California Partners with New Jersey Firm to Buy Generic Opioid Overdose Reversal Drug
California Looks to Work Alongside Native American Communities on Fentanyl Crisis
Walmart, CVS Set to Pay San Francisco $19 Million in Opioid Settlements
San Francisco Assemblymember Matt Haney to Lead California's New Opioid Committee
Risk of Fentanyl Exposure for Emergency Responders ‘Extremely Low’ Public Health Officials Say
San Quentin Deaths Come Amid Increase in Drug Overdoses at Prison
San Francisco to Distribute Addiction Drug Directly to Users
'It Controls You’: 9 Months With a Fresno Mother Battling Addiction and Homelessness
S.F.-Based McKesson Corp. Subpoenaed in Opioid Probe
Sponsored
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Gavin Newsom.\u003c/p>\n\u003cp>Amneal Pharmaceuticals will sell naloxone to California for $24 per pack, or about 40% cheaper than the market rate. California will give the packs away for free to first responders, universities and community organizations through the state’s Naloxone Distribution Project.\u003c/p>\n\u003cp>The deal is significant because it means California can buy a lot more naloxone — 3.2 million packs in one year instead of 2 million — for the same total cost.\u003c/p>\n\u003cp>The deal means naloxone will eventually be available under the CalRx label. Newsom first proposed CalRx back in 2019 as an attempt to force drug companies to lower their prices by \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/fbf567dda715d7b277b1d7e161340ea5\">offering much cheaper, competing versions\u003c/a> of life-saving medication.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/general-news-0ce04b7e398408b760904d212af44104\">signed a law\u003c/a> in 2020 that gave authority to the state.\u003c/p>\n\u003cp>California governments and businesses will be able to purchase naloxone outside of the Naloxone Distribution Project, the Newsom administration said, adding the state is working on a plan to make it available for sale to individuals.\u003c/p>\n\u003cp>“California is disrupting the drug industry with CalRx — securing life-saving drugs at lower and transparent prices,” Newsom said in an statement provided by his office.\u003c/p>\n\u003cp>Naloxone has been available in the U.S. without a prescription since March of 2023 when the \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/narcan-naloxone-overdose-opioids-9ad693795ce31e3a867a4dd4b65dbde8\">U.S. Food and Drug Administration approved Narcan\u003c/a>, a nasal spray brand produced by the Maryland-based pharmaceutical company Emergent BioSolutions.\u003c/p>\n\u003cp>Amneal Pharmaceuticals makes a generic equivalent to Narcan, which won FDA approval last week.[aside postID=news_11958577 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg']The naloxone packs purchased by California initially will be available under the Amneal label. The naloxone will move to the CalRx label once the U.S. Food and Drug Administration approves it, a process the Newsom administration said could take several months.\u003c/p>\n\u003cp>Opioid overdose deaths, which are caused by heroin, fentanyl and oxycodone, have increased dramatically in California and across the country. Annual opioid overdose deaths in California have more than doubled since 2019, reaching 7,385 deaths at the end of 2022.\u003c/p>\n\u003cp>California began giving away naloxone kits for free in 2018. State officials said the Naloxone Distribution Project has given out 4.1 million kits, which have reversed a reported 260,000 opioid overdoses. The money has come from taxpayers and portions of a nationwide settlement agreement with some other pharmaceutical companies.\u003c/p>\n\u003cp>Last year, California lawmakers agreed to spend $30 million to partner with a drug company to make its own version of naloxone. However, they ended up not needing to spend that money on this deal since Amneal Pharmaceutical was already so far along in the FDA approval process that it did not require up-front funding from the state.\u003c/p>\n\u003cp>Instead, California will use a portion of the revenue it receives from a national opioid settlement to purchase the drugs.\u003c/p>\n\u003cp>Naloxone is just one drug the Newsom administration is targeting.\u003c/p>\n\u003cp>Last year, California \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/california-newsom-insulin-pharmaceutical-prices-5326fdbba52efe68e160ae6c72a53e71\">signed a 10-year agreement\u003c/a> with the nonprofit Civica to produce CalRx-branded insulin used to treat diabetes. California has set aside \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">$100 million for that project\u003c/a>, with $50 million to develop the drugs and the rest set aside to invest in a manufacturing facility. Newsom said a 10-milliliter vial of state-branded insulin would sell for $30.\u003c/p>\n\u003cp>Civica has been meeting with the FDA and “has a clear path forward,” the Newsom administration said.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan, the most well-known version of naloxone that can save a person's life during an opioid overdose.","status":"publish","parent":0,"modified":1714418001,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":613},"headData":{"title":"California Partners with New Jersey Firm to Buy Generic Opioid Overdose Reversal Drug | KQED","description":"California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan, the most well-known version of naloxone that can save a person's life during an opioid overdose.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Partners with New Jersey Firm to Buy Generic Opioid Overdose Reversal Drug","datePublished":"2024-04-29T19:00:58.000Z","dateModified":"2024-04-29T19:13:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Adam Beam, Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11984339/california-partners-with-new-jersey-firm-to-buy-generic-opioid-overdose-reversal-drug","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan, the drug that can save someone’s life during an opioid overdose, under a deal announced Monday by Democratic Gov. Gavin Newsom.\u003c/p>\n\u003cp>Amneal Pharmaceuticals will sell naloxone to California for $24 per pack, or about 40% cheaper than the market rate. California will give the packs away for free to first responders, universities and community organizations through the state’s Naloxone Distribution Project.\u003c/p>\n\u003cp>The deal is significant because it means California can buy a lot more naloxone — 3.2 million packs in one year instead of 2 million — for the same total cost.\u003c/p>\n\u003cp>The deal means naloxone will eventually be available under the CalRx label. Newsom first proposed CalRx back in 2019 as an attempt to force drug companies to lower their prices by \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/fbf567dda715d7b277b1d7e161340ea5\">offering much cheaper, competing versions\u003c/a> of life-saving medication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/general-news-0ce04b7e398408b760904d212af44104\">signed a law\u003c/a> in 2020 that gave authority to the state.\u003c/p>\n\u003cp>California governments and businesses will be able to purchase naloxone outside of the Naloxone Distribution Project, the Newsom administration said, adding the state is working on a plan to make it available for sale to individuals.\u003c/p>\n\u003cp>“California is disrupting the drug industry with CalRx — securing life-saving drugs at lower and transparent prices,” Newsom said in an statement provided by his office.\u003c/p>\n\u003cp>Naloxone has been available in the U.S. without a prescription since March of 2023 when the \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/narcan-naloxone-overdose-opioids-9ad693795ce31e3a867a4dd4b65dbde8\">U.S. Food and Drug Administration approved Narcan\u003c/a>, a nasal spray brand produced by the Maryland-based pharmaceutical company Emergent BioSolutions.\u003c/p>\n\u003cp>Amneal Pharmaceuticals makes a generic equivalent to Narcan, which won FDA approval last week.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11958577","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The naloxone packs purchased by California initially will be available under the Amneal label. The naloxone will move to the CalRx label once the U.S. Food and Drug Administration approves it, a process the Newsom administration said could take several months.\u003c/p>\n\u003cp>Opioid overdose deaths, which are caused by heroin, fentanyl and oxycodone, have increased dramatically in California and across the country. Annual opioid overdose deaths in California have more than doubled since 2019, reaching 7,385 deaths at the end of 2022.\u003c/p>\n\u003cp>California began giving away naloxone kits for free in 2018. State officials said the Naloxone Distribution Project has given out 4.1 million kits, which have reversed a reported 260,000 opioid overdoses. The money has come from taxpayers and portions of a nationwide settlement agreement with some other pharmaceutical companies.\u003c/p>\n\u003cp>Last year, California lawmakers agreed to spend $30 million to partner with a drug company to make its own version of naloxone. However, they ended up not needing to spend that money on this deal since Amneal Pharmaceutical was already so far along in the FDA approval process that it did not require up-front funding from the state.\u003c/p>\n\u003cp>Instead, California will use a portion of the revenue it receives from a national opioid settlement to purchase the drugs.\u003c/p>\n\u003cp>Naloxone is just one drug the Newsom administration is targeting.\u003c/p>\n\u003cp>Last year, California \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/california-newsom-insulin-pharmaceutical-prices-5326fdbba52efe68e160ae6c72a53e71\">signed a 10-year agreement\u003c/a> with the nonprofit Civica to produce CalRx-branded insulin used to treat diabetes. California has set aside \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">$100 million for that project\u003c/a>, with $50 million to develop the drugs and the rest set aside to invest in a manufacturing facility. Newsom said a 10-milliliter vial of state-branded insulin would sell for $30.\u003c/p>\n\u003cp>Civica has been meeting with the FDA and “has a clear path forward,” the Newsom administration said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11984339/california-partners-with-new-jersey-firm-to-buy-generic-opioid-overdose-reversal-drug","authors":["byline_news_11984339"],"categories":["news_457","news_8"],"tags":["news_18538","news_16","news_18543","news_22492","news_25617"],"featImg":"news_11984357","label":"news"},"news_11958577":{"type":"posts","id":"news_11958577","meta":{"index":"posts_1591205157","site":"news","id":"11958577","score":null,"sort":[1692398807000]},"guestAuthors":[],"slug":"california-looks-to-work-alongside-native-american-communities-on-fentanyl-crisis","title":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis","publishDate":1692398807,"format":"standard","headTitle":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis | KQED","labelTerm":{"site":"news"},"content":"\u003cp>As the overdose epidemic roils across California, Native American community leaders are calling on state agencies to do more to slow the effects of the devastating crisis.\u003c/p>\n\u003cp>“This effort seems to be grassroots for us, so to see representatives here, it means we are all trying to work together to come to some sort of solution for this problem,” John Christman, Chairman of the Viejas Band of Kumeyaay Indians, told members of the California State Assembly Select Committee on Fentanyl, Opioid Addiction and Overdose Prevention, at a hearing on Friday.\u003c/p>\n\u003cp>Christman shared how fentanyl-related deaths have devastated communities like his, which has 400 members and is located near the California-Mexico border.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Native American and Alaska Native residents in California had the highest rate of opioid-overdose death compared to any other racial group from 2017 to 2022, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Data.aspx\">data available from the California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Community members and health leaders have tried a multitude of strategies, from opening up a vending machine where locals can pick up the opioid overdose-reversal medicine Narcan, to increasing talking circles and new wellness clinics. But it hasn’t been enough for many resource-strapped families navigating the crisis at home.\u003c/p>\n\u003cp>One particular challenge that Christman and others have encountered is stigma around seeking and accepting treatment. How to reduce those barriers so people can enter and have success in treatment is a critical question as the Viejas community looks to open up a new state-of-the-art health and addiction treatment facility called \u003ca href=\"https://rp.health/\">Revive Pathway\u003c/a>.\u003c/p>\n\u003cp>“When you go to the wellness center, everyone knows what you’re doing there. Some of these things are embarrassing. And inpatient treatment does not always work,” Christman told the legislative committee.[pullquote align=\"right\" size=\"medium\" citation=\"Asm. Jim Patterson (R-Fresno)\"]‘We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about.’[/pullquote]Lawmakers from across the state who had come to hear their testimonies echoed the tribal leaders’ concerns and shared many of their frustrations with the status quo.\u003c/p>\n\u003cp>“We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about,” said Assemblymember Jim Patterson (R-Fresno). “This is an area that is dear to me because Fresno, California, by its centralized location and being triangulated by the most traveled interstate freeways in California, is a place for fentanyl distribution.”\u003c/p>\n\u003cp>San Diego County Sheriff Kelly Martinez spoke about efforts by law enforcement to respond to overdose deaths in the same way that they would approach homicides. For example, she said, by seizing the cell phone of someone who died and looking for who their dealer was.\u003c/p>\n\u003cp>Many speakers underscored that getting buy-in and cooperation from law enforcement around effective solutions would be critical to making progress on slowing overdose deaths and drug dealing.\u003c/p>\n\u003cp>Christman, however, said that’s been a challenge for his community working with law enforcement agencies in the past.\u003c/p>\n\u003cp>“We have been in discussions at length since I got back into office in 2019 with the sheriff’s department. That open dialogue didn’t exist in the beginning of my council tenure. And it has not [borne] any fruit yet, I have to be honest about that,” the chairman said. “But I’m hoping we can have this dialogue. I don’t know that we can eradicate this, but we need some sort of solution to make these numbers go down.”\u003c/p>\n\u003cp>Chair of the committee Assemblymember Matt Haney (D-San Francisco) brought up expanding access to medication-assisted treatment, and other health or housing services to help stabilize individuals struggling with addiction.\u003c/p>\n\u003cp>“We are forging a path together towards healing and recovery,” said Haney. “This is affecting every corner of our state.”\u003c/p>\n\u003cp>Some speakers at the hearing questioned the effectiveness of supply-side interventions and asked tribal council leaders for ways that communities could reduce demand.\u003c/p>\n\u003cp>Christman shared that deep-seeded traumas from violence against his community remain and often fuel the disparate impact that Native American communities face when it comes to the current overdose epidemic.[aside label=\"Related Stories\" postID=\"news_11950467,news_11954871,news_11944267\"]He recalled painful memories of watching and protesting \u003ca href=\"https://voiceofsandiego.org/2020/08/17/border-report-kumeyaay-band-sues-to-stop-border-wall-construction/\">threats to the tribe’s historic burial grounds\u003c/a>. “What would that do to you? What would that do to anyone? It’s a vicious cycle. Poverty is part of that, and we lived it,” Christman said. “We were able to find a way to provide more for our people, but those scars from trauma still exist in our community.”\u003c/p>\n\u003cp>Greg Greenberg, chief medical officer at \u003ca href=\"https://www.ots.health/\">OneTogether Solutions\u003c/a>, which provides overdose prevention and addiction treatment for rural tribal communities, said that the biggest issue he encounters among patients is a lack of available treatment and prevention services that people can easily access.\u003c/p>\n\u003cp>“The biggest issue I see is barriers to treatment,” Greenberg said. “Our current paradigm, we have people with substance abuse making their own appointments, and it’s hard to make and keep an appointment when you have a fentanyl or methamphetamine addiction. And it’s hard to engage in treatment when you have untreated psychiatric services as well.”\u003c/p>\n\u003cp>Geography and proximity to fully staffed and resourced health clinics is a major challenge for members of the Tule River Tribe, according to Shine Nieto, vice chairman. The community is based about 16 miles away from the nearest hospital. And while Tule River has its own wellness center with counselors and psychologists, the need is greater than what the clinic currently has resources for.\u003c/p>\n\u003cp>In the meantime, he and others have started up small groups and talking circles to try to bring healing around addiction, its causes, and the impacts that overdoses leave behind.\u003c/p>\n\u003cp>The talking circles are an important part of shifting narratives and understandings about each other and addiction. But tragedy still followed. Four of the group’s nearly 40 members died of opioid-related overdoses, Nieto said.\u003c/p>\n\u003cp>“I don’t like politics, but when it comes to this we are all in the same boat,” said Nieto. “This drug is killing people and destroying our state. We’re all in this state together. If this wipes out any town, it will just keep moving and moving. This is why I’m here, I want to help fight this and slow it down.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Tribal leaders shared testimonies on Friday about how the fentanyl crisis is affecting Native American communities in California.","status":"publish","parent":0,"modified":1692399233,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1120},"headData":{"title":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis | KQED","description":"Tribal leaders shared testimonies on Friday about how the fentanyl crisis is affecting Native American communities in California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis","datePublished":"2023-08-18T22:46:47.000Z","dateModified":"2023-08-18T22:53:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11958577/california-looks-to-work-alongside-native-american-communities-on-fentanyl-crisis","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the overdose epidemic roils across California, Native American community leaders are calling on state agencies to do more to slow the effects of the devastating crisis.\u003c/p>\n\u003cp>“This effort seems to be grassroots for us, so to see representatives here, it means we are all trying to work together to come to some sort of solution for this problem,” John Christman, Chairman of the Viejas Band of Kumeyaay Indians, told members of the California State Assembly Select Committee on Fentanyl, Opioid Addiction and Overdose Prevention, at a hearing on Friday.\u003c/p>\n\u003cp>Christman shared how fentanyl-related deaths have devastated communities like his, which has 400 members and is located near the California-Mexico border.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Native American and Alaska Native residents in California had the highest rate of opioid-overdose death compared to any other racial group from 2017 to 2022, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Data.aspx\">data available from the California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Community members and health leaders have tried a multitude of strategies, from opening up a vending machine where locals can pick up the opioid overdose-reversal medicine Narcan, to increasing talking circles and new wellness clinics. But it hasn’t been enough for many resource-strapped families navigating the crisis at home.\u003c/p>\n\u003cp>One particular challenge that Christman and others have encountered is stigma around seeking and accepting treatment. How to reduce those barriers so people can enter and have success in treatment is a critical question as the Viejas community looks to open up a new state-of-the-art health and addiction treatment facility called \u003ca href=\"https://rp.health/\">Revive Pathway\u003c/a>.\u003c/p>\n\u003cp>“When you go to the wellness center, everyone knows what you’re doing there. Some of these things are embarrassing. And inpatient treatment does not always work,” Christman told the legislative committee.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Asm. Jim Patterson (R-Fresno)","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Lawmakers from across the state who had come to hear their testimonies echoed the tribal leaders’ concerns and shared many of their frustrations with the status quo.\u003c/p>\n\u003cp>“We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about,” said Assemblymember Jim Patterson (R-Fresno). “This is an area that is dear to me because Fresno, California, by its centralized location and being triangulated by the most traveled interstate freeways in California, is a place for fentanyl distribution.”\u003c/p>\n\u003cp>San Diego County Sheriff Kelly Martinez spoke about efforts by law enforcement to respond to overdose deaths in the same way that they would approach homicides. For example, she said, by seizing the cell phone of someone who died and looking for who their dealer was.\u003c/p>\n\u003cp>Many speakers underscored that getting buy-in and cooperation from law enforcement around effective solutions would be critical to making progress on slowing overdose deaths and drug dealing.\u003c/p>\n\u003cp>Christman, however, said that’s been a challenge for his community working with law enforcement agencies in the past.\u003c/p>\n\u003cp>“We have been in discussions at length since I got back into office in 2019 with the sheriff’s department. That open dialogue didn’t exist in the beginning of my council tenure. And it has not [borne] any fruit yet, I have to be honest about that,” the chairman said. “But I’m hoping we can have this dialogue. I don’t know that we can eradicate this, but we need some sort of solution to make these numbers go down.”\u003c/p>\n\u003cp>Chair of the committee Assemblymember Matt Haney (D-San Francisco) brought up expanding access to medication-assisted treatment, and other health or housing services to help stabilize individuals struggling with addiction.\u003c/p>\n\u003cp>“We are forging a path together towards healing and recovery,” said Haney. “This is affecting every corner of our state.”\u003c/p>\n\u003cp>Some speakers at the hearing questioned the effectiveness of supply-side interventions and asked tribal council leaders for ways that communities could reduce demand.\u003c/p>\n\u003cp>Christman shared that deep-seeded traumas from violence against his community remain and often fuel the disparate impact that Native American communities face when it comes to the current overdose epidemic.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11950467,news_11954871,news_11944267"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>He recalled painful memories of watching and protesting \u003ca href=\"https://voiceofsandiego.org/2020/08/17/border-report-kumeyaay-band-sues-to-stop-border-wall-construction/\">threats to the tribe’s historic burial grounds\u003c/a>. “What would that do to you? What would that do to anyone? It’s a vicious cycle. Poverty is part of that, and we lived it,” Christman said. “We were able to find a way to provide more for our people, but those scars from trauma still exist in our community.”\u003c/p>\n\u003cp>Greg Greenberg, chief medical officer at \u003ca href=\"https://www.ots.health/\">OneTogether Solutions\u003c/a>, which provides overdose prevention and addiction treatment for rural tribal communities, said that the biggest issue he encounters among patients is a lack of available treatment and prevention services that people can easily access.\u003c/p>\n\u003cp>“The biggest issue I see is barriers to treatment,” Greenberg said. “Our current paradigm, we have people with substance abuse making their own appointments, and it’s hard to make and keep an appointment when you have a fentanyl or methamphetamine addiction. And it’s hard to engage in treatment when you have untreated psychiatric services as well.”\u003c/p>\n\u003cp>Geography and proximity to fully staffed and resourced health clinics is a major challenge for members of the Tule River Tribe, according to Shine Nieto, vice chairman. The community is based about 16 miles away from the nearest hospital. And while Tule River has its own wellness center with counselors and psychologists, the need is greater than what the clinic currently has resources for.\u003c/p>\n\u003cp>In the meantime, he and others have started up small groups and talking circles to try to bring healing around addiction, its causes, and the impacts that overdoses leave behind.\u003c/p>\n\u003cp>The talking circles are an important part of shifting narratives and understandings about each other and addiction. But tragedy still followed. Four of the group’s nearly 40 members died of opioid-related overdoses, Nieto said.\u003c/p>\n\u003cp>“I don’t like politics, but when it comes to this we are all in the same boat,” said Nieto. “This drug is killing people and destroying our state. We’re all in this state together. If this wipes out any town, it will just keep moving and moving. This is why I’m here, I want to help fight this and slow it down.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11958577/california-looks-to-work-alongside-native-american-communities-on-fentanyl-crisis","authors":["11840"],"categories":["news_8"],"tags":["news_31791","news_23051","news_33045","news_1262","news_22492","news_25617","news_31709","news_33046"],"featImg":"news_11958586","label":"news"},"news_11946346":{"type":"posts","id":"news_11946346","meta":{"index":"posts_1591205157","site":"news","id":"11946346","score":null,"sort":[1681322415000]},"guestAuthors":[],"slug":"walmart-cvs-set-to-pay-san-francisco-19-million-in-opioid-settlements","title":"Walmart, CVS Set to Pay San Francisco $19 Million in Opioid Settlements","publishDate":1681322415,"format":"standard","headTitle":"Walmart, CVS Set to Pay San Francisco $19 Million in Opioid Settlements | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco will receive up to $18.8 million to abate the opioid overdose epidemic thanks to settlements with Walmart and CVS Pharmacy for their alleged negligent oversight of opioid prescription practices.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors on Wednesday approved the two settlement agreements, both part of nationwide opioid-related lawsuits, which include up to \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11654268&GUID=C6A2AED0-0403-414E-BB38-E53497EBDC80\">$6.8 million from Walmart (PDF)\u003c/a> over the next six years and up to \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11654300&GUID=CAFAD38C-C163-4A7C-A37C-051F6BF72BD9\">$12 million over 10 years from CVS Pharmacy (PDF)\u003c/a>.\u003c/p>\n\u003cp>The latest drug settlements come as San Francisco faces a persistent overdose crisis where the majority of deaths are related to fentanyl, an opioid that can be up to 50 times stronger than heroin. It also arrives on top of a projected $130 million that the city is slated to receive through other settlements made directly with other pharmacy chains, drug manufacturers and distributors for their roles in the wide-reaching overdose crisis.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"David Chiu, city attorney \"]‘This is a crisis that did not come out of thin air. It was created by the opioid industry when extremely dangerous, addictive drugs were marketed to patients as safe. And we now know that to be a blatant lie.’[/pullquote]\u003c/p>\n\u003cp>“For far too long, millions [of people] across America have lost loved ones to this crisis. And local governments in cities like San Francisco have had to shoulder the burden,” City Attorney David Chiu told KQED. “This is a crisis that did not come out of thin air. It was created by the opioid industry when extremely dangerous, addictive drugs were marketed to patients as safe. And we now know that to be a blatant lie.”\u003c/p>\n\u003cp>Last November, \u003ca href=\"https://www.npr.org/2022/11/15/1136764377/walmart-opioid-lawsuits-settlement\">Walmart agreed to pay $3.1 billion\u003c/a> to settle numerous opioid-related lawsuits across the nation. San Francisco’s cut comes from the $265 million payout made to California in that settlement. During the same month, CVS also agreed to a $5 billion settlement with 19 states for its role in the opioid crisis, and $470 million of that settlement was slated for California.\u003c/p>\n\u003cp>San Francisco has collected more than $7 million from settlements related to the drug crisis so far, according to Chiu. Additional settlements with companies such as Allergan and Teva are still pending approval and could bring the city’s total to $130 million. That includes the victory against Walgreens last year, but the amount from that settlement has not yet been determined.\u003c/p>\n\u003ch2>Funding overdose prevention\u003c/h2>\n\u003cp>The opioid settlement funds are slated to be used for overdose prevention efforts, such as purchasing and distributing Narcan, a fast-acting opioid overdose reversal medicine.\u003c/p>\n\u003cp>But several supervisors and overdose prevention advocates say the city should also use the funds to help \u003ca href=\"https://www.kqed.org/news/11944282/san-francisco-will-allow-city-officials-to-fundraise-for-safe-consumption-sites\">nonprofits operate safe consumption sites\u003c/a>, facilities where people can smoke or inject drugs with medical supervision to prevent overdose deaths and connect users to other health and social services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Because safe consumption sites are still illegal at the state and federal levels, the city attorney has not yet agreed to use the settlement dollars for the facilities.\u003c/p>\n\u003cp>In 2022, \u003ca href=\"https://www.kqed.org/news/11923232/governor-newsom-vetoes-safe-consumption-site-bill#:~:text=Governor%20Newsom%20Passes%20On%20Signing,opportunity%E2%80%9D%20to%20prevent%20overdose%20deaths\">Gov. Gavin Newsom vetoed a bill\u003c/a> that would have allowed pilot safe consumption sites to operate in San Francisco, Oakland and Los Angeles.\u003c/p>\n\u003cp>The Board of Supervisors, with Chiu, who oversaw the city’s successful trial against pharmacies, drug manufacturers and distributors, will hold a closed-session discussion on April 18 to discuss whether the funds could be used for safe consumption sites.\u003c/p>\n\u003cp>“I’ve been providing consistent advice to policymakers on these issues, and those conversations continue,” Chiu said. “I do believe that overdose prevention centers can open in San Francisco, according to the so-called New York model.”[aside label='More Stories on Opioid Treatment' tag='opioid-crisis']In New York City, a private nonprofit called \u003ca href=\"https://onpointnyc.org/\">OnPoint NYC\u003c/a> funds and operates safe consumption sites, which are also illegal in New York. \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">San Francisco is in fact poised to move forward\u003c/a> with opening safe consumption sites using a model similar to New York’s; local health nonprofits including \u003ca href=\"https://www.thegubbioproject.org/\">The Gubbio Project\u003c/a>, the \u003ca href=\"https://www.sfaf.org/\">San Francisco AIDS Foundation\u003c/a> and \u003ca href=\"https://www.healthright360.org/\">HealthRIGHT360\u003c/a> have said they would like to provide the services.\u003c/p>\n\u003cp>But financing safe consumption services privately will also be a challenge, the nonprofits’ leaders say. OnPoint NYC has said that its program, which covers two locations, \u003ca href=\"https://www.wsj.com/articles/sanctioned-drug-use-sites-reach-a-crossroads-as-funding-runs-out-11672625580\">costs $1.4 million annually\u003c/a>.\u003c/p>\n\u003cp>“This is money that has been fought for for people who are suffering from the opioid crisis,” said Lydia Bransten, executive director of The Gubbio Project. “There is no one more deserving of having a center where they are protected from overdosing and dying than people who are living on the street using drugs.”\u003c/p>\n\u003cp>The San Francisco Board of Supervisors recently voted to allow city officials to solicit donations for the nonprofits to help speed their opening. But Bransten said her nonprofit has not received any additional funding since that financing option became available.[pullquote size=\"medium\" align=\"right\" citation=\"Lydia Bransten, executive director, The Gubbio Project\"]‘There is no one more deserving of having a center where they are protected from overdosing and dying than people who are living on the street using drugs.’[/pullquote]San Francisco Supervisor Hillary Ronen said opening safe consumption sites would be worth the legal risk because opening the sites could begin to slow the overdose epidemic.\u003c/p>\n\u003cp>“There is a difference of opinion on what is a legal decision and what is a policy decision for us, and I want us to have that discussion all together,” Ronen said during a Board of Supervisors meeting on April 4. “It is beyond time that we open these [facilities], and there is one person, the city attorney, who is standing in the way.”\u003c/p>\n\u003cp>More than 200 safe consumption sites operate around the globe to help prevent overdose deaths in countries such as Denmark, Norway, Portugal, Spain, Canada, France and Australia.\u003c/p>\n\u003cp>In the U.S., San Francisco and New York City are not alone in trying to navigate federal policy to open safe consumption sites: In Philadelphia, the medical nonprofit \u003ca href=\"https://www.safehousephilly.org/\">Safehouse\u003c/a> has been tied up in a legal battle for several years over its supervised injection services.\u003c/p>\n\u003cp>In Providence, Rhode Island, lawmakers earlier this month approved \u003ca href=\"https://www.providencejournal.com/story/news/politics/2023/04/04/safe-injection-site-in-providence-up-for-final-vote-could-open-in-2024/70079708007/\">a two-year pilot program\u003c/a> to allow supervised consumption sites. That bill is now heading to the governor’s desk, and if it’s approved, the state could start running the services by 2024.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"SF is expected to receive at least $112 million from opioid settlements with pharmacies, drug manufacturers and distributors. Walmart and CVS are two companies set to pay the city up to $19 million.","status":"publish","parent":0,"modified":1681326101,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1096},"headData":{"title":"Walmart, CVS Set to Pay San Francisco $19 Million in Opioid Settlements | KQED","description":"SF is expected to receive at least $112 million from opioid settlements with pharmacies, drug manufacturers and distributors. Walmart and CVS are two companies set to pay the city up to $19 million.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Walmart, CVS Set to Pay San Francisco $19 Million in Opioid Settlements","datePublished":"2023-04-12T18:00:15.000Z","dateModified":"2023-04-12T19:01:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11946346/walmart-cvs-set-to-pay-san-francisco-19-million-in-opioid-settlements","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco will receive up to $18.8 million to abate the opioid overdose epidemic thanks to settlements with Walmart and CVS Pharmacy for their alleged negligent oversight of opioid prescription practices.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors on Wednesday approved the two settlement agreements, both part of nationwide opioid-related lawsuits, which include up to \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11654268&GUID=C6A2AED0-0403-414E-BB38-E53497EBDC80\">$6.8 million from Walmart (PDF)\u003c/a> over the next six years and up to \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11654300&GUID=CAFAD38C-C163-4A7C-A37C-051F6BF72BD9\">$12 million over 10 years from CVS Pharmacy (PDF)\u003c/a>.\u003c/p>\n\u003cp>The latest drug settlements come as San Francisco faces a persistent overdose crisis where the majority of deaths are related to fentanyl, an opioid that can be up to 50 times stronger than heroin. It also arrives on top of a projected $130 million that the city is slated to receive through other settlements made directly with other pharmacy chains, drug manufacturers and distributors for their roles in the wide-reaching overdose crisis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘This is a crisis that did not come out of thin air. It was created by the opioid industry when extremely dangerous, addictive drugs were marketed to patients as safe. And we now know that to be a blatant lie.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"David Chiu, city attorney ","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“For far too long, millions [of people] across America have lost loved ones to this crisis. And local governments in cities like San Francisco have had to shoulder the burden,” City Attorney David Chiu told KQED. “This is a crisis that did not come out of thin air. It was created by the opioid industry when extremely dangerous, addictive drugs were marketed to patients as safe. And we now know that to be a blatant lie.”\u003c/p>\n\u003cp>Last November, \u003ca href=\"https://www.npr.org/2022/11/15/1136764377/walmart-opioid-lawsuits-settlement\">Walmart agreed to pay $3.1 billion\u003c/a> to settle numerous opioid-related lawsuits across the nation. San Francisco’s cut comes from the $265 million payout made to California in that settlement. During the same month, CVS also agreed to a $5 billion settlement with 19 states for its role in the opioid crisis, and $470 million of that settlement was slated for California.\u003c/p>\n\u003cp>San Francisco has collected more than $7 million from settlements related to the drug crisis so far, according to Chiu. Additional settlements with companies such as Allergan and Teva are still pending approval and could bring the city’s total to $130 million. That includes the victory against Walgreens last year, but the amount from that settlement has not yet been determined.\u003c/p>\n\u003ch2>Funding overdose prevention\u003c/h2>\n\u003cp>The opioid settlement funds are slated to be used for overdose prevention efforts, such as purchasing and distributing Narcan, a fast-acting opioid overdose reversal medicine.\u003c/p>\n\u003cp>But several supervisors and overdose prevention advocates say the city should also use the funds to help \u003ca href=\"https://www.kqed.org/news/11944282/san-francisco-will-allow-city-officials-to-fundraise-for-safe-consumption-sites\">nonprofits operate safe consumption sites\u003c/a>, facilities where people can smoke or inject drugs with medical supervision to prevent overdose deaths and connect users to other health and social services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Because safe consumption sites are still illegal at the state and federal levels, the city attorney has not yet agreed to use the settlement dollars for the facilities.\u003c/p>\n\u003cp>In 2022, \u003ca href=\"https://www.kqed.org/news/11923232/governor-newsom-vetoes-safe-consumption-site-bill#:~:text=Governor%20Newsom%20Passes%20On%20Signing,opportunity%E2%80%9D%20to%20prevent%20overdose%20deaths\">Gov. Gavin Newsom vetoed a bill\u003c/a> that would have allowed pilot safe consumption sites to operate in San Francisco, Oakland and Los Angeles.\u003c/p>\n\u003cp>The Board of Supervisors, with Chiu, who oversaw the city’s successful trial against pharmacies, drug manufacturers and distributors, will hold a closed-session discussion on April 18 to discuss whether the funds could be used for safe consumption sites.\u003c/p>\n\u003cp>“I’ve been providing consistent advice to policymakers on these issues, and those conversations continue,” Chiu said. “I do believe that overdose prevention centers can open in San Francisco, according to the so-called New York model.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More Stories on Opioid Treatment ","tag":"opioid-crisis"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In New York City, a private nonprofit called \u003ca href=\"https://onpointnyc.org/\">OnPoint NYC\u003c/a> funds and operates safe consumption sites, which are also illegal in New York. \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">San Francisco is in fact poised to move forward\u003c/a> with opening safe consumption sites using a model similar to New York’s; local health nonprofits including \u003ca href=\"https://www.thegubbioproject.org/\">The Gubbio Project\u003c/a>, the \u003ca href=\"https://www.sfaf.org/\">San Francisco AIDS Foundation\u003c/a> and \u003ca href=\"https://www.healthright360.org/\">HealthRIGHT360\u003c/a> have said they would like to provide the services.\u003c/p>\n\u003cp>But financing safe consumption services privately will also be a challenge, the nonprofits’ leaders say. OnPoint NYC has said that its program, which covers two locations, \u003ca href=\"https://www.wsj.com/articles/sanctioned-drug-use-sites-reach-a-crossroads-as-funding-runs-out-11672625580\">costs $1.4 million annually\u003c/a>.\u003c/p>\n\u003cp>“This is money that has been fought for for people who are suffering from the opioid crisis,” said Lydia Bransten, executive director of The Gubbio Project. “There is no one more deserving of having a center where they are protected from overdosing and dying than people who are living on the street using drugs.”\u003c/p>\n\u003cp>The San Francisco Board of Supervisors recently voted to allow city officials to solicit donations for the nonprofits to help speed their opening. But Bransten said her nonprofit has not received any additional funding since that financing option became available.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘There is no one more deserving of having a center where they are protected from overdosing and dying than people who are living on the street using drugs.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Lydia Bransten, executive director, The Gubbio Project","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>San Francisco Supervisor Hillary Ronen said opening safe consumption sites would be worth the legal risk because opening the sites could begin to slow the overdose epidemic.\u003c/p>\n\u003cp>“There is a difference of opinion on what is a legal decision and what is a policy decision for us, and I want us to have that discussion all together,” Ronen said during a Board of Supervisors meeting on April 4. “It is beyond time that we open these [facilities], and there is one person, the city attorney, who is standing in the way.”\u003c/p>\n\u003cp>More than 200 safe consumption sites operate around the globe to help prevent overdose deaths in countries such as Denmark, Norway, Portugal, Spain, Canada, France and Australia.\u003c/p>\n\u003cp>In the U.S., San Francisco and New York City are not alone in trying to navigate federal policy to open safe consumption sites: In Philadelphia, the medical nonprofit \u003ca href=\"https://www.safehousephilly.org/\">Safehouse\u003c/a> has been tied up in a legal battle for several years over its supervised injection services.\u003c/p>\n\u003cp>In Providence, Rhode Island, lawmakers earlier this month approved \u003ca href=\"https://www.providencejournal.com/story/news/politics/2023/04/04/safe-injection-site-in-providence-up-for-final-vote-could-open-in-2024/70079708007/\">a two-year pilot program\u003c/a> to allow supervised consumption sites. That bill is now heading to the governor’s desk, and if it’s approved, the state could start running the services by 2024.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11946346/walmart-cvs-set-to-pay-san-francisco-19-million-in-opioid-settlements","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_32205","news_27626","news_22492","news_25617","news_31709","news_22774","news_19960","news_38","news_1563"],"featImg":"news_11946369","label":"news"},"news_11927062":{"type":"posts","id":"news_11927062","meta":{"index":"posts_1591205157","site":"news","id":"11927062","score":null,"sort":[1664471739000]},"guestAuthors":[],"slug":"sf-assemblyman-haney-to-lead-californias-new-opioid-committee","title":"San Francisco Assemblymember Matt Haney to Lead California's New Opioid Committee","publishDate":1664471739,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco Assemblymember Matt Haney will lead a bipartisan committee of state lawmakers to investigate solutions to the state’s opioid crisis, which kills thousands of people each year in California.\u003c/p>\n\u003cp>The 11-member committee named by Assembly Speaker Anthony Rendon includes four Republicans and encompasses representatives from rural and urban districts all around the state.\u003c/p>\n\u003cp>Haney said they will look for solutions from multiple points of view, including public health and criminal justice.\u003c/p>\n\u003cp>“If somebody needs a bed to get help, we need to have that available,” he said. “We need effective responses within our criminal justice system. We need support from state and federal [agencies] around the drug supply challenges and drug-dealing issues we're facing.”\u003c/p>\n\u003cp>In particular, Haney said he wants to push the conversation around overdoses beyond one controversial issue: a \u003ca href=\"https://www.kqed.org/science/1980034/california-allows-supervised-illicit-drug-use-to-prevent-overdoses\">recently vetoed bill\u003c/a> that would have allowed some cities to operate so-called safe injection sites, where people can use illicit drugs under the supervision of medical personnel.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The bill, which passed without GOP support, was \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/SB-57-veto-msg-August-22-2022.pdf?emrc=435330\">vetoed by Gov. Gavin Newsom\u003c/a>, who said he will instead direct state health officials to make their own recommendations for overdose prevention programs.\u003c/p>\n\u003cp>Haney said there’s no time to waste, and noted that this is a problem plaguing communities around the state, not just urban centers like San Francisco.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"opioids\"]“I say this as a very strong supporter of safe injection sites: [The veto] can't be used as a reason to not do everything that we possibly can right now,” he said.\u003c/p>\n\u003cp>“Some of my colleagues have said [safe injection sites are] not going to solve the problem, that we need to stop these drugs, we need to stop the drug dealing, we need to get people into treatment,\" he added. \"And what I said to them about that is, ‘Yes, yes and yes. So we had a small setback around the safe injection sites, but we need the yes, yes and yes to everything else in the meantime.”\u003c/p>\n\u003cp>Haney should expect the committee’s GOP lawmakers to push some of those other conversations, said Assemblymember Laurie Davies, a Republican who represents southern Orange County. She successfully pushed legislation this year that will make it easier to distribute fentanyl tests, which allow people to detect the presence of the deadly opioid in other drugs.\u003c/p>\n\u003cp>“There's a lot of other things that we need to work on. But I'm just grateful that eyes are opening and they realize this is a crisis and we can do something to stop it,” she said, adding that one part of the conversation needs to be around prosecuting people who sell deadly fentanyl.\u003c/p>\n\u003cp>“This isn't just an inner-city problem. It's affecting every parent, it's affecting every race and every color,” Davies said. “We’re losing men, women, children, no matter what the races, what their religion is, what their party affiliation is. This is something that affects every single Californian.”\u003c/p>\n\u003cp>One of those Californians who has been devastated by the impact of opioids is San Francisco resident Amy Cooper. She lost her son, John, to an overdose in 2014 — and then watched the dentist who had prescribed him the drugs without ever meeting him get acquitted at trial.\u003c/p>\n\u003cp>Cooper said since John's death, she’s dedicated herself to advocating for solutions and educating people about the fentanyl problem. She said lawmakers need to focus on both education and accountability, including holding both doctors and pharmaceutical companies responsible.\u003c/p>\n\u003cp>“I can just tell you, 100%, we were uneducated and unaware. We had no idea that this was happening and that it was happening for our son. And then the results are just catastrophic,” she said.\u003c/p>\n\u003cp>Another aspect of the crisis that some hope to shed light on is the number of young people mistakenly buying drugs — often online — that turn out to be fentanyl. Lee Trope, a pediatric doctor at Santa Clara Valley Medical Center, said many of her patients seem to be experimenting with different substances and wind up becoming addicted to fentanyl or overdosing on it.\u003c/p>\n\u003cp>“They don't realize what they're buying, oftentimes on apps like Snapchat,” she said. “They think what they're buying — they all call it 'percs' — they think they're buying Percocet, which is a ... less-potent opioid. And it's pure fentanyl.”\u003c/p>\n\u003cp>Jayme Congdon, a pediatrician and researcher at UC San Francisco, said the new select committee will be raising awareness as it does its work — and she also believes shedding light on the issue is the first step toward change.\u003c/p>\n\u003cp>Congdon said 250 teens are dying in California each year from opioids. That's seven times the number of pediatric COVID-19 deaths the state has witnessed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Because substance use and addiction are stigmatized issues, it's just one of these topics that I think, you know, people think it's not going to affect them or their families until it does,” she said. “We're so pleased to see Assemblymember Haney is taking the lead on this issue so this crisis is hopefully going to start getting the attention that is warranted.”\u003c/p>\n\n","blocks":[],"excerpt":"The new bipartisan committee will travel around California looking for solutions to the deadly opioid crisis.","status":"publish","parent":0,"modified":1664489373,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":901},"headData":{"title":"San Francisco Assemblymember Matt Haney to Lead California's New Opioid Committee | KQED","description":"The new bipartisan committee will travel around California looking for solutions to the deadly opioid crisis.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Assemblymember Matt Haney to Lead California's New Opioid Committee","datePublished":"2022-09-29T17:15:39.000Z","dateModified":"2022-09-29T22:09:33.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11927062 https://ww2.kqed.org/news/?p=11927062","disqusUrl":"https://ww2.kqed.org/news/2022/09/29/sf-assemblyman-haney-to-lead-californias-new-opioid-committee/","disqusTitle":"San Francisco Assemblymember Matt Haney to Lead California's New Opioid Committee","excludeFromSiteSearch":"Include","path":"/news/11927062/sf-assemblyman-haney-to-lead-californias-new-opioid-committee","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Assemblymember Matt Haney will lead a bipartisan committee of state lawmakers to investigate solutions to the state’s opioid crisis, which kills thousands of people each year in California.\u003c/p>\n\u003cp>The 11-member committee named by Assembly Speaker Anthony Rendon includes four Republicans and encompasses representatives from rural and urban districts all around the state.\u003c/p>\n\u003cp>Haney said they will look for solutions from multiple points of view, including public health and criminal justice.\u003c/p>\n\u003cp>“If somebody needs a bed to get help, we need to have that available,” he said. “We need effective responses within our criminal justice system. We need support from state and federal [agencies] around the drug supply challenges and drug-dealing issues we're facing.”\u003c/p>\n\u003cp>In particular, Haney said he wants to push the conversation around overdoses beyond one controversial issue: a \u003ca href=\"https://www.kqed.org/science/1980034/california-allows-supervised-illicit-drug-use-to-prevent-overdoses\">recently vetoed bill\u003c/a> that would have allowed some cities to operate so-called safe injection sites, where people can use illicit drugs under the supervision of medical personnel.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill, which passed without GOP support, was \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/SB-57-veto-msg-August-22-2022.pdf?emrc=435330\">vetoed by Gov. Gavin Newsom\u003c/a>, who said he will instead direct state health officials to make their own recommendations for overdose prevention programs.\u003c/p>\n\u003cp>Haney said there’s no time to waste, and noted that this is a problem plaguing communities around the state, not just urban centers like San Francisco.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"opioids"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“I say this as a very strong supporter of safe injection sites: [The veto] can't be used as a reason to not do everything that we possibly can right now,” he said.\u003c/p>\n\u003cp>“Some of my colleagues have said [safe injection sites are] not going to solve the problem, that we need to stop these drugs, we need to stop the drug dealing, we need to get people into treatment,\" he added. \"And what I said to them about that is, ‘Yes, yes and yes. So we had a small setback around the safe injection sites, but we need the yes, yes and yes to everything else in the meantime.”\u003c/p>\n\u003cp>Haney should expect the committee’s GOP lawmakers to push some of those other conversations, said Assemblymember Laurie Davies, a Republican who represents southern Orange County. She successfully pushed legislation this year that will make it easier to distribute fentanyl tests, which allow people to detect the presence of the deadly opioid in other drugs.\u003c/p>\n\u003cp>“There's a lot of other things that we need to work on. But I'm just grateful that eyes are opening and they realize this is a crisis and we can do something to stop it,” she said, adding that one part of the conversation needs to be around prosecuting people who sell deadly fentanyl.\u003c/p>\n\u003cp>“This isn't just an inner-city problem. It's affecting every parent, it's affecting every race and every color,” Davies said. “We’re losing men, women, children, no matter what the races, what their religion is, what their party affiliation is. This is something that affects every single Californian.”\u003c/p>\n\u003cp>One of those Californians who has been devastated by the impact of opioids is San Francisco resident Amy Cooper. She lost her son, John, to an overdose in 2014 — and then watched the dentist who had prescribed him the drugs without ever meeting him get acquitted at trial.\u003c/p>\n\u003cp>Cooper said since John's death, she’s dedicated herself to advocating for solutions and educating people about the fentanyl problem. She said lawmakers need to focus on both education and accountability, including holding both doctors and pharmaceutical companies responsible.\u003c/p>\n\u003cp>“I can just tell you, 100%, we were uneducated and unaware. We had no idea that this was happening and that it was happening for our son. And then the results are just catastrophic,” she said.\u003c/p>\n\u003cp>Another aspect of the crisis that some hope to shed light on is the number of young people mistakenly buying drugs — often online — that turn out to be fentanyl. Lee Trope, a pediatric doctor at Santa Clara Valley Medical Center, said many of her patients seem to be experimenting with different substances and wind up becoming addicted to fentanyl or overdosing on it.\u003c/p>\n\u003cp>“They don't realize what they're buying, oftentimes on apps like Snapchat,” she said. “They think what they're buying — they all call it 'percs' — they think they're buying Percocet, which is a ... less-potent opioid. And it's pure fentanyl.”\u003c/p>\n\u003cp>Jayme Congdon, a pediatrician and researcher at UC San Francisco, said the new select committee will be raising awareness as it does its work — and she also believes shedding light on the issue is the first step toward change.\u003c/p>\n\u003cp>Congdon said 250 teens are dying in California each year from opioids. That's seven times the number of pediatric COVID-19 deaths the state has witnessed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Because substance use and addiction are stigmatized issues, it's just one of these topics that I think, you know, people think it's not going to affect them or their families until it does,” she said. “We're so pleased to see Assemblymember Haney is taking the lead on this issue so this crisis is hopefully going to start getting the attention that is warranted.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11927062/sf-assemblyman-haney-to-lead-californias-new-opioid-committee","authors":["3239"],"categories":["news_457","news_8","news_13"],"tags":["news_18538","news_25968","news_27626","news_29524","news_18543","news_25468","news_22492","news_25617","news_31709","news_22774","news_17968"],"featImg":"news_11927064","label":"news"},"news_11771395":{"type":"posts","id":"news_11771395","meta":{"index":"posts_1591205157","site":"news","id":"11771395","score":null,"sort":[1567195482000]},"guestAuthors":[],"slug":"risk-of-fentanyl-exposure-for-emergency-responders-extremely-low-public-health-officials-say","title":"Risk of Fentanyl Exposure for Emergency Responders ‘Extremely Low’ Public Health Officials Say","publishDate":1567195482,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Even as first responders are increasingly likely to encounter the powerful opioid fentanyl on the job, they are highly unlikely to be exposed to toxic levels of the drug, according to a \u003ca href=\"https://www.cdph.ca.gov/Documents/FentOverdose4FirstResponders_08.26.19_ADA_Final.pdf\">statement \u003c/a>released this week by the California Department of Public Health.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"fentanyl\"]\u003c/p>\n\u003cp>CDPH released the information in an effort to address the safety concerns of first responders who might come into close contact with fentanyl while helping overdose victims or during the course of searches and arrests.\u003c/p>\n\u003cp>According to CDPH, there were 743 deaths related to fentanyl overdoses in 2018, an increase of 72% from the year before. As overdose deaths have climbed, so have reports of officers experiencing serious symptoms, like dizziness and blurry vision, after coming into contact with the drug on the job.\u003c/p>\n\u003cp>Sgt. Ray Kelly, an Alameda County Sheriff’s Office spokesman, said he knew of four or five department officers who administered the overdose medication naloxone to fellow officers who were in distress.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"There is a big difference between medical-grade opioids that are administered every day to patients and then the illicit fentanyl that we know is coming from overseas,\" Kelly said.\u003c/p>\n\u003cp>But in its fact sheet, CDPH said, “The risk of clinically significant exposure to emergency responders is extremely low.”\u003c/p>\n\u003cp>The department recommends that officers wear nitrile gloves, and if they do get fentanyl on their hands, to simply wash with soap and water. The fact sheet also says drug particles are airborne only in rare cases, and an N95 respirator should provide sufficient protection.\u003c/p>\n\u003cp>UCSF Fresno emergency physician and medical toxicologist Patil Armenian is glad to see CDPH taking this step, because she’s concerned that first responders might hesitate to help an overdose victim if they’re afraid.\u003c/p>\n\u003cp>“When it comes to an opioid overdose, time is oxygen. They stop breathing and that’s how they die,” Armenian said. “The faster we can administer the antidote naloxone, then the better chance they’re going to have for survival.”\u003c/p>\n\u003cp>She said there’s no evidence that passive exposure to fentanyl by touching or breathing in a small amount is toxic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"For someone to actually get sick from either fentanyl or a fentanyl analog would actually take a fair amount of fentanyl to be absorbed. And that's actually pretty hard to do,\" Armenian said.\u003c/p>\n\n","blocks":[],"excerpt":"Incidental skin exposure is unlikely to cause toxicity, according to the California Department of Public Health\r\n","status":"publish","parent":0,"modified":1567197309,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":403},"headData":{"title":"Risk of Fentanyl Exposure for Emergency Responders ‘Extremely Low’ Public Health Officials Say | KQED","description":"Incidental skin exposure is unlikely to cause toxicity, according to the California Department of Public Health\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Risk of Fentanyl Exposure for Emergency Responders ‘Extremely Low’ Public Health Officials Say","datePublished":"2019-08-30T20:04:42.000Z","dateModified":"2019-08-30T20:35:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11771395 https://ww2.kqed.org/news/?p=11771395","disqusUrl":"https://ww2.kqed.org/news/2019/08/30/risk-of-fentanyl-exposure-for-emergency-responders-extremely-low-public-health-officials-say/","disqusTitle":"Risk of Fentanyl Exposure for Emergency Responders ‘Extremely Low’ Public Health Officials Say","nprByline":"\u003ca href=\"https://twitter.com/annikascline\">Annika Cline\u003c/a>","path":"/news/11771395/risk-of-fentanyl-exposure-for-emergency-responders-extremely-low-public-health-officials-say","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Even as first responders are increasingly likely to encounter the powerful opioid fentanyl on the job, they are highly unlikely to be exposed to toxic levels of the drug, according to a \u003ca href=\"https://www.cdph.ca.gov/Documents/FentOverdose4FirstResponders_08.26.19_ADA_Final.pdf\">statement \u003c/a>released this week by the California Department of Public Health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"fentanyl"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>CDPH released the information in an effort to address the safety concerns of first responders who might come into close contact with fentanyl while helping overdose victims or during the course of searches and arrests.\u003c/p>\n\u003cp>According to CDPH, there were 743 deaths related to fentanyl overdoses in 2018, an increase of 72% from the year before. As overdose deaths have climbed, so have reports of officers experiencing serious symptoms, like dizziness and blurry vision, after coming into contact with the drug on the job.\u003c/p>\n\u003cp>Sgt. Ray Kelly, an Alameda County Sheriff’s Office spokesman, said he knew of four or five department officers who administered the overdose medication naloxone to fellow officers who were in distress.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"There is a big difference between medical-grade opioids that are administered every day to patients and then the illicit fentanyl that we know is coming from overseas,\" Kelly said.\u003c/p>\n\u003cp>But in its fact sheet, CDPH said, “The risk of clinically significant exposure to emergency responders is extremely low.”\u003c/p>\n\u003cp>The department recommends that officers wear nitrile gloves, and if they do get fentanyl on their hands, to simply wash with soap and water. The fact sheet also says drug particles are airborne only in rare cases, and an N95 respirator should provide sufficient protection.\u003c/p>\n\u003cp>UCSF Fresno emergency physician and medical toxicologist Patil Armenian is glad to see CDPH taking this step, because she’s concerned that first responders might hesitate to help an overdose victim if they’re afraid.\u003c/p>\n\u003cp>“When it comes to an opioid overdose, time is oxygen. They stop breathing and that’s how they die,” Armenian said. “The faster we can administer the antidote naloxone, then the better chance they’re going to have for survival.”\u003c/p>\n\u003cp>She said there’s no evidence that passive exposure to fentanyl by touching or breathing in a small amount is toxic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"For someone to actually get sick from either fentanyl or a fentanyl analog would actually take a fair amount of fentanyl to be absorbed. And that's actually pretty hard to do,\" Armenian said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11771395/risk-of-fentanyl-exposure-for-emergency-responders-extremely-low-public-health-officials-say","authors":["byline_news_11771395"],"categories":["news_457","news_8"],"tags":["news_23051","news_22492"],"featImg":"news_11771398","label":"news"},"news_11710744":{"type":"posts","id":"news_11710744","meta":{"index":"posts_1591205157","site":"news","id":"11710744","score":null,"sort":[1544383637000]},"guestAuthors":[],"slug":"san-quentin-deaths-come-amid-increase-in-drug-overdoses-at-prison","title":"San Quentin Deaths Come Amid Increase in Drug Overdoses at Prison","publishDate":1544383637,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>\u003cem>Updated 11:45 a.m. 12/10/18\u003c/em>\u003c/p>\n\u003cp>The recent deaths of two inmates on California's death row at San Quentin State Prison took place as Marin County health paramedics received a \"spike\" in calls from the prison related to opioid overdoses, according to the county's top health official.\u003c/p>\n\u003cp>Dr. Matt Willis, Marin County's public health officer, said in the past six months the county's emergency medical services responded to 155 ambulance calls at San Quentin.\u003c/p>\n\u003cp>Ten of those calls for service to the prison, which took place between June 5 and Dec. 5, were reported as overdoses, Willis said. And, six of the suspected overdose cases happened between the previous Sunday and last Tuesday, he said.\u003c/p>\n\u003cp>\"This is clearly a spike in overdose events, on top of a baseline of one or so per month,\" Willis said in an email Sunday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He also said that the deaths of the two death row inmates last week were attributed to suspected drug overdoses, pending results from the Marin County Coroner's office.\u003c/p>\n\u003cp>Last Monday, \u003ca href=\"https://news.cdcr.ca.gov/news-releases/2018/12/04/condemned-inmate-herminio-serna-dies-of-unknown-causes/\" target=\"_blank\" rel=\"noopener\">Herminio Serna\u003c/a>, a 53-year-old gang member sentenced to death for multiple murders in San Jose, was found unresponsive in his cell.\u003c/p>\n\u003cp>The day after, guards found \u003ca href=\"https://news.cdcr.ca.gov/news-releases/2018/12/05/condemned-inmate-joseph-a-perez-jr-dies-of-unknown-cause/\" target=\"_blank\" rel=\"noopener\">Joseph Perez\u003c/a>, a 47-year-old inmate sentenced to death for killing a woman who was stabbed and strangled during a robbery of her Lafayette home in 1998, also unresponsive.\u003c/p>\n\u003cp>Autopsy reports on their deaths are expected next month, according to Marin County Chief Deputy Coroner Roger Fielding.\u003c/p>\n\u003cp>State prison officials have not officially linked the two deaths with illegal drug use, but a \u003ca href=\"https://www.mercurynews.com/2018/12/06/death-row-inmate-dies-at-san-quentin-second-in-two-days/\" target=\"_blank\" rel=\"noopener\">statement\u003c/a> from the California Department of Corrections and Rehabilitation said health care staff at San Quentin are conducting outreach and education for inmates on the dangers of drug abuse.\u003c/p>\n\u003cp>Last May, \u003ca href=\"https://www.kqed.org/news/11665693/fentanyl-blamed-for-apparent-overdoses-that-killed-california-prisoner-sickened-others\" target=\"_blank\" rel=\"noopener\">KQED reported\u003c/a> that four inmates at San Quentin had died from drug overdoses since the beginning of 2017. Of those four, two involved fentanyl, according to the Marin County Sheriff's Office.\u003c/p>\n\u003cp>Willis said the recent rise of cases at San Quentin is part of a cyclical trend.\u003c/p>\n\u003cp>\"This is typically the pattern: We see a bad batch or very high-potency batch of fentanyl or heroin come into the community, and we'll see spikes,\" he said.\u003c/p>\n\u003cp>The cases are reviving attention on efforts by the CDCR to reduce the flow of illegal drugs into the prison system and to treat inmates battling addiction.\u003c/p>\n\u003cp>\"It's absolutely unacceptable to be holding people who are in effect our wards of the state, to have them dying on our watch for use of illegal substances,\" said state Sen. Nancy Skinner, D-Berkeley, who chairs the Senate's Public Safety Committee and has called for corrections officials to \u003ca href=\"https://www.kqed.org/news/11666434/top-state-lawmaker-california-prisons-must-do-more-to-reduce-inmate-drug-overdoses\" target=\"_blank\" rel=\"noopener\">do a better job of preventing illegal opioid drugs\u003c/a> from entering the prison system.\u003c/p>\n\u003cp>Last April, a series of \u003ca href=\"https://www.kqed.org/news/11665693/fentanyl-blamed-for-apparent-overdoses-that-killed-california-prisoner-sickened-others\" target=\"_blank\" rel=\"noopener\">suspected overdoses at Mule Creek State Prison\u003c/a> in Amador County killed one inmate and sickened 12 others. State tests determined that fentanyl was the prime suspect in those cases.\u003c/p>\n\u003cp>The following month, Gov. Jerry Brown's administration unveiled a \u003ca href=\"https://www.kqed.org/news/11669671/governors-plan-for-stepped-up-searches-aims-to-stem-flow-of-drugs-into-prisons\" target=\"_blank\" rel=\"noopener\">new strategy\u003c/a> to reduce the amount of illegal drugs in state prisons. The governor's budget included a $13.8 million proposal to search everyone who enters and exits the California Substance Abuse Treatment Facility and State Prison at Corcoran in Kings County.\u003c/p>\n\u003cp>\"Drugs do find their way into the state's 35 institutions,\" CDCR spokeswoman Terry Thornton said. \"There's no tolerance for this. It really undermines safety.\"\u003c/p>\n\u003cp>In 2016, 29 inmates died of drug overdoses, prison officials have said. Last year, 40 died in such cases, according to \u003ca href=\"https://cchcs.ca.gov/wp-content/uploads/sites/60/MS/2017-Inmate-Death-Reviews.pdf\" target=\"_blank\" rel=\"noopener\">analysis\u003c/a> of prisoner deaths by the California Correctional Health Care Services.\u003c/p>\n\u003cp>So far this year, there have been 35 confirmed drug overdose deaths, according to Thornton.\u003c/p>\n\u003cp>Illegal drugs come into the state prison system through CDCR employees and visitors. In some cases they are thrown over prison fences and are dropped from drones.\u003c/p>\n\u003cp>Don Specter, executive director of the Prison Law Office, said overdoses in the prison system are a major problem.\u003c/p>\n\u003cp>\"It's as serious, if not more serious, than in the community,\" Specter said.\u003c/p>\n\u003cp>The governor's plan also includes $3.6 million for an addiction treatment plan.\u003c/p>\n\u003cp>Inmate advocates like Specter have been pushing for more help for prisoners battling addiction.\u003c/p>\n\u003cp>\"There's very little treatment for what is a gigantic group of people who have substances abuse problems,\" Specter said. \"The state of California has only recently begun... to ramp up drug treatment in the prisons.\"\u003c/p>\n\u003cp>Health officials and lawmakers have pressured state prison officials to use treatment medications like buprenorphine to help struggling inmates.\u003c/p>\n\u003cp>\"We just need to make sure to build systems to get those treatments into our jails and prisons,\" Willis said.\u003c/p>\n\u003cp>\"Locking people away with opioid addiction without addressing the root cause, we haven't made a lot of progress in that person's life if we don't really take advantage of that opportunity to treat them,\" Willis said.\u003c/p>\n\u003cp>In October, Clark Kelso, the federal official who controls medical care at the state's prisons, announced a plan to spend $252 million a year to provide medication aimed at reducing fatal drug overdoses.\u003c/p>\n\u003cp>Kelso's plan calls for the state to provide drug treatment to 13,000 inmates to reduce craving while weening them off opioids.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press contributed reporting to this story.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"There have been six suspected drug overdoses at San Quentin so far this month. ","status":"publish","parent":0,"modified":1544471190,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":900},"headData":{"title":"San Quentin Deaths Come Amid Increase in Drug Overdoses at Prison | KQED","description":"There have been six suspected drug overdoses at San Quentin so far this month. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Quentin Deaths Come Amid Increase in Drug Overdoses at Prison","datePublished":"2018-12-09T19:27:17.000Z","dateModified":"2018-12-10T19:46:30.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11710744 https://ww2.kqed.org/news/?p=11710744","disqusUrl":"https://ww2.kqed.org/news/2018/12/09/san-quentin-deaths-come-amid-increase-in-drug-overdoses-at-prison/","disqusTitle":"San Quentin Deaths Come Amid Increase in Drug Overdoses at Prison","path":"/news/11710744/san-quentin-deaths-come-amid-increase-in-drug-overdoses-at-prison","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 11:45 a.m. 12/10/18\u003c/em>\u003c/p>\n\u003cp>The recent deaths of two inmates on California's death row at San Quentin State Prison took place as Marin County health paramedics received a \"spike\" in calls from the prison related to opioid overdoses, according to the county's top health official.\u003c/p>\n\u003cp>Dr. Matt Willis, Marin County's public health officer, said in the past six months the county's emergency medical services responded to 155 ambulance calls at San Quentin.\u003c/p>\n\u003cp>Ten of those calls for service to the prison, which took place between June 5 and Dec. 5, were reported as overdoses, Willis said. And, six of the suspected overdose cases happened between the previous Sunday and last Tuesday, he said.\u003c/p>\n\u003cp>\"This is clearly a spike in overdose events, on top of a baseline of one or so per month,\" Willis said in an email Sunday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He also said that the deaths of the two death row inmates last week were attributed to suspected drug overdoses, pending results from the Marin County Coroner's office.\u003c/p>\n\u003cp>Last Monday, \u003ca href=\"https://news.cdcr.ca.gov/news-releases/2018/12/04/condemned-inmate-herminio-serna-dies-of-unknown-causes/\" target=\"_blank\" rel=\"noopener\">Herminio Serna\u003c/a>, a 53-year-old gang member sentenced to death for multiple murders in San Jose, was found unresponsive in his cell.\u003c/p>\n\u003cp>The day after, guards found \u003ca href=\"https://news.cdcr.ca.gov/news-releases/2018/12/05/condemned-inmate-joseph-a-perez-jr-dies-of-unknown-cause/\" target=\"_blank\" rel=\"noopener\">Joseph Perez\u003c/a>, a 47-year-old inmate sentenced to death for killing a woman who was stabbed and strangled during a robbery of her Lafayette home in 1998, also unresponsive.\u003c/p>\n\u003cp>Autopsy reports on their deaths are expected next month, according to Marin County Chief Deputy Coroner Roger Fielding.\u003c/p>\n\u003cp>State prison officials have not officially linked the two deaths with illegal drug use, but a \u003ca href=\"https://www.mercurynews.com/2018/12/06/death-row-inmate-dies-at-san-quentin-second-in-two-days/\" target=\"_blank\" rel=\"noopener\">statement\u003c/a> from the California Department of Corrections and Rehabilitation said health care staff at San Quentin are conducting outreach and education for inmates on the dangers of drug abuse.\u003c/p>\n\u003cp>Last May, \u003ca href=\"https://www.kqed.org/news/11665693/fentanyl-blamed-for-apparent-overdoses-that-killed-california-prisoner-sickened-others\" target=\"_blank\" rel=\"noopener\">KQED reported\u003c/a> that four inmates at San Quentin had died from drug overdoses since the beginning of 2017. Of those four, two involved fentanyl, according to the Marin County Sheriff's Office.\u003c/p>\n\u003cp>Willis said the recent rise of cases at San Quentin is part of a cyclical trend.\u003c/p>\n\u003cp>\"This is typically the pattern: We see a bad batch or very high-potency batch of fentanyl or heroin come into the community, and we'll see spikes,\" he said.\u003c/p>\n\u003cp>The cases are reviving attention on efforts by the CDCR to reduce the flow of illegal drugs into the prison system and to treat inmates battling addiction.\u003c/p>\n\u003cp>\"It's absolutely unacceptable to be holding people who are in effect our wards of the state, to have them dying on our watch for use of illegal substances,\" said state Sen. Nancy Skinner, D-Berkeley, who chairs the Senate's Public Safety Committee and has called for corrections officials to \u003ca href=\"https://www.kqed.org/news/11666434/top-state-lawmaker-california-prisons-must-do-more-to-reduce-inmate-drug-overdoses\" target=\"_blank\" rel=\"noopener\">do a better job of preventing illegal opioid drugs\u003c/a> from entering the prison system.\u003c/p>\n\u003cp>Last April, a series of \u003ca href=\"https://www.kqed.org/news/11665693/fentanyl-blamed-for-apparent-overdoses-that-killed-california-prisoner-sickened-others\" target=\"_blank\" rel=\"noopener\">suspected overdoses at Mule Creek State Prison\u003c/a> in Amador County killed one inmate and sickened 12 others. State tests determined that fentanyl was the prime suspect in those cases.\u003c/p>\n\u003cp>The following month, Gov. Jerry Brown's administration unveiled a \u003ca href=\"https://www.kqed.org/news/11669671/governors-plan-for-stepped-up-searches-aims-to-stem-flow-of-drugs-into-prisons\" target=\"_blank\" rel=\"noopener\">new strategy\u003c/a> to reduce the amount of illegal drugs in state prisons. The governor's budget included a $13.8 million proposal to search everyone who enters and exits the California Substance Abuse Treatment Facility and State Prison at Corcoran in Kings County.\u003c/p>\n\u003cp>\"Drugs do find their way into the state's 35 institutions,\" CDCR spokeswoman Terry Thornton said. \"There's no tolerance for this. It really undermines safety.\"\u003c/p>\n\u003cp>In 2016, 29 inmates died of drug overdoses, prison officials have said. Last year, 40 died in such cases, according to \u003ca href=\"https://cchcs.ca.gov/wp-content/uploads/sites/60/MS/2017-Inmate-Death-Reviews.pdf\" target=\"_blank\" rel=\"noopener\">analysis\u003c/a> of prisoner deaths by the California Correctional Health Care Services.\u003c/p>\n\u003cp>So far this year, there have been 35 confirmed drug overdose deaths, according to Thornton.\u003c/p>\n\u003cp>Illegal drugs come into the state prison system through CDCR employees and visitors. In some cases they are thrown over prison fences and are dropped from drones.\u003c/p>\n\u003cp>Don Specter, executive director of the Prison Law Office, said overdoses in the prison system are a major problem.\u003c/p>\n\u003cp>\"It's as serious, if not more serious, than in the community,\" Specter said.\u003c/p>\n\u003cp>The governor's plan also includes $3.6 million for an addiction treatment plan.\u003c/p>\n\u003cp>Inmate advocates like Specter have been pushing for more help for prisoners battling addiction.\u003c/p>\n\u003cp>\"There's very little treatment for what is a gigantic group of people who have substances abuse problems,\" Specter said. \"The state of California has only recently begun... to ramp up drug treatment in the prisons.\"\u003c/p>\n\u003cp>Health officials and lawmakers have pressured state prison officials to use treatment medications like buprenorphine to help struggling inmates.\u003c/p>\n\u003cp>\"We just need to make sure to build systems to get those treatments into our jails and prisons,\" Willis said.\u003c/p>\n\u003cp>\"Locking people away with opioid addiction without addressing the root cause, we haven't made a lot of progress in that person's life if we don't really take advantage of that opportunity to treat them,\" Willis said.\u003c/p>\n\u003cp>In October, Clark Kelso, the federal official who controls medical care at the state's prisons, announced a plan to spend $252 million a year to provide medication aimed at reducing fatal drug overdoses.\u003c/p>\n\u003cp>Kelso's plan calls for the state to provide drug treatment to 13,000 inmates to reduce craving while weening them off opioids.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press contributed reporting to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11710744/san-quentin-deaths-come-amid-increase-in-drug-overdoses-at-prison","authors":["258","1329"],"programs":["news_72"],"categories":["news_457","news_6188","news_8","news_13"],"tags":["news_616","news_19542","news_22492","news_3930"],"featImg":"news_147534","label":"news_72"},"news_11669369":{"type":"posts","id":"news_11669369","meta":{"index":"posts_1591205157","site":"news","id":"11669369","score":null,"sort":[1526751214000]},"guestAuthors":[],"slug":"san-francisco-to-distribute-addiction-drug-directly-to-users","title":"San Francisco to Distribute Addiction Drug Directly to Users","publishDate":1526751214,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>San Francisco's mayor plans to put medical teams on the streets to distribute a drug that curbs heroin cravings in opioid addicts, an initiative he says will be the first in the country.\u003c/p>\n\u003cp>Mayor Mark Farrell announced Thursday he will allocate $6 million for 10 new public health clinicians to provide the opioid treatment medicine buprenorphine, known as Suboxone, directly to users.\u003c/p>\n\u003cp>https://twitter.com/MarkFarrellSF/status/997178026415636480\u003c/p>\n\u003cp>Buprenorphine is a daily pill or dissolvable strip that reduces cravings and alleviates withdrawal symptoms. It also reduces risk of overdose.\u003c/p>\n\u003cp>Video and photos of people shooting up drugs in public have gone viral in recent weeks and added to San Francisco's reputation as being overrun by addicts and homeless people.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The opioid crisis plaguing our country is alive and visible on the streets of San Francisco. The status quo is simply unacceptable,\" Farrell said.\u003c/p>\n\u003cp>The city has an estimated 22,500 injection drug users and half report using heroin. It already provides methadone treatment at clinics and buprenorphine for patients in its public health care system.\u003c/p>\n\u003cp>Supporters say the latest effort to address opioid addiction will help users who won't go to clinics.\u003c/p>\n\u003cp>\"We need to meet people where they are and make it easier for them to get care,\" said Dr. Barry Zevin, medical director of Street Medicine and Shelter Health, which treats homeless people.\u003c/p>\n\u003cp>The Department of Public Health began testing the effectiveness of prescribing buprenorphine to homeless people in 2016 — and since then, nearly 60 percent of the approximately 200 people who began taking the drug are still working on being clean, officials told The San Francisco Chronicle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We have this situation where people can be afraid to come in for care because of the stigma and maybe even a fear of being arrested even though we don't arrest people in our clinics,\" said Director of Public Health Barbara Garcia.\u003c/p>\n\n","blocks":[],"excerpt":"Distributing Suboxone on city streets, which Mayor Mark Farrell says will be the first program of its kind in the country, is the city's latest effort to address heroin addiction.","status":"publish","parent":0,"modified":1526751214,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":319},"headData":{"title":"San Francisco to Distribute Addiction Drug Directly to Users | KQED","description":"Distributing Suboxone on city streets, which Mayor Mark Farrell says will be the first program of its kind in the country, is the city's latest effort to address heroin addiction.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco to Distribute Addiction Drug Directly to Users","datePublished":"2018-05-19T17:33:34.000Z","dateModified":"2018-05-19T17:33:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11669369 https://ww2.kqed.org/news/?p=11669369","disqusUrl":"https://ww2.kqed.org/news/2018/05/19/san-francisco-to-distribute-addiction-drug-directly-to-users/","disqusTitle":"San Francisco to Distribute Addiction Drug Directly to Users","source":"Associated Press","nprByline":"Associated Press","path":"/news/11669369/san-francisco-to-distribute-addiction-drug-directly-to-users","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco's mayor plans to put medical teams on the streets to distribute a drug that curbs heroin cravings in opioid addicts, an initiative he says will be the first in the country.\u003c/p>\n\u003cp>Mayor Mark Farrell announced Thursday he will allocate $6 million for 10 new public health clinicians to provide the opioid treatment medicine buprenorphine, known as Suboxone, directly to users.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"997178026415636480"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Buprenorphine is a daily pill or dissolvable strip that reduces cravings and alleviates withdrawal symptoms. It also reduces risk of overdose.\u003c/p>\n\u003cp>Video and photos of people shooting up drugs in public have gone viral in recent weeks and added to San Francisco's reputation as being overrun by addicts and homeless people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The opioid crisis plaguing our country is alive and visible on the streets of San Francisco. The status quo is simply unacceptable,\" Farrell said.\u003c/p>\n\u003cp>The city has an estimated 22,500 injection drug users and half report using heroin. It already provides methadone treatment at clinics and buprenorphine for patients in its public health care system.\u003c/p>\n\u003cp>Supporters say the latest effort to address opioid addiction will help users who won't go to clinics.\u003c/p>\n\u003cp>\"We need to meet people where they are and make it easier for them to get care,\" said Dr. Barry Zevin, medical director of Street Medicine and Shelter Health, which treats homeless people.\u003c/p>\n\u003cp>The Department of Public Health began testing the effectiveness of prescribing buprenorphine to homeless people in 2016 — and since then, nearly 60 percent of the approximately 200 people who began taking the drug are still working on being clean, officials told The San Francisco Chronicle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We have this situation where people can be afraid to come in for care because of the stigma and maybe even a fear of being arrested even though we don't arrest people in our clinics,\" said Director of Public Health Barbara Garcia.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11669369/san-francisco-to-distribute-addiction-drug-directly-to-users","authors":["byline_news_11669369"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_23292","news_2587","news_23278","news_22439","news_22492"],"featImg":"news_11669370","label":"source_news_11669369"},"news_11669155":{"type":"posts","id":"news_11669155","meta":{"index":"posts_1591205157","site":"news","id":"11669155","score":null,"sort":[1526688185000]},"guestAuthors":[],"slug":"it-controls-you-9-months-with-a-fresno-mother-battling-addiction-and-homelessness","title":"'It Controls You’: 9 Months With a Fresno Mother Battling Addiction and Homelessness","publishDate":1526688185,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003cem>When I first met Amanda at a needle exchange program in Fresno late last year, she agreed to let me document her life. She had three kids, and she was homeless. But she didn't want people to know her last name because she's a sex worker, and she's addicted to methamphetamine and heroin. Below is an account of the nine months I spent with her.\u003c/em>\u003c/p>\n\u003cp>[dropcap]O[/dropcap]ne night as we sit in my car, Amanda tells me about the first time she tried heroin. It was three years ago, when she was 28, right after her boyfriend died in a motorcycle accident.\u003c/p>\n\u003cp>\"I felt really, really good,\" she said. \"I felt really relaxed. Calm. Everything was just not a worry in the world.\"\u003c/p>\n\u003cp>Amanda has been anxious and depressed for much of her life. Not only did she experience the trauma of her boyfriend's death, but she was also sexually abused as a child. Amanda has been using methamphetamine since she was 14.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s really hard for people to understand why people who are addicted to drugs can’t stop,” I tell her. Then I ask if she can help people understand what it’s like.\u003c/p>\n\u003cp>“It controls you,” she says.\u003c/p>\n\u003cp>“The drug controls you. ... I’m not really good at answering that question 'cause I ask myself that. 'Why couldn’t I just stop?' ”\u003c/p>\n\u003cp>I ask Amanda to describe herself. She says, “I’m 5’4” 131 pounds, bluish-gray eyes, curly hair, I’m chubby. I have freckles.”\u003c/p>\n\u003cp>Amanda has the names of her three children tattooed on her ankle. She usually wears glittery eye shadow and keeps her nails painted.\u003c/p>\n\u003cp>A couple of weeks after I meet Amanda, she brings me to the motel where she’s staying. It’s a few miles from downtown Fresno, on a street filled with other motels.\u003c/p>\n\u003cfigure id=\"attachment_11669164\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669164\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-800x600.jpg\" alt='Amanda often stays in one of these motels on \"Motel Row\" in Fresno.' width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda often stays in one of these motels on \"Motel Row\" in Fresno. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda is sitting on her bed, showing me photos on her cracked smartphone. There are a few burn holes in the blanket. And on the side table there’s a plastic cup with cigarette butts floating in brown water. She shows me pictures of her three kids.\u003c/p>\n\u003cp>When she shows me one of her son, she says, “He looks just like me. It blows me away.” We laugh at the app she’s using to add funny animations to their faces.\u003c/p>\n\u003cp>“Is your mom excited to be a grandma again?” I ask.\u003c/p>\n\u003cp>“Yeah, she is but she isn’t,\" Amanda says. \"At first she was, you know, pissed off. She’s still a little bit pissed off.” Amanda’s mother is upset because Amanda is pregnant again.\u003c/p>\n\u003cfigure id=\"attachment_11669166\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669166\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-800x600.jpg\" alt=\"When Amanda can't afford to pay for this motel room, she sleeps in her car. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-520x390.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut.jpg 1333w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">When Amanda can't afford to pay for this motel room, she sleeps in her car. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda’s children live with their fathers. She still has legal custody of them, but she doesn’t feel like she can take care of them now. While she was visiting her kids one day, Amanda says her 4-year-old daughter rifled through her makeup bag, where Amanda had stashed two dirty \"rigs,\" or syringes.\u003c/p>\n\u003cp>Her daughter had pulled them out of the bag and Amanda warned her that they were really sharp. Three days later Amanda got an angry phone call from her daughter’s father. His mother was watching the girl, and she had a rig in her makeup bag.\u003c/p>\n\u003cp>“Her little makeup bag I gave her because she wanted to be like her mommy,” Amanda says, crying. “ 'Cause I had one in mine, she wanted one in hers.”\u003c/p>\n\u003cp>With this pregnancy, Amanda didn’t find out until she was 19 weeks along, during an unrelated doctor’s visit. When she went to see an OB/GYN afterward, the doctor was upset with her because she was so far along in the pregnancy. Amanda could already feel the baby moving in her stomach.\u003c/p>\n\u003cp>The doctor referred Amanda to a methadone clinic so that she could stop using heroin. Methadone is a synthetic opioid considered safer than street opiates. It has fewer ups and downs. The doctor told her if she didn’t stop using before the baby was born, Child Protective Services (CPS) could open up a case and place the baby with a foster family, something Amanda adamantly doesn’t want. So, her plan is to get on methadone and get off drugs before her baby is born.\u003c/p>\n\u003cfigure id=\"attachment_11669168\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669168\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-800x600.jpg\" alt=\"Amanda, pregnant, standing outside a methadone clinic in Fresno.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda, pregnant, standing outside a methadone clinic in Fresno. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda’s mother recently confronted her about her ability to take care of a newborn.\u003c/p>\n\u003cp>Her mother said, “You can’t take care of this baby. If you don’t pay rent tomorrow, you’re on the street. You can’t be on the street with the baby.”\u003c/p>\n\u003cp>Amanda agrees that all of that is true.\u003c/p>\n\u003cp>“I don’t know what to even do with the baby anymore,” she says. “I really, really, don’t want to lose this baby.” She cries.\u003c/p>\n\u003cp>When Amanda is seven months pregnant, she starts dosing on methadone. At the clinic, they give her a cherry-flavored liquid that she must drink in front of them. She’ll have to go to the clinic every day to dose.\u003c/p>\n\u003cp>A month later, Amanda is still dosing on methadone but continuing to use heroin. And she’s still making money through sex work.\u003c/p>\n\u003cp>She’s in bed in her motel room because she’s had high blood pressure and she’s been bleeding.\u003c/p>\n\u003cp>“There could be something horribly wrong with my baby right now,” she says. She tells me she’s terrified to go to the hospital, though, because she doesn’t want them to induce labor. She knows the baby, a girl, would test positive for drugs and CPS would get involved.\u003c/p>\n\u003cp>“I don’t want them to take her because of that, but I don’t want her to die or something,” she says. “I shouldn’t be bleeding right now at all.”\u003c/p>\n\u003cp>Finally, I convince Amanda to go to the doctor. She says the bleeding is likely the placenta separating from the uterus. That could be because of her heroin use. Amanda will need to come in twice a week for fetal monitoring.\u003c/p>\n\u003cp>A couple of weeks later, Amanda has lost some weight. She’s continuing to use heroin.\u003c/p>\n\u003cp>Amanda calls it “black,” short for black tar heroin. She tells me how the baby reacts to the drugs. “If I do dose [on methadone] or if I do a shot of black, she's like, ‘Woo,’ like crazy with me,” she says. “It's sad but it's true. She has to have it. You can tell it makes her feel better.”\u003c/p>\n\u003cp>Throughout the pregnancy, Amanda talks about the baby “needing” heroin. And in a way, it’s true. At this point, the biggest risk to the fetus is not heroin itself, but heroin withdrawal. The baby could be born premature or even die.\u003c/p>\n\u003cp>When Amanda is 8½ months pregnant, she starts having contractions and goes to the hospital with her boyfriend, Twin. She’s in the high-risk wing of the pregnancy ward. Twin feeds her ice chips and her labor progresses normally. The labor lasts several hours.\u003c/p>\n\u003cfigure id=\"attachment_11669167\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669167\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-800x600.jpg\" alt=\"Amanda's hand, soon after the birth of her daughter Maci, while still in the hospital.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda's hand, soon after the birth of her daughter, Maci, while still in the hospital. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda’s baby girl is born. Amanda names her Maci. Immediately, the nurses put the baby on a scale. She’s 5 pounds, 8 ounces. They ink her feet with black and stamp them on the birth certificate.\u003c/p>\n\u003cp>The doctor tells Amanda the baby was born healthy.\u003c/p>\n\u003cp>“Her lungs are OK,” Amanda says, “hearts OK, belly’s soft. I wonder what that means. That’s what the doctor said.”\u003c/p>\n\u003cp>Maci is staying in the hospital’s NICU, neonatal intensive care unit, for a few days. She’s being watched carefully for signs of withdrawal, which can be yawning, shaking, persistent sucking, or spitting up. Amanda can hold her and care for her in the NICU. She can also get permission to take the baby to her room to care for her there as well.\u003c/p>\n\u003cp>When Maci is 3 days old, she starts having symptoms of withdrawal from heroin -- spitting up and shaking. The doctors start Maci on methadone treatment, which is normal for babies born dependent on opiates.\u003c/p>\n\u003cp>Because Amanda admitted to using drugs in the hospital, CPS opens up a case and Amanda has to go to family court. There the judge orders Maci to stay with a foster family until Amanda can prove that she’s ready to be a stable parent. In the meantime, she’ll have drug testing and supervised visits with Maci.\u003c/p>\n\u003cfigure id=\"attachment_11669169\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669169\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-800x1067.jpg\" alt=\"Amanda mixes up methamphetamine and heroin before injecting it.\" width=\"800\" height=\"1067\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-800x1067.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-160x213.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-1020x1360.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-900x1200.jpg 900w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-960x1280.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-240x320.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-375x500.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-520x693.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda mixes up methamphetamine and heroin before injecting it. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Maci is 2½ weeks old, and is living with her foster family.\u003c/p>\n\u003cp>I meet Amanda at her motel room. Right away, she goes into the bathroom and starts preparing a shot of heroin. I’m nervous watching Amanda shoot up. I’ve been carrying naloxone -- a treatment for opiate overdose -- since I met her, just in case.\u003c/p>\n\u003cp>After Amanda shoots up, we sit by the windows of her room, which look out onto the back parking lot.\u003c/p>\n\u003cp>She tells me last week she was sleeping in her car, and that she was still bleeding from the birth. She also says her milk came in.\u003c/p>\n\u003cp>“Yeah, it was like pouring,” she says. “It was just sad. That’s just something I dealt with being a mother. I miss her so much.”\u003c/p>\n\u003cp>Amanda and her boyfriend, Twin, are allowed to visit Maci twice a week for one hour. The visits are in a living-room-style space at a CPS office. A social worker supervises. I ask Amanda what she did with Maci.\u003c/p>\n\u003cp>“Held her,” she says. “And fed her. And changed her poopy diaper. She pooped.”\u003c/p>\n\u003cp>“And what was that like?” I ask.\u003c/p>\n\u003cp>“It was OK,” she says. “I don’t know how to explain it. I don’t know. It was awesome. But it went by really fast.”\u003c/p>\n\u003cp>Maci is still taking methadone, but being weaned off slowly. Amanda is waiting for her next court date, where the judge will order her to go into rehab.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>When that happens, CPS will cover the costs. Amanda has until August to start making major changes in her life, or else Maci’s foster family can adopt her.\u003c/p>\n\n","blocks":[],"excerpt":"Amanda is a sex worker addicted to heroin. She’s also a mother struggling to stay off the street. Reporter Rachel Cassandra spent nine months interviewing her and documenting her life.","status":"publish","parent":0,"modified":1529346369,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":53,"wordCount":1886},"headData":{"title":"'It Controls You’: 9 Months With a Fresno Mother Battling Addiction and Homelessness | KQED","description":"Amanda is a sex worker addicted to heroin. She’s also a mother struggling to stay off the street. Reporter Rachel Cassandra spent nine months interviewing her and documenting her life.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'It Controls You’: 9 Months With a Fresno Mother Battling Addiction and Homelessness","datePublished":"2018-05-19T00:03:05.000Z","dateModified":"2018-06-18T18:26:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11669155 https://ww2.kqed.org/news/?p=11669155","disqusUrl":"https://ww2.kqed.org/news/2018/05/18/it-controls-you-9-months-with-a-fresno-mother-battling-addiction-and-homelessness/","disqusTitle":"'It Controls You’: 9 Months With a Fresno Mother Battling Addiction and Homelessness","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2018/05/CassandraHomelessFresnoMom.mp3","nprByline":"Rachel Cassandra","path":"/news/11669155/it-controls-you-9-months-with-a-fresno-mother-battling-addiction-and-homelessness","audioDuration":678000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003cem>When I first met Amanda at a needle exchange program in Fresno late last year, she agreed to let me document her life. She had three kids, and she was homeless. But she didn't want people to know her last name because she's a sex worker, and she's addicted to methamphetamine and heroin. Below is an account of the nine months I spent with her.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">O\u003c/span>\u003c/p>\u003cp>ne night as we sit in my car, Amanda tells me about the first time she tried heroin. It was three years ago, when she was 28, right after her boyfriend died in a motorcycle accident.\u003c/p>\n\u003cp>\"I felt really, really good,\" she said. \"I felt really relaxed. Calm. Everything was just not a worry in the world.\"\u003c/p>\n\u003cp>Amanda has been anxious and depressed for much of her life. Not only did she experience the trauma of her boyfriend's death, but she was also sexually abused as a child. Amanda has been using methamphetamine since she was 14.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s really hard for people to understand why people who are addicted to drugs can’t stop,” I tell her. Then I ask if she can help people understand what it’s like.\u003c/p>\n\u003cp>“It controls you,” she says.\u003c/p>\n\u003cp>“The drug controls you. ... I’m not really good at answering that question 'cause I ask myself that. 'Why couldn’t I just stop?' ”\u003c/p>\n\u003cp>I ask Amanda to describe herself. She says, “I’m 5’4” 131 pounds, bluish-gray eyes, curly hair, I’m chubby. I have freckles.”\u003c/p>\n\u003cp>Amanda has the names of her three children tattooed on her ankle. She usually wears glittery eye shadow and keeps her nails painted.\u003c/p>\n\u003cp>A couple of weeks after I meet Amanda, she brings me to the motel where she’s staying. It’s a few miles from downtown Fresno, on a street filled with other motels.\u003c/p>\n\u003cfigure id=\"attachment_11669164\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669164\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-800x600.jpg\" alt='Amanda often stays in one of these motels on \"Motel Row\" in Fresno.' width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/02-RS31005_02-moteldrive-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda often stays in one of these motels on \"Motel Row\" in Fresno. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda is sitting on her bed, showing me photos on her cracked smartphone. There are a few burn holes in the blanket. And on the side table there’s a plastic cup with cigarette butts floating in brown water. She shows me pictures of her three kids.\u003c/p>\n\u003cp>When she shows me one of her son, she says, “He looks just like me. It blows me away.” We laugh at the app she’s using to add funny animations to their faces.\u003c/p>\n\u003cp>“Is your mom excited to be a grandma again?” I ask.\u003c/p>\n\u003cp>“Yeah, she is but she isn’t,\" Amanda says. \"At first she was, you know, pissed off. She’s still a little bit pissed off.” Amanda’s mother is upset because Amanda is pregnant again.\u003c/p>\n\u003cfigure id=\"attachment_11669166\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669166\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-800x600.jpg\" alt=\"When Amanda can't afford to pay for this motel room, she sleeps in her car. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut-520x390.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/03-RS31006_03-amanda-motel-qut.jpg 1333w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">When Amanda can't afford to pay for this motel room, she sleeps in her car. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda’s children live with their fathers. She still has legal custody of them, but she doesn’t feel like she can take care of them now. While she was visiting her kids one day, Amanda says her 4-year-old daughter rifled through her makeup bag, where Amanda had stashed two dirty \"rigs,\" or syringes.\u003c/p>\n\u003cp>Her daughter had pulled them out of the bag and Amanda warned her that they were really sharp. Three days later Amanda got an angry phone call from her daughter’s father. His mother was watching the girl, and she had a rig in her makeup bag.\u003c/p>\n\u003cp>“Her little makeup bag I gave her because she wanted to be like her mommy,” Amanda says, crying. “ 'Cause I had one in mine, she wanted one in hers.”\u003c/p>\n\u003cp>With this pregnancy, Amanda didn’t find out until she was 19 weeks along, during an unrelated doctor’s visit. When she went to see an OB/GYN afterward, the doctor was upset with her because she was so far along in the pregnancy. Amanda could already feel the baby moving in her stomach.\u003c/p>\n\u003cp>The doctor referred Amanda to a methadone clinic so that she could stop using heroin. Methadone is a synthetic opioid considered safer than street opiates. It has fewer ups and downs. The doctor told her if she didn’t stop using before the baby was born, Child Protective Services (CPS) could open up a case and place the baby with a foster family, something Amanda adamantly doesn’t want. So, her plan is to get on methadone and get off drugs before her baby is born.\u003c/p>\n\u003cfigure id=\"attachment_11669168\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669168\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-800x600.jpg\" alt=\"Amanda, pregnant, standing outside a methadone clinic in Fresno.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/05-RS31008_05-AmandaPreg-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda, pregnant, standing outside a methadone clinic in Fresno. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda’s mother recently confronted her about her ability to take care of a newborn.\u003c/p>\n\u003cp>Her mother said, “You can’t take care of this baby. If you don’t pay rent tomorrow, you’re on the street. You can’t be on the street with the baby.”\u003c/p>\n\u003cp>Amanda agrees that all of that is true.\u003c/p>\n\u003cp>“I don’t know what to even do with the baby anymore,” she says. “I really, really, don’t want to lose this baby.” She cries.\u003c/p>\n\u003cp>When Amanda is seven months pregnant, she starts dosing on methadone. At the clinic, they give her a cherry-flavored liquid that she must drink in front of them. She’ll have to go to the clinic every day to dose.\u003c/p>\n\u003cp>A month later, Amanda is still dosing on methadone but continuing to use heroin. And she’s still making money through sex work.\u003c/p>\n\u003cp>She’s in bed in her motel room because she’s had high blood pressure and she’s been bleeding.\u003c/p>\n\u003cp>“There could be something horribly wrong with my baby right now,” she says. She tells me she’s terrified to go to the hospital, though, because she doesn’t want them to induce labor. She knows the baby, a girl, would test positive for drugs and CPS would get involved.\u003c/p>\n\u003cp>“I don’t want them to take her because of that, but I don’t want her to die or something,” she says. “I shouldn’t be bleeding right now at all.”\u003c/p>\n\u003cp>Finally, I convince Amanda to go to the doctor. She says the bleeding is likely the placenta separating from the uterus. That could be because of her heroin use. Amanda will need to come in twice a week for fetal monitoring.\u003c/p>\n\u003cp>A couple of weeks later, Amanda has lost some weight. She’s continuing to use heroin.\u003c/p>\n\u003cp>Amanda calls it “black,” short for black tar heroin. She tells me how the baby reacts to the drugs. “If I do dose [on methadone] or if I do a shot of black, she's like, ‘Woo,’ like crazy with me,” she says. “It's sad but it's true. She has to have it. You can tell it makes her feel better.”\u003c/p>\n\u003cp>Throughout the pregnancy, Amanda talks about the baby “needing” heroin. And in a way, it’s true. At this point, the biggest risk to the fetus is not heroin itself, but heroin withdrawal. The baby could be born premature or even die.\u003c/p>\n\u003cp>When Amanda is 8½ months pregnant, she starts having contractions and goes to the hospital with her boyfriend, Twin. She’s in the high-risk wing of the pregnancy ward. Twin feeds her ice chips and her labor progresses normally. The labor lasts several hours.\u003c/p>\n\u003cfigure id=\"attachment_11669167\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669167\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-800x600.jpg\" alt=\"Amanda's hand, soon after the birth of her daughter Maci, while still in the hospital.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/04-RS31007_04-amandahand-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda's hand, soon after the birth of her daughter, Maci, while still in the hospital. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Amanda’s baby girl is born. Amanda names her Maci. Immediately, the nurses put the baby on a scale. She’s 5 pounds, 8 ounces. They ink her feet with black and stamp them on the birth certificate.\u003c/p>\n\u003cp>The doctor tells Amanda the baby was born healthy.\u003c/p>\n\u003cp>“Her lungs are OK,” Amanda says, “hearts OK, belly’s soft. I wonder what that means. That’s what the doctor said.”\u003c/p>\n\u003cp>Maci is staying in the hospital’s NICU, neonatal intensive care unit, for a few days. She’s being watched carefully for signs of withdrawal, which can be yawning, shaking, persistent sucking, or spitting up. Amanda can hold her and care for her in the NICU. She can also get permission to take the baby to her room to care for her there as well.\u003c/p>\n\u003cp>When Maci is 3 days old, she starts having symptoms of withdrawal from heroin -- spitting up and shaking. The doctors start Maci on methadone treatment, which is normal for babies born dependent on opiates.\u003c/p>\n\u003cp>Because Amanda admitted to using drugs in the hospital, CPS opens up a case and Amanda has to go to family court. There the judge orders Maci to stay with a foster family until Amanda can prove that she’s ready to be a stable parent. In the meantime, she’ll have drug testing and supervised visits with Maci.\u003c/p>\n\u003cfigure id=\"attachment_11669169\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11669169\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-800x1067.jpg\" alt=\"Amanda mixes up methamphetamine and heroin before injecting it.\" width=\"800\" height=\"1067\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-800x1067.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-160x213.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-1020x1360.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-900x1200.jpg 900w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-960x1280.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-240x320.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-375x500.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/06-RS31009_06-IMG_3649-qut-520x693.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amanda mixes up methamphetamine and heroin before injecting it. \u003ccite>(Rachel Cassandra/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Maci is 2½ weeks old, and is living with her foster family.\u003c/p>\n\u003cp>I meet Amanda at her motel room. Right away, she goes into the bathroom and starts preparing a shot of heroin. I’m nervous watching Amanda shoot up. I’ve been carrying naloxone -- a treatment for opiate overdose -- since I met her, just in case.\u003c/p>\n\u003cp>After Amanda shoots up, we sit by the windows of her room, which look out onto the back parking lot.\u003c/p>\n\u003cp>She tells me last week she was sleeping in her car, and that she was still bleeding from the birth. She also says her milk came in.\u003c/p>\n\u003cp>“Yeah, it was like pouring,” she says. “It was just sad. That’s just something I dealt with being a mother. I miss her so much.”\u003c/p>\n\u003cp>Amanda and her boyfriend, Twin, are allowed to visit Maci twice a week for one hour. The visits are in a living-room-style space at a CPS office. A social worker supervises. I ask Amanda what she did with Maci.\u003c/p>\n\u003cp>“Held her,” she says. “And fed her. And changed her poopy diaper. She pooped.”\u003c/p>\n\u003cp>“And what was that like?” I ask.\u003c/p>\n\u003cp>“It was OK,” she says. “I don’t know how to explain it. I don’t know. It was awesome. But it went by really fast.”\u003c/p>\n\u003cp>Maci is still taking methadone, but being weaned off slowly. Amanda is waiting for her next court date, where the judge will order her to go into rehab.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When that happens, CPS will cover the costs. Amanda has until August to start making major changes in her life, or else Maci’s foster family can adopt her.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11669155/it-controls-you-9-months-with-a-fresno-mother-battling-addiction-and-homelessness","authors":["byline_news_11669155"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_21434","news_37","news_23278","news_19743","news_22492","news_22774","news_21771"],"featImg":"news_11675566","label":"news_72"},"news_11655990":{"type":"posts","id":"news_11655990","meta":{"index":"posts_1591205157","site":"news","id":"11655990","score":null,"sort":[1521154139000]},"guestAuthors":[],"slug":"s-f-based-mckesson-corp-subpoenaed-in-opioid-probe","title":"S.F.-Based McKesson Corp. Subpoenaed in Opioid Probe","publishDate":1521154139,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>New York state prosecutors have served the McKesson Corp. with a subpoena in connection with a multistate investigation into the San Francisco-based drug distribution giant's opioid marketing and sales practices.\u003c/p>\n\u003cp>The office of New York Attorney General Eric Schneiderman confirmed Thursday that it served McKesson, the nation's largest prescription drug distributor, and Ohio-based Cardinal Health, with subpoenas, seeking company records and communications related to suspicious drug orders.\u003c/p>\n\u003cp>\"We've received the attorney general's subpoena and are currently reviewing its specific requests,\" said McKesson spokeswoman Kristin Hunter Chasen in an email.\u003c/p>\n\u003cp>Schneiderman's office is working with prosecutors in several other states.\u003c/p>\n\u003cp>\"These AGs are jumping on an already fast-moving bandwagon,\" said Michelle Mello, a professor of law, health research and policy at Stanford University.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The subpoenas are the latest in a series of state and federal efforts to scrutinize and penalize McKesson, which is believed to distribute one-third of all pharmaceuticals used in North America, for its links to the nation's opioid crisis.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wvgazettemail.com/news/health/wv_drug_abuse/in-two-years-drug-giant-mckesson-shipped-million-pain-pills/article_2b00569a-d10c-5295-9775-8fb70f2c5840.html\" target=\"_blank\" rel=\"noopener\">House Energy and Commerce Committee\u003c/a> is investigating shipments McKesson and other companies made to pharmacies in small towns in West Virginia.\u003c/p>\n\u003cp>Last year, McKesson agreed to a settlement with the U.S. Justice Department and paid a $150 million fine in civil penalties for alleged violations of the Controlled Substances Act.\u003c/p>\n\u003cp>In 2008, McKesson agreed to a $13 million civil penalty for similar violations.\u003c/p>\n\u003cp>Federal prosecutors say that, between 2008 and 2013, McKesson supplied pharmacies an increasing amount of oxycodone and hydrocodone pills.\u003c/p>\n\u003cp>Prosecutors in several states, cities and counties have sued the company as well as other large drug distributors and manufacturers.\u003c/p>\n\u003cp>Mello says that litigation could lead to a \"global settlement.\"\u003c/p>\n\u003cp>\"This is going to be a very difficult path for the company to tread, and that really bodes well for the states attorney general,\" Mello said.\u003c/p>\n\u003cp>In early March, lawyers representing West Virginia in its lawsuit over that state's opioid epidemic revealed that they planned to \u003ca href=\"https://www.wvgazettemail.com/news/health/wv_drug_abuse/drug-execs-to-face-depositions-in-wv-opioid-lawsuit/article_b8dda666-c6f1-5b8c-b3ba-9c999663e1b2.html\" target=\"_blank\" rel=\"noopener\">depose\u003c/a> several top McKesson executives in the coming months. Five of the company's officials are slated to be interviewed starting the week of April 12.\u003c/p>\n\u003cp>In that lawsuit, the company is accused of offering bonuses to employees for increased opioid sales. McKesson disputes that claim.\u003c/p>\n\u003cp>Late last month, McKesson filed papers in Oklahoma state court to get a \u003ca href=\"https://www.bna.com/mckesson-wants-cherokee-b57982089355/\" target=\"_blank\" rel=\"noopener\">lawsuit filed by the Cherokee Nation\u003c/a> moved into federal court.\u003c/p>\n\u003cp>The tribe says the San Francisco company and several other firms, including Walgreens, Walmart and CVS Health, caused and perpetuated the opioid abuse epidemic in the Cherokee Nation.\u003c/p>\n\u003cp>Last September, California Attorney General Xavier Becerra announced that California and 40 other states were expanding their investigation into the opioid crisis, which included more scrutiny of McKesson.\u003c/p>\n\u003cp>His office noted that opioids are the main driver of drug overdose deaths in the country. The drugs were involved in more than 33,000 deaths nationwide in 2015.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That year, approximately 2,000 Californians died due to overdoses related to opioid use.\u003c/p>\n\n","blocks":[],"excerpt":"The drug distribution giant is accused of offering bonuses to employees for increased opioid sales.","status":"publish","parent":0,"modified":1521161451,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":507},"headData":{"title":"S.F.-Based McKesson Corp. Subpoenaed in Opioid Probe | KQED","description":"The drug distribution giant is accused of offering bonuses to employees for increased opioid sales.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"S.F.-Based McKesson Corp. Subpoenaed in Opioid Probe","datePublished":"2018-03-15T22:48:59.000Z","dateModified":"2018-03-16T00:50:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11655990 https://ww2.kqed.org/news/?p=11655990","disqusUrl":"https://ww2.kqed.org/news/2018/03/15/s-f-based-mckesson-corp-subpoenaed-in-opioid-probe/","disqusTitle":"S.F.-Based McKesson Corp. Subpoenaed in Opioid Probe","path":"/news/11655990/s-f-based-mckesson-corp-subpoenaed-in-opioid-probe","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>New York state prosecutors have served the McKesson Corp. with a subpoena in connection with a multistate investigation into the San Francisco-based drug distribution giant's opioid marketing and sales practices.\u003c/p>\n\u003cp>The office of New York Attorney General Eric Schneiderman confirmed Thursday that it served McKesson, the nation's largest prescription drug distributor, and Ohio-based Cardinal Health, with subpoenas, seeking company records and communications related to suspicious drug orders.\u003c/p>\n\u003cp>\"We've received the attorney general's subpoena and are currently reviewing its specific requests,\" said McKesson spokeswoman Kristin Hunter Chasen in an email.\u003c/p>\n\u003cp>Schneiderman's office is working with prosecutors in several other states.\u003c/p>\n\u003cp>\"These AGs are jumping on an already fast-moving bandwagon,\" said Michelle Mello, a professor of law, health research and policy at Stanford University.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The subpoenas are the latest in a series of state and federal efforts to scrutinize and penalize McKesson, which is believed to distribute one-third of all pharmaceuticals used in North America, for its links to the nation's opioid crisis.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wvgazettemail.com/news/health/wv_drug_abuse/in-two-years-drug-giant-mckesson-shipped-million-pain-pills/article_2b00569a-d10c-5295-9775-8fb70f2c5840.html\" target=\"_blank\" rel=\"noopener\">House Energy and Commerce Committee\u003c/a> is investigating shipments McKesson and other companies made to pharmacies in small towns in West Virginia.\u003c/p>\n\u003cp>Last year, McKesson agreed to a settlement with the U.S. Justice Department and paid a $150 million fine in civil penalties for alleged violations of the Controlled Substances Act.\u003c/p>\n\u003cp>In 2008, McKesson agreed to a $13 million civil penalty for similar violations.\u003c/p>\n\u003cp>Federal prosecutors say that, between 2008 and 2013, McKesson supplied pharmacies an increasing amount of oxycodone and hydrocodone pills.\u003c/p>\n\u003cp>Prosecutors in several states, cities and counties have sued the company as well as other large drug distributors and manufacturers.\u003c/p>\n\u003cp>Mello says that litigation could lead to a \"global settlement.\"\u003c/p>\n\u003cp>\"This is going to be a very difficult path for the company to tread, and that really bodes well for the states attorney general,\" Mello said.\u003c/p>\n\u003cp>In early March, lawyers representing West Virginia in its lawsuit over that state's opioid epidemic revealed that they planned to \u003ca href=\"https://www.wvgazettemail.com/news/health/wv_drug_abuse/drug-execs-to-face-depositions-in-wv-opioid-lawsuit/article_b8dda666-c6f1-5b8c-b3ba-9c999663e1b2.html\" target=\"_blank\" rel=\"noopener\">depose\u003c/a> several top McKesson executives in the coming months. Five of the company's officials are slated to be interviewed starting the week of April 12.\u003c/p>\n\u003cp>In that lawsuit, the company is accused of offering bonuses to employees for increased opioid sales. McKesson disputes that claim.\u003c/p>\n\u003cp>Late last month, McKesson filed papers in Oklahoma state court to get a \u003ca href=\"https://www.bna.com/mckesson-wants-cherokee-b57982089355/\" target=\"_blank\" rel=\"noopener\">lawsuit filed by the Cherokee Nation\u003c/a> moved into federal court.\u003c/p>\n\u003cp>The tribe says the San Francisco company and several other firms, including Walgreens, Walmart and CVS Health, caused and perpetuated the opioid abuse epidemic in the Cherokee Nation.\u003c/p>\n\u003cp>Last September, California Attorney General Xavier Becerra announced that California and 40 other states were expanding their investigation into the opioid crisis, which included more scrutiny of McKesson.\u003c/p>\n\u003cp>His office noted that opioids are the main driver of drug overdose deaths in the country. The drugs were involved in more than 33,000 deaths nationwide in 2015.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That year, approximately 2,000 Californians died due to overdoses related to opioid use.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11655990/s-f-based-mckesson-corp-subpoenaed-in-opioid-probe","authors":["258"],"programs":["news_6944","news_72"],"categories":["news_457","news_6188","news_8","news_13"],"tags":["news_19542","news_22492","news_18153"],"featImg":"news_11656042","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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