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Patient Care

Pa. Officials Warn of Dozens of Deaths from Carfentanil, W-18

Aug. 06--MERCER -- Getting high has reach a new low.

A few hundred miles to the east and west of Mercer County dozens of people have died by ingesting the newest wave of illicit drugs, Carfentanil and W-18, two incredibly potent painkillers used to tranquilize elephants, according to an intelligence briefing sent to law enforcement.

In two days in July in Akron, 91 people overdosed and eight died from Carfentanil, a commercially prepared narcotic that is 10,000 times stronger than morphine. The drug is so powerful that even handling it can cause death, according to authorities in Summit County, Ohio. First responders and police are at risk when they get involved in those situations, Libonati said.

W-18, another synthetically manufactured painkiller, is similar in strength to Carfentanil and federal Drug Enforcement Administration officials in Philadelphia are warning that drug dealers there are using it to "cut" the heroin they sell.

Some illegal-drug dealers are even offering their customers doses of a narcotic antidote that police and medical personnel use to counteract overdoses.

"Of additional concern, a source told DEA officials that drug dealers themselves are providing Naloxone to the overdosing user. It is unknown if dealers are charging extra for this life-saving service," according to a news release.

Philadelphia officials said users are "dropping like flies" from the presence of W-18 in heroin and the lifesaving effect of Naloxone is inconclusive because it's unknown how much would be needed to reverse the effects of such a potent drug.

Mercer County Coroner John A. Libonati said he's desperate to get that information out to the public, because he's certain it's only a matter of time until those drugs are here. He's already seen an uptick in the number of heroin overdose deaths here, with four of the year's 14 deaths happening in the last week.

He's still waiting for toxicology results, but he said paraphernalia near each of the victims suggests it was heroin.

Statistics can be misleading, Libonati said, especially when it comes to overdose deaths. While the number of deaths from accidental overdoses locally has gone down in the last year, he credits that to quick emergency responses, accurate diagnosing and the availability of Naloxone, and not a reduction in drug abuse.

"The number of calls that we and other ambulance services are getting is skyrocketing. Our short response time and early recognition of the situation by family and friends is what is saving lives. The number of deaths may be down, but usage is not," he said.

"This has to stop. It just has to stop. I would encourage everyone who struggles with this to reach out to the good people. Medical personnel, doctors, the people putting these drug coalitions together. They all want to help. Let them help," he said.

"We're in our infancy in figuring out how to attack this animal."

It takes such a tiny amount of both of those drugs to kill a user, he said, that it would be nearly undetectable. Drug dealers are trying to increase sales by adding those potent opioids to heroin, in an attempt to increase business, he said. "They aren't selling it with the intent of killing you. They want your repeat business. But they want to get you hooked as quickly as they can, so they promised a heightened effect," Libonati said.

The average age of a heroin user is between 25 and 35, but of the 14 deaths in Mercer County since January, one was 56 and another was 67. Libonati thinks it's imperative to reach teenagers and educate them about the risks, because "the best way to stop it is to not get hooked in the first place."

"If the experienced users are dying, what's going to happen when the inexperienced get involved with this stuff? I think we're going to start seeing younger people dying," he added.

He also can't pinpoint a particular area where the overdoses occur. "It's everywhere. Literally every part of Mercer County is affected."


The Pennsylvania Department of Health reports the signs of a drug overdose as:

-- Pinpoint pupils

-- Shallow or stopped breathing

-- Depressed mental status, including dizziness, lethargy or loss of consciousness

-- Nausea and vomiting

-- Cold, clammy skin and weak or absent pulses

Immediate treatment is required and should focus on airway management. Cardiac arrest is likely to develop quickly.

Copyright 2016 - The Herald, Sharon, Pa.

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