BEAUFORT — It was standing room only as more than 50 people attended the forum about fentanyl Saturday at the Beaufort Train Depot. Those attending have witnessed the devastation fentanyl causes as local victim families introduced their loved ones and shared the many ways fentanyl causes death.
Barbara Walsh, executive director of the Fentanyl Victims Network of NC, who organized the gathering to honor those who lead the effort to stop fentanyl traffickers, said In many instances. Lethal fentanyl is ingested unknowingly. Fake prescription pills containing undisclosed fentanyl additives made to look like Adderall, Xanax, Percocet and Oxycontin are deadly.
“The victims did not know,” she said.
The pharmacy is the only safe dispenser of prescription medication. Recreational drugs also may contain undisclosed deadly fentanyl additives because it is a cheaper man-made ingredient.
Fentanyl is highly addictive. A person’s body can quickly become dependent on fentanyl. Local recovery and treatment resources are offered by Brooke Barnhill, manager of the Post Overdose Response Team (PORT) within the Carteret County Health Department.
Fentanyl has killed 18,959 North Carolina residents in 10 years, 2013-2023. Of those, 168 occurred in Carteret County.
Fentanyl Victims Network of North Carolina honored the #1 NC investigation and prosecution team by presenting them with the Save Lives Together award: Sheriff Asa Buck, District Attorney Scott Thomas, Prosecutorial District 4 (Carteret, Craven and Pamlico Counties), Assistant District Attorney Dave Spence, Carteret County and Legal Assistant (Paralegal) Michelle Gillikin, all of Carteret County.
Walsh said in the state, there are 37 NC Sheriffs who have no fentanyl investigation arrests leading to prosecution and four NC District Attorneys who have no prosecutions.
The removal of fentanyl traffickers who cause death requires teamwork. The Sheriff treats each death as a homicide investigation until proven otherwise. If the investigation leads to a prosecution, ADA Spence and LA Gillikin apply their extensive legal expertise to each case.
Walsh said victims and their families are treated with dignity and respect throughout the investigation and prosecution phases. This is unique to Carteret County.
“It should not matter where a person dies in NC to receive an investigation and justice, but it does,” she said
Walsh thanked Shannon Adams for serving as the local co-host of the event. Shannon’s brother, Ryan, thought he was dependent on Percocet, yet died in 2019 from undisclosed fentanyl additives in those pills.
Shawne Moran and Keenan, First Responder Therapy Dogs of Eastern North Carolina, were on hand to comfort the victim families and to discuss what they do to support recovery efforts in Carteret County.
More than 50 community members gathered at the Beaufort Train Depot Saturday to discuss the deadly impact of fentanyl in Carteret County. During the forum, Sheriff Asa Buck, District Attorney Scott Thomas, and other local officials received the Save Lives Together Award for their ongoing fight against fentanyl trafficking.
Families at the event shared personal stories about losing loved ones to fentanyl, highlighting the community’s urgent fight against the deadly drug.
One of those was Barbara Walsh who lost her Daughter to the deadly drug.
“It’s important for the families who lost a loved one to know that what their community is doing to keep someone else from dying,” said Walsh.
And In Carteret County alone, fentanyl overdoses have claimed 168 lives from 2013 through 2023.
According to Carteret County Sherriff Asa Buck a trend decreasing over the years.
“These cases are not different someone committed an act they provided a drug to someone caused them to lose their life and we investigate that just like a homicide and we prosecute those offenders just like we would if they would have killed somebody with a knife or a gun, ” said Sheriff Asa Buck
by Jaymie Baxley, North Carolina Health News April 14, 2025
By Jaymie Baxley
Naloxone is a widely available medication that can bring someone back from the brink of death in minutes, but cost, stigma and other barriers have kept the opioid overdose antidote out of reach for many of the North Carolinians who need it most.
In Wilson County, a new initiative aims to break down those barriers by giving residents free, 24/7 access to naloxone — no questions asked.
Repurposed newspaper dispensers filled with naloxone nasal spray were installed last month at five sites in the rural, eastern North Carolina county. These kiosks also contain information about recovery services for substance use disorder and testing strips that can be used to check illicit drugs for deadly substances such as fentanyl.
Jeff Hill, executive director of the coalition, said the goal of the kiosks is to “make sure that any person who needs a box of naloxone in Wilson County can access it at no charge.”
“Yes, over-the-counter Narcan is available, and yes, I can buy it at Walmart,” said Hill, referring to the brand name of naloxone. “But if I’m a person in early recovery who’s trying to help somebody, or I’m a person in active use or a family member of a person in active use with limited income, I might not have $50 to spend on that box of Narcan.”
Strategic placement
One of the kiosks was installed at BHG Wilson Professional Services, a center that provides medication-assisted treatment to residents recovering from opioid use disorder.
Amber Leclercq, program director for the center, said the kiosk was “strategically placed” on a side of the building that faces a row of tall bushes.
“With the vending machine being right there, it’s easy to access but also shaded enough to where other vehicles driving down the road don’t see,” she said. “If people are not yet ready to seek treatment or if they’re scared, this gives them the opportunity to discreetly obtain tools and information that might be life-changing. They’re taking the first step.”
The four other Wilson County kiosks are at county-owned facilities, including the local library, Health Department and Department of Social Services, and at Recovery Concepts Community Center, a coalition-run space that hosts meetings for addiction support groups.
Each kiosk was initially loaded with 25 boxes of naloxone and 100 testing strips. Hill said interest in the stations had surpassed the coalition’s expectations, with a couple of them needing to be restocked just days after they were installed on March 24.
“Our machine was one of the ones that got cleaned out pretty quickly,” said Lori Walston, director of communications for the Wilson County Department of Social Services. “We have a lot of foot traffic because of our agency and what we do. Also, the neighborhood where we sit is one of the neighborhoods of greater need in the community.”
Alisa Milliken, the department’s grants and wellness coordinator, said the agency also serves a number of residents experiencing homelessness — a population with an especially high risk of overdose.
“We have a lot of homeless people coming in on a daily basis needing food and things like that, so we expect that the Narcan will keep going pretty quickly, probably every time at our location,” she said.
Hill said the kiosks will be regularly replenished using funds from Wilson County’s share of a landmark court settlement with the pharmaceutical companies that allegedly fueled the national opioid epidemic. The county is set to receive a total of $7.8 million in annual payments through 2038.
Community education
Esteban Arizpe, a community paramedic with Wilson County EMS, said arming citizens with naloxone reduces strain on first responders.
“When someone calls 911 for an overdose and they’re actually administering the naloxone prior to EMS’ arrival, it greatly increases the chance of that person surviving while freeing up our units for other calls,” he said.
The kiosks not only provide easy access to naloxone, they also provide instructions on how to use it. Each station is equipped with a video player that gives a step-by-step tutorial for administering the drug.
“One thing that we strive for is to better ourselves and better our community by providing resources and giving them the education to know the signs and symptoms of an overdose, and how to treat it,” Arizpe said. “This is something that is helping us to meet that goal.”
Arizpe added that he’s seen a “great increase in knowledge” around naloxone and other tools such as syringe exchanges and testing strips — collectively known as harm reduction methods — among residents in recent years.
The increased awareness has coincided with a drop in emergency department visits. Admissions of overdose patients to the ER at Wilson Medical Center fell 36 percent from 2022 to 2025, according to DHHS data.
The grant used to buy and stock the kiosks came from the Rural Communities Opioid Response Program, a multi-year initiative managed by the U.S. Department of Health and Human Services’ Health Resources and Services Administration.
In addition to paying for the five kiosks in Wilson County, the money allowed the coalition to buy four stations to place in nearby Edgecombe, Nash, Warren and Wayne counties. The total cost for the project was $10,000.
Carole Johnson, former administrator of the federal Health Resources and Services Administration, speaks during an event announcing a $2.9 million grant for the Wilson County Substance Prevention Coalition in September 2024.
The kiosk for Wayne County was presented to the local Health Department. Margaret Brake, the department’s director, said she will be meeting with community partners this month to determine where it should be placed.
“We like the idea that people will have 24-hour access to naloxone,” she said. “Particularly if it’s someone that’s homeless or struggling—they can get what they need when they need it. We’ve even talked about putting some canned goods in there, just to have some additional things the community can use.”
Mark Winstead, a pastor at Restoration Purpose Church in the small Nash County town of Bailey, is also trying to find a good site for his community’s kiosk. He described Bailey, which had a population of fewer than 600 people at the 2020 U.S. Census, as a place where “everybody knows everybody.”
“There’s still a stigma there,” Winstead said. “But if I can put something somewhere, and maybe it’s a well-known commissioner’s son who’s battling addiction and he can discreetly come get naloxone, then that’s what it’s all about.”
“You can’t treat somebody that’s dead,” he added. “We gotta be able to save their life first — and then we can work on the rest of it.”
BEAUFORT — The Fentanyl Victims Network of North Carolina, a nonprofit based in Wake County, plans to present awards to Carteret County Sheriff Asa Buck, District Attorney Scott Thomas and his team for top efforts in the state to stop fentanyl traffickers.
A ceremony will be held from 2 to 4 p.m. on April 12 at the Beaufort Train Depot to recognize Buck, Thomas, Assistant District Attorney David Spence and District Attorney Legal Assistant Michelle Gillikin.
Fentanyl victims and their families will also be recognized and the event is open to the public.
In addition, there will be guest speakers, including Brooke Barnhill with the Carteret County Department of Health and Human Services Post Overdose Response Team (PORT).
Fentanyl Victims Network Executive Director Barbara Walsh, whose daughter died after unintentionally ingesting fentanyl, said, “The Sheriff is receiving an award for having the most in NC of investigations and arrests of fentanyl traffickers who caused a death. This is not because Carteret has the highest rate of fentanyl fatalities in the state. It is because Sheriff Buck cares and allocates resources to find out what caused those deaths. He treats victims and their families with dignity and respect. Some sheriffs have zero arrests.”
She added that Thomas, Spence and Gillikin are receiving awards for the most prosecutions in NC of fentanyl traffickers who cause death, the Death by Distribution charge.
“Again, this is not because Carteret has the highest number of traffickers, it is because the DA believes in keeping the community safe,” she said.
During the ceremony, Walsh said each reward recipient will speak. The event will also feature naloxone training and distribution of free naloxone. Public safety education and prevention materials will be provided.
According to their website, The Fentanyl Victims Network is a nonpartisan, action-oriented statewide grassroots nonprofit that promotes public safety, education, justice, advocacy and support of NC fentanyl victim families in all 100 North Carolina counties. The Beaufort event will be the 28th public safety and education event hosted by the organization in North Carolina.
Other purposes of the group are to spark safety conversations about the dangers of illicit fentanyl, particularly counterfeit pressed pills, and to help provide access to life-saving naloxone in schools and communities. It’s also to connect NC Fentanyl Victim families for support and advocacy.
According to the organization, 18,594 NC residents were killed by fentanyl from 2013-23, and seven out of 10 street-pressed, copy-cat pills contain lethal fentanyl additives. The organization also provided a chart showing that from 2013-23 there were 168 fentanyl fatalities in Carteret County, with 29 Death by Distribution arrests.
In a joint statement about receiving the awards, Buck and Thomas said, “We have been working together as a team on all criminal matters since 2006 including the prescription drug issue which fueled the current heroin and fentanyl crisis we have faced in recent years. We have worked together to strictly prosecute drug offenders and we have supported treatment and recovery efforts to help people achieve recovery from their addictions and go on to live productive and healthy lives,” they stated
“We commend the tremendous work that has been done in the area of investigating overdose deaths and prosecuting these cases by Sheriff’s Office Detectives, other local police departments and the District Attorney’s Office prosecutors and legal staff. We are very proud of all of the work that has been done by these dedicated public servants investigating, prosecuting and holding accountable the offenders who have caused the deaths of citizens in our area. We hope our efforts have provided some sense of justice and closure to the families of these overdose victims.”
In addition, Buck and Thomas stated, “Everything we do should send a message to the public that we are working to address serious issues in our community and to let the criminal offenders know that we will not tolerate this type of activity and we seek to arrest, jail and prosecute them.”
For more information about the organization, go to Fentvic.org.
Contact Cheryl Burke at 252-726-7081, ext. 255; email Cheryl@thenewstimes.com; or follow on Twitter @cherylccnt.
The state of Virginia has seen drug overdose deaths plunge by more than 40% in a single year. Many other states are seeing improvements above 30%. Why is this happening? Researchers say it may be a combination of factors, some hopeful and some painful.
Over the past six months, I’ve been tracking something really cool and mysterious happening on American streets. For the first time in 30 years, drug deaths are plunging at a rate that addiction experts say is hopeful — but also baffling.
In the past, even the most ambitious, well-funded efforts to slow drug deaths only helped a little bit. Reducing fatal overdoses by 8% or 9% was seen as a huge win.
That means roughly 30,000 fewer people a year are dying. Many states are seeing even bigger improvements of 30% to 50%. In some states, progress has been sustained since 2021 and 2022, which suggests this isn’t a temporary blip.
So how did the U.S. finally turn the corner on drug deaths?
What’s going on? No one knows for sure, but here are eight leading theories I hear from experts.
Naloxone, also known as Narcan, may be the game-changer. The Biden administration raced to make this medication, a nasal spray that quickly reverses opioid and fentanyl overdoses, far more widely available. People can buy it now over the counter without a prescription. It’s distributed for free in many high-risk communities, and people using drugs often carry it. It’s unclear how many lives naloxone is saving each year, but many front-line public health workers tell me the impact is huge. Learn more here.
Naloxone, also known as Narcan, is much easier and more affordable than ever. People who use fentanyl now regularly revive one another after experiencing overdoses. Some public health experts and activists think this medication may be a big factor shifting the tide of America’s overdose crisis.
Weaker fentanyl. Street fentanyl is incredibly potent. But in many parts of the U.S., organizations that test fentanyl doses sold by drug dealers — often in pill form — have found a significant drop in purity.No one’s sure why drug cartels have changed their mixtures. Some researchers believe law enforcement pressure in China, Mexico and the U.S. is disrupting the black market fentanyl supply chain. Learn more here.
A dangerous but less lethal street drug supply. In most of the the U.S., gangs are selling complicated “cocktails” of street drugs. The amount of fentanyl appears to be dropping (see above), while the amount of animal tranquilizers, such as medetomidine and xylazine, is rising. These chemicals are highly toxic.They cause skin wounds, severe withdrawal symptoms and other long-term health problems. But doctors and addiction experts generally agree they aren’t as immediately lethal as fentanyl. That could mean more chronic illness but fewer fatal overdoses. Learn more here.
When America’s opioid crisis began in the 1990s, drug addiction treatment was rare and often came shrouded in stigma. The U.S. addiction treatment system and safety net have seen huge improvements over the past decade. Better medications are available, and in many communities, more resources are available to help people using highly dangerous drugs such as fentanyl.
Better public health. Thirty years after the U.S. opioid crisis began — and a decade after fentanyl spread nationwide — the U.S. has made strides developing better and more affordable services for people experiencing addiction. Medications that reduce opioid cravings, including buprenorphine and methadone, are more widely available, in part because of insurance coverage provided by Medicaid. In many states, roughly $50 billion in opioid settlement money paid out by corporations is also starting to help. Going forward, it’s unclear how the Trump administration’s deep cuts to public health agencies and grants will affect this new addiction safety net.Learn more here.
Many of the most vulnerable people have already died. This theory is discounted by some researchers I talk to, but many addiction experts think it’s a factor. Over the past five years,the U.S. has been losing roughly 110,000 people to fatal drug overdoses every year. It’s possible drug deaths are declining in part because a heartbreaking number of people using fentanyl and other high-risk street drugs simply didn’t survive. Learn more here.
Waning effect of the COVID pandemic. The isolation, trauma and disruption of addiction treatment programs that followed the onset of COVID in 2020 overlap with the most devastating years of drug overdose deaths. Many public health experts believe the pandemic deepened the catastrophic impacts of fentanyl. According to this theory, as the impacts of COVID continue to fade, deadly overdoses are also declining to a more “normal” level. Learn more here.
People are using fentanyl (and other high risk street drugs) more skillfully. This is a common theory among people who use street drugs. They often tell me they’ve adapted to the risks of fentanyl by smoking rather than injecting the drug, which many addiction experts believe is safer (though still incredibly dangerous). People try to never use fentanyl alone and often carry naloxone or Narcan to reverse overdoses. Many people use test strips to identify unwanted contaminants in their drugs and use smaller fentanyl doses. Learn more here.
A decline in young people using drugs. Street fentanylhas emerged as a leading cause of death among young people in the U.S., age 18 to 45. But research suggests far fewer young people and teenagers are using drugs (other than cannabis). This trend matters because new users have low physical tolerance for opioids such as fentanyl, which means they’re more likely to overdose and potentially die. Fewer young users means fewer people taking that risk. Learn more here.
It’s important to emphasize all of these theories are just that — theories. Most researchers, doctors and front-line care providers say they need more data and more time to understand a shift this large.
But there is a growing, tentative consensus that the answer may well be “all of the above.”
A big question going forward is How low will U.S. drug deaths go? We’ve already seen the biggest, fastest drop in U.S. history. So far, there’s no sign the improvement is slowing.
The deadliest phase of the street fentanyl crisis appears to have ended, as drug deaths continue to drop at an unprecedented pace. For the first time, all 50 states and the District of Columbia have now seen at least some recovery.
A new analysis of U.S. overdose data conducted by researchers at the University of North Carolina at Chapel Hill also found that the decline in deaths began much earlier than once understood, suggesting improvements may be sustainable.
Ashley Lane (far right) poses for a photo with her son Ashton (from left), eldest daughter Alyssa and youngest daughter Cali.
Ashley Lane was happy being a stylist, but she also was a friend and a therapist to people who were struggling, even when her own mental health and substance abuse got the better of her, her family said.
On Monday, a Durham man was accused of selling the fentanyl that caused Lane, 39, to overdose Dec. 28 at The Graduate Hotel in downtown Chapel Hill. She died on Dec. 31 at UNC Hospitals.
Aaron Donald Brooks, 40, is charged with felony death by distribution sale, possession with intent to sell and deliver a controlled substance, sale or delivery of a controlled substance, and possession of a controlled substance, court records show.
He is being held in the Orange County jail under $300,000 secured bail, records show.
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.
After years of continuously rising opioid overdoses, the US Centers for Disease Control and Prevention reported that overdose deaths decreased 3% in 2023, the first annual decrease since 2018. A new study shows how the increased administration of naloxone by non-medical laypersons – or bystanders with little to no medical training – could be one factor contributing to this decline.
Naloxone, best known by the brand name Narcan, became available over the counter last fall.
Making naloxone, a drug used to reverse opioid overdose that’s commonly known as Narcan, more widely available has been part of concentrated efforts to increase layperson intervention.
The new study, published Monday in the journal JAMA Network Open, says that from June 2020 to June 2022, emergency medical services reported 744,078 patients receiving naloxone across the US. The researchers found that EMS-documented naloxone administration rates fell 6.1% in this period, but the percentage of people who got naloxone from a layperson before EMS arrival increased 43.5%.
