Fentanyl, a deadly synthetic opioid, is killing a growing number of children and teens in the United States.
More than 1,500 kids under the age of 20 died from fentanyl in 2021, four times as many as in 2018, says epidemiologist Julie Gaither of the Yale School of Medicine, who will present the data May 1 at the Pediatric Academic Societies meeting in Washington, D.C. The fentanyl deaths account for nearly all of the opioid-related deaths in this age group in 2021.
Fentanyl is a lab-made opioid used for pain treatment that is 30 to 50 times more potent than heroin, making it lethal at a much smaller dose. The drug is also manufactured and sold illegally and is increasingly found contaminating counterfeit prescription drugs, or entirely replacing the drug a buyer expects to get (SN: 5/1/18).
“That’s primarily the story of what’s happening among teenagers,” says pediatrician and addiction provider Sarah Bagley of the Boston University Chobanian & Avedisian School of Medicine. They intend to purchase and use one kind of drug or substance but unknowingly ingest fentanyl. “People are not anticipating that they are going to be exposed to fentanyl, and then they are, and that results in an overdose.”
Some of the signs that a person is experiencing an overdose include falling asleep, losing consciousness, gurgling or choking sounds and weak or no breathing.
“This change in the drug supply, where you just have a much more potent opioid, is really driving it all,” says Bagley, who was not involved in the work.
Many of the fentanyl deaths among children and teens occurred at home and the vast majority were accidents, Gaither reports. “For smaller kids, kids who are mobile, they could be taking a drug that’s off the floor,” she says. There needs to be more education so that parents understand how lethal fentanyl is and that drugs “need to be kept out of proximity to a child.”
Gaither analyzed pediatric mortality data…
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