I/S Brian Dempsey 412-777-6945

Law Enforcement Sensitive

Drug Trends &Trafficking

I/S Brian Dempsey412-777-6945

[email protected]


Sources


Sources




Community

(Outreach, Education & Prevention)

Diversion / RegulatoryEnforcement

(Local, State & Federal)

360 Degree Strategy

Strategic collaboration and guidance via three interconnected avenues.


Counties of the Western Judicial District

Of Pennsylvania


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


DREAM LAND


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)


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


Actual Billboards in

Baltimore, MD


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


Heroin Types


Heroin Types (Cont.)


Carfentanil Pill


Heroin Stamp Bags


Heroin Stamp Bags


Heroin Stamp Bags


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).


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.


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


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


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


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




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.


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.


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.


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.


Number of Drug-Related Overdose

Deaths in Pennsylvania Counties, 2015

Source: Pennsylvania Coroner Data


Number of Drug-Related Overdose

Deaths in Pennsylvania Counties, 2016




2016 Overdose Deaths of five or more

in Beaver County by Zip Code

15001: 18 Overdose Deaths










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%)


Rate of Overdose Deaths Per 100,000

People in Pennsylvania Counties, 2016



Rate of Overdose Deaths Per 100,000People in Pennsylvania Counties, 2015 & 2016



Percent Change in Drug Related

Overdose Deaths in Pennsylvania Counties, 2015 & 2016



Most Frequently Reported Drug Category in Drug Related

Overdose Decedents in Pennsylvania Counties, 2015 & 2016



Fentanyl


Fentanyl Citrate/Fentanyl HCL

Schedule II


Primer on Synthetic Opioids


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.




Lethal Doses of

Heroin, Fentanyl & Carfentanil



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


“Grey Death”


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


Availability of Fentanyl Products

Via the Internet


Acetyl Fentanyl

Internet Sales


Acetyl Fentanyl

Internet Sales


Acetyl Fentanyl

Internet Sales



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



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



Via the Internet


CARFENTANIL




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.


OverdoseFree PA


OverdoseFree PA

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I/S Brian Dempsey 412-777-6945

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