Illicit Fentanyl from China: An Evolving Global Operation

By Lauren Greenwood and Kevin Fashola

According to the U.S. Centers for Disease Control and Prevention (CDC), synthetic opioids—primarily illicit fentanyl—remain the largest cause of overdose deaths in the United States. 1 The CDC estimates that in the United States, there were more than 93,000 drug overdose deaths in 2020, of which an estimated 69,710 were opioid overdoses. This is a more than 30 percent increase from the 50,963 opioid overdoses in 2019. *2 Stay-home orders, disruption of normal routines, economic hardships, and other stressors related to the novel coronavirus (COVID19) pandemic contributed to the rise in abuse of illicit opioids in the United States in 2020,3 despite the increased price of street fentanyl.

Washington, DC: U.S.-China Economic and Security Review Commission, 2021. 15p.