Our entire supply of illegal drugs contaminated
The term “opioid epidemic” — or, even worse, “heroin
problem” — has created the false belief that a horrible thing is happening to a
defined population of opioid users, especially heroin addicts.
The so called “opioid initiatives” are well-intentioned
responses to something real. Opioid users have died and continue to die in
extraordinary numbers. And the drug doing the most damage — fentanyl and its
analogs — is an opioid. Doesn’t that make what’s happening an “opioid epidemic?”
No. Opiate overdoses are a heartbreaking subset of a much larger drug overdose
tragedy. The full epidemic needs our attention.
To turn the overdose epidemic around, we must reconsider the
idea that throwing law enforcement, treatment and naloxone at opioid users will
end an “opioid epidemic.”
Opioid users are a declining share of overdose deaths. Autopsy
lab results find cocaine-fentanyl combinations twice as often in the blood as
heroin-fentanyl. Have you heard about the “stimulant epidemic?” Did you know more cocaine
users than heroin users died last year?
Meth-related overdoses are soaring too. The drug is being
cut with fentanyl. Ecstasy, LSD and fake pills (Adderall, OxyContin, etc.) all
carry a significant risk of a fentanyl overdose, too. Most users of these drugs
lack a tolerance to opioids, putting them at even greater risk of overdose
death than a heroin user.
Did you know that fentanyl-laced cocaine is taking a heavy
toll on a demographic odd couple: affluent whites who use powder cocaine and inner-city
blacks who smoke crack cocaine? Cocaine
users killed by fentanyl-laced cocaine aren’t victims of an “opioid epidemic.”
They’d be just as dead if the poison was arsenic or hemlock. They
died of contaminated black- market drugs. The contaminant was an opioid,
but the victim was using a stimulant — or at least thought so.
The Nation is suffering a drug overdose epidemic of
catastrophic proportions. Opioid users are not the “cause” of the
epidemic any more than being gay caused HIV/AIDS. The nation needs to
focus objectively on who’s dying, why and what can be done.
Drug users don’t want to die. Drug dealers don’t want to
kill them. A slaughter is underway because drug users don’t know what’s in the
mixtures they are smoking, injecting and snorting. Nothing in the U.S. billion-dollar
response is dedicated to helping drug users prevent their own death.
Fentanyl test strips need to be made available free
everywhere. (They work like pregnancy tests.) crime labs test more than a
million drug seizures a year. Make that information available in real-time on
the internet! Drug users and public health authorities need to know the
contents of the illegal drug supply.
Let’s create an anonymous service to test illegal drugs in a
lab, just like a crime lab analyzing police drug seizures, except nobody gets
arrested and nobody dies.
Dennis Cauchon works full time on drug policy reform as president
of Harm Reduction Ohio.