McKinney | June 2023

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Opioid overdoses by type

Synthetic opioid-related overdoses far outpace those from natural and semisynthetic opioids in Texas, and the U.S. data may be underreported due to incomplete data.

Synthetic opioid-related deaths (fentanyl, methadone)

Natural and semisynthetic opioid-related deaths (heroin, oxycodone, opium)

texas

United states

1,012 1,788 2,351

36,603 31,525

72,027 71,143 56,894

446 439

318 375 535 607 651

11,462 13,674 13,518 11,941 12,620

2018

2019

2020

2021

2022

2018

2019

2020

2021

2022

McKinney

SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTIONCOMMUNITY IMPACT

addiction, should have Narcan avail- able in case of an overdose. “[Fentanyl is] literally in every drug,” she said. “There is no illicit drug that is safe from fentanyl.” Narcan can be safely administered to people of all ages and will not harm someone if they are not overdosing from an opioid, according to the CDC. Collin County deputy sheris have seized increasing fentanyl quantities on North Texas highways the last sev- eral years, Skinner said in an email. Collin County has seen a 1,032% increase in fatal fentanyl poisonings from 2018 to 2022, according to Collin County Medical Examiners data. “Because of the nature of transna- tional criminal organizations, cartels and illicit drug tracking, there’s no way to track illicit fentanyl,” Skinner said. Instead, law enforcement ocers try to intercept smuggling vehicles along the highways while the sheri’s oce watches other statistics, such as overdoses and overdose deaths. Two criminal investigators at the sheri’s oce have been assigned to work on drug cases, including cases related to fentanyl. In a fentanyl over- dose case, they will try to identify the victim’s source and make an arrest, Skinner said. “Since August 2022, they have investigated eight fentanyl-overdose cases, and they have arrested three suspects and seized cash from one suspected dealer,” he said. Be prepared If a person needs pain medication, they should talk to a physician or a health care provider, Skinner said. People should not borrow from or

exchange prescription medication with others. “A person should not buy medica- tion online, except from a reputable source,” he said. Those in need of medication can locate state-licensed online phar- macies across the U.S. via the FDA’s BeSafeRX online database. The web- site also provides tips and resources for consumers interested in purchas- ing medications online. Rojo’s mother Rachel Shaw said she is a “big believer” in a parent being involved in a child’s life. Even in sobriety, Narcan is a con- stant presence at home, she said. All parents and caregivers should keep Narcan on hand, in their homes and cars, Shaw said. Even parents who think, “not my kid,” should be proac- tive in keeping an eye out for drug par- aphernalia items, she said. “It’s better to be prepared,” she said. “You never know when you need it.” Shaw started a Facebook group called North Texas Moms of Addicts as a way to help raise awareness of drugs and fentanyl but also a way to remove the stigma on those conversa- tions, she said. Rojo, who has a 3-year-old daughter, carries Narcan with him, he said. But, his goal is to never need it. His addic- tion led to him not being able to see his daughter every day and led to the sep- aration from his daughter’s mother. “Fentanyl took my family away from me,” he said. “My addiction took it away from me because I guess I loved it more.”

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MCKINNEY EDITION • JUNE 2023