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The US surgeon general issued an advisory Thursday recommending that more Americans carry the opioid overdose-reversing drug, naloxone.The drug, commonly known as Narcan, can very quickly restore normal breathing in someone suspected of overdosing on opioids, including heroin and prescription pain medications.Dr. Jerome Adams emphasized that "knowing how to use naloxone and keeping it within reach can save a life." To make his point, Adams relied on a rarely used tool: the surgeon general's advisory. The last such advisory was issued more than a decade ago and focused on drinking during pregnancy.Adams noted that the number of overdose deaths from prescription and illicit opioids doubled in recent years: from 21,089 deaths across the nation in 2010 to 42,249 in 2016.America's top doctor attributed this "steep increase" to several contributing factors, including "the rapid proliferation of illicitly made fentanyl and other highly potent synthetic opioids" and "an increasing number of individuals receiving higher doses of prescription opioids for long-term management of chronic pain.""Research shows that when naloxone and overdose education are available to community members, overdose deaths decrease in those communities," Adams said. Naloxone is used by police officers, first responders and emergency medical techs to reverse opioid overdoses. Adams added that increasing both the availability of naloxone and effective treatment is critical to ending the opioid epidemic.Speaking at the National Prescription Drug Abuse & Heroin Summit in Atlanta on Thursday morning, Adams addressed the potential "moral conflict" felt by some people who believe that providing naloxone "doesn't make a difference," since many people with drug addictions will just "go on and misuse substances again.""Well, that would be like me saying 'I'm not gonna go do surgery on this trauma patient because they're just gonna go out and speed again,' " he said.Adams noted that in most states, people who are or who know someone at risk for opioid overdose can get trained to use naloxone properly and also may receive naloxone by "standing order" -- without a prescription -- from pharmacies or some community-based programs."No mother should have to bury their child ,and especially not when there's a life-saving medication that virtually anyone can access," Adams said. "It is for this reason that I am issuing the first Surgeon General's Advisory in 13 years."The-CNN-Wire 2484

The Russian embassy in Washington asked its Twitter followers to vote for which US consulate they'd like to see shuttered Monday, after the Trump administration announced it would close down the Russian consulate in Seattle and expel 60 alleged spies throughout the country.In the poll, they offer the three US consulate locations in Russia as options: St. Petersburg, Vladivostok and Yekaterinburg.The US decided to shut down the Seattle consulate because of its proximity to a submarine base, senior administration officials said Monday, and expel the diplomats for "aggressive" intelligence collection. The move is part of an international effort to punish Russia's government for the alleged poisoning of a former Russian spy and his daughter in Great Britain. 772

The Trump administration was moving ahead early Tuesday with the execution of the first federal prison inmate in 17 years after a divided Supreme Court reversed lower courts and ruled federal executions could proceed.Daniel Lewis Lee had been scheduled to receive a lethal dose of the powerful sedative pentobarbital at 4 p.m. EDT Monday. But a court order issued Monday morning by U.S. District Judge Tanya Chutkan prevented Lee’s execution.A federal appeals court in Washington refused the administration’s plea to step in, leaving the hold in place, before the Supreme Court acted by a 5-4 vote. Still, Lee’s lawyers insisted the execution could not go forward after midnight under federal regulations.With conservatives in the majority, the court said in an unsigned opinion that the prisoners’ “executions may proceed as planned.” The four liberal justices dissented.Lee’s execution was scheduled for about 4 a.m. EDT Tuesday, according to court papers.The Bureau of Prisons had continued with preparations even as lower courts paused the proceedings.Lee, of Yukon, Oklahoma, has had access to social visitors, visited with his spiritual adviser and has been allowed to receive mail, prison officials said. The witnesses for Lee are expected to include three family members, his lawyers and spiritual adviser.Lee was convicted in Arkansas of the 1996 killings of gun dealer William Mueller, his wife, Nancy, and her 8-year-old daughter, Sarah Powell.“The government has been trying to plow forward with these executions despite many unanswered questions about the legality of its new execution protocol,” said Shawn Nolan, one of the attorneys for the men facing federal execution.The decision to move forward during a global health pandemic that has killed more than 135,000 people in the United States and is ravaging prisons nationwide, drew scrutiny from civil rights groups as well as family of Lee’s victims.Some members of the victims’ family argued they would be put at high risk for the coronavirus if they had to travel to attend, and sought to delay the execution until it was safer to travel. Those claims were at first granted but also eventually overturned by the Supreme Court.Critics argue that the government is creating an unnecessary and manufactured urgency for political gain. The developments are also likely to add a new front to the national conversation about criminal justice reform in the lead-up to the 2020 elections.Two more executions are scheduled this week, though one, Wesley Ira Purkey, was on hold in a separate legal claim. Dustin Lee Honken’s execution was scheduled for on Friday.A fourth man, Keith Dwayne Nelson, is scheduled to be executed in August.In an interview with The Associated Press last week, Attorney General William Barr said the Justice Department has a duty to carry out the sentences imposed by the courts, including the death penalty, and to bring a sense of closure to the victims and those in the communities where the killings happened.But relatives of those killed by Lee strongly oppose that idea. They wanted to be present to counter any contention that it was being done on their behalf.“For us it is a matter of being there and saying, `This is not being done in our name; we do not want this,’” said relative Monica Veillette.The federal prison system has struggled in recent months to contain the exploding number of coronavirus cases behind bars. There are currently four confirmed coronavirus cases among inmates at the Terre Haute prison, according to federal statistics, and one inmate there has died.Barr said he believes the Bureau of Prisons could “carry out these executions without being at risk.” The agency has put a number of additional measures in place, including temperature checks and requiring witnesses to wear masks.But on Sunday, the Justice Department disclosed that a staff member involved in preparing for the execution had tested positive for the coronavirus, but said he had not been in the execution chamber and had not come into contact with anyone on the specialized team sent to handle the execution.The three men scheduled to be executed this week had also been given execution dates when Barr announced the federal government would resume executions last year, ending an informal moratorium on federal capital punishment as the issue receded from the public domain.Executions on the federal level have been rare and the government has put to death only three defendants since restoring the federal death penalty in 1988 — most recently in 2003, when Louis Jones was executed for the 1995 kidnapping, rape and murder of a young female soldier.In 2014, following a botched state execution in Oklahoma, President Barack Obama directed the Justice Department to conduct a broad review of capital punishment and issues surrounding lethal injection drugs.The attorney general said last July that the Obama-era review had been completed, clearing the way for executions to resume.___Associated Press writers Colleen Long and Mark Sherman in Washington, Michael Tarm in Chicago and Andrew DeMillo in Little Rock, Ark., contributed to this report. 5150

The suspect who opened fire during a Madden video game tournament in Jacksonville, Florida, on Sunday actively targeted other gamers in his shooting spree, Sheriff Mike Williams said.David Katz, a 24-year-old gamer from Baltimore, Maryland, was in town for the tournament at GLHF Game Bar at the Jacksonville Landing, a downtown shopping and dining complex. He walked past patrons in other parts of the restaurant and then opened fire on his fellow competitive gamers before killing himself, Williams said.The shooting left two people dead, 10 injured from gunshots and one person with a non-gunshot injury, Williams said. All of the injured are expected to survive, he said."As bad as this is, it could have been much worse," Williams said. 749

The Trump administration has reportedly reversed a decision made earlier in the day to deny sending relief to California for several wildfires that have scorched the state. Wildfires in California have burned a record-breaking 4 million acres in 2020, with many still burning. In a tweet Friday afternoon, California Governor Gavin Newsom said “Just got off phone with @realDonaldTrump who has approved our Major Disaster Declaration request.” 451