Pubdate: Sun, 23 Aug 2015
Source: Sacramento Bee (CA)
Copyright: 2015 The Sacramento Bee
Contact: http://mapinc.org/url/0n4cG7L1
Website: http://www.sacbee.com/
Details: http://www.mapinc.org/media/376

WE CAN'T AFFORD TO LOSE MORE PEOPLE TO ADDICTION

Every year, tens of thousands of Americans die of overdoses of 
prescription opioid painkillers. Every year, tens of thousands more 
overdose and live, many of them right here in Sacramento County.

Also, every year, thousands of Americans die of a heroin overdose. 
The number jumps every year. And every year, a new study comes out 
showing the connection between the abuse of prescription opioids and heroin.

None of this is a secret. But you wouldn't know that watching the 
federal government in action.

First, the U.S. Food and Drug Association approved the use of 
OxyContin, the extended time-release version of the generic opioid 
oxycodone, for kids ages 11 to 16 with severe, long-term pain.

Three days later, the Obama administration launched its new strategy 
to combat the heroin epidemic. It included a measly $5 million in 
grants to rein in trafficking, distribution and abuse.

How disappointing. We wonder whether FDA and administration officials 
truly grasp the seriousness of this intertwined epidemic of opioid 
and heroin addiction. Because it's bad. Really bad.

More people die of drug overdoses each year than die of homicide or 
car crashes. And opioids kill twice as many people as heroin.

Communities in the Northeast and Midwest have been particularly 
ravaged. Just last spring, the largest HIV outbreak in years took 
hold of a small Indiana town because of drug addiction. Residents 
hooked on the prescription painkiller Opana were sharing needles.

In California, hospitals treated more than 11,500 patients suffering 
from opioid or heroin overdoses in 2013, according to a summary of 
state data by The Bee's Phillip Reese. That amounts to about one 
overdose every 45 minutes.

On top of that, about 1,190 babies were born addicted to drugs here 
last year. That's about one addicted newborn for every 400 births and 
an increase of more than 50 percent from a decade ago, Reese reported.

Nationally, heroin overdoses almost quadrupled between 2002 and 2013. 
Most public health officials agree it's because people are switching 
from pricey prescription opioids to cheaper bags of heroin.

We wonder whether FDA and administration officials truly grasp the 
seriousness of this intertwined epidemic of opioid and heroin 
addiction. Because it's bad. Really bad.

That doesn't mean the overprescribing of opioids - like the 
overprescribing of many drugs these days - isn't ultimately to blame.

According one study, 4 out of 5 new heroin users abused prescription 
painkillers first. Of those who take the pills as directed, 1 in 4 
first-time users will progress to longer-term prescriptions, 
according to the Mayo Clinic. Meanwhile, doctors wrote 259 million 
prescriptions for opioid painkillers in 2012, enough for every 
American adult to have one bottle of pills.

That makes the FDA's decision to allow OxyContin to be prescribed to 
kids so troubling. No one wants to see children in pain, particularly 
those suffering from cancer or other chronic illnesses. And yet we 
worry about normalizing the idea of children taking opioids and, if 
that happens, making them more susceptible to substance abuse as adults.

The FDA says its intent was not to expand the use of OxyContin in 
children, but to come up with better guidelines for the prescribing 
of oxycodone that was already taking place.

Still, we urge doctors to use caution and not to give in the 
all-too-familiar pattern of overprescribing. We can't afford to lose 
yet more young Americans to drug addiction.
- ---
MAP posted-by: Jay Bergstrom