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How the U.S. Army Kills Its Own Soldiers

A horrifying, exclusive report from JoAnn Wypijewski on the grim secrets of Fort Sill, Oklahoma. How a sadistic drill sergeant tortured basic trainees, amid brutal indifference that led to the death on March 19,2006,of 21-year-old PFC Matthew Scarano. Dead Movement Marching? Cockburn and St Clair assess the failures of the national antiwar groups, even as popular opposition to the war tops 60 per cent. Stalin or Confucius? Chris Reed on the Secrets of the Garden of Bliss, otherwise known as North Korea. CounterPunch Online is read by millions of viewers each month! But remember, we are funded solely by the subscribers to the print edition of CounterPunch. Please support this website by buying a subscription to our newsletter, which contains fresh material you won't find anywhere else, or by making a donation for the online edition. Remember contributions are tax-deductible. Click here to make a donation. If you find our site useful please: Subscribe Now!

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Today's Stories

March 28, 2006

Patrick Cockburn
Shias May Now Turn on US Forces

March 27, 2006

Patrick Cockburn
War Crime in a Mosque

Joshua Frank
The Democrats' Daddy Warbucks

Ron Jacobs
The Case of the Anti-Minutemen Five

Jeff Lays
Eternal Spending for a Never-Ending War

Davey D.
We Didn't Cross the Border, the Border Crossed Us

Robert Billyard
"I Did Not Join the British Army to Conduct US Foreign Policy"

Jim Rigby
Why We Let an Atheist Join Our Church

Lisa Viscidi
Justice and Impunity in Latin America: the Case of Rios Montt

Nick Dearden
Refugees: Thirty Years in the Western Sahara

Gideon Levy
Are We Done Killing Children, Yet?

Website of the Day
"Love Me, I'm a Liberal " (Updated)


March 25 / 26, 2006

Alexander Cockburn
Why There's No Strategy to End This War

Patrick Cockburn
The Battle for Baghdad: It's Already Begun

Ralph Nader
Bush's Divorce from Reality

Christopher Reed
Slave Labor and Hell Ships: Mitsubishi Awaits Judgment for Its War Crimes

Jeff Ballinger
Memo to Walter Mosley: the Crisis in Black Leadership

Joseph Massad
Blaming the Israel Lobby

Brian Cloughley
The Fifth Afghan War

Chris Floyd
Death in the Village of Isahaqi

Elaine Cassel
Abortion Politics: The FDA and Plan B

Dave Zirin
Death Row Talks Back to Etan Thomas

John Chuckman
Sorry, Prime Minister, Afghanistan is Not Canada's War

Sharon Smith
"Si Se Puede!": On Chicago's Streets

Christopher Fons
A City With Latinos

Chris Kromm
Coretta Scott King a Communist? There's a History Here

John Bomar
Neurotic-in-Chief: Bush's "Change of Course"

Ron Jacobs
More Than Just a Band

Maymanah Farhat
What MoMA Does to "Islamic" Art

St. Clair / Walker / Vest
Playlists: What We're Listening to This Week

Poets' Basement
Harley, Davies, Engel and Subiet

Website of the Weekend
Peacecast

 

March 24, 2006

Cockburn / Sengupta / Duff
How the CPT Hostages were Freed

P. Sainath
Bribe or Die

Todd Chretien
Jim Crow Goes Fishing: the Racist War on Immigrants

Marty Omoto
The Other California

Michael Carmichael
Islamophobia at Downing Street: Tony Blair's Bipolarity

Peter Phillips
Impeachment Movement Grows; Media Yawns

Gabriel Kolko
The US Empire vs. Reality

Website of the Day
Music for Peace

 

March 23, 2006

Charles V. Peña
Bush's Pro-Terrorism Defense Budget

Joe DeRaymond
El Salvador 2006: a Broken Nation

Robert Fisk
"US Authorities Say..."

Jonathan Cook
The Emerging Jewish Consensus in Israel

Tom Engelhardt
Whatever Happened to Congress?: an Interview with Chalmers Johnson

Joshua Frank
Political Lemmings: the Democrats and the Precipice

Norman Solomon
The Ultimate Scapegoat: Blaming the Media for Bad War News

Robert Fitch / Joe Allen
An Exchange on the State of Organized Labor

Patrick Cockburn
Kirkuk's Dr. Death

CounterPunch News Service
On the Proper Way to Address a Bible-Waving Republican State Senator from Maryland

Website of the Day
Bird-Dogging Kerry

 

March 22, 2006

David MacMichael
Iranian Nuclear Showdown: an Unnecessary Crisis

Juan Santos
Brown Skin, Yellow Star: Making Latinos Illegal

Paul Craig Roberts
Hollow Nation: Americans Don't Live Here Anymore

Patrick Cockburn
Iraq's My Lai?: Shooting Any Iraqi Who Moves

Ramzy Baroud
The Jericho Raid

Jason Leopold
The Mysterious "Official One": Woodward's Plame-Leak Deep Throat

Dennis Perrin
Killer Lies from Cheney's Harlot

William Blum
The Cuban Punching Bag

Jeffrey St. Clair
Contract Casino

Website of the Day
Bird Flu: Will It Cross Over?

 

March 21, 2006

Paul Craig Roberts
Bush's Delusional Speech

Winslow Wheeler
Lipstick on the Pig: the Fiasco of Congressional Earmark Reform

Tom Engelhardt
Cold Warrior in a Strange Land: an Interview with Chalmers Johnson

Arnold Oliver
To the Guy Who Called Me a Traitor: Dissent and the Iraq War

Earl Ofari Hutchinson
When Black Cops Go Bad: the Killing of Elio Carrion

Mike Whitney
Death Squad Democracy

William A. Cook
Israeli Human Rights: Starve the Palestinians

Sophia A. McLennen
Assault on Higher Education: the Conservative Push for the Right Student

 

March 20, 2006

Paul Craig Roberts
A Collapsing Presidency

Dave Lindorff
Howard Dean Tells CounterPunch: DNC No Foe of Impeachment

Ralph Nader
The DNC's "Grassroots Agenda": Howard Dean's Plea for Advice

Diane Christian
License to Lie: Over to You, Dante

Jeff Halper
"To Hell with All of You": the Power of Saying No

Harry Browne
Unhappy St. Patrick's Day: Bush's Crackdown on Gerry Adams and Sinn Fein

Norman Solomon
Why are We Here?: Is There a Right Way to Wage a Wrong War?

Patrick Cockburn
Death Squads on the Prowl; Iraq Convulsed by Fear

Website of the Day
Abugate

 

March 18 / 19, 2006

Cockburn / St. Clair
Three Years On: Where's the Resistance Here on the Home Front?

Werther
Bombs and Butchers: "Where Do We Get Such Men?"

Chris Kromm
Katrina Aid Package: Much Too Little; Much Too Late

Patrick Cockburn
Halabja: Kurds Destroy Monument to Victims of Saddam's Poison Gas Attack

Elaine Cassel
Abortion Politics and Animus for Women: Can Justice Kennedy be Swayed?

S. Brian Willson
Iraq Vets and Post-Traumatic Stress Disorder

Fred Gardner
The War on Kids

Brian Cloughley
General Insanity: the Prevarications of Gen. Peter Pace

Laura Carlsen
Challenging Disparity: Toward a New US Policy in Latin America

Eamon Martin
Life in the Shadows of the Empire: Mysterious Photographers of Nothing

Julie Hilden
Free Speech in the Classroom: Teachers Don't Enjoy Enough Legal Protection

Alison Weir
So Much for "Sunshine Week": AP Erases Video of Israeli Soldier Shooting Palestinian Boy

Jeffrey St. Clair
Playlist: What I'm Listening to This Week

Poets' Basement
LaMorticella, Krieger, Louise, and Engek

Website of the Weekend
Are the Elites Turning Against the Effects of the Israel Lobby?

 

March 17, 2006

Eduardo Galeano
Abracadabra: Uruguay's Desaparecidos Begin to Appear

Greg Moses
Bush and Nuclear Preemption: Do You Feel Safe With This Man's Finger on the Button?

Richard Falk / David Krieger
The Nuclear Non-Proliferation Treaty is Dying: What Now?

Cindy and Craig Corrie
Three Ways to Remember Rachel

Amira Hass
Hamas's Haniyeh: "I Never Sent Anyone on a Suicide Mission"

Mike Marqusee
Reasons to March

James Petas and Robin Eastman-Abaya
Philippines: the Killing Fields of Asia

Website of the Day
Black Shamrock

 

March 16, 2006

Norman Solomon
Hook, Line and Sinker: War-Loving Pundits

Tom Philpott
Neoliberalism at the Garden Gate: Community Farming in LA

Heather Gray
Anne Braden: the South's Rebel Without a Pause

Amira Hass
Is Hamas Playing into the Hands of Israeli Hardliners?

Missy Comley Beattie
Dangerous-to-Society Women: Locked Up in the Tombs

Sen. Russell Feingold
President Bush has Broken the Law; He Must be Held Accountable

Lucinda Marshall
President Ken Doll: Bush Insults Women on Intl. Women's Day

Andrew Bosworth
From the Man Who Voted Against Katrina Aid: Joe Barton's War on CITGO

Clancy Sigal
In Celebration of Dachau's 73rd Anniversary, Halliburton Gets Concentration Camp Contract

Website of the Day
Help Rebuild the New Orleans Public Library


March 15, 2006

Jonathan Cook
Israel's Raid on the Jericho Jail

Winslow Wheeler
Hiding the Cost of War: Paying for Iraq with Supplemental Funding

Diane Christian
Sharon's Stroke

Ron Jacobs
New Tenants for Abu Ghraib?: a Cell for Kissinger and Haig

Missy Comley Beattie
How Many Brinks to Pass?

Jared Bernstein
The Minority Wealth Gap

Noam Chomsky
The Crumbling Empire

Website of the Day
French Students Reclaim the Streets of Paris

 

March 14, 2006

Earl Ofari Hutchinson
No Requiem for a Black Conservative: the Fall of Claude Allen

Dave Lindorff
Why the Gitmo Tribunals are a Bad Idea: Exhibit A, t he Moussaoui Case

Kevin Zeese
Divide and Rule in Iraq Gone Awry

Todd Chretien
Counting the Dead in Iraq: Why is the Left Understating the Carnage?

Jason Kunin
Canada in Afghanistan: "We're Here Because We're Here"

Thomas Palley
The Economics of Outsourcing

Cockburn / St. Clair
Pages from the Liberals' War

Website of the Day
Golf Courses and Swimming Pools

 

March 13, 2006

Uri Avnery
The Missing Word

Dave Lindorff
Extra, Extra! Media Reports on Censure Motion

Mike Whitney
South Dakota's Taliban: the Fanatics are on the Loose

David Green
Questions of Solidarity: Blacks and Jews in Neo-Con America

Jeremy Scahill
Rest Easy, Bill Clinton: Slobo Can't Talk Any More

Mike Ferner
Up Against the Wall, Son: Hungering for Justice During My First Congressional Testimony

Corey Harris
Memories of Ali Farka Touré

Paul Craig Roberts
Killing Off Milosevic: Was Serbia a Practice Run for Iraq?

Website of the Day
Prayer Flags for Peace


March 11 / 12, 2006

Alexander Cockburn
Democrats: When the War Was Lost

Ralph Nader
Bush at the Tipping Point

Paul Craig Roberts
Why Did Bush Destroy Iraq?

Ben Tripp
My Night at the Oscars: the Happy People Speak Out

John Strausbaugh
The Cowboys and the Village Voice: Alt Press Flagship Goes Corporate

Landau / Hassen
Why "We" Fight "Their" Wars

Robert Bryce
A Thousand Pages of Rage

Gary Leupp
Why They Really Think They Must Defeat Iran

Fred Gardner
"But He's Good on Our Issue"

Ron Jacobs
Condi and Iran: Folly, Tragedy and Farce

Jonathan Scott
Science Fiction's Black Oracle: the Genius and Courage of Octavia Butler

Ramzy Baroud
Who Will Stop Bush's Militant Militarists?

Jordan Flaherty
Gitmo on the Mississippi: Life Under the Klan Wasn't This Bad

John Chuckman
Parable of the Hatchet: the Fallacy of Nation-Building in Afghanistan

Joe Allen
Smearing Ron Carey and the TDU: Bob Fitch's Hatchet Job

Julia Kendlbacher
Amazonia: Where All Life Matters

St. Clair / Walker / Pollack / Vest
Playlist: What We're Listening to This Week

Poets' Basement
Hassen, Harley, Ford and Subiet

Website of the Weekend
No Hay Ser Humano Ilegal

 

March 10, 2006

Ben Rosenfeld
The Great Green Scare and the Fed's Case Against Rod Coronado: a War on the First Amendment

Lila Rajiva
The Gitmo Documents: Miller, Boykin, Cambone and Feith

Saree Makdisi
From Rachel Corrie to Richard Rogers: the Wall, the Javits Center and the Bullying of an Architect

Elena Shore
FBI Grills US Professor Over Support for Venezuela

Joshua Frank
How the Green Party Slays Their Own

Dave Zirin
Lynching Barry Bonds

Aura Bogado
An Interview with Subcomandate Marcos

 

March 9, 2006

John Walsh
Neocon Daniel Pipes Advocates Civil War in Iraq as Strategic Policy

Annie Zirin
Leftwing Generals: the Dark Side of Liberal Imperialism

Brian McKenna
We All Live in Poletown Now: GM and the Corporate Uses of Eminent Domain

Chris Floyd
Scar Tissue: How the Bushes Brought Bedlam to Iraq

Rachard Itani
"Over There": Iraq as Soap Opera

Niranjan Ramakrishnan
The Action Thing

Wylie Harris
Immigration and Jeffersonian Democracy: Free Borders Make Good Neighbors

Alexander Cockburn
Ex-State Department Security Officer Charges Pre-9/11 Cover-Up

Website of the Day
About Pace: Expelling Anti-War Students

 

March 8, 2006

Patrick Bond
The Loans of Mass Destruction: Wolfowitz's Anti-Corruption Hoax at the World Bank

Brian Concannon, Jr.
Elusive Victories in Haiti

Pat Williams
Buyer's Remorse: Bush, the View from the Purple States

Lance Selfa
The Democrats and Dubai: the Politics of Distraction

Mokhiber / Weissman
Have You Ever Been Convicted of a Felony?

Walter Brasch
Compromising Civil Liberties

Vijay Prashad
For Them Indian Mangoes: Anatomy of an Agreement

Website of the Day
Rachel Corrie: a Call to Action

 

March 7, 2006

Werther
Half a Trillion Dollars: It's an Awful Lot of Money to Make Us Less Safe and Less Free

John Blair
Dr. Strangelove is Our President: Global Peace Through Nuclear Weapons

Dave Lindorff
The Impeachment Groundswell and Bush's Last Hope: the Democrats

Mike Whitney
No Immunity: Israel's Policy of Targeted Assassination

Warren Guykema
Who is Afraid of Rachel Corrie?

Sen. Russell Feingold
Misleading Testimony About NSA Domestic Spying

Robert Jensen
Why I am a Christian (Sort Of)

Norman Solomon
Digitalized Hype: a Dazzling Smokescreen?

Bernie Dwyer
Hopeful Signs Across Latin America: an Interview with Noam Chomsky

Website of the Day
Golem Song


March 6, 2006

Ralph Nader
Bush and Katrina: "Situational Information?"

Dave Zirin
Why Did Pat Tillman Die? an Investigation Reopens

Vanessa Redgrave
Censorship of the Worst Kind: the Second Death of Rachel Corrie

Walter A. Davis
Theater, Ideology and the Censorship of "My Name is Rachel Corrie"

Joshua Frank
Down By Law: the Mysterious Case of David Cobb

Nate Mezmer
A Second Look at "Crash": More Myths About Blacks and Racist Cops

Paul Craig Roberts
America's Bleak Jobs Future

Website of the Day
Crossroads: Race, Class and Art


March 4 / 5, 2006

Alexander Cockburn
The Dubai Ports Purchase: National Insecurity, Imported or Homegrown?

Jennifer Van Bergen
Bush's NSA Spying Program Violates the Law

Steven Higgs
Dying for Their Work: Westinghouse Workers and the Highest Level of PCBs Ever Recorded

Winslow T. Wheeler
The Generals, the Legislators and the Gulfstream VIP Transports

Ron Jacobs
Stealing Back Adam's Rib

Rev. William E. Alberts
Remember Damadola

Colin Asher
Goodbye, Dubai: the Teamsters and the Ports

Fred Gardner
Denney's Law

"Pariah"
Scapegoats and Shunning: Sexual Fascism in Progressive America

John Scagliotti
Brokeback Mountain: Pain is Not Enough

Seth Sandronsky
When the White House Walks Away: Bush, Arnold and the Flood Risk in the Central Valley

Joan Roelofs
A Challenge to Rebuild the World

Arjun Makhijani
The US / India Nuclear Pact: a Bad and Dangerous Deal

Ardeshr Ommani
Destroying the Nuclear Non-Proliferation Treaty

Diana Barahona
An Open Letter to Freedom House: Release Info on Your Federal Grants

Ben Tripp
Bonzo, Wherefore Art Thou?

St. Clair / Socialist Worker Staff
Playlist: What We're Listening To

Poets' Basement
Engel, Davies, Buknatski

Website of the Weekend
The Return of Pearl Jam

March 3, 2006

Laura Carlsen
Mexico: the Power of Corruption and the Corruption of Power

John V. Whitbeck
Two States or One?

Chris Floyd
The Monolith Crumbles: Reality and Revisionism About Iran

Mohamed Hakki
Wolfowitz at the World Bank: Cronyism and Corruption

Pratyush Chandra
Bush in India: Dinner with George and Manmohan

John Scagliotti
Why are There No Real Gays in "Brokeback Mountain"?

Website of the Day
Support the IRC!

 

March 2, 2006

Paul Craig Roberts
How the Economic News is Spun

Dave Lindorff
Troops to Bush: Get Us Out of Here!

Ramzy Baroud
Middle East Democracy: the Hamas Factor

Saul Landau
Halfway Down the Road to Hell

Joe Allen
The Murder of George Jackson: an Interview with His Lawyer, Stephen Bingham

Steve Shore
Berlusconi on Capitol Hill: "I Am Italy!"

Denise Boggs
Roadless and Clueless: Wilderness Logging Greenwashed by Enviro Groups

Norman Finkelstein
The Attacks on Beyond Chutzpah

Website of the Day
ScreenHead

 

March 1, 2006

Mairead Corrigan Maguire
The Human Right to a Nuclear Free World

Niranjan Ramakrishnan
The India That Can No Longer Say No

Faheem Hussain
Bush in Pakistan

Antony Loewenstein
Spinning Us to War with Iran: an Aussie Perspective

Elizabeth Schulte
The Charge to Overturn Roe Has Begun

Mike Whitney
Sudan: Beware Bolton's Sudden Humanitarianism

John Ryan
Canada and the American Empire

Michael Donnelly
Brokeback Mountain: a No Love Story

Tom Reeves
Haitian Election Aftermath

Website of the Day
Mardi Gras Index: Reuilding of New Orleans Stalled

 

 

 

 

Subscribe Online

March 28, 2006

The FDA's Math Problem

Fentanyl's Body Count

By EVEYLYN J. PRINGLE

Describing fentanyl as a "very strong narcotic," on July 15, 2005, the FDA issued a Public Health Advisory regarding the safe use of transdermal fentanyl patches in response to reports of 120 deaths in patients using the patch for pain management, stating that some patients and doctors might not be fully aware of its dangers.

A cursory investigation of drug deaths listed in various databanks around the country indicates a severe math deficiency in officials within the nation's safety agency because the number of deaths attributed to fentanyl is far larger than the mere 120 cited by the FDA.

For instance, in the year 2004, fentanyl patch abuse was found to be responsible for 115 deaths in Florida alone, according to research conducted by University of Florida toxicologist Dr Bruce Goldberger.

The patches are intended for the relief of chronic pain that requires treatment around the clock and cannot be controlled by other narcotics. The patches contain fentanyl in gel form and can provide up to three days' relief from severe pain,

The products under scrutiny, include the brand name patch, Duragesic, the generic patch manufactured by Mylan Laboratories, and Sandoz, the generic patch manufactured by the Alza Corporation, the same company that manufactures Duragesic for Johnson & Johnson.

An overdose of fentanyl can put a patient into a coma and shut down breathing. Removing the patch will not reverse the effects because the drug builds up in the patient's system and can continue to be absorbed from the skin for up to 17 hours or more.

The FDA advisory warns that people wearing the patches may suffer overdoses or other serious side effects if they drink alcohol, have an increase in body temperature or are exposed to heat from sources like hot tubs, saunas, heating pads, electric blankets, heat lamps, or heated water beds.

The FDA says doctors should prescribe the lowest effective dose of the medication, and that patches should not be used to treat short-term pain, or pain after an operation.

According to the Drug Enforcement Agency, fentanyl was first synthesized in Belgium in the late 1950s and has about 80 times the potency of morphine. "The biological effects of the fentanyls are indistinguishable from those of heroin, with the exception that the fentanyls may be hundreds of times more potent," the DEA's web site reports.

In the latter part of the1970s, fentanyl began appearing in designer drugs. The term "designer drug" was first coined in California to describe the private synthesis of drug analogs slightly different from their parent compounds, that by design rendered them temporarily immune from control by the DEA.

The fentanyl analogs were first developed and marketed as a substitute for heroin. The most frequently used fentanyl analog was given the street name China White but others were called New Heroin, Tango and Cash, and Goodfella.

Whether it was because of the drug's strength or its unknown pharmacological properties, users of China White suffered a high number of fatal overdoses, while many people who took New Heroin developed symptoms similar to Parkinson's disease.

In the late seventies, deaths began to mount in heroin users on the West Coast who had purchased "China White." The illicit marketing of fentanyl products ultimately caused more than 100 overdose deaths on the West Coast by 1986, according to Designer drugs: past history and future prospects, J Forensic Sci 33:569-575, 1988.

In 1991, the analog Tango and Cash was implicated in at least 28 deaths, primarily in the northeast area of the country. Fentanyl gained widespread attention the same year, when 12 people in New York, Connecticut and New Jersey overdosed and died in a single weekend.

In 1992, China White was determined to be the cause of death in 21 overdoses during a 2-month period in Philadelphia.

Fentanyl gained international notoriety in 2002, when authorities in Moscow, ended a hostage crisis at a theater by pumping an aerosol version of drug into the building, intended to put the nearly 800 hostages and their captors to sleep. In the end, 129 hostages and 41 terrorists died from breathing the gas.

Over the years, not all cases of fentanyl abuse and overdose resulted in death; many more people ended up in hospital emergency rooms. In 1999 alone, there were 337 emergency-room visits related to fentanyl abuse throughout the US, according to estimates from the Drug Awareness Warning Network The network collects information from 500 hospitals across the country and extrapolates the data nationwide.

Overall, emergency room doctors in the US saw the number of overdoses on fentanyl grow from 28 in 1994, to 1,506 in 2002, according to the most recent numbers available from the Federal Substance Abuse and Mental Health Administration.

In many cases it is unknown whether death is due to abuse or misuse. The Florida Department of Law Enforcement records for the 115 deaths in 2004, were not clear about how people obtained the drug, whether by a prescription of their own or from one that had been stolen or otherwise not used according to doctor's instructions, the UF study said.

In addition to the placement of multiple patches on the body, the study found users devised techniques for the removal of the contents of the drug reservoir for oral, IV or smoked administration.

Sudden deaths are also occurring regularly in other states. The Indiana Poison Center located at Methodist Hospital in Indianapolis, recorded an increase in fentanyl-related deaths from 2002 to 2005. The Center listed 15 fentanyl-abuse cases in 2002, 18 in 2003, 25 in 2004, and 23 in 2005.

The Center also recorded 17 medical misuses of the drug and 38 suicide attempts using the fentanyl patch between 2002 to 2005.

Seven people were found dead in 2005 in the two Indiana countries of Johnson and Shelby due to the abuse or misuse of fentanyl.

Charles Owen McCormick IV, 18, died on May 27, 2005, in his room at his parents' home Greenwood, Indiana. He had 3 times the lethal dose of fentanyl in his system, the Johnson County Sheriff's Department said.

Jacqueline Young, 44, died December 15, 2005, in bed at a Greenwood hotel where she was living. She was wearing two fentanyl pain patches and had 3 times the lethal dose in her body at the time of her death. Two heating pads were found in her bed, and heat is known to accelerate fentanyl to a fatal level.

In other Indiana deaths, Anna Layton, 48, and her son Christopher Layton, 28, were found dead on March 21, 2006. Police found Ms Layton dead when they arrived to tell her about her son's death. Both had eaten and injected fentanyl from patches, the coroner said. Toxicology reports showed Ms Layton had nearly 15 times the lethal dose of fentanyl in her system; and her son had nearly 3 times the lethal dose.

In 2005, Utah statistics from the latest mortality data available from the State Health Department show fentanyl was related to 29 accidental deaths, up from nine in 2004.

In December 2005, surviving family members of two Utah women filed lawsuits against Janssen Pharmaceutica and Alza Corporation, the manufacturer and distributor of the Duragesic skin patch, which the families say leaked and caused the deaths of both women.

Autopsy reports said Gina Danise, 42, and Victoria Price, 56, both died from drug poisoning after using drug pain patches.

A third lawsuit, by the Utah family of Marilyn Titus, 72, who died two years ago, was also filed in December 2005.

The Los Angeles County Coroners Office reports a growing number of accidental over-doses by patients misusing the patch, listing 127 deaths over the last six years, according to a CBC News report on December 20, 2005.

Fentanyl abuse is on the rise among medical professionals who handle the drug. A Florida study showed that while only 5.6% of physicians in Florida were anesthesiologists, nearly 25% of physicians followed for substance abuse/dependence were anesthesiologists. When sorted by drug of choice, anesthesiologists had more fentanyl abuse and dependence than other physicians.

Data from the Florida impaired physicians database allowed researchers to categorize all fentanyl abusing and/ or dependent physicians, and showed 75% were anesthesiologists.

Fentanyl remains a popular street drug today. The DEA Philadelphia Division recently noted that a new prescription fentanyl drug, Actiq, is available on the streets. An Actiq unit consists of a medicated, raspberry-flavored lozenge on a handle and is known on the street as a "Percopop," likely due to their resemblance to lollipops.

According to the 2005 DEA Pennsylvania Fact Sheet, investigations indicate that diversion of products such as fentanyl patches and Actiq, continues to be a problem. "Primary methods of diversion being reported are illegal sale and distribution by health care professionals and workers, "doctor shopping" (going to a number of doctors to obtain prescriptions for a controlled pharmaceutical), forged prescriptions, and the Internet," it states.

On May 10, 2005, ABC News reported that a string of overdose deaths and robberies, all linked to fentanyl, raised concerns among police officials in parts of Pennsylvania, New York and Ohio.

All of the deaths occurred when people cut open fentanyl patches and sucked out the drug, "which the Drug Enforcement Administration describes as 50 times stronger than heroin and 80 times more powerful than morphine," ABC noted.

In most of the cases the fentanyl linked to the overdoses had been taken from a relative of one of the people involved, ABC reported.

On August 15, 2005, NBC News reported that police said fentanyl disguised as heroin had caused multiple overdoses on the West Side of Chicago and had been given away by members of a street gang in order to acquire new customers.

Six months later, on February 6, 2006, Chicago police warned that drug dealers on the South Side might be selling fentanyl as heroin on the city streets.

On February 7, 2006, the Chicago Sun-Times reported from unnamed sources that the drug may be linked to as many as a dozen recent fatal overdoses in a small area of Chicago's South Side.

The Sun-Times reported on February 11, 2006, that laboratory "tests on some of the fatal overdose victims who Chicago Police suspected may have died last month from a bad batch of heroin indicate the presence of the powerful pain-killer fentanyl."

At least 10 fatal overdoses are under investigation the Times said.

On February 23, 2006, the Associated Press reported that four Aiken County South Carolina residents had recently died from overdoses of fentanyl. The deaths were caused by people either injecting or inhaling fentanyl after extracting the drug from a patch, according to the County Coroner, Tim Carlton.

Demi Garvin, forensic lab director for the Richland County Sheriff's Department, told the AP reporter: "We probably get several a month that are related to the drug across South Carolina."

Its obvious that the FDA needs to conduct a much more thorough investigation when considering whether to allow fentanyl patches to remain on the market. However, its not likely to happen while the FDA officials in charge are joined at the hip to drug companies because the patches are real money-makers for Pharma.

Mylan introduced its generic version of the patch in January 2005 and it accounted for substantially all of the $55 million in revenue the company earned from new products in its fiscal first quarter which ended June 30, 2005.

Worldwide sales of Duragesic in 2005 were $1.59 billion, according to Teresa Gaines, spokeswoman for Johnson & Johnson. The cost of a 30-day supply of patches can range from $348 at Target to $408 at Wal-Mart.

Information for injured parties can be found at Lawyers and Settlements.com

Evelyn Pringle can be reached at: evelyn.pringle@sbcglobal.net






 

 

 

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