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Calif. county sees sharp decline in fentanyl deaths

Sacramento County officials reported 186 deaths due to fentanyl this year compared to 404 in all of 2023

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Nasal Narcan from an opioid overdose kit at the Sacramento County main jail, Thursday, Sept. 19, 2024, to use if an inmate overdoses on fentanyl that has been smuggled in.

Lezlie Sterling/TNS

By Rosalio Ahumada
The Sacramento Bee

SACRAMENTO COUNTY, Calif. 鈥 Sacramento County has experienced a sharp decline in the number of people who died after ingesting fentanyl, the deadly synthetic opioid that has gained a lot of attention nationwide as fatalities climbed.

In recent years, authorities have responded with enforcement tactics to curb fentanyl dealing and trafficking as drug awareness campaigns have worked to warn people of the lethality that comes with just a small dose of the narcotic.

Through Tuesday, 186 people this year in , according to the Coroner鈥檚 Office. There were more than twice that amount, 404 fentanyl deaths, in all of last year.


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The number of in the previous six years: 17 reported deaths in 2018; 33 in 2019, 108 in 2020; 215 in 2021; and 231 in 2022.

, said the decline of more than 50% in the number of fentanyl deaths is the result of coordinated efforts by local law enforcement, first responders, health care providers and community groups that 鈥渁re saving lives.鈥

鈥淭his reduction isn鈥檛 necessarily due to fewer people using fentanyl, but rather a direct result of the comprehensive support systems we鈥檝e implemented,鈥 Miller said in a county news release.

Two milligrams of fentanyl can be lethal depending on a person鈥檚 body size, tolerance and past usage, according to the .

DEA 鈥楩acts about Fentanyl鈥

Drug dealers mix fentanyl, because of its potency and low cost, with other drugs including heroin, methamphetamine and cocaine, which increases the likelihood of a fatal dose, according to the DEA. It鈥檚 possible for someone to take a pill without knowing it contains fentanyl or whether it contains a lethal dose of fentanyl.

High-profile criminal cases have involved evidence showing young people using their social media accounts, such as Snapchat, to sell or and find fentanyl to buy. some online dealers claiming the pills are Xanax, Percocet and Oxycodone. Fentanyl also can come in powder and vape pens.

Law enforcement agencies in the county conducted enforcement that led to arrests and the seizure of fentanyl supplies.

In October, the Sacramento Sheriff鈥檚 Office announced narcotics investigators arrested a man driving a vehicle with three large bags allegedly containing . The investigators found and confiscated 330,000 pills.


How communities are saving lives by understanding where and when overdoses occur

The fentanyl bust near the Sacramento International Airport was prompted by a traffic stop conducted by a sheriff鈥檚 detective and a California Highway Patrol officer working the area as part of the Domestic Highway Enforcement and Regional Enforcement of All Crimes Team, which is part of the .

A DEA analysis found that counterfeit pills have .02 to 5.1 milligrams of fentanyl per tablet; 42% of pills tested for fentanyl contained at least 2 milligrams of fentanyl, according to the federal law enforcement agency鈥檚 鈥淔acts about Fentanyl鈥 web page.

Assuming that each of the confiscated 330,000 pills contained 5.1 milligrams, a review by The Sacramento Bee determined that the pills seized in the October traffic stop could produce a maximum of 841,000 lethal doses.

In September, Sheriff Jim Cooper announced his deputies had tried to smuggle into his two jail facilities this year. He said the confiscated fentanyl at the jails was enough to kill everyone living in Elk Grove, which is correct depending on who is ingesting the drug.

An undercover operation dubbed in early November and resulted in 15 arrests throughout the Sacramento region. The Folsom Police Department led the operation over two days seeking street-level drug dealers who sell narcotics online. Investigators created undercover online accounts to arrange drug deals.

Narcan and fentanyl test strips

County officials said medics from the Sacramento Fire Department and Sacramento Metropolitan Fire District have administered Narcan and provided medication-assisted treatment to people suffering from a suspected opioid overdose. Naloxone, commonly known by its brand name Narcan, is a nasal spray medication that can be administered to restore breathing to those suffering opiate overdoses.

The county鈥檚 Department of Child, Family and Adult Services and Sacramento County Public Health, have raised awareness about the dangers of fentanyl through education and distributing Narcan and fentanyl test strips.



The county鈥檚 Adult Correctional Health Services has expanded access to medication-assisted treatment in jails, and community-based organizations continue to provide prevention education, treatment options and harm reduction resources.

鈥淏y working together, we鈥檝e built a robust system of care and support that is not only addressing substance use but also providing people with the tools they need to survive and recover,鈥 Miller said in the news release.

County officials said they鈥檙e encouraged by the declining trend in fentanyl deaths, but they鈥檙e also cautious over the holiday season at the end of year 鈥 a time can be challenging for people struggling with mental health and substance use disorders.

Those in need of help dealing with substance abuse, need access to Narcan and fentanyl test strips or want to know more about the county鈥檚 collaborative efforts can visit the web page for the Department of Health Services .

If you or someone you know is suffering from a substance abuse addiction, you can reach out to the Substance Abuse and Mental Health Service Administration鈥檚 National Helpline at 800-662-4357 or visit .

漏2024 The Sacramento Bee.
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