Erin thiab Rick Rachwal thiab lawv tus tub Caden quaj rau lub ntees tuag ntawm lawv tus tub thiab tus tij laug, Logan Rachwal. Tsev neeg tau tsim lub hauv paus los ceeb toom txog kev phom sij ntawm cov tshuaj opioids tom qab Logan raug tshuaj lom los ntawm cov tshuaj kho mob laced nrog fentanyl thaum Lub Ob Hlis 14, 2021. (Courtesy of the Rachwal family)
Sijhawm Nyeem Ntawv: 7 feeb

Zaj dab neeg no yog ib feem ntawm peb series Wisconsin tsis noj qab nyob zoo tshuaj xyuas thaj chaw uas Wisconsin poob qis hauv kev noj qab haus huv.

Logan Rachwal muaj 19 xyoo thaum nws poob nws txoj sia rau fentanyl hauv 2021.

Cov tub ntxhais kawm University of Wisconsin-Milwaukee, zoo li ntau lwm tus cuam tshuam los ntawm cov tshuaj, tsis paub tias nws tau noj fentanyl. Raws li nws niam nws txiv, Rachwal tau noj tshuaj fentanyl-laced mob thiab tuag hauv feeb.

Fentanyl tsis muaj kev ntxub ntxaug, hais tias Rick thiab Erin Rachwal, Logan niam txiv, "Nws yuav cuam tshuam rau txhua tus."

Tsuas yog ib xyoos tom qab nws tuag, Rachwal tsev neeg pib ua Kev Hlub, Logan Foundation, uas yog lub hom phiaj los qhia tib neeg txog kev phom sij ntawm fentanyl thiab txo qis kev qias neeg nyob ib puag ncig fentanyl thiab kev siv yeeb tshuaj.

Fentanyl, uas tau deev luag poj luag txiv nyob rau hauv lwm txoj kev tshuaj txij li thaum 1979, yog kwv yees li 50 lub sij hawm ntau zog thiab muaj zog tshaj li tus heroin thiab tau nce ntau heev. overdoses thiab lom. 

Xyoo 2021, Wisconsin Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau pom cov tshuaj opioids hluavtaws, tshwj xeeb yog fentanyl, ua rau 91% ntawm opioids. tuag. Thaum lub Tsib Hlis, lub tuam tsev tau tshaj tawm $18 lab hauv cov nyiaj tshiab rau kev kho mob thiab tiv thaiv kev siv yeeb tshuaj, suav nrog fentanyl.

Wisconsin qhov teebmeem kev kho mob opioid hnyav zuj zus nyob rau xyoo tas los no. Cov ntaub ntawv ib ntus los ntawm DHS qhia tau hais tias muaj 1,358 opioid overdose lossis lom neeg tuag nyob rau xyoo 2022, qis me ntsis los ntawm 2021 tab sis tseem nce 62% los ntawm tsib xyoos dhau los.

Thaum muag tshuaj tsis raug cai, cov tib neeg tuaj yeem sib xyaw fentanyl rau hauv lawv cov khoom, tso cai rau lawv muag cov khoom me me nrog cov teebmeem zoo siab lossis muaj zog rau cov neeg siv. Cov neeg lag luam tib yam tuaj yeem txiav cov nqi los ntawm kev ntxiv cov neeg sawv cev rau fentanyl sai dua, ua rau nws pheej yig dua los yuav dua li tus heroin - ib qho laj thawj rau kev nce ntxiv ntawm cov khoom siv tshuaj opioid tuag nyob rau xyoo tas los no.

Tsev neeg Rachwal tau pom tias muaj fentanyl yooj yim npaum li cas.

“Nws tsis zoo li nws tau 30 xyoo dhau los. Nws tsis yog xwb. Cov me nyuam no tsis yuav koob thiab hmoov thiab txhaj lawv txhais caj npab ntawm 17, 18, thiab 19 xyoo. Lawv tab tom noj tshuaj kom lawv tus kheej zoo, ”Erin Rachwal hais. “Qhov twg lawv tuaj yeem tau txais tag nrho. Coob tus menyuam yaus tseem tsis tau mus txog qhov chaw uas lawv muaj kev quav yeeb quav tshuaj vim tias lawv tuag sai heev. Logan tseem hluas. " 

Kev quav yeeb tshuaj pib nrog oxycodone

Logan Rachwal muaj hnub nyoog 14 xyoo thaum nws tsev neeg thawj zaug pom nws txoj kev nyiam. Logan tau phais hauv caug thiab tau muab tshuaj oxycodone los daws qhov mob. 

Nov yog daim duab ntawm Logan Rachwal thaum nws yog ib tug laus hauv tsev kawm ntawv theem siab. Rachwal tuag los ntawm fentanyl lom nyob rau hauv nws chav tsev dormant xyoo tom ntej ntawm University of Wisconsin-Milwaukee. Nws yog nyob ntawm ntau tshaj 1,000 Wisconsinites uas tuag los ntawm kev siv tshuaj opioid ntau dhau los yog lom hauv xyoo 2021. (Courtesy of the Rachwal family)

"Txog peb hnub tom qab kev phais mob, peb pom tias nws txaus siab rau qhov siab. … Nws zaum hauv ib lub txaj, thiab Rick thiab kuv tau saib ib leeg, thiab peb zoo li, 'tus nyuj dawb huv, peb yuav tsum tau muab cov tshuaj no tawm ntawm nws mus,'” Erin Rachwal hais. 

Erin thiab Rick Rachwal tau piav txog Logan tias yog ib tug neeg ntxim hlub, muaj kev ntxhov siab me ntsis uas ua rau muaj kev nyuaj siab thaum tseem hluas. Lawv hais tias nws mob siab rau ib yam dab tsi thiab sim kawm kom ntau li ntau tau. Txhawm rau pab nrog nws txoj kev ntxhov siab, Erin thiab Rick xav tias nws ib txwm xav qhia nws tus kheej txog kev noj tshuaj rau tus kheej. 

Logan cov niam txiv tau sim txhua yam kev kho mob nrog nws, los ntawm kev hloov tsev kawm ntawv mus rau cov kws kho mob sib txawv thiab ntau dua. 

“Tsis muaj tsev neeg zoo tag nrho, tab sis… Kuv xav txog niaj hnub no peb tseem saib ib leeg zoo li 'Qhov no tshwm sim li cas?' ” hais tias Erin Rachwal. "Peb yog cov niam txiv zoo, koj paub, Kuv xav tias peb tau koom nrog peb cov menyuam ... tam sim no kuv paub cov lus teb yuav ua li cas qhov no tshwm sim vim nws tshwm sim rau ntau tsev neeg thiab ntau tus neeg."

Kev paub yuav cawm tau txoj sia

Logan nyob hauv xov tooj nrog nws tus hluas nkauj thaum nws tuag. Nws niam nws txiv tau taw qhia tias yog nws tus hluas nkauj, thiab lwm tus, paub txog cov cim ntawm lub cev cov lus teb rau cov tshuaj opioid, Logan tuaj yeem tau txais kev cawmdim.  

Lub koom haum National Institute on Drug Abuse teev cov cim qhia tias ib tus neeg yuav raug kev siv tshuaj ntau dhau lossis lom los ntawm fentanyl lossis lwm yam tshuaj opioid.

“Ob xyoos dhau los… txawm rau peb… qhov kev paub tsis nyob ntawd. Yog li yog… tus hluas nkauj tsis paub, Logan tsis paub, peb tsis paub yuav ua li cas… cov tsev kawm ntawv tsis paub” Erin Rachwal hais. "Yog li txhua qhov tsis muaj kev paub no tau ua rau peb mus rau qhov chaw uas peb tau txiav txim siab pib lub hauv paus." 

Erin thiab Rick tau pib Txoj Kev Hlub, Logan Foundation lub caij ntuj sov dhau los tom qab tuaj koom lub Rooj Sib Tham Txog Kev Tiv Thaiv Tshuaj Yeeb hauv Washington, DC Txawm hais tias lub hauv paus tseem hluas, nws tau ua ntau npaum li qhov ua tau los nthuav qhia txog kev phom sij ntawm fentanyl. Cov niam txiv feem ntau khiav lub hauv paus, nrog rau pawg thawj coj ntawm rau tus neeg uas pab txiav txim siab. 

Rachwals tau hais nyob rau ntau lub tsev kawm ntawv Wisconsin. Lawv tau txhim tsa ib daim ntawv tshaj tawm tshiab ntawm I-94 thiab npaj los tuav lub rooj sib tw golf. Ob leeg niam txiv hais txog qhov tseem ceeb ntawm kev ua kom muaj kev paub txog Wisconsin cov hluas.

"Cov pab pawg coob tshaj plaws uas kuv tau hais rau tam sim no yog kwv yees li 120 tus menyuam yaus thaum Lub Ob Hlis." Erin hais. “Qhov ntawd yog qhov kev xav zoo heev thaum kuv tawm mus. Kuv tau tawm mus, thiab kuv tsuas yog nyob ntawm Huab 9 vim tias ... koj tsuas yog xav zoo li koj tau cuam tshuam rau cov neeg koj xav tau cuam tshuam. " 

'Slow-moving' los hloov txoj cai tshuaj

Erin Rachwal tau ntsib Wisconsin Lub Tsev Haujlwm Saib Xyuas Kev Ncaj Ncees thiab DHS ob peb zaug txij li pib lub hauv paus. Nws tau sim kom dhau txoj cai lij choj, tab sis nws tau piav qhia tias nws yog "qhov qeeb qeeb." 

Erin thiab Rick Rachwal tsim Kev Hlub, Logan Foundation tom qab lawv tus tub, Logan Rachwal, tuag los ntawm fentanyl lom nyob rau hauv 2021. Daim phiaj xwm no nyob rau hauv Interstate 94 nyob rau sab hnub tuaj Wisconsin yog ib qho ntawm lub hauv paus txoj haujlwm. (Courtesy ntawm tsev neeg Rachwal)

Txawm hais tias ob tog Democrats thiab Republicans nyiam pom zoo tias muaj kev kub ntxhov hauv tebchaws txog fentanyl, lawv txawv ntawm yuav ua li cas teb rau nws. 

Republicans pom qhov teebmeem fentanyl yog qhov teeb meem ciam teb, feem ntau xa mus rau cov pov thawj tias feem ntau ntawm cov khoom siv ntawm fentanyl thiab lwm yam tshuaj opioids yog tsim thiab coj los ntawm Mexico. Thaum Lub Ob Hlis, 21 Republican tus kws lij choj hauv xeev tau sau ib qho Daim ntawv rau Thawj Tswj Hwm Joe Biden thiab Tus Thawj Fwm Tsav Tebchaws Antony Blinken hu rau Biden kom xaiv cov neeg siv tshuaj Mev ua cov koom haum ua phem txawv tebchaws. Lub Cuaj Hli dhau los, kev sib koom ua ke ntawm bipartisan ntawm 18 tus kws lij choj dav dav tau thawb Biden rau tshaj tawm fentanyl ib " riam phom ntawm kev puas tsuaj loj." 

Democrats saib tus kab mob fentanyl yog ib qho teeb meem kev noj qab haus huv rau pej xeem thiab nyiam luag cov tuam txhab tshuaj thiab lub luag haujlwm ntawm cov tshuaj noj. Cov kws tshawb fawb Daniel C. Stokes thiab Anish K. Agarwal ntawm University of Pennsylvania piav qhia txog Democrats cov lus teb rau fentanyl raws li kev tsom mus rau nyiaj txiag thiab kev kho mob ntau dua.

Nyob rau theem tseem fwv, Rep. Scott Fitzgerald thiab Sen. Ron Johnson ntawm Wisconsin, nrog rau peb ntawm lawv cov neeg koom nrog Republican Senate, tau qhia txog Kev Tsis Pub Tshaj Tawm ntawm Fentanyl Analogues (SOFA) Act hauv lub Peb Hlis. Daim nqi no yog thawj zaug qhia los ntawm Johnson hauv 2017. 

"Fentanyl muaj zog dua li morphine thiab heroin thiab ua rau muaj kev noj tshuaj ntau dhau rau xyoo 2021," hais tias ib nqe lus uas yog Fitzgerald, leej twg dhau txoj cai lij choj zoo sib xws thaum nyob hauv Wisconsin xeev Senate. "Muaj ntau tsev neeg tau poob cov neeg hlub mus rau kev siv tshuaj ntau dhau los ntawm fentanyl."

Daim nqi yuav faib cov tshuaj hluavtaws zoo ib yam li fentanyl raws li Lub Sijhawm I, ua kom yooj yim rau kev foob cov neeg uas tsim thiab muag cov tshuaj. Schedule I tshuaj yog cov "tsis tau txais kev kho mob tam sim no thiab muaj peev xwm ua rau muaj kev tsim txom," suav nrog cov tshuaj yeeb dawb thiab LSD. 

Johnson tau hais hauv tsab ntawv tshaj tawm tias tsab cai lij choj no tsom rau "tiv thaiv cov tshuaj fentanyl tshiab los ntawm peb cov zej zog."

Cov thawv cawm tau siv 

Tsawg kawg yog rau lub tsev kawm ntawv University of Wisconsin, suav nrog UW-Madison thiab UW-Oshkosh, tau teeb tsa kev siv tshuaj ntau dhau lossis ua rau muaj kuab lom hauv lub tsev ntawm lawv lub tsev. cov tsev kawm ntawv qib siab.

Wisconsin Voices for Recovery, ib pawg neeg tawm tswv yim uas txhawb kev paub thiab pab cov tib neeg tawm tsam nrog kev siv yeeb tshuaj, tau tso cov thawv rau hauv Wisconsin cov tsev kawm ntawv. Pab pawg hu nws qhov project Nalox-ZONE.

cov khoom siv, tau txais nyiaj los ntawm DHS, muaj cov tshuaj uas muaj peev xwm cawm tau txoj sia, Naloxone Nasal Spray, uas pab thim rov qab cov teebmeem ntawm kev siv tshuaj ntau dhau los yog tshuaj lom los ntawm tus heroin, fentanyl, oxycodone lossis morphine. Cov thawv muaj ob koob tshuaj ntawm qhov ntswg thiab cov lus qhia txog kev siv nws.

University Health Services (UHS) thiab University Housing tau qhia cov tub ntxhais kawm txog kev phom sij ntawm fentanyl-laced tshuaj thiab tshuaj lom. Cov neeg ua haujlwm hauv tsev kawm ntawv qib siab kuj tau txais kev cob qhia txog kev siv tshuaj tsuag qhov ntswg. UHS npaj yuav nthuav dav txoj haujlwm mus rau lwm qhov chaw hauv tsev kawm ntawv yav tom ntej.

Erin Rachwal tau hais txog qhov tseem ceeb ntawm kev muab cov khoom siv hauv tsev kawm ntawv thiab qhia cov tub ntxhais kawm txog kev siv lawv li cas - tab sis kuj muaj cov neeg tuaj yeem qhia cov dab neeg ntawm tus kheej txog kev phom sij ntawm fentanyl. 

"Rau kuv nws zoo li Narcan (ib lub npe rau naloxone) mus koom tes nrog kev nthuav qhia, kev nkag siab thiab kev kawm," nws hais. "Yog tias koj ua ib yam tsis muaj lwm tus, koj tsis ua haujlwm." 

Ntau naloxone, tsawg stigma

Txawm hais tias cov thawv tuaj yeem pab thaum muaj xwm txheej ceev, cov ntaub ntawv uas Wisconsin Voices for Recovery tau sau qhia tau hais tias ntau tus neeg tab tom tuav lub thawv - tsuas yog hauv rooj plaub. 

Ib lub thawv uas muaj cov naloxone dawb, uas feem ntau paub los ntawm lub npe nrov Narcan, dai hauv Gordon Dining thiab Event Center ntawm University of Wisconsin-Madison tsev kawm ntawv. Lub thawv tau muab los ntawm Nalox-ZONE Program uas lub hom phiaj txhawm rau nce naloxone muaj nyob thoob plaws Wisconsin kom txo tau cov neeg tuag opioid. (Drake White-Bergey / Wisconsin Saib)

Cindy Burzinski, tus thawj coj ntawm Wisconsin Voices of Recovery tau hais tias "Qhov peb xav tau tiag tiag yog Narcan tawm hauv zej zog." "Peb xav kom cov neeg hauv Wisconsin muaj kev nyab xeeb, thiab yog li qhov tseeb tias ntau tus neeg tau noj Narcan uas tsis yog thaum muaj xwm txheej ceev, yog qhov kev txhawb siab tiag tiag."

Burzinski ntxiv, "Tib neeg tau nkag mus tau yooj yim dua," Burzinski ntxiv, "uas yog, tig mus, tej zaum yuav txo qis kev qias neeg nyob ib puag ncig muaj Narcan ntawm tes." 

Wisconsin Voices for Recovery nrhiav kev tawm tsam qhov kev qia dub no uas ua rau ntau tus neeg tsis tuaj yeem nrhiav kev pab. Cov pab pawg xam phaj tib neeg hauv kev rov qab los txog lawv cov kev paub dhau los los ntawm txoj haujlwm hu ua Saturday Night Recovery Chatter. Cov kev sib tham tau muab tso rau hauv social media los muab kev sib txuas rau cov neeg nrhiav kev rov qab los.

Rick Rachwal ntseeg hais tias kev qias neeg nyob ib puag ncig kev siv yeeb tshuaj yog "tuav ntau tus neeg rov qab los ntawm kev hais txog nws."

Burzinski pom zoo kev paub yog qhov tseem ceeb hauv kev tawm tsam kev sib kis ntawm opioid. Cov neeg nyob hauv kev rov qab los yuav tsum paub tias "lawv tsis nyob ib leeg" thiab qhov kev siv yeeb tshuaj yav dhau los lossis kev tsis zoo "tsis txhais" lawv. 

Nrhiav kev kho mob thiab kev pab cuam rau kev quav tshuaj opioid hauv Wisconsin 

Wisconsin Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txhawb nqa Wisconsin Addiction Recovery Helpline, uas muab kev pabcuam pub dawb, tsis pub lwm tus paub, thoob plaws lub xeev txhawm rau nrhiav kev kho tshuaj yeeb tshuaj thiab kev pabcuam rov qab los. Hu rau 2-1-1 lossis mus ntsib 211 wisconsin.communityos.org/ rau cov lus qhia ntxiv. 

IMPACT 211, uas ua haujlwm rau sab hnub tuaj Wisconsin, ua qhov kev ntsuam xyuas dawb los txiav txim siab txog qib kev saib xyuas tsim nyog thiab txuas cov neeg siv khoom mus rau cov kev pab cuam kho mob thiab cov kev pab txhawb nqa rov qab. Qhov kev pab cuam Access Point yog qhib rau cov neeg nyob hauv nroog Milwaukee hnub nyoog 18 xyoo lossis tshaj saud. Cov neeg muaj ntawv pov hwm lossis cov neeg tsis muaj ntawv pov hwm raug txhawb kom nug txog cov kev xaiv. Hu rau 414-649-4380 yog xav paub ntxiv lossis email APmobile@IMPACTinc.org mus teem sijhawm. 

Lus Qhia: Zaj dab neeg no tau hloov kho kom paub qhov txawv ntawm kev noj tshuaj ntau dhau ntawm opioid thiab tshuaj lom. Kev noj tshuaj ntau dhau tshwm sim thaum ib tus neeg siv ntau dhau ntawm cov tshuaj pom zoo, xws li tshuaj noj. Kev lom zem ntau yog piav qhia txog qhov xwm txheej uas ib tus neeg tsis paub txog kev noj fentanyl thaum ntseeg tias lawv tau noj tshuaj opioid raug cai.

Wisconsin Watch's Rachel Hale tau pab qhia txog zaj dab neeg no. Lub koom haum Wisconsin Watch (ntawm wisconsinwatch.org) koom tes nrog WPR, PBS Wisconsin, lwm cov xov xwm tshaj tawm thiab University of Wisconsin-Madison Tsev Kawm Ntawv Xov Xwm thiab Kev Sib Txuas Lus. Txhua yam haujlwm tau tsim, tshaj tawm, tshaj tawm lossis tshaj tawm los ntawm Wisconsin Watch tsis tas yuav cuam tshuam cov kev xav lossis kev xav ntawm UW-Madison lossis ib qho ntawm cov koom tes.

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Rov luam tawm peb cov ntawv dawb, hauv online lossis luam tawm, raws li daim ntawv tso cai Creative Commons.

Nrov dab neeg los ntawm Wisconsin Watch

Max Stapleton tau kawm tiav hauv University of Wisconsin-Madison. Stapleton tau ua haujlwm loj hauv kev sau xov xwm thiab kev sib txuas lus thiab tab tom nrhiav haujlwm ua tus tshaj tawm xov xwm thiab tshaj xov xwm.

Grace Friedman (nws/nws) yog ib tug laus ob chav loj hauv kev sau xov xwm thiab kev sib txuas lus zoo ntawm University of Wisconsin-Madison. Nws yog tus neeg sau xov xwm ntawm Badger Herald thiab Knockturnal thiab npaj yuav kawm tiav rau lub caij nplooj ntoo hlav.