Families of people who have died due to fentanyl use urged North Carolina lawmakers on Wednesday to do more to prevent other people from feeling their pain.
Fentanyl deaths are on the rise in North Carolina, state data shows:
2,838 people died from fentanyl from January 2023 – October 2023
2,797 people died from fentanyl from January 2022 – October 2023
October 2023 represented the most recent data the North Carolina Department of Health and Human and Human Services could provide.
Theresa Mathewson, whose son Joshua died in August 2022 at the age of 27 from fentanyl poisoning, was among the families visiting North Carolina lawmakers on Wednesday.
The group is advocating for North Carolina lawmakers to mandate having a box of naloxone, a medicine that rapidly reverses an opioid overdose, in every school in the state. Some people who attended Wednesday’s event said they were confident state leaders will utilize $350,000 of the $350 million in opioid settlement funds that North Carolina received to make it a reality.
Theresa Mathewson said she found her son unresponsive in his bedroom.
“He was getting ready to complete some tasks for a new job,” she said of her late son.
Theresa Mathewson said he son took half of a pill with roughly 14 times the lethal dose of fentanyl in it.
“[It was] enough to kill him and all his closest friends.
“It should be an eye-opener,” said Chelsea Mathewson, who is the sister of Joshua Mathewson.
The Mathewsons have started several grassroots organizations in Harnett County to spread awareness of the dangers of opioid use.
In 2022, more than 4,300 people in North Carolina died from all opioid exposure.
“Part of likes these [events] because I don’t feel alone, but I hate them,” Chelsea Mathewson said. “I absolutely hate them.
“I hate that there’s another mother and father going through it.”
Danielle Erving, whose son died from fentanyl poisoning, also attended Wednesday’s event.
“Nobody deserves this heartbreak because it can happen to anybody,” Erving said.
Jazmine Brown, whose brother died from fentanyl poisoning, echoed Erving’s sentiments.
“Nobody is safe from this, as sad as it is,” Brown said. “That’s the most important thing for people to acknowledge.”
RALEIGH, N.C. (WNCN) — Families of those impacted by fentanyl in North Carolina joined together at the General Assembly Wednesday to spread awareness on the dangers of the drug.
Duane and Leslie Locklear were just two of the many parents in attendance. They lost both of their sons, Matthew and Ryan, to fentanyl.
“We lost Matthew in February of 2022 right here in Raleigh and nine months later we lost Ryan in Pembroke. Both, again, due to fentanyl poisoning,” said Duane.
Now they’re on a mission to make sure no other parent has to go what they’ve gone through.
Fayetteville mom, Nanielle Ervin, lost her son to the drug as well.
“I didn’t know what fentanyl was,” said Ervin. “Just to find out that your loved one is gone it’s devastating.”
The North Carolina Department of Health and Human Services says in 2021 more than 77% of overdose deaths in the state likely involved fentanyl.
The group said to combat the crisis they want to see more Naloxone, a drug commonly known as Narcan, in schools.
Families who have lost loved ones to fentanyl are meeting with state lawmakers Wednesday morning to talk about the dangers of the drug, what can be done to save lives – and ask lawmakers to do something about this.
Families say there’s a need for more support and public education.
Families of people who have lost somebody to fentanyl will have their photos on display here at the legislative building, so lawmakers can see the faces of people who have died in their community.
When you look at the data, more than 17,000 North Carolinians have died of fentanyl overdoses since 2013.
Several non-profits and advocates are pushing for Naloxone to be in every school in the state. It’s a lifesaving medication that can be administered through nasal spray if an opioid or fentanyl emergency occurs in a classroom.
They’re calling on the general assembly to appropriate $350,000 of an opioid settlement fund that the state controls. They also want lawmakers to provide two boxes or four doses of Naloxone to all public schools.
“I would like to put faces instead of numbers in people’s minds because when they look at somebody who is young and vibrant and now dead, they’re like ‘oh, that could be me, my son, my daughter,'” Walsh said.
Wednesday’s press conference begins at 10 a.m. followed by a meeting with lawmakers.
While millions of people are watching the NCAA Tournament, Forsyth County is hoping their ad about a mother who lost her son to addiction, will spread awareness.
The ad created by Forsyth County Behavioral Health Services starts with mother Stephanie Lynch telling her story about what happened to her 27-year-old son Evan who died in 2020 after battling addiction.
Lynch said Evan was injured on a job and given oxycodone by his doctor. She says he became addicted to the opioids and once he could no longer get the pain pills, he started using heroin.
Lynch said Evan went to rehab several times and struggled. It’s something she says he couldn’t stop.
“Evan hated being addicted to opioids, he hated it. He would tell me, ‘you know, mom, I don’t want to die as a drug addict, I don’t want that to be what people remember me for,'” Lynch said.
On April 11, 2020, Evan died from Fentanyl poisoning.
Although he lost that fight, Lynch said he’s no longer in pain and is at peace now.
Her hope is his story will help others.
“His death maybe was not in vain that, you know, his story can help someone else going through the same thing be able to get help or see that they need help or a family member to see that they need help,” Lynch said.
Now Lynch and her son’s story will be displayed for millions of people to see throughout the month of March during NCAA tournament coverage.
“It’s devastating to lose someone you know to substance abuse. It just destroys your whole family. So if there’s anything I can do to help anyone, I’m always willing to do that,” Lynch said.
Annie Vasquez, a Substance Use Health Educator said the ad was created to show the realities of the opioid epidemic in Forsyth County and everywhere.
“The reality is that it touches every single age group, every single race, gender and zip code,” Vasquez said.
Vasquez said in addition to this ad, they have another one airing that’s centered around pills.
Barbara Walsh, founder of Fentanyl Victims Network of North Carolina, has efforts underway to put Fentanyl reversing drug Naxolone or ‘Narcan’ in all state schools.
Barbara Walsh, founder of Fentanyl Victims Network of North Carolina, has efforts underway to put Fentanyl reversing drug Naxolone or ‘Narcan’ in all state schools.
What is Fentanyl?
It’s a powerful synthetic opioid that is similar to morphine but 50 to 100 times more potent.
While it is a prescription drug, it also can be made and used illegally.
When used properly, fentanyl treats severe pain like after surgery.
According to the National Institute of Drug Abuse, synthetic opioids like fentanyl are now the most common type of drugs involved in overdoses in the U.S.
Finding Solutions
Wake County resident, Barbara Walsh’s life changed forever in 2021. Her 24-year-old daughter died from fentanyl poisoning after unknowingly drinking a bottle of water laced with the drug.
Because of that unfortunate event, Walsh is now leading efforts to get fentanyl out of the hands of minors and put Naloxone on the shelves of schools in North Carolina.
Walsh’s network speaks and connects with families who have lost loved ones to the fentanyl drug.
Currently, Walsh is pushing for the opioid reversal medication Naloxone, also known by the brand name Narcan, to be available in every school in our state. Her efforts are across all 100 counties of our state.
“We’re seeing a lot of adolescents experimenting or unknown to them or experiencing fentanyl crisis and their lives could be saved if Naloxone which is the antidote to the fentanyl emergency is administered,” Walsh said.
Since Walsh’s efforts began in December 2023, Charlotte-Mecklenburg Schools has added naloxone to its first aid kits at every school. Nurses and at least two first responders at each school are to be trained in how to use it.
The Fent Vic organization will be holding a meetup on April 14 in Winston-Salem. For more information, click or tap HERE.
Fentanyl Crisis in the Triad
Here in the triad, there are efforts underway.
State and local leaders addressed the opioid and fentanyl crisis alongside local leaders in February.
A combined $89 million dollars is going to fight the crisis in the Triad. $47 million dollars of that federal money is coming to Greensboro and Guilford County. Another $42 million dollars heads to Forsyth County and Winston-Salem.
The money is earmarked to help prosecute drug suppliers, and decrease demand thru recovery services.
Over the next 18 years, Wake County will receive $65 million to fight the opioid crisis.
Families who lost loved ones to opioids are helping Wake County plan how to spend millions of dollars to prevent more deaths.
According to Wake County, 219 people died from overdoses in the county in 2022, the last full year of recorded data. That’s one person every 40 hours.
Data from the Raleigh Police Department shows 103 of those deaths — nearly half — occurred in Raleigh, making 2022 the city’s most deadly year on record since police began tracking drug overdoses in 2015.
Over the next 18 years, Wake County will receive $65 million as part of a $50 billion nationwide settlement that forces drugmakers and distributors to pay for their part in the opioid epidemic.
On Friday, Wake County leaders asked for the community’s input on how to best use the money.
Wake County’s Opioid Settlement Community met Friday inside the McKimmon Center at North Carolina State University. The committee brought together more than 100 people, including families who’ve lost loved ones to the opioid crisis.
Cheryl Stallings, a Wake County commissioner, said the county has already received about $4.85 million.
“This is significant, and this is historical,” Stallings said. “We really want to use these funds wisely, and we think one of the best ways to do that is to plan with as many people as involved as how we want to use those funds moving forward.”
The funds have helped expand treatment for people with opioid use disorder and provided resources for survivors of an overdose.
Now, Wake County must create a plan to spend more settlement funds over the next two years.
“We have these funds that can actually do something in stopping that trend and building an infrastructure of health and well being for our community moving forward,” Stallings said.
Cary resident Barb Walsh said moving forward is how she honors her daughter, Sophia, who died of fentanyl poisoning in 2021.
“She stopped at an acquaintance’s house and grabbed a bottle of water, and in that bottle of water was diluted fentanyl,” Walsh said.
Walsh now runs the nonprofit Fentanyl Victims Network of North Carolina to help shape the response to the opioid crisis in Wake County.
“These folks are compassionate,” Walsh said. “They’re committed to saving lives, and so am I.”
Walsh said she hopes there can be easier access to the drugs Naloxone or Narcan, which can reverse an opioid overdose.
Wake County is currently trying to expand where people can get the life-saving drugs, including working with the Wake County Public School System to make Narcan available on all campuses.
RALEIGH, N.C. (WNCN) — Wake County wants the community’s input on how to spend more than $65 million. The county will receive the money over the next 18 years as part of a national opioid settlement.
The county says it wants people directly impacted by the opioid epidemic to help make these decisions, and they hosted a community meeting Friday, bringing together several different groups sharing their stories.
“She died immediately. Naloxone was not administered and 911 was not called,” said Barb Walsh, executive director of the Fentanyl Victims Network of NC.
In August 2021, Walsh’s daughter Sophia was 24, applying to grad school and getting ready to buy a house, but one day, she stopped at an acquaintance’s house.
“She grabbed a water bottle out of the fridge,” Walsh said.
Walsh said the bottle had fentanyl in it, killing her daughter.
“You go into a black hole when your child dies,” Walsh said.
She joined nearly 150 people at Wake County’s community meeting Friday to discuss how the county should spend money from the national opioid settlement.
“This will really help us define how to make these investments over the next two years,” said Alyssa Kitlas, Wake County’s opioid settlement program manager.
Overdose deaths in Wake County have increased since 2019. In 2021, state health records show 240 people died of of an overdose.
“We’d like to slow that trend and really support people with their most immediate needs,” Kitlas said.
The county wants to keep investing in treatment, early intervention and housing support.
Other groups, like the North Carolina Harm Reduction Coalition, also want to make sure people with firsthand experience are part of making decisions.
ANNAPOLIS, Md. – Lawmakers in the Maryland General Assembly are hearing bills to prohibit the distribution of heroin and fentanyl without lawful authority to do so. Victoria & Scottie’s Law is named in honor of two individuals who died from fentanyl overdoses. The bill would impose up to 20 years of imprisonment on anyone convicted of selling these substances that lead to serious bodily injury or death.
by Jennifer Fernandez, North Carolina Health News March 4, 2024
By Jennifer Fernandez
LEXINGTON — On a recent Saturday, family members gathered in a circle at a church here to share stories of loved ones lost to fentanyl.
“Our whole world is turned upside down,” said Michelle, a Forsyth County mother who lost her 19-year-old son to fentanyl poisoning. She didn’t want to use her full name for this story or go into details about his death, as authorities are still investigating.
She doesn’t think her son knew he had taken fentanyl, which has become more common as drug dealers add it to everything from heroin to fake prescription medications.
Just a few grains of the highly potent opioid — about 2 milligrams, an amount that’s barely enough to cover the date on a penny — can be fatal. In 2021, fentanyl was involved in 83 percent of fatal medication or drug overdoses in the state, according to N.C. Department of Health and Human Services.
“If this can happen to him, this can happen to anybody,” said Michelle, who has made it her mission to help educate other parents about the dangers of fentanyl.
She’s not alone in her fight.
Barbara Walsh, whose Fentanyl Victims Network of North Carolina organized the recent Lexington meeting, is pushing for North Carolina to require that the opioid reversal drug naloxone be available in all schools. Her 24-year-old daughter died from fentanyl poisoning in 2021 after unknowingly drinking a bottle of water laced with the drug.
The North Carolina Child Fatality Task Force also is looking into the role fentanyl has played in the deaths of not only teens, but young children who likely are getting exposed through trash from illegal substance use left within reach.
“We were floored when we started seeing the deaths of the infants and the toddlers, and that’s really what started our prevention efforts,” said Sandra Bishop-Freeman, the state’s chief toxicologist who works in the Office of the Chief Medical Examiner.
In North Carolina, fentanyl contributed to the deaths of 10 children age 5 or younger in 2022. Just seven years prior, the state recorded only one death in that age group.
For children ages 13 to 17, fentanyl deaths increased from four to 25 in that same time period, according to data shared with Child Fatality Task Force members.
“Having one child or infant death related to fentanyl or other drugs is …, is too much,” Michelle Aurelius, North Carolina’s chief medical examiner, told task force members in November.
During that meeting, Bishop-Freeman read from investigators’ notes about child deaths due to fentanyl poisoning.
The decedent’s mother reported seeing the deceased pick up a baggie and put it in her mouth.
During the autopsy, a small piece of folded paper was recovered from the baby’s stomach.
Law enforcement stated there was a plastic bag and loose pills on top of a 4-year-old brother’s bed.
Another report focused on 22 cases in 2021 where a single substance was linked to the child’s death. Pathologists determined that fentanyl was the single substance in 15 of the fatalities. Only one other single substance killed multiple children that year — carbon monoxide, which killed two children. Also that year, fentanyl was one of the substances attributed in six out of seven deaths where pathologists determined more than one substance caused the death.
“These are startling stories to hear. They’re awful stories to hear, but we need to talk about them so we can prevent them,” Aurelius said. “I don’t want to have to do another autopsy on an 8-year-old who … died of (a) fentanyl overdose with (a) fentanyl patch on her skin after she was left alone.”
Counterfeit pills
For older children, fake pills laced with fentanyl are a rising concern.
In 2021, authorities seized 77,000 counterfeit pills in North Carolina alone. Eight in 10 pills contained some fentanyl.
Data from the U.S. Drug Enforcement Administration shows that of the fake pills tested by the agency, seven out of 10 contained potentially lethal doses of fentanyl.
Many fake pills are made to look like prescription opioids such as oxycodone (Oxycontin®, Percocet®), hydrocodone (Vicodin®), and alprazolam (Xanax®); or stimulants like amphetamines (Adderall®).
The fake pills have become easier to obtain, with sales taking place online and on social media.
Further evidence of the impact of these fake pills comes from a recent study by the North Carolina Office of the Chief Medical Examiner. Officials looked at a sample of 75 toxicology reports from deaths between 2020 and 2022 and compared results to what investigators learned about the deaths.
The study showed that 50.7 percent of those who died thought they were taking Xanax (an anxiety/depression medication), and 54.7 percent thought they were taking a form of oxycodone (a pain reliever). However, the toxicology reports were most often positive for fentanyl with no traceable amounts of the medications the victims thought they were getting.
Last year, the DEA seized more than 79.4 million fentanyl-laced fake pills in the country, according to a tracker on the agency’s homepage. So far this year, more than 19.8 million pills have been seized nationwide, which is on pace to be one and a half times last year’s number.
Barb Walsh is executive director of the nonprofit Fentanyl Victims Network of North Carolina.Two women hug while sharing stories of loved ones lost to fentanyl poisoning at a meeting of the Fentanyl Victims Network in Lexington, N.C., on Feb. 10, 2024.Information on fentanyl poisonings in North Carolina sits on a table at a Lexington church that hosted a meeting for families of fentanyl victims on Feb. 10, 2024. A woman shows support for another woman who broke down while telling the story of how she lost a loved one to fentanyl at a meeting of the Fentanyl Victims Network in Lexington, N.C., on Feb. 10, 2024.
Finding solutions
Walsh says the opioid reversal medication naloxone, also known by the brand name Narcan, should be available in every school. It should be treated like any other emergency item that schools stock, like epinephrine pens for allergic reactions or automated external defibrillators to shock a heart back into rhythm.
Some North Carolina school systems are starting to do that.
Charlotte-Mecklenburg Schools is adding naloxone to its first aid kits at every school. Nurses and at least two first responders at each school are to be trained in how to use it.
Wake County Schools, which already allows school resource officers to carry naloxone, may soon follow Charlotte’s lead. District officials plan to recommend that naloxone be placed in every school and a policy be created for staff on training and using it, WRAL-TV reported last week.
Last school year, school nurses, staff or SROs administered naloxone 21 times on school grounds in the state, according to the annual School Health Services Report Brochure. The year before, it was used 14 times. According to the report, 84 school districts last school year reported having the opioid reversal drug available on school grounds through SROs and 22 through a districtwide program.
As of September last year, eight states have passed laws requiring all public high schools to keep naloxone on site in case of overdoses at the school or a school-sponsored event, according to data compiled by the Legislative Analysis and Public Policy Association.
“Studies show that naloxone access can reduce overdose death rates, that its availability does not lead to increases in youth drug use, and that it causes no harm if used on a person who is not overdosing on opioids,” Gupta and Cardona said in the letter.
They also noted that most states have Good Samaritan Laws that protect bystanders who help someone who is overdosing. North Carolina passed a limited Good Samaritan law in 2013 that permits people who are “acting in good faith” to seek medical help for someone who is overdosing without fear of being prosecuted for possessing small amounts of drugs or drug paraphernalia.
“Our schools are on the frontlines of this epidemic, but our teachers and students can be equipped with tools to save lives,” Gupta and Cardona wrote.
Limited resources
One of the big frustrations that family members expressed at the Lexington meeting was how long it took for them to learn that fentanyl killed their loved one.
“We didn’t know for six months it was fentanyl,” said Michelle, the Forsyth County mother whose 19-year-old died. “They just said, ‘Your son is gone.’”
The Office of the State Medical Examiner has faced an increasing workload due to the rise in opioid-related deaths while struggling to retain new forensic pathologists who can make tens of thousands of dollars more for doing the same job in neighboring states.
Last year, legislators took steps to address that wage disparity in the budget by adding $2 million in recurring funds for each of the next two fiscal years to help increase the state’s autopsy capacity.
Lawmakers also added two toxicology positions, however, those jobs were in response to the expected increase in workload due to the new requirement of comprehensive toxicology on all child deaths investigated by a medical examiner. While those new positions will help address that expanded workload, they do not help with the existing work where the department still needs additional positions, the Office of the State Medical Examiner said in an email to NC Health News. The two new jobs have not yet been posted.
One strain on the office is that 45 percent of the workforce is made up of temporary or time-limited employees, “which creates a very unstable workforce,” according to the medical examiner’s office.
The toxicology lab performs more than 36,000 analytical tests each year, performing analysis on 90 percent of medical examiner cases, the office said. On average, the toxicology lab issues reports on about 15,000 cases every year.
That work won’t let up any time soon, as the number of overdose deaths continues at a steady clip in the state.
In January, the medical examiner’s office identified 332 suspected overdose deaths, down from 368 in January 2023. While some will be classified as non-poisoning deaths after further investigation, most will end up being confirmed overdoses, the medical examiner’s office said.
At last week’s meeting of the Child Fatality Task Force, members talked about the difficulty of seeing so many child deaths from overdoses.
Pediatrician Martin McCaffrey told the task force that the child fatality review committee he is on just reviewed three infant/toddler fentanyl overdoses. Jill Scott, president and CEO of Communities in Schools North Carolina, shared that a 17-year-old had died not too long ago.
“He got a hold of something,” she said. “He didn’t know what it was.”
They are part of a much larger picture of the toll that the opioid crisis has had.
In Arlington, Va., pictures line the walls at the DEA’s offices as a memorial to those who have died from fentanyl. There are so many victims, they ran out of wall space for photos, Michelle, the Forsyth County mom said.
“It kind of takes your breath away,” she said, “when you see face after face after face.”
Patricia Drewes decided to write the message. She wrote Heaven’s story in a letter, wrapped it in a photo of her and sealed it in a bottle. It was found in France.
When Patricia Drewes dropped a message in a bottle off the Carolina coast, she didn’t expect it to be found halfway around the world – but she hoped it would.
“I wanted anyone who found that bottle to know the story of this beautiful girl who had such a beautiful life and a beautiful heart,” Drewes said.
Her daughter, Heaven Leigh Nelson, died of a Fentanyl poisoning in 2019. She was 24.
“These kids are getting illicit synthetic Fentanyl and they don’t have any clue that’s what they’re getting,” Drewes said. “”(Her) life was stolen from her, from myself, from her family, from her friends by a poisoning.”
Since then, Drewes has been raising awareness about the dangers of the illicit drug while caring for her grandson.
“I am the founder of Forgotten Victims of North Carolina. We have eight chapters across the state,” Drewes said. “We reach out to these families, we support these families and our motto is ‘No one stands alone’. That’s the one thing I remember is being alone and thinking I was the only person in the world that this has happened to. We offer support to these families and we become friends and then we become family.”
Every year, Drewes and her grandson take a beach trip on Jan. 28 – Heaven’s death date.
