Village of Medina

Estimated Population Served: 7,000

Summary of findings (December 30, 2025 – March 17, 2026):

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

Fentanyl (parent) / Norfentanyl (metabolite): Parent and metabolite concentrations have fluctuated but remain below regional and national averages, with the latest concentrations trending downwards.

Methamphetamine (parent) / Amphetamine (metabolite): Parent and metabolite concentrations remained steady with concentrations below regional and 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 relatively stable, comparable to national average and greater than the regional average.

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 December 30, 2025 to March 17, 2026. The Y-axis is displaying the effective concentration of cocaine in nanograms per liter which ranges from zero to 1,200. The x-axis is displaying a 90-day lookback which ranges from December 2025 to March 2026. Levels in the Village of Medina fluctuated above and below the national and regional averages, with the latest concentration trending downwards. Most recently, on March 17th, the cocaine level measured in the Village of Medina was 965 nanograms per liter, which was above the national average of 930 nanograms per liter and the northeast regional average of 904 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 December 30, 2025 to March 17, 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 from December 2025 to March 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 March 17th, the benzoylecgonine level measured in the Village of Medina was 3,849 nanograms per liter, which was above the national average of 2,664 nanograms per liter and the northeast regional average of 2,483 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 December 30, 2025 to March 17, 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 December 2025 to March 2026. Levels in the Village of Medina have fluctuated but remained below national and regional levels, with the latest concentrations trending downwards. Most recently, on March 17th, the fentanyl level measured in the Village of Medina was 5.03 nanograms per liter, which was lower than the national average of 13.49 nanograms per liter and the northeast regional average of 13.42 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 December 30, 2025 to March 17, 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 December 2025 to March 2026. Norfentanyl is the metabolite of fentanyl. Levels in the Village of Medina have fluctuated but remained below national and regional levels, with the latest concentrations trending downwards. Most recently, on March 17th, the norfentanyl level measured in the Village of Medina was 11.77 nanograms per liter, which was lower than the national average of 25.82 nanograms per liter and the northeast regional average of 26.14 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 December 30, 2025 to March 17, 2026. The Y-axis is displaying the effective concentration of methamphetamine in nanograms per liter which ranges from zero to 2,500. The x-axis is displaying a 90-day lookback which ranges from December 2025 to March 2026. Levels in the Village of Medina during this time-period have been near or slightly above the regional averages. Most recently, on March 17th, the methamphetamine level measured in the Village of Medina was 427 nanograms per liter, which was lower than the national average of 1,941 nanograms per liter and slightly lower than the northeast regional average of 401 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 December 30, 2025 to March 17, 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 December 2025 to March 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 have remained stable and below national and regional averages. Most recently, on March 17th, the amphetamine level measured in the Village of Medina was 130 nanograms per liter, which was lower than the national average of 456 nanograms per liter and the northeast regional average of 249 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 December 30, 2025 to March 17, 2026. The Y-axis is displaying the effective concentration of xylazine in nanograms per liter which ranges from zero to 2. The x-axis is displaying a 90-day lookback which ranges from December 2025 to March 2026. Xylazine has not been detected in the Village of Medina. Most recently, on March 17th, the average concentration of xylazine nationally was 0.56 nanograms per liter and the northeast regional average was 1.22 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 December 30, 2025 to March 17, 2026. The Y-axis is displaying the effective concentration of 4-hydroxyxylazine in nanograms per liter which ranges from zero to 0.03. The x-axis is displaying a 90-day lookback which ranges from December 2025 to March 2026. 4-hydroxyxylazine is the metabolite of xylazine. 4-hydroxyxylazine was not been detected in the Village of Medina. Most recently, on March 17th, the average concentration of 4-hydroxyxylazine nationally and the northeast regional average were both 0.01 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 December 30, 2025 to March 17, 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 December 2025 to March 2026. Trans-3’-hydroxycotinine is the metabolite of nicotine. Levels of trans-3’-hydroxycotinine remained relatively stable, comparable to the national average and greater than the regional average. Most recently, on March 17th, the trans-3’-hydroxycotinine level measured in the Village of Medina was 3,940 nanograms per liter, which was below the national average of 4,420 nanograms per liter and higher than the northeast regional average of 3,270 nanograms per liter.