States Scramble To Deal With The Compounding Covid And Opioid Epidemic

Not only does the current pandemic make overdosing more likely but also people with substance use disorder are especially susceptible to Covid-19.
Source: Healthcare News - Category: Pharmaceuticals Authors: Tags: Healthcare /healthcare Innovation /innovation Lifestyle /lifestyle Vices /vices Source Type: news

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Coronavirus disease 2019 (COVID-19) will have a lasting impact on public health. In addition to the direct effects of COVID-19 infection, physical distancing and quarantine interventions have indirect effects on health. While necessary, physical distancing interventions to control the spread of COVID-19 could have multiple impacts on people living with opioid use disorder, including impacts on mental health that lead to greater substance use, the availability of drug supply, the ways that people use drugs, treatment-seeking behaviors, and retention in care.
Source: Journal of Substance Abuse Treatment - Category: Addiction Authors: Source Type: research
In the months since the pandemic took hold in the U.S., the opioid epidemic has taken a sharp turn for the worse. More than 40 states have seenevidence of increases in overdoses.
Source: NYT Health - Category: Consumer Health News Authors: Tags: your-feed-science your-feed-photojournalism Coronavirus Risks and Safety Concerns Drug Abuse and Traffic Coronavirus (2019-nCoV) Opioids and Opiates Mental Health and Disorders Heroin Vermont your-feed-healthcare Source Type: news
Jeffrey A. SingerSome observers of our policy toward the coronavirus pandemiccriticize the tendency to focus on case numbers alone, when hospitalization rates and fatality rates are what really matter. And as we learn more about the COVID virus, mitigation and treatment is improving and fatalities are diminishing.Similarly, the U.S. Department of Justice ’s policy toward the overdose epidemic seems to be focused on arrests and drug interdictions, apparent in a DOJpress release today, itemizing the arrests of drug traffickers and seizures of illegal drugs that have resulted since “Operation SOS&rd...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Data from an emergency department in Richmond suggests that the number of nonfatal opioid-related overdoses may have risen during the first few months of the COVID-19 pandemic, particularly among people who are Black. Thefindings were published inJAMA.Taylor A. Ochalek, Ph.D., of Virginia Commonwealth University (VCU) and colleagues compared the number of nonfatal opioid overdoses recorded in electronic medical records from VCU ’s Emergency Department from March to June 2019 with those that occurred from March to June 2020—the first few months of the COVID-19 pandemic. They found nonfatal opioid overdoses incre...
Source: Psychiatr News - Category: Psychiatry Tags: black COVID-19 emergency department JAMA nonfatal overdose opioid pandemic Source Type: research
Drug overdose deaths in the US increased in 2019, despite a slight decrease from 2017 to 2018; this increase was largely driven by illicitly manufactured fentanyl. The opioid epidemic has also been complicated by increasing use of methamphetamine in combination with opioids. It is likely that the emergence of coronavirus disease 2019 (COVID-19) and subsequent disruptions in health care and social safety nets combined with social and economic stressors will fuel the opioid epidemic. Reports from national, state, and local media suggest that opioid-related overdoses are increasing, but the absence of real-time national repor...
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research
Amidst the COVID-19 pandemic, the U.S. is still grappling with the opioid epidemic. According to 2019 provisional data from the Centers for Disease Control and Prevention, the U.S. had its deadliest year on record for overdose deaths, surpassing the 2017 peak.
Source: RAND Research Health and Health Care - Category: Health Management Authors: Source Type: research
How will the COVID-19 pandemic affect opioid overdose deaths and states’ ability to respond? The Commonwealth Fund’s Jesse Baumgartner, Gabriella Aboulafia, and Sara Collins look at unemployment trends and opioid deaths to determine which states may be battling both an economic downturn and an opioid epidemic.        
Source: The Commonwealth Fund: Blog - Category: International Medicine & Public Health Authors: Source Type: blogs
Deaths involving illicit opioids, stimulants (such as methamphetamine), heroin, and cocaine rose dramatically between 2015 and the end of 2019, according to areport released Monday by the AMA ’s Opioid Task Force.The report also showed a 37.1% decrease in opioid prescribing; wider use of state Prescription Drug Monitoring Programs; and increasing numbers of doctors trained to prescribe buprenorphine (a medication used for treating opioid use disorder).The trends indicate that the nature of the nation ’s drug overdose crisis has changed. “The nation’s drug overdose epidemic is now being driven predom...
Source: Psychiatr News - Category: Psychiatry Tags: AMA AMA Opioid Task Force buprenorphine CDC cocaine fentanyl heroin medication-assisted treatment mental health parity opioid use disorder opioids Patrice Harris stimulants Source Type: research
In 1974, President Nixon signed the Narcotic Addiction Treatment Act, which gave statutory authority to the regulations governing the provision of methadone for the treatment of opioid use disorder (OUD) in the US. The original name for the bill was revealing: the Methadone Diversion Control Act. These regulations that were meant to restrict dispensation on methadone have undergone only modest revision over the ensuing decades even in the midst of a current overdose epidemic. In the US, methadone for OUD can only be provisioned at federally certified opioid treatment programs (OTPs). Patients receiving methadone must prese...
Source: JAMA Psychiatry - Category: Psychiatry Source Type: research
The COVID19 crisis has created many additional challenges for patients with opioid use disorder, including those seeking treatment with medications for OUD. Some of these challenges include closure of substance use treatment clinics, focus of emergency departments on COVID-19 patients, social distancing and shelter in place orders affecting mental health, bystander overdose rescue, threats to income and supply of substances for people who use drugs. While the initial changes in regulation allowing buprenorphine prescribing by telehealth are welcomed by providers and patients, many additional innovations are required to ens...
Source: Journal of Addiction Medicine - Category: Addiction Tags: Commentaries Source Type: research
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