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Law Enforcement Sensitive
Community
(Outreach, Education & Prevention)
Diversion / RegulatoryEnforcement
(Local, State & Federal)
360 Degree Strategy
Strategic collaboration and guidance via three interconnected avenues.
Law Enforcement Sensitive
Trends Over Time
2010-
Opioids
Heroin
Synthetics
2000’s
Methamphetamine
Opioids
90’s
Methamphetamine
Ecstasy
80’s
Cocaine/Crack
60’s/70’s
Marijuana
Psychedelics
Law Enforcement Sensitive
In 2009, drugs passed traffic accidents as the #1 cause of death, killing 37,000+
In 2015, drugs have killed 47,000+
In 2016, drugs have killed 64,000+
Fuel - Rx drugs*Substance Abuse
Drug Overdose Deaths
Substance Abuse and Mental Health Services
Administrator’s National Survey on Drug Use and Health (NSDUH)
Law Enforcement Sensitive
Opiates VS Opioids
Opiates
- Narcotic Analgesic derived from an
Opium Poppy (Natural)
- Not manufactured by chemical synthesis
- Derived for the Opium Poppy Plant
Opioids
- A synthetic narcotic that mimics the
natural poppy plant
- Chemically manufactured narcotics
- Narcotic analgesic that is not found in nature
Law Enforcement Sensitive
Heroin 101
Heroin Stamp Bag Weighs Approximately .01 to .03 gms
Heroin Stamp Bags Cost $5 to $15
Heroin “BUNDLE” Consists of 10 Individual Stamp Bags
Heroin “BUNDLE” Costs $50 to $80
Heroin “BRICK” Consists of 50 Individual Stamp Bags
Heroin “BRICKS” Cost $150 to $400
One (1) Gram of Heroin Sells for $150
One (1) Ounce of Heroin Sells for $2,000 to $3,000
One (1) Kilogram of Heroin Sells for $50,000 to $80,000
Law Enforcement Sensitive
Groups of Prescription
Drugs Abused
Opioids: Derived from the opium poppy, or synthetic versions of it; for pain relief.
Benzodiazepines: Central nervous system (CNS) depressants used as sedatives to induce sleep, prevent seizures, and relieve anxiety.
Amphetamine-Like Drugs: CNS stimulants used to treat attention deficit hyperactivity disorder (ADHD).
Law Enforcement Sensitive
Pennsylvania Prescription
Drug Monitoring Program
In 2015: 79,706 prescribers issued 6,608,691 prescriptions
for Oxycodone and Hydrocodone Products
TOTALING 475,192,963 DOSAGE UNITS
The total dosage units dispensed in 2015 equates to
About 37 pills for every Pennsylvanian.
Law Enforcement Sensitive
Popular Prescription
Drugs of Abuse
Oxycodone
OxyContin®
Percocet/Percodan
Oxymorphone
Opana
Amphetamine Mix
Adderall®
Hydrocodone Vicodin
Norco
Lortab
Alprazolam Xanax
Suboxone/Subutext
Valium
#1
#3
#2
Law Enforcement Sensitive
Popular Prescription Drug Prices
(Pittsburgh)
SUBOXONE - $10 TO $20
HYDROCODONE 7.5 mg - $3 TO $7
OXYCODONE 30 mg - $30 TO $50
OXYCONTIN 80 mg - $30 TO $60
OXYMORPHONE 40 mg - $35 TO $140
PERCOCET 10 mg - $7 TO $9
ROXYCODONE 30 mg - $15 TO $30
XANAX 2 mg - $3 TO $7
Law Enforcement Sensitive
Pittsburgh District Office
25 Counties & Over 20,000 Registrants
940 Pharmacies
15,000 Physicians
160 Hospitals/Clinics
1,470 Certified Nurse Practitioners
1,710 Physician Assistants
187 Researchers
6 Distributors
1 Manufacturer
Law Enforcement Sensitive
Methadone Treatment Programs
In Western Pennsylvania
Treatment Programs report prescription drugs as primary drugs of abuse
for many of their patients.
1995: Western Pennsylvania had 6 Methadone Clinics
2005: Western Pennsylvania had 20 Methadone Clinics
2015: Western Pennsylvania had 29 Methadone Clinics
2016: Western Pennsylvania had 32 Methadone Clinics
The 2015 figure does not include approximately 796 physicians who are licensed
in Western Pennsylvania to prescribe Buprenorphine (Suboxone/Subutext)
for the treatment of drug addiction.
Law Enforcement Sensitive
2016
4,642 DRUG RELATED
OVERDOSE DEATHS
This Number Represents a 37% increase in Overdose Deaths from 2015.
This Number Established a Death Rate of 36.5 per 100,000 People.
In 2016, approximately 13 people died of a drug-related overdose each day.
Law Enforcement Sensitive
2016
4,642 DRUG RELATED
OVERDOSE DEATHS
In 2016, the presence of a prescription or illicit opioid
was identified in 85% of the overdose deaths.
Fentanyl and fentanyl-related substances were the most frequently
identified (52% of deaths), exceeding heroin (45 % of deaths) for the first time.
Law Enforcement Sensitive
2016
4,642 DRUG RELATED
OVERDOSE DEATHS
Younger Pennsylvanian’s were impacted significantly;
individuals aged 15-24 had a 380% increase in their odds of a fentanyl-related
death than other age groups, while individuals aged 25-34 had a 970% increase in
their odds of dying of a heroin-related overdose when compared to other age groups.
Law Enforcement Sensitive
Number of Drug-Related Overdose
Deaths in Pennsylvania Counties, 2015
Source: Pennsylvania Coroner Data
Law Enforcement Sensitive
Number of Drug-Related Overdose
Deaths in Pennsylvania Counties, 2016
Source: Pennsylvania Coroner Data
Law Enforcement Sensitive
Source: Pennsylvania Coroner Data
2016 Overdose Deaths of five or more
in Beaver County by Zip Code
15001: 18 Overdose Deaths
15009: 16 Overdose Deaths
15010: 10 Overdose Deaths
15003: 8 Overdose Deaths
15074: 8 Overdose Deaths
15066: 7 Overdose Deaths
15061: 7 Overdose Deaths
16115: 5 Overdose Deaths
Law Enforcement Sensitive
Source: Pennsylvania Coroner Data
2016 Beaver County Overdoses
Top Ten Drugs/Number of Cases With Drug Present
Fentanyl – 75 (73.5%) Buprenorphine –11 (10.8%)
Cocaine – 40 (39.2%) Diazepam - 11 (10.8%)
Heroin - 37 (36.3%) Amphetamine - 8 (7.8%)
Ethanol - 21 (20.6%) Oxycodone - 7 (6.9%)
Alprazolam – 18 (17.6%) Hydrocodone - 6 (5.9%)
Law Enforcement Sensitive
Rate of Overdose Deaths Per 100,000
People in Pennsylvania Counties, 2016
Source: Pennsylvania Coroner Data
Law Enforcement Sensitive
Rate of Overdose Deaths Per 100,000People in Pennsylvania Counties, 2015 & 2016
Source: Pennsylvania Coroner Data
Law Enforcement Sensitive
Percent Change in Drug Related
Overdose Deaths in Pennsylvania Counties, 2015 & 2016
Source: Pennsylvania Coroner Data
Law Enforcement Sensitive
Most Frequently Reported Drug Category in Drug Related
Overdose Decedents in Pennsylvania Counties, 2015 & 2016
Source: Pennsylvania Coroner Data
Law Enforcement Sensitive
DEA National Forensic Laboratory
Information System (NFLIS)
January 2013 – December 2016: 50,440 Fentanyl Reports
2013: 1,041 Fentanyl Reports
2016: 28,751 Fentanyl Reports
CDC Morbidity & Mortality Weekly Report
dated December 2016:
The death rate from Synthetic Opioids (other than Methadone),
which includes fentanyl, from 2014 to 2015, increased by 72.2%
from 5,544 to 9,581.
Law Enforcement Sensitive
Primer on Synthetic Opioids
On March 1, 2017, as a result of meeting with DEA,
China agreed to regulate the following four fentanyl-related
Substances under Chinese law:
- Carfentanil
- Furanyl Fentanyl
- Acryl Fentanyl
- Valeryl Fentanyl
Law Enforcement Sensitive
Western Pennsylvania Seizures
of Synthetic Opioids
2016
Fentanyl
4-methoxybutyrylfentanyl
Acetylfentanyl
Butyrylfentanyl
3-methylfentanyl (cis and trans)
Furanyl fentanyl
Para-fluoroisobutyryl fentanyl
U-47700
2017
Butyrylfentanyl
Carfentanil
Cyclopropylfentanyl
Furanyl fentanyl
Methoxyacetyl fentanyl
Acrylfentanyl
U-47700
Law Enforcement Sensitive
Availability of Fentanyl Products
Via the Internet
Product Form Description
U-47700
HCl powder, nasal spray, vape juice, edibles (gummy bears) Synthetic opioid
MethoxyAcetylFentanyl Powder, nasal spray Fentanyl analog
Gabapentin Pill Pill that treats nerve pain
Epitalon Injection Anti-aging drug
Elavil (Amitriptyline) Pill Treats neuropathic pain and mental illnesses
Selank Injection Nootropic mental stimulant
Law Enforcement Sensitive
Availability of Fentanyl Products
Via the Internet
4-MEC a-PHPa-PVP AH-7921Fentanyl powder (Attachment 2) Dibutylone crystalMDPV Furanyl fentanylPentedrone Methylone Crystals25 I-NBOMe 2-FMAHydrocodone Watson 853 Crystal MethSoma CocaineVicodin Hydrocodone Watson 5405F-AKB48 RoxiCodoneAB-Chminaca TramadolAM-2201 Actavis promethazine with codeine cough syrupZolpidem 5fur 144Methoxetamine AB-PinacaMolly MDMA Pills PB-22LSD pills SomaLSD powder Ketamine-RacemicLDS blotters Pure MDMADiazepam Zopiclone
Law Enforcement Sensitive
www.operationprevention.com
There is a growing epidemic of prescription opioid misuse and heroin use nationwide. To combat
this, Discovery Education and the DEA have joined forces to bring you Operation Prevention, a
new education program for middle and high school classrooms which aims to educate students,
using science, about the impacts of these drugs.