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He had just injected himself with a new type of heroin that his dealer was promoting, but the high was so strong that Laviena thought he had overdosed. The year-old was preparing his body for how he wanted to be found. Laviena's near-fatal experience in an abandoned trailer in southeast Puerto Rico is one of many signs that the island hasn't been spared from the opioid crisis that has plagued the U. The government is struggling to keep up, and failed to apply for a multimillion dollar U. More than fentanyl-related overdoses and 60 deaths were reported in Puerto Rico in , largely before Hurricane Maria, up from and eight the previous year. While that's much less dire than the crisis in some U. The U. Drug Enforcement Administration and local nonprofit groups also say the official data doesn't reflect the true situation because the island's government is not keeping proper count of deaths and overdoses. Despite that, the U. That money was instead divided up among U. There's a lot of need for that money,' said Carmen Davila, a nurse who helps drug addicts in rural Puerto Rico. She worries the number of overdoses will increase, and she questioned the overdoses reported last year by the government. Julissa Perez, spokeswoman for Puerto Rico's Administration of Services for Mental Health and Addiction, said it was too difficult for the thinly staffed agency struggling with staffing cuts to apply for the new grant while also coordinating work under earlier grants and programs. Jose Vargas Vidot, a doctor known for his volunteer work with drug addicts on the island. Everything changed immensely after Hurricane Maria. Vargas said the heavy presence of law enforcement on the island after the Category 4 storm hit on Sept. He said he and other doctors received anonymous tips that criminals were threatening hospital staff with violence or even death if they did not hand over fentanyl supplies. Meanwhile, many patients lacked access to basic health care for weeks after the hurricane hit, and pharmacies began refilling prescriptions without a doctor's authorization as a humanitarian move, he said. In addition, mental disorders were exacerbated after Maria, with some people waiting up to a year for water and power to be reconnected. In addition to locally produced fentanyl, authorities say a less-controlled version of the drug is now being smuggled in from China and India, then mixed with heroin, and to a lesser degree cocaine and marijuana. Officials reported a cluster of fatal overdoses in the western coastal town of Mayaguez last year, followed by more overdoses at a nearby prison in the northwest town of Aguadilla. From there, activists say, the use of illegal fentanyl and other opioids has spread to all major cities, including the capital. In the southeast coastal town of Humacao, a group of heroin and cocaine addicts recently gathered around a plastic table near an abandoned house and injected each other and themselves. One of them stuck a thumb in his mouth and blew out, making the vein pop on his neck as he prepared for the injection. On the table were dozens of dirty needles, small water bottles and cookers. Workers with a needle exchange program called Intercambios Puerto Rico approached the group, collected the dirty needles and placed a strip of paper in a couple of the cookers. Minutes later, a red line appeared — a positive test for the presence of fentanyl. Program director Rafael Torruella said he noticed an increase in overdoses after Maria hit and his organization began testing heroin cookers for fentanyl. Now nearly all of them test positive. Laviena was among the addicts who approached the social workers that day. He dropped off used needles, picked up clean cookers and paused to recount his near-death experience before disappearing behind an abandoned building. It's like it doesn't exist,' said Torruella, who also trains emergency officials on how to save people from an overdose. But that is proving hard for an island mired in a year recession and sharp budget cuts forced by a sort of public bankruptcy. Puerto Rico's Administration of Services for Mental Health and Addiction confirmed 40 fentanyl deaths through March this year, but 75 suspected ones since then have gone untested because of budget cuts. Officials also are worried about legally prescribed painkillers. Ricardo Rossello last year declared an alert about overdoses and announced the government would track the use of legal opioids such as fentanyl and hydrocodone. In the seven months since that began, officials recorded about 60 prescriptions per people. That's roughly equal to the full-year rate for the U. The crisis in Puerto Rico has not reached the epidemic levels of the U. The opioid crisis killed some 48, Americans last year, with 5, fatal drug overdoses alone reported in Pennsylvania, the highest of any state. Centers for Disease Control says fentanyl was responsible for the highest percentage of fatal overdoses in , followed by heroin and cocaine. But activists complain Puerto Rico has been slow to take the problem seriously, and it's not just the failure to request federal money. Several legislators in Puerto Rico have been trying for more than two years to pass a measure that would in part allow non-medical and non-emergency personnel to administer naloxone, which can reverse respiratory failures from opioid overdoses. Earlier this year, the island's Senate sent a new bill to committee, where it has languished for several months. IE 11 is not supported. For an optimal experience visit our site on another browser. Skip to Content. NBC News Logo. Search Search. Profile My News Sign Out. Sign In Create your free profile. Sections U. Follow NBC News. By Associated Press.

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Puerto Rico buy Heroin

About a year ago, Adriana Cardona-Maguigad started noticing lots more homeless men in Back of the Yards, the tough Chicago neighborhood where she works. She asked one after another: Where are you from? She heard the same story again and again. They were drug addicts from Puerto Rico, sent to Chicago to get help in well-appointed treatment centers. They found none of that, and ended up on the streets. And then they told her something even stranger. See photos and hear the story below, and go to WBEZ. Then follow as Adriana's story continues on This American Life. Puerto Rico exports its addicts to Chicago About a year ago, Adriana Cardona-Maguigad started noticing lots more homeless men in Back of the Yards, the tough Chicago neighborhood where she works. Angel and Manuel in abandoned house. Over the summer Angel and Manuel lived together in an empty house near 51st and Throop, an area where vacant homes are common. Adriana Cardona-Maguigad. Abandoned house where Angel and Manuel stayed. The red brick building where Angel and Manuel stayed is falling apart and has a musty stench. Living room of abandoned house. In the abandoned house where Angel and Manuel stayed, trash is everywhere except the front room where they hang out. Bathroom of abandoned house. The bathroom of the abandoned home where Angel and Manuel stayed is extremely rundown. Angel and Manuel in the abandoned house. Manuel right had been in Chicago for two weeks when this picture was taken. He came to one of the hour groups called Segunda Vida, or Second Life. Angel left came from Puerto Rico seven years ago for help kicking a heroin addiction. Reporter Adriana Cardona-Maguigad. Adriana Cardona-Maguigad searches for signs that drug users have stayed here recently at an abandoned building in Back of the Yards. Bill Heally. Angel hangs out on 47th Street almost every day. He said he has tried quitting heroin 18 times. Bill Healy. Jose says the hour groups work, and that it's up to addicts to improve their lives. He has relapsed twice since coming from Puerto Rico to one of the hour groups in Chicago. BIll Healy. Christian panhandles to feed his heroin addiction. He mostly hangs out on the corner of Ogden and Western. Carlos, Gato and Ruth in the stairway. Carlos left , Gato right , and Ruth middle back all went to Segunda Vida and other hour groups to get off drugs. They continue to struggle with drug addictions. Segunda Vida on 50th and Ashland. Many Puerto Ricans who now live on the streets of Back of the Yards came to Segunda Vida, a hour group that offers residential services to drug addicts hoping to get clean. Manuel goes back to Segunda Vida. Manuel left Segunda Vida a few days after he arrived. When he walked out, he left his ID and medical records. When he tried to get them back, he was given the runaround. Segunda Vida's second-floor sign. Segunda Vida's sign is in a second-floor window, making it difficult to see. It includes the traditional AA logo. Inside one of the locations the smell of cigarette smoke is overwhelming. Renaciemiento 4. Grupo Nueva Era. Grupo Nueva Era is a hour group that offers residential services and what some people call group therapy sessions. A former Hour group. Empty buildings that once housed hour groups dot different parts of the city. A mural in Back of the Yards for Grupo Vida. A mural of Grupo Vida adorns a wall in Back of the Yards. That group used to be on the corner of 48th and Winchester. A user demonstrates how to shoot heroin. A drug user demonstrates how to shoot heroin. A syringe on the lawn. It's common to find used syringes in empty, boarded-up homes. Many times the homes become shooting galleries for addicts. Jose Alavarez cleans up used syringes. Jose Alvarez picks up used needles from outside an empty house on 51st and Paulina. Manuel outside the abandoned home. Manuel is a heroin user who says he was sent to Chicago by Puerto Rican authorities last July. In Puerto Rico he was told he would be going to a place where he would get medical care and services to help him get off drugs. Instead he arrived at an unlicensed rehab home where former addicts take care of other addicts. He left after a few days at the group. Manuel with bags. Manuel was told in Puerto Rico that he was being sent to a rehab place in Chicago that had nurses, doctors, even a pool. When he arrived he found an unlicensed rehab home where he was insulted by other groups members. His existing health issues have worsened since coming to Chicago. Manuel says he was sent by Puerto Rican officials to a hour drug rehab group called Segunda Vida on 50th and Ashland. He walked out after a few days in the group, leaving his ID and other important documents. The neighborhood is known to be a hub for illegal drug trafficking. Homeless man in Old San Juan. A homeless man rests on a sidewalk in El Viejo San Juan. Adriana Cardona- Maguigad. Police officer in Caguas. A police officer in the municipality of Caguas stands beside a motorcycle. Tourists flock to Puerto Rico. Tourists flock to Puerto Rico for its natural beauty. Medical students aid addicts in Puerto Rico. An addict in Puerto Rico gets his ulcers cleaned. An addict in Puerto Rico gets his ulcers cleaned by medical students in Puerto Rico. The students make these 'rondas' frequently. State police officers from Caguas. Viviana Bonilla Lopez. Louis is a drug user who lives in Puerto Rico. He traveled to Chicago for treatment and then went back to the island after spending time in Humboldt Park. Puerto Rico is full of natural beauty. Adriana Cadona-Maguigad.

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