Boston overdose deaths decreased by double digit percentage in 2024; lowest in 10 years
Overdose deaths in Boston decreased by a notable 38% last year, according to a new data analysis released by the city's Public Health Commission.
It was the lowest number of related deaths since 2015, reflecting 'the continuation of an encouraging downward trend,' the commission said, that has also played out nationally.
Drug overdose deaths nationwide fell by nearly 27% during 2024, provisional data from the Centers for Disease Control and Prevention shows — welcome relief from the crisis that at its worst claimed more than 107,000 lives in 2022.
Read more: More and more Mass. children were being harmed by overdoses. That changed last year
Many public health officials and those working in substance use have attributed the decrease to the increased availability of harm reduction tools, such as naloxone and fentanyl test strips, as well as the ever-changing illicit drug supply itself.
Last month, the U.S. Drug Enforcement Administration released its annual threat assessment showing average fentanyl purity is falling. Meanwhile, drug traffickers are introducing new contaminants into the street supply, often unknown to people who use the drugs.
An especially promising sign within Boston's 2024 overdose data is the significant drop in deaths of Black and Latino residents, specifically men, who in recent years were disproportionately impacted by the opioid crisis.
Read more: There's a new opioid antidote. But Mass. health officials are hesitant to endorse it
While overdose death rates for white people were dropping, they increased for people of color. For example, in 2023, Black and Indigenous men across Massachusetts had the highest opioid-related death rates, compared to a 16% drop in the death rates among white men.
But 2024 in Boston told a different story: opioid-related mortality in the city fell by 59% for Black men and 52% for Latino men.
Overall, Black and Latino residents experienced an overall 58% and 48% decrease, respectively. The city called the numbers 'an encouraging sign.'
Dr. Bisola Ojikutu, Boston's public health commissioner, said the new data reinforces the city's commitment to 'eliminating racial and ethnic disparities and to ensuring equitable access to services for people with substance use disorders.'
'While we are encouraged by these data, we still have work to do,' she said.
Last year, the city of Boston distributed over 23,000 doses of naloxone — the overdose reversal medication — via street outreach, public health vending machines, kiosks and community grants.
Read MassLive's series on deadly pill press machines
The Boston Public Health Commission conducted over 25,000 engagements with people and made over 2,000 treatment placements, often driving patients directly to a detox or treatment facility, the city said.
In a statement, Mayor Michelle Wu said the new data represents 'the impact of our collective efforts to combat the opioid crisis, but emphasizes our continued support to communities who are disproportionately affected.'
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California's Yurok Tribe gets back ancestral lands that were taken over 120 years ago
ON THE KLAMATH RIVER, Calif. -- As a youngster, Barry McCovey Jr. would sneak through metal gates and hide from security guards just to catch a steelhead trout in Blue Creek amid northwestern California redwoods. Since time immemorial, his ancestors from the Yurok Tribe had fished, hunted and gathered in this watershed flanked by coastal forests. But for more than 100 years, these lands were owned and managed by timber companies, severing the tribe's access to its homelands. When McCovey started working as a fisheries technician, the company would let him go there to do his job. 'Snorkeling Blue Creek ... I felt the significance of that place to myself and to our people, and I knew then that we had to do whatever we could to try and get that back,' McCovey said. After a 23-year effort and $56 million, that became reality. Roughly 73 square miles (189 square kilometers) of homelands have been returned to the Yurok, more than doubling the tribe's land holdings, according to a deal announced Thursday. Completion of the land-back conservation deal along the lower Klamath River — a partnership with Western Rivers Conservancy and other environmental groups — is being called the largest in California history. The Yurok Tribe had 90% of its territory taken during the California Gold Rush in the mid-1800s, suffering massacres and disease from settlers. 'To go from when I was a kid and 20 years ago even, from being afraid to go out there to having it be back in tribal hands … is incredible,' said McCovey, director of the Yurok Tribal Fisheries Department. ___ EDITOR'S NOTE: This is part of a series of on how tribes and Indigenous communities are coping with and combating climate change. ___ Land Back is a global movement seeking the return of homelands to Indigenous people through ownership or co-stewardship. In the last decade, nearly 4,700 square miles (12,173 square kilometers) were returned to tribes in 15 states through a federal program. Organizations are aiding similar efforts. There's mounting recognition that Indigenous people's traditional knowledge is critical to addressing climate change. Studies found the healthiest, most biodiverse and resilient forests are on protected native lands where Indigenous people remained stewards. Beth Rose Middleton Manning, a University of California, Davis professor of Native American Studies, said Indigenous people's perspective — living in relation with the lands, waterways and wildlife — is becoming widely recognized, and is a stark contrast to Western views. 'Management of a forest to grow conifers for sale is very different from thinking about the ecosystem and the different plants and animals and people as part of it and how we all play a role," she said. The Yurok people will now manage these lands and waterways. The tribe's plans include reintroducing fire as a forest management tool, clearing lands for prairie restoration, removing invasive species and planting trees while providing work for some of the tribe's more than 5,000 members and helping restore salmon and wildlife. One fall morning in heavy fog, a motorboat roared down the turbid Klamath toward Blue Creek — the crown jewel of these lands — past towering redwoods, and cottonwoods, willows, alders. Suddenly, gray gave way to blue sky, where an osprey and bald eagle soared. Along a bank, a black bear scrambled over rocks. The place is home to imperiled marbled murrelets, northern spotted owls and Humboldt martens, as well as elk, deer and mountain lions. The Klamath River basin supports fish — steelhead, coho and Chinook salmon — that live in both fresh and saltwater. The Klamath was once the West Coast's third largest salmon-producing river and the life force of Indigenous people. But the state's salmon stock has plummeted so dramatically — in part from dams and diversions — that fishing was banned for the third consecutive year. 'We can't have commercial fishing because populations are so low,' said Tiana Williams-Claussen, director of the Yurok Tribe Wildlife Department. 'Our people would use the revenue to feed their families; now there's less than one salmon per Yurok Tribe member." Experts say restoring Blue Creek complements the successful, decades-long fight by tribes to remove the Klamath dams — the largest dam removal in U.S. history. This watershed is a cold-water lifeline in the lower Klamath for spawning salmon and steelhead that stop to cool down before swimming upstream. That's key amid climate-infused droughts and warming waters. 'For the major river to have its most critical and cold-water tributary … just doing its job is critical to the entire ecosystem,' said Sue Doroff, co-founder and former president of Western Rivers Conservancy. For more than 100 years, these lands were owned and managed for industrial timber. Patchworks of 15 to 20 acres (6 to 8 hectares) at a time of redwoods and Douglas firs have been clear cut to produce and sell logs domestically, according to Galen Schuler, a vice president at Green Diamond Resource Company, the previous landowner. Schuler said the forests have been sustainably managed, with no more than 2% cut annually, and that old growth is spared. He said they are 'maybe on the third round' of clear cutting since the 1850s. But clear cutting creates sediment that winds up in streams, making them shallower, more prone to warming and worsening water quality, according to Josh Kling, conservation director for the conservancy. Sediment, including from roads, can also smother salmon eggs and kill small fish. Culverts, common on Western logging roads, have also been an issue here. Most "were undersized relative to what a fish needs for passage,' Kling said. Land management decisions for commercial timber have also created some dense forests of small trees, making them wildfire prone and water thirsty, according to Williams-Claussen. 'I know a lot of people would look at the forested hillsides around here and be like, 'It's beautiful, it's forested.' But see that old growth on the hill, like way up there?' asked Sarah Beesley, fisheries biologist for the Yurok Tribe, sitting on a rock in Blue Creek. 'There's like one or two of those." Fire bans, invasive plants and encroachment of unmanaged native species have contributed to loss of prairies, historically home to abundant elk and deer herds and where the Yurok gathered plants for cultural and medicinal uses. Western Rivers Conservancy bought and conveyed land to the tribe in phases. The $56 million for the conservation deal came from private capital, low interest loans, tax credits, public grants and carbon credit sales that will continue to support restoration. The tribe aims to restore historic prairies by removing invasive species and encroaching native vegetation. The prairies are important food sources for elk and the mardon skipper butterfly, said Kling from the conservancy. Trees removed from prairies will be used as logjams for creeks to create habitat for frogs, fish and turtles. The tribe will reintroduce fire to aid in prairie restoration and reestablish forest diversity and mature forests to help imperiled species bounce back. Members know its going to take decades of work for these lands and waterways to heal. 'And maybe all that's not going to be done in my lifetime,' said McCovey, the fisheries director. 'But that's fine, because I'm not doing doing this for myself.'
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While Gov. JB Pritzker scored wins during legislative session, cellphone ban, other initiatives fell short
Entering a legislative session amid questions about whether he'd run for a third term, Democratic Gov. JB Pritzker outlined an ambitious agenda that ended with mixed results. In a State of the State and budget address in February that will be remembered mainly for Pritzker invoking Nazi Germany to describe the new presidential administration, there was also a litany of policy initiatives — some of which passed and will now have a tangible impact on Illinoisans and others that went nowhere in the spring legislative session that just wrapped up. 'You don't get everything done in one year. I think the Senate president can back me up on that, and lots of people in the General Assembly,' Pritzker said Sunday at his end-of-session news conference in Springfield, flanked by Senate President Don Harmon of Oak Park. 'Sometimes they spend two years, four years, six years trying to get something big done. I think we've been hyper-successful about getting things done in a shorter period of time than expected.' But Pritzker's mixed scorecard also revealed tensions between his agenda and those in the Legislative Black Caucus. More than once, Black caucus members balked at Pritzker's plans as they didn't see their wants and needs fully addressed during a legislative session that focused heavily on fiscal issues and a tight budget. Indeed, while the governor's backing puts political capital behind any policy proposal, that didn't mean it was guaranteed to pass through the sometimes splintered Democratic supermajorities in the state House and Senate. Here are some examples of where the governor accomplished what he set out to do — and a few places where he came up short. What Pritzker said: 'This session, I'll move forward with legislation requiring all school districts in Illinois to adopt a cellphone policy that bans the use of phones during classroom instruction. More focus on learning will bring even greater success for kids across our state.' Status: Did not pass. A coalition of Illinois House lawmakers blocked the measure when it came to the House late in the session over concerns about unequal disciplinary impacts, according to bill sponsor, Democratic state Rep. Michelle Mussman of Schaumburg. Concerns about enforcement disproportionately affecting Black and brown students became more pronounced as lawmakers reviewed the phone restriction alongside another bill limiting police from ticketing students for minor misbehavior, according to Mussman. Legislators were hesitant to pass a statewide school mandate while also debating a measure meant to scale back school discipline practices, she said. Rep. Curtis Tarver, a Chicago Democrat and a member of the Black caucus, told the Tribune in February he worried about the 'unintended consequences' of a phone ban, including inequitable enforcement. The legislation against ticketing and fines passed both chambers and now heads to Pritzker's desk for his signature. A Chicago Tribune and ProPublica investigation found school districts used local law enforcement to fine students, and Black students were twice as likely to be ticketed at school as their white peers, a pattern lawmakers aimed to end. Pritzker's cellphone policy will have to wait for another session when there's more time to work out the enforcement aspect, Mussman said. The measure would have required school districts to adopt guidelines prohibiting students from using wireless devices, such as cellphones and smartwatches, during instructional time, while providing secure and accessible storage for the devices, before the 2026-2027 school year. The legislation also included a few exceptions, such as permitting students to use phones in emergencies. In the end, negotiations around the measure came down to a 'dance' between ensuring local school boards had control over their own policies while also protecting students from 'inequitably applied' policies, Mussman said. Moreover, representatives were unsure how to implement guidance on 'how a phone might be returned if it was confiscated, or what to do if anything was lost or broken,' she added. Also not quite making the mark: Pritzker's push to expand so-called evidence-based funding for K-12 schools by $350 million. The final plan would boost funding by $307 million, cutting $43 million that usually would go to a grant program designed to help school districts with high property tax rates and low real estate values. What Pritzker said: 'I'm proposing that we allow community colleges to offer four-year baccalaureate degrees for in-demand career paths — like nursing, advanced manufacturing, early childhood education, and beyond.' And: 'I propose we pass the Public University Direct Admission Program Act introduced by Majority Leader Kimberly Lightford last year. It would allow students to know before they apply whether they qualify for admission to any or all of our state's public universities.' Status: One for two. The Pritzker-led initiative to let community colleges offer four-year degrees didn't make it to the finish line even after the sponsor, Democratic Rep. Tracy Katz Muhl of Northbrook, filed a significant amendment following months of negotiations. The bill was intended to create more paths for students to get affordable, accessible bachelor's degrees in areas that need more workers. However, it initially faced opposition from existing four-year schools that warned it could duplicate degree offerings. Toward the end of the session, Tarver told a Senate committee that the Black caucus had 'significant issues with the bill,' including how it would affect four-year institutions serving a high proportion of Black and minority students, such as Chicago State University. A proposal on direct university admissions, however, passed, meaning high school students and eligible community college students starting in the 2027-2028 school year will automatically be offered admission to public universities if they meet specific GPA standards. What Pritzker said: 'We're going to stop insurance companies from blocking access to mental health. We can do that by banning prior authorization for all behavioral health care. And for rural Illinois families and those who live far away from certain medical care, we'll require insurance reimbursement for reasonable travel costs associated with medical appointments' for some distances. Status: Passed. Building on sweeping health care legislation last year, the General Assembly this session voted on a bill to expand a ban on prior authorization for outpatient behavioral health care, meaning patients will no longer need permission from insurance companies before receiving mental health treatment in many more cases. The same legislation also puts insurers on the hook for travel costs in some instances where closer options aren't adequate. What Pritzker said: 'I'm introducing the Prescription Drug Affordability Act to rein in the unfair practices of PBMs.' Status: Passed. Critics often blame large so-called pharmacy benefit managers, such as CVS Caremark and UnitedHealth Group-owned Optum Rx, for inflating prescription drug costs while pushing independent pharmacies out of business, and Pritzker was largely successful this session in barring these practices, as a bill carrying language to restrict PBM costs passed the legislature with broad bipartisan support. The bill now heading to Pritzker's desk would prohibit PBMs from charging insurance companies more for drugs than they are paid by pharmacies and pocketing the difference; prohibit them from giving better reimbursement rates to pharmacies that the same company owns; and require them to pass along rebates negotiated with drugmakers to health plans and patients. Pritzker indicated Saturday that he would sign the measure, which would also require PBMs to submit annual reports on pricing and other practices to the Illinois Department of Insurance. The measure would charge PBMs an annual $15-per-patient fee, with the first $25 million collected going to a grant fund to support local pharmacies. Supporters of PBMs during the session argued Pritzker's plan was flawed, as they see PBMs as saving patients and employers money partly by negotiating with drugmakers. What Pritzker proposed: As part of the package of policies he announced in February, Pritzker said he'd push several other initiatives, including funding to remediate dilapidated state sites and an easier path for voters to reduce or eliminate local township governments. Status: State site funding passed; township idea stalled. Pritzker received his requested $500 million in state capital funds for two key programs on state sites, including $300 million to remake five or more largely abandoned properties, which would help develop properties 'sitting idle' in areas that are 'ripe' for economic growth, according to his budget proposals. After lawmakers pass budget with cuts and tax hikes, Gov. JB Pritzker blames state's fiscal challenges on Trump Illinois legislators left Springfield without funding public transit (for now). Here's what that means for CTA, Metra, Pace. The state's previous investments in site readiness have generated over $1.5 billion in private investment and the now-passed initiatives could attract more than $4.7 billion in investment, the governor's office said in February. Yet an effort to consolidate smaller townships across the state did not gain much traction as neither bill in the House nor the Senate made it out of committee. Pritzker's office said in February that many of the more than 1,400 townships operating across the state — which levy over $750 million in property taxes — provide services that are duplicative or could be managed more efficiently by municipalities or counties. Townships often provide maintenance and services for rural areas, such as road maintenance and transportation for seniors. Still, several Illinois townships have been tangled with corruption, such as the recent federal investigation of Dolton Mayor and Thornton Township Supervisor Tiffany Henyard over improper spending of taxpayer dollars. The idea of consolidating townships has faltered for a century, partly due to opposition from politicians seeking to preserve their power, as well as concerns that downstate rural areas could lose their civic identity.
Yahoo
44 minutes ago
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Editorial: A new chance for school choice in Illinois
Illinois once boasted a program that allowed low-income students to obtain scholarships for private school. It was a lifeline for many families whose kids were flailing in large public schools, who were experiencing painful bullying and needed a new environment, or who just didn't find a good fit in their neighborhood school. Then, state lawmakers, at the urging of teachers unions, let the program expire at the end of 2023, leaving thousands of kids out of options. Without this program, called Invest in Kids, there was simply no money for their families to be able to cover tuition. This editorial board long supported the program, which was supported by private donations in exchange for a 75% income tax credit. Kids whose family incomes were below 300% of the federal poverty level were eligible. In the 2022-23 school year, more than one-quarter of scholarship recipients came from families earning less than the federal poverty level — $26,500 for a family of four. Nearly two-thirds had household incomes below 185% of the poverty line, or $49,025 for a family of four. More than half of the low-income students who received scholarships through Empower Illinois are Black or Hispanic. Now, these kids and their families have reason to hope. Republicans in Congress have introduced the Educational Choice for Children Act, a federal program that would provide tax-credit scholarships for K-12 students nationwide. Like Invest in Kids, this initiative would offer families a lifeline if their public school isn't meeting their child's needs. The ECCA continues to move forward after being included in the budget reconciliation bill approved by the U.S. House on May 22, but must still clear the Senate. This federal initiative proposes up to $5 billion annually in tax credits for donations to scholarship-granting organizations, aiming to restore educational opportunities for disadvantaged students in Illinois and nationwide. Opponents of school choice believe that education is a zero-sum game, and that private schools are a threat to the public system. We believe the opposite — that a thriving private and charter system and a strong traditional public system create an education ecosystem that can serve everyone's needs. There are things private schools can do that public ones can't, and the same is very much true in reverse. School choice remains popular in Illinois, with a clear majority of residents supporting the concept. More importantly, choice introduces accountability into a system that, for decades, has faced little real competition. When parents have options, schools must respond — whether by improving curriculum, addressing student behavior issues more effectively, or offering stronger support for struggling learners. Right now, parents with money can tap into alternatives. Poor ones mostly cannot. We view this as fundamentally unfair, and support a world where everyone has access to transformational education options. Illinois is fortunate to have many outstanding public schools, from suburban standouts like New Trier to top-tier magnets like Walter Payton College Prep. We also recognize the value of private schools that serve distinct communities — including faith-based, independent and neighborhood-based institutions. All play unique roles in our education ecosystem. Sadly, after Invest in Kids expired, a number of private schools also folded, including St. Odilo School in Berwyn, a pre-K to eighth grade Catholic school. Springfield has moved on from the thousands of low-income students it left behind a year and a half ago. Now, the ECCA is their best shot. We hope that the Senate passes a version of the reconciliation bill that includes this program. Submit a letter, of no more than 400 words, to the editor here or email letters@
