their systems increased by 56.6 percent between 2006 and 2015. Eden says the hospital refused to release her daughter to her for five days following the false positive. She also says she was assigned a caseworker, who promptly dropped the case when learning of her breakfast on the morning of April 4.Eden isn't alone. In 2017, an Edgewood, Kentucky woman was assigned a social worker after she tested positive to opioids, saying she ate bagel chips with poppy seeds shortly before giving birth. She later filed a lawsuit against the hospital   1598

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A powerful nor'easter morphed into a "bomb cyclone" Friday as it hammered the East Coast with a ferocious mix of howling winds, drenching rain, some snow and surging waves."Take this storm seriously!" the National Weather Service in Boston warned via Twitter. "This is a LIFE & DEATH situation for those living along the coast, especially those ocean-exposed shorelines."RELATED:?'Bomb cyclone' pounds east coast with heavy flooding, high winds  462