This past Saturday, a community forum addressing the impact of fentanyl in Carteret County was held at the Beaufort Train Depot. During the event, Sheriff Asa Buck, District Attorney Scott Thomas, Assistant District Attorney Dave Spence, and Legal Assistant Michelle Gillikin, all of Prosecutorial District 4, were honored with the Save Lives Together Award for their collaborative work in holding fentanyl traffickers accountable. Additionally, Brooke Barnhill, manager of the County’s Post Overdose Response Team (PORT), provided a Narcan (naloxone) demonstration and outlined local recovery resources.
Carteret County issued a news release from the event.
by Jaymie Baxley, North Carolina Health News April 14, 2025
By Jaymie Baxley
Naloxone is a widely available medication that can bring someone back from the brink of death in minutes, but cost, stigma and other barriers have kept the opioid overdose antidote out of reach for many of the North Carolinians who need it most.
In Wilson County, a new initiative aims to break down those barriers by giving residents free, 24/7 access to naloxone — no questions asked.
Repurposed newspaper dispensers filled with naloxone nasal spray were installed last month at five sites in the rural, eastern North Carolina county. These kiosks also contain information about recovery services for substance use disorder and testing strips that can be used to check illicit drugs for deadly substances such as fentanyl.
Jeff Hill, executive director of the coalition, said the goal of the kiosks is to “make sure that any person who needs a box of naloxone in Wilson County can access it at no charge.”
“Yes, over-the-counter Narcan is available, and yes, I can buy it at Walmart,” said Hill, referring to the brand name of naloxone. “But if I’m a person in early recovery who’s trying to help somebody, or I’m a person in active use or a family member of a person in active use with limited income, I might not have $50 to spend on that box of Narcan.”
Strategic placement
One of the kiosks was installed at BHG Wilson Professional Services, a center that provides medication-assisted treatment to residents recovering from opioid use disorder.
Amber Leclercq, program director for the center, said the kiosk was “strategically placed” on a side of the building that faces a row of tall bushes.
“With the vending machine being right there, it’s easy to access but also shaded enough to where other vehicles driving down the road don’t see,” she said. “If people are not yet ready to seek treatment or if they’re scared, this gives them the opportunity to discreetly obtain tools and information that might be life-changing. They’re taking the first step.”
The four other Wilson County kiosks are at county-owned facilities, including the local library, Health Department and Department of Social Services, and at Recovery Concepts Community Center, a coalition-run space that hosts meetings for addiction support groups.
Each kiosk was initially loaded with 25 boxes of naloxone and 100 testing strips. Hill said interest in the stations had surpassed the coalition’s expectations, with a couple of them needing to be restocked just days after they were installed on March 24.
“Our machine was one of the ones that got cleaned out pretty quickly,” said Lori Walston, director of communications for the Wilson County Department of Social Services. “We have a lot of foot traffic because of our agency and what we do. Also, the neighborhood where we sit is one of the neighborhoods of greater need in the community.”
Alisa Milliken, the department’s grants and wellness coordinator, said the agency also serves a number of residents experiencing homelessness — a population with an especially high risk of overdose.
“We have a lot of homeless people coming in on a daily basis needing food and things like that, so we expect that the Narcan will keep going pretty quickly, probably every time at our location,” she said.
Hill said the kiosks will be regularly replenished using funds from Wilson County’s share of a landmark court settlement with the pharmaceutical companies that allegedly fueled the national opioid epidemic. The county is set to receive a total of $7.8 million in annual payments through 2038.
Community education
Esteban Arizpe, a community paramedic with Wilson County EMS, said arming citizens with naloxone reduces strain on first responders.
“When someone calls 911 for an overdose and they’re actually administering the naloxone prior to EMS’ arrival, it greatly increases the chance of that person surviving while freeing up our units for other calls,” he said.
The kiosks not only provide easy access to naloxone, they also provide instructions on how to use it. Each station is equipped with a video player that gives a step-by-step tutorial for administering the drug.
“One thing that we strive for is to better ourselves and better our community by providing resources and giving them the education to know the signs and symptoms of an overdose, and how to treat it,” Arizpe said. “This is something that is helping us to meet that goal.”
Arizpe added that he’s seen a “great increase in knowledge” around naloxone and other tools such as syringe exchanges and testing strips — collectively known as harm reduction methods — among residents in recent years.
The increased awareness has coincided with a drop in emergency department visits. Admissions of overdose patients to the ER at Wilson Medical Center fell 36 percent from 2022 to 2025, according to DHHS data.
The grant used to buy and stock the kiosks came from the Rural Communities Opioid Response Program, a multi-year initiative managed by the U.S. Department of Health and Human Services’ Health Resources and Services Administration.
In addition to paying for the five kiosks in Wilson County, the money allowed the coalition to buy four stations to place in nearby Edgecombe, Nash, Warren and Wayne counties. The total cost for the project was $10,000.
Carole Johnson, former administrator of the federal Health Resources and Services Administration, speaks during an event announcing a $2.9 million grant for the Wilson County Substance Prevention Coalition in September 2024.
The kiosk for Wayne County was presented to the local Health Department. Margaret Brake, the department’s director, said she will be meeting with community partners this month to determine where it should be placed.
“We like the idea that people will have 24-hour access to naloxone,” she said. “Particularly if it’s someone that’s homeless or struggling—they can get what they need when they need it. We’ve even talked about putting some canned goods in there, just to have some additional things the community can use.”
Mark Winstead, a pastor at Restoration Purpose Church in the small Nash County town of Bailey, is also trying to find a good site for his community’s kiosk. He described Bailey, which had a population of fewer than 600 people at the 2020 U.S. Census, as a place where “everybody knows everybody.”
“There’s still a stigma there,” Winstead said. “But if I can put something somewhere, and maybe it’s a well-known commissioner’s son who’s battling addiction and he can discreetly come get naloxone, then that’s what it’s all about.”
“You can’t treat somebody that’s dead,” he added. “We gotta be able to save their life first — and then we can work on the rest of it.”
The Fentanyl Victims Network of North Carolina was featured in an article in the North Carolina Sherrif’a Association April newsletter. Read the newsletter online here.
BEAUFORT — The Fentanyl Victims Network of North Carolina, a nonprofit based in Wake County, plans to present awards to Carteret County Sheriff Asa Buck, District Attorney Scott Thomas and his team for top efforts in the state to stop fentanyl traffickers.
A ceremony will be held from 2 to 4 p.m. on April 12 at the Beaufort Train Depot to recognize Buck, Thomas, Assistant District Attorney David Spence and District Attorney Legal Assistant Michelle Gillikin.
Fentanyl victims and their families will also be recognized and the event is open to the public.
In addition, there will be guest speakers, including Brooke Barnhill with the Carteret County Department of Health and Human Services Post Overdose Response Team (PORT).
Fentanyl Victims Network Executive Director Barbara Walsh, whose daughter died after unintentionally ingesting fentanyl, said, “The Sheriff is receiving an award for having the most in NC of investigations and arrests of fentanyl traffickers who caused a death. This is not because Carteret has the highest rate of fentanyl fatalities in the state. It is because Sheriff Buck cares and allocates resources to find out what caused those deaths. He treats victims and their families with dignity and respect. Some sheriffs have zero arrests.”
She added that Thomas, Spence and Gillikin are receiving awards for the most prosecutions in NC of fentanyl traffickers who cause death, the Death by Distribution charge.
“Again, this is not because Carteret has the highest number of traffickers, it is because the DA believes in keeping the community safe,” she said.
During the ceremony, Walsh said each reward recipient will speak. The event will also feature naloxone training and distribution of free naloxone. Public safety education and prevention materials will be provided.
According to their website, The Fentanyl Victims Network is a nonpartisan, action-oriented statewide grassroots nonprofit that promotes public safety, education, justice, advocacy and support of NC fentanyl victim families in all 100 North Carolina counties. The Beaufort event will be the 28th public safety and education event hosted by the organization in North Carolina.
Other purposes of the group are to spark safety conversations about the dangers of illicit fentanyl, particularly counterfeit pressed pills, and to help provide access to life-saving naloxone in schools and communities. It’s also to connect NC Fentanyl Victim families for support and advocacy.
According to the organization, 18,594 NC residents were killed by fentanyl from 2013-23, and seven out of 10 street-pressed, copy-cat pills contain lethal fentanyl additives. The organization also provided a chart showing that from 2013-23 there were 168 fentanyl fatalities in Carteret County, with 29 Death by Distribution arrests.
In a joint statement about receiving the awards, Buck and Thomas said, “We have been working together as a team on all criminal matters since 2006 including the prescription drug issue which fueled the current heroin and fentanyl crisis we have faced in recent years. We have worked together to strictly prosecute drug offenders and we have supported treatment and recovery efforts to help people achieve recovery from their addictions and go on to live productive and healthy lives,” they stated
“We commend the tremendous work that has been done in the area of investigating overdose deaths and prosecuting these cases by Sheriff’s Office Detectives, other local police departments and the District Attorney’s Office prosecutors and legal staff. We are very proud of all of the work that has been done by these dedicated public servants investigating, prosecuting and holding accountable the offenders who have caused the deaths of citizens in our area. We hope our efforts have provided some sense of justice and closure to the families of these overdose victims.”
In addition, Buck and Thomas stated, “Everything we do should send a message to the public that we are working to address serious issues in our community and to let the criminal offenders know that we will not tolerate this type of activity and we seek to arrest, jail and prosecute them.”
For more information about the organization, go to Fentvic.org.
Contact Cheryl Burke at 252-726-7081, ext. 255; email Cheryl@thenewstimes.com; or follow on Twitter @cherylccnt.
Welcome to the Sunday edition of our Under the Dome newsletter, which focuses on the governor. I’m Avi Bajpai, filling in for Dawn Vaughan this week.
Gov. Josh Stein announces his 2025-27 state budget proposal during a press conference Wednesday, March 19, 2025, at the Albemarle Building in Raleigh. Travis Long tlong@newsobserver.com
The budget proposal Gov. Josh Stein unveiled last month renews his request, now for the third year in a row, for a special unit of state prosecutors and law enforcement agents focused on combating fentanyl trafficking.
Stein first called on the General Assembly to create a fentanyl control unit within the N.C. Department of Justice in February 2023. As head of the department in his role as attorney general at the time, Stein said there was a need for additional prosecutors dedicated to helping local district attorneys go after large-scale trafficking, wiretap, and overdose cases.
His first recommended budget as governor this year includes a funding request for a fentanyl control unit with attorney positions at the DOJ, and law enforcement positions at the State Bureau of Investigation.
Asked about the proposal this week, Stein told reporters that even though initial data appeared to show a downturn in overdose deaths in North Carolina last year, it remains a priority for the state to “dedicate resources to getting this poison out of our communities to the fullest extent possible.”
BOONE — A woman pled guilty to death by distribution, marking the first conviction of its kind in Watauga County.
According to court documents, Angelina G. Miller, 30, was sentenced to 58-82 months in prison after she plead guilty to the charge that stemmed from a June 2023 arrest. She has already served 661 days.
Watauga County Sheriff’s Office Det. William Watson, who was the lead investigator on the case, is pleased with the outcome.
“Overdose deaths have too often been overlooked, but this conviction reinforces the importance of thorough investigations and justice for victims and their families,” said Det. Watson. “I extend my deepest condolences to the Greenlee family and friends mourning the tragic loss of Karma at just 22 years old. This investigation was conducted in her honor, ensuring her memory contributes to justice and awareness.”
Watson also expressed gratitude to the Watauga County District Attorney’s Office for its dedication to prosecuting this case, as well as the Boone Police Department, North Carolina State Bureau of Investigation, Johnson County Sheriff’s Office, Carter County Sheriff’s Office and Hickory Police Department for their “invaluable” support. He said the case was “only possible through the collective efforts of all involved.”
According to previous reporting by the Watauga Democrat, Miller sold Fentanyl to Karma L. Greenlee who later died due to an overdose on March 14, 2023.
WCSO detectives began an investigation into the suspected overdose with assistance from the Boone Police Department, Johnson County Sheriff’s Office, Alexander County Sheriff’s Office and the Hickory Police Department. Two suspects were identified for allegedly selling and distributing the Fentanyl that killed Greenlee: William M. Oxentine, of Johnson County, Tennessee, and Angelina G. Miller, of Catawba County. Oxentine will be served with the Death by Distribution charge once he has served his current time on the unrelated charges in Tennessee.
Fentanyl Victims Network of North Carolina Executive Director Barb Walsh said there were 35 fentanyl related fatalities between 2013-2023. Her daughter, Sophia Walsh, died in 2021 due to fentanyl.
“Undisclosed fentanyl additives are found in fake/counterfeit pills such as Adderall, Xanax, Oxycontin and Percocet,” Walsh said. “Victims obtain fake pills off the internet like SnapChat, from local dealers or from friends. They do not know they are fake and deadly. A Pharmacy is the only safe supplier of prescription medication. Deadly undisclosed fentanyl additives may also occur in recreational drugs such as cocaine, meth and heroin. This is a public safety issue across the state.”
“There is an antidote for opioid toxicity,” Walsh said. “It is called naloxone, also known by brand names such as Narcan, Kloxxado, and Revive. Naloxone nasal spray can be obtained without prescription at a pharmacy, your local health department and from local Harm Reduction organizations.”
Watauga Sheriff Len Hagaman commended the investigative team’s hard work and emphasized the broader significance of this case.
“We hope that no other family has to endure the heartbreak of losing a loved one to an overdose. This conviction serves as a critical step in promoting accountability and preventing future tragedies in our community and beyond,” said Sheriff Hagaman.
Authorities arrested Donta Octovius Williams after linking him to the drug-related death of an adult and the death of a baby by dehydration.
DAVIDSON COUNTY, N.C. — A man has been arrested after a grand jury indicted him on charges of death by distribution and second-degree murder related to the deaths of an infant and an adult who were found dead inside a home in Davidson County in June 2024, the sheriff’s office says.
Deputies said the adult victim’s cause of death was suspected to be a drug overdose.
During the investigation, deputies identified Donta Octovius Williams from High Point as the person who gave the drugs to the adult victim while the baby was there.
Once the toxicology and autopsy results were received, the cause of death for the adult was shown to be due to Fentanyl Toxicity. The cause of death for the baby was due to dehydration.
On March 24, a State Grand Jury returned true bills of indictment for Williams on the charges of death by distribution and second-degree murder,
On March 27, members of the Davidson County Sheriff’s Office and High Point Police Department arrested Williams on the criminal indictments without incident. He was taken to the Davidson County Jail with the pre-condition of release set to a $750,000 secured bond.
The state of Virginia has seen drug overdose deaths plunge by more than 40% in a single year. Many other states are seeing improvements above 30%. Why is this happening? Researchers say it may be a combination of factors, some hopeful and some painful.
Over the past six months, I’ve been tracking something really cool and mysterious happening on American streets. For the first time in 30 years, drug deaths are plunging at a rate that addiction experts say is hopeful — but also baffling.
In the past, even the most ambitious, well-funded efforts to slow drug deaths only helped a little bit. Reducing fatal overdoses by 8% or 9% was seen as a huge win.
That means roughly 30,000 fewer people a year are dying. Many states are seeing even bigger improvements of 30% to 50%. In some states, progress has been sustained since 2021 and 2022, which suggests this isn’t a temporary blip.
So how did the U.S. finally turn the corner on drug deaths?
What’s going on? No one knows for sure, but here are eight leading theories I hear from experts.
Naloxone, also known as Narcan, may be the game-changer. The Biden administration raced to make this medication, a nasal spray that quickly reverses opioid and fentanyl overdoses, far more widely available. People can buy it now over the counter without a prescription. It’s distributed for free in many high-risk communities, and people using drugs often carry it. It’s unclear how many lives naloxone is saving each year, but many front-line public health workers tell me the impact is huge. Learn more here.
Naloxone, also known as Narcan, is much easier and more affordable than ever. People who use fentanyl now regularly revive one another after experiencing overdoses. Some public health experts and activists think this medication may be a big factor shifting the tide of America’s overdose crisis.
Weaker fentanyl. Street fentanyl is incredibly potent. But in many parts of the U.S., organizations that test fentanyl doses sold by drug dealers — often in pill form — have found a significant drop in purity.No one’s sure why drug cartels have changed their mixtures. Some researchers believe law enforcement pressure in China, Mexico and the U.S. is disrupting the black market fentanyl supply chain. Learn more here.
A dangerous but less lethal street drug supply. In most of the the U.S., gangs are selling complicated “cocktails” of street drugs. The amount of fentanyl appears to be dropping (see above), while the amount of animal tranquilizers, such as medetomidine and xylazine, is rising. These chemicals are highly toxic.They cause skin wounds, severe withdrawal symptoms and other long-term health problems. But doctors and addiction experts generally agree they aren’t as immediately lethal as fentanyl. That could mean more chronic illness but fewer fatal overdoses. Learn more here.
When America’s opioid crisis began in the 1990s, drug addiction treatment was rare and often came shrouded in stigma. The U.S. addiction treatment system and safety net have seen huge improvements over the past decade. Better medications are available, and in many communities, more resources are available to help people using highly dangerous drugs such as fentanyl.
Better public health. Thirty years after the U.S. opioid crisis began — and a decade after fentanyl spread nationwide — the U.S. has made strides developing better and more affordable services for people experiencing addiction. Medications that reduce opioid cravings, including buprenorphine and methadone, are more widely available, in part because of insurance coverage provided by Medicaid. In many states, roughly $50 billion in opioid settlement money paid out by corporations is also starting to help. Going forward, it’s unclear how the Trump administration’s deep cuts to public health agencies and grants will affect this new addiction safety net.Learn more here.
Many of the most vulnerable people have already died. This theory is discounted by some researchers I talk to, but many addiction experts think it’s a factor. Over the past five years,the U.S. has been losing roughly 110,000 people to fatal drug overdoses every year. It’s possible drug deaths are declining in part because a heartbreaking number of people using fentanyl and other high-risk street drugs simply didn’t survive. Learn more here.
Waning effect of the COVID pandemic. The isolation, trauma and disruption of addiction treatment programs that followed the onset of COVID in 2020 overlap with the most devastating years of drug overdose deaths. Many public health experts believe the pandemic deepened the catastrophic impacts of fentanyl. According to this theory, as the impacts of COVID continue to fade, deadly overdoses are also declining to a more “normal” level. Learn more here.
People are using fentanyl (and other high risk street drugs) more skillfully. This is a common theory among people who use street drugs. They often tell me they’ve adapted to the risks of fentanyl by smoking rather than injecting the drug, which many addiction experts believe is safer (though still incredibly dangerous). People try to never use fentanyl alone and often carry naloxone or Narcan to reverse overdoses. Many people use test strips to identify unwanted contaminants in their drugs and use smaller fentanyl doses. Learn more here.
A decline in young people using drugs. Street fentanylhas emerged as a leading cause of death among young people in the U.S., age 18 to 45. But research suggests far fewer young people and teenagers are using drugs (other than cannabis). This trend matters because new users have low physical tolerance for opioids such as fentanyl, which means they’re more likely to overdose and potentially die. Fewer young users means fewer people taking that risk. Learn more here.
It’s important to emphasize all of these theories are just that — theories. Most researchers, doctors and front-line care providers say they need more data and more time to understand a shift this large.
But there is a growing, tentative consensus that the answer may well be “all of the above.”
A big question going forward is How low will U.S. drug deaths go? We’ve already seen the biggest, fastest drop in U.S. history. So far, there’s no sign the improvement is slowing.
March 10. By Dave Vieser. When North Carolina Governor Josh Stein delivers his first State of the State Address Wednesday evening, Cornelius resident Debbie Dalton will be recognized by the first-term governor. Dalton received the call from Stein’s office last week and she’s thrilled.
“There really aren’t words to describe how much this means to the Dalton family,” she said. “We are so grateful to Gov. Stein as well as all of Hunter’s friends who have been so supportive over the years.”
About the Dalton family
Debbie and her husband Randy lost their son Hunter, who was 23, to an accidental opioid overdose in 2016. Since then she has been dedicated to educating people about the dangers of opioids through the Hunter Dalton HD Life Foundation, which provides education about the dangers of recreational drugs as well as resources to prevent drug usage and death from overdoses.
When Stein was Attorney General, she received the Attorney General’s Dogwood Award which is given annually to honor North Carolinians who are dedicated to keeping people safe and healthy in their communities.
In North Carolina, the State of the State is given every two years during a joint session of the General Assembly in Raleigh.
It is held in the House chamber, as the Senate chamber is not large enough to fit everyone. There are 50 senators and 120 representatives in the House. The Council of State is there, too, as well as the N.C. Supreme Court and the N.C. Court of Appeals.
First to NBC News: The bill from Sens. Alex Padilla, D-Calif., and Jim Banks, R-Ind., is called “Tyler’s Law,” named after a California teenager who died following a fentanyl overdose.
Sen. Alex Padilla, D-Calif.; Sen. Jim Banks, R-Ind.
WASHINGTON — Nearly seven years after Tyler Shamash, a 19-year-old from California, died following a fentanyl overdose, a bill that his mother says could have prevented his death is getting renewed focus nearly 3,000 miles away in Washington, D.C.
Shamash overdosed a few days before he died while he was living at a sober living house in 2018. His mom, Juli Shamash, was told he tested negative for drugs because the five-panel tox screen doesn’t test for fentanyl, a synthetic opioid.
“Had we known, we could have sent him to a place with a higher level of care, instead of the sober living home where he died,” Juli Shamash said in a statement.
She said she believes the doctor didn’t know that fentanyl isn’t included in the standard test run in emergency rooms across the country, which tests for marijuana, cocaine, amphetamines, PCP and natural and semisynthetic opioids, but not synthetic opioids like fentanyl.
Sens. Alex Padilla, D-Calif., and Jim Banks, R-Ind., on Tuesday reintroduced the bill, called “Tyler’s Law,” that would direct the Department of Health and Human Services to provide hospitals with guidance on implementing fentanyl testing in routine ER drug screens, according to a news release first shared with NBC News.
In the House, Reps. Ted Lieu, D-Calif., Bob Latta, R-Ohio, and Sydney Kamlager-Dove, D-Calif., also reintroduced the legislation Tuesday.
Juli Shamash said, “This bill will save lives in situations like Tyler’s, as well as in cases where people are brought into an ER for an overdose of one substance, but they unknowingly consumed fentanyl from a poisoned product.”
