Home' Trinidad and Tobago Guardian : September 27th 2016 Contents A26
body & soul
Guardian www.guardian.co.tt Tuesday, September 27, 2016
NATIONAL FLOUR MILLS LIMITED
Tender for the PROVISION OF PACKAGING MATERIALS
to National Flour Mills Limited
8:00 a.m. to 4:00 p.m. 28th September 2016 to
12th October 2016
The Secretary of the Tenders Committee
National Flour Mills Limited
at email address
all documents -
"Tender for Provision of Packaging Materials to National Flour Mills Limited"
National Flour Mills Limited
2:00 p.m. on 4th November 2016
4th November 2016 at 2:30 p.m. at National
23rd September 2016
Police suspect carfentanil is covertly manufactured in China, then shipped
through Mexico to the US and Canada.PHOTO: VANCOUVER RCMP
As a former drug addict, Byron Klingbyle knows
all too well the dangers of addiction. In recovery
for close to 20 years, the 59-year-old now counsels
others dealing with substance abuse.
In his hometown of Windsor, Onario, in Canada,
the drugs of choice are opioids, such as oxycontin,
morphine and fentanyl. But a new street drug, one
so toxic it s primarily used to sedate elephants, has
"It s 10,000 times more powerful than morphine,
100 times stronger than fentanyl," Klingbyle said.
"It s not for human consumption. It s for large ani-
mals." He s referring to carfentanil, a synthetic opioid
so deadly police say as little as 20 micrograms would
be fatal to the average person, with one microgram
being smaller than a grain of salt.
Carfentanil is more commonly used in zoos and
by wildlife workers as a tranquiliser for elephants
and other large animals. Parts of the US have recently
seen an alarming number of carfentanil overdoses.
Ohio, for example, had 25 overdoses in just a three-
day period in July.
In many cases of overdose, the carfentanil has
been mixed into heroin, at times without the drug
user s knowledge. Police in East Liverpool, Ohio, said
they suspect carfentanil was involved in the case of
a couple who were photographed overdosing in their
car and whose photos were posted online by police
as a way of attracting attention to the drug problems
officers are dealing with.
"It wouldn t surprise me at all to know that we
got more and more bionic opioids responsible for
mortality on our streets," said Dr Hakique Virani,
medical director at Metro City Medical Clinic, an
addiction treatment centre in Edmonton.
"When we describe this as a superhuman drug,
it s not to attract people to it. It s because it s literally
what it is, where micrograms of a dosage of these
opioids can kill---and have killed."
Virani, who is also an assistant clinical professor
in the division of preventative medicine at the Uni-
versity of Alberta Faculty of Medicine, says that while
addicts might live in fear that the next hit will be
their last, that fear is not enough to curb demand.
"There s a demand driving this opioid crisis, and
organised crime is meeting that demand with more
and more toxic opioids, because they re easier to
traffic," he said.
Police say carfentanil is likely manufactured in
China and shipped to drug traffickers in Mexico.
From there, it enters the US and, eventually, Canada.
In June, Canadian border officials intercepted a
package in Vancouver containing a kilogramme of
carfentanil. It was bound for Calgary.
"We re extremely concerned about this, and it
really takes an international collaboration to stop the
importation of this," said Calgary Police Service Staff
Sgt. Martin Schiavetta.
Last week in Winnipeg, police seized about 1,500
blotter tabs that they believe contain carfentanil.
"Typically, when police seize something, it s not
the first shipment that s tried to make its way across
the border," Virani said.
He says opioid addiction is a public health emer-
gency. "To deal with this problem, we require extraor-
dinary measures, because clearly, our ordinary meas-
ures aren t working."
A game of whack-a-mole
He says a co-ordinated, all-hands-on-deck
approach is needed from the health community, law
enforcement and the justice system.
"I have yet to meet a police officer who has said
they can arrest their way out of this problem, and
I have yet to meet a judge who s said that he can
incarcerate his way out of this problem, and I certainly
hope that health isn t thinking [they can] ignore-
and-wait their way out of this problem, because it
is clear it is getting worse and worse and worse."
He says the changes that are needed include:
• Opening more supervised injection sites.
• Ramping up treatment for opioid addicts.
• Equipping first responders with naloxone, the
medication used to reverse an opioid overdose.
• Improving measurement of morbidity and mor-
tality rates for opioid-related deaths.
But Virani fears that until a comprehensive approach
is developed, the opioid epidemic will continue to
grow. "(I) expect this to be much like a game of
whack-a-mole, where you knock down a trafficker
but something else will come up," he said.
YOUR DAILY HEALTH
News and Advice
'Bionic' opioid stronger than fentanyl
may already be on Canadian streets
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