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Fentanyl deaths cause alarm, but solutions controversial

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Fentanyl deaths cause alarm, but solutions controversial


In a 2018 photograph, a workforce chief with Iowa Hurt Discount Coalition units up a desk throughout a cellular outreach occasion in downtown Cedar Rapids. The group offers out free naloxone kits, which may reverse an opioid overdose, in addition to threat discount kits that embrace sterile water, cookers, ties, antibiotic wipes, band aids and condoms. (The Gazette)

As Iowa grapples with a dramatic improve in overdose deaths involving fentanyl, some consultants and activists say the best-proven options are at present criminalized within the state.

Advocates of hurt discount — a set of methods to cut back the adverse results of ongoing drug use — say Iowa’s legal guidelines are counterproductive to the aim of reducing overdose deaths and getting folks with substance use issues into remedy.

Democratic Lawyer Normal Tom Miller threw his voice into the dialogue final month, when he known as on the Iowa Legislature to legalize fentanyl check strips, which may check medicine for fentanyl, and develop entry to naloxone, a medicine that may cut back the results of a drug overdose.

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Fentanyl is an artificial opioid that’s utilized in medical settings, typically for the remedy of extreme ache. It may be as much as 100 occasions stronger than morphine, that means it takes a a lot smaller quantity to trigger an overdose. The presence of illicit fentanyl, and its involvement in opioid overdoses, has shot up in Iowa lately, main officers to seek for options to the development.

Permitting for testing can be a welcome coverage change, in response to Andrea Weber, a medical assistant professor of psychiatry on the College of Iowa. Weber mentioned legalizing testing strips is “low-hanging fruit” and would enable drug customers who aren’t making an attempt to take fentanyl keep away from consuming lethal quantities.

Fentanyl check strips are at present labeled as paraphernalia below Iowa legislation, which carries a easy misdemeanor cost, punishable by a advantageous of as much as $855 and 30 days in jail.

Debra Krause, director of the Iowa Hurt Discount Coalition, mentioned fentanyl check strips usually are not sufficient to resolve the opioid disaster. She mentioned she desires to see broader deployment of naloxone, a extra sturdy good Samaritan legislation and syringe service packages.

“I’m all the time going to be for the legalization of fentanyl check strips, it’s simply not going to resolve the opiate disaster,” she mentioned. “We’ve been speaking to the legal professional basic and (Iowa Division of Public Well being) for actually 5 years, and we have now the science. Hurt discount has the science and the evidence-based analysis.”

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Syringe service packages, also called needle exchanges, are packages that present clear needles to intravenous drug customers to forestall the unfold of illnesses like HIV and hepatitis C. In keeping with the Basis for AIDS Analysis, syringe service packages are authorized by state or native legislation in 39 states. They’re unlawful in Iowa.

Weber mentioned the packages present extra than simply clear syringes for drug customers. They typically supply counseling, evaluations for substance use remedy and testing for frequent bloodborne infections.

Why fentanyl is being talked about now

Officers are sounding the alarm now, partly, as a result of the state has seen a dramatic improve in overdose deaths that concerned fentanyl and in fentanyl seizures by legislation enforcement.

Iowa has one of many lowest drug overdose charges within the nation, however the price has been rising, principally as a result of opioids — deaths went up 34 p.c between 2019 and 2021, in response to the governor’s workplace. Fentanyl was concerned in 83 p.c of the state’s 258 opioid deaths final yr, and drug overdose deaths elevated 120 p.c amongst Iowans below 25 within the final two years.

Fentanyl is commonly present in illicit capsules which are bought on the black market and disguised as actual pharmaceutical medicine like OxyContin and Xanax, officers mentioned. It’s additionally blended into what’s being bought as heroin, cocaine and methamphetamine.

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Drugs containing fentanyl usually are not coming from professional pharmacies, however pressed by prison organizations to appear to be pharmaceutical medicine. The fentanyl being present in illicit capsules and substances is made in clandestine labs, Weber mentioned, which suggests the efficiency and purity can fluctuate extensively.

In keeping with knowledge offered by the Iowa Division of Public Security, officers seized greater than 7 kilograms of fentanyl by itself in 127 circumstances final yr. In a whole bunch of different circumstances, officers discovered fentanyl in mixtures with heroin or different medicine. It’s a unprecedented improve from 2018, when the load of fentanyl alone discovered by legislation enforcement was solely about 10 grams in 34 completely different circumstances.

Legislative panorama

Laws has been proposed in earlier years to arrange needle exchanges just like what exists in different states, however none have garnered sufficient assist to get to a flooring vote.

A Senate invoice sponsored by 10 Democrats was proposed final yr, nevertheless it didn’t attain a subcommittee assembly. The same invoice making a pilot program within the Home final yr didn’t get to a subcommittee.

In an emailed assertion, Senate Majority Chief Jack Whitver, R-Ankeny, mentioned a legislation round fentanyl testing kits was value consideration, however he didn’t commit assist for them. He famous that needle exchanges haven’t obtained sufficient assist to advance.

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Iowa Home Republicans spokesperson Melissa Deatsch mentioned the caucus was utilizing the time between classes to study extra about what might be completed to curb the rising overdose charges in Iowa.

Gov. Kim Reynolds’ spokesperson, Alex Murphy, didn’t say whether or not Reynolds would assist measures to legalize check strips or arrange syringe service packages, however he pointed to her work to boost consciousness of the deaths in addition to her signing a 2016 legislation that allowed pharmacists to dispense naloxone and not using a prescription.

Reynolds additionally has directed the Division of Well being and Human Providers to incorporate details about fentanyl in an consciousness advert marketing campaign concentrating on youth.

Murphy and Whitver additionally forged blame on the Biden administration’s insurance policies across the southern border that they mentioned allowed for the inflow of medicine introduced in from Mexico.

“That is due largely from failed insurance policies of the Biden administration to not safe our southern borders,” Murphy mentioned.

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Iowa

Nebraska Volleyball Dominates Iowa in Sweep

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Nebraska Volleyball Dominates Iowa in Sweep


Nebraska volleyball entered October a perfect 38-0 against Iowa all-time. That number is now 39-0.

The No. 2 Huskers (14-1, 4-0 Big Ten) swept the Hawkeyes (8-8, 2-2 Big Ten), 25-17, 25-11, 25-13. This is the eighth-straight sweep for Nebraska over Iowa and 11th-straight win since falling at SMU.

Nebraska’s offense hit a blistering .404, led by 10 kills on .400 hitting from Merritt Beason.

The story of the day was the middles, though. With Andi Jackson out again, Leyla Blackwell earned the start alongside Rebekah Allick. The pair notched nine kills each, with Blackwell hitting .692 and Allick hitting .583. They also combined for five blocks.

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Bergen Reilly dished out 35 assists.

Iowa managed to hit just .155, but did have the player with a match-high for kills: Michel Urquahart at 11.

Nebraska is back in action Friday, hosting No. 10 Purdue.

MORE: Andi Jackson Out, Taylor Landfair to Start Again for Nebraska Volleyball

MORE: Nebraska Football Continues to Receive Votes in Coaches, AP Polls

MORE: Nebraska’s James Williams Shares Emotional Journey After Standout Game Against Rutgers

MORE: Ball-Busting Blackshirts and Buschini Bombs in the Blistering Heat are Homecoming Heroes for the Huskers

MORE: Big Ten Football Week 6 Capsules

Stay up to date on all things Huskers by bookmarking Nebraska Cornhuskers On SI, subscribing to HuskerMax on YouTube, and visiting HuskerMax.com daily.



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Iowa football: When, if ever, will the Hawkeyes’ quarterback woes get solved?

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Iowa football: When, if ever, will the Hawkeyes’ quarterback woes get solved?


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COLUMBUS, Ohio — Iowa football coach Kirk Ferentz made his view of the quarterback position pretty clear after Saturday’s 35-7 loss at Ohio State.

No, the Hawkeyes are not headed for a change at quarterback, Ferentz said.

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“We’re not ready, I think, to have a controversy at that position,” the longtime head coach said.

The loss to Ohio State again illustrated the gap between Iowa and national powerhouses. The Hawkeyes haven’t beaten one of the three giants of the Big Ten — Penn State, Michigan or Ohio State — since a 2021 win over the Nittany Lions. Against ranked opponents last season, Iowa was beaten a combined 92-0.

Perhaps you could point to the fact that Iowa at least scored on Saturday as progress. But in reality, Saturday’s margin was similar to those three games last season.

More: Leistikow: Rating concern levels for Iowa football at quarterback, offensive line, defense

The quarterback position wasn’t good enough on Saturday. Cade McNamara finished the game 14-of-20 passing for 98 yards and three turnovers — two fumbles and one interception. Just like the game itself, the quarterback play fit an old, tired narrative.

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When, if ever, will Iowa’s quarterback woes finally be solved?

To be clear, quarterback production was not the only deficient area on Saturday. The Hawkeyes were beaten in the trenches — on both sides of the ball — and outgained 203-116 on the ground. Iowa’s defense also gave up four touchdowns through the air.

After Iowa trailed just 7-0 at the break, it got ugly in the second half. Ohio State is a legitimate national championship threat, and the Hawkeyes didn’t do much in the third and fourth quarters to show they could compete at that level.

“The bottom line is, you’ve got to play clean football against a team like this,” Ferentz said. “We weren’t able to do that. They get some credit on that, too.”

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Kirk Ferentz on Cade McNamara after loss to Ohio State: ‘Cade will be fine’

Kirk Ferentz discusses a variety of topics after Iowa’s 35-7 loss to Ohio State.

Since the 2019 departure of Nate Stanley, Iowa’s quarterback struggles have been no secret. Whether it be Spencer Petras or Alex Padilla or Deacon Hill, Iowa hasn’t gotten necessary production from that position. There was optimism that McNamara, once a prized transfer from Michigan, would be the solution.

Through the first 10 games of his Iowa career, McNamara has fallen short of that.

The lowest bar for McNamara to clear as Iowa’s quarterback — taking care of the ball — is something he was unable to do on Saturday. 

McNamara’s turnovers came on three consecutive possessions to open the second half, all but erasing any first-half hope that Iowa had managed to build.

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Because Iowa lives in such thin margins, avoiding turnovers is paramount, even more so against a team like Ohio State. The lack of ball security was a reason the quarterback position was such a disaster at Iowa last season. Hill finished the season with a ratio of eight interceptions to five passing touchdowns.

McNamara’s touchdown pass-to-interception ratio this season is now 3-to-3. He was without a turnover against Illinois State, Troy and Minnesota, but coughing up the ball proved costly against Iowa State and Ohio State. An early second-half turnover against Iowa State this season gave the Cyclones life. Three against Ohio State on Saturday shut the door on a possible upset.

“We evaluate every position week to week,” Ferentz said about quarterback. “But we’re comfortable. I think Cade’s improving. I really do. It sounds funny with the turnovers today, I think he seems more comfortable. His timing seems better. And he was getting the ball out really well in the first half. We have to improve as a collective offense.”

It might go against popular opinion but to Ferentz’s point, McNamara started Saturday’s contest well, completing 10 of his first 12 passes. There is, however, a gaping hole in that argument.

Completion efficiency is not McNamara’s biggest issue. In fact, in the last two games — against Minnesota and Ohio State — he was a combined 25-of-39, marking major improvement from a putrid 13-of-29 outing against Iowa State.

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But that extremely efficient stretch against Ohio State matters less if it amounts to zero points and also means turning the ball over three times later on.

In his Iowa career, McNamara has not yet thrown a touchdown against a power conference opponent (granted, a redzone package with backup Brendan Sullivan was implemented earlier this season, making it more difficult for McNamara to do so). But more troubling than the lack of touchdowns are the fact that all three of his interceptions this season have come against power conference opponents (one was a last ditch heave against Iowa State). You can also add the two fumbles against Ohio State to that turnover tally.

Iowa didn’t get McNamara just to beat up on lower level programs. When the competition level rises, he needs to do so with it.

“We just can’t turn the ball over,” McNamara said Saturday. “We had three drives in a row with turnovers. That just can’t happen. They just came out in the second half and they played well. They’re are a good defense and they’re a good team.”

You can argue ad nauseam against Ferentz’s assertion that McNamara is improving. But bottom line is, the fact that this is even a discussion is a problem. It was reasonable to think that McNamara would’ve been better than this through five games.

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Iowa doesn’t need its quarterback to be prolific. Running back Kaleb Johnson solves a lot for the offense with the way he’s been playing. Iowa just needs McNamara to take care of the ball and make defenses pay on occasion when the chance presents itself. 

In critical moments, that hasn’t been the case.

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Iowa running back Kaleb Johnson reacts to 35-7 loss at Ohio State

The Hawkeyes junior wound up rushing 15 times for 86 yards, but most of those came after the game was decided.

Through the first 10 games of his Iowa career — split between 2023 and 2024 due to injury — McNamara hasn’t done much to validate the excitement that once surrounded him. Ferentz has preached patience for someone who has been out for an extended period — on multiple occasions. That faith in him could still bear results.

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But time is becoming of the essence for McNamara to change the narrative.

Said Ferentz: “Cade will be fine.”

Follow Tyler Tachman on X @Tyler_T15, contact via email at ttachman@gannett.com





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Where to watch Nebraska vs. Iowa volleyball today: Channel, time, schedule, live stream for NCAA college match | Sporting News

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Where to watch Nebraska vs. Iowa volleyball today: Channel, time, schedule, live stream for NCAA college match | Sporting News


Big Ten volleyball continues with a true Midwest matchup between Nebraska and Iowa. 

The Huskers host the Hawkeyes in the hopes of extending their 33 consecutive wins at home. That shouldn’t be a problem as they’ve never lost to Iowa through 38 matches played.

However, Nebraska will likely be without sophomore phenom Andi Jackson, who missed Nebraska’s road match against Illinois with an injury. Transfer Leyla Blackwell stepped in for her first start, though, recording six kills and three blocks from the middle.

As the underdogs, the Hawkeyes will put up their best fight against the No. 2 team in the nation. They won their first two Big Ten matchups in five sets each. Freshman outside Malu Garcia led the way with 17 and 11 kills, earning her the conference’s Freshman of the Week honors. She leads the Hawkeyes this season with 2.76 kills per set, though Iowa will need to find a more balanced attack to get past the best defense in the nation.

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Here’s how to watch the Big Ten matchup between Nebraska and Iowa volleyball.

MORE: How to watch every Nebraska volleyball match in 2024

Where to watch Nebraska vs. Iowa volleyball today

  • TV channel: Nebraska Public Media (local)
  • Live stream: Big Ten Plus

The Nebraska vs. Iowa volleyball match will not be broadcast nationally, but local viewers can find the game on Nebraska Public Media. However, cord-cutters can stream the match on Big Ten Plus.

What time is Nebraska vs. Iowa volleyball today?

  • Date: Sunday, Oct. 6
  • Time: 3 p.m. ET

Nebraska hosts Iowa on Sunday, Oct. 6. First serve is set for 3 p.m. ET from Bob Devaney Sports Center in Lincoln, Neb.

Nebraska volleyball schedule 2024

Below is a look at the Huskers’ next five matchups on their schedule.

Date Game Time (ET)
Sun., Oct. 6 vs. Iowa 3 p.m.
Fri., Oct. 11 vs. Purdue 8:30 p.m.
Sat., Oct. 12 vs. Rutgers 8 p.m.
Fri., Oct. 18 at Michigan State 6 p.m.
Sat., Oct. 19 at Ohio State 3:30 p.m.

Iowa volleyball schedule 2024

Below is a look at the Hawkeyes’ next five matchups on their schedule.

Date Game Time (ET)
Sun., Oct. 6 at Nebraska 3 p.m.
Fri., Oct. 11 vs. Rutgers 7 p.m.
Sat., Oct. 12 vs. Purdue 7 p.m.
Wed., Oct. 16 at Northwestern 9 p.m.
Sun., Oct. 20 vs. Oregon 1 p.m.
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