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.
BEAUFORT COUNTY, N.C. (WNCT) — Students in Beaufort County Schools were welcomed back this week with help from the sheriff’s office.
Deputies served as School Resource Officers throughout schools in the district. They’re replacing a third party police force used for the past three years.
There are 13 deputies, meaning each school in the district gets one. On the first day of school, SROs were seen greeting students at car rider lines, giving them high fives and tying their shoes in the hallways.
Having the local sheriff’s office provide school security has been a work in progress since winter.
“To be honest, there’s nothing better than your local sheriff’s department being able to provide school resource officers into our schools each and every day,” Beaufort County Schools Superintendent Dr. Matthew Cheeseman said. “And through that, you’ll see them out at our athletic contests, extracurricular activities and so let’s celebrate them as they celebrate and protect our students and staff. Perfect.”
In order to become a SRO, a 40-hour SRO certification programs has to be completed. During that training, school security is practiced in addition to courses on ethics and leadership.
Each SRO is a sworn police officer and is armed. They’ll be making sure buildings are secure, alarm systems are working, doors are not propped and students and staff feel safe.
The National Crime Prevention Council put out this video and announcement on National Fentanyl Awareness Day. The video is part of the NCPC “Go For Real Campaign”.
Today, on National Fentanyl Prevention and Awareness Day, the nation unites to honor the memory of loved ones poisoned to death by this drug. This day also serves as an opportunity to elevate this issue. Let’s push for action to stop another family from losing a loved one to this crisis.
The National Crime Prevention Council is resolved to keep fighting fentanyl. Public awareness is always the first step. That’s why McGruff will continue to educate with the PSA you see here.
Despite the progress made in advocating for public policy changes, holding social media companies accountable, and reducing the supply and demand of illicit drug distribution channels—we have to do more.
This crisis remains a persistent threat, and our commitment to addressing it must be equally steadfast. This shouldn’t be a focus for just today, but every day.
