Red = urgent action to prevent confirmed risk of death

Amber = action to prevent possible harm

Green = for information only RED ALERT-Cambridgeshire & Peterborough


Date: 4th September, 2018 Location of Incident: Peterborough Drug of concern: Heroin Identified risk: High risk of overdoses Source of information: Police and Peterborough City Hospital Alert instigated by: Cambridgeshire and Peterborough Public Health Team

Dear all,

In the early hours of Saturday 1st September, 2018, 4 individuals (3 females and 1 male) were admitted to Peterborough hospital following a Heroin overdose.

All 4 individuals are known to be experienced heroin users. We have NO specific information about the heroin itself in terms of distinctive colour, smell etc.., but due to the high number of overdoses, within a linked time period, we have concerns regarding potential contamination.

Please be aware of the following harm reduction advice
 Dosage is very easy to get wrong and the biggest risk from opiate use is overdose.  Smoking on foil is safer than injecting or snorting  Do not mix with other Central Nervous System (CNS) depressants (eg alcohol, benzodiazepines)  Make sure you are in a safe environment, with trusted people  Watch carefully for the signs of an overdose, e.g. loss of consciousness, shallow or absent breathing, “snoring”, and/or blue lips or fingertips  In the case of an overdose, immediately call for an ambulance and administer naloxone if available.

Please disseminate this alert to your peers with immediate action.

Please share this information with services and their peers, and report any concerns to services as soon as possible.

If they are feeling unwell and suspect they have used one or more of the substances referred to in this alert message, please call an ambulance immediately.

If you have any further queries, please contact Cambridgeshire and Peterborough Public Health Team on 01223 703259

For a Naloxone kit please contact CGL ASPIRE team (Peterborough) on 0800 111 4354 or Inclusion (Cambridgeshire) on 0300 555 0101

Thank you for your assistance in preventing further fatalities or harm.

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