Alaska is seeing a surge in opioid and heroin addiction, along with a massive increase in diseases connected to injecting drugs, particularly Hepatitis C.

In rural areas areas of the state, people tend not to have regular access to clean syringes, which drives up the likelihood of re-use or needle sharing, increasing the risk of infections.

In 2015, Alaska’s Medicaid program spent $5.9 million dollars on Hep C treatments. The next year, that more than doubled to $13.6 million.