Pubdate: Tue, 25 Aug 2015
Source: Kansas City Star (MO)
Copyright: 2015 The Kansas City Star
Contact:  http://www.kansascity.com/
Details: http://www.mapinc.org/media/221
Authors: Tony Rizzo, Glenn E. Rice

'FLAKKA,' THE NEW KILLER DRUG, IS SPREADING ACROSS THE COUNTRY

It's a new drug. And it's a killer.

Known on the street as "flakka," the synthetic concoction is hitting 
hard in Florida, Tennessee, Kentucky, Ohio and other parts of the 
country. It's causing a rash of emergency room visits and overdose deaths.

In one highly publicized Florida case, a man reportedly high on 
flakka gnawed on and disfigured another man's face before he was shot 
to death by police. Another user tried to break down the door of a 
police station in Fort Lauderdale, and a few weeks later, a man 
impaled himself while trying to climb a fence around the same station.

While police in the Kansas City area say they know of no cases 
involving flakka yet locally, they are aware that it could easily migrate here.

And if it does, said Johnny Bivens, sheriff of Lewis County, Ky., 
local officials are in for a rough ride.

"This is the worst drug I have ever seen in my 18 years of law 
enforcement across the board," Bivens said. "Nothing compares to this."

Also known as alpha-PVP, it has a similar chemical makeup to other 
drugs commonly known as "bath salts," according to the National 
Institute on Drug Abuse.

It typically comes in a white or pink crystalline form and is 
foul-smelling. It can be eaten, snorted, injected, or vaporized in an 
electronic cigarette device, according to the national institute, 
which has included flakka on a list of emerging trends.

It is particularly potent when vaporized, sending the drug into the 
bloodstream quickly, and making the user particularly susceptible to overdose.

"Alpha-PVP can cause a condition called excited delirium that 
involves hyper-stimulation, paranoia and hallucinations that can lead 
to violent aggression and self-injury," the institute warns. "The 
drug has been linked to deaths by suicide as well as heart attack. It 
can also dangerously raise body temperature and lead to kidney damage 
or kidney failure."

Authorities say flakka is easily accessible. It can be purchased 
online from China and in some parts of the United States has replaced 
crack cocaine.

Officials in Broward County, Fla., say the drug has contributed to at 
least 29 deaths over the last year.

While police locally say flakka hasn't been found here yet, they have 
dealt with other similar drugs that have led to hospitalizations and deaths.

"The dangerous thing about synthetic drugs is that the chemicals used 
to make them are always changing," said Sgt. Chris Cesena of the 
Kansas City police drug enforcement unit. "The user doesn't realize 
what they're taking. These are harsh chemicals."

Capt. Dan Cummings of the Jackson County Drug Task Force said 
synthetic drugs can vary widely in their potency from batch to batch.

In a recent investigation involving the sale of K2, commonly known as 
synthetic marijuana, Cummings said, confiscated samples tested in a 
laboratory ranged from 3 to 4 percent pure to as high as 80 to 90 percent.

Someone used to the weaker form is at a higher risk of overdose if 
they unknowingly ingest a purer form, he said.

Bivens said his office in Kentucky became aware of the drug around 
last Thanksgiving when reports of people acting strangely, sweating 
profusely and displaying intense paranoia started coming in.

"They always constantly think that someone is after them," he said. 
"One of the main things we have seen was people experiencing rapid 
weight loss, about 40 pounds a month. People don't eat. They are up 
for 10 to 12 days at a time. Their body becomes covered in abscesses."

Users report that the drug is highly addictive, he said.

And it was highly profitable for the people selling it. Dealers were 
able to obtain the drug online and were selling it for $250 a gram, he said.

The problem peaked this spring when Bivens said they were responding 
to two or three flakka-related calls a day.

And more often than not, when his deputies encountered users, they 
were involved in intense physical encounters to control them.

"Foot chases were going up," he said. "The use of force was going up 
because when you encounter these individuals they think you are 
trying to kill them and they would react and we would have to upgrade 
the use of force."

Flakka started appearing in the United States in a handful of cases 
in late 2012, said Rusty Payne, a spokesman for the Drug Enforcement 
Administration in Washington, D.C.

By last year, a "tremendous" number of cases were being reported, he said.

In the last seven or eight years, officials have identified 400 
different varieties of synthetic drugs.

"Alpha-PVP or flakka is just another one that has emerged 
unfortunately and it is causing a lot of problems in a lot of 
places," Payne said.

The area hit hardest by the drug is Broward County, Fla. It first 
surfaced there last year, said Lt. Ozzy Tianga of the Broward County 
Sheriff's Office.

At first, because users displayed many of the same symptoms and 
behaviors seen with cocaine or other synthetic drugs, officials did 
not realize they were seeing something new, he said.

The level of "excited delirium" experienced by flakka users tended to 
be much worse, and laboratory testing confirmed the presence of 
something new, according to Tianga.

"They were acting psychotic, very similar to acting as if they were 
mentally ill," he said.

Based on calls from other parts of the country, Tianga said he 
expects the drug to continue spreading.

"I have received calls from Kentucky, all of the northeast quadrant 
of the United States, from Texas all the way up to California," he said.

And because what he calls an "epidemic" is so new, he said, there are 
no proven rehabilitation methods.

"We have had some individuals who have experienced excited delirium 
up to five months after they use the drug," he said. "It is almost 
like the old-school LSD that could create a delayed response to the drug."

Payne of the DEA said that despite the claims of those who sell it 
online, it is illegal in the United States.

"A lot of people like to think legal means safe; therefore I can do 
this and be safe," Payne said. "There have been a lot of funerals 
unfortunately that have operated under that assumption."
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MAP posted-by: Jay Bergstrom