Regional WI Drug Corridors Heroin
Drugs: Synthetic and Real
Wisconsin Nurses Association (WNA) WITC - Rice Lake 9/25/15
Chris Fitzgerald, Sheriff Barron County Sheriff's Department Ron Baures, Captain Barron County Sheriff's Department
Regional WI Drug Corridors
2015 WNA Northwoods Clinical Practice Update Session 3: Northwest Wisconsin Drug Trends
Drug Trends in NW Wisconsin
Heroin Synthetics
K2 ?synthetic marijuana bath salts ? synthetic cathinones Flakka Methamphetamine Marijuana
Heroin
Processed from morphine, extracted from poppy plants
Heroin
Commonly sold in WI - Columbian tan/Mexican brown
South America - Columbian tan or off white Mexico - brown and black tar Southwest Asia - white or tan powder Southeast Asian ? "China White" (more expensive)
Heroin
Injected
Smoked
Snorted
NW Wisconsin mainly snorted because of high purity Many young uses prefer to snort
Purity remains the same No paraphernalia or worry about contracting diseases from needle sharing No evidence of intravenous use "tracks"
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Heroin Usage
Addictive, 100x stronger than morphine
Users feel a warm "rush" (euphoria) followed by a state of sleep and drowsiness.
Users often buy enough to support their own drug habit and sell the rest to other users for $ to "re-up".
May never know someone is using heroin
7-10 days to Detox
Physical withdrawal can be severe, sometimes occurring 6-12 hours after last use depending on the user
Vomiting, cramping, sweating, muscle aches, agitation, diarrhea
2015 WNA Northwoods Clinical Practice Update Session 3: Northwest Wisconsin Drug Trends
Heroin- Trends in NW WI
?Hub city for heroin in NW WI is Chicago (controlled by street gangs) ?Most heroin is transported via vehicles like Greyhound buses to avoid police intervention (visit, dump, and run) ?Increase in high school use among teens who many are already abusing prescription narcotic pain relievers like Oxy's and Hydrocodone
?18-25 year old white male - most
predominant to use and sell
Heroin
NW WI is targeted by street gangs from Chicago and
$. Milwaukee...untapped users with
Nigerian and Dominican criminal organizations are the primary heroin transporters into Milwaukee/Racine. Then regulated by African American and Hispanic gang members.
More difficult to detect compared to other drugs because of smaller quantities transported, stored, and sold.
Majority of heroin in WI is controlled by street gangs from Chicago and Milwaukee.
Heroin
Average street quantities are 1/4g-1/2g / also sold in "doses"
Average cost
?g = $100 .1g=$25
Average purity in WI is
estimated up to 42-63%
Can be "cut" or "stepped on" w/impurities for more profits
Cutting agents are often lactose based powders like baking soda, corn starch, mannitol, dormin, and caffeine.
Needle Exchange Programs (NEP)
When the Milwaukee based program started in the 90's, their average age of an injector was about 35-years-old. Now 17,18,19-years-old are pretty common.
9 NEP locations in WI
1). Prevent disease transmission 2). Improperly discarded syringes are hazardous
to police, ems, sanitation workers, ect. 3). The programs are recommended disease reduction
intervention programs at many locations around the state.
Heroin- OD and Death rates in WI
Significant increases in Madison and Milwaukee
Recent reports in Hudson and Eau Claire
Narcan is used to reverse the effects
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Methamphetamine
2015 WNA Northwoods Clinical Practice Update Session 3: Northwest Wisconsin Drug Trends
Methamphetamine
NW WI -increase in needle use Hepatitis B and C HIV Needle use among hardcore drug users
Methamphetamine
Methamphetamine
"One Pot" Method
WI - Increase in "One Pot" method Quicker, faster manufacturing method Often less product manufactured, but more concealable More cases in southwestern portion of the state aka "Shake and Bake" method 1 method or cook in 2 liter bottle
"Shake and Bake" Meth
Video
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Methamphetamine
2015 WNA Northwoods Clinical Practice Update Session 3: Northwest Wisconsin Drug Trends
Marijuana
Marijuana
Increase in high quality THC produced in sophisticated indoor grow operations
1960's THC 3-5% "ditch weed" 2012 THC range is 15-30 %
aka "nugs" "bc bud"
Marijuana- DTO Grows
Continued DTO marijuana grow operations in NW WI by Hispanics w/ties to California and Mexico Locations- State/Federal forest locations to conceal their grow
5-6 DTO grows in past 3 years in NW WI, each grow
may have 8,000-15,000 plants
Hispanic growers "rancheros" are often armed with guns to protect the crop. Funds go back to Mexico.
Better strains of THC = more grows per year = $$$
Marijuana Use and the Brain
Healthy Brain
16 year old
Marijuana User
16 year old daily user
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Marijuana- Signs & Symptoms
Rapid, loud talking & bursts of laughter (early intoxication) Sleepy or daze in the later stages Forgetfulness in conversation Odor similar to burnt rope on clothing or breath Brown residue on fingers Inflammation in whites of eyes; pupils unlikely to be dilated Tendency to drive slowly - below speed limit
2015 WNA Northwoods Clinical Practice Update Session 3: Northwest Wisconsin Drug Trends
NOT YOUR EVERYDAY "SPICE"
"Synthetic" or "Designer" Drugs
Spice, K2, Herbal Incense
Marketed as herbal incense "Not for Human Consumption" to avoid FDA inspection
K2- Signs and Symptoms
Paranoia and Hallucination Increased Heart Rate Elevated Blood Pressure Agitation and Anxiety Dizziness and nausea Vomiting and tremors Chest pain Suicidal or other harmful thoughts/actions
Where it's Manufactured
Overseas (Asia and Europe) Manufactured in WI clandestine locations (Eau Claire ? Washburn Co case) Made with chemicals (JWH-018, JWH-017,ect) sprayed and dried on foliage leaves The illegal substance "JWH" and Acetone are sprayed on foliage leaves (binion)...then dried. Nov 2010, DEA listed "K2" as Schedule 1 substance under their emergency powers
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