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(CNN)The American heroin epidemic has become more dangerous, as reports of heroin laced with carfentanil are being reported throughout the country.
Carfentanil is the most potent opioid used commercially, 10,000 times stronger than morphine. It is a version or analogue of fentanyl, the painkiller that most recently made headlines with its role in the death of pop star Prince.
It is not clear whether the Indiana and Ohio overdoses are connected, but officials are investigating the possibility.
This month, a seizure of carfentanil in Manatee County, Florida, coincided with an increase in overdose deathsthere.
Little data to track the drug
The Drug Enforcement Administration does not track carfentanil cases separately. Most states flag a handful of fentanyl analogues in postmortem testing, but very few labs across the country are equipped to test for it or have any reference materials to help identify it. The University of Florida Forensic Toxicology Lab is currently developing a new test to identify the drug.
Like fentanyl, carfentanil is dangerous not just to users but to anyone who comes into contact with it. Grains of it can be absorbed through the skin or inhaled.
According to the DEA, most fentanyl analogues in the United States are being manufactured in China and transported through Mexico.
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