Narcan is the FDA-approved nasal form of naloxone for the emergency treatment of a known or suspected opioid overdose. The Wake County school board is considering a policy to have naloxone at all schools. News & Observer file photo
Wake County schools could soon be stocked with Naloxone to treat potential opioid overdoses on campus.
The school board’s policy committee recommended on Tuesday new rules on emergency use of Naloxone. The policy requires schools to train people in how to administer Naloxone and directs Superintendent Robert Taylor to develop a program to place Naloxone at schools, early learning centers and district administrative offices.
“This is fantastic,” said school board member Sam Hershey. “This warms my heart we’re going in this direction. I think it’s crucial. At some point it’s going to hit, and we’ve got to be as ready as we can be.”
CHARLOTTE — Feds are charging five Chinese nationals with money laundering after they say the suspects were part of a Chinese money-laundering operation that assisted drug trafficking operations by depositing drug money into Charlotte banks. In March, a grand jury indicted Enhua Fang, Shu Jun Zhen, Jianfei Lu, Maoxuan Xia, and Shao Neng Lin. The federal court documents were unsealed last week.
Seamus Hughes, a founder of the PACER monitoring newsletter Court Watch, first flagged the arrests.
Court documents claim the ringleader was Fang. The court documents claim Fang would receive requests from Mexican drug-trafficking organizations for bulk cash pickups in the United States. They say she would then send couriers to locations throughout the United States to collect the money and deposit it into bank accounts across the country. Once the money was in the bank, federal investigators say the funds would be laundered, including through cryptocurrency accounts. An extensive investigation by the DEA and IRS brought all this to light.
Many people in recovery from drug use often need help finding a place to live.
Housing can be even more of a challenge if they lack familial support or struggle with mental-health issues. If they are recently incarcerated, they are 50 times more likely to overdose and die as a result.
Wake County leaders want to expand ways to help with $7.5 million in opioid settlement money next year.
Over the next 18 years, Wake County will get $65.6 million from the historic national opioid settlement. The money comes from companies that made or distributed prescription painkillers and were sued for their role in the millions of people who overdosed on opioids or became addicted.
“We’re serious about this; we’re excited about this,” said Wake Commissioner Cheryl Stallings, one of the leaders who spearheaded the effort. “We all now recognize how great this need is. Unfortunately, sometimes, it takes a real crisis to get our attention and I’m sorry that we’re in this place, but we have a great opportunity.”
Where is the $7.5 million going?
In 2022, 219 people died from drug overdoses in Wake County. Opioids, medicines prescribed for pain like codeine, fentanyl, oxycodone, and morphine, were responsible in three-quarters of the deaths.
Vast swaths of North Carolina have no health care providers that accept Medicaid for people seeking medication to treat opioid abuse, according to an expert from The Pew Charitable Trusts.
The northeastern corner of the state has a notable absence of providers offering medications to treat opioid use disorder in people enrolled in Medicaid, Andrew Whitacre of Pew told the House Select Committee on Substance Use on Tuesday.
He offered recommendations for policy changes aimed at making it easier for people to find treatment and aligning state policies with funding.
“The passage of Medicaid expansion by the General Assembly last session has the potential to significantly improve access to care for people with substance use disorder, which will have an impact on saving lives, reducing jail and prison populations, and keeping families and children together,” he said.
States that increased reimbursement rates, paid for team-based care, and ran statewide educational training campaigns to encourage providers to take Medicaid had more offering substance use disorder services, Whitacre said.
In 2016, Virginia adopted this approach and found that more people were able to find treatment, he said. Virginia saw a six-fold increase in outpatient providers and a decrease in overdose deaths from 2021 to 2022.
North Carolina has increased reimbursement rates for providers, but that step alone may not be enough to encourage enough providers to meet the increased demand, Whitacre said.
Primary care physicians, federally-qualified health centers in rural and under-served communities, and other community-based providers should be able to bill Medicaid for treatment of substance use, not just substance use treatment specialists, Whitacre said.
“We can’t possibly treat the number of people that have substance use disorder needs with a specialty system,” he said. “It’s just not possible. It’s like treating diabetic patients only through the specialty system and no primary care involvement at all. You just don’t see that.”
North Carolina terminates Medicaid coverage for adults in jail, one of only eight states to do so. Other states suspend Medicaid coverage rather than kicking people off the insurance. Ending coverage means that people must reapply for insurance once they are released. The lack of insurance creates a time gap when people with substance abuse disorder cannot keep up with their opioid treatment.
“Given the relatively short average lengths of stay in jail, terminating Medicaid coverage has a particularly disruptive effect,” Whitacre said.
This was the final meeting of the House Select Committee on Substance Use. The legislative short session begins next week.
The committee recommended the legislature make tianeptine, also known as “gas station heroin,” a Schedule II drug. Products containing tianeptine are sold in convenience stores and vape shops. The FDA has issued several warnings against its use, and other states have banned it.
The committee also recommended passing House Bill 563, which would regulate hemp-derived edibles and kratom.
The committee had a lively discussion when Rep. Donna White’s suggested recommending mandatory monitoring of school bathrooms.
“I know that’s a big ask and I don’t know how we would do it. But I know it’s doable,” the Johnston County Republican said.
Rep. Amber Baker, a former elementary school principal, said the schools shouldn’t be required to hire more people without getting more money.
“I do support anytime we can get additional personnel into schools to help keep students safe,” said Baker, a Forsyth County Democrat. “But I’m not as supportive of us putting another legislative mandate on our schools without providing the personnel that will be in charge.”
EdTalks is modeled after the highly-regarded TEDtalks and was created by WakeEd Partnership to provide a public platform for Wake County educators to share their stories, their truths, and their experiences.
The event was held at Jones Auditorium on the campus of Meredith College in Raleigh, NC on March 21, 2024.
Families who have lost loved ones to fentanyl throughout the state have the opportunity to come together in Winston-Salem Saturday, in an effort to seek support and also raise awareness.
HARNETT COUNTY – A Harnett County man with a history of law enforcement interaction for the past 20 years has been indicted by a grand jury for distributing fentanyl that killed four people on the morning of March 28, 2020.
The jury returned a true bill of indictment on Feb. 26 charging Gerard LaSalle McLean, 37, of 446 Raynor McLamb Road, Bunnlevel, with four counts each of death by distribution and aggravated death by distribution.
“There were two scenes,” explained Harnett County Sheriff’s Office Maj. Aaron Meredith. The first victim, Shannon Lynette McLean, was located at 112 Blake St. in Lillington at 12:49 a.m. Three other victims were found dead in a car located at 242 Nutgrass Road in Bunnlevel at 7:37 a.m.
There were others who overdosed at both locations and survived,” Meredith shared.
The indictment alleges Gerard McLean sold fentanyl to a person identified as Courtney McLean. Investigators say this substance was ingested by Shannon McLean and she died as a result.
While looking into this indictment, the Record learned that Gerard McLean has three other related indictments stemming from his alleged distribution of fentanyl in March 2020.
Lt. R.S. Jackson, of the Harnett County Sheriff’s Office and a homicide detective in the criminal investigation division, charged Gerard McLean with three counts of death by distribution on March 28, 2020. He was arrested on May 6, 2020. He has been held under a $600,000 secured bond since that time. Based on this arrest and a prior drug conviction in Cumberland County, the jury agreed on charges of aggravated death by distribution in the deaths of Shannon McLean, Ervin Bass Jr., Laketa Vinson and Brittany Shaw.
The last three indictments were returned on July 6 and served on Gerard McLean in the Harnett County Detention Center the following day.
The indictments allege that the fentanyl was purchased from Gerard McLean by Brittany Shaw and ingested by Bass, Vinson and Shaw, resulting in their deaths.
All four of Gerard McLean’s alleged victims died on March 28, 2020.
