Davidson County deputies said Dustin Kirby and Gavin Blackburn were charged in connection to a deadly fentanyl overdose case.
DAVIDSON COUNTY, N.C. — Two people were charged Monday in connection to a deadly drug-related overdose case in Davidson County, according to officials.
The Davidson County Sheriff’s Office said on July 29, 2023, deputies were called to Holly Grove Lutheran Church on 212 Holly Grove Lutheran Church Rd. in Lexington about a man found dead in the parking lot. Investigators said evidence on the scene led them to believe it may have been related to a drug overdose.
Detectives said after investigating for several months, they found out that 24-year-old Gavin Blackburn, of Thomasville, and 33-year-old Dustin Kirby, of Thomasville, supplied drugs to the victim before his death.
An autopsy report showed details that the victim died as a result of the toxic effects of fentanyl and cocaine.
On Monday, May 6, 2024, detectives found and arrested Blackburn and Kirby on a warrant for 2nd-degree murder death by distribution.
Both are being held in the Davidson County Detention Center and are scheduled to appear in Lexington District Court on Monday, June 3, 2024.
by Jennifer Fernandez, North Carolina Health News May 9, 2024
By Jennifer Fernandez
GREENSBORO — Randy Abbott lost his daughter to a drug overdose in 2015.
No one called for help in time.
Diannee Carden’s son died from a heroin overdose in 2012.
No one called for help in time.
As North Carolina continues to lose more people to overdoses every year — a record 4,339 in 2022 — parents and families are calling for a change in state laws that they say would encourage people to call for help, even if they had used drugs themselves or had supplied the potentially fatal dose.
“We do not support the current approach of tougher criminality in prison for the non drug dealer who participates in an overdose event,” Carden said Wednesday during a news conference on the changing legal landscape of the opioid epidemic.
Diannee Carden
“We cannot be quiet. We will continue, as family members who have lost someone to overdose, to speak out. We want policies that work to keep people alive with compassion, support and harm reduction,” added Carden, who founded ekiM for Change after her son’s death (the organization’s name honors her son Mike, using his name spelled backwards). The Pitt County-based nonprofit provides a variety of harm reduction services, from clean needles and naloxone to fentanyl test strips and HIV testing.
Abbott spoke earlier in the week at a news conference in Greensboro to release the results of a new survey from Expand Good Sam NC that showed likely North Carolina voters also want to see changes in the state’s Good Samaritan law.
“In a drug overdose event, voters clearly state that greater emphasis needs to be placed on saving an overdose victim’s life instead of charging someone with a drug offense,” said Abbott, coalition coordinator and a parent advocate.
Expand Good Sam NC is a coalition of organizations from across the state proposing key changes to the state’s Good Samaritan law that they say will encourage people to call for assistance without fear of penalty.
The group commissioned a poll of likely voters conducted by phone last month by Strategic Partners Solutions, a Raleigh-based consulting firm. The poll had a margin of error of plus or minus 4 percentage points.
Among its findings:
At least three-quarters of the 600 voters surveyed, from across the political spectrum, agreed that “Saving the life of someone who has overdosed should be more important than catching the person who supplied the drugs.”
Over two-thirds of the voters across all demographic subsets agree that a person who calls 911 for assistance in a drug overdose situation should not be charged with possession as long as they are not a drug trafficker.
These voters also overwhelmingly agree (75.5 percent) on providing protection to university students who call to report an overdose.
Nearly two-thirds (66.2 percent) of the surveyed voters agree that a person should not be charged with “death by distribution” if they called for assistance.
Of the randomly selected people surveyed, close to two in five said they have had a friend or family member die from an overdose, something that was more common for the people from rural areas.
Mary O’Donnell has long supported expanding the state’s Good Samaritan laws. Her son Sean died in 2017 after passing out while drinking with friends at a quarry near his Chatham County home. Frightened, his friends left him behind. He later fell into the quarry and drowned.
She encouraged supporters to let lawmakers know they want to see changes in the laws to help prevent more deaths.
Abbott said the changes are needed.
“We’re losing a generation,” he said. “We’re losing lives every day.”
Last year, North Carolina legislators joined a growing list of states that have strengthened “death by distribution” laws. At the same time, the state broadened its Good Samaritan law to grant limited immunity from prosecution for possession of up to one gram of any drug. Previously, only certain drugs such as cocaine and heroin were covered.
Abbott and Expand Good Sam NC said the changes to the Good Samaritan law don’t go far enough.
And Carden said making distribution laws harsher went too far.
They believe harsher punishments only put more lives at risk because people who fear getting charged for drug use are less likely to help someone who is overdosing.
Barb Walsh, executive director of Fentanyl Victims Network of North Carolina, isn’t happy with some of the changes to the state’s Good Samaritan law for a different reason: The expansion to all drugs includes fentanyl, which is highly potent and is the leading cause of overdoses in North Carolina.
Fentanyl is the drug that killed her 24-year-old daughter in 2021 when she unknowingly drank a bottle of water laced with the drug. No one has been charged in her daughter’s death.
“I disagree with that policy but went along with it to get the modified law passed,” Walsh said, adding that she thinks possession of illicit drugs as potent as fentanyl that could kill so many people is wrong.
She has been focusing her harm reduction efforts on getting the lifesaving opioid-reversal drug naloxone into the state’s schools.
Naloxone in schools
Last week, Walsh hosted a Fentanyl Awareness Day in Raleigh at the General Assembly. More than 75 families met with legislators to talk about their concerns and to encourage support for efforts like getting naloxone in schools.
The next day lawmakers introduced two bills that would appropriate $350,000 from state Opioid Settlement Funds to send naloxone to all of the state’s schools.
However, since school boards make policy decisions on the use of naloxone, Walsh said her organization is working on encouraging school systems to take advantage of the availability of the opioid-reversal drug.
She said Wake County Public Schools is considering a plan to approve having naloxone in all of its schools and may vote on it later this month.
The district, the largest in the state, already allows school resource officers to carry naloxone. The school district’s policy committee is recommending training some staff members in every school on recognizing signs of an opioid emergency and on using naloxone, according to news reports.
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.
‘Unrelenting disease’
North Carolina families that shared their stories of loss at the two events this week said they want lawmakers to decriminalize drug possession, increase harm reduction and addiction services, open overdose prevention centers, and provide evidence-based voluntary treatment options.
“She was a beautiful, caring, timid, sweet girl who wanted nothing but to love and be loved, to be free of this unrelenting disease,” Drake said of her daughter Kaitlyn, who died in 2020 at age 23. “She tried to outrun it many times, but it always seemed to catch up to her.”
Drake said GCStop was always there for her daughter when she was in active addiction. So it felt natural to her to give back when she was in recovery. She was volunteering up until the week before she relapsed and fatally overdosed.
“The road that brought me here is not one that I would ever have chosen but will continue to travel it in hopes to be able to spare another family from this unending pain,” Drake said.
She said she also wants to spare another person “who doesn’t deserve to die” because someone is afraid they’ll be punished “for simply doing the right thing — calling for help.”
The North Carolina Senate and House both have bills (SB801, HB999) working through their respective chambers in support of Naloxone in schools – a key ask Fentvic.org has been working on the past few months.
Glenwood Avenue and Cornerstone Tavern bustle with club-goers before 1 a.m. in the Glenwood South district on Friday, July 21, 2023.
BY JOSH SHAFFER JSHAFFER@NEWSOBSERVER.COM
The phone rang at 3:30 a.m. on a Friday night, and Kelsey Walters woke to chilling news:
Her daughter and a friend took an Uber home from a Glenwood South bar, but by the time the ride ended, they were blacked out in the back seat — unresponsive when the driver tried to shake them awake.
The driver called 911 and EMTs found the two young women with pupils constricted to pinpoints, making the crackling sound of a death rattle. It took Narcan to revive them. When Walters got the call, they were recuperating inside a pair of ambulances, confused about everything.
Narcan is the FDA-approved nasal form of naloxone for the emergency treatment of a known or suspected opioid overdose. The Wake County school board is considering a policy to have naloxone at all schools. News & Observer file photo
Wake County schools could soon be stocked with Naloxone to treat potential opioid overdoses on campus.
The school board’s policy committee recommended on Tuesday new rules on emergency use of Naloxone. The policy requires schools to train people in how to administer Naloxone and directs Superintendent Robert Taylor to develop a program to place Naloxone at schools, early learning centers and district administrative offices.
“This is fantastic,” said school board member Sam Hershey. “This warms my heart we’re going in this direction. I think it’s crucial. At some point it’s going to hit, and we’ve got to be as ready as we can be.”
Many people in recovery from drug use often need help finding a place to live.
Housing can be even more of a challenge if they lack familial support or struggle with mental-health issues. If they are recently incarcerated, they are 50 times more likely to overdose and die as a result.
Wake County leaders want to expand ways to help with $7.5 million in opioid settlement money next year.
Over the next 18 years, Wake County will get $65.6 million from the historic national opioid settlement. The money comes from companies that made or distributed prescription painkillers and were sued for their role in the millions of people who overdosed on opioids or became addicted.
“We’re serious about this; we’re excited about this,” said Wake Commissioner Cheryl Stallings, one of the leaders who spearheaded the effort. “We all now recognize how great this need is. Unfortunately, sometimes, it takes a real crisis to get our attention and I’m sorry that we’re in this place, but we have a great opportunity.”
Where is the $7.5 million going?
In 2022, 219 people died from drug overdoses in Wake County. Opioids, medicines prescribed for pain like codeine, fentanyl, oxycodone, and morphine, were responsible in three-quarters of the deaths.
by Jaymie Baxley, North Carolina Health News April 18, 2024
By Jaymie Baxley
Small purple boxes have become a promising tool in Wilson County’s fight to lessen the deadly toll of the opioid epidemic.
ONEbox is a first aid-like kit that contains doses of naloxone, a nasal spray that can rapidly reverse the effects of opioid overdose. When the kit is opened, a screen embedded in the lid plays a video of a paramedic giving step-by-step instructions for administering the drug.
“Let’s take a deep breath,” says the woman in the video, speaking in either English or Spanish, depending on the language selected. “Step No. 1 is to check to see if somebody really is unresponsive. You can do that by gently shaking them or shouting, or you can use your knuckles against the sternum to see if you get a reaction.”
Dozens of the kits have been placed in strategic locations throughout Wilson County in recent weeks. Jeff Hill, executive director of the Wilson County Substance Prevention Coalition, said he wants the boxes to become so ubiquitous that “any layman will know what it is, know how to identify it and know how to use it.”
“At the end of the day, we understand that anybody in the right place, right time and right scenario can become, or needs to become, a first responder,” he said. “Wherever I can’t be, a ONEbox can — and that could be the difference between life and death.”
Joe Murphy, left, Susan Bissett and Jeff Hill in front of the Wilson County Public Library, one of more than 60 local sites where ONEbox kits have been distributed since February.
‘Community of first responders’
Hill first encountered ONEbox at a conference last year in Washington, D.C. Impressed with the kit’s lifesaving potential, he brought back a sample to show county officials.
“My initial reaction was, ‘Wow, it is so compact and it gives you everything that you need — all the tools that you need — to help save a life,’” said Lori Winstead, deputy manager for Wilson County. “With this system, you kind of avoid that fear of not knowing what step comes next. It puts you at ease, and that’s important in an emergency situation.”
At the time, Winstead was working on a spending plan for Wilson County’s first tranche of funding from a landmark settlement with the pharmaceutical companies that stoked the national opioid epidemic. Money from the settlement, which brings $7.5 million to the county over the next 18 years, can only be spent on services and strategies that address the crisis.
ONEbox fit the bill. In April 2023, the Wilson County Board of Commissioners agreed to buy 200 kits for $40,000. Hill’s coalition received the kits in February and began distributing them to local nonprofits, government agencies and businesses such as Casita Brewing Co. and Thomas Drug Store.
He said the demand was “greater than we expected.” The coalition ran through its initial supply within three weeks, prompting the county to order another shipment of 200 kits.
“I think it caught on so fast because the community bought into being a resource,” said Hill, adding that Wilson is the first county to deploy the kits in North Carolina. “Our quote here in Wilson County is ‘we’re a community of first responders, not a community dependent on them.’”
Unlike many of the state’s rural counties, Wilson has seen a decrease in fatal overdoses. The latest available data from the N.C. Department of Health and Human Services shows that Wilson County had 30 overdose deaths in 2022, down from 37 deaths a year earlier.
The use of naloxone rose over the same period. The Wilson Times reported that local paramedics administered naloxone to 105 patients in 2022, a 34 percent increase from the previous year. That number does not include doses administered by other public safety agencies and civilians.
Hill said the kits are part of a larger effort to improve community access to lifesaving interventions. He noted that Wilson County’s Board of Education approved a policy last May requiring every school in the district to keep a supply of naloxone.
“That’s very rare because most people would view that as, ‘Oh, no, we have a drug problem,’” he said. “That’s not what our school system is saying. What they’re saying is the same way we have an AED and a first aid kit on site, God forbid, in case of emergency, we want to make sure that we have naloxone to protect the sanctity […] and the livelihood of our students.”
Another example, he said, is Wilson Professional Services, a local medication-assisted addiction treatment center that offers free naloxone to anyone who requests it. The facility also provides training so people know how to properly administer the drug.
Naloxone has been readily available for years at community hubs like the Wilson County Public Library, where a staff member used it to save the life of a man who overdosed in 2022.
The intersection of Barnes and Goldsboro streets in downtown Wilson. Jeff Hill, executive director of the Wilson County Substance Prevention Coalition, said the community has been quick to embrace ONEbox.
“Wilson has certainly been one of the more comprehensive approaches that we’ve seen,” said Susan Bissett, president of the institute. “They’re using the libraries. They have them in bars and restaurants. They’re working with the schools and the local higher education facilities.”
Bissett traveled to Wilson County with a film crew last month to record testimonials from local leaders. The recordings, she said, are meant to show other communities how to successfully implement the kits.
“To see another Appalachian community embrace this has been incredible,” she said. “The fact that it is a more rural community — and how they’re making sure that boxes are in locations strategically placed throughout the community so that bystanders can respond — is incredible.”
Her comments were echoed by Joe Murphy, creator of ONEbox. Murphy said he came up with the idea after seeing his small West Virginia hometown “ravaged by drugs.”
“The way that every single organization we’ve talked to in this community has embraced it, from law enforcement to the public sector, is unbelievable,” he said. “You just don’t see this anywhere in the country.”
Kristen Kinney, circulation manager for Wilson County Public Library, gives an on-camera testimonial for a video about ONEbox.
Hill believes Wilson County could be a bellwether for other communities in North Carolina. He said officials from neighboring counties have already expressed interest in deploying ONEbox kits based on the successful rollout in Wilson.
“The goal is to create a model that can be replicated,” he said.
Vast swaths of North Carolina have no health care providers that accept Medicaid for people seeking medication to treat opioid abuse, according to an expert from The Pew Charitable Trusts.
The northeastern corner of the state has a notable absence of providers offering medications to treat opioid use disorder in people enrolled in Medicaid, Andrew Whitacre of Pew told the House Select Committee on Substance Use on Tuesday.
He offered recommendations for policy changes aimed at making it easier for people to find treatment and aligning state policies with funding.
“The passage of Medicaid expansion by the General Assembly last session has the potential to significantly improve access to care for people with substance use disorder, which will have an impact on saving lives, reducing jail and prison populations, and keeping families and children together,” he said.
States that increased reimbursement rates, paid for team-based care, and ran statewide educational training campaigns to encourage providers to take Medicaid had more offering substance use disorder services, Whitacre said.
In 2016, Virginia adopted this approach and found that more people were able to find treatment, he said. Virginia saw a six-fold increase in outpatient providers and a decrease in overdose deaths from 2021 to 2022.
North Carolina has increased reimbursement rates for providers, but that step alone may not be enough to encourage enough providers to meet the increased demand, Whitacre said.
Primary care physicians, federally-qualified health centers in rural and under-served communities, and other community-based providers should be able to bill Medicaid for treatment of substance use, not just substance use treatment specialists, Whitacre said.
“We can’t possibly treat the number of people that have substance use disorder needs with a specialty system,” he said. “It’s just not possible. It’s like treating diabetic patients only through the specialty system and no primary care involvement at all. You just don’t see that.”
North Carolina terminates Medicaid coverage for adults in jail, one of only eight states to do so. Other states suspend Medicaid coverage rather than kicking people off the insurance. Ending coverage means that people must reapply for insurance once they are released. The lack of insurance creates a time gap when people with substance abuse disorder cannot keep up with their opioid treatment.
“Given the relatively short average lengths of stay in jail, terminating Medicaid coverage has a particularly disruptive effect,” Whitacre said.
This was the final meeting of the House Select Committee on Substance Use. The legislative short session begins next week.
The committee recommended the legislature make tianeptine, also known as “gas station heroin,” a Schedule II drug. Products containing tianeptine are sold in convenience stores and vape shops. The FDA has issued several warnings against its use, and other states have banned it.
The committee also recommended passing House Bill 563, which would regulate hemp-derived edibles and kratom.
The committee had a lively discussion when Rep. Donna White’s suggested recommending mandatory monitoring of school bathrooms.
“I know that’s a big ask and I don’t know how we would do it. But I know it’s doable,” the Johnston County Republican said.
Rep. Amber Baker, a former elementary school principal, said the schools shouldn’t be required to hire more people without getting more money.
“I do support anytime we can get additional personnel into schools to help keep students safe,” said Baker, a Forsyth County Democrat. “But I’m not as supportive of us putting another legislative mandate on our schools without providing the personnel that will be in charge.”
WASHINGTON, April 16 (Reuters) – China is directly subsidizing production of illicit fentanyl precursors for sale abroad and fueling the U.S. opioid crisis, a U.S. congressional committee said on Tuesday, releasing findings from an investigation it said unveiled Beijing’s incentives for the deadly chemicals.
China continues to provide subsidies in the form of value-added tax rebates to its companies that manufacture fentanyl analogues, precursors and other synthetic narcotics, so long as they sell them outside of China, the House of Representatives’ select committee on China said in a report.
“The PRC (People’s Republic of China) scheduled all fentanyl analogues as controlled substances in 2019, meaning that it currently subsidizes the export of drugs that are illegal under both U.S. and PRC law,” the report said, adding that some of the substances “have no known legal use worldwide.”
The report cited data from the Chinese government’s State Taxation Administration website, which listed certain chemicals for rebates up to 13%. It additionally currently subsidizes two fentanyl precursors used by drug cartels – NPP and ANPP, it said.
According to the Chinese government website, the subsidies remain in place as of April, the report said.
China’s embassy in Washington said China was sincere in drug control cooperation with U.S. authorities and had a special campaign underway to control fentanyl and precursor chemicals and crack down on illegal smuggling, manufacturing, and trafficking activities.
“It is very clear that there is no fentanyl problem in China, and the fentanyl crisis in the United States is not caused by the Chinese side, and blindly blaming China cannot solve the U.S.’ own problem,” embassy spokesperson Liu Pengyu said in an email.
The U.S. State Department did not respond to a request for comment.
Mike Gallagher, the Republican chair of the bipartisan select committee, told a hearing on the issue on Tuesday that China’s incentives suggest Beijing wants more fentanyl entering the U.S.
“It wants the chaos and devastation that has resulted from this epidemic,” Gallagher said.
Fentanyl is a leading cause of drug overdoses in the United States. The U.S. has said that China is the primary source of the precursor chemicals synthesized into fentanyl by drug cartels in Mexico. Mexico’s government also has asked China to do more to control shipments of fentanyl.
China denies the allegation, and says the U.S. government must do more to reduce domestic demand.
The U.S. and China launched a joint counter-narcotics working group in January, following an agreement between U.S. President Joe Biden and Chinese leader Xi Jinping in November to work to curb fentanyl production and export.
U.S. officials have described the initial talks as substantive, but have said much more needs to be done to stem the flow of the chemicals.
The committee also said in its report that it found no evidence of new criminal enforcement actions by Beijing.
Ray Donovan, a former senior Drug Enforcement Administration official, told the hearing that the November agreement had not changed China’s support for the illicit chemical industry’s supply to the Western hemisphere.
