Tuesday, September 17, 2024

Rural jail offers newly released prisoners with addiction disorders a long-lasting drug to prevent relapse

Cost is a major barrier to using Sublocade as an
addiction treatment for prisoners. (Adobe Stock photo)
In rural Maine, a county jail began giving a long-lasting form of buprenorphine to inmates with drug addictions before they left incarceration. The medicine, which curbs opioid cravings for 28 days, helps past inmates avoid "withdrawal, relapse and overdose — dangers that newly released prisoners confront nationwide," reports Jan Hoffman of The New York Times.

Once out of jail, addiction sufferers can face several obstacles to staying in recovery while re-entering their communities. Maine's Somerset County sheriff, Dale P. Lancaster, was discouraged by the number of inmates who would leave prison and die from overdoses. Lancaster pushed for the extended-release medical treatment. Hoffman writes, "According to a recent analysis in Health and Justice, the switch had a remarkable effect. The long-acting injection afforded newly released prisoners a crucial buffer period after they were discharged, with more time to set up continuing addiction treatment and stabilize their lives."

People suffering from drug addictions are more likely to end up on the wrong end of the judicial system. "Of the more than 1.2 million prisoners in the United States, up to 65 percent of prisoners have active substance use disorders, according to some studies," Hoffman explains. And while those institutions have an opportunity to treat the addicted, few have the resources or staffing. In the case of extended-release shots of buprenorphine, known as Sublocade, the treatment's cost remains a big barrier, with the list price for a monthly injection about $2,000, while a month's supply of pills ranges from $90 to $360.

But the success of Maine's program may help turn the tide. "After being released, the Somerset County prisoners who got the shot were three times as likely to continue treatment as those at another rural Maine jail who received the daily pills" [which are discontinued upon release], Hoffman adds. "Between September 2022 and September 2023, three prisoners from the jail where the pills were dispensed died from overdoses within three months of being released; a fourth died by suicide. None of the former Somerset prisoners who had received the injections died."

Dr. Alane O’Connor, co-chair of Maine's Opioid Response Clinical Advisory Committee, said that "as word of the Somerset program spreads, she is getting inquiries from other county sheriffs about how to bring the shots on board," Hoffman reports. "She is also hearing from former prisoners." O'Connor told Hoffman, "Many wanted to stay on the shots, so they would come back to the jail asking our help in finding a provider."

The sale of U.S. Steel to Nippon Steel has politicians up in arms, but some workers think sale might save their jobs

Wikipedia map
The fear of foreign control and the possible loss of jobs has many U.S. politicians and United Steelworkers’ leaders stoking opposition against the sale of U.S. Steel to Japanese-based Nippon Steel, but many of the industry's workers see the sale differently.

"Outside Pittsburgh, in Monongahela River valley towns where steel is still made, some workers and officials say the rhetoric is disconnected from what is happening on the ground," report Kris Maher, Bob Tita and Aaron Zitner of The Wall Street Journal. "Some say fears of foreign ownership are overblown and that the deal with deep-pocketed Nippon Steel offers the best chance to keep steel industry jobs in the region, and communities from being erased."

The voices against the $14.1 billion sale are big names, including President Joe Biden, both presidential candidates and "all four senators from Pennsylvania and Ohio, including Sen. John Fetterman," the Journal reports. However, West Mifflin Mayor Chris Kelly told the Journal: "I would bet that none of the national politicians have seen what I’ve seen and have not talked to these local workers. . . . This is nothing but politics." West Mifflin's U.S. Steel mill employs about 800 workers.

Both sides have cranked up their lobbying machines. "Kelly and other local officials are asking Pennsylvania Gov. Josh Shapiro to get the Biden administration to hear their concerns. . . . A spokesman said the governor said his priority is protecting Pennsylvania workers," the Journal reports "Nippon Vice Chairman Takahiro Mori recently met with U.S. regulators. Ads running in Pittsburgh urge they 'keep steel jobs in steel city.'"

In Braddock, the Edgar Thomson plant "is among the world’s oldest mills, producing steel from liquid iron heated in blast furnaces. Active since 1875, it hums day and night," Maher, Tita and Zitner write.
"Braddock Mayor Delia Lennon-Winstead backs the deal and said presidential candidates who oppose it should provide another solution. 'Do they actually walk these streets and live in this area?” she said. 'Do they know the devastation of closing the mill, what it would do to this area?'"

Opinion: New farmers with 'can-do' attitudes learn the trade from older farmers and agriculture support systems

Josh Pearson and Esme Martinson
(Turner Road Farm photo)
The life of U.S. farmers is often depicted by some "experts" as difficult, solitary and lacking many services, but that view only offers one slice of the profession. For many farmers, especially those new to farming, the career is full of learning, abundance and people helping people, writes Jason Maloney in his opinion piece for Agri-View.

Commentators and politicians often "talk of young people leaving rural areas, saying those rural areas have poverty and unemployment, and lack emergency services and nutritious food," Maloney adds. "But in the countryside of far-northern Wisconsin, where broadband and cellular service can be spotty. . .the outlook can be quite different. . . . There’s a sense of optimism that comes from building community and having a can-do attitude. . . . There are young people on the land who are making remarkable progress."

In northern Bayfield County, Wisconsin, Josh Pearson and Esme Martinson, who own Turner Road Farm, are learning how to be food and animal farmers, and they enjoy sharing their knowledge. Pearson told Maloney, "Esme and I are first generation; we didn’t grow up on farms. We read. A lot is possible if you put your mind to it.. . . . People have an experience coming up to our farm. We bring a lot of school groups to our farm – kindergartners, high schoolers, and even some college classes come out. It’s fun to see them react to the animals."

Location of Bayfield in Wisconsin
(Wikipedia map)
Turner Road Farm slowly purchased its livestock from a nearby cattle ranching family who wanted to retire. Part of Pearson's approach to the "generational transition of agriculture" is to learn from those leaving the profession. Pearson told Maloney, "Now they are done with their beef herd, and their beef herd is here on our farm. . . . I’m making hay in Port Wing, Wisconsin, with Dale Peacock of Red Hoof Farm. I’m helping him as he’s getting out of the business, and he’s mentoring me as I am going in."

Pearson and Martinson credit the USDA’s Natural Resource Conservation Service and Farm Service Agency as great support sources. Pearson told Mahoney, "My first suggestion to [new homesteaders] is to develop a relationship with the FSA office. There are programs out there to help us. We didn’t do this all on our own."

Right now, there are "things happening in places that aren’t seen by 'experts,'" Mahoney adds. "The important work that solves problems like hunger, environmental disasters, dying communities. . . is happening all around us. . . . Young people are grabbing hold and pulling us forward. If that doesn’t provide one with optimism, nothing else will."

Rural co-ops are slated for a $7.3B federal cash infusion to help them shift from coal to cleaner energy

Map indicating the wide geographic reach of the co-ops awarded funding.
(Map by Jeremy Fisher, Sierra Club Law)

Creating cleaner energy sources for communities in the more remote parts of the United States means helping rural co-ops afford the switch from coal to renewables. To help make the change possible, the Biden Administration "announced $7.3 billion in financing for 16 rural co-ops serving about 5 million households across 23 states, reports Jeff St. John of Canary Media. The Department of Agriculture will manage the funds, which "will also be matched by more than $29 billion in private investments."

The $7.3 billion infusion won't all go toward moving sparsely populated areas to renewables. Instead, some of it will cover the costs of closing coal plants, which are a "particularly thorny financial challenge for co-ops, which can’t raise financing the same way that investor-owned utilities can," St. John explains. For the Tri-State Generation and Transmission Association, [the funds] "will help accelerate the closing of 1,100 MW of coal-fired generation in Arizona, Colorado, and New Mexico."

The federal assistance means more rural cooperatives can afford to drastically shrink their energy reliance on coal. St. John reports, "A 2023 analysis by researchers at the Sierra Club, Energy Innovation, and the Department of Energy found that federal funding could help co-ops secure enough wind, solar, and battery resources to retire their entire coal capacity by 2032. . . . That would be a huge shift."

Much of the federal money deal-making is still in process. Of the 16 awards announced last week, "only one has been finalized by USDA — nearly $573 million to Dairyland Power Cooperative, which serves 24 distribution cooperatives and 27 municipal utilities in Wisconsin, Illinois, Iowa, and Minnesota. . . . Dairyland will use the funding to back a total investment of $2.1 billion to build and contract for 1,080 megawatts of clean power."

A celestial trifecta -- including a supermoon and partial lunar eclipse -- will fill up tonight's sky


Tonight's full moon sky will offer an unusual trifecta of celestial delights. "September’s harvest moon will not only coincide with a supermoon, but also with a blood moon and partial lunar eclipse," reports Chandelis Duster of NPR. "While harvest moons happen each year close to the start of fall and supermoons three to four times a year, all three events taking place at the same time are 'quite rare,' astrophysicist Teresa Monsue of NASA's Goddard Space Flight Center told NPR. . . . The moon is considered 'super' when it is full and its orbit is at the closest point to Earth."

The best time to view the three events depends on where you live and the weather. "The lunar eclipse will peak at 10:44 p.m. E.T., according to NASA. All of North and South America will have a chance to see the partial lunar eclipse and harvest supermoon," Duster adds. "This lunar eclipse will be a partial one, with only the upper portion of the moon [known as the umbra] being plunged into the darkest part of the Earth's shadow."

No special protective viewing glasses are required for tonight's cosmic viewing. "Unlike a solar eclipse, where you must wear special glasses to protect your eyesight when looking at it, skygazers can see the lunar eclipse with ease and without eye protection," Duster reports. "The eclipse should also be a good chance for views of contrast on craters and other features on the lunar surface if you use a telescope or binoculars, Monsue said."

If you miss tonight's eclipse and supermoon, you'll have to wait awhile for another chance. "The next one will not happen until Oct. 8, 2033, according to Monsue," Duster adds. "But you will be able to see another full supermoon on Oct. 17 and a total lunar eclipse on March 14, 2025."