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Alex Kral

@alexkral.bsky.social
1.3K followers 591 following 36 posts

Epidemiologist studying substance use, criminal legal system, overdose, and infectious diseases. RTI International. San Francisco, CA

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Reposted by Alex Kral
Hope Smiley-McDonald @hopesmileymcd.bsky.social · 23/03/2026
Despite OR’s partial drug decrim law, PWUD under comm supervision were heavily policed (stops, searches, & jailed) & had higher ODs compared to peers @alexkral.bsky.social @barrotlambdin.bsky.social @estherchung.bsky.social @gillianleichtling.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
Community supervision during Oregon’s partial decriminalization Measure 110: Criminal legal system involvement, overdose, and naloxone access
In 2020, the U.S. state of Oregon passed Measure 110 (M110), which aimed to address substance use disorder as a public health issue and reduce dispari…
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Alex Kral @alexkral.bsky.social · 28/02/2026
We’ll never be able to keep drugs out of neighborhoods. Better to focus on helping people be their best selves.
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Reposted by Alex Kral
The Marshall Project @themarshallproject.org · 20/11/2025
Some localities are addressing street homelessness with a new approach, which experts say can clear encampments while protecting the health of people who are forced to move.
themarshallproject.org
Homeless Sweeps Can Be More Humane, Experts Say. It Isn’t Easy
Some localities are addressing street homelessness with a new approach, which experts say can clear encampments while protecting the health of people who are forced to move.
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Reposted by Alex Kral
AMERSA @amersa.org · 13/11/2025
Collaboration, conversation, and community — exactly what makes #AMERSA2025 so special.
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Reposted by Alex Kral
Barrot H Lambdin @barrotlambdin.bsky.social · 24/09/2025
Our new article showing the immense problem of staff burnout and shortages among US SSPs. 58% and 43% of US SSPs reported staff burnout and shortages, respectively. Law enforcement harassment associated with burnout and shortages. @alexkral.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
Prevalence and Predictors of Staff Burnout and Shortages among Syringe Services Programs in the United States, 2023
High levels of burnout have been a persistent experience of healthcare workers, which can have cascading impacts of staff turnover and shortages. We e…
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Alex Kral @alexkral.bsky.social · 15/09/2025
What with all this newfound efficiency through technology, increasing unemployment, and more money in pockets of corporations’ leadership, seems like a SHORTER WORKWEEK and more PTO are in order!
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Alex Kral @alexkral.bsky.social · 01/08/2025
Our new article led by @hopesmileymcd.bsky.social in IJDP on using crime data to evaluate drug policies like partial drug decriminalization in Oregon @barrotlambdin.bsky.social Pam Lattimore Ian Silver Mark Pope Sean Wire www.sciencedirect.com/science/arti...
sciencedirect.com
Drug decriminalization policy under the microscope in the United States: crime data considerations to inform future research
When voters passed the 2020 Ballot Measure 110 (M110), the U.S. State of Oregon changed course from a criminal legal system response to a health-cente…
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Alex Kral @alexkral.bsky.social · 29/05/2025
Governments at all levels make decisions based on medical examiner/coroner (MEC) data. A national study showed that these offices had an annual median budget of $68K. A thread - 1/4 www.sciencedirect.com/science/arti...
sciencedirect.com
The impacts of governing agency: A comparison of resources in the patchwork of medicolegal death investigation systems
In the United States, medical examiners and coroners (MECs) fill critical roles within our public health and public safety systems. These professional…
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Reposted by Alex Kral
AMERSA @amersa.org · 07/05/2025
Planning is well underway for another exciting AMERSA conference this year! Join us on Thursday, 11/13 for the opening session on Oregon's Measure 110 featuring insights from experts across disciplines. Conference registration opens in June. amersa.org/annual-confe... @alexkral.bsky.social
Headshots of plenary presenters, Hillary Kunins, Md, MPH, MS; O'Nesha Cochrane-Dumas, AAS, BSW, CRM, PSS; Dan Hoover, MD; and Alex Kral, for the Measure 110 session
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Reposted by Alex Kral
Nevada Current @nevadacurrent.com · 09/04/2025
The bill’s introduction comes on the heels of the revelation that the Nevada Department of Corrections has a $53 million budget deficit.
nevadacurrent.com
Lombardo seeks to turn back time on criminal justice reforms • Nevada Current
Lombardo's bill is introduced on the heels of the revelation that the Nevada Department of Corrections has a $53 million budget deficit.
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Reposted by Alex Kral
Ricky N. Bluthenthal @rnbluthenthal.bsky.social · 02/04/2025
Checkout this new manuscript at PLOS: dx.plos.org/10.1371/jour... by Erin Gould, Siddhi Ganesh, Anthony DiMario, Jimi Huh, Rachel Carmen Ceasar and @rnbluthenthal.bsky.social Shows how #fentanyl disrupts efforts among people who use drugs to support each other.
dx.plos.org
“You take care of people, people will take care of you”: Moral Economies and an Unpredictable Drug Market
Introduction Fentanyl is the leading cause of opioid-related overdose deaths in the United States. Given the exogenous market shock of fentanyl and subsequent transition in the illicit opioid supply, ...
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Reposted by Alex Kral
The Onion @theonion.com · 31/03/2025
Man Spends Afternoon Volunteering Opinions About The Homeless theonion.com/man-spe...
Man Spends Afternoon Volunteering Opinions About The Homeless
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Reposted by Alex Kral
Nuala Bishari @nuala.bsky.social · 19/03/2025
NEW for @sfchronicle.com: A study dropped today showing that in San Francisco, overdoses increase in areas where police have seized drugs. We're seeing this in real time: As law enforcement efforts have ramped up in recent months, fatal overdoses have risen. That's not a coincidence. (gift link)
sfchronicle.com
S.F.’s response to drug dealing could lead to more overdoses
A new study suggests drug seizures lead to more overdoses. Should this change SF’s approach to the crisis on our streets?
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Alex Kral @alexkral.bsky.social · 19/03/2025
At the National AIDS Memorial Grove this evening in Golden Gate Park, San Francisco
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Reposted by Alex Kral
Sherry Pagoto, PhD @drsherrypagoto.bsky.social · 12/03/2025
New report shows that NIH grants fueled $95 billion in economic activity and 407,782 jobs in 2024. That's not to mention the countless lives that biomedical research has saved. Show me a better investment than that. www.forbes.com/sites/michae...
forbes.com
NIH Grants Fueled $95 Billion In FY 2024 Economic Activity, Finds New Report
National Institutes of Health grants generated almost $95 billion in economic activity nationwide in FY 2024 according to a new report by United for Medical Research.
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Reposted by Alex Kral
Joe Allen @joeallenjoe.bsky.social · 12/03/2025
In fiscal year 2024, the report found, NIH awarded more than $36.9 billion to researchers, supporting more than 408,000 jobs and generating over $94.5 billion in new economic activity nationwide. news.harvard.edu/gazette/stor...
news.harvard.edu
NIH funding delivers exponential economic returns — Harvard Gazette
Report finds all 50 states reap gains in patient health, job creation, research resources, business development.
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Alex Kral @alexkral.bsky.social · 24/02/2025
“We found a large gap in housing assistance for people who use drugs in Oregon” @estherchung.bsky.social @morgangodvin.bsky.social @barrotlambdin.bsky.social in BMC Pub Health pubmed.ncbi.nlm.nih.gov/39988688/
pubmed.ncbi.nlm.nih.gov
Housing assistance among people who are unstably housed and use drugs in Oregon: a cross-sectional study - PubMed
We found a large gap in housing assistance for people who use drugs in Oregon and identified several factors associated with obtaining housing assistance. Our findings can inform future interventions ...
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Reposted by Alex Kral
Dana Larsen @danalarsen.bsky.social · 04/02/2025
If the drug war was succeeding, then drug seizures would be getting smaller and smaller until they disappeared entirely. Instead the size and value of drug seizures always continues to grow. This is an obvious sign of complete failure.
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Alex Kral @alexkral.bsky.social · 29/01/2025
Providing safer smoking supplies is about engaging more people in needed health services
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Esther Chung @estherchung.bsky.social · 25/01/2025
Our new study found 44% of syringe services programs (SSPs) distributed safer smoking supplies in 2022. SSPs distributing supplies had more participant encounters and naloxone distribution. Safer smoking supplies are a key tool to connect people who use drugs to life-saving services.
sciencedirect.com
Association of safer smoking supply distribution with participant encounters and naloxone distribution from syringe services programs: Findings from the National Survey of Syringe Services Programs in...
In response to the recent and growing shift from injecting heroin to smoking fentanyl, an increasing number of syringe services programs (SSPs) in the…
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Prison Policy Initiative @prisonpolicy.org · 08/01/2025
As wildfires blaze in California, we're reminded of the incarcerated people who are deployed to fight them – an extremely dangerous job that pays just dollars per day.
Infographic outlining job & compensation of an incarcerated fire crew memberInfographic explaining the danger of being an incarcerated fire crew member
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Alex Kral @alexkral.bsky.social · 04/01/2025
Emilia Perez is by far the best movie ever made about the drug war. And so much more.
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Reposted by Alex Kral
Maia Szalavitz @maiasz.bsky.social · 03/01/2025
Harm reduction doesn't encourage or enable drug use; banning syringes & naloxone & using jail to try to push treatment simply spreads infectious disease & death. how many times do we need to run this experiment to get it?
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Reposted by Alex Kral
Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 11/12/2024
Fantastic news out of Rhode Island. Opening their #OVERDOSE PREVENTION SITE! Another tool in the toolbox, especially for those who are extremely marginalized or stigmatized. @reginalabelle.bsky.social thepublicsradio.org/health/rhode...
thepublicsradio.org
Rhode Island opens first state-sanctioned overdose prevention center in the nation - TPR: The Public's Radio
Providence is now home to the country’s first state-sanctioned facility for people to use illegal drugs under medical supervision. The nonprofit Project Weber/RENEW on Tuesday held a ribbon-cutting to...
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Alex Kral @alexkral.bsky.social · 02/12/2024
Great article by Maia Szalavitz and contributions from Ricky Bluthenthal and others about why overdose deaths are slowing but not for black and Indigenous people. www.nytimes.com/2024/12/02/o...
nytimes.com
Opinion | Why Drug Overdose Deaths Are Dropping for Some, Rising for Others
Drug overdose deaths are finally declining. But it’s going to take work to keep this trend going.
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Reposted by Alex Kral
Release: Drugs, The Law & Your Rights @releasedrugs.bsky.social · 28/11/2024
A recently published study on Int J on Drug Policy from Sweden is a case-study of the faults of drug criminalisation. This is particularly damning for a country that has one of the highest rates of drug-related deaths. Let's dig in 🔎 www.sciencedirect.com/science/arti...
sciencedirect.com
“It should be hard to be a drug abuser” An evaluation of the criminalization of drug use in Sweden
Drug use was criminalized in Sweden in 1988 with aim of reducing the number of consumers and drug-related risks and harms. Imprisonment was introduced…
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Alex Kral @alexkral.bsky.social · 29/11/2024
Excellent piece by #NIDA Director Nora Volkow laying out the evidence for syringe services including overdose prevention sites. nida.nih.gov/about-nida/n...
nida.nih.gov
Syringe services for people who inject drugs are enormously effective, but remain underused | National Institute on Drug Abuse
December 1 is World AIDS Day, an opportunity to underscore the solid science behind the efficacy of syringe services programs, an important harm-reduction measure.
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Alex Kral @alexkral.bsky.social · 28/11/2024
I am grateful for #Bluesky
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Alex Kral @alexkral.bsky.social · 24/11/2024
Highly recommend Jacob Soboroff and Errol Morris movie #Separated. Shows how journalism can change the minds and hearts. And that federal bureaucrats have a super important role.
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Alex Kral @alexkral.bsky.social · 13/11/2024
Excited about our research panel on drug decriminalization in Oregon at the American Society for Criminology conference Thursday morning #ASC24
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Alex Kral @alexkral.bsky.social · 11/11/2024
Looking forward to our panel on drug courts tomorrow at UCB law school. www.law.berkeley.edu/event/panel-...
law.berkeley.edu
Exploring the Impact of Drug Courts in Criminal Justice Reform
The Criminal Law & Justice Center cordially invites you to a thought-provoking seminar on Adult Drug Courts and their role in reshaping our approach to substance use disorders within the criminal just...
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Alex Kral @alexkral.bsky.social · 07/11/2023
"While some would argue the [methadone] regulatory restrictions in California are well-intentioned, there is no evidence to show that they improve care or real-world outcomes, and each additional restriction creates a barrier..." Leslie Suen in San Francisco Chronicle t.co/4REcYbN5uF
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Alex Kral @alexkral.bsky.social · 06/11/2023
Can people please stop calling it “diverted bupe!!!” Perhaps “community-acquired” is better term.
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Alex Kral @alexkral.bsky.social · 18/10/2023
Looking forward to connecting with folks at #Reform2023
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Keri Blakinger @keribla.bsky.social · 12/10/2023
37 people have now died in custody of the LA Sheriff's Dept this year:
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Alex Kral @alexkral.bsky.social · 04/10/2023
www.markey.senate.gov/news/press-r...
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