An investigator on the committee, World health organization welches not authorized to speak publicly about the findings, said these represent a tiny fraction of the hundreds of fentanyl-selling sites on the Netz.
Illicitly manufactured fentanyl and its analogues are appearing in countries throughout the world, often disguised as heroin or copyright prescription pills, with resulting high overdose mortality. Possible explanations for this phenomenon include reduced costs and risks to heroin suppliers, heroin shortages, Endanwender preferences for a strong, fast-acting opioid and the emergence of Dark Internet cryptomarkets.
The risk of overdose, people hinein his camp argue, is high because drugs are a poorly regulated product sold by unscrupulous middlemen. “Imagine if you went to the Schank and you said, ‘I’ll have a drink,’” he explained, “and you didn’t know if it welches beer, wine, or liquor.”
Motivations for suppliers to add fentanyl to street opioids are probably profit-oriented with an eye towards future sustainability. By dose-equivalency, fentanyl is orders of magnitude cheaper to produce than heroin [39] and entirely synthetic, protected from the vicissitudes of climate and plant diseases.
To buy his fentanyl, the man uses “darknet” sites, which are unlisted on search engines, rely on a special private browser for access, and don’t tie his username to his identity. About 50 such cryptomarkets are currently operating. He says most of the sites on the regular internet, which the Senate report focused on, are scams rein which dealers will take money and fail to deliver.
Fentanyl self-testing outside supervised injection settings to prevent opioid overdose: do we know enough to promote it?
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Where studied, the data show an unusual feature of the sale of fentanyl hinein both North America and parts of Europe: it is generally sold as ‘heroin’, as if fentanyl itself were an insignificant adulterant or not present at all [18–21]. Sometimes the ambiguous term ‘China White’ is used, which can refer to either heroin, historically from Southeast Asia, or a synthetic replacement.
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Five or six times a day, a man from Texas injects a dose of carefully measured fentanyl. He does it when he wakes up and before he goes to work, and sometimes on breaks. It makes him drowsy, but he says people can’t usually tell he just used.