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File photo Shutterstock/Todorean-Gabriel

Ireland 'needs to be ready' for increase in fentanyl use amid expected heroin shortage

Concerns have also been raised about xylazine, a powerful sedative typically used in animal surgeries.

IRELAND NEEDS TO prepare itself for an increase in the use of fentanyl and other powerful drugs if there is a heroin shortage next year, the head of an addiction charity has warned.

A heroin shortage is expected across Europe in 2024 following a ban on poppy cultivation by the Taliban in Afghanistan. The vast majority of heroin consumed in Europe – about 95% – comes from Afghanistan.

Tony Duffin, CEO at Ana Liffey Drug Project, which provides harm reduction services to drug users and their families, said Ireland needs to prepare itself for an increase in the use of fentanyl or other highly addictive drugs.

In an interview with The Journal, Duffin said “something is going to happen” and Ireland needs to be ready.

“The opium crop is being destroyed by the Taliban in Afghanistan, meaning that something is going to happen. If you destroy 95% of Europe’s supply, then something has to happen, and we need to be ready.

“Fentanyl could be the issue. It could be xylazine which is another drug that they certainly have seen in the UK more recently which isn’t an opiate, which Naloxone won’t work with, but it is part of the overdose deaths problem in the US.”

Naloxone, which is widely accessible in Ireland, is a prescription medication used to temporarily reverse the effects of opioid drugs such as heroin, fentanyl and methadone.

Xylazine is a powerful sedative typically used in animal surgeries; naloxone cannot reverse its effects.

Duffin said relevant stakeholders in Ireland “need to really closely monitor what’s going on”.

“We need to speak to people about what’s going on, monitor what’s going on in terms of overdose deaths, look for new trends, test drugs – all these things that we do some of, but we need to do more of.”

Duffin said there is already “great collaboration” between groups like Ana Liffey and the HSE, An Garda Síochána and the Probation Service, “but there’s always more that can be done”.

“Ana Liffey is one agency. If you’re looking at it from a macro perspective, from a Government perspective, it’s about all of the agencies increasingly working together.”

cluj-napocaromania-10242019xylazininjectablesolution File photo of Xylazin Shutterstock / Todorean-Gabriel Shutterstock / Todorean-Gabriel / Todorean-Gabriel

The Journal recently reported that the HSE, gardaí and other organisations are working behind the scenes in preparation for fentanyl use becoming more prevalent in Ireland.

Last year the Taliban banned poppy cultivation but the 2022 crop was exempted, meaning the effect of the ban likely won’t be felt in Europe until next year.

Fentanyl is a powerful synthetic opioid that is about 50 times more potent than heroin and up to 100 times more potent than morphine. The drug is not currently widely used in Ireland but experts fear its use could become more widespread if there is a heroin shortage.

There are two types of fentanyl: pharmaceutical fentanyl and illegally made fentanyl. The former is prescribed widely as pain relief medication in the US.

Fentanyl and xylazine can both be injected, snorted, smoked, or taken orally via a pill. Tens of thousands of people in the US have died from fentanyl overdoses.

Overdose deaths involving xylazine are less common, but concerns over the drug have increased in recent years.

In countries such as the US, it is not uncommon for street drugs to be laced with fentanyl or xylazine without the user realising what they are consuming.

Earlier this year, the first death related to xylazine was reported in the UK.

Citizens’ Assembly

The Ana Liffey Drug Project yesterday launched its Strategic Plan for 2024 to 2029.

Duffin said the plan is “a commitment to those we serve and those we collaborate with”.

“We’re refining our identity, enhancing our systems, and putting our service users at the forefront of everything we do,” he added.

The Citizens’ Assembly on Drug Use last month recommended that the State should take a comprehensive health-led policy response to dealing with people who are in possession of drugs for personal use, rather than a criminal approach.

The assembly vote on the approach to dealing with people found in possession of cannabis was the tightest – 39 people opted for a health-led approach on the final count, and 38 opted for legalisation and regulation.

Duffin said the assembly’s recommendations are “very progressive” but also “achievable”.

If the recommendations are accepted by the Government, Duffin said “the true test will be in their implementation”

This will require political will, adequate funding, stakeholder engagement, and continuous evaluation and adaptation.

Duffin noted that drug use is “a contentious issue”, but said previous assemblies on other controversial topics have “worked well”.

“It would be unfortunate if the Government didn’t take the recommendations on board, and implement at least some of them,” he said.

Duffin noted that other jurisdictions have regulated and controlled cannabis “in many different ways”.

“Ireland needs to consider what it’s going to do in the future. I don’t think it’s going to happen anytime soon.

But 10 years from now – when other jurisdictions have had different experiences and different evidence to show us – maybe we will.

Speaking at the launch, Hildegarde Naughton, Minister of State with responsibility for the National Drugs Strategy, said the Citizens’ Assembly on Drug Use was “a really, really pivotal moment for us”.

“This is the first time that we’ve truly had an open and honest conversation about drug use, and how it impacts on the wellbeing of people directly affected by substance abuse issues, but also their loved ones, their communities and society as a whole.

“And this is a long overdue conversation that is happening at the moment.”

Naughton said the Government will consider all of the assembly’s recommendations in detail.

She thanked Ana Liffey for its work on the frontline, saying its strategic plan is based on “extensive community involvement” and incorporates feedback from service users.

“The strategy is reflective of the voice of that community through its renewed focus on outreach, low-threshold interventions, advocacy, research and trends,” she added.

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    Mute Jim Brady
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    May 8th 2015, 7:18 AM

    I love Northern Ireland; I really, really hope that Sinn Fein get into power so we can all unite.
    I’d also sleep easier knowing that London didn’t have to pay the €5bn a year it costs to prop it up.

    71
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    Mute Jordan O'Byrne
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    May 8th 2015, 7:34 AM

    And would you continue to sleep easier with your tax hiking 2 points to pay for an economic policy written in crayon?

    54
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    Mute Je Suis Rep of Eire
    Favourite Je Suis Rep of Eire
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    May 8th 2015, 7:43 AM

    4 seats out of 18 is the reality SF in the 6 counties

    The people of the North know SF haven’t delivered for them at all on any fronts

    SF implement austerity up there awhile talking out of the side of the mouth down here about being an anti- Austerity party .

    The people who voted up there seen through there lies and voted accordingly

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    Mute Diarmuid
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    May 8th 2015, 8:01 AM

    SF gave up on a united Ireland decades ago. It’s now all about feeding their egos and securing power as a minority coalition partner with Unionists in a UK regional assembly.

    76
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    Mute Brian Ward
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    May 8th 2015, 8:07 AM

    It’s more like £10+ billion.

    27
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    Mute Je Suis Rep of Eire
    Favourite Je Suis Rep of Eire
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    May 8th 2015, 8:20 AM

    Lion King ,

    SF have help implement austerity up north wether you care to admit it or not .

    As for the people down South , it’s safe to say around 95% of the population here couldn’t give 2 f ** ks what happens up there

    4% of the 5% are barstool republicans who never set foot in the 6 counties ,

    SF are the new Labour Party in waiting , just trying to get their greedy noses in the trough

    51
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    Mute james comiskey
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    May 8th 2015, 8:46 AM

    Where did you get the €5bn figure I thought it was closer to £10bn

    20
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    Mute Mr Phil Officer
    Favourite Mr Phil Officer
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    May 8th 2015, 9:11 AM

    More like 12 billion, keeps them dependent at the expense of impoverished northern English counties.

    28
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    Mute Paul McGuigan
    Favourite Paul McGuigan
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    May 8th 2015, 9:46 AM

    Wasting your time King talkin to these West Brits, as you’ll see by their comments all they care about is money money money. Celtic Tiger showed them up for greedy bunch of shite they are.

    39
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    Mute Paul McGuigan
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    May 8th 2015, 9:49 AM

    Good morning Diarmuid. I see we’re majority Nationalist party AGAIN. Oh The fools the fools eh lol. Ah how is that humble pie tasting now?

    28
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    Mute Je Suis Rep of Eire
    Favourite Je Suis Rep of Eire
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    May 8th 2015, 10:23 AM

    Bobby Sands seat handed over to the unionists , the people of Fermanagh and South Tyrone have spoken

    Sinn Fein have failed them

    they want real change and prosperity now

    44
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    Mute RonanM
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    May 8th 2015, 11:07 AM

    The shimmers managed to drop 2 seats in NI…..very telling!

    29
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    Mute Diarmuid
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    May 8th 2015, 11:38 AM

    Paul, celebrating losing a seat and overall drop in support? Kinda pathetic…

    20
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    Mute Damian Ryan
    Favourite Damian Ryan
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    May 9th 2015, 11:48 AM

    Any romantic idea that if Sinn Fein get into power we can all unite and live happily ever after, is what it is – a totally deceptive ideology derived and nurtured from within Cult Sinn Fein’s propaganda machine.

    Rubbing out a line on a map,(as already attempted by them by murderous force) to create a ‘United’ territory is a far, far cry from creating a unity of minds which would be absolutely essential for any such Country to get established, let alone thrive.

    Sinn Fein and their IRA have proved themselves to be nothing more than an evil, antichristian cult. If you don’t believe me, check out what their supporters comments are in the on-line Belfast newspapers, just for example. Here is but a typical one made in relation to the Bible and a Catholic prayer that was offered up for them to see sense:-

    “You forgot to mention about Mary the virgin who managed to conceive a child without ever having sexual intercourse with a man. Of course she did have sexual intercourse but it was metaphorically performed with Jesus’s biological father (the god) who of course had an alibi as he was in heaven at the time. Her partner Joseph must have been fuming though, isn’t the bible amazing?”

    Who could blame the majority of the population in the North (not exclusively Protestant either by any means!) for resisting ‘Sinn Fein’s United Ireland’. I certainly could never trust them to govern our land. Such an occasion would undoubtedly also lead to widespread violence which would then be our responsibility to deal with. Any financial aspects would therefore be humbled into oblivion in terms of protecting human lives and property for an infinitely long time.

    Therefore, the best thing Cult Sinn Fein and their IRA could do if their dream is to ever materialise in a civilised, Christian manner is to totally disband and ‘go away’!

    3
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    Mute Uibh_fhaili
    Favourite Uibh_fhaili
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    May 8th 2015, 10:50 AM

    To the few illiterates who have posted here already. Giildernew’s vote was up [defeated by a Unionist sectarian pact], Molloy’s vote was up, as was Seely who increased SF vote in Upper Bann [Unionist stronghold], South Belfast vote was also up for the Shinners. [SDLP stronghold]. Onwards to the GE16.
    A little reminder for the West Brits on here, who are getting a little uppity.

    41
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    Mute Diarmuid
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    May 8th 2015, 11:40 AM

    SF support is down overall, also losing one seat, despite their sectarian politics practiced by the likes of Gerry Kelly.

    30
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    Mute Padriag O'Traged
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    May 8th 2015, 7:28 AM

    Scotland gets what it wanted so; Devo-max. All the decision making, none of the bills

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    Mute Pearse Mc Mullen
    Favourite Pearse Mc Mullen
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    May 8th 2015, 8:28 AM

    @ je suis rep
    Is safe to say – you talk a whole load of crap
    Generalise much?

    28
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    Mute Jamie McCormack
    Favourite Jamie McCormack
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    May 8th 2015, 3:34 PM

    One piece of info missing from all the articles about this killing was whether or not the gunman was masked. Does anyone know?

    6
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