Pubdate: Sun, 27 Feb 2005 Source: Star-News (NC) Copyright: 2005 Wilmington Morning Star Contact: http://www.wilmingtonstar.com Details: http://www.mapinc.org/media/500 Author: Ken Little Bookmark: http://www.mapinc.org/find?132 (Heroin Overdose) HEROIN IMPACT GROWS Illicit Drugs Hit Area Youths Hard Adam shepherd never knew what hit him. The 18-year-old Cape Fear Academy graduate had just completed his freshman year at the College of Charleston and was back home in Wilmington for a summer job. On May 30, 2003, Mr. Shepherd went to a party at an apartment complex in Ogden. A few hours later, he was dead, the victim of a lethal mixture of heroin and cocaine. "This was a kid who never got in trouble, never missed a curfew," said his mother, Cindy Shepherd. "All the coroner could say was, 'I couldn't believe I saw this beautiful young man dressed in preppie clothes laying on the floor.' " Heroin and other illicit drugs cut a deep swath through the Cape Fear region, experts say, and many young people pay the price. Old stereotypes about heroin no longer apply, as the drug overtakes youths whose upbringing is worlds away from the inner city. Ms. Shepherd said her son inhaled rather than injected the heroin and cocaine "speedball" that killed him. "Parents are so naive," she said. "We think we have wonderful kids, they get great grades and they don't get into trouble and they're out there doing this stuff and nobody wants to talk about it." Paramedics with New Hanover Regional Emergency Medical Services see the effects of heroin on a daily basis. Last year, EMS personnel responded to 43 heroin overdoses. Fourteen of those people were in full respiratory arrest, said Sean Gibson, performance improvement coordinator for New Hanover Regional EMS. 'A younger population' "It's a younger population and it's predominately a white male population. What is sad is you will pull up to the scene and there's a kid lying there with a needle in his arm and they're not breathing. They're blue," Mr. Gibson said. "They never know what they're buying." Paramedics generally administer an agent called Narcan, which reverses the effects of narcotics in the body. "Some of these kids know what they're doing. They've been through it before," Mr. Gibson said. In 2004, the average age of a person who overdosed on heroin in New Hanover County was 31. "Most of them are white males. There was one 16-year-old female who overdosed on heroin last year," he said. Fatal heroin overdose figures are not available, primarily because a conclusive cause of death must be determined by the medical examiner. Mr. Gibson said many more non-fatal overdoses are the result of a combination of drugs, sometimes mixed with alcohol, and the individuals treated don't volunteer information. Paramedics answer many drug-related calls downtown, in the business corridor along Market Street and in neighborhoods surrounding the University of North Carolina Wilmington. It's easy to tell when a particularly potent batch of heroin hits town, Mr. Gibson said. "You know when you're seeing weeks of two or three heroin overdoses," he said. Between Feb. 15 and Wednesday, three people were treated for heroin overdoses at New Hanover Regional Medical Center, a hospital official said. Law enforcement agencies wage a continual war against drug trafficking in Wilmington. The city police Vice and Narcotics Unit made a major heroin bust Feb. 20 in a room at the Sleep Inn on Market Street. Detectives seized more than 900 packets of heroin, worth in excess of $20,000 on the street. Frankie Johnson, 22, of Wilmington, was charged with felony trafficking along with Javaun Delfyette, 20, of Brooklyn. Two days later, 25-year-old Harris Black, Mr. Johnson's brother, was charged with selling heroin in the Hillcrest housing complex in Wilmington. Detectives used evidence found at the scene of two overdoses in the Sigmon Road Wal-Mart parking lot to locate Mr. Harris. "It's no secret that heroin has been on the increase in our area. We have had more overdoses in recent years," said Sgt. Jeff Allsbrook, of the Vice and Narcotics Unit. Cheaper, more potent Heroin in Wilmington is relatively easy to find, and it's cheaper and generally more potent than it was several years ago, Sgt. Allsbrook said. A bag of heroin can be purchased on the street for $20 to $25, Sgt. Allsbrook said. There is no such thing as a typical user these days, he added. "It goes across all lines – male, female, white, black, kids in college, working people. I can't really say it's one group," Sgt. Allsbrook said. Much of the heroin that finds its way to Wilmington comes from the New York City area, he said. Other distribution centers include Philadelphia, Newark, N.J., Baltimore and Washington, said Emmett R. Highland, resident agent in charge of the federal Drug Enforcement Administration office in Wilmington. The DEA coordinates with local law enforcement on many drug investigations. "In terms of regionally and in the Wilmington area, we have seen a rise in heroin seizures," Agent Highland said. "One of the contributing factors to the rise of heroin in Southeastern North Carolina and what we see on the east coast is Columbian heroin, as opposed to west of the Mississippi, where you would see a lot of Mexican heroin." Most of the illegal drugs entering the states comes from Mexico. There are organized drug networks and transportation conduits getting heroin and other drugs to Wilmington, he said. Agent Highland would not elaborate. "There are a number of challenges with regard to heroin when we have established routes and established organizations with the heroin trade," he said. "There is more cause for concern and we are constantly evolving our methods and responses. We're also forecasting, to a certain extent, trends that we see regionally and domestically." One trend is the strength of the drug. "I do know that the potency has increased over the last several years and the method of ingestion has changed, too, from injecting it to snorting it," Agent Highland said. Sgt. Allsbrook said many people also abuse OxyContin, Vicodin and other prescription drugs to get a similar narcotic high. "Heroin use kind of runs hand in hand with other opioids," said Kenny House, clinical director of substance abuse services at Coastal Horizons Center in Wilmington. The popularity of the drug "is constant, but I think that the trends over the last several years have shown younger and younger people have experimented and become dependant and we're concerned about that," Mr. House said. Mr. House said about 160 Coastal Horizons clients are receiving treatment for opiate use, which can include methadone therapy and counseling. The center serves clients from New Hanover, Brunswick, Pender and surrounding counties. Another 20 clients are participating in a clinical trial involving Suboxone, a newer medication effective in treating opiate dependence without producing euphoria. "It's very successful," Mr. House said. Most of the heroin addicts being treated at Coastal Horizons are doing so voluntarily, he said. A losing struggle Keith and Rachel Thompson tried everything in their power to help their daughter Blaire beat an eight-year battle with heroin. The 26-year-old died of an overdose Dec. 23 in a Wilmington hotel room. Ms. Thompson graduated magna cum laude from UNCW and was a former Pender County elementary school teacher. She could have been anything she wanted, her parents said, until she was introduced to drugs. Mr. Thompson lamented the lack of long-term treatment options available to addicts. "There's nothing out there. Everything is structured for 30 days," he said. Blaire Thompson was drug-free for 90 days before the fatal dose of heroin entered her system. "It was one event. What some people don't know is that the first time you use it can be your last," Mr. Thompson said. "The recent arrests that they had were good arrests, but it's not going to put a dent in what's out there. The reason it's so cheap is because there's so much out there." On their way back from the funeral home on Christmas Eve, the Thompsons paid a visit to the home of the person they believe sold the heroin to their daughter. "We went and knocked on his door. I just told him he had one less person to serve," Mr. Thompson said. Mr. Thompson is state director of Dads and Mad Moms Against Drug Dealers, an organization seeking passage of legislation in North Carolina called the Drug Dealer Liability Act. The law would allow families of victims to sue drug dealers in a way similar to lawsuits brought against businesses that sell alcohol to minors. Neighbors could also sue a persistent drug dealer, Mr. Thompson said. A form of the law exists in 14 states, he said. "For years, I was focused on keeping the tree alive that was my daughter. Now that my one tree is dead, meaning my daughter, I can see the forest. Somebody has got to take a stand," Mr. Thompson said. "Drug users eventually die. Dealers just go on." The Thompsons have told their story to a national audience, recently appearing on Good Morning America. They still have many unanswered questions. "Until somebody is arrested, Keith and I won't let this go," Mrs. Thompson said. Ms. Shepherd, whose son Adam died in Wilmington in 2003, said she and her husband, Jim, also continue to seek answers from authorities about his overdose death. "We just want to know what happened," she said. The Shepherds lived in Wilmington for nine years. Mrs. Shepherd said her family moved here from California so Adam and his sister would not be exposed to harmful influences. They moved to Moore County soon after Adam's death. "I just said I cannot stay in Wilmington anymore. We were naive, thinking it was small town, Bible-belt, everybody goes to church, but it does go on here," she said. "It's so important for other parents to know." - --- MAP posted-by: Jay Bergstrom