Tino,is a harm reduction outreach friend that I met once in person outside of the Sex Worker Cabaret in NYC that I performed at. Since then, we have been Facebook friends following each other for possibly 7 years since that event. Though we never saw each other again in person, I was inspired to chat with him online about his latest project fighting the fentanyl opioid crisis through one on one outreach as far as his feet can travel. He purchases ph testing kits that use the residue of street drugs mixed with water to test for the synthetic opioid fentanyl. The first fentanyl lab, according to Tino was discovered in the mid 90s in Kansas City but he thinks that now much of it comes from Mexico and possibly from China. Indeed, according to the National Institute on Drug Abuse, illegal drug labs are concocting fentanyl from scratch,and authorities have raided several labs in Mexico that were receiving chemicals from China and Japan to create the drug, according to the DEA. The quantity needed to create a drug that is 50-100x stronger than morphine is much less cargo to smuggle, and someone with basic knowledge of chemistry, pharmaceuticals and the dark net can start a booming business.
"Drug dealers are in the business of making money and I've heard it's very easy to make, so that means they can save money [by doing it themselves]," he says. "I wouldn't be surprised if there were real Walter Whites out there. Chemists and pharmacologists can turn to the dark side, just like in Breaking Bad.
Tino has traveled to places well known for opioid crisis like Ohio, Philly, and DC, with his strips and naloxone kits. Everything in Ohio tested positive for Fentanyl. Dealers are trying to phase out heroin and bring in Fentanyl. Tino has tested samples of crystal meth, cocaine, and even pressed Xanax pills and found Fentanyl in them.
This means that casual recreational drug users that most of us know could also now be affected by overdoses when they thought that they were doing the "safer" drugs. This means most sex workers who party with clients are also at risk! The biggest difference between heroin and fentanyl is that a person can stop breathing within 1 minute and die. That is why the epidemic is what it is exploding to on the news, as well as he said that its affecting a lot of white folks in ways that it hasn't in years before.
Fentanyl was an opioid originally developed for the terminally ill person. It is a quickly administered pain killer, that comes in the form of lollipops, patches and other forms like sprays and lozenges. The formula was discovered as cheaper and easier to make than heroin and it soon became one of the most dangerous and profitable street drugs responsible for more overdosing deaths in 4 states than the U.S had seen in years before. To make matters worse, the war on drugs is being multiplied with Sessions and Trump, who as a team are hell bent on reversing California's newest win of statewide legal marijuana the same as every class of drug. So the hope for new money to help fund harm reduction supplies or safe injection sites is not likely in this administration's mindset, considering that in October Trump declared addiction a "public health emergency" not a "State of emergency" intentionally. Trump's declaration, which will be effective for 90 days and can be renewed, will allow the government to redirect resources in various ways and to expand access to medical services in rural areas. But it won't bring new dollars to fight a scourge that kills nearly 100 people a day. "It's a lot cheaper to have a safe injection house than it is to fund Emergency Room services for an overdose. A safe injection site would supply testing strips, clean needles and help the user access treatment if that's what they wanted. They would be monitored so that they wouldn't overdose and die. Canada has a few and pop up ones.
"Nobody should die because they use drugs. Where at one time it wasn't a white suburban mom's problem, suddenly a loved one dies and now it becomes their problem. Harm reduction like testing strips is not a solution, its just giving someone another day of life."
Tino has reverse overdosed over 100 people, none of whom he knew personally outside of a few that were clients of agencies he had jobs with. "Its about educating people about how to do drugs better...test a small amount for the strength first, get off in pairs; watch each one person for five minutes, have naloxone on hand after getting trained on how to administer the life saving anti-overdose medicine which now comes in a nasal spray that requires no needles at all to use. All it takes 6 to 10 grains, (like a grain of salt)of Fentanyl to kill you. Part of the work that Tino does is educating users about better and safe drugs use. It isn't about prevention or prohibition, to him, it is about saving lives. You can support Tino's work by contributing
here.
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