Village of Medina

Estimated Population Served: 7,000

Summary of findings (February 10 – April 21, 2026):

Cocaine (parent) / Benzoylecgonine (metabolite): Average parent concentrations fluctuated above and below the national and regional averages, with the latest concentration having stabilized. Average metabolite concentrations have remained above national and regional averages. Benzoylecgonine had overall higher concentrations compared to cocaine.

Fentanyl (parent) / Norfentanyl (metabolite): Average parent and metabolite concentrations have fluctuated but remained below regional and national averages.

Methamphetamine (parent) / Amphetamine (metabolite): Average parent and metabolite concentrations remained steady, with parent concentrations slightly above the regional averages but below national averages. Metabolite concentrations remained below national averages but are nearing national averages.

Xylazine (parent) / 4-Hydroxyxylazine (metabolite): Neither xylazine nor 4-hydroxyxylazine were detected.

Trans-3’-Hydroxycotinine (metabolite of nicotine): Average concentrations of Trans-3’-Hydroxycotinine remained around the national average and greater than the regional average, with concentrations trending upwards since the end of March.

Cocaine (parent) / Benzoylecgonine (metabolite)

Line graph displaying cocaine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of cocaine in nanograms per liter which ranges from zero to 1,000. The x-axis is displaying a 90-day lookback which ranges February to May 2026. Levels in the Village of Medina have been above the national and regional averages since the end of February and have been relatively stable since. Most recently, on April 21st, the cocaine level measured in the Village of Medina was 920 nanograms per liter, which was above the national average of 766 nanograms per liter and the northeast regional average of 806 nanograms per liter.

 

Line graph displaying benzoylecgonine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of benzoylecgonine in nanograms per liter which ranges from zero to 4,000. The x-axis is displaying a 90-day lookback which ranges February to May 2026. Benzoylecgonine is the metabolite of cocaine. Findings include that the average benzoylecgonine levels in the Village of Medina remained relatively stable and higher than the regional and national averages. Most recently, on April 21st, the benzoylecgonine level measured in the Village of Medina was 3,064 nanograms per liter, which was above the national average of 2,468 nanograms per liter and the northeast regional average of 2,355 nanograms per liter.

Fentanyl (parent) / Norfentanyl (metabolite)

Line graph displaying fentanyl concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of fentanyl in nanograms per liter which ranges from zero to 14. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. Levels in the Village of Medina have fluctuated but remained below national and regional levels, with the latest concentrations stabilizing . Most recently, on April 21st, the fentanyl level measured in the Village of Medina was 2.97 nanograms per liter, which was lower than the national average of 11.79 nanograms per liter and the northeast regional average of 10.75 nanograms per liter.

 

Line graph displaying norfentanyl concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of norfentanyl in nanograms per liter which ranges from zero to 30. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. Norfentanyl is the metabolite of fentanyl. Levels in the Village of Medina have fluctuated but remained below national and regional levels, with latest concentrations trending upwards. Most recently, on April 21st, the norfentanyl level measured in the Village of Medina was 18.83 nanograms per liter, which was lower than the national average of 25.75 nanograms per liter and the northeast regional average of 24.97 nanograms per liter.

Methamphetamine (parent) / Amphetamine (metabolite)

Line graph displaying methamphetamine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of methamphetamine in nanograms per liter which ranges from zero to 2,000. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. Levels in the Village of Medina during this time-period have been below the national averages and generally aligned with regional averages. Most recently, on April 21st, the methamphetamine level measured in the Village of Medina was 268 nanograms per liter, which was lower than the national average of 1,753 nanograms per liter and the northeast regional average of 398 nanograms per liter.
Line graph displaying amphetamine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of amphetamine in nanograms per liter which ranges from zero to 500. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. Amphetamine is the metabolite of methamphetamine. Trends in amphetamine consumption may not always mirror those of methamphetamine, as amphetamine itself is commonly prescribed and can also be used illicitly. Levels of amphetamine in the Village of Medina remained stable until the beginning of April when a spike began. Most recently, on April 21st, the amphetamine level measured in the Village of Medina was 223 nanograms per liter, which was lower than the national average of 438 nanograms per liter and only slight lower than the northeast regional average of 225 nanograms per liter.

Xylazine (parent) / 4-Hydroxyxylazine (metabolite)

Line graph displaying xylazine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of xylazine in nanograms per liter which ranges from zero to 1.4. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. Xylazine has not been detected in the Village of Medina since early February. On April 21st, the average concentration of xylazine nationally was .78 nanograms per liter and the northeast regional average was .80 nanograms per liter.

 

Line graph displaying 4-hydroxyxylazine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of 4-hydroxyxylazine in nanograms per liter which ranges from zero to 0.01. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. 4-hydroxyxylazine is the metabolite of xylazine. 4-hydroxyxylazine was not been detected in the Village of Medina. On April 21st, the average concentration of 4-hydroxyxylazine nationally and for the northeast region it was 0.0 nanograms per liter.

Trans-3’-Hydroxycotinine (metabolite of nicotine)

Line graph displaying trans-3’-hydroxycotinine concentrations from the Village of Medina wastewater treatment plant, the United States national average, and the northeast regional average from February 10 to April 21, 2026. The Y-axis is displaying the effective concentration of trans-3’-hydroxycotinine in nanograms per liter which ranges from zero to 5,000. The x-axis is displaying a 90-day lookback which ranges from February to May 2026. Trans-3’-hydroxycotinine is the metabolite of nicotine. Levels of trans-3’-hydroxycotinine remained around the national average and greater than the regional average, with concentrations trending upwards since the end of March. Most recently, on April 21st, the trans-3’-hydroxycotinine level measured in the Village of Medina was 4,870 nanograms per liter, which was higher than the national average of 4,397 nanograms per liter and the northeast regional average of 3,347 nanograms per liter.
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