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Monday, March 30, 2020

Meth from Mexican drug cartels is on the rise in Appalachia, fueled partly by officials' efforts to cut off opioid access

Central Appalachia has been long known as a hotbed of opioid addiction, but, aided by Mexican drug cartels, methamphetamine abuse has been surging in the area for the past few years, presaging a nationwide increase in abuse of a more powerful form of the drug.

"The region where Kentucky meets Ohio and West Virginia has served as a harbinger of national drug trends," Timothy Williams reports for The New York Times. Pain pills like OxyContin, stimulants known as bath salts, prescription anti-anxiety medications like Xanax and, more recently, heroin and fentanyl were all adopted by drug users here before gaining wider use nationally."

Efforts to end opioid abuse, along with increasing awareness of the dangers of adulterated opioids, have led to the resurgence of crystal meth. "Doctors and hospitals have unwittingly accelerated the switch to methamphetamine by significantly reducing their patients’ access to pain medication; opioid users, increasingly fearful about overdosing on heroin and fentanyl, have been desperate for a substitute," Williams reports. Mexican drug cartels such as Sinaloa or the Jalisco Nueva GeneraciĆ³n have "sought to fill the vacuum by targeting Appalachia, federal drug officials say. The traffickers follow the same business model that allowed them to inundate the nation with heroin: make meth potent and sell it cheap to ensure a steady customer base, and ultimately, mass addiction."

Until recently, meth was mostly a locally made product that varied widely in strength, but the newer Mexican version is often mixed with cocaine and/or fentanyl. Because fentanyl is cheap and a little goes a long way, it and cocaine enhance the user's high and hasten addiction, Williams reports. But it also makes overdoses more likely.

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