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
North Carolina jury convicts man in record meth case
Lars Prentice Johnson (Cherokee County, NC Sheriff’s Office)
CHEROKEE COUNTY, Ga. – A Cherokee County jury has convicted a Peachtree Community man in what officials call the largest methamphetamine case in the county’s history.
What we know:
Jurors found 53-year-old Lars Prentice Johnson guilty on November 20 of high-level manufacturing of methamphetamine, trafficking by possessing methamphetamine, and trafficking by manufacturing methamphetamine. A judge sentenced him to 225 months in state prison.
The convictions stem from a July 2022 search warrant served at a home on Daylily Drive in Marble. Deputies with the Cherokee County Sheriff’s Office said they found about 38 pounds of methamphetamine along with a conversion laboratory used to manufacture the drug.
Investigators said Johnson was one of several defendants charged in the case. At the time of his arrest, he was already on probation in Georgia for trafficking methamphetamine.
What we don’t know:
Authorities have not released information about the other defendants charged in the case.
It is unclear whether additional arrests or sentences are expected.
Investigators have not said how long the conversion laboratory had been operating or whether the drugs were linked to a larger distribution network.
The Source: The details in this article comes from the Cherokee County, NC Sheriff’s Office.
North Carolina
DOGE Eat DOGE?
This story is published through our partnership with NOTUS.
When the Department of Government Efficiency started slashing federal grants, North Carolina’s 4th Congressional District was the hardest hit in the country.
The solidly Democratic district in the Raleigh-Durham area is home to two tier-one research universities, 11,000 federal workers, and the largest research park in the country. As of May 2025, when Elon Musk left DOGE, the district had lost 186 federal grants, according to a tracker from the Center for American Progress.
The area is still reeling from the millions in lost federal funds. And those impacted said the cuts could play a role in the midterms, especially with the state home to one of the most closely watched Senate races of 2026.
“If you care about North Carolina as a purple state and as a state that could swing presidential elections, the House makeup, and the Senate makeup, these conversations that we’re having about the people who have lost their jobs are going to be economic stories,” said Brianna Clarke-Schwelm, executive director of the North Carolina Global Health Alliance. “Next year, people aren’t necessarily going to be talking about was it USAID or was it some other federal institution. They’re going to be talking about how many people don’t have jobs.”
Democrats in Virginia specifically cited the chaos surrounding DOGE cuts as one reason they did so well in November, as did labor unions who told NOTUS they saw increased engagement during the off-year election cycle.
It’s unlikely that DOGE cuts in North Carolina will be as salient an issue as they were in Virginia’s gubernatorial race, but they may be another reason voters are growing dissatisfied with Trump, said Thomas Mills, a former Democratic political consultant and election watcher in the state.
“You’re going to have motivated Democrats who are the people that are getting impacted by these—they are going to come out,” Mills said. “The biggest single driver of Democratic turnout is going to be Donald Trump and his policies.”
Rep. Valerie Foushee, who represents North Carolina’s 4th Congressional District, said she doesn’t think the administration’s claim, that is rooting out waste and fraud, will land well in her district.
“You’re solving a problem that doesn’t exist, and in so doing, you’re creating a bigger problem by way of taking away people’s jobs, taking away people’s livelihoods and destroying local economies, even as you are destroying the national economy,” she told NOTUS.
RTI International, an independent scientific research institute in the Research Triangle Park, bore the brunt of the cuts, according to a report by Harris Search Associates, a consultancy for the higher education and research sectors. The firm’s report found that DOGE cuts cost RTI about $1 billion and forced the company to lay off one-third of its workforce.
Most of the grants stripped from RTI International came from the now-dismantled United States Agency for International Development. Others came from NASA, the Environmental Protection Agency and the National Institutes of Health.
“RTI is proud to partner with the current Administration in scientific and technical areas that are aligned with our mission,” Tim J. Gabel, president and CEO at RTI International, told NOTUS in an emailed statement.
“You’re going to have motivated Democrats who are the people that are getting impacted by these—they are going to come out.”
Thomas Mills, former Democratic political consultant
He said that RTI is actively changing its business.
“This means expanding beyond our traditional federal portfolio into high-growth commercial sectors such as health, energy, and food/agriculture,” Gabel said.
The administration’s decision to shutter USAID had direct impacts in the battleground state.
North Carolina is the fourth-highest recipient of USAID awards, according to the NC Global Health Alliance. The state received 153 active awards across 15 organizations from the agency. Nine of those went to the 4th District. Since January, North Carolina institutions have lost $3 billion in future USAID-funded awards.
“That was a massive hit to our institutions. We have major implementing partners here that employed thousands of people and impacted millions of lives around the world,” said Clarke-Schwelm.

FHI 360, a global health nonprofit in the Research Triangle Park, lost about half its revenue and laid off more than a quarter of its workforce, including 144 workers in North Carolina, after Trump dismantled USAID.
The alliance estimates that at least 625 North Carolinians lost their jobs due to the cuts.
Leonardo Williams, the Democratic mayor of Durham, called DOGE cuts a “self-inflicted wound.” He said that he’s never seen more middle-class people apply for unemployment.
“They’re basically not only dismantling some of these companies, they’re dismantling households. That’s what I see at the ground level in District 4,” he said. “I see less people shopping at the grocery stores. I see less people opting in to have their child at daycare. I see more daycares closing.”
He said voters in Durham and District 4 will consider Trump’s push to downsize government and promote fiscal responsibility, led by billionaire Elon Musk, to be “out of touch.”
“I think people are going to remember that in the midterms. I’m damn going to do my part to make sure they know about it,” Williams said.
The campaign arm for Senate Republicans, the National Republican Senatorial Committee, did not respond to a request for comment.
Universities also suffered cuts to their operations. University of North Carolina atChapel Hill has lost $38.4 million in federal grants since Trump took office, reported The Daily Tar Heel. Most of those awards came from the National Institutes of Health. At Duke University, the federal government terminated or froze more than $135 million in grants.
Mills said that Republicans may struggle to convince voters that blocking money from flowing into the state and downsizing the federal workforce will benefit them.
“A lot of this new populist Republican base is going to be motivated by things that the government can do for them, and that’s not historically where Republicans have been,” Mills said. “It makes it difficult to say, ‘We cut the size of the government, and somehow it benefited you.’”
Christa Dutton is a NOTUS reporter and an Allbritton Journalism Institute fellow.
North Carolina
Nonprofit delivers meals to over 300 veterans in western North Carolina
ARDEN, N.C. (WLOS) — Nonprofits are providing food to hundreds of veterans in need.
To tackle food insecurity, a Charlotte-based organization partnered with Asheville Buncombe Community Christian Ministry.
The Independence Fund said it hosts feedings in Charlotte regularly, and after seeing an unprecedented level of need there, the group decided to expand operations to western North Carolina.
VETERANS HONORED AT ‘RED, WHITE, AND BURNSVILLE’ EVENT
On Wednesday, Nov. 19, they met at ABCCM’ Arden location to offer more than 300 meal boxes to veterans.
Essential household supplies, along with hams or turkeys, were available just in time for Thanksgiving.
Roman’s Deli and Catering was also on-site, providing each veteran with a fresh, warm meal.
Veteran Tim Branch drove from Black Mountain and said this is a great help after the impact of the government shutdown.
“It makes a big difference because we’re on a fixed income,” Branch said.
Heidi Selbe with the Independence Fund said they serve the Warfighter Community and host Feeding Independence events nationwide, and didn’t want to leave western North Carolina out.
“We were seeing an increased need with the government shutdown and, of course, western North Carolina already suffering from hurricane Helene, our veterans, we felt like we were seeing an increased need for support, and so we wanted to provide this for them,” Selbe said.
VETERANS DAY HIGHLIGHTS THE PLIGHT OF OVER 35,000 HOMELESS VETERANS IN THE US
This was also an opportunity for veterans to get connected with ABCCM case managers and other long-term support.
“We have a housing program, we have an employment program, we do suicide prevention, and we have outreach teams that are engaging with those individuals,” said Jessica Rice, the managing director for veteran services of the Carolinas at ABCCM.
Anyone who missed the event can reach out to the Asheville Buncombe Community Christian Ministry for assistance by visiting here.
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