(CDC MMWR July 13 2018) Fentanyl and fentanyl analogs are increasingly involved in opioid overdose deaths, and new fentanyl analogs continue to be identified (1). Carfentanil, the most potent fentanyl analog detected in the United States, is intended for sedation of large animals and is estimated to have 10,000 times the potency of morphine (2). It has recently been reported in an alarming number of deaths in some states. Ohio reported nearly 400 carfentanil-involved deaths during July–December 2016, and Florida reported >500 such deaths for all of 2016 (3,4).
CDC funds 32 states and the District of Columbia (DC) to abstract detailed data on opioid overdose deaths from death certificates and medical examiner and coroner reports through the State Unintentional Drug Overdose Reporting System (SUDORS). Twelve states began reporting in August 2017, and 20 states and DC will begin reporting in August 2018.* CDC analyzed trends in overdose deaths testing positive for carfentanil and other fentanyl analogs during July 2016–June 2017 in 10 SUDORS states (Kentucky, Maine, Massachusetts, New Hampshire, New Mexico, Ohio, Oklahoma, Rhode Island, West Virginia, and Wisconsin).† States abstract data on all substances (both opioids and nonopioids) that contributed to death, as well as all substances for which the decedent tested positive.§
During July 2016–June 2017, among 11,045 opioid overdose deaths, 2,275 (20.6%) decedents tested positive for any fentanyl analog, and 1,236 (11.2%) tested positive for carfentanil. Fourteen different fentanyl analogs were detected.¶ Among overdose deaths with fentanyl analogs detected, the analogs were determined by medical examiners or coroners to have contributed to the death in >95% of deaths.
Exactly as I explained to you in a series of posts* way back last September, and now confirmed by months of multi-state research from the CDC, the only "opioid crisis" is more junkies dying from using garage-brewed fentanyl analogs.
Not from Doctor Feelgood writing too many narcotic prescriptions to Ma and Pa for chronic pain control.
Almost like I work at the bleeding edge of that problem, and might, perhaps, have some vague idea of those subjects upon which I speak. Oh, wait, that's exactly what I do.
In short, this is nothing but Darwinism in action, as the current home-cooked get-high concoctions are so strong, Narcan (the antidote of choice for plain old heroin) is too little, too late, so a generation of smack addicts is checking out with a smile on their face, and the needles still sticking in their arm.
Boo frickin' hoo.
I doubt you could find much sympathy for that problem nationwide, even if you dredged with concertina rolls. Even from the nexts-of-kin.
It also shows that the Clinton Foundation-sponsored calls to hype (you should forgive the pun) everyone to stock Narcan, down to pre-school first aid kits, won't do Jack or Squat to help the problem either.
Wait - the Clintons lying for...personal financial gain?? STOP THE PRESSES!!
Just kidding. What else would Clintons do?
If people won't learn not to try that sh*t, go ahead and let them have what they wanted.
The problem self-corrects in one dose, then solves itself forever.
If, however, you'd like to summarily execute the importers, garage-lab drug cookers, and dealers on sight, I have little or no problem with that.
It would also make it a lot tougher if you couldn't get the crap here, because the wall from San Diego to Brownsville was 20 feet high, and everyone trying to get into the country got the same level of groping, X-rays, and cavity searches the TSA routinely applies to handicapped children and 70-year-old Swedish nuns at the airport, while they're allegedly looking for Muslim terrorists.
I don't know everything about everything.
But what I do know about the things I know makes my analysis on it surer than most people's "facts".
Especially when there's a buck to be made in it, for the people selling baloney as steak.
Medical Statistics I
Medical Statistics II
Medical Statistics III
Proof Of the Point