Law Enforcement Sensitive Drug Trends &Trafficking

I/S Brian Dempsey 412-777-6945 [email protected] Law Enforcement Sensitive Law Enforcement Sensitive 360 Degree Strategy

Strategic collaboration and guidance via three interconnected avenues.

Community (Outreach, Education & Prevention)

Enforcement Diversion / Regulatory (Local, State & Federal) Law Enforcement Sensitive

Counties of the Western Judicial District Of Pennsylvania Law Enforcement Sensitive Trends Over Time

2010- Synthetics 2000’s Methamphetamine Opioids

90’s Methamphetamine Ecstasy

80’s Cocaine/Crack

60’s/70’s Marijuana Psychedelics Law Enforcement Sensitive DREAM LAND Law Enforcement Sensitive Drug Overdose Deaths

.In 2009, drugs passed traffic accidents as the #1 cause of death, killing 37,000+ .In 2015, drugs have killed 47,000+

Substance Abuse and Mental Health Services .Fuel - Rx drugs Administrator’s National Survey on Drug Use and Health (NSDUH) *Substance Abuse Law Enforcement Sensitive Drug Threat Rankings for Pennsylvania

OFFICE: Number 1 Number 2 Number 3 Number 4 Number 5

PHILADELPHIA HEROIN PHARMACEUTICALS COCAINE CRACK COCAINE MARIJUANA

PITTSBURGH HEROIN PHARMACEUTICALS COCAINE CRACK COCAINE MARIJUANA

ALLENTOWN HEROIN COCAINE PHARMACEUTICALS CRACK COCAINE MARIJUANA

HARRISBURG HEROIN PHARMACEUTICALS COCAINE CRACK COCAINE MARIJUANA

SCRANTON HEROIN PHARMACEUTICALS COCAINE CRACK COCAINE MARIJUANA Law Enforcement Sensitive Actual Billboards in Baltimore, MD 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 Heroin Sources Law Enforcement Sensitive Heroin Types Law Enforcement Sensitive Heroin Types (Cont.) Law Enforcement Sensitive Heroin Stamp Bags Law Enforcement Sensitive Heroin Stamp Bags Law Enforcement Sensitive Groups of Prescription Drugs Abused

.Opioids: Derived from the 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 Popular Prescription Drugs of Abuse #1 . . . OxyContin® . Vicodin . Percocet/Percodan . Norco . Lortab . . Alprazolam . Opana #2 . Xanax #3 .Amphetamine Mix . Suboxone/Subutext . Adderall® . Valium 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 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

The 2015 figure does not include approximately 796 physicians who are licensed in Western Pennsylvania to prescribe (Suboxone/Subutext) for the treatment of drug addiction. Law Enforcement Sensitive Groups of Prescription Drugs Abused

Suboxone Strip Buprenorphine Buprenorphine 8 mg 2 mg / 8 mg 8 mg Law Enforcement Sensitive Overview 129

61% Law Enforcement Sensitive Diversion Partnership Law Enforcement Sensitive Heroin Threat Increasing Law Enforcement Sensitive Drug-Related Overdose Death Rate Per 100,000

In 2015, Allegheny County’s drug-related overdose death rate per 100,000 people was 32.75

In 2015, on average, Pennsylvania’s drug-related overdose death rate per 100,000 people was 21.9

In 2015, the national average drug-related overdose death rate per 100,000 people was 16.15

Source: Allegheny County Coroner’s Office Law Enforcement Sensitive Heroin at the Southwest Border Law Enforcement Sensitive Number of Drug-Related Overdose Deaths in Pennsylvania Counties, 2015

Source: Pennsylvania Coroner Data Law Enforcement Sensitive

Drug-Related Overdose Demographics & Drug Presence, Allegheny County, PA, 2015 Law Enforcement Sensitive

Percentage Change in Heroin Mentions in Drug-Related Overdose Decedents, Pennsylvania, 2014 to 2015

Source: Pennsylvania Coroner Data Law Enforcement Sensitive

Ranking of Frequency of Drugs Present, and Rate of Change In Drug-Related Overdose Decedents, Pennsylvania, 2014 - 2015

Source: Pennsylvania Coroner Data Law Enforcement Sensitive Drugs Included In Analysis of Drug-Related Overdose Deaths, Pennsylvania, 2015

Source: Pennsylvania Coroner Data Law Enforcement Sensitive

Percentage Change in Mentions in Drug-Related Overdose Decedents, Pennsylvania, 2014 to 2015

Source: Pennsylvania Coroner Data Law Enforcement Sensitive

Monthly Administration by Pittsburgh EMS January 2014 to December 2015 Law Enforcement Sensitive Naloxone Administrations per 100,000 Residents By Zip Code for Allegheny County 2015 Law Enforcement Sensitive Fentanyl Law Enforcement Sensitive Fentanyl Citrate/Fentanyl HCL Schedule II Law Enforcement Sensitive

Reported Law Enforcement Fentanyl Encounters In the US: 2010 - 2015 Law Enforcement Sensitive National Forensic Laboratory Information System 2015 – Reported more than 13,000 cases of fentanyl drug seizures in forensic laboratories. 2014 – Less than 8,000 cases of fentanyl drug seizures in forensic laboratories.

The National Forensic Laboratory Information System reports a 65 percent increase over the years. Law Enforcement Sensitive Acetyl Fentanyl Law Enforcement Sensitive Acetyl Fentanyl Internet Sales Law Enforcement Sensitive Acetyl Fentanyl Internet Sales Law Enforcement Sensitive Acetyl Fentanyl Internet Sales Law Enforcement Sensitive States That Have Reported Acetyl Fentanyl Incidents/Cases Law Enforcement Sensitive New Legislation, PA HB 608

23. FENTANYL DERIVATIVES - ANY COMPOUND NOT LISTED UNDER A DIFFERENT SCHEDULE, NOT A FEDERAL FOOD AND DRUG ADMINISTRATION-APPROVED DRUG OR NOT USED WITHIN LEGITIMATE AND APPROVED MEDICAL RESEARCH, STRUCTURALLY DERIVED FROM N-(1-(2-PHENETHYL)-4-PIPERIDINYL-N-PHENYL- PROPANAMIDE. THIS SHALL INCLUDE THE FOLLOWING, THEIR SALTS, ISOMERS AND SALTS OF ISOMERS: (A) ACETYL FENTANYL. (B) BUTYRYL FENTANYL. (C) PARA-FLUOROFENTANYL. (D) PARA-FLUOROBUTYRYL FENTANYL. (E) FURANYL FENTANYL. (F) HYDROXYTHIOFENTANYL. (G) ISOBUTYRYLFENTANYL. (H) 4-METHOXY-BUTYRYL FENTANYL. (I) 3-METHYL FENTANYL. (J) OCFENTANYL. (K) VALERYL FENTANYL. Law Enforcement Sensitive

Acetyl Fentanyl Overdose Scene Law Enforcement Sensitive

Analysis Completed By The Allegheny County Office of the Medical Examiner - 2016

- 99 Stamp Bags With Fentanyl - 40 Stamp Bags With - 13 Stamp Bags With Furanyl Fentanyl - 12 Stamp Bags With 3-methylfentanyl - 9 Stamp Bags With U-47700 (Fentanyl) - 2 Stamp Bags With Butyryl Fentanyl Law Enforcement Sensitive

Recent Fentanyl Seizures

Philadelphia – 14 Kilograms

Boston – 10 Kilograms

California – 12 Kilograms

Atlanta – 40 Kilograms

Miami – 10 Kilograms

Indianapolis – 10 Kilograms Law Enforcement Sensitive Indianapolis Fentanyl Seizure - 2016 Law Enforcement Sensitive

Georgia Fentanyl Seizure 2016 Law Enforcement Sensitive Law Enforcement Sensitive CARFENTANIL Law Enforcement Sensitive CARFENTANIL Law Enforcement Sensitive

OverdoseFree PA