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For many of us, the word “outbreak” has taken a more personal meaning this year.For the people of Austin, Indiana, it’s not the first time they’ve dealt with an outbreak.“We’re an itty-bitty town, but we got big city problems,” said Austin resident Ethan Howard.By 2015, the opioid crisis had ravaged Howard’s hometown for years. People became hooked on painkillers and often used needles to take them. The same syringes would be passed from person to person.Dr. William Cooke arrived in Austin in 2004. Back then, he was the town’s only doctor. In fact, he was the town’s first doctor in a generation. He says he saw several issues in the southern Indiana community, including people’s health to poverty.As the opioid crisis started to wrap its grip across parts of the country, Dr. Cooke says he started to see another health issue spread in the community, starting around 2010.“What we saw was a really quick in dramatic rise in Hepatitis C around that time,” Dr. Cooke said. “Any community that has a high Hepatitis C rate is at high risk for an HIV outbreak.”By 2015, the opioid crisis had ravaged the city for years.“Opiates were my devil,” Howard recalled.Howard says his mom convinced him one day to go get tested, after he says he had shared a needle with his cousin.His test revealed he was positive for HIV.“I thought I was dead. I thought it was a death sentence,” Howard said.He wasn’t alone with testing positive for HIV in Austin.“In that first year, we had almost 200 cases,” Dr. Cooke said. “It was almost a quarter of the HIV cases in the state and this is a town of 4,200 people.”Austin had become home to one of the largest HIV outbreaks in rural America ever.Dr. Cooke helped convince then-Indiana Gov. Mike Pence to change his stance on needle exchanges.“It took a few months, but eventually, he signed the executive order allowing us to operate syringe service programs here,” Cooke said.That program, access to addiction recovery services and powerful HIV medicine has led to a dramatic drop in new cases.In 2015, Scott County, Indiana had 157 new HIV cases. In 2019, the county had only five, according to the Indiana Department of Health."The medications today are powerful enough and well tolerated enough that you should not spread the disease to anyone else and you should never worry about dying from HIV,” Dr. Cooke said.Dr. Cooke says Austin is still working to overcome some of the social challenges he found when he first arrived in the community in 2004.It’s been five years after the largest HIV outbreak in Indiana history. Like many communities across the world, this one is now dealing with the impacts of COVID-19.Nurse Jessica Howard is a proud native of Austin. She’s seen the challenges her community has faced over the years. She also sees the good in Austin, pointing to a local church pantry providing food and clothes to those in need.Jessica Howard in charge of coronavirus testing at Dr. Cooke’s office. She grew up in Austin and knows many of the patients that come through the door.As of early July, Scott County has not seen a large amount of coronavirus cases like other parts of the country, but the nurse worries about her patients that struggle with addiction who are now in quarantine and could relapse."These are people these are our people and we have to take care of them and protect them,” she said.Austin has come a long way from where it was in 2015, when HIV spread through a large part of the community.Last year, Dr. Cooke was named by American Academy of Family Physicians the AAFP 2019 Family Physician of the Year for his efforts to help stop the 2015 HIV outbreak.As for Howard, he says medication has made it so HIV is no longer detectable in his blood.He now travels as a musician and points to music as a source of strength that helped him through the darkest of times.“I fought and clawed my way out of a dark place,” Howard said.His fighting spirit is one this small Indiana city has used to battle through crisis before.“We’ve been through a healthcare disaster before,” Dr. Cooke said. “And there is a light on at the end of a tunnel.”It’s a mindset Dr. Cooke says we need now, as we all fight this new crisis of a coronavirus pandemic. 4221

For most of us, human interaction now takes place at the grocery store, in small gatherings, or through the virtual world of zoom. "It's still interactive and they can see people they know." Virtual get-togethers are popular and sometimes the only way Myron Stam's clients can talk to, and see other people."They like that closeness, there are those where that's the only interaction they have," Stam said. Before to March 19, Stam ran the 33-year-old motor coach tour company, Daytripper, that gives tours to places near and far across the state. "We toured the rose parade, Los Angeles festivals, the Getty center." The majority of Stan's clients were 65 and up, also known as a vulnerable demographic amid COVID. But age didn't mean the group wasn't tech savvy, when Stam switched from the roads to the screens with virtual tours, sign-ups skyrocketed. "They're educational and they give the opportunity to connect with others who share the same interest," Stam described.Through payroll protection assistance in March, he created virtual tours twice a week. They're now popular with San Diegans and allow those nationwide, to see America's finest city without the price of a flight, "A bus we filled with 52 people, we can now fill with hundreds. It's maybe enough to carry us through until actual tours start bouncing back." 1338

Following Bill Clinton’s sharp rebuke of President Donald Trump Tuesday evening, Barack Obama gave his sharpest scolding of Trump since inauguration day.In Obama’s speech he delivered Wednesday at the Democratic National Convention, Obama lashed Trump for his approach to the presidency.“I did hope, for the sake of our country, that Donald Trump might show some interest in taking the job seriously; that he might come to feel the weight of the office and discover some reverence for the democracy that had been placed in his care,” Obama said.“But he never did. He’s shown no interest in putting in the work; no interest in finding common ground; no interest in using the awesome power of his office to help anyone but himself and his friends; no interest in treating the presidency as anything but one more reality show that he can use to get the attention he craves.”Obama, who was largely silent during the first three years of Trump’s tenure, has become more vocal during this election year. While generally avoiding direct shots at Trump, Obama has prodded Trump for his handling of a number of situations. But his speech Wednesday went as the sharpest reproach Obama has delivered on Trump.“Donald Trump hasn’t grown into the job because he can’t,” Obama said. “And the consequences of that failure are severe. 170,000 Americans dead. Millions of jobs gone. Our worst impulses unleashed, our proud reputation around the world badly diminished, and our democratic institutions threatened like never before.”Trump, who got word late Wednesday of Obama’s censure, responded in kind.“When I listen to this and see the horror that he left us, the stupidity of the transactions that he has made. Look what we are doing,” Trump said. Trump continued by boasting about building the border wall and improving the economy since Obama left office."“President Obama did not do a good job,” Trump added. “The reason I am here is because President Obama and Joe Biden, because if they did a good job, I would not be here. Probably if they did a good job, I would not have even run. I would've been very happy.” 2113

French President Emmanuel Macron tested positive for COVID-19 on Thursday, according to CNN and the Associated Press.Macron's office confirmed Thursday that the 42-year-old Macron received a test after experiencing symptoms of the virus, which later came back positive.Macron will isolate himself for seven days but will continue to carry out his duties as president remotely.Macron's wife, Brigitte, 67, has no symptoms but will also self-isolate. She tested negative for the virus on Thursday, according to the Associated Press.According to CNN, Macron has met with several other world leaders in recent days, many of whom have now said they plan to isolate. Among them is Spanish Prime Minister Pedro Sanchez and European Council President Charles Michel. French Prime Minister Jean Castex is also self-isolating.The Associated Press also reports that Macron met with the prime minister of Portugal on Wednesday.Macron's planned trip to Lebanon next week has been canceled.Macron is just the latest world leader to test positive for the virus. President Donald Trump contracted the virus in October, which resulted in a short stay in the hospital. Several other top White House officials also contracted the virus.British Prime Minister Boris Johnson contracted the virus this spring and spent a week in the hospital — a stay that included three nights in the intensive care unit. 1391

First of all, let's be clear: Every dog is the best dog, especially yours. But unfortunately, it looks like your drooling, howling, underwear-sniffing, sock-eating angel of perfection is not, you know, especially smart.This distressing news comes?from a new study in the journal Learning & Behavior, which seeks to answer the question, "Are dogs really that special?"While our hearts say yes, the data says no.The study compares canine cognition to other carnivores, social hunters and domestic animals (all groups that dogs fall into). Researchers used existing information on the behavior of several animals, including wolves, cats, dolphins, chimpanzees, pigs and pigeons to see if dogs possessed any special skills that weren't recorded in other species.They did not. 779