This is a major moment in the fight against counterfeit pills. “Sophie” Xaiofei Chen has been sentenced to 4 years and 4 months for trafficking pill-making equipment into the U.S., one of the few times a supplier with no direct drug trafficking charges has faced serious consequences.
Learn how this case signals a broader federal crackdown on companies supplying the tools used to manufacture deadly fake pills, why this matters, what’s next in 2026, and how this prosecution fits into America’s struggle with fentanyl-laced counterfeit medications.
CARTERET COUNTY — Carteret County Sheriff Asa Buck announced the arrest of 18 suspects that are facing 146 felony charges in round one of “Operation Find Out.” According to Buck, the arrests were the result of a months-long operation by the sheriff’s office carried out through undercover purchases, with charges ranging from possession to trafficking.
Buck said the arrests have come with bond amounts as high as $10 million. At least 30 more suspects will be arrested as part of the operation in the coming weeks, he said during a Wednesday press conference.
“The message is clear – sell drugs in Carteret County and you’ll find out,” Buck said. ”You’ll find out that you’ll be arrested, taken to jail, and likely depending on your charges given a high bond to keep you in jail. You’ll be strictly prosecuted and many of you will ultimately find yourselves serving prison time.”
Buck said his team of detectives has done “tremendous work” in taking drug dealers off the streets. He said Carteret County District Attorney Matt Wareham and Assistant District Attorney David Spence have also been critical partners in their efforts.
“The work they have done over the years has made a major impact on our county and our work continues,” Buck said.
Wareham warned that the DA’s office will seek tough sentences for drug-related crimes.
“To those folks who sell drugs, who traffic in drugs, who live off others misery, we will prosecute you. We will seek tough enforcement, we will seek long prison sentences,” Wareham remarked.
Buck noted that Carteret County leads the state in prosecuting death by distribution cases.
“If you want to go to prison for killing someone over something as stupid, foolish and needless as selling dope, then keep on and find out,” Buck commented.
Buck noted that drug overdose deaths in Carteret County have fallen from 36 in 2020 to only five this year.
“We were having a terrible problem with Fentanyl for some time, and it seems like we’re not dealing with as much as we had been in the past,” he said.
For those addicted to drugs, Buck said the county is willing to offer help.
Brooke Lane, who heads up the Carteret County Post Overdose Response Team, echoed Buck’s remarks.
“There is help out there. You don’t have to end up in our county jail, you don’t have to end up part of this operation,” she commented.
Supplies, such as the medications naloxone and buprenorphine, carried by Buncombe County community paramedics on the post-overdose response team. Credit: Courtesy of Justin Hall
By Rachel Crumpler
A life lost in Buncombe County in 2022 still weighs on — and motivates — Shuchin Shukla, a family physician who specializes in addiction medicine.
A community paramedic had responded to an overdose involving a person recently released from jail. After reviving them, the paramedic told the patient about a soon-to-launch program that would start people on a medication used to treat opioid addiction after an overdose.
Soon after, the person used again, experienced a second overdose and went into cardiac arrest. They later died at the hospital.
“For the team working on this, the case hit home that every moment of every day matters for patients. At any minute, they’re at risk of dying or having an overdose,” Shukla said. “That’s how critical this is.”
For months, Shukla had been working with Buncombe County Emergency Medical Services to launch Buncombe Bridge to Care, a project to equip paramedics to administer buprenorphine — a medication proven to ease opioid withdrawal symptoms, reduce cravings and support long-term recovery for people with opioid use disorder —when responding to overdoses or others in the community struggling with addiction.
Delesha Carpenter’s personal tragedy has fueled her mission to combat opioid overdoses through increased naloxone access. Her new website with UNC maps naloxone availability across NC’s 100 counties.
Delesha Carpenter began her career as a researcher focused on pediatrics. A little over seven years ago, her path took an unexpected turn following the deaths of two close friends.
“A lot of people who get into this field, it’s personal,” Carpenter said. “I lost two friends within two weeks of each other to opioid overdoses. That really inspired me to increase access to naloxone.”
The researcher and professor with the UNC Eshelman School of Pharmacy recently launched NalxoneNearMe.org. The website features an interactive map of all 100 North Carolina counties, rating them based on the number of naloxone distribution services available.
Durham County is tied with Mecklenburg County as the highest rated counties on the map with a score of 88. Wake County wasn’t far behind with a score of 77.
Carpenter told WRAL the Naloxone Availability Scores are based on the level of availability of no-cost naloxone and pharmacies that sell naloxone in each county.
Naloxone distribution resources are categorized into 14 types, including syringe service programs, EMS, harm reduction organizations, health departments, pharmacies and healthcare providers.
“The highest score a county can receive is 100, which would mean that all 14 naloxone sources included in the Naloxone Availability Score are present in that county,” Carpenter explained. “If a county had one harm reduction program in the county, they would get the same amount of ‘credit’ toward the score as a county that had two or three reduction programs.”
Increased naloxone use and availability are among the efforts researchers say have contributed to a reduction in opioid overdose deaths in recent years.
“One thing is everybody’s life is worth saving. It is important to carry naloxone, especially if you’re going to be in situations where people are going to be using drugs, you never know what is in the drugs that you’re using,” Carpenter said.
Carpenter said increasing the availability of medications for opioid use, such as buprenorphine and methadone, would also help reduce overdose fatalities.
“Other resources that people should be aware of, and one that’s linked on our website, is Naloxone Saves. Ours tells you what types of sources are available, but you can go to the Naloxone Saves website and find the actual pharmacies that carry and stock naloxone, or find your health department and whether it’s distributing naloxone,” Carpenter added.
Naloxone will not harm someone who hasn’t taken an opioid, so it is recommended even when it is unclear what kind of drug a person has taken.
More than one dose may be needed because some opioids, like fentanyl, can take a stronger hold on the opioid receptors.
The Financial Crimes Enforcement Network, a Bureau of the United States Department of the Treasury, has published a document outlining out Chinese Money Laundering works.
The U.S. Food and Drug Administration (FDA) announced that states and tribes proposing importation programs can use “a static baseline approach for the cost-savings analysis” instead of trying to account for changes in unpredictable markets.
The opioid crisis has ravaged communities and families across the Carolinas. Watch this Queen City News special report on fentanyl in the Carolinas on YouTube.
