• opioids Some of the most potent opioid agonists are

morphine, meperidine, methadone; other opioids include hydromorphine–Dilaudid®, codeine, oxycodone–Percodan®, propoxyphene–Darvon®

• Fentanyl-Fentanil Carfentanyl-Carfentanil

• Opioids can be used as pain medications or anesthetics

• Antagonists Naloxone–Narcan® a narcotic analgesic antagonist,

used in the reversal of acute narcotic analgesic respiratory

depression.

©Black Nitro OperationsDr. Frank E. Hendron, CFC, MS, PhD

#1 Drug Killing Americans is Fentanyl

©Black Nitro Operations

• Opioid Crisis in the United States – 33,000 people died from Opioids in

2015 according to the Office National Drug Control Policy.

• Fentanyl Deaths in 2016:Up 540% in Three Years-NY Times

• Fentanyl is reported to be responsible for a 526% increase in Opioid

deaths in Ohio in just one year!!!!

• Fentanyl can be inhaled or ingested through the skin.

• Heroin, Meth, Cocaine, and even Marijuana is being laced/cut with

Fentanyl

• Fentanyl Kills!!!! It is the nexus of the Opioid crisis

today…HOWEVER…Something much more alarming is happening

NOW.

©Black Nitro Operations

• District attorney: Marijuana laced with fentanyl is in Tennessee

• Coroner: ‘We Have Seen’ Synthetic Opiates Like

Fentanyl Mixed With Marijuana

• Warning About Marijuana Laced With Meth & Fentanyl Issued In North Dakota

• Yarmouth police: pot may have been laced with fentanyl

• Brockton man charged with dealing marijuana laced with fentanyl

• Masset RCMP Warn of Possible Fentanyl-laced Marijuana

• Fentanyl Overdose Warning from Laced Marijuana Joints-

FLA

©Black Nitro Operations

©Black Nitro Operations

“In 2002, Russian soldiers pumped aerosolized carfentanil into a Moscow theatre where Chechen militants were holding more than 800 hostages. They meant to incapacitate them, but the strength of the drug ended up killing over 120 innocent civilians”.

“Before being discovered by drug dealers, carfentanil and substances like it were viewed as chemical weapons. Assistant Secretary of Defence for Nuclear, Chemical and Biological Defence Programmes between 2009 and 2014 described the drug as a “weapon”,

"We can supply carfentanil . for sure," a saleswoman from Jilin Tely Import and Export Co told the AP in an email in September. "And it's one of our hot sales product."

©Black Nitro Operations

©Black Nitro Operations

Medical Aspects of the Opioid Epidemic

What are opioids?

» These drugs interact with opioid receptors (on nerve cells) in the brain and nervous system to produce pleasurable effects and relieve pain.

Medical Aspects of the Opioid Epidemic

“Grey Death”

Workplace Impacts of Illicit Drug UseCompared to other employees, an illicit drug-using employee is:

» 2.5 times more likely to be absent 8 days or more (per year).

» 3 times more likely to be late for work (on any given day).

» 3.6 times more likely to be involved in workplace accidents.

» 5 times more likely to file a workers comp claim.

» Likely to incur 300 % higher medical costs.

Workplace Impacts of Illicit Drug Use

A recent study of employed rehabilitating or rehabilitated illicit drug users revealed:

» 75% Used drugs on the job

» 64% Admitted drugs affected their performance

» 44% Sold drugs to other employees

» 18% Stole from co-workers

Reasonable Suspicion Testing: Guidelines

Guidelines:

» Policy: Review, and be sure you understand, your company’s drug and alcohol policy.

» Follow these steps:

1. Observe

2. Document

3. Interview

4. Refer for testing

For more information on our panelists,

take a look at their Whova profiles.