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Deaths tied to fentanyl dropping; Officials still on alert, although no casualties linked to drug cocktail
reported on Tuesday.
The daily toll of deaths linked to the powerful painkiller fentanyl has fallen in recent days, with no new deaths on Tuesday, officials said.
It was the first day since authorities began sounding a public alarm about illegal drugs containing fentanyl almost two weeks ago that no new casualties were reported.
"We're certainly breathing a little easier, but to actually say that the tide has been stemmed and we're not expecting any more deaths, I don't know that we can say that," said Dr. Michele Reid, medical director of the Detroit-Wayne County Community Mental Health Agency.
Officials suspect the mixture of fentanyl with heroin or cocaine caused three deaths each on Saturday and Sunday, and one death Monday. The week before, the county averaged more than four suspect deaths a day. Officials can't conclusively link the deaths to fentanyl until toxicology tests are completed.
Fentanyl is believed to be responsible for 48 deaths in Wayne County in less than two weeks. Other counties in southeast Michigan have reported a handful of deaths thought to be caused by the drugs.
Fentanyl deaths hit 33 in a week
Officials attribute seven more deaths to potent painkiller mixed with heroin or cocaine
Kim Kozlowski / The Detroit News
Health help line
The Wayne County Crisis Hotline is available 24 hours a day for people needing information about substance abuse, and those with tips about the source of laced drugs: (800) 241-4949. Source: Detroit-Wayne County Community Mental Health Agency
The Wayne County death toll attributed to fentanyl-laced drugs has reached 33 people in one week, putting Metro Detroit at the epicenter of a national health concern that reaches into several other states.
There have been at least 200 confirmed deaths in five states attributed to the painkiller mixed with heroin or cocaine, with 130 of them in Wayne County since January 2005. That total doesn't include the 33 Wayne deaths from May 18 through Wednesday, which are suspected but not yet confirmed by toxicology tests.
"It's a lot bigger than we thought it was in the beginning," said John Kashani of the Poison Control Center in New Jersey, where 30 suspected fentanyl-related deaths occurred in the past month, about the same as in Philadelphia.
Nowhere is concern higher than in Metro Detroit.
"The officials of this county should have taken this on a long time ago," said Randy Richter, whose son was found dead in Canton on Feb. 27. "It is absolutely ridiculous to hear they didn't know it was a problem because they knew it was a problem. How many lives could have been saved?"
Richter's son's death was among nine over three days this winter, a Detroit News review of toxicology reports found.
Richter was told his son, 18, was the 30th person to die this year because of fentanyl. He's livid officials waited until Friday to make the concern public. He suspects officials kept the deaths quiet for Super Bowl XL, held in Detroit on Feb. 5, a charge county officials emphatically deny.
"We've never done that and never will we do that," said Sharon Banks, spokeswoman for the Wayne County executive office, who called that suggestion "offensive and irresponsible."
The surge in Wayne County fentanyl-related deaths began in August 2005 and climbed steadily, according to health records.
Public health officials put out an alert last weekend when 12 people died Thursday and Friday.
Most of the victims are believed to have used heroin mixed with fentanyl, which is 80-100 times more potent than heroin and can cause rapid death through respiratory failure.
This year's victims had fentanyl concentrations in their blood ranging from .002 to as high as .19, according to toxicology reports from the Wayne County Medical Examiner's Office reviewed by The News. Victims were a mix of men and women, black and white.
Before this week, the highest concentration of deaths occurred Feb. 27, 28 and March 1, when nine people died, including Richter's son, health reports show. Of those, two had lethal amounts of the drug in their blood of .11 or higher and others had high levels.
While some support more public awareness, others fear publicity will have the opposite effect.
"One of the concerns many treatment providers have is this: Are heroin users going to be seeking out fentanyl for their desire to get the ultimate high?" said Christopher Parks of the Neighborhood Services Organization. "They heard people are dying from it so it must be a potent drug."
Centers for Disease Control and Prevention officials are trying to develop a profile of those most likely to die from the painkiller, so they can target groups with educational information.
County officials say they have heard the fentanyl may be manufactured in a lab, but law enforcement says they are investigating all angles, including whether health officials may be stealing it.
Fentanyl is a synthetic opiate used for pain relief and anesthesia. Therapeutic concentrations in the bloodstream range between .001 and .01, officials say.
"You are basically playing Russian roulette by using this," said Wayne County Deputy Chief Medical Examiner Cheryl Loewe.
