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For frontline healthcare workers battling COVID-19, the hospital can feel like a war room. Patients are in need of quick help. Some face life-threatening symptoms that need immediate care. Some cannot be saved.They are split-second decisions that have to be made as more patients funnel into hospital beds, and the effects can weight heavily on those tasking with making them.“The mental health symptoms tend to peak about 12 months after the actual event,” said Dr. Chris Thurstone, director of behavioral health at Denver’s largest hospital, Denver Health.In January, a few months before the pandemic hit, Denver Health implemented a program developed at Johns Hopkins called Resilience in Stressful Events (RISE) to help its employees deal with burnout symptoms, unknown to the influx that was to come.In the first few weeks of the program, the hospital’s drop-in center saw around 30 hospital employees a day. Now, months into the pandemic the same drop-in center is seeing more than 300 hospital employees a day.“[Frontline healthcare workers] describe it as this different of burnout than they’ve felt before,” said Dr. Thurstone.“We’re certainly seeing increased rates of people who are struggling and having a difficult time,” added clinical psychologist Dr. Thom Dunn.It is an unprecedented challenge among doctors, nurses, and other hospital staff that is not only being felt in the United States but globally.Researches in Wuhan found 30 to 50 percent of healthcare providers were in a burnout stage before COVID-19. Now, that number is up to 75 percent of healthcare providers.“Depression, anxiety, insomnia, substance use: those are the four things we watch out for,” said Dr. Thurstone. “As things start to settle down and people actually get a chance to breathe and think and be themselves again, they might notice that they’re not completely themselves.”The RISE program offers counseling and an area for frontline workers to take a load off, through board games and other activities that could help ameliorate the stressors they are experiencing elsewhere in the hospital.At Denver Health, calls into RISE have increased tenfold as well, proving that once COVID-19 becomes manageable, another epidemic may soon start to emerge.“We can’t just get through COVID and then pretend nothing happened,” said Dr. Thurstone. “This is placing a stress and strain on every human being, and healthcare workers are human beings and no exception.” 2458

Food flew off the shelves in March when the national emergency for COVID-19 was announced. Now, grocers and food manufacturers are working to make sure that doesn’t happen again this winter.“We are a specialty market focusing on the meats and protein,” said Mike Silvestri, general manager at one of three Tony’s Meats & Market locations.Like many grocery stores, both big and small, Tony’s Meats & Market saw the disruption in the supply chain back in March.“What really screwed up a lot of things in this pandemic was people were buying way more than they normally do, not necessarily here, but in the grocery sector in general,” Silvestri said. It's something he is trying to avoid moving forward.“We don’t need to panic buy. I think you buy what you need for the week like you're normally shopping,” he said. “So, just remain calm.”As U.S. coronavirus cases continue to rise--paired with flu season, holidays, and other factors--experts are once again concerned about what the impact on the supply chain might be. So, grocers and food manufacturers are preparing for whatever may come with the winter season, many resorting to stockpiling themselves to avoid running out.“On one side, they're building up inventory to make sure they're ready for it. But on the other side inventory is additional costs,” Jack Buffington, a supply chain expert and professor at the University of Denver, said. “Their concern is the weeks of inventory they had before the pandemic hit was not sufficient for them to run out of supplies. So, particularly for big events like Thanksgiving, to make sure they have ample supply because that's a big moneymaker for them.”For large chain grocery stores, stockpiling in large warehouses is a viable option. For smaller grocers like Tony’s, they only have so much space.“We do have a warehouse. It’s not as monstrous as most people would imagine,” Silvestri said.The company has already prepared by buying pallets of food items to keep at their warehouse to get through the season. “What we would call necessities like pastas, ground beef, pasta sauces, canned items, things like that,” he said.A buyer for Tony’s told us even with the gap of up to three months in June to start getting stuff back in stock, they’ve been stockpiling staple items since March for this winter.“Christmas has begun October 1,” Buffington said. “The entire supply chain is moving things forward. For one reason due to the risk of supply and demand.”“We all had to be on the ball a little bit early this year. Obviously, we start pretty early as it is but because of all the COVID-19 stuff we’ve had to really be mindful of how much we’re looking to shoot over,” Silvestri said. Silvestri said he sees everyone getting concerned about not having enough supply or demand, due to uncertainty.“COVID-19 was a complete catalyst of what you're seeing as a redefinition of the supply chain and the economy,” Buffington said. “I think everybody’s getting scared of not having enough supply and not having enough demand.”As Silvestri and the rest of the crew at Tony's prepare for an uncertain Thanksgiving and Christmas, he says they feel ready.“The pace since COVID-19 started has really been a holiday pace anyway,” he said. 3240

Former US Senate candidate Roy Moore has filed a countersuit against Leigh Corfman, one of the women who accused him of making unwanted sexual advances.Moore is asking an Alabama state judge to stop all proceedings in Corfman's defamation lawsuit, calling the lawsuit "frivolous and groundless," according to the countersuit filed late Monday in Circuit Court in Montgomery County, Alabama. Corfman sued Moore in January."This is and has been a political attempt to smear the good name and reputation of Judge Roy Moore, and we will not let this injustice continue," Melissa Isaak, one of Moore's attorneys, said in a statement. "Yesterday, we filed claims for slander and defamation against Leigh Corfman, and claimed damages for attorney fees under the Alabama Litigation Accountability Act."CNN has reached out to Corfman's attorney.Moore's countersuit comes after Montgomery Circuit Judge Ronan Shaul last week denied a motion from Moore's legal team to dismiss Corfman's lawsuit, CNN affiliate WSFA reported.The judge also refused to move the suit from Montgomery County to Etowah County, the station reported.In the statement, Isaak said: "We also continue to argue that this case should be tried in Etowah County, and wonder why Leigh Corfman has chosen to file this case in Montgomery and not Etowah County, where both she and Judge Moore reside and where her character and reputation are well known."Corfman told The Washington Post?in November that Moore molested her when she was 14 and he was in his 30s. Moore later said he didn't know her.Moore has denied allegations from a number of women who have come forward accusing him of sexual assault and misconduct.President Donald Trump and the RNC backed Moore in his US Senate race last year, despite the allegations, which dogged him during the campaign.Last December, Democrat Doug Jones, upset Moore to win the Senate race. 1915

For 11 days, as a series of women testified that Bill Cosby had drugged and sexually assaulted them, the comedian's wife, Camille, stayed away.But on Tuesday, she made her first appearance as his lawyers presented closing arguments in Cosby's retrial on three counts of aggravated indecent assault. Camille Cosby, in a flowing orange-and-white jacket, smiled as she held her husband's arm and walked from an SUV to the Montgomery County Courthouse in Norristown, Pennsylvania.Bill Cosby wore a dark suit as the couple, escorted by court officers, declined to comment.Cosby has pleaded not guilty. This is the comedian's second trial after jurors failed to reach a unanimous verdict in the first case.The core of the case against Cosby comes from Andrea Constand, who says Cosby drugged her and then assaulted her at his home in January 2004. Constand worked for the Temple University women's basketball team at the time, and Cosby, a Temple trustee, mentored her and then betrayed that trust, she testified. 1015

Fentanyl is now the most commonly used drug involved in drug overdoses, according to a new government report. The latest numbers from the US Centers for Disease Control and Prevention's National Center for Health Statistics say that the rate of drug overdoses involving the synthetic opioid skyrocketed by about 113% each year from 2013 through 2016.The number of total drug overdoses jumped 54% each year between 2011 and 2016. In 2016, there were 63,632 drug overdose deaths.According to Wednesday's report, which analyzed death certificates for drug overdose deaths between 2011 and 2016, fentanyl was involved in nearly 29% of all overdose deaths in 2016. In 2011, fentanyl was involved in just 4% of all drug fatalities. At the time, oxycodone was the most commonly involved drug, representing 13% of all fatal drug overdoses.From 2012 to 2015, heroin became the most frequently involved drug in overdose deaths. In 2011, the number of fatal heroin overdoses was 4,571, or 11% of all drug fatalities. In 2016, that number more than tripled to 15,961 deaths, representing a quarter of all drug overdoses that year.The authors of the new study also found that most overdoses involved more than one drug. In 2016, 2 in 5 cocaine-related overdose deaths also involved fentanyl. Nearly one-third of fentanyl-related overdoses also involved heroin. More than 20% of meth-related fatal overdoses also involved heroin. 1423

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