Opioid Epidemic in New York City Peer Review Articles
January, 2020.The magnitude of the opioid epidemic in this land is at present well-known and is a national crunch. In this issue of the Journal, Flavin and colleagues report that, in the United States, "Opioids are the master crusade of death from drug overdose, accounting for 42,249 deaths in 2016. From 2016 to 2017, the rate of opioid overdoses increased by xxx% in 45 states, with some states seeing a seventy% increase." These are alarming statistics. The increase in opioid deaths from 1999 to 2017, according to the United States Centers for Disease Control,i which is discussed on the National Institute of Drug Abuse (NIDA) website,two is illustrated in the graphic below.
Source: Centers for Affliction Control and Prevention, National Center for Health Statistics. Multiple Cause of Affliction 1999-2017 on CDC WONDER Online Database, released December, 2018.
Although many factors have contributed to this explosive crescendo, i main cause has been the increase in opioid prescribing for pain. The general concern, in the 1990s, that patients with chronic pain were being undermedicated, led to a new requirement past accrediting agencies, to record and monitor the level of pain for every hospitalized patient. Many patients may accept benefitted from this practise, only an unintended consequence was the increase in the number of opioid prescriptions, due to the heightened demand for these highly addictive substances and for newer more powerful but more dangerous drugs such every bit fentanyl.
Conspicuously, this public wellness emergency has no simple solution. The U.s. Department of Health and Homo Services websitethree outlines 5 priorities:
- Improving access to treatment and recovery services.
- Promoting use of overdose-reversing drugs.
- Strengthening our understanding of the epidemic through improve public health surveillance.
- Providing support for cutting-edge inquiry on pain and addiction.
- Advancing amend practices for pain direction.
In this issue of the Journal, Flavin and colleagues examine one important resource (pertinent to the first of the priorities listed to a higher place), the database of the Substance Abuse and Mental Health Services Administration (SAMHSA), identifying the land-past-state availability of practitioners officially qualified to prescribe buprenorphine, one of too few treatments that have been proven effective in the treatment of opioid habit. Sadly, they found that, although the SAMHSA "buprenorphine practitioner locator" is intended as a resource for patients, simply a small pct of practitioners listed actually provided this treatment or, if so, had openings for new patients.
Also in this outcome, Mahgoub and colleagues discuss the availability of different preparations of naloxone, an opioid antagonist (pertinent to the 2nd of the priorities listed to a higher place). They describe an innovative program on an inpatient dual-diagnosis unit in New York to train patients and their families on the administration of naloxone spray, in the context of the unusual law passed in New York State that makes it legal for a nonmedical private to administer naloxone spray equally a life-saving intervention to a person who is acutely at risk from an opioid overdose.
Although a awe-inspiring crusade is necessary (and underway) to overcome this epidemic, efforts such as those described here are important voices in that immensely of import campaign.
John G. Oldham, MD
Editor
REFERENCES
1. Centers for Affliction Control and Prevention (CDC)/National Center for Wellness Statistics. National Vital Statistics Arrangement, Mortality. Atlanta, GA: United states Section of Health and Man Services, CDC WONDER; 2018. Available at: https://wonder.cdc.gov. Accessed November 11, 2019.
- Cited Here
2. National Found on Drug Corruption (NIDA). Overdose Death Rates. Rockville, Medico: NIDA; revised; 2019. Available at: https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates. Accessed November 17, 2019.
- Cited Hither
3. Price TE. Secretarial assistant Price Announces HHS Strategy for Fighting Opioid Crisis. Presented at National Rx Drug Corruption and Heroin Acme, April xix, 2017. Atlanta, Georgia. Washington, DC: U.S. Section of Health and Human Services; 2017. Bachelor at: https://www.hhs.gov/about/leadership/secretary/speeches/2017-speeches/secretary-toll-announces-hhs-strategy-for-fighting-opioid-crisis/index.html. Accessed Nov 17, 2019.
- Cited Here
Source: https://journals.lww.com/practicalpsychiatry/Fulltext/2020/01000/Opioids.1.aspx
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