Maine
Bangor launches HIV case management program amid Maine’s largest outbreak
Bangor Public Health launched an intensive case management program this month to serve those impacted by the city’s HIV outbreak, which has led to 29 identified cases.
The program is funded by about $550,000 of Bangor’s opioid settlement funds. It will provide case management services like mental health care and rides to appointments for residents impacted by the outbreak, which has been ongoing since October 2023 and saw cases rise through this summer, said Jennifer Gunderman, director of Bangor Public Health and Community Services.
“We’re still dealing with an outbreak,” Gunderman said. “Yet I think what we’re trying to do is build longer-term systems so that we don’t all get burned out.”
Over the last two years, Bangor has become the site of Maine’s largest outbreak, with most cases identified among people who have used injection drugs or experienced homelessness in the 12 months before their diagnosis, according to data from the Maine Center for Disease Control and Prevention. Before late 2023, Penobscot County had averaged just two new HIV infections annually.
The intensive case management program will provide wraparound services like mental health care, housing assistance and substance use disorder treatment to people impacted by the outbreak. Gunderman said it will employ two case managers and a vehicle to transport people to and from appointments.
This is the first time the city’s public health department is running its own case management services, Gunderman said.
Gunderman said Bangor’s population needs a combination of programs and case management services, including ones that are close to home, so residents don’t fall through the cracks.
“We have been engaging with this population for a very long time, even before this outbreak happened,” Gunderman said. “So when the intensive case management (program) happened, it was just like saying to a person that we’ve known for a while: ‘Hey, we now have this other service that we can offer you.’”
The Regional Medical Center at Lubec previously handled case management services for Bangor, but the hospital terminated its Northern Maine HIV Program this summer, ending case management for about 140 people in five northern counties, according to Gunderman and MaineGeneral Health officials.
Bangor residents who had been on HIV case management for decades lost services in the middle of an outbreak, Gunderman said.
On Oct. 7, MaineGeneral Health’s Horizon program announced it would expand its HIV and AIDS support services to more counties, including Penobscot, to fill the gap.
The Lubec hospital and Horizon program are both longtime recipients of funding through the federal Ryan White Part C Early Intervention Services Program, which allocates HIV prevention and care dollars to states and communities.
After Lubec terminated its program, federal funding was awarded to MaineGeneral’s program to take on the additional counties, said Jennifer Riggs, MaineGeneral’s CEO of community care.
Riggs said the Horizon program integrates outpatient medical services with support services like mental health care to serve people who are low-income, uninsured or underserved.
“Ensuring that these services and the funding for them remain available to individuals is essential to limit the negative effects (of HIV and AIDS) in Maine’s local community members,” Riggs said.
Horizon will expand its coverage area to 14 counties, up from nine, and has already started transitioning some case management services over while building relationships with existing health organizations in those places, Riggs said.
Riggs said the program will work with Bangor’s health leaders on “prevention and testing, treatment coordination and other support services.”
Bangor Public Health has worked with a slew of community groups and organizations on expanding preventative HIV services, including distributing condoms and clean needles, making self tests available and helping people get on PrEP, or pre-exposure prophylaxis, a preventative medication taken by people at high risk for HIV infection.
Gunderman said the outbreak is likely larger than the 29 cases that have been identified and reported. She said it was made more intense because of conditions like people experiencing homelessness, living in outdoor congregate settings and struggling with substance use issues and mental health.
She said the outbreak should be a “wake up call” for the rest of Maine.
“Bangor is not the only community that struggles with that,” Gunderman said. “So I think that statewide, there should be an increased awareness and increased testing.”
Maine
Maine Marine Patrol launches newest, largest patrol vessel in its fleet
The Maine Marine Patrol has launched the newest and largest patrol vessel in its fleet, the 57-foot P/V Allegiance, which will support safer and more effective offshore patrols, according to the Maine Marine Patrol, in a news release. The vessel was officially put into service on Thursday, June 11, during a christening event at Perry’s Lobster in Surry.
“Maine Marine Patrol routinely patrols commercial fishing activity offshore and hauls and inspects tens of thousands of lobster traps annually,” said Marine Patrol Colonel Matt Talbot, in the news release.
“While still capable of supporting Marine Patrol’s mission near shore, the new vessel will better position Marine Patrol to conduct offshore commercial fisheries enforcement, including the ability to safely haul and inspect large lobster trawls in federal waters,” said Colonel Talbot.
The vessel will also be used to respond to search and rescue incidents, monitor fisheries in addition to Lobster including scallop, Atlantic Herring, Menhaden, and Groundfish, and others.
The P/V Allegiance will be based in Boothbay Harbor and assigned to Marine Patrol Specialist Evan Whidden. It replaces the 29-year-old, 35-foot P/V Vigilant.
The P/V Allegiance was constructed and finished by Wesmac Custom Boats in Surry.
“This is the fifth patrol vessel built or refitted by Wesmac and we are once again very pleased with the quality of work and attention to detail by the Wesmac team,” said Colonel Talbot.
The P/V Allegiance is powered by a low-emission Tier 4 Man Diesel V-12 1450hp engine which can cruise in excess of 20 knots. It is equipped with state-of-the-art Furuno navigation electronics, and a heavy duty 17-inch hauler. It has significant deck space and an open stern which will allow Officers to safely handle and set back the larger offshore lobster trawls Marine Patrol Officers will be inspecting. The vessel is also equipped to carry a 15-foot Ribcraft Rigid Hull Inflatable boat on deck, which can be used for at-sea boardings to check vessels for compliance with marine resources laws.
Maine
Gov. Mills to decide on Maine school choice tax credit program
PORTLAND (WGME) — Maine Governor Janet Mills has not yet decided whether the state will opt into a new federal tax credit program that would help fund private school tuition, tutoring and other educational services.
The program, called the Educational Choice for Children Act, would start next year. In states that opt in, individuals can receive up to $1,700 in tax credits for donations they make to scholarship-granting organizations, also known as SGOs. Those SGOs would then award grants to students to cover private school tuition, tutoring and other educational services.
Families earning up to 300 percent of the area median income can qualify for the scholarships in states that opt in.
Under the current framework, donors contribute to SGOs and receive federal tax credits, and SGOs use the funds to award scholarships for qualifying educational expenses, including tuition, fees, tutoring, curriculum materials and educational therapy for K-12 students. SGOs can also use donated money to award scholarships for educational expenses, including everything from private school tuition to special needs services and educational therapy.
Each state’s governor must opt in by filing IRS Form 15714. Once opted in, the state designates SGOs to operate within its borders and distribute EFTC scholarships to eligible families.
Republican State Senator James Libby of Cumberland, a member of the Education and Cultural Affairs Committee, says he is interested in bringing the program to Maine.
“What it really does is it takes dollars that would normally go to pay for taxes and put them directly into education,” Libby said. “The program itself allows for expenditures for other things besides school choice, so the states can set it up the nonprofit to have goals for whatever they want. There’s a lot of good parts to this legislation and I truly hope Maine will get involved.”
Democratic Rep. Kelly Murphy, who chairs the state’s education committee, says she believes the program would hurt Maine students.
“The Education Freedom Tax Credit favors families that already have the ability to pay for private schools at the expense of families with students enrolled in public schools,” Murphy said. “A decline in public school enrollment would result in a loss of state funding for local SAUs, as the costs for running schools continue to increase, putting additional pressure on property taxpayers to make up the gap. This program and others like it would hurt the majority of Maine students, especially those in small, rural schools across our state.”
The U.S. Department of the Treasury is in the process of finalizing rulemaking for the program. Currently, 30 states have opted into the program, and four states have opted out. In New England, New Hampshire is the only state that has opted in so far.
It is unclear if there is a hard deadline for states to opt in, but Mills is facing pressure to sign off this year so the Department of the Treasury can approve scholarship organizations before scholarships become available in January.
Maine
Amtrak train strikes, kills man in Old Orchard Beach, Maine
A 51-year-old man was fatally struck by an Amtrak train in Old Orchard Beach, Maine, on Thursday afternoon, and police believe alcohol was a factor.
Old Orchard Beach Police say they responded around 2:18 p.m. to the area of the railroad tracks located off from the roadway near 133 Temple Avenue. The victim, who had been struck by a train traveling northbound, was pronounced dead at the scene.
Information obtained from witnesses suggests the man was traveling alone and walking nearby the railroad tracks moments before being struck by the train, according to police, who didn’t say why they believe alcohol was a factor in the incident.
The victim’s name is being withheld pending further investigation and notification, with police saying only that he was from Old Orchard Beach.
Amtrak said in a statement obtained by NBC10 Boston affiliate News Center Maine that the individual was trespassing when he came into contact with the train.
Amtrak urged the public in its statement to stay off railroad property and use caution around railroad tracks and grade crossings, writing, “These incidents can affect everyone involved—those who are injured or die and their families, our train crews, and our passengers.”
There were no reported injuries among the 135 passengers and crew members abord the No. 683 train that was traveling from Boston to Brunswick until the incident happened on Thursday.
The added that preventing railroad incidents and fatalities is a priority for them. Amtrak is working with local authorities investigating this latest incident.
An investigation remains ongoing by the Old Orchard Beach Police Department, Amtrak Police and Saco Police Department, which responded to assist.
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