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Still, most of the West 28 vul- nerable counties lack exchanges. In Kentucky, 33 counties opened exchanges after they were legalized in 2015, and sevenmore approved them. Such got a small boost from the Agency for Sub- stance Abuse Policy, or ASAP, which spent $41,063 on needle ex- changes in 2016 9 percent of its annual bud- get. Still, 30 of 54 vulner- able counties given the go- ahead for needle exchanges. And programs approved in the vulnera- ble counties of Wolfe, Perry and Letcher have yet to open.
Elizabeth Turner, director of the district health department cover- ing those counties, said managed to partly fund ex- change but are having trouble buy- ing needles because some of the grant money be used for them. She explained the situation to a state health this week, she said, and was told Kentucky just received harm reduction funds that will be sent out to counties, in- cluding Wolfe. Although this money also be used for needles, Turner is hopeful it could other ex- penses, we could maybe af- ford to (buy) the Tight also make dis- ease testing a challenge. While many area doctors test for hep Turner said few test for HIV, and her department really the gap because stretched for Kentucky said the HIV program tries to help, giving free test kits to every local health department and providing money for testing: $476,799 for HIV in the past year, plus around $46,000 for hep C. The state health department got another $49,000 from the CDC for hep testing this spring, and in August hired a hepa- titis program coordinator and epi- demiologist.
Before that, the pro- gram had just one person. has made a lot of really good Young said. then a lot more that can and needs to be And, experts acknowledge, a lot more formidable obstacles to over- come: doctor shortages, a dearth of drug treatment, and poverty that has persisted for decades. Soldiers in the Against all of this, teachers, preachers and regular folks keep trying to change a landscape Car- mack likens to walking through zombie They work on preventing drug abuse before it starts, like the Oper- ation UNITE workers and volun- teers in Wolfe County who teach schoolchildren about goal-setting, hold summer camps and support day. Lacy-Helterbrand, 47, had to massage his legs regularly until he was 6 months old.
Besides tending to their physical needs, she tries to teach her kids the importance of hard work and helping others. Andiria helps hand out clothes to local children living in government housing. And all the kids participate in Appalachian Ministries events, such as the big Christmas party featuring presents and a Santa, played by Lacy-Hel- white-bearded father, Garland Lacy. Andiria alternates between be- ing a little kid who climbs trees and a little mom who helps out with the younger ones and speaks with the knowing presence of a grown-up. Pouring Cheerios onto high- chair tray, she said she appreciates Lacy-Helterbrand for giving her a chance for a good life.
Even at 10 years old, she knows precious in these hardscrab- ble hills. Laura Ungar: 502-582-7190; Twitter: Support strong local journalism by sub- scribing today: www.courier- journal.com/laurau. archery teams that give kids some- thing to do after school. have to create a positive atmosphere and give them said archery coach Jonathan Mayabb. here, They give refuge to addicts and their families, like Jenell Brewer, who helped launch SPARK, a non- organization in Powell Coun- ty support groups and counseling.
Brewer, who is raising a grandchild because of her daugh- addiction, has an across from a courthouse bursting with residents accused of drug crimes. And they try to addiction with love and generosity, the way Lacy-Helterbrand does it. Unable to bear children of her own, been taking in kids for more than two decades. She has custody of seven and takes care of sister part-time. She lets the kids stay in touch with their birth families, and helps those families when she can.
It been easy. Many of the children come to her with prob- lems. After being born drug depen- dent, baby Gabe came home from the hospital crying eight hours a HIV threat Continued from Page 7A Kentucky State Police search a vehicle for drugs near downtown Campton. ALTON has made a lot of really good strides. But then a lot more that can and needs to be April Young University of Kentucky assistant professor of epidemiology who said less HIV testing in Eastern Kentucky means the disease could spread silently.
