Greg Abbott

‘One Pill Kills' awareness campaign bringing fentanyl deaths down, governor says

"We're seeing a positive impact in the lives of Texans," Gov. Greg Abbott says

Texas Gov. Greg Abbott (R) discussed the state's plan to foster small businesses Thursday in Dallas.
NBC 5

Republican Texas Gov. Greg Abbott says new data from the Texas Department of State Health Services shows a nearly 20% decrease in fentanyl-related deaths over the past year.

The governor's office reported DSHS data showed at least 430 fewer deaths were attributed to fentanyl-related circumstances in the last 12 months when compared with the previous year.

DSHS data stated that over 1,900 Texans died due to fentanyl poisoning from August 2023 to July 2024. compared to more than 2,360 in the previous year. The decreases come after five straight years of increases, which saw a rise of over 600% from 2019 to 2023, in which more than 7,000 people died.

"Texas launched our comprehensive 'One Pill Kills' campaign in 2021 to raise awareness and educate Texans about the dangers of fentanyl, and we are seeing a positive impact on the lives of Texans," Abbott said. "Texas will continue to combat this nationwide crisis to protect more innocent lives from being lost to the scourge of fentanyl."

Last year, Abbott signed four pivotal laws to fight the fentanyl crisis:

  • House Bill 6 -- creates a criminal offense of murder for supplying or making fentanyl that results in death
  • House Bill 3144 -- establishes October as Fentanyl Poisoning Awareness Month to help increase knowledge of the issue
  • House Bill 3908 -- requires public schools to provide instruction on fentanyl abuse prevention and drug poisoning awareness to students in grades 6 through 12
  • Senate Bill 867 -- allows distribution of opioid antagonists to Texas colleges and universities to prevent opioid poisonings

On Thursday, the Tarrant County District Attorney's Office announced their first murder conviction under HB6. Kaeden Farish, 19, pled guilty to murder and was sentenced to 19 years in prison. Prosecutors said he sold fentanyl-laced pills to a 17-year-old who died of an overdose.

WHAT IS FENTANYL?

Fentanyl is a synthetic opioid that is 50 times more potent than heroin and 100 times more potent than morphine. Just two milligrams of fentanyl, which is equal to 10-15 grains of table salt, is considered a lethal dose.

Without laboratory testing, there is no way to know how much fentanyl is concentrated in a pill or powder. If you encounter fentanyl in any form, do not handle it and call 911 immediately.

Fentanyl remains the deadliest drug threat facing this country. According to the Centers for Disease Control and Prevention, 107,622 Americans died of drug overdoses in 2021, with 66% of those deaths related to synthetic opioids like fentanyl.

Drug poisonings are the leading killer of Americans between the ages of 18 and 45. Fentanyl available in the United States is primarily supplied by two criminal drug networks, the Sinaloa Cartel and the Jalisco New Generation Cartel (CJNG).

WHAT IS NARCAN?

Narcan is an over-the-counter prepackaged nasal spray containing naloxone hydrochloride which is an opioid antagonist that rapidly reverses an opioid overdose, but only temporarily.

According to the manufacturer, "Narcan nasal spray is a prescription medicine used for the treatment of a known or suspected opioid overdose emergency with signs of breathing problems and severe sleepiness or not being able to respond."

According to the Substance Abuse and Mental Health Services Administration, naloxone is an FDA-approved medication that is used to reverse an opioid overdose.

SAMHSA said because naloxone is a temporary treatment its effects do not last long and it's critical to obtain medical intervention as soon as possible after administering or receiving naloxone.

Marin Wolf with The Dallas Morning New tells NBC 5 about the life-saving training.

WHAT IS NALOXONE?

According to the National Institutes of Health's National Institute on Drug Abuse, naloxone is a medicine that can rapidly reverse an opioid overdose by attaching itself to opioid receptors and either reversing or blocking the effects of opioids.

"Naloxone can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose. But, naloxone has no effect on someone who does not have opioids in their system, and it is not a treatment for opioid use disorder. Examples of opioids include heroin, fentanyl, oxycodone (OxyContin), hydrocodone (Vicodin), codeine, and morphine.

Naloxone comes in two FDA-approved forms, injectable and as a nasal spray.

Naloxone works for only 30 to 90 minutes and many opioids remain in the body longer than that. It is possible for a person to still experience the effects of an overdose after a dose of naloxone wears off so it's imperative to call 911 or get the overdosing person medical attention as soon as possible after the dose is administered.

The U.S. Food and Drug Administration on March 29, 2023, approved selling naloxone without a prescription, setting the overdose-reversing drug on course to become the first opioid treatment drug to be sold over the counter.

A different drug, Opvee (nalmefene) is also an emergency nasal spray medication used to reverse an opioid overdose. Opvee, however, is not approved for over-the-counter use and can only be obtained with a prescription. Nalmefene stays in the body longer than naloxone and may be more effective for overdoses caused by long-acting opioids but it also may come with more opioid withdrawal symptoms.

DOES THE FDA APPROVAL MEAN I CAN BUY NARCAN AT CVS OR WALGREENS?

Yes. Narcan is currently available over-the-counter at pharmacies.

Other brands of nasal sprays (RiVive) and injectables may also soon be available over the counter.

WHAT IS RAINBOW FENTANYL?

In August 2022 the Drug Enforcement Administration issued a public advisory about the alarming emerging trend of colorful fentanyl available nationwide.

Brightly-colored fentanyl, dubbed "rainbow fentanyl" in the media, is being seized in multiple forms, including pills, powder, and blocks that resemble sidewalk chalk.

“Rainbow fentanyl—fentanyl pills and powder that come in a variety of bright colors, shapes, and sizes—is a deliberate effort by drug traffickers to drive addiction amongst kids and young adults,” said DEA Administrator Anne Milgram. “The men and women of the DEA are relentlessly working to stop the trafficking of rainbow fentanyl and defeat the Mexican drug cartels that are responsible for the vast majority of the fentanyl that is being trafficked in the United States.”

Despite claims that certain colors may be more potent than others, there is no indication through DEA’s laboratory testing that this is the case. The DEA said every color, shape, and size of fentanyl should be considered extremely dangerous.

Officials from the Drug Enforcement Administration are warning of fentanyl appearing in bright colors, sometimes resembling sidewalk chalk or candy.
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