Arkansas, Oklahoma divided on opioid withdrawal alternative

BY ASSOCIATED PRESS
04/21/2018 12:00 PM
FORT SMITH, Ark. (AP) — Legislation on an alternative substance that some say could help mitigate the effects of opioid withdrawals is divided along state lines.

Kratom, a tropical tree from Southeast Asia with leaves that produce stimulant and sedative effects, has been used in the Fort Smith region to both treat chronic pain and mitigate the effects of opioid painkiller withdrawals. Though it is sold legally through alternative medicine stores throughout Oklahoma, it is listed as a banned substance in Arkansas.

People in the United States have started to use kratom as a remedy for drug dependence, anxiety and pain. Proponents argue it is safer than prescription opioids like Vicodin and OxyContin, according to the Associated Press.

The Drug Enforcement Agency has listed kratom as a "Drug of Concern." In February, Food and Drug Administration Commissioner Scott Gottlieb said claiming kratom is harmless is "shortsighted and dangerous" and that it's "an opioid that's associated with novel risks because of the variability in how it's being formulated, sold and used recreationally."

The Jack Henningfield, vice president of Research, Health Policy and Abuse Liability at Pinney Associates, an organization that assesses the medical value of substances, said there is "insufficient evidence" for the DEA to restrict kratom.

In Oklahoma, a similar debate is being held.

"Right now, I just don't think everyone is on board with banning it," said Kayla Madera, an employee at the kratom store Earthly Mist in Roland. "They're just butting heads right now."

Kratom was banned in February 2016 in Arkansas and is listed as a Schedule I controlled substance in the state. It is also banned from Tennessee, Alabama, Indiana, Wisconsin and Vermont.

Paul Smith, director of the 12th and 21st District Drug Task Force in Sebastian and Crawford counties, said the legislation that banned kratom likely came about after the substance was tested in the Arkansas state crime lab. He said other substances have been banned in similar fashion in Arkansas.

"They start receiving submissions, and they come back for a particular substance," Smith said. "They'll kind of keep track of it and see if it's a problem, and they'll also do their own research around the United States and see what their other colleagues at other state crime labs."

Smith, who supports the substance ban, said other countries that have extended experience with kratom consider it to be dangerous. He called such protocols "a good guide for us to go by here in Arkansas."

West of the Arkansas border, kratom is dispensed without fear of seizure, the Times Record reported . Though legislation has been brought against kratom in Oklahoma, no law has officially passed that would ban or schedule the substance in the state.

Because of its legality, kratom is sold through shops designed purely for its sale and smoke shops across the state. A handful of them are under the brand name Earthly Mist, which has locations in Tulsa and Oklahoma City along with its Roland location.

Earthly Mist in Roland receives 7-10 customers a day, including people who have been prescribed methadone, Madera said. She said she does not ID people at the store, as it is not under any licensed medical practice.

"They'll come in, and they'll be tired and groggy and all that, and there will be a lot of pain," Madera said. "They'll come back a week or two later and say how great they've been feeling."

Smith said law enforcement officials have conducted one kratom seizure in Sebastian County and a handful of seizures of the drug in Crawford County since the substance was banned in 2016.

Though the kratom seized in Sebastian County was found in a plastic bag, it was found in Crawford County with labeling from Earthly Mist, Smith said.

"They're basically coming from Roland," Smith said of the drug seizures.

Though seized like other recreational drugs, Smith has not seen kratom used in Arkansas for recreational purposes. He said people are attracted to the drug to overcome symptoms like vomiting and diarrhea that come from heavy opioid withdrawals.

"It can be used to kind of satiate or stop that kind of withdrawal that comes when they don't have any kind of opioid pills to consume," Smith said.

Personal testimonies submitted to Earthly Mist line up with Smith's statements. Some even go as far as to say the substance gives the user energy and helps with pain.

"I had been prescribed oxycodone and morphine for five years due to chronic illness," one testimony reads. "One of my friends introduced me to kratom when I was complaining about some of the side effects that were making my life miserable. Within one month, I was able to quit taking those drugs because of the effectiveness of kratom."

"Kratom has changed my life," another reads. "I have PTSD, bipolar and fibromyalgia. I am also a recovering addict. Since starting to take kratom, I have been able to stop taking all prescription medications."

While he has spoken against opioid over-prescribing and its effects in Sebastian County, Smith also spoke against the use of kratom in an opioid withdrawal situation.

Smith said anyone going through an opioid withdrawal — especially a severe one — needs to seek medical attention for his or her symptoms.

"It's a medical problem that needs to be addressed in a medical setting, not someone who's trying to do it themselves," Smith said of opioid withdrawals.

Smith said "all treatment facilities" in Sebastian and Crawford counties have a protocol to ensure the person going through an opioid withdrawal is medically safe while he or she is going through an opioid overdose.

"We try to steer people away from these types of remedies into treatment or medically supervised withdrawal protocols," Smith said.

Though he has discussed how opioids are over-prescribed in the past, Smith said the difference between prescription opioids and kratom is that prescription opioids are prescribed as the patient needs them. He also said prescription opioids, if prescribed correctly, are given with the patient's medical reactions in mind.
"(Kratom) causes different reactions, psychologically and physiologically to the individual that's taking them," Smith said.

News

BY TRAVIS SNELL
Assistant Editor – @cp_tsnell
05/18/2018 04:00 PM
TAHLEQUAH – Cherokee Nation citizens living outside the tribe’s 14-county jurisdiction are eligible for free one-year subscriptions of the Cherokee Phoenix thanks to a $10,000 disbursement from the principal chief’s office on behalf of At-Large Tribal Councilors Mary Baker Shaw and Wanda Hatfield. The Cherokee Phoenix recently received the funds and is taking names on a first-come, first-served basis until the money is depleted. “These funds that have been provided to the Cherokee Phoenix by the joint efforts of our tribal administration and our At-Large (Tribal) Councilors Mary Baker Shaw and Wanda Hatfield will go a long way in providing subscriptions to at-large citizens,” Executive Editor Brandon Scott said. “It has always been our goal here at the Phoenix to make sure that every citizen that wants a copy of the Cherokee Phoenix is able to get one. That is the sole reason we exist. Our success depends on our subscribers. Our ability to remain independent relies solely on the funds we receive from subscriptions, so these funds are not only assisting at-large citizens they are also assisting us in remaining independent. I’d personally like to thank Councilors Baker and Shaw as well as the administration for making this donation possible.” Scott added that there are no restrictions on receiving a free subscription other than living outside the CN jurisdiction and being a CN citizen. Using the fund, at-large CN citizens can apply to receive a free one-year subscription by visiting, calling or writing the Cherokee Phoenix office and requesting a subscription. The Cherokee Phoenix office is located in the Annex Building on the W.W. Keeler Tribal Complex. The postal address is Cherokee Phoenix, P.O. Box 948, Tahlequah, OK 74465. To call about the fund, call 918-207-4975 or 918-453-5269 or email <a href="mailto: justin-smith@cherokee.org">justin-smith@cherokee.org</a> or <a href="mailto: joy-rollice@cherokee.org">joy-rollice@cherokee.org</a>. The Cherokee Phoenix also has a free website, <a href="http://www.cherokeephoenix.org" target="_blank">www.cherokeephoenix.org</a>, that posts news seven days a week about the Cherokee government, people, history and events of interest. The monthly newspaper is also posted in PDF format to the website at the beginning of each month. Cherokee Nation Businesses in November donated $10,000 to the Cherokee Phoenix’s Elder/Veteran Fund, which provides free subscriptions of its monthly newspaper to elders and/or military veterans who are CN citizens. No income guidelines have been specified for the Cherokee Phoenix Elder/Veteran Fund, and free subscriptions will be given as long as funds last. Tax-deductible donations for the fund can also be sent to the Cherokee Phoenix by check or money order specifying the donation for the Cherokee Phoenix Elder/Veteran Fund. Cash is also accepted at the Cherokee Phoenix offices and local events where Cherokee Phoenix staff members are accepting Elder/Veteran Fund donations. Those who donate can also have entries submitted for them into the Cherokee Phoenix’s quarterly artist giveaway. For every $10 donated or spent on Cherokee Phoenix merchandise, a person gets one entry into the quarterly drawing. The next drawing is July 2 when it gives away a two-piece, 12-foot fishing rod donated by Larry Fulton of Larry’s Bait and Tackle in Fort Gibson.
BY STAFF REPORTS
05/16/2018 04:00 PM
VINITA – Eleven Cherokee families received keys to their new homes on May 11 after participating in the Housing Authority of the Cherokee Nation’s New Home Construction Program. The 1,350-square-foot brick homes on Miller Street each feature a garage, three bedrooms and two bathrooms. According to Cherokee Nation Communications, $1.1 million was invested into the homes and infrastructure and will provide an estimated $28,000 in impact aid to local schools. CN citizen Candle Melton and her family received one of the new homes. The family of three had lived with her mother, and she said the home is a blessing. “We are so excited to have a brand new house to call our own. This would not have been possible without Cherokee Nation and the New Home Construction Program,” Melton said. “I am definitely proud to be Cherokee and cannot thank Cherokee Nation enough for their investments in our communities and for this wonderful opportunity to become the homeowners of a brand new home.” Principal Chief Bill John Baker implemented the program in 2012. The Vinita home recipients were selected from the HACN’s waiting list of applicants who do not own land. “Helping Cherokees improve their lives by establishing homeownership is creating stronger communities and healthier families in northeast Oklahoma,” Baker said. “We took these acres in Vinita and converted them into a desirable neighborhood of almost a dozen houses. Building safe and secure homes that are affordable for our citizens has established Cherokee Nation’s New Home Construction Program as the unparalleled model of excellence for Indian Country.” Chief of Staff and Vinita native Chuck Hoskin said the homes were the latest in decades of improvements to the area by CN. “In more than 25 years of serving the Cherokee people, I’ve witnessed much progress for this community. These new homes will have a lasting, positive impact,” Hoskin said. The HACN recently received a grant from Bank2 for the home program, which allows the HACN to keep the home recipients’ monthly payment at $350. Schools in the area also benefit from the homes because they receive $2,800 in federal impact aid for each enrolled student who resides in the homes. “The new Miller Street Housing Addition is a major boon for the town of Vinita,” Tribal Councilor Victoria Vazquez said. “Not only does it help citizens achieve homeownership, it’s also going to bring much-needed revenue to the school system through impact aid dollars.” Along with the homes, the CN also invested more than $100,000 in infrastructure development on Miller Street and within the housing addition. In addition to the 660 homes built through the program, the HACN has nearly 100 more homes under construction in the tribe’s jurisdiction. For more information, visit <a href="http://www.hacn.org" target="_blank">www.hacn.org</a>.
BY KENLEA HENSON
Reporter
05/16/2018 02:45 PM
TAHLEQUAH – During the May 14 Tribal Council meeting, legislators unanimously amended titles 21 and 22 of the Cherokee Code Annotated, regarding the Violence Against Women Act. The amendment “authorizes special domestic violence criminal jurisdiction over non-Indians who commit domestic violence, dating violence, or a violation of a protection order.” The amended Title 22, Section 70 gives the Cherokee Nation special domestic violence criminal jurisdiction over a non-Indian defendant under certain circumstances, including if the offender resides or is employed within the CN jurisdiction or is a spouse, intimate partner or dating partner of a CN citizen or Indian who lives within the CN. Tribal Councilor Victoria Vazquez said the act’s impact on women is the knowledge that women will be valued, treated with respect and empowered going forward. “I voted for the VAWA to be enforced because it’s the right thing to do. Cherokee Nation leads all tribes in profitable businesses, education and health care in Native Country, and we should be the leader when it comes to the safety of our women and children,” she said. In conjunction, the Tribal Council also amended Title 12 of the Cherokee Code Annotated regarding the Civil Protective Order Act. The amendment gives the CN District Court full civil jurisdiction to issue and enforce protection orders if an act of domestic violence occurred within the CN boundaries. However, the amendment states that jurisdiction is not authorized over parties who are both non-Indian. The amendment also states the District Court has the authority to enforce any orders by civil contempt proceedings, excluding violators from Indian land and other appropriate procedures in matters that arise within the CN jurisdiction or within CN authority according to CN law. In other business, Councilors authorized the “execution of certain contracts that preserve sovereign immunity,” which allows CN to enter into certain contracts more efficiently. Legislators also passed a resolution accepting land from the Oklahoma Department of Transportation, which will allow permanent access and tribal upkeep of the road entering Sequoyah’s Cabin and Museum in Sequoyah County. The Tribal Council also amended the CN comprehensive operating budget for fiscal year 2018, increasing it by $5.9 million for a total budget of $693.1 million. Steven E. Barrick was also reappointed to the CN Gaming Commission.
BY STAFF REPORTS
05/14/2018 04:00 PM
TAHLEQUAH – The Cherokee Nation’s Office of Veteran Affairs will host a Memorial Day ceremony at 10 a.m. on May 25 at the Warrior Memorial east of the Tribal Complex. According to a CN email, the ceremony will honor the men and women who died while serving our country’s armed forces. The ceremony will include a laying of wreaths, a rifle volley and the playing of “Taps.” A breakfast will follow the ceremony.
BY STAFF REPORTS
05/14/2018 12:00 PM
PARK HILL, Okla. — The Cherokee Heritage Center will host gospel performances in Cherokee and English at the 19th annual Gospel Sing on May 19. Performances will begin at 1 p.m. The free event is open to the public, and guests are encouraged to bring chairs. The event concludes at 6 p.m. with a hog fry dinner. For more information, call Becky Adair at 918-456-6007, ext. 6160. The CHC is located at 21192 S. Keeler Drive.
BY ASSOCIATED PRESS
05/13/2018 04:00 PM
NORMAN, Okla. (AP) — A Texas school district is trying to recruit teachers with a billboard campaign in Oklahoma, where teacher protests about salary and other education issues recently closed schools across the state. The Fort Worth Independent School District funded the billboards in Oklahoma City, Tulsa, Norman and Stillwater. The Norman Transcript reports the billboards were revealed Monday with the message: "Your future is in a Fort Worth classroom — teacher starting salary $52,000." According to the latest statistics from the National Education Association, the average salary for a teacher starting out in Oklahoma is $31,919. Only Missouri and Montana are lower. Oklahoma Gov. Mary Fallin signed legislation last month granting teacher pay hikes of about $6,100 and providing tens of millions of new dollars for public schools. But teachers demand more. Fort Worth Independent School District spokesman Clint Bond said the district is "impressed with the passion and commitment" of Oklahoma's teachers. He said the campaign is a means to tap into a pool of quality teachers and show that Fort Worth has something to offer. "I don't think there's any doubt in anybody's mind that those teachers are passionate about their students," he said. "If they were thinking about moving to somewhere like Fort Worth, I know they would think long and hard about that. Norman Public Schools Superintendent Nick Migliorino said he's familiar with neighboring states' attempts to draw Oklahoma teachers away. "We've been dealing with this for many years now," said Migliorino. "When we go to job fairs, the bordering states, not just Texas, have booths there, and they're giving out large signing bonuses and starting salaries that we can't even touch with decades of experience." He said Oklahoma has a ways to go before it can compete in the market for teachers. "We have made incredible strides as a state over this last legislative session, but there's much more to do," Migliorino said.