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6 years ago · by · 0 comments

US Opioid Epidemic Declared A Public Health Emergency

 

 

President Trump has declared the opioid crisis- which killed 64,000 Americans last year- a public health emergency.  The order will last 90 days and can be renewed every 90 days until the President believes it is no longer needed.  President Donald Trump said “Drug overdoses are now the leading cause of unintentional death in the United States by far. More people are dying from drug overdoses today than from gun homicides and motor vehicles combined.”

The administration will work with Congress to fund the Public Health Emergency fund and to increase federal funding in year-end budget deals currently being negotiated in Congress.  Trump has directed agency and department heads to use all appropriate emergency authorities to reduce the number of deaths caused by the opioid crisis.  The administration will also launch an ad campaign so that young people can see the devastation that drugs cause on people and their lives.

The administration’s opioid plan will allow expanded access to telemedicine services, giving doctors the ability to prescribe medications to treat addiction to those in remote locations.  It also speeds the hiring process for medical professionals working on opioids and allows funds in programs for dislocated workers and people with HIV/AIDS to be used to treat their addictions.  The designation gives the administration access to the Public Health Emergency Fund, but that fund is nearly empty.

In August, Trump said that he would declare the opioid epidemic a national emergency but later said the White House had determined that declaring a public health emergency was more appropriate than a national emergency.  Many have criticized the decision to declare a public health emergency rather than a national emergency as not enough.  A commission created by the administration and headed by Gov. Chris Christie called on the president to declare a national emergency under either the Public Health Service Act or the Stafford Act. Doing so, the commission said, could free up funds for treatment, ensure wider access to the anti-overdose drug naloxone and improve monitoring of opioid prescriptions to prevent abuse.

Congress is currently spending $500 million a year on addiction treatment programs, but that money runs out next year. The administration says it will work with Congress in the budgeting process to find new money to fund addiction treatment programs. A group of senators introduced a bill that would provide more than $45 billion for opioid abuse prevention, surveillance and treatment.

From 2000 to 2015, more than 500,000 people died of drug overdoses, and opioids account for the majority of those. Recently released numbers from the Centers for Disease Control and Prevention found that around 64,000 people died from drug overdoses in 2016.  More than 140 Americans die every day from an opioid overdose, according to the Centers for Disease Control and Prevention.  Roughly 80 percent of the world’s opioids are consumed in the US.  A report published earlier this year found that 94 percent of heroin entering the United States came from Mexico.  A large portion of the country’s fentanyl – a prescribed painkiller thought by many to be driving the opioid epidemic – derives from China and arrives in the States through US mail.

 

 

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7 years ago · by · 552 comments

Drug Overdose Death Surged In 2016, Expected To Rise In 2017

According to state and county data, drug overdose deaths surged in 2016, killing nearly 60,000 Americans last year.  It is an alarming 19% increase over the 52,404 recorded in 2015 and the largest annual jump ever recorded in the United States.  All evidence suggests the problem has continued to worsen in 2017.  The epidemic of opioid and heroin abuse means that for Americans under the age of 50, drug overdoses are now the leading cause of death.

The New York Times compiled estimates for 2016 from hundreds of state health departments and county coroners and medical examiners.  The initial data points to large increases in drug overdose deaths in states along the East Coast, particularly Maryland, Florida, Pennsylvania, and Maine. The Times analysis suggests that the exponential growth in overdose deaths in 2016 didn’t extend to all parts of the country. In some states in the western half of the United States, overdose deaths may have leveled off or even declined.

The Times data showed that heroin and fentanyl-related deaths are still increasing across the United States – particularly in the Northeast and Midwest.  The death rate from synthetic opioids, like fentanyl, surged 72% in 2015, and heroin death rates increased nearly 21 percent.

In Ohio, overdose deaths increased more than 25% in 2016, largely driven by Cook County, where 1,091 of the state’s 3,310 overdose deaths were reported.  Last week, the state of Ohio filed a lawsuit against the pharmaceutical industry, accusing drug manufacturers of aggressively advertising opioids and lying to both doctors and patients about the dangers of addiction.

The Drug Enforcement Agency wrote in a 2016 report detailing what the organization calls a global threat “The United States is in the midst of a fentanyl crisis, with law enforcement reporting and public health data indicating higher availability of fentanyls, increased seizures of fentanyls, and more known overdose deaths from fentanyls than at any other time since the drugs were first created in 1959.”

California had the largest total number of overdose deaths at 4,659 in 2015, followed by OH with 3,310, which like West Virginia has been hard hit by the epidemic.  The Drug Abuse Warning Network estimated that misuse or abuse of narcotic pain relievers were responsible for more than 420,000 emergency department visits in 2011, the most recent year for which we have data.

Experts warn a key factor of the surge in deaths is fentanyl, which can be 50 times more powerful than heroin.  Fentanyl has been popping up in drug seizures across the country.  It is usually sold on the street as heroin or drug traffickers use it to make cheap counterfeit prescription opioids. Fentanyls are showing up in cocaine as well, contributing to an increase in cocaine-related overdoses.

Research suggests that since heroin and opioid painkillers, (including prescription ones) act similarly in the brain.  Opioid painkillers are often referred to by some doctors as “heroin lite” and taking one (even “as directed”) can increase one’s susceptibility to becoming hooked on the other.

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