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North Carolina Opioid Crisis Getting Worse, Moving To Underground Market

This 2015 file photo shows the contents of a drug overdose rescue kit at a training session on how to administer naloxone, which reverses the effects of heroin and prescription painkillers. (AP Photo/Carolyn Thompson, File)

A new study from Duke University suggests North Carolina's opioid problem has gotten worse in several ways. The report comes at a time when public health officials are trying to fight the epidemic.

According to the study, North Carolina has experienced an 800 percent increase in opioid overdose deaths since the turn of the century.

While the problem largely started with prescription painkillers, Duke researchers found that users are increasingly shifting to powerful illegal substitutes, like heroin and fentanyl. And these drugs remain mostly an urban problem.

About a third of North Carolina's 100 counties showed no changes in heroin deaths during the study.

The researchers say many doctors and lawmakers have been working hard on curbing prescription painkiller abuse – often a gateway to addiction – with some success.

“The early response worked against the early problem, but the illicit dealers have come in to fill that void," researcher Nicole Schramm-Sapyta said.

But as users switch from doctors to dealers, it presents a whole new set of challenges that communities have yet to solve.

“What we're seeing now is many people moving to illicit drugs,” said Dr. Lawrence Greenblatt, co-chair of the Opioid Safety Committee at Duke Health, who was not involved in the study. “You can just text your dealer, and they'll deliver. It's like Uber.”

Sean Bueter joined WFDD in August 2015 as a reporter covering issues across the Piedmont Triad and beyond.Previously, Sean was a reporter, host and news director at WBOI in Fort Wayne, Ind., just a few hours from where he grew up. He also sorted Steve Inskeep's mail as an intern at NPR in Washington, D.C.Sean has experience on a variety of beats, including race, wealth and poverty, economic development, and more. His work has appeared on NPR's Morning Edition and All Things Considered, and APM's Marketplace.In his spare time, Sean plays tennis (reasonably well), golf (reasonably poorly), and scours local haunts for pinball machines to conquer.

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