Convicted crime boss Michael Miske appears to have died of an accidental overdose of fentanyl and para-fluorofentanyl, described elsewhere as “a schedule I illicit fentanyl analog.”
The results were released today by the Honolulu Medical Examiner, as reported by Hawaii News Now.
According to HNN, “Miske’s manner of death is officially still listed as pending. But based on information that’s currently available, the manner of death appears to be accidental.”
Of course, fentanyl-related deaths have been epidemic in many areas.
A CDC report published in 2022 reports examined the problem and reported that fentanyl was involved in two-thirds of all overdose deaths in the United States.
Provisional estimates indicate that synthetic opioids, including illicitly manufactured fentanyl (IMF), were involved in approximately two thirds of an estimated 108,174 overdose deaths in the United States during the 12 months ending in April 2022.* Previous analyses have identified para-fluorofentanyl, a schedule I† illicit fentanyl analog, in drug overdose deaths in eight states from late 2020 through June 2021 (1–3). Limited data suggest that para-fluorofentanyl is likely similar to or slightly less potent than IMF (3,4); however, its role in the illicit drug market and its impact on the opioid overdose crisis has not been widely studied.
One thing that I have noted is that there was no testimony during the trial indicating Miske had used hard drugs, including fentanyl. There was considerable testimony that he tried push associates with drug problems into rehab, and was opposed to their continued drug use, which he felt endangered him. However, that was before he was facing a lonely holiday season with the prospect of spending the rest of his life in prison.
The investigation of the circumstances surrounding his death has to run its course. But from my perspective, an intentional or accident overdose appears to be more likely than a complex conspiracy that could have successfully taken his life within the Federal Detention Center.
