Fentanyl Isnโ€™t Just Smuggled In From Mexico. It Also Arrives Duty Free By Mail

Fentanyl isnโ€™t only arriving in the U.S. by your standard-fare drug smuggler, hiding it in suitcases and the back seat of a go-fast boat from Mexico bound for San Diego. Itโ€™s still coming in via U.S. mail and other international shippers. And it comes in duty-free. Barring drug-sniffing dogs at Customs and Border Protection (CBP) facilities catching the wayward package shipped usually from China and Mexico, duty-free entry remains a small but active way of getting the killer drug to addicts nationwide.

โ€œCBP continues to see bad actors seeking to exploit the increasing volumes of de minimis shipments to transit illicit goods, including fentanyl and the precursors and paraphernalia used to manufacture it,โ€ a spokesperson for CBP told me. De minimis is a Customs trade provision that allows for duty-free entry of all goods if priced under $800. CBP said that in fiscal year 2022 (beginning Oct 1 and ending Sept 30), most package seizures by Customs agents were from de minimis mail, including seizures for narcotics.

Although the CBP did not specify the source of these packages, Mexico and China are the top two, with China long known as the go-to spot for the raw materials and equipment used to make fentanyl in a lab.

Equipment such as pill presses, used by drug cartels for turning powder into consumable pills, were often seized at CBP mail rooms. Some 80% of those seizures came from duty-free entry, Brandon Lord, executive director of the trade policy and programs directorate, said on Sept. 11 at the National Customs Brokers & Forwarders Association of America conference.

Read the full article on Forbes.com (subscription may be required).

AG Garland announces $345M in grants to tackle fentanyl epidemic

Vowing to attack the nationโ€™s fentanyl problem on multiple fronts, Attorney General Merrick Garland announced Tuesday the Justice Department has awarded $345 million in grants to support education, prevention, treatment and recovery programs.

โ€œWe know that no one โ€” no one person and no one family โ€” can defeat the epidemic alone. We need each other,โ€ Garland said during a speech at the Drug Enforcement Administrationโ€™s National Family Summit on Fentanyl in Arlington, Virginia. โ€œThat is why the Justice Department is providing resources to public health and public safety programs across the country.โ€

Nearly a third of the funding will go toward the DOJโ€™s Comprehensive Opioid, Stimulant, and Substance Use Program for initiatives such as increased access to the overdose-reversing drug Naloxone, medication-assisted treatment and peer support to overdose survivors and their families. 

Twenty-five million dollars will go toward support, mentoring and other services for young people who have been affected by opioid and other substance use, as well as those who are at risk for substance abuse.

โ€œNo one, especially no young person, should have to face this alone,โ€ Garland said.

Garland did not say how all the grant money will be spent.ย 

Read the full article on the Spectrum News One website.

How deeply did prescription opioid pills flood your county? See here.

For the first time, Americans can see the rise โ€” and fall โ€” of legal opioids entering their community. A database maintained by the Drug Enforcement Administration that tracks every single pain pill sold in the United States, tracing the path from manufacturers and distributors to pharmacies in every town and city, is now public through 2019, the tail end of the pain pill crisis.

These records provide an unprecedented look at the surge of legal pain pills that fueled the prescription opioid epidemic, which resulted in more than 210,000 overdose deaths during the 14-year time frame ending in 2019. It also sparked waves of an ongoing and raging opioid crisis first fueled by heroin and then illicit fentanyl.

The Washington Post sifted through 760 million transactions from 2006 through 2019 that are detailed in the DEAโ€™s database and specifically focused on oxycodone and hydrocodone pills, which account for three-quarters of all opioid dosages shipped to pharmacies during that time. The Post is making this data available at the county and state levels to help the public understand the impact of years of prescription pill shipments on their communities.

A county-level analysis shows where the most oxycodone and hydrocodone pills were distributed across the country over that time โ€” more than 145 billion in all.

Read the full article on the Washington Post website (may require subscription).

Overdoses soared even as prescription pain pills plunged

The number of prescription opioid pain pills shipped in the United States plummeted nearly 45 percent between 2011 and 2019, new federal data shows, even as fatal overdoses rose to record levels as users increasingly used heroin, and then illegal fentanyl.

The data confirms whatโ€™s long been known about the arc of the nationโ€™s addiction crisis: Users first got hooked by pain pills saturating the nation, then turned to cheaper and more readily available street drugs after law enforcement crackdowns, public outcry and changes in how the medical community views prescribing opioids to treat pain.

The drug industry transaction data, collected by the Drug Enforcement Administration and released Tuesday by attorneys involved in the massive litigation against opioid industry players, reveals that the number of prescription hydrocodone and oxycodone pills peaked in 2011 at 12.8 billion pills, and dropped to fewer than 7.1 billion by 2019. Shipments of potent 80-milligram oxycodone pills dropped 92 percent in 2019 from their peak a decade earlier.Many of the counties with the highest fentanyl death rates โ€” in hard-hit states such as West Virginia, Kentucky and Ohio โ€” started out with alarmingly high doses of prescription pills per capita, according to a Washington Post analysis of the DEA data and federal death records.Counties with the highest average doses of legal pain pills per person from 2006 to 2013 suffered the highest death rates in the nation over the subsequent six years.

Read the full article on the Washington Post website (may require subscription).

The politicization of the fentanyl crisis

The country’s fentanyl crisis has become a potent political weapon, reflecting its deep and emotional impact on millions of Americans.

Why it matters: The opioid epidemic was once a rare topic that brought Republicans and Democrats together. But even as overdose deaths continue to climb, the discourse around fentanyl has become more politicized and, at times, less aligned with reality โ€” especially when Republicans talk about its connection to the U.S.-Mexico border.

  • “When it gets to the front page, sometimes the incentives can be to use it more as a partisan weapon,” said Keith Humphreys, a professor of psychiatry and behavioral services at Stanford.
  • But also, “there is a human part. Everyone’s upset. We have all these dead bodies. People are burying their children and communities are getting destroyed.”

Read the full article on the Axios website.

App State student promotes Narcan accessibility

โ€œNaloxone saves lives!โ€ senior Zoe Lebkuecher typed on each flyer with a Spanish translation under each line along with where students and anyone on campus can find Narcan. 

Lebkuecherโ€™s attendance at a welcome event she found on Engage turned into what is now a passion, spreading Narcan awareness.

Lebkuecher transferred to App State last school year and attended an event hosted by the  Collegiate Recovery Community. Lebkeucher said she has been working with the group ever since because of the community she found.

The universityโ€™s Collegiate Recovery Community helps students who are in recovery or wish to be in recovery and provides resources for those who want to support others throughout their recovery journey. The organization holds weekly recovery and community meetings.

Lebkuecher started to find ways to get involved with the Collegiate Recovery Community, which works hand-in-hand withย Wellness & Prevention Servicesย on campus.

Read the full article on the App State website.

NC Newsline interview with Barb Walsh

In the list of horrors that a parent might ever experience, losing oneโ€™s child because she unknowingly grabbed and drank a bottle of water laced with fentanyl has to be among the worst imaginable. And tragically, thatโ€™s what happened to a North Carolina woman named Barb Walsh in 2021 when her daughter Sophia died almost instantly from fentanyl poisoning.

Read the full story and listen to the interview on the NC Newsline website.

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