The Mafia may keep fentanyl out of Italy

黑手党可能将芬太尼拒之意大利门外

Editor's Picks from The Economist

2026-10-01

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Italy’s remarkably low rate of fentanyl overdoses could be the result of an informal veto by organised crime groups. Topics covered: • Italy’s Mafia • Fentanyl • Controlled substances Listen to what matters most, from global politics and business to science and technology—subscribe to The Economist.
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  • In The Godfather, Don Vito Corleone refuses to engage in the heroin trade because he considers it a dirty business.

  • Outside of Hollywood scripts, such scruples are rare among mafiosi.

  • Yet police in Italy are coming to the conclusion

  • that a real-life version of this plot point may have played out there over the past decade.

  • The country's mafias seem to have collaborated to keep fentanyl out of their territory.

  • The theory could help explain Italy's strangely low rate of fentanyl overdoses.

  • In 2024, the synthetic opiate,

  • which is about 100 times stronger than morphine, was detected in just two fatal intoxications in Italy.

  • Germany had 95. America had almost 48,000.

  • That cannot be explained by Italy's overall drug consumption levels.

  • Some 2.1% of young Italian adults use cocaine in a given year,

  • according to European figures, compared with 2.2% in Germany.

  • Its estimated rate of high-risk opioid use is roughly twice the German one.

  • In 2024, with fentanyl starting to appear more often in Europe, Italy's government unveiled a plan to counter it.

  • But Alfredo Montevano, the top health ministry official for drug policy,