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In 2016, 37 percent of overdose deaths involved cocaine and fentanyl without heroin, up from 11 percent in 2015

Last year more than 1,300 New Yorkers died of a drug overdose, and nearly half (44 percent) of those deaths involved fentanyl. (New York City Health Department, 01.06.2017)

https://www.drugabuse.gov/emerging-trends/new-york-city-issues-health-advisory-about-overdoses-fentanyl-added-to-cocaine

Exposure to fentanyl-contaminated heroin and overdose risk among illicit opioid users in Rhode Island: A mixed methods study.

Carroll JJ, Marshall BDL, Rich JD, Green TC.

Int J Drug Policy. 2017 Jun 1. pii: S0955-3959(17)30127-5. doi: 10.1016/j.drugpo.2017.05.023.

http://www.ijdp.org/article/S0955-3959(17)30127-5/fulltext

London/UK. EVIDENCE OF HARM FROM FENTANYL-CONTAMINATED HEROIN

This alert advises of the availability of, and harms from, heroin that has been mixed with fentanyl or carfentanyl, both unusually potent synthetic opioids.

There is significant evidence from a small number of post-mortem results of recent drug user deaths and from police seizures that some heroin may contain fentanyl or carfentanyl added by dealers.

These are highly potent synthetic opioids and very small amounts can cause severe or even fatal toxicity.(PHE – Public Health England, 27.04.2017)

http://blenheimcdp.org.uk/wp-content/uploads/2017/06/170427-PHE-Fentanyl-alert-PC-final-3.pdf

Anonymous online sales are surging, and people are dying. Despite dozens of arrests, new merchants — many based in Asia — quickly pop up.

As the nation’s opioid crisis worsens, the authorities are confronting a resurgent, unruly player in the illicit trade of the deadly drugs, one that threatens to be even more formidable than the cartels.

The internet. (New York Times, 10.06.2017)

https://www.nytimes.com/2017/06/10/business/dealbook/opioid-dark-web-drug-overdose.html

The US opioid epidemic may be getting even worse. Preliminary data suggests overdoses are soaring, while law enforcement officials have been warned about the dangers of fentanyl after it caused a police officer to collapse. (New Scientist, 09.06.2017)

https://www.newscientist.com/article/2134181-police-warned-of-drug-so-powerful-it-can-kill-in-one-breath/

Deaths from fentanyl and other synthetic opioids (not including methadone), rose a staggering 72 percent in just one year, from 2014 to 2015. Government agencies and officials of all types are rightly concerned by what some are describing as the third wave of our ongoing opioid epidemic.

As a concerned parent, whose top priority is keeping your child safe — and alive — the following are the most important things to understand about fentanyl. (Partnership for Drug-Free Kids, 20.04.2017)

http://drugfree.org/parent-blog/fentanyl-synthetic-opioids-5-things-need-know/

A staff member began handing out the test strips out of desperation, to try to curb the overdose rates among the center's clientele. (The Fix, USA, 18.05.2017)

https://www.thefix.com/bronx-harm-reduction-center-gives-out-fentanyl-test-strips-heroin-users

Characteristics of Fentanyl Overdose — Massachusetts, 2014–2016

Nicholas J. Somerville, MD; Julie O'Donnell, PhD; R. Matthew Gladden, PhD; Jon E. Zibbell, PhD; Traci C. Green, PhD; Morgan Younkin, MD; Sarah Ruiz, MSW; Hermik Babakhanlou-Chase, MPH; Miranda Chan, MPH; Barry P. Callis, MSW; Janet Kuramoto-Crawford, PhD; Henry M. Nields, MD, PhD; Alexander Y. Walley, MD

Morbidity and Mortality Weekly Report. 2017;66(14):382-386. 

https://www.cdc.gov/mmwr/volumes/66/wr/mm6614a2.htm

PITTSBURGH (KDKA) — A strain of fentanyl that’s resistant to Narcan has made its way to Western Pennsylvania.  It’s hundreds of times more powerful than morphine and is already causing overdose deaths. (CBS Pittsburgh, 28.04.2017)

http://pittsburgh.cbslocal.com/2017/04/28/narcan-resistant-fentanyl-pennsylvania/

There have been rising number of deaths in the UK, Europe, and North America which have been linked to the use of two opioids - fentanyl and carfentanil. These drugs are reportedly being mixed with heroin, often without the knowledge of the person making the purchase. (Release, UK, 28.04.2017)

http://www.release.org.uk/blog/harm-reduction-people-who-use-or-may-encounter-fentanylcarfentanil

Intoxications involving acrylfentanyl and other novel designer fentanyls - results from the Swedish STRIDA project.

Helander A, Bäckberg M, Signell P, Beck O.

Clin Toxicol (Phila). 2017 Mar 28:1-11. doi: 10.1080/15563650.2017.1303141.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/28349714

By scheduling two fentanyl precursors and a fentanyl analogue, the Commission on Narcotic Drugs (CND) is sending a clear message that it can help protect people's health and respond to the urgent needs of states, the Chair of 60th Session of the CND, Ambassador Bente Angell-Hansen said today. (UNODC, USA, 16.03.2017)

http://www.unodc.org/unodc/en/frontpage/2017/March/commission-on-narcotic-drugs-takes-decisive-step-to-help-prevent-deadly-fentanyl-overdoses.html 

High Concomitant Misuse of Fentanyl in Subjects on Opioid Maintenance Treatment.

Krause D, Plörer D, Koller G, Martin G, Winter C, Adam R, Canolli M, Al-Iassin J, Musselmann R, Walcher S, Schäfer F, Pogarell O.

Subst Use Misuse. 2017 Feb 3:1-7. doi: 10.1080/10826084.2016.1246571.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/28157415

EMCDDA, Lisbon, February 2017

Series type: Joint Reports

Summary

In September 2016, the EMCDDA and Europol examined the available information on a new psychoactive substance N-(1-phenethylpiperidin-4-yl)-N-phenylacrylamide, commonly known as acryloylfentanyl, through a joint assessment. The two organisations concluded that sufficient information had been accumulated to merit the production of a Joint Report on acryloylfentanyl as stipulated by Article 5.1 of the Council Decision.

http://www.emcdda.europa.eu/publications/joint-reports/acryloylfentanyl

The hidden web and the fentanyl problem: Detection of ocfentanil as an adulterant in heroin.

Quintana P, Ventura M, Grifell M, Palma A, Galindo L, Fornís I, Gil C, Carbón X, Caudevilla F, Farré M, Torrens M.

Int J Drug Policy. 2016 Nov 23. pii: S0955-3959(16)30310-3. doi: 10.1016/j.drugpo.2016.10.006.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/27889114

In den USA sterben immer mehr Menschen an illegal hergestelltem Fentanyl. (aerzteblatt.de, 29.8.2016)

http://www.aerzteblatt.de/nachrichten/70235