ANNAPOLIS, Md. – Lawmakers in the Maryland General Assembly are hearing bills to prohibit the distribution of heroin and fentanyl without lawful authority to do so. Victoria & Scottie’s Law is named in honor of two individuals who died from fentanyl overdoses. The bill would impose up to 20 years of imprisonment on anyone convicted of selling these substances that lead to serious bodily injury or death.
Author: fentvic Admin
Fentanyl deaths rising among NC children
By Jennifer Fernandez
LEXINGTON — On a recent Saturday, family members gathered in a circle at a church here to share stories of loved ones lost to fentanyl.
“Our whole world is turned upside down,” said Michelle, a Forsyth County mother who lost her 19-year-old son to fentanyl poisoning. She didn’t want to use her full name for this story or go into details about his death, as authorities are still investigating.
She doesn’t think her son knew he had taken fentanyl, which has become more common as drug dealers add it to everything from heroin to fake prescription medications.
Just a few grains of the highly potent opioid — about 2 milligrams, an amount that’s barely enough to cover the date on a penny — can be fatal. In 2021, fentanyl was involved in 83 percent of fatal medication or drug overdoses in the state, according to N.C. Department of Health and Human Services.
“If this can happen to him, this can happen to anybody,” said Michelle, who has made it her mission to help educate other parents about the dangers of fentanyl.
She’s not alone in her fight.
Barbara Walsh, whose Fentanyl Victims Network of North Carolina organized the recent Lexington meeting, is pushing for North Carolina to require that the opioid reversal drug naloxone be available in all schools. Her 24-year-old daughter died from fentanyl poisoning in 2021 after unknowingly drinking a bottle of water laced with the drug.
The North Carolina Child Fatality Task Force also is looking into the role fentanyl has played in the deaths of not only teens, but young children who likely are getting exposed through trash from illegal substance use left within reach.
“We were floored when we started seeing the deaths of the infants and the toddlers, and that’s really what started our prevention efforts,” said Sandra Bishop-Freeman, the state’s chief toxicologist who works in the Office of the Chief Medical Examiner.
The youngest victims
In North Carolina, fentanyl contributed to the deaths of 10 children age 5 or younger in 2022. Just seven years prior, the state recorded only one death in that age group.
For children ages 13 to 17, fentanyl deaths increased from four to 25 in that same time period, according to data shared with Child Fatality Task Force members.
“Having one child or infant death related to fentanyl or other drugs is …, is too much,” Michelle Aurelius, North Carolina’s chief medical examiner, told task force members in November.
During that meeting, Bishop-Freeman read from investigators’ notes about child deaths due to fentanyl poisoning.
The decedent’s mother reported seeing the deceased pick up a baggie and put it in her mouth.
During the autopsy, a small piece of folded paper was recovered from the baby’s stomach.
Law enforcement stated there was a plastic bag and loose pills on top of a 4-year-old brother’s bed.
Another report focused on 22 cases in 2021 where a single substance was linked to the child’s death. Pathologists determined that fentanyl was the single substance in 15 of the fatalities. Only one other single substance killed multiple children that year — carbon monoxide, which killed two children. Also that year, fentanyl was one of the substances attributed in six out of seven deaths where pathologists determined more than one substance caused the death.
“These are startling stories to hear. They’re awful stories to hear, but we need to talk about them so we can prevent them,” Aurelius said. “I don’t want to have to do another autopsy on an 8-year-old who … died of (a) fentanyl overdose with (a) fentanyl patch on her skin after she was left alone.”
Counterfeit pills
For older children, fake pills laced with fentanyl are a rising concern.
In 2021, authorities seized 77,000 counterfeit pills in North Carolina alone. Eight in 10 pills contained some fentanyl.
Data from the U.S. Drug Enforcement Administration shows that of the fake pills tested by the agency, seven out of 10 contained potentially lethal doses of fentanyl.
The fake pills have become easier to obtain, with sales taking place online and on social media.
Further evidence of the impact of these fake pills comes from a recent study by the North Carolina Office of the Chief Medical Examiner. Officials looked at a sample of 75 toxicology reports from deaths between 2020 and 2022 and compared results to what investigators learned about the deaths.
The study showed that 50.7 percent of those who died thought they were taking Xanax (an anxiety/depression medication), and 54.7 percent thought they were taking a form of oxycodone (a pain reliever). However, the toxicology reports were most often positive for fentanyl with no traceable amounts of the medications the victims thought they were getting.
Last year, the DEA seized more than 79.4 million fentanyl-laced fake pills in the country, according to a tracker on the agency’s homepage. So far this year, more than 19.8 million pills have been seized nationwide, which is on pace to be one and a half times last year’s number.
Finding solutions
Walsh says the opioid reversal medication naloxone, also known by the brand name Narcan, should be available in every school. It should be treated like any other emergency item that schools stock, like epinephrine pens for allergic reactions or automated external defibrillators to shock a heart back into rhythm.
Some North Carolina school systems are starting to do that.
Charlotte-Mecklenburg Schools is adding naloxone to its first aid kits at every school. Nurses and at least two first responders at each school are to be trained in how to use it.
Wake County Schools, which already allows school resource officers to carry naloxone, may soon follow Charlotte’s lead. District officials plan to recommend that naloxone be placed in every school and a policy be created for staff on training and using it, WRAL-TV reported last week.
Last school year, school nurses, staff or SROs administered naloxone 21 times on school grounds in the state, according to the annual School Health Services Report Brochure. The year before, it was used 14 times. According to the report, 84 school districts last school year reported having the opioid reversal drug available on school grounds through SROs and 22 through a districtwide program.
As of September last year, eight states have passed laws requiring all public high schools to keep naloxone on site in case of overdoses at the school or a school-sponsored event, according to data compiled by the Legislative Analysis and Public Policy Association.
Late last year, federal officials encouraged educators to add naloxone to every school building in a letter signed by Rahul Gupta, director for the White House Office of National Drug Control Policy, and U.S. Secretary of Education Miguel Cardona.
“Studies show that naloxone access can reduce overdose death rates, that its availability does not lead to increases in youth drug use, and that it causes no harm if used on a person who is not overdosing on opioids,” Gupta and Cardona said in the letter.
They also noted that most states have Good Samaritan Laws that protect bystanders who help someone who is overdosing. North Carolina passed a limited Good Samaritan law in 2013 that permits people who are “acting in good faith” to seek medical help for someone who is overdosing without fear of being prosecuted for possessing small amounts of drugs or drug paraphernalia.
“Our schools are on the frontlines of this epidemic, but our teachers and students can be equipped with tools to save lives,” Gupta and Cardona wrote.
Limited resources
One of the big frustrations that family members expressed at the Lexington meeting was how long it took for them to learn that fentanyl killed their loved one.
“We didn’t know for six months it was fentanyl,” said Michelle, the Forsyth County mother whose 19-year-old died. “They just said, ‘Your son is gone.’”
The Office of the State Medical Examiner has faced an increasing workload due to the rise in opioid-related deaths while struggling to retain new forensic pathologists who can make tens of thousands of dollars more for doing the same job in neighboring states.
Last year, legislators took steps to address that wage disparity in the budget by adding $2 million in recurring funds for each of the next two fiscal years to help increase the state’s autopsy capacity.
Lawmakers also added two toxicology positions, however, those jobs were in response to the expected increase in workload due to the new requirement of comprehensive toxicology on all child deaths investigated by a medical examiner. While those new positions will help address that expanded workload, they do not help with the existing work where the department still needs additional positions, the Office of the State Medical Examiner said in an email to NC Health News. The two new jobs have not yet been posted.
One strain on the office is that 45 percent of the workforce is made up of temporary or time-limited employees, “which creates a very unstable workforce,” according to the medical examiner’s office.
The toxicology lab performs more than 36,000 analytical tests each year, performing analysis on 90 percent of medical examiner cases, the office said. On average, the toxicology lab issues reports on about 15,000 cases every year.
‘Takes your breath away’
That work won’t let up any time soon, as the number of overdose deaths continues at a steady clip in the state.
In January, the medical examiner’s office identified 332 suspected overdose deaths, down from 368 in January 2023. While some will be classified as non-poisoning deaths after further investigation, most will end up being confirmed overdoses, the medical examiner’s office said.
At last week’s meeting of the Child Fatality Task Force, members talked about the difficulty of seeing so many child deaths from overdoses.
Pediatrician Martin McCaffrey told the task force that the child fatality review committee he is on just reviewed three infant/toddler fentanyl overdoses. Jill Scott, president and CEO of Communities in Schools North Carolina, shared that a 17-year-old had died not too long ago.
“He got a hold of something,” she said. “He didn’t know what it was.”
They are part of a much larger picture of the toll that the opioid crisis has had.
In Arlington, Va., pictures line the walls at the DEA’s offices as a memorial to those who have died from fentanyl. There are so many victims, they ran out of wall space for photos, Michelle, the Forsyth County mom said.
“It kind of takes your breath away,” she said, “when you see face after face after face.”
This article first appeared on North Carolina Health News and is republished here under a Creative Commons license.
Dare School Board approves new Naloxone policy
Move will allow school employees to administer overdose rescue drug
In a unanimous vote at its May 8 meeting, the Dare County Board of Education passed a new policy allowing school personnel to administer Naloxone. The so-called rescue drug that can reverse the effects of an opioid overdose, Naloxone has become an important tool in the battle against the opioid epidemic.
School personnel are not required to train to use Naloxone, but the policy establishes guidelines for the storage, procurement, administration and other details related to Naloxone on campus. Students and parents or guardians will be notified annually of the policy.
According to the draft policy text in the meeting agenda packet, Naloxone will be stored in the school nurse’s office or another location designated by the school nurse or superintendent, and it “shall be made available to those trained to administer it in the event of a suspected drug-related overdose.”
The school nurse will ensure that all trained staff are aware of the Naloxone’s storage location and will periodically check the expiration date, notifying administration prior to its expiration, according to the policy.
Lists of school district employees who have completed Naloxone administration training will be maintained in the school district’s administrative office and in the head nurse supervisor’s office. Anyone who administers Naloxone “in accordance with North Carolina law is immune from any civil or criminal liability,” the policy notes.
“The Dare County Board of Education makes no representation regarding the availability of Naloxone in the school system at any given time,” the policy states.
The policy also says law enforcement will be notified of the possession or use of illegal substances and that students using illegal substances will be disciplined in accordance with board policies.
Other district policies that were revised or added at the May 8 meeting were done so at the recommendation of the North Carolina School Boards Association, according to Dare County Board of Education Attorney Rachel Hitch.
“But this is one [policy] that came up in conjunction with your local health department,” Hitch said, adding that Assistant Superintendent Steve Blackstock worked on the draft policy in conjunction with school nurses before it was brought to the board for adoption.
During a roughly 10-minute discussion on the topic, School Board Member Matt Brauer asked several questions, including whether the policy came from a standing order from the state. The standing order since August 2017, signed by the North Carolina State Health Director, allows anyone at risk of experiencing an overdose, anyone who may be able to assist someone experiencing an overdose, or anyone who requests naloxone, to receive the medication.
“The standing order from the state removes hurdles for you to have the medicine in the school system if you need it…so that you may [have this policy],” Hitch responded.
“Why wouldn’t we just…lay it off on the school nurse, who is a healthcare provider, or even the school resource officer, who’s a first responder? Shouldn’t they be the primary person to administer” Naloxone? Brauer asked.
Dare County Schools Superintendent Steve Basnight responded that the goal is to make Naloxone available where it’s needed, in accessible locations. Blackstock agreed, adding that many activities take place in school buildings after school hours when the school nurse is not onsite.
The Dare County Department of Health and Human Services distributes Naloxone at no cost to community members, so Hitch noted that teachers and students may already have the medication on hand.
“We figured if it’s in your schools, then we need to make sure that we’re telling people how it needs to be handled,” Hitch said.
In response to Brauer’s question about potential civil litigation, she said that she’d learned from a Dare County Health Department presentation that if someone were not overdosing and received Naloxone, “there are no implications,” meaning they wouldn’t suffer harm.
“The idea was: The administration is easy, the risk is very minimal…and the possibility that the issue finds its way to your schools is unfortunately very high; so that was the thinking behind the policy,” Hitch said.
Board Member Mary Ellon Ballance said that some teachers and substitutes are also trained first responders or volunteer first responders who may have used Naloxone in that role to treat overdoses. “I know that Hatteras has several that are also members of the rescue squad and work at the rescue squad in the summer, so they would have access [to Naloxone].”
Board Member David Twiddy asked about what might happen if a student experienced an overdose while on an activity bus away from campus and no one there had the medication.
Basnight said that the policy doesn’t require Naloxone to be available in “every aspect of school life. What we’re saying is, if it’s going to be in the building, here’s where we want it.”
“It’s similar to the AEDs [Automated external defibrillators], Hitch added. “We don’t have them everywhere, but we know that if we have them somewhere, that we have a chance of helping a kid.”
This article original ran on May 10, 2023. Read the original article on the Island Free Press website.
Heavenly journey: Message in a bottle floats on to France in tribute of woman who died from Fentanyl
Patricia Drewes decided to write the message. She wrote Heaven’s story in a letter, wrapped it in a photo of her and sealed it in a bottle. It was found in France.
When Patricia Drewes dropped a message in a bottle off the Carolina coast, she didn’t expect it to be found halfway around the world – but she hoped it would.
“I wanted anyone who found that bottle to know the story of this beautiful girl who had such a beautiful life and a beautiful heart,” Drewes said.
Her daughter, Heaven Leigh Nelson, died of a Fentanyl poisoning in 2019. She was 24.
“These kids are getting illicit synthetic Fentanyl and they don’t have any clue that’s what they’re getting,” Drewes said. “”(Her) life was stolen from her, from myself, from her family, from her friends by a poisoning.”
Since then, Drewes has been raising awareness about the dangers of the illicit drug while caring for her grandson.
“I am the founder of Forgotten Victims of North Carolina. We have eight chapters across the state,” Drewes said. “We reach out to these families, we support these families and our motto is ‘No one stands alone’. That’s the one thing I remember is being alone and thinking I was the only person in the world that this has happened to. We offer support to these families and we become friends and then we become family.”
Every year, Drewes and her grandson take a beach trip on Jan. 28 – Heaven’s death date.
Continue reading “Heavenly journey: Message in a bottle floats on to France in tribute of woman who died from Fentanyl”‘North Carolina has a problem’: Task force discusses rise in child fentanyl deaths
RALEIGH, N.C. (WNCN) – More children in North Carolina are dying from fentanyl in recent years. The North Carolina Child Fatality Task Force took a closer look at those deaths and what could be done to prevent them during its meeting Thursday.
The N.C. Office of the Chief Medical Examiner Chief Toxicologist Sandra C. Bishop-Freeman shared the harrowing data with the task force.
“It has become clear that fentanyl is the first and foremost opioid that is currently causing illicit deaths in the pediatric population,” said Bishop-Freeman.
Bishop-Freeman said 108 North Carolina children died from fentanyl in the past decade, most of them are teenagers or are babies and toddlers.
“We have older individuals that are using the drug recreationally, either knowingly or unknowingly, and toddlers and infants that are finding the drug through exploration,” Bishop-Freeman said.
She said there’s been a huge increase in the past few years, with 35 fentanyl deaths in 2022 for teenagers and children below 5.
Marty McCaffrey sits on the state committee that reviews child deaths.
“It’s always been the worst meeting and the most horrific meeting I go to every month, but over the last couple of years I will say, if it’s possible, it’s gotten even more horrible,” McCaffrey said.
McCaffrey and others in the meeting said when it comes to solutions, safe storage is critical.
He suggests giving mothers who have known substance abuse issues secure boxes. He also suggests that after a mother gives birth hospitals should send her home with Narcan if doctors know the children in that home may be at risk for coming in contact with drugs.
“I mean, we’re going to have to accept, and really change our culture, about how we deal with some of these moms, all of these moms, with substance use, and recognize there’s good harm reduction strategies we have to start employing,” McCaffrey said.
Teen’s death linked to fentanyl, Franklin Co. Sheriff says
18-year-old Jacob Cope died on Saturday, Feb. 17, 2024. According to a Facebook post from Franklin County Sheriff Kevin White, Cope died from accidentally ingesting “the tiniest amount of fentanyl
According to a Facebook post from Franklin County Sheriff Kevin White, Cope died from accidentally ingesting “the tiniest amount of fentanyl.”
“His family is scarred forever,” White said.
Cope’s friend, 2023 Heritage High School graduate Wilson Moore, was also found dead that morning.
White said he keeps Cope’s photo in his office to remind him why he wanted to become Franklin County Sheriff.
“It hits close to home for me,” he said. “It will serve as a constant reminder of the passion I have to end the rapid decline that is eroding our neighborhoods, our state and our country.”
It is unclear if fentanyl ingestion is the cause of Moore’s death, but Moore’s mother suspects it is drug-related.
Read the article and watch the video clip on the WRAL News website.
As opioid overdoses rise in NC, Wake schools looking to stock naloxone in all schools
The Wake school system hasn’t had any reported overdoses, but other school systems have.
Wake County school officials plan to recommend naloxone — the overdose reversal medication — in every school and a policy for staff on training and using it.
Superintendent Robert Taylor told the school board’s safety and security committee Tuesday that officials will come to the committee in April with a proposed policy and a timeline for getting naloxone in every school, early learning center and administrative office.
Naloxone is a prescription medication that reverses opioid overdoses. It targets opioid receptors in the body and blocks the effects of opioid drugs, restoring breathing in a person who has overdosed. It must be administered soon after an overdose has begun and only lasts a short time. It can be administered in several ways but is commonly administered as a nasal spray.
The Wake school system hasn’t had any reported overdoses, but other school systems have.
Last year, naloxone was administered 21 times for a suspected overdose at a North Carolina school, usually by a school resource officer.
The district wants to have naloxone in part because of rising opioid overdoses among 10- to 19-year-olds, said Kelly Creech, district senior director of health and crisis prevention services.
Across the state, school resource officers, not school employees, carry naloxone.
Any upcoming policy proposal would reflect training requirements for employees who want to be able to administer it.
On Tuesday, school board members asked questions about who would have the ability to administer naloxone.
Under state law, school systems must have permission from the state health director to allow non-medical employees to administer naloxone.
Most school systems don’t have a policy in place for school employees to administer naloxone. Of the 86 counties that responded to the state survey, 83 reported school resource officers carrying naloxone.
The school system wants two doses in about 200 schools, early learning centers and central services offices. The average dose lasts between two and three years.
Read the full article on the WRAL TV5 News website.
Senate Lawmakers Issue ‘Urgent Request’ to President Biden to Close De Minimis ‘Loophole’
Two U.S. senators penned an “urgent request” to President Joe Biden this weekend, pushing for the use of executive authority to end the de minimis trade “loophole.”
Sen. Sherrod Brown (D-Oh.) and Sen. Rick Scott (R-Fl.) on Saturday sent an open letter to the president asking him to end duty-free treatment for e-commerce shipments worth under $800-an exemption created by Section 321 of the Tariff Act.
According to the lawmakers, the rule is being exploited to facilitate “the import of illegal products, goods produced with forced labor, and other contraband to the detriment of U.S. manufacturers, workers and communities.” De minimis doesn’t just provide foreign shippers with financial benefits, they argued-it also allows bad actors to circumvent customs enforcement, as individual packages of lower value often enter the country “with minimal to zero inspections.”
The legislators said that Chinese goods made with forced labor “appear to be the heaviest users of de minimis, undermining enforcement of the Uyghur Forced Labor Prevention Act (UFLPA).” About 3 million parcels enter the country each day using the de minimis rule, and they pose an “elevated risk” of being made with forced labor, containing counterfeit products or contributing to the fentanyl crisis, as drugs have been smuggled in small, low-value shipments.
Continue reading “Senate Lawmakers Issue ‘Urgent Request’ to President Biden to Close De Minimis ‘Loophole’”Why did eBay just agree to pay $59 million over pill press sales on its platform?
eBay and the Department of Justice settle over pill press sales
On January 31, 2024, eBay and the U.S. Department of Justice announced a settlement: In return for not prosecuting eBay for alleged violations of the Controlled Substances Act (CSA) related to the sale of pill presses and encapsulating machines since 2015, eBay will pay $59 million and strengthen compliance programs around the sale of these machines on their platforms.
In a statement, eBay reiterated that the company “expressly denies the DOJ’s allegations and the settlement does not include any admission of wrongdoing.”
The Partnership for Safe Medicines has monitored the online pill press market for years, which means we have witnessed eBay’s efforts to successfully suppress the sale of these products on its platform. In light of this settlement, it is likely that other platforms that could be used to sell pill presses and encapsulating machines may ban these sales rather than undertake the burden of compliance. In the future, pill press sales will likely be confined to overseas platforms that are more difficult for U.S. regulators to reach.
This appears to be the first time that the U.S. Department of Justice has applied the “broker” role in this statute to an online marketplace for pill press or encapsulating machine transactions. This follows the Biden administration’s novel use of Treasury sanctions against Chinese pill press manufacturers in 2023.
Read the full analysis and the settlement document on the Partnership for Safe Medicines website.