NARCOTICS TRENDS AND ISSUES

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1 NARCOTICS TRENDS AND ISSUES

2 THE COST Drugs users in the United States spent over $100 Billion annually over the last decade Illicit drug use cost taxpayers more than $193 billion in lost productivity, healthcare, and criminal justice costs Comparatively Apple s net income in 2017 was $48.35 Billion

3 CANNABIS - MARIJUANA

4 Marijuana / Cannabis CULTIVATED SEIZURES lbs. Street value $10, 375, lbs. Street value $4,353,852.00

5 MARIJUANA / CANNABIS Seized Marijuana coming into Florida is usually shipped from California, Colorado, Washington Also comes from grow houses in Florida Higher THC levels than in the past

6 MARIJUANA / CANNABIS An average 2 car garage, 20 ft X 18ft can hold approximately 100 plants, initial set up cost $2,000 to $4, plants each producing $1, worth of cannabis = $100, year. And that is of course unreported tax free income.

7 MARIJUANA / CANNABIS C A N N A B I S G U M M I E S C A N N A B I S C O O K I E S

8 LEGAL MEDICAL MARIJUANA

9 STATES OF LEGALIZATION

10 MEDICAL MARIJUANA Florida Department of Health Office of Medical Marijuana Use (Formerly Office of Compassionate Use) Treatment conditions such as cancer, epilepsy, glaucoma, AIDS, PTSD, MS, Parkinson s, and Crohn s disease Physicians may issue a Certification to a qualified patient and must enter the patient into the medical marijuana registry Physician can provide 3 treatment cycles Patient must be seen every 30 weeks before issuing another certification

11 MEDICAL MARIJUANA Licensed medical marijuana treatment centers are allowed to cultivate, process, and dispense medical marijuana Florida currently has licensed 13 Treatment centers The Department of Health is required to maintain a computer software tracking system traces marijuana from seed to sale Marijuana is still illegal according under United States Federal Law

12 ORLANDO DISPENSARIES

13 MEDICAL MARIJUANA

14 MEDICAL MARIJUANA VAPE PEN

15 MEDICAL MARIJUANA

16 CBD OIL Non-euphoric Cannabis Oil Better known in Florida as Charlotte s Web Approved in Florida in June 2014 prior to approval of Medical Marijuana Used to treat epilepsy, anxiety, nerve tremors, Lou Gehrig s disease, cancer

17 BUTANE HONEY OIL BHO

18 WHAT IS BUTANE HONEY OIL Known on the street as Shatter or DAB Can be made using discarded parts of Cannabis plants Incredibly high concentrations of THC between 60% and 80%, occasionally higher Basically considered Hash or Hash Oil Highly flammable and volatile as a result of the use of large amounts of butane

19 DAB SHATTER

20

21

22 BHO REFRIGERATOR EXPLOSION

23

24 BUTANE HONEY OIL LAB EXPLOSION

25 SYNTHETIC CANNABINOIDS

26 SYNTHETIC CANNABIS HISTORY In 1984, chemist Dr. John W. Huffman at Clemson University began developing cannabinoid compounds to aid in research of multiple sclerosis, AIDS, and chemotherapy. In 1995 he developed JWH-18. It produced effects in animals similar to those of THC, a cannabinoid naturally present in Cannabis.

27 SYNTHETIC CANNABIS HISTORY In 2004, without Huffman s knowledge, Spice containing JWH-18 appeared in Europe and was marketed as a substitute for real Marijuana. It is believed that the manufacturers of Spice read Huffman's research and copied it to create synthetic Marijuana. It became widely popular because it allowed users to pass a drug test and avoid arrest. In 2008, many European countries began banning Spice and other synthetic marijuana products. In 2009, Spice, K2 and others gained popularity in Canada and the United States.

28 COCAINE POWDER COCAINE CRACK COCAINE

29 POWDER COCAINE

30 CRACK COCAINE

31 CRACK COCAINE

32 METHAMPHETAMINE

33 METHAMPHETAMINE Mostly produced outside the United States in Mexico and Central America More cost effective for users to buy now than to make Crack down on purchase of Pseudoephedrine makes it more cost effective to buy than to make

34

35 ONE POT / SHAKE AND BAKE METHAMPHETAMINE

36 ONE POT RECIPE 1. Ammonium Nitrate % Lye 3. Coleman Camp Fuel 4. Lithium Strips AA Lithium Batteries MG Pseudoephedrine 6. Xylene NP Solvent 7. Iodized Salt 8. Sulfuric Acid 9. Isopropyl Alcohol 10.Distilled Water

37 ONE POT LAB EXPLOSION

38 MOLLY/ ECSTASY

39 MOLLY Molly is the powder or crystal form of MDMA Methylenedioxymethamphetamine, a chemical drug most commonly known for its use in the pressed pill Ecstasy.

40 MOLLY Molly -- a name shortened from "molecule." Also called Mandy. It is thought of as "pure" MDMA. Molly can be made with legal chemicals given the right scientific knowledge. Manufactured in Mexico and Asia. Much more complex to make than Methamphetamine. Molly has the potential of being cut or mixed with other harmful substances by someone else, despite claims of it being pure. Some pills advertised by dealers as MDMA actually contained bath salts, cocaine, and fertilizer.

41 MOLLY -ECSTASY

42 BATH SALTS

43

44 HEROIN & FENTANYL

45

46 WHAT DOES HEROIN LOOK LIKE?

47 Heroin Paraphernalia

48 Black Tar Heroin Brown Tar Heroin White Powder Heroin

49 Heroin comes from many places: China, Mexico, the mountains around the borders of Iran, Pakistan and Afghanistan Grow best in dry, warm climates. They are often grown in these areas by farmers with small plots of land. The sap is collected by the farmer, then it's bought by a merchant or broker who takes the opium to a morphine refinery. HEROIN

50 HEROIN Chronic users may develop collapsed veins, infection of the heart lining and valves, abscesses, and liver disease. Heroin abuse is associated with a number of serious health conditions, including fatal overdose, spontaneous abortion, and infectious diseases like hepatitis and HIV.

51 HEROIN 3 out of 4 Heroin users started with prescription Opiates Once thought to be a problem primarily affecting urban teens living in impoverished areas, heroin abuse now more commonly affects middle-class suburban white people in their early 20s Today, the average heroine user is 23 years old and tends to live in a suburban or rural area Nearly half of young people who inject heroin surveyed in three recent studies reported abusing prescription opioids before starting to use heroin. Some individuals reported taking up heroin because it is cheaper and easier to obtain than prescription opioids such a OxyContin, Percocet or Vicodin

52 HEROIN RELATED ITEMS

53 ORANGE COUNTY NARCOTICS OVERDOSES / DEATHS OVERDOSES ALL HEROIN ( 92% Increase) 711 (161% Increase) OVERDOSE DEATHS HEROIN DEATHS (95% Increase) 43 (95% Increase)

54

55 FENTANYL

56 Late 1950 s fentanyl synthesized by Janssen Pharmaceutical Introduced into medical practice in 1963 Mixed with anesthetics Mitigates post-operative pain HISTORY

57 HISTORY 1979 Clandestine production of fentanyl leads to first deaths in US Southern California Users thought they were taking heroin (China White)

58 FENTANYL Fentanyl is an opioid drug a chemically synthesized relative of opiates such as morphine and heroin, which are derived from the opium poppy. Most potent opioid for use in medical treatment Used to treat severe cases of pain in terminally ill and cancer patients Administered for pain to patients with opiate addiction or tolerance

59 FENTANYL Effects of a standard 10 - milligram dose of Morphine can be achieved with just 100 micrograms of Fentanyl Death is usually caused by respiratory depression, you stop breathing

60 FENTANYL EFFECTS When fentanyl is injected Effects can be felt in 30 seconds Effects may last for minutes (heroin is 4 hours) Fentanyl is metabolized in the liver After 72 hours, 85% of dose is eliminated Only 8% is excreted unchanged in the urine

61 DANGERS OF FENTANYL Lethal dose of fentanyl is roughly 2 mg 32 grains of salt 7 poppy seeds

62 MOSCOW THEATER HOSTAGE CRISIS OCTOBER 23, 2002 A FORM OF FENTANYL GAS USED IN THEATER TO END HOSTAGE CRISIS 50 CHECHEN TERROISTS AND 117 HOSTAGES DIED

63 FENTANYL ON THE STREETS Physically can have the appearance of other narcotics Distributed in tablet, capsule, powder, and patch

64 OPIOD U-47700

65 OPIOD U U 4 Created by Upjohn in 1970s. Was created to treat severe pain associated with cancer, surgery, and injury Reportedly had less addictive potential 7 to 8 times the potency of Morphine when tested on animals Never tested on humans, relegated to research labs Sites operating on Dark Web began selling U4 in 2015 and Produced in China smuggled through Mexico and Canada

66 OPIOD U When U4 began showing up in overdose deaths and on the street it was not illegal. Found on web and recreated Emergency scheduled in Florida on September 27, 2016 by an emergency rule of Florida Attorney General Pam Bondi Emergency scheduling by DEA November 14, 2016 DEA received reports in 2016 of at least 46 confirmed fatalities associated with U of those fatalities occurred in New York and 10 in North Carolina, and 5 in Florida

67 CARFENTANYL

68 Carfentanil is a powerful derivative of fentany While fentanyl is about 100 times more powerful that morphine, carfentanil is 100 times more potent than fentanyl, meaning it is 10,000 time more potent than morphine. This drug is not approved for use in humans in any capacity, and it is typically found in veterinary medicine to sedate large animals, primarily elephants. In fact, the drug is so powerful that when veterinarians handle carfentanil, they use protective gear so they don t breathe it in or absorb it through their skin.

69

70 SYMPTOMS OF EXPOSURE Low blood pressure Pinpoint pupils Slow heartbeat Chest wall rigidity Wooden chest Lead pipe rigidity

71 SYMPTOMS OF EXPOSURE Severe drowsiness Sedated Unable to answer questions Unconscious can not be awakened Disoriented Cold, clammy skin Nausea Coughing

72 TREATMENT Fentanyl overdoses are treated with Naloxone (Narcan) Binds to all opiate receptors (μ, κ, δ) Reverses effects of narcotic overdoses Is safe to use No analgesic properties No potential for abuse

73 SIGNS AND SYMPTOMS OF ABUSE Lack of interest in normal activities that your child previously enjoyed (sports, music, etc). Hanging out with new friends that are not interested in talking to you when they come over. Suicidal thoughts, agitation, combative or violent behavior. Confusion, hallucinations, psychosis. Increased heart rate, hypertension, chest pain. Immediate high fever, sweating, wanting to remove clothing. Finding smoking devices/paraphernalia burned soda cans, burned tin foil, pipes, tiny zip-lock baggies. If you know or think your child has taken any synthetic drug call 911 without delay.

74 Sergeant Chris Moore Criminal Investigations Division/Narcotics Clandestine Lab Response Team

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