W.Va. Overdose Rates Rise While National Rates Fall

The severity of West Virginia’s high overdose mortality rate qualifies the state for more federal funding to fight the opioid crisis.

West Virginia’s overdose mortality rate is so high it qualifies the state for more federal funding to fight the opioid crisis.

According to recent provisional data from the Centers for Disease Control and Prevention (CDC), national drug overdoses fell by 3 percent from 2022 to 2023. During that same period, West Virginia’s opioid overdose rate rose 1.34 percent.

Because of that, West Virginia is eligible for nearly $46 million in federal aid from the U.S. Department of Health and Human Services’ (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) to fight the opioid crisis through its State Opioid Response (SOR) program.

Sen. Shelley Moore Capito, R-W.Va., announced Friday that she authored the appropriations language to prioritize states hardest hit by the opioid epidemic.

“In our battle against the addiction crisis, we must continue to connect West Virginia’s substance use and prevention organizations with the resources they need,” Capito said. “That’s why through my role on the Appropriations Committee — and now as the top Republican of the Labor-HHS Appropriations Subcommittee — I have worked hard to make sure our state has the resources it needs to combat the crisis, including creating new solutions like the measure I authored to prioritize funds for states hardest hit by the crisis. This funding opportunity can open more doors to help West Virginia overcome the challenge drugs, especially deadly opioids like fentanyl, pose in our communities.”

Previously, funds were distributed by population. Capito’s language sets aside 15 percent for states with the highest mortality rates from opioid use.

SAMHSA SOR funding includes resources to expand access to opioid overdose reversal medication, increase focus on support services for teens and young adults, expand access to medications for opioid use disorder in correctional settings and emphasize the importance of treating an individual’s physical and mental health.

The U.S. Department of Health and Human Services reports, 78 percent of people who received treatment through SOR said they did not use illicit drugs at their six-month follow-up.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

Opioid Settlement Funds Foundation Enacts Mission Statement

The foundation responsible for distributing West Virginia’s opioid settlement money met Thursday to enact mission statements and answer questions about when funds will be available to communities.

Through settlements from various lawsuits with opioid manufacturers and distributors, West Virginia stands to gain about $1 billion over the next 10 to 15 years to be spent for recovery and prevention programs.

But it’s not clear yet when distribution of those funds will begin.

First, said Chairman of the Board Matt Harvey, board members want to ensure the money is used correctly. That’s why the West Virginia Legislature created the West Virginia First Foundation (WVFF) during the 2023 legislative session to distribute the settlement funds. 

The WVFF board met Thursday. On the agenda: accepting its mission statement, vision statement and 11 guiding principles.

The foundation’s new mission statement is: “Empowering West Virginians to prevent substance use disorder, support recovery and save lives.”

“The importance…is, it starts to tell our story as a foundation,” Harvey said. “And our foundation is obviously to abate the opioid epidemic that has ravaged us for a generation.”

At the close of the meeting, Parkersburg Mayor Tom Joyce – who’s on the board – said while he understood the necessity of agreeing to a vision, he and his constituents wonder when the foundation will take applications.

“I would like to see some real timelines as to when we’re going to actually be able to start taking applications for our funding,” Joyce said. “You know, we’re a year old, right next month. And I’m a little disheartened.”

Harvey said the board wants to get the money to work as soon as possible but the foundation is trying to ensure it is used properly.

“We do share a duty to this foundation to ensure that it’s successful, and this money is being used in an appropriate manner,” Harvey said.

The West Virginia First Foundation will handle 72.5 percent of the state’s settlement funds, while 24.5 percent will go to local governments. The remaining three percent will be held by the state in Escrow to cover any outstanding attorney’s fees.

The treasurer of the board, Jeff Sandy, reported in November 2023, that the money placed in Huntington Bank accounts is accruing interest.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

More Calls To Poison Control Are Ending Up Deadly

Calls to poison control centers are more often resulting in hospitalizations and death according to a new study by the University of Virginia. 

Calls to poison control centers are more often resulting in hospitalizations and death according to a new study by the University of Virginia. 

The study has found that poison control centers are fielding more calls for severe poisoning over the last couple decades. 

The number of calls about intentional exposures –- like suicide attempts and consumption of both legal and illegal drugs – that resulted in death is up nearly 250 percent for adults. For children, deaths associated with intentional exposures are up around 75 percent. 

Researchers say a combination of a mental health crisis and the opioid epidemic are major drivers of the increased number of deaths following a call to poison control.

MSHA Holds Panel Discussion As Silica Dust Rule Implementation Draws Closer

A new federal silica dust rule is about to take effect. Monday, a panel of Black Lung experts expressed hope for the future of young miners — if they’re educated about their rights.

Experts in black lung, mine safety, labor and employment law and physicians gathered at the Mine Health and Safety Administration’s (MSHA) office in Beaver on Monday to discuss a new silica dust rule that will take effect on June 17.

Coal producers will have 12 months to comply. Metal and nonmetal mine operators will have 24 months.

The panel discussion, moderated by Assistant Secretary for Mine Safety and Health Chris Williamson focused on the prevention of black lung in young miners and how the administration’s new silica dust rule can help if used by the miners.

“Everybody’s in this room because we care about this issue and we don’t want others to suffer from entirely preventable occupational lung diseases,” Williamson said.

MSHA issued its final rule lowering silica dust exposure for coal miners on April 16. This rule is a long-awaited change amid growing concern about black lung disease.

“When this rule finally comes into play and is implemented, it’ll be exciting to watch it unfold and see everyone’s health improve, but I don’t think that that’s going to happen right away,” Black Lung Clinic Director and respiratory therapist Lisa Emery said. “I hope that with … the dangers of silica coming out and being more publicized, that the miners will come in more often and get screened more often.”

The new rule lowers the maximum exposure to 50 micrograms per cubic meter of air during an eight-hour shift. The current limit is 100 micrograms per cubic meter.

Respirable crystalline silica is a carcinogen. It can cause lung disease, silicosis, lung cancer, progressive massive fibrosis and kidney disease. Coal dust containing silica dust has been shown to increase the severity of black lung cases and affect miners in their 30s and 40s.

“I don’t want to see our younger miners going through what we are going through,” said National Black Lung Association President Gary Harrison, who also suffers from black lung. “And I know this silica dust rule is gonna help eventually. I know it will take a while for it to come in.”

The silica dust problem is thought to be caused by the mechanization of mining, especially in central Appalachia. Large machines grind through larger volumes of rock to maximize coal production.

Mine operators are supposed to ventilate mine work areas to lower the concentration of coal and rock dust, as well as methane.

Under the Part 90 regulation, coal miners who have already developed a pneumoconiosis can exercise rights that allow them to continue working in healthier parts of the mine. 

“I’d like for the younger miners to start feeling more confident about speaking up, more confident about exercising their Part 90 rights,” Emery said. “That’s huge for me and our clinic, and I think that miners need to understand that the rights afforded to them under the mine act will protect them even if they’re not a Part 90 miner to make a safety complaint to talk about what’s going on in their mine and that MSHA is going to protect them. But what we’re seeing in the clinics is very scary.”

Grant Money

On Tuesday morning, Sen. Joe Manchin, I-W.Va., announced that the state will receive $2,172,386 million from the U.S. Department of Health and Human Services (HHS) to support health services and treatment programs for West Virginians suffering from Black Lung Disease.

“After their enormous sacrifices, West Virginia’s brave coal miners are entitled to the vital medical care and treatment they need,” Manchin said. “I’m pleased HHS is investing more than $2.1 million to support Black Lung clinics across West Virginia, and I look forward to seeing the positive impacts of the funding. As a member of the Senate Appropriations Committee, I will continue to advocate for resources to ensure all West Virginia miners can access the health care they deserve.”

The West Virginia Black Lung Clinics program is under the West Virginia Division of Primary Care, one of four divisions within the Office of Community Health Systems and Health Promotion, under the West Virginia Department of Health, Bureau for Public Health.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

Warnings Sent For Potential Salmonella Cucumber Contamination

The FDA announced a recall of cucumbers potentially contaminated with salmonella that were sent to 14 states, including West Virginia.

The Food and Drug Administration (FDA) announced a recall of cucumbers potentially contaminated with salmonella that were sent to 14 states, including West Virginia.

Fresh Start Produce Sales Inc. of Delray, Florida is recalling cucumbers that were shipped to wholesalers and distributors from May 17 to May 21.

The recall is due to potential Salmonella contamination, an organism that can cause serious and sometimes fatal infections in young children, elderly people, and others with weakened immune systems.

The recalled cucumbers were shipped in bulk cartons directly to retail distribution centers, wholesalers, and food service distributors in Alabama, Florida, Georgia, Illinois, Maryland, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, and West Virginia.

The recalled cucumbers are dark green, approximately 1.5 to 2 inches in diameter, and 5 to 9 inches long. Mini and English cucumbers are not included in this recall.

Consumers should check with their retailer or place of purchase to determine whether the recalled cucumbers were sold where they shop.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

W.Va.’s First Foster Care Ombudsman Resigns

The appointed watchdog of the West Virginia Foster Care System has resigned, effective June 6.

The first West Virginia Foster Care Ombudsman, Pamela Woodman-Kaehler, will resign effective June 6 to pursue new opportunities.

“We very much appreciate Pamela’s work over the years and her passion for serving the children of this state,” said Ann Urling, interim inspector general for the Departments of Health, Human Services, and Health Facilities. ”We wish her well in all of her future endeavors.” 

Elizabeth Hardy will serve as the acting office director foster care ombudsman in her place.

“It has been an incredible honor and pleasure to serve the citizens of West Virginia as the state’s first foster care ombudsman. I am choosing to pursue a new opportunity, but the program is exceptionally well positioned to serve our foster care system,” said Woodman-Kaehler. “I extend grateful thanks to department leaders and other stakeholders who have supported the important work of the foster care ombudsman.”

The foster care ombudsman, a position allowed for by legislation passed in 2019 and 2020, advocates for the rights of foster children, investigates and resolves complaints, and provides assistance to foster families, among other responsibilities.

Since then, lawmakers have been expanding the scope and independence of the Foster Care Ombudsman’s Office.

In 2023, House Bill 3061 was passed, permitting the foster care ombudsman to investigate reported allegations of abuse and neglect for critical incidents and to investigate children placed in the juvenile justice system. Previously, the ombudsman could only investigate complaints involving a foster child, foster parents or kinship parents.

Kelli Caseman, executive director of Think Kids WV, a statewide advocacy group focused on the health and well-being of West Virginia’s children, was one of the advocates pushing for the creation of an ombudsman.

Bills to further clarify the foster care ombudsman’s authority regarding child abuse and neglect investigations did not pass during the 2024 legislative session.

“I think that she really has given a voice to families, you know, of course, kids don’t have that opportunity to share their concerns, their challenges, their trauma. We are rightfully protective of their personal information,” Caseman said. “But so they really don’t have a voice, and we often find that their parents don’t have that voice either, and so Pamela really gave a voice and a platform to some of these challenges.”

Woodman-Kaehler’s resignation garnered praise for her work ethic in a difficult field but left some wondering if the ombudsman is encumbered by outside influences.

News of Woodman-Kaehler’s resignation broke less than a week after an April deposition of former deputy secretary of the previous Department of Health and Human Resources (DHHR), Jeremiah Samples, was made public.

The deposition was conducted in connection with a 2019 class action lawsuit, filed by A Better Childhood (ABC), a New York-based nonprofit, along with Shafer and Shafer and Disability Rights West Virginia against the now-split DHHR.

Marcia Robinson Lowry, the lead plaintiff for the class, and executive director of A Better Childhood, said she has been interested in interviewing Samples since his departure from the department.

“We took his deposition and we expected that we would get this kind of information,” Lowry said. “We didn’t know exactly what we would get, of course. But we were not surprised to get this kind of information.”

The lawsuit alleges the DHHR failed to properly care for thousands of foster kids, putting some in dangerous and unsafe situations.

In the original court filing, the plaintiffs allege, “Children in West Virginia’s foster care system have been abused and neglected, put in inadequate and dangerous placements, institutionalized and segregated from the outside world, left without necessary services, and forced to unnecessarily languish in foster care for years.”

The group filed a complaint in federal court in October 2019, denouncing the DHHR’s “over-reliance” on shelter care, shortages in case workers and a “failure to appropriately plan for the children in its custody.”

The following year, a motion for class action status was filed but left undecided when the case was dismissed in 2021. In 2022, that decision was reversed by the Fourth Circuit Court of Appeals and the class action motion was renewed in May 2023.

“It’s been delayed twice, because of the defendants failing to produce materials to us,” Lowry said. “So it is going forward, and the trial will be in November.”

In the deposition, Samples, who is now senior advisor to the Legislature’s Joint Committee on Government and Finance, testified that the Department of Human Services (DoHS) was not providing certain information to the Foster Care Ombudsman’s Office.

“There was an effort in 2023, through legislation, to accomplish that (investigative access for the ombudsman),” Samples said. “It was then stated by the ombudsman that they were still not being provided access because of a discussion or because of a position by Ms. [Cammie] Chapman.”

Samples testified that in early 2024, he learned that Deputy Secretary of Children and Adult Services Cammie Chapman was not providing investigative data to the ombudsman, due to the department’s interpretation of House Bill 3061.

“It was relayed that it was the interpretation of the department and Ms. Chapman that the ombudsman would not have access to that information,” Samples said.

Furthermore, Samples testified that the ombudsman had to contend with the previous DHHR secretary, Bill Crouch, who retired in 2022. He recalled a conversation with the ombudsman during the deposition.

“She said that she was called in to Secretary Crouch’s office,” Samples said. “And I don’t recall specifically how she worded it. But the tone of the conversation was that it was a threat, to be very careful about conversations that she had with the legislature and documents that she would release.”

Legal Director of Disability Rights West Virginia Mike Folio praised Woodman-Kaehler’s work but called her resignation a failure of the department.

“The resignation of Pamela Woodman-Kaehler is a sad chapter in DHHR’s and DoHS’ failed history to protect vulnerable children,” Folio said. “Sworn testimony exists that shows former DHHR Secretary Bill Crouch and current DoHS Deputy Secretary Cammie Chapman have meddled in the foster care ombudsman’s affairs, directed her to conceal information from the legislature, and withheld information from her that would have enabled her to conduct investigations to protect the state’s vulnerable children. Pam is a champion for children and her resignation highlights the state’s failure to safeguard children.”

Samples testified that he and Woodman-Kaehler also discussed shortfalls in the Child Protective Services (CPS) system. He said topics of conversation included CPS not properly conducting investigations and CPS case workers not being prepared in court.

“There would be a referral to centralized intake and concerns that these referrals were being screened out inappropriately,” Samples said. “For example, I recall specifically talking to her about the percentage of cases that were being investigated historically. So you go back to 2017, for example, there might have been 67, 69 percent of all referrals investigated. And now, I think the last time I saw the data, it was 60 point something percent.”

Samples also testified that the ombudsman found that there was fear of retaliation by CPS workers. He said he’s received similar complaints, “as recently as this week,” in the April 18, 2024 deposition.

“There were certainly reports at the time that CPS workers were using their authority to retaliate against foster parents, biological families,” Samples said. “And those concerns continue to be reported through constituent referrals to me at the legislature.”

Caseman said Woodman-Kaehler prepared a report for the legislature in 2021, documenting these findings.

“That (report) explained that over 90 percent of the people who called her office, either primary or secondary reason was out of fear of retaliation of the system, which really opened a lot of eyes, that there needs to be more transparency and more effort to ensure that our foster care families, our biological families, families that are transitioning through the child welfare system are treated with, you know, compassion and respect,” Caseman said.

During his weekly media briefing, Gov. Jim Justice addressed Woodman-Kaehler’s resignation.

“She got a better job, guys,” Justice said. “I mean, that’s all there is to it. You know, I mean, this business of attacking people and everything and … digging into everything coming and going. I mean, if she’s telling us she got a better job, you know, and why don’t we celebrate that?”

Justice brought up Sample’s deposition and said “this” all started with Crouch’s firing of Samples.

“From what I understand, Bill Crouch and Jeremiah Samples were butting heads,” Justice said. “Jeremiah Samples was the second in charge. He was in charge, the second man in charge here for a decade plus. And now he runs through the building saying everything in the world was wrong? Why didn’t he fix it? Why in the world didn’t he fix it? If something was wrong?”

Justice said he thinks everyone who works in the West Virginia government is doing their best.

“I really think for the most part, these people surely got their heart in and are trying really hard and they don’t deserve, you know, to be beat on,” Justice said.

According to the West Virginia Child Welfare Dashboard, there are 6,094 children in state care.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

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