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CHICAGO, Ill. – Shortages of ventilators and personal protective equipment mean many healthcare providers are going into battle unarmed. It’s sparked a heated debate behind closed doors about balancing efforts to save patients versus exposing doctors and nurses to the virus. Who lives? Who dies? Who gets priority to a ventilator? All complex questions health providers are being confronted with. “We've never had this situation before. This is unprecedented,” said Craig Klugman a professor of bioethics at DePaul University in Chicago. Bioethicists say widespread infection, protective equipment and ventilator shortages are creating unique ethical dilemmas for healthcare workers. “We will start to care for the person who is at risk of dying first,” explained Dr. Ricardo Gonzalez-Fisher, a surgical oncologist who teaches healthcare ethics at Metropolitan State University of Denver. “But if we have more people than resources that we have to. Try to save those that are savable.” “The obligation for a healthcare provider to treat the patient doesn't necessarily have a limit,” said Klugman. In Spain, some 13,000 medical workers have been infected. In Italy, more than 60 workers have died since the outbreak began. “It's not just their life. They can assume this risk for themselves,” said Klugman. “If they don’t have the right equipment, they also have the risk of infecting other patients, other healthcare providers. Their family.” Some health systems around the country are reportedly discussing unilateral do-not-resuscitate policies. It’s something that was debated during the Ebola outbreak in 2015. Determining who gets treatment and who does not is something Klugman says is taken very seriously. “We think about it very carefully and with great deliberation.” In Italy, that meant denying some care to the elderly in favor of the young. Klugman says in Illinois, a pandemic flu plan created a decade ago includes care procedures built around ethical frameworks and algorithms that help decide who should for example, get a ventilator. “We have to consider things like what is our most important value. So, the value that we're considering is maximizing the number of years of life that we can save,” said Klugman. Ultimately, a balance must be struck. “You have to make sure that the benefit of the patient overrides the harm or the risk that you're getting in,” said Dr. Gonzalez-Fisher. Otherwise, bioethicists say there may not be enough first responders to treat the infected.“When you call 9-1-1 because your loved one can't breathe, there will be nobody coming. That's the worst-case scenario,” said Klugman. 2653

CHICAGO, Ill. For the last few years, libraries have begun leveraging their resources in the fight against the deadly opioid crisis, providing critically needed information, and services. And while it’s too early to measure the impact they are having, libraries are playing an increasingly active role in prevention and recovery efforts. Every day, 130 Americans die from an opioid overdose. It’s an epidemic that Public Library Association Deputy Director Larra Clark says has placed libraries and their staff on the frontlines. “If there is an issue that's playing out in this country libraries are almost certainly part of that story,” said Clark. According to the Centers for Disease Control and Prevention, from 1999 to 2017, almost 400,000 people died from an overdose involving an opioid, including prescription and illicit drugs. Three overdoses inside the Peoria Public Library in central Illinois in less than a year forced administrators there to act. Deputy director of the Peoria Public Library Roberta Koscielski says on one occasion, a man in the midst of an overdose came up to a librarian in the middle of the day. “He collapsed right in front of her at the desk. So, she called the security card called emergency responders and he was revived with Narcan,” said Koscielski. About 80 staff members at all five of their branches are now trained on how to administer the life-saving overdose antidote Narcan or naloxone. “This role of library as an intermediary intervener supporter is not new but I think this crisis is new and we have to help the people who are coming in our doors” said Clark. The nonprofit Online Computer Library Center released a report this past fall detailing some of the ways libraries are playing a larger part in battling the national opioid crisis. At the top of that list, says Clark, is education. “How can we translate that into better services and support for people for individuals who may be addicted or for their families and their communities?” 7,000 pill bottles representing the number of opioid prescriptions filled each day in Utah hung from the ceiling at the Salt Lake County Library as part of a marketing campaign titled “Use Only as Directed” meant to represent the magnitude of the crisis. Many libraries are stocking books like Sam Quinones’s Dreamland: The True Tale of America’s Opiate Epidemic. “I had no idea when I read it just about the size of the problem and that people can work a job and be very addicted to a substance,” said Koscielski. With the threat from opioids in the form of pills, heroin and fentanyl not going away, Clark says many libraries are helping to search for answers and provide them to those who need them most.“One of the things that we heard from people is do something, right? There's not one right answer to this. It is not going to be libraries alone. It is not going to be any of these other agencies by themselves. This issue is too big.” 2954

In New York City, it easy to hear the present. But to hear the past, you’ll have to step into Rick Kelly’s shop. “Just celebrated 50 years of guitar making,” Kelly says. “1968. I started that. Was the first one I made in high school.” What sets Kelly’s craft apart from other guitar makers is the material he uses.“If you start with really old materials, you're going to have a better instrument,” he explains. The pieces were once part of the deep roots of Manhattan. “Using New York City wood from these old buildings,” Kelly says. “I call it the bones of old New York, because it's the bones of these old buildings from the 1800's down here.” The guitars are handmade of hand-picked scraps of old pine. “We actually have the largest depository of old pine in the world right here in New York City,” Kelly says.All of the building bones is transformed into detailed pieces of playable art. “You can kind of just smell the history back here,” says customer Kelly Wilson. 985

A police body-camera recording released Wednesday shed more light on the house party that earned six Miami University students citations for violating COVID-19 health orders over Labor Day weekend.There were 20 people inside the house on Saturday afternoon, when an Oxford police officer arrived to break up the party. In the recording, he approaches a group of young men sitting outside and asks to speak to someone who lives in the house.One steps forward and admits he knows he’s broken the state’s rule against gatherings larger than 10 people.The officer takes his ID, runs it through a police database and discovers that its owner had tested positive for COVID-19.This exchange follows:Officer: I’ve never seen this before. There’s an input on the computer that you tested positive for COVID.Student: Yes.Officer: When was this?Student: This was a week ago.Officer: Are you supposed to be quarantining?Student: Yeah. That’s why I’m at my house.Officer: So you have other people here, and you’re positive for COVID?Student: I mean…Officer: You see the problem? How many other people have COVID?Student: They all do.Officer: Everybody has it?Student: Well, and them — [gestures to house across the street]Officer: And everybody over here has it?Student: Well, I think two.Officer: That’s what we’re trying to prevent, man.Student: I know.Officer: We’re trying to keep this town open.Student: I know. That’s why I’m staying home.Six men who lived in the house were cited, a civil penalty that carries no criminal charge but comes with a 0 fine.Miami University has been the single largest contributor to Butler County’s case count since mid-August, according to Ohio Gov. Mike DeWine. He and Miami University president Gregory Crawford attribute the school’s cases — 1,084 of them, most diagnosed in the last two weeks — to off-campus house parties exactly like the one recorded over the weekend.Although Miami delayed the start of in-person instruction, Crawford said upperclassmen moved back into town in August and began partying when they got there."Those early weekends in August, we saw an uptick in parties and gatherings,” he said. “I think that’s what is responsible for the surge today.”It’s a surge that is, for now, unique among schools in the Cincinnati area. The University of Cincinnati, a similarly-sized campus, recorded only 147 cases in the last two weeks.Miami has instituted a mandatory testing policy for students, and Crawford on Wednesday announced the school would resume in-person classes starting Sept. 21.A university spokesperson did not respond to questions about whether the students involved in Saturday’s party would be suspended. This article was written by Courtney Francisco for WCPO. 2750

LINWOOD, Kan. – A former animal control officer is fighting with the City of Linwood, Kansas, for a family pet — a pet pot-bellied pig. His name is Dude and he's a 6-year-old Juliana pot-bellied pig. He's the newest member of Bailey Parker's menagerie at her home. He shares the yard with two ducks, four chickens, and occasionally the family's two dogs and cat. "I talk to them all like they're my children. Like, this is my family," Parker said. Dude even comes inside the house, too. Parker said he's more intelligent than her dogs, which the general public doesn't realize. Parker adopted him a few months ago from a goat farm, where he wasn't getting the specific care he needed. According to the City, Dude is livestock and not allowed inside city limits. "I would have never brought him in if I thought he was livestock or swine. A pot-bellied pig is not livestock," Parker said. She's asking the City to amend the ordinance or have the City issue her a special permit. The City refused a few months ago, but Parker and her attorneys returned to the city council meeting on Dec. 17. The City again denied the request and now Parker's attorneys, Tristen Woods and Lauren Kruskall, are taking the City to court in January. If they lose a bench trial, Woods said they will take it further to a jury trial in Leavenworth County. "At some point, we felt as a city we have to draw the line somewhere, otherwise you're going to start seeing people with horses and cows and sheep and everything else saying they're pets," said Brian Christenson, mayor of Linwood. Christenson said he's not against the pig, but laws are laws. The City recently amended the same animal control ordinance to allow pit bulls and chickens, of which Christenson said Parker has taken advantage. "The biggest problem we have, we don't have the resources, the animal control, all the things we would have to start adding these exotic animals," Christenson said. Not long after Parker adopted him, Dude got out of the yard and wandered to the park across the street because her kids accidentally left the fence open. Christenson said it took four people two hours to wrangle the pig, but Parker said it wasn't a big deal and she has since made provisions to prevent it from happening again. "We don't have animal control officers. We don't know what kind of medicines [pigs] have, what shots they're supposed to have," said Christenson. "It's just more work added that we'd have to do." Parker said Dude is well taken care of and isn't a nuisance. "If I have the means to give them something, I want to be able to help them and I don’t think I should be told what I can and can’t have in my backyard," said Parker. Parker has gathered around 50 signatures on a permit from people who support her request. Nearby DeSoto, Kansas, allows pot-bellied pigs as pets. Kansas City, Missouri, allows pot-bellied pigs, too. Bonner Springs doesn't have any language on the books about pot-bellied pigs, but the city council is taking up the topic at its next meeting on Jan. 13. Eudora and Olathe don't have language on pot-bellied pigs, either. In Shawnee and Olathe, pot-bellied pig owners need a special animal permit.This story was originally published by Sarah Plake at KSHB. 3272