Narcan opioid overdose rescue kits are available inside the Beans Cafe mobile food truck at Centennial Park Campground on Friday, July 8, 2022 in Anchorage. (Loren Holmes / ADN)
Alaska last year broke a grim record: More people in the state died from an opioid overdose in 2023 than any previous year, the Alaska Department of Health reported.
Also, Alaska’s spike in overdose deaths between November 2022 and November 2023 was the highest year-to-year increase in the nation, according to preliminary data from the federal Centers for Disease Control and Prevention.
The state saw a nearly 40% increase in deaths in 2023 compared to the previous year — the vast majority due to fentanyl, the highly potent synthetic opioid that’s ravaged the state. There were 342 fatal overdoses reported in 2023.
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“This was a heartbreaking, historical high for the state of Alaska,” Lindsey Kato, director of the Alaska Division of Public Health, said Thursday.
She attributed the rise to increased prevalence of fentanyl in the drug supply as part of a deadly, recent wave in the Western U.S. that followed a similar spike on the East Coast.
After Alaska,Oregon and Washington reported the second- and third-highest increases in overdose deaths in the nation between November 2022 and November 2023, CDC data found.
Alaska’s overdose deaths have been high for several years: In 2022, 247 fatal drug overdoses occurred in Alaska, down from 255 in 2021, with fentanyl responsible for the majority of those deaths.
Alaska is “just now just seeing the real implications of fentanyl consistently in our illicit drug supply,” Kato said.
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Fentanyl is popular because it’s cheap and produces a strong high. It’s easy to overdose on because of its extreme potency — it’s 50 to 100 times more potent than morphine. It is sold either as pills or added to street drugs like cocaine, meth and heroin.
Kato said Alaska’s prolonged surge in overdose deaths last year hit Anchorage the hardest — and that Alaska Native men between the ages of 35 and 45 saw the highest death rate.
She said that she had also anecdotally heard of a rise in emergency department visits related to opioid overdoses, and that the state would have additional data to share soon.
She said many of the overdoses involved more than one drug, with methamphetamines at the top of the list.
Alaskans involved in substance abuse treatment and prevention say that a focus has been on disseminating fentanyl test strips, as well as training on the use of naloxone, a nasal spray that can be used to treat a known or suspected opioid overdose.
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Last year, the state’s Project HOPE distributed over 46,000 free naloxone kits, Kato said. The reversal drug is also available over-the-counter in most pharmacies for around $45, she said.
“Without those (kits) it’s hard to know how many overdose deaths would have occurred,” she said.
Kato said she was hopeful about the prevention efforts ongoing in the state.
[Swap funds or add services? Government use of opioid settlement cash sparks strong disagreements.]
Alaska is expected to receive around $58 million in national opioid settlement funds over the next two decades. Around $3 million of those funds are now available for nonprofits and local governments to apply to support opioid remediation strategies across the state, the department said Thursday.
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More information about applying to the program was available on the department’s website.
Health officials say that Alaskans should not use more than the prescribed amount of a prescription opioid. Officials also say Alaskans shouldn’t mix opioids with alcohol, methamphetamines or cocaine, and should test any illicit substance for fentanyl using test strips.
Officials also recommend that Alaskans check in on friends or loved ones who use drugs regularly, and to always carry naloxone, which has been linked to a 93% survival rate for those experiencing overdoses.
If a person has overdosed, the person responding should call 911, administer CPR and then naloxone.
For a list of organizations that can distribute naloxone kits and fentanyl testing strips, click here or email projectHOPE@alaska.gov. To access help with treatment options in Alaska, call 988.
How does one write about a family member she hardly knew? In Aurora Hardy’s case, the answer came as a “fictional biography.” Although her new book never says outright that her novel is anything other than “based on a true story,” a reader might infer that the main character — Sonny — is her own father. In interviews, she has said that is the case, and that she built her story from what she could research and learn from other family members about the man who left his wife and daughter when she was 4.
The portrayal, a sympathetic one, swings back and forth between the life of an ailing Yup’ik man sitting outside his sister’s fish camp in 1978 and his memories of everything that has come before.
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The most detailed sections of the book come early, concerning Sonny’s birth, early years, and especially his time in the Alaska Territorial Guard, also known more commonly as the “Eskimo Scouts,” beginning when he was just 12. “Honor at Last” could be considered, at least in part, a history of the Guard. Hardy presents that history from the point of view of a young person living on the lower Yukon, frightened by news of the Japanese invasion of the Aleutians, and proud to be a protector of his homeland.
Early on, a plane arrives with Maj. Marvin “Muktuk” Marston and Territorial Gov. Ernest Gruening, who make patriotic appeals and enlist volunteers. Sonny, whose skill with a rifle is attested to, is allowed to join and then works with his father to drill, cache supplies, keep trails open, patrol the river and coastline, identify foreign planes, and radio authorities to give and receive reports. On two occasions — likely fiction, but representing the work of the Guard — Sonny and his father shoot down a Japanese bomb balloon and search for a missing plane.
[Book review: A scholarly new perspective on the roles of Alaska Natives in World War II]
Hardy emphasizes the many changes that came to Native villages during the war years, the intense patriotism of villagers, and the sacrifices they made by forgoing their normal routines, rituals and especially their subsistence practices. “The unity of purpose empowered the Yupik men. Old men dug deep into their remaining strength while young boys grew in purpose and care while serving in the Guard.”
By the end of the war years, Sonny had contracted tuberculosis. While he yearns to join his friends in signing up for additional military service, his health requires multiple hospitalizations in Bethel. There, removed from his village and its ways, he is exposed to white culture and meets and marries a blue-eyed nurse.
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In Hardy’s telling, Nuliaq — Yup’ik for “wife,” the name used throughout — is loving but manipulative. She insists on moving to Kodiak, where she’d first worked as a nurse, and then, after the 1964 earthquake, to Fairbanks, where the couple experience overt racism, then to caretake a remote mining camp where they spend a very cold winter. Nuliaq learns of Native allotments and moves the family, now with a small daughter, Bun, to Chitina. There, they build a cozy home on land “abundant with life and natural resources.”
Sonny, always a hard worker and devoted family man, is twice cheated by men who hire him, once of an entire summer’s earnings. He had never learned to read and write and depended on trust. He is at last forced to go to Anchorage to find work, never to return to his embittered wife and confused daughter. He also never returns to his home village.
After he leaves, Nuliaq refuses to speak of Sonny or to allow any contact with him, and Bun grows up without knowing anything of her father except what she later learns from his relatives. She had felt loved by him and held onto one particular memory, a time when he “read” a familiar storybook to her; instead of reading the words she knew almost by heart, he made up his own story, one infused with Yup’ik knowledge and teachings.
Bun, seemingly a stand-in for Hardy herself, many years later comes across a news item about the U.S. Army discharging members of the Alaska Territorial Guard from service. Bun fills out the required paperwork and, in 2007, nearly 30 years after her father’s death, receives the document granting him an honorable discharge. Hardy concludes, imagining Bun’s reaction: “He had served as a Guard member when his country asked him to help fight the war. He had used his Guard training to overcome challenges for the rest of his life.”
Fiction serves history well when it brings to life people who lived it. Through her personal connection and research, Hardy has shown what the World War II experience in Western Alaska could have meant for a young man, and how his service may have influenced the rest of his life.
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Between 1942 and 1947, 6,389 volunteers from 107 Alaska communities served in the Guard as a military reserve force of the U.S. Army. They were as young as 12 and as old as 80, mostly too young or old to be eligible for conscription. It wasn’t until 2000 that Sen. Ted Stevens introduced a bill to direct the Secretary of Defense to award Guard members honorary discharges; this was signed into law by President Clinton. Only then did Guard members receive veteran status and eligibility for federal benefits. The youngest of those who served, if still alive, were then in their 70s.
[Book review: ‘The North Face of Summer’ offers a compassionate look at an Alaska conflict]
[Book review: Steeped in Inuit culture, ‘Leave Our Bones Where They Lay’ offers a universal message]
From our collaborating partner “Living on Earth,” public radio’s environmental news magazine, aninterview by host Steve Curwood with Alannah Hurley, executive director of the United Tribes of Bristol Bay.
In 2001, a Canadian mining company proposed a massive gold and copper mine at the headwaters of Bristol Bay, a pristine water system on the coast of the Alaska Peninsula that’s home to the largest sockeye salmon run in the world. The salmon support a thriving ecosystem and are a cultural and economic lifeblood for native Alaskans, who have stewarded the land and water for thousands of years.
As the company moved ahead with plans to build the largest open-pit mine in North America, those Indigenous communities joined together to bring it to a halt. In 2023, they secured a rare “EPA veto” of the proposed Pebble Mine, and the 2026 Goldman Environmental Prize for North America recognizes an Indigenous leader in this fight.
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Alannah Hurley is the executive director of the United Tribes of Bristol Bay. Her Yup’ik name is Acaq, her great-grandmother’s name. She is the winner of the 2026 Goldman Environmental Prize for North America. This interview has been edited for length and clarity.
STEVE CURWOOD: Before we start talking about your work protecting Bristol Bay, paint us a picture of the bay. What makes this such a special place?
ALANNAH HURLEY: Bristol Bay is an extremely special place. It has all the different types of terrain in Alaska, in one place. Where I live, at the mouth of the Nushagak and Wood River, we have everything from tundra and wetlands to mountains, freshwater lakes, freshwater rivers, the muddy waters of Nushagak Bay, [and] the beautiful, crystal-clear ocean waters as you go west towards Togiak and Twin Hills. It’s really untouched, pristine beauty—all of Alaska’s majesty in one place. It’s so pristine you can still hunt and fish and pick berries and eat them straight from the land. You can drink right out of the lake and rivers. It’s paradise.
CURWOOD: Bristol Bay has huge environmental significance, but it’s also important to many human communities. I had been told that it produces more than $2 billion of annual revenue from sockeye salmon fishing alone, it’s also an important food source and cultural site for Indigenous communities, First Alaskans. Talk to me about what the bay means to the people in the area.
HURLEY: There are three different Indigenous groups in Bristol Bay—the Yup’ik people, the Dena’ina people, and the Alutiiq people. Our homeland has been stewarded by our people for thousands and thousands of years. They’ve taken care of this place and entrusted it to us. Our lands, our water, and everything that that entails—the salmon, the moose, the caribou, the bears, us, our freshwater fish, our berries, our plants, our medicines—we very much view it as all very connected. Anything that happens to our lands and waters happens to us. It is everything to us. It is the health of our people, physically, culturally, spiritually. It sustains us. It nourishes us. We’re so blessed to be able to live in the ways that our ancestors have lived. That kind of foundation is really critical in understanding our perspective and wanting to protect our home.
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CURWOOD: In 2001, the Northern Dynasty Minerals mining company proposed the development of what’s called the Pebble Mine. It would have been the largest open-pit mine on the continent, one of the biggest, I guess, in the whole world. What would have been the environmental impact of such a project?
HURLEY: The environmental impact of the Pebble project would have been devastation. If you look at a map of Bristol Bay, there are two major river systems, the Nushagak and the Kvichak. The Pebble Mine would be located at the connected headwaters of both. You literally could not have picked a poorer location, and in my opinion, it’s [the] creator’s test to the people: What are you going to choose? But you could not have picked a worse location to put a low-grade acid-generating project that would have to store tens of billions of tons of toxic waste in perpetuity.
That picture is not a question of if something will happen, but when, especially in an earthquake-prone zone, and in a very hydrologically interconnected place. They’re like the veins of the bay—all of that water is connected. Our people, very early on, came out opposed to the project, because we knew that it would mean the utter devastation of our watershed, our fishery and our people.
Commercial fishing boats and camps are seen in Alaska’s Nushagak Bay. Credit: Misty Nielsen/Goldman Environmental Prize
CURWOOD: Some say that there are literally hundreds of billions of dollars worth of copper and gold and other minerals in the area for the Pebble Mine. Sounds like a lot of money, but you didn’t see this as good news for your community if this got developed.
HURLEY: No, we did not. Early on, before we learned about what type of ore it was, where it was located, what it would mean, what the tilings would mean, people were actually excited for some type of diversification of the economy. Fisheries can be pretty volatile, and that’s how a lot of people would survive in the cash economy as commercial fishermen.
But it did not take long to learn about those things, the dangers and the threat and the risk that that would cause to our people, and very early on, the vast majority of Bristol Bay’s people said, “No way, this is not worth the risk.” You cannot put a price tag on our water and what salmon mean to us as a people. This would be an existential threat to our ability to continue to be Indigenous people in this region, and we will not stop fighting until it is stopped.
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CURWOOD: My understanding of Alaskan politics is that at the state level, there wasn’t a huge amount of pushback against this Pebble Mine proposal.
HURLEY: Our people’s concerns were really falling on deaf ears at the state level. We saw the state rewrite our area management plan illegally, without proper input or public process or consultation with our tribes. We saw the governor at the time try to pave the way for a mining district, and we’re still working to rectify some of those issues in that rewritten management plan to this day. And we’re still having issues with the state government pushing a project on Bristol Bay and Alaskans that they’ve proven for the last 20 years that they just do not support.
Because our concerns were falling on deaf ears at the state level, our tribal governments saw the federal government as the place to put some energy, and that was where the petition to the EPA came from, because the state was not listening. They were doing the exact opposite, to really grease the skids for the company to move forward.
CURWOOD: How did the U.S. Environmental Protection Agency respond?
Bristol Bay is home to the largest sockeye salmon run in the world. Credit: Misty Nielsen/Goldman Environmental Prize
HURLEY: The tribes petitioned in 2010 to prohibit all mines like Pebble within the Bristol Bay watershed. The EPA came back and said, “We’re not going to act on a prohibition immediately under our authority under the Clean Water Act, but we are going to study Bristol Bay. We want to do an assessment. And we want to ask, is this place really unique, and what does this fishery mean to the state and people? If this type of development, large-scale hard rock mining, were to move forward, what kind of impact could that have on the waters and people?”
They took three years to do a bunch of studies. They were in a lot of different communities. There was a lot of peer review to answer those questions, and after that very long, drawn-out assessment, they determined what our people had been saying all along: that this type of development would devastate the water and everyone who was sustained by that water, and so that was really the basis for their action that came later.
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CURWOOD: At the end of the day, how did things turn out with the EPA?
HURLEY: It was a bit of a roller coaster between the different administrations, but it’s really a testament to the dedication of our people and our region that regardless of the administration, regardless of winning and losing court cases, they did not give up. And so the EPA, in January 2023, finalized protections to stop the project.
CURWOOD: What’s the risk that the Trump administration number two could reverse all of that?
HURLEY: There is very much still a risk that that could happen. The company,Northern Dynasty, the state of Alaska and a few others have challenged the EPA protections in court, which we anticipated they would.
So far, the Trump administration has continued to defend [the] EPA’s action in court, but that is ongoing litigation, and we’re not putting all of our eggs in that basket with how unpredictable this administration has been in other arenas. We’re definitely remaining extremely vigilant. And we’re continuing to defend the protections in court, and we also are working on legislation that would address the other 20 active mining claims throughout the watershed.
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While we’ve made great progress, unfortunately, Pebble isn’t the only mining claim in the region, and so we’re working really hard to put this type of development to bed for good, so that our kids aren’t destined to fight project by project, now into eternity.
CURWOOD: As executive director of the United Tribes of Bristol Bay, how important would you say tribal cooperation has been during this fight?
HURLEY: Tribal unity and cooperation has been absolutely critical. I think in any instance where a coalition is working to protect a place, having Indigenous people leading and center of the effort is absolutely critical. Local people need to be at the forefront of these fights, and without that unity in the bay, there’s no way we would be where we’re at today.
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CURWOOD: You were involved in building that coalition, including Native Alaskans, but also other political constituencies, the commercial fisherpeople and such. What was it like to build a coalition like that?
HURLEY: In the case of United Tribes of Bristol Bay, it was really about centering and amplifying the tribal voice and holding the government accountable for government-to-government consultation. There was real unity in that.
I think anytime you’re building a coalition, it can be challenging. I mean, it’s hard to get five people to agree to where you’re going to go to dinner, let alone 15 tribal governments from different cultural backgrounds who historically didn’t always get along, coming together to fight a common enemy for our continued existence as Indigenous people. That threat really brought us all together in ways that we had never seen before, and that also translated out to non-native groups, commercial fishermen, the conservation community. These aren’t people who usually get along. We’re used to fighting over fish, not working together to protect them, and so anytime you bring different groups together, there’s going to be bumps in the road.
At the end of the day, the connections between people, the relationships and the commitment to work [got us] through hard moments—and there were a lot of hard moments. A commitment, especially by non-native folks, to be in a respectful relationship with native people and us having that requirement that if we are going to be partners, this is how we expect to engage, helped lay the groundwork for a successful coalition. That’s never easy, it’s never pretty, but it was really the people-to-people relationships, those connections, that held us together even in the hard times.
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Alannah Hurley in Dillingham, Alaska, in January. Credit: Goldman Environmental Prize
CURWOOD: You’ve spoken about your grandmother’s influence and the values that propelled you through this journey. What lessons have you learned that have motivated you to keep going?
HURLEY: My grandmother was Mancuaq; I was raised with her in Clark’s Point in Bristol Bay. And it’s hard for me not to get emotional talking about her, because even now, even in all the different experiences in my life, everything important, the most important things that have helped me navigate life in a way that has been good and, you know, really grounded in love and respect and kindness came from her. Also the ability to persevere when things are tough. She passed away in 2019.
I obviously still miss her a lot. She provided me with the foundation of values, of how to move forward and live in this world in a good way. Our people have had those teachings for centuries—timeless, timeless teachings of what it means to be a good, real human being on the planet. And that foundation has helped me in life in invaluable and countless ways, and it continues to do so every day.
CURWOOD: What do you see for the future of Bristol Bay?
HURLEY: The future of Bristol Bay is beautiful. We are still struggling with the impacts of colonization, but we have only begun our healing, our reclamation, our revitalization of who we are as Indigenous people.
We have been so lucky that even through all of those challenges, our people have been able to remember and retain and still pass on our values and way of life. I feel like the potential to be a model of sustainability for the world led by Indigenous communities in modern society is boundless, and I’m really excited and hopeful that our region can shift from having to put our energy in defense of our homelands, to now help build something beautiful and tackle some of the tough issues that we’re facing.
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People enjoy the sand dune at Kincaid Park on a summer day. The active dune is composed of gravel and silt that was deposited when glaciers retreated over 10,000 years ago. (Loren Holmes / ADN)
We are reviving Curious Alaska, a popular feature launched by the Anchorage Daily News in 2021.
The idea is simple: You have questions. Our reporters find answers. We share them with readers.
Maybe you’re curious about a landmark (like the Parks Highway Igloo, pictured below), or a tradition, a news event or a public figure from the past. Maybe you have a practical question about everyday life in Alaska.
Igloo City, located on the Parks Highway at the northern edge of the Mat-Su Borough, for years was an unfinished project of Leon Smith, who envisioned it to be a hotel and resort. Photographed in 2021. (Marc Lester / ADN archive)
On our initial run, we tackled more than 30 topics that readers inquired about.
Some examples of reader questions we’ve looked into so far include why we don’t have a Trader Joe’s here, whether there are snakes in Alaska, why sand dunes exist in Kincaid Park and the story behind cattle herds on remote islands in the state.
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No topic is too offbeat for you to pitch. We’ll choose a question at a time and try our best to answer it. Send in yours using the form below. (Having trouble seeing the form? Try here.)