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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 water park in Sacramento, California, had to close early Sunday because of two feuding families — and the source of the dispute was a towel.The fight at 167

Although the fall officially arrived earlier this week, summer-like weather is still occurring throughout much of the United States. According to data released recently by the National Oceanic and Atmospheric Administration (NOAA), a warm-weather pattern is expected to continue through the end of the year. The data shows that the continental United States and Alaska will likely have above-average temperatures for the rest of 2019. Tthe High Plains and the South have a good chance for warmer-than-average temperatures from October through December, but the Southwest, Alaska and New England have a more significant chance for above-average temperatures to end the year.A warm end to 2019 would follow a hotter-than-average summer for the United States. All 50 states had at or above average temperatures from June through August. Anthony Artusa, a NOAA meteorologist, said that the forecast was based off model data, sea-surface temperatures, and long-term trends. The sea-surface temperatures currently along both the West Coast and East Coast are significantly warmer than normal, according to NOAA data.Greg Johnson, an oceanographer for NOAA said the water off both coasts has absorbed a lot of heat this summer. "The oceans are substantially warmer than they have been in the past… they have absorbed a massive amount of heat," Johnson said.Artusa said that while temperatures from October through December will likely be warm throughout most of the U.S., some areas could still have some cooler weather within the period."This is a 90-day average, so it doesn't mean that every day within the period will be above normal," Artusa said. There will be some days that will be undoubtedly below normal, and some at normal. But when you look at the 90-day period as a whole, we think it will be dominated by above-normal temperatures." 1853

A pharmaceutical company has expanded a voluntary recall for medication used to treat hypertension as the medicine includes trace amounts of a chemical that could cause cancer.According to the 205

A study by a U.S. agency has found that facial recognition technology often performs unevenly based on a person’s race, gender or age.But the nuanced report published Thursday is unlikely to allay the concerns of critics who worry about bias in face-scanning applications that are increasingly being 312

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