debra: targeting behavior is also crucial in hiv prevention. in kenya, people are talking about mpango wa kando, roughly translated into having a long term relationship on the side. it's an all too common arrangement that also happens to be one of the riskiest behaviors for hiv transmission. but the government ofenya, tother with usaid and other groups, are using mass media to change this behavior and turn the tide of hiv transmission. nicholas: 44 percent of new hiv patients attributed currently people who either married or in a partnership. these people in partnerships both have other partners, who also have other partners who are not using condoms. and therefore, the chance that the next network someone has hiv and it spreads like bushfire to the rest of the families. jimmi: i must admit, one of the things that surprised me was the aspect of also women playing a part of it. nicholas: we've got this strong force, people say, no, no, no, you are [indistinct] men only. women also do that. so people didn't know that, so we did some spots for wom

medications to prevent heartworm called preventives. preventives kill the heartworm larvae before they have a chance to grow and mature into adult heartworms. some heartworm preventives contain additional ingredients that will control other parasites, such as roundworms or hookworms. a monthly preventive should be given to all pets. follow me for wis tv updates twitter: @dawndywistv facebook: dawndy mercer plank wis tv dr. wendy king is with spears creek veterinary shower or tonight overnight with lows in the 50s and lower 60s. showers and scattered storms are in the forecast wednesday as the front slips closer. showers will increase in the right and center lanes of i-20 east in lexington county at mile markers 61-63 will be closed until 7 a-m tomorrow. wednesday night the right lane of i-26 west in lexington county at mille markers 100-98 will be sc-dot reminds you to please use caution while driving through work zones. strong cold front approaching expect only an isolated shower or tonight overnight with lows in the 50s and lower 60s.

i'm all about prevention, preventing those teens from getting those first drugs. i can't tell you about if you just lock it up, your kids are good. they don't want to disappoint you. but you know what, they go there and they take two or three pills at a time because they know that you'll never catch them. you keep it locked up and they're not going to -- and they're not going to take them because they would not want to disappoint you and you're going to save lives. thank you very much. [applause] jessica: thank you, deborah. i hope you all take a moment to really look at this. this is an advancement that we make sure we are securing or prescription medications. it's a device and an example of our business partners, corporate readers -- leaders coming together to address this epidemic. i wanted to invite to the stage congressman tom rooney and thank him for being with us today. congressman rooney is here on behalf of marco rubio and took the time to be with us and come up from d.c. we are so grateful for your presence here today. [applause] rep. rooney: thank you.

prevention can work but how?in dozens of cases it is fellow students who overheard something, tipped off authorities. >> most of the time it is nothing. but maybe it's just that one peek into what could be the next columbine. >> reporter: last week we tried to call every single family. some of them expressed anger. others said they preferred to move on. some said they wanted to offer sue klebold their prayers and grace. so many people, as someone said, sentenced to a life of grief with no parole. after our interview is over, she walks outside in the foothills of the rocky mountains and tells us sometimes she finds herself drawn to a place that has a plaque with these words. it brought a nation to its knees. what have we learned? it's the columbine memorial. >> i feel a kind of unwelcome there. like, of course. that perhaps i'm intruding. >> reporter: but someday if you go to that memorial, you just might see a gray-haired woman sitting there quietly alone. >> sometimes i just sit there. and think. and i tell them

this is to incentivize states to do a better job on the prevention education side and of course to prevent overdoses and improve drug treatment. so these are all aspects of this legislation. it is comprehensive because the problem is complex and requires a comprehensive approach. these are just some statistics that we've already talked about some this evening but are shocking. 28,647 americans died in last year which we have dated, 2014, from a drug overdose. 2015 numbers will be higher than that. that's roughly 120 americans dying every day. 27,000 diagnosed cases of neonatal abstinence syndrome in 20136789 th13. it is even worse this year. this means baby born with addiction. a baby is born dependent on opioids every 19 minutes. i've gone to hospitals in cincinnati and lima, ohio, st. rita's and rainbow baby hospital, incredible caregivers in cleveland, ohio. my wife jane was at nationwide hospital today. these are babies so tiny you can hold them in the palm of your hand. the caregivers take them through a process where they go through withdrawal. we're not sure what the long-term conse

those preventable deaths. this colorado based company doing it's part... to wash away a global

however -- to prevent these pregnancies. however in the realities of these countries and these areas where you were mentioning couples and women and girls and adolescents don't even know how to do that. we are talking about areas where sexual education has been lacking for years. where there are no women who feel completely empowered to ask their partners to use condoms or even trade to go to the doctor and ask for contraception. this responsibility is not only on women, it is also on government. it is a responsibility that they have had for many years and they should have put in place years ago, and they have not. that is why we are in this crisis. this is the moment to try omitigate the crisis in a comprehensive way, that includes access to education so women know what to do and men feel responsible for using condoms, and also will help with unplanned pregnancies and access to all range of contraception. i want to highlight what gisele gist said. emergency contraception is super-keen in these problems because of the high r

through prevention. >> i think there are three big >> number one, healthy lifestyle. studies show that changing your diet and regular exercise could make a big impact. >> reporter: this would reduce the number of cases worldwide by at least one third. >> a key part of a healthy lifestyle is to stop smoking or never start. >> the earlier you start the better your chances are of not developing one of these cancers 20 years later. of cancer that screening reduces death ratesinstead of trying to stop cancer when it starts... you can prevent it now...21:28 there are things that they can do that can have >> there are clear types of evidence that screening for cancer reduces death rates. >> reporter: instead of trying difference to help others get you can prevent it now. >> there are things you can do they can have a huge impact on your chances of developing the disease later. >> the doctors say access to vaccinations and screenings is a global challenge. >> you can make a difference to help others get access to important healthcare. www.huntsmancancer.org. >>> it is 6:21 on

the sad thing is that this situation could have been prevented. and should have been prevented. and the legislation we're discussing today here in the house of representatives is because of failures in local, state and federal government. the fact is that the officials at the e.p.a. knew last april, 10 months ago, that the flint utilities department was not using corrosion controls, putting water safety at risk. instead of alerting the public, the e.p.a. stayed silent. when an e.p.a. employee tried to speak out, he was silenced. the e.p.a. deferred to a state agency, the mdeq, which also failed to tell the public. last month the e.p.a. administratorer sent a memo creating a formal policy on the importance of assessing and responding to critical public health issues. that the administrator had to remind employees of the importance of public health speaks to the misplaced priority of the e.p.a. and its officials. so today we have to pass a law requiring the agency to notify the public when water quality is unsafe. and constitutes a public health threat. this legislation is a remin

and the cdc part of the supplemental request is $828 million to scale up prevention. both for pregnant women, who are reducing the risk of mosquitos, to prevent transfusion, organ transplant or other what we believe are rare potential forms of transmission. and in the future with nih in the lead, vaccination. to detect through laboratory tests, cdc laboratories have developed the diagnostics that are being used in this country. and we're working around the clock to get these diagnostics out so that more people who want to be tested can be tested. we'll improve clinical diagnosis and reporting. and insecticides, which is important though know so we can target our actions and to understand microcephaly more. within the past hour, cdc has released information from brazil, on the findings of among four infants, two miscarriages, 10 and 11 weeks and two infants who tragically had microcephaly and died within the first 24 hours of life. and working with our brazilian colleagues, the cdc laboratory was able to identify the genetic material of the zika virus in the brain tiss

preventing diabetes requires a complete life style change. and that's the goal of the cedar rapids metropolitan y-m-c-a, one of the 1,000 programs across the country. "expanding healthy living, and serving our communities is our mission, and diabetes is a growing epidemic and something that the ymca feels we are in a unique position to be able to address." the solution is a year long group based course, shaped around shifting a person's life. the class has three goals.. reduce bodyweight by 7%, perform physical activity 150 minutes a week, and stop diabetes. "what studies have shown is lifestyles and behavior change is the most effective way." to qualify for the class, participants have to be at risk for prediabetes. this can be determined by a blood test, or filling out a risk assessment. the course is taught by a lifestyle coach, who follows a specific cdc curriculum. with a goal of bringing awareness to a serious issue. "a lot people don't like to say that they have it or want to admit that they need to start taking coaches go over how to

preventing diabetes. an eastern iowa y-m-c-a hopes a new program will help at-risk patients from developing type-two diabetes. you're looking live on our city cam. could have some light snow on first, meteorologis t kaj o'mara has your first alert forecast, kaj... plan on a day with some light scattered snow in the area along with strong wind. while we don't anticipate anyone getting over one inch of snow, the combination of falling snow and strong wind should make for some hazardous driving, especially outside of town. temperatures should hold much of the day in the teens, then dropping to the single digits tonight. while there are no major systems in the offing, occasional minor ones will affect the area moving through the work week. highs will struggling to get much past the teens and 20s, but we can thank the lack of a deep snow pack to prevent some below zero nights. thanks kaj. the congolese community in is dealing with the sudden loss of three lives. many gathered last night in a church to remember

that is one simple thing we can do to prevent the congenital abnormalities. i do not think anyone argues that that is not good medicine or in good prevention. witnessesward to the and again, thank you. >> i would like to yield to the western hemisphere committee. this is my good calling from new jersey. >> thank you, chairman. thank you to the witnesses. i know how much you care about world health, and for people, this certainly is a situation that we have to deal with right now. clarity on the virus and its effects and its treatment make it more important that we respond aggressively, more than we have the other diseases. i am very concerned that we have the olympics, a lot of people , and i thinkazil the brazilian people should be that the crisis i do notspur because think anyone would go to the olympics if you have a situation like this panic. i want to hear what the panel has to say, and i want to thank the chairman again and the ranking member for holding this hearing. thank you. >> thank you very much. i would like to acknowledge the evolution.nd ecolog

there are things you can do, though, to prevent getting the flu. so, let's talk about some of them. >> yeah. what i did was create the redcross flu survival kit to be ready for when we do come down with the symptoms. the first thing i always talk about is a probiotic. by this time, i think we've all heard of probiotics and know of us may not understand that when we get sick, we lose a lot of the good bacteria in our gut that's important for immune health. so, therefore, you need to get a probiotic to kind of replenish your gut. the second thing is a homeopathic remedy that i love. the name of it is oscillo. oscillo is all-natural and has been shown in studies to decrease both the severity and the duration of illness when taken within the first 24 to 48 hours. and it's also good for those kids we were talking about -- 2 years of age and older. >> that's that little, skinny, white box that they sell. you can find it in every drugstore. they have it by all the homeopathic remedies. they even have it right next to tylenol and everything else. >> absolu

giving injection drug users clean slings help slings helps prevent the spread of blood borne diseases. however they remain illegal in a few dozen states. we went to one of those states, florida where a perfect storm of heroin addiction, hiv, and a lack of a needle exchange plan, have left the problem rampant. >> usually i start out with ten and i would put them in a package. >> about once a week, ordained pafort georg pastor george gibson. >> this is the type for a muscle. >> it is illegal under florida drug laws to distribute slings but for the pas distributesyringes. tonight, he meets a heroin user we'll call jason, he asks that his real name not be used. >> hello, how are you? >> people like jason makes up gibson's clientele these days, white young and desperate to escape the problems that comes from reuse of needles. >> reusing needles is difficult, they become dull and reuse. >> this is a use that the unprotected with a needle sticking out. >> head downtown and it doesn't take long to find a used syringe lying on the street. miami dade county like other pockets of america is in t

>>> and prevention. he joins us from cdc headquarters in atlanta. and we're joined by jennifer of politico, sara ferris of the hill newspaper. sara, you're up first. >> doctor, this has been something dominating headlines. it's something many americans are hearing about for the first time. how concerned are you about what's been happening recently? guest: the real risk is to pregnant women. and it's unusual to discover a new cause of a major fetal malformation. last time this happened was 50 years ago. i'm quite concerned about what we can do to protect pregnant women and use the number of children born with complications. i think it's important to be clear about what is the riskiest situation and what's not likely to be a problem. but it's clearly a major concern. and we understand the anxiety of women who are pregnant and traveled to places with zika spreading, or traveling to places or live in a place where zika is spreading. the key is to focus on the funnel most important thing. protecting pregnant women to reduce the number of infants born wit

that is one simple thing we can do to prevent the congenital abnormalities. i do not think anyone argues that that is not good medicine or in good prevention. witnessesward to the and again, thank you. >> i would like to yield to the western hemisphere committee. this is my good calling from new jersey. >> thank you, chairman. thank you to the witnesses. i know how much you care about world health, and for people, this certainly is a situation that we have to deal with right now. clarity on the virus and its effects and its treatment make it more important that we respond aggressively, more than we have the other diseases. i am very concerned that we have the olympics, a lot of people , and i thinkazil the brazilian people should be that the crisis i do notspur because think anyone would go to the olympics if you have a situation like this panic. i want to hear what the panel has to say, and i want to thank the chairman again and the ranking member for holding this hearing. thank you. >> thank you very much. i would like to acknowledge the evolution.nd ecolog

>> could you have prevented what happened at columbine? >> after 17 years, sue klebold, mother of one of the shooters, break her silence. and the families that lost so much. >> what is it you want to say to them? >> one mother's quest, looking for the path of her son's descent and the clues she says she missed. >> the one thing of course that i want to say is, i am so sorry for what my son did. >> tonight, an important conversation about the warning signs that may prevent tragedy. >> this special edition "nightline," a mother's reckoning, will be right back. >>> this is a special edition of "nightline," a mother's reckoning. >> good evening and thank you for join us. tonight the powerful and untold story of the mother of one of the columbine shooters. nearly two decades later, sue klebold is speaking out. the mother trapped in contradiction between a little could be and the murderer he became. and especially for the families of the victims, those urgent and anguished questions never answered, until now. constitute massacre have been preven

preventing diabetes requires a complete life style change. and that's the goal of the cedar rapids metropolitan y-m-c-a, one of the 1,000 programs across the country. "expanding healthy living, and serving our communities is our mission, and diabetes is a growing epidemic and something that the ymca feels we are in a unique position to be able to address." the solution is a year long group based course, shaped around shifting a person's life. the class has three goals.. reduce bodyweight by 7%, perform physical stop diabetes. "what studies have shown is lifestyles and behavior change is the most effective way." to qualify for the class, participants have to be at risk for prediabetes. this can be determined by a blood test, or filling out a risk assessment. the course is taught by a lifestyle coach, who follows a specific cdc curriculum. with a goal of bringing awareness to a serious issue. "a lot people don't like to say that they have it or want to admit that they need to start taking care of themselves." coaches go over how to read nutriti

by lifestyle changes and education let's unite to prevent heart disease and stroke. it's time to put our hearts into it and go red for women. schedule a well- woman visit today. help women across america take charge of their health in one doctor visit. a single well-woman toe view of a woman's overall health. our mothers, daughters, sisters and friends are at risk. heart disease and stroke cause 1 in 3 deaths among women each year more than all cancers combined. fortunately, we can change that because 80 percent of cardiac and stroke events may be prevented with education and action. get informed about the risks of heart disease and stroke. know the red flags. know your heart health story. schedule a well- woman visit: invest an hour in your life to save the rest. " a well-woman visit is a scheduled prevention check- up to review a woman's overall health so her doctor can measure blood pressure, check cholesterol and look for signs of heart disease, stroke and other illnesses. " it is a separate visit from other appointments for specific sicknesses or injures. " the

this funding would support cdc's work in prevention, detection and response.o conclude, we must act swiftly to address the challenge of zika virus but we are learning more everyday but there's much more to learn and much more to do. cdc will continue to work collaboratively across hhs and with other departments and with congress to ensure an effective response. thank you. >> thank you for your testimony. we will now turn to dr. fauci representing nih. welcome and your recognized. >> thank you very much chairman mica, ranking member duckworth, minute of the committee. first i want to thank you for the opportunity to discuss with you in the committee this morning the role of the national institutes of allergy and infectious diseases in the research component of a broader approach towards addressing the zika virus threat. the niaid, visited the i direct, has a dual mandate among an age institute. first, we maintain and grow a robust basic and research portfolio and the disciplines of microbiology infectious diseases and immune mediated diseases. however, despite

expanding opioid prevention and abuse it is -- abuse efforts. we have to get into the schools and get prevention focused on opioids, prescription drugs and also heroin. expands the availability of narcan to first responders and law enforcement. support to additional resources to identify and treat incarcerated individuals so that so we can end the revolving door that we see in our prisons. expands drug take-back efforts to promote the safe disposal of unused or unwanted prescriptions. strengthens prescription monitoring drug programs. and launches prescription opioid and heroin treatment intervention programs. we can administer narcan and our first responders are doingen a -- doing an amazing job of bringing people back to life. but if we don't get the support and treatment for those who are struggling with addiction and deal with the underlying issues, we are not going to solve this problem. as the chairman -- and you will hear from chief willard today -- we cannot arrest our way out of this problem. this is not just about statistics. this is a

again, i don't think anyone argues that that isn't good medicine or -- and good prevention. i look forward to the testimony of the witnesses and again, thank you. >> i would like to now yield to the ranking member of the western hemisphere committee, my good friend and colleague from new jersey. >> thank you, chairman. and thank you for holding these hearings. i know how much you care about world health and people, and this certainly is a theme -- a situation that we have to deal with right now. you know, the lack of clarity on the virus and its effects and its treatment make it all more important that we respond to this more aggressively than we have in some of the other diseases. very concerned now that we have the olympics, a lot of people going into brazil. and i think the brazilian people should be -- the brazilian government should be very concerned that a crisis doesn't spur because i don't think anybody would go to the olympics if you have the situation where it gets to be panicky. so i want to hear what the panel has to say. and i want to thank the chairman, again,

frieden, m.d., director, centers for disease control and prevention) we may well see tens or hundreds of thousands of zika infections in puerto rico. directors frieden and fauci said researchers are already working on a vaccine. (anthony fauci, m.d., director, national institute of allergy and infectious diseases) we will likely go into phase one clinical trial after several months we'll know if it's safe and they reiterated the warnings for pregnant women (thomas r. frieden, m.d., director, centers for disease control and prevention) right now the most important thing for americans to know is, if you're pregnant it's better not to travel to a place where zika is spreading and if you're pregnant in a place where zika is spreading, do everything you can to protect yourself against mosquito bites. there are currently more than 50 cases of zika in the u.s. and more are expected but f said a massive zika outbreak in the u.s. is unlikely. in washington, i'm steve nannes. the zika virus is ed for birth defects in newborns... after becomes infected. there are more than a million infections s

mental health care and suicide prevention programs. v.a. recent suicide data report was released in february, 2013. that report found that 18 to 22 veterans per day commit suicide. in a follow-up report, the v.a. found an increase in the suicide rate among female veterans who use the v.a. ealth care system. this echos research that female veterans commit suicide nearly six times the rate of other women and veteran women are five times more likely to be successful committing suicide than male veterans. this bill will amend the clay hunt suicide prevention for american veterans act to include within the independent third party evaluation specific metrics applicable to women and to identify the v.a. mental health care and suicide prevention programs that are most effective and -- for and have the highest satisfaction rates among women veterans. additionally, this legislation includes a provential that my friend, representative krysten sinema, from arizona, has been working on for years. this section requires the v.a. to establish and publish s