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Known as the Green Mountain State, Vermont’s bucolic natural beauty offers a sharp contrast to the reality facing some of its residents.“The room you're in here would be busy all day,” said Gary De Carolis, executive director of the Turning Point Center in Burlington, the state’s largest city.Normally, 3,000 people would come to that addiction treatment center each month.“Then, the pandemic hit and, of course, everything just went; everyone just retreated to their homes,” De Carolis said. “And we know that the enemy of recovery is isolation.”The most recent stats available from the state’s Department of Health, from April, show Vermont had 47 opioid-related deaths, which is an increase over the 38 overdose deaths seen at the same time last year.In addition, compared to April of last year, the rate of nonfatal opioid overdoses doubled from 14 percent to 36 percent.Nationwide, the American Medical Association said nearly 40 states have seen spikes in opioid overdoses since the pandemic began.“There is no question that the current COVID pandemic does increase risk factors that we know, even in typical times, are risk factors for overdose, more drug use,” said Dr. Patrice Harris of the American Medical Association.Those risk factors included not having regular access to health care providers and a disconnect from normal routine and community, especially when in-person addiction treatment centers closed all over the country.That’s where telehealth stepped in, up to a point.“However, let's note there that if you didn't have a data plan or phone or computer or access to even broadband, then you weren't able to take advantage of that,” Dr. Harris said.Back in Burlington, via phone calls or Zoom meetings, the Turning Point Center is seeing about 500 clients a month, a fraction of what they would normally see, but no less needed.“Until we have a vaccine, I don't think it'll ever be business as usual,” De Carolis said. “One day at a time, as they say.” 1983

Kimberly Guilfoyle has tested positive for COVID-19 and was unable to attend Fourth of July festivities at Mount Rushmore alongside the presidential family. New York Times and ABC News both reported Guilfoyle’s positive test.Guilfoyle is the girlfriend of Donald Trump Jr., and is also a member of President Donald Trump’s re-election campaign.Guilfoyle reportedly flew to South Dakota with Donald Trump Jr., but flew separately from the president.Guilfoyle was tested for the virus, along with many others who could come in close contact with the president.Trump Jr. reportedly tested negative for the virus. 617

Jennifer Aniston and Justin Theroux have revealed they have been separated since late last year, according to a joint statement.The couple, who wed in 2015, said they intended to keep their decision private, but "given that the gossip industry cannot resist an opportunity to speculate and invent, we wanted to convey the truth directly.""This decision was mutual and lovingly made at the end of last year," the statement read. "We are two best friends who have decided to part ways as a couple, but look forward to continuing our cherished friendship."The couple, a frequent target of tabloid stories, added in their statement: "Whatever else is printed about us that is not directly from us, is someone else's fictional narrative. Above all, we are determined to maintain the deep respect and love that we have for one another."The marriage was Theroux's first and Aniston's second. She was previously married to actor Brad Pitt for five years.Aniston will next star in an Apple drama series with Reese Witherspoon about the world of network morning TV.Theroux recently appeared in "Star Wars: The Last Jedi."The couple met on set of the film "Wanderlust" in 2011.In a recent issue of Architectural Digest, which gave a look inside the couple's home, Aniston spoke about their life together."There was a time when I thought there was something romantic about picking up and trotting off somewhere different every three months. Now I'm becoming more particular about the projects I take," she told the magazine. "I look around at my husband and my dogs and our home, and there's nowhere else I want to be."  1621

JUNEAU, Alaska — Health officials in Alaska reported a health care worker had a severe allergic reaction to a COVID-19 vaccine within 10 minutes of receiving a shot.U.S. health authorities warned doctors to be on the lookout for rare allergic reactions when they rolled out the first vaccine, made by Pfizer and Germany’s BioNTech. Britain had reported a few similar allergic reactions a week earlier.The Juneau health worker began feeling flushed and short of breath on Tuesday, says Dr. Lindy Jones, the emergency room medical director at Bartlett Regional Hospital. She was treated with epinephrine and other medicines for what officials ultimately determined was anaphylaxis, a severe allergic reaction. She was kept overnight but has recovered.Unlike the British cases, the Alaska woman has no history of allergic reactions.In the U.S., vaccine recipients are supposed to hang around after the injection in case signs of an allergy appear and they need immediate treatment — exactly what happened when the health worker in Juneau.The CDC said it is aware of the incident. "Anaphylaxis is a rare event following vaccination and CDC is evaluating the case," the CDC said in a statement. "CDC and public health experts prepared for a side effect like this after reports of anaphylaxis were made in England. Appropriate medical treatment for severe allergic reactions must be immediately available in the event of an anaphylactic reaction occurs."Public health experts and CDC’s Vaccine Adverse Event Reporting System quickly detected the case, demonstrating that the vaccine safety monitoring program is working as planned, with the ability to rapidly detect and evaluate adverse events."Allergies are always a question with a new medical product, but monitoring COVID-19 vaccines for any other, unexpected side effects is a bigger challenge than usual. It’s not just because so many people need to be vaccinated over the next year. Never before have so many vaccines made in different ways converged at the same time — and it’s possible that one shot option will come with different side effects than another.Getting either the Pfizer-BioNTech shot or the Moderna version can cause some temporary discomfort, just like many vaccines do.In addition to a sore arm, people can experience a fever and some flu-like symptoms — fatigue, aches, chills, headache. They last about a day, sometimes bad enough that recipients miss work, and are more common after the second dose and in younger people.These reactions are a sign that the immune system is revving up. COVID-19 vaccines tend to cause more of those reactions than a flu shot, about what people experience with shingles vaccinations. 2696

James Comey, the former FBI director, said he laughed when President Donald Trump suggested he might have to jail journalists to send a message about unauthorized leaks, a memo Comey wrote which was obtained by CNN and other news outlets on Thursday revealed.In a memo dated February 14, 2017, Comey said that Trump complained during an Oval Office meeting about classified information being leaked to the media. Comey wrote that he said he "agreed very much" that it was "terrible" such information was being leaked, and added that he was "eager to find leakers and would like to nail one to the door as a message."Related: Read the James Comey memosToward the end of their meeting, Comey said that Trump "wrapped up" the conversation "by returning to the issue of finding leakers.""I said something about the value of putting a head on a pike as a message," Comey wrote in the memo. "[Trump] replied by saying it may involve putting reporters in jail. 'They spend a couple days in jail, make a new friend, and they are ready to talk.'"Comey continued, "I laughed as I walked to the door Reince Priebus had opened."The memos kept by Comey documenting his interactions with Trump are rigorous in detail and portray the president in deeply unflattering terms. Much of the information contained in the memos was already public prior to Thursday's release, but the documents are nevertheless striking to read in their entirety.Neither a representative for Comey nor the White House immediately responded to a request for comment Friday morning.It's unclear what the president meant when he said that after jailed journalists "make a new friend" they'd be willing to talk.Since announcing his bid for the presidency in the summer of 2015, Trump has made his disdain for journalists known, regularly attacking reporters and news organizations that publish stories critical of him. The president has also been engrossed with learning the identities of those who have leaked to the press, publicly calling on the Department of Justice to "take action" against individuals who have done so. 2090