Alaska
Alaska health officials report increase in cases of childbirth-related hemorrhages • Alaska Beacon
Reported cases of extreme blood loss during or after childbirth have increased in Alaska over the past eight years, and an education initiative for health providers is planned as a response, state health officials said.
The cases are known as obstetric hemorrhage, which is defined as the loss of at least 1,000 milliliters — or more than 2 pints — of blood during pregnancy or within 24 hours of childbirth. It is the leading cause of maternal death globally. Nonfatal cases can also have long-term health consequences.
In Alaska, reported rates of obstetric hemorrhage increased from 7.9% of hospital deliveries from 2016 to 2019 to 9% of hospital deliveries from 2020 to 2023, according to a bulletin issued by the Alaska Division of Public Health’s epidemiology section.
Reported rates in Alaska increased for nearly all geographic regions and demographic groups in the period evaluated, the epidemiology bulletin said. However, it is not clear whether the statistics reflects a true increase in case numbers or better identification and reporting of cases, the bulletin noted.
The highest rates are in the southwestern part of the state, where 15.6% of hospital deliveries from 2020 to 2023 involved such hemorrhages, and the northern part of the state, where the rate during that period was 12.6%, according to the bulletin.
Among ethnic groups, Pacific Islanders had the highest rates of obstetric hemorrhage, at 14.2% of hospital deliveries from 2020 to 2023, according to the bulletin. Indigenous patients had the second highest rate, at 12.7% during those years, the bulletin said.
A new campaign to educate health providers about obstetric hemorrhage will be launched in January by the Alaska Perinatal Quality Collaborative, a volunteer group of maternity health care specialists from around the state.
Rebekah Porter, a nurse consultant with the Alaska Division of Public Health and an author of the bulletin, described the plans for that initiative.
“The Alaska Perinatal Quality Collaborative’s Obstetric Hemorrhage Initiative will focus on both prevention and treatment of obstetric hemorrhage by promoting evidence-based change ideas that facilities can select based on their specific needs,” she said by email.
Through education and use of an American College of Obstetricians and Gynecologists tool called the Obstetric Hemorrhage Patient Safety Bundle, “the initiative aims to standardize care, improve outcomes, and enhance the readiness of healthcare providers across the state,” Porter said.
Excessive bleeding after childbirth causes about 70,000 maternal deaths a year, according to the World Health Organization. Those deaths are concentrated in low-income nations.
In Alaska, bleeding-related maternal deaths are rare.
From 2012 to 2016, there were no recorded maternal deaths in Alaska that were attributed to obstetric hemorrhage, according to state data. In the past five years, there have been fewer than five cases, Porter said.
However, health officials who are monitoring what is known as “severe maternal morbidity” – defined as unexpected outcomes of labor and delivery that have severe health impacts – have noticed an uptick in hemorrhage cases in recent years, Porter said.
“This increase is another key reason for launching the AKPQC initiative at this time,” she said.
Most pregnancy-related deaths in Alaska are from some kind of trauma rather than from pregnancy-related medical causes, with domestic violence a prominent feature, according to state records. Unintentional injuries, homicides, assaults, suicides and overdoses together accounted for about two-thirds of pregnancy-related deaths from 2015 to 2019, according to state records.
Nationally, rates of hemorrhage after childbirth have increased over the past two decades, according to a study published last year by the National Institutes of Health. From 2000 to 2019, the rate of postpartum hemorrhage increased from 2.7% to 4.3%, the study said.
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Alaska
Man with same name as Alaska Sen. Dan Sullivan can appear on GOP primary ballot, state’s Supreme Court rules
The battle of the Dan Sullivans is on.
The Alaska Supreme Court ruled Monday that a man with the same name as Republican Sen. Dan Sullivan can challenge the sitting lawmaker in the state’s GOP Senate primary in August. The high court upheld a ruling from a lower court judge that cleared the way for Daniel J. Sullivan to appear on the primary ballot, reversing a decision by state officials earlier this month that he was ineligible because he was allegedly trying to confuse voters.
The state Supreme Court directed Alaska’s Division of Elections to decide how Daniel J. Sullivan should be listed on the ballot “within the confines of existing Alaska ballot design law.”
The conflict is taking place in one of the country’s most closely watched Senate elections. The sitting Sen. Sullivan is running for a third term, but former Democratic Rep. Mary Peltola is vying to challenge him, setting up what could be an unusually competitive race in a deep-red state that hasn’t elected a Democrat to the Senate in almost 20 years.
The senator has called his same-name competitor a “sham candidate” and accused him of trying to trick voters and help Democrats flip the seat. Daniel J. Sullivan — a retired teacher and former U.S. Forest Service employee from Petersburg, Alaska — has denied those allegations and insisted he is both qualified and genuinely interested in running for Senate.
About two weeks ago, the Alaska Division of Elections determined that the challenger Sullivan could not appear on the ballot, arguing his paperwork “was not filed in order to declare an actual good-faith candidacy, but was instead filed with a purpose to confuse or mislead.”
In a letter to the candidate, Director Carol Beecher pointed to the fact that Daniel J. Sullivan had initially requested to appear on the ballot as “Dan Sullivan,” the same name format as the senator. She also wrote that he hadn’t previously been affiliated with the state Republican Party, had a website design that “appears to be deliberate[ly]” similar to the senator’s campaign site and had worked with a political consultant with links to Democratic candidates.
Daniel J. Sullivan asked a state court to reverse the decision. On Friday, Judge Thomas Matthews ruled in his favor, finding the non-senator Sullivan met the requirements to run for U.S. Senate and the state didn’t have the authority to exclude him based on “good faith.”
“The court does not minimize the Division’s concern that voters should not be misled,” the judge wrote. But he added that “Alaska election law gives the Division tools to address that concern,” including regulating how candidates appear on the ballot.
With ballots set to be printed this week, the issue was appealed to the Alaska Supreme Court on an expedited basis, with both sides filing court papers over the weekend.
The state Division of Elections asked the high court to overturn Matthews’ ruling, arguing it would “leave Alaska constitutionally required to permit bad-faith ballot access.” The agency said it reached its conclusion about Daniel J. Sullivan after it received a complaint from the National Republican Senatorial Committee “credibly alleging” he was seeking to “cause voter confusion” and made a “bewildering” request to appear on the ballot with the senator’s middle initial.
If Daniel J. Sullivan is permitted to remain on the ballot, the state asked the Alaska Supreme Court to allow it to print his full name and list his party affiliation as “nonpartisan” to “ensure voters are not forced to guess between two nearly identical names.”
The Alaska Republican Party and several GOP-led states filed amicus briefs siding with Alaska.
Daniel J. Sullivan’s lawyers, meanwhile, argued the state “lacked any basis in Alaska law to exclude Mr. Sullivan from the ballot” and didn’t have the power to look into his “private motivations.” They wrote that state law doesn’t give officials the power to keep qualified candidates off the ballot due to potential confusion.
“[All] that Mr. Sullivan asks here is to be listed on the ballot, and the Division is obviously empowered to do so in a non-confusing manner,” his lawyers wrote.
Following oral arguments, the high court sided with Daniel J. Sullivan in a two-page order late Monday, and said it would issue a fuller opinion at a later date.
Jeffrey Robinson, an attorney for Daniel J. Sullivan, told CBS News his legal team is “grateful” for the Alaska Supreme Court’s decision to “affirm Judge Matthews’ well-reasoned, thorough order vacating the Division’s unlawful decision to exclude Mr. Sullivan as a candidate.”
“We expect that the Division will act in full compliance with existing Alaska ballot design law in its preparation of the ballots,” Robinson said in an email.
The senator’s campaign spokesperson, Nate Adams, said: “We’re disappointed in the court’s decision because as the sham candidate Dan J. Sullivan’s lawyers made clear in their legal arguments, the only reason he is running is to deceive voters and manipulate Alaska’s election system.”
“However, we are encouraged by the fact that the Director of the Division of Elections will be able to use her expertise to differentiate between the Petersburg fraud and the incumbent — Senator Dan Sullivan — to the benefit of Alaska voters,” Adams said.
Alaska
Jesuits say goodbye to Alaska at Bethel ceremony
The first Jesuit missionaries in Alaska sailed up the Yukon River in 1887. By the turn of the 20th century, the religious order of the Catholic Church had as many as 50 Jesuits in the state.
Now, only two remain. And by the end of June, there will be none.
The Jesuits’ nearly 140 years in the state was honored at an event at Bethel’s Immaculate Conception Church on June 16. A procession of priests wearing long white gowns with red hems walked down the aisle to open the event. The Bishop of the Diocese of Fairbanks, Stephen Maekawa, thumped the ground with a shimmering silver staff known as a clozier as he approached the altar.
“My brothers and sisters, we gather together to celebrate this wonderful and blessed occasion to acknowledge the love of God and the work of God through the 139 year mission of the Society of Jesus of the Jesuit fathers,” Maekawa said to open the event.
A traditional Catholic mass followed, with readings in both English and Yup’ik. During the sermon, Maekawa acknowledged the vastness of the Fairbanks diocese, and the tremendous amount of work done by the Jesuits to establish it.
“All of the 46 churches of the Diocese of Fairbanks that we currently have were established by either the Jesuit fathers or by direction of a Jesuit bishop,” Maekawa said. “We have a long history of the Society of Jesus’ presence and ministry here in all of Alaska.”
The Jesuits are an order within the Catholic Church, akin to the Dominicans or Franciscans. They have a reputation for taking on some of the Catholic Church’s most remote assignments.
That missionary spirit brought the Jesuits to the Yukon River in 1887, where they built churches, schools, and ministries. Without their work, Catholicism may not have taken root in huge swaths of Alaska, particularly among Alaska Native communities.
But the Jesuits leave a complicated legacy. Their methods of converting Native people to the religion, particularly in the first half of the 20th century, created generational traumas still felt to this day.
Fr. Sean Carroll is the provincial of the Jesuits West Province, which oversees Alaska and nine other states.
“Thank you for all that you have taught us about who Jesus is and how to love and serve Him wholeheartedly,” Carroll said. “I also thank you for your patience with us. For there have been times when we have sinned and when we have hurt you.”
Missionaries, including the Jesuits, forcefully converted and assimilated Alaska Native people into Western culture and religion. Students at Jesuit-run boarding schools were forced to abandon their Native languages and physically punished when caught speaking languages other than English. Native dancing and drumming were also banned.
The Jesuits West Province maintains a list of 150 Jesuits with credible claims of sexual abuse against minors or vulnerable adults. A quarter of the accused Jesuits served in Alaska at some point in time.
“I ask for your forgiveness for all that we have done that was not rooted in Christ and love for Him, and for when we did not value your culture nor recognize the presence of God in you,” Carroll said.
Carroll gave the order to withdraw from the state last spring. A big issue was the recruitment of Jesuits willing to travel and serve in remote villages. He told the congregation that the Jesuits’ work would continue, just without a permanent presence.
Fr. Rich Magner is one of the two remaining Jesuit priests in Alaska. His last day serving Chevak, Hooper Bay, and Scammon Bay is June 30.
“We all always knew coming in, or should have known, that we’re not going to be here forever. It’s going to be mission accomplished at some point,” Magner said. “And then we hand it off to the diocese that we’ve helped create, and so that’s a good feeling.”
Magner’s next stop is a Clinical Pastoral Education residency in Tacoma, Washington.
The other remaining priest, Fr. Tom Provinsal, first came to Alaska in 1968 to teach. A fond memory, he said, was meeting Elders that practiced traditional subsistence lifestyles.
“Some of the grandmothers, their fingers were just all bent with arthritis and stuff like that, you know, their whole lives they’ve been working out in the cold and the wet, doing food, sewing, all that kind of stuff,” Provinsal said. “I’d say I just feel very privileged to have come when I did come and to see that.”
Provinsal returned in 1975 as a priest and has served in the region ever since. After moving away, he plans to take a five month sabbatical. What happens next, he said, is in God’s hands.
Two lines formed in the aisle for communion at the end of the mass. After taking communion, Bethel’s Parish Administrator Susan Murphy gave a final thank you.
“It’s difficult to say goodbye to people who have been a part of our lives for so long,” Murphy said. “We know that you have done what was yours to do, and have taught us to do what is ours to do. We are grateful.”
Dominic Hunt, a Yup’ik deacon that flew in from Emmonak for the event, led the congregation through a final prayer.
“Bless them with your wisdom, that they may be a word of hope, a world in need. We ask this through Christ, our Lord. Amen,” Hunt said.
About 70 people posed for a photo on the altar – priests, deacons, parishioners, Elders and children — many of them smiling, some standing quietly.
The photo doesn’t tell the whole story. But it’s a moment when gratitude, grief, and memory all shared the same room.
Alaska
Alaska Supreme Court to take up case on Dan J. Sullivan, decision expected by Tuesday
JUNEAU, Alaska (KTUU) – The Supreme Court of Alaska will be taking up the case of the State of Alaska, Division of Elections v. Daniel J. Sullivan, Jr.
The oral arguments will be held Monday at 10 a.m. via Zoom, according to an order and opening notice.
The document also specifies that a decision is expected to be made before noon on Tuesday.
According to documents from the Division of Elections, the state must start printing ballots at noon on the same day.
This comes after an Anchorage Superior Court Judge ordered Dan J. Sullivan on to the ballot Friday.
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