IB 1564 ORS Marijuana With Fentanyl Awareness

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November 15, 2021

Marijuana with Fentanyl Awareness


Connecticut Overdose Response Strategy (CT-ORS)
The CT ORS and the Connecticut Department of Public Health, Office of Emergency Medical
Services received reports of overdose patients who exhibited opioid overdose symptoms and
required naloxone for revival. These patients denied any opioid use and claimed to have only
smoked marijuana.
Recent incidents where only marijuana use was reported but naloxone was required:
 July 2021 – 11 cases
 August 2021 – 9 cases
 September 2021 – 9 cases
 October 1 - 26, 2021 – 10 cases

The reported incidents were dispersed across Connecticut. Several jurisdictions had multiple
overdoses with opioid symptoms attributed to marijuana, however no pattern was detected. In
early October 2021, Plymouth, Connecticut had several overdose incidents where naloxone was
required for revival and patients claimed to have only smoked marijuana. At one of these
overdose scenes, Plymouth Police Department was able to secure a sample of the marijuana for
testing at the state laboratory.
The Connecticut Department of Emergency Services and Public Protection, Division of Scientific
Services Forensic Lab confirmed that the sample of marijuana obtained by Plymouth Police
Department tested positive for the following:
 Delta-9-Tetrahydrocannabinol
 Marijuana
 Fentanyl
This is the first lab confirmed case of marijuana
with fentanyl in Connecticut and possibly the first
confirmed case in the United States.
Based on the lab’s testing protocols they did not
determine the form (salt) of fentanyl. The CT ORS
Team will continue to work with the lab to see if
this testing is possible. We will update when any
new information becomes available.
The CT ORS Team is working with the
Connecticut State Police HIDTA Taskforces to
ascertain just how pervasive of an issue this is
across Connecticut.

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The CT ORS Team suspects that the continued volatility of the illicit drug market will lead to
continued increases of both fatal and non-fatal overdoses. We strongly encourage all EMS
providers and law enforcement to report all overdose events, as well as any suspicious or unique
drug encounters. EMS and Fire should follow SWORD protocols and law enforcement should
notify the CT ORS Team.
Reporting for EMS and Fire
The CT ORS Team reminds all certified EMS personnel of the importance of the Statewide Opioid
Reporting Directive (SWORD).
The Connecticut Department of Public Health, Office of Emergency Medical Services (OEMS), in
collaboration with the Connecticut Poison Control Center (CPCC) at UCONN Health, and pursuant
to Public Act No. 18-166, Sec. 5 have enacted a real time reporting mechanism for Opioid
Overdoses in the State through Emergency Medical Services called the CT EMS Statewide Opioid
Reporting Directive (SWORD). All CT certified and licensed EMS organizations and providers
report to the CPCC (1-800-221-1222) after any call when an overdose is suspected, whether or
not naloxone was administered.
SWORD Instructions: https://portal.ct.gov/-/media/Departments-and-
Agencies/DPH/dph/ems/pdf/SWORD/SWORDhandoutFINAL.pdf
Reporting for Law Enforcement
The CT ORS Team reminds all law enforcement personnel of the importance of submitting all
narcotic seizures and overdoses to CTIC using the CTIC Seizure and Overdose Reporting Guide.
Resources
For safe handling information, please refer to ONDCP Fentanyl Safety Recommendations for First
Responders

Harm Reduction services are community-based programs that traditionally support persons using
substances and are available to assist first responders after an overdose occurs. They can
provide and link individuals who experienced an overdose to other important services, programs
and outreach. Please refer to the following link for harm reduction services available in your area:
https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/AIDS--Chronic-
Diseases/Prevention/SyringeServicesProgram.pdf

CT ORS Team
Robert Lawlor, Drug Intelligence Officer Anna Gasinski, Public Health Analyst
Phone: 203-379-6517 Phone: 203-623-4716
Email: rlawlor@nehidta.org Email: agasinski@nehidta.org

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