Impact of 24-hour schedule of a drug consumption room on service use and number of non-fatal overdoses. a quasiexperimental study in Barcelona - Montero-Moraga JM, Garrido-Albaina A, Barbaglia MG, Gotsens M, Aranega D, Espelt A, Par és-Badell O.
BACKGROUND: The opening hours of drug consumption rooms could constitute a barrier to access among people who use drugs (PWUD). CAS Baluard is an outpatient substance use care center in Barcelona, which provides a drug consumption room in Barcelona among o... (Source: SafetyLit)
Source: SafetyLit - May 30, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Vitamin D overdose: Do you have a metallic taste in your mouth?
VITAMIN D is fundamental in cellular growth, nerve function and the absorption of calcium. But can you have too much of a good thing? And what's this metallic taste in your mouth you're experiencing? (Source: Daily Express - Health)
Source: Daily Express - Health - May 29, 2020 Category: Consumer Health News Source Type: news

To Mothers Struggling with Addiction: You Are Not Alone
I had an idyllic childhood. I was a cheery kid with great parents, raised in a wonderful neighborhood, always cared for and never wanted for anything. When people hear this background from someone whose addiction was so strong that they planned their methamphetamine use around their pregnancy, it can be hard to reconcile. There is no blueprint for addiction; this disease has no face. Not one person in my life would have guessed I’d be homeless with multiple DUIs, totaled a number of vehicles, and would have my son taken away by authorities twice before his second birthday, but it happened. And despite how absurd it m...
Source: Psych Central - May 28, 2020 Category: Psychiatry Authors: Karen McGinnis Tags: Addictions Parenting Substance Abuse Addiction Recovery custody Methamphetamines Motherhood Source Type: news

Overdose and risk factors for coronavirus disease 2019 - Slaunwhite AK, Gan WQ, Xavier C, Zhao B, Buxton JA, Desai R.
BACKGROUND: There have been significant efforts to respond to the two public health emergencies of coronavirus disease 2019 (COVID-19) and overdose in British Columbia (BC), Canada. The purpose of this study was to quantify the prevalence of known risk fac... (Source: SafetyLit)
Source: SafetyLit - May 27, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Racial/ethnic differences in opioid-involved overdose deaths across metropolitan and non-metropolitan areas in the United States, 1999-2017 - Lippold K, Ali B.
BACKGROUND: From 1999 to 2017, more than 400,000 Americans died from a drug overdose death involving an opioid. Early surveillance studies have observed large variations in opioid-involved overdose deaths among different geographic regions and racial/ethni... (Source: SafetyLit)
Source: SafetyLit - May 27, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Few in U.S. with private insurance receive opioid overdose follow-up treatment
Fewer than 20 percent of people with private healthcare insurance who suffered a non-fatal opioid overdose ultimately receive abuse or addiction treatment, according to a study published Wednesday by JAMA Network Open. (Source: Health News - UPI.com)
Source: Health News - UPI.com - May 27, 2020 Category: Consumer Health News Source Type: news

Impact of a health system's three-pronged strategy to address the opioid epidemic
(Bentham Science Publishers) In the past two decades more than 700,000 people have died from a drug overdose in the United States. In 2017, more than 68% of the drug overdose deaths involved an opioid. To help stem this epidemic, Highmark Inc. developed, implemented and evaluated a series of quality management-focused opioid interventions utilizing a three-pronged public health approach. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 27, 2020 Category: International Medicine & Public Health Source Type: news

Nordic countries struggle with a severe drug overdose problem
(National Institute for Health and Welfare) Despite the fact that the Nordic countries are often seen as ideal in practically every global ranking of quality of life and social equality, the number of drug-related deaths in these countries are among the highest in Europe. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - May 27, 2020 Category: International Medicine & Public Health Source Type: news

Follow-up treatments after opioid overdose rare among insured patients
(University of Pennsylvania School of Medicine) The majority of commercially insured patients who visited the emergency department (ED) for an opioid overdose didn't receive the timely follow-up care known to help prevent a future overdose or death. Of nearly 6,500 patients treated in EDs nationwide for an overdose or other opioid-related medical complications, only 16 percent accessed opioid use disorder (OUD) medications or another form of treatment within three months of the ED visit (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - May 27, 2020 Category: International Medicine & Public Health Source Type: news

Tackling the overdose crisis: the role of safe supply - Ivsins A, Boyd J, Beletsky L, McNeil R.
North America is experiencing an unprecedented overdose crisis driven by the proliferation of fentanyl and its analogues in the illicit drug supply. In 2018 there were 67,367 drug overdose deaths in the United States, and since 2016, there have been more t... (Source: SafetyLit)
Source: SafetyLit - May 26, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Opioid prescribing history prior to heroin overdose among commercially insured adults - Lagisetty P, Zhang K, Haffajee RL, Lin LA, Goldstick J, Brownlee R, Bohnert A, Larochelle MR.
BACKGROUND: Since 2010, heroin-related overdoses have risen sharply, coinciding with policies to restrict access to prescription opioids. It is unknown if patients tapered or discontinued off prescription opioids transitioned to riskier heroin use. This st... (Source: SafetyLit)
Source: SafetyLit - May 24, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Why More Must be Done to Fight Bogus COVID-19 Cure Claims
This article is republished from The Conversation under a Creative Commons license. Read the original article. The post Why More Must be Done to Fight Bogus COVID-19 Cure Claims appeared first on Inter Press Service. (Source: IPS Inter Press Service - Health)
Source: IPS Inter Press Service - Health - May 21, 2020 Category: International Medicine & Public Health Authors: External Source Tags: Global Headlines Health Source Type: news

Opioid drug overdose deaths are down in US, study finds, but Covid-19 could change that
More than 151,000 Americans died from drug overdoses, alcohol and suicide combined in 2018, slightly lower than the overall numbers in 2017, and leveling off for the first time in two decades, according to a new study. (Source: CNN.com - Health)
Source: CNN.com - Health - May 21, 2020 Category: Consumer Health News Source Type: news

One-Year Mortality High Following ED Visit for Overdose
THURSDAY, May 21, 2020 -- Emergency department patients with nonfatal opioid or sedative/hypnotic drug overdose have exceptionally high risks for death in the following year, according to a study published online May 7 in the American Journal of... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 21, 2020 Category: Pharmaceuticals Source Type: news

Deaths From Alcohol, Drugs, Suicide Topped 150,000 in 2018
While there was a decrease in opioid overdose deaths, alcohol and suicide deaths increased (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - May 21, 2020 Category: Psychiatry Tags: Family Medicine, Internal Medicine, Emergency Medicine, Nursing, Psychiatry, Institutional, Source Type: news

Deaths From Alcohol, Drugs, Suicide Topped 150,000 in 2018
THURSDAY, May 21, 2020 -- In 2018, opioid overdose deaths declined, but deaths involving alcohol, suicide, synthetic opioids, and other psychostimulants rose, according to a brief released May 21 by the Trust for America's Health and the Well Being... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 21, 2020 Category: Pharmaceuticals Source Type: news

Acute chloroquine poisoning: a comprehensive experimental toxicology assessment of the role of diazepam - Hughes DA.
BACKGROUND AND PURPOSE: Resurgence in the use of chloroquine as a putative treatment for COVID-19 has seen recent cases of fatal toxicity due to unintentional overdoses. Protocols for the management of poisoning recommend diazepam, although there are uncer... (Source: SafetyLit)
Source: SafetyLit - May 20, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Are we missing opioid-related deaths among people with HIV? - Becker WC, Gordon KS, Edelman EJ, Goulet JL, Kerns RD, Marshall BDL, Fiellin DA, Justice AC, Tate JP.
BACKGROUND: Ascertainment of unnatural and overdose death may be unreliable among individuals with life-limiting conditions such as HIV infection. We sought to determine whether the relationship between opioid use and unnatural death differs among decedent... (Source: SafetyLit)
Source: SafetyLit - May 20, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

High willingness to use overdose prevention sites among female sex workers in Baltimore, Maryland - Rouhani S, White RH, Park JN, Sherman SG.
BACKGROUND: Overdose Prevention Sites (OPS) operate worldwide as spaces where people can consume previously purchased drugs under supervision, and are linked to reductions in HIV/HCV transmission and fatal overdoses. As the United States weighs their merit... (Source: SafetyLit)
Source: SafetyLit - May 20, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

The fentanyl epidemic in Estonia: factors in its evolution and opportunities for a comprehensive public health response, a scoping review - Uusk üla A, Talu A, Vorbjov S, Salekešin M, Rannap J, Lemsalu L, Jarlais DD.
BACKGROUND: The spread of illicitly manufactured fentanyl has the potential to greatly increase the fatal overdoses in many places in the world. The purpose of this paper is to analyse the evolution of fentanyl use epidemic in Estonia. METHODS: this scop... (Source: SafetyLit)
Source: SafetyLit - May 20, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Drug overdose, loss of consciousness, and compartment syndrome: a life-threatening combination - Jones AL, Rankin JA, Then KL.
Acute extremity compartment syndrome is considered an orthopedic emergency that has serious consequences if a correct diagnosis is not made rapidly. Patients who lose consciousness due to a drug overdose are known to collapse onto their extremities. The li... (Source: SafetyLit)
Source: SafetyLit - May 16, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Lifetime risk of death from firearm injuries, drug overdoses, and motor vehicle accidents in the United States - Sehgal AR.
BACKGROUND: News media and policy makers frequently discuss deaths from firearms, drug overdoses, and motor vehicle accidents. However, this information is generally presented as absolute numbers or annual rates. Cumulative lifetime risk may be an addition... (Source: SafetyLit)
Source: SafetyLit - May 16, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

The fentanyls: pharmacological and clinical aspects relevant to Australia - Greene SL, Scamvougeras A, Norman A, Bonomo Y, Castle DJ.
OBJECTIVE: North American and other jurisdictions have seen an alarming rise in the abuse of the fentanyls, with related overdose deaths. We sought to review this group of drugs to alert Australian psychiatrists and drug and alcohol clinicians to their cli... (Source: SafetyLit)
Source: SafetyLit - May 16, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Halt drug possession charges during pandemic to stem spike in overdose deaths, advocates say
More than 50 human rights, legal and drug policy groups are pushing the federal government to halt criminal charges for simple drug possession as part of its response to COVID-19, arguing the pandemic has led to more dangerous drug use practices and a spike in overdose deaths. (Source: CBC | Health)
Source: CBC | Health - May 14, 2020 Category: Consumer Health News Tags: News/Politics Source Type: news

Age and generational patterns of overdose death risk from opioids and other drugs - Jalal H, Buchanich JM, Sinclair DR, Roberts MS, Burke DS.
The ongoing substance misuse epidemic in the United States is complex and dynamic and should be approached as such in the development and evaluation of policy. Drug overdose deaths (largely attributable to opioid misuse) in the United States have grown exp... (Source: SafetyLit)
Source: SafetyLit - May 9, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

75,000 Americans at risk of dying from overdose or suicide due to coronavirus despair, group warns
As many as 75,000 Americans could die because of drug or alcohol misuse and suicide as a result of the coronavirus pandemic, according to an analysis conducted by the national public health group Well Being Trust. (Source: CNN.com - Health)
Source: CNN.com - Health - May 8, 2020 Category: Consumer Health News Source Type: news

Study: Opioid overdose 14 times more likely in general public than cancer survivors
Cancer survivors have a lower risk for a fatal opioid overdose -- from prescription pain medications or illegal drugs -- than those without the disease, an analysis published Thursday by JAMA Oncology shows. (Source: Health News - UPI.com)
Source: Health News - UPI.com - May 7, 2020 Category: Consumer Health News Source Type: news

Science News » Emergency Drug Overdose Visits Associated with Increased Risk for Later Suicide
A new data analysis has found patients who visited the emergency department for an opioid or sedative/hypnotic drug overdose were at higher risk of dying by drug overdose or suicide in the year after being discharged relative to the general population. (Source: National Institute of Mental Health)
Source: National Institute of Mental Health - May 7, 2020 Category: Psychiatry Authors: Claire Cole Source Type: news

Emergency drug overdose visits associated with increased risk for later suicide
NIH-funded study highlights importance of emergency department-based interventions for mitigating suicide risk. (Source: National Institutes of Health (NIH) News Releases)
Source: National Institutes of Health (NIH) News Releases - May 7, 2020 Category: American Health Source Type: news

State policies that treat prenatal substance use as child abuse or neglect fail to achieve their intended goals - Atkins DN, Durrance CP.
The US is experiencing a complex substance abuse crisis. Not only has opioid overdose mortality increased sharply, by 400  percent from 1999 to 2017, but opioid use during pregnancy contributed to a 300 percent increase in neonatal abstinence syndrome (NA... (Source: SafetyLit)
Source: SafetyLit - May 7, 2020 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Emergency drug overdose visits associated with increased risk for later suicide
(NIH/National Institute of Mental Health) A new study finds patients who visited the emergency department for an opioid overdose are 100 times more likely to die by drug overdose in the year after being discharged and 18 times more likely to die by suicide relative to the general population. In the year after emergency department discharge, patients who visited for a sedative/hypnotic overdose had overdose death rates 24 times higher, and suicide rates 9 times higher, than the general population. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 7, 2020 Category: International Medicine & Public Health Source Type: news

Treatment for opioid use disorder is rare in hospitals, study finds
(Oregon Health& Science University) Despite a national opioid-related overdose epidemic that continues to claim tens of thousands of lives annually, a new nationwide study shows that a scant proportion of hospitalized patients with opioid use disorder receive proven life-saving medications both during and after they're discharged. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 7, 2020 Category: International Medicine & Public Health Source Type: news

How simulation modeling can support the public health response to the opioid crisis in North America: setting priorities and assessing value -
Opioid-related harms are a major public health concern in North America. In the United States and Canada, respectively, over 72,000 and about 4100 people died of a drug overdose in 2017, the vast ma- jority of which were opioid-related (Government of C... (Source: SafetyLit)
Source: SafetyLit - May 6, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Disparities in the deaths of despair by occupation, Massachusetts, 2000-2015 - Hawkins D, Davis L, Punnett L, Kriebel D.
OBJECTIVE: To explore mortality rates and trends according to the occupation of workers who died from the deaths of despair (DoD). METHODS: Death certificates for deaths due to poisonings (including opioid-related overdoses), suicides, and alcoholi... (Source: SafetyLit)
Source: SafetyLit - May 6, 2020 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Continuity of buprenorphine treatment linked to significantly lower prescription opioid use and over
(Columbia University's Mailman School of Public Health) A study at Columbia University Mailman School of Public Health found that long-term buprenorphine treatment is associated with improvements in health care outcomes. Compared to individuals who discontinued buprenorphine, those with continuous treatment had significantly lower rates of prescription opioid use and opioid-related events, including medically treated overdoses in the follow-up period. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 5, 2020 Category: International Medicine & Public Health Source Type: news

Characterizing profiles of polysubstance use among high school students in Baltimore, Maryland: a latent class analysis - Schneider KE, Brighthaupt SC, Winiker AK, Johnson RM, Musci RJ, Linton SL.
BACKGROUND: Adolescent drug use has long term health consequences, like substance use disorders and psychiatric illnesses. Proximal health risks, especially for overdose, are amplified when multiple substances are combined. Existing literature on polysubst... (Source: SafetyLit)
Source: SafetyLit - May 4, 2020 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Suicide attempt and suicidal drug overdose in chronic obstructive pulmonary disease patients with or without depression - Lin CY, Harnod T, Lin CL, Kao CH.
BACKGROUND: To determine differences in the incidence and risks of suicide attempt (SA) and suicidal drug overdose (SDO) between chronic obstructive pulmonary disease (COPD) patients with and without comorbid depression by using data from Taiwan's National... (Source: SafetyLit)
Source: SafetyLit - May 4, 2020 Category: International Medicine & Public Health Tags: Ergonomics, Human Factors, Anthropometrics, Physiology Source Type: news

Grant funds research on community-level intervention to address opioid overdoses
(Virginia Tech) Keep people alive. Refer them to those who save lives. Finally, connect them to effective, peer-based treatment. These are the objectives of Connection 2 Care (C2C), an innovative collaboration led by Virginia Tech researchers that aims to address the opioid crisis in the Roanoke Valley. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - April 27, 2020 Category: International Medicine & Public Health Source Type: news

Age-adjusted drug overdose death rates, by state - United States, 2018 -
In 2018, 23 states and DC had drug overdose death rates that were higher than the national rate of 20.7 per 100,000. Except for Arizona and New Mexico, states with higher rates were in the eastern part of the country, including the two states with the ... (Source: SafetyLit)
Source: SafetyLit - April 23, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

A framework for EMS outreach for drug overdose survivors: a case report of the Houston Emergency Opioid Engagement System - Langabeer JR, Persse D, Yatsco A, O'Neal MM, Champagne-Langabeer T.
Fatalities from drug-induced overdoses in the United States have taken greater than 292,000 lives in the last five years, and nearly two-thirds of these are opioid-related. The burden on prehospital emergency medical services (EMS) to respond to these inci... (Source: SafetyLit)
Source: SafetyLit - April 22, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Drug and Opioid-Involved Overdose Deaths: US, 2017-2018 Drug and Opioid-Involved Overdose Deaths: US, 2017-2018
CDC analyzed changes in death rates across demographic groups from 2017 to 2018 involving all prescription opioids, heroin, and synthetic opioids. How should this data inform health policy?Morbidity & Mortality Weekly Report (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 22, 2020 Category: Consumer Health News Tags: Public Health & Prevention Journal Article Source Type: news

Opioid overdose reversals using naloxone in New York City by people who use opioids: implications for public health and overdose harm reduction approaches from a qualitative study - Parkin S, Neale J, Brown C, Campbell ANC, Castillo F, Jones JD, Strang J, Comer SD.
BACKGROUND: Adverse reactions to naloxone, such as withdrawal symptoms and aggression, are widely recognised in the literature by pharmaceutical manufacturers and clinical practitioners as standard reactions of individuals who are physically dependent upon... (Source: SafetyLit)
Source: SafetyLit - April 21, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Serotonin toxicity from isolated bupropion overdoses - Sidlak AM, Koivisto KO, Marino RT, Abesamis MG.
Background: Bupropion is a synthetic cathinone, which acts therapeutically through norepinephrine and dopamine reuptake inhibition. Recent evidence suggests that serotonin receptor activation occurs with high doses of bupropion and severe serotonin ... (Source: SafetyLit)
Source: SafetyLit - April 21, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Suicides among opioid overdose deaths - Nestadt PS.
To the Editor Dr Olfson and colleagues1 examined trends in the rates of opioid-related mortality, stratified by intentionality. Concerns about whether a significant proportion of opioid overdose suicides have been misclassified, and therefore that the ... (Source: SafetyLit)
Source: SafetyLit - April 21, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Suicides among opioid overdose deaths-reply - Olfson M, Wall MM, Blanco C.
In Reply Dr Nestadt raises 3 concerns regarding our analysis of trends in the intent of overdose deaths involving opioids.1 His first concern is that suicides may have been misclassified. A prior estimate assumed that because 26.5% of opioid overdose v... (Source: SafetyLit)
Source: SafetyLit - April 21, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

QuickStats: Age-Adjusted Drug Overdose Death Rates, by State --- United States, 2018
In 2018, 23 states and DC had drug overdose death rates that were higher than the national rate of 20.7 per 100,000. (Source: CDC Morbidity and Mortality Weekly Report)
Source: CDC Morbidity and Mortality Weekly Report - April 16, 2020 Category: American Health Tags: Brucellosis Cancer HPV-Associated Cancers Measles MMWR Morbidity & Mortality Weekly Report Oral Cancer Outbreaks Overdose Raw Milk (Unpasteurized Milk) Death Rates Source Type: news

New York nightlife venues recruited in effort to prevent overdoses due to fentanyl
(Wolters Kluwer Health) Bars and nightclubs are a promising site for efforts to increase awareness of the risk of opioid overdose due to fentanyl-laced cocaine, suggests a study in the Journal of Public Health Management and Practice (JPHMP). The journal is published in the Lippincott portfolio by Wolters Kluwer. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - April 16, 2020 Category: International Medicine & Public Health Source Type: news

Prescribing an overdose: A chapter in the opioid epidemic
ROCHESTER, Minn. -- Research indicates that widespread opioid overprescribing contributed to the opioid epidemic. New research shows that this dangerous trend has apparently been coupled with another: inappropriate use of high-potency opioids. A multi-institution research collaboration led by Mayo Clinic published its findings Wednesday, April 15, in JAMA Network Open. The study showed that more [...] (Source: Mayo Clinic Minnesota News)
Source: Mayo Clinic Minnesota News - April 15, 2020 Category: Hospital Management Source Type: news

Medication treatment and health care use among adolescents with opioid use disorder in Ohio - Chavez LJ, Bonny AE, Bradley KA, Lapham GT, Cooper J, Miller W, Chisolm DJ.
PURPOSE: The opioid epidemic impacts both adolescents and adults, and overdose deaths continue to rise. Two medication treatments (buprenorphine and naltrexone) are effective for treating opioid use disorder (OUD) in office-based settings but are seldom pr... (Source: SafetyLit)
Source: SafetyLit - April 14, 2020 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Potential risks for children following opioid-related overdose death of a parent
(JAMA Network) Researchers examined changes in the use of mental health and human services among children in Allegheny County, Pennsylvania, following the unexpected death of a parent because of an opioid-related overdose between 2002 and 2017. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - April 13, 2020 Category: International Medicine & Public Health Source Type: news