Rates of opioid-involved overdose deaths in Washington State, 2010-2020. Fentanyl-involved deaths among those under 30 (purple solid line) first increased in 2016. By 2019, fentanyl surpassed the other opioid categories in overdose deaths of those under 30 with a rate of 4/100,000 that then doubled to 8/100,000 in 2020. Data: Washington State Department of Health, Center for Health Statistics. Graphic: ADAI
Rates of opioid-involved overdose deaths in Washington State, 2010-2020. Fentanyl-involved deaths among those under 30 (purple solid line) first increased in 2016. By 2019, fentanyl surpassed the other opioid categories in overdose deaths of those under 30 with a rate of 4/100,000 that then doubled to 8/100,000 in 2020. Data: Washington State Department of Health, Center for Health Statistics. Graphic: ADAI

By Beth Dalbey
7 April 2022

SEATTLE, Washington (Patch) – A rash of deadly “mass overdose events” across the country has the Drug Enforcement Administration warning Washington and other states to prepare for the worst.

Drug Enforcement Administration head Anne Milgram said in the letter to local, state and federal law enforcement officials that in recent months, 29 people have died in 58 “mass-overdose events” in seven U.S. cities.

A mass-overdose event is one in which three or more people take a lethal dose in proximity of time and place. In recent months, such events have been reported in Wilton Manors, Florida; Austin, Texas; Cortez, Colorado; Commerce City, Colorado; Omaha, Nebraska; St. Louis, Missouri; and Washington, D.C.

None have been reported in Washington thus far, but the state has seen a “stunning” rise in fentanyl use over the past year, which has local health leaders scrambling to address the issue.

Death rates from all drug poisonings per 100,000 Washington state residents, 2003-2020. Graphic: UW ADAI
Death rates from all drug poisonings per 100,000 Washington state residents, 2003-2020. Graphic: UW ADAI

Natural and synthetic opioids are a scourge everywhere, though illegally manufactured fentanyl makes them more dangerous, “killing Americans at an unprecedented rate,” Milgram said in a news release. Fentanyl is often cut with other illegal drugs to help them go further on the street, leading to accidental overdoses, but more Washingtonians than ever are also knowingly consuming fentanyl: a recent UW Medicine survey found that 42 percent of respondents who used syringe-service program sites across the state had knowingly used fentanyl in the last three months.

“I’ve been doing drug-trends research for 20 years, and fentanyl’s growth is the biggest, fastest shift we’ve ever seen—and also the most lethal,” said Caleb Banta-Green, principal research scientist for UW Medicine’s Addictions, Drug & Alcohol Institute.

Death rates from opioids per 100,000 Washington state residents, 1999-2020. Graphic: UW ADAI
Death rates from opioids per 100,000 Washington state residents, 1999-2020. Graphic: UW ADAI

In fact, the DEA said, fentanyl killed more Americans than guns and traffic crashes combined. Just last spring, UW Medicine published a similar report after seeing fentanyl overdose deaths more than double between 2019 and 2020. In the fall, Pierce County reported its own spike in opioid poisonings, which left 55 people dead between January and June of 2021. CDC data also shows that Washington’s overdose deaths have grown at nearly double the national rate: increasing 34.5 percent from October 2020 to October 2021 and leaving 2,202 more Washingtonians dead.

Two-thirds of the 105,750 Americans who died of drug overdoses in the 12-month period ending in October 2021 were using synthetic opioids, primarily fentanyl, according to provisional data published last month by the Centers for Disease Control and Prevention.

Pharmaceutical fentanyl is about 100 times more potent than opioids and has a legitimate purpose, but drug cartels also mix it up in clandestine labs and smuggle it into the United States through Mexico for the black market, according to the DEA. On the streets, cocaine is laced with fentanyl to make it more powerful or stretch the base product, or it’s pressed into pills as passed off as legitimate prescription pills such as Percocet, Vicodin or OxyContin. [more]

Synthetic Fentanyl Fuels Deadly Trend Spreading Across U.S., DEA Warns