Rapid detection, toxicosurveillance and public health response to stimulant adulteration with acetyl fentanyl

Perananthan, Varan; Tremonti, Chris; Nash, Emily; Jiranantakan, Thanjira; Dawson, Andrew H

doi:10.5694/mja2.51112

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Poisoning

Health services administration

Substance-related disorders

To the Editor: We identified a geographic and temporal cluster of four patients with drug poisoning occurring within one week in February 2020 from two addresses less than 1 km apart. All patients presented with typical features of opiate poisoning but had no history of opiate use. There was one death, with the three other cases having significant morbidity, which required escalating bolus doses of naloxone.

Varan Perananthan¹^,²
Chris Tremonti¹^,³
Emily Nash¹^,²
Thanjira Jiranantakan³^,⁴
Andrew H Dawson¹^,⁴

1 Royal Prince Alfred Hospital, Sydney, NSW
2 University of Sydney, Sydney, NSW
3 Centre for Alcohol and Other Drugs, New South Wales Ministry of Health, Sydney, NSW
4 NSW Poisons Information Centre, Children’s Hospital at Westmead, Sydney, NSW

Correspondence: varan.perananthan@health.nsw.gov.au

Competing interests:

No relevant disclosures.

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Rapid detection, toxicosurveillance and public health response to stimulant adulteration with acetyl fentanyl

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