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Bangor launches HIV case management program amid Maine’s largest outbreak

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Bangor launches HIV case management program amid Maine’s largest outbreak


Jennifer Gunderman, director of Bangor Public Health and Community Services, on July 18. (Daryn Slover/Staff Photographer)

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.

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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.

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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.

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“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.

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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.”



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More loons are filling Maine’s lakes with their ghost-like calls – The Boston Globe

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More loons are filling Maine’s lakes with their ghost-like calls – The Boston Globe


PORTLAND, Maine — Loons are on the mend in Maine, filling more of the state’s lakes and ponds with their haunting calls, although conservations say the birds aren’t out of the woods yet.

Maine is home to a few thousand of the distinctive black-and-white waterbirds — the East Coast’s largest loon population — and conservationists said efforts to protect them from threats helped grow the population. An annual count of common loons found more adults and chicks this year than last, Maine Audubon said this week.

The group said it estimated a population for the southern half of Maine of 3,174 adult loons and 568 chicks. Audubon bases its count on the southern portion of Maine because there are enough bird counters to get a reliable number. The count is more than twice the number when they started counting in 1983, and the count of adult adult loons has increased 13% from 10 years ago.

“We’re cautiously optimistic after seeing two years of growing chick numbers,” said Maine Audubon wildlife ecologist Tracy Hart. “But it will take several more years before we know if that is a real upward trend, or just two really good years.”

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Maine lawmakers have attempted to grow the population of the loons with bans on lead fishing tackle that the birds sometimes accidentally swallow. Laws that limit boat speeds have also helped because they prevent boat wakes from washing out nests, conservation groups say.

It’s still too early to know if Maine’s loons are on a sustainable path to recovery, and the success of the state’s breeding loons is critical to the population at large, Hart said. Maine has thousands more loons than the other New England states, with the other five states combining for about 1,000 adults. The state is home to one of the largest populations of loons in the U.S., which has about 27,000 breeding adults in total.

Minnesota has the most loons in the lower 48 states, with a fairly stable population of about 12,000 adults, but they are in decline in some parts of their range.

While loons are not listed under the U.S. Endangered Species Act, they are considered threatened by some states, including New Hampshire and Michigan. The U.S. Forest Service also considers the common loon a sensitive species.

The birds migrate to the ocean in late fall and need a long runway to take off, meaning winter can be a treacherous time for the birds because they get trapped by ice in the lakes and ponds where they breed, said Barb Haney, executive director of Avian Haven, a wildlife rehabilitation center in Freedom, Maine.

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“We’re getting a lot of calls about loons that are iced in,” Haney said, adding that the center was tending to one such patient this week.





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Maine Lottery results: See winning numbers for Mega Millions, Pick 3 on Dec. 12, 2025

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The Maine Lottery offers several games for those aiming to win big.

You can pick from national lottery games, like the Powerball and Mega Millions, or a variety of local and regional games, like the Pick 3, Pick 4 and Gimme 5.

While your odds of winning a big jackpot in the Powerball or Mega Millions are generally pretty slim (here’s how they compare to being struck by lightning or dealt a royal flush), other games offer better odds to win cash, albeit with lower prize amounts.

Here’s a look at Friday, Dec. 12, 2025 results for each game:

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Winning Mega Millions numbers from Dec. 12 drawing

10-50-55-58-59, Mega Ball: 05

Check Mega Millions payouts and previous drawings here.

Winning Pick 3 numbers from Dec. 12 drawing

Day: 7-8-7

Evening: 2-2-6

Check Pick 3 payouts and previous drawings here.

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Winning Pick 4 numbers from Dec. 12 drawing

Day: 4-2-5-7

Evening: 7-7-0-7

Check Pick 4 payouts and previous drawings here.

Winning Lucky For Life numbers from Dec. 12 drawing

06-20-23-30-36, Lucky Ball: 11

Check Lucky For Life payouts and previous drawings here.

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Winning Gimme 5 numbers from Dec. 12 drawing

09-11-12-30-37

Check Gimme 5 payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

When are the Maine Lottery drawings held?

  • Powerball: 10:59 p.m. ET Monday, Wednesday and Saturday.
  • Mega Millions: 11 p.m. ET on Tuesday and Friday.
  • Pick 3, 4: 1:10 p.m. (Day) and 6:50 p.m. (Evening) ET daily.
  • Lucky For Life: 10:38 p.m. ET daily.
  • Lotto America: 10:15 p.m. ET on Monday, Wednesday and Saturday.
  • Gimme 5: 6:59 p.m. ET on Monday through Friday.
  • Cash Pop: 8:30 a.m., 11:30 a.m., 2:30 p.m., 6:30 p.m. & 11:30 p.m. ET daily.

Winning lottery numbers are sponsored by Jackpocket, the official digital lottery courier of the USA TODAY Network.

Where can you buy lottery tickets?

Tickets can be purchased in person at gas stations, convenience stores and grocery stores. Some airport terminals may also sell lottery tickets.

You can also order tickets online through Jackpocket, the official digital lottery courier of the USA TODAY Network, in these U.S. states and territories: Arizona, Arkansas, Colorado, Idaho, Maine, Massachusetts, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New York, Ohio, Oregon, Puerto Rico, Washington D.C., and West Virginia. The Jackpocket app allows you to pick your lottery game and numbers, place your order, see your ticket and collect your winnings all using your phone or home computer.

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Jackpocket is the official digital lottery courier of the USA TODAY Network. Gannett may earn revenue for audience referrals to Jackpocket services. GAMBLING PROBLEM? CALL 1-800-GAMBLER, Call 877-8-HOPENY/text HOPENY (467369) (NY). 18+ (19+ in NE, 21+ in AZ). Physically present where Jackpocket operates. Jackpocket is not affiliated with any State Lottery. Eligibility Restrictions apply. Void where prohibited. Terms: jackpocket.com/tos.

This results page was generated automatically using information from TinBu and a template written and reviewed by a USA Today editor. You can send feedback using this form.



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Citizen’s initiative wants to roll back recreational cannabis use in Maine

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Citizen’s initiative wants to roll back recreational cannabis use in Maine


A new citizen’s initiative is looking to roll back recreational cannabis use in Maine.  Maine has allowed for prescribing and limited possession of medical marijuana since 1999, and a successful 2009 referendum established licensed and regulated medical dispensaries. Then, in 2016, Maine voters approved recreational use, retail sale and taxation of cannabis, which the state […]



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