Michigan HID IDTA Purpose, mission, services High Intensity Drug - - PowerPoint PPT Presentation

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Michigan HID IDTA Purpose, mission, services High Intensity Drug - - PowerPoint PPT Presentation

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4th Annual Opioid Abuse and Heroin Overdose Solutions Summit May 16, 2019 Burton Manor, Livonia, MI Michigan HID IDTA Purpose, mission, services High Intensity Drug Trafficking Areas DRUG THREATS (CURRENT & EMERGING) Michigan HIDTA

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SLIDE 1

Michigan HID IDTA

Purpose, mission, services

High Intensity Drug Trafficking Areas

4th Annual Opioid Abuse and Heroin Overdose Solutions Summit May 16, 2019 Burton Manor, Livonia, MI

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DRUG THREATS (CURRENT & EMERGING)

  • DRUG THREAT OVERVIEW
  • DRUG OVERDOSE DATA
  • DRUG SEIZURE DATA

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Michigan HIDTA

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HOW LAW ENFORCEMENT DETERMINES CURRENT & EMERGING DRUG THREATS

  • ANALYZE DRUG USAGE DATA

 NEW USERS  PAST USERS

  • ANALYZE DRUG OVERDOSE DATA

NUMBER OF OVERDOSES LOCATION WHERE OVERDOSES OCCURRED WHAT DRUG(S) CAUSED THE OVERDOSES

  • ANALYZE DRUG SEIZURE DATA

TYPE OF DRUGS SEIZED LOCATION WHERE DRUG SEIZED

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Michigan HIDTA

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SLIDE 4

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Michigan HIDTA

THE TRIPLE THREAT

OPIOIDS METHAMPHETAMINE COCAINE

  • OPIOID EPIDEMIC

HEROIN FENTANYL Rx OPIOIDS

  • COCAINE RESURGENCE
  • METHAMPHETAMINE ON THE

RISE

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THE THREAT (OPIOIDS)

  • The numbers of new heroin and Rx opioids users continue to rise at very high levels,

even as the quantities of prescribed Rx opioids begin to decrease.

  • Heroin and Rx opioid deaths continue to rise, as supplies of
  • Heroin supplies continues to increase
  • But Rx opioid supplies are begining to decrease.
  • According to the CDC, approximately 50% of the increase in heroin-related deaths

after 2013 can be attributable to increases in deaths involving both heroin and fentanyl.

  • Mexican DTO’s are now dominating the fentanyl and heroin market in the United

States just as they have operated in the past with cocaine and methamphetamine.

  • From 2012 to 2017 – fatal overdoses involving fentanyl and fentanyl-analogues have

increased by staggering numbers.

  • The mixing of fentanyl with other opioid drugs has significantly increased overdose

deaths

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Michigan HIDTA

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THE THREAT (COCAINE & METHAMPHETAMINE)

  • Cocaine once again flooding US market. Colombian coca production more than

tripled between 2012 and 2016 – reaching 910 metric tons of export-quality cocaine.

  • In 2017, cocaine and methamphetamine seized by HIDTA drug units nationwide

exceeded that of opioids (to include heroin).

  • The supply and demand for stimulants, both illicit (cocaine and methamphetamine)

and licit (Rx stimulants), are rising at a more rapid rate than opioids and have become an Emerging Drug Threat for the nation.

  • Drug Trafficking of illicit stimulants (cocaine and methamphetamine) and Rx

stimulants have both increased over the past seven years.

  • Even though methamphetamine production via local meth labs is decreasing,

Mexican drug cartel production of crystal methamphetamine is dramatically increasing and flooding the US market.

  • Mexican DTO’s dominates the cocaine and methamphetamine markets in the

United States and currently dominates the fentanyl and heroin markets as well.

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Michigan HIDTA

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THE THREAT (COCAINE & METHAMPHETAMINE)

  • Overdose deaths involving cocaine and methamphetamine are rising very rapidly
  • The rise in cocaine use is also interacting with the opioid epidemic. Fatal overdoses

involving opioids and cocaine increased 63% from 2012 TO 2016.

  • Today’s cocaine is now increasingly cut with multiple, highly toxic adulterants

(cutting agents), causing numerous medical consequences such as: severe blood disorders, heart problems, kidney and liver disease, cancer, and ultimately death.

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Michigan HIDTA

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THE THREAT (DRUG MIXTURES)

Drug dealers lacing their product(s) with fentanyl is posing a significant threat. Fentanyl has become a driving force behind the ongoing opioid crisis. In fact, the DEA reports that, throughout 2018, street drugs laced with fentanyl flooded the drug market. In many instances, users are unaware that the drug they are taking contains fentanyl

  • Fentanyl-Laced Heroin
  • Fentanyl-Laced Cocaine
  • Fentanyl-Laced Methamphetamine
  • Fentanyl-Laced Fake Prescription Drugs
  • Carfentanil-Laced Heroin
  • Heroin-Laced Cocaine (Speedball)
  • Heroin-Laced with Fentanyl, Carfentanil, and U-47700 (Gray Death)

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Michigan HIDTA

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DRUG OVERDOSE DATA

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Michigan HIDTA

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20 2017 17 U.S .S. AGE-ADJUSTED DR DRUG OVERDOSE DE DEATH RA RATES BY STATE

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Michigan HIDTA

SOURCE: CDC, NATIONAL CENTER FOR HEALTH STATISTICS (2017: latest year info available)

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MichiganHIDTA

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Michigan HIDTA

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MDHHS OVERDOSE DEATHS: 2015-2017

*2018 information is not available 299 65 544 242 112 823 177 187 976 200 400 600 800 1000 1200 Heroin only Cocaine only Opioids only *includes fentanyl

MDHHS Records: 2015-2017 Michigan Deaths from Cocaine, Heroin, and Opioids

2015 2016 2017

Source: Michigan Department of Health and Human Services

Michigan HIDTA

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WAYNE COUNTY DRUG OVERDOSE DEATHS: 2016-2018

849 997 915 750 800 850 900 950 1000 1050 2016 2017 2018

8.2% decline

17.4%

Source: Wayne County Medical Examiners Office

Michigan HIDTA

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WAYNE COUNTY DRUG OVERDOSE DEATHS PREVALENCE OF SELECT DRUGS AS A CAUSE OF DEATH 2018

74.6 41.1 33 17 14.4 5.5 5.8 2.4 1.6 10 20 30 40 50 60 70 80

Percentages

Fentanyl 2016 50.4% Fentanyl 2017 57.3% Novel included 5 U-47700 and 10 Kratom Other included 1 person with Ketamine

Source: Wayne County Medical Examiners Office

Michigan HIDTA

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2018 WAYNE COUNTY OVERDOSE DEATHS PRESENCE OF MULTIPLE DRUGS IN SYSTEM

24.5 75.5

Percentage

1 drug Polysubstance

Most people had more than 1 drug listed as causing the death Michigan HIDTA

Source: Wayne County Medical Examiners Office

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SLIDE 17

PERCENTAGE OF WAYNE COUNTY DEATHS CAUSED BY COCAINE/CRACK, FENTANYL, & HEROIN: 2016-2018

36.2 50.4 38.2 35.7 57.3 39.8 41.1 74.6 33 10 20 30 40 50 60 70 80 Cocaine/Crack Fentanyl Heroin

Wayne County Deaths: 2016-2018 *Percentage of listed drugs as a cause of death

2016 2017 2018

Source: Wayne County Medical Examiners Office

Michigan HIDTA

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SLIDE 18

2375 760

Source: Detroit Fire Department – EMS

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2018 200 156 183 169 167 241 280 233 182 233 172 159 2019 133 174 173 178 50 100 150 200 250 300 2018 2019

HIDTA

Michigan HIDTA

SOURCE: DETROIT FIRE DEPARTMENT - EMS

2018: 2375 2019: 760

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OPIOIDS OVERDOSE DEATHS

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Michigan HIDTA

FENTANYL CARFENTANIL Rx

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IN 2017 HHS DECLARED THE OPIOID EPIDEMIC A PUBLIC HEALTH EMERGENCY

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Michigan HIDTA

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Michigan HIDTA

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Michigan HIDTA

FENTANYL RELATED DEATHS IN THE UNITED STATES 2011-2016

FENTANYL RELATED OVERDOSE DEATHS ROSE FROM 1,663 IN 2011 TO 18,335 IN 2016 AND TO 28,466 IN 2017

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Michigan HIDTA

SOURCE: Special NFLIS-Drug Maps Release: Tracking Fentanyl and Fentanyl-Related Substances Reported in NFLIS by State, 2016–2017

FORENSIC DRUG LAB SUBMISSIONS: FENTANYL 2009-2017

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Michigan HIDTA

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Michigan HIDTA

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HEROIN OVERDOSE DEATHS

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Michigan HIDTA

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Michigan HIDTA

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Michigan HIDTA

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COCAINE OVERDOSE DEATHS

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Michigan HIDTA

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Michigan HIDTA

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METHAMPHETAMINE OVERDOSE DEATHS

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Michigan HIDTA

  • According to the CDC: the number
  • f fatal overdose deaths involving

methamphetamine more than tripled between 2011 and 2016.

  • CDC: The percentage of overdose

deaths involving methamphetamine grew from less than 5 percent to nearly 11 percent during the same time period.

  • meth seizures at the border

tripled between 2012 and 2018

  • There were 10,333 drug overdose

deaths involving Meth in 2017 up from 7,633 that occurred in 2016.

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SLIDE 32

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Michigan HIDTA

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Michigan HIDTA RISE IN METHAMPHETAMINE OVERDOSE DEATHS 2011-2016

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DRUG SEIZURE DATA

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Michigan HIDTA

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THE THREAT (NATIONALLY)

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Michigan HIDTA

Source: NETI Emerging Threats Report 2018

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SLIDE 36

2011 2012 2013 2014 2015 2016 2017 2018 Marijuana 3,780,128 3,002,255 2,923,895 2,350,869 2,029,554 2,518,692 1,929,698 1,729,252 Cocaine/Crack 66,438 50,358 50,333 68,398 80,232 106,387 166,553 177,672 Methamphetamine/Ice 7,870 15,322 15,266 26,158 24,236 25,911 31,326 75,444 Heroin 2,312 2,807 3,145 5,559 5,245 4,726 4,909 7,102 Fentanyl (KGS) 0.3 0.2 1.2 21.8 77.1 476.0 1,336 1,758 Fentanyl (DUS) 240 73 5,417 816 1,125 13,920 49,573 290,274 Prescription Narcotics (KGS) 175 464 502 1,224 825 1,008 919 1,019 Prescription Narcotics (DUS) 922,696 622,429 543,567 579,346 1,788,474 693,647 428,146 546,489 * As of March 19, 2019

HIDTA Program Drug Seizures, 2011-2018* (in kilograms)

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Michigan HIDTA

Source: National HIDTA PMP System

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NATIONAL HIDTA DRUG SEIZURES: 2016-2018 COCAINE/CRACK, FENTANYL, HEROIN, & METHAMPHETAMINE/ICE

106,387 166,553 177,672 50,000 100,000 150,000 200,000 Cocaine/Crack

National HIDTA Cocaine Seizures (KGs): 2016-2018

2016 2017 2018 25,911 31,326 75,444 20,000 40,000 60,000 80,000 Methamphetamine/ICE National HIDTA Methamphetamine/ICE Seizures (KGs): 2016-2018 2016 2017 2018 4,726 4,909 7,102 2,000 4,000 6,000 8,000 Heroin

National HIDTA Heroin Seizures (KGs): 2016-2018

2016 2017 2018 476 1,336 1,758 500 1000 1500 2000 Fentanyl

National HIDTA Fentanyl Seizures (KGs): 2016-2018

2016 2017 2018

13,920 DU 49,573 DU 290,274 DU

Michigan HIDTA

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SLIDE 38

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Michigan HIDTA

Over the past 8 years, there has been a nearly 10-fold increase in the amount of methamphetamine seized by US Customs and Border Protection (USBP), from 8,900 lbs in 2010 to more than 82,000 in 2018

Source: US Customs and Border Protection

DRAMATIC RISE IN METHAMPHETAMINE SEIZURES BY US CUSTOMS AND BORDER PROTECTION: 2010-2018

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MICHIGAN HIDTA DRUG SEIZURES: 2016-2018 COCAINE/CRACK, FENTANYL, HEROIN, & METHAMPHETAMINE/ICE

*Se Seiz izur ures es are e rou

  • und

nded ed to

  • the

e near ares est whole whole number er

153 205 436 200 400 600 Cocaine/Crack

Michigan HIDTA Cocaine Seizures (KGs): 2016- 2018

2016 2017 2018 10 37 51 20 40 60 Methamphetamine/ICE Michigan HIDTA Methamphetamine/ICE Seizures (KGs): 2016-2018 2016 2017 2018 55 33 72 20 40 60 80 Heroin

Michigan HIDTA Heroin Seizures (KGs): 2016-2018

2016 2017 2018 0.1 29 17 20 40 Fentanyl

Michigan HIDTA Fentanyl Seizures (KGs): 2016- 2018

2016 2017 2018

27 DU 108 DU 673 DU

Michigan HIDTA

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HIDTA DRUG SEIZURES: 2016-2018 PRESCRIPTION NARCOTICS

*Seizures are rounded to the nearest whole number

National HIDTA Prescription Narcotics Seizures Michigan HIDTA Prescription Narcotics Seizures

1,008 919 1,019 850 900 950 1,000 1,050 Prescription Narcotics

National HIDTA Prescription Narcotics Seizures (KGs): 2016-2018

2016 2017 2018 3 18 295 100 200 300 400 Prescription Narcotics

Michigan HIDTA Prescription Narcotics Seizures (KGs): 2016-2018

2016 2017 2018

693,647 DU 428,146 DU 546,489 DU 103,689 DU 177,312 DU 133,921 DU

Michigan HIDTA

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HIDTA CONTACT INFORMATION

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EXECUTIVE DIRECTOR Craig A. Summers 313-967-4506 csummers@mi.hidta.net DEPUTY DIRECTOR Ranaldo Ollie 313-967-4505 rollie@mi.hidta.net ISDC COORDINATOR William Castro 313-967-4542 wcastro@mi.hidta.net

Questions?

Michigan HIDTA DRUG INTEL OFFICER (DIO) Robert Kerr 313-967-4601 rkerr@mi.hidta.net PUBLIC HEALTH ANALYST Amanda Kogowski 734-936-4899 amandkog@med.umich.edu