diy tattoo choker materials | Opioid Heroin Deaths Continue to Climb

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Overdose deaths from both prescription opioids and heroin continued to rise in 2011, the most recent year for which data were available, according to the CDC.

While prescription opioid deaths followed a more than decade-long trend and increased about 2% to 16,917, heroin deaths jumped by 44% -- from 3,036 in 2010 to 4,397.

Officials with the CDC said the increase in heroin deaths may be partly due to users having less access to prescription opioids and switching to the illicit drug.

Leonard Paulozzi, MD, MPH , a physician and researcher with the CDC in Atlanta, said about 75% of heroin users

say they started out by using prescription opioids.

"People might have turned to heroin," Paulozzi told the Milwaukee Journal Sentinel andMedPage Today.

The increasing number of heroin deaths also coincides with anecdotal reports about rising heroin use among people who have had diminished access to prescription opioid painkillers.

Paulozzi said the prescription opioid death number is getting close to stabilizing, but added that its "still bad because it hasnt gone down."

That number has been on the rise since 1999, when it was 4,030. In 2010, the figure was 16,651.

Paulozzi said doctors need to do a better of job of screening for opioid abusers by checking prescription drug monitoring programs in their states for patients who are doctor shopping, and by using urine screens to detect if they are using illicit drugs.

Lewis Nelson, MD , a toxicologist and emergency medicine specialist at NYU Langone Medical Center in New York City, said the lack of a decline in opioid deaths is especially concerning.

"Its obvious that the lag in reporting is always a problem, but weve been talking about this for a decade," he said. "The most aggressive actions started in 2011 and 2012, but its still amazing to me that weve known about this problem for so many years. It should have been better by 2011."

Andrew Kolodny, MD , a long-time advocate of tighter controls on opioids, said the growing deaths from heroin and opioids is something that could have been predicted 10 years ago.

"I see this as all the same problem, an epidemic of people addicted to opioids," said Kolodny, chief medical officer of Phoenix House, a national addiction treatment organization. "Treatment has to be easier to access than pills or heroin."

Neither Nelson nor Kolodny said the increase in heroin deaths was surprising.

"We are seeing more heroin use, and presumably the new users of heroin are people who run out of their ability to get prescription opioids," Nelson said. "In a way it is an unintended consequence. Perhaps we could have been better prepared for this new trend."

Deaths involving benzodiazepines, which are commonly used concomitantly with opioids, also continued to rise, showing up in 31% of opioid overdose deaths in 2011, up from 30% in 2010.

The deadly combination of opioids and benzos was the focus of a Journal Sentinel/MedPage Today investigation earlier this year.

Source: Medpage Today

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diy foil tattoo | Indiana Launches New Prescription Drug Webpage

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INDIANAPOLIS – Information about prescription drug abuse – including how to recognize signs and symptoms and where to find help – is now a click away.
Indiana Attorney General Greg Zoeller and the Indiana Prescription Drug Abuse Prevention Task Force teamed up today at the Indiana State Fair to launch www.BitterPill.IN.gov.  This comprehensive website is part of an upcoming statewide public awareness campaign targeting Indiana’s prescription drug abuse epidemic.

According to the Indiana State Department of Health (ISDH), 718 Hoosiers died from accidental drug overdoses in 2011, compared to 654 deaths the year before. More people abuse prescription drugs in the U.S. than cocaine, heroin, hallucinogens and inhalants combined, according to the National Institute on Drug Abuse.

“Statistics show that abuse and misuse among all age groups is a serious problem in Indiana and that’s a bitter pill for our state to swallow,” Zoeller said. “Whether you are seeking ideas on how to talk to your teenager about whether they are abusing prescription drugs, searching for help for yourself or a loved one or just want to know how to properly dispose of your unwanted medications, this new website serves as a one-stop shop. I believe consumers need to be armed with information and the right resources so we can try to put an end to this epidemic.”

Zoeller said www.Bitterpill.IN.gov served as an official State Fair sponsor on Friday in attempt to educate more Hoosiers about prescription drug abuse. Chief Medical Officer at ISDH, Dr. Joan Duwve, serves with Zoeller as co-chair of the task force and said public awareness is a critical component to tackling this statewide problem.

“We have to recognize prescription drug abuse for the serious problem that it is,” said Duwve. “According to the 2011 Indiana Youth Risk Behavior Survey, one in five Hoosier high school students has used controlled substances without a prescription. Teens have easy access to most of these drugs because they are commonly prescribed and end up in the home medicine cabinet. What is perceived as a ‘safe’ high, because a doctor prescribed it, too often ends up being deadly.”

In addition to learning more about the efforts of Indiana Prescription Drug Abuse Prevention Task Force, Zoeller said the top five features of www.BitterPill.IN.gov include:

• Knowing the dangers: Learn about the consequences of misuse and abuse of prescription drugs and what impact this epidemic has had on Indiana;
• Dealing with addiction: Familiarize yourself with the signs and symptoms of prescription drug abuse in all ages. Access talking points to use when speaking with family or friends when you suspect a problem, and obtain information about treatment resources and referrals;
• Proper prescription disposal: Learn how to dispose of your unwanted or expired medications in way that protects the environment and ensures they don’t wind up in the wrong hands;
• Clinical resources: Access information written by Hoosier physicians which can help ensure optimal treatment with regards to commonly misused and abuse medications; and
• Reporting illegal activities: Learn how to report illegal activities whether it involves a physician, friend or someone else you know.

Zoeller was also joined by local health officials today for the website’s launch who shared in the state’s concern for the growing number of accidental deaths related to prescription drug overdoses.

“Adults and adolescents have the perception that prescription drugs are not as harmful as illegal drugs because they come from doctors,” said Virginia A. Caine, M.D., director of the Marion County Public Health Department. “Since 1999, more women are dying from prescription drug abuse than from cervical cancer or homicides, according to the Centers for Disease Control and Prevention. Also, prescription drug abuse has increased among men, with the highest rate of abuse among young adults ages 18 to 25.”

Zoeller said his office and the task force will be announcing more details about the statewide public awareness campaign later this month. Consumers can receive updates on the efforts to fight prescription drug abuse by “liking” Zoeller’s Facebook page or by following him on Twitter @INATTYGENERAL.

In 2012, Zoeller launched the task force made up of state legislators, law enforcement, members of the medical community, health officials, pharmacists, state and local agencies and education providers. The goal of the task force is to significantly reduce the abuse of controlled prescription drugs and to decrease the number of deaths associated with these drugs in Indiana.

The task force made recommendations to the state Legislature for new rules, regulations and state statutes. Stemming from its recommendations is a new law which requires an owner of a clinic that prescribes, dispenses or administers controlled substances to obtain an Indiana Controlled Substance Registration (CSR) for each facility they own, if they don’t otherwise hold a CSR.

The new law also calls on the Medical Licensing Board, through new rule making procedures, to allow the Attorney General’s office to move more quickly in taking enforcement action against practitioners who overprescribe and obtain records for its investigation. Zoeller said his office and other stakeholders are being careful to make recommendations that include appropriate due process protections that balance consideration of physicians’ right and business operation needs, while still providing effective tools that will enhance the ability to protect the public.

Since January 2012, Zoeller’s office has taken action against more than 15 doctors for prescribing addictive painkillers outside of what is considered medically appropriate.

Source: http://www.journalgazette.net/apps/pbcs.dll/article?AID=/20130816/BLOGS01/130819627/1005/NEWS10

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diy finger tattoo | Drug Overdoses continue to Rise!

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Drug overdoses and its accompanying issues are only getting worse, according to the Centers for Disease and Control and Prevention. 

More people in America die each year from a drug overdose compared to homicides or car crashes, National Drug Control Policy Director Gil Kerlikowske said Wednesday. In 2010, there were 38,000 drug overdose-related deaths.

"These numbers are staggering, especially since we know that each and every overdose death is preventable," he said.

Kerlikowske announced new initiatives in the war against drugs, detailing the 2013 National Control Strategy, which uses scientific research. 

Addiction is a chronic disease of the brain, he explained, and can be successfully prevented and treated. 

"Were not going to arrest our way out of our drug problem," Kerlikowske added. 

The drug policy reform plan directs federal agencies to expand community-based efforts in order to prevent use before it even begins. The new steps will encourage health workers to intervene at the first signs of substance abuse and extend treatment. 

Aug. 31 marks International Overdose Awareness Day.

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