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One of Donald Trump’s first political successes was his embrace of the opioid addiction issue in New Hampshire during the 2016 campaign. Long overlooked, the scourge of addiction was hitting working-class Americans hard, with the Granite State suffering more than 300 drug overdose deaths in 2015.

In 2018, the data analysts at WalletHub ranked New Hampshire as having the third-highest drug use rate in the U.S.

But a decade after Trump came down the golden escalator and helped raise the profile of the opioid issue, New Hampshire’s fortunes have reversed. The latest WalletHub report, released Wednesday, ranks New Hampshire 11th best overall in terms of its drug problem. The report looks at factors like recovery availability, law enforcement efforts, and rates of addiction. Hawaii, Utah, and Nebraska were in the top three for states doing well, while New Mexico, West Virginia, and Nevada have the most dire drug addiction problems according to the report. 

“I think we’re doing significantly better,” said Chris Stawasz, regional director with ambulance company American Medical Response.

Only one New England state, Connecticut, has a lower rate of drug abuse than New Hampshire. Massachusetts and Maine rank 26th and 27th, respectively; Rhode Island comes in at 28th, and Vermont is last in the region at number 32.

Stawasz, who has been collecting and publishing overdose data from the cities of Manchester and Nashua for years, said data from this year is already showing a major improvement.

“Nashua and Manchester are at half of where we were a year ago, and statewide it’s down as well,” Stawasz said. 

Part of the credit goes to state government, where Gov. Chris Sununu led a bipartisan effort to make treatment more readily available to Granite Staters. Mental health and confronting addiction have been among a handful of issues where, despite some differences in approach, support for solutions has been strong on both sides of the aisle.

As a result, New Hampshire ranks 48th among states with adults whose drug-treatment needs are unmet, WalletHub reports.

In Manchester, which has been ground zero for the Granite State’s battle with addiction, Mayor Jay Ruais — who has struggled with his own addiction issues — says the battle has been hard fought. But, he told NHJournal, the results are undeniable as the number of fentanyl overdoses and deaths continues to decline.

“Trend lines have been extraordinarily clear,” Ruais said. 

Stawasz will release numbers for the first quarter of 2025 within the next few days, but he said Manchester and Nashua have seen at least a 50 percent reduction from the first quarter of 2024. The projections for the total 2025 number of overdoses and deaths could be their lowest in at least a decade. 

Getting from the worst of the opioid crisis to the recovery being seen today takes a combination of different people and agencies working on different aspects of the problem, Stawasz said.

“I can’t point to one specific item. There’s a lot of effort going into the recovery, prevention, and law enforcement.”

Focusing police agencies on busting fentanyl dealers and stopping the traffic of drugs coming up from Massachusetts has been a big part of the recent success, Stawasz said. Ruais said police are a major component of Manchester’s success in combating the epidemic, along with the city’s Rapid Overdose Assessment and Response (ROAR) Team, assembled to deal with different aspects of addiction.

“This is an entirely collaborative effort,” Ruais said. 

Now, the ROAR team can redouble efforts and hopefully get ahead before there is a next wave, Ruais said. The city can start looking more at prevention, targeting efforts to schools and youth in the city to keep them away from drugs. 

“We can further reduce these numbers so that a person never gets into an addiction,” he said. 

While every death is tragic, the fact that there was only one fatal opioid overdose in the city of Manchester last month is good news for a city that has long struggled to address the drug crisis. It’s the latest data point in a positive trend in the Queen City since Mayor Jay Ruais took office in January 2024.

“If these results continue, Manchester is on pace to realize the lowest numbers in suspected overdoses and deaths since the beginning of the opioid epidemic more than 10 years ago,” Ruais said Wednesday. “This is an incredible accomplishment. We’re saving lives, and getting people in need help.”

The one death out of the 33 suspected opioid overdoses last month brings the total fatalities up to seven for the year, compared to 47 deaths out of 527 suspected overdoses the year before.

Chris Stawasz with Global Medical Response, Inc., says Manchester is on pace for 357 opioid overdoses and 28 deaths in 2025. Global Medical Response tracks overdoses and fatalities in Manchester and Nashua, two cities hard hit by the opioid crisis in the last decade. Both cities are seeing a turnaround, according to Stawasz.

“March continued the trend of significantly lower overall opioid overdose totals in both communities, 14 percent below the rolling 12-month average,” Stawasz said.

However, while Nashua had far fewer suspected overdoses (16), five of those were fatal, a significantly higher single-month number than is typical. Nashua has already seen 12 deaths and could see as many as 49 if Stawasz’s projections hold for the rest of the year.

In Manchester, where 79 people died in 2022 out of 701 overdoses, Ruais says the lower death toll is welcome evidence that the city’s holistic approach is working. Since winning election, the Republican mayor has focused on empowering police, getting people in crisis access to medical care, and pursuing an effective strategy to get homeless people housed.

The opioid epidemic has been most acute among the city’s homeless population, and 25 of the March suspected overdose victims in Manchester were homeless. Stawasz said three of the overdoses took place in shelters.

Ruais has changed Manchester’s direction in dealing with homelessness, too. His emphasis is to build a collaborative network with city, state, and nonprofit organizations to get people off the streets and into shelters, address why they ended up homeless, and get them into permanent housing. 

This week, Manchester announced its partnership with HarborCare, the Veterans Administration, and city landlords has resulted in housing for 40 homeless veterans thus far.

“The level of success we’ve reached in finding sustainable housing for our homeless veterans since our initiative kicked off last September has exceeded my highest hopes,” Ruais said.

Manchester’s Public Health Director, Anna Thomas, said Manchester is thankful for the help it has received from the Centers for Disease Control, as well as the combined efforts come from a community of health providers, city officials like Director of Overdose Prevention Andrew Warner, the Manchester Police Department, and ambulance company American Medical Response. 

“All life is precious and every one saved is worth fighting for,” Thomas said.

The crisis isn’t over, Stawasz cautioned. Data from the Office of the Chief Medical Examiner indicates the drugs xylazine and carfentanil are showing up in the street fentanyl being used by addicts. Xylazine is worrisome, Stawasz said, and it does not respond to Narcan.

“Increasingly now mixed with illicit fentanyl, xylazine’s powerful sedative properties complicate EMS providers’ treatment of suspected opioid overdoses. It is undetectable to medics and Narcan does not reverse its effect,” Stawasz said. “When present, it requires a significant additional and prolonged effort to maintain an effective respiratory status on a victim.”

The city of Manchester suffered the fewest opioid overdose fatalities in February since 2020, part of a statewide trend of fewer deaths and fewer ODs.

Mayor Jay Ruais (R-Manchester) is celebrating the good news but, along with fellow Republican Gov. Kelly Ayotte, says there is still more work to do.

“The significant decline in fatal opioid overdoses across the state and here in Manchester is the positive news we have been working so hard toward,” Ruais said.

Manchester recorded just three opioid overdose fatalities in February, the lowest one-month tally since November 2020. Chris Stawasz, with ambulance company Global Medical Response, Inc., said Manchester’s fatalities are now 12 percent lower than the previous 12-month rolling average.

And Manchester isn’t the only bright spot for a state that’s struggled to address the opioid epidemic for years. The state Office of the Chief Medical Examiner’s latest report shows a 35 percent drop in opioid overdose deaths from 2023 to 2024.

Ayotte said the numbers show New Hampshire is on the right track.

“Thanks to our state’s coordinated approach to fighting the drug crisis, New Hampshire is a model for the nation in bringing down fatal overdose deaths,” Ayotte said.

New Hampshire has focused on making recovery programs more accessible, getting life-saving naloxone to people who need it, and making sure people with substance abuse can get medical care and employment. 

In Manchester, Ruais has focused on getting people experiencing homelessness into housing instead of temporary shelters where overdoses run rampant. This week, the city’s Board of Aldermen voted to spend $201,000 to pay for a mobile crisis unit and case manager to reach out to people in the grip of addiction. At the same time, the city will spend $250,000 from its Affordable Housing Trust fund to create up to 30 transitional housing beds to get people off the streets.

“We are making real progress addressing homelessness and reducing drug overdoses, so now is not the time to take our eye off the ball,” Ruais said.

Ayotte wants to see more done to stop drugs before they hit the streets.

Last month, she held a joint press conference with the mayor of Lawrence, Mass. — a notorious hub for illegal drugs in the region — to announce a joint effort to stem the flow of fentanyl and other opioids.

“We will build on this progress and continue to be vigilant by strengthening our drug interdiction efforts through Operation Granite Shield and Northern Shield while supporting those in recovery with investments in our Community Mental Health Centers and Recovery Friendly Workplaces,” Ayotte said.

On Tuesday, Acting U.S. Attorney Jay McCormack announced the arrest of three illegal immigrants from the Dominican Republic, charged with selling cocaine in Nashua. The arrests were carried out by the Drug Enforcement Agency with the help of the Nashua police.

Elizardo Escaria Delison, 32, Belisario Luis Delison, 49, and Rayddy Delison De Aza, 28, were each charged with one count of conspiracy to distribute and possession with the intent to distribute controlled substances.

 Their arrests were part of Operation Take Back America, an initiative that, in part, targets overseas drug cartels operating in the United States. 

For all the positive signs, Stawasz cautions people to be ready in case things start going south again.

“Please keep in mind that due to the nature of the opioid epidemic and its clear history of unpredictability, it is always possible that the trend of lower numbers could quickly change,” Stawasz said.

Manchester is trying to stop the tide of used drug syringes washing over the city with a new ordinance aimed at reigning in the groups handing them out.

Mayor Jay Ruais said Manchester is now the first municipality in the state to assert oversight of Syringe Service Programs (SSPs), thanks to an ordinance passed this week.

“On a fundamental, basic level, we can’t allow the unregulated flow of needles into our city,” Ruais told NHJournal. 

Used syringes littering city streets and parks has become an increasing problem since 2017, when the state legislature passed a bill allowing SSPs to operate with little to no oversight. In the last seven years as Manchester’s opioid epidemic and homeless crisis raged, the city didn’t even know how many groups were handing out syringes in the city.

“Before this ordinance, there wasn’t any insight into how many of these programs were operating. There was no transparency or accountability,” Ruais said.

That lack of accountability and transparency contributed to making the city’s drug problem worse, Ruias said. It also put police, firefighters, and EMTs who encountered used needles during their jobs in danger. The situation is also a danger for every resident who might encounter the used syringes just about anywhere.

The tale of Manchester slipping into a crises of crime, addiction and homelessness on former Mayor Joyce Craig’s six-year watch has become part of the campaign for governor. While she’s denied the claim that she left Manchester in a mess, the fact is little was done to get control of the SSPs during her tenure.

Though the city passed an ordinance three years ago banning needle handouts from city parks, nothing else was done to manage the problem. In the meantime, syringes kept getting passed out by the SSPs, and the used syringes kept ending up in parks, city streets, outside schools, and all over.

“We hear concerns from families when they see them in parks or in the streets,” Ruais said. “It’s been a problem that’s been brought up to us on a far too frequent basis.”

The new ordinance requires all SSPs to register with the city, to provide data on their programs —  such as how many needles are passed out — and to take back at least some used syringes in an effort to keep them off the streets. The programs must also hand out information on disease prevention and drug treatment to the people seeking the syringes. The ordinances also codify location restrictions such as city parks, school zones, and state-licensed daycares. 

The original ordinance would have required the SSPs to engage in a one-for-one exchange, meaning they had to collect one used syringe for every new one handed out. But after talking to some of the groups handing out the syringes, Ruais backed a change that does not tie the programs to the one-for-one rate.

“We mandate that an exchange takes place, but not a one-for-one,” Ruais said.

The aim of these programs is to help stop the spread of infectious diseases. Ruais insisted the city is not trying to get in the way of that important effort. A strict one for one exchange may have hindered people from getting help. Ruais also wanted to give Manchester the flexibility to make changes as the city gets more data from the programs about the handouts.

“It’s a good first step,” he said. “Now we’re going to get the data back and see what it tells us.”

Even if Eric Spofford is charged as part of the vandalism conspiracy targeting New Hampshire Public Radio reporter Lauren Chooljian, he still has the right to sue the broadcaster for defamation, according to Rockingham Superior Court Judge Daniel St. Hilaire. 

This week’s ruling was a setback for NHPR, which sought to head off Spofford’s attempt to revive the defamation lawsuit. Spofford maintains NHPR and Chooljian were reckless in reporting allegations of sexual misconduct and sexual assault against him.

The public broadcaster argued Spofford’s connection to Eric Labarge and the alleged criminal conspiracy showed his bad faith in the lawsuit. They wanted the court to end his quest to see Chooljian’s work product.

Spofford’s associate, Labarge, 46, was charged this month for allegedly conspiring to vandalize the homes of Chooljian, NHPR journalist Dan Barrick, and their families. Larbarge allegedly coordinated the vandalism with co-defendants Tucker Cockerline, 32, of Salem; Michael Waselchuck, 35, of Seabrook; and Keenan Saniatan, 36, of Nashua.

Labarge, himself the owner of several recovery centers, is described by prosecutors as Spofford’s “close personal associate.”

St. Hilaire denied NHPR’s request to prevent Spofford from accessing Chooljian’s notes and interview transcripts for her story. For St. Hilaire, it was about the presumption of innocence.

“Even if charges were brought against Spofford directly, the Court is not convinced that would warrant reconsideration of the balance of interest in this case given the presumption of innocence at the core of our criminal justice system,” St. Hilaire wrote.

Spofford is not accused of taking part in the vandalism conspiracy himself. According to St. Hilaire, the available documents from the federal case don’t show he was even aware of the vandalism conspiracy.

St. Hilaire dismissed Spofford’s lawsuit this year, finding he had not provided the evidence in his 300-plus page complaint to back his claims. However, Spofford is being allowed to refile the complaint. For that, Spofford said he needs to see Chooljian’s notes and interview transcripts to find the evidence St. Hilaire found lacking the first time.

With the defamation case still open for now, NHPR has been broadcasting a new series by Chooljian, “The 13th Step.” The program focuses on her story of reporting on Spofford, the vandalism, and the lawsuit. It also looks at cases of sexual predators in recovery settings in other states.

Spofford has denied all wrongdoing alleged in Chooljian’s reporting. His lawsuit claimed Chooljian based her reporting on a biased source who was looking to hurt his reputation, ignored sources who contradicted the abuse narrative, and reported as fact things that never happened. 

According to Spofford’s lawsuit, Chooljian was looking for a #metoo scalp to bolster her resume, and she and the liberal-leaning NHPR targeted him because of his conservative views.

Spofford came to prominence as a recovery success story. He was an addict who got clean and started Granite Recover Centers to help others. His business grew as New Hampshire grappled with its opioid addiction crisis, and he became a leading voice on recovery initiatives. Spofford even counseled Gov. Chris Sununu on dealing with the opioid crisis.

Spofford sold Granite Recovery Centers for an undisclosed sum, thought to be in the millions, to a Texas-based company in 2021.

The issues of homelessness, crime, and opioid addiction dominated the conversation at the first mayoral forum in Manchester on Wednesday night. They also revealed a divide between the approach the candidates would take to address them, with Republican Jay Ruais urging more policing, while the three Democrats raised concerns about equity and discrimination.

“Structural racism does play a role in this city; we are not immune from that,” warned Alderman Will Stewart (D-Ward 2) in front of a crowd of several hundred people at the Rex Theatre. Ruais and Stewart were joined on stage by Ward 1 Alderman Kevin Cavanaugh and At-Large Alderman June Trisciani.

Jay Ruais

As mayor, Ruais said he would increase public safety by giving police the tools they need to protect the Queen City. “We have got to get violent criminals off our streets,” Ruais said. He also supported closing a loophole and allowing police to prevent more people from camping in public spaces.

One striking difference was in the responses to a question about Manchester Police Chief Allen Aldenberg’s plans to use data to focus police activity in neighborhoods considered crime hotspots.  

Stewart and Trisciani worried that policing focused on tacking criminal hotspots would lead to racial profiling.

“Over-policed neighborhoods based on hotspot data, those are marginalized communities,” Stweart said.

Rather than targeted policing in high-crime areas, Stewart proposed efforts to get people to know one another in their neighborhoods, like block parties and other social events.

Triciani favors a community policing approach incorporating hotspot data while striving for equality. “We still need to treat everyone equally,” Trisciani said.

Manchester At-Large Alderman June Trisciani

Cavanaugh suggested there could be some creative ways for people in non-hotspot neighborhoods to still feel safe while police were tackling crime.

For Ruais, the solution is filling the 22 empty positions in the Manchester Police Department and letting those officers do their jobs. “We have to create a better environment for our police,” Ruais said.

Ruais viewed to help get rid of the state’s bail system, which he said is keeping violent criminals on the streets. “We need to fix our broken PR bail system,” Ruais said.

When asked about issues of diversity in the city, Ruais was the only candidate to answer part of the question in Spanish.

Taxes and spending were also part of the conversation. Cavanaugh and Stewart both said they supported letting voters decide whether to give the Manchester School Board the power to create their own budget, independent from city government. Ruais opposed it, saying Manchester taxpayers were already under too much stress.

Manchester Ward 1 Alderman Kevin Cavanaugh

On the proposed $800 million commuter rail project, all three Democrats supported the idea, and Trisciani wants it to extend to include Concord. Ruais said none of the proposals for a rail line connecting Manchester to Boston made fiscal sense. “I understand the why; I have yet to see the how,” Ruais said.

A financial analysis of the rail proposal anticipates the construction and operation of a Manchester station at an estimated $51 million, all from city coffers.

Manchester can’t afford a rail line given the school district’s aging buildings, unaffordable housing, and a city budget Ruais called a ticking time bomb that uses one-time federal grants to pay for ongoing expenses.

“When do the taxpayers get a break?” he asked.

Now that federal prosecutors say former Granite Recovery CEO Eric Spofford is connected to the men who vandalized the homes of New Hampshire Public Radio journalists, the broadcaster wants to shut down his access to reporting notes and recordings.

“NHPR believes that this lawsuit was filed, not because Spofford’s claims have any conceivable merit, but instead to harass and retaliate against a news organization for its journalism,” wrote Sigmund Schutz, attorney for NHPR.

Spofford is trying to revive his lawsuit against NHPR for its reporting on allegations that he sexually harassed and assaulted women he encountered at the drug recovery centers. One of his arguments in the original 300-plus page lawsuit is that NHPR unfairly linked him to the vandalism at the journalists’ homes connected to the story.

However, federal prosecutors said last month Spofford has a connection to the three men charged for allegedly throwing bricks at and vandalizing the New Hampshire and Massachusetts homes of NHPR journalists Lauren Chooljian and Dan Barrick.

Tucker Cockerline, 32, of Salem, N.H., Michael Waselchuck, 35, of Seabrook, N.H., Hampshire, and Keenan Saniatan, 36, of Nashua, N.H., are each charged with conspiring to commit stalking through interstate travel. According to prosecutors, the three suspects coordinated with an unnamed fourth man described as a “close personal associate” of Spofford.

“Given that Spofford has been linked to criminal activity designed to punish NHPR personnel for exercising their First Amendment rights, NHPR Defendants submit that the time for giving him the benefit of the doubt has passed,” Schutz wrote.

Spofford’s lawsuit was dismissed this year by Rockingham Superior Court Judge Daniel St. Hilaire, who ruled Spofford failed to show any evidence the broadcaster acted with malice in its reporting. St. Hilaire gave Spofford time to refile his lawsuit if he could come up with such evidence and further ordered that he can have access to NHPR’s reporting notes and recordings. 

Schutz wants St. Hilaire to vacate the order for the discovery, cutting off Spofford’s access to the material. Short of that, Schutz wants Spofford to pay all the costs associated with compiling the information. That is at least $50,000, including attorney fees.

Spofford’s attorney, Michael Strauss, argues his client is not charged with any wrongdoing in the vandalism, and the federal case does not state he coordinated the crimes. His only demerit is having a relationship with the unnamed and uncharged subject who allegedly coordinated the vandalism.

“The government, however, has neither charged Eric nor even alleged that he knew about or participated in the conspiracy,” Strauss wrote. “The allegations about Eric instead are limited to his relationship with an uncharged subject who, separately, the government alleges has suspiciously timed phone calls with two of the (criminal) defendants,” Strauss wrote. 

Taking away Spofford’s access to the NHPR reporting materials would set a bad legal precedent in civil lawsuits, Strauss wrote. Civil litigants would be emboldened to pursue sanctions against opposing parties based on third-party allegations, Strauss wrote.

The identity of the unnamed subject and Spofford associate who allegedly coordinated the attacks remains protected from the public. However, NHJournal first reported in March that Spofford associate Eric Labarge, 44, was investigated as a suspect in at least one of the New Hampshire incidents. 

Labarge is himself a recovering addict and the owner of the Starting Point Recovery centers.

Labarge has not been charged by any law enforcement agency in the vandalism cases. He has a criminal history that includes violence against women and attempted murder. He is also currently awaiting trial on charges of assaulting a man in Manchester. That assault took place days after the last vandalism attack in May, and the alleged victim was a man who had been a resident at a Starting Point center, according to court records. 

Previously, Spofford has acknowledged his relationship with Labarge.

Labarge is now scheduled for trial in September in the Hillsborough Superior Court — North in Manchester on the assault charge.