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Q&A: HMA consultant discusses Alaska’s substance addiction issues – State of Reform

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Q&A: HMA consultant discusses Alaska’s substance addiction issues – State of Reform


Lindsey Kato is a Senior Marketing consultant at Well being Administration Associates (HMA). All through her profession, she has labored within the substance abuse, drug overdose, and suicide prevention fields. Most just lately, she helped lead efforts to determine the Nationwide Overdose Response Technique (ORS), a program funded by CDC and the Workplace of Nationwide Drug Management Coverage. 

Kato is an Alaska native born and raised in Juneau, and has prior expertise working to handle suicide prevention and psychological well being throughout the state. She returned to HMA in late March, and can work on nationwide aims, in addition to opioid remedy enlargement and prevention efforts in Alaska. Her return to Alaska is well timed, because the state has skilled a 71 % improve in drug overdose deaths between 2020 (146 deaths) and 2021 (253 deaths), based on the Alaska Division of Well being and Social Providers. 

On this Q&A, Kato discusses Alaska’s dependancy points and efficient remedy/prevention techniques.

 

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State of Reform: What are some key contributors that result in struggles with dependancy in Alaska?

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Lindsey Kato: “Alaska is exclusive within the sense that there’s important isolation, in some ways. Lots of communities are remoted; usually there are not any street techniques, and a few locations are solely accessible by boat or airplane. Within the winter, I feel it will possibly really feel particularly hopeless.

Moreover, lots of our sources are in bigger communities, so smaller communities battle significantly with entry to companies. 

Our state has important historic trauma that has created inequities. We have now not had substance use remedy companies traditionally, a minimum of not in comparison with the necessity, and many individuals have to go away their communities to obtain care. Alaska additionally has a number of the highest suicide charges within the nation, so after we’re speaking about unhappiness and despair, these issues are intertwined and make dependancy extra difficult.”

SOR: What have you ever discovered to be some efficient strategies in making an attempt to assist individuals with dependancy points?

LK: “Listening to people who find themselves actively utilizing substances, in restoration, or in remedy applications is likely one of the best strategies for us to be participating individuals with these points. It will be remiss of us to attempt to present help with out listening to what they want. They want steady housing. They should know they’ve a secure place to sleep. We all know different efficient strategies; persons are conscious of greatest follow strategies for utilizing methadone, and different medicines, and there’s lots of proof behind them. However assembly individuals the place they’re at, listening to them, seeing them, and offering schooling and sources in secure locations for them has been best.”

SOR: Do therapies differ considerably relying on which substance a affected person is hooked on? 

LK: “Sure. You possibly can consider one thing like cognitive behavioral remedy or others as commonplace therapies you would possibly see throughout completely different substances. Many instances these are really helpful throughout the board. However alcohol versus opioid versus methamphetamine versus benzodiazepines—all are completely different chemical compounds that act in a different way on the mind. They set off completely different results, so once you speak about remedy, that can differ. 

After we take into consideration that, we take into consideration individualized remedy, which incorporates concerns of size of time utilizing the substance, substance sort, and mode of use. So even when contemplating an older grownup or somebody who has been injecting an opioid for a protracted time frame versus an 18-year-old who has been doubtlessly smoking a prescription tablet for a number of months, the kind of remedy goes to be a bit completely different. 

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Therapies can differ. Greatest practices differ as our information base grows, and that makes it arduous for suppliers. Issues will proceed to alter; a few of these therapies will develop, so it may be arduous for our suppliers to maintain up. The substances are altering as effectively, particularly with the introduction of fentanyl into the market. That may impression the best way we deal with some issues, and the complexities at a remedy middle. Possibly a affected person reporting to a remedy facility for a methamphetamine difficulty just isn’t conscious they’ve been ingesting fentanyl as effectively, so that would change the course of detox and remedy.”

SOR: Is there a selected substance Alaska well being officers ought to presently be targeted on?

LK: “Fentanyl; the alarm has been sounded on fentanyl. It’s not simply within the opioid provide. It’s in counterfeit benzodiazepines drugs and it may be present in methamphetamine. I might say fentanyl, methamphetamine, and alcohol are massive. You possibly can’t underemphasize alcohol and the best way it contributes to damaging impacts on communities. If we take into consideration upstream major threat elements, they’re comparable throughout the board whether or not it’s methamphetamine, alcohol, or fentanyl. 

So, I’m all the time asking, ‘How will we construct wholesome communities so the demand for substances just isn’t there?’ We have to be strengthening our communities and constructing resilience. That takes time. It’s not one thing you get up within the morning and do. We have to have a broader method to well being and security in our communities to interrupt the cycle of dependancy and the demand for wanting to make use of these substances.”

SOR: What are some prevention outreach efforts Alaska well being officers can take?

LK: “COVID hasn’t been useful, however I feel all people is doing what they will. I feel all of our companies have some form of precedence round substance use and overdose, however that may be arduous in the midst of a pandemic and with workforce shortages. I feel we are able to do extra aligned and coordinated efforts throughout the state, that can assist, each in funding and sources. I feel that’s the place we’re headed, typically, within the subject of prevention. 

I hope we’re headed towards a shared threat and protecting issue method. Everybody has a stake in it. With collective work and alignment, we’re headed in the precise course. And hopefully we are able to begin to get our ft underneath us once more. With COVID, we’ve seen will increase in isolation, suicide, and violence. It’s not stunning we’d see a correlation with overdoses and substance use. The previous two years have been actually tough. After we’re eager about dependancy and substance abuse, we’ve got to contemplate all of the restoration, remedy, and counseling choices we’ve got, however now additionally how the system has been impacted with shutdowns and the way that impacts people.”

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This interview was edited for readability and size.





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How Alaska highlighted a record-breaking Pan Am cyclist’s journey through the Americas

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How Alaska highlighted a record-breaking Pan Am cyclist’s journey through the Americas


While Bond Almand can’t pinpoint exactly when he found out about the Pan Am cycling challenge and the record time it’s been completed in, it was something he’s dreamed about for the past decade.

“It’s always been the pinnacle of sport for me,” he said. “A lot of people think the Tour de France is the pinnacle of cycling, but I’ve always been attracted to the longer riding and this was one of the longest routes in the world you could do, so that’s what really attracted me to it.”

The Dartmouth College junior, who grew up near Great Smoky Mountains National Park in Tennessee, set out on Aug. 31, 2024, and completed the challenge Nov. 15. Almand set a record time with more than nine days to spare. The Pan Am route goes from the most northern point in North America to the most southern point in South America and can be traversed either way.

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His desire to attempt to make history brought him all the way to the shores of Prudhoe Bay in Alaska to embark on his long-awaited journey.

“It starts in Alaska, which is somewhere I’ve always wanted to go,” Almand said. “I’d never been to Alaska before and Latin America was an allure to me too because I know a little bit of Spanish, but not that much, so that exploration aspect was an allure as well.”

His stay in the 49th state wound up being longer than he had originally planned, by an additional three days.

“When TSA searched my bike box when I was flying up, they took everything out and failed to put everything back in, so I was missing a piece to my bike when I got to Prudhoe Bay and was stuck there for a couple of days waiting for the new part to come in,” Almand said.

With plenty of time on his hands, Almand walked around town, which mostly consisted of a gravel road, and hitchhiked back and forth to meet people.

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“There’s only like, one place to eat in town, at the Aurora Hotel, so I spent a lot of time there eating at the buffet but I spent a lot of time staring at the tundra,” Almand said.

When his bike part finally arrived and he set out on his adventure, the first leg was his most memorable.

“Alaska was incredible, probably one of my favorite sections for sure,” Almand said. “It was pretty good weather. I went through Brooks Range first, which was just so beautiful. It was fall, so it was turning colors and the aspen were all bright yellow.”

He rode through a little bit of snow in the Brooks Range, enjoyed seeing wildlife and was stunned riding through the Alaska Range and gazing upon Denali.

It only took him around 4 1/2 days to bike through the state, and even though he’s seen mountains of similar and even greater magnitude, having been to the Himalayas in his previous travels, he particularly appreciated his experience in Alaska.

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“Being able to bike through the mountains instead of just flying to Nepal and seeing mountains made it really special,” Almand said. “The further south I got in Alaska got super remote, especially closer to Tok, and that was pretty incredible.”

He said that the most fun part of his journey was Alaska because that was when he was his freshest and he got to take in beautiful scenery and was fortunate enough to get good weather.

“But also Colombia was super exciting,” Almand said. “Like Alaska, there’s some really incredible mountains in Colombia and also beautiful culture and incredible food.”

The best meal he had during his travels was the tamales he ate while biking through pineapple fields in Mexico.

“It was in the middle of nowhere and there was a lady selling pineapple chicken tamales,” Almand said. “She was picking them right out of the field and cooking it right in front of me. Those tamales were so good.”

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Almand’s 75-day ride was significantly faster than the previous record of 84 days, which was held by Michael Strasser. While Almand’s mark appears to be accepted in the bikepacking world, he didn’t have it certified with Guinness. He said that was partly due to cost and partly due to their standard for certification.

“They have a lot of stipulations around the record,” he said. “They have their own measurement, one of which is you have to have witnessing signatures every single day and you have to have live tracking and all these other rules.”

As far as the most challenging portion of his journey, it came while he was traveling through Canada. He had to brave cold rain and strong headwinds, which continued when he got to the Lower 48 and through South America.

“When you’re cycling, headwind is one of the worst things you can have because it slows you down a lot,” Almand said. “From Peru until the finish, I had headwinds pretty much every single day.”

Setting smaller goals for himself along the way helped him push through, including testing both his mind and body. But the biggest motivator was the ultimate goal of achieving his dream, which was more within reach the more he persevered.

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“I’ve been dreaming the entire trip for so long that quitting was never an option,” Almand said. “Quitting would’ve been the hardest thing for me to do because I wouldn’t have been able to go home and live with myself having just walked away from it.”





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Cunard’s Alaska 2026 Voyages feature Queen Elizabeth sailing roundtrip itineraries from Seattle

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Cunard’s Alaska 2026 Voyages feature Queen Elizabeth sailing roundtrip itineraries from Seattle


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2026 season also features eight Panama Canal voyages, ranging in length from 20 to 42 days

VALENCIA, Calif., Jan. 8, 2025 /PRNewswire/ — Luxury cruise line Cunard has unveiled its highly anticipated Alaska 2026 program, offering travelers the chance to embark on an unforgettable adventure through one of the world’s most awe-inspiring destinations.

Between May and September 2026, Queen Elizabeth will sail 15 roundtrip voyages from Seattle, ranging from seven to 12 nights. Guests looking for a longer vacation that combines contrasting destinations can enjoy extended voyages of up to 42 nights, taking in the majestic landscapes of Alaska, the tropical beauty of the Caribbean, and the iconic Panama Canal.

An additional highlight to Cunard’s 2026 season is eight voyages through the famed Panama Canal, unlocking enticing destinations and experiences. A coveted voyage experience, these sailings bring guests close tropical jungles as the ship glides through 50 miles of locks and waterways between the mighty Atlantic and Pacific oceans. With so much to enjoy onboard and ashore, guests can admire the famed engineering marvel, unwind in the spa, or experience a variety of onshore adventures.

Cunard’s 2026 program on Queen Elizabeth features visits to 31 unique destinations across 16 countries, including highlights such as Colón, Panama, and Bridgetown, Barbados. Voyages are available to book from 5 a.m. PT on January 8, 2025, and guests can claim up to $800 onboard credit per stateroom* for bookings made between January 8 and March 26, 2025.

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This Onboard Credit allows guests to indulge in Cunard’s signature luxury, whether that means unwinding with a spa treatment, savoring fine dining, or enjoying exceptional shore experiences. Highlights include the opportunity to witness humpback whales in their natural habitat as Queen Elizabeth sails through Alaska’s glacier-filled fjords.

Alaska highlights

Queen Elizabeth’s voyages invite travelers to immerse themselves in a world of tidewater glaciers and mirror-like waters, where each day in port offers guests the freedom to step ashore and explore somewhere new.

Whether it be Ketchikan, with its vibrant totem poles, Juneau, where famous gold mines put this historic city on the map, or Haines, a prime destination for kayaking, Alaska is an adventurer’s paradise.

And not forgetting the beautiful UNESCO World Heritage Site of Glacier Bay National Park and Hubbard Glacier, two gems in the Alaskan crown.

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Prices for a 10-night Seattle roundtrip to Alaska (Q620) in July 2026 currently start from $2069 per person based on two sharing a Britannia Balcony stateroom.

Katie McAlister, President of Cunard, said: “Alaska is a truly unique destination, and we’re delighted to return with our 2026 program. Sailing through its spectacular fjords and seeing the immense glaciers is an experience like no other. On board, guests can sip regionally inspired cocktails, enjoy cuisine influenced by local flavors, and hear fascinating stories from renowned explorers. These voyages promise to create unforgettable memories, and we can’t wait to welcome our guests on board Queen Elizabeth.”

For more information about Cunard or to book a voyage, contact your Travel Advisor, call Cunard at 1-800-728-6273, or visit www.cunard.com.

For Travel Advisors interested in further information, please contact your Business Development Manager, visit OneSourceCruises.com, or call Cunard at 1-800-528-6273.

Notes to Editors
*Up to $800 Onboard Credit per stateroom ($400 per person) is based on reserving a Queens Grill Suite on voyages for 10 to 20 nights. Guests reserving a Britannia stateroom receive up to $400 per stateroom Onboard Credit. Onboard credit amounts vary by voyage length and category booked. Visit Cunard.com for full terms and conditions.

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About Cunard
Cunard is a luxury British cruise line, renowned for creating unforgettable experiences around the world. Cunard has been a leading operator of passenger ships since 1840, and this year celebrates an incredible 185 years of operation. 2025 is a momentous year in Cunard’s history, which will be marked with several iconic land-based events and special Event Voyages. The Cunard experience is built on fine dining, hand-selected entertainment, and outstanding White Star service. From a partnership with a two-Michelin starred chef, to inspiring guest speakers, to world class theatre productions, every detail has been meticulously crafted to make the experience unforgettable. A pioneer in transatlantic journeys and round world voyages, destinations sailed to also include Europe, the Caribbean, Alaska, the Far East and Australia.

There are currently four Cunard ships, Queen Mary 2, Queen Elizabeth, Queen Victoria and new ship, Queen Anne, which entered service in May 2024. This investment is part of the company’s ambitious plans for the future of Cunard globally, with the brand now boasting four ships in simultaneous service for the first time since 1999. Cunard is based at Carnival House in Southampton and has been owned since 1998 by Carnival Corporation & plc. www.cunard.com (NYSE/LSE: CCL; NYSE:CUK).

Social Media
Facebook: www.facebook.com/cunard
Twitter: www.twitter.com/cunardline
YouTube: www.youtube.com/wearecunard
Instagram: www.instagram.com/cunardline

For additional information about Cunard, contact:
Jackie Chase, Cunard, [email protected]
Cindy Adams, [email protected]

SOURCE Cunard

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Alaska sues Biden administration over oil and gas leases in Arctic refuge

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Alaska sues Biden administration over oil and gas leases in Arctic refuge


U.S. President Joe Biden delivers remarks from the Rose Garden of the White House in Washington, U.S., November 26, 2024. 

Nathan Howard | Reuters

The U.S. state of Alaska has sued the Biden administration for what it calls violations of a Congressional directive to allow oil and gas development in a portion of the federal Arctic National Wildlife Refuge.

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Monday’s lawsuit in the U.S. District Court in Alaska challenges the federal government’s December 2024 decision to offer oil and gas drilling leases in an area known as the coastal plain with restrictions.

The lawsuit said curbs on surface use and occupancy make it “impossible or impracticable to develop” 400,000 acres (162,000 hectares) of land the U.S. Interior Department plans to auction this month to oil and gas drillers.

The limits would severely limit future oil exploration and drilling in the refuge, it added.

“Interior’s continued and irrational opposition under the Biden administration to responsible energy development in the Arctic continues America on a path of energy dependence instead of utilizing the vast resources we have available,” Republican Governor Mike Dunleavy said in a statement.

Alaska wants the court to set aside the December decision and prohibit the department from issuing leases at the auction.

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The department did not immediately respond to a request for comment. A spokesperson for the Bureau of Land Management declined to comment.

When combined with the department’s cancellation of leases granted during the waning days of Donald Trump’s presidency, Alaska says it will receive just a fraction of the $1.1 billion the Congressional Budget Office estimated it would get in direct lease-related revenues from energy development in the area.

The lawsuit is Alaska’s latest legal response to the Biden administration’s efforts to protect the 19.6-million-acre (8-million-hectare) ANWR for species such as polar bears and caribou.

An October 2023 lawsuit by the Alaska Industrial Development and Export Authority contested the administration’s decision to cancel the seven leases it held. Another state lawsuit in July 2024 sought to recover revenue lost as a result.

Drilling in the ANWR, the largest national wildlife refuge, was off-limits for decades and the subject of fierce political fights between environmentalists and Alaska’s political leaders, who have long supported development in the coastal plain.

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In 2017, Alaska lawmakers secured that opportunity through a provision in a Trump-backed tax cut bill passed by Congress. In the final days of Trump’s administration, it issued nine 10-year leases for drilling in ANWR.

Under Biden, two lease winners withdrew from their holdings in 2022. In September, the interior department canceled the seven issued to the state industrial development body.



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