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From Staff Reports
ASHEVILLE, N.C. — Buncombe County is ranked as the fifth-highest county in North Carolina for per-capita fentanyl-positive deaths, based on the data released by the North Carolina Office of the Chief Medical Examiner for the 12-month period leading into early 2026, “with data as of March 2026 reviewed for a year,” Asheville television station WLOS (News 13) reported on June 16.
“So far this year, 28 people have died from overdoses within Asheville city limits,” News 13 noted.
“Every day there’s a number of incidents of overdose,” Micheal Woods, Western Carolina Rescue Ministries executive director, told News 13.
The TV station added, “Woods says overdose calls have become a near-daily reality. He frequently sees emergency notifications such as ‘Person in cardiac arrest after drug overdose in Asheville’ come up on his phone.
“‘Without question, we have a problem here in Asheville,’ Woods said.”
Over the last three years, Buncombe County has ranked among the 10 highest counties in North Carolina for fentanyl-involved deaths — and state reporting indicates the county recently ranked as high as 7th.
Meanwhile, recent data from the North Carolina Office of the Chief Medical Examiner shows the county’s rate now stands at 22.9 deaths per 100,000 residents, which is well above the statewide average of 12.5.
Despite historically high ranking percentiles, total fentanyl-positive fatalities and suspected overdoses in the county fell significantly between 2023 and 2024, though health officials maintain that local rates remain a major public health concern.
Detailed county-level figures and tracking metrics are published on the North Carolina Division of Public Health website and monitored by several local news media outlets..
News 13 stated, “A day after Asheville police confirmed a 23-year-old woman who had been reported missing was found dead from an apparent drug overdose inside a vacant public housing unit, sources confirmed additional overdose deaths at the same housing complex, with three total, including Rachael Tuck's suspected overdose.
On June 16, Asheville police confirmed Racheal Tuck, 23, who had been reported missing by family members earlier this month, died from an apparent overdose. Toxicology results are still pending and could take several months.
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