New figures show barely one in 10 overdose victims in D.C. died after using heroin this year, compared to more than half of them in 2017.
who had been injecting intravenously for decades — clung tenaciously to heroin and sought to avoid fentanyl, which many hoped would be a temporary contaminant in the drug supply.But it is heroin, not fentanyl, that is now obsolescent. The trend can also be seen in neighboring Maryland, where heroin, as recently as 2016, contributed to more fatal overdoses than any other drug.
Nevertheless, Ciccarone said, the anecdotes of active and recently recovered opioid users reinforce the story told by the data. Many who once dreaded fentanyl have now grown accustomed to it, he said.“Instead of saying, ‘I hate this stuff,’ they’re saying, ‘I’ve kind of gotten used to it,’ ” Ciccarone said.In 2018, Sam Rogers and Renee Howell spoke about living in fear of the next drug overdose as fentanyl sent the African American death rate skyrocketing.
Some previous approaches — such as the distribution of fentanyl test kits for heroin users — may no longer be as effective. Others, such as needle-exchange services, need to be redoubled, since fentanyl has shorter-lasting effects than those of heroin and usually spawns more frequent drug injection. Bryce Pardo, associate director of the RAND Drug Policy Research Center, said the growing acceptance of fentanyl in places where heroin had long been established was predictable. Even as the drugduring the pandemic, it left behind an army of customers adapted to a stronger class of synthetic opioids.
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