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‘I don’t see how it ends’: expert sounds alarm on new wave of US opioids crisis

Dr Art Van Zee set out in the early 2000s to tell anyone who would listen how a powerful opioid was destroying lives. Two decades later, he’s still in disbelief

When Dr Art Van Zee finally understood the scale of the disaster looming over his corner of rural Virginia, he naively imagined the drug industry would be just as alarmed.

So the longest serving doctor in the struggling former mining town of St Charles set out in the early 2000s to tell pharmaceutical executives, federal regulators, Congress and anyone else who would listen that the arrival of a powerful new opioid painkiller was destroying lives and families, and laying the ground for a much bigger catastrophe.

Two decades later, as Van Zee surveys the devastation caused by OxyContin and the epidemic of opioid addiction it unleashed, he is still in disbelief at the callous indifference to suffering as one opportunity after another was missed to stop what has become the worst drug epidemic in US history.

But the 76-year-old doctor is also shocked that the crisis has got so much worse than even he imagined as one fresh wave of narcotics after another dragged in new generations and drove the death toll ever higher.

“This region has been through a lot but the drug problem is the worst thing that’s ever happened in central Appalachia in terms of human cost and devastation to individuals and families. You’ve got all these families that came apart, children living with dysfunctional parents or went into foster care. Children who learned from their parents to take drugs from a young age. The devastation is going to go on for generations,” he said.

“It didn’t have to happen. There were so many missed opportunities. So many times it could have been stopped. Now, I don’t see how it ends.”

As it turned out, the drug industry was alarmed by Van Zee’s warnings, but not in the way he expected. It saw the doctor as a threat to profits and so from the very beginning, big pharma responded by working to discredit Van Zee and others like him who rang the alarm on high strength opioids creating mass addiction.

Read the entire article on the The Guardian website.

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CMS acknowledges teen drug use, will stock all public schools with Narcan

Narcan is the FDA-approved nasal form of naloxone for the emergency treatment of a known or suspected opioid overdose. News & Observer file photo

Teens and drugs. The phrase has long gone together, but, nowadays, each puff passed, pill crushed and line sniffed threatens death, not a shaking finger.

In response to the bleak reality students face — where deadly opioids like fentanyl are easy to get and even harder to escape — the overdose reversal drug naloxone will soon be stocked in every Charlotte public school.

Charlotte-Mecklenburg Schools Board of Education unanimously approved the plan Tuesday, which was the first time the district openly addressed the topic of drug use among students.

Senator Lazzara receives ‘Defender of Public Safety’ award from NC Sheriffs’ Association

The North Carolina Sheriffs’ Association has recognized Senator Michael Lazzara (R-Onslow) with the “Defender of Public Safety Award” for the important work he did during the 2023 legislative session to protect public safety in North Carolina.

“It is a tremendous honor to receive this award from the North Carolina Sheriffs’ Association in recognition of our work to support law enforcement and enhance public safety,” said Lazzara in a Monday media release from his office. “Together, we will continue working to overcome the fentanyl crisis and ensure law and order prevails in our communities.”

Lazzara’s legislative district is served by Onslow County Sheriff Chris Thomas.

“Senator Lazzara has been a valuable partner in the recent legislative session, supporting the legislative priorities of the North Carolina Sheriffs’ Association, which is a voice for all 100 sheriffs in the state,” said Sheriff Darren Campbell, President of the Association.

“As a result, our sheriffs have new tools we can use to protect our communities, such as new laws intended to protect our electric power grid, stop dangerous street takeovers by motor vehicle gangs and some which will allow us to better address the growing fentanyl crisis many of us see in our communities. We are better equipped today than we were yesterday to protect the lives, liberties and property of North Carolina’s citizens.”

During the 2023 legislative session, the General Assembly considered hundreds of bills and enacted dozens of laws that had a direct impact on law enforcement and public safety in North Carolina. The 2024 session is expected to begin in April and will likely see many additional law enforcement and public safety related bills.

Read the full article on The Daily News website.

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Billboard Campaign: Who Dies Next? fentvic.org hosts PSA Campaign

FIGHT FENTANYL to SAVE LIVES Digital Billboard Campaign

In Gaston, Mecklenburg, and Union Counties, NC
1/7—1/21/2024

CONTACT

Barb Walsh, Executive Director, 919-614-3830, barb@fentvic.org
Fentanyl Victims Network of NC (fentvic), 501(c)(3) EIN 88-3921380 www.fentvic.org
Contact Barb to schedule interviews with local fentanyl victim families

4 LOCATIONS: Gaston, Mecklenburg and Union County, NC (see below)
Gastonia, Gaston County: I-85 just north of Cox Road exit facing South
South Charlotte, Mecklenburg County: 1) I-77 Southbound, near Westinghouse Blvd 2) I-77 Northbound, north of I-485 interchange, 3/10 mile Arrowood Rd
Monroe, Union County: US-74 Walkup Avenue, faces east

DETAILS

1/7@12am -1/21/24@11:59pm. Runs 24/7, digital and illuminated.
Hosted by fentvic.org, NC fentanyl victim families and corporate good citizen Adams Outdoor (Julie Belnap, Account Executive)
Features 15 NC fentanyl fatality victims killed by fentanyl 15 different ways.
1/20/24 Family Summit on Fentanyl Fatalities: Public Safety, Awareness & Justice.
10:30-3:30. Private Event for NC Fentanyl Victim Families & Press who pre-register. Separate press release to be issued.

PURPOSE:

SAVE LIVES!
Spark public safety conversations within communities and amongst families about the dangers of illicit fentanyl, particularly counterfeit pressed pills (Adderall, Xanax, Percocet)
7 out of 10 ‘street’ counterfeit pills contain lethal dose of fentanyl additives (DEA 2023)
Raise awareness about 16,228 NC fentanyl fatalities, 2013-September 2023 (NC OCME)
1,615 fentanyl fatalities combined occurred in Gaston (311), Mecklenburg (1,118) and Union (186) 2013-Sept 2023 (source: NC State Center for Health Statistics, Vital Statistics Death Certificate Data)
Links to fentanyl fatality data on fentvic.org website:

ABOUT

Fentvic is a charitable nonprofit located in Wake County NC. EIN #88-3921380
- Fentvic is a action oriented grassroots nonprofit that promotes Public Safety, Education, Justice, Advocacy, and Support of NC fentanyl victim families in all 100 NC Counties

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Fentanyl super labs in Canada pose new threat for U.S. opioid epidemic

Police discovered a fentanyl lab in April near Vancouver. The spread of such labs in Canada could undermine U.S. enforcement efforts and worsen the opioid crisis in both nations. (Courtesy Vancouver Police Department)

At a rural property an hour outside Vancouver in October, Canadian police found 2.5 million doses of fentanyl and 528 gallons of chemicals in a shipping container and a storage unit. Six months earlier, they raided a home in a cookie-cutter Vancouver subdivision packed with barrels of fentanyl-making chemicals, glassware and lab equipment.

Thousands of miles away outside Toronto, police in August found what is believed to be the largest fentanyl lab so far in Canada — hidden at a property 30 miles from the U.S. border crossing at Niagara Falls, N.Y.

U.S. authorities say they have little indication that Canadian-made fentanyl is being smuggled south in significant quantities. But at a time when record numbers of people are dying from overdoses in the United States, the spread of clandestine fentanyl labs in Canada has the potential to undermine U.S. enforcement efforts and worsen the opioid epidemic in both nations.

Investigators in Canada say the labs are producing fentanyl for domestic users and for export to Australia, New Zealand and, they assume, the United States.

“It’d be hard to believe it’s not occurring,” said Philip Heard, commander of the organized crime unit for police in Vancouver, a city hard-hit by fentanyl overdose deaths. “Most police leaders I’ve spoken to believe our production outstrips what our domestic demand is.”

The Canadian labs are a curveball for U.S. authorities whose efforts to combat fentanyl are focused on the southern border with Mexico. U.S. Customs and Border Protection has installed about $800 million worth of powerful scanning and detection equipment at land border crossings since 2019. Nearly all that technology has been deployed along the U.S. southern border, where CBP confiscated nearly 27,000 pounds of fentanyl during the fiscal year that ended Sept. 30, the most ever.

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.