LOUISIANA OPIOID CRISIS DRAMATIC DROP IN DEATHS, “WE HAVE FLOODED THE COMMUNITY WITH NARCAN”

Fitting a consistent national pattern, opioid OD deaths drop suddenly after decades of expert treatment, with shift to intensive, targeted, direct outreach naloxone campaign

by Clark Miller

Published May 2 , 2025

As 2024 comes to a close and Baton Rouge Parish officials tally the number of those lost to drug overdoses, trends show hope in the fight against addiction.

For the first time since 2019, East Baton Rouge had fewer than 200 deaths caused by overdoses in a year, according to data from the parish Coroner’s Office.

The change is not just a small dip, either, but a marked drop.

That’s from a December 29, 2024 report in The Advocate that continues, 

“We are just excited to announce that this year we are damn near 35% below last year,” said Hillar Moore, East Baton Rouge Parish district attorney. He added that it is the biggest decline he has seen in a single year in his 15 years as district attorney. ..

The reason most often cited by parish officials for a lower death toll is the prevalence of Narcan, an emergency drug that can reverse the effects of an opioid overdose.

“We have flooded the community with Narcan,” said William “Beau” Clark, East Baton Rouge Parish coroner. “Therefore, individuals are surviving their overdose in order to get treatment for their substance abuse disorder.” …

While Narcan has existed as an emergency overdose solution for decades, one activist thinks 2024 was the first year the community came together to make sure it was widespread in East Baton Rouge Parish.

“You have so many people for the first time working together,” said Tonja Myles, an organizer with Set Free Indeed ministries and a drug-abuse survivor herself. “Law enforcement, nonprofits, faith-based organizations, businesses, local and state officials. That’s how it’s supposed to be done, and when we do that we get results like this.”

That makes complete sense, consistent with the dramatically successful naloxone campaigns that have consistently elsewhere focused on that targeted, direct-contact approach that puts naloxone into the hands of laypersons in a position to reverse otherwise fatal ODs and which are established as accounting for recent drops in opioid-related deaths. 

“We meet people where they are, you know? We go to churches, we go on street corners, we go to peoples’ houses when they ask us,” Myles said. …

Every time law enforcement is called to a possible overdose, or someone arrives at a hospital’s ER for overdose treatment, one of Myles’ specialists is called to join them.

In Baton Rouge, as in the Menominee community, as in Washington, as in all locations consistently – desperate, community-based, targeted, intensive naloxone campaigns are serving as tenuous harm reduction to moderate harms of America’s expert lethal treatment industry

What other locations? These – 

Why A Critical Discourse?

Because an uncontrolled epidemic of desperate and deadly use of pain-numbing opioid drugs is just the most visible of America’s lethal crises of drug misuse, suicide, depression, of obesity and sickness, of social illness. Because the matrix of health experts and institutions constructed and identified by mass media as trusted authorities – publicly funded and entrusted to protect public health – instead collude to fabricate false assurances like those that created an opioid crisis, while promising medical cures that never come and can never come, while epidemics worsen. Because the “journalists” responsible for protecting public well-being have failed to fight for truth, traded that duty away for their careers, their abdication and cowardice rewarded daily in corporate news offices, attempts to expose that failure and their fabrications punished.

Open, critical examination, exposure, and deconstruction of their lethal matrix of fabrications is a matter of survival, is cure for mass illness and crisis, demands of us a critical discourse.

Crisis is a necessary condition for a questioning of doxa, but is not in itself a sufficient condition for the production of a critical discourse.

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