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During 2016’s First in the Nation primary, the issue of opioid addiction surged to the national stage, partly due to the Granite State crisis. President Donald Trump later credited his New Hampshire victory in part to frustration over the flow of opioids over the U.S. southern border.

“I won New Hampshire because New Hampshire is a drug-infested den,” Trump said in 2017.

Now comes a new report that opioid overdoses in Manchester and Nashua are at five-year highs, and political candidates are again focusing on the issue.

American Medical Response crews were called out to 99 overdoses in July in Manchester and Nashua, the highest number of overdoses in a single month since 2018, according to Chris Stawasz, the AMR’s Regional Director of Government Affairs — Northeast.

“The high death rate per capita is attributed to synthetic fentanyl, which is now commonly found in all types of illicit substances in New Hampshire,” Stawasz said. “People who are using illicit substances have no idea that what they are using contains synthetic fentanyl – or how potent the synthetic fentanyl in the product is. Synthetic fentanyl can be lethal the first time you use it, knowingly or unknowingly.”

Eight people died in July from opioid-related overdoses, four in each city, according to Stawasz. 

AMR’s statistics show that through the end of July, medics responded to 415 suspected opioid overdoses in Nashua and Manchester, with 68 of those calls suspected opioid deaths. Manchester accounted for 40 of the deaths and Nashua for 28.

In Nashua, suspected opioid overdoses are 10 percent lower than last year. But at the same time, fatal opioid overdoses were up 10 percent. In fact. Stawasz said more than 20 percent of the suspected opioid overdoses that AMR medics responded to in Nashua have been fatal.

In Manchester, suspected opioid overdoses are 2 percent higher than last year, though total suspected fatal opioid overdoses in Manchester are 13 percent lower.

Candidates at the federal and local levels are speaking out.

“Sadly, drug overdoses are increasing in New Hampshire faster than anywhere else in the country, and Communist China is to blame,” former U.N. Ambassador Nikki Haley told NHJournal. “President Biden should confront Xi Jinping’s drug war and put an end to it today. Stop all normal trade relations with Beijing until they stop killing Americans.”

Florida Gov. Ron DeSantis addressed the issue during an event in Rye, N.H., last week, pledging to “lean in against the drug cartels.”

“If they’re trying to bring fentanyl into our communities, that’s going to be the last thing they do. Because at the border, they’re going to be shot stone-cold dead,” DeSantis said.

And Democratic presidential contender Robert F Kennedy, Jr. just released a documentary, “Midnight at the Border,” that addresses the cross-border drug trade and the need for action.

“These numbers represent both a state and national tragedy. Our national government has failed the American people,” Kennedy said in a statement to NHJournal. “The open border has enabled an acceleration of illegal drugs including opioids and fentanyl to move across America creating a social, economic, and spiritual disaster for our country.

“The lack of enforcement at the border has far-reaching consequences for health policy and law enforcement. As President, I will close the border and make available treatment centers for those who are struggling with addiction. I intend to restore America’s sovereignty and restore the health of our people.”

In Manchester, the overdose epidemic runs in tandem with the city’s homelessness crisis. Mayor Joyce Craig has said at least 50 percent of the city’s overdoses happen among the homeless population.

The city’s Board of Aldermen will consider changing an ordinance next month that could give police more legal authority to prevent homeless people from camping on public property.

None of the Democrats running for mayor, Ward 1 Alderman Kevin Cavanaugh, Ward 2 Alderman Will Stewart, or Alderman At Large June Trisciani, responded to NHJournal’s calls and emails last week.

Republican candidate Jay Ruis wants to see police given more power as part of a larger strategy to address homelessness and addiction.

“We must deal with this issue in a comprehensive way, one that includes enforcement of our ordinances, addressing the underlying causes of this crisis like addiction and mental health, while increasing the availability of affordable housing. What we cannot do is govern in fear of lawsuits, and I support this proposed ordinance change,” Ruais said.

Republican candidate for governor Kelly Ayotte has pointed the finger at Massachusetts as one source of the problem. “Unfortunately, we’ve seen drugs, the fentanyl being trafficked off our southern border from Lowell and Lawrence, Mass. into our cities, and it’s killing our citizens,” Ayotte said.

Massachusetts officials complained, and some in the media suggested her comments were “racially tinged.” But the problem continues.

On Friday, Lawrence, Mass. man Santo Evangelista Soto, 36, was sentenced to five years in prison for being part of a trafficking ring that brought drugs into New Hampshire. Soto, a twice-convicted trafficker, reportedly sold counterfeit prescriptions made with deadly ingredients.

In one of the drug deals Soto allegedly pulled off during the investigation, he sold 1,000 counterfeit oxycodone pills that contained heroin and methamphetamine.

Soto is not the only trafficker operating in the state. Joseph Goffinet, Jr., 53, of Manchester, was arrested and charged last week on charges of distribution of controlled substances and conspiracy to distribute controlled substances in connection with the sale of fentanyl. His alleged co-conspirator, Walter Velez, 41, was arrested in late July.

Both Goffinet and Velez allegedly sold vast quantities of fentanyl in Manchester.

Even with the total number of opioid-related overdoses dropping in Nashua and Manchester, the number of overdose deaths continues to rise, based on figures released Tuesday.

Nashua saw a 16 percent increase in opioid deaths in May, according to data from ambulance company American Medical Response (AMR). Manchester is holding steady at last year’s record-breaking death total.

Fentanyl fuels the crisis that is engulfing the Granite State, said Chris Stawasz with AMR.

“The high death rate per capita is attributed to synthetic fentanyl, which is now found in all types of illicit substances,” Stawasz explained. “People who are using illicit substances have no idea that what they are using contains synthetic fentanyl or how potent the synthetic fentanyl in the product is. Synthetic fentanyl can be lethal the first time you use it, knowingly or unknowingly.”

Where those drugs are coming from is not a mystery. While the bulk of the fentanyl and methamphetamines reaching New Hampshire originate in Mexico, plenty of illegal drugs are crossing the border from Canada, too.

Last month, federal agents arrested 31 people in the North County near the Canadian border who were allegedly engaged in large-scale drug trafficking. Agents seized 14 pounds of fentanyl and another two pounds of methamphetamine in the operation. 

Republican Gov. Chris Sununu has been pushing for another $1.4 million to beef up border security in New Hampshire, something Democrats have opposed. 

Sununu announced Monday that he would not run for president, but he is considering a run for an unprecedented fifth term as governor. Sununu told Drew Cline the opioid epidemic is something GOP presidential candidates who come to New Hampshire should focus on.

“I think there’s a big winning issue with mental health and opioids and drugs; we’ve made many strides here,” Sununu said.

Asked about the ongoing opioid epidemic in her city, Manchester Mayor Joyce Craig declined to respond. Craig has formed an exploratory committee for a possible run for governor next year. NHJournal also contacted her potential opponent in the Democratic primary, District 2 Executive Councilor Cinde Warmington, about the latest opioid statistics. She, too, declined to respond.

The opioid problem is serious across the state, as highlighted by AMR’s statistics from New Hampshire’s two major cities. Medics responded to 80 suspected opioid overdoses in May — 58 in Manchester and 22 in Nashua. There were 11 suspected opioid deaths in Nashua and Manchester in May;  seven deaths in Manchester and four in Nashua.

There have been 358 opioid overdoses in Nashua and Manchester through the end of May, with 53 suspected opioid overdose deaths. There were 32 in Manchester and 21 in Nashua.

In Nashua, suspected opioid overdoses are trending 17 percent lower than last year annually. However, suspected fatal opioid overdoses are trending 16 percent higher, according to AMR. Some 25 percent of all suspected opioid overdoses in Nashua this year have been fatalities.

The number of opioid-related overdoses first responders treated in Nashua rose sharply in March, up nearly 80 percent over the previous month, according to stats compiled by American Medical Resources (AMR). It is yet another sign the state’s opioid crisis continues in its two largest cities.

Chris Stawasz, the Northeast Regional Director of Government Affairs at AMR, said medics responded to 87 suspected opioid overdoses in March; 62 in Manchester – up 13 percent from February and 25 in Nashua – up 79 percent from February.

While the total number of opioid-related overdoses for the year in both cities is trending lower than last year’s record-setting high, 2023’s death count continues to rise. Last month, there were 10 suspected opioid deaths in Nashua and Manchester, with three in Manchester and seven in Nashua. 

Nashua is getting hit particularly hard this year, according to Stawasz. Suspected fatal opioid overdoses in Nashua are trending 29 percent higher than last year. Even more alarming: one in four suspected opioid overdoses (27 percent) in Nashua this year have been fatal.

AMR medics have responded to 224 suspected opioid overdoses in Nashua and Manchester through the end of Marc,h with 35 resulting in suspected opioid OD deaths; 21 in Manchester and 14 in Nashua.

Jay Ruais, who’s running for mayor of Manchester and has had his own struggles with addiction, points a finger at Mayor Joyce Craig’s management during the ongoing crisis.

“Our city needs to alter our approach to this crisis, the current trajectory is clearly unsustainable. We must grow our police department and fully empower them to go after drug dealers while building better systems for vulnerable individuals at critical intervening moments in our hospitals, jails, and schools.

“As Mayor, I will work to ensure we are coordinating with all those fighting to improve our community and save lives,” Ruais said.

Why are such a high percentage of overdoses becoming deaths? Stawasz believes fentanyl is the culprit.

“The significant increase in deaths is attributed to very potent synthetic fentanyl,l which is now found in all types of illicit substances,” Stawasz said. “People who are using illicit substances can have no idea that what they are using contains synthetic fentanyl – or how potent the synthetic fentanyl in the product is. Synthetic fentanyl can be lethal the first time you use it, knowingly or unknowingly.”

In all, there were 62 suspected opioid overdoses in Manchester during March, bringing the year-to-date first-quarter total to 173. The total number of suspected opioid overdoses in Manchester is currently trending the same as last year on an annual basis, with 12 percent of all suspected opioid overdoses responded to by first responders in Manchester this year having been fatal.

There were 25 suspected opioid overdoses in Nashua during Marc,h bringing the year-to-date first-quarter total to 51. The total annual number of suspected opioid overdoses in Nashua is currently trending 15 percent lower than last year on an annual basis, Stawasz said.

Manchester is breaking new ground in misery as the Queen City death totals from the opioid crisis keep rising. It is a crisis, Republicans say, driven by illegal fentanyl pouring over a border Democrats refuse to secure.

Manchester and Nashua experienced a record-high number of opioid-related overdose deaths last year. Manchester is on track to exceed that number in 2023 said Chris Stawasz with American Medical Response.

“There were 18 suspected opioid deaths in Nashua and Manchester in February. That is the most suspected opioid deaths in one month for Nashua and Manchester combined since tracking began in 2015.”

Nashua suffered 44 opioid-related overdoses last year, the most since 2018 when 35 people died. Manchester saw 79 people die from opioid overdoses in 2022, the highest number since 2017’s 67 deaths. More troubling, while Nashua is estimated to see a slight dip in deaths this year, Stawasz anticipates Manchester’s death toll to reach 111, the most ever.

Synthetic fentanyl, the type being smuggled over the southern border by Mexican cartels, is the most likely culprit for the increase in deaths. Fentanyl is used in counterfeit pills, and it is used to lace other illegal drugs.

“The significant increase in deaths can most likely be attributed to very potent synthetic fentanyl which is now being found in nearly all types of illicit substances,” Stawasz said. “In many cases, people who are using illicit substances have no idea that what they are using contains synthetic fentanyl – or how potent the synthetic fentanyl in the product is. Synthetic fentanyl can be lethal the first time you use it, knowingly or unknowingly.”

Fentanyl is responsible for the majority of overdose deaths in the country, according to federal government statistics. In 2021, 90 percent of all overdose deaths were connected to the drug. And most of that is coming from Mexican cartels who are producing the synthetic drug using ingredients from China, then using their control of the southern border to smuggle it into the U.S.

“The source of fentanyl is Mexico and its drug labs,” said Todd Bensmen with the Center for Immigration Studies. “I’m not seeing any evidence that the Biden administration is interested in damming up the source.”

Gov. Chris Sununu acknowledges New Hampshire is being hit hard by the opioid crisis, but he noted it is part of a national problem.

“States across the country are seeing a rise in opioid-related deaths and New Hampshire is not immune. Every death is tragic; it is someone’s son, daughter, and family member,” Sununu said. “The bottom line is that fentanyl is now in all different types of substances, whether that be cocaine, methamphetamine, fake pills, or vape cartridges – assume it is in anything and everything.

“There is no safe experience with substances, unless they are prescribed by a provider, and taken only as directed by the person they are prescribed to.”

Getting a handle on the crisis in Manchester calls for more police support, and getting cops the tools they need to do the job, said Jay Ruais, a Republican running to replace Democratic Manchester Mayor Joyce Craig.

“We must provide greater resources for our police department to go after drug dealers and fight for bail reform at the state level to keep them off our streets,” Ruais said. “Additionally, most who suffer a fatal overdose have previously overdosed, meaning we have to build better systems for individuals when they are at their most vulnerable like in hospitals, jails, and prevention programs in schools. Solving this crisis doesn’t cost more money. It requires prioritization and better coordination with existing community partners.”

Sununu announced a new PSA campaign this year, “No Safe Experience” to educate Granite Staters, especially young people, about the danger of fentanyl and other illegal drugs. Expected to run through the fall, the campaign includes video and public service announcements, social media campaigns, an informational website, billboards, and highly visible signs, posters, and materials that will be widely disseminated across the state and made available to schools, and an active media campaign to share that there is no safe experience through personal stories and data. 

Global Medical Response released its November numbers for opioid overdoses and deaths on Monday. It reported a 30 percent increase in opioid-related overdose deaths in Nashua and Manchester so far this year, and a total of 112 opioid-related overdose deaths according to GMR’s Christopher Stawasz.

Those overdoses and deaths are directly related to the flow of fentanyl across the border from Mexico and making its way to the Granite State.

But just hours after the GMR report, White House Press Secretary Karine Jean-Pierre insisted criticism of the Biden administration’s border policy is exaggerated.

“It would be wrong to think that the border is open. It is not open,” said Jean-Pierre said. 

Border security advocates and elected officials don’t agree.

Illegal border crossings have skyrocketed in recent years, jumping from 405,000 in fiscal year 2020 to 1.6 million in 2021. In fiscal year 2022, which ended in October, the figure spiked again to more than 2.2 million. 

And with that record flood of migration comes drug trafficking and other crimes, said Jessica Vaughan, director of policy studies for the conservative Center for Immigration Studies.

“The tragic spike in deaths from fentanyl and other dangerous illicit drugs is a direct result of the Biden administration’s failure to control the border and to enforce immigration laws in the interior, which makes the deadly drug trafficking business way too easy and profitable for the cartels and all their operatives and subsidiaries,” Vaughan said. “Because the Border Patrol is so tied up with processing and with care and feeding of the thousands of illegal migrants taking advantage of the catch and release policies, there are no agents on the line to prevent the drug traffickers from getting their product over the unguarded areas.”

Chinese organized crime syndicates, working with Mexican cartels, ship precursor drugs to Mexico where fentanyl and methamphetamines are manufactured. Those deadly drugs are then smuggled over the southern border and then flow freely throughout the United States.

According to the Drug Enforcement Agency, Chinese syndicates are mostly responsible for illicit drugs obtained through online markets and sent through the mail to the United States, while the Mexican cartels are manufacturing hub for drugs that get smuggled into the U.S. India is emerging as a new source for fentanyl that gets smuggled into China and then sold into America according to an unclassified DEA report.

New Hampshire Gov. Chris Sununu scoffs at the Biden administration’s claims they have got the situation under control.

“Yes, the governor believes the nationwide surge in drug deaths is a direct result of fentanyl coming across the southern border,” said his spokesperson Ben Vihstadt. “The unfettered movement of these drugs has created more of a ‘cartel driven’ market than ever before. It’s not just over-prescribing or user demand. The cartels are now putting fentanyl in a variety of other substances to drive their market of addiction.”

Even the Biden administration believes the problem is likely to get worse with the court-ordered end of the Title 42 border policies put in place by President Donald Trump during the COVID-19 pandemic. A DHS memo obtained by CNN warned the end of Title 42 will “likely increase migration flows immediately into the U.S.,” and they predict 14,000 unauthorized migrants crossing into the country each day.

On Monday, Jean-Pierre appeared to suggest the Biden administration opposed ending Title 42 and blamed the policy shift on the courts. “What I am telling you is that it was a court order that was — that we are following. And we’re going to follow the law when it comes to what the court has decided to do.”

But President Biden announced on April 1 he planned to end the policy on May 23. The courts prevented the administration from doing so until now.

U.S. Supreme Court Justice John Roberts has issued a temporary halt to ending the policy.

During their reelection bids last month, both Sen. Maggie Hassan and Rep. Chris Pappas said they opposed the Biden plan to end Title 42 and wanted the administration to continue turning away would-be migrants. Sununu agrees.

“The governor believes the Biden administration must do everything in its power to extend Title 42 and secure the border and is pleased the Supreme Court just this evening halted Title 42 from expiring,” Vihstadt said.

Vaughan said the fentanyl crisis will get worse until the Biden team gets serious about securing the border.

“There is little to inhibit the flow of this illegal poison into communities – the product and the people who distribute it are able to do so with impunity,” Vaughan said. “But if we could regain control of the border and deport the criminals who are trafficking the drugs here, authorities could begin to clean up the streets.”

An explosive report published in ProPublica links the official policy of China’s government to the fentanyl epidemic killing Americans, including a record number of Granite Staters. And Granite State GOP opponents of President Joe Biden’s border policy are pointing to it as more proof it is time to make a change in Washington.

ProPublica released a story last weekend by reporters Sebastian Rotella and Kirsten Berg about a Chinese American gangster named Xizhi Li who came to dominate the money laundering market for Mexican drug cartels. The ruthless cartels are making billions sending fentanyl and other drugs to users in the United States and beyond through the porous Southern border.

“At no time in the history of organized crime is there an example where a revenue stream has been taken over like this, and without a shot being fired,” retired DEA agent Thomas Cindric, a veteran of the elite Special Operations Division, told ProPublica. “This has enriched the Mexican cartels beyond their wildest dreams.”

Since 2006, China has exported more than $3.8 trillion through money laundering schemes according to the report. China now leads the world as the primary financial underwriter for the cartels.

According to ProPublica, the Chinese government certainly knows that its citizens around the globe are involved in money laundering for the cartels and it approves.

With a major world power now suspected of using America’s unsecured southern border to attack the United States, Republicans like retired Gen. Don Bolduc are laying the blame at the feed of Biden and his Democratic allies, including his opponent Sen. Maggie Hassan.

“It’s no secret the drug crisis is plaguing New Hampshire communities and families, exacerbated by the open-border policies supported by Sen. Hassan,” Bolduc’s spokesperson Kate Constantini told NHJournal. “Drugs are pouring in and killing Granite Staters while Sen. Hassan is hiding in her safe and cushy D.C. office. Parents across the country now have to worry about telling their own children they can’t eat Halloween candy because Democrats like Sen. Hassan continue to stay soft on crime and drugs.

“We’ll gladly compare our vision for a secure border and strong communities over Sen. Hassan’s pathetic record any day.”

The issue is more problematic for Hassan because she sits on the powerful Homeland Security Committee which has direct oversight of border security policy.

Former senior FBI official Frank Montoya, Jr. told ProPublica China supports the money laundering business which props up the cartels as part of a policy to further weaken the United States.

“We suspected a Chinese ideological and strategic motivation behind the drug and money activity,” Montoya told ProPublica.

He offered this rationale to ProPublica for the Communist government’s policy.

“To fan the flames of hate and division. The Chinese have seen the advantages of the drug trade. If fentanyl helps them and hurts this country, why not?”

The Hassan campaign did not respond to a request for comment. But in the first U.S. Senate debate of the general election Tuesday, Hassan insisted she supports “a secure, orderly and humane border,” and that she supports additional “physical barriers,” aka “a wall.”

But as a senator, Hassan repeatedly voted against funding the border wall former President Donald Trump tried to build while he was in office. And she opposes deporting illegal immigrants who successfully make their way into the nation, also known as “interior enforcement.” 

Karoline Leavitt, in an apparent neck-and-neck race with incumbent Democrat Rep. Chris Pappas, also blames her opponent for the border problem.

“With each passing day, Chinese fentanyl continues to be smuggled across our wide-open southern border. Our families and communities are being poisoned by this dangerous drug, and we cannot afford another weak leader in D.C. who will act as if this problem isn’t occurring,” Leavitt said. “We need a representative who will work with law enforcement to secure our communities and stop this dangerous drug from pouring into our state.”

Pappas also did not respond to a request for comment.

Both Pappas and Hassan heard testimony earlier this year from national security officials who testified that Chinese triads are supplying Mexican cartels with the chemicals needed to make fentanyl. Those drugs are making their way into New Hampshire with deadly consequences.

New Hampshire’s two largest cities, Manchester and Nashua, are on target for record opioid overdose deaths this year, thanks to the fentanyl flooding the streets. According to American Medical Response, a large ambulance company that services New Hampshire, opioid deaths continue to rise.

Data for August, the most recent set available, show Nashua has seen 32 suspected opioid-related deaths, topping last year’s 30 opioid deaths.

“Nashua remains on pace to have the highest number of suspected deaths from opioids in one year since the opioid epidemic began in 2015,” AMR states in its monthly report.

Manchester is on pace to have the highest number of suspected opioid-related deaths in a year since 2017, with more than 71 opioid deaths projected for the year. As of the end of August, the Queen City has 45 suspected opioid overdose deaths on record.

The rate of overdose deaths from the opioid epidemic continues to climb in Manchester and Nashua, with both cities approaching record deaths this year. And Republicans are pointing a finger at President Joe Biden’s border crisis.

According to Chris Stawasz with American Medical Response, first responders were called to 86 suspected opioid overdoses in Nashua and Manchester during July 2022, bringing this year’s total to 539. That is 99 more incidents than the same period last year, a 23 percent increase.

Nashua is on track to have the highest number of opioid deaths in a year since the start of the pandemic. Manchester is looking to break the record it set in 2017.

“Preliminary data shows Nashua has experienced 29 suspected opioid-related deaths through July. There were 30 suspected opioid-related deaths in Nashua during all of 2021. Nashua remains on pace to have the highest number of suspected deaths from opioids in one year since the opioid epidemic began in 2015. Manchester is still on pace to have the highest number of suspected opioid-related deaths in a one-year period since 2017,” Stawasz said.

There were 10 likely opioid-related deaths in July, eight in Manchester, and two in Nashua. Their causes are still pending verification from the Office of the New Hampshire Chief Medical Examiner. 

Republicans note the surge in unlawful border crossings since Biden took office and the flood of fentanyl across the southern border.

So far this year, United States Customs and Border Patrol has seized about 133,000 pounds of methamphetamine at the border, compared to more than 8,000 pounds of fentanyl, and 50,000 pounds of cocaine.

National Republican Congressional Committee spokesperson Samantha Bullock says voters should hold elected Democrats like Reps. Annie Kuster and Chris Pappas to account.

“Chris Pappas and Annie Kuster have buried their heads in the sand to avoid addressing Democrats’ southern border crisis that’s allowing deadly drugs to destroy New Hampshire communities.”

A spokesperson for the House Republican Conference reiterated that point to the Washington Examiner.

“Joe Biden’s open-border policies have plunged our southern border into absolute chaos. It is a fact that Biden’s fentanyl crisis is directly a result of his border crisis, as the illegal drugs pour in over the wide open southern border,” the spokesperson said.

In New Hampshire’s two largest cities, Stawasz says first responders are dealing with people overdosing after they use drugs that they did not believe were opioids.

“AMR medics continue to see and listen to reports from suspected opioid OD patients who believed they were not specifically using opioids and were surprised that they overdosed on an opioid,” Stawasz said.

Stawasz told Democratic Sen. Jeanne Shaheen during a July roundtable that dealers are putting potentially deadly doses of fentanyl into other drugs and selling them to unsuspecting users.

“I personally have experienced several occasions on a call when someone we’ve woken up from an opioid overdose will insist, ‘I was not using an opioid, I’m not an opioid user. I smoke marijuana. But I bought it from a different person.’ I think that’s contributing to an increased number of deaths,” Stawasz said.

July also saw an increase in the number of patients treated who reported or were suspected of consuming methamphetamine. Methamphetamine use numbers are not currently tracked and are not included in this report. Meth is a particularly dangerous drug for both users and first responders as it can cause extremely excited delirium and alarmingly unpredictable behavior in users.

Methamphetamine is seen by federal law enforcement as a growing problem in New Hampshire. It is coming into the United States in the same way as fentanyl, largely from Mexican cartels who smuggle the drugs over the border. 

The opioid addiction crisis in New Hampshire continues to worsen as Nashua and Manchester recorded another month of increased overdoses and deaths. 

According to Chris Stawasz, Northeast Regional Director of Government Affairs with Global Medical Response, Nashua is expected to have a record number of deaths this year.

“Nashua is still on pace to have the highest number of suspected deaths from opioids since the opioid epidemic began in 2015,” Stawasz said.

Through the end of June, Nashua and Manchester have seen a 20 percent increase in opioid overdoses from the same time last year. In the two cities alone, there have been 453 overdoses in the first half of 2022 and 45 suspected overdose deaths. The two cities typically have among the highest rates of overdoses and overdose deaths in the state.

Nashua currently has 27 suspected opioid overdose deaths this year. In 2021, the city recorded 30 such deaths. If the addiction crisis continues at that pace, Nashua will likely have a record 55 deaths this year, according to projections. In Manchester, the projection expects 59 opioid deaths, the highest total since 2018.

State and federal law enforcement is working to stop the flow of drugs into the state. Michael Garrity, the director of communications for the New Hampshire Department of Justice, said the state Drug Task Force goes after dealers at all levels.

“The NH DOJ continues to work with its local, state, and federal law enforcement partners to investigate and prosecute individuals and groups who seek to traffic in opioids and perpetuate this epidemic within New Hampshire communities,” Garrity said. “Additionally, the Attorney General’s Drug Task Force works within local New Hampshire communities to target drug dealers, including opioid dealers, at all levels.”

Last week, the U.S. Justice Department announced a new New England Prescription Opioid (NEPO) Strike Force to combat the illegal use of prescriptions by doctors, pharmacists, and others in the medical field to distribute opioids. The strike force combines efforts in New Hampshire, Vermont, and Maine and will operate out of Concord.

But law enforcement in New Hampshire can’t control the southern border, where most of the fentanyl that reaches the Granite State originates.

Jon DeLena, Deputy Special Agent in Charge of the New England Field Division for the DEA, told Democrats U.S. Sen. Maggie Hassan,  U.S. Reps. Chris Pappas and Annie Kuster during a Homeland Security Committee presentation that Mexico is the key to the drug epidemic.

“It’s the goal of DEA always to try to map these networks and to take these investigations literally from Mexico to Main Street… What we’re doing now in all 11 offices throughout Mexico is trying to target the highest-level violators within the Sinaloa Cartel and CJNG (Cártel de Jalisco Nueva Generación) who ultimately are impacting the East Coast of the United States more than anybody, and right here in New Hampshire as well,” DeLena said.

U.S. Customs and Border Protection have been making record seizures of drugs at the border, with a 1,066 percent increase in the amount of fentanyl seized in the last fiscal year in south Texas.

The means 87,652 pounds of narcotics, including 588 pounds of fentanyl, with a total street value of worth $786 million, were seized at eight ports from Brownsville to Del Rio, Texas, according to CBP. The street value of the drugs is worth $786 million.

Those seizures obviously have not stopped the drugs from getting into the United States and making their way to New Hampshire. Even though drug seizures are up, the border itself is less secure. According to CPB, illegal border crossing is up significantly.

“The number of unique individuals encountered nationwide in May 2022 was 177,793, a 15 percent increase in the number of unique enforcement encounters over the prior month,” according to the latest CPB report.