Many People Treated for Opioid Overdose in Emergency Departments Die Within 1 Year

National Institute on Drug Abuse (NIDA)

This study reported:

  • About 1 in 20 patients treated for a nonfatal opioid overdose in an emergency department died within 1 year of their visit, many within 2 days.
  • Two-thirds of these deaths were directly attributed to subsequent opioid-related overdoses.
  • Immediate treatment for substance use disorder in the ED that continues after discharge is needed to reduce opioid-related deaths.

> Read the article

Citation: NIDA. (2020, April 2). Many People Treated for Opioid Overdose in Emergency Departments Die Within 1 Year. Retrieved from https://www.drugabuse.gov/news-events/nida-notes/2020/04/many-people-treated-opioid-overdose-in-emergency-departments-die-within-1-year on 2020, June 10

> Learn more:
www.drugabuse.gov

The Opioid Crisis and the Black/African American Population: An Urgent Issue

Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS) by SAMHSA’s Office of Behavioral Health Equity, March 2020

The opioid crisis has not abated and has had a significant impact on African American communities. This issue brief presents recent data on prevalence of opioid misuse and death rates in the Black/ African American population; contextual factors and challenges to prevention and treatment; innovative outreach and engagement strategies to connect people to evidence-based treatment; and the importance of community voice.

> Read the report

Vaping, Opioid Addiction Accelerate Coronavirus Risks, Says NIDA Director

Kaiser Health News, April 24, 2020
Volkow spoke with Kaiser Health News about the emerging science around COVID-19’s relationship to vaping and to opioid use disorder, as well as how these underlying epidemics could increase people’s risks. In 2018, opioid overdoses claimed about 47,000 American lives. Last year, federal authorities reported that 5.4 million middle and high school students vaped. And just two months ago, about 2,800 cases of vaping-associated lung injuries resulted in hospitalizations; 68 people died. Until mid-March, these numbers commanded attention. But as the coronavirus death toll climbs and the economic costs of attempting to control its spread wreak havoc, the public health focus is now dramatically different.

> Read the article

Opioid Summaries by State

National Institute on Drug Abuse, April 2020
Opioid-involved overdose deaths dropped for the first time in decades to 67,367 in 2018. Learn how the OpioidCrisis is affecting your state:

> Opioid Summaries by State Report

HHS Official: ‘Fourth Wave’ Looms in Drug Crisis

Rx Drug Abuse & Heroin Summit 2020

Despite overall drug overdose-related deaths decreasing in 2018, other statistics indicate a rising “fourth wave” in the nation’s substance use disorder crisis means there is more work to be done, federal officials said in addresses presented during the evening plenary session of the virtual Rx Drug Abuse & Heroin Summit on Wednesday. Admiral Brett Giroir, MD, assistant secretary of the U.S. Department of Health and Human Services, said methamphetamine-associated deaths saw a 20% to 30% year-over-year increase in 2018, with methamphetamine-associated deaths overtaking those linked to prescription opioids and heroin, with cocaine soon to be next. Polysubstance use is now the norm, Giroir said, noting that methamphetamine and illicit fentanyl or fentayl analogue use together is on the rise.

> Read the article at https://www.psychcongress.com/article/hhs-official-fourth-wave-looms-drug-crisis

> https://www.rx-summit.com/

DEA releases 2020 Drugs of Abuse Resource Guide

The U.S. Drug Enforcement Administration has released the 2020 edition of Drugs of Abuse, A DEA Resource Guide, which is designed to be a reliable resource on the most commonly abused and misused drugs in the United States. Drugs of Abuse provides important science-based information about the harms and consequences of drug use, describing a drug’s effects on the body and mind, overdose potential, origin, legal status, and other key factors.

> https://www.getsmartaboutdrugs.gov/
> Resource Guide

For Drug Users, COVID-19 Poses Added Dangers

U.S. News, April 2, 2020
The National Institute on Drug Abuse director warns the coronavirus could increase the pressure to use, cause complicated health effects and curtail access to treatment for those struggling with addiction. As the novel coronavirus spreads and more states issue stay-at-home orders in the U.S., the head of the National Institute on Drug Abuse says social isolation and overburdened health systems could paint a dire picture for people struggling with addiction. "Every one of us is affected by COVID – maybe we don't get infected, (but) we're all anxious because of the uncertainties" surrounding it, NIDA Director Dr. Nora Volkow says. "How we cope with that anxiety is very much dependent on multiple factors, including our circumstances, but one of the ways that people cope with it is by taking drugs."

> Read the article

Rx Drug Abuse & Heroin Summit

The Rx Drug Abuse & Heroin Summit, a 2020 Virtual Experience, begins today through April 16. VCBH staff have been attending the Rx Summit since its inception in 2012. We brought back the inspiration and the momentum of the Rx Summit annually to inform our efforts to address the opioid crisis at home in Ventura County.

“The same power, the same drive that prompted you to be a part of the solution – to beat back the opioid epidemic, to save lives, and bring illegal drug dealers to justice – it’s that same victorious spirit that will carry this nation through the coronavirus pandemic. Together, we have witnessed a dramatic shift in the stigma behind drug abuse, and most importantly we have seen the number of overdose deaths finally decrease across the country – falling from more than 70,000 in 2017 to under 68,000 in 2018, according to the CDC. It’s a direct result of your comprehensive work. We have ambushed the opioid epidemic on every side – through improvements in law enforcement, treatment and education.” - Congressman Hal Rogers

> Rx Drug Abuse & Heroin Summit

Findings from the 2019 Monitoring the Future (MTF) Survey

Findings from the 2019 Monitoring the Future (MTF) survey demonstrate the appeal of vaping to teens, as seen in the increased prevalence of marijuana use as well as nicotine vaping. Results from the annual MTF survey, a nationally representative sample of eighth, 10th and 12th graders in hundreds of U.S. schools, were announced today by the director of the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health, along with the University of Michigan scientist who leads the research team. "We are heartened to see the continuing decline in the use of many drugs, particularly non-medical use of prescription opioids; however, teens are clearly attracted to vaping products, which are often concentrated amounts of drugs disguised as electronic gadgets," said NIDA Director Dr. Nora Volkow.

Prescription Drugs:

  • Past year rates of misuse of the opioid pain reliever Oxycontin dropped significantly among 12th graders over the past five years, with only 1.7% reporting in 2019–the lowest level of use since it was first measured in 2002 (at 4.0%).
  • Past year rates of misuse of the opioid pain reliever Vicodin is now at 1.1% for both 12th graders and 10th graders. For 12th graders, it is a significant drop from 2018 and the lowest rate since it was first measured in 2002 (at 9.6%). These rates represent a significant five-year decline in these two grades.
  • Past year misuse of the ADHD medication Adderall saw a significant decline over the past five years among 10th and 12th graders–from 4.6% to 3.1% for 10th graders and from 6.8% to 3.9%, for 12th graders. However, there was a significant increase among eighth graders⸺now reported to be 2.5%, up from 1.3% in 2014.

NIDA. (2019, December 18). Vaping of marijuana on the rise among teens.

COAST Year One Progress Event

November 12, 2019

The Ventura County Opioid Abuse Suppression Taskforce (COAST) celebrated its first year of successes made possible by funding from the Bureau of Justice Assistance. Speakers included Mike Powers, Ventura County C.E.O.; Dr. Sevet Johnson, Director, Behavioral Health Department; Dr. Loretta Denering, Chief, Alcohol and Drug Programs Division; Dan Hicks, Manager, Preventions Services; Sheila Murphy, COAST Grant Administrator; Erica Pachmann, Evalcorp; Dr. Christopher Young, Chief Medical Examiner; Dr. Theresa Cho, CEO, Medical Director of Ambulatory Care; Commander Romano Bassi, Ventura County Sheriff’s Office; Rigo Vargas, Public Health Director; and Chris Rosa, Deputy Administrator, Ventura County EMS Agency.

> Read more about the COAST award
> See the Safe Prescribing Toolkit

 

Coast Denering

Dr. Loretta Denering, Chief, Alcohol and Drug Programs Division

Coast Powers

Mike Powers, Ventura County C.E.O.

Coast Young

Dr. Christopher Young, Chief Medical Examiner

Opioid Awareness Month

Visit the Opioid Awareness Month display at the Ventura County Government Center Hall of Administration during the month of October.

 

med cabinet display crop

 

> Read the Opioid Medicine Cabinet Brochure

Prescription Drug Addiction: A National Epidemic…It Can Happen to Anyone - May 3

Join for an educational and provocative presentation and discussion about drugs, and how their abuse effects our lives and our community. The event is on Thursday, May 3rd at the Ronald Reagan Presidential Library in Simi Valley. It features a panel of experts that will look at all aspects of addictions to opioids and prescription drugs. Robert Patterson, acting administrator of the U.S. Drug Enforcement Administration will deliver the keynote address in a program about the national and local epidemic. The DEA is partnering with the city, the Simi Valley Police Department, the FBI and Adventist Health Simi Valley to host this event. Simi Valley Police Chief David Livingstone will discuss how narcotics have affected the community and Julia Feig, director of the Simi Valley Hospital emergency room, will address the medical effects of opioid drug use. The film “Chasing the Dragon, the Life of an Opiate Addict” will be shown. Doors open at 6 PM and program starts at 7:00 PM.

> What You Need to Know About Opioids brochure

> In Simi Valley, DEA Acting Administrator Robert Patterson says opioid woes to worsen, VC Star, May 4, 2018

Opioid Solutions Summit, August 29, 2017

1opioid summit

 

The Opioid Solutions Summit presented Ventura County's response to the growing problem of prescription pain medication and heroin abuse. Labeled a nationwide crisis and epidemic, reports from professionals and the community made it clear that this region was far from immune. Confronting prescription drug and heroin abuse is essential to protecting the public health and safety of all Ventura County residents. Featured speakers included Sam Quinones, Journalist and Author of Dreamland: The True Tale of America’s Opiate Epidemic, and Danny Trejo, Iconic Actor, Producer and Recovery Advocate.

Read more at Opioid Solutions Summit

Informing the Community: Plane of Pills Media Event 2016

To earn media attention and spread the word about the epidemic of painkiller overdoses, the Ventura County Rx Abuse & Heroin Workgroup hosted a press event on May 18, 2016, to unveil the Plane of Pills campaign. Featuring concerns by the CA Department of Justice and the Ventura County Sheriff’s Office, resulting stories in local papers, radio and social media increased awareness of the enormity of the painkiller overdose problem. The workgroup is a multiagency collaboration, including the Medical Examiner, Public Health, Sheriff’s Department, Behavioral Health and others committed to reducing Rx drug-related problems. Featured speakers included Mike Small, California Department of Justice, CURES Program Manager, Gary Pentis, Undersheriff, Ventura County Sheriff’s Office and Patrick Zarate, Ventura County Prescription Drug Abuse Workgroup Chair.

The mission of California's Controlled Substance Utilization Review and Evaluation System (CURES) is to facilitate safe prescribing and dispensing of controlled drugs to minimize prescription drug related deaths and injuries. Local prescribers are registering and utilizing the CURES 2.0 at increasing rates. The interactive CURES database provides the highest level of prescription drug monitoring available. It discourages “doctor shopping,” reduces overprescribing, contains information on the prescribing and dispensing of controlled substances, including opioids, and protects patients who require painkiller medication. Our objective is to encourage and facilitate CURES registration and utilization with local education, on-site training, and promotion.

Read more at California's Prescription Drug Monitoring Program (CURES) Media Event

 

plane of pills poster

Safe Pain Medicine Prescribing Policy Launched Countywide, January 29, 2015

Hospitals Unite on New Pain Meds Policy – Collaboration to Counter Drug Abuse, Improve Emergency Department Care

This multi-agency collaboration focused on preventing Rx drug misuse. Agencies included Ventura County Behavioral Health, Ventura County Public Health, Los Robles Hospital & Medical Center, and Allied Emergency Departments Countywide. The new policy, used by all eight emergency departments includes:

  • When necessary, limited amounts of pain killers will be prescribed
  • EDs will not refill stolen prescriptions, but may refer patients to police
  • May ask people to show a photo ID when receiving a pain prescription
  • All patients will be provided copies of new prescribing policy

By adopting uniform policies, a consistent message was provided to patients countywide about how powerful prescription medications are made available in the Emergency Department.

Read more at Safe Opioid Prescribing Media Event

 

vcr safeprescribing er event

L. to R.: Dr. Julia Feig, Dr. Celia Woods, Dr. Neil Canby, Dr. Carlo Reyes, Dr. Anthony H. Ho, Dr. Thomas Duncan and Dr. Martin Ehrlich



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