Too many deaths to continue, With Fentanyl and Meth Key culprits

WASHINGTON – Death toll from drug overdose continues to rise to a record high in 2021, nearly 108,000, according to new data released Wednesday by the Centers for Disease Control and Prevention. Block.

The increase of nearly 15 percent follows an increase of almost 30 percent in 2020, a skeptical issue that has applied federal and state drug laws. The number of overdose deaths has increased every year but 2018 since 1970.

An increase in deaths from overdose of fentanyl, a class of potent metastatic compounds that are often mixed with other drugs, and methamphetamine, a synthetic drug. State health officials opposed the entry of the two drugs, saying more deaths were caused by the combination of the two.

Overdose, which has long surpassed the nation’s highest death toll from AIDS, car crashes and gun violence, killed about a third of Americans last year as Covid-19.

Mortality rates associated with opioids – mostly fentanyl – rose to 71,000 from 58,000, while those associated with stimulants such as methamphetamine, which had grown cheaper and more died in recent years. recently, increased from 33,000 to 25,000. Because fentanyl is a white powder, it can be combined with other drugs, including heroin-like opioids, and stimulants like meth and cocaine, and can be injected into the drug as a stimulant. block stress like Xanax. Such combinations can prove fatal if users are unaware that they are taking fentanyl or are unsure about the medication.

Mortality from both drug classes has risen in recent years.

But there is growing evidence that the combination of stimulants and opioids – into a combination of so-called “speedballs” and “goofballs” – has grown more and more. Dan Ciccarone, a professor of family and community medicine at the University of California, San Francisco, who specializes in the pharmaceutical industry, recently began many years of studying the combination of opioids and meth.

He said: “There is a shared trend spreading like we have never seen before,” he said. “We have never seen strong opioids such as fentanyl being mixed with potent methamphetamine.”

The numbers released on Wednesday are considered temporary, and may change as the government examines the death toll more. But they did add details to the violence that escalated during the outbreak.

The White House in recent weeks announced President Biden’s first national drug control plan, and plans to combat meth, presented last week by him. czar medicine, Dr. Rahul Gupta, chief physician to oversee the White House National Institutes of Health. Right. Mortality from meth almost tripled between 2015 and 2019 in 18 to 64 people, according to the National Institutes of Health.

Mr Biden was the first to advocate for reduction, a way that has been criticized by some as a drug addict, but praised by drug experts as a ways to keep drug users alive while providing treatment and support.

Instead of pushing for exemptions, the way is to reduce the risk of death or infection by providing sterile devices – by exchanging needles, for example – or devices. basically to test fentanyl. The strips that can detect fentanyl have become a lucrative resource for city health officials, and some states have recently moved to regulate them, though. others protest.

The cause of the increase in overdose is harder and harder to reconcile, experts say. But state health officials and some drug addicts say the overdose, which began before the outbreak, can not be blamed on the overdose. is a side effect that comes with it, or an increase in the number of American drug users.

The segregation of social and economic tensions, which has spread during the global epidemic, is likely to lead to drug overdose, and could lead to increased consumption. too. Closing in early 2020 also caused some doctors to close their doors temporarily. But the epidemic alone does not explain the recent rise.

The policy changes that have been made during the global epidemic can help prevent more deaths. Regina LaBelle, an addiction law specialist at Georgetown University, said early research has shown that lowering the legal threshold for taking methadone at home has been beneficial, with for the treatment of telemedicine.

“The difference between what we are seeing now is not the number of users,” said Dr. Anne Zink, director of health in Alaska, who sees the highest death rate in any state in the country, according to Health. data released Wednesday.

Instead, he said, fentanyl supplies have risen, in deliveries that are difficult to track, accessible even in most states. Of the 140 fentanyl overdose death states recorded by 2021, more than 60 percent are still involved with meth, and nearly 30 percent are drug overdose.

Fentanyl, which is produced in a million, will be cheaper and easier to produce and distribute than heroin, facilitating its demand for retailers and distributors. But because it is strong and sold in a variety of different forms, the small difference in potential means a difference between the usual drug user and one that proves fatal. It is especially dangerous when it is used by drug users who usually do not use opioids. The spread of fentanyl to a national development drug industry has continued to flummox despite strong state-of-the-art treatment.

Often combined in Mexico by chemical precursors made in China, fentanyl long ago permeated the heroin stores of the Northeast and Midwest. But recent data show that it has established insurance coverage in the south and west as well.

Dr. “The fentanyl industry has recently pushed other drugs out of the market,” said Joshua Sharfstein, associate dean of Bloomberg School of Public Health at Johns Hopkins University. “It’s just too cheap to buy fentanyl and turn around and put anything in it.”

A recent study of illegal drugs seized by police investigators found that most of the products on the market such as OxyContin, Xanax or drug overdose are dissatisfied with the drug. Adderall now has fentanyl. The spread of these counterfeit drugs may explain the recent rise in drug overdose in young people, who are less likely to be vaccinated than adults.

Pat Allen, director of the Oregon Health Authority, said that, like the situation in other states with overcrowding, the obvious difference in 2021 is the location of fentanyl. Children under the age of 12 are considered at high risk of receiving fentanyl-containing counterfeit drugs, and high school students overdose on them, believing they are antibiotics. opioid or anti-anxiety drugs. The state has been working to deliver naloxone supplies to schools, similar to a project it has used in fast food restaurants, where people have consumed too much in the bathroom.

Mr Allen said he had seen the dangerous consequences of overdose: They found that the risk of fentanyl would be lower, even if the actual risk was “higher.”

“We have had a substance abuse problem in Oregon that we have known for a long time,” he said. “This takes pre-existing drug addiction problems and makes it even more dangerous.”

By 2021, overdose will be the leading cause of death in the United States, similar to deaths from diabetes and Alzheimer’s disease, and about a third of all deaths from Covid-19. , third. causing death, according to the CDC

In Vermont, 93 percent of opioid deaths in 2021 are fentanyl related, according to Kelly Dougherty, state health director.

“At the initial stage of the transmission, we were making an increase in the number of lives affected,” he said. But now, he adds, a different explanation seems clear: “What is important about the driver is the presence of fentanyl in the drug.”

The state has celebrated the “hub and talk” model of vaccines and the use of antiretroviral drugs, he said, not enough to counter the simple and fast that people use a lot. over of fentanyl.

He said, “You can have the best treatment,” and not everyone will benefit from their own when they may need to, or before they eat too much. “

And fentanyl has appeared in counterfeit drugs, Ms. Dougherty said, including in OxyContin.

He said Vermont authorities have announced a new public statement on fentanyl.

“Just think of it everywhere,” he said.

Leave a Comment