The Atlanta Journal-Constitution

Missouri senator stretches too far on fentanyl figures

Although it is similar to heroin, fentanyl is 30 to 50 times more potent.

- By Tateanna McCaskill

Sen. Claire McCaskill, D-Mo., is requesting informatio­n from the U.S. Department of Homeland Security, the United States Postal Services and the U.S. Department of State regarding fentanyl, which she says is illegally making its way into the country.

The number of opioid overdose deaths has been getting a lot of attention in recent years, but is fentanyl now the leading cause, as McCaskill said?

According to the Centers for Disease Control and Prevention, fentanyl is a synthetic, or man-made, opioid sold legally as a pharmaceut­ical drug to treat pain. It is also illegally made and is increasing­ly used to intensify the “high” users get from other drugs, such as heroin. Most recent cases of fentanyl-related overdose and death have been linked to illicitly manufactur­ed fentanyl. Heroin is a highly addictive illegal opioid synthesize­d from morphine that is typically injected but also smoked and snorted.

Although fentanyl is similar to heroin, fentanyl is 30 to 50 times more potent, according to the National Institute on Drug Abuse.

There was a 21 percent increase nationally in overall overdose deaths from 2016 to 2017.

Fentanyl-related deaths are on the rise. A 2016 study of 10 states over six months detected fentanyl in 56.3 percent of 5,152 synthetic opioid deaths.

The CDC reported a total of 20,145 overdose deaths, up from 9,445 in 2015, which means the number of overdoses related to synthetic opioids excluding methadone more than doubled between 2016 and 2017.

Sarah Feldman, the deputy communicat­ion director for McCaskill, told us that “the term ‘synthetic opioids excluding methadone’ is, according to the CDC, exclusivel­y represente­d by ‘fentanyl and fentanyl analogs.’”

But CDC spokeswoma­n Courtney Lenard said the synthetic

opioids category isn’t exclusive to fentanyl. She gave an example as prescripti­on pain reliever tramadol, which isn’t fentanyl-based.

In other words, fentanyl and fentanyl analogs are a subset of synthetic opioids. “Fentanyl deaths cannot be separated out,” Lenard said.

Our ruling

The CDC says illegally manufactur­ed fentanyl is primarily responsibl­e for the increase in deaths involving synthetic opioids in 10 states. But fentanyl and fentanyl analogs aren’t the only synthetic opioids claiming lives. There is no breakdown of fentanyl from the larger synthetic category number.

We rate this claim Half True.

 ?? RON SACHS / CNP / ZUMA PRESS ?? “Fentanyl is now killing more Americans than heroin or any other opioid.”
— Sen. Claire McCaskill, D-Mo., on Nov. 22 in a press release
RON SACHS / CNP / ZUMA PRESS “Fentanyl is now killing more Americans than heroin or any other opioid.” — Sen. Claire McCaskill, D-Mo., on Nov. 22 in a press release
 ??  ??

Newspapers in English

Newspapers from United States