A Series of Forensic Toxicology and Drug Seizure Cases Involving Illicit Fentanyl Alone and in Combination with Heroin, Cocaine or Heroin and Cocaine

A Series of Forensic Toxicology and Drug Seizure Cases Involving Illicit Fentanyl Alone and in Combination with Heroin, Cocaine or Heroin and Cocaine
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DOI:
10.1093/jat/bku086
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发表时间:
2014-10-01
影响因子:
2.5
通讯作者:
Ehlers, Brooke J.
Ehlers, Brooke J.
中科院分区:
医学3区
文献类型:
--
作者:
Marinetti, Laureen J.;Ehlers, Brooke J.

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蒙哥马利县验尸官办公室毒理学科和迈阿密谷区域犯罪实验室药物化学科一直在接受涉及作为海洛因或非法芬太尼销售的产品的毒品缉获、死亡案件和人体行为案件的案件工作。经药物化学组分析,发现这些产品含有多种药物,包括非法芬太尼、非法芬太尼及海洛英、非法芬太尼及可卡因,以及非法芬太尼、海洛英及可卡因。从2013年10月下旬开始,化学和毒理学部门开始看到这些组合。将讨论MVRCL遇到的组合百分比以及产品的物理外观,以及推定筛选试验的结果。还将讨论使用者的人口统计数据以及对死者的毒理学和尸检结果。据地区毒品特遣部队的卧底特工称,有证据表明,其中一些产品被当作非法芬太尼出售,而不仅仅是海洛因产品。此外,没有证据表明芬太尼的来源是从制药级芬太尼转移过来的。化学科目前有超过109例确诊病例,毒理学科目前有81例确诊吸毒死亡,8例吸毒后驾车,1例上吊自杀。目前,这两个部门都在继续审理这些案件。
The Montgomery County Coroner's Office Toxicology Section and the Miami Valley Regional Crime Lab (MVRCL) Drug Chemistry Section have been receiving case work in drug seizures, death cases and human performance cases involving products marketed as heroin or as illicit fentanyl. Upon analysis by the Drug Chemistry Section, these products were found to contain various drug(s) including illicit fentanyl only, illicit fentanyl and heroin, illicit fentanyl and cocaine and illicit fentanyl, heroin and cocaine. Both the Chemistry and Toxicology Sections began seeing these combinations starting in late October 2013. The percentage of the combinations encountered by the MVRCL as well as the physical appearance of the product, and the results of presumptive screening tests will be discussed. The demographics of the users and the results of toxicology and autopsy findings on the decedents will also be discussed. According to regional drug task force undercover agents, there is evidence that some of the products are being sold as illicit fentanyl and not just as a heroin product. Also, there is no evidence to support that the fentanyl source is being diverted from pharmaceutical grade fentanyl. The chemistry section currently has over 109 confirmed cases, and the toxicology section currently has 81 confirmed drug deaths, 8 driving under the influence of drugs and 1 suicidal hanging. Both sections are continuing to see these cases at the present time.