title: Supply-side response to declining heroin purity: fentanyl overdose episode in New Jersey.
abstract: The inelastic price demand observations characteristic of illegal drug markets have led to the conclusion that the burden of a negative supply shock would be completely reflected to consumers. This paper argues that the increasing availability of prescription opioids may threaten heroin sellers' profit margin and force them to find alternative methods to compensate buyers in the event of a supply shock. We investigate the 2006 fentanyl overdose episode in New Jersey and argue that the introduction of non-pharmaceutical fentanyl, its spatial distribution, and the timing of overdose deaths may have been related to trends in heroin purity. Using medical examiner data, as well as data from the Drug Enforcement Administration, Office of Diversion Control on retail sales of prescription opioids in a negative binomial specification, we show that month-to-month fluctuations in heroin purity have a significant effect on fentanyl-related overdoses, particularly in those areas where prescription opioids are highly available.
authors.affiliation: Rutgers University, The Center for State Health Policy, New Brunswick, NJ, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Hempstead
authors.forename: Emel O
authors.initials: EO
authors.lastname: Yildirim
mesh_terms: D000701:Analgesics, Opioid / Q000506:poisoning*; D062787:Drug Overdose / Q000453:epidemiology*; D064423:Drug Trafficking / Q000191:economics*; D005283:Fentanyl / Q000506:poisoning*; D003932:Heroin / Q000737:chemistry* / Q000191:economics; D006801:Humans; D009515:New Jersey / Q000453:epidemiology
chemical_list: D000701:Analgesics, Opioid; D003932:Heroin; D005283:Fentanyl
keywords: illegal drugs; substance abuse; supply-side