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For the effectiveness review, peer-reviewed articles were included if they compared either full OTC availability or pharmacist-prescribing behind-the-counter availability to prescription-only availability of OCs and measured an outcome of interest. Results The effectiveness review included four studies with total participants. One study found lower side effects among OTC users and high patient satisfaction with both OTC and prescription access. Two cross-sectional studies from the s in Colombia and Mexico found no major differences in OC continuation, but some indication of slightly higher side effects with OTC access. In 23 values and preference studies, women generally favoured OTC availability. Providers showed more modest support, with pharmacists expressing greater support than physicians. Support was generally higher for progestogen-only pills compared with combination OCs. Conclusion A small evidence base suggests women who obtain OCs OTC may have higher continuation rates and limited contraindicated use. Patients and providers generally support OTC availability. OTC availability may increase access to this effective contraceptive option and reduce unintended pregnancies. You will be able to get a quick price and instant permission to reuse the content in many different ways. A systematic review of the literature identified four studies using comparative designs to examine the effect of OTC availability of OCs and 23 studies examining values and preferences of patients and providers, mostly from the USA and Mexico. The more recent and rigorous studies suggested OTC users had higher rates of OC continuation over time; there was some indication that OTC users had lower rates of side effects but slightly higher rates of use of OCs despite contraindications. Values and preferences suggested general support for OTC availability or pharmacy access, with more support among women and pharmacists than among physicians. Making OCs available OTC, perhaps with progestogen-only pills that have fewer contraindications to use, may be an approach to increasing access to and use of this effective contraceptive option. Ensuring access to contraceptive methods, including for vulnerable populations and young people, is essential for the well-being and autonomy of women and girls. A review of OC access across countries found that 35 countries had OCs legally available OTC, 11 countries had OCs available without a prescription but only after eligibility screening by trained pharmacy staff, 56 countries had OCs available informally without a prescription and 45 countries required a prescription to obtain OCs. While different regulatory criteria are needed in different countries to make a specific medication available OTC or with eligibility screening by pharmacy staff, the WHO is responsible to provide overall guidance to critical questions of whether interventions should be recommended or not. We conducted this systematic review in the context of developing WHO normative guidance on self-care interventions for sexual and reproductive health and rights. We included both a review of effectiveness data and a review of data on values and preferences. Health impacts unintended pregnancy, side effects, adverse events or use of OCs despite contraindications. To be included in the effectiveness review, a study had to meet the following criteria:. Employ a study design comparing OTC availability of OCs with or without pharmacist dispensation to prescription-only availability of OCs. Study inclusion was not restricted by location of the intervention or language of the article. We planned to translate articles in languages other than English if identified. The same search strategy was used to search and screen for study inclusion in a complementary review of values and preferences related to OTC access to OCs including pharmacy access. We included studies examining the values and preferences of both people who have used or potentially would use OCs themselves as well as providers including pharmacists and other stakeholders, such as male partners, policymakers and insurance providers. The same search strategy was used for both the effectiveness review and the values and preferences review. The following search strategy was developed for PubMed and adapted for entry into all computer databases; a full list of search terms for all databases is available from the authors on request. To identify articles that may have been missed through online database searching, we used several complementary approaches. We reviewed the resources section of the OCs OTC working group website, 3 which gathers scientific articles and reviews on this topic, and reviewed the citations included in several related recent reviews. We searched for ongoing trials through ClinicalTrials. Finally, selected experts in the field were presented with our list of included articles and asked to share any additional article we had missed. Titles, abstracts, citation information and descriptor terms of citations identified through the search strategy were initially screened by a member of the study staff. Remaining citations were then screened in duplicate by two reviewers CEK and PTY with differences resolved through consensus. Final inclusion was determined after full-text review. For each included article, data were extracted independently by two reviewers using standardised data extraction forms. Differences in data extraction were resolved through consensus. Study identification: author s ; type of citation; year of publication, funding source. Study description: study objectives; location; population characteristics; type of oral contraceptives; description of OTC access; description of any additional intervention components eg, any education, training, support provided ; study design; sample size; follow-up periods and loss to follow-up. Outcomes: analytical approach; outcome measures; comparison groups; effect sizes; CIs; significance levels; conclusions; limitations. For the values and preferences review, data extraction forms included sections on study location, population, study design and key findings. We did not conduct meta-analysis due to the small number and heterogeneous nature of included studies. Instead, we report findings based on the coding categories and outcomes. Several of the authors are current or past OC users. HJ, chair of the advisory group for the WHO Patients for Patients Safety Program, was involved as a community representative starting with the phase of protocol development. Patients were involved in a global survey of values and preferences and in focus group discussions with vulnerable communities conducted to inform the WHO guideline on self-care interventions 8 ; they thus play a significant role in the overall recommendation informed by this review. Figure 1 presents a flow chart showing study selection for both the effectiveness and values and preferences reviews. The initial database search yielded records, with 15 records identified through other sources; remained after removing duplicates. Ultimately, six articles reporting data from four studies met the inclusion criteria and were included in the effectiveness review. One study was considered for the effectiveness review but ultimately judged to not meet the inclusion criteria. We excluded the study because it was not clear whether women received OCs from these physicians or not. However, we note that the study found no difference across groups in OC continuation, duration of first OC use, method failure and reasons for discontinuation. Table 1 shows the characteristics of the four studies included in the effectiveness review. These women were interviewed at baseline and then followed in three additional surveys over 9 months. The second study, an analysis of data from the Mexican National Health Survey 14 by an overlapping group of researchers, was a cross-sectional comparison of women who reported obtaining OCs OTC to women who reported obtaining them from a healthcare provider. The third and fourth studies were significantly older, drawing on data from the s. As all studies were observational, table 2 shows the risk of bias assessments using the Evidence Project tool. The Border Contraceptive Access and Mexican National Health Survey studies found that women who obtained their OCs OTC were different in at least some sociodemographic characteristics than those who obtained them from clinics; however, both studies employed analyses that adjusted for confounders to address this discrepancy. Evidence Project risk of bias assessment 7 for studies included in the effectiveness review. The included studies reported on three of the PICO outcomes: continuation of OCs, health impacts specifically, use of OCs despite contraindications and side effects and client satisfaction. For the other PICO outcomes, we found no studies. Results from each study are presented in table 3 and described below. The Border Contraceptive Access Study reported the proportion of women who continued OC use over the 9-month study period. The two studies from the s also examined continuation. The Mexico National Fertility and Mortality Study presented continuation rates at 12 months per women who accepted OCs as their first contraceptive method. The Colombian Fertility and Contraceptive Use Survey presented first contraceptive method continuation rates for women who chose OCs at 12 and 24 months. OTC users were more likely to have any category 3 contraindication The study also provided a list of specific contraindications. Two studies reported on side effects related to OC use. The Border Contraceptive Access Study found that, at baseline, OTC users were more likely to mention nervousness, skin problems, pain and bleeding problems, while clinic users were more likely to complain of weight changes, varices and other side effects not specified. One study—the Border Contraceptive Access Study—reported client satisfaction but did not present exact results. We identified 24 articles from 23 studies that met the inclusion criteria for the values and preferences review. Of these, 13 articles focused on the perspectives of female OC users, potential users, or women in general, 13 15 16 18 19 21—24 29—31 37 9 focused on the perspectives of healthcare providers particularly physicians and pharmacists 17 25 26 28 32—36 38 , 39 and 1 focused on the general public; 27 one article included both women and healthcare providers. Studies covered both OTC and pharmacy access. While most studies of women asked about hypothetical values and preferences around OTC availability, a few studies reported the perspectives of women who had actually used OTC or pharmacy access services. Using our best assessment of which model studies were examining, we present data for the values and preferences studies separated by true OTC access table 4 and pharmacy access table 5 , and present results accordingly below. Two studies examined perspectives on both OTC and pharmacy access, so are presented in both tables 4 and 5. Study descriptions and key findings of studies included in the values and preferences review examining OTC access. Study descriptions and key findings of studies included in the values and preferences review examining pharmacy access. Across studies using both quantitative and qualitative methods, women generally expressed high interest in hypothetical OTC availability of OCs. Healthcare professionals from France and the USA, particularly medical doctors, voiced moderate to low support for OTC availability of OCs, often citing safety concerns, OC efficacy, concerns about correct OC use or missed examinations for medical contraindications. Among potential or current OC users, most women were in favour of pharmacy access, and substantial proportions said they would obtain OCs through pharmacy access if it were available. In studies among healthcare providers, pharmacists were generally very supportive of pharmacy access to OCs, while physicians tended to be more moderately supportive. Finally, in a study of digital comments on online media articles about pharmacy access to OCs in the USA, commentators were generally positive and cited benefits including increasing access to healthcare, reducing unintended pregnancies and supporting individual autonomy, but noted these must be balanced with potential safety and logistical concerns. In this systematic review, we identified four studies using comparative designs to examine the impact of OTC availability of OCs. While the more recent studies suggested OTC users had higher rates of OC continuation over time and fewer side effects, there was some indication that OTC users had slightly higher rates of use of OCs despite contraindications. Contraindications are an important concern; however, research has indicated that women can self-screen for contraindications fairly well using a simple checklist. We identified a much larger evidence base on the values and preferences of potential users, providers and the public. However, this evidence was also limited, since almost all studies were conducted in the USA. Women were generally in favour of OTC availability; healthcare providers were as well, with pharmacists expressing higher support than physicians for pharmacy access. Given the near-universal use of COCs at the times and locations where the studies included in the main review were conducted, we had no comparative effectiveness data on POPs. This is unfortunate, as POPs have been suggested as a good option for initial OTC availability, given that they have fewer contraindications to use. An additional concern about OTC availability is that the concomitant reduced visits to clinicians may also translate to a reduction in routine preventive screening including for Pap smears, pelvic exams, clinical breast exams and screening for sexually transmitted infections. OTC availability is only one way to increase access to OCs. A previous systematic review found that increasing the number of OC pill packs dispensed or prescribed increased OC continuation, although it also resulted in increased pill wastage. Although moving OCs to OTC status should lead to fewer clinician visits for women, thus decreasing costs related to travel, time and other medical expenses associated with those visits, OTC access could potentially increase the cost of OCs if insurance does not cover OTC purchases, or if women are unaware that they can use insurance in OTC purchases. Insurance considerations should be explicitly considered in policy discussions of OTC availability, as insurance coverage will be particularly important for some of the most vulnerable groups, such as low-income women and girls. Our review has several strengths, including our broad search strategy and our inclusion of both effectiveness and values and preferences studies. However, conclusions from our review are limited by the small evidence base in this area. We identified four observational studies in our main effectiveness review, from the same global region, and there may have been residual confounding in comparing OTC and clinic OC users despite some analyses being adjusted. While it is challenging to conduct randomised trials of what is fundamentally a policy intervention, researchers should be encouraged to take advantage of natural experiments such as the Border Contraceptive Access Study or to study changes to policies such as those recently allowing pharmacy access to OCs in the US states of Oregon and California. Further, many countries already allow OTC availability of OCs, so policy decisions can also take into consideration the wide range of country experience in this area. Despite the limitations of the evidence base, this review provides important information to guide policy decisions around OTC availability of OCs. This evidence has been used to inform the development of WHO recommendations for self-care interventions for sexual and reproductive health and rights in relation to OTC availability of OCs. The benefits and harms of OTC availability of OCs and the values and preferences of patients and providers found in the present review, along with a separate survey of community values and preferences and consideration of resource use, human rights and feasibility, will shape the recommendation. Additional research into outcomes critical to decision-makers where little comparative data currently exist should be done to address the gaps identified. We thank Laura Ferguson and Nandi Siegfried for their comments on the review protocol. We also thank Johns Hopkins research assistants Rui Renee Ling, Kaitlyn Atkins, Priyanka Mysore, Molly Petersen and Anita Dam for help with screening the initial database search results, conducting hand searching and secondary reference searching, and duplicate data extraction. Finally, we thank Daniel Grossman and Sara Yeatman for their timely and thorough responses to questions about their studies, and the excellent comments from the anonymous reviewers who really helped improve the manuscript. Contributors MN conceptualised the study. PTY ran the search and oversaw screening, data extraction and assessment of bias. CEK drafted the manuscript, while all authors reviewed the draft and provided critical feedback. All authors had full access to all of the data including statistical reports and tables in the study and can take responsibility for the integrity of the data and the accuracy of the data analysis. All authors read and approved the final manuscript. The corresponding author, as guarantor, accepts full responsibility for the finished article, has access to any data and controlled the decision to publish. HRP was involved in the study design. Disclaimer The funders played no part in the decision to submit the article for publication, nor in the collection, analysis and interpretation of data. Provenance and peer review Not commissioned; externally peer reviewed. Data availability statement All data come from published journal articles. Extracted data are available on request to the corresponding author. Skip to main content. Log In More Log in via Institution. Log in via OpenAthens. Log in using your username and password For personal accounts OR managers of institutional accounts. Forgot your log in details? Register a new account? Forgot your user name or password? Search for this keyword. Advanced search. Log in via Institution. You are here Home Archive Volume 4, Issue 3 Should oral contraceptive pills be available without a prescription? A systematic review of over-the-counter and pharmacy access availability. Email alerts. Article Text. Article menu. Should oral contraceptive pills be available without a prescription? Statistics from Altmetric. What are the new findings? What do the new findings imply? Introduction Ensuring access to contraceptive methods, including for vulnerable populations and young people, is essential for the well-being and autonomy of women and girls. Outcomes Uptake of OCs initial use. Continuation of OCs or, conversely, discontinuation. Adherence to OCs correct use. Comprehension of instructions product label. Client satisfaction. To be included in the effectiveness review, a study had to meet the following criteria: Employ a study design comparing OTC availability of OCs with or without pharmacist dispensation to prescription-only availability of OCs. Measured one or more of the outcomes listed above. Published in a peer-reviewed journal. Where data were available, we stratified all analyses by the following subcategories: Behind-the-counter pharmacy access versus OTC availability without a prescription. Point of access eg, stores, pharmacies, and so on. Prior use of contraception. Vulnerabilities ie, poverty, disability, religion. Values and preferences review: inclusion criteria The same search strategy was used to search and screen for study inclusion in a complementary review of values and preferences related to OTC access to OCs including pharmacy access. Search strategy The same search strategy was used for both the effectiveness review and the values and preferences review. Data extraction and analysis For each included article, data were extracted independently by two reviewers using standardised data extraction forms. For the effectiveness review, data extraction forms covered the following categories: Study identification: author s ; type of citation; year of publication, funding source. Patient and public involvement Several of the authors are current or past OC users. Results Search results Figure 1 presents a flow chart showing study selection for both the effectiveness and values and preferences reviews. Effectiveness review Table 1 shows the characteristics of the four studies included in the effectiveness review. View this table: View inline View popup. Table 1 Descriptions of studies included in the effectiveness review. Table 2 Evidence Project risk of bias assessment 7 for studies included in the effectiveness review. Table 3 Outcomes of studies included in the effectiveness review. Use of OCs despite contraindications The two studies from the s reported on the use of OCs despite contraindications. Side effects Two studies reported on side effects related to OC use. Satisfaction One study—the Border Contraceptive Access Study—reported client satisfaction but did not present exact results. Values and preferences review We identified 24 articles from 23 studies that met the inclusion criteria for the values and preferences review. Table 4 Study descriptions and key findings of studies included in the values and preferences review examining OTC access. Table 5 Study descriptions and key findings of studies included in the values and preferences review examining pharmacy access. OTC access Across studies using both quantitative and qualitative methods, women generally expressed high interest in hypothetical OTC availability of OCs. Pharmacy access Among potential or current OC users, most women were in favour of pharmacy access, and substantial proportions said they would obtain OCs through pharmacy access if it were available. Discussion In this systematic review, we identified four studies using comparative designs to examine the impact of OTC availability of OCs. Acknowledgments We thank Laura Ferguson and Nandi Siegfried for their comments on the review protocol. References 1. Over-the-counter access to oral contraceptives. Obstetrics and Gynecology Clinics of North America ; 42 : — Global, regional, and subregional trends in unintended pregnancy and its outcomes from to estimates from a Bayesian hierarchical model. Lancet Glob Health ; 6 : e — 9. Grossman D. American College of obstetricians and Gynecologists. Committee opinion no. Obstet Gynecol ; : — Cochrane Handbook for systematic reviews of interventions , The evidence project risk of bias tool: assessing study rigor for both randomized and non-randomized intervention studies. Syst Rev ; 8. World Health Organization. Consolidated guideline on self-care interventions for sexual and reproductive health and rights. Geneva, Switzerland , Effect of supply source on oral contraceptive use in Mexico. Studies in Family Planning ; 13 : — 9. Contraindications to combined oral contraceptives among over-the-counter compared with prescription users. Measham AR. Self-prescription of oral contraceptives in Bogota, Colombia. Contraception ; 13 : — OpenUrl PubMed. Continuation of prescribed compared with over-the-counter oral contraceptives. Clinic versus over-the-counter access to oral contraception: choices women make along the US—Mexico border. Am J Public Health ; : — 6. Over-the-counter access, changing who guidelines, and contraindicated oral contraceptive use in Mexico. Studies in Family Planning ; 37 : — Barlassina L. Views and attitudes of oral contraceptive users towards the their availability without a prescription in the Republic of Ireland. Pharm Pract ; Women's Health Issues ; 26 : — Survey of health professionals about the Access to oral contraception over the counter in France. Dennis A , Grossman D. Barriers to contraception and interest in over-the-counter access among low-income women: a qualitative study. Perspect Sex Reprod Health ; 44 : 84 — Attitudes of female college students toward over-the-counter availability of oral contraceptives. Journal of Pediatric and Adolescent Gynecology ; 10 : — 7. Pharmacist prescribing of hormonal contraceptives: results of the direct access study. Journal of the American Pharmacists Association ; 48 : — Attitudes toward over-the-counter access to oral contraceptives among a sample of abortion clients in the United States. Perspect Sex Repro H ; 46 : 83 — 9. Grindlay K , Grossman D. Women's perspectives on age restrictions for over-the-counter access to oral contraceptives. Journal of Adolescent Health ; 56 : 38 — Interest in over-the-counter access to a Progestin-Only pill among women in the United States. Women's Health Issues ; 28 : — Interest in over-the-counter access to oral contraceptives among women in the United States. Contraception ; 88 : — Journal of the American Pharmacists Association ; 57 : — 7. Physician attitudes toward over the counter availability for oral contraceptives. Matern Child Health J ; 17 : — Public perception of pharmacist-prescribed self-administered non-emergency hormonal contraception: an analysis of online social discourse. Res Soc Adm Pharmacy Pharmacist interest in and attitudes toward direct pharmacy access to hormonal contraception in the United States. Journal of the American Pharmacists Association ; 49 : 43 — Birth control within reach: a national survey on women's attitudes toward and interest in pharmacy access to hormonal contraception. Contraception ; 74 : — Manski R , Kottke M. Perspect Sex Repro H ; 47 : — 9. Journal of Pharmacy Practice ; 18 : — Contraception ; 92 : 55 — Student pharmacist perspectives on providing pharmacy-access hormonal contraception services. Journal of the American Pharmacists Association ; 51 : — 5. Direct pharmacy access to hormonal contraception: California physician and advanced practice clinician views. Contraception ; 86 : — Provider Opinions regarding expanding access to hormonal contraception in pharmacies. Pharmacist intentions to prescribe hormonal contraception following new legislative authority in California. J Pharm Pract ; Older teen attitudes toward birth control access in pharmacies: a qualitative study. Contraception ; 97 : — Over-the-counter use of oral contraceptives in Kuwait. Physicians and pharmacists on over-the-counter contraceptive access for women. Accuracy of self-screening for contraindications to combined oral contraceptive use. Agreement between women's and providers' assessment of hormonal contraceptive risk factors. Contraception ; 73 : — 6. Selected practice recommendations for contraceptive use. Reproductive health preventive screening among clinic vs. How does the number of oral contraceptive pill packs dispensed or prescribed affect continuation and other measures of consistent and correct use? A systematic review. Contraception ; 87 : — Breaking down barriers to birth control access: an assessment of online platforms prescribing birth control in the USA. J Telemed Telecare ; X. Potential public sector cost-savings from over-the-counter access to oral contraceptives. Contraception ; 91 : — 9. Competing interests None declared. Patient consent for publication Not required. Read the full text or download the PDF:. Log in.
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A narcotics detection canine alerted officers to a scent coming from the vehicle. Officers then removed 16 pounds of cocaine from the SUV's rear-quarter panel. When a year-old Mesa man arrived that evening, officers sent him for further inspection of his Mazda sedan. The drugs and vehicles were seized. Officers then turned the man and woman over to U. Smugglers of people, drugs, money, weapons and other contraband continue to find new ways to get across the border. Check out the photos of some recent smuggling fails. The drugs were found in the truck bed and a door. New biometric technology helped border officers stop two 'impostors' from entering the U. The two men tried to use fake permanent resident documents. Read more here. Two U. The year-old boys also fled from agents in a Ford F near the I checkpoint. On Oct. A year-old Nogales man was sent for additional screening when an agency canine alerted to an odor coming from the Dodge Ram. Agents later found nearly 90 pounds of meth hidden in the vehicle of a year-old Mexican woman and year-old Rio Rico woman. A records check found the man had an outstanding arrest warrant for possession of marijuana, which led agents to discover the meth. Border agents arrested two people for attempted drug smuggling in Nogales Oct. Officers found 26 pounds of fentanyl and 2. A year-old Mexican woman was arrested in Nogales after Customs and Border Protection officers found more than 22 pounds of meth in her car Oct. On Sept. Agents later arrested a year-old man believed to be a Mexican national. Agents arrested two people, including a year-old Cuban national. Nogales border agents arrested seven people at a Interstate 19 checkpoint from Sept. Border agents arrested two U. The men are facing charges of narcotics smuggling. Eight trash bugs packed with marijuana was pulled from the trunk of a vehicle by Border Patrol agents Aug. Agents initially referred a year-old man for a secondary inspection of his car at the Interstate 19 Immigration Checkpoint. The man was arrested and faces a charge of drug smuggling, officials said. Two people were arrested after U. Customs and Border Protection officers found their hidden drugs in separate incidents in Nogales July That same afternoon, officers seized a quarter-pound of meth a year-old woman had hidden in a body cavity. In both incidents the smugglers were trying to re-enter the U. Two women were arrested after U. Customs and Border Protection officers found methamphetamine and heroin in their vehicles Aug. A Tucson man was arrested after U. Customs and Border Protection officers found methamphetamine heavily taped to his left leg at a Nogales checkpoint. The man faces a charge of narcotics smuggling. A year-old man was arrested after officers found pounds of marijuana in his vehicle Aug. A drug dog first alerted officers to an odor coming from the vehicle before searching the vehicle. Border agents arrested a year-old man after referring his vehicle for further inspection at the San Luis border crossing July Agents found nine pounds of heroin, 65 pounds of meth and close to 70 fentanyl pills in the car's quarter panels. Border Patrol agents arrested a year-old Nogales woman after discovering 2 pounds of brown heroin concealed in her undergarments, Customs and Border Protection said. On Wednesday, July 11, , agents at the Interstate 19 checkpoint referred a shuttle van for a routine secondary inspection. During the inspection, agents found the woman concealed four packages of brown heroin on her body. She was arrested on suspicion of drug smuggling. Border Patrol agents arrested a Kansas man on suspicion of human smuggling after two illegal immigrants were found hiding in his vehicle at the Interstate 19 checkpoint south of Tucson, according to Customs and Border Protection. The agency said the driver and passenger of a Dodge Ram pickup truck were sent to a secondary inspection July 10, While questioning them, agents found a third person hiding under the rear bench seat of the truck. Agents determined the passenger and person found hiding under the seat were in the country illegally. The truck was also reported stolen. Agents arrested the driver, a year-old man from Kingman, Kansas, on suspicion of human smuggling. The two passengers were arrested for immigration violations. The truck was turned over to the Department of Public Safety. An agent working the primary inspection lane referred the driver of a Ford F utility vehicle for a secondary examination. 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A dog alerted to the woman and nearly six pounds of heroin was found wrapped around the woman's midsection. On May 25, , officers working at the Morley Pedestrian Crossing sent a year-old woman for a secondary inspection. A search of the woman lead to the discovery of less than a pound of heroin taped to her crotch, according to a news release from Customs and Border Protection. On May 28, , officers at the Morley Pedestrian Crossing in Nogales sent a year-old man for an additional search. During the secondary inspection officers found nearly seven pounds of heroin taped to his waist. A year-old Tucson girl was arrested after Border Patrol agents found her hiding 9 ounces of fentanyl in her bra, Customs and Border Protection said. The teen was in a commercial shuttle van May 9, , and was selected for further questioning by a Border Patrol agent at the Interstate 19 checkpoint south of Tucson. It was then discovered the girl was hiding a package of fentanyl — a powerful synthetic opioid — in her bra. Customs and Border Protection officers at the Port of Nogales arrested a year-old woman after finding nearly 61 pounds of cocaine in the gas tank of her Ford SUV. Officers at the DeConcini crossing sent the Nogales, Arizona, woman for further inspection of her vehicle. A drug dog alerted to the vehicle and the drugs were found in the gas tank. The woman was arrested. Border Patrol agents arrested a year-old male Mexican national after finding five bundles of heroin hidden in his vehicle Saturday at the Interstate 19 immigration checkpoint. Agents seized the car, drugs, and arrested the man on suspicion of drug smuggling. The case was turned over to U. The inspection led to the discovery of nearly 24 pounds of meth. Officers seized the drugs as well as the vehicle, while the woman was arrested and turned over to U. Customs officers in Nogales seized nearly pounds of methamphetamine in a tractor-trailer load of mangoes. On April 25, , Customs and Border Protection officers at the Mariposa cargo facility sent a Mexican national to a secondary inspection of the tractor-trailer rig he was driving. A angency drug dog alerted to the rig and a search uncovered the meth hidden under the rear floor of the rig. Officers seized the drugs and the rig. The driver, 33, was turned over to U. Border Patrol agents and a Tohono O'odham Police Department officer arrested a Mexican national after finding drugs being carried on horses near Federal Route 15 on Wednesday afternoon. The police officer encountered a man leading two horses with large burlap sacks near the village of Santa Rosa, northwest of Sells. As the officer approached, the man ran away leaving behind the horses. The officer seized the horses and called for Border Patrol assistance, according to a news release from Customs and Border Protection. Agents searched the area and found the man. The man, who was in the country illegally, was arrested on suspicion of drug smuggling, CBP said. Officers sent the year-old woman for a further inspection of her Toyota truck following an alert by a CBP dog to a scent it was trained to detect. Officers seized the drugs and vehicle, and arrested the woman on suspicion of narcotics smuggling. Border Patrol agents arrested a U. Thursday afternoon. An agent working the primary inspection lane directed a year-old Chandler man for a secondary inspection. Both illegal immigrants were transported to the Nogales Station and processed for immigration violations. The driver was arrested on suspicion of human smuggling. Border Patrol agents arrested a year-old Bisbee woman Sunday morning, March 31 , after finding two Mexican nationals locked in the trunk of her vehicle during a secondary inspection at the Arizona 80 checkpoint near Tombstone. When agents opened the trunk, they discovered a year-old man and year-old woman who had entered the U. Agents arrested the driver on human smuggling charges and seized the vehicle. The Mexican nationals were processed for immigration violations, according to Customs and Border Protection. Border Patrol agents working at the Interstate 19 immigration checkpoint Friday morning, Feb. After agents referred the year-old male driver of a Nissan Sentra for a secondary inspection of the vehicle, a Border Patrol dog alerted to an odor it was trained to detect from the vehicle, according to Customs and Border Patrol. Agents arrested the driver and his year-old female passenger on suspicion of drug smuggling and seized the drugs and vehicle, CBP said. The child was released to a family member. The case was turned over to Homeland Security Investigations. Border Patrol agents at the Interstate 19 immigration checkpoint arrested an year-old U. Agents referred the teen, driving a Nissan Altima for a secondary inspection after a Border Patrol dog alerted to an odor it was trained to detect. Agents arrested the teen for drug smuggling and seized the drugs and vehicle; which were then turned over to the Drug Enforcement Administration. The woman was arrested and the drugs and vehicle were seized. The woman was arrested on suspicion of narcotics smuggling and her SENTRI card, which is carried by pre-approved, low-risk crossers, was seized. Border Patrol agents arrested a Tucson woman Feb. An agent working the primary inspection lane directed the year-old woman, traveling with her young daughter, for a secondary inspection after a drug dog alerted to an odor it is trained to detect. Agents arrested the woman on suspicion of drug smuggling and seized the drugs and vehicle. The Department of Child Safety assisted in placing her daughter with a family member. Agents referred the driver of a Nissan Sentra for a secondary inspection after an agency dog alerted to an odor it was trained to detect coming from the vehicle. The woman is being held on drug smuggling charges while awaiting disposition. Border Patrol agents in Nogales arrested a year-old boy who fled from agents in a van carrying 12 illegal immigrants, Customs and Border Protection said. On Jan. However, the driver sped away and agents gave chase on Arizona 82 until the driver lost control of the vehicle and crashed at the corner of Arizona 82 and Morley Avenue in Nogales, according to a CBP news release. The driver, a year-old U. Twelve Mexican nationals, all here illegally, were found in the van, the CBP said. The boy is facing charges of unlawful flight from a law enforcement officer, a felony. The illegal immigrants, ages 15 to 45, were arrested for immigration violations. Border Patrol agents arrested five men carrying backpacks with marijuana over the weekend near Gila Bend. This group was one of two groups of smugglers caught by agents on Jan. Customs and Border Protection officers at the Port of Nogales arrested a year-old Nogales, Arizona, man involved in an attempt to smuggle nearly half-a-pound of methamphetamine as well as capsules of tramadol on Monday. Officers at the Morley pedestrian crossing referred the man for secondary inspection when he attempted to enter the United States. In addition, the man had a second bag, which contained capsules of tramadol, an opioid pain medication. Officers arrested the man and turned him over to U. Customs officers at the Naco port arrested a year-old woman after finding marijuana packages taped to her stomach. Customs and Border Protection said the woman attempted to enter the U. The woman was turned over to the Cochise County Sheriff's Office. Customs officers southwest of Tucson seized more than a ton of marijuana from a motorhome being driven by a Phoenix man, the CBP said in a news release. On Dec. Officers found bundles of marijuana hidden in storage compartments, walls and under the floor of the motorhome, the CBP said. The drugs weighed nearly 2, pounds and represents the second-largest marijuana seizure at the Lukeville port. Officers seized the vehicle and drugs and turned the year-old man over to U. Border Patrol agents and sheriff's deputies arrested three men following a chase Dec. Agents patrolling near Ajo on Arizona 85 attempted to pull over a northbound Chevrolet pickup truck. The truck sped away from agents, who followed the vehicle. Agents witnessed the occupants of the truck throw bundles of marijuana from the vehicle as they tried to evade capture. Pima County sheriff's deputies joined in the pursuit and followed the truck to a rural road where it struck a fence. The three men in the truck ran away into the desert but were later apprehended. Agents and deputies recovered all the marijuana, including two bundles still inside the truck. The three men — two Mexican nationals and a U. The two illegal immigrants also face immigration violations. Border Patrol agents arrested a Sierra Vista man after finding two illegal immigrants hiding in the trunk of his car on Dec. Agents at the immigration checkpoint at Arizona 90 near Whetstone referred the driver of a Dodge Stratus to a secondary inspection. Agents found the two illegal immigrants, 21 and 29, in the trunk. The driver, 45, was arrested on suspicion of human smuggling. The two illegal immigrants were processed for immigration violations. Contact Star reporter Shaq Davis at or sdavis tucson. Subscribe to stay connected to Tucson. A subscription helps you access more of the local stories that keep you connected to the community. Galaxy Theatres, on Tucson's east side, is hosting its grand opening on Nov. Star reporter Bruce Pascoe checks in with the latest on the Arizona Board of Regents' executive-session meeting Thursday, and more around the …. Do you believe in miracles? The Star's Greg Hansen has no other explanation for the series of events that took place in Colorado earlier this month. Southern Arizona's two military installations are preparing for an influx of troops being sent to the US-Mexico border, a deployment that Pres…. Register for more free articles. Back to homepage. Subscriber Login. Keep reading with a digital access subscription. Subscribe now. Edit Close. Read Today's E-edition. Share This. Share this. Shaq Davis. People are also reading…. High court won't block release of Senate candidate Ruben Gallego's divorce records Delivery of , mail-in ballots in Pima County delayed Restaurants, shops to revitalize vacant Sears property on Tucson's east side Tucson man accused of trying to kill wife with honey Pima County Sheriff Chris Nanos places political opponent on paid leave 67 fun events happening in Tucson this weekend Oct. Photos: Border busts Border busts Border busts. Border busts: Human smuggling. Border bust: Human smuggling. Marijuana bust. Heroin bust. Smuggling van. Lukeville pot seizure. Get local news delivered to your inbox! Subscribe to our Daily Headlines newsletter. Sign up! Shaq Davis Reporter. Related to this story. Tucson's newest luxury movie theater opens today. Appeals court rejects another attempt to void Arizona's 'ballot harvesting' law. It's a felony in Arizona to take someone else's ballot to a polling place. Arizona Regents meeting Thursday 'to make sure we have facts' on Wildcats program. Greg Hansen: A miracle — and a young man named Brian — saved my son's life. Much of October in Tucson actually felt like fall — cool and wet. Winter is expected to also be wet, but warmer than average as well. Davis-Monthan, Fort Huachuca will house troops being sent to border. Tucson man built explosive device he thought was for car bomb, FBI alleges. Craft, A Modern Drinkery will open its doors on Friday. Your guide to a meaningful All Souls Procession. The All Souls Procession is Sunday. Election These are the Star's Editorial Board endorsements. Candidates we think would serve Arizona best. Watch Now: Related Video. How much should waitstaff make? Voters in Arizona will answer in November. Israel targets financial arm of Hezbollah with strikes across Lebanon. Tucson's Top Stories: October Customs and Border Protection. Notifications Settings. Get up-to-the-minute news sent straight to your device. News Alerts Subscribe. Breaking News Subscribe.
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