Mississippi Today
Animal tranquilizer emerging as latest deadly drug addiction mix
It’s the new silent killer in Mississippi.
Since 2020, the state has seen at least 27 overdose deaths from the animal tranquilizer xylazine, either alone or combined with fentanyl, said Col. Steven Maxwell, director of the Mississippi Bureau of Narcotics.
“It’s a crisis,” he said. “We’re not experiencing the crisis as much as places like Philadelphia, Atlanta, San Francisco and Los Angeles, but we are experiencing a crisis with regard to the lacing of fentanyl with other drugs, such as xylazine.”
The number of drug overdose deaths in Mississippi have nearly tripled since 2018, reaching 754 in 2021, according to the most recent state Department of Health statistics. The overdose deaths of Black Mississippians have catapulted from 37 to 165.
Nationwide, drug overdose deaths have doubled between 2015 and 2022, according to provisional data from the U.S. Centers for Disease Control and Prevention. Synthetic drugs, such as fentanyl, now make up more than two-thirds of those fatalities.
At HMP Global’s recent RX Summit in Atlanta, Dr. Rahul Gupta, director of the Office of National Drug Control Policy, announced that his office had designated the fentanyl-xylazine mix as an emerging drug threat.
“If you thought fentanyl was dangerous and deadly before, it has become even more lethal and destructive now,” he said. “We all must act.”
Xylazine is a non-opioid animal tranquilizer, typically administered by veterinarians to horses, cattle, deer, elk and moose.
Illicit use of the sedative has been skyrocketing in recent years. In 2015, the drug was involved in 2% of overdose deaths in Pennsylvania; now it’s involved in more than a fourth of those deaths.
The biggest growth has come in the South, which saw the highest increase in seizures of xylazine (193%) between 2020 and 2021, according to the Drug Enforcement Administration.
“Xylazine is not safe for human consumption,” Gupta said, “and it has potentially deadly consequences when used.”
Advocacy groups such as Drug Abuse Resistance Education have called xylazine “worse than fentanyl,” which is already involved in more deaths of Americans under 50 than any cause of death, including heart disease, cancer, homicide, suicide and other accidents, according to the DEA.
Because xylazine is designated for use in animals that may weigh significantly more than the average American, the effects on the human body are far greater, said William Lynch, a New Jersey clinical pharmacist who spoke at the RX Summit.
Xylazine not only slows breathing and the heart rate, but can cause the blood pressure to plummet, especially when used in combination with fentanyl, he said. In addition, users injecting the drug can develop severe skin ulcers that can resemble horrific burns, leading to skin grafts, possible amputation or even death.
When someone overdoses on fentanyl, emergency responders can use naloxone to try and revive that person. But when someone overdoses on a combination of fentanyl and xylazine, the naloxone has no effect on the xylazine, Lynch said. But it should still be given to reverse the effects of fentanyl, he said.
If naloxone does revive someone, “they have to go to the hospital,” because they could suffer from what he called “flashback pulmonary edema. They could possibly stop breathing and essentially drown in their sleep from fluid that accumulates in the lungs.”
On the streets, xylazine alone is known as “tranq,” or “tranq dope” when it’s mixed with fentanyl, he said. Experts say both dealers and drug users may mix the pair to prolong the opioid high.
Fentanyl has virtually replaced heroin on the streets because of its price tag, he said. While heroin costs about $23,000 a pound, according to a 2020 study, fentanyl is 10 times cheaper. Xylazine can run less than $10 a pound, according to a DEA report.
With regard to the suspected heroin seized in New Jersey, he said, 98% tested positive for fentanyl; only 2% had heroin alone. In New Jersey in 2022, of the 98% drug seizures that tested positive for fentanyl, 36% of those samples tested positive for xylazine.
In nearby Philadelphia, xylazine is supplanting fentanyl. In seizures there, Lynch said, there are 24 parts of xylazine to every one part of fentanyl, and the purity of the xylazine has gone up while the purity of the fentanyl has gone down.
Xylazine has long been easy to obtain, he said, and anyone could have had it delivered to their homes, not just veterinarians. To combat this, the FDA recently started tracking xylazine shipments.
Because it can be purchased cheaply in a powder or liquid form, dealers can mix this sedative with other drugs, which makes fatal overdoses a real possibility, he said.
Unlike fentanyl, xylazine isn’t illegal, which means there are no laws that give police the power to arrest.
Making xylazine a controlled substance would enable authorities to arrest those possessing or trafficking xylazine, Maxwell said. “It would be treated like any illicit drug.”
To attack this problem, governors in Ohio and Pennsylvania have declared xylazine a controlled substance. There is also a push in Congress to make it a controlled substance federally and also in some state legislatures, although not so far in Mississippi.
Asked if Gov. Tate Reeves supports the state making xylazine a controlled substance, Press Secretary Shelby Wilcher replied that there is currently legislation pending in Congress that would make the drug a Schedule 3 substance under federal schedules.
“The Office of the Governor works closely with the Mississippi Department of Health and Mississippi Department of Public Safety on an annual basis to update the state’s drug schedules,” she said. “Xylazine will certainly be part of the discussion.”
Lynch said one advantage to taking this step is veterinarians and their practices would be required to track the drug, just as they do with opioids and other controlled substances they use. “If you ever waste any of it,” he said, “you have to document the destruction with a witness.”
One concern about making xylazine a controlled substance is how it might affect veterinarians, who have used the sedative for half a century, said Bill Epperson, professor and head of the Department of Pathobiology and Population Medicine at Mississippi State University’s College of Veterinary Medicine.
The drug is typically used for pain relief and to “calm fractious animals,” he said. “There is not a good substitute for xylazine in large animal general practice.”
Given that veterinarians have used xylazine responsibly for decades, the drug should still be used “to support the legitimate practice of veterinary medicine,” he said. “We are strongly in favor of harsh penalties for those suppliers engaged in illicit activity.”
In March, Congress introduced the Combating Illicit Xylazine Act, which would make illicit use of xylazine fall under Schedule III penalties and allow legitimate veterinary use to continue. The American Veterinary Medical Association supports the bill.
Lynch warned that xylazine “is just the drug de jure,” and others are certain to follow. For example, he said, the synthetic opioid isotonitazene (known as “ISO”) “is approximately three times more potent than fentanyl and has already been seen in New Jersey and other parts of the country.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
Hospitals see danger in Medicaid spending cuts
Mississippi hospitals could lose up to $1 billion over the next decade under the sweeping, multitrillion-dollar tax and policy bill President Donald Trump signed into law last week, according to leaders at the Mississippi Hospital Association.
The leaders say the cuts could force some already-struggling rural hospitals to reduce services or close their doors.
The law includes the largest reduction in federal health and social safety net programs in history. It passed 218-214, with all Democrats voting against the measure and all but five Republicans voting for it.
In the short term, these cuts will make health care less accessible to poor Mississippians by making the eligibility requirements for Medicaid insurance stiffer, likely increasing people’s medical debt.
In the long run, the cuts could lead to worsening chronic health conditions such as diabetes and obesity for which Mississippi already leads the nation, and making private insurance more expensive for many people, experts say.
“We’ve got about a billion dollars that are potentially hanging in the balance over the next 10 years,” Mississippi Hospital Association President Richard Roberson said Wednesday during a panel discussion at his organization’s headquarters.
“If folks were being honest, the entire system depends on those rural hospitals,” he said.
Mississippi’s uninsured population could increase by 160,000 people as a combined result of the new law and the expiration of Biden-era enhanced subsidies that made marketplace insurance affordable – and which Trump is not expected to renew – according to KFF, a health policy research group.
That could make things even worse for those who are left on the marketplace plans.
“Younger, healthier people are going to leave the risk pool, and that’s going to mean it’s more expensive to insure the patients that remain,” said Lucy Dagneau, senior director of state and local campaigns at the American Cancer Society.
Among the biggest changes facing Medicaid-eligible patients are stiffer eligibility requirements, including proof of work. The new law requires able-bodied adults ages 19 to 64 to work, do community service or attend an educational program at least 80 hours a month to qualify for, or keep, Medicaid coverage and federal food aid.
Opponents say qualified recipients could be stripped of benefits if they lose a job or fail to complete paperwork attesting to their time commitment.
Georgia became the case study for work requirements with a program called Pathways to Coverage, which was touted as a conservative alternative to Medicaid expansion.
Ironically, the 54-year-old mechanic chosen by Georgia Gov. Brian Kemp to be the face of the program got so fed up with the work requirements he went from praising the program on television to saying “I’m done with it” after his benefits were allegedly cancelled twice due to red tape.
Roberson sent several letters to Mississippi’s congressional members in weeks leading up to the final vote on the sweeping federal legislation, sounding the alarm on what it would mean for hospitals and patients.
Among Roberson’s chief concerns is a change in the mechanism called state directed payments, which allows states to beef up Medicaid reimbursement rates – typically the lowest among insurance payors. The new law will reduce those enhanced rates to nearly as low as the Medicare rate, costing the state at least $500 million and putting rural hospitals in a bind, Roberson told Mississippi Today.
That change will happen over 10 years starting in 2028. That, in conjunction with the new law’s one-time payment program called the Rural Health Care Fund, means if the next few years look normal, it doesn’t mean Mississippi is safe, stakeholders warn.
“We’re going to have a sort of deceiving situation in Mississippi where we look a little flush with cash with the rural fund and the state directed payments in 2027 and 2028, and then all of a sudden our state directed payments start going down and that fund ends and then we’re going to start dipping,” said Leah Rupp Smith, vice president for policy and advocacy at the Mississippi Hospital Association.
Even with that buffer time, immediate changes are on the horizon for health care in Mississippi because of fear and uncertainty around ever-changing rules.
“Hospitals can’t budget when we have these one-off programs that start and stop and the rules change – and there’s a cost to administering a program like this,” Smith said.
Since hospitals are major employers – and they also provide a sense of safety for incoming businesses – their closure, especially in rural areas, affects not just patients but local economies and communities.
U.S. Rep. Bennie Thompson is the only Democrat in Mississippi’s congressional delegation. He voted against the bill, while the state’s two Republican senators and three Republican House members voted for it. Thompson said in a statement that the new law does not bode well for the Delta, one of the poorest regions in the U.S.
“For my district, this means closed hospitals, nursing homes, families struggling to afford groceries, and educational opportunities deferred,” Thompson said. “Republicans’ priorities are very simple: tax cuts for (the) wealthy and nothing for the people who make this country work.”
While still colloquially referred to as the One Big Beautiful Bill Act, the name was changed by Democrats invoking a maneuver that has been used by lawmakers in both chambers to oppose a bill on principle.
“Democrats are forcing Republicans to delete their farcical bill name,” Senate Democratic Leader Charles Schumer of New York said in a statement. “Nothing about this bill is beautiful — it’s a betrayal to American families and it’s undeserving of such a stupid name.”
The law is expected to add at least $3.3 trillion to the nation’s debt over the next 10 years, according to the most recent estimate from the Congressional Budget Office.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Hospitals see danger in Medicaid spending cuts appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
This article reports on the negative impacts of a major federal tax and policy bill on Medicaid funding and rural hospitals in Mississippi. While it presents factual details and statements from stakeholders, the tone and framing emphasize the harmful consequences for vulnerable populations and health care access, aligning with concerns typically raised by center-left perspectives. The article highlights opposition by Democrats and critiques the bill’s priorities, particularly its effect on poor and rural communities, suggesting sympathy toward social safety net preservation. However, it maintains mostly factual reporting without overt partisan language, resulting in a moderate center-left bias.
Crooked Letter Sports Podcast
Podcast: The Mississippi Sports Hall of Fame Class of ’25
The MSHOF will induct eight new members on Aug 2. Rick Cleveland has covered them all and he and son Tyler talk about what makes them all special.
Stream all episodes here.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
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Mississippi Today
‘You’re not going to be able to do that anymore’: Jackson police chief visits food kitchen to discuss new public sleeping, panhandling laws
Diners turned watchful eyes to the stage as Jackson Police Chief Joseph Wade took to the podium. He visited Stewpot Community Services during its daily free lunch hour Thursday to discuss new state laws, which took effect two days earlier, targeting Mississippians experiencing homelessness.
“I understand that you are going through some hard times right now. That’s why I’m here,” Wade said to the crowd. “I felt it was important to come out here and speak with you directly.”
Wade laid out the three bills that passed earlier this year: House Bill 1197, the “Safe Solicitation Act,” HB 1200, the “Real Property Owners Protection Act” and HB 1203, a bill that prohibits camping on public property.
“Sleeping and laying in public places, you’re not going to be able to do that anymore,” he said. “There’s a law that has been passed that you can’t just set up encampments on public or private properties where it’s a public nuisance, it’s a problem.”
The “Real Property Owners Protection Act,” authored by Rep. Brent Powell, R-Brandon, is a bill that expedites the process of removing squatters. The “Safe Solicitation Act,” authored by Rep. Shanda Yates, I-Jackson, requires a permit for panhandling and allows people to be charged with a misdemeanor if they violate this law. The offense is punishable by a fine not to exceed $300 and an offender could face up to six months in jail. Wade said he’s currently working with his legal department to determine the best strategy for creating and issuing permits.
“We’re going to navigate these legal challenges, get some interpretations, not only from our legal department, but the Attorney General’s office to ensure that we are doing it legally and lawfully, because I understand that these are citizens,” he said. “I understand that they deserve to be treated with respect, and I understand that we are going to do this without violating their constitutional rights.”
Wade said the Jackson Police Department is steadily fielding reports of squatters in abandoned properties and the law change gives officers new power to remove them more quickly. The added challenge? Figuring out what to do with a person’s belongings.
“These people are carrying around what they own, but we are not a repository for all of their stuff,” he said. “So, when we make that arrest, we’ve got to have a strategic plan as to what we do with their stuff.”
Wade said there needs to be a deeper conversation around the issues that lead someone to becoming homeless.
“A lot of people that we’re running across that are homeless are also suffering from medical conditions, mental health issues, and they’re also suffering from drug addiction and substance abuse. We’ve got to have a strategic approach, but we also can’t log jam our jail down in Raymond,” Wade said.
He estimates that more than 800 people are currently incarcerated at the Raymond Detention Center, and any increase could strain the system as the laws continue to be enforced.
“I think there’s layers that we have to work through, there’s hurdles that we are going to overcome, but we’ve got to make sure that we do it and make sure that my team and JPD is consistent in how we enforce these laws,” Wade said.
Diners applauded Wade after he spoke, in between bites of fried chicken, salad, corn and 4th of July-themed packaged cakes. Wade offered to answer questions, but no one asked any.
Rev. Jill Buckley, executive director of Stewpot, said that the legislation is a good tool to address issues around homelessness and community needs. She doesn’t want to see people who are homeless be criminalized, but she also wants communities to be safe.
“I support people’s right to self determine, and we can’t impose our choices on other people, but there are some cases in which that impinges on community safety, and so to the extent that anyone who is camping or panhandling or squatting and is a danger to themselves and others, of course, I fully support that kind of law. I don’t support homelessness being criminalized as such,” Buckley said.
Many of the people Wade addressed while they ate Thursday said they have housing, don’t panhandle, and shouldn’t be directly impacted by the legislation. But Marcus Willis, 42, said it would make more sense if elected officials wanted to combat the negative impacts of homelessness that they help more people secure employment.
“There ain’t enough jobs,” said Willis, who was having lunch with his girlfriend Amber Ivy.
The two live in an apartment together nearby on Capitol Street, where Ivy landed after her mother, whom Ivy had been living with, suffered a stroke and lost the property. Similarly, Willis started coming to eat at Stewpot after his grandmother, whose house he used to visit for lunch, passed away.
Willis holds odd jobs – cutting grass, home and auto repair – so the income is inconsistent, and every opportunity for stable employment he said he’s found is outside of Jackson in the suburbs. The couple doesn’t have a car.
Making rent every month usually depends on their ability to find someone to help chip in, said Ivy, who is in recovery from substance abuse. She said she’s watched problems surrounding homelessness grow over the years in Jackson. Ivy grew up near Stewpot and has lived in various neighborhoods across the city – except for the times she moved out of state when things got too rough.
“There was just moments where I just had to leave,” Ivy said. “Sometimes if you hit a slump here, there’s almost no way for you to get out of it.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post 'You're not going to be able to do that anymore': Jackson police chief visits food kitchen to discuss new public sleeping, panhandling laws appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Right
This article primarily reports on new laws in Jackson, Mississippi, targeting public sleeping, panhandling, and squatting, focusing on statements by Police Chief Joseph Wade and community perspectives. The coverage presents the legislative measures—authored by Republican and independent lawmakers—with a tone that emphasizes law enforcement challenges and community safety, reflecting a conservative approach to homelessness as a public order issue. While it includes voices concerned about criminalization and the need for social support, the overall framing centers on law enforcement and property protection. The article maintains factual reporting without overt editorializing but leans slightly toward a center-right perspective by highlighting legal enforcement as a solution.
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