High Country News

The twin crises of climate and addiction

MARIN HAMBLEY WAS WORKING as a groundskeeper in Chico, California, when the first plumes of what would become the deadliest fire in the state’s history appeared on the horizon. It was Nov. 8, 2018.

Initially, all Hambley could see of the Camp Fire was a “little puff of cloud” — a sight not uncommon in the northeastern reaches of the Sacramento Valley, where summer temperatures routinely surpass 100 degrees Fahrenheit. But by midafternoon, “the sky was totally black and just dropping chunks of ash,” said Hambley.

Many residents evacuated; Hambley chose to stay. This area had been heavily impacted by the opioid crisis, and Hambley’s experience with harm reduction, a practice centered on minimizing the negative outcomes of drug use, made them acutely aware of the need to help people with substance abuse disorders. Additionally, their perspective as a queer and trans person led them to believe that they could be especially helpful to the marginalized populations that are often overlooked during disasters.

Since 2006, Butte County, where Paradise and Chico are located, has consistently been among the top three counties in the state for hospitalizations from opioidrelated overdoses, with an annual rate between 2.75 and

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