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Mississippi pharmacies fall short in providing opioid-reversal drug, study shows

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Almost half of Mississippi pharmacists are not readily storing and selling naloxone, according to a study conducted by researchers at the University of Mississippi.

More than 40% of Mississippi pharmacies do not carry naloxone, despite a 2017 standing order from the state that allows pharmacists to dispense naloxone with or without a prescription at a patient’s request.

This is the first study since the passage of the order to investigate the accessibility of naloxone, commonly known as Narcan – a drug that can reverse the effects of an opioid overdose.

Emily Gravlee, a fourth-year University of Mississippi doctoral student in pharmacy administration Credit: Courtesy of Emily Gravlee

Emily Gravlee, a fourth-year University of Mississippi doctoral student in pharmacy administration and creator of the study for her master’s thesis, said it’s important to have naloxone available at community pharmacies because they are access points for many people.

“If we don’t have naloxone available at community pharmacies, then that could potentially represent a missed opportunity for a patient to receive a life-saving medication,” Gravlee told Mississippi Today.

Using a secret shopper method, volunteers cold-called 591 community pharmacies to request the drug: 328 were independent pharmacies, 147 were chain pharmacies and 116 were grocery store pharmacies.

The report showed that only 25% of independent pharmacies had naloxone available for same-day pickup, resulting in the lowest proportion out of the three groups. Fifty-six percent of grocery store pharmacies offered naloxone.

Mona Arnold-McBride, executive director of the Mississippi Pharmacists Association, did not make herself available for an interview with Mississippi Today for the story.

Sujith Ramachandran, associate professor of the Department of Pharmacy Administration at the University of Mississippi and one of the paper’s coauthors, said there could be multiple reasons that independent pharmacies fall short among community pharmacies.

Standardized corporate policies may be in place throughout chain pharmacies to stock and dispense naloxone, while independent pharmacies’ policies vary from business to business.

“I personally know some independent pharmacies that took an initiative to make sure they stock naloxone and are engaging in harm reduction services where possible, but that sort of proactiveness is not consistent across all independent pharmacies,” Ramachandran told Mississippi Today.

Robert Hugh Dozier, executive director of Mississippi Independent Pharmacies Association (MIPA), said the association sees naloxone availability as a positive because it can keep people safe, but ultimately, independent pharmacies will each decide whether or not to stock naloxone.

“If the product is priced too high, and the pharmacy cost is high, they might not be able to stock that product in their pharmacy,” Dozier told Mississippi Today. “There also may not be a market need for it in their surrounding area.”

According to the Mississippi Opioid and Heroin Data Collaborative, 78% of overdosing deaths in the state were caused by opioids in 2022, compared to 72% in 2021.

The University of Mississippi study noted how naloxone was least available in the western part of the state.

Naloxone Same-Day Availability Under a Standing Order in Mississippi by County
Credit: Naloxone Accessibility Under the State Standing Order Across Mississippi. JAMA Netw Open. July 6, 2023. Page 6. Copyright © 2023. American Medical Association. All rights reserved.

Gravlee said broadly speaking, educational interventions about the accessibility of naloxone could be a useful approach for both pharmacies and people.

“Maybe, more than we realize, it’s a two-piece problem,” Gravlee said. “Pharmacies may not know about the standing order or understand the standing order, but also patients, people, in the community may not know that they can receive this drug under the standing order.”

Under the Health’s Opioid and Substance Use Disorder Program through the Mississippi State Department of Health, Mississippians can receive free naloxone kits, which cost about $100 without insurance coverage.

The naloxone kits include two doses of naloxone, an index card on how to recognize an overdose, the signs and symptoms a person may experience and how to administer naloxone.

For every person who requests naloxone, a pharmacist transcribes the prescription, and the order is then labeled and shipped to the individual’s mailing address.

There have been roughly 7,000 kits shipped directly to individuals as of early September, according to the state Department of Health.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

On this day in 1912

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mississippitoday.org – Jerry Mitchell – 2025-03-09 07:00:00

March 9, 1912

Portrait of Charlotte Bass Credit: Wikipedia

Charlotta Bass became one of the nation’s first Black female editor-owners. She renamed The California Owl newspaper The California Eagle, and turned it into a hard-hitting publication. She campaigned against the racist film “Birth of a Nation,” which depicted the Ku Klux Klan as heroes, and against the mistreatment of African Americans in World War I. 

After the war ended, she fought racism and segregation in Los Angeles, getting companies to end discriminatory practices. She also denounced political brutality, running front-page stories that read, “Trigger-Happy Cop Freed After Slaying Youth.” 

When she reported on a KKK plot against Black leaders, eight Klansmen showed up at her offices. She pulled a pistol out of her desk, and they beat a “hasty retreat,” 

The New York Times reported. “Mrs. Bass,” her husband told her, “one of these days you are going to get me killed.” She replied, “Mr. Bass, it will be in a good cause.” 

In the 1940s, she began her first foray into politics, running for the Los Angeles City Council. In 1951, she sold the Eagle and co-founded Sojourners for Truth and Justice, a Black women’s group. A year later, she became the first Black woman to run for vice president, running on the Progressive Party ticket. Her campaign slogan: “Win or Lose, We Win by Raising the Issues.” 

When Kamala Harris became the first Black female vice presidential candidate for a major political party in 2020, Bass’ pioneering steps were recalled. 

“Bass would not win,” The Times wrote. “But she would make history, and for a brief time her lifelong fight for equality would enter the national spotlight.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1977

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mississippitoday.org – Jerry Mitchell – 2025-03-08 07:00:00


On this day in 1977

March 8, 1977

Henry Marsh
Henry L. Marsh III became the first Black mayor of the Confederacy’s capital.

Henry L. Marsh III became the first Black mayor of the former capital of the Confederacy, Richmond, Virginia. 

Growing up in Virginia, he attended a one-room school that had seven grades and one teacher. Afterward, he went to Richmond, where he became vice president of the senior class at Maggie L. Walker High School and president of the student NAACP branch. 

When Virginia lawmakers debated whether to adopt “massive resistance,” he testified against that plan and later won a scholarship for Howard University School of Law. He decided to become a lawyer to “help make positive change happen.” After graduating, he helped win thousands of workers their class-actions cases and helped others succeed in fighting segregation cases. 

“We were constantly fighting against race prejudice,” he recalled. “For instance, in the case of Franklin v. Giles County, a local official fired all of the black public school teachers. We sued and got the (that) decision overruled.” 

In 1966, he was elected to the Richmond City Council and later became the city’s first Black mayor for five years. He inherited a landlocked city that had lost 40% of its retail revenues in three years, comparing it to “taking a wounded man, tying his hands behind his back, planting his feet in concrete and throwing him in the water and saying, ‘OK, let’s see you survive.’” 

In the end, he led the city from “acute racial polarization towards a more civil society.” He served as president of the National Black Caucus of Elected Officials and as a member of the board of directors of the National League of Cities. 

As an education supporter, he formed the Support Committee for Excellence in the Public Schools. He also hosts the city’s Annual Juneteenth Celebration. The courthouse where he practiced now bears his name and so does an elementary school. 

Marsh also worked to bridge the city’s racial divide, creating what is now known as Venture Richmond. He was often quoted as saying, “It doesn’t impress me to say that something has never been done before, because everything that is done for the first time had never been done before.”

He died on Jan. 23, 2025, at the age of 91.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

Judge tosses evidence tampering against Tim Herrington

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mississippitoday.org – Molly Minta – 2025-03-07 15:08:00

A Lafayette County circuit judge ended an attempt to prosecute Sheldon Timothy Herrington Jr., the son of a prominent north Mississippi church family who is accused of killing a fellow University of Mississippi student named Jimmie “Jay” Lee, for evidence tampering.

In a March 7 order, Kelly Luther wrote that Herrington cannot be charged with evidence tampering because of the crime’s two-year statute of limitations. A grand jury indicted the University of Mississippi graduate last month on the charge for allegedly hiding Lee’s remains in a well-known dumping ground about 20 minutes from Herrington’s parent’s house in Grenada.

“The Court finds that prosecution for the charge of Tampering with Physical Evidence commenced outside the two-year statute of limitations and is therefore time-barred,” Luther wrote.

In order to stick, Luther essentially ruled that the prosecution should have brought the charges against Herrington sooner. In court last week, the prosecution argued that it could not have brought those charges to a grand jury without Lee’s remains, which provided the evidence that evidence tampering occurred.

READ MORE: ‘The pressure … has gotten worse:’ Facing new charge, Tim Herrington will remain in jail until trial, judge rules

The dismissal came after Herrington’s new counsel, Jackson-area criminal defense attorney Aafram Sellers, filed a motion to throw out the count. Sellers did not respond to a request for commend by press time.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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