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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 missing Picasso painting worth million has been recovered by a Dutch art detective, 20 years after it was stolen from the yacht of a Saudi sheikh off the south coast of France.The 1938 masterpiece, entitled "Portrait of Dora Maar" or "Buste de Femme (Dora Maar)," vanished from the yacht of Saudi billionaire Sheikh Abdul Mohsen Abdulmalik Al-Sheikh while it was being refurbished in the town of Antibes in 1999.The painting previously hung in Picasso's home until his death in 1973 and depicts the artist's muse.The case baffled French police and it was feared that the artwork had been lost forever, until rumors emerged that the painting had surfaced on the Dutch black market.Arthur Brand, a renowned Dutch art detective dubbed "the Indiana Jones of the art world," said he first learned that a stolen Picasso painting had emerged in the Netherlands in 2015, but did not know which work it was.A four-year investigation ensued, which culminated in two intermediaries turning up at Brand's apartment 10 days ago with the missing painting in hand."They had the Picasso, now valued at 25 million euros, wrapped in a sheet and black rubbish bags, with them," Brand told Agence France Presse. "I hung the Picasso on my wall for a night, thereby making my apartment one of the most expensive in Amsterdam for a day," he joked.Brand discovered that the painting had been circulating the criminal underworld for numerous years, regularly being used as "collateral" and appearing "in a drug deal here, four years later in an arms deal there."He received his best lead earlier this month, when "two representatives of a Dutch businessman" contacted him, saying that their client had the painting. "He was at his wits' end," Brand said. "He thought the Picasso was part of a legitimate deal. It turns out the deal was legitimate -- the method of payment was not."The art detective pursued the lead and told the intermediaries that they had to act quickly to secure the painting in case it vanished once again into the criminal underworld.The intermediaries subsequently delivered the painting to Brand's flat, and Picasso experts from the Pace Gallery in New York flew into Amsterdam to verify it. The painting has since been handed to an insurance company, which is currently determining what to do with it.Christopher Marinello, CEO of Art Recovery International -- a law firm specializing in the recovery of stolen artworks -- told CNN that it is "highly significant and very encouraging" that insurance companies are pursuing stolen artworks long after cases have been closed. "It is great to see a work of this importance surface and not be the subject of intense litigation."He noted that it is "urgent" for anyone who has had a piece stolen to report the loss to an international database, such as the nonprofit Artive Database. That enables dealers and auction houses to be aware of whether they are handling stolen artworks."It is important to show that the market for stolen art is shrinking and that crime, in most cases, does not pay," Marinello said. He added that the robbery of precious artwork has "become an industry" for certain gangs, who "steal artworks and then ransom insurance companies.""Attempts are made by the criminals to cash out quickly. When that becomes impossible, the artwork will be traded at a fraction of its true value (less than 10%) for drugs, guns, etc. Some thieves may acquire stolen works as a sort of a 'get out of jail free' card -- to use as a bargaining chip if ever arrested. This has worked in the past with prosecutors and still works today."Still, the recovery of the Dora Maar painting is raising some questions, for instance as to whether anyone had been paid.An industry source, who requested anonymity, told CNN that a key challenge in the recovery of precious artworks is the use of payments to tipsters and informants, as this "encourages further theft.""They are just talking about intermediaries -- did the owner just hand over the painting or were payments made?"The source pointed to reports in 1999 that insurers at Lloyd's Insurance Group offered a reward of ￡350,000 (2,522) for the return of the painting intact. The current reward offered for the artwork remains unknown.Brand has recently recovered other priceless artworks, including a 1,600-year-old mosaic which was stolen from a church in Cyprus. In 2015 he also recovered "Hitler's Horses," two bronze statues made by Josef Thorak, one of two official sculptors of the Third Reich.CNN has contacted Brand with a request for comment, but has not yet received a response. 4606

AKRON, Ohio — LeBron James helped give Cleveland a championship, helped Akron children succeed in school by founding the I PROMISE School, and Monday, the basketball superstar announced his foundation’s 215

American gold medalist fencer Race Imboden knelt as the national anthem played Friday at the Pan American Games in Lima, Peru, to protest racism, gun control, mistreatment of immigrants and President Donald Trump."We must call for change," he tweeted afterward along with a photo. "This week I am honored to represent Team USA at the Pan Am Games, taking home Gold and Bronze. My pride however has been cut short by the multiple shortcomings of the country I hold so dear to my heart. Racism, Gun Control, mistreatment of immigrants, and a president who spreads hate are at the top of a long list."I chose to (sacrifice) my moment today at the top of the podium to call attention to issues that I believe need to be addressed. I encourage others to please use your platforms for empowerment and change," he said. 824

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