Opinion Archives - Fentanyl Victims Network of North Carolina

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 examiner’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.

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

Source: North Carolina Child Fatality Task Force • Graphic by Caitlin McGlade/The Charlotte Observer

Among teenagers, accidental ingestion often comes via other drugs — 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 examiner’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 — 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 Carolina’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.

“You have to keep working on a combination of efforts to make progress, and that’s the case with many [preventable] causes of death,” 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 Tuesday’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 examiner’s office will continue to share data with state and county agencies focused on helping curb the preventable childhood deaths, toxicologist Bishop-Freeman said.

“Despite the trends possibly plateauing, these pediatric deaths are still too many,” 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.

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America’s Drug Crisis: Is Government Doing Enough?

Join host Tim Constantine on this gripping episode of The Capitol Hill Show as we delve deep into the heart of America’s drug crisis. With opioid overdoses skyrocketing and communities across the nation in turmoil, it’s time to confront the harsh realities head-on.

In this episode, Tim sits down with a diverse panel of guests including Senator James Lankford, a leading voice in the fight against drugs, drug counsellors who are on the ground working the frontlines, and a brave mother – April Babcock, who tragically lost her son to the deadly grip of fentanyl.

Good Answers to Hard (Insensitive,Inappropriate) Questions

I was utterly amazed at the questions people plied me with not long after Dominic’s accident.

They ranged from digging for details about what happened (when we ourselves were still unsure) to ridiculous requests for when I’d be returning to my previous responsibilities in a local ministry.

Since then, many of my bereaved parent friends have shared even more questions that have been lobbed at them across tables, across rooms and in the grocery store.

Recently there was a post in our group that generated so many excellent answers to these kinds of questions, I asked permission to reprint them here (without names, of course!).

So here they are, good answers to hard (or inappropriate or just plain ridiculous) questions:

Changes to the Death by Distribution Law

The opioid crisis seems to be getting worse every year. NCDHHS reports that in 2021, over 4,000 North Carolinians died from opioid overdoses, up 22% from the prior year. Most deaths were related to the consumption of fentanyl.

One strategy for addressing the epidemic is punishing those who distribute deadly drugs. In 2019, the General Assembly enacted G.S. 14-18.4, making it a felony to sell a controlled substance that causes the death of a user. The law is commonly known as the death by distribution law. This session, the General Assembly passed a revised version of the law. This post explains the revisions.

The original law. The 2019 law made it a Class C felony to (1) sell a qualifying drug, including an opioid, cocaine, or methamphetamine (2) thereby proximately causing (3) the death of a user. Further, (4) the defendant must have acted “without malice,” perhaps because a person acting with malice could potentially be prosecuted for Class B2 second-degree murder by distribution of drugs under G.S. 14-17(b)(2). The 2019 law also created an aggravated Class B2 felony version of death by distribution for defendants with a qualifying drug conviction within the past seven years.

ABC11 has this story about the implementation of the 2019 law. It reports that death by distribution has not been charged at all in most counties, while it has been charged regularly in some others. Shea wrote about the original law here, and Phil wrote about defending death by distribution cases here.

Status of the revised version. Last week, the General Assembly passed S189 to revise the death by distribution law. It passed the Senate 45-0 and the House 81-20. Governor Cooper has not signed it, but it appears that it will become law without his signature shortly. Obviously, the measure passed by veto-proof majorities in both chambers. Unless something unexpected happens, the law will take effect on December 1, 2023, for offenses committed on or after that date. [Update: Governor Cooper signed the measure on September 28, 2023. The effective date remains December 1, 2023.]

‘Harm reduction’ 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 Carolina’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 — like SB 189, 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 “harm reduction” advocates, including the NC Council of Churches, sent out a press release denouncing the bill.

“Amid State’s Worsening Overdose Crisis, Harm Reduction Advocates Argue SB189 Will Fuel Deaths and Systemic Racism,” the statement begins.

To back the claim that arresting fentanyl dealers will increase overdose deaths, the harm reducers say, “Prosecuting dealers disrupts the drug supply, leading to more preventable overdose deaths.”

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 isn’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 didn’t read it, or they hoped the reader wouldn’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, “Our study demonstrates most conclusively that further research on the individual and community-level impacts of DIH laws is urgently needed.”

Harm-reduction proponents are fond of calling all their claims “evidence based,” but I’ve found their evidence to be paper thin, like this claim that “prosecuting dealers lead[s] to more deaths” with the study saying mostly the opposite as proof.

After presenting their weak evidence, they go on to demand action based on it: “It 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.”

Read the full article on the Carolina Journal website.

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The politicization of the fentanyl crisis

The country’s fentanyl crisis has become a potent political weapon, reflecting its deep and emotional impact on millions of Americans.

Why it matters: The opioid epidemic was once a rare topic that brought Republicans and Democrats together. But even as overdose deaths continue to climb, the discourse around fentanyl has become more politicized and, at times, less aligned with reality — especially when Republicans talk about its connection to the U.S.-Mexico border.

“When it gets to the front page, sometimes the incentives can be to use it more as a partisan weapon,” said Keith Humphreys, a professor of psychiatry and behavioral services at Stanford.
But also, “there is a human part. Everyone’s upset. We have all these dead bodies. People are burying their children and communities are getting destroyed.”

Read the full article on the Axios website.

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