Pubdate: Thu, 24 Aug 2006 Source: Press of Atlantic City, The (NJ) Copyright: 2006 South Jersey Publishing Co. Contact: http://www.pressofatlanticcity.com/ Details: http://www.mapinc.org/media/29 Author: Meredith Kolodner, Staff Writer Bookmark: http://www.mapinc.org/find?159 (Drug Courts) Bookmark: http://www.mapinc.org/heroin.htm (Heroin) Bookmark: http://www.mapinc.org/rehab.htm (Treatment) COUNTY DRUG DEATHS SURGE WITH HEROIN IN MIX TOMS RIVER -- An extremely pure and potent batch of heroin has caused a dramatic increase in the number of deaths from drug and alcohol overdoses in Ocean County this year, officials said. At this time last year, there had been 33 fatal overdoses since Jan. 1. This year, 53 people have died from an overload of drugs, alcohol or a combination of the two. "Every time people use these drugs, they are playing Russian roulette with their lives," Ocean County Prosecutor Thomas F. Kelaher said at a news conference Tuesday. "What concerns us most is the sharp increase in heroin overdoses." County officials said that the heroin being used in Ocean County is different from the heroin that has been linked to a slew of recent overdoses in Cape May County. That heroin is believed to be coming from Philadelphia and contained the synthetic drug fentanyl. Only two of the Ocean County deaths were caused by fentanyl, and in those cases heroin was not involved. "The main cause of the overdoses is the purity of the drug and its wide availability," said Capt. Michael Mohel, who leads the prosecutor's Major Crime Unit. Most of the heroin being consumed and sold in Ocean County is coming from Newark, Camden, Plainfield and Asbury Park, according to the Prosecutor's Office. Joanne Vieth, director of the drug treatment program Lighthouse at Ocean County in Stafford Township, says her patients have told her recently that the heroin they have been using is much stronger than it used to be. "We have had some patients that have overdosed because it was lot more powerful than what they're used to," she said. Dan Meara, a spokesman for the National Council on Drug and Alcohol Dependency in New Jersey, said that the state's geography explained some of the potency. "New Jersey does have an exceedingly pure form of heroin," Meara said. "It's where the drug enters the country, through the ports in Newark. As it makes its way out of the area it gets cut more regularly and therefore is weakened." Dover had the most fatalities at 12, followed by Brick with six, and Manchester and Seaside Heights with five each. About one third of the deaths were among people younger than 30. The youngest victim, who was 16 years old, took a painkiller called Oxycodone, a prescription drug that has become popular for abuse among teenagers. The oldest person who died was a 78-year-old man who overdosed on alcohol. Officials said combining the stronger heroin with other drugs also has led to deaths. Almost one third of the overdoses involved the combined use of at least two different drugs, mostly heroin or alcohol mixed with another substance. "Alcohol can speed up an overdose," Mohel said. "We say overdose, but it could be any dose, any hit could be fatal depending on potency and combination, so it doesn't necessarily mean they've taken a lot of the drug." In addition to the 53 fatalities, officials said there are also many overdoses in which the user comes close to death. In 2003, the Prosecutor's Office conducted a survey of acute-care facilities in the area. It found 396 incidents in which an overdose victim would have died without medical attention. County officials said they wanted to warn the public and encourage drug users to seek help. Vieth, the director of Lighthouse in Stafford, says it as important for the family members and friends of addicts to be aware of treatment options as it is for addicts themselves. "Addiction is a family disease, it doesn't happen in a vacuum," she said. "If the family and friends don't get educated, they can't expect the addict to do it by themselves. It doesn't work that way." The Prosecutor's Office says that preventing fatalities and drug abuse required a multi-pronged approach. "The main thing is to get help for these people," Kelaher said. "We have prevention programs, we have drug court and we have enforcement. Many of them need to find treatment that can take them out of revolving door of drugs and jail." - --- MAP posted-by: Beth Wehrman