More than 50 community members gathered at the Beaufort Train Depot Saturday to discuss the deadly impact of fentanyl in Carteret County. During the forum, Sheriff Asa Buck, District Attorney Scott Thomas, and other local officials received the Save Lives Together Award for their ongoing fight against fentanyl trafficking.
Families at the event shared personal stories about losing loved ones to fentanyl, highlighting the community’s urgent fight against the deadly drug.
One of those was Barbara Walsh who lost her Daughter to the deadly drug.
“It’s important for the families who lost a loved one to know that what their community is doing to keep someone else from dying,” said Walsh.
And In Carteret County alone, fentanyl overdoses have claimed 168 lives from 2013 through 2023.
According to Carteret County Sherriff Asa Buck a trend decreasing over the years.
“These cases are not different someone committed an act they provided a drug to someone caused them to lose their life and we investigate that just like a homicide and we prosecute those offenders just like we would if they would have killed somebody with a knife or a gun, ” said Sheriff Asa Buck
This past Saturday, a community forum addressing the impact of fentanyl in Carteret County was held at the Beaufort Train Depot. During the event, Sheriff Asa Buck, District Attorney Scott Thomas, Assistant District Attorney Dave Spence, and Legal Assistant Michelle Gillikin, all of Prosecutorial District 4, were honored with the Save Lives Together Award for their collaborative work in holding fentanyl traffickers accountable. Additionally, Brooke Barnhill, manager of the County’s Post Overdose Response Team (PORT), provided a Narcan (naloxone) demonstration and outlined local recovery resources.
Carteret County issued a news release from the event.
by Jaymie Baxley, North Carolina Health News April 14, 2025
By Jaymie Baxley
Naloxone is a widely available medication that can bring someone back from the brink of death in minutes, but cost, stigma and other barriers have kept the opioid overdose antidote out of reach for many of the North Carolinians who need it most.
In Wilson County, a new initiative aims to break down those barriers by giving residents free, 24/7 access to naloxone — no questions asked.
Repurposed newspaper dispensers filled with naloxone nasal spray were installed last month at five sites in the rural, eastern North Carolina county. These kiosks also contain information about recovery services for substance use disorder and testing strips that can be used to check illicit drugs for deadly substances such as fentanyl.
Jeff Hill, executive director of the coalition, said the goal of the kiosks is to “make sure that any person who needs a box of naloxone in Wilson County can access it at no charge.”
“Yes, over-the-counter Narcan is available, and yes, I can buy it at Walmart,” said Hill, referring to the brand name of naloxone. “But if I’m a person in early recovery who’s trying to help somebody, or I’m a person in active use or a family member of a person in active use with limited income, I might not have $50 to spend on that box of Narcan.”
Strategic placement
One of the kiosks was installed at BHG Wilson Professional Services, a center that provides medication-assisted treatment to residents recovering from opioid use disorder.
Amber Leclercq, program director for the center, said the kiosk was “strategically placed” on a side of the building that faces a row of tall bushes.
“With the vending machine being right there, it’s easy to access but also shaded enough to where other vehicles driving down the road don’t see,” she said. “If people are not yet ready to seek treatment or if they’re scared, this gives them the opportunity to discreetly obtain tools and information that might be life-changing. They’re taking the first step.”
The four other Wilson County kiosks are at county-owned facilities, including the local library, Health Department and Department of Social Services, and at Recovery Concepts Community Center, a coalition-run space that hosts meetings for addiction support groups.
Each kiosk was initially loaded with 25 boxes of naloxone and 100 testing strips. Hill said interest in the stations had surpassed the coalition’s expectations, with a couple of them needing to be restocked just days after they were installed on March 24.
“Our machine was one of the ones that got cleaned out pretty quickly,” said Lori Walston, director of communications for the Wilson County Department of Social Services. “We have a lot of foot traffic because of our agency and what we do. Also, the neighborhood where we sit is one of the neighborhoods of greater need in the community.”
Alisa Milliken, the department’s grants and wellness coordinator, said the agency also serves a number of residents experiencing homelessness — a population with an especially high risk of overdose.
“We have a lot of homeless people coming in on a daily basis needing food and things like that, so we expect that the Narcan will keep going pretty quickly, probably every time at our location,” she said.
Hill said the kiosks will be regularly replenished using funds from Wilson County’s share of a landmark court settlement with the pharmaceutical companies that allegedly fueled the national opioid epidemic. The county is set to receive a total of $7.8 million in annual payments through 2038.
Community education
Esteban Arizpe, a community paramedic with Wilson County EMS, said arming citizens with naloxone reduces strain on first responders.
“When someone calls 911 for an overdose and they’re actually administering the naloxone prior to EMS’ arrival, it greatly increases the chance of that person surviving while freeing up our units for other calls,” he said.
The kiosks not only provide easy access to naloxone, they also provide instructions on how to use it. Each station is equipped with a video player that gives a step-by-step tutorial for administering the drug.
“One thing that we strive for is to better ourselves and better our community by providing resources and giving them the education to know the signs and symptoms of an overdose, and how to treat it,” Arizpe said. “This is something that is helping us to meet that goal.”
Arizpe added that he’s seen a “great increase in knowledge” around naloxone and other tools such as syringe exchanges and testing strips — collectively known as harm reduction methods — among residents in recent years.
The increased awareness has coincided with a drop in emergency department visits. Admissions of overdose patients to the ER at Wilson Medical Center fell 36 percent from 2022 to 2025, according to DHHS data.
The grant used to buy and stock the kiosks came from the Rural Communities Opioid Response Program, a multi-year initiative managed by the U.S. Department of Health and Human Services’ Health Resources and Services Administration.
In addition to paying for the five kiosks in Wilson County, the money allowed the coalition to buy four stations to place in nearby Edgecombe, Nash, Warren and Wayne counties. The total cost for the project was $10,000.
Carole Johnson, former administrator of the federal Health Resources and Services Administration, speaks during an event announcing a $2.9 million grant for the Wilson County Substance Prevention Coalition in September 2024.
The kiosk for Wayne County was presented to the local Health Department. Margaret Brake, the department’s director, said she will be meeting with community partners this month to determine where it should be placed.
“We like the idea that people will have 24-hour access to naloxone,” she said. “Particularly if it’s someone that’s homeless or struggling—they can get what they need when they need it. We’ve even talked about putting some canned goods in there, just to have some additional things the community can use.”
Mark Winstead, a pastor at Restoration Purpose Church in the small Nash County town of Bailey, is also trying to find a good site for his community’s kiosk. He described Bailey, which had a population of fewer than 600 people at the 2020 U.S. Census, as a place where “everybody knows everybody.”
“There’s still a stigma there,” Winstead said. “But if I can put something somewhere, and maybe it’s a well-known commissioner’s son who’s battling addiction and he can discreetly come get naloxone, then that’s what it’s all about.”
“You can’t treat somebody that’s dead,” he added. “We gotta be able to save their life first — and then we can work on the rest of it.”
The state of Virginia has seen drug overdose deaths plunge by more than 40% in a single year. Many other states are seeing improvements above 30%. Why is this happening? Researchers say it may be a combination of factors, some hopeful and some painful.
Over the past six months, I’ve been tracking something really cool and mysterious happening on American streets. For the first time in 30 years, drug deaths are plunging at a rate that addiction experts say is hopeful — but also baffling.
In the past, even the most ambitious, well-funded efforts to slow drug deaths only helped a little bit. Reducing fatal overdoses by 8% or 9% was seen as a huge win.
That means roughly 30,000 fewer people a year are dying. Many states are seeing even bigger improvements of 30% to 50%. In some states, progress has been sustained since 2021 and 2022, which suggests this isn’t a temporary blip.
So how did the U.S. finally turn the corner on drug deaths?
What’s going on? No one knows for sure, but here are eight leading theories I hear from experts.
Naloxone, also known as Narcan, may be the game-changer. The Biden administration raced to make this medication, a nasal spray that quickly reverses opioid and fentanyl overdoses, far more widely available. People can buy it now over the counter without a prescription. It’s distributed for free in many high-risk communities, and people using drugs often carry it. It’s unclear how many lives naloxone is saving each year, but many front-line public health workers tell me the impact is huge. Learn more here.
Naloxone, also known as Narcan, is much easier and more affordable than ever. People who use fentanyl now regularly revive one another after experiencing overdoses. Some public health experts and activists think this medication may be a big factor shifting the tide of America’s overdose crisis.
Weaker fentanyl. Street fentanyl is incredibly potent. But in many parts of the U.S., organizations that test fentanyl doses sold by drug dealers — often in pill form — have found a significant drop in purity.No one’s sure why drug cartels have changed their mixtures. Some researchers believe law enforcement pressure in China, Mexico and the U.S. is disrupting the black market fentanyl supply chain. Learn more here.
A dangerous but less lethal street drug supply. In most of the the U.S., gangs are selling complicated “cocktails” of street drugs. The amount of fentanyl appears to be dropping (see above), while the amount of animal tranquilizers, such as medetomidine and xylazine, is rising. These chemicals are highly toxic.They cause skin wounds, severe withdrawal symptoms and other long-term health problems. But doctors and addiction experts generally agree they aren’t as immediately lethal as fentanyl. That could mean more chronic illness but fewer fatal overdoses. Learn more here.
When America’s opioid crisis began in the 1990s, drug addiction treatment was rare and often came shrouded in stigma. The U.S. addiction treatment system and safety net have seen huge improvements over the past decade. Better medications are available, and in many communities, more resources are available to help people using highly dangerous drugs such as fentanyl.
Better public health. Thirty years after the U.S. opioid crisis began — and a decade after fentanyl spread nationwide — the U.S. has made strides developing better and more affordable services for people experiencing addiction. Medications that reduce opioid cravings, including buprenorphine and methadone, are more widely available, in part because of insurance coverage provided by Medicaid. In many states, roughly $50 billion in opioid settlement money paid out by corporations is also starting to help. Going forward, it’s unclear how the Trump administration’s deep cuts to public health agencies and grants will affect this new addiction safety net.Learn more here.
Many of the most vulnerable people have already died. This theory is discounted by some researchers I talk to, but many addiction experts think it’s a factor. Over the past five years,the U.S. has been losing roughly 110,000 people to fatal drug overdoses every year. It’s possible drug deaths are declining in part because a heartbreaking number of people using fentanyl and other high-risk street drugs simply didn’t survive. Learn more here.
Waning effect of the COVID pandemic. The isolation, trauma and disruption of addiction treatment programs that followed the onset of COVID in 2020 overlap with the most devastating years of drug overdose deaths. Many public health experts believe the pandemic deepened the catastrophic impacts of fentanyl. According to this theory, as the impacts of COVID continue to fade, deadly overdoses are also declining to a more “normal” level. Learn more here.
People are using fentanyl (and other high risk street drugs) more skillfully. This is a common theory among people who use street drugs. They often tell me they’ve adapted to the risks of fentanyl by smoking rather than injecting the drug, which many addiction experts believe is safer (though still incredibly dangerous). People try to never use fentanyl alone and often carry naloxone or Narcan to reverse overdoses. Many people use test strips to identify unwanted contaminants in their drugs and use smaller fentanyl doses. Learn more here.
A decline in young people using drugs. Street fentanylhas emerged as a leading cause of death among young people in the U.S., age 18 to 45. But research suggests far fewer young people and teenagers are using drugs (other than cannabis). This trend matters because new users have low physical tolerance for opioids such as fentanyl, which means they’re more likely to overdose and potentially die. Fewer young users means fewer people taking that risk. Learn more here.
It’s important to emphasize all of these theories are just that — theories. Most researchers, doctors and front-line care providers say they need more data and more time to understand a shift this large.
But there is a growing, tentative consensus that the answer may well be “all of the above.”
A big question going forward is How low will U.S. drug deaths go? We’ve already seen the biggest, fastest drop in U.S. history. So far, there’s no sign the improvement is slowing.
The deadliest phase of the street fentanyl crisis appears to have ended, as drug deaths continue to drop at an unprecedented pace. For the first time, all 50 states and the District of Columbia have now seen at least some recovery.
A new analysis of U.S. overdose data conducted by researchers at the University of North Carolina at Chapel Hill also found that the decline in deaths began much earlier than once understood, suggesting improvements may be sustainable.
Ashley Lane (far right) poses for a photo with her son Ashton (from left), eldest daughter Alyssa and youngest daughter Cali.
Ashley Lane was happy being a stylist, but she also was a friend and a therapist to people who were struggling, even when her own mental health and substance abuse got the better of her, her family said.
On Monday, a Durham man was accused of selling the fentanyl that caused Lane, 39, to overdose Dec. 28 at The Graduate Hotel in downtown Chapel Hill. She died on Dec. 31 at UNC Hospitals.
Aaron Donald Brooks, 40, is charged with felony death by distribution sale, possession with intent to sell and deliver a controlled substance, sale or delivery of a controlled substance, and possession of a controlled substance, court records show.
He is being held in the Orange County jail under $300,000 secured bail, records show.
A man holds a poster showing Wilson County residents who have died as a result of fentanyl. Families shared their stories outside the Wilson County Courthouse in September to bring awareness to the dangers of the drug. Fentanyl Victims Network of North Carolina will hold a town hall meeting in Wilson on Feb. 1 at the Foundation YMCA of Wilson. Drew C. Wilson | Times file photo
Event organizers are sounding the alarm on the fentanyl crisis that continues to claim lives. The Fentanyl Victims Network of North Carolina will hold a town hall meeting in Wilson from 2 to 4 p.m., Saturday, Feb. 1, at Foundation YMCA of Wilson at 233 Nash St.
The purpose of the event, organizers say, is to spark public safety conversations about the dangers of illicit fentanyl, particularly when it’s found in counterfeit pressed pills like Adderall, Xanax and Percocet.
Organizers will also be distributing naloxone, which goes by the brand name Narcan, and train those attending on how to administer the lifesaving antidote. Local families will also share their heart-wrenching stories of how their loved ones have died from fentanyl poisonings. The event is free and open to the public. No registration is required.
ADDRESSING THE ISSUE
Barb Walsh, founder of Fentanyl Victims Network, has been working with Wilson families who are reeling from the loss of their own children who have died as a result of unintentional fentanyl deaths. The hope, she said, is to bring awareness to a problem that is plaguing the country, the state and Wilson.
“This is a public safety problem we want to address,” Walsh said.
Walsh is holding several town halls throughout the state.
“I chose Wilson because there is a pocket of very active families,” Walsh said. “We have two death by distribution cases going on (in the court system).
Local elected officials, public health professionals, advocates, parents of fentanyl victims, first responders and representatives from the Wilson County Substance Prevention Coalition and the Wilson County district attorney’s office will be in attendance at the Feb. 1 town hall meeting. Local law enforcement members have also been invited, organizers said.
“I think it’s important for people to see these numbers and realize how many people are dying,” said Lisa Bennett, co-organizer of the event. Bennett lost her son, 22-year-old Mason Bennett, in February 2023. He died after taking what he believed was a Percocet, a prescription painkiller, but it was laced with fentanyl, she has said. Since her son’s death, Bennett has been working with Walsh and her nonprofit.
Walsh said 18,457 people in North Carolina have died as a result of fentanyl over a 10-year period.
From 2013 to October 2023, there have been 138 fentanyl deaths in Wilson County alone, according to state data Walsh has compiled.
SOUNDING THE ALARM
Walsh founded the Raleigh-based nonprofit after her daughter, Sophia Walsh, died from fentanyl poisoning in August 2021. Walsh’s daughter drank what she thought was a bottled water from someone’s refrigerator.
Unbeknownst to her, it contained diluted fentanyl. Sophia died, and no one called 911 until 10 hours later, Walsh said. No one was charged.
“We didn’t know what she died from until five months later,” Walsh said.
After her daughter’s death, Walsh channeled her grief into research, advocacy and justice for other victims. Walsh has worked across the state to bring awareness to the dangers of fentanyl and has worked with families to demand justice in their cases by utilizing state law and getting those responsible charged.
‘IT COULD HAPPEN TO YOUR CHILD’
Walsh said there’s a misconception about fentanyl deaths. She said not all deaths are the result of someone in active addiction. Some people are simply experimenting.
Seven out of 10 “street” pressed copycat pills contain lethal fentanyl additives, according to officials.
Fentanyl, which is 50 to 100 times more powerful than morphine, is a synthetic opioid that can be lethal even in small doses.
“It could happen to your child,” Walsh said. “The pressed pills are the culprit.”
Organizers hope to educate families and encourage parents to talk with their children about the dangers that are out there.
“If we can stop just one family from having to go through this it will be worth it,” Bennett said.
Bennett said more lives will be saved if more people are armed with Narcan.
“They cannot save themselves,” Walsh said. “Someone in the community will have to save them.”
For more information about Fentanyl Victims Network of North Carolina visit www.fentvic.org.
Barb Walsh, Executive Director of Fentanyl Victims Network of North Carolina, fights to save lives and get justice for those killed by fentanyl poisoning. Joining Barb in the fight are Fentanyl Victims Network of North Carolina members Michelle Murdock and Betsy Ballard Moore.
There are two episodes being aired, Part 1 is airing January 11th, Part 2 will air one week later, January 18.
The indictment, announced by U.S. Attorney Sandra J. Hairston of the Middle District of North Carolina, includes 27 people from the Tar Heel State.
All but one of the defendants are already in custody. 18 of them will have their first court appearances in North Carolina on Tuesday or Wednesday. If convicted, they face up to life in prison for narcotics conspiracy and up to 20 years for money laundering conspiracy.
The charges of narcotics distribution conspiracy include fentanyl, an ongoing problem statewide.
“There is someone who has died from fentanyl in all 100 counties,” Barb Walsh said. “We connect the families to one another so they can gain support and understanding.”
“Killed by fentanyl in a water bottle in 2021. Took us five months to find out that fentanyl killed her. Took seven months to find out that it was the water bottle,” Walsh said. “We learned that it was killing a lot of North Carolinians and that these families, like myself, felt very alone, and we felt nobody really wanted to hear how or why our loved one died. Once they heard the word fentanyl, they were not interested anymore.”
Amid Tuesday’s arrests, overdoses are going down in the state. The latest CDC data predicts deaths have dropped about 30% from 2023 to 2024. Walsh says this is likely due to education and more distribution of naloxone, which she encourages everyone to keep on them, especially since many victims do not know they’re ingesting fentanyl.
“They think it’s adderall. They think they need to do well on the test, so they’ll take a pill from that they order off Snapchat, and it contains fentanyl, and they’re dead,” Walsh said. “That is how easy someone could die.”
She also wants people experiencing grief from a fentanyl death to know there are resources available.
“Once we are gathered together and understanding our grief together, we have chosen to redirect our pain into passion, and that is to save someone else’s life by educating them about fentanyl,” Walsh said.
Skateboard wheels skid in front of Sadie’s home, scraping, squeaking, then moving on. She paces between the porch rails, trying to peek at the face below the rider’s floppy hair.
Gwyneth Brown holds a photo of her son, Laird Ramirez, a 17-year-old Mecklenburg highschoolerwho died last July after taking a pressed pill that disguised fentanyl as a Percocet, his parents said. MELISSA MELVIN-RODRIGUEZ mrodriguez@charlotteobserver.com
Is it Laird? Looks like Laird. Sounds like him, too, Gwyneth Brown imagines Sadie, her panting, shedding German Shepherd, is thinking.
“I’m with Sadie on this one,” said Brown. “I’m still waiting for him to come home.”
The pair have been waiting more than a year for one of the skaters to kick up their board and walk up the front steps. They never do. It’s never Laird.
Laird Ramirez, a 17-year-old Mecklenburg highschooler, skateboarder and wrestler, died last July after taking a pressed pill that disguised fentanyl — a lethal synthetic opioid — as a Percocet, his parents said.
The Charlotte Observer reported a year ago on accounts from parents and students of how those $7 pills infiltrated Hough High School and how drug incidents inside Charlotte-Mecklenburg Schools reached a 10-year high amidst Laird’s death.
Justice, Brown said, did not follow in his wake. While law enforcement and prosecutors say they’re aggressively going after people whose drugs lead to an overdose or fentanyl poisoning, some families say they haven’t seen that — and they’re searching for ways to cope once court dates pass.
Mecklenburg death by distribution cases
A man who was 21 in July 2023 was accused of selling Laird fentanyl and charged with death by distribution.
Brown says there was video footage of that drug deal. She says the drugs captured on camera killed her son. Half a pill was still in his wallet when police returned it to her.
