The opioid crisis is devastating the health and well-being of Americans. Following a dramatic increase in the use of prescription opioid painkillers in the late 1990s, the crisis now kills more than 40,000 people in the United States annually. Experts estimate that millions more abuse prescription opioids each year, many of whom later turn to heroin.
Transnational criminal organizations are one of the driving forces behind the intensity of the opioid crisis. By taking advantage of anonymous online marketplaces and legal delivery services, they can smuggle deadly drugs like fentanyl into the United States in a low-risk, high-reward way.
This briefing traced the criminal networks that produce these drugs, market them on the dark web, and smuggle them into the United States to better understand how the public and private sectors can more effectively respond to this crisis and save thousands of American lives.