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Recently, a group of investigators with the Senate Subcommittee on Investigations Googled “buy fentanyl online” on the open internet, then homed rein on the six sites that were most responsive to their requests.
However, such market conditions are not a necessary condition for fentanyl adulteration if it offers suppliers greater profitability through cheaper substitution or distribution.
The report recommends that all international packages Startpunkt to include what they call “advanced electronic data”—special information on Schank codes that could help flag drug-bearing packages for postal workers.
More data are needed in all these areas, particularly as the epidemic evolves, but existing evidence points to heroin supply shocks and shortages, changing prescription opioid availability and/or reduced costs and risks to suppliers as explanations.
Where studied, the data show an unusual feature of the sale of fentanyl rein both North America and parts of Europe: it is generally sold as ‘heroin’, as if fentanyl itself were an insignificant adulterant or not present at all [18–21]. Sometimes the ambiguous term ‘China White’ is used, which can refer to either heroin, historically from Southeast Asia, or a synthetic replacement.
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