,,iii  #aae? ,,congress  #a/ ,session   
,s4 ,,res4 #hc  ,,9 ,,! ,,s5ate ,,( ,,! 
,,unit$ ,,/ates  ,m>* #h1 #bjag ,mr4    
,m>key 7= himself1 ,mr4 ,rubio1 ,mrs4   
,%ahe51 ,mr4 ,k+1 & ,mr4 ,toomey7       
submitt$ ! foll[+ resolution2 :i* 0     
ref]r$ to ! ,committee on ,=eign        
,relations  ,m>* #ae1 #bjag;,committee  
dis*>g$2 consid]$ & agre$ to            
,,resolution  ,express+ ! s5se ( !      
,s5ate reg>d+ ! traffick+ ( illicit     
f5tanyl into ! ,unit$ ,/ates f ,mexico &
 ,*9a4  ,:]eas ! ,unit$ ,/ates cont9ues 
to exp]i5ce a prescription opioid & h]o9
 ov]dose epidemic t claim$ m ?an #cc1jjj
 lives 9 #bjae2 ,:]eas f5tanyl is a     
syn!tic opioid & ! euphoric effects (   
f5tanyl are sometimes indi/+ui%able f ! 
euphoric effects ( h]o9 or morph9e2     
,:]eas ! effect ( f5tanyl c be up to #ej
 times /rong] ?an h]o9 & #ajj times     
/rong] ?an morph9e2 ,:]eas al?\gh       
ph>maceutical f5tanyl c be div]t$ =     
misuse1 mo/ f5tanyl dea?s are believ$ to
 be l9k$ to illicitly manufactur$       

f5tanyl & illicit v]sions ( *emically   
simil> comp\nds kn[n z f5tanyl analogs  
7collectively ref]r$ to 9 ?is preamble z
 illicit f5tanyl72 ,:]eas illicit       
f5tanyl is pot5tially le?al ev5 if only 
a v small quantity is +e/$ or inhal$2   
,:]eas across ! ,unit$ ,/ates1 illicit  
f5tanyl use & relat$ dea?s are ris+ at  
al>m+ rates2 ,:]eas illicit f5tanyl is  
*eap] to manufacture ?an h]o9 & ! sale (
 illicit f5tanyl is highly pr(itable =  
drug deal]s2 ,:]eas illicit f5tanyl is  
sold = its h]o9-l effects & illicit     
f5tanyl is (t5 mix$ ) h]o91 coca9e1 or  
me?amphetam9e z a comb9ation product1 ) 
or )\t ! k ( ! us]2 ,:]eas illicit      
f5tanyl is (t5 produc$ to physically    
resemble o!r opioid pa9 m$ic9es1 su* z  
oxycodone1 :i* sell = high am\nts on !  
/reet2 ,:]eas drug us]s (t5 ov]dose on  
illicit f5tanyl because us]s are unaw>e 
t !y are +e/+ illicit f5tanyl & d n     
anticipate ! toxicity & pot5tial        
le?ality ( illicit f5tanyl2 ,:]eas1     
accord+ to ! ,c5t]s = ,disease ,control 

& ,prev5tion1 betwe5 #bjad & #bjae1 !   
dea? rate f ov]doses caus$ by syn!tic   
opioids1 includ+ illicit f5tanyl &      
syn!tic opioid pa9 reliev]s o!r ?an     
me?adone & h]o91 increas$ #gb p]c5t2    
,:]eas1 9 #bjaf1 ! ,drug ,en=cem5t      
,adm9i/ration 7ref]r$ to 9 ?is preamble 
z ! ,,dea7 issu$ a ,national ,drug      
,?reat ,assessm5t ,summ>y1 :i* f\nd t   
,mexican transnational crim9al          
organizations are--  7#a7 ! greate/     
crim9al drug ?reat to ! ,unit$ ,/ates2 &
  7#b7 poly-drug organizations t use    
e/abli%$ transportation r\tes &         
di/ribution networks to traffic h]o91   
me?amphetam9e1 coca9e1 & m>ijuana       
?r\gh\t ! ,unit$ ,/ates2  ,:]eas1 9     
#bjaf1 ! ,,dea issu$ a ,national ,h]o9  
,?reat ,assessm5t ,summ>y1 :i* f\nd t   
/>t+ 9 late #bjac1 sev]al ,/ates report$
 spikes 9 ov]dose dea?s due to f5tanyl &
 its analog acetyl-f5tanyl2 ,:]eas !    
#bjaf ,national ,h]o9 ,?reat ,assessm5t 
,summ>y f\nd t-- 7#a7 ,mexican drug     
traffick]s are exp&+ _! op]ations to ga9

 a l>g] %>e ( ea/]n ,unit$ ,/ates h]o9  
m>kets2 &  7#b7 ! availability ( h]o9 is
 increas+ ?r\gh\t ! ,unit$ ,/ates2      
,:]eas 9 #bjae1 !re 7 m ?an #i1ehj      
ov]dose dea?s 9 ! ,unit$ ,/ates caus$ by
 syn!tic opioids1 includ+--  7#a7       
illicit f5tanyl2 &  7#b7 syn!tic opioid 
pa9 reliev]s o!r ?an me?adone & h]o92   
,:]eas ! numb] ( dea?s attributable to  
illicit f5tanyl may be significantly    
und]report$ because--  7#a7 coron]s &   
m$ical exam9]s d n te/1 or lack !       
res\rces to te/1 r\t9ely = f5tanyl2     
7#b7 crime laboratories lack ! res\rces 
to te/ r\t9ely = f5tanyl2 &  7#c7       
illicit f5tanyl dea?s may errone\sly be 
attribut$ to h]o92 ,:]eas1 9 ,m>* #bjae1
 ! ,,dea issu$ a nationwide al]t on     
illicit f5tanyl z a ?reat to heal? &    
public safety2 ,:]eas1 9 ,octob] #bjae1 
! ,c5t]s = ,disease ,control &          
,prev5tion issu$ a heal? advisory ?r\gh 
its ,heal? ,al]t ,network--  7#a7 to    
make public heal? (ficials aw>e ( !     
increase 9 f5tanyl-relat$ ov]dose       

fatalities2  7#b7 to provide            
recomm5dations = improv+ detection (    
f5tanyl-relat$ ov]dose outbreaks2 &     
7#c7 to enc\rage ,/ates to exp& access  
to1 & tra9+ on1 naloxone2 ,:]eas1 9     
,augu/ #bjaf1 ! ,c5t]s = ,disease       
,control & ,prev5tion updat$ ! heal?    
advisory issu$ 9 ,octob] #bjae to make  
public heal? (ficials aw>e ( !          
increas+--  7#a7 availability (         
c\nt]feit pills conta9+ v>i\s am\nts (  
f5tanyl & f5tanyl-relat$ comp\nds2 &    
7#b7 frequ5cy ) :i* f5tanyl-relat$      
comp\nds are mix$ )1 or sold z1 h]o92   
,:]eas illicit f5tanyl has ! pot5tial to
 endang] public heal? work]s1 fir/      
respond]s1 & law en=cem5t p]sonnel :o   
may unwitt+ly come into contact )       
illicit f5tanyl by accid5tally inhal+   
airborne p[d]2 ,:]eas1 accord+ to !     
,,dea-- 7#a7 ,mexico is ! prim>y s\rce =
 illicit f5tanyl traffick$ into ! ,unit$
 ,/ates2 &  7#b7 di/ributors 9 ,*9a are 
! s\rce ( ! f5tanyl analogs & !         
precursor *emicals to manufacture       

f5tanyl analogs t are f\nd 9 ,mexico &  
,canada2  ,:]eas f5tanyl produc$        
illicitly 9 ,mexico is-- 7#a7 smuggl$   
across ! s\?we/ bord] ( ! ,unit$ ,/ates1
 or deliv]$ ?r\gh mail & express        
consignm5t c\ri]s2 &  7#b7 (t5 mix$ )   
h]o9 or dilu5ts 9 ! ,unit$ ,/ates & !n  
di/ribut$ 9 ! same ,unit$ ,/ates m>kets 
9 :i* :ite p[d] h]o9 is di/ribut$2 &    
,:]eas ,unit$ ,/ates law en=cem5t       
(ficials h rec5tly se5-- 7#a7 an influx 
( illicit f5tanyl into ! ,unit$ ,/ates  
directly f ,*9a2  7#b7 %ipm5ts ( !      
equipm5t to manufacture illicit f5tanyl1
 su* z pill presses2 &  7#c7 "s illicit 
f5tanyl products be+ smuggl$ into !     
,unit$ ,/ates across ! nor!rn bord] )   
,canada3 ,n[1 !re=e1 be x  ,t x is !    
s5se ( ! ,s5ate t-- 7#a7 ! use ( illicit
 f5tanyl 9 ! ,unit$ ,/ates & ! result+  
ov]dose dea?s are a public heal? crisis2
  7#b7 ! traffick+ ( illicit f5tanyl    
into ! ,unit$ ,/ates1 especially !      
traffick+ ( illicit f5tanyl by          
transnational crim9al organizations1 is 

a problem t requires close coop]ation   
betwe5 ! ,unit$ ,/ates ,gov]nm5t & !    
,gov]nm5ts ( ,mexico & ,*9a2  7#c7 !    
,unit$ ,/ates ,gov]nm5t & ! ,gov]nm5ts (
 ,mexico & ,*9a h a %>$ int]e/ 91 &     
responsibility =1 /opp+ ! production (  
illicit f5tanyl & its traffick+ into !  
,unit$ ,/ates2  7#d7 ! ,unit$ ,/ates    
%\ld-- 7,a7 support ef=ts by !          
,gov]nm5ts ( ,mexico & ,*9a to /op !    
production ( illicit f5tanyl & its      
traffick+ into ! ,unit$ ,/ates2 &  7,b7 
take fur!r measures to r$uce & prev5t   
h]o9 & f5tanyl consumption ?r\gh-- 7i7  
enhanc$ en=cem5t to r$uce ! illegal     
supply2 &  7ii7 increas$ use (          
evid5ce-bas$ prev5tion1 treatm5t1 &     
recov]y s]vices2 &  7#e7 ! ,unit$ ,/ates
 ,gov]nm5t1 includ+ ! ,secret>y ( ,/ate1
 ! ,attorney ,g5]al1 ! ,secret>y (      
,homel& ,security1 & ! ,director ( !    
,(fice ( ,national ,drug ,control       
,policy1 %\ld use ! broad diplomatic &  
law en=cem5t res\rces ( ! ,unit$ ,/ates1
 9 p>tn]%ip ) ! ,gov]nm5ts ( ,mexico &  

,*9a1 to /op ! production ( illicit     
f5tanyl & its traffick+ into ! ,unit$   
,/ates4