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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

Americans are expected to spend more than billion for Valentine's Day this year, according to the National Retail Federation. While it probably comes as no surprise that at least half of that dollar figure will be spent on spouses and significant others, .7 billion will be spent on pets, the NRF found. That figure means the average consumer will spend .21 on pets this year. Spending on pets for Valentine’s Day has seen a huge increase over the years. In 2010, Americans collectively spent 0 million on pets. “We’ve always heard of puppy love, but pets are definitely seeing a larger share of Valentine’s Day spending,” Prosper Insights Executive Vice President of Strategy Phil Rist said. “Husbands and wives don’t need to be worried if their spouses are buying a Valentine’s Day gift for someone else – most likely it’s greeting cards for their children’s class at school, flowers for a family member or maybe a treat for the family dog.”Overall, Valentine’s Day spending is expected to jump from .7 billion in 2019 to .4 billion in 2020. The NRF expects that consumers will spend .1 billion on significant others, .2 billion on other family members, .1 billion on friends, .8 billion on co-workers and .5 billion on others. The total dollar figure spent by Americans on Valentine's Day has nearly doubled in the last decade. The average expected spending went from 3 to 6 per person over the last decade. The NRF estimates that 37% of all Valentine’s Day spending is on flowers, followed by 34% on an evening out, and 21% on jewelry. Men plan to spend more than women at 1.15 compared with 6.22, according to the study. 1679

A person driving a Walmart electric scooter was arrested last weekend for allegedly driving the scooter drunk on a roadway. Police in Clarksville, Tennessee, said that the driver of the scooter was one of 14 arrested over the weekend in the city for allegedly driving while intoxicated. 298

A tornado has killed one person in central Louisiana, authorities said Monday.Vernon Parish Sheriff's Office Chief Calvin Turner said authorities received a report of one fatality in a rural area of the parish, which is located northwest of Lafayette. Turner said the death was due to damage in a home. He didn't have any additional details.The National Weather Service earlier issued a tornado emergency, the highest criteria for a tornado warning, for Rapides Parish, east of Vernon Parish. This includes the town of Alexandria. A large tornado was confirmed near the Alexandria International Airport.Alexandria police said there are no reports of injuries in the parish. Several structures were damaged, police said.Video showed an overturned vehicle and debris in Alexandria.Tornado warnings and watches have been issued for parts of Louisiana, Mississippi, Arkansas and Texas, the 898

A Tulsa, Oklahoma, woman is urging brides to use more caution when selecting a wedding photographer than she did. "I was planning this since I was a little girl and it turned out just the way I wanted it and I have no pictures," Natalie Barney said. Barney was on a tight budget for her big day. "I just wanted a small wedding, but it had to be big enough for everyone to see my pink dress," Barney said.When she saw an advertisement for an "affordable" photographer on Facebook, she clicked on it. The bride-to-be messaged April Keller, owner of Queen Bee Photography - Stillwater, who she said quoted her 0 for 100 photos. "I saw her pictures on Facebook and they looked good," Barney said. It was a photo of a bride in her wedding dress surrounded by her bridesmaid in pink dresses that caught her eye. Queen Bee's post said "Wedding Samples" and showed several other stunning wedding photos. An online image search found the photos were on Pinterest and linked back to websites for designers, like Hayley Paige and Jenny Yoo. Barney did not know that at the time she booked.She said she met up with Keller before the wedding and provided her with a list of about 40 photos she wanted, including shots with her bridesmaids, close family, of her cake and so on. The two also agreed Keller was also going to be in charge of taking photos at a photo booth at the reception. August 1 was her big day. She said that was the day she started worrying. "She was trying to take pictures off of his flash," Barney said about Keller. "She was waiting for him to take a picture and whenever he would take a picture, she would take a picture."At the wedding, Barney said Keller admitted she was having camera issues and her flash did not work. Barney said she was worried about her photos from that moment on. "She messaged me [after the wedding] and asked if I could get the pictures my 10-year old niece took so she could edit those," Barney said. Barney was sent a handful of pictures through Facebook messenger but not near the 100 she paid for. "There are only three that are good pictures," the bride said. "They are pictures that I could have taken." In Facebook messages provided by Barney, Keller admits the pictures did not turn out well. It was heartbreaking news for the bride because she had family fly in from out of state for the occasion.As a consolation, Barney said Keller offered her a free family photo shoot with her children and grandchildren. On the day of the shoot, about 10 members of Barney's family went to the location they chose in coordinating outfits, but Keller did not show up. "I didn't think I could be more hurt than I was after my wedding and that happened and then I just gave up," Barney said. Keller said over the phone that her husband had health issues after Barney's wedding. She also said she is not operating Queen Bee Photography any more. A post on the business's Facebook page a day after a reporter spoke to Keller on the phone said, "I'm closing this company to open the chapter of my life if you get an invite from me please accept."We found a new photography business that her name and phone number are listed on called A-game Photography. "You get what you pay for," Barney said. "You get what you pay for. If you're going to try to save money on any part of your wedding, don't let it be the photographer." 3367