Fentanyl-Laced Coke and Meth Is Not Fuelling America’s Overdose Crisis

“Overdose deaths from fentanyl-laced cocaine and meth have risen 50-fold,” screamed the Daily Mail about a new study into the US opioid crisis.

The Mail, reporting on the study published last week in the scientific journal Addiction, warned that “many users unwittingly consume fentanyl, as it is frequently used as a cutting agent in cocaine and other illicit drugs to extend the supply and the high”.

Reporting on the same study, carried out by researchers at the University of California, Los Angeles (UCLA), ABC News told its readers: “Many people who use drugs like cocaine recreationally may not be aware these drugs are laced with fentanyl… this could be fueling unintentional overdoses, according to experts.”

But is this really happening?

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As more children die from fentanyl, some prosecutors are charging their parents with murder

Madison Bernard climbed into bed before dawn with her toddler, Charlotte, who was asleep next to a nightstand strewn with straws, burned tinfoil and a white powder.

Hours later, the mother woke and found her daughter struggling to breathe, according to investigators who described the scene in court documents.

After being rushed in an ambulance to a hospital, the 15-month-old girl died from a fentanyl overdose. Her mother and father, whom authorities said brought the drugs into their California home, were charged with murder and are awaiting trial.

The couple has pleaded not guilty but are part of a growing number of parents across the U.S. being charged amid an escalating opioid crisis that has claimed an increasing number of children as collateral victims.

Some 20 states have so-called “drug-induced homicide” laws, which allow prosecutors to press murder or manslaughter charges against anyone who supplies or exposes a person to drugs causing a fatal overdose. The laws are intended to target drug dealers.

In California, where the Legislature has failed to pass such laws, prosecutors in at least three counties are turning to drunk driving laws to charge parents whose children die from fentanyl overdose. It’s a unique approach that will soon be tested in court as the cases head to trial.

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U.S. Citizens Were 89% of Convicted Fentanyl Traffickers in 2022

Fentanyl overdoses tragically caused tens of thousands of preventable deaths last year. Many politicians who want to end U.S. asylum law claim that immigrants crossing the border illegally are responsible. An NPR‐​Ipsos poll found that 39 percent of Americans and 60 percent of Republicans believe, “Most of the fentanyl entering the U.S. is smuggled in by unauthorized migrants crossing the border illegally.” A more accurate summary is that fentanyl is overwhelmingly smuggled by U.S. citizens, almost entirely for U.S. citizen consumers.

Here are the facts:

  • Fentanyl smuggling is ultimately funded by U.S. consumers who pay for illicit opioids: nearly 99 percent of whom are U.S. citizens.
  • In 2022, U.S. citizens were 89 percent of convicted fentanyl drug traffickers—12 times greater than convictions of illegal immigrants for the same offense.
  • In 2023, 93 percent of fentanyl seizures occurred at legal crossing points or interior vehicle checkpoints, not on illegal migration routes, so U.S. citizens (who are subject to less scrutiny) when crossing legally are the best smugglers.
  • The location of smuggling makes sense because hard drugs at ports of entry are at least 96 percent less likely to be stopped than people crossing illegally between them.
  • At most, just 0.009 percent of the people arrested by Border Patrol for crossing illegally possessed any fentanyl whatsoever.
  • Each individual busted for fentanyl by Border Patrol possessed, on average, half as much fentanyl as each person busted at ports of entry in 2023 (10 versus 20 pounds).
  • The government exacerbated the problem by banning most legal cross‐​border traffic in 2020 and 2021, accelerating a switch to fentanyl (the easiest‐​to‐​conceal drug).
  • During the travel restrictions, fentanyl seizures at ports quadrupled from fiscal year 2019 to 2021. Fentanyl went from a third of combined heroin and fentanyl seizures to over 90 percent.
  • Annual deaths from fentanyl nearly doubled from 2019 to 2021 after the government banned most travel (and asylum).

It is monstrous that tens of thousands of people are dying unnecessarily every year from fentanyl. But banning asylum and limiting travel backfired. Reducing deaths requires figuring out the cause, not jumping to blame a group that is not responsible. Instead of attacking immigrants, policymakers should focus on effective solutions that help people at risk of a fentanyl overdose.

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Marijuana laced with fentanyl? Claims unfounded, doctor says

Police departments across the country have recently warned of finding marijuana laced with fentanyl, but one doctor is cautioning not to put too much stock in the warnings.

Concerns over fentanyl have grown as more drugs are being laced with the deadly narcotic. Authorities in states including AlabamaIllinoisLouisiana and New York all claimed to have begun finding fentanyl-laced marijuana.

In one of the most recent cases, the district attorney in Montgomery County, Pennsylvania, just outside Philadelphia, said Friday that police discovered THC gummies that contained fentanyl and claimed the supposedly tainted product was responsible for two overdoses.

But the office walked that back Monday, saying testing conducted over the weekend found that the products “did not alert to any illegal drugs at the lab’s threshold level of detection.”

One doctor who argues the reports should be taken with a grain of salt is Dr. Ryan Marino, a toxicologist who has conducted extensive research on fentanyl exposure.

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Bombing Mexican Cartels Won’t Stop Fentanyl

Americans continue to overdose on illicit fentanyl despite increased seizures of the drug coming north from Mexico. Several prominent Republicans are suggesting that the U.S. respond with wartime tools such as airstrikes and troop deployments. But combining the war on drugs with the war on terror is a surefire recipe for costly engagement abroad and little progress in reducing fentanyl-related harm at home.

During his presidency, The New York Times reported last year, Donald Trump expressed interest in using missiles to attack Mexican drug cartels and destroy their labs. Reps. Mike Waltz (R–Fla.) and Dan Crenshaw (R–Texas) helped revive that idea in January, when they introduced a joint resolution that would authorize the president to “use all necessary and appropriate force” against “foreign nations, foreign organizations, or foreign persons” involved in fentanyl production or trafficking.

Sen. Lindsey Graham (R–S.C.) argues that the military should “go after these organizations wherever they exist.” Several GOP presidential hopefuls, including former United Nations Ambassador Nikki Haley and entrepreneur Vivek Ramaswamy, have echoed that sentiment.

There is little reason to believe these strikes would be as precise or effective as proponents claim. “Even a campaign of air strikes against cartels could easily escalate,” says Benjamin H. Friedman, policy director at Defense Priorities. “Cartels could retaliate,” he notes, and “strikes are bound to fail to affect fentanyl shipments, let alone meaningfully damage cartels.”

Mexico hawks like Waltz say the U.S. has “done this before,” citing Plan Colombia, a Clinton-era counternarcotics and counterterrorism initiative. But “claiming that Plan Colombia was a success is just plain false,” says Javier Osorio, a professor of political science at the University of Arizona whose research focuses on criminal violence in Latin America.

When the Revolutionary Armed Forces of Colombia (FARC) “demobilized after the peace agreement in 2016,” Osorio says, coca cultivation “skyrocketed.” He notes that “it’s even higher than before the U.S. started conducting aerial eradications” of coca fields. A similar counternarcotics program in Mexico, the Mérida Initiative, has been “a total disaster,” Osorio says: It has not stopped drug trafficking, and years after the initiative began, Mexico’s top law enforcement official was still “in bed” with the Sinaloa cartel.

The war on drugs has helped turn Latin America into the most violent region in the world, leading to increased black market activity and corruption. “If airstrikes miraculously kill off a cartel, another will fill the gap,” Friedman says, “likely with considerable violence between criminals as the market shifts.” According to Osorio, “There’s always going to be someone willing to kill and die for supplying drugs when there’s such a huge market.”

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The Republican Primary Consensus for Sending the Military Into Mexico

When Sen. Tim Scott (R–S.C.), a comparatively affable chap in the context of contemporary GOP politics, announced his 2024 presidential bid on Monday, the speech was predictably full of the upbeat, anecdotal, ain’t-America-grand stuff that Scott, like generations of Republicans before him, has made central to his political career.

Then things suddenly turned dark.

“When I am president, the drug cartels using Chinese labs and Mexican factories to kill Americans will cease to exist,” Scott vowed. “I will freeze their assets, I will build the wall, and I will allow the world’s greatest military to fight these terrorists. Because that’s exactly what they are.”

Scott’s bellicosity was no mere bolt from the blue. As Reason has been documenting for six years now, Republicans, even while otherwise souring on U.S interventionism abroad, have increasingly concluded that the alarming spike in domestic fentanyl overdoses would best be treated by sending the military into Mexico.

Donald Trump first floated the idea, while he was president, of designating drug cartels as terrorist organizations—thereby allowing for extraterritorial prosecutions, enhanced investigative powers, and increased penalties for domestic drug-related crimes—in March 2019, but held off after the government of Mexico repeatedly objected on grounds of sovereignty while making uncooperative noises about transnational migration policy.

But the appetite for corralling cartels into the otherwise-unpopular war on terror was only beginning to rumble in the conservative belly. Trump himself in the summer of 2020 twice asked then–Defense Secretary Mark Esper whether “we could just shoot some Patriot missiles and take out the labs, quietly,” according to Esper’s 2022 memoir. Notable MAGA politicians Sen. J.D. Vance (R–Ohio) and Rep. Marjorie Taylor Greene (R–Ga.) have both suggested violent interdiction south of the border, as have a bevy of more traditional hawks. There are a handful of escalatory bills bouncing around Congress.

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Cops say they’re being poisoned by fentanyl. Experts say the risk is ‘extremely low’

Last December, Officer Courtney Bannick was on the job for the Tavares, Fla., police department when she came into contact with a powder she believed was street fentanyl.

The footage from another officer’s body camera shows Bannick appearing to lose consciousness before being lowered to the ground by other cops.

“I was light-headed a little bit,” Bannick later told WKMG, a local television station. “I was choking, I couldn’t breathe.”

Other officers can be heard on the tape describing Bannick’s medical condition as an overdose. They administered Narcan, a medication that reverses opioid poisoning.

“She’s breathing,” a cop says. “Stay with me!”

The Tavares police department blamed the incident on fentanyl. Local officials declined NPR’s requests for an interview, as did Bannick. Speaking with WKMG, a television station in Orlando, she said she felt lucky to be alive.

“If I didn’t have backup there, I wouldn’t be here today,” she said soon after the incident.

Reports of police suffering severe medical symptoms after touching or inhaling powdered fentanyl are common, occurring “every few weeks” around the U.S. according to experts interviewed by NPR.

But many experts say these officers aren’t experiencing fentanyl or opioid overdoses.

“This has never happened,” said Dr. Ryan Marino, a toxicologist and emergency room physician who studies addiction at Case Western Reserve University. “There has never been an overdose through skin contact or accidentally inhaling fentanyl.”

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Prohibition Gave Us Xylazine in Fentanyl. The Solution, Drug Warriors Say, Is More Prohibition.

The emergence of the animal tranquilizer xylazine as a fentanyl adulterant, like the emergence of fentanyl as a heroin booster and substitute, has prompted law enforcement officials to agitate for new legal restrictions and criminal penalties. That response is fundamentally misguided, because the threat it aims to address is a familiar consequence of prohibition, which creates a black market in which drug composition is highly variable and unpredictable. Instead of recognizing their complicity in maintaining and magnifying that hazard, drug warriors always think the answer is more of the same.

Xylazine was first identified as a fentanyl adulterant in 2006, and today it is especially common in Puerto Rico, Philadelphia, Maryland, and Connecticut. In Philadelphia between 2010 and 2015, according to a 2021 BMJ article, xylazine was detected in less than 2 percent of drug-related deaths involving heroin and/or fentanyl. Its prevalence in such cases had risen to 31 percent by 2019. According to a 2022 Cureus report, “up to 78%” of illicit fentanyl sold in Puerto Rico and Philadelphia contains xylazine. In 2022, the Drug Enforcement Administration (DEA) reports, xylazine was detected in 23 percent of fentanyl powder and 7 percent of fentanyl pills analyzed by its laboratories.

Xylazine is a sedative, analgesic, and muscle relaxant that is not approved for use in humans but is commonly used by veterinarians. It is chemically similar to phenothiazines, tricyclic antidepressants, and clonidine. But like fentanyl and other opioids, xylazine depresses respiration, so combining it with narcotics can increase the risk of a fatal reaction. Unlike a fentanyl overdose, a xylazine overdose cannot be reversed by the opioid antagonist naloxone.

Xylazine also seems to increase the risk of potentially serious skin infections and ulcers that have always been a hazard of unsanitary injection practices. According to a 2022 article in Dermatology World Insights and Inquiries, “the presumed mechanism” is “the direct vasoconstricting effect on local blood vessels and resultant decreased skin perfusion,” which impairs healing.

Why is xylazine showing up in fentanyl? For the same reasons fentanyl started showing up in heroin. As a 2014 literature review in Forensic Science International notes, “illicit drugs, such as cocaine and heroin, are often adulterated with other agents to increase bulk and enhance or mimic the illicit drug’s effects.” Because xylazine and heroin have “some similar pharmacologic effects,” the authors say, “synergistic effects may occur in humans when xylazine is use as an adulterant of heroin.”

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GOP embraces a new foreign policy: Bomb Mexico to stop fentanyl

A growing number of prominent Republicans are rallying around the idea that to solve the fentanyl crisis, America must bomb it away.

In recent weeks, Donald Trump has discussed sending “special forces” and using “cyber warfare” to target cartel leaders if he’s reelected president and, per Rolling Stone, asked for “battle plans” to strike Mexico. Reps. Dan Crenshaw (R-Texas) and Mike Waltz (R-Fla.) introduced a bill seeking authorization for the use of military force to “put us at war with the cartels.” Sen. Tom Cotton (R-Ark.) said he is open to sending U.S. troops into Mexico to target drug lords even without that nation’s permission. And lawmakers in both chambers have filed legislation to label some cartels as foreign terrorist organizations, a move supported by GOP presidential aspirants.

“We need to start thinking about these groups more like ISIS than we do the mafia,” Waltz, a former Green Beret, said in a short interview.

Not all Republican leaders are behind this approach. John Bolton, Trump’s third national security adviser who’s weighing his own presidential run, said unilateral military operations “are not going to solve the problem.” And House Foreign Affairs Committee Chair Mike McCaul (R-Texas), for example, is “still evaluating” the AUMF proposal “but has concerns about the immigration implications and the bilateral relationship with Mexico,” per a Republican staff member on the panel.

But the eagerness of some Republicans to openly legislate or embrace the use of the military in Mexico suggests that the idea is taking firmer root inside the party. And it illustrates the ways in which frustration with immigration, drug overdose deaths and antipathy towards China are defining the GOP’s larger foreign policy.

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“Grandma of the Police Officers Association” in California Arrested for Importing Fentanyl From China and Other Countries

As the drug crisis in America rages on as opioids and fentanyl pour across our unsecured border from the Mexican drug cartels supplied by Chinese “pharmaceuticals,” an unsuspecting trafficker has emerged.

San Jose Police Officers Association police union executive Joanne Marian Segovia was arrested on Wednesday for attempting to import a synthetic opioid called Valeryl fentanyl.  If convicted, she faces up to 20 years in federal prison.

Police union president Sean Pritchard told the New York Post that Segovia was like “the grandma of the POA…this is not the person we’ve known, the person who has worked with fallen officers’ families, organized fundraisers for officers’ kids…”

Segovia was allegedly importing packages of drugs from China, Canada, India and other countries and disguising them as common items such as makeup, chocolates, and food supplements.  She has received at least 61 packages at her home from 2015 through 2023.

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