Narcotic painkillers - which can cause birth defects - commonly were prescribed for women of reproductive age, according to new data presented Thursday by the U.S. Centers for Disease Control and Prevention. The research, which looked at the years 2008-2012, found that 39% of women ages 15 to 44 on Medicaid and 28% of those on private insurance received an opioid prescription. "Many women of reproductive age are taking these medicines and may not know they are pregnant and therefore may be unknowingly exposing their unborn child," CDC Director Tom Frieden said in a statement. [continues 710 words]
One of the most important and pressing challenges of 2017 will be Canada's response to opioid addiction. The sheer scale of overdoses from heroin and other opioids has already led British Columbia to declare a public health emergency, and the crisis is sweeping east. Fentanyl has washed over the West Coast like a deadly tsunami. The synthetic opioid can be up to 100 times more potent than morphine. It's not just hardened addicts who are dying. Overdose deaths have spiked among occasional drug users, with fentanyl detected in street drugs ranging from heroin to marijuana. [continues 521 words]
[photo] Oxycodone pain pills. It took a lot of convincing for John Evard to go to rehab. Seven days into his stay at the Las Vegas Recovery Center, the nausea and aching muscles of opioid withdrawal were finally beginning to fade. "Any sweats?" a nurse asked him as she adjusted his blood pressure cuff. "Last night it was really bad, but not since I got up," replied Evard, 70, explaining that he'd awakened several times with his sheets drenched. Even for him, it was hard to understand how he ended up 300 miles away from his home in Scottsdale, Ariz., at this bucolic facility in the suburbs of Vegas. "This is the absolute first time I ever had anything close to addiction," he said. He prefers to use the term "complex dependence" to describe his situation: "It was, shall we say, a big surprise when it happened to me." [continues 976 words]
With the fentanyl crisis at a breaking point in B.C., Mayor Tory is not waiting for a disaster in the city before taking action When news broke that British Columbia had suffered its worst-ever month for illicit-drug overdose deaths in November, Toronto's mayor contacted his Vancouver counterpart to offer help, as he would have if the West Coast city had experienced a "natural disaster." Vancouver Mayor Gregor Robertson told John Tory there was not much Toronto could do from afar, other than brace itself for the eastward spread of illicit fentanyl, the powerful painkiller driving B.C.'s crisis. [continues 902 words]
Despite receiving councillors' support, city is still waiting for formal green light from Ottawa - and funding from the province As Toronto prepares to respond to more overdoses caused by bootleg fentanyl, the city's plan to open three supervised-injection sites remains stuck in limbo. Six months have elapsed since councillors in Canada's largest city voted in favour of adding the service to three health centres that already distribute clean drug paraphernalia and provide support to drug users. But the city is still waiting for funding from the Ontario government and the go-ahead from Ottawa, which received Toronto's completed application last month. [continues 719 words]
Growing up, Evan Blessett was as an avid soccer player and honor roll student. He loved skateboarding and played the drums later in his teen years. But one role that his dad, Doug, never thought his son would play was one of a recovering drug addict. "The thing that gets me is he got past us," Doug Blessett said about his 29-year-old son, who is a counselor at The Healing Place, an addiction recovery center in Louisville. "When my son went through this, I took it personally. You think you would see it, and I didn't." [continues 1428 words]
[photo] Dr. Deepak Ariga holds a needle favored by drug users in Hammond on April 9, 2015. (Jim Karczewski, Post-Tribune) An HIV outbreak in Scott County, Ind., has infected 106 people. Can needle exchanges stem the tide? An HIV outbreak in Scott County, Ind., has infected 106 people thus far, and despite reservations, Gov. Mike Pence green-lit a 30-day needle exchange program to stem the tide. But public health advocates say the exchange program should be extended to really make an impact and expanded across the state as such programs have been shown to be effective in stemming the tide of HIV and hepatitis C infection among IV drug users. [continues 1235 words]
It's an uphill battle [photo] (John Dole / Scripps Research Institute) Kim Janda of the Scripps Research Institute is shown in front of a board that depicts molecule drawings of heroin and cocaine, with the structures of vaccines that potentially could target those two drugs shown beneath. In one picture, H. Joseph "Joey" Ressler is smiling at his mother and lifting her off the ground. In another, a selfie, he's grinning like a little kid as two motorcyclists roar up from behind. He was just 24, and the future seemed limitless for the happy, talented young man. [continues 1151 words]
It took me awhile to perfect the cookie recipe. I experimented with ingredients: Blueberry, Strawberry, Sour Diesel, White Widow, Bubba Kush, AK-47 -- all strains of cannabis, which I stored, mixed with glycerin, in meticulously labeled jars on a kitchen shelf. After the cookies finished baking, I'd taste a few crumbs and annotate the effects in a notebook. Often, I felt woozy. One variation put me to sleep. When I had convinced myself that a batch was okay, I'd give a cookie to my 9-year-old son. [continues 1942 words]
A drug that can stop a heroin overdose, and potentially save a life, is available in Wisconsin. One agency provides the doses at no cost. But it's against the law for an individual with a prescription for naloxone, commonly known by its brand name Narcan, to use the drug on a friend or someone else overdosing on other opiates such as morphine, oxycodone and methadone. A recent report from the State Council on Alcohol and Other Drug Abuse has recommended a 911 Good Samaritan Law to state lawmakers that, among other provisions, would offer limited immunity in such cases. [continues 957 words]
Recent headlines tell it all: "9 dead from apparent heroin ODs over weekend in Kensington area"; "Medical examiner: Philly overdose surge may have killed 35 over 5 days"; "New Jersey's overdose nightmare hits a new peak"; and "Growth in the use of opioids is fueling a nationwide epidemic of deaths from drug overdose". Heroin mixed with fentanyl - or heroin alone - may be responsible for this surge in overdoses. In the past, Philadelphia typically had three overdoses a day and they were not all fatal. Last June, the Philadelphia Medical Examiner's Office confirmed nearly 700 drug-related deaths in 2015, twice as many deaths as there were from homicides. At the current rate, 2016 will end with even more. [continues 619 words]
Teaching in a large urban secondary school of 3,000 grade 8-12s in the early 1970s, I knew we had several students with a serious drug problem. We knew who they were and the school did what it could, but it was a losing proposition. Later, as an administrator in that same school and still later as a superintendent in a different school district, I knew some students had serious drug problems. Right up to retirement, when I was asked: "So the schools have a drug problem?" my answer was always: "No, but a few students have serious problems, and students have these problems only if there are drug problems in the community - schools don't exist in a vacuum." [continues 577 words]
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. [continues 451 words]
Dr. James Patrick Murphy, a nationally-recognized pain medicine specialist, balances guidelines meant to lessen the risks of addiction with a patient's need for pain relief, examines Marta D. Thomas of Old Louisville. Thomas is a volunteer at Kosair Pediatric Convalescent Center and receives radiofrequency lesioning (which melts the covers off nerves so they don't transmit pain for 4-6 months.) 27 October 2016(Photo: David R. Lutman/Special to The C) Cattle farmer Marquis Smith is in pain, but he doesn't get sick leave. [continues 1207 words]
[photo] What looks like oxycodone pills are actually fentanyl. The pills were seized and submitted to crime labs in Tennessee. (Tommy Farmer The Associated Press( [photo] Fentanyl is often legally prescribed to cancer patients to manage pain. It comes in patches and lozenges. (Tom Gannam Associated Press file) It was March when fentanyl, a synthetic opioid 100 times more powerful than morphine, insinuated itself into Sacramento County. In a matter of weeks, dozens of people overdosed. The drug killed 12 people, including Jerome Butler, a 28-year-old father of three young children. [continues 528 words]
Pa. Physician General Dr. Rachel Levine during a meeting with the staff of the Twin Lakes treatment facility near Somerset for people suffering with alcohol and substance abuse. Pennsylvania's avalanche of opioids that rolled from factories through pharmacies to medicine cabinets, and then tumbled into the streets with tragic results, may finally be slowing thanks to pressure on the prescribing practices of its doctors. This year, the long-lagging state caught up with the regulatory steps of many of its neighbors, as Gov. Tom Wolf and legislators from overdose-plagued districts wrote new laws. Initial data suggests that attention to the overprescribing of opioids - widely blamed for starting addictions that progress to heroin use - has started to affect doctors' decisions. [continues 710 words]
The 44-year-old mother who answered the door in Lincoln-Lemington on the evening of Dec. 15 had the "pin point" eyes of "someone who has recently used opioids," a Pittsburgh police officer wrote. The officer was responding to a 911 call suggesting child endangerment. "I do suffer from using heroin and I'm trying to stop, but I keep using," the woman admitted, according to the officer's affidavit. She led police to the makeup bag under the throw pillow, where they found six stamp bags of heroin and three hypodermic needles, the officer wrote. [continues 3159 words]
Twenty people have died of probable heroin overdoses in Milwaukee County since July 27. The Milwaukee County medical examiner's office says this is a photo of a typical drug-overdose death scene.(Photo: Milwaukee County Medical Examiner's Office, Milwaukee County Medical Examiner 's Office) Twenty people have died of probable heroin overdoses in Milwaukee County during the past two weeks, a toll the county medical examiner's office on Thursday called "unprecedented." The county typically averages one heroin death every three days, the office said. The medical examiner is investigating the possibility that other drugs, such as fentanyl, played a role in the deaths. [continues 390 words]
[photo] Toby Talbot / APWith prescriptions dropping in the United States, companies have started to promote OxyContin and other opioid drugs in Latin America, Asia, the Middle East, and Africa. A former adjunct associate professor at Temple University has helped a leading maker of opioids promote potentially addictive pain medications in new foreign markets that have not yet seen an overdose crisis like that in the United States, a Los Angeles Times investigation has found. The physician, Joseph V. Pergolizzi Jr., is based in Naples, Fla., and has not been affiliated with Temple since June 2014, the school said. [continues 331 words]