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Trends in Opioid  Availability and Abuse Trends in Opioid  Availability and Abuse

Trends in Opioid Availability and Abuse - PowerPoint Presentation

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Trends in Opioid Availability and Abuse - PPT Presentation

DEA Philadelphia Field Division Intelligence Program July 2018 UNCLASSIFIED Threats What you already know Pennsylvania is in the midst of a drug abuse and overdose epidemic Prescription opioid abuse fueled heroin abuse ID: 731749

unclassified fentanyl 000 heroin fentanyl unclassified heroin 000 drug related production million kilos abuse opioid 2017 philadelphia overdose prescription

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Slide1

Trends in Opioid Availability and Abuse

DEA Philadelphia Field DivisionIntelligence ProgramJuly 2018

UNCLASSIFIEDSlide2

Threats

What you already know:Pennsylvania is in the midst of a drug abuse and overdose epidemicPrescription opioid abuse fueled heroin abuseAbuse of prescription opioids, heroin, and fentanyl has led to the overdose deaths of more than 15,000 Pennsylvanians in the last four years

Pennsylvania is amongst the states with the highest rates of overdose

UNCLASSIFIEDSlide3

Allegheny County

Overdose deaths in 2017 rose 13% from 2016141% increase between 2014 and 201792% involved an opioid in 201774% involved fentanyl in 2017

UNCLASSIFIEDSlide4

MissionDEA’s missionAttack SupplyTo prevent drug abuse, drug-related deaths, and drug-related crime by attacking the supply of illicit narcotics

Reduce DemandReduce demand through education and non-traditional law enforcement partnershipsSlide5

Threats

Primary ThreatMexican Transnational Criminal Organizations (TCOs)Supply all major illicit drugs of abuse to PennsylvaniaSecondary ThreatRegional re-suppliers of fentanyl related substances originating in China and Mexico

UNCLASSIFIEDSlide6

Prescription OpioidsPositive news…UNCLASSIFIEDSlide7

Prescription Opioid Availability

UNCLASSIFIED

170 million

146 million

275 million

259 million

Oxycodone and Hydrocodone Pills Dispensed in PASlide8

UNCLASSIFIEDSlide9

Rx OpioidsOxycodone, primarily 30mg and 10mg, are most frequently sought for non-medical useInitially sourced from friends, relatives, etc.

Obtained via complicit doctors, fraudulent prescriptions, street purchasesPurchased for approx. $1 per milligram on streetUNCLASSIFIEDSlide10

Rx Opioids

ProgressDecreased availability of prescription opioidsPDMP, new prescribing regulationsDEA oversight of registrantsPrevention InitiativesDecreased number of new Rx opioid abusers (NDTA, 2017)

UNCLASSIFIEDSlide11

UNCLASSIFIEDSlide12

HeroinUNCLASSIFIEDSlide13

Heroin

Abundance of HeroinChange in Production/SourceLate 2000’s – decrease in cocaine movement by MX TCOs in order to increase heroin trafficking and profitEarly 2010’s - Change in heroin production from SA to MXNeed to recoup lost revenue from marijuana salesResponse to demand in U.S.

UNCLASSIFIEDSlide14

UNCLASSIFIED

Heroin Production in MexicoSlide15

Heroin

Trends in Drug Seizures Over TimeUNCLASSIFIED

Types of Drugs Seized in PASlide16

Heroin

UNCLASSIFIED

536 Kilos

414 Kilos

395 Kilos

DEA Heroin Seizures (NY, NJ, PA)Slide17

Heroin

White HeroinImpact on purity and potential for adulterationImpact on PennsylvaniaEstablished heroin user baseDemand for highly pure productHighest purity heroin in the country for 20 years

Wholesale purities >90%Retail purities from 50-90%

UNCLASSIFIEDSlide18

UNCLASSIFIEDSlide19

FentanylIf things weren’t complicated enough….

UNCLASSIFIEDSlide20

Fentanyl

FentanylIntroduced into illicit U.S. drug supply in 2013-2014 (after previous surge in 2006-2007)30-50x more potent than heroin; 50-100x more potent than morphineWho makes it? Where does it come from?

UNCLASSIFIEDSlide21

Fentanyl

Two primary production areas:China supplies precursor chemicals and finished productMexico manufacturing fentanyl in clandestine labs

UNCLASSIFIEDSlide22

Poppy field in Mexico

Clandestine Drug Lab in China

Entirely synthetic process. No plant materials, farmers, weather, etc.

Why switch from heroin production to fentanyl production?

UNCLASSIFIEDSlide23

Drug

Cost per 1 KG to DTO

Wholesale Price per KG in Philadelphia

Revenue to DTO from 1 KG Packaged for Street Sale

Heroin

$5,000-7,000

$65,000

$500,000

(50,000 bags)

Fentanyl

$3,300-5,000

$65,000

$5 million

(500,000

bags)

It’s all about the Money

UNCLASSIFIEDSlide24

Fentanyl

Who brings it, how does it get here, how is it packaged, how is it sold?Mexican TCOs – traditional routes and methodsMixed at street/mill level, not wholesale

UNCLASSIFIED

Wholesale heroin and fentanyl seizure (packaged/marked separately). Tied to CJNG.

Heroin

FentanylSlide25

Fentanyl

Recent Trends:2nd

highest number of fentanyl exhibits in the countryFentanyl/Tramadol mixture in powder (multi-kilo) and pill forms50 kilogram seizure in commercial air shipment in Philadelphia, 4-FIBF, 90% purity7 kilo seizure of fentanyl pills destined for Philadelphia

Fentanyl-soaked paper in Pennsylvania prisons

UNCLASSIFIEDSlide26

UNCLASSIFIED

57 total exhibitsSlide27

UNCLASSIFIED

8,131 total exhibitsSlide28

Fentanyl

Fentanyl puritiesNationwide purity of MX produced fentanyl averages 7%7% pure fentanyl is the equivalent of 300% pure heroinIncrease in openly acknowledged sales of fentanyl

UNCLASSIFIEDSlide29

UNCLASSIFIED

67 Kilos

58 Kilos

200 Kilos

DEA Fentanyl Seizures (NY, NJ, PA)Slide30

What are they?

Who brings it, how does it get here, how is it packaged, how is it sold?

Chinese chemical companies

Darkweb

and Clearnet purchases

Routed through other countries for anonymity

Regional re-distributors filling

darkweb

orders

Attempts to circumvent scheduling/enforcement

Fentanyl Related Substances

UNCLASSIFIEDSlide31

Fentanyl Related Substances

3-methylfentanyl3-methylthiofentanyl4-methoxy-butyryl fentanylAcetyl norfentanylAcetyl-alpha-methylfentanyl

AcetylfentanylAcryl-alpha-methylfentanylAcrylfentanylAlfentanil

Alpha-

methylfentanyl

Alpha-

methylthiofentanyl

Benzodioxole

fentanyl

Benzoylbenzyl

fentanyl

Benzylfentanyl

Beta-hydroxy-3-methylfentanyl

Beta-

hydroxyfentanyl

Beta-

hydroxythiofentanyl

Butanoyl

4-fluoro fentanyl

Butyryl fentanyl

Carfentanil

Crotonyl fentanyl

Cyclopentyl

fentanyl

Cyclopropyl fentanyl

Fluorobutyryl

fentanyl

Fluorofentanyl

Fluoroisobutyryl

fentanyl

UNCLASSIFIED

Furanyl

fentanyl

Isobutyryl

fentanyl

Lofentanil

Methoxyacetyl

fentanyl

N-

isobutanoyl

4-fluoro fentanyl

Ortho-

fluorofentanyl

P-

fluorobutyryl

fentanyl

P-

fluorofentanyl

P-

fluoroisobutyryl

fentanyl

Phenyl fentanyl

Remifentanil

Sufentanil

Tetrahydrofuran fentanyl

Thenylfentanyl

Thiofentanyl

Thiofuranyl

fentanylSlide32

UNCLASSIFIEDSlide33

Approximately 500,000 counterfeit pills can be manufactured from one kilogram of fentanyl (2 mgs per pill)Retail prices between $10 and $20 per pillPotential revenue $5 million on one kilogram

UNCLASSIFIED

It’s all about the MoneySlide34

UNCLASSIFIED

Presence of Fentanyl in Overdose Deaths in Pennsylvania, 2014-2017Slide35

Fentanyl

What is being done to address fentanyl production?Identification and investigation of overseas heroin/fentanyl suppliersIdentification and targeting of regional re-suppliers of fentanyl/fentanyl related substancesIdentification and dismantlement of Mexican fentanyl labsControl of precursor chemicalsCoordination with foreign counterparts in dismantling

darkweb marketplacesScheduling of all fentanyl-related substances in late 2017

UNCLASSIFIEDSlide36

Efforts

UNCLASSIFIEDSlide37

UNCLASSIFIEDSlide38

Questions?

UNCLASSIFIEDSlide39

Steve DenhupIntelligence Group SupervisorDEA Philadelphia Field Division

Pittsburgh District OfficeSteven.A.Denhup2@usdoj.gov 215-800-6732UNCLASSIFIED