Biden’s Plan For Overdoses? Harm Reduction

The Biden administration announced its plan Wednesday to curb drug overdoses in the nation. Overdose deaths are at their height, with the most deaths ever recorded in 2020 across the U.S. and in West Virginia.

Federal officials announced in Baltimore the latest national Overdose Prevention Plan.

The plan, and priorities set by Biden’s Office of Drug Control Policy, highlight a shift to less punitive and evidence-based measures, said Health and Human Services Secretary Xavier Becerra.

“Our new strategy focuses on people — putting the very individuals who have struggled with addiction in positions of power,” Becerra said.

Harm reduction is at the core of Biden’s latest plan. Harm reduction is the practice of keeping those actively using drugs as safe as possible. Advocates say it’s the most compassionate response to the opioid crisis, while some policy makers see it as controversial.

Either way, it works, said Robin Pollini. She is a substance abuse and infectious disease epidemiologist at West Virginia University.

“People often think that [harm reduction] is ‘progressive’. It’s not, it’s science-based. It’s like any other science based intervention that you would undertake,” Pollini said.

Federal officials outlined ways to prevent disease and death of those using drugs. That includes providing more naloxone to reverse overdoses, testing strips to see if a substance is laced with fentanyl (a highly dangerous synthetic opioid), and clean needles to curb the spread of HIV and Hepatitis C.

The Biden administration hopes to allocate $11 billion in drug programming for the next fiscal year. Congress would have to weigh in.

Even if money and support is allocated to harm reduction services, Pollini worries that West Virginia might not meet the call to action. There are programs in the state that distribute clean needles and naloxone, but some have shut down in recent months. Two programs in Mercer and Marion Counties say they cannot keep up with the requirements of a state law passed this year.

“How do we implement [federal measures], when we have an increasingly limited number of syringe services programs whose activities are further restricted,” said Pollini.

Gov. Jim Justice’s administration responded to Biden’s plan.

“West Virginia’s treatment and recovery landscape has been transformed by implementing evidence-based prevention programs, aggressively expanding treatment and recovery programs, and focusing on getting those with substance use disorder back to their families and into the workforce,” said Dr. Matthew Christiansen, Director of the WV Office of Drug Control Policy. “We look forward to working to ensure our state plan priorities mesh seamlessly with our federal partners and neighboring states.”

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

AMA: Opioid Prescriptions Down Significantly in W.Va. But Overdose Deaths Continue to Rise

A summary of the AMA’s 2021 Overdose Report is available here. 

For the last 10 years, task forces organized by the American Medical Association have been studying overdose deaths in the United States.

The 2021 Overdose Epidemic Report is based on numbers through January 2021. It shows that opioid prescriptions have decreased each year, but deaths continue to rise.

In West Virginia, opioid prescriptions decreased by 64 percent between 2011-2020, including a 10 percent decrease from 2019-2020. Yet, West Virginia continues to see increases in overdoses, mainly due to illicit fentanyl, fentanyl analogs, methamphetamine and cocaine, the study found.

Nationwide, according to provisional data, there were 94,134 overdose deaths last year. In the last decade, there was a 44 percent decrease in opioid prescriptions. Those dipped from 258 million in 2011 to 143 million in 2020.

Harm reduction and other community-based organizations distributed more than 3.7 million doses of naloxone between 2017–2020. The medication reverses the effects of an overdose. During the COVID-19 pandemic, the number of individuals filling naloxone prescriptions from retail pharmacies decreased more than 26 percent.

The AMA made several recommendations with its study. They included:

  • Remove barriers to evidence-based care for patients with a substance use disorder. 
  • Remove barriers to treatment for substance use disorder and co-occurring mental illness in the nation’s jails and prisons. 
  • Increase access to evidence-based care rather than using punishment and the threat of family separation for persons who are pregnant, peripartum, postpartum and parenting. 
  • Support increased efforts to expand sterile needle and syringe exchange services programs, decriminalize drug checking supplies (e.g., fentanyl test strips) and urge manufacturers to make Naloxone available over the counter. 
  • Ensure opioid litigation funds are used only for public health purposes.

Drug Overdose Deaths Hit Record in 2020, W. Va. Sees 40 Percent Increase

Overdose deaths soared to a record 92,000 last year in the midst of the COVID-19 pandemic, the Centers for Disease Control and Prevention reported Wednesday.

That estimate far outpaces the 72,000 drug overdose deaths reached the previous year and amounts to a 29% increase.

West Virginia saw an almost 40 percent increase in these deaths compared to 2019.

Neighboring states had similar results. Kentucky’s fatal overdoses increased by 54 percent and Virginia’s by 42 percent.

Vermont saw the highest jump at 58 percent.

'Kids Kick Opioids' Contest To End Friday

A contest deadline is approaching for West Virginia schoolchildren to raise awareness of prescription painkiller abuse.

The Kids Kick Opioids contest is open to elementary and middle school students. It can include poems, drawings, letters or anything that promotes awareness of painkiller abuse.  

Attorney General Patrick Morrisey says the deadline to enter is Friday.

Students can work individually or in groups. The winning entry will be used in Morrisey’s next statewide newspaper public service advertisement. Regional winners will be displayed in the state Capitol. 

Entries can be mailed to the Attorney General’s Office or sent by email.

West Virginia has by far the nation’s highest death rate from drug overdoses.

DHHR Launches New Overdose Data Dashboard

The West Virginia Office of Drug Control Policy announced the launch of a new online Overdose Data Dashboard that tracks drug overdoses across West Virginia.

The data is broken into sections — suspected drug overdoses that emergency medical services responded to and hospital emergency room visits related to overdoses — as well as by month and county.

Since January of last year, West Virginia emergency rooms have received more than 6,700 visits related to overdoses and EMS has responded to more than 6,600 suspected overdoses. 

The idea behind the dashboard is to help emergency personnel, law enforcement and health care providers identify areas that would benefit from drug intervention programs and track whether current interventions are having an impact. 

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from Marshall Health and Charleston Area Medical Center.

Youth Overdose Victims Not Getting Treatment, Study Finds

A new study has found that less than a third of American adolescents and young adults who experienced a nonfatal overdose were able to get addiction treatment within 30 days. 

Researchers at Johns Hopkins University looked at more than 4 million Medicaid claims records over a seven-year period. They found that fewer than 2 percent of children who experienced an overdose received the care recommended by the American Academy of Pediatrics for treating opioid use disorder, which includes medication assisted treatment. Less than a third got any follow-up treatment within 30 days.

A quarter of the nonfatal youth overdoses involved heroin. Children who experienced a heroin overdose were 2 and a half times more likely to overdose again than youths using other opioids.

The researchers estimated that teens and young adults are only a tenth as likely as those over age 25 to get the recommended evidence-based treatment for opioid use disorder. They said the gap may be because substance use disorder is not often considered as a pediatric disease.

The study was published this month in the pediatric journal of the American Medical Association.  

 

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from Marshall Health and Charleston Area Medical Center.

Exit mobile version