Date of Award

Spring 5-1-2026

Document Type

Thesis

Degree Name

Master of Arts (MA)

Department/Program

Criminal Justice

Language

English

First Advisor or Mentor

Ric Curtis

Second Reader

Louis Kontos

Abstract

The unregulated drug supply in the United States has become increasingly unpredictable, contributing to persistently high overdose mortality, particularly in structurally marginalized communities such as the South Bronx. While drug adulteration has long been present in illicit markets, the number and pharmacological diversity of adulterants remained limited for much of the twentieth century. Over the past decade, however, the drug supply has undergone a significant transformation marked by the proliferation of potent synthetic opioids such as fentanyl and its analogues, frequently combined with novel sedatives and chemically diverse adulterants. These shifts have introduced increasing chemical complexity into the street drug supply. Many of these compositional changes originate upstream during large-scale manufacturing and distribution rather than at the point of retail sale, where sellers typically lack the technical capacity to substantially alter drug composition.

Drug checking is a community-based public health intervention that uses analytical techniques to identify the contents of substances circulating in the unregulated drug supply. In addition to supporting individual harm reduction, drug checking also functions as a form of real-time surveillance capable of identifying emerging substances and monitoring shifts in local drug markets.

This study analyzes drug checking results collected through a harm reduction program in the South Bronx to characterize changes in the local drug supply and the increasing pharmacological complexity of substances sold as opioids. Using de-identified data collected during routine service delivery and additional information gathered through secondary laboratory testing, this paper examines discrepancies between expected and detected substances and compositional changes within samples over time, demonstrating how drug-market mismatch reflects broader structural dynamics within the contemporary illicit drug market.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.