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Lack of data blunted Alaska’s COVID response, New York Times investigation shows

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Lack of data blunted Alaska’s COVID response, New York Times investigation shows


Luke Dihle, RN at Bartlett Hospital, leaves a triage tent close to the doorway of the hospital on Monday, April 7, 2020 in Juneau, Alaska. (Picture by Rashah McChesney/KTOO)

How public well being programs acquire and report knowledge throughout a pandemic can assist decide how ailments unfold and methods to cease them. However a New York Occasions investigation reveals that knowledge in Alaska — and throughout the nation — continues to be misplaced or unusable resulting from under-investment in public well being.

Reporter Sharon LaFraniere traveled to Alaska for the story. She says Alaska’s knowledge shortfalls through the pandemic weren’t uncommon — and the one answer is spending cash to modernize public well being programs.

Pay attention:


The next interview has been edited for size and readability.

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Claire Stremple: What’s the information failure? How did it occur?

Sharon LaFraniere: The federal government by no means invested sufficient cash to modernize the information programs for state and native governments. Over the previous decade, we spent $38 billion to modernize well being information at hospitals and clinician’s workplaces. And we’re seeing outcomes from that now, like in case you go into your physician’s workplace, and lots of locations, the physician can proper there, you understand, lookup your digital file. However we didn’t spend the identical. We didn’t spend cash to modernize the state and native well being departments. We left them with the spreadsheets, telephones, fax machines, Excel  sheets. The previous system. I believe many individuals don’t perceive–and I actually didn’t perceive, till I obtained into this–how behind state and native well being departments are within the knowledge. They’re manner behind.

Claire Stremple: You wrote that the low vaccine charge contributed to the heavy demise toll in america from COVID-19. However so did the shortage of knowledge. Why is that lethal?

Sharon LaFraniere: No person can pinpoint we misplaced XX million, or what number of different folks turned severely ailing from COVID, as a result of we didn’t have knowledge. However principally what occurred is the truth that the information pipeline, in case you consider the digital pipeline, is completely riddled with holes and obstacles, and it doesn’t move. It signifies that the federal government didn’t reply as rapidly because it may have. As a result of to a point, they have been flying a little bit bit blind. All of the senior federal well being officers that I’ve spoken to within the final three years are totally satisfied it had an actual affect.

Claire Stremple: What made you come to Alaska to inform this story?

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Sharon LaFraniere: Two causes. One, the Alaska State Well being Division is a reasonably onerous charging well being division, and it has loads of gifted folks in it.

Secondly, as a result of its issues are fairly typical.

Claire Stremple: What was the ambiance like whenever you have been right here. What did you see? Did something sort of stand out to you whilst you have been reporting?

Sharon LaFraniere: I imply, I’m saying this to not be flattering, however I believe the well being division is extremely onerous working and really devoted. I imply, why else would you be carrying stacks of paper, you understand, from the fax machine at 6 a.m. and coming into all of it by hand in case you didn’t actually care?

Claire Stremple: You reported a scarcity of race and ethnicity knowledge. How does that occur? And what are the results?

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Sharon LaFraniere: So race and ethnicity is without doubt one of the knowledge fields that’s typically simply disregarded. And so as an illustration, in Alaska, the somebody has a COVID check they usually check constructive, the lab check comes again in 6out of 10 circumstances the place the sphere that claims race and ethnicity is just left clean. And so the well being authorities don’t wish to say, ‘hey, we’re not going to course of these outcomes, since you left this essential data clean.” They course of the outcomes. However then when Dr. Zink wished to know in regards to the disparate charge of COVID testing amongst minorities–she principally was making an attempt to determine the place Alaska wanted to place extra testing websites to appropriate this–and he or she couldn’t get a solution as a result of that subject was left clean manner too typically. It issues whenever you’re making an attempt to determine methods to allocate sources.

Claire Stremple: What are the results of utilizing skilled epidemiology workers to do a bunch of guide knowledge entry? You already know, what may they’ve been doing as a substitute? And what did epi workers in Alaska must say about this?

Sharon LaFraniere: To me was one of many extra troubling issues is that in case you, I imply, consider it  like in case your cellphone didn’t sync together with your laptop, proper? Then you definately enter your data within the cellphone, you’re going to enter it once more within the laptop. That’s what was taking place right here. So an entire bunch of individuals needed to be roped in to re-enter data as a result of the databases couldn’t join with one another. So the well being division was pressured to principally scale back a few of its most extremely skilled epidemiologists, for durations of time, merely to enter knowledge.Cecause the information needed to be entered. So they’d do it on weekends, they’d do it at evening. So it could begin at 6am. It was an immense quantity of effort, simply to get the information entered. And that’s common. After which a disturbing factor about it’s folks put in all that effort, after which loads of it wasn’t helpful. As a result of the date by the point the information obtained entered, it was too late to be significant, or it was too incomplete to information determination making.

Claire Stremple: In your reporting did you or did anybody you spoke to have a way of how we repair it?

Sharon LaFraniere: I imply, you repair it by cash. Principally, if the system is upgraded, then there are sooner methods to fill within the lacking data, proper? And it’s not simply cash, it’s not simply that they want software program and higher programs and all that–they want the folks to run the programs, proper? They want knowledge scientists and knowledge analysts and people who find themselves skilled as an epidemiologist and as knowledge scientists, they usually don’t have these folks, they’ve a totally skeletal workers.

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Claire Stremple: To your level about cash, Alaska obtained much less funding than anticipated, a lot much less funding than anticipated for enhancements. What are the results of that? And why is it nonetheless not a precedence?

Sharon LaFraniere: I’m unsure why Alaska didn’t get more cash, like why its share of the pot was much less. However I do know that the pot is just too small. And whenever you divvied up amongst fifty states, what Alaska ended up with from this newest grant, a 5 yr grant was about $1.8 million a yr for that for public well being personnel and infrastructure. And of that there was $213,000 a yr for knowledge modernization. And, like one of many state well being officers stated, ‘Effectively, that’s about sufficient for a pleasant campervan.’ It’s partly that I believe Congress allotted a sure amount of cash, however it simply isn’t sufficient cash.



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Alaska

Report identifies opportunities restoring access to SE Alaska fisheries – The Cordova Times

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Report identifies opportunities restoring access to SE Alaska fisheries – The Cordova Times


Floating oyster growing system by Erik O’Brien at Larsen Bay, Kodiak. Photo courtesy of Erik O’Brien

A new report compiled by the Alaska Sustainable Fisheries Trust (ASFT) in Sitka finds that Southeast Alaska communities are losing access to fisheries, but also identifies opportunities for implementing new ways to restore such access for the region. 

“Based on what we heard from the dozens of community members who participated in our survey, it is clear that Southeast’s communities, particularly Indigenous communities, are losing access to fisheries and their future access remains uncertain,” said Linda Behnken, ASFT board president. “However, it is also clear that we have some real opportunities when it comes to designing and implementing new tools to help restore this access and ensure that local needs are being factored into larger discussions and decisions concerning Southeast’s economy.” 

The report, released June 18, compiles findings of a regional survey ASFT distributed to area residents this spring in collaboration with the Sustainable Southeast Partnership (SSP) — proposing ways to address issues. The report was funded by the Southeast Conference through the U.S. Department of Agriculture’s Southeast Alaska Sustainability Strategy initiative.  

ASFT said the goal is to assist local communities by providing data and information for future dialogues and community development planning, increasing awareness and encouraging more funds for fishery access-related projects. Participating communities included Angoon, Craig, Haines, Kake, Ketchikan, Klawock, Klukwan, Juneau, Sitka, Wrangell, and Yakutat.  

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Responses from these communities universally identified the fisheries as a crucial element of Southeast Alaska’s culture and economy moving forward. Respondents expressed concern about their ability to access and have a sustainable livelihood from local fisheries through traditional harvesting, commercial or recreational fishing. 

Respondents’ key concerns included the changing climate and environment of Southeast Alaska and a sense of unpredictability for the future of marine resources. They expressed a lack of confidence that current scientific approaches to fishery management will be adequate in light of significant changes affecting the region and its resources due to climate change. 

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The report also discussed existing systems of governance that challenge access to fishery resources, challenges with limited access management at the state and federal levels and loss of community infrastructure such as processors, fish buyers, cold storage, marine services and/or transportation often initiated with the trend in outmigration of fishery access in remote communities. 

Many participating area residents said the utmost priority is protection and perpetuation of a traditional way of life, with commercial fishing considered secondary, as a tool to bridge the traditional and cash economies. 

They discussed the rapid growth of tourism in Southeast Alaska as something feeding competition and tensions between local-commercial and traditional-use harvesters and non-local harvesters in the sportfish sector. 

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The report included recommendations for building more equitable and accessible fisheries in Southeast Alaska, including incorporating climate change variability and unpredictability into fishery management tools to facilitate fishery access and to ensure that other industries, including tourism and mariculture, do not further limit fishery access.   

Recommendations also included establishing regional entities to hold quota/permits (such as regional Community Quota Entities and regional fisheries trusts) and more investment in community infrastructure. 
Behnken said that ASFT was grateful to everyone who shared their thoughts on this complex topic. 

“We hope that this report will uplift their voices and be a chance for the public, policy makers, and others to better understand some of the challenges that many Southeast residents are facing so that we can collectively find solutions and build a resilient and vibrant future for Southeast’s fisheries and communities,” she said. 

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Alaska

Hot and dry conditions lead to increasing wildfire danger across Alaska

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Hot and dry conditions lead to increasing wildfire danger across Alaska


ANCHORAGE, Alaska (KTUU) – Summer weather continues to build in across the state, as a ridge is greatly influencing the weather across Mainland Alaska. Temperatures have been warming into the 70s and 80s through the Interior, while Southcentral has seen highs in the 60s and the 70s. This stretch of warm weather will remain through the week, accompanied by possibly thunderstorm development.

While hot and dry conditions have been building, the Aleutians are dealing with wet and breezy weather. This comes as a low near the Aleutians continues to lift to the north. Expect widespread rain through parts of this region, with the heaviest rain near the Pribilof Islands. Winds will gust anywhere from 30 to 65 mph. As the rain pushes to the northeast, it will run into ridging and quickly taper off into Wednesday. Some light rain showers look possible through parts of Southwest Alaska tomorrow morning, before the rain comes to an end.

Outside of the Aleutians and areas with thunderstorm formation, Alaska will remain on the drier side this week. While the ridge isn’t strong enough to cap thunderstorm development, it will prevent its widespread activity. It’s likely isolated to scattered storms will persist through the Interior and in Southcentral Alaska. A quick reminder that burn permits have been suspended in the Mat-Su Valley and Fairbanks due to the hot and dry conditions.

Any storms across Southcentral today will primarily impact western parts of the Matanuska Valley, the foothills of the Talkeetna Mountains and into the Copper River Basin. Storm motion will be to the north, so Anchorage and surrounding locations will largely stay dry. A rogue thunderstorm can’t be ruled out for the Kenai, but any precipitation will come in the form of spotty to isolated morning showers.

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This hot and dry weather pattern continues through the end of June. Here in Southcentral, the weekend is once again shaping up to warm into the 70s.

Have a wonderful and safe Tuesday!



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Fire danger remains high as thunderstorms spread across Alaska

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Fire danger remains high as thunderstorms spread across Alaska


ANCHORAGE, Alaska (KTUU) – Summer is in full force across Alaska, and for many Alaskans, the past two weeks feel more like summer than most of 2023.

Anchorage reached 75° and above three times this month. We’ve only seen three days over 75° in June six times in recorded history. The overall average temperature for June is currently only about half of a degree above what is normal but is about 2 degrees above June to date of 2023. This month’s rainfall is also significantly lower than what most of Anchorage experienced last June. June of 2023 brought 17 days with measurable precipitation, this year, we’ve seen just four days with rain.

The dry stretch will continue with temperatures holding slightly above average for most of Southcentral this week. Be prepared for isolated thunderstorms near the Alaska Range and in the Copper River Basin on Tuesday.

The number of active wildfires in the state is up to 115 as of Monday evening, 21 of those are new in the past 24 hours. More than 5,000 lightning strikes were recorded in Alaska on Monday, following more than 6,000 on Sunday.

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With high fire danger continuing, use extra caution to keep from adding any additional human-caused fires.



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