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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 almost 30 years, John Chhan and his wife, Stella, ran the doughnut shop in Seal Beach, California, a constant, reassuring part of countless customers' lives. But now the hard-working couple is facing a medical crisis, and their patrons are returning the sweetness.Since Stella suffered a brain aneurysm last month, John has longed to spend as much time as he can with her."She's in a nursing home," Chhan said. " My sister-in-law is here helping me."With a business to run and bills to pay, the doughnuts still have to roll. Chhan thought he would have to spend most of his time working at the doughnut shop -- away from his wife. 642

Firefighters in western Colorado hope a winter storm could spell relief from a rash of wildfires that have spread throughout the state this week. But between now and Saturday evening, firefighters will face more warm temperatures and gusty weather, which could fuel the spread of the six major wildfires.Between Wednesday evening and Thursday evening, the East Troublesome Fire exploded in size from 20,000 acres to 170,000 acres — the second-largest in state history.A cold front slowed the spread of that fire on Thursday evening, but hundreds of evacuations remain in place in Grand and Larimer Counties. Rocky Mountain National Park also remains closed due to its proximity to the fire.As of 10:30 a.m. ET, the fire was burning 170,163 acres and was only 5% contained. It's just the latest in a historic wildfire season in the state that has seen the state's four largest wildfires of all time.The East Troublesome Fire is confirmed to have caused "minor" injuries to one firefighter thus far.After a slight warmup early Saturday, another cold front will dip into Colorado that evening and into Sunday morning, bringing a projected five inches of snow to much of the Denver metro area and higher amounts to the west and northwest.While heavy snowfall in the north-central mountains isn't guaranteed to put an end to the East Troublesome, Cameron Peak, Calwood, Lefthand Canyon, Middle and Williams Fork fires, the precipitation will surely give firefighters a spell of relief and allow crews to fight the fires more directly.Before Saturday's cold front, though, crews face more warm, dry weather in the mountains and gusty conditions ahead of the front. Winds could gust up to 50-70 mph along the Berthoud Pass and 20-25 along mountain valleys, creating critical fire conditions again, according to the National Weather Service.The conditions could create rapid fire growth, though the relative humidity should be better Saturday than we've seen this week.When the snow begins Saturday night, up to a foot could fall in some areas of the mountains, and the snow should stick around into Monday, according to the weather service.This story was originally published by Ryan Osborne on KMGH in Denver. 2212

FORT WAYNE, Ind. — A man who lost an eye after being struck by a tear gas canister police in Indiana fired during a May protest over George Floyd’s death is suing the city and a police officer. Twenty-one-year-old Balin Brake's federal lawsuit contends the injury “has permanently changed his life." He's seeking damages from the city of Fort Wayne and the unidentified officer who fired the canister. The Journal Gazette reports that Brake's right eye had to be surgically removed after it was struck by a tear gas canister during the May 30 protest. City spokesman John Perlich declined to comment on the pending litigation. 634

For my birthday, Kanye got me the most thoughtful gift of a lifetime. A special surprise from heaven. A hologram of my dad. ??? It is so lifelike! We watched it over and over, filled with emotion. pic.twitter.com/jD6pHo17KC— Kim Kardashian West (@KimKardashian) October 29, 2020 286