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Pill press molds used to produce illicit fentanyl targeted in legislation in Congress

by Lia Chien, NC Newsline
May 30, 2024

WASHINGTON – Bipartisan legislation pushed in both chambers of Congress aims to stop illegal fentanyl production and trafficking by focusing on the machinery used to manufacture pills.

The Criminalizing Abused Substance Templates, or CAST, Act would redefine the criminal penalty for producing counterfeit drugs using a pill press. Counterfeiting drugs is already illegal as outlined in the Controlled Substances Act but no penalty is included in the law.

Under CAST, it would be illegal to possess a pill press mold with the intent to produce schedule I or II drugs, a crime punishable for up to 20 years.

CAST was introduced in the House by Reps. Abigail Spanberger, a Virginia Democrat, and David Kustoff, a Tennessee Republican, in October 2019 and it was reintroduced in March 2023.

The bill got a boost earlier this month when Sens. Bill Cassidy, R-La., and Maggie Hassan, D-N.H., introduced it in the upper chamber.

Overdoses and deaths

The bill particularly targets the production and distribution of opioids, especially fentanyl. Fentanyl is a synthetic opioid with an incredibly high potency, about 100 times more than morphine. As a result, it’s often mixed into other drugs to increase strength, sometimes in lethal doses.

Synthetic opioids are the main drivers of opioid overdoses. Between 2020 and 2021, deaths involving synthetic opioids like illegally made fentanyl rose by 55%, according to the Drug Enforcement Administration.

Opioid-related and other drug poisoning deaths per 100,000 people are highest in West Virginia, the District of Columbia, Delaware, Tennessee and Kentucky.

Lawmakers attribute this rise in fentanyl-related deaths to the counterfeit market and drug trafficking.

“The overdose crisis and the rising scourge of fentanyl are undoubtedly made worse by the rise in use of illicit pill presses to manufacture counterfeit drugs,” Spanberger said in a statement about her legislation.

“By stepping up penalties for narcotics traffickers who use illicit pill presses to manufacture drugs, our bipartisan legislation would empower our law enforcement officers to crack down on these criminals and prevent dangerous substances — such as fentanyl — from being pressed into illicit pills and sold on our streets.”

Much of the illicit fentanyl sold in the U.S. contains at least a potentially lethal dose of fentanyl, 2 mg. A DEA study found that 42% of tested pills contained this amount or more, some as much as 5.1 mg.

Lawmakers said they want to ensure law enforcement officials have the necessary tools to stop the production and sale of these drugs.

“Strengthening penalties for the criminals creating these counterfeit drugs can help get them off the market,” said Hassan in a statement. “This bipartisan legislation will help ensure that law enforcement officials have the tools that they need to crack down on criminals making counterfeit drugs.”

According to the DEA, because lethal doses of fentanyl are often mixed in with other drugs, it can be “possible for someone to take a pill without knowing it contains fentanyl.” Cassidy said the CAST Act could prevent these deaths.

“No one should have to worry if their medicines are counterfeit or laced with fentanyl,” he said.

NC Newsline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. NC Newsline maintains editorial independence. Contact Editor Rob Schofield for questions: info@ncnewsline.com. Follow NC Newsline on Facebook and Twitter.

Police charge man in fentanyl death

A Wilson man has been charged with felony death by distribution in a teenager’s death from fentanyl intoxication last year.

Albert Graham Green, 23, was initially arrested on Oct. 28 and charged with selling and delivering a Schedule II controlled substance in connection with the juvenile’s death, according to a release from Sgt. Eric McInerny, public information officer with the Wilson Police Department.

Green was given a $100,000 secured bond and placed in the Wilson County Detention Center.

On Tuesday, Green was charged with felony death by distribution.

Green turned himself in on Wednesday and was released on a $1 million unsecured bond.

McInerny said officers with the Wilson Police Department were dispatched to 1705 Hillcrest Drive for a report of an unconscious person at 8:20 p.m. on Sept. 25.

Dispatchers told police that a 17-year-old boy was unresponsive and not breathing, McInerny said. Officers arrived on scene and Wilson County EMS pronounced the juvenile deceased.

Fentvic Meetup #12 Durham County + Chatham, Granville, Orange, Person & Wake Counties

FENTANYL VICTIMS’ FAMILIES ORGANIZE TO FIGHT ILLICIT FENTANYL IN NC!

Fentvic Meetup #12 (open to the public)
Durham County + Chatham, Granville, Orange, Person & Wake Counties

Date	Saturday, June 1, 2024, 2:00-4:00 pm
Location	406 East Trinity Avenue American Legion Bldg Durham NC 27701

Download Press Release PDF

Winston-Salem Forsyth County Schools passes Narcan policy unanimously, parents reflect

Winston-Salem Forsyth County Schools votes unanimously

WINSTON-SALEM — Numbers from Forsyth County show that 22 minors have overdosed within the first three months of this year. The average age of those children is 11 years old.

Annie Vasquez with Forsyth Regional Opioid & Substance Use Team thinks that adding the life-saving drug to schools makes the biggest of difference.

“So I feel better that somebody at each of my kids’ school will know how to use Narcan, and will have it available to them,” said Vasquez.

Vasquez is an opioid survivor herself and says that this policy gives peace of mind for her own children.

“My personal story of making it out alive, I hope, will both inspire other folks that they can do it, or their family member can do it. But I also am here to advocate for all of those people that do use drugs now, that there is hope out there,” said Vasquez.

Andrea Scales lost her son Jeremiah Scales to fentanyl overdose and speaks about how this policy resonates.

I lost my son to unknowingly ingesting fentanyl, and this happened June 3rd of 2022. This coming Monday will be two years since his passing. Jeremiah was my only child and it makes me feel so good to be able to be apart of the change. This will change a life,” said Scales.

The school board passed the policy unanimously, with the end goal to carry Narcan in all of their schools.

Read the article on the ABC45 News website.

Davidson County nonprofit pushes for opioid overdose-reversing drug in all NC schools

Narcan is becoming more readily available in public places, including this free vending machine in the Forsyth County Detention Center. PAUL GARBER/WFDD

Winston-Salem/Forsyth County Schools officials are considering placing the opioid overdose-reversing drug Naloxone, also known as Narcan, in all of its schools. That’s something Barbara Walsh of Davidson County would like to see happen statewide. She lost her daughter, Sophia, to an accidental overdose.

Wake Forest University student Marc Isabella spoke to Walsh about her advocacy through the nonprofit she started, Fentanyl Victims Network of North Carolina.

Interview highlightsOn the goals of her nonprofit:

“I did not know how to spell fentanyl when my daughter died, but it appears to me that the focus is on the numbers. And the numbers just really don’t mean much until you put faces to them. That’s what the goal is. I am finding families every day who have lost someone to fentanyl. They typically feel very alone, thinking their child was the only one who has died this way. But that’s not true.”

On her priorities for addressing the opioid crisis:

“In North Carolina, I would like to see Naloxone in all 100 counties. That’s the easiest way to save a life. We think all the schools should have it just in case a student does something… If they have Naloxone on school premises and somebody goes down and has a fentanyl emergency in the bathroom, they can save her life. And if they don’t have a fentanyl emergency, and they still administer Naloxone, nothing happens. They’re safe.”

On the biggest obstacle to getting Naloxone in schools:

“I would say that there are many preconceived notions. Nobody spends any time to figure out who that person is, and how fentanyl got into their body… Education about the danger of fentanyl is critical.”

On whether there’s a difference in attitudes on Naloxone between rural and urban counties:

“That’s a great question. Mecklenburg County just approved Naloxone in its schools in January. Rural Harnett County just approved it in December, to have it in all schools and on the school buses. You have some counties in eastern North Carolina, which are all rural, they have school policies to have it in the district. Every school in the district has Naloxone. So it’s kind of a crapshoot.”

Read the article and listen to the interview on the WFDD website.

Drugs sold as fentanyl in Goldsboro, Edgecombe overdoses contained 8 different substances

Xylazine, Benzatropine, a hallucinogen and another kind of designer chemical among drugs detected in sample linked to dozens of eastern North Carolina overdoses.

It’s been six weeks since four people died in Goldsboro in four days and more than a dozen others across eastern North Carolina overdosed in a matter of weeks.

Families, community members and law enforcement have been searching for answers about what caused this uptick.

This week, scientists at the UNC Street Drug Analysis Lab were able to provide those. The test results from a sample collected in a baggie show that what was sold as illegal fentanyl was actually a mixture of eight different drugs.

“It turns out it was a particularly nasty mix of substances that involved fentanyl and xylazine, Benzatropine, a hallucinogen and another kind of designer chemical,” said Dr. Nabarun Dasgupta, a senior scientist in the lab. “It was really unexpected so it’s not surprising that a mix like that leads to a lot of overdoses.”

The lab has partnerships with dozens of health organizations, including Edgecombe County EMS. In the weeks since the uptick in overdoses in the county, Dalton Barrett and Dasgupta have formed a friendship as they both work with the common goal to address the crisis in a data-driven, science-led manner.

“This was pretty eye opening for us,” Barrett said. “When I saw the results, there was a number of things that I’d never seen before in Edgecombe County, per se, and it didn’t really make sense as far as the mixture.”

This is their second attempt at trying to identify what was in the supply that resulted in 16 nonfatal overdoses in Edgecombe during a two-week span last month. The first sample came from a dollar bill but there wasn’t enough residue for an analysis.

“I was extremely disappointed about the dollar bill sample,” Dalton said. ” I felt like maybe I had done something wrong or we just didn’t get lucky and sometimes that’s just how it goes. But being able to put our finger on this is gonna be a big, big deal for us.”

This time, the sample came from a stamp bag. The street product is known as Pringles.

What’s particularly unsettling: a few months earlier Barrett had samples tested from a different bag that had the same stamp and the results came back vastly different.

“Usually, we try and think about these stamps as like, labels on a beer bottle like this is Michelob Ultra, this is this and it’s like the same thing, time and time again,” Barrett explained. “But that’s not the case.”

Barrett says people in the community likely didn’t know that it was a mixture of so many substances since it had that same stamp and they had been safe using it in the past.

“Even the person selling it probably had no idea that it contained these substances,” Dasgupta said.

With the variety of drugs in the supply, WRAL News asked whether would naloxone work to reverse an overdose. Both men said yes, but the people probably would’ve remained unconscious because of how potent the substance was. It is unclear if xyzlazine testing strips would have worked in this case.

Barrett says they’re unsure if this contaminated supply remains in the area. They’ve seen a 33% drop in overdoses this month compared to last. Still, he says it’s “a big, big deal” they were able to put their finger on what exactly is in supply and he is hopeful the results will raise awareness and save lives.

“Seeing people of my age dying from something that we can prevent really kind of tickles my heartstrings as a medical professional,” Barrett said.

‘Fentanyl is everywhere.’ Wake schools wants to be ready to treat opioid overdoses.

Wake County schools will now be required to make sure that they’ve got employees who can treat opioid overdoses on campus.

The Wake County school board approved Tuesday a new policy on the emergency use of Naloxone, which can reverse an opioid overdose when given in time. Every Wake school will be required to have at least three employees who are trained in how to administer Naloxone, which is the generic name for the drug Narcan.

The policy comes as opioid overdoses and addiction have surged nationally.

In 2022, 219 people died from drug overdoses in Wake County, The News & Observer previously reported. Opioids — medicines prescribed for pain like codeine, fentanyl, oxycodone and morphine — were responsible in three-quarters of the deaths.

“Fentanyl is everywhere,” said school board member Wing Ng. “Fentanyl is a crisis. We all have to be aware of the signs and symptoms.”

STOCKING NALOXONE IN SCHOOLS

The policy directs Superintendent Robert Taylor to develop a program to place Naloxone at schools, early learning centers and district administrative offices. There’s currently no money in the budget to purchase Naloxone. The district estimates that it could cost $6,500 to $30,000 to place two Naloxone doses at each school. The board accelerated adoption of the policy to get it in place before a June 5 deadline to apply for funding from the county.

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

Download Article PDF

New opioid overdose plan approved unanimously for Wake County Public School System

CARY, N.C. (WTVD) — There’s a push to get a life-saving medication in every Wake County school.

Wake County Public Schools Board of Education voted unanimously on Tuesday to approve a new Naloxone policy.

Last month, Wake County school board members approved a new policy that requires all county schools to keep a supply of Naloxone – also known by its brand name Narcan – and train faculty members on how to use it.

Before the vote, school resource officers already carried Narcan, but not every Wake County school has an SRO. The newly approved plan requires at least three staff members at each school to be trained and able to administer the drug in case of an emergency. However, it fell short of requiring Naloxone to be kept on campus.

According to state health data, Naloxone was used for suspected overdoses 21 times on schools’ ground statewide in 2023.

“If we have a tool that can save a life, particularly one of our student’s lives,” Chris Heagarty, Wake County School board chair, said, “we want to do everything we can to take those steps.”

Under the new plan, each school principal will designate three or more people on their staff as a part of a medical care program. Those designated people will receive initial training and annual training on how to properly store naloxone, as well as how to administer it.

Each school principal will also need to come up with an emergency action plan for the use of naloxone that complies with all state laws.

“There’s definitely been people at my school that do drugs and it would be best if we had something like that on campus. God forbid something happens,” Cary High School student Emily Ranft said.

“I personally think it should be available in every school. Just because you never know. Better safe than sorry,” Dr. Collin Welteroth said.

Policy Code: 5023-6128-7268
Emergency Use of Naloxone

This policy is personal for some Wake County mothers.

Barb Walsh, back in December, urged the school board to consider requiring Naloxone be put in schools countywide.

Walsh’s daughter Sophia, died nearly three years ago from fentanyl poisoning. She was drinking from a water bottle that had the dangerous opioid mixed into it.

She made it her mission to not only support families like hers but also promote the life-saving medicine Naloxone.

“It doesn’t take an army. It doesn’t take a lobbyist,” Walsh said to ABC11 in April. “It takes a mom who’s lost a child to stand in front of the school board to make this happen. And that’s significant.”

Tuesday’s Wake County school board meeting starts at 1 p.m.

Law enforcement weighs in on North Carolina’s fentanyl situation after 2 toddlers poisoned

(WGHP) — Local deaths attributed to fentanyl have risen within the past decade, and mixing fentanyl into street drugs is becoming more common.

The synthetic opioid is up to 100 times more powerful than morphine and 50 times more potent than heroin.

The National Center For Fatality Review And Prevention examined more than 1,300 deaths of children between 1 and 17… and found 84 percent of them were accidental.

Last week, a toddler in Thomasville accidentally ingested fentanyl, and first responders administered naloxone or Narcan to revive the child.

Plan to supply Narcan in schools approved in Wake County for opioid emergencies

RALEIGH, N.C. (WNCN) — The Wake County School board approved a policy to make naloxone, commonly known as Narcan, available in all schools and to train school staff to use it.

The newly-approved policy enables the district to put naloxone in schools across the county and train at least three people in each school to administer it if someone has an emergency that appears to be opioid-related.

Barb Walsh, whose daughter died after accidentally being exposed to fentanyl, came to the meeting with a large picture of her daughter and boxes of naloxone. She pleaded with the board to act quickly.

“Ten people die each day in North Carolina from fentanyl, and it’s in products people don’t know it’s in,” she said. “Kids may not intentionally take it, but they will die and this is how we’re going to save lives.”

She emphasized that it’s important to have naloxone in schools that serve children of all ages.

“We do not know what the environments of the children are, so we don’t know what age somebody will be ingesting fentanyl unintentionally, but the school will be ready.”

Before naloxone can be put in schools, though, the district has to obtain it. The board is looking at funding sources. One potential source of funding is Wake County’s opioid settlement money.

Applications are due by June 5, and the school board noted that deadline during Tuesday’s meeting. Board members decided to waive a second reading of the policy and move forward with approval, as staff said a policy must be in place before the board could apply for funding from the county.