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“When you are putting fentanyl in pills that are sold as benzodiazepines or for pain, you are reaching a new group of customers that you wouldn’t have if you were just selling fentanyl powder.” Nora Volkow, director of the National Institute on Drug Abuse. The result is that new waves of customers are swiftly becoming addicted, said Dr. Its scientists say that about four out of 10 pills contain lethal doses of fentanyl. Last year, the federal Drug Enforcement Administration seized 20.4 million counterfeit pills, which experts estimate represent a small fraction of those produced. Fentanyl, faster and cheaper to produce than heroin and 50 times as potent, made for a highly addictive filler. Supplies of tainted pills, crudely pressed by Mexican cartels with chemicals from China and India, have escalated commensurately. How Opioids Work: Through interviews with users and experts, we created a visual representation of how these drugs hijack the brain.Detailing Tragedies: As part of the settlement, families who lost loved ones to opioid addiction were allowed to address the owners of Purdue Pharma in court.A Settlement: Purdue Pharma reached a deal with a group of states that long resisted the structure of the original bankruptcy plan.An Unrelenting Surge: Deaths from drug overdoses again rose to record-breaking levels in 2021, nearing 108,000, according to the Centers for Disease Control and Prevention.Origins of an Epidemic: Purdue Pharma knew Ox圜ontin was widely misused, but continued to promote the painkiller as less addictive.The Opioid Crisis From powerful pharmaceuticals to illegally made synthetics, opioids are fueling a deadly drug crisis in America. “About 90 percent of the pills that you’re buying from a dealer on social media now are fentanyl,” Mr. He has filed murder charges against a 20-year-old man accused of being Mr. “Social media is almost exclusively the way they get the pills,” said Morgan Gire, district attorney for Placer County, Calif., where 40 people died from fentanyl poisoning last year. Law enforcement authorities say an alarming portion of them unfolded the same way as his: from counterfeit pills tainted with fentanyl that teenagers and young adults bought over social media. Webb’s death was one of nearly 108,000 drug fatalities in the United States last year, a record, according to preliminary numbers released this month by the Centers for Disease Control and Prevention. It turned out to be spiked with a lethal amount of fentanyl. Webb, a laid-back snowboarder and skateboarder who, with the imminent birth of his first child, had become despondent over his pandemic-dimmed finances, bought Percocet, a prescription opioid, through a dealer on Snapchat. There, they found exactly what they feared. Shortly after Kade Webb, 20, collapsed and died in a bathroom at a Safeway Market in Roseville, Calif., in December, the police opened his phone and went straight to his social media apps.