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#eli's voice: ITS EPIDEMIC
cprachniak · 3 months
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The following are highlights from research in which I served as PI or an author.
IAPAC-Lancet HIV Commission on the Future of Urban HIV Responses
I served as coordinator and second author on this publication, which will be published by Lancet HIV very shortly. For now, you can read a preview of our work here.
LGBTI Health Equity: A Global Report of Fast-Track Cities
I served as PI and lead author for this investigation in which we compared LGBTQ community resources, needs, and resilience across 50 cities worldwide. The report was published at World Pride 2021 in Copenhagen. You can read a summary of the report here and the full report here.
Unhead Voices: Women's Experiences with Zika
I served as PI and lead author for this year-long investigation into the Zika epidemic and its impact on sexual and reproductive rights. I lead a team of multidisciplinary researchers from the Center for Reproductive Rights, Harvard University, and Yale University. Field work was conducted in Colombia, Brazil, and El Salvador. My participation was funded through a Sinclair Kennedy Fellowship through Harvard University and generously supported through a Visiting Scientist Appointment at the School of Public Health's Women & Health Initiative.
Read the report on the global impact of the epidemic here.
Read the report on the impact in Colombia here. (It is also available in Spanish here.)
Read the report on the impact in Brazil here.
Read the report on the impact in El Salvador here.
Involuntary Sterilization of Women Living with HIV in Kenya
I worked with Professor Alicia Ely Yamin of Harvard University to submit an amicus brief to the High Court in Naibori, Kenya, in favor of a claim made by a woman who had been involunarily sterilized because of her HIV status. We turned our work on that case into an article laying out the human rights arguments against this practice, which was then published in the Harvard Journal of Law and Gender. Read the law review article here.
HIV and the Right to Health in Colombia
My colleague Jimena Villar de Onis and I worked with HIV activists, legal scholars, public health experts, and other stakeholders in Colombia to document the history of HIV activism in Colombia. These advocates led to Colombia becoming the first country in the world in which a court found a constitutional right to health leading to a complete overhaul of Colombia's healthcare system. Our findings were published in Harvard University's Health and Human Rights Journal. You can read the published article in English here and in Spanish here.
More Information
For a more complete list of published and presented abstracts, you can download my C.V. here.
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dykementality · 2 years
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i'm gonna complain about cookie cutting issues of the cookie cutter app again, sorry. instagram is brutally killing creativity and its so depressing to see it. when it first started becoming digital artists' main platform we all knew it was bound to happen, but its so disheartening to open the explore page and just see the same fucking drawing everywhere. the [chibi with big eyes/generic relatable comic] to [any other type of illustration] ratio is insane. its regular instagram's imitate-standardize-profit recipe paired with creating an influencer persona, but applied to creative work it's horrifying. a relatively "simple" thing thats very easily replicated and guarantees the opportunity to cut in line and get likes and followers without revealing any critical angle or committing to the craft? i wonder what consequences this will have on society 🤔 i wish i didnt care but this is actually fucked up, it messes with the state of art and the living conditions of independent artists. its an insufferable overload of the same relatable comic about bland surface level detached shit, the same cute little children's book imitation that's the product of somebody else's effort, the same fake act of interpersonal connection, people literally copying other peoples entire pieces because the general styles are so overexposed anything like it feels like it was manufactured by machines. making real people who came up with the original concepts inside a context by practicing hard and learning fundamentals look stupid lmao. this is actually upsetting me. there's no winning. you can't conform without giving up ur morals, and you can't succeed if you won't conform. maybe i will die on this hill without a cent to my name but you will never catch me copying other people's stuff or performing for a smidge of engagement like i'm the kylie jenner of illustration
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Charter schools are money laundries
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Critiques of charter schools usually focus on poor quality education (disproportionately affecting racialized and poor people) and dangerous ideology (the movement is funded by billionaire dilettantes and religious maniacs), and with good reason!
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Charters hand public funds to private institutions with minimal oversight. Public money should not go to schools that endorse slavery and indigenous genocide, nor schools that deny evolution and claim humans and dinosaurs co-existed.
https://web.archive.org/web/20180604002542/http://www.orlandosentinel.com/features/education/school-zone/os-voucher-school-curriculum-20180503-story.html
Charter students know they’re getting substandard educations — that’s why the 2019 valedictorians for Detroit’s Universal Academy used their speech to denounce the school, its curriculum and administrators.
https://www.freep.com/story/news/education/2019/06/10/salutatorians-criticize-charter-school-graduation/1381474001/b
The more we learn about charters, the worse the situation gets. Take New Orleans, where, post-Katrina, the Republican statehouse and wealthy dilettante “philanthropists” eliminated all public education in favor of charter schools.
https://www.nola.com/news/education/article_0c5918cc-058d-11ea-aa21-d78ab966b579.html
A decade later, the state education regulator gave half these schools “D” or “F” grades.
No wonder that charter teachers joined LA public school teachers on their Red For Ed pickets in 2019:
https://www.latimes.com/local/lanow/la-me-edu-lausd-strike-accelerated-school-20190114-story.html
Charter schools pitch themselves as grassroots phenomena, made possible thanks to the passion of parents seeking quality educations for their kids. The reality is that the movement is funded and promoted through a corrupt network of ultra-wealthy ideologues.
The Kochs and the Waltons (Walmart) have secretly funneled vast fortunes into disinformation campaigns aimed at demonizing teachers’ unions:
https://www.theguardian.com/education/2018/apr/12/teacher-strikes-rightwing-secret-strategy-revealed
They were joined by the likes of Trump education secretary Betsy DeVos, a fundamentalist who makes no secret of her view that charters can remove the barrier between church and state and institute publicly funded Christian indoctrination in schools:
https://www.cnn.com/2017/02/02/politics/eli-broad-letter-betsy-devos/index.html
Destroying public education is the sport of kings. Bill Gates blew $775m on a failed charter experiment whose subjects were children who got no say in the matter:
https://www.bloomberg.com/opinion/articles/2018-06-27/here-s-how-not-to-improve-public-schools
Gates has solid teammates in his anti-public-education crusade. I mean, who can say no to Mark Zuckerberg?
https://www.nytimes.com/2019/04/21/technology/silicon-valley-kansas-schools.html
Misery loves company, which is why the Sacklers — mass-murdering architects of the opioid epidemic — sunk so much blood money into the charter project (incredibly, this “philanthropy” is supposed to improve their reputation):
https://web.archive.org/web/20171113043810/https://www.alternet.org/education/notorious-family-contributing-opioid-crisis-and-funding-charter-schools/
But a critique of charters that starts with poor outcomes and ends with ideological billionaires misses the third leg of this stool: money-laundering and financial fraud.
Admittedly some of that has been in plain sight for years. Remember when an LA school board exec plead guilty to felony finance fraud and conspiracy for his role in the charter-backed takeover of the board?
https://www.latimes.com/local/lanow/la-me-edu-ref-rodriguez-resigns-20180722-story.html#
But “Chartered For Profit,” a report from Network for Public Education is by far the most comprehensive look at the means by which billions are transferred from public school districts to profiteers, at the expense of kids in both the charter and public system.
https://networkforpubliceducation.org/wp-content/uploads/2021/03/Chartered-for-Profit.pdf
In an interview with Jacobin’s Meagan Day, NPE’s executive director Carol Burris discusses the blockbuster report, which is so damning that it prompted a bill in Congress that bans funding to charters that are managed by for-profit contractors.
https://jacobinmag.com/2021/07/charter-schools-for-profit-nonprofit-taxpayer-public-money-oversight-education-salaries-real-estate-burris-interview
Burris explains that even though nearly all charters are nonprofits (except in AZ), there’s a widespread practice of contracting with for-profit corporations to “manage” these schools; the for-profits are often owned by the schools founders or their relatives.
Others are nationwide chains that offer comprehensive management services — “comprehensive” in the sense of steering schools to procure materials, services and supplies from affiliates that overcharge and kick-back to the management companies.
From substandard, overpriced cafeteria fare; to janky, nonfunctional ed-tech; to unqualified, underpaid teachers, these for-profit entities figure out how to minimize costs, maximize profits, and disguise poor student outcomes so they can keep doing it.
They deploy opaque corporate structures to give the appearance of a thriving ecosystem of suppliers — meanwhile, the largest chain, Academica, consists of 56 companies at one address, more than 70 at another, and a network of real-estate, holding and finance companies.
Real estate plays a major role in charter profiteering. Profiteers scoop up tax-advantaged funding and subsidized loans to buy buildings, leased at inflated rates to charters, with the tax-payer paying their mortgage.
When the mortgage is paid, more tax dollars are used to buy the school at inflated prices.
But it’s even more profitable to run a “virtual school” where you can deliver canned lectures and fake attendance records and pocket vast sums in public money.
For-profits are also loan-sharks. They offer credit to the nonprofit charters so they can afford the inflated prices for educational “services,” charging high interest rates that ensure they get an additional rake off of every public dollar the charter receives.
NPE’s “Another Day Another Charter Scandal” page is a good look at the tip of the corruption iceberg — the crimes that get caught, from fake invoices to outright embezzlement. Charter execs use the school’s credit card to pay for fancy dinners even trips to Disney World.
https://networkforpubliceducation.org/another-day-another-charter-scandal/
Charters shouldn’t exist, period. But if they must exist, then the loophole that allows for-profits to run the notionally nonprofit charter sector must be closed.
Meanwhile, if you want a look at education “reform” that works, check out Andrea Gabor’s 2018 “After the Education Wars,” and learn how eliminating hierarchy, funding the arts, offering good wages and good training to teachers transform schools.
https://www.ineteconomics.org/perspectives/blog/millionaire-driven-education-reform-has-failed-heres-what-works
The formula is rather simple, really: “a respect for democratic processes and participatory improvement, a high regard for teachers, clear strategies with buy-in from all stake-holders, and accountability frameworks that include room to innovate.”
“Robust leadership and strong teacher voice. Their success underscores the importance of equitable funding and suggests that problems like income inequality are far more detrimental to education that the usual suspects, like bad teachers.”
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New Post has been published on https://fitnesshealthyoga.com/uk-kentucky-awarded-87-million-to-lead-effort-in-combating-nations-opioid-epidemic/
UK, Kentucky Awarded $87 Million to Lead Effort in Combating Nation's Opioid Epidemic
LEXINGTON, Ky. (April 18, 2019) — In the largest grant ever awarded to the University of Kentucky, researchers from UK’s Center on Drug and Alcohol Research (CDAR) and across campus — in partnership with the Kentucky Cabinet for Health and Family Services and the Justice and Public Safety Cabinet (JPSC) — will lead a project as part of the HEALing Communities study.
The four-year, more than $87 million study has an ambitious but profoundly important goal: reducing opioid overdose deaths by 40 percent in 16 counties that represent more than a third of Kentucky’s population.
The university’s largest previous grant was a $25 million award for math and science education in Appalachia.
More than 47,000 Americans died of an opioid overdose in 2017.
Kentucky and UK represent one of only four study sites across the United States selected by the National Institute on Drug Abuse, part of the National Institutes of Health (NIH), for this groundbreaking effort.
The study is part of the NIH HEAL (Helping to End Addiction Long-term) Initiative, a bold, trans-agency effort to speed scientific solutions to stem the national opioid crisis.
The goal is to develop evidence-based solutions to the opioid crisis and offer new hope for individuals, families and communities affected by this devastating crisis. More broadly, the idea is to see if solutions in different communities across the state can be scaled up and replicated as part of a national approach to the challenge.
The award was announced Thursday by U.S. Secretary of Health and Human Services Alex M. Azar at a press conference in Washington D.C.
“Kentuckians know the insidiousness of this disease better than most,” said UK President Eli Capilouto. “The opioid epidemic does not discriminate by zip code, race, income, or any other demographic characteristic. It is not a character or moral failing, but an illness. It’s unforgiving. It touches us all. We all know someone — a member of our family, a loved one, a lifelong friend or classmate — whose life has been damaged by this illness. Its victims are us. But there is hope. There is us. That is why we believe aggressive, ambitious change is possible. Indeed, it is essential. That is why we believe we can — and must — lead the way.”
Capilouto said the grant is a testament to UK’s strong partnership with the state.
“We are incredibly grateful for the support we’ve received from Gov. Bevin and his administration,” Capilouto said. “Today, we are declaring in a united voice that we can stem this devastating tide. We look forward to our continued partnership with the Governor as our efforts, together, yield a better future for the state we serve.
“We owe a debt of gratitude to Leader McConnell, Sen. Paul, Rep. Barr, and Rep. Rogers — and our entire federal delegation — for their enduring support of UK’s efforts to build a brighter future for Kentucky. Together, our elected officials and the University for Kentucky are committed to stemming the deadly tide of addiction that has claimed too many Kentucky lives. Their support has been, and will continue to be, crucial to fulfilling our promise of hope and healing for the people of the Commonwealth.”
Chair of the UK Board of Trustees Britt Brockman said that the grant is an investment in Kentucky’s future.
“This grant is a recognition that this university — the University for Kentucky — must lead in helping shape a brighter future for the Commonwealth we have served for more than 150 years,” Brockman said. “In partnership with state government, we are taking on the bold — but essential — goal of combating the epidemic of opioids that is destroying lives and ravaging communities. This grant represents the hope and promise that we can change that, that we can bring help and healing to our state and our country. Our university was founded to lead in this way. We look forward, in partnership with our state, to meeting this challenge.”
Consider the dimensions of the problem nationally and in Kentucky:
More than 2 million Americans live with addiction to opioids.
Life expectancy in this country has dropped — fueled, in large measure, by drug overdose deaths.
Kentucky currently is ranked 5th in the United States for opioid overdose deaths and has suffered through the opioid epidemic since its inception.
Not only are these staggering figures likely underestimated, they also fail to capture the full extent of the damage of the opioid crisis, which reaches across every domain of family and community life — from lost productivity and economic opportunity, to intergenerational and childhood trauma, to extreme strain on community resources, including first responders, emergency rooms, hospitals, and treatment centers.
“We are the University for Kentucky. This grant is a testament to that fact and underscores our collective capacity in this state to stem a deadly tide,” Capilouto said. “The scourge of opioid abuse is an epidemic across our state and across much of the country. Working in partnership at the state and federal levels, we have developed the intellectual talent and infrastructure to attack this challenge. We owe a debt of gratitude to the leadership of Senate President Robert Stivers and the far-sighted vision of the General Assembly in funding, in partnership with us, the Healthy Kentucky Research Building, which gives us a state-of-the-art facility to advance discovery. As importantly, together with the state, we have the reach and partnerships at the local level across our Commonwealth to develop and seek community-based solutions to a widespread and deadly challenge. Now is the time to lead. Now is the time to act.”
Sharon Walsh, Ph.D., director of UK’s Center on Drug and Alcohol Research (CDAR), is the principal investigator (PI) of the Kentucky study and will lead a team of more than 200 researchers, staff and state and community partners involved in the project.
“The goal is to show meaningful change in the overdose death rate in a short period of time and to do so in a way that can reveal what evidence-based interventions are effective in the community,” Walsh said. “‘What will work? Is it distributing more naloxone? Is it educating people better about evidence-based treatment? Is it expanding access to treatment and decreasing barriers? For example, if we pay for someone to have transportation to get to their treatment program will that help them stay in treatment?’ We know that people face real barriers accessing treatment and staying in treatment.  We would like to remove those barriers because we also know that being out of treatment is a risk for death.”
UK researchers are hoping to reduce deaths and substance abuse by leveraging existing community resources and initiatives to deploy a robust and comprehensive set of evidence-based interventions.
Sixteen counties in Kentucky that are “highly affected communities” have been identified to be included in the randomized study.
They include:  Fayette, Jessamine, Clark, Kenton, Campbell, Mason, Greenup, Carter, Boyd, Knox, Jefferson, Franklin, Boyle, Madison, Bourbon and Floyd counties.
Overall, these rural and metropolitan counties had 764 opioid overdose deaths in 2017 with two-thirds of them involving fentanyl. They also represent about 40 percent of the state’s overall population of more than 4 million people.
The counties involved in the study will be randomized in two separate waves with theory-driven implementation strategies deployed during an initial eight-month phase followed by an observation period to gauge the impacts of the interventions on OD-related outcomes.
Researchers will work closely with community coalition partners to ensure a community-centered approach and to maximize engagement. In addition, a comprehensive health communication strategy will be used to reach the public, reduce stigma and increase awareness of — and access to — the interventions available through the program.
By implementing the “multi-level, multi-target, integrated evidence-based interventions” in the highly affected communities selected in the study, researchers hypothesize opioid OD deaths could be reduced by as much as 40 percent. The study will seek to bear out the hypothesis.
The study’s aims also include:
Improving and expanding opioid use disorder (OUD) treatment by increasing the use of medications in treatment,
Expanding overdose (OD) prevention by increasing OD training, naloxone distribution and fentanyl test strip distribution for individuals at high risk for opioid OD, and
Reducing the opioid supply by decreasing high-risk opioid prescribing and dispensing practices through targeted education and increasing safe disposal of unused opioids.
The study is being carried out in partnership with the Substance Abuse and Mental Health Services Administration (SAMHSA), which provides support for many of the local prevention, treatment and recovery support services to be studied.
“I am so proud that we could bring together this group of collaborators who are renowned experts in their respective fields, passionate about this topic, and who also happen to work at UK,” Walsh said. “There’s a lot of work in front of us to implement this grant, to get the project rolling and to get communities engaged but I just like to look forward and imagine three years or so from now where we’ve really seen a downturn in overdose deaths and can attribute some of that to the HEALing Communities Study.”
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damnbutcher · 7 years
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@inthehouseofflies ; I love you, here’s a novel under the read-more to reunite our poor tormented babies again ♥ ♥ ♥
      A week.  Seven days.  Charles had promised Mary he would return within the week and he’d meant it when he’d said it.  For the first time in a long time his needs were not his own.  The men in the compound needed to answer for what they’d done to him, that much was true, but in dispatching them he also secured a decent location for he, Mary, and Eli to thrive for however long the world remained decimated.  Considering what had become of his and Mary’s relationship before he left – considering he knew now he loved her no matter how little he deserved to – Charles had decided nothing bad could become of her.  She truly was the first good thing to happen to his life since he was first chucked behind bars years ago.
         Though his and Eli’s attack on the compound had been completely by surprise and executed immensely well, it didn’t mean it had been easy in any sense of the word.  Charles earned a few new wounds, though nothing as grave as his prior injuries.  Bindings were wrapped and alcohol was drunk, both in celebration and as a way to numb the pain.  Bodies were properly disposed of ( knives through eyes dug into the brains and promised them they wouldn’t come back ) on the outside of the secured chain link fence and within two days, both Charles and Eli were ready to ride again.
         Excitement coursed through him at the thought of returning to her not within a week, but in half that.  As he climbed into the passenger’s seat of the beat-up old car they’d driven in, Charles glanced toward the horizon and the way the sun lit up the world as another day turned.  He nearly smiled to think by the time that sun set, he, Mary, and Eli would be returning from that godawful city and back here where they could learn to make a life for themselves.  Charles would do right by her.  He swore it to himself.  If the world was still put together he would have been nothing to Mary but trouble.  In this world he could be worthy of being her savior.  Charles had no intention of wasting the opportunity.
         They ran into trouble halfway there.  Hundreds of walkers moving in a slow, ambling pace.  Too thick to drive through, too spread out to safely run through.  Charles wanted to – he was maddened by the thought there was no turning back, but there simply was no way.  He’d be of no use to Mary dead and he’d promised her he’d return within the week.
         Five days.  Charles paced restlessly in the compound.  Along the outside he drove crudely carved stakes with rotted heads of the men he and Eli had slaughtered.  Slabs of wood had carved warning messages for anyone who’d try to take the compound, promising they’d meet the same fate.  Anything Charles could do to keep busy, he did.  He spread out local maps and circled areas they could check for supplies.  He took one of the motorcycles as far as he could down the road to check how quickly the immense number of walkers was dispersing.
         Three days.  There wasn’t a walker in sight.  The only evidence they’d ever been was the trampled overgrowth following their trail.  Charles and Eli loaded up the car again and headed out.  Charles’ heart pounded and his fingers fidgeted, drumming on the side door of the car.  Three cigarettes were smoked, the window down as he blew the smoke in thick clouds.
         The car came to a screeching halt outside the bookstore and apartment complex he’d left Mary in for safekeeping along with the doctor and the man who had loathed the sight of Charles.  Charles didn’t care; he wasn’t looking for the guy’s approval.  If Mary had convinced the doctor to come with them, they could use her, but if not… he was leaving with Mary regardless of what he had to do.
         Something was off.  Charles’ senses pricked as his knuckles rapped hard against the locked and boarded door.  “Mary!”  He shouted.  “Mary!”  She’d know it was him.  She’d have been waiting for him, right?  Any minute now he’d hear her behind the door, coming to open it.  He’d see her smile… he’d whisk her away… Dread crept slowly along his skin.  The hair on the back of his neck rose.  A bitter taste gathered on his tongue.  With a hard frown pinching his brow, Charles’ eyes swept the street again to make certain any far-away walkers were staying that way, and then swung to Eli.  “Something’s wrong.”  He didn’t want to give voice to it, but his gut instinct was getting worse and worse as time crawled by.
         Turning, Charles put a large boot into the door, kicking it off its hinges and shouldering the wood aside.  “MARY!”  He bellowed.  His voice seemed to echo.  The light within the room was dim and dull except toward the back, where he noticed a strange halo of light.  Moving slowly closer, blades in hand, pistol at his side, Charles peered around the corner to see the back door left wide open.  Askew.  It looked as if it was torn open in a hurry.  Someone had been trying to escape.
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         Charles’ blood ran cold.  He looked around him then, not just looking for Mary but looking at the state of the place.  There was blood smeared on shelves, rows of books knocked on the floor, entire shelves capsized over.  Beneath one shelf he could see a deteriorated hand, its fingers barely twitching.  They’d been attacked.  Mary had been attacked and Charles hadn’t been here to protect her.
         Maybe she’d managed to make it out.  He stepped toward the open door but was almost immediately jerked in step as if he’d been tethered by ropes and they’d been pulled at that very minute.  His boots stepped into blood, deep, red, slick.  A pool of it.  It wasn’t the blood that made his heart seize in his chest as if a fist was clenched around it, though, but what lay within it.  Sheathing one of the two blades he held, Charles bent at the waist, his fingers gently pinching into the fabric of the sweater as if it was the most precious artifact he’d ever handled.
         Mary’s sweater.
         A sting crawled up his nose into his eyes.  The world swam.  His fingers curled tighter around the sweater, knuckles going white.  He trembled.  Somehow his feet moved one in front of the other, bursting him through the door and into the alleyway in the back.  “MARY!”  He yelled, voice cracking on emotion.  He’d draw the attention of the nearby walkers but he didn’t care.  He couldn’t care.  Charles started to run, shouting her name, looking for any sign she was out there, somewhere nearby.  As walkers began ambling toward him he drew the gun from its holster and began firing.  “MARY!”  He shouted again and again.  BANG!  BANG!  BANG!  Walkers dropped onto the asphalt.  More and more were coming, more and more were drawn in by the commotion he was causing.
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         If not for Eli driving up in the car and forcing him to get in, Charles might have raised enough hell to draw all the walkers of the city his way so he could go down too after taking as many of them as he could.
         Driving back to the compound he felt dead inside, Mary’s blood-stained sweater in his lap.
         Three days until the week was up and he’d failed her.  He’d been too dependent on seeking revenge against the men who’d wrong him, he’d left Mary behind and she was dead because of him.  It was a lesson he would keep forever, turning him more akin to stone than he’d ever been and sharpening whatever edges might have been previously gentled by her influence.  Only Eli remained his constant, understanding companion.
------
         Time passed and eventually, ultimately, the world managed to right itself.  The walker epidemic was contained.  Fields were converted to cemeteries with markers for those lost whose corpses could never be recovered.  The surviving population began to gather in cities again, building on each other’s strengths.  Everyone who lived had been changed, some for the better and some were worse off than before.  The foundation they stood on felt shaky, but it was there and in time, it would be stronger than ever.
         The rumble of the motorcycle beneath him was more a comfort than ever, a constant companion to have followed him throughout the plague and well past it.  Light blinking, Charles guided the motorcycle up one street and then the next, easily guiding himself through the well maintained city streets.  After the world pieced itself together, Charles capitalized on his business knowledge prior to the fall of the world and prior to his prison sentence.  He and Eli opened a now successful vehicle repair shop and now, with business faring well, Charles was on the move to search for a new location.
         First, lunch.  Parking the motorcycle, Charles stopped the engine, kicked the stand and pulled his long legs from over the body.  He pocketed the keys, tucking the helmet under his arm as he turned toward the little café he’d seen from afar.  Before he could pay much mind to the building, Charles felt his phone buzz and pulled it from his pocket before answering, holding it up to his ear with a frown and beginning to handle business from the shop, back to the cafe’s windows.
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