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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

Four former officers charged in connection with the death of George Floyd appeared in a Minneapolis court Tuesday. The hearing focused on motions to allow body camera video to be shared, and motions the defendants filed to lift a gag order.Floyd was killed on May 25 after officers confronted him in Minneapolis. Social media video shows then-officer Derek Chauvin putting his knee on Floyd’s neck to hold him down for several minutes as Floyd says he can’t breathe.The gag order was lifted at Tuesday’s hearing. Earlier this month, the judge issued a gag order, saying the intent was to limit pretrial publicity in order to have a fair trial. Chauvin’s attorney had argued that many high-profile politicians and leaders had spoken out against Chauvin publicly."On the other hand, one would be hard pressed to locate any pretrial publicity referring extensively to Mr. Chauvin’s innocence until proven guilty or that his alleged actions were justifiable in the line of his duties as a Minneapolis Police Officer," attorney Eric Nelson wrote in the motion. 1063

Former FBI Director James Comey said Sunday that he would sit for a private deposition with House Republicans after filing a legal challenge to force a public hearing."Grateful for a fair hearing from judge. Hard to protect my rights without being in contempt, which I don't believe in," Comey said in a Twitter post. "So will sit in the dark, but Republicans agree I'm free to talk when done and transcript released in 24 hours. This is the closest I can get to public testimony."House Judiciary Committee Chairman Bob Goodlatte, a Virginia Republican, told Fox News on Sunday morning that he expected Comey to sit privately for an interview."We'll await it actually happening, but that is what I believe will happen," Goodlatte said.Comey also moved on Sunday to withdraw his motion to quash the congressional subpoena and said the hearing scheduled for Monday morning on the matter does not need to happen.Comey's attorney, David Kelley, told CNN that the former FBI director has agreed to sit for a voluntary interview on Friday under a set of conditions.As Comey indicated in his tweet, he will receive a transcript of his testimony and will be free to make public all or part of the transcript as well as any of the questions asked during the interview, Kelley said. In addition, so long as the interview proceeds voluntarily, an FBI representative will be present to give advice about the disclosure of FBI information, he said.Based on the agreement, Comey was withdrawing his legal motion, and the committee would withdraw its subpoena, Kelley said.Sunday's announcement came after both sides appeared in court on Friday as Comey sought to testify in a public setting rather than behind closed doors.Goodlatte and other House Republicans have been investigating the FBI and Justice Department's handling of separate probes into Hillary Clinton's email practices and Russian interference in the 2016 election, and with just a few weeks left before he leaves Congress, Goodlatte has moved to compel testimony from Comey and former Attorney General Loretta Lynch.Comey pushed back on the subpoena after he received it last month, saying he would be willing to testify in a public setting but did not believe a private interview would be proper.Goodlatte said Wednesday that he had told Comey they would release the transcript of his testimony and pressed for the former FBI director to submit to the interview."I have just offered to Director Comey that the Committees will publicly release the transcript of his testimony following the interview for our investigation," Goodlatte wrote on Twitter. "This ensures both transparency and access for the American people to all the facts."On Thursday, Comey moved to quash the subpoena and maintained that House Republicans would selectively leak his testimony. But ahead of an expected ruling, he said Sunday that he would submit to the interview and touted the offer of a transcript release. 2952

FREMONT, Calif. (KGTV) -- Tesla has decided to temporarily shut down production of the Model 3 for the second time in 2018, according to BuzzFeed.Production of the Model 3 will be on pause for four to five days in a move employees told BuzzFeed came without warning.Employees of the company will be expected to take vacation days or stay home without pay.RELATED: Tesla Model 3 on display in San Diego showroom A spokesperson said the assembly line is on pause to improve automation.In late February, Tesla shut down the Model 3 line in a move the company said was meant to increase output. The company added in February that such pauses are common. RELATED: Tesla recalling more than 100,000 Model S sedansThe company has struggled to meet production goals in the last six months. Musk said that the company would manufacture 2,500 cars per week by the end of the first quarter of 2018 but was only making 2,000 per week by April 1.  962

FORT YATES, N.D. – After years of fighting over the Dakota Access Pipeline, the Stand Rock Sioux Tribe feels vindicated now that a judge has ruled it be shut down pending an environmental review.John Buckley was on the front lines of the Dakota Access Pipeline protests, which started almost four years ago.Buckley lives on the Standing Rock Sioux reservation just south of Bismarck, North Dakota. Four years ago, he was fighting for his right to drink clean water.“If that pipeline ever leaks, that’s going to cause a major problem,” he said.The pipeline carries hundreds of thousands of gallons of crude oil from western North Dakota to an oil terminal in Illinois. It crosses the Missouri River just a few miles north of the Standing Rock reservation.“Like the old ones say, Mini Wiconi, water is life. Without water, we can’t survive, as humans. So, it’s a way of life, it’s our life,” said Mike Faith, the tribal chairman of Standing Rock Sioux.The tribe's biggest issue was the Army Corp of Engineers and Energy Transfer Partners, the company that owns the pipeline, never completed an environmental impact statement.“The judge I think made the right decision, as far as telling the court, get an environmental impact statement. The EA, the little blanket resolution that allowed the environmental assessment. That hurt a lot of cultural resources, it did danger to a lot of species, it’s a danger in our existence,” said Faith.That disagreement sparked seven months of protests and drew people from all over the world. Thousands gathered and squared off with police. The clashes sometimes turned violent.Eventually, law enforcement cleared the protesters and oil began flowing through the pipeline. But that didn’t mean the fight was over.“Appeals, appeals, appeals. Standing Rock is here, we didn’t go away. We’re still here.”Three years after the first barrels of North Dakota crude started moving through the pipeline, a federal judge ordered an environmental impact study needed to be completed. The judge ordered that the pipeline will be drained of oil by the beginning of August. Since that ruling, the US District Court of Appeals in Washington, D.C. has granted an administrative stay on draining the pipeline while the appeal of the ruling plays out.“The decision by Judge Boasberg last week, last Monday, took us just completely by surprise," said Ron Ness, the President of the North Dakota Petroleum Council.Ness represents the oil industry in the state. He says there are huge economic impacts from shutting down the pipeline.“For every dollar in North Dakota that we get less for a barrel of oil, that’s like million a year to the state of North Dakota,” he said.And he says shutting the pipeline down means more oil on trucks and trains.“Prior to DAPL, we were putting almost 800,000 barrels of Bakken oil on rail cars, moving them to various markets. This pipeline not only offered a safety component, it took trucks off the road in counties across western North Dakota,” said Ness.But for the people of Standing Rock, this fight has always been about respect and preserving the environment“The federal government, the Army Corps of Engineers, did not do true government to government consultation. Economics vs. environmental, I would say that they have to be balanced,” said Faith.Faith and Buckley say we need to think about more than just money."All that water comes down this way and all that water is going to be fouled and it's not going to be worth drinking," said Buckley.“The almighty dollar sometimes, you’re not looking realistically into the future of future generations to come that can enjoy clean clear water," said Faith. 3674