Opioids & Fentanyl: Safety Prevention for CTPAT Members

As the opioid crisis continues to evolve, the risks associated with accidental contact with powerful substances like fentanyl have become a significant concern, not only for first responders and healthcare workers but also for businesses involved in international trade. For Customs Trade Partnership Against Terrorism (CTPAT) members, the threat of accidental exposure to opioids, particularly fentanyl, is an emerging safety issue that requires heightened awareness and preventive measures.

CTPAT members play a critical role in maintaining the security of supply chains, ensuring that illegal substances do not enter the country. This responsibility comes with its own set of challenges, particularly when it comes to handling cargo that may unknowingly contain dangerous drugs. This blog explores the dangers of incidental exposure to fentanyl and provides safety measures for CTPAT members to protect themselves and their teams.

The Rising Threat of Fentanyl in Supply Chains

Fentanyl, a synthetic opioid that is significantly more potent than morphine, has become a major concern for law enforcement and the shipping industry alike. This substance is increasingly being smuggled into the United States, often hidden in shipments that seem legitimate. CTPAT members, who are responsible for maintaining the integrity of international supply chains, may come into contact with fentanyl without even realizing it.

Because fentanyl, a synthetic opioid that is 50 to 100 times more potent than morphine, even a tiny amount can cause serious harm. This makes it a particular threat to CTPAT members who handle cargo, inspect shipments, and ensure that supply chains remain secure. Accidental exposure to fentanyl can happen during routine inspections, loading, and unloading of cargo, or even while conducting security checks.

How Accidental Exposure Occurs

Accidental exposure to opioids, including fentanyl, can happen through various means:

1. Skin Contact: Although fentanyl doesn’t absorb easily through intact skin, direct contact with large amounts of powder, or prolonged exposure, can lead to absorption, especially if there are cuts or abrasions on the skin.
2. Inhalation: Fentanyl in powder form can become airborne, posing a significant risk of inhalation. Once inhaled, the substance can quickly enter the bloodstream through the respiratory system.
3. Ingestion: Accidentally ingesting fentanyl by touching your face, particularly the mouth, after handling contaminated surfaces can lead to severe consequences.

Symptoms of Opioid Exposure

Recognizing the symptoms of opioid exposure is crucial for CTPAT members, as timely intervention can save lives. Symptoms of exposure to fentanyl or other opioids include:

• Drowsiness or Extreme Fatigue
• Dizziness or Confusion
• Nausea and Vomiting
• Respiratory Distress or Slow Breathing
• Loss of Consciousness

These symptoms can escalate quickly, so immediate medical attention is vital in the event of suspected exposure.

Safety Precautions for CTPAT Members

CTPAT members can take several safety measures to reduce the risk of accidental exposure to fentanyl during their operations. These precautions are designed to safeguard employees, contractors, and anyone else involved in the supply chain.

1. Use of Personal Protective Equipment (PPE): PPE is essential when handling cargo that may be contaminated with opioids. This includes nitrile gloves, long sleeves, and, in some cases, respiratory protection like N95 masks, especially when dealing with substances in powder form.
2. Training and Awareness Programs: All employees should be trained to recognize the signs of potential drug contamination and the symptoms of opioid exposure. This training should include how to respond to exposure incidents and the importance of avoiding contact with suspicious substances.
3. Safe Handling and Inspection Protocols: Establish protocols for safely handling and inspecting cargo. These protocols should emphasize minimal contact with potentially contaminated materials and the use of PPE at all times. Employees should also be instructed to avoid touching their faces during inspections.
4. Decontamination Procedures: Regular decontamination of workspaces and vehicles that handle international cargo is crucial. This includes cleaning surfaces that come into contact with shipments using appropriate cleaning agents that can neutralize opioid residues.
5. Emergency Response Preparedness: Ensure that naloxone, a medication that can reverse opioid overdoses, is readily available at all work sites. Employees should be trained on how to administer naloxone in the event of an overdose. Having naloxone kits on hand is a critical step in reducing the risk of fatal exposure.
6. Secure Storage and Disposal of Contaminated Materials: If fentanyl or other opioids are found in shipments, it is important to follow proper storage and disposal protocols. This includes securing the substances in clearly labeled, tamper-proof containers and following local regulations for hazardous waste disposal.

Responding to Exposure

If accidental exposure occurs, CTPAT members should take immediate action to minimize the harm:

1. Remove Contaminated Clothing: Carefully remove any clothing that has come into contact with fentanyl. Avoid shaking the material, as this could release more particles into the air.
2. Wash Affected Areas: Thoroughly wash any areas of skin that have come into contact with fentanyl with soap and water. Avoid using alcohol-based hand sanitizers, as they can increase absorption of fentanyl through the skin.
3. Seek Medical Attention: Even if the exposure seems minor, it is important to seek medical attention immediately. Symptoms can escalate quickly, and early intervention is key to preventing severe outcomes.
4. Report the Incident: Immediately report the exposure to supervisors and relevant authorities. This ensures that the incident is documented, and safety protocols can be reviewed and enhanced to prevent future occurrences.

Conclusion

For CTPAT members, the safety of the supply chain goes beyond preventing the entry of illicit goods into the country—it also involves protecting the people who work to keep that supply chain secure. With the increasing presence of fentanyl in illicit shipments, it is more important than ever to be vigilant and prepared for the dangers of accidental exposure.

By implementing strong safety protocols, providing thorough training, and ensuring that emergency response measures are in place, CTPAT members can protect themselves and their teams from the hidden dangers of opioids like fentanyl. Staying informed and proactive is the key to maintaining a safe and secure supply chain in today’s complex global environment.

If you would like to hear more about Opioids and Fentanyl Safety Policies and Training or about CTPAT Certification, Annual Reviews or Validations click on the Let's Talk button.