In one decade, 170 babies, kids and teens died in NC after fentanyl encounters

Read the original article on the Raleigh News & Observer website.

One hundred and seventy babies, kids and teens in North Carolina died after fentanyl exposure between 2015 and 2024, new state data shows.

Infants, children younger than 5 and teenagers aged 13 to 17 were the most likely to die after fentanyl exposure here during the past decade, according to updated data from the Office of the Chief Medical Examiner.

The data, focused on fentanyl-positive deaths between 2015 and 2024, was presented by the state Office of the Chief Medical Examiner to a committee of the state Child Fatality Task Force last week.

Fentanyl is extremely dangerous because its residue is easy to ingest, and drug paraphernalia like needles or spoon often contains enough fentanyl to kill a small child. In one toddler death cited by the medical examinerโ€™s office, a 1-year-old was exposed to fentanyl left on a cotton ball next to the bed where the mother and child slept.

โ€œIllicit fentanyl really is one of the substances that is predominantly toxic to the pediatric population,โ€ Sandra Bishop-Freeman, chief toxicologist and forensic laboratory director at the state Office of the Chief Medical Examiner, told the Charlotte Observer.

Source:ย North Carolina Child Fatality Task Forceย โ€ข Graphic by Caitlin McGlade/The Charlotte Observer

Among teenagers, accidental ingestion often comes via other drugs โ€” even borrowing what a teen thinks is a Tylenol from a classmate could lead to an overdose from a laced pill. In a case cited by the medical examinerโ€™s office, a 16-year-old who died of fentanyl overdose took what they thought was Xanax at a party.

More 17-year-olds died than any other group among minors between 2015 and 2024, with 52 lives lost. Infants less than 6 months old had the second-highest death toll, with the total reaching 24.

Among racial groups, American Indian and Black residents experienced the highest number of pediatric fentanyl-positive deaths in the state, the data says.

And loss of life overall in North Carolina is much higher than a decade ago โ€” growing from 243 deaths in 2015 to 1,954 in 2024.

Shown is a fatal dose of the synthetic opioid drug fentanyl. U.S. DRUG ENFORCEMENT ADMINISTRATION
Despite pediatric dangers, deaths decline in recent years

There is some good news: Despite the number of fentanyl-related deaths remaining elevated compared to decades past, the rate has begun to slow over the past several years.

Fentanyl deaths among all age groups fell 26% statewide in October 2025 compared to the previous year, with deaths in Mecklenburg County down to 142 from 192.

Overdose deaths have been declining the past two years, CDC data released Wednesday shows. North Carolinaโ€™s fentanyl overdose rate among all age groups fell by more than 30% between August 2024 and 2025.

Increased access to preventatives, such as the overdose-reversing nasal spray naloxone, could be helping slow overdose death trends.

The overdose-reversing nasal spray naloxone, also known by its brand name Narcan, has become easier to access in recent years, federal data shows.

A multifaceted prevention strategy has likely helped contributed to the slowdown in overdose deaths in North Carolina, according to Kella Hatcher, executive director of the NC Child Fatality Task Force. Her group has been studying pediatric overdoses for several years.

โ€œYou have to keep working on a combination of efforts to make progress, and thatโ€™s the case with many [preventable] causes of death,โ€ Hatcher said.

A 2025 Prevention Block Grant funded several primary prevention programs, including youth education efforts that served close to 9,000 during the year. Another program distributed more than 11,000 lock boxes and 15,000 medication disposal kits, according to Tuesdayโ€™s presentation.

Opioid settlement dollars are also funding prevention work in many North Carolina counties. The state is receiving $1.4 billion as part of national settlements with opioid companies, money aimed at bringing resources to communities harmed by the opioid epidemic.

The medical examinerโ€™s office will continue to share data with state and county agencies focused on helping curb the preventable childhood deaths, toxicologist Bishop-Freeman said.

โ€œDespite the trends possibly plateauing, these pediatric deaths are still too many,โ€ Bishop-Freeman said.

Financial sanctions can disrupt fentanyl flows to the United StatesRe

Read the original article on the Atlantic Council website.

Today, the Department of the Treasury sanctioned the leaders of La Linea, a violent Mexican drug cartel responsible for trafficking fentanyl and other drugs to the United States. The designations are just the latest example of how the US government is trying to grapple with the fentanyl epidemic, which has become one of the top national security threats to the United States. It is one of the leading causes of death among young and middle-aged Americans, having killed nearly 75,000 Americans in 2023. 

Financial partnerships between Chinese money laundering organizations (CMLO) and Mexican cartels have made it more challenging for US law enforcement agencies to track the movements of drug money. Financial sanctions have so far proven an effective tool in reducing the growth in crypto-denominated fentanyl sales and should be used more frequently by the US government to tactically disrupt the trade of fentanyl and other illicit drugs.

Article continues on the Atlantic Council website.

Do youth anti-drug campaigns actually work?

Programs at the University of North Carolina at Chapel Hill and in Charlotte use modern slang to communicate a timeless message: Drugs can kill.

Students at the University of North Carolina at Chapel Hill now have access to free kits that revive someone suffering an opioid overdose and test strips to see what the drugs they are about to take contain.

These steps, which assume students are using drugs, are designed to save lives, but prompt the question: Will the tactics work for todayโ€™s students?

Riley Sullivan, the groupโ€™s cofounder and director, believes the kits will actually help reduce drug use on campus. He said the group has handed out about 900 naloxone kits and 500 fentanyl test strips this semester alone.

In Charlotte, aย public awareness campaignย calledย โ€œStreet Pills Killโ€ย uses the slang of youth to convey the same message. The phrases are the new generation of โ€œjust say noโ€ or โ€œabove the influence.โ€

โ€œNo cap, those pills are sus.โ€

Young people use the words โ€œno capโ€ to say they are telling the truth or they arenโ€™t lying. To use the word โ€œcapโ€ would mean someone is lying.

โ€œSusโ€ is short for suspicious.

Another sign says: โ€œyou plus street pills equals โ€ฆ we donโ€™t ship.โ€

“Ship” means you want two people to date or enter a romantic relationship.

The language is how kids speak nowadays, but will they listen to the kind of messaging?

Remember McGruff the Crime Dog or the โ€œthis is your brain on drugsโ€ ad of a man cracking an egg on a skillet?

You might also remember other campaigns like “truth”and “DARE” to name a few.

Continue reading “Do youth anti-drug campaigns actually work?”

โ€˜Harm reductionโ€™ alliance: Hey, take it easy on the fentanyl dealers

The following OpEd is from the Oct 9 edition of the Carolina Journal.

While most of North Carolinaโ€™s political observers have been focused on the long-awaited completion of the state budget, there have also been other bills progressing through the legislature โ€” like SB 189,ย Fentanyl Drug Offenses and Other Related Changes, which increases fines and penalties for distributing the drug and sets up a task force to come up with new law enforcement strategies.

The bill aims to crack down on fentanyl and other powerful synthetic opioids, a positive step in an environment where over 100,000 people per year are dying of drug overdoses, including over 4,000 North Carolinians. The explosion of these deaths, which used to total around 5,000 people annually nationwide before the new millennium, has made it now the leading cause of death for adults 18-45, higher than other major causes like car accidents or heart disease. Over 70% of overdose deaths are due to fentanyl, an opioid so powerful many immediately overdose and die when they try it for the first time.

State Sens. Tom McInnis, Danny Britt, and Michael Lazzara introduced the bill, which passed the Senate unanimously in March. This week, SB 189 also passed the House, albeit with 20 Democrats voting against. Now the bill heads to the governor for his signature or veto, and at least some on the left think he should choose the latter.

Before the House vote was taken, a coalition of โ€œharm reductionโ€ advocates, including the NC Council of Churches, sent out a press release denouncing the bill.

โ€œAmid Stateโ€™s Worsening Overdose Crisis, Harm Reduction Advocates Argue SB189 Will Fuel Deaths and Systemic Racism,โ€ the statement begins.

To back the claim that arresting fentanyl dealers will increase overdose deaths, the harm reducers say, โ€œProsecuting dealers disrupts the drug supply, leading to more preventable overdose deaths.โ€

This, clearly, ignores the fact that fentanyl dealing is already highly illegal, so supplies are already disrupted when they are arrested. Increasing the fines and penalties on dealers isnโ€™t going to make much difference on that front. But it might act as a deterrent and reduce supply.

The study they cite, from NC State, looked at Haywood County after the original death-by-distribution law was implemented. Either those sending the press release didnโ€™t read it, or they hoped the reader wouldnโ€™t. But the study found the impact of the law was actually a lowering of overdose risk (because dealers lowered potency to avoid the serious charge) in the short term. The study did say there was a possibility of a greater risk in the longer term, but they were unsure, so their biggest takeaway was, โ€œOur study demonstrates most conclusively that further research on the individual and community-level impacts of DIH laws is urgently needed.โ€

Harm-reduction proponents are fond of calling all their claims โ€œevidence based,โ€ but Iโ€™ve found their evidence to be paper thin, like this claim that โ€œprosecuting dealers lead[s] to more deathsโ€ with the study saying mostly the opposite as proof.

After presenting their weak evidence, they go on to demand action based on it: โ€œIt is time for lawmakers to recognize the failings of the Drug War, and come to the realization that we cannot punish our way out of the overdose crisis.โ€

Read the full article on the Carolina Journal website.

Fentanyl-related deaths among children increased more than 30-fold between 2013 and 2021

CNN โ€” 

Fatal overdoses involving fentanyl have surged in recent years in the US and new research shows that deaths among children have increased significantly, mirroring trends among adults.

More than 5,000 children and teens have died from overdoses involving fentanyl in the past two decades, according to data published Monday in JAMA Pediatrics. More than half of those deaths occurred in the first two years of the Covid-19 pandemic.

There were about 1,550 pediatric deaths from fentanyl in 2021 โ€“ over 30 times more than in 2013, when the wave of overdose deaths involving synthetic opioids started in the US.

Watch the segment and read the full article on the CNN web site.

Where are fentanyl victimsโ€™ rights?

Drug-induced homicide killed my son

By Kristy Dyroff – – Thursday, April 27, 2023

OPINION:

Victims of drug-induced homicide and their affected family members are not given the resources and recognition they deserve. I know this because I am one.

Wesley, my son, was a 22-year-old college student in 2007 when he injured his knee playing football with friends. As his mother, I sent him to our family physician for care. This was when our nightmare began. My son was prescribed increasingly higher doses of opioids for the pain, caught in the spiral of greed initiated by Purdue Pharma. Our entire family struggled through his addiction as he valiantly fought his way through half a dozen rehab programs, intensive outpatient programs, halfway houses and Narcotics Anonymous. He finally found success at a faith-based, nine-month rehab program, where he developed his own faith and strength. I was overjoyed to have my kind, thoughtful, beautiful son back as the amazing gentle giant he had grown to be.

On Aug. 19, 2015, when my husband and I found him dead in his home after being sober for two years, I was devastated by the grief.

Read the full article on the Washington Times website.

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