The global policy think tank told the U.S. House Homeland Security Committee that the rising opioid epidemic was initially fueled by an oversupply of prescription oxycodone and hydrocodone, but by 2019 morphed into an illicit synthetic opioid crisis causing “approximately two-thirds of all opioid overdose deaths.”
Mexico drug cartels for decades have dominated traditional street-sourced opioids, such as heroin and diverted prescription painkillers. Law enforcement through 2004 would occasionally shut down a few American chemists’ small-scale production of illicit opioid powders. But the Mexican cartels in the mid-2000s started manufacturing about 7.5 percent pure fentanyl to enhance the potency of their heroin street sales in the United States.
Canadian and U.S. law enforcement reported that since 2013, “most synthetic opioids and precursors originate not from a single clandestine source, but from what could be many semi-legitimate manufacturers and vendors, most of whom are in China.”
The DEA reported that cartel drug labs in Mexico have a long history of importing the precursors to brew illicit methamphetamine from China. But over the last five years, semi-legitimate pharmaceutical suppliers have focused on shipping 90-percent pure fentanyl to the U.S. drug traffickers “via the international postal system and private express consignment carriers, such as FedEx and DHL, as well as by cargo.”
Rand states that China’s expansion of e-commerce and inexpensive shipping have made global trade cheaper and more convenient explains why China’s pharmaceutical industry is now the second largest in the world with 5,000 manufacturers producing more than 2,000 products. With annual production capacity of over 2 million tons, China is also “the single largest exporter of active pharmaceutical ingredients in the world.”
Combined with another 400,000 chemical manufacturers and distributors, some operating without legal approval, Rand states that China’s market reforms have far outpaced regulatory oversight of its pharmaceutical and chemical industries.
Rand warns that the scale of smuggling synthetic opioids from China may be evolving, as evidenced by the June 2018 seizure in Philadelphia of “50 kilograms of 4-fluoroisobutyryl fentanyl hidden in barrels of iron oxide in an air shipment from China.”
The regime had pledged from May 1 to include fentanyl analogues—drugs with a slightly different chemical makeup but are addictive and potentially deadly—in its list of narcotics subject to state control. But many U.S. lawmakers, officials and experts have been skeptical of Beijing’s willingness and ability to these changes.
Dissatisfied with the progress of trade talks, Trump on Aug. 1 announced the imposition of new tariffs on $300 billion of Chinese goods, blaming the regime for failing to make good on its pledge to buy more US farm goods and curb the flow of fentanyl.