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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.
In Puerto Rico, growing opioid crisis adds to island's post-hurricane issues
Puerto Rico buying Heroin
The Illegal drug trade in Puerto Rico is a problem from a criminal, social, and medical perspective. Located in the Caribbean , Puerto Rico has become a major transshipment point for drugs into the United States. Crimes related to drugs are not the only crimes plaguing the island. Along with gang violence the island has also been victim to Police and political corruption. The Government of Puerto Rico has struggled to combat illegal drug use and the resulting crime since the mids. In the s the increase in drug use, particularly among those under the age of 25, became a major concern in Puerto Rico. Many Puerto Ricans have attributed the increase in crime to the drug trade. This led to a major focus on crime and drugs in Puerto Rican politics. Strategies used by the government of Puerto Rico include long sentences for criminals, increased funding for law enforcement equipment, and the construction of new prisons. In the early s, law enforcement began targeting white collar drug users. The start of the 'Drug Wars' in Puerto Rico was in in a conflict between Police and drug dealers which police wounded and killed two men. This occurred in Naranjito, Puerto Rico, the place where the drug dealers distributed their drugs to many places in Puerto Rico. In the house they found AK, M9 pistols and the drugs. Also they found that they were working with corrupt politicians to approve marijuana legalization and the export of exotic animals. In police captured 16 drug dealer 'clans' that had the same information and they worked together to defeat opposing dealers. They also started to 'clean house' in , when they killed about 44 men attached to some drug dealers or those that were compromising the dealer. In the death toll was 1, at one point, due to many big drug arrests different gangs went into war with each other for the control of drugs in the island. In it was discovered that many of the killings were to cover up some corrupt politicians. In , around 1, murders were reported. Also in Bayamon, a major city of Puerto Rico, many drug cartels started to defend their dealers by getting snipers and attackers on rooftops. Police captured a sniper in late , the sniper had a Dragunov Caliber Sniper Rifle and was arrested with 5 other drug dealers. In early , two assassinations occurred in Humacao involving the Carteli. As early as , Puerto Rico had already become a transshipment point for illegal drugs that are smuggled from source countries like Colombia , Venezuela , and Peru into the U. Most of it is transported to and through the island from drug trafficking organizations in the Dominican Republic and Colombia, and criminal organizations in Puerto Rico. Go-fast boats are the most favorable, as they are fast and stealthy, and have been used to intercept drug shipments that have been dropped off into the open water from other larger ships or airdropped from aircraft. In June , 36 people were arrested in Puerto Rico and the U. The smuggling had been taking place since In , a group of researchers from Puerto Rico's Mental Health and Anti Addiction Services Administration, published the results of a study involving out-of-treatment drug users in the San Juan area. Their study found that In , U. Customs and Border Protection in Puerto Rico seized 56 kilograms of heroin from commercial aircraft at airports and 28 kilograms of heroin from commercial maritime vessels in Puerto Rico. That same year, government officials arrested seven individuals in Puerto Rico, for swallowing between 36 and 98 condoms full of heroin, when they arrived from Aruba on a cruise ship. In June , drug detecting dogs detected and CBP seized 24 kilograms of heroin in a cargo storage area on a pier in San Juan. That same year federal law enforcement officials in San Juan seized 1. Addicts 'shooting up' with dirty needles has created a public health emergency in Puerto Rico with an HIV positive rate that is 4 times higher than the U. In , a resident of San Juan was arrested at the airport, when government officials found In , four police officers in Puerto Rico were arrested by the Federal Bureau of Investigation FBI , including a Lieutenant with 33 years on the force, for extortion and distribution of cocaine and heroin. In , one of the biggest police corruption busts in U. The yearlong undercover operation was initiated by the FBI, after authorities got a tip about the police possibly being involved in drug dealing, and protecting cocaine dealers and shipments and movement throughout the island. On hand were a range of Bureau personnel—crisis negotiators, evidence response team members, canines and their handlers, and 80 medical personnel from first responders and nurses to a trauma surgeon and a veterinarian. The central thread of the corruption was law enforcement officers providing protection and other services to drug traffickers. Over 1, agents of the FBI conducted the raids. Many of them were flown in secretly. The agency characterized the action as, 'likely the largest police corruption case in the FBI's history. It is cheap and easy to buy and deal to the public in housing projects in Puerto Rico, leading to the second highest homicide rates in the United States or its territories. They are in the illegal drug trade. The Puerto Rican government has implemented a series of law enforcement operations in relation to the federal ' war on drugs ' in order to minimize drug-related crimes and trafficking on the island. The operation uncovered money laundering schemes from within financial institutions and from the sale of illegal lottery tickets. Federal agents raided 10 banks and arrested 17 people on money laundering charges. They tried to stop the circulation of the illegal money and mobilized to arrest the individuals connected to the money. Contents move to sidebar hide. Article Talk. Read Edit View history. Tools Tools. Download as PDF Printable version. In other projects. Puerto Rico is a transshipment point for drugs. This article needs to be updated. Please help update this article to reflect recent events or newly available information. September Chronology \[ edit \]. Drug trafficking \[ edit \]. Cocaine \[ edit \]. Heroin \[ edit \]. Marijuana \[ edit \]. Police corruption \[ edit \]. Gangs \[ edit \]. Crime reduction \[ edit \]. See also \[ edit \]. References \[ edit \]. Archived from the original on 26 December Retrieved 4 November Virgin Islands Drug Threat Assessment. Department of Justice. Archived PDF from the original on 2 May Retrieved 26 August ISBN The New York Times. Archived from the original on 26 May Retrieved 20 October Internet Archive. Retrieved 18 September Archived from the original on 31 August Retrieved 31 August Associated Press. Archived from the original on 18 September El Nuevo Dia. Archived from the original on 27 August Primera Hora. Archived from the original on 25 August Archived from the original on 11 August Department of Homeland Security in Spanish. Archived from the original on 18 October Federal Bureau of Investigation. Archived from the original on 20 June The Times — News. Retrieved 18 October Retrieved 26 October P R Health Sci J. PMID Retrieved 9 April Primera Hora in Spanish. General OneFile. Archived from the original on 7 October Retrieved 28 July Retrieved 20 January Archived from the original on 11 July Retrieved on 20 March InSight Crime 13 March External links \[ edit \]. Puerto Rico articles. Endemic flora. Amphibians Birds Vieques Mammals Reptiles. Outline Index. Crime in the United States by state. Washington, D. Virgin Islands. Illegal drug trade in the Americas. 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