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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

A woman will be in recovery for the rest of her life after someone posing as a delivery person shot her point-blank with a crossbow.The attack, which is being investigated as an attempted murder, occurred in November in Mississauga, Ontario, Canada. This week, police released video footage of the suspect at the victim's door in the hope that the person could be identified. 387

A New Jersey couple expecting their first baby had plans to get married in a small civil ceremony two weeks before their child arrived. Their baby, however, had other plans.Michael Gallardo said he and his fiancee, Marie Margaritondo, were in the middle of moving into a new home when Margaritondo went into labor on Memorial Day. It was two weeks before the baby's June 10 due date and two days before the wedding ceremony was to take place.Gallardo, 45, said they rushed to Morristown Medical Center and were given paperwork to sign listing Gallardo as Margaritondo's fiance, not her husband."What really sparked it is when they had brought in the paperwork and said because you weren't married he wouldn't be able to be my proxy," Margaritondo, 44, said.Gallardo told CNN they asked whether there was a chaplain in the hospital so they could exchange vows before the baby arrived, and "the doctor thought we were joking." But once he realized they were serious, the hospital staff sprang into action.Gallardo said one nurse went online to see whether she could get ordained, one went outside to pick flowers for a bouquet and one went in search of a chaplain."They went above and beyond," he said of the nurses who helped them that day. "Luckily I had already picked up the marriage license."Someone managed to track down the medical center's on-call chaplain, according to a hospital spokesperson, and the chaplain married the couple in front of their mothers and the hospital staff. "We literally said 'I do' and the doctor was like 'let's go' and wheeled the bed into the OR," Gallardo said.Soon after, Michael Preston Gallardo entered the world via cesarean section. "It goes to show you can't map out and plan life," Gallardo said.The couple have been together for three years and got engaged last summer. They met at a mall, where Margaritondo was working as a stylist and Gallardo was a personal shopping customer.They call their son a "miracle baby" and say they want to have a bigger wedding celebration in 2020, maybe on the baby's first birthday -- unless Michael Preston has other plans. 2114

A shark attack killed a 65-year-old man as he was swimming off the coast of Maui Saturday morning, according to authorities.The man, who was from California, encountered the shark about 60 yards off of Kaanapali Beach at around 8:30 a.m. local time, Dan Dennison, a spokesman for Hawaii's Department of Land and Natural Resources, told CNN.As a matter of protocol, authorities have posted signs along a half-mile stretch beach warning people of a shark, Dennison said.The man's identity has not been released. An incident report from the County of Maui Department of Fire and Public Safety -- obtained by 617

A tornado ripped through Franklin, Texas, on Saturday, as the National Weather Service in the state posted one tornado warning after another.There were reports of multiple injuries, the NWS said, and 212

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