Page 8A OFF PAGE ONE East Oregonian Jerusalem violence, rain put damper on Bethlehem Christmas BETHLEHEM, West Bank (AP) — It was a subdued Christmas Eve in the traditional birthplace of Jesus on Sunday, with spirits dampened by cold, rainy weather and recent violence sparked by President Donald Trump’s recognition of nearby Jerusalem as Israel’s capital. Crowds were thinner than previous years as visitors, especially Arab Christians living in Israel and the West Bank, appeared to be deterred by clashes that have broken out in recent weeks between Palestinian protesters and Israeli forces. Although there was no violence Sunday, Palestinian officials scaled back the celebrations in protest. Claire Degout, a tourist from France, said she would not allow Trump’s pronouncement, which has infuriated the Palestinians and drawn widespread inter- national opposition, affect her decision to celebrate Christmas in the Holy Land. “The decision of one man cannot affect all the Holy Land,” she said. “Jerusalem belongs to everybody, you know, and it will be always like that, whatever Trump says.” Trump abandoned decades of American policy Dec. 6 by recognizing Jeru- salem as Israel’s capital and saying he would move the U.S. Embassy to the holy city. Trump said the move merely recognizes the fact that Jerusalem already serves as Israel’s capital and that he was not prejudging nego- tiations on the city’s final borders. But Palestinians, who seek Israeli-annexed east Jerusalem as their capital, saw the declaration as unfairly siding with Israel. On Thursday, the U.N. General Assembly voted overwhelmingly to reject Trump’s decision. The Old City, in east Jerusalem, is home to sensitive Jewish, Muslim and Christian holy sites. The announcement trig- gered weeks of unrest in the West Bank and Gaza Strip, AP Photo/Majdi Mohammed Members of a Palestinian marching band parade during Christmas celebrations out- side the Church of the Nativity, built atop the site where Christians believe Jesus Christ was born, on Christmas Eve, in the West Bank City of Bethlehem, Sunday. AP Photo/Oded Balilty A man dressed as Santa Claus waves from a sidecar of a motorbike on Christmas Eve in Jerusalem Old City Sunday. including near-daily clashes in Bethlehem, which lies just south of Jerusalem. By midafternoon, hundreds of people had gath- ered in Manger Square near the city’s main Christmas for celebrations, greeted by bagpipe-playing young Palestinian marching bands and scout troops. Accompa- nying the decorations was a large banner protesting Trump’s Jerusalem declara- tion. But after nightfall, the crowds had thinned as rain fell and temperatures dipped to about 49 degrees. Just a few dozen people milled about Manger Square, while others took shelter in the church and other nearby buildings. Bethlehem’s mayor, Anton Salman, said cele- brations were toned down because of anger over Trump’s decision. “We decided to limit the Christmas celebrations to the religious rituals as an expression of rejection and anger and sympathy with the victims who fell in the recent protests,” he said. Next to the square was a poster that read “Manger Square appeal” and “#hand- soffjerusalem.” “We want to show the people that we are people who deserve life, deserve our freedom, deserve our independence, deserve Jerusalem as our capital,” he said. Archbishop Pierbattista Pizzaballa, the apostolic administrator of Jerusalem, the top Roman Catholic cleric in the Holy Land, crossed through an Israeli military checkpoint to enter Bethlehem from Jerusalem. His black limousine was escorted by a group of men on motorcycles, some of them wearing red Santa hats. Pizzaballa, who last week rejected the U.S. decision, tried to steer clear of politics. He waved to the crowd, shook hands and hugged well-wishers. “Now it’s time to enjoy,” he said. “We as Christians we will enjoy, despite all the difficulties we have. Merry Christmas.” But in his homily during midnight Mass, Pizzaballa prayed for the peace of Jerusalem and appealed to politicians “to have courage” to make bold decisions that respect all peoples. Pales- tinian President Mahmoud Abbas, a Muslim, was among those in attendance. Continued from 1A Staff photo by Jayati Ramakrishnan From left: ShyAnne Branson, BreAnna Van Fossen, Jeff Cates, Tami Cates, Lyman Branson and LeAnna Branson chat after they finished Christmas dinner at the Community Fellowship Dinner at Hermiston High School. Humphreys said. He said there was no apparent reason for the discrepancy. It could be partly due to the weather, he said, but that’s not consistent from year to year. Regardless, Humphreys said they try to use all the food they make for the event. Whatever is not served at the dinner is distributed to Open Table services at local churches, or to local families in need. Additionally, he said they offer everyone who comes to the dinner a meal to take home. Humphreys said they served 661 meals at Thanksgiving, including 79 delivered meals and 97 meals for people who walked in and took food home. The Community Fellow- ship Dinner is in its 30th year, and has grown fast from its beginnings, when just a few people gathered at private homes on Thanksgiving. Kiser’s wife, Laurie, who coordinated the event for the past several years, passed away in June 2017. Dozens of volunteers turn out each year to help greet, seat and serve people, and many local businesses donate food and supplies for the event. NEIGHBORS: The Barrs moved to Pendleton in June Continued from 1A went on. “I didn’t even know this place existed,” he said. Five years later, Barr moved closer to Pendleton when he followed his wife to Yakima as she attended medical school at Pacific Northwest University of Health Sciences. By the time Christian was ready to continue her medical training with clinic rotations, the Barrs had no desire to immediately return to Seattle, SNOW: Multiple crashes noted on Interstate 84 Continued from 1A Wednesday and Thursday and perhaps into the mid 40s on Friday, according to the National Weather Service. But Adams also warned of the possibility of more snow, and maybe freezing rain, on Wednesday and Thursday. Especially along the Columbia River, some light freezing rain is expected on Wednesday, she said. A winter weather advi- sory lasted until about 4 p.m. Monday for much of the region. Multiple crashes were noted on Interstate 84, many along Cabbage Hill but also in Morrow DINNER: Community Fellowship Dinner is in its 30th year volunteer at a future fellow- ship dinner said event founder Joe Kiser. One such volunteer is Adrea Powers, who came to the event for the first time this Thanksgiving. For Christmas, she and her six-year-old son Kody were back, greeting people and serving food. Powers, who is new to the area, said it has been a great way to feel more settled in the area. “A lot of people came alone, but they met people while they were here,” she said. “It’s really nice to see so many that weathered the storm.” She said volunteering had helped her son open up, as well. “I think this helps him be able to communicate,” she said, watching as he helped an older volunteer carry food to a table, then eagerly ran back to get more. “It’s one thing to tell him about Christmas joy, but it’s another to show him.” Though the event drew a smaller crowd than the Thanksgiving event, chairman Gary Humphreys said that’s often the case. “Christmas is always less by about 150 to 200,” Tuesday, December 26, 2017 where it was more expensive and more congested. Pendleton held a small town feel that was hard to replicate. Other towns may have seemed similar to Pendleton on paper, but the supportiveness and uniqueness of the Pendleton community drew them in. “It’s an easy place to live,” he said. They moved to Pend- leton in June as Christian started her rotations at Good Shepherd Medical Center in Hermiston. Barr now works as a technology consultant from home while continuing to work on his music. Almost as soon as he completed his move, Barr opened for Ural Thomas and The Pain as a part of a Main Street block party in June. Having released a solo album in February, Barr performs occasionally while he considers his next step musically. As much as the couple enjoys living in Pendleton, their stay isn’t permanent. After Christian’s clinical rotations end in two years, she’ll have to seek a residency to complete a medical degree. With no local hospitals offering residencies, the Barrs will have to move again. Although it’s hard to figure out what the future has in store, Barr can imagine returning to Pendleton after Christian’s residency. “It’s a beautiful part of the world,” he said. ——— Contact Antonio Sierra at asierra@eastoregonian.com or 541-966-0836. County and at least one in Pendleton. No long-term closures of the interstate, nor any fatalities in Eastern Oregon were noted as of press time Monday. Chain restrictions will remain in effect on Cabbage Hill for vehicles weighing over 10,000 pounds. And a fire about 1 p.m. Monday on the 300 block of Southwest 16th Street in Pendleton forced a family out of their home on Christmas. Although there was no major damage, likely some blankets too close to a heater caught fire and sent smoke through the house, according to the Pendleton Fire Department. OPIOIDS: Important to keep prescription opioids locked up Continued from 1A a database that lets phar- macies and physicians document and monitor patient prescriptions, and potentially spot and stop opioid abuse. Stensrud, whose posi- tion is funded through the grant, said Umatilla and Malheur counties are two of about 10 in the state that are “high-intensity drug trafficking areas,” which he attributed to their location — close to major transportation corridors, like I-84 and I-82. The others in the state, Setzer said, are along I-5. Stensrud noted that around the holidays, people can be at an even greater risk of opioid overdose. “It’s a time of high relapse risk that can arise from not having family to spend the holidays with, or experiencing a ‘trigger,’ such as seeing an old friend or family member you used to get high with,” he said. Stensrud said it’s even more important during the holidays to keep prescrip- tion opioids locked up, to prevent guests from taking medications, either accidentally or on purpose. He said there are a few hotlines substance abusers can use for immediate assistance — they can call Lines for Life at 800-923-4357, or text RecoveryNow to 839863. Treatment options Stensrud and Setzer said one of the program’s goals is to see more medical providers prescribing Suboxone. The medication for medically-assisted therapy is a combination of Buprenorphine and Naloxone. According to American Addiction Centers, Buprenorphine is a “partial opioid agonist” that produces a milder form of the effects that opioids have. It gives the user the same effect as an opioid without the same high, which makes it more difficult to abuse. Naloxone blocks the effect of opioids. “There’s no risk of overdose as with a straight opioid,” Setzer said. He said that unlike other treatments, such as methadone, Suboxone can be prescribed by a doctor and administered at home. While it’s an effective treatment option, Setzer said there’s a lack of providers that prescribe Suboxone. Chuck Hofmann, a doctor at New Directions Northwest, an integrated mental health and substance abuse facility in Baker County, said many providers don’t prescribe Suboxone because of the time involved to get certi- fied. “To get ‘X Waiver’ certified, physicians are required at least eight hours of training,” he said. “For physician’s assistants and nurse practitioners, it’s an additional 24 hours.” He added that there’s a shortage of primary care practitioners to take care of other health issues, let alone opioid addiction. He said the training includes the pharmacology of opioids, how to admin- ister Suboxone, and the “People are addicted, but they have a prescription.” — Jim Setzer, Umatilla County’s Public Health Director pitfalls of the treatment. He said while there have always been lots of options for treatment, such as behavioral therapy and substance abuse counseling, data shows that addicts tend to have lower rates of recidivism if they’re using a medically assisted therapy. “When you use opioids for a long time, some brain-rewiring occurs,” he said. “Patients don’t do well without those recep- tors satisfied.” But he said one of the challenges with Suboxone, or other medically assisted therapies, is that you’re still replacing one opioid with another — even though the risk of abuse may be lower. Hofmann said it’s also important for people to understand the psychoso- cial aspects of addiction. “The more everyone can understand what’s going on in the epidemic, the better we’ll be able to address it,” he said. Setzer said one of the biggest problems with opioid addiction is that most of the substances are legal. “People are addicted, but they have a prescrip- tion,” he said. Hofmann said while it’s hard to paint with a broad brush, most of his patients are between the ages of 25 and 40, and would have started using prescription drugs in their teens. Some ended up on heroin. But he said most initially started out using them for pain manage- ment. “People think, you smoke a little dope, get into heroin. Yeah, that happens, but currently more than half of the people suffering from addiction suffer because they got started in pain medication,” Hofmann said. A key part of the project, Setzer said, is to make people aware of existing resources — making it easier for people to dispose of old or unused medications, making sure Narcan, a brand of Naloxone that can be administered nasally, is widely available. “A longer-range sort of activity we discussed is looking for ways to expand alternative pain therapy — acupuncture, movement therapy. Not everything works for everyone.” He added that some of those options are now covered by local insurance. Setzer said the main idea behind the program is to use local resources to combat opioid abuse. That includes training and equip- ping people — healthcare providers, law enforcement officials and citizens. “Like so much of public health, we need to make people aware, and then make it easy for them to do the right thing,” he said.