Pubdate: Sun, 02 Jul 2006 Source: Tribune Review (Pittsburgh, PA) Copyright: 2006 Tribune-Review Publishing Co. Contact: http://www.pittsburghlive.com/x/tribune-review/trib/ Details: http://www.mapinc.org/media/460 Author: Jill King Greenwood Bookmark: http://www.mapinc.org/coke.htm (Cocaine) Bookmark: http://www.mapinc.org/heroin.htm (Heroin) Bookmark: http://www.mapinc.org/walters.htm (Walters, John) ADDICTS HERE STILL WILLING TO 'GET HIGH OR DIE TRYING' A potent mix of heroin and fentanyl -- which drew headlines last month by killing nine people in Allegheny County -- continues to circulate in the region, police said. "This is seriously dangerous stuff," said Special Agent Steven Robertson of the federal Drug Enforcement Administration's headquarters in Washington. "Heroin is such an addictive drug that it doesn't seem to matter to some people that it could be mixed with fentanyl and kill them. They want that ultimate high." That search for the ultimate high Monday led to the overdose of a 50-year-old man in Highland Park, who was revived by paramedics. Lab tests on the heroin he used will determine whether it contained fentanyl, a painkiller experts believe is 100 times more powerful than morphine. More than 50 users have recovered from overdoses of the deadly combination since it entered the streets early last month. The most recent fatal overdose occurred June 20 when Angela Tigner, 33, of Carrick, died after using a bag of heroin and fentanyl stamped with the words "Burn Out," police said. Health officials blame the combination for more than 200 fatal overdoses nationwide. Most of the bags connected to the early overdoses locally were marked "Get high or die trying" or "Dynasty." The mixture has turned up in other parts of the country stamped with "Drop Dead," "Incredible Hulk," "Tsunami" and "Undertaker." Robertson said it's not uncommon for drug dealers to switch the name and stamp on bags of heroin. "Drug traffickers are businessmen and if customers are getting scared off by overdoses, they'll just change the name," Robertson said. "They could care less about the misery their product causes, as long as it's making them money." Dr. Neil Capretto, medical director of Gateway Rehabilitation in Pittsburgh, said many people checking into the rehab center for heroin addiction mention using the fentanyl-laced combination. "Many say that because of all the media hype behind the heroin and fentanyl, they were drawn to it," Capretto said. Users from Butler, Westmoreland and Lawrence counties told Capretto they traveled to Pittsburgh recently to buy the heroin-and-fentanyl mix and then either used it themselves or resold it. "All the overdoses we saw in that short amount of time really just amount to a spike in the tidal wave of heroin mixed with other drugs that has been there for years and will never go away," Capretto said. Dr. Frederick Fochtman, director of the forensic science laboratory division and chief toxicologist for the Allegheny County Medical Examiner's Office, said lab tests on much of the heroin seized in the city and county in the past month reveal varying mixtures of drugs. Some bags are a mix of mostly heroin with fentanyl or cocaine. Others contain more fentanyl than other drugs. Fochtman said that indicates the stamp bags, each of which contains .05 gram of the drug, are originating from different distribution sources. Law enforcement agencies across the nation have been trying to curb the spread of heroin and fentanyl. Agents with the FBI and DEA have raided suspected distributors in Philadelphia, Chicago and Detroit. Fatal overdoses have occurred in Detroit, St. Louis, Philadelphia, Camden, N.J., Wilmington, Del., and Minneapolis. U.S. drug czar John Walters said federal agents, working in cooperation with the Mexican government, closed a lab in Mexico last month that might have been the main source of fentanyl that was mixed into U.S. heroin. The DEA said it was testing fentanyl seized in Mexico to find out whether it could be linked to the deaths. "We're still trying to track the source of the heroin that's popped up all over the country," Robertson said. "We're doing tests on what we seized in Mexico, and we don't know yet if that lab was the main pipeline." The heroin-fentanyl mix first hit the streets of Pittsburgh on June 2, when bags of it began circulating in Hazelwood. Within two days, the city saw its first fatal overdose, and more quickly followed in the next two weeks. Police arrested low-level dealers and seized more than 1,000 bags of the mixture. The rash of local outbreaks isn't the first time tainted heroin has killed here. In 1988, at least 20 users died after shooting up heroin laced with 3-methyl-fentanyl, commonly known as China White. Thomas Schaefers, a Calgon Corp. chemist, was convicted in 1989 of 20 federal charges, including two counts connected to two fatal overdoses. U.S. Attorney Mary Beth Buchanan last month said federal prosecutors would seek lengthy prison terms for drug dealers who sold the heroin mix that led to fatal overdoses. Last month, scientists, public health officials and law enforcement officers from across the country held a summit in Chicago to discuss ways to combat the problem. "We feel like we're making progress, but there's no way to know how much of it is out there still," Robertson said. "It's a problem that never really will go away." - --- MAP posted-by: Beth Wehrman