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Fresno Fire is on scene of a multi-casualty incident receiving patients injured by the Creek Fire, information is incomplete at this time regarding how many patients and severity of injuries. Several aircraft are transporting victims to FYI airport, National Guard assisting.— Fresno Fire PIO (@FresnoFire) September 6, 2020 333

First Lady Melania Trump did not visit her husband, President Trump, over the weekend as he is getting treatment at Walter Reed Medical Center and has no plans to, according to multiple reports.A spokesperson for the first lady said she is remaining at the White House executive residence in quarantine after her own COVID-19 diagnosis early Friday morning."Melania is aware of the dangers of COVID-19," the official told CNN. "Potentially exposing others is not a risk she would take."In another response to the question of First Lady Trump visiting her husband at Walter Reed, an official said “that would expose the agents who would drive her there and the medical staff who would walk her up to him,” according to NBC News.The reaction from the First Lady is drawing a comparison to the president's reaction. On Sunday, President Trump and a few members of Secret Service, all wearing masks, drove around the Walter Reed facility to see supporters waiting outside. Monday morning, the First Lady tweeted she was “feeling good (and) will continue to rest at home.” 1075

For many of us, the word “outbreak” has taken a more personal meaning this year.For the people of Austin, Indiana, it’s not the first time they’ve dealt with an outbreak.“We’re an itty-bitty town, but we got big city problems,” said Austin resident Ethan Howard.By 2015, the opioid crisis had ravaged Howard’s hometown for years. People became hooked on painkillers and often used needles to take them. The same syringes would be passed from person to person.Dr. William Cooke arrived in Austin in 2004. Back then, he was the town’s only doctor. In fact, he was the town’s first doctor in a generation. He says he saw several issues in the southern Indiana community, including people’s health to poverty.As the opioid crisis started to wrap its grip across parts of the country, Dr. Cooke says he started to see another health issue spread in the community, starting around 2010.“What we saw was a really quick in dramatic rise in Hepatitis C around that time,” Dr. Cooke said. “Any community that has a high Hepatitis C rate is at high risk for an HIV outbreak.”By 2015, the opioid crisis had ravaged the city for years.“Opiates were my devil,” Howard recalled.Howard says his mom convinced him one day to go get tested, after he says he had shared a needle with his cousin.His test revealed he was positive for HIV.“I thought I was dead. I thought it was a death sentence,” Howard said.He wasn’t alone with testing positive for HIV in Austin.“In that first year, we had almost 200 cases,” Dr. Cooke said. “It was almost a quarter of the HIV cases in the state and this is a town of 4,200 people.”Austin had become home to one of the largest HIV outbreaks in rural America ever.Dr. Cooke helped convince then-Indiana Gov. Mike Pence to change his stance on needle exchanges.“It took a few months, but eventually, he signed the executive order allowing us to operate syringe service programs here,” Cooke said.That program, access to addiction recovery services and powerful HIV medicine has led to a dramatic drop in new cases.In 2015, Scott County, Indiana had 157 new HIV cases. In 2019, the county had only five, according to the Indiana Department of Health."The medications today are powerful enough and well tolerated enough that you should not spread the disease to anyone else and you should never worry about dying from HIV,” Dr. Cooke said.Dr. Cooke says Austin is still working to overcome some of the social challenges he found when he first arrived in the community in 2004.It’s been five years after the largest HIV outbreak in Indiana history. Like many communities across the world, this one is now dealing with the impacts of COVID-19.Nurse Jessica Howard is a proud native of Austin. She’s seen the challenges her community has faced over the years. She also sees the good in Austin, pointing to a local church pantry providing food and clothes to those in need.Jessica Howard in charge of coronavirus testing at Dr. Cooke’s office. She grew up in Austin and knows many of the patients that come through the door.As of early July, Scott County has not seen a large amount of coronavirus cases like other parts of the country, but the nurse worries about her patients that struggle with addiction who are now in quarantine and could relapse."These are people these are our people and we have to take care of them and protect them,” she said.Austin has come a long way from where it was in 2015, when HIV spread through a large part of the community.Last year, Dr. Cooke was named by American Academy of Family Physicians the AAFP 2019 Family Physician of the Year for his efforts to help stop the 2015 HIV outbreak.As for Howard, he says medication has made it so HIV is no longer detectable in his blood.He now travels as a musician and points to music as a source of strength that helped him through the darkest of times.“I fought and clawed my way out of a dark place,” Howard said.His fighting spirit is one this small Indiana city has used to battle through crisis before.“We’ve been through a healthcare disaster before,” Dr. Cooke said. “And there is a light on at the end of a tunnel.”It’s a mindset Dr. Cooke says we need now, as we all fight this new crisis of a coronavirus pandemic. 4221

Former Vice President Joe Biden came out ahead in Thursday's duel of town halls with President Donald Trump — at least in terms of TV ratings.According to The Associated Press, Biden garnered 14.1 million viewers on ABC between 8 p.m. ET and 9 p.m. ET on Thursday night. During that same time span, Trump drew a total of 13.5 million viewers during his hour-long event on NBC. These numbers include ratings for both network and cable audiences, who could have watched the president's event on CNBC or MSNBC. Biden's event was only broadcast on ABC on TV. Trump and Biden were originally slated to appear together for a town hall-style debate. However, the Commission on Presidential Debates said earlier this month that the event would take place virtually following Trump's COVID-19 diagnosis. Trump then dropped out, saying he wouldn't "waste his time" with a virtual debate.Biden then scheduled his town hall event with ABC News. It wasn't until Wednesday that NBC News announced Trump would hold his own town hall at the same time as Biden. 1052

Former President Barack Obama and former Vice President Joe Biden were reunited Monday, when they went out for lunch at a Washington, DC, bakery.Obama and Biden spent about 45 minutes at Dog Tag Bakery in Georgetown. The bakery runs a fellowship program, now in its eighth class, that acts as a "living business school" for veterans, military spouses and military caregivers, Dog Tag CEO Meghan Ogilvie told COVER/LINE. Professors from Georgetown University teach fellows, who can earn a certificate of business administration from Georgetown University's School of Continuing Studies.Ogilvie said she found out about six minutes before Obama and Biden arrived that they were coming. She gathered the current 13 fellows and said they would have a team meeting and surprised them when the 44th President of the United States and his Veep walked in.Obama and Biden met the fellows, took selfies with them and talked to them about their future business plans for about 20 to 30 minutes. They also grabbed a bite to eat.If it wasn't for the fact they were once leaders of the free world, "it would seem like two friends coming together to have lunch," Ogilvie said.They ordered ham and gruyère sandwiches. Obama got a side salad, and Biden got a slice of mint basil blueberry cake.Obama told Ogilvie he was aware of "the good work you've been doing" at the bakery, she said. Before long, photos of Obama and Biden at the bakery began circulating online, drawing a crowd. But, "they didn't tell us to stop having people come in," she said.Obama's been known to meet with possible 2020 contenders, including his former Vice President. A Democratic source told CNN in June that Obama had met with Democrats including Vermont Sen. Bernie Sanders, Massachusetts Sen. Elizabeth Warren, New Jersey Sen. Cory Booker, Los Angeles Mayor Eric Garcetti and former Attorney General Eric Holder to give advice. But unlike Monday's lunch, those meetings were held in private, at his West End office.Ogilvie described Obama and Biden as "so human" and "so kind.""They shook everyone's hand," she said, and as they left, they talked with the fellows about the business ideas they had shared. "They learned about them." 2215