Increased illicit use of opioids, including synthetic opioids such as fentanyl and its analogue carfentanil, is a source of increased risk to responders. Most routine encounters between patients or detainees and EMS or law enforcement do not present a significant threat of toxic exposure. While there are anecdotal reports of public safety personnel being exposed to opioids during operations, they are largely unconfirmed. To proactively address the potential risks, this document establishes guidance for personal protective equipment selection and use, decontamination, detection, and medical countermeasures for first responders who may be exposed to opioids in the course of their occupational activities. Throughout the remainder of this document, the term synthetic opioids will be used to include fentanyl, fentanyl analogues, morphine analogues, the U-series opioids, and others.
Originating Organization: United States/Department of Justice
- Drug Enforcement Administration
- Federal Bureau of Investigation
- Office of Justice Programs
- Office of Community Oriented Policing Services
- El Paso Intelligence Center
- DEA Philadelphia Division
- Special Testing and Research Laboratory
- DEA Phoenix Division
- FBI Cyber Division
- Counterterrorism Division
- Office of Private Sector
- National Domestic Communications Assistance Center
- Behavioral Analysis Unit
- Counterintelligence Division
- Phoenix Field Office
- Criminal Justice Information Systems Division
- Bureau of Justice Assistance
- National Institute of Justice
Department of Homeland Security
(U//FOUO) DHS Reference Aid: Overview of Recently Successful or Arrested HVEs’ Radicalization to Violence
This Reference Aid is based on I&A’s review of the radicalization to violence of 39 US homegrown violent extremists (HVEs) who either successfully carried out or were arrested before attempting to carry out attacks in the Homeland between 1 January 2015 and 31 December 2016. It is intended to inform federal, state, local, tribal, and territorial counterterrorism, law enforcement, and countering violent extremism (CVE) officials. For additional information about these HVEs, please see the classified I&A Intelligence Assessment “(U//FOUO) Commonalities in HVEs’ Radicalization to Violence Provide Prevention Opportunities,” published 10 February 2017.
Department of Homeland Security, Federal Bureau of Investigation, National Counterterrorism Center
(U//FOUO) DHS-FBI-NCTC Guide: Terrorist Attack Planning Cycle – A Homeland Case Study
This case study is an examination of behaviors that resulted in a disrupted terrorist attack, revealing a cycle of planning and preparation that could provide indicators for preventing similar attempts. The terrorist attack planning cycle is not a static, linear process but rather could begin in any of the several stages with variances in details, sequence, and timing. An individual’s mobilization to violence often provides observable behavioral indicators such as, pre-attack surveillance, training, and rehearsal. The indicators potentially allow third-party observers and law enforcement to identify individuals moving to violence, circumstances that may allow for disruption of planned attacks. This product is intended to cultivate an awareness of the planning cycle among stakeholders for identification, mitigation, and disruption of attack planning.
Department of Homeland Security, Federal Bureau of Investigation, National Counterterrorism Center
DHS-FBI-NCTC Guide: International Partnerships Necessary To Mitigate ISIS’s Organ Harvesting for Terrorist Funding
The Islamic State of Iraq and ash-Sham (ISIS) is attempting to obtain money from organ harvesting, including from its own injured members, captives, and deceased individuals. Identification, prevention, and interdiction of organ harvesting and trafficking is a highly complex issue which may be effectively addressed through international partnerships among governmental, health, law enforcement, legal, and private-sector entities.
Department of Homeland Security, Federal Bureau of Investigation, National Counterterrorism Center
(U//FOUO) DHS-FBI-NCTC Guide: Cyber Threats to First Responders are a Persistent Concern
We assess with moderate confidence that cyber actors, including those who support violent extremism, are likely to continue targeting first responders on the World Wide Web, including by distributing personally identifiable information (PII) for the purpose of soliciting attacks from willing sympathizers in the homeland, hacking government websites, or attacking 911 phone systems to hinder first responders’ ability to respond to crises.
Drug Enforcement Administration
DEA Drug Slang Code Words
This Drug Enforcement Administration (DEA) Intelligence Report contains information from a variety of law enforcement and open sources. It is designed as a ready reference for law enforcement personnel who are confronted by many of the hundreds of slang terms used to identify a wide variety of controlled substances, designer drugs, and synthetic compounds. Every effort has been made to ensure the accuracy and completeness of the information presented. However, due to the dynamics of the ever-changing drug scene, subsequent additions, deletions, and corrections are inevitable. Further addendums to this report will attempt to capture changed terminology, to the extent possible. This compendium of drug slang terms has been alphabetically ordered, and identifies drugs and drug categories in English and foreign language derivations.
Federal Bureau of Investigation
FBI Cyber Bulletin: IP Addresses and Domains Used by Iran-Based Cyber Actors to Attack Victims Worldwide
The FBI assesses a group of malicious cyber actors—likely located in Iran—use Virtual Private Server infrastructure hosted in the United States to compromise government, corporate, and academic computer networks based in the Middle East, Europe and the United States. This infrastructure is used in conjunction with identified malicious domains to support a broad cyber campaign which likely includes the use of e-mail spear phishing, social engineering, and malicious Web sites (“watering hole attack”). These cyber actors almost certainly have been involved in this activity since at least early-2015.
Drug Enforcement Administration, Pennsylvania
DEA Analysis of Overdose Deaths in Pennsylvania 2016
The analysis of drug-related overdose death data plays a pivotal role in law enforcement’s efforts to identify and combat drug suppliers, and ultimately drug abuse and related overdoses. At the most basic level, the drugs that contribute to death are an indicator of drug availability in the user market. Analysis of this data also highlights geographic patterns of abuse and identifies at-risk populations, and when coupled with drug treatment statistics, law enforcement drug seizure data, and public health indicators, allows for multi-disciplinary data-driven decisions regarding resource placement and strategic initiatives.
Drug Enforcement Administration, Intelligence Fusion Centers
(U//LES) EPIC Bulletin: Transnational Criminal Organizations (TCOs) Continue to Profit from Marijuana Sales in Legalized Markets
In January 2016, EPIC published Intelligence Note 02303-16a, this product provided analysis of data provided by the Drug Enforcement Administration (DEA) and open source reporting that indicated Transnational Criminal Organizations (TCOs) continued to operate and profit from marijuana sales in legalized U.S. marijuana markets. EPIC research further showed that legalization of marijuana in some U.S. markets had not adversely impacted TCO profitability in marijuana markets, and that the effort of legalization had conversely brought new opportunities for illicit profits from marijuana sales. As of January 2017, EPIC research indicates that TCOs continue to exploit legalized marijuana markets in the United States.
Drug Enforcement Administration
(U//LES) DEA Fentanyl Briefing Guide for First Responders
In the last several years, U.S. Law Enforcement has seen a dramatic increase in the availability of dangerous synthetic opioids. A large majority of these synthetic opioids are structural derivatives of the synthetic drug “fentanyl.” Fentanyl is a synthetic opioid currently listed as a Schedule II prescription drug that mimics the effects of morphine in the human body, but has potency 50–100 times that of morphine. Due to the high potency and availability of fentanyl, both transnational and domestic criminal organizations are increasingly utilizing these dangerous synthetic opioids as an adulterant in heroin and other controlled substances. The presence of these synthetic opioids in the illicit U.S. drug market is extremely concerning as the potency of these drugs has led to a significant increase in overdose incidents and overdose-related deaths throughout the nation.