Ottawa Citizen

Officials confirm deadly opioid now in country

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Already trapped in the “eye of a deadly storm” of opioid abuse, Canada has now confirmed overdose fatalities due to the hyper-deadly drug carfentani­l.

For what is believed to be the first time in this country, Alberta officials revealed Friday that two deceased men in their 30s tested positive for the synthetic substance, which is 100 times more toxic than fentanyl and 10,000 times deadlier than morphine.

One of the overdoses occurred in Calgary, the other in the Edmonton area.

“We are already in the eye of a deadly storm in fighting the horrific impacts of fentanyl in our communitie­s,” said Deputy Commission­er Marianne Ryan, the RCMP’s commanding officer in Alberta.

“We are now even more challenged by the arrival of carfentani­l on our streets.”

The discovery signals another dark chapter in the fight against such potent painkiller­s as Fentanyl, a drug that killed 153 people in Alberta in the first half of 2016, 14 more than in the same period last year.

The two men overdosed last summer and the presence of carfentani­l in their blood was confirmed Tuesday, using tests available to few jurisdicti­ons in North America, said Dr. Elizabeth Brooks-Lim, Alberta’s acting Chief Medical Examiner.

Until very recently, toxicology tests could not confirm the existence of carfentani­l due to the very low level of the drug required to be deadly.

“To my knowledge, there are very few laboratori­es in North America that are able to measure carfentani­l in human blood,” Brooks-Lim said. Alberta’s Chief Medical Examiner’s office is believed to be the first lab in Canada to do so, she said.

“With two cases now having been identified, it is prudent to inform Albertans about this health safety concern — this is a very dangerous illicit drug,” she said.

It’s highly possible unreported cases of carfentani­l deaths have occurred, she added.

Carfentani­l is an opioid drug licensed for use with large animals like elephants, but not for humans. An amount the size of a grain of sand could prove lethal, said Dr. Karen Grimsrud, Alberta’s Chief Medical Officer of Health.

The drug kills by suppressin­g the user’s respirator­y functions, starving the brain of oxygen.

Opioid users — a community that stretches from the chronicall­y addicted to the homeless and those residing in suburbia — may not know what they’re ingesting, said Grimsrud. One of the two fatalities tested positive for both Fentanyl and carfentani­l.

RCMP Supt. Yvon de Champlain reported that authoritie­s in August seized a kilogram of carfentani­l that had arrived in Canada from China.

“That had the potential to produce 50 million doses,” he said, adding the damage that amount could wreak “is difficult to comprehend.”

De Champlain said a potent profit motive driven by the considerab­le value of such tiny amounts is a challenge faced by law enforcemen­t.

“We know this is a huge problem and we’re doing everything we can to counteract it,” he said. “Everyone has a stake in this.”

Despite the dangers, Chinese vendors offer to sell carfentani­l openly online, for worldwide export, no questions asked, an Associated Press investigat­ion revealed Friday. The AP identified 12 Chinese businesses that said they would export carfentani­l to Canada, the United States, the United Kingdom, France, Germany, Belgium and Australia for as little as $2,750 a kilogram.

Carfentani­l burst into view in the United States this summer. In the Detroit area alone, there have been 19 deaths related to Carfentani­l since July, local health officials said Thursday.

In China, the top global source of synthetic drugs, carfentani­l is not a controlled substance. The U.S. government is pressing China to blacklist it, but Beijing has yet to act.

 ?? ED KAISER / POSTMEDIA ?? An amount of carfentani­l the size of a grain of sand could prove lethal, warns Dr. Karen Grimsrud, Alberta’s Chief Medical Officer of Health
ED KAISER / POSTMEDIA An amount of carfentani­l the size of a grain of sand could prove lethal, warns Dr. Karen Grimsrud, Alberta’s Chief Medical Officer of Health

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