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A federal official says the White House overruled health officials who wanted to recommend that elderly and physically fragile Americans be advised not to fly on commercial airlines because of the new coronavirus. The Centers for Disease Control and Prevention submitted the plan this week as a way of trying to control the virus, but White House officials ordered the air travel recommendation be removed. That’s according to a federal official with direct knowledge of the plan who did not have authorization to talk about the matter and spoke to The Associated Press on condition of anonymity.Meanwhile, Officials in Washington, D.C., say a man in his 50s has tested positive for coronavirus, marking the first presumptively confirmed case in the nation’s capital. District of Columbia Mayor Muriel Bowser said Saturday that the man started exhibiting symptoms of COVID-19 in late February and was hospitalized Thursday. She said another man, from Nigeria, who had passed through Washington has also tested positive for the virus in Maryland. Trump says he isn't concerned “at all” about the coronavirus getting closer to the White House after the first Washington case and an attendee of a recent political conference where Trump himself had spoken also tested positive for the virus.Missouri and Kansas also reported their first case as the virus spreads into the nation's heartland. A St. Louis-area woman who recently traveled to Italy is the U.S. state of Missouri's first confirmed coronavirus case.St. Louis County Executive Sam Page said Saturday that the woman is in her 20s and is at home with her parents. She was returning home from Italy when she showed symptoms.Page said the parents are not showing symptoms.The Missouri announcement came the same day that neighboring Kansas also announced its first case of the virus.The number of U.S. coronavirus cases swelled to 400, with cases in about half of the states. Indiana, Minnesota, Nebraska and Pennsylvania also recently reported their first cases. The total U.S. death toll has reached 19. 2071

The opioid crisis has had a devastating impact across the country.Now, doctors in one state are tackling the problem head on, and it starts with how they treat pain in the emergency room. When Dr. Donald Stader walks through his emergency room these days, it's almost like he's a different doctor. “I used to over prescribe opioids for the first several years of my career and residency,” he says. “I was giving them out like Tic Tacs, if you will.” All that changed a few years ago, when he met a woman overdosing on heroin. “She told me that she actually got hooked after being prescribed Percocet for an ankle sprain,” Dr. Stader says. “And one thing that struck me, earlier that day I had prescribed Percocet for an ankle sprain and thought that I was practicing really good medicine.” Now, he and his hospital, Swedish Medical Center, are a part of the Colorado Hospital Association’s ALTO Project, a program aiming to reduce the use of opioids in emergency rooms in the state, using alternative pain treatment.The program is paying off.However, experts say it's too late. The crisis is so bad, so simply improving prescription practices is not enough to combat opioid abuse. In an article published in JAMA Psychiatry, doctors say in addition to tighter drug restrictions, psychiatrists specializing in depression and suicide, along with new research and treatments, are needed. Now, they treat patients with medications like Tylenol and ibuprofen. For stronger pain, they use ketamine, bentyl and lidocaine, which is often used in the dentist’s office. Two million Americans struggle with opioid addiction and 42,000 people died of overdoses in 2016 alone. 1678

A 16-year-old girl suffered bites to her foot and ankle after a shark attacked her in Florida, authorities said.The girl was boogie boarding in the Atlantic Ocean off Amelia Island on Friday when a shark bit her on the back of her foot, according to Sheriff Bill Leeper of to Nassau County, Florida.She was able to get free and make it up to the pool area of the resort she was staying at, where first responders met her.The girl was transported to a local hospital with serious but nonlife-threatening injuries to her foot, heel and ankle, and received several stitches, Leeper said.Leeper said although they don't get many shark attacks in the area, this is a good reminder that sharks like to feed in the morning and late afternoon and to be careful during those times. 785

Some people see the landmark decision out of Oklahoma as a turning point in the nation's fight against opioids.A judge is ordering drug maker Johnson & Johnson to pay over half a billion dollars for its role in the crisis.One emergency room doctor hopes their unique program combined with court battles against drug companies might finally help fix the crisis.“Nationally this is a huge epidemic,” says Dr. Ashley Curry, an emergency psychiatrist with Denver Health.It's estimated that over 130 people die every single day from an opioid overdose. And even for those who recognize they may have a problem, it can take months to get help and a prescription for the medication they might need to help them.Curry is part of the team of doctors at Denver Health's "Treatment on Demand" program.“We recognized that there was really a gap in when people were ready to start treatment and how quickly they could access that treatment, so we were trying to fill that gap,” Curry says.Their solution? Same day treatment.“Day or night, 24/7, our emergency room is open and people can come in and start on medication-assisted treatment,” Curry says.About 300 patients so far have used the hospital's emergency department for treatment, and about 70 percent have continued with clinic follow-ups.Curry hopes that Monday’s verdict against drug maker Johnson & Johnson means the tide might finally be turning.“I think that verdict really helps represent like the collective consciousness about how problematic opioid use has become for our country,” Curry says. “We are recognizing this is a major problem and it's a public health crisis. 1645

A British family has filed a complaint with the Department of Homeland Security over their detention by US immigration authorities, after saying they accidentally crossed the US border while vacationing in Canada, an account that has been strongly disputed by US officials.The family of seven, which includes a three-month-old baby, were detained earlier this month. They said that they ended up in the US after taking a wrong turn from British Columbia into Washington.A senior US Customs and Border Protection (CBP) official, however, told CNN that by all appearances on the ground, the family was trying to get into the US undetected.In the complaint, the family said they have been "traumatized" by the experience. In a sworn statement, the family described the baby being forced to sleep on a "filthy concrete floor" in "frigid temperatures" during their first night in custody.The family said they crossed the border on October 3, after making a "very brief detour on an unmarked road to avoid an animal on the road" that landed them in the United States.Immigration officials tell a different version of the story. CBP released a statement on Tuesday evening further explaining the incident:"A vehicle was observed via remote video surveillance system turning west onto Avenue 0 in British Columbia, Canada, at approximately 9 p.m., Oct. 2. The vehicle then turned south and entered the U.S. illegally, by slowly and deliberately driving through a ditch onto Boundary Road in Blaine, Washington. The vehicle traveled west on Boundary Road continuing on the United States' side, and was pulled over by a Border Patrol agent a short time later. The seven occupants of the vehicle, who are citizens of the United Kingdom, were arrested at approximately 9:13 p.m., in accordance with law as established by the Immigration and Nationality Act for illegally entering the United States without inspection."The CBP senior official told CNN that the group had ,000 in cash on them when they were arrested.A second CBP official told CNN that the two adult men in the group had previously applied to enter the US under the ESTA Visa Waiver Program, but had their applications refused in March 2018. The official did not immediately know why they had their application refused.The group comprised of seven British citizens: two adults and their two-year-old twin daughters, and two related adults and their three-month-old baby boy. They were detained in Lynden, Washington, according to Aldea, The People's Justice Center that is working with the family.According to a statement provided to CNN affiliate WFMZ by Aldea, the group was traveling close to the border between Canada and the US."We made a very brief detour on an unmarked road to avoid an animal on the road. Soon, there was a police car behind our vehicle, flashing their lights and urging us to pull over," the family statement read.The family said they were detained after being told they had "crossed an international border." They added they had not intended to cross the border, and asked if they could simply turn around. According to the statement, the officer said "no."A UK Foreign Office spokesperson told CNN it was in contact with the family."We are providing assistance to a British family after they were taken into custody in the USA and are in close contact with US Immigration and Customs Enforcement," the spokesperson said.The family is being held at the Berks Family Residential Center in Pennsylvania, according to the ICE. That is one of three family residential centers in the United States.In a statement, ICE said the center provides "a safe and humane environment for families as they go through the immigration process." It added that it takes "approximately two weeks" to send an individual back to the UK. 3808