Surge in Fentanyl Laced Heroin Threatens Responders

CNRB suits are recommended in
crime scenes involving fentanyl exposure
(US Navy photo)

As prescription drugs have become harder to obtain and harder to get a high from, opioid addicts have been turning to heroin, both in Indian Country and throughout the nation. This demand has inspired Mexican cartels and other drug traffickers to start cutting the heroin they distribute with fentanyl. Fentanyl is a legal, but very dangerous drug that has legitimate use as a painkilling analgesic. It's 80-100 times more potent than morphine, and as little as 0.7 nanograms (one billionth of a gram) is enough to cause death in a user, especially combined with other drugs. The potency of the drug seems like a boon to manufacturers, but in reality, it's difficult to reduce pure fentanyl to levels safe for ingestion. The DEA, who recently issued an urgent warning about fentanyl and fentanyl analogues,  estimated a single seizure of 5800 grams of fentanyl prevented some 46 million doses from hitting the street.
The upper threshold for lethal exposure is 2 milligrams, and can be absorbed by the skin, in the air, in food or in water. In general, only laboratory testing can establish the presence of fentanyl in heroin, making it even more dangerous for law enforcement responding to a crime scene.

The CDC recommends a minimum of coveralls, boots and gloves when responding to an area where the concentration of fentanyl is known to be below the level of acceptable exposure, which is listed as "undetermined."  The CDC additionally recommends that responders wear full protective gear, including respirators and suits rated for chemical exposure, if the level of fentanyl contamination is unknown.

Tribal law enforcement faces a difficult balance of continuing to respond to emergency calls involving heroin use, distribution, and overdoses, and maintaining a safe distance until officer safety can be established. Police departments should stay on top of trends and note spiking trends in overdoses, which may indicate the presence of fentanyl in the supply chain. If the presence of fentanyl is suspected at a crime scene, serious precautions should be taken in investigating the area, collecting and transporting the evidence, decontaminating officers, victims and remains, and in testing the evidence.

The remedy for exposure to a toxic level of fentanyl is intravenous administration of naloxone. Just as some police departments are making naloxone kids part of standard issue equipment, the Blood Tribe of Canada is training tribal members to administer naloxone, as part of an effort to stem an epidemic of overdoses from fentanyl-laced drugs.

The Growing Threat of Fentanyl | Create infographics

Minnesota Tribes Battling Flood of Heroin

Read the whole story at Indian Country Today Media Network. The news from the Minnesota tribes is grim, but there are solutions to be found in education and community coalitions that battle this problem, starting with preventing and treating prescription painkiller addiction.  Besides destroying the user's life and health, heroin use results in increased crime, HIV and hepatitis infections, and children living in filthy and dangerous environments. Tribes are working with county, state and federal officials to turn this around, but they also need help from all concerned community members, from caregivers to teachers and from health care workers to law enforcement officers and Tribal courts.

Dangerous New Drug Made from OTC Ingredients

We sounded the warning over a year ago that abuse of prescription painkillers would lead to an uptick in heroin addiction and unhappily, our predictions are coming through. Opiate addicts are turning to cheap Mexican heroin when they can no longer afford the prescription drugs. Seasoned drug enforcement officers predict that prices will slowly climb for the heroin. What will users do then?

The DEA is concerned that we might see the trend that has been horrifying Russians, just as they thought they had stemmed the tide of heroin from Kazakhstan and Afghanistan. Deprived of their drug of choice, heroin addicts are turning to a vile, but inexpensive, recipe of over-the-counter drugs and household chemicals called Krokodil. The street name for this morphine-analog comes from the common side effect of scaly green skin as the user's body rots from the inside out. Click below to see a disturbing video about how Krokodil has been destroying lives in Siberia. Let's not let it happen in Indian Country!