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Austin advocates urge more support for harm reduction amid high overdose, fentanyl deaths

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Austin advocates urge more support for harm reduction amid high overdose, fentanyl deaths


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Felix Gonzalez first used drugs at 9 years old.

Decades later, he continues to cycle in and out of drug use as a way to cope with the trauma from his life, he said. But in the past two years, as someone experiencing homelessness, he has seen more family and friends die on the streets of Austin than at any other time of his life. Most of those deaths are due to fentanyl.

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“So much death around fentanyl,” Gonzalez said, as he began tearing up. “I really don’t know what a solution to this is. … But we need help.”

Gonzalez was one of dozens of advocates, local officials, and former and current drug users who stood outside of the Texas Harm Reduction Alliance’s drop-in center in East Austin on Wednesday to call for more resources to be put into harm reduction as both the city of Austin and Travis County look to begin their budget processes. The alliance offers services to people at risk of opioid overdoses in the Austin area.

Wednesday’s news conference comes nearly a week after the Travis County medical examiner, J. Keith Pinckard, presented the office’s annual report, which found that overdoses were the county’s leading cause of accidental deaths — a trend driven by an increase in the deadly drug fentanyl, a synthetic opioid 50 times stronger than heroin that has been found laced in other drugs such as methamphetamine and cocaine.

Overdose deaths and fentanyl-related overdoses increased last year, the report found, with 486 people dying of an overdose.

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So far, this year doesn’t seem to be bringing much of an improvement, as the county recently saw an overdose surge that resulted in 79 overdoses and nine deaths in less than a week. Fentanyl was present in each of the nine deaths, county spokesperson Hector Nieto has said. No arrests have been made in connection to this surge.

“We’ve been raising the alarm for so long, and we do not have the support we need,” said Alexandra White, director of services for the Texas Harm Reduction Alliance. “We are so tired. We are working so hard to keep our people alive that we don’t even have time to mourn our dead.”

During the previous state legislative session, harm reduction efforts such as legalizing fentanyl testing strips in Texas stalled in the Senate despite a measure passing in the House.

Many of the people who spoke at Wednesday’s news conference urged state lawmakers to make fentanyl testing strips legal during next year’s legislative session.

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Travis County has the highest rate of fentanyl-related deaths in the state compared with other major metropolitan counties. Experts have partially attributed the rate to the area’s lack of treatment options and local policies that have made implementing a successful harm reduction strategy more difficult.

What is harm reduction?

Harm reduction includes making things available to drug users that can help limit some of the adverse effects that are typically associated with illicit drug use. Some of those items include clean needles, wound care and Narcan, a nasal spray that, if administered soon enough, can reverse an opioid overdose.

However, Maggie Luna, executive director of the Texas Harm Reduction Alliance, said harm reduction is a lot more than just providing Narcan to people. She said it’s providing support to drug users, and oftentimes people who are homeless, with dignity and without judgment. This can include offering people a meal, a place to shower or safe sex supplies, all things that the organization provides.

The alliance offers harm reduction in two forms: through its drop-in center in East Austin and through its outreach teams, which go to various places throughout the city where campsites or large numbers of people experiencing homelessness are typically found.

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Currently, the alliance employs 11 people, including four on the outreach team and another four in the drop-in center. That’s not enough for Travis County, Luna said, and it’s why the group is asking Austin Public Health to increase its current yearly budget of $684,000 to $1 million.

White said that, in six months, the Texas Harm Reduction Alliance has handed out supplies to more than 1,800 people.

What are county leaders saying?

Leaders such as County Judge Andy Brown and Commissioner Ann Howard both spoke at Wednesday’s news conference and said they would be asking the Travis County Commissioners Court for more funding.

“We have pledged at Travis County to listen and to learn and to invest where it matters,” Howard said. “We need to do more, and we are in agreement about that. It is a struggle. There’s lots of needs in Travis County, we’re growing fast, but I think nothing compares to this one.”

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Brown said increasing funding for harm reduction is a short-term solution and that, long term, the county is looking to increase permanent supportive housing for people who are homeless. Additionally, he said the upcoming mental health diversion center is another option to help treat people who are arrested on a low-level crime in a way other than sending them to jail.

While the building is likely years away from being completed, Brown said a pilot program between the county, the city of Austin and Central Health, the Travis County hospital district, has been given the green light. The pilot can handle up to 25 people and will begin taking people soon, if it hasn’t already, Brown said.

Other solutions

In addition to calling for more resources to be put into harm reduction, many called for an end to stigmas and for increased access to permanent supportive housing.

Permanent supportive housing is one of the two types of rental assistance offered to people experiencing homelessness in Austin. These vouchers have no time limit and come with intensive services, such as mental health treatment. The city has increased its capacity in recent years and expects to have an additional 1,000 permanent supporting housing units by 2026, with some being made available this year.

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However, the number of people moving into permanent supportive housing units each year is far lower than the total number of people seeking such assistance, the American-Statesman reported.

White and others said the continued sweeps of homeless camps are making it more difficult to provide harm reduction supplies to the people who need it the most. White also called for investigations anytime there’s an overdose death in one of the city-funded shelters or housing projects.

Gonzalez, who said he is a veteran who served in the U.S. Navy in the late 1980s, said people living in campsites often won’t call 911 for fear that doing so will put them on the radar of police or city officials, which will then cause them to lose all their belongings.

“I just wish the public would open up their eyes a little bit and not be so close-minded,” Gonzalez said. “They think a lot of this is taboo and stuff, but, no, it’s real life. Basically, it’s just a little more consideration for other human lives.”



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Cancer case highlights gaps in Texas protections for women firefighters

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Cancer case highlights gaps in Texas protections for women firefighters


NEW BRAUNFELS, Texas (KXAN) — Between carpool, homework, and after-school activities for her two teenage daughters, Suzanne La Follette fits in chemo.

Suzanne La Follette is pushing for change and more research after being diagnosed with terminal cancer. (KXAN Photo/Arezow Doost)

As she and her partner move through daily life, they’ve had to navigate cancer treatments and a legal system surrounding workers’ compensation.

“To have this on top of it has been really overwhelming,” La Follette said.

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The Austin Fire Department lieutenant of nearly two decades said she was diagnosed with terminal uterine cancer last May. She explained in November 2025, the City of Austin denied her workers’ compensation claim, classifying her cancer as a “disease of life” rather than an illness tied to her work as a firefighter.

“I have no regrets (about) becoming a firefighter,” La Follette said. “But I do think this job absolutely caused the cancer.”

Her case highlights concerns by firefighter associations across the state and the need to strengthen Texas’ presumptive cancer laws, particularly to ensure women firefighters are covered.

Focus on cancers impacting women

La Follette, 46, appealed the city’s decision.

In April, a ruling affirmed that her cancer is occupational, making her eligible for workers’ compensation benefits. A city spokesperson said it’s not appealing the judge’s decision. 

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Suzanne La Follette is a 19‑year veteran of the Austin Fire Department. (Courtesy: Suzanne La Follette)
Suzanne La Follette is a 19‑year veteran of the Austin Fire Department. (Courtesy: Suzanne La Follette)

“All workers’ compensation claims are unique and evaluated on a case-by-case basis. This process ensured that Lt. La Follette’s case was reviewed and considered by a neutral third party,” said the statement to KXAN investigators. “We are thankful for the clarity provided by the Texas Division of Workers’ Compensation and appreciate Lt. La Follette’s years of service to this community.”

Under Texas law, certain cancers are presumed to be job-related for firefighters, but cancers specifically impacting women, including uterine cancer, are not listed.

It’s why state lawmakers want to study the issue and have directed the Department of State Health Services and the Texas Commission on Fire Protection to compare cancer rates of women firefighters across the state to other women, focusing on ovarian, cervical, uterine and breast cancers. A report due to the Texas legislature by September must include the results of the study and any recommendations. 

DSHS said the agency is using Texas Cancer Registry data to compare all cancers, and those specific to women, among women who are firefighters and those who are not. The Texas Commission on Fire Protection explained the agency has shared data with the state health department on more than 40,000 firefighters in Texas to correlate the data, which does not include occupations. The data will allow DSHS to identify women employed as firefighters.

“There have been many studies which show a link to increased risk of cancer amongst male firefighters for a broad range of cancers; however, until now, there were not enough female firefighters in the state to do a meaningful study into the increased risk these women face to female-specific cancers, such as ovarian and breast cancers,” said State Rep. Jared Patterson, R-Frisco, one of the authors of the legislation which became law last legislative session.

Patterson said the new law does not change existing code or policy, but the state will study whether certain cancers should be added to preemptive measures, as other specific cancers have been.

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‘Left by the wayside’

Firefighter associations are advocating for statewide changes to cancer protections for firefighters.

“They could get it through the exposure to carcinogens on the fire ground, benzene, diesel exhaust in the fire station, if they don’t have that taken care of,” explained John Riddle, president of the Texas State Association of Fire Fighters.

The association has almost 21,000 members and points to gaps in research, which has historically focused on men. 

“They’ve (women) been kind of left by the wayside quite frankly over the years,” said Riddle. “And we need to fix that.”

Though the number of studies into cancer rates impacting female firefighters are limited, one out of Florida is similar to what Texas is hoping to learn. 

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Suzanne La Follette was diagnosed with terminal uterine cancer last May. (Courtesy: Suzanne La Follette)
Suzanne La Follette was diagnosed with terminal uterine cancer last May. (Courtesy: Suzanne La Follette)

A study published in the American Journal of Industrial Medicine in 2020 examined cancer risk in over 100,000 Florida firefighters over three decades.

The study found women firefighters had a 154% increased risk of brain cancer, a 142% increased risk of thyroid cancer and a 68% greater risk of melanoma compared to women who were not firefighters. The authors of the study explained more research is needed to focus on a larger number of women firefighters diagnosed with cancer. 

It’s what another national study currently underway hopes to do. 

The Fire Fighter Cancer Cohort Study, funded by the Federal Emergency Management Agency, is focusing on women firefighters and evaluating factors associated with the increased risk for cancer, reproductive health outcomes and stress in the fire service. As of early May, more than 1,400 women firefighters have enrolled in the study from across the country, over 170 from Texas. 

“I’ve really been optimistic that we can make some change,” La Follette said, hearing about the ongoing studies. “The more research we gather, the more we realize… that cancer is an occupational hazard of firefighting.”

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Austin, TX

Man fatally shot during dog walk in Northwest Austin, neighbor arrested

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Man fatally shot during dog walk in Northwest Austin, neighbor arrested


A man walking his dog with his son was fatally shot by a neighbor Friday evening in Northwest Austin, police said.

Billy Carlisle, 41, was shot at the intersection of Gardenridge Hollow and Wallace Drive at approximately 6:06 p.m. May 8. Austin-Travis County EMS attempted lifesaving measures, but Carlisle was pronounced dead at 6:45 p.m.

Hunter Buchmeyer, 36, was taken into custody in connection with the shooting.

According to APD, Carlisle was walking his dog with his son when he and Buchmeyer, also walking his dog, got into a verbal altercation. The two neighbors had “prior history,” APD said.

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PREVIOUS COVERAGE | APD investigating deadly shooting in NW Austin; suspect in custody

The dispute escalated to the point that Buchmeyer called 911 to report the altercation before shooting Carlisle. According to police, Buchmeyer yelled at someone to “get back” before the call disconnected.

Buchmeyer remained at the scene and attempted CPR on Carlisle before officers arrived.

No charges have been filed. APD said the investigation remains open.

The case is being investigated as Austin’s 23rd homicide of 2026.

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Anyone with information is asked to contact APD at 512-974-TIPS or submit an anonymous tip through Capital Area Crime Stoppers at austincrimestoppers.org or 512-472-8477. A reward of up to $1,000 may be available for information leading to an arrest.



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Antisemitic incidents in Rhode Island fell by half in 2025, ADL says

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Antisemitic incidents in Rhode Island fell by half in 2025, ADL says


There was a significant reduction in the number of antisemitic incidents in Rhode Island in 2025, according to a national Jewish advocacy group.

According to the Anti-Defamation League’s latest Audit of Antisemitic Incidents, there were 26 antisemitic incidents in the state last year. That’s down from the 52 incidents counted by the group in 2024.

Samantha Joseph, New England regional director of the Anti-Defamation League, says a big reason for the reduction is a steep decline in antisemitism on college campuses.

“It shows that campus administrators are taking their responsibilities very seriously to provide a safe environment for all of their students,” said Joseph.

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Brown University had over $500 million in federal funding frozen by the Trump administration last year following investigations into alleged antisemitism on campus. The funding was restored after Brown reached a settlement with the administration.

The reduction in antisemitic incidents in Rhode Island reflects a wider trend in New England as a whole. According to the ADL’s report, there were 400 antisemitic incidents in the region in 2025, compared to 638 the previous year.

While she’s pleased about the overall drop in antisemitic incidents in Rhode Island, Joseph says a number of concerning trends continue to persist. In particular, the state is still seeing more anti-Jewish incidents than it did prior to the October 7 attacks on Israel that launched the Gaza War in 2023.

Joseph is also concerned about the violent nature of local incidents of antisemitism.

“Even though overall incidents are down, assaults are up and assaults with a deadly weapon are up significantly,” said Joseph. “Our communities remain concerned for their safety, and our work is far from done.”

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