After several UNC-Chapel Hill students died from fentanyl, these students are handing out the antidote

College senior Riley Sullivan often carries a vial of the drug naloxone in his backpack, in a pocket next to his pens and pencils.

He has done this for years, long before he was a student at UNC-Chapel Hill. Once, while volunteering at a homeless encampment in his home state of Michigan, he used it to save a manโ€™s life.

โ€œHe was using drugs with somebody else, and they did not have naloxone,โ€ Sullivan says. โ€œThis guy came out screaming, asking if anyone had some. And I did.โ€

Naloxone is the antidote to an opioid overdose. Sullivan took a syringe of injectable naloxone from the backpack he was carrying, walked into the tent and loaded it with a vial of medicine.

โ€œI injected it through his pants, into the front of his thigh,โ€ Sullivan recalled. Then he performed rescue breathing on the man. โ€œAnd luckily he made it.โ€

Today, Sullivan has a $15,000 supply of injectable naloxone in his closet at his off-campus apartment in Chapel Hill. He and two of his classmates have become unexpected distributors of the drug in this college town where several students have recently died from opioids.

The deaths are largely unknown to the campus community, but they were discussed at a recent public meeting of the UNC-Chapel Hill Board of Trustees. The university’s director of student wellness Dean Blackburn led the presentation.

โ€œI want to share a shocking statistic with you, that I hope you find shocking. It is for me. In the last 20 months, we have lost three active students and one young alum to fentanyl poisoning,” Blackburn said. “And I use that term specifically; not โ€˜overdoseโ€™ because our students and alum were not using fentanyl.”

โ€œThey were using other substances that were laced with fentanyl, and they did not know that. And the result of that poisoning was their death and our loss,โ€ he added.

Read the full article and listen to the interview on the WUNC website.

โ€˜Harm reductionโ€™ alliance: Hey, take it easy on the fentanyl dealers

The following OpEd is from the Oct 9 edition of the Carolina Journal.

While most of North Carolinaโ€™s political observers have been focused on the long-awaited completion of the state budget, there have also been other bills progressing through the legislature โ€” like SB 189,ย Fentanyl Drug Offenses and Other Related Changes, which increases fines and penalties for distributing the drug and sets up a task force to come up with new law enforcement strategies.

The bill aims to crack down on fentanyl and other powerful synthetic opioids, a positive step in an environment where over 100,000 people per year are dying of drug overdoses, including over 4,000 North Carolinians. The explosion of these deaths, which used to total around 5,000 people annually nationwide before the new millennium, has made it now the leading cause of death for adults 18-45, higher than other major causes like car accidents or heart disease. Over 70% of overdose deaths are due to fentanyl, an opioid so powerful many immediately overdose and die when they try it for the first time.

State Sens. Tom McInnis, Danny Britt, and Michael Lazzara introduced the bill, which passed the Senate unanimously in March. This week, SB 189 also passed the House, albeit with 20 Democrats voting against. Now the bill heads to the governor for his signature or veto, and at least some on the left think he should choose the latter.

Before the House vote was taken, a coalition of โ€œharm reductionโ€ advocates, including the NC Council of Churches, sent out a press release denouncing the bill.

โ€œAmid Stateโ€™s Worsening Overdose Crisis, Harm Reduction Advocates Argue SB189 Will Fuel Deaths and Systemic Racism,โ€ the statement begins.

To back the claim that arresting fentanyl dealers will increase overdose deaths, the harm reducers say, โ€œProsecuting dealers disrupts the drug supply, leading to more preventable overdose deaths.โ€

This, clearly, ignores the fact that fentanyl dealing is already highly illegal, so supplies are already disrupted when they are arrested. Increasing the fines and penalties on dealers isnโ€™t going to make much difference on that front. But it might act as a deterrent and reduce supply.

The study they cite, from NC State, looked at Haywood County after the original death-by-distribution law was implemented. Either those sending the press release didnโ€™t read it, or they hoped the reader wouldnโ€™t. But the study found the impact of the law was actually a lowering of overdose risk (because dealers lowered potency to avoid the serious charge) in the short term. The study did say there was a possibility of a greater risk in the longer term, but they were unsure, so their biggest takeaway was, โ€œOur study demonstrates most conclusively that further research on the individual and community-level impacts of DIH laws is urgently needed.โ€

Harm-reduction proponents are fond of calling all their claims โ€œevidence based,โ€ but Iโ€™ve found their evidence to be paper thin, like this claim that โ€œprosecuting dealers lead[s] to more deathsโ€ with the study saying mostly the opposite as proof.

After presenting their weak evidence, they go on to demand action based on it: โ€œIt is time for lawmakers to recognize the failings of the Drug War, and come to the realization that we cannot punish our way out of the overdose crisis.โ€

Read the full article on the Carolina Journal website.

North Carolina Passes Senate Bill 189 to Strengthen Laws on Death by Distribution

Raleigh, North Carolina- In a significant move aimed at combatting the alarming rise in drug-related fatalities, North Carolinaโ€™s General Assembly has passed Senate Bill 189, which has now been signed into law by NC Governor Roy Copper. The legislation, driven by a collaboration between lawmakers and law enforcement agencies, revises existing statutes pertaining to โ€œDeath by Distributionโ€ of controlled substances. According to the Bladen County Sheriffโ€™s Department, this crucial step in the fight against drug-related deaths has garnered strong support from the North Carolina Sheriffsโ€™ Association, highlighting its high-priority status.

The passage of Senate Bill 189 signifies a collective commitment to addressing the grave consequences of drug distribution, mainly when it results in loss of life. The bill introduces key changes to the existing legal framework.

Among the noteworthy provisions of Senate Bill 189 are:

1. Stricter Penalties: The bill strengthens penalties for individuals found guilty of distributing controlled substances that lead to a fatal overdose. These penalties are intended to serve as a deterrent against drug dealers who knowingly engage in activities that can result in death.

2. Enhanced Law Enforcement Powers: The legislation empowers law enforcement agencies to take more proactive measures in tracking down and prosecuting those responsible for distributing drugs that lead to fatalities. This includes expanded investigatory tools and resources.

3. Increased Accountability: Senate Bill 189 underscores the importance of holding drug dealers accountable for their actions by imposing harsher penalties. This accountability extends not only to those directly involved in distribution but also to individuals associated with the distribution network.

4. Education and Prevention: The bill recognizes the need for a multifaceted approach to address the opioid crisis. It allocates resources for education and prevention programs aimed at reducing the demand for controlled substances and promoting awareness of the dangers associated with their use.

The North Carolina Sheriffsโ€™ Association has been a vocal advocate for Senate Bill 189, emphasizing the critical role that law enforcement plays in safeguarding communities from the devastating impact of drug-related deaths. Their support underscores the urgency of addressing the ongoing opioid crisis, which has claimed countless lives across the state.

As the legislation goes into effect, North Carolina law enforcement agencies will have a more potent set of tools to combat controlled substance distribution, especially when it leads to fatalities. The hope is that these measures will not only serve as a deterrent but also contribute to saving lives and curbing the opioid epidemic.

Members of the public, local news media, and communities are encouraged to review the attached news release for a more comprehensive understanding of the changes brought about by Senate Bill 189. 

Read the full article on the BladenOnline website.

Fentanyl Isnโ€™t Just Smuggled In From Mexico. It Also Arrives Duty Free By Mail

Fentanyl isnโ€™t only arriving in the U.S. by your standard-fare drug smuggler, hiding it in suitcases and the back seat of a go-fast boat from Mexico bound for San Diego. Itโ€™s still coming in via U.S. mail and other international shippers. And it comes in duty-free. Barring drug-sniffing dogs at Customs and Border Protection (CBP) facilities catching the wayward package shipped usually from China and Mexico, duty-free entry remains a small but active way of getting the killer drug to addicts nationwide.

โ€œCBP continues to see bad actors seeking to exploit the increasing volumes of de minimis shipments to transit illicit goods, including fentanyl and the precursors and paraphernalia used to manufacture it,โ€ a spokesperson for CBP told me. De minimis is a Customs trade provision that allows for duty-free entry of all goods if priced under $800. CBP said that in fiscal year 2022 (beginning Oct 1 and ending Sept 30), most package seizures by Customs agents were from de minimis mail, including seizures for narcotics.

Although the CBP did not specify the source of these packages, Mexico and China are the top two, with China long known as the go-to spot for the raw materials and equipment used to make fentanyl in a lab.

Equipment such as pill presses, used by drug cartels for turning powder into consumable pills, were often seized at CBP mail rooms. Some 80% of those seizures came from duty-free entry, Brandon Lord, executive director of the trade policy and programs directorate, said on Sept. 11 at the National Customs Brokers & Forwarders Association of America conference.

Read the full article on Forbes.com (subscription may be required).

AG Garland announces $345M in grants to tackle fentanyl epidemic

Vowing to attack the nationโ€™s fentanyl problem on multiple fronts, Attorney General Merrick Garland announced Tuesday the Justice Department has awarded $345 million in grants to support education, prevention, treatment and recovery programs.

โ€œWe know that no one โ€” no one person and no one family โ€” can defeat the epidemic alone. We need each other,โ€ Garland said during a speech at the Drug Enforcement Administrationโ€™s National Family Summit on Fentanyl in Arlington, Virginia. โ€œThat is why the Justice Department is providing resources to public health and public safety programs across the country.โ€

Nearly a third of the funding will go toward the DOJโ€™s Comprehensive Opioid, Stimulant, and Substance Use Program for initiatives such as increased access to the overdose-reversing drug Naloxone, medication-assisted treatment and peer support to overdose survivors and their families. 

Twenty-five million dollars will go toward support, mentoring and other services for young people who have been affected by opioid and other substance use, as well as those who are at risk for substance abuse.

โ€œNo one, especially no young person, should have to face this alone,โ€ Garland said.

Garland did not say how all the grant money will be spent.ย 

Read the full article on the Spectrum News One website.

How deeply did prescription opioid pills flood your county? See here.

For the first time, Americans can see the rise โ€” and fall โ€” of legal opioids entering their community. A database maintained by the Drug Enforcement Administration that tracks every single pain pill sold in the United States, tracing the path from manufacturers and distributors to pharmacies in every town and city, is now public through 2019, the tail end of the pain pill crisis.

These records provide an unprecedented look at the surge of legal pain pills that fueled the prescription opioid epidemic, which resulted in more than 210,000 overdose deaths during the 14-year time frame ending in 2019. It also sparked waves of an ongoing and raging opioid crisis first fueled by heroin and then illicit fentanyl.

The Washington Post sifted through 760 million transactions from 2006 through 2019 that are detailed in the DEAโ€™s database and specifically focused on oxycodone and hydrocodone pills, which account for three-quarters of all opioid dosages shipped to pharmacies during that time. The Post is making this data available at the county and state levels to help the public understand the impact of years of prescription pill shipments on their communities.

A county-level analysis shows where the most oxycodone and hydrocodone pills were distributed across the country over that time โ€” more than 145 billion in all.

Read the full article on the Washington Post website (may require subscription).

Overdoses soared even as prescription pain pills plunged

The number of prescription opioid pain pills shipped in the United States plummeted nearly 45 percent between 2011 and 2019, new federal data shows, even as fatal overdoses rose to record levels as users increasingly used heroin, and then illegal fentanyl.

The data confirms whatโ€™s long been known about the arc of the nationโ€™s addiction crisis: Users first got hooked by pain pills saturating the nation, then turned to cheaper and more readily available street drugs after law enforcement crackdowns, public outcry and changes in how the medical community views prescribing opioids to treat pain.

The drug industry transaction data, collected by the Drug Enforcement Administration and released Tuesday by attorneys involved in the massive litigation against opioid industry players, reveals that the number of prescription hydrocodone and oxycodone pills peaked in 2011 at 12.8 billion pills, and dropped to fewer than 7.1 billion by 2019. Shipments of potent 80-milligram oxycodone pills dropped 92 percent in 2019 from their peak a decade earlier.Many of the counties with the highest fentanyl death rates โ€” in hard-hit states such as West Virginia, Kentucky and Ohio โ€” started out with alarmingly high doses of prescription pills per capita, according to a Washington Post analysis of the DEA data and federal death records.Counties with the highest average doses of legal pain pills per person from 2006 to 2013 suffered the highest death rates in the nation over the subsequent six years.

Read the full article on the Washington Post website (may require subscription).

The politicization of the fentanyl crisis

The country’s fentanyl crisis has become a potent political weapon, reflecting its deep and emotional impact on millions of Americans.

Why it matters: The opioid epidemic was once a rare topic that brought Republicans and Democrats together. But even as overdose deaths continue to climb, the discourse around fentanyl has become more politicized and, at times, less aligned with reality โ€” especially when Republicans talk about its connection to the U.S.-Mexico border.

  • “When it gets to the front page, sometimes the incentives can be to use it more as a partisan weapon,” said Keith Humphreys, a professor of psychiatry and behavioral services at Stanford.
  • But also, “there is a human part. Everyone’s upset. We have all these dead bodies. People are burying their children and communities are getting destroyed.”

Read the full article on the Axios website.

App State student promotes Narcan accessibility

โ€œNaloxone saves lives!โ€ senior Zoe Lebkuecher typed on each flyer with a Spanish translation under each line along with where students and anyone on campus can find Narcan. 

Lebkuecherโ€™s attendance at a welcome event she found on Engage turned into what is now a passion, spreading Narcan awareness.

Lebkuecher transferred to App State last school year and attended an event hosted by the  Collegiate Recovery Community. Lebkeucher said she has been working with the group ever since because of the community she found.

The universityโ€™s Collegiate Recovery Community helps students who are in recovery or wish to be in recovery and provides resources for those who want to support others throughout their recovery journey. The organization holds weekly recovery and community meetings.

Lebkuecher started to find ways to get involved with the Collegiate Recovery Community, which works hand-in-hand withย Wellness & Prevention Servicesย on campus.

Read the full article on the App State website.

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