UNC lab analyzing, identifying substances in street drugs

Since 2021, the lab has tested about 5,600 samples, identifying more than 270 different substances.

Scientists inside a room at the University of North Carolina at Chapel Hill’s Caudill Labs are doing work that’s not happening anywhere else in the country. They’re receiving thousands of street drug samples, running them through a machine to get a real-time look at what’s in them.

“Normally, we donโ€™t find out what is in street drugs until it is too late — when people are either dead or arrested,” said Dr. Nabarun Dasgupta, the senior scientist at UNC’s Street Drug Analysis Lab. “Thereโ€™s no opportunity for prevention; no opportunity for recovery.”

The scientists don’t need much to test — just a sample less than a grain of rice. About 200 public health organizations, including 34 in North Carolina, send in kits with samples.

Continue reading “UNC lab analyzing, identifying substances in street drugs”

Pill press molds used to produce illicit fentanyl targeted in legislation in Congress

by Lia Chien, NC Newsline
May 30, 2024

WASHINGTON โ€“ Bipartisan legislation pushed in both chambers of Congress aims to stop illegal fentanyl production and trafficking by focusing on the machinery used to manufacture pills.

The Criminalizing Abused Substance Templates, or CAST, Act would redefine the criminal penalty for producing counterfeit drugs using a pill press. Counterfeiting drugs is already illegal as outlined in the Controlled Substances Actย  but no penalty is included in the law.

Under CAST, it would be illegal to possess a pill press mold with the intent to produce schedule I or II drugs, a crime punishable for up to 20 years.

CAST was introduced in the House by Reps. Abigail Spanberger, a Virginia Democrat, and David Kustoff, a Tennessee Republican, in October 2019 and it was reintroduced in March 2023.

The bill got a boost earlier this month when Sens. Bill Cassidy, R-La., and Maggie Hassan, D-N.H., introduced it in the upper chamber.

Overdoses and deaths

The bill particularly targets the production and distribution of opioids, especially fentanyl. Fentanyl is a synthetic opioid with an incredibly high potency, about 100 times more than morphine. As a result, itโ€™s often mixed into other drugs to increase strength, sometimes in lethal doses.

Synthetic opioids are the main drivers of opioid overdoses. Between 2020 and 2021, deaths involving synthetic opioids like illegally made fentanyl rose by 55%, according to the Drug Enforcement Administration.

Opioid-related and other drug poisoning deaths per 100,000 people are highest in West Virginia, the District of Columbia, Delaware, Tennessee and Kentucky.

Lawmakers attribute this rise in fentanyl-related deaths to the counterfeit market and drug trafficking.

โ€œThe overdose crisis and the rising scourge of fentanyl are undoubtedly made worse by the rise in use of illicit pill presses to manufacture counterfeit drugs,โ€ Spanberger said in a statement about her legislation.

โ€œBy stepping up penalties for narcotics traffickers who use illicit pill presses to manufacture drugs, our bipartisan legislation would empower our law enforcement officers to crack down on these criminals and prevent dangerous substances โ€” such as fentanyl โ€” from being pressed into illicit pills and sold on our streets.โ€

Much of the illicit fentanyl sold in the U.S. contains at least a potentially lethal dose of fentanyl, 2 mg. A DEA study found that 42% of tested pills contained this amount or more, some as much as 5.1 mg.

Lawmakers said they want to ensure law enforcement officials have the necessary tools to stop the production and sale of these drugs.

โ€œStrengthening penalties for the criminals creating these counterfeit drugs can help get them off the market,โ€ said Hassan in a statement. โ€œThis bipartisan legislation will help ensure that law enforcement officials have the tools that they need to crack down on criminals making counterfeit drugs.โ€

According to the DEA, because lethal doses of fentanyl are often mixed in with other drugs, it can be โ€œpossible for someone to take a pill without knowing it contains fentanyl.โ€ Cassidy said the CAST Act could prevent these deaths.

โ€œNo one should have to worry if their medicines are counterfeit or laced with fentanyl,โ€ he said.

NC Newsline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. NC Newsline maintains editorial independence. Contact Editor Rob Schofield for questions: info@ncnewsline.com. Follow NC Newsline on Facebook and Twitter.

Police charge man in fentanyl death

A Wilson man has been charged with felony death by distribution in a teenagerโ€™s death from fentanyl intoxication last year.

Albert Graham Green, 23, was initially arrested on Oct. 28 and charged with selling and delivering a Schedule II controlled substance in connection with the juvenileโ€™s death, according to a release from Sgt. Eric McInerny, public information officer with the Wilson Police Department. 

Green was given a $100,000 secured bond and placed in the Wilson County Detention Center.

On Tuesday, Green was charged with felony death by distribution. 

Green turned himself in on Wednesday and was released on a $1 million unsecured bond. 

McInerny said officers with the Wilson Police Department were dispatched to 1705 Hillcrest Drive for a report of an unconscious person at 8:20 p.m. on Sept. 25.

Dispatchers told police that a 17-year-old boy was unresponsive and not breathing, McInerny said. Officers arrived on scene and Wilson County EMS pronounced the juvenile deceased.

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Fentvic Meetup #12 Durham County + Chatham, Granville, Orange, Person & Wake Counties

FENTANYL VICTIMSโ€™ FAMILIES ORGANIZE TO FIGHT ILLICIT FENTANYL IN NC!

Fentvic Meetup #12 (open to the public)
Durham County + Chatham, Granville, Orange, Person & Wake Counties

DateSaturday, June 1, 2024, 2:00-4:00 pm
Location406 East Trinity Avenue
American Legion Bldg
Durham NC 27701

Winston-Salem Forsyth County Schools passes Narcan policy unanimously, parents reflect

Winston-Salem Forsyth County Schools votes unanimously

WINSTON-SALEM โ€” Numbers from Forsyth County show that 22 minors have overdosed within the first three months of this year. The average age of those children is 11 years old.

Annie Vasquez with Forsyth Regional Opioid & Substance Use Team thinks that adding the life-saving drug to schools makes the biggest of difference.

“So I feel better that somebody at each of my kids’ school will know how to use Narcan, and will have it available to them,” said Vasquez.

Vasquez is an opioid survivor herself and says that this policy gives peace of mind for her own children.

“My personal story of making it out alive, I hope, will both inspire other folks that they can do it, or their family member can do it. But I also am here to advocate for all of those people that do use drugs now, that there is hope out there,” said Vasquez.

Andrea Scales lost her son Jeremiah Scales to fentanyl overdose and speaks about how this policy resonates.

I lost my son to unknowingly ingesting fentanyl, and this happened June 3rd of 2022. This coming Monday will be two years since his passing. Jeremiah was my only child and it makes me feel so good to be able to be apart of the change. This will change a life,” said Scales.

The school board passed the policy unanimously, with the end goal to carry Narcan in all of their schools.

Read the article on the ABC45 News website.

WS/FCS board of education vote unanimously to bring Narcan to classrooms

School leaders say they’re hoping to have this in place for the 2024-25 academic year. It’s a decision that comes after the community expressed the need for more school resources following a rise in opioid deaths in Forsyth County.

WINSTON-SALEM, N.C. โ€”

Winston-Salem/Forsyth County school board members voted unanimously to bring Narcan to the classrooms. School leaders say they’re hoping to have this in place for the 2024-25 academic year. It’s a decision that comes after the community expressed the need for more school resources following a rise in opioid deaths in Forsyth County.

Annie Vasquez, a substance use health educator came to Tuesday’s night’s board meeting in hopes the Narcan proposal would pass.

“When I was 17, I started using heroin. I’m very lucky that I did not overdose at the school system. We did not have Narcan when I was in active addiction, so itโ€™s a very different, just, area,” Vasquez said.

As a mother and 20 years clean herself, Vasquez says this decision is a breath of fresh air.

According to data from Forsyth County Behavioral Health Services, as of Monday, there have been 17 overdose deaths so far this year. EMS has responded to more than 700 overdose-related calls.

A total of 1,583 cases were reported last year. That would mean that through Memorial Day, overdose calls in the county could increase by 11% from 2023 to 2024.

Andrea Scales is also sitting in for that vote on Tuesday. Her son, Jeremiah, died in June 2022 after unknowingly consuming fentanyl. She says this vote is a win for both of them.

“Sitting in that room today, I carried him in here with me,” Scales said. “And we were both rooting for this policy to pass, and knowing that it has for the upcoming school year is amazing, it’s remarkable, and it needed to take place. And I’m so glad this is going to save lives.”

According to the draft policy, the Forsyth County Health Department will supply Narcan to schools for free. It will also offer annual training to teachers and staff on how to administer it and where it is to be stored.

According to the policy, Narcan isn’t required to be available for activities off school grounds, like field trips or athletic events.

Read the article and watch the video on the WXII News 12 website.

WS/FCS approves adding Narcan to its schools

Winston-Salem/Forsyth County School leaders voted unanimously to add Narcan to its school district.

WINSTON-SALEM, N.C. โ€” Winston-Salem/Forsyth County Schools (WS/FCS) voted unanimously to add Narcan to all its schools on Tuesday, May 28.

The drug can save the life of someone who has overdosed on opioids. 

School leaders said it’s better to be safe than sorry. 

โ€œWe just hope that we hopefully will never have to use it. But in the event that we needed to use it, then hopefully we would be able to save a life,โ€ said WS/FCS Director of School Nurses Katie Key.

ABSS is in a similar process. The district said it’s researching Narcan dispensers.    

This plan is in the early stages; no timeline has yet been determined.

Read the article and watch the video on the WFMY News2 website.

DEA’s Pill Press Push

Pill presses are poorly-regulated machines that are an essential tool for drug counterfeiters. Watch DEA’s Pill Press Push and find out why we’re thrilled with the DEA’s new pill press website. Learn more in this video, and keep up with drug safety news at safemedicines.org

Davidson County nonprofit pushes for opioid overdose-reversing drug in all NC schools

Narcan is becoming more readily available in public places, including this free vending machine in the Forsyth County Detention Center. PAUL GARBER/WFDD

Winston-Salem/Forsyth County Schools officials are considering placing the opioid overdose-reversing drug Naloxone, also known as Narcan, in all of its schools. Thatโ€™s something Barbara Walsh of Davidson County would like to see happen statewide. She lost her daughter, Sophia, to an accidental overdose.ย 

Wake Forest University student Marc Isabella spoke to Walsh about her advocacy through the nonprofit she started,ย Fentanyl Victims Network of North Carolina.ย 

Interview highlightsOn the goals of her nonprofit:ย 

“I did not know how to spell fentanyl when my daughter died, but it appears to me that the focus is on the numbers. And the numbers just really don’t mean much until you put faces to them. That’s what the goal is. I am finding families every day who have lost someone to fentanyl. They typically feel very alone, thinking their child was the only one who has died this way. But that’s not true.”

On her priorities for addressing the opioid crisis:

“In North Carolina, I would like to see Naloxone in all 100 counties. That’s the easiest way to save a life. We think all the schools should have it just in case a student does something… If they have Naloxone on school premises and somebody goes down and has a fentanyl emergency in the bathroom, they can save her life. And if they don’t have a fentanyl emergency, and they still administer Naloxone, nothing happens. They’re safe.”

On the biggest obstacle to getting Naloxone in schools:

“I would say that there are many preconceived notions. Nobody spends any time to figure out who that person is, and how fentanyl got into their body… Education about the danger of fentanyl is critical.”

On whether there’s a difference in attitudes on Naloxone between rural and urban counties:

“That’s a great question. Mecklenburg County just approved Naloxone in its schools in January. Rural Harnett County just approved it in December, to have it in all schools and on the school buses. You have some counties in eastern North Carolina, which are all rural, they have school policies to have it in the district. Every school in the district has Naloxone. So it’s kind of a crapshoot.”

Read the article and listen to the interview on the WFDD website.

Drugs sold as fentanyl in Goldsboro, Edgecombe overdoses contained 8 different substances

Xylazine, Benzatropine, a hallucinogen and another kind of designer chemical among drugs detected in sample linked to dozens of eastern North Carolina overdoses.

Itโ€™s been six weeks since four people died in Goldsboro in four days and more than a dozen others across eastern North Carolina overdosed in a matter of weeks.

Families, community members and law enforcement have beenย searching for answers about what caused this uptick.

This week, scientists at the UNC Street Drug Analysis Lab were able to provide those. The test results from a sample collected in a baggie show that what was sold as illegal fentanyl was actually a mixture of eight different drugs.

“It turns out it was a particularly nasty mix of substances that involved fentanyl and xylazine, Benzatropine, a hallucinogen and another kind of designer chemical,” said Dr. Nabarun Dasgupta, a senior scientist in the lab. “It was really unexpected so itโ€™s not surprising that a mix like that leads to a lot of overdoses.”

The lab has partnerships with dozens of health organizations, including Edgecombe County EMS. In the weeks since the uptick in overdoses in the county, Dalton Barrett and Dasgupta have formed a friendship as they both work with the common goal to address the crisis in a data-driven, science-led manner.

“This was pretty eye opening for us,” Barrett said. “When I saw the results, there was a number of things that I’d never seen before in Edgecombe County, per se, and it didn’t really make sense as far as the mixture.”

Read more: Drugs sold as fentanyl in Goldsboro, Edgecombe overdoses contained 8 different substances

This is their second attempt at trying to identify what was in the supply that resulted in 16 nonfatal overdoses in Edgecombe during a two-week span last month. The first sample came from a dollar bill but there wasn’t enough residue for an analysis.

“I was extremely disappointed about the dollar bill sample,” Dalton said. ” I felt like maybe I had done something wrong or we just didn’t get lucky and sometimes that’s just how it goes. But being able to put our finger on this is gonna be a big, big deal for us.”

This time, the sample came from a stamp bag. The street product is known as Pringles.

Whatโ€™s particularly unsettling: a few months earlier Barrett had samples tested from a different bag that had the same stamp and the results came back vastly different.

“Usually, we try and think about these stamps as like, labels on a beer bottle like this is Michelob Ultra, this is this and it’s like the same thing, time and time again,” Barrett explained. “But that’s not the case.”

Barrett says people in the community likely didn’t know that it was a mixture of so many substances since it had that same stamp and they had been safe using it in the past.

“Even the person selling it probably had no idea that it contained these substances,” Dasgupta said.

With the variety of drugs in the supply, WRAL News asked whether would naloxone work to reverse an overdose. Both men said yes, but the people probably wouldโ€™ve remained unconscious because of how potent the substance was. It is unclear if xyzlazine testing strips would have worked in this case.

Barrett says they’re unsure if this contaminated supply remains in the area. They’ve seen a 33% drop in overdoses this month compared to last. Still, he says it’s “a big, big deal” they were able to put their finger on what exactly is in supply and he is hopeful the results will raise awareness and save lives.

“Seeing people of my age dying from something that we can prevent really kind of tickles my heartstrings as a medical professional,” Barrett said.

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