Emergence of fentanyl-related deaths in Travis County,Texas and surrounding areas: A retrospective review of postmortem fentanyl-related drug toxicities from 2020 to 2022

The opioid epidemic has affected the United States (US) for decades with fentanyl and its analogs accounting for a recent surge in morbidity and mortality. Currently, there is a relative lack of information characterizing fentanyl-related fatalities specifically in the Southern US. A retrospective study was conducted to examine all postmortem fentanyl-related drug toxicities in Travis County, Texas, encompassing Austin (one of the fastest-growing cities in the US), from 2020 to 2022. Fentanyl contributed to 2.6% and 12.2% of deaths submitted for toxicology between 2020 and 2022, respectively, representing a 375% increase in fentanyl-related deaths over this 3-year period (n = 517). Fentanyl-related fatalities primarily occurred in males in their mid-30s. Fentanyl and norfentanyl concentrations ranged from 0.58 to 320 ng/mL and 0.53 to 140 ng/mL with mean (median) concentrations of 17.2 ± 25.0 (11.0) and 5.6 ± 10.9 (2.9) ng/mL, respectively. Polydrug use was present in 88% of cases, with methamphetamine (or other amphetamines) (25%), benzodiazepines (21%), and cocaine (17%) representing the most frequently identified concurrent substances. Co-positivity rates of various drugs and drug classes widely varied over time. Scene investigations reported illicit powder(s) (n = 141) and/or illicit pill(s) (n = 154) in 48% (n = 247) of fentanyl-related deaths. Illicit oxycodone (44%, n = 67) and illicit “Xanax” (38%, n = 59) pills were frequently reported on scene; however, toxicology only identified oxycodone and alprazolam in 2 and 24 of these cases, respectively. The results of this study provide a better understanding of the fentanyl epidemic in this region creating an opportunity to promote increased awareness, shift focus to harm reduction, and aid in minimizing public health risks.     

Book Reviews

Books reviewed in this issue. Carlos Eduardo Poggio Teixeira, Brazil, the United States, and the South American Subsystem: Regional Politics and the Absent Empire. Lanham: Lexington Books, 2014. Abbreviations, bibliography, index, 169 pp.; hardcover $80, paperback $36.99, ebook $22.07. Matthew E. Carnes, Continuity Despite Change: The Politics of Labor Regulation in Latin America. Stanford: Stanford University Press, 2014. Tables, figures, bibliography, index, 256 pp.; hardcover $65. Tasha Fairfield, Private Wealth and Public Revenue in Latin America: Business Power and Tax Politics. New York: Cambridge University Press, 2015. Figures, tables, acronyms, appendixes, bibliography, index, 364 pp.; hardcover $99, ebook $79. Eduardo Moncada, Cities, Business, and the Politics of Urban Violence in Latin America. Stanford: Stanford University Press, 2016. Bibliography, index, 248 pp.; hardcover $65, ebook. Teri L. Caraway, María Lorena Cook, and Stephen Crowley, eds., Working Through the Past: Labor and Authoritarian Legacies in Comparative Perspective. Ithaca: Cornell University Press, 2015. Photographs, illustrations, notes, bibliography, index, 296 pp.; hardcover $79.95, paperback $27.95. Elin Skaar, Camila Gianella Malca, and Trine Eide, After Violence: Transitional Justice, Peace, and Democracy. New York: Routledge, 2015. Figures, tables, index, 232 pp.; hardcover $145, paperback $54. David A. Steinberg, Demanding Devaluation: Exchange Rate Politics in the Developing World. Ithaca: Cornell University Press, 2015. Illustrations, figures, tables, appendix, notes, bibliography, index, 288 pp.; hardcover $45. UN Women, Progress of the World's Women 2015–16: Transforming Economies, Realizing Rights. New York: United Nations, 2015. Figures, tables, maps, notes, index, bibliography, 342 pp.; web version, http://progress.unwomen.org/en/2015     

The second edition of the EPAC expert survey on ethnonationalism in party competition – testing for validity and reliability

This research note presents EPAC 2017, a dataset resulting from the second round of an expert survey on ethnonationalism in party competition. EPAC provides cross-sectional data on the positions of (ethno-) national and mainstream parties on an ethnonational (also often referred to as ‘territorial’ or ‘centre-periphery’) dimension, as well as other important dimensions of political competition. The 2017 edition covers 222 political parties in 22 multinational European countries. The research note presents the main survey items and performs a series of validity and reliability tests on the data. Results show that EPAC 2017 provides valid and reliable measures of party positions on an ethnonational dimension. A short analysis of party system changes in Spain and Bosnia and Herzegovina illustrates the opportunities of combining the 2011 and 2017 editions. The combined dataset allows studying the mobilization of the centre-periphery cleavage in party competition across Eastern and Western Europe and over time.     

Historical change and the administrative state: An analysis of the theoretical foundations of public administration

This article offers an explanation for the theoretical underdevelopment of Public Administration. It argues that Public Administration studies the relations among elements of the administrative state and between the administrative state and its environment dissociated from time. The ahistorical orientation of the discipline has drastically reduced its capacity for theory building.