Barb Walsh, Executive Director of Fentanyl Victims Network of North Carolina, fights to save lives and get justice for those killed by fentanyl poisoning. Joining Barb in the fight are Fentanyl Victims Network of North Carolina members Michelle Murdock and Betsy Ballard Moore.
There are two episodes being aired, Part 1 is airing January 11th, Part 2 will air one week later, January 18.
When autopsy backlogs in North Carolina threatened Union County officers’ ability to prosecute drug overdose cases, they opened their own center to continue their yearslong drug purge amid state delays.
A temporary autopsy center that opened in the bottom of a Monroe hospital Dec. 17 is the ninth regional center in the state. It’s also one county’s latest attempt to combat two issues plaguing the state: drug deaths and autopsy delays.
The North Carolina General Assembly since its 2023 session has given Union County $22 million to open the South Piedmont Regional Autopsy Center under oversight from the Office of the Chief Medical Examiner. The county soon hopes find a permanent building to better host eight more counties and get the proper accreditation to help with the toxicology reports backlog, too.
Autopsy and toxicology backlogs have been caused by increasing overdose deaths and too few forensic pathologists, a Charlotte Observer investigation revealed last year. They leave grieving families and investigating law enforcement waiting too long for answers.
For Union County, those delays were made worse when the Office of the Chief Medical Examiner moved Union County’s autopsies from Mecklenburg County — less than an hour away — to Wake County — about three hours away — in 2022.
The switch was supposed to help with backlogs, but transportation time coupled with the Raleigh center’s staffing shortages created more delays, said Tony Underwood, the chief deputy of operations with the Union County Sheriff’s Office.
Each Raleigh pathologist, the Observer previously reported, completes, on average, 557 autopsies each year. That’s more than twice the number recommended by a national accrediting group, Department of Health and Human Services Secretary Kody Kinsley previously told the Observer.
“Bottom line, plain and simple, the medical examination system is in crisis,” Kinsley said.
The Raleigh autopsy center told Underwood it does not “routinely do full autopsies in suspected drug overdose cases,” he said in an interview with the Observer.
Mecklenburg’s center did, Underwood said.
The change became a problem for Union County law enforcement.
The sheriff’s office and Union District Attorney Trey Robison were charging and prosecuting drug dealers who sold deadly substances to people even before a state law paved the way to do that.
A 2019 bill introduced a “death by distribution” charge to North Carolina, allowing dealers to be charged with killing someone by selling or giving them the drug that killed them. It is largely regarded as a “hard-to-prove” charge, but Union County is among the top counties pursuing and prosecuting it, according to nonprofit research by the Fentanyl Victims Network of North Carolina.
Union County, Underwood said, had been charging dealers with second-degree murder before “death by distribution” was introduced.
That meant Union County officers were routinely requesting autopsies and toxicology reports in almost every overdose case.
But in Raleigh, they sometimes needed to have “probable cause” that a crime was committed to request an autopsy, Underwood said. Toxicology reports, which show what substances were in a person’s system when they died, typically give probable cause.
But state toxicology reports are finished more slowly than autopsy reports, sometimes taking months or years to be completed.
In 2023 in Raleigh, the medical examiner’s office had just one forensic toxicologist to certify all drug casework, the Observer previously reported.
Union County’s temporary autopsy center is a step in the right direction, said Barb Walsh, the founder and executive director of Fentanyl Victims Network of North Carolina. But North Carolina really needs more toxicologists, she said.
Walsh, whose daughter died after unknowingly drinking from a water bottle that had fentanyl in it, had to wait five months to learn what killed her daughter in 2021.
“And I thought that was awful,” she said, “but I am consistently getting calls from families that are waiting 10 and 12 months.”
From 2019 to 2023, according to the state health department, North Carolina experienced a 26% increase in cases. That was “undoubtedly influenced by the 69% increase in suspected drug overdose cases,” spokesperson Hannah Jones wrote in an email.
“Another regional autopsy center is a welcome addition to the NC Medical Examiner System to help with the many cases that come through,” she wrote.
In 2025, Underwood said, the sheriff’s office is seeking accreditation to expand its toxicology lab — which is currently used to test blood from impaired drivers — to be able to test blood from those who died from an overdose or fentanyl poisoning.
The indictment, announced by U.S. Attorney Sandra J. Hairston of the Middle District of North Carolina, includes 27 people from the Tar Heel State.
All but one of the defendants are already in custody. 18 of them will have their first court appearances in North Carolina on Tuesday or Wednesday. If convicted, they face up to life in prison for narcotics conspiracy and up to 20 years for money laundering conspiracy.
The charges of narcotics distribution conspiracy include fentanyl, an ongoing problem statewide.
“There is someone who has died from fentanyl in all 100 counties,” Barb Walsh said. “We connect the families to one another so they can gain support and understanding.”
“Killed by fentanyl in a water bottle in 2021. Took us five months to find out that fentanyl killed her. Took seven months to find out that it was the water bottle,” Walsh said. “We learned that it was killing a lot of North Carolinians and that these families, like myself, felt very alone, and we felt nobody really wanted to hear how or why our loved one died. Once they heard the word fentanyl, they were not interested anymore.”
Amid Tuesday’s arrests, overdoses are going down in the state. The latest CDC data predicts deaths have dropped about 30% from 2023 to 2024. Walsh says this is likely due to education and more distribution of naloxone, which she encourages everyone to keep on them, especially since many victims do not know they’re ingesting fentanyl.
“They think it’s adderall. They think they need to do well on the test, so they’ll take a pill from that they order off Snapchat, and it contains fentanyl, and they’re dead,” Walsh said. “That is how easy someone could die.”
She also wants people experiencing grief from a fentanyl death to know there are resources available.
“Once we are gathered together and understanding our grief together, we have chosen to redirect our pain into passion, and that is to save someone else’s life by educating them about fentanyl,” Walsh said.
The indictment, announced by U.S. Attorney Sandra J. Hairston of the Middle District of North Carolina, includes 27 people from the Tar Heel State.
All but one of the defendants are already in custody. 18 of them will have their first court appearances in North Carolina on Tuesday or Wednesday. If convicted, they face up to life in prison for narcotics conspiracy and up to 20 years for money laundering conspiracy.
The charges of narcotics distribution conspiracy include fentanyl, an ongoing problem statewide.
“There is someone who has died from fentanyl in all 100 counties,” Barb Walsh said. “We connect the families to one another so they can gain support and understanding.”
“Killed by fentanyl in a water bottle in 2021. Took us five months to find out that fentanyl killed her. Took seven months to find out that it was the water bottle,” Walsh said. “We learned that it was killing a lot of North Carolinians and that these families, like myself, felt very alone, and we felt nobody really wanted to hear how or why our loved one died. Once they heard the word fentanyl, they were not interested anymore.”
Amid Tuesday’s arrests, overdoses are going down in the state. The latest CDC data predicts deaths have dropped about 30% from 2023 to 2024. Walsh says this is likely due to education and more distribution of naloxone, which she encourages everyone to keep on them, especially since many victims do not know they’re ingesting fentanyl.
“They think it’s adderall. They think they need to do well on the test, so they’ll take a pill from that they order off Snapchat, and it contains fentanyl, and they’re dead,” Walsh said. “That is how easy someone could die.”
She also wants people experiencing grief from a fentanyl death to know there are resources available.
“Once we are gathered together and understanding our grief together, we have chosen to redirect our pain into passion, and that is to save someone else’s life by educating them about fentanyl,” Walsh said.
Newly-released warrants reveal a Raleigh mother and her unborn baby were among the latest overdose cases as they each died from fentanyl overdoses. The latest data serves as a warning for parents.
Seventeen North Carolinians die from an overdose each day.
Newly released warrants reveal a Raleigh mother and her unborn baby were among the latest cases as they each died from fentanyl overdoses. The latest data serves as a warning for parents.
Barbara Walsh knows the danger of fentanyl, a toxic poison her daughter died from unintentionally in August of 2021.
“Basically, you have a murder with no weapon,” Walsh said. “Fentanyl puts someone to sleep like a dog.”
Sophia drank what she thought was water in a bottle – except it was laced.
“This young woman was 24 years old, Apex High School grad, Appalachian State grad, professionally employed,” said Walsh.
A new search warrant issued by Raleigh police describes a recent suspected fentanyl death of a mother and her unborn child. It happened at an apartment in southeast Raleigh.
Police responded to a woman in cardiac arrest on Aug. 14.
A man inside the apartment told police that she took fentanyl and that he last saw her watching a movie on her phone about an hour earlier before finding her unresponsive.
Wake County EMS administered Narcan, a drug that reverses the symptoms of an opioid overdose.
But the mother and her unborn baby died.
“We are seeing about 3,600 per year die, every year it’s getting larger until this year,” Walsh said.
According to the office of the state medical examiner, there were 193 fentanyl positive deaths in May alone in North Carolina.
Despite that, yearly data is showing a downward trend. There were 3,354 fentanyl deaths in 2022, 3,341 in 2023 and 1,008 so far in 2024.
With this week being International Overdose Awareness Week, she’s hopeful parents can continue to educate their children about the dangers of fentanyl – an odorless, tasteless drug.
“Right now, 7 out of 10 pills not from a pharmacist contain fentanyl,” Walsh said. “Most people don’t know it’s in their pill, a vape or a drink.”
Barb Walsh Executive Director of fentvic.org urges Davidson County School Board to install naloxone in ALL schools to save student lives from fentanyl. Race Against Drugs Day of Recovery event in Lexington, North Carolina on August 10, 2024.
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.
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.”
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.
