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Overdoses were finally on the decline in NC. The pandemic reignited the crisis.

Fatal overdoses in North Carolina had finally started to decline.

After steadily rising for years, deaths dropped by 7% in 2018, despite the growing prevalence of fentanyl, an opioid even more potent and deadly than heroine.

The state had aggressively invested in fighting the opioid crisis — it expanded access to evidence-based treatment, sent Narcan to at-risk areas and reduced medical dispensing of opioids.

Low overdose numbers in 2019 seemed to confirm the efforts were paying off.

People in the NC Department of Health and Human Services started believing it was possible to meet a goal they had set back in 2016: to cut the expected overdoses in 2024 by 20%.

“There was a lot of hope in those two years before the pandemic,” said Mary Beth Cox, a substance use epidemiologist DHHS.

Then COVID-19 hit.

“Who knows where we would have been if the pandemic hadn’t happened?” Cox said.

INCREASED ISOLATION, DISAPPEARING TREATMENT AND SUPPORT GROUPS

Loneliness and social isolation became more common. It became harder to send Narcan out into the community. Support groups and treatment centers transitioned online.

“You can do group therapy on the phone or in video, but it’s still not true connection,” said Ellen Stroud, who directs addiction and management operations for the state’s opioid response. “And that’s really a huge part of recovery.”

Disturbing data began emerging.

In the first year of the pandemic, fatal overdoses in the state shot up by 40%. In 2021, deaths increased by an additional 22%.

Statesville man charged in 2022 drug overdose death, sheriff says

A 26-year-old was taken to Iredell Memorial Hospital due to a drug overdose and later died, deputies said.

STATESVILLE, N.C. (WBTV) – A deadly 2022 fentanyl overdose in Iredell County has led to charges being filed more than a year later.

Deputies were called to Hickory Highway in Statesville on July 23, 2022, for a possible drug overdose, according to the Iredell County Sheriff’s Office.

A 26-year-old was taken to Iredell Memorial Hospital due to a drug overdose and later died, deputies said.

During the investigation, 26-year-old Dakoda Michael Drake, of Statesville, was identified as the person who provided fentanyl to the victim, according to the sheriff’s office.

“After months of waiting, the Iredell County Sheriff’s Office recently received the Toxicology Report indicating the victim’s cause of death was confirmed as a Fentanyl overdose,” a news release stated.

An arrest warrant was obtained for Drake and he was arrested on Nov. 24 for felony death by distribution, deputies said.

He was given a $350,000 secured bond on this charge.

Read the full article on the WBTV website.

How to get Narcan, the drug used to reverse opioid overdoses, for free 24/7

It can save your life, and it’s free.

A vending machine stocked with free Narcan — a life-saving opioid reversal nasal spray — will now sit inside the Mecklenburg County Sheriff’s Office, available for use 24/7.

The installment, tucked next to a Coca-Cola vending machine in the Detention Center’s lobby, comes after a 20% increase in fentanyl overdoses reported by the Charlotte-Mecklenburg Police Department.

Fentanyl — an opioid often laced in other drugs, like pain pills, or distributed on its own — is 100 times more potent than morphine, and even a small amount of it can be deadly.

As it becomes easily available — routinely popping up in the detention center, on streets and even in schools — Sheriff Garry McFadden hopes to make access to Narcan as easy as possible.

“We want to encourage all people, whether they personally use substances or not, to carry the life-saving drug,” wrote MCSO Public Information Officer Bradley Smith.

Naloxone, the fast-acting medicine in Narcan that reverses an opioid overdose, is considered safe to use even if drug use is suspected but later found to not be the case. Earlier this year, federal regulators took action to make 4 mg Narcan nasal spray available over-the-counter without a prescription for about $50.

In collaboration with Carolinas CARE Partnership Rx ACE (CCP), McFadden said offering the drug will be “a pivotal step in our efforts to combat the ongoing fentanyl crisis.”

They Were Go-To Dealers for College Students. Now They’re Headed to Prison.

A trial in federal court last week stemming from the overdose of a 23-year-old Raleigh man exposed the inner workings of a drug-dealing duo and their college-student clients.

The weekend of March 4, 2023, was a big one in the Triangle.

Big for thousands of students and alums because longtime basketball rivals Duke University and the University of North Carolina at Chapel Hill were facing off. Big for crowded restaurants and bars that had the Saturday night game in UNC’s Dean Dome on their wide-screen TVs.

And big for Cye Frasier and his girlfriend, Carlisa Allen, who expected to bring in $10,000 in drug sales that weekend from their primary customer base: college students.

That weekend was the first time Josh Zinner, a former UNC-Wilmington student from Raleigh, purchased directly from Frasier and Allen, according to testimony last week in federal court. His roommate, a former UNC-Chapel Hill student and Phi Gamma Delta member, referred him to Frasier.

A double-edged sword: North Carolina expands the fight against fentanyl

Changes to a North Carolina law make it easier to prosecute people who distribute drugs, including fentanyl, if the drug user dies

Overview:

Carolina Public Press interviewed six parents of children who died and the partner of a man who did as well. Fentanyl, a powerful narcotic painkiller, was involved in each death. Often, those close to the victims reported, prosecutors declined to bring charges for death by distribution, saying the evidence was not strong enough.

Under a state law that takes effect next month, anyone who provides certain drugs to a person who dies after taking them may be prosecuted for second-degree murder — whether they received money for the drugs or shared them freely.

“Death by distribution” first became a crime in North Carolina in 2019. Originally, the law applied only to people who got paid for drugs that later proved fatal. In September, legislators expanded the law’s reach to include anyone who provides certain drugs, including fentanyl, when those drugs result in an overdose death.

Carolina Public Press interviewed six parents of children who died and the partner of a man who died as well. Fentanyl, a powerful narcotic painkiller, was involved in each death. Most of the families reported that prosecutors declined to bring charges for death by distribution, saying that the evidence was not strong enough.

The family members, as well as people who study drug use or work to combat it, are divided over whether the law’s approach is good or bad. Those in favor described death by distribution charges as essential to bring justice in fentanyl death cases. Critics argued that the strategy could unjustly criminalize and disproportionately affect substance users and people of color.

NCDHHS Counterfeit Pills Flyer

The North Carolina Department of Health and Human Services (NCDHHS) has published a flyer to help North Carolina residents identify and understand the risks associated with counterfeit pills.

Download PDF

Drug dealer sentenced for deadly overdose in Union County

Trenton Latres Butler, 27, convicted of second-degree murder

UNION COUNTY, N.C. — A “self-admitted drug dealer” will spend two decades in prison after his role in a deadly overdose that happened last March in Union County.

The Union County Sheriff’s Office said Trenton Latres Butler was convicted of second-degree murder, trafficking in opium/heroin, and two counts of possession of a firearm by a felon on Tuesday.

According to the sheriff’s office, Butler sold fentanyl pills to 26-year-old Javier Ramirez-Sanchez in March of 2022. Ramirez-Sanchez died after taking the dose.

Investigators also said that Butler “repeatedly sold pressed fentanyl pills” and a gun to a confidential informant. Authorities searched Butler’s home and found more than 800 pressed fentanyl pills, Tramadol pills, Oxycodone pills, marijuana, and several guns.

On Tuesday, Butler was sentenced to serve between 225 and 282 months in prison and pay a $500,000 fine, according to the sheriff’s office.

Union County District Attorney Trey Robison said his office “will continue to aggressively prosecute fentanyl dealers who are poisoning our community.”

Read the full article on the Opera News website.

After Raleigh man’s overdose, dealer convicted of selling fentanyl-laced drugs

A Durham woman charged with selling drugs containing fentanyl that resulted in the death of a 23-year-old Raleigh man was convicted in federal court Friday.

Carlisa Allen, 46, was convicted on multiple cocaine-related drug charges, including conspiring to distribute a substance containing fentanyl resulting in death and possessing a firearm to further a drug trafficking crime, the U.S. Attorney’s Office for the Middle District of North Carolina said in a news release.

Allen’s drug trafficking conspiracy resulted in the cocaine and fentanyl overdose death of Joshua Skip Zinner on March 10, the U.S. Attorney’s Office said.

She was convicted after a four-day trial and could face 25 years to life in prison when sentenced on Feb. 13 next year.

Fentanyl overdose reversal spray ‘standing by’ for every public school in Charlotte

With the White House charting action in schools nationwide to curb teen drug use and deaths, Charlotte-Mecklenburg leaders plan to stock opioid overdose-reversal medicine in hallways.

While there have been no documented fatal overdoses in Charlotte-Mecklenburg Schools, some data suggests drug use among students is on the rise. Fentanyl — a synthetic opioid — is pervasive in street-bought drugs, experts say.

Naloxone, an overdose-reversal medicine (commonly called Narcan), will be available in every school, pending CMS board approval, Raynard Washington, Mecklenburg health director, told The Charlotte Observer this week.

With the White House charting action in schools nationwide to curb teen drug use and deaths, Charlotte-Mecklenburg leaders plan to stock fentanyl overdose-reversal medicine in hallways.

We are standing by ready to start,” he said.

The Observer first reported on the district’s plan to allow naloxone in schools in September.

‘Not my kid.’ How $7 pills get Charlotte teens hooked on fentanyl

The last bathroom stall on the left. An afternoon math class. The house across the street. This weekend’s party.

Students sent Debbie Dalton letters after she spoke to them about her son, who died after taking a line of fentanyl-laced cocaine in 2016. If schools let her in, she’s one of the only sources of education North Carolina teens get on fentanyl’s dangers.

Fentanyl is easy for teens to get — and, these days, it’s even harder to escape.

After losing his best friend to the very drugs the two of them would use together, one Charlotte teen shared his winding journey from an innocent swig of liquor to a dependency on $7 pills, posing as Percocets, that circulated through his school.

“I didn’t know who I was,” said 17-year-old Dylan Krebs, remembering the height of his addiction. “I had completely forgotten everything about me.”

Not only could he not help himself then, he says, but his parents and teachers seemed to have no idea. He says students sold illegal painkillers in classrooms and recalls only once a teacher at school warning teens of the dangers of drugs.

“Everything is laced,” officials have long warned, and one fentanyl pill — about 2 milligrams — with the potent opioid is enough to kill a person.