Essex County sees overdose spike
LAKE PLACID — The Essex County Department of Health has issued a community alert after January saw the highest number of overdoses ever reported in a single month.
The department posted on Facebook they've received data from an Overdose Mapping and Application Program, which provides information in real time about suspected overdoses. This data shows there has been one fatal overdose and 10 nonfatal overdoses so far in 2025, as of the Jan. 29 post.
Linda Beers, the director of public health for the county's health department, said this is in line with broader trends in rural regions across the country. While this problem is complicated, Beers said there are a number of factors that contribute to this rise.
SHORTAGE OF SERVICES
Rural areas, including Essex County, have a shortage of mental health professionals and people can struggle to find transportation to appointments and services. There are also limited treatment options; many rural communities do not offer Medication-Assisted Treatment programs, such as methadone treatment. There is also still a problem with stigma around the problem.
'There is a significant stigma associated with seeking help for substance use disorders in rural communities, which can deter individuals from accessing necessary treatment and services,' Beers wrote in an email.
When overdoses are reported by law enforcement or EMS workers, the Law Enforcement Mental Health Referral System sends information to members of the crisis intervention team at the Mental Health Association in Essex County.
Alyissa Galusha, opioid response and harm reduction specialist at MHA, is one of those people. She said they receive information from law enforcement, usually with some kind of contact information, and are able to subsequently contact the vast majority of overdose survivors. In January they were able to reach out to nine out of the 10 people who experienced an overdose.
TUGS ON THE HEARTSTRINGS
MHA always provides these individuals with Narcan kits, along with xylazine and fentanyl testing strips, and leaves contact information for MHA. Individuals have a right to refuse services, Galusha said, so they have a range of engagement with the additional services they offer. She worries that the stigma around mental health and drug use still prevents people from seeking help, but for many people, she said these services can provide what they need to begin recovering.
It is unusual to see a spike like this in the span of a month, Galusha said, and she is very concerned.
'That tugs on my own heartstrings, too,' she said. 'It's very hard to see so many overdoses in just one month. But we strive and we do the best we can, as well.'
When people do reach out for help, MHA is able to connect them to inpatient and outpatient providers. They work with a number of agencies including some in Vermont. MHA is also able to help connect people with transportation to these services, if needed. They provide case management and can refer patients to a number of other services, including housing, education and employment resources.
Galusha encourages anyone struggling with drug use to get in touch with MHA, even if it's not regarding an overdose. There are several hotlines available from Essex County Mental Health and MHA.
The Essex County Mental Health hotline is 1-888-854-3773. For more information about Essex County Mental Health, visit tinyurl.com/yckrz3n2.
For information about the Community Opiod Overdose Prevention Program from Essex County, visit tinyurl.com/36r8yeet. This includes instructions for administering Narcan, forms that can be filled out to receive Narcan training and/or Narcan kits (requests can be anonymous) and pharmacies around Essex County that carry Narcan.
The MHA 'Hopeline' can be reached at 800-440-8074. Their website is tinyurl.com/5akasv9z.
There is also a hotline called 'Never Use Alone,' a national service where someone who is using a drug can call and have someone on the line informed of their location in case they overdose. If an emergency arises during the call, the operator calls a local EMS. This hotline can be reached at 877-696-1996.
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8 hours ago
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Music festivals have become more open to harm reduction initiatives. How far will it go?
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Harm reduction varies at festivals across the country Founded by William Perry and Ingela Travers-Hayward in 2022, This Must Be The Place has since given away an estimated $4.5 million in naloxone, the opioid overdose reversal medication, at festivals and smaller community events. In the very beginning, without a 'proof of concept,' as Perry describes it, they had trouble partnering with festivals. Eventually, a few festivals in the Midwest agreed to let them table, which 'got us in the door with Bonnaroo in 2022,' says Perry, referring to the major U.S. festival operated by C3 Presents, one of the largest concert promoters on the planet. Now they have a presence at 35 major U.S. festivals — including Lollapalooza, Governors Ball and Besame Mucho — where they collaborate directly with C3 and their security personnel. The organization's growth overlaps with advancing federal regulations. 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Bringing the organization into C3's festivals was 'not in response to anything that has happened at one of our festivals,' he says, but rather because of the 'number of fatalities happening in our communities.' Some attendees have taken matters into their own hands Some activists believe attendees are most responsive to receiving harm reduction education from peers instead of authority figures. And so, for the last three years, a nonprofit dedicated to combating accidental drug overdoses among young adults, Team Awareness Combating Overdose, has distributed fentanyl test strips and Narcan at the Coachella Valley Music and Arts Festival. Former TACO CEO Kameran Mody says that music festivals are ideal locations for distribution and education because 'music and the use of drugs are synonymous with each other.' TACO distributes through what Mody describes as 'guerrilla-style marketing.' They enlist volunteers, train them on how to use naloxone, and ship Narcan and test strips to them to bring into the festival. They do not involve the festival organizers. Representatives for Coachella did not respond to The Associated Press' requests for comment. In 2023, a TACO volunteer administered Narcan to an unresponsive Coachella attendee exhibiting signs of an overdose. The organization says the attendee regained consciousness. 'That was one of our biggest successes,' Mody says. Local laws and the risk of criminalization hinder initiatives In 2019, at Bonnaroo, a 27-year-old man was found dead at his campsite — right after harm reduction activists had picketed the Tennessee festival because it didn't allow drug testing. The toxicology report found ecstasy and fentanyl in his system. At the time, under state law, test strips were criminalized and classified as drug paraphernalia. That's changed: In 2022, Tennessee decriminalized fentanyl test strips. 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While This Must Be The Place distributes fentanyl test strips at some Ohio events, C3 doesn't distribute test strips at its events and does not plan to. Beliveau doesn't believe fentanyl test strips are effective and expressed concern they could encourage drug use. Test strips, which can detect fentanyl in pills, powders or injectables, are recommended by the Centers for Disease Control and Prevention as a low-cost means of helping prevent drug overdoses. Harm reduction shows promise outside the US At a three-day electronic music festival in Mexico City earlier this year, a booth provided free, anonymous drug testing. The initiative, known as 'Checa tu Sustancia' (Check Your Substance), was spearheaded by the Instituto RIA, a Mexico-based drug policy research and advocacy organization. When unexpected substances are detected, users received detailed information on what they are, their risks, potential interactions with other substances and dosage adjustments, empowering them to make informed choices. Perry says they are aware of smaller festivals in the United States conducting drug checking, but 'they do it in a very underground and whisper network way' to avoid criminalization. What Perry says his organization would like to see at music festivals in the future would be harm reduction areas — sections where attendees who have taken drugs can be monitored, not to 'get them into trouble' but to ensure safety. Heller says there are a number of groups working to destigmatize drugs, promote decriminalization, and promote drug checking. 'We already have drug checking happening in cities,' she says. 'It makes perfect sense to expand the settings where you would offer that to include music festivals. It's the same rationale. ... The issue is this idea of liability. You'd have to create a law, essentially, that would protect the festival from liability.'
Yahoo
8 hours ago
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Music festivals have become more open to harm reduction initiatives. How far will it go?
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Harm reduction varies at festivals across the country Founded by William Perry and Ingela Travers-Hayward in 2022, This Must Be The Place has since given away an estimated $4.5 million in naloxone, the opioid overdose reversal medication, at festivals and smaller community events. In the very beginning, without a 'proof of concept,' as Perry describes it, they had trouble partnering with festivals. Eventually, a few festivals in the Midwest agreed to let them table, which 'got us in the door with Bonnaroo in 2022,' says Perry, referring to the major U.S. festival operated by C3 Presents, one of the largest concert promoters on the planet. Now they have a presence at 35 major U.S. festivals — including Lollapalooza, Governors Ball and Besame Mucho — where they collaborate directly with C3 and their security personnel. The organization's growth overlaps with advancing federal regulations. According to Daliah Heller, vice president of overdose prevention initiatives at the global public health nonprofit Vital Strategies, naloxone distribution used to be determined by state regulations until 2023, when the Food and Drug Administration approved the first over-the-counter nasal spray. 'We no longer need the prescription laws to be amended to allow for the distribution of naloxone,' she says. 'Now it's like buying aspirin — it's over the counter.' Last year, This Must Be the Place gave away 46,146 units of Narcan — a brand name for naloxone — through their national festival outreach. Emmett Beliveau, chief operating officer of C3 Presents, says working with This Must Be the Place was C3's first time implementing public-facing harm reduction strategies, in addition to the promoter's existing medical programs. Bringing the organization into C3's festivals was 'not in response to anything that has happened at one of our festivals,' he says, but rather because of the 'number of fatalities happening in our communities.' Some attendees have taken matters into their own hands Some activists believe attendees are most responsive to receiving harm reduction education from peers instead of authority figures. And so, for the last three years, a nonprofit dedicated to combating accidental drug overdoses among young adults, Team Awareness Combating Overdose, has distributed fentanyl test strips and Narcan at the Coachella Valley Music and Arts Festival. Former TACO CEO Kameran Mody says that music festivals are ideal locations for distribution and education because 'music and the use of drugs are synonymous with each other.' TACO distributes through what Mody describes as 'guerrilla-style marketing.' They enlist volunteers, train them on how to use naloxone, and ship Narcan and test strips to them to bring into the festival. They do not involve the festival organizers. Representatives for Coachella did not respond to The Associated Press' requests for comment. In 2023, a TACO volunteer administered Narcan to an unresponsive Coachella attendee exhibiting signs of an overdose. The organization says the attendee regained consciousness. 'That was one of our biggest successes,' Mody says. Local laws and the risk of criminalization hinder initiatives In 2019, at Bonnaroo, a 27-year-old man was found dead at his campsite — right after harm reduction activists had picketed the Tennessee festival because it didn't allow drug testing. The toxicology report found ecstasy and fentanyl in his system. At the time, under state law, test strips were criminalized and classified as drug paraphernalia. That's changed: In 2022, Tennessee decriminalized fentanyl test strips. By the end of 2023, 44 other states and D.C. had done the same. But in some states, drug paraphernalia laws are written in a way that isn't completely transparent — there are test strips that are not fentanyl-specific, Heller points out — and criminalization and social stigmas endure. Some have found workarounds. 'Even in the states where the legalities were a bit unclear, instead of just coming in and hoping things worked out, we would reach out to the health department, and say 'We run this project, how do feel about it?'' says Perry. 'We would end up with letters from the highest-ranking health official, either in the county or in the state, saying 'We approve of this.' That circumvented any roadblocks.' Some festivals, though, might be hesitant to use test strips because 'it's tough for them to admit that drugs are being used,' Mody says. Some festivals have even banned naloxone. While This Must Be The Place distributes fentanyl test strips at some Ohio events, C3 doesn't distribute test strips at its events and does not plan to. Beliveau doesn't believe fentanyl test strips are effective and expressed concern they could encourage drug use. Test strips, which can detect fentanyl in pills, powders or injectables, are recommended by the Centers for Disease Control and Prevention as a low-cost means of helping prevent drug overdoses. Harm reduction shows promise outside the US At a three-day electronic music festival in Mexico City earlier this year, a booth provided free, anonymous drug testing. The initiative, known as 'Checa tu Sustancia' (Check Your Substance), was spearheaded by the Instituto RIA, a Mexico-based drug policy research and advocacy organization. When unexpected substances are detected, users received detailed information on what they are, their risks, potential interactions with other substances and dosage adjustments, empowering them to make informed choices. Perry says they are aware of smaller festivals in the United States conducting drug checking, but 'they do it in a very underground and whisper network way' to avoid criminalization. What Perry says his organization would like to see at music festivals in the future would be harm reduction areas — sections where attendees who have taken drugs can be monitored, not to 'get them into trouble' but to ensure safety. Heller says there are a number of groups working to destigmatize drugs, promote decriminalization, and promote drug checking. 'We already have drug checking happening in cities,' she says. 'It makes perfect sense to expand the settings where you would offer that to include music festivals. It's the same rationale. ... The issue is this idea of liability. You'd have to create a law, essentially, that would protect the festival from liability.'
