Pubdate: Tue, 03 Jan 2017 Source: Buffalo News (NY) Copyright: 2017 The Buffalo News Contact: http://drugsense.org/url/GXIzebQL Website: http://www.buffalonews.com/ Details: http://www.mapinc.org/media/61 RECENT ADVANCES REPRESENT ONLY A START IN THE STRUGGLE AGAINST OPIOID ADDICTION The opioid epidemic ripping throughout the nation and our own backyard will not be stopped without the multi-pronged approach that is thankfully occurring on all levels of government. Local, state and national leaders have stepped up to provide assistance. Police, fire departments, ambulance crews, hospital staffs and others are on the front lines of this fight. Last month proved deadly in Erie County, with public officials reporting at least 42 suspected opioid overdose deaths, half of them since Dec. 19 and six alone on Dec. 27. Erie County seemed destined to end the year with 357 confirmed or suspected opioid-related deaths. The previous year saw 256 such deaths, with 128 in 2014. The soaring total could have been worse, according to local officials, were it not for initiatives undertaken by government, health officials and the medical community. The latest, President Obama's signing of the 21st Century Cures Act, provides $1 billion in new funding targeting opioid abuse. The funding drew bipartisan support from a usually fractured Congress. It will support efforts around the country. Local and state agencies have already been hard at work. Erie County has its Opiate Epidemic Task Force, and Crisis Services began a 24-hour hotline -- 831-7007 -- for addicts and family members. The governor and State Legislature enacted legislation that will allow addicts to receive treatment covered by insurance. And I-STOP legislation created a computer database that offers a real-time prescription monitoring registry. Doctors are required to consult it to make sure a patient does not already have a prescription for the particular medication. First responders and citizens, particularly the loved ones of addicts, have been trained in the use of the opioid antidote Narcan, which has saved many lives. Prescription opioid painkillers are often where addiction starts. When an injury or ailment causes pain, a painkiller such as OxyContin may be prescribed. That prescription may be filled and refilled. Some patients find themselves addicted, and then when they can no longer afford painkillers, heroinoften becomes a much cheaper substitute. The dangers of addiction get worse when heroin is mixed with fentanyl, an extremely powerful synthetic opiate that is usually reserved for cancer patients. Its effects are similar to those of heroin, but fentanyl is much stronger and when added to heroin can produce fatal results, as is suspected in the recent spate of Erie County deaths and of those across the nation. As The News reported, laboratories in China produce fentanyl and fentanyl-related compounds. This deadly concoction is then sold to drug trafficking organizations in Mexico, Canada and the United States, according to the Drug Enforcement Agency. The fentanyl compounds can be mixed into or sold as heroin, leaving the buyer uncertain of the strength of any dose. The end result can be death, which can come so quickly that a user may be found with a needle still in a vein. The rise of overdose deaths across the nation -- more than 33,00 in 2015, according to the Centers for Disease Control and Prevention -- has catalyzed government, politicians, law enforcement and the medical and nonprofit communities. The determination to ratchet up efforts to fight this epidemic should strengthen in the new year. - --- MAP posted-by: