ACR Health

New statewide rules for distribution of Naloxone is affecting one central New York agency that trains people to use the drug, also known as Narcan.

The latest numbers of new HIV/AIDS infections in New York State show a dramatic reduction in one particular population. AIDS activists say it’s proof the Gov. Andrew Cuomo’s blueprint to end AIDS in New York by 2020 is off to a good start.

The number of newly diagnosed HIV cases from 2014 to 2015 fell substantially among men who have sex with men, according to Wil Murtaugh, head of ACR Health in Syracuse.

The continuing opioid crisis in central New York is forcing one Syracuse-area agency to expand services. The expansion will allow ACR Health to serve more individuals addicted to opioids in its Drug Users Health Hub.

Alexandra Punch is ACR Health’s first Director of Drug User Health. She says expanding existing services is a direct result of an opioid crisis that seems to be here to stay.

“It’s a huge problem and we’re seeing that it’s not going away,” said Punch. “And what we’re also seeing is the amount of individuals that are learning about buprenorphine treatment."

It’s been two years since the state announced a goal of ending the AIDS epidemic by 2020. Achieving that goal is on the horizon, according to one local health agency.

Today is the open enrollment deadline for anyone who wants to sign up for private health insurance through New York’s marketplace program called the New York State of Health. Navigators with ACR Health in Syracuse continue signing up individuals for health care plans, in the shadow of a potential repeal of the Affordable Care Act.

The number of heroin-related overdoses continues to rise in upstate, including in central New York. Now one agency that helps addicts is putting more emphasis on a harm-reduction technique called a “test shot.”

While New York would not be as greatly affected as other states if the Affordable Care Act is repealed, there could be some changes to the health exchange. Republicans, controlling the House, Senate and soon the presidency, are now positioned to repeal President Obama’s healthcare law.

Regardless of politics, New York state will most likely continue with its New York State of Health official health insurance marketplace, according to Steve Wood, director of insurance programs at ACR Health in Syracuse. He said New York is committed to the program that grew out of the Affordable Care Act.

The number of heroin and opioid overdoses continues to rise in central New York. According to the latest figures from the Onondaga County Medical Examiner’s Office, there have been 30 overdose deaths to date in 2016, compared with 52 all of last year.  The opioid epidemic is also starting to affect some of the agencies that deal with people addicted to heroin.

W-18, a new synthetic opioid, may be on the scene in central and northern New York. ACR Health prevention director Erin Bortel said several overdose deaths in the North Country have raised suspicions.

ACR Health in Syracuse is lobbying hard for proposed state legislation that would allow children under the age of 18 to get access to HIV prevention medication without parental consent.  

Marissa Rice runs the youth services program at ACR Health. She says there’s a certain population in central New York that could really benefit from access to PrEP, a drug which prevents transmission of HIV -- lesbian, gay, bisexual and transgender teens between the ages of 15 add 18, who have been forced into sex trafficking.

As New York state moves towards eradicating AIDS, there's one demographic where the disease continues to grow: the community of color. Syracuse isn’t immune to this trend, so advocates are trying new strategies to reach this population.

ACR Health AIDS educator Lanika Mabrey of Syracuse said her story is pretty typical. She didn’t realize her mother had AIDS until after she died six years ago. 

New York state will add another $200 million toward the effort to end the AIDS epidemic.

These new funds are on top of $2.5 billion the state has already committed to the fight against AIDS by Gov. Andrew Cuomo's administration. And that has made a difference according to Micheal Crinnen, head of ACR Health in Syracuse. He said beyond the billboards and publicity, it’s huge having the health department pushing universal testing for HIV so doctors offer it routinely.

Transgender service providers say doctors are not being trained to deal with LGBT issues. Medical professionals attended a conference held by ACR Health and the Q Center in Syracuse on Wednesday to learn more about the struggles transgender people face in accessing quality health care.

Eight months ago, 24 year-old Ethan Johnson of Syracuse came out as a transman. That’s someone who was born female, but who identifies as a man.

A low-cost, low-co-pay health insurance plan is now available for low income earners in New York state. The Essential Plan offers ten health benefits for less than $20 a month for anyone making less than $24,000. Steve Wood of ACR Health said the plan is very affordable.

"No deductible. Very low co-pays," Wood said. "I think the highest co-pay is about $150 for a hospital stay. Prescriptions: very, very low cost. Everything else is very inexpensive."

The number of syphilis cases has increased dramatically in recent years in central New York.  

It used to be that when there was an outbreak of syphilis in New York state, the state Department of Health would find people infected in a particular school or neighborhood.

"But now the social networks are different. People meet though the Internet. If they’re looking for sexual partners, and if they throw that net wide enough, they’re going to find them,” said Dan Casler, the head of the state health department’s communicable disease program.

Finding out who tests positive for the H-I-V virus and getting them treated are cornerstones of a central New York strategy to meet the state’s goal of ending AIDS by 2020.  

HIV testing by ACR Health is already up 20 percent since December, after a new push to get more people tested according to Jeanette O’Connor-Shanley, the agency's director of support services. And when individuals test positive, they move on to the next part of their strategy to cut back on the number of new aids patients. 

The Affordable Care Act’s open enrollment period begins Saturday. One Syracuse agency is getting ready to help people who want to sign up or make a change in their health insurance policies.

In the first year of the Affordable Care Act, ACR Health in Syracuse signed up 8,000 central New Yorkers through the New York State of Health website, and about 6,000 of those people completed their health insurance enrollment. Now it’s time for the agency to get back to work during the next open enrollment period.

ACR Health has expanded its needle exchange program in Utica.  

In the Syracuse area, the organization’s three-year-old needle exchange program has reached almost 1,000 injection drug users. ACR health prevention director Erin Bortel says one of the reason it’s so successful is that it goes to where the injection users are.

"We’re able to infiltrate the community in a little bit more practical way, than expecting people who continually experience stigma and discrimination from having to come to us. So our mobility is our huge asset in our ability to reach individuals.”

Gov. Andrew Cuomo recently announced a plan he hopes will end the AIDS epidemic in New York state by the year 2020, but much of what’s involved in the three-point program is already being done.

The governor's program is called “Bending the Curve," and concentrates on three things: identifying people who test HIV positive; linking those people to healthcare and connecting them to anti-HIV therapy to prevent further transmission; and stopping high-risk behavior among others to keep them HIV negative.

ACR Health in Syracuse is hoping a successful nutrition program can be expanded to serve others in the community, but right now its nutritional education program currently only has funding to serve clients with HIV/AIDS.

Brian Cowden, 50, has been living with HIV since he was 19. On medication to control the disease, Cowden says he never felt good, complaining of gastrointestinal problems, migraines, sleep issues. But after joining ACR Health’s nutritional program, that all went away.

A spate of heroin overdoses last week in Syracuse has created a more urgent tone for one community organization’s program meant to fight overdoses. The Opioid Overdose Prevention Program run by ACR Health in Syracuse hopes to prevent stories like this in the future.

Along with a spike in heroin and other opiate use in central and northern New York has come a jump in the number of  drug overdose deaths. One Syracuse health organization hopes to bring that number down by teaching people how to administer a drug that can stop the effects of an overdose.