Kayla first tried fentanyl as a troubled 18-year-old, growing up in North Carolina. I felt like literally amazing. The voices in my head just completely went silent. I got instantly addicted, she remembers. The blue pills Kayla took were likely manufactured in Mexico, their potency unpredictable. As of 2023, over 110,000 drug-related deaths occurred in the U.S., pointing to the devastating impact of fentanyl, which is 50 times more potent than heroin.
In a remarkable turn, the number of fatal overdoses fell by 25% in 2024, with significant contributions from harm reduction strategies. North Carolina, where Kayla resides, boasts a 35% decrease in overdose fatalities thanks to innovative programs like law enforcement assisted diversion (LEAD), which helps divert substance users towards recovery services rather than criminal charges.
Kayla's journey underscores the importance of support systems. She has moved away from street drugs, thanks to programs in place that assist individuals with addiction while fostering healthier life choices. The LEAD program, for instance, aims to provide secure housing and employment support, all while allowing law enforcement to focus on larger criminal issues.
Dr. Eric Morse, an addiction psychiatrist in Raleigh, advocates for harm reduction and emphasizes treatment over criminalization. He notes that patients who test positive for opioids are not penalized but instead receive additional counseling, leading to higher rates of individuals eventually stopping their use of street drugs.
Despite the progress, the conversation on treatment approaches continues, with some advocating abstinence over medication-assisted treatment, arguing that replacing one addiction with another is not a viable solution. Yet studies indicate medication-assisted treatment can significantly decrease the likelihood of overdose compared to those not in any treatment whatsoever.
Another critical component in this fight is naloxone, a lifesaving medication that reverses opioid overdoses. In 2024, over 16,000 doses were administered in North Carolina alone, potentially saving countless lives.
As the epidemic evolves, so too do the strategies for combating it. With a generational shift towards avoiding opioids—driven by the sobering reality of overdose deaths among older generations—the fight against the fentanyl crisis continues to adapt in a bid to save lives.
For Kayla, the path forward is optimistic. Now a certified nurse assistant, she aims to become medication-free while aspiring to help others in similar situations. I feel more alive than I ever did when I was using fentanyl, she states, embodying the hope that recovery is possible.