North Carolina
Aftermath of Helene making western NC survivors sick
by Jane Winik Sartwell
Carolina Public Press
One week after Tropical Storm Helene hit western North Carolina, Asheville resident Sonya Lynn woke up with stomach cramps that she could only compare to going into labor.
“The cramps woke me out of a dead sleep,” Lynn told Carolina Public Press. “I started noticing severe bloating, constant diarrhea and nausea.”
Lynn went to Mercy Urgent Care, where she was diagnosed with E. coli. The facility put her on antibiotics, but a few days later she was in the emergency room with extreme dehydration.
Lynn is just one of thousands of western North Carolinians who have experienced — or will experience — adverse health effects brought about by the damage caused by Tropical Storm Helene. Contaminated drinking water caused by flooded private wells, damaged municipal water systems, and compromised septic systems is one of the chief public health concerns.
Lynn isn’t sure how she contracted E. coli. Did she rinse her dentures under the tap in her bathroom sink? Did she use ice from her freezer in a drink? Did she wash her dishes in the kitchen sink out of habit? Did she eat some bad food that had been donated to Homeward Bound, the homeless shelter where she works?
“We’re seeing unprecedented issues in terms of the very prolonged disruption to basic services like water and sewer,” North Carolina state epidemiologist Zack Moore told Carolina Public Press.
“That raises a lot of concerns around gastrointestinal infections, things that come from contact with sewage, eating food that hasn’t been maintained properly, or not having the same access to hand hygiene that you normally would. We’re worried about Legionnaires’ disease, hepatitis A, campylobacter and other infections.”
Most people who experience gastrointestinal illness don’t immediately head to the doctor or emergency room, making the actual rate of these illnesses in western North Carolina difficult to track, Moore said.
Lynn is now healthy and back at work. But even so, she and all western North Carolina residents will have to look out for additional public health issues as the region continues to recover from Helene.
Myriad health concerns
Weeks of dry weather following the storm turned flood mud, chock full of raw sewage and industrial contaminants, into airborne dust, raising concerns about respiratory diseases.
Flooded basements and homes are rife with dangerous mold.
Moore recommends people wear N-95 masks when doing any cleanup project. FEMA offers to remove water-damaged material for free under the agency’s individual assistance programs.
Plus, flu, COVID and RSV seasons are upon us, and public health professionals are encouraging western North Carolinians to make time to get fall vaccinations, despite the chaos of the storm’s aftermath.
“Unfortunately, there are many still in shelters and campsites living in close quarters where they’re more likely to be exposed to respiratory viruses,” Moore said.
Asheville nurse Elle Kruta told CPP that in addition to an increase in communicable respiratory illnesses, GI issues and dehydration at Mission Hospital in Asheville, she has noticed that those with asthma and chronic obstructive pulmonary disease are struggling due to the dust in the air.
The number of patients at the hospital is lower than average, according to Kruta, but more patients are staying longer than usual.
“There are a lot of people who cannot be discharged from the hospital into a nursing facility, because those rehabs don’t have potable water or space,” Kruta said.
“And some patients may not have homes to go back to. With shelters starting to close, people are staying in the hospital longer.”
UNC Asheville health sciences professor Fabrice Julien is teaching a course called “Public Health in Disasters” this semester. He and his students had just gotten through their unit on Hurricane Katrina when Helene struck Asheville.
One health concern he has is injuries.
“Driving by the River Arts District (in Asheville), I saw a lot of folks among the rubble doing construction, extraction and cleaning,” Julien told CPP. “A lot of them are up on ladders.”
“When you’re up on a ladder, leaning up against a foundation or structure that could cave in and collapse at any time, your risk of serious injury is very high.”
It is important to consider social determinants of health in an emergency like this one, according to Adam Hege, director of Appalachian State University’s public health program.
“The most immediate impacts are on those facing financial challenges, or those with access to less resources for their health,” Hege told CPP. “They may not be able to afford the care they need, or rebuild their lives in a way that sets them up for optimal health.
“When you look at disadvantaged communities, you start to see that how their houses are built and where they are built make them the most susceptible to the worst outcomes.”
Local public health departments
On the frontlines of the fight to keep Helene survivors healthy long term are local public health departments.
Officials are having disparate experiences of the threat: Henderson County’s health director Dave Jenkins says he has minimal concerns, while Joshua Kennedy, the health director in adjacent Polk County, is anxious about the county’s ability to serve vulnerable populations.
One of those vulnerable populations on Kennedy’s mind is the elderly.
“We’ve seen an increase in the number of senior citizens needing home-delivered meals through our nutrition programs,” Kennedy told CPP.
“We’re working to get those folks fed, but the cost of food is high right now. We see that as a budgetary concern long-term.”
The North Carolina legislature’s Helene relief bill allocated $12 million to local health departments to deal with these myriad issues, including helping residents with testing, decontaminating, and repairing their flooded wells.
Thirty percent of water samples from wells in Ashe and Watauga counties have tested positive for dangerous bacteria, AppHealthCare director Jen Greene told CPP.
“Even if your water smells fine and looks fine, it is very possible that it is not fine,” Greene said.
“If you have any concerns that your well may have flooded, we encourage you to come in and get your water tested.”
County governments are providing tests and well decontamination kits at no charge.
“Well decontamination is pretty quick and easy,” Kennedy said.
“We have kits provided by the state, so after folks come pick those up, it generally doesn’t take much time before their well is back in order.”
North Carolina
NC offshore wind project canceled as $1B deal shifts investment to fossil fuels
A planned offshore wind project off North Carolina’s coast that could have powered roughly 300,000 homes has been scrapped after the federal government agreed to spend nearly $1 billion to halt its development, a decision that is drawing sharp reactions and raising questions about future energy costs in the state.
Under the agreement, the French energy company TotalEnergies will be reimbursed for leases it purchased in federal waters near Bald Head Island. In exchange, the company will redirect that investment into oil and natural gas projects, including liquefied natural gas (LNG) production.
The move comes as electricity demand in North Carolina and across the Southeast is rising, driven by population growth and the rapid expansion of energy-intensive data centers.
Energy analysts say removing a major potential source of power from the pipeline could have lasting implications.
“I think folks are trying to figure out how to reconcile this with the fact that we do need more electrons on the grid,” said Katharine Kollins, president of the Southeastern Wind Coalition. “Every state right now is looking at how we can develop more energy, not how we should be taking options off the table.”
The canceled project, known as Carolina Long Bay, was one of two offshore wind developments TotalEnergies had planned along the East Coast. The North Carolina portion alone would have generated about 1,300 megawatts of electricity and brought significant economic development to the region.
State leaders were quick to criticize the decision. In a post on X, Gov. Josh Stein said the Trump administration is “spending nearly $1 billion in taxpayer money to pay off a company to stop investments in the clean energy we need,” calling it “a terrible deal for the people of North Carolina and our country.”
The Interior Department, which negotiated the agreement, defended the move, saying offshore wind projects are too costly and unreliable to meet the nation’s energy needs. In a statement, officials said redirecting investment toward natural gas would provide “affordable, reliable and secure energy” while strengthening grid stability.
The debate reflects a broader divide over how to meet growing electricity demand while keeping costs down.
Offshore wind projects typically require high upfront investment but have no fuel costs once operational. Fossil fuel plants rely on fuel that can fluctuate in price.
“Using a billion dollars of taxpayer money to remove an option for North Carolina and then require that company to invest in LNG just doesn’t feel right,” Kollins said.
She and other advocates argue that offshore wind could help stabilize energy prices over time by diversifying the state’s power mix, particularly during periods of high demand or fuel volatility.
The federal government and industry leaders backing the deal say natural gas offers a more dependable source of power, especially as the grid faces increasing strain.
Part of that shift now points to LNG, which is traded on a global market. That means prices can rise or fall based on international demand, geopolitical tensions and export levels — dynamics that do not affect wind energy.
The cancellation also highlights uncertainty around offshore wind development in North Carolina. Duke Energy, the state’s largest utility, holds a neighboring lease in the same area but paused development last year as it reevaluated costs and policy conditions.
As state regulators and utilities map out how to meet future demand, the loss of Carolina Long Bay narrows the range of options.
For residents, the stakes may ultimately show up in monthly bills.
“When we limit our choices,” Kollins said, “we limit our ability to control costs.”
North Carolina
What North Carolina Wants to See Happen in the Sweet 16
The North Carolina Tar Heels were a first-round exit in this year’s NCAA Tournament, but that does not mean that what transpires the rest of the way does not matter for the program.
It has been less than a week since the Tar Heels blew a 19-point lead in the second half against the VCU Rams, en route to an 82-78 loss in overtime. The result has raised doubts about Hubert Davis’ future as North Carolina’s head coach.
With all of that being said, here are a couple of things the Tar Heels should be wishing to happen later this week in the Sweet 16.
Duke Falls Short
The North Carolina-Duke rivalry is arguably the best one in all of sports. It was a tantalizing matchup the first time these two squared off this year, with Caleb Wilson and Cameron Boozer going head-to-head, as both players are expected to be selected in the top five of the 2026 NBA Draft.
However, the discrepancy between the two teams was apparent, even though the Tar Heels split the season series. The Blue Devils entered the NCAA Tournameent as the No. 1-overall seed in the entire field, while the Tar Heels limped into the field as a six-seed.
While North Carolina would obviously prefer playing in the upcoming round, which starts on Thursday night, nothing would make Tar Heels fans happier than to see Duke fall to St. John’s in the Sweet 16.
The Blue Devils have been playing with fire in the first two rounds, at various points, but they ultimately advanced to the second weekend of the tournament. St. John’s is a formidable opponent that could legitimately take down Duke.
One of the Teams With a Legitimate Head Coaching Option To Lose
It has been well-documented that North Carolina is likely to be in the coaching market, as Davis appears to be on his way out in Chapel Hill. If this occurs, the Tar Heels need to make a substantial hire that will elevate the program back to competing for national championships.
There will be a slew of options for North Carolina to consider, but two names to keep an eye on are Iowa State’s T.J. Otzelberger and Alabama’s Nate Oats. You may be asking yourself, ‘Why should North Carolina be rooting for potential head coach candidates to lose?’
Here’s why: the transfer portal opens on April 7, and ideally, North Carolina would want its presumed new head coach in place well before then. Those coaches will not be the only two to watch for, but they are arguably the most ideal.
North Carolina
AG Jeff Jackson wants the president to negotiate change from Chinese apps that fund fentanyl
North Carolina’s top prosecutor is asking the president for
help in the fight against fentanyl. Attorney General Jeff Jackson says
criminals are using Chinese apps to launder millions of dollars which fund
the fentanyl epidemic in the US. He thinks the president can negotiate a
change.
The effort hits home for the Nash family. This past weekend
marked four years since Jeff Nash lost his daughter, Amanda.
“It was a tough weekend. It was. I don’t think it gets
any easier,” Nash told WRAL.
Nash is one of thousands of fathers who knows what it feels
like to lose a child to fentanyl. And he knows what people will say…
“His daughter should have known not to do it. No one
forced her to do it. She was a grown woman. She was an adult who made her choices
and this was the natural consequence of her choice. And to say that would be
right. I understand that. However, two things can be right. It also is right for
our federal, state and local governments to do everything they can to keep this
poison away from our people,” Nash said.
Fentanyl is the primary driver of the opioid crisis in North
Carolina, contributing to over 75% of fatal drug overdoses in recent years. But
a small change gives cause for hope. 2025 and early 2026 data from the state office
of the medical examiner indicate a potential decline in fentanyl-positive
deaths for the first time in years.
North Carolina Attorney General Jeff Jackson said there is
still work to do.
“We’re losing six people a day. I’ve spoken to a lot of families
who have lost people. I told them I’ll do whatever I can and one thing I can do
is go after the money. If you go after the profitability of a crime, you’ll
reduce the prevalence of that crime,” Jackson said.
More than $100 million a week flow through Chinese owned
apps to support the sales of fentanyl in the US, Jackson said.
Over the last year, his office got one app called WeChat
to agree to be more responsive with investigators and make encrypted spaces on
the app more hostile to fentanyl money laundering. But its sister app, Weixin is
not subject to US laws and wants the White House to take action.
In a letter to the president, Jackson and five other
attorneys general from Colorado, New Hampshire, New Jersey, Kentucky and South
Carolina urged the president to take action. It states that despite the agreement
with WeChat to work with investigators, neither it nor Weixin agree to share
data from the ap.
“In practice, this means that law enforcement can only see
one side of illegal transactions, shielding Chinese-based users from justice,”
the letter said.
Nash wondered why only six attorneys general would support
the effort. Jackson said the focus was to get a request to the president that
was not political, bipartisan and clear.
He believes President Trump has the ability to negotiate with the
Chinese to effect change when it comes to money changing hands through its
apps.
“I think we recognize that the Chinese government is
different than the American government and if the leader of China decided to
make a change, that change would be made,” Jackson said.
Nash was reluctant to revisit his pain discussing his
daughter’s death, but said it’s worth it if this letter gets people talking or
gets any government movement to reduce the flow of fentanyl into the US.
Nash was one of the subjects in the WRAL documentary, ‘Crisis
Next Door – The Fentanyl epidemic.’
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