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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 Tara Mc Cormack
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    Jul 19th 2013, 4:09 PM

    There’s an awful lot of this happening the past week or maybe it’s just that its being reported on. Hope the staff recover soon :)

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    Mute Amy O Doherty
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    Jul 19th 2013, 6:23 PM

    How the hell does one make a get away from the blanch centre? I have never managed to get away from it in less than twenty minutes! Hope the chap is ok

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    Mute Dwickedchicken
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    Jul 19th 2013, 4:38 PM

    Sc um bags.

    53
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    Mute Mac Ready
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    Jul 19th 2013, 6:15 PM

    Not much use to the guys who took the cash as they will have dye packs that will explode after s couple of minutes hope it blinds the snackers!

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    Mute marcus o reilly
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    Jul 19th 2013, 8:02 PM

    They can change the money in the cash machines in the likes of the leisure plex. Machines can pick up on the dye.

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    Mute Goebong
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    Jul 19th 2013, 8:36 PM

    Nope my friend its easily removed place the cash box in hot water with loads of colour catcher and bleach, dye is removed from all notes apart from fivers because they are a low quality note … I’m sure this comment will be removed but it a fact !

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    Mute John Meade
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    Jul 19th 2013, 4:10 PM

    Was he not wearing his company issue helmet ?

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    Mute rotund jocularity
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    Jul 19th 2013, 4:18 PM

    That probably why his injuries arent serious..

    72
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    Mute guardian
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    Jul 19th 2013, 4:18 PM

    So helmet will take full impact of axe or iron bar across the head? ?

    I love the level of intelligence on many commentators.

    Wish the man a speedy recovery

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    Mute Ciaran McCann
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    Jul 19th 2013, 4:35 PM

    Where does it say “Axe” in the story?

    34
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    Mute guardian
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    Jul 19th 2013, 4:58 PM

    Where did the not say axe or iron bar?. Your hardly gonna hold up a security van with a foot long floppy rubber dildo are you?

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    Mute Daniel O'Sullivan
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    Jul 19th 2013, 5:05 PM

    Rumour has it they don’t wear them anymore as they had issues from being blindsided when being robbed. Hope they guy is ok dangerous work for little money.

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    Mute John Meade
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    Jul 19th 2013, 5:12 PM

    Gaurdian
    I asked a relevant question, i didnt make a statement, as for the helmet, i have seen more CIT staff with no helmet carrying boxs of cash in and out of busines’s and ATM machines than i have seen with a helmet. So if he was not wearing it, and i repeat, “not wearing” it then his trip to the hospital might well have been avoided, on a seperate issue who are you to pass judgement on my level of inteligence, did you notice the question mark at the end of my original question, this indicates i was asking a question, and you dont say ” I love the level of intelligence on many commentators” the correct grammer is “I love the level of intelligence of many commentators”

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    Mute Ciaran McCann
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    Jul 19th 2013, 5:42 PM

    Did they shout “YOU WILL NOT TAKE OUR FREEDOM!!” before or after the robbery?

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    Mute guardian
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    Jul 19th 2013, 6:08 PM

    Dorry John for getting your back on the level of your common sense. Which would kind of lead you to the common sense conclusion that policy would be they wear P.P.E out of secure van. Oh apologies thats personal protective equipment. Standard for health and safety reasons and regardless of rumour must be worn.

    So again I say the level of intelligent input in this site is sadly lacking at times. Thank you so very much for pointing that out.

    Also grammatically you will have to take that up with the lovely auto correct system designers for Samsung.

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    Mute guardian
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    Jul 19th 2013, 6:36 PM

    Sorry *** case in point about auto correction

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    Mute guardian
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    Jul 19th 2013, 6:36 PM

    Also should be *******getting your back up******

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    Mute sluazcanal
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    Jul 19th 2013, 9:11 PM

    @John Meade. Grammar not grammer.

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    Mute Declan Carr
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    Jul 19th 2013, 4:42 PM

    how blanch Security didn’t spot the two guys with all the cameras they have. The two men were hiding in the bushes net to that atm, when the van pulled up they go out and attacked. I am sure some people seen the guys in the bushes but didn’t think twice about them.

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    Mute Deirdre Maher
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    Jul 19th 2013, 6:54 PM

    Yrs ago I was arriving at the centre on a bus and I seen a car parked up on the path outside the post office doors with 4 men sitting inside .. U could clearly see them dressed in black with balaclavas and a gun .. How security didn’t go to check why the car was parked up on the path that far in is strange … They need to get proper security gaurds !

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    Mute Aaron
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    Jul 19th 2013, 7:58 PM

    guys with guns with nothing to lose, a security guard unarmed with everything to lose, they made the right choice, why would they risk their life for money thats insured

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    Mute Goebong
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    Jul 19th 2013, 8:38 PM

    They are too busy harassing teenagers and acting like Hartman .. Wana be coppers

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    Mute Deirdre Maher
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    Jul 20th 2013, 9:12 AM

    I didn’t mean I expectd them to approach them with guns , my point was that the security did notice them in the first place .. Which shouldn’t have been hard as we’re the car was is a footpath in from the road a bit should have been easily noticed and it wasn’t !

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    Mute Darragh
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    Jul 19th 2013, 4:30 PM

    Just driving the 7 min drive home and saw eight “02 D” black BMWs. Wonder which one it was…

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    Mute John Geary
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    Jul 19th 2013, 8:47 PM

    I was in the UK recently, I noticed G4S staff there wearing helmets & body armour/stab vest? I wonder why they don’t supply them for their staff here…I don’t think Dublin is any less dangerous than London? Anyway, hope the security guy has a speedy recovery. Tough job.

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    Mute John Geary
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    Jul 19th 2013, 8:51 PM

    I was in the UK recently, I noticed that G4S staff there wear helmets & body armour/stab vests. I wonder why they don’t provide them for their staff here in Ireland? I don’t think Dublin is any less dangerous. Anyway, I hope the security guy has a speedy recovery. Tough job.

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    Mute Stroked Jammer
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    Jul 19th 2013, 4:47 PM

    Did someone say stroked jammer?

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    Mute Neil79
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    Jul 19th 2013, 9:00 PM

    well said Aaron

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