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'Killer heroin' causing fatal overdoses in East

'Bad Heroin' Mixed With Fentanyl Blamed For Dozens Of Deaths

POINT PLEASANT, N.J. (AP) - On an icy night last month, a man entered a grocery store here, walked past the displays of cake mix and paper towels and into the bathroom, where he injected himself with heroin.

Hours later, the man was found dead in the bathroom with a needle still in his arm, authorities said. They believe the man was one of more than 80 across the country who have died in recent weeks after injecting heroin laced with fentanyl, a powerful synthetic opiate.

As the number of people who use, and fatally overdose on, heroin has skyrocketed in recent years, authorities are seeing the return of an alarming development: heroin that, often unbeknownst to the user, is spiked with fentanyl.

Fentanyl is a narcotic that is typically administered to people in chronic pain, including end-stage cancer patients. It is also used as an anesthetic. It is considered 80 times more powerful than morphine and can kill by inhibiting breathing.

"The dealers push this as being a super high, which it is, but it's also lethal," said Ellen Unterwald, director of the Center for Substance Abuse Research at the Temple University School of Medicine. Users typically don't know how much fentanyl is mixed in, and she said just a small amount can be fatal because the drug is so potent.

"A very small amount can exert a very significant effect," said Eric Strain, director of the Center for Substance Abuse Treatment and Research at Johns Hopkins University.

In Maryland, at least 37 people have died from the combined drugs, according to the Maryland Department of Health and Mental Hygiene, and in Western Pennsylvania, authorities said they caused 22 deaths in recent weeks. In Rhode Island, 25 people have died from the laced heroin, and in Vermont state police have warned that pure fentanyl is being sold as heroin.

After Philip Seymour Hoffman was found dead with a syringe in his arm this month, investigators in New York tested the heroin found in his apartment for fentanyl, but found that it did not include the additive.

With more and more addicts turning to heroin because crackdowns on powerful prescription opiate painkillers have made them more expensive and inaccessible, there is concern that more people may be exposed to fentanyl-laced heroin during this wave than in previous ones, including in 2006 when hundreds of people from Chicago to Philadelphia died after injecting the drugs.

Last month the Drug Enforcement Administration put out a bulletin warning local authorities of what it dubbed "killer heroin," a mixture that was up to half Fentanyl. It urged first responders to "exercise extreme caution" when coming into contact with any heroin because Fentanyl can be absorbed through the skin. It is unclear where the Fentanyl is coming from. It is typically only distributed in hospitals. It can be administered in the form of a patch, a drip or a lollipop, which patients in pain suck on.

Heroin dealers put so-called stamps on the bags that hold their product, allowing users to delineate between different batches. Oftentimes they are product logos. Authorities said bags bearing the stamps "Bud Light," ''Theraflu" and "Income Tax" have tested positive for fentanyl.

"A lot of those people thought that Bud Light was really hot, it's really good stuff, it sends you over the edge," said Ocean County, N.J. Prosecutor Joseph Coronato. "It's a marketing tool, almost."

Ocean County has been besieged by heroin and prescription drug overdoses in the past two years; in 2012 there were 53 overdoses in the county that hugs the Jersey Shore and last year there were 112.

"The demand is so high. That's the problem that's out there," Coronato said.

T.J. Smith, a spokesman for the police in Anne Arundel County, Md., said there have been four cases within the last year of heroin found with fentanyl in it, which he called an "unusually high number" in the county. Smith said heroin - both pure and laced with fentanyl - is driving a major increase in property crime. He said the drug has undergone a major change in the past year, with more potentially fatal doses found with fentanyl.

"It's a different heroin now," Smith said. "You can't use that same amount of heroin that you used a year ago because now it has a fentanyl kick in it."

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David FLynn February 17 2014 at 2:06 PM

Fentanyl is perscibed to a lot of people in pain units 50 and 100 mic,s they are not just given out in the hospitals many people get Fetanyal for back pain

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Jim Anderson February 16 2014 at 8:55 PM

The dealers that sell this and the medical suppliers that provide the dealers should have to test their concoction after an OD! That is real population control. Weeds out the users and the suppliers. I have zero consolation for the heroin trade. Sick depraved ********.

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eo2crow February 17 2014 at 12:04 AM

Ban drugs now if only 1 life is saved it will be worth it. Oh wait that didnt work now did it.

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realrambo February 17 2014 at 12:03 AM

Like if there was good heroin .

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tvtauto February 16 2014 at 9:05 PM

And you people what about thier rights, Well what about our rights. The programs, the rehabs, jails and the police. Think about it, Less crime. How many of you know a family that was destroyed by drugs.Nothing ill work with stopping the flow of this ****, Its a billion dollar business for our goverment. Run by lawyers who make thier money of the backs of drug crime.

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marys4muttz February 17 2014 at 12:44 PM

Philip Seymour Hoffman.......certainly not a homeless bum lying out is a filthy alley. I do not understand the attraction of these drugs, how such a creative and seemingly fulfilled man with great things to look forward to, could have been using a powerful drug that takes one outside one's
world, into a nether region.....since his real world was, to me, a great creative space....just do not get it..........so sad.

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nlhredlion February 17 2014 at 10:44 AM

Say no to drugs!!!

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1 reply
Bill nlhredlion February 17 2014 at 10:50 AM

...unless they are advertised on TV

Flag Reply +1 rate up
Marc and Cheryl February 16 2014 at 11:56 PM

this is terrifying. Sadly, I know too many people who have been overcome by this terrible and addictive drug. I can think of 5 people off the top of my head who are addicts. And people, I am a soccer mom/pastors wife. So, if I can think of that many without even being in that kind of lifestyle than, wow....., scary.

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realrambo February 17 2014 at 12:41 PM

Attack of the killer Heroin , it's going to be a good year for hollywood , we all know about the killer Tpmatoea how about the rapist cucumber and Zuchini .
Get a Gripp heroin has always been a Killer
if only they could be as eloquent to eliminate the spamer from AOL board .......

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1 reply
slackwarerobert realrambo February 24 2014 at 2:52 PM

Killer tomato vs killer heroin the sequel.......

I don't see why NY is so upset, don't they get the death taxes now?

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loni February 17 2014 at 12:38 PM

I wonder what drives a person to use drugs. Is it peer pressure, lack of parental supervision or what? It is interesting when you think of the ages of those who overdose. They, the drug users, are some how in need of early on help, not of drug use.

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