According to the latest numbers from the US Centers for Disease Control (CDC) and Prevention’s National Center for Health Statistics, Fentanyl is now the most commonly used drug involved in overdoses.
The new report says that the rate of drug overdoses involving the synthetic opioid increased by about 113% each year from 2013 through 2016.
What is fentanyl?
Pharmaceutical fentanyl is a synthetic opioid pain reliever, approved for treating severe pain, typically advanced cancer pain. It is 50 to 100 times more potent than morphine.
It is prescribed in the form of transdermal patches or lozenges and can be diverted for misuse and abuse in the United States.
However, most recent cases of fentanyl-related harm, overdose, and death in the U.S. are linked to illegally made fentanyl. It is sold through illegal drug markets for its heroin-like effect. It is often mixed with heroin and/or cocaine as a combination product–with or without the user’s knowledge–to increase its euphoric effects.
Illicitly-made fentanyl use is on the rise
The rate of overdose deaths involving synthetic opioids other than methadone, which includes fentanyl, doubled from 2015 to 2016. Roughly 19,400 people died from overdoses involving synthetic opioids other than methadone in 2016.
Reports from law enforcement indicate that much of the synthetic opioid overdose increase may be due to illegally or illicitly made fentanyl. According to data from the National Forensic Laboratory Information System, confiscations, or seizures, of fentanyl increased by nearly 7 fold from 2012 to 2014. There were 4,585 fentanyl confiscations in 2014. This suggests that the sharp rise in fentanyl-related deaths may be due to increased availability of illegally made, non-pharmaceutical fentanyl, and not prescribed fentanyl.
The number of states reporting 20 or more fentanyl confiscations every six months is increasing. From July to December 2014, 18 states reported 20 or more fentanyl drug confiscations. By comparison, six states reported 20 or more fentanyl drug confiscations from July to December 2013.
What can be done?
CDC suggests the following actions in response to increases in fentanyl-related overdose deaths:
Improve detection of fentanyl outbreaks
- Public health departments:
Explore methods for more rapidly detecting drug overdose outbreaks, including fentanyl.
- Medical examiners and coroners:
Screen for fentanyl in suspected opioid overdose cases in regions reporting increases in fentanyl confiscations, fentanyl-related overdose fatalities or unusually high spikes in heroin or unspecified drug overdose fatalities. Not all jurisdictions routinely test for fentanyl.
- Law enforcement:
Law enforcement can play an important role identifying and responding to increases in the distribution and use of illegally-made fentanyl.
Expand Use of Naloxone
Naloxone is a safe and effective antidote to opioid-related overdoses, including heroin and fentanyl, and is a critical tool in preventing fatal opioid overdoses. Depending on state and local laws, this medication can be administered by EMS, law enforcement, other drug users, or family and friend bystanders who have obtained the medication.9
- Health Care Providers:
Multiple doses of naloxone may need to be administered per overdose event because of fentanyl’s high potency relative to other opioids.10
- Harm reduction organizations:
Conduct trainings on naloxone use to persons at risk for opioid-related overdose and their friends and family members.
CHEROKEE COUNTY, Ga. – Dr. Joseph L. Burton, a former county medical examiner and forensic pathologist, has been charged along with other individuals by warrants sworn to by agents of the Cherokee Multi-Agency Narcotics Squad (CMANS) with RICO (Racketeering Influenced Corrupt Organizations) charges in Cherokee County related to the illegal distribution of opioid painkillers and other drugs. Multiple individuals have also been arrested on federal and state charges related to the unlawful distribution of opioids prescribed by Burton in Barrow County, Bartow County, Cobb County, Fayette County, Floyd County, Gwinnett County, Hall County and Paulding County.
This investigation by CMANS Agents was in coordination with authorities throughout the north metro area, as well as the Georgia Drug and Narcotics Agency and the Drug Enforcement Administration (DEA), and included coordinated indictments in at least eight counties and in Federal Court.
Burton and the seven other individuals are charged in a federal indictment presented by DEA, released yesterday, with conspiring to distribute and dispense controlled substances—outside of the normal course of professional practice and without a legitimate medical purpose—from July 2015 to February 2018. Burton is also charged with 10 individual counts of illegal drug distribution for specific prescriptions. Over a roughly two-year period beginning in July 2015, Dr. Burton allegedly issued over 1,100 opioid prescriptions, which amounted to over 108,000 individual doses, including over 66,000 30mg oxycodone pills. The indictment alleges that Burton prescribed opioids such as oxycodone, hydrocodone, and methadone, irrespective of any legitimate medical purpose and outside the normal course of professional practice.
The following individuals are charged in Cherokee County with charges related to this organization:
• Burton, Joseph Lawson;
• Hunter, Jennifer;
• Willis, Tiffany;
• Fossett, Nancy;
• Cargile, Sandy;
• Cargile, Justin;
• Cargile, Roy;
• Morgan, Jerry;
• Saye, Harold;
• Tatum, David;
• Jenkins, Joyce Justene;
• Danner, Michelle; and
• Powell, Ashley
The abuse of prescription pain-killers is the root cause of heroin abuse in Cherokee County, and CMANS Agents have worked alongside our neighbors and federal partners to address this serious problem. Agents from CMANS actively pursue cases related to opioid abuse involving fraudulent prescriptions, cases of double doctoring, or, as in this case, medical professionals who violate their oath. Burton’s arrest marks the third arrest this year in Cherokee County of persons with medical connections arrested for drug charges.
The Cherokee Multi-Agency Narcotics Squad is a joint task force working in Cherokee County to investigate drug-related violations. Participating agencies include the Cherokee Sheriff’s Office, the Canton Police Department, the Woodstock Police Department, the Holly Springs Police Department, the Ball Ground Police Department, the Cherokee County Marshal’s Office, the District Attorney’s Office for the Blue Ridge Judicial Circuit, and the Georgia State Patrol. Citizens may call in tips anonymously to 770-345-7920 or may speak to an agent by calling 678-493-7625.
Decatur, GA – Within the past week, the GBI Crime Lab’s drug identification unit received three cases from separate seizures of the synthetic opioid carfentanil. Carfentanil is a fentanyl analog used as a tranquilizer on large animals such as elephants.
It is purported to be 100 times stronger than fentanyl and suspected of playing a role in hundreds of overdoses in the Midwest part of the country this past month. It can be inhaled or absorbed through the skin and very toxic in small quantities. The cases that came in the lab were from the metro Atlanta area and were all suspected to be heroin. As a result of this drug coming into the GBI Crime Lab, lab scientists have enhanced their safety protocols to protect them from the potential dangers.
Some of the changes include wearing a face mask as well as testing any case suspected to contain heroin under a ventilated hood. Officer safety is of grave concern and all officers are strongly encouraged to take extreme caution when handling any suspected opioid.
Carfentanil is not intended for human use and the opioid overdose reversal drug Narcan may be effective but only after multiple doses. The public is urged to be aware of the extreme dangers of handling and consuming carfentanil.