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Tijuana, Mexico — For Hugo Arroyo, a fentanyl user who works with the Tijuana-based harm reduction group Prevencasa, the drug has reached deep into his community. That was a couple of years ago, and at the time, many users were not even aware of what was hitting them, because the fentanyl was often mixed into other drugs without their knowledge. When Arroyo first tried it, he was told it was another substance. Fentanyl, a synthetic opioid, is up to 50 times stronger than heroin, and Arroyo said people have died after using the same dose as they would for heroin or other substances. Today, although overdoses appear to be down, fentanyl addiction continues to plague his community, while cross-border trafficking of the drug is a growing problem. According to US Customs and Border Protection CBP data , during fiscal year , fentanyl seizures at the southwestern border with Mexico have already exceeded 9,kg 21, pounds — a spike of about 50 percent more than the previous fiscal year. Approximately half was intercepted at the San Diego-Tijuana ports of entry. In the first half of , the Mexican Red Cross responded to an average of nearly 70 overdoses a month in Tijuana, mostly involving men between the ages of 19 and 41, according to data provided by the organisation to Al Jazeera. But it is not clear what drugs were involved; information about fentanyl overdoses in Mexico is scarce. The government has not provided data on fentanyl for subsequent years. In one case witnessed by Al Jazeera last month, a man fell unconscious in a main street of Playas de Tijuana, a mostly middle- and upper-middle-class neighbourhood of Tijuana. He went into respiratory arrest after using drugs, and the Mexican Red Cross provided emergency care. They gave him Naloxone, a medication that reverses the effects of opioids, and the man began breathing again. Emergency workers told him fentanyl might have been mixed into the drug he consumed, although they did not have the tools to confirm. In June , the state forensic medical service in Baja California, where Tijuana is located, launched a study in the state capital, Mexicali, to assess whether the bodies they received contained fentanyl. The results were positive in cases, nearly a quarter of the total. In most cases, the bodies also tested positive for other drugs, mainly methamphetamine, which means the person was using both or it was mixed, Cesar Gonzalez, who heads the state forensic medical service, told Al Jazeera. Half of the total bodies analysed were positive for some type of drug. Unlike in the US, where fentanyl demand spiked amid excessive prescriptions for opioid medications , activists and harm reduction workers say the drug gained traction in Mexico after traffickers allegedly began mixing it with other drugs to create addiction and spur demand. Published On 26 Jul 26 Jul Sponsored Content.
Fentanyl plagues communities along US-Mexico border
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In the narcotics underworld of Mexicali and Tijuana there is a new suspect. Its scientific name is xylazine and it is a veterinary sedative that is combined with other anesthetics and analgesics for operations on small animals, or in laboratories where rodents are experimented on. An unpublished study has discovered traces of the substance in syringes discarded by heroin and methamphetamine users in the two Mexican cities. If the fentanyl crisis had already taken over northern Baja California and other points along the U. This is not a minor fact: considering the official narrative of the Mexican authorities has been to play down the opioid crisis and claim that it only affects the United States , research paid for by a public agency is, in practice, an acknowledgement of the problem and a slight change in discourse. The results of the research, which have not yet been published, were shared with the National Commission on Mental Health and Addictions Conasama , which reports to the Ministry of Health. This shows that the increase is at the local level, not national; however, the main concern revolves around its high lethality. The team of researchers, led by Clara Fleiz, visited the headquarters of an NGO in each city — Prevencasa in Tijuana and Verter in Mexicali — and habitual places for street consumption. There, they exchanged used syringes for new ones. The objective was twofold: to reduce the risk of disease transmission among addicts and to study syringe residue. In the s, following the first studies of xylazine in humans, its use was outlawed because of potent adverse effects. It lowers blood pressure and heart rate tremendously. It produces an increase in the amount of sugar in the blood, hyperglycemia, which at the time of overdose can be a problem, and it lowers the respiratory rate, which is very similar to what heroin does. Mexico still does not market the antidote for fentanyl overdoses, naloxone , which can be found in any pharmacy in the United States. With xylazine, the situation is more complicated: as it is not an opioid, it requires a much higher dose of the remedy. Legalizing naloxone, experts say, is a matter of life and death. Unlike mixtures of heroin and methamphetamine, which can be sought by the consumer, adulteration with xylazine is carried out by dealers, not addicts, clarifies the pharmacologist. Prolonged consumption of xylazine also causes skin lesions around the injection sites. The risk increases if users also take methamphetamine, which is extremely common among heroin addicts. Methamphetamine and xylazine cause vasoconstriction: a narrowing of the blood vessels, like a highway with closed lanes. Blood cannot get through and necrotic ulcers occur: the tissue, the skin, dies. At this point, medical attention needs to be almost immediate. Otherwise, the wound may result in amputation of the affected limbs. In October , another team of four scientists, including Cruz, published a study in the journal Drug and Alcohol Dependence on the effects of mixing morphine — equivalent to heroin — and xylazine in rodents. The doses of each drug, individually, were high but not lethal. With only one of the substances, the mice survived. You are increasing the lethality because they both converge to decrease respiration. Cutting heroin with fentanyl and xylazine is a practice that was already common in the United States and Canada, which issued their own alerts over the use of the veterinary sedative in humans in The more opioids a user consumes, the shorter the effects last and the sooner withdrawal syndrome appears. Xylazine lengthens the trip. The use of xylazine to adulterate heroin began in Puerto Rico in the s and soon after made the leap to the continental United States, especially Philadelphia. Alejandro Santos Cid. Copy link. Used syringes The team of researchers, led by Clara Fleiz, visited the headquarters of an NGO in each city — Prevencasa in Tijuana and Verter in Mexicali — and habitual places for street consumption. From Puerto Rico to Philadelphia Cutting heroin with fentanyl and xylazine is a practice that was already common in the United States and Canada, which issued their own alerts over the use of the veterinary sedative in humans in Disfruta de nuestras lecciones personalizadas, breves y divertidas. Disfrute de nuestras lecciones personalizadas, breves y divertidas. Italiano online. Nuevo curso 'online'. Crucigramas minis. Crucigramas Tarkus. Sudokus mini. Sopas de letras. Global MBA. Clases virtuales. Posgrado en Recursos Humanos. Palabra secreta.
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Xylazine, the animal sedative adulterating heroin and fentanyl in Mexicali and Tijuana
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