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Medical Examiner midyear statistics show jump in fentanyl deaths

Unintentional fentanyl overdose deaths in the San Diego region increased by 68% when comparing this year’s midyear data with the same period for 2018, statistics just released by the County Medical Examiner’s Office show.

From January through June this year, there were 69 fentanyl deaths compared to 41 in the first six months of last year. Fentanyl is an illicit synthetic opioid that is 50 to 100 times more potent than morphine and 25 to 50 times stronger than heroin. The high-potency drug is lethal, even in tiny doses.

“In the last decade when someone overdosed on fentanyl, it was often when someone was prescribed it, and perhaps put on too many fentanyl patches or altered the patches,” Chief Deputy Medical Examiner Dr. Steven Campman said. “I can’t even remember the last time I saw a death from misused prescribed fentanyl.

“Now, in the deaths we see, the fentanyl is illegally obtained as counterfeit oxycodone or alprazolam. Illegal drug makers and dealers make pills to look like oxycodone or alprazolam, but the pills have fentanyl in them, and they are deadly,” he said.

It is unclear if people are unknowingly buying counterfeit pills or powder, or if they are aware the pills are counterfeit.

“The drug isn’t designed to be put in a pill like that, and it takes very little of it to kill someone. And the illicit drug makers don’t have the kind of quality control measures that pharmaceutical companies have either,” Campman said.

In 2018, 92 people died in fentanyl-related overdoses. In the months since June, Campman said, the Medical Examiner has continued to see more fentanyl accidental overdose deaths and the County is on track to exceed last year’s statistics.

For years, opioid deaths have been increasing nationwide, and San Diego has been behind the national trend, but that is starting to change.

“This is how we are seeing the opioid epidemic here, mostly in the rise in fentanyl deaths,” Campman said.

Methamphetamine, which accounts for the most drug toxicity deaths in San Diego County, saw a 24% increase for fatal cases, from 154 midyear in 2018 to 191 cases this midyear. For all of 2018, 328 people died in San Diego due to the acute toxicity of methamphetamine, sometimes in combination with another drug.

For context purposes, overall general unintentional fatal overdoses due to drug, medication or alcohol increased by 7% from 298 cases midyear 2018 to 319 this midyear.

This information as well as other data for the San Diego County Medical Examiner’s Office is now available at the department’s free searchable online portal. A one-page summary report is also available on the Reports and Statistics page, https://www.sandiegocounty.gov/content/sdc/me/press/stats.html

 

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