Fentanyl deaths decrease across state, Richmond’s rate remains highest

Read the original article on the Richmond Observer website.

ROCKINGHAM โ€” Richmond County continues to have the stateโ€™s highest fentanyl-positive death rate, although the number of such deaths continues to drop statewide.

According to the latest figures published by the Office of the Chief Medical Examiner, the rate of fentanyl-positive deaths in Richmond County from July of 2024 to August of 2025 was 38.1 โ€” more than twice the statewide rate of 14.3.

(NOTE: Rates are per 100,000.)

The OCME no longer lists the actual number of deaths per county, however, the rate is the same as it was for the 12 months ending in July of 2025.

Other counties with the top-1o highest rates are: Bladen (33.6); Gaston (30.6); Burke (30.5); Robeson (29.5); Pasquotank (26.6); Yadkin (26.3); Wilson (25); Buncombe (24.4); and Rowan (22.2).

Statistics show that, statewide, deaths decreased by 17% from 126 in July to 104 in August. Fentanyl-positive deaths are also down 26% compared to the first eight months of 2024, and numbers are the lowest since 2019. 

Neighboring Anson County is one of about a dozen counties with no fentanyl-positive deaths in the past year.

The total number of such deaths peaked in 2022 at 3,358. That year, the countyโ€™s rate topped out at 76.7.

Based on reports, fentanyl was the only substance present in 19% of deaths. Over the past year, cocaine has been the largest contributor in polysubstance use fentanyl-positive deaths (36%-53%), followed closely by methamphetamine (22%-41%).

RCSO charges woman with death by distribution in overdose death

Read the original article on the Richmond Observer website.

ROCKINGHAM โ€” Investigators have charged a woman in a late 2024 overdose death.

Sarah Alexis McCumbee, 27, was arrested late Thursday on charges of death by distribution and selling or delivering a Schedule II controlled substance.

McCumbee is accused of delivering an unspecified quantity of fentanyl to Sean McDonald on or around Nov. 14, 2024. The ingestion of the fentanyl, according to the arrest warrant, โ€œproximately causedโ€ McDonaldโ€™s death.

The warrant, taken out by the Richmond County Sheriffโ€™s Office, was issued April 21 and McCumbee was arrested April 24.

She is being held without bond in the Richmond County Jail and is scheduled to appear in court  May 8.

North Carolinaโ€™s death by distribution law was signed into law in 2019, with support from both of the countyโ€™s legislative representatives in the General Assembly at the time.

The RCSO charged Regina Collins with death by distribution in January of 2020. State records show Collins was convicted of involuntary manslaughter in August of that year and she served seven months in prison. Her parole ended Feb. 14, 2022.

In 2022, the Hamlet Police Department issued a BOLO for a suspect in a death by distribution case. However, police told the RO on Friday that the charge was dismissed by the district attorneyโ€™s office based on further investigation.

Earlier this week, a woman in Greensboro was convicted of death by distribution and other drug charges from a 2022 case.

All defendants facing criminal charges are presumed innocent until proven guilty in a court of law.

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