Tag: drug abuse

‘Fourth Wave’ of Opioid Epidemic Crashes Ashore, Propelled by Fentanyl and Meth

Mary Pat Campbell

Link:https://kffhealthnews.org/news/article/fourth-wave-opioid-epidemic-fentanyl-millennium-health-report/

Excerpt:

The United States is knee-deep in what some experts call the opioid epidemic’s “fourth wave,” which is not only placing drug users at greater risk but is also complicating efforts to address the nation’s drug problem.

These waves, according to a report out today from Millennium Health, began with the crisis in prescription opioid use, followed by a significant jump in heroin use, then an increase in the use of synthetic opioids like fentanyl.

The latest wave involves using multiple substances at the same time, combining fentanyl mainly with either methamphetamine or cocaine, the report found. “And I’ve yet to see a peak,” said one of the co-authors, Eric Dawson, vice president of clinical affairs at Millennium Health, a specialty laboratory that provides drug testing services to monitor use of prescription medications and illicit drugs.

The report, which takes a deep dive into the nation’s drug trends and breaks usage patterns down by region, is based on 4.1 million urine samples collected from January 2013 to December 2023 from people receiving some kind of drug addiction care.

Its findings offer staggering statistics and insights. Its major finding: how common polysubstance use has become. According to the report, an overwhelming majority of fentanyl-positive urine samples — nearly 93% — contained additional substances. “And that is huge,” said Nora Volkow, director of the National Institute on Drug Abuse at the National Institutes of Health.

Author(s): Colleen DeGuzman

Publication Date: 21 Feb 2024

Publication Site: KFF Health News

How methadone, other meds are helping to lower CT opioid deaths

Mary Pat Campbell

Link: https://ctmirror.org/2023/12/03/ct-opioid-epidemic-methadone-buprenorphine/

Excerpt:

Even more, the health professionals who administer methadone — and another commonly used treatment drug called buprenorphine — say the medications enable people to find new jobs, to regain custody of their children and to more easily recover from the mind-altering effects of opioids.

Lugo is just one of the tens of thousands of people who benefitted from a methadone treatment program in Connecticut in recent years, but state officials want to see that number increase even more to combat the state’s ongoing epidemic.

A special advisory committee, set up to manage roughly $600 million in opioid settlement funds for Connecticut, published a report earlier this year that laid out several key strategies for curtailing opioid overdoes in the state, and it argued that increasing the accessibility and use of methadone and buprenorphine would be the most effective approach to stemming the mounting death toll.

….

Sharfstein, who also cowrote a book titled “The Opioid Epidemic: What Everyone Needs to Know,” said treatment programs that incorporate methadone and buprenorphine meet both of those principles.

The effectiveness of medication-assisted treatment, Sharfstein said, has been reviewed by the American Medical Association, the American Psychiatric Association and the National Academies of Sciences, Engineering, and Medicine.

And research has suggested that the use of methadone and buprenorphine in treating opioid use disorders can substantially reduce people’s chances of fatally overdosing — some studies suggest by up to 50%.

“For a disease that is killing many Americans, that is a significant reduction in mortality that you can get with appropriate treatment that includes medications,”  Sharfstein said. “And that I think is just an incredibly important point to keep in mind as officials are thinking about expanding access to treatment.” 

Author(s): Andrew Brown

Publication Date: 3 Dec 2023

Publication Site: CT Mirror

‘Man, I’ve seen a lot of people die’: Canada’s other health crisis

Mary Pat Campbell

Link: https://www.ctvnews.ca/w5/man-i-ve-seen-a-lot-of-people-die-canada-s-other-health-crisis-1.5286552

Excerpt:

The infectious diseases doctor, with a background in public health, is on the front line of a Canadian health crisis.

It’s not COVID-19.

It’s the toxic drug supply; an epidemic within the pandemic. Never before in the history of this country have more people died from drug overdoses. It’s a health emergency that is being fuelled by the pandemic.

The very measures that are meant to keep us safe from the virus are having unintended consequences on those struggling with addiction and mental illness. Lockdowns mean isolation, lost jobs, and difficulty accessing services. The shutdown of the Canada-U.S. border has disrupted the illegal drug supply, so what is on the street is more contaminated than ever, as dealers mix in other ingredients to stretch their supply.

Author: Avery Haines

Publication Date: 30 January 2021

Publication Site: CTV News