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UNCLASSIFIED
                2019 NATIONAL DRUG THREAT ASSESSMENT
                                  Figure 2. Forensic Laboratory Reports of Fentanyl, 2005 – 2017




              Fentanyl and Other Synthetic Opioids























                       Source: DEA

                  significantly, demonstrating the availability    reports submitted in 2016. Of the top 25
                  of fentanyl in the United States (see Figure     most frequently identified drugs in NFLIS,
                  2). In 2017, there were 56,530 fentanyl          fentanyl ranked fifth overall and represented
                  reports submitted to the National Forensic       3.57 percent of the top 25 drug reports. For
                  Laboratory Information System (NFLIS), which     comparison, there were 157,055 reports of
                  is a 65 percent increase over the 34,204         heroin, which represented 9.93 percent of the
                                                                                          top 25 drug reports.
                               Figure 3. State-level Fentanyl Reports, 2017               Therefore, while
                                                                                          fentanyl availability
                                                                                          continues to increase,
                                                                                          heroin maintains a
                                                                                          significant presence in
                                                                                          the U.S. drug market.

                                                                                          State-level reports
                                                                                          in NFLIS continue
                                                                                          to show fentanyl’s
                                                                                          dominant presence in
                                                                                          the Great Lakes and
                                                                                          Northeast regions of
                                                                                          the United States with a
                                                                                          lessor presence in the
                                                                                          Western United States.
                                                                                          Ohio, Pennsylvania,
                                                                                          Massachusetts, New
                                  Source: DEA
                 10                                          UNCLASSIFIED

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