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However, although more research is needed, the results are not entirely negative

Seppnen K, Kantola M, Laatikainen R, et al

doi: 10.1371/journal.pone.0058784 155 ParthsarathyV.HolscherC

The Latin Times reported on the impact of fentanyl and fentanyl pills in Latin America, noting that Costa Rican authorities had seen a sharp jump in pill seizures and are investigating suspected local fentanyl pill operations and that fentanyl deaths in Puerto Rico exceeded homicide rates between 2022 and 2024