September is National Recovery Month
Event – The Fentanyl Crisis: What You Need to Know Now
The Fentanyl Crisis: What You Need to Know Now
Learn About Latest Trends and Burprenorphine in Primary Care for Our Patients
May 9, 2023 • 5:30–8:00 PM
Las Posas Country Club, Camarillo
Ventura County faces a crisis of fentanyl deaths. In 2022 there were 181 accidental overdose deaths involving fentanyl. In just three short years our county has experienced a 445% increase in fentanyl fatalities. However, these deaths only represent a fraction of the total number of Ventura County individuals, families, and communities harmed by substance misuse, and suffering daily from chronic use disorders. We invite you to join us in changing this reality.
In facing our local crisis, the importance of practitioner training in substance use disorders cannot be overstated. All members of a patient’s care team play important roles, but primary care providers are pivotal in providing increased access to treatment. The recent elimination of the X-waiver requirement to prescribe buprenorphine for opioid use disorder offers the chance to expand access to treatment in primary care settings, which can turn the tide of the opioid crisis.
- Hear from local experts and discuss with peers the latest overdose trends
- Learn about recent legislative changes related to opioid use disorder treatment
- Receive provider and patient resources that can assist in expanding access
- Discuss factors at the provider, health system, and patient levels that serve as barriers to accessing buprenorphine-based treatment.
- Learn skills needed to screen, counsel, treat, and coordinate care
- Help us bend the trend!
Join the Discussion May 9th!
National Fentanyl Awareness Day
REGISTER HERE
Panelists:
- Chris Young, M.D.
Ventura County Chief Medical Examiner - Sergeant John Hajducko
Ventura County Sheriff’s Office - Joseph C. Vlaskovits, M.D.
Psychiatry, Forensic Psychiatry, and Addiction Medicine, Program Director, Community Memorial Healthcare Psychiatry Residency Program; Faculty, Ventura County Medical Center Primary Care Addiction Medicine Fellowship; Medical Director, Substance Use Treatment Services, Ventura County Behavioral Health - Tipu Khan, M.D., FAAFP, FASAM
Chief of Addiction Medicine at VCMC; Family, Emergency, and Addiction Medicine; Fellowship Director, Primary Care Addiction Medicine Fellowship; Faculty, Family Medicine Residency Program, Ventura County Medical Center; Adjunct Clinical Professor, USC Keck SOM - Mathew Lamon, D.O.
Family and Addiction Medicine; Core Faculty, Ventura County Medical Center Family Medicine Residency Program; Associate Program Director, VCMC Primary Care Addiction Medicine Fellowship
CME credits will be available for this event. Dinner and Refreshments will be served.
If you have questions regarding this series, please contact Ashley Nettles at Ashley.Nettles@ventura.org.
Prescribers are key to creating change in our community.
Thanks to exceptional local collaboration, Ventura County has seen a decrease in opioid prescribing in recent years – a 24% reduction between 2017 and 2020 – as providers have employed safe prescribing practices and increased use of non-narcotic pain management strategies.
Unfortunately, overdose deaths continue to climb, largely due to illegal fentanyl, which has replaced much of the local heroin use and is contributing to the rising number of overdose emergencies. As a concerned local provider, we invite you to join the Prescriber Discussion Series:
- Hear from local experts and discuss with peers the latest trends and best practices.
- Get provider-focused resources to reduce misuse and opioid use disorder (OUD).
- Learn the new State guidelines and latest tools for patient care and provider coordination.
Connecting because we care. For our patients and for our community.
PREVIOUS DISCUSSIONS
- September 21, 2022
Person-Centered Strategies to Reduce Opioid Overdose
- August 31, 2022
Deprescribing is Good Prescribing
- June 8, 2022
Evidence-based Safe Prescribing
- May 11, 2022
Latest Trends in Overdose: What Prescribers Need to Know About Illicit Fentanyl
LEARN MORE AND REGISTER:
February is Black History Month!
December is National Impaired Driving Prevention Month
Event: Fentanyl Strategies for Schools – Nov 1
DATE: November 1, 2022
TIME: 2:30pm – 4:00pm
LOCATION:
1911 Williams Dr., Oxnard, CA 93036
Training Room, Ground Floor
(Parking will be available rear of building adjacent to Probation Offices.)
This training will provide foundational knowledge and tools to draft policy that will enable access to naloxone for Ventura County school districts and sites. Subject matter experts will engage in discussion regarding district protocols and next steps to train staff in recognizing and responding to the signs of an opioid-related overdose.
This is a no-cost, in-person event. Space is limited.
To RSVP, please contact Cari Kawell at 805-981-6831 or email cari.kawell@ventura.org.
WHO SHOULD ATTEND?
- District Superintendents
- Site Administrators
- School Nurses
- Site/Local Teams of Educator
FEATURED PANELISTS
Oxnard Union High School District
Lisa is a school nurse for Oxnard Union High School District. She has 13 years of local experience working in Ventura County schools in addition to raising and graduating five children in Conejo Valley. She is the Special Education Chair of the Central Coast section of the California School Nurse Organization and was recognized by her peers for excellence in school nursing in 2022.
Program Manager, Give an Hour
Ashley Nettles specializes in Substance Use Prevention and program services with an expertise in the Opioid crisis. Providing innovative strategies to reach high risk community members and their families through quality education and training. Ashley’s passion for her work is fueled by her personal family experience. Her first-hand experience with how addiction affected her family gives her the ability to champion change for families and communities that are feeling the devastating effects of our nation's opioid crisis.
This is a no-cost, in-person event. Space is limited.
To RSVP, please contact Cari Kawell at 805-981-6831 or email cari.kawell@ventura.org.
See and download the event flyer.
NPR: Is 'rainbow fentanyl' a threat to your kids this Halloween? Experts say no
Experts believe that children are not being specifically targeted. That doesn’t mean that we should not be concerned about children and pills. All medication should be safely stored and away from children, and children should be alerted not to consume anything that looks like a pill.
September is National Recovery Month
Recovery Month celebrates the gains made by those in recovery from substance use and mental health, just as we celebrate improvements made by those who are managing other health conditions such as hypertension, diabetes, asthma, and heart disease. Each September, Recovery Month works to promote and support new evidence-based treatment and recovery practices, the emergence of a strong and proud recovery community, and the dedication of service providers and community members across the nation who make recovery in all its forms possible.
Learn more:
Prescribers Care Discussion Series – September 21, 2022
SEPTEMBER 21, 2022
PERSON-CENTERED STRATEGIES TO REDUCE
OPIOID OVERDOSE
5:30–7:30 PM
Sterling Hills Golf Club, Camarillo
Join the discussion on how as leaders in health care we can do our part in reversing the current opioid overdose death trend in our community. Learn more about the latest advances in opioid use disorder (OUD) treatment, how new approaches to integrated care and cutting-edge harm reduction strategies
can reduce overdoses in our community. Discuss how to educate patients on what they can do to prevent opioid misuse.
REGISTER HERE
PRESENTED BY
- Loretta L. Denering, DrPH, MS; Assistant Director, Ventura County Behavioral Health
- Rachel McDuffee, PsyD; Regional Director Aegis Treatment Centers
- Tipu V. Khan, MD, FAAFP, FASAM; Addiction Medicine Fellowship Director, VCMC
For more information: Ashley.Nettles@ventura.org
Prescribers are key to creating change in our community.
Thanks to exceptional local collaboration, Ventura County has seen a decrease in opioid prescribing in recent years – a 24% reduction between 2017 and 2020 – as providers have employed safe prescribing practices and increased use of non-narcotic pain management strategies.
Unfortunately, overdose deaths continue to climb, largely due to illegal fentanyl, which has replaced much of the local heroin use and is contributing to the rising number of overdose emergencies. As a concerned local provider, we invite you to join the Prescriber Discussion Series:
- Hear from local experts and discuss with peers the latest trends and best practices.
- Get provider-focused resources to reduce misuse and opioid use disorder (OUD).
- Learn the new State guidelines and latest tools for patient care and provider coordination.
Connecting because we care. For our patients and for our community.
PREVIOUS DISCUSSIONS
- May 11, 2022 • 5:30–7:30 PM
Latest Trends in Overdose: What Prescribers Need to Know About Illicit Fentanyl
- June 8, 2022 • 5:30–7:30PM
Evidence-based Safe Prescribing
- August 31, 2022 • 5:30–7:30PM
Deprescribing is Good Prescribing
LEARN MORE AND REGISTER:
International Overdose Awareness Day - August 31, 2022
International Overdose Awareness Day on August 31, 2022, is the world’s largest annual campaign to end overdose and remember those who have died without stigma and acknowledge the grief of the family and friends left behind. The campaign raises awareness of overdose, which is one of the world’s worst public health crises and stimulates action and discussion about evidence-based overdose prevention and drug policy.
Learn more:
Prescribers Care Discussion Series – August 31, 2022
August 31, 2022
DEPRESCRIBING IS GOOD PRESCRIBING
5:30–7:30 PM
Sterling Hills Golf Club, Camarillo
Just as safe prescribing is an integral and effective strategy to prevent opioid use disorder, safe deprescribing is also key. In this workshop, we’ll discuss when, and how to safely and effectively taper patients from opioid usage. Is the deprescribing plan not working? Let’s talk about how to talk with patients about opioid use disorder and effective referrals to substance use treatment.
REGISTER HERE
PRESENTED BY
- Tipu V. Khan, MD, FAAFP, FASAM; Addiction Medicine Fellowship Director, VCMC
- Kyle Stephens, DO, Family Medicine Specialist, Primary Care
- George C. Chang Chien, DO, Director of Pain Management, Ventura County Medical Center
For more information: Ashley.Nettles@ventura.org
Prescribers are key to creating change in our community.
Thanks to exceptional local collaboration, Ventura County has seen a decrease in opioid prescribing in recent years – a 24% reduction between 2017 and 2020 – as providers have employed safe prescribing practices and increased use of non-narcotic pain management strategies.
Unfortunately, overdose deaths continue to climb, largely due to illegal fentanyl, which has replaced much of the local heroin use and is contributing to the rising number of overdose emergencies. As a concerned local provider, we invite you to join the Prescriber Discussion Series:
- Hear from local experts and discuss with peers the latest trends and best practices.
- Get provider-focused resources to reduce misuse and opioid use disorder (OUD).
- Learn the new State guidelines and latest tools for patient care and provider coordination.
Connecting because we care. For our patients and for our community.
UPCOMING DISCUSSIONS IN THE SERIES
- September 21, 2022 • 5:30-7:30pm
Person-Centered Strategies to Reduce Opioid Overdose
PREVIOUS DISCUSSIONS
- May 11, 2022 • 5:30–7:30 PM
Latest Trends in Overdose: What Prescribers Need to Know About Illicit Fentanyl
- June 8, 2022 • 5:30–7:30PM
Evidence-based Safe Prescribing
LEARN MORE AND REGISTER:
Prescribers Care Discussion Series – June 8, 2022
June 8, 2022
EVIDENCE-BASED SAFE PRESCRIBING
5:30–7:30 PM
Sterling Hills Golf Club, Camarillo
Join us for a review of local opioid prescribing trends. We’ll discuss how safe prescribing and use of CURES can prevent or reduce opioid misuse and opioid use disorder (OUD) in our patients. Hear from Tipu Khan MD, an author of the newest California Guidelines for Safe Opioid Prescribing, on how to utilize the newest guidelines in our practices. Learn how other local Primary Care and Pain Management Specialist use effective safe prescribing strategies to treat patients at risk of opioid misuse or opioid use disorder (OUD).
REGISTER HERE
PRESENTED BY
- Tipu V. Khan, MD, FAAFP, FASAM; Addiction Medicine Fellowship Director, VCMC
- Kyle Stephens, DO, Family Medicine Specialist, Primary Care
- George Chang Chien, DO, Director of Pain Management, Ventura County Medical Center
For more information: Ashley.Nettles@ventura.org
Prescribers are key to creating change in our community.
Thanks to exceptional local collaboration, Ventura County has seen a decrease in opioid prescribing in recent years – a 24% reduction between 2017 and 2020 – as providers have employed safe prescribing practices and increased use of non-narcotic pain management strategies.
Unfortunately, overdose deaths continue to climb, largely due to illegal fentanyl, which has replaced much of the local heroin use and is contributing to the rising number of overdose emergencies. As a concerned local provider, we invite you to join the Prescriber Discussion Series:
- Hear from local experts and discuss with peers the latest trends and best practices.
- Get provider-focused resources to reduce misuse and opioid use disorder (OUD).
- Learn the new State guidelines and latest tools for patient care and provider coordination.
Connecting because we care. For our patients and for our community.
UPCOMING DISCUSSIONS IN THE SERIES
- August 31, 2022 • 5:30 7:30 PM
Deprescribing is Good Prescribing
- September 21, 2022 • 5:30-7:30pm
Person-Centered Strategies to Reduce Opioid Overdose
PREVIOUS DISCUSSIONS
- May 11, 2022 • 5:30–7:30 PM
Latest Trends in Overdose: What Prescribers Need to Know About Illicit Fentanyl
LEARN MORE AND REGISTER:
Prescribers Care Discussion Series
Prescribers are key to creating change in our community.
Thanks to exceptional local collaboration, Ventura County has seen a decrease in opioid prescribing in recent years – a 24% reduction between 2017 and 2020 – as providers have employed safe prescribing practices and increased use of non-narcotic pain management strategies.
Unfortunately, overdose deaths continue to climb, largely due to illegal fentanyl, which has replaced much of the local heroin use and is contributing to the rising number of overdose emergencies. As a concerned local provider, we invite you to join the Prescriber Discussion Series:
- Hear from local experts and discuss with peers the latest trends and best practices.
- Get provider-focused resources to reduce misuse and opioid use disorder (OUD).
- Learn the new State guidelines and latest tools for patient care and provider coordination.
Connecting because we care. For our patients and for our community.
LEARN MORE AND REGISTER
May 11, 2022
LATEST TRENDS IN OVERDOSE: WHAT PRESCRIBERS NEED TO KNOW ABOUT ILLICIT FENTANYL
5:30–7:30 PM
Sterling Hills Golf Club, Camarillo
The CDC estimates that up to 83% of opioid overdose deaths in 2020 involved synthetic opioids. Join the discussion with other local medical leaders on what this means for local communities. Prescribers are key to preventing opioid misuse by patients that can progress to an opioid use disorder (OUD), illicit fentanyl use and subsequent death. If you are dedicated to improving health outcomes and patient well-being, please join the discussion.
Note: This session includes local law enforcement data on current illicit drug trends, terminology, and access, as well as provider tips for effectively communicating with patients at risk of opioid misuse or overdose.
PRESENTED BY
- Chris Young, MD, Ventura County Chief Medical Examiner
- Tipu V. Khan, MD, FAAFP, FASAM; Addiction Medicine Fellowship Director, VCMC
- Sergeant John Hajducko, Ventura County Sheriff’s Department
For more information: Ashley.Nettles@ventura.org
UPCOMING DISCUSSIONS IN THE SERIES
- June 8, 2022, 5:30–7:30 PM
Evidence-based Safe Prescribing
- August 31, 2022, 5:30 7:30 PM
Deprescribing is Good Prescribing
- September 21, 2022 • 5:30-7:30pm
Person-Centered Strategies to Reduce Opioid Overdose
DEA Issues Public Safety Alert on Sharp Increase in Fake Prescription Pills Containing Fentanyl and Meth
DEA Warns that International and Domestic Criminal Drug Networks are Flooding the United States with Lethal Counterfeit Pills
WASHINGTON, DC – Today, the Drug Enforcement Administration issued a Public Safety Alert warning Americans of the alarming increase in the lethality and availability of fake prescription pills containing fentanyl and methamphetamine. DEA’s Public Safety Alert, the first in six years, seeks to raise public awareness of a significant nationwide surge in counterfeit pills that are mass-produced by criminal drug networks in labs, deceptively marketed as legitimate prescription pills, and are killing unsuspecting Americans at an unprecedented rate.
These counterfeit pills have been seized by DEA in every U.S. state in unprecedented quantities. More than 9.5 million counterfeit pills were seized so far this year, which is more than the last two years combined. DEA laboratory testing reveals a dramatic rise in the number of counterfeit pills containing at least two milligrams of fentanyl, which is considered a lethal dose. A deadly dose of fentanyl is small enough to fit on the tip of a pencil.
Counterfeit pills are illegally manufactured by criminal drug networks and are made to look like real prescription opioid medications such as oxycodone (Oxycontin®, Percocet®), hydrocodone (Vicodin®), and alprazolam (Xanax®); or stimulants like amphetamines (Adderall®). Fake prescription pills are widely accessible and often sold on social media and e-commerce platforms – making them available to anyone with a smartphone, including minors.
“The United States is facing an unprecedented crisis of overdose deaths fueled by illegally manufactured fentanyl and methamphetamine,” said Anne Milgram, Administrator of the Drug Enforcement Administration. “Counterfeit pills that contain these dangerous and extremely addictive drugs are more lethal and more accessible than ever before. In fact, DEA lab analyses reveal that two out of every five fake pills with fentanyl contain a potentially lethal dose. DEA is focusing resources on taking down the violent drug traffickers causing the greatest harm and posing the greatest threat to the safety and health of Americans. Today, we are alerting the public to this danger so that people have the information they need to protect themselves and their children.”
Learn more:
https://www.dea.gov/press-releases/2021/09/27/dea-issues-public-safety-alert
A Proclamation on Overdose Awareness Week, 2021
THE WHITE HOUSE
AUGUST 27, 2021
The overdose epidemic has taken a toll on far too many Americans and their loved ones. Addiction is a disease that touches families in every community, including my own. The epidemic is national, but the impact is personal. It is personal to the millions who confront substance use disorder every day, and to the families who have lost loved ones to an overdose. During Overdose Awareness Week, we recommit to taking bold actions to prevent overdoses and related deaths, and enhance our support for individuals with substance use disorders.
In recent years, we have seen synthetic opioids, such as illicitly manufactured fentanyl, drive many overdose deaths with cocaine- and methamphetamine-related deaths also increasing at alarming rates. The COVID-19 pandemic has exacerbated the overdose epidemic, as necessary pandemic restrictions made it harder for individuals with addiction to receive the treatment and support services they need. These factors contributed to the more than 93,000 drug overdose deaths in 2020. As a Nation, we need a strong response to America’s overdose epidemic and an investment in prevention, harm reduction, treatment and recovery services, as well as strategies to reduce the supply of illicit drugs.
Read more:
Interview with Brad Friday, COAST Grant
Today we are talking with Brad Friday, Implementation Coordinator for the County Opioid Abuse Suppression Taskforce (COAST) Grant, Ventura County Behavioral Health, Substance Use Services - Prevention.
Hi Brad. Please describe your work with the COAST grant.
Brad: My work with COAST includes collection, dissemination, and publishing of pertinent County Opioid-related data via Public and Internal Dashboards, as well liaising between the requirements of the grant and our key stakeholders/partners.
How did you get interested in the field of prevention?
Brad: While serving as an Active-Duty Hospital Corpsman in the Navy, I was assigned to Marine Corps ground forces as a Field Medic. The prevention bug first bit while preparing/educating Marines prior to operational deployments rather than being strictly reactionary. After that tour I became a “Preventive Medicine Technician” within Navy Medicine which specialized in overall safety, health, and wellness of deployable forces within the Navy and Marine Corps.
What is your passion for working in the community?
Brad: It’s validating to contribute toward providing our diverse population a safe place to live and grow despite the challenges we face. This only happens by being at the ground level and interacting with the community along with our multi-agency partners who are working hard to achieve this mutual goal. My passion is to keep these threads tied together, to enhance these relationships and to maintain a unified front in suppressing the opioid crisis.
What are the areas that you hope to make changes in?
Brad: My goal in working within the COAST Project is to act as a conduit toward reducing opiate abuse, overdoses and overdose deaths via immediate communication of real-time data. This communication will then guide prevention, health care, and community leaders who join us in tackling the opioid crisis toward making more informed decisions.
Tell us one thing about you that helps us get to know you better?
Brad: I am originally from the Midwest but felt deeply connected to Ventura County upon being stationed in Port Hueneme some 20 years ago. While my career took me out of the county for a while, the attachment to this area never left. I’m not only happy that I get to live in this amazing area with so much to offer; I’m also increasingly proud I’m able to serve this community in this capacity.
Thank you Brad for sharing your experience with us. Your commitment and passion is inspiring.
Learn more:
Opioid Data Dashboard
Cocaine, Meth & Stimulant Summit
Guest Post, Sheila Murphy, COAST Grant Administrator
Led by multi-disciplinary experts from across the nation, the Cocaine, Meth & Stimulant Summit provides the most extensive educational experience for professionals on the frontlines of this rising epidemic.
The Cocaine, Meth & Stimulant Summit was held virtually from November 20-22, 2020. During a year in which conferences via Zoom have become the norm, the Summit came off seamlessly, while also informative and relevant. In its third year, the Cocaine, Meth & Stimulant Summit is the only educational event focused on addressing the Stimulant crisis. Drug overdoses in this country were increasing prior to the COVID-19 pandemic and have increased exponentially since March of this year.
Presentations included 28 live discussions, and two educational tracks, with field experts and change makers who work daily to address this emergency compounding the opioid epidemic. It provided a roster of clinical, law enforcement, and public health professionals with practical strategies and solutions. Stimulants have become increasingly prevalent in overdoses and addiction nationally and locally.
A session I attended on “Applying Best Practices to Communicate about Drug Overdose Prevention” shared that opioids were responsible for 60% of overdose deaths in 2018 across the country and sadly only 10% of those addicted to opioids ever receive treatment. Older people are less likely than the general population to perceive themselves at risk for addiction. Prevention communications about the dangers of opioid addiction to caregivers and first responders is essential.
Watch for my updates where I’ll share some more about lessons learned at the Summit.
Stats: 2.2 million people are current users of cocaine; 6 million Americans misuse prescription stimulants; 964,000 people aged 12 and older have a meth use disorder; and 0 is the number of FDA-approved medications to treat stimulant use disorder.
Learn more:
County launches dashboard to track opioid use, abuse
Simi Valley Acorn, September 18, 2020
Online resource made possible by federal grant aimed at addressing crisis.
The Ventura County Behavioral Health Department launched on Sept. 1 a public-facing data dashboard that provides the community with statistics about opioid-involved drug use. Dr. Loretta Denering, chief of the county’s Substance Use Services Division, said the new dashboard will be a valuable resource to county residents. “Local trends and resources, including addiction treatment locations, prescription drug drop-off locations and overdose prevention strategies, are featured,” she said. “Until now, there has never been a one-stop site.”
In 2018, the department was awarded a federal grant that, in collaboration with multiple agencies, has allowed for more innovative ways to address the opioid crisis. One of the grant efforts was to create the community dashboard in addition to tracking the nature and extent of the crisis locally, as well as providing more services to the public, especially those with an opioid-use disorder.
Ventura County Launches COAST Opioid Data Dashboard
Fewer Overdoses and Increased Access to Care Are Priorities
Ventura County agencies are working together to reduce illicit opioid supply, decrease opioid demand, and save lives. By sharing and comparing data, we can leverage information, analyze trends, and target resources to respond to this evolving public health crisis.
On September 1st, The Ventura County Behavioral Health Department (VCBH) launched a public-facing data dashboard that provides the community with important statistics around opioid involved drug use. The public can access this user-friendly dashboard by visiting www.coastventuracounty.org.
“Local trends and resources, including addiction treatment locations, prescription drug drop-off locations, and overdose prevention strategies are featured. This is a one-stop site."
— Dr. Loretta Denering, Chief, Substance Use Services Division
As a response to the opioid crisis, VCBH has prioritized increased access to care for opioid users. In October of 2018, VCBH was awarded a federal grant, that in collaboration with multiple agencies, including Public Health, Emergency Medical Services, Ambulatory Care, Sheriff’s Office and the Medical Examiner’s Office, has allowed for more innovative ways to address the crisis. One of the grant deliverables was to create this dashboard for the community, in addition to tracking the nature and extent of the crisis locally, as well as providing more services to the public, especially those with an opioid use disorder.
VCBH provides a continuum of care for substance use and addiction problems, with six locations and access to a range of treatment services for achieving and maintaining recovery.
“Getting help for addiction starts with taking fifteen minutes to call the Access Line, or visiting our dashboard. We want people to get to the help they need."
— Dr. Sevet Johnson, Director, Ventura County Behavioral Health
If you believe you or a family member may be struggling with addiction, talk to your healthcare provider or call the confidential 24/7 Access Line: 1-844-385-9200.
View Promotion Resources
www.coastventuracounty.org/media
Coast Data Dashboard
Video: Effects of COVID-19 on the Opioid Crisis, with Francis Collins and Nora Volkow
NIH Director, Dr. Francis Collins and NIDA Director Dr. Nora Volkow discuss how the COVID-19 pandemic may be escalating the opioid crisis and efforts to adapt research as a result of the convergence of two drastic health crises.
Source: National Institute on Drug Abuse, July 6, 2020
Vaping, Opioid Addiction Accelerate Coronavirus Risks, Says NIDA Director
Volkow spoke with Kaiser Health News about the emerging science around COVID-19’s relationship to vaping and to opioid use disorder, as well as how these underlying epidemics could increase people’s risks. In 2018, opioid overdoses claimed about 47,000 American lives. Last year, federal authorities reported that 5.4 million middle and high school students vaped. And just two months ago, about 2,800 cases of vaping-associated lung injuries resulted in hospitalizations; 68 people died. Until mid-March, these numbers commanded attention. But as the coronavirus death toll climbs and the economic costs of attempting to control its spread wreak havoc, the public health focus is now dramatically different.
Coronavirus Crisis Spurs Access To Online Treatment For Opioid Addiction
NPR
Opioid addiction isn't taking a break during the coronavirus pandemic, but the U.S. response to the viral crisis is making addiction treatment easier to get. Opioid addiction isn't taking a break during the coronavirus pandemic. But the U.S. response to the viral crisis is making addiction treatment easier to get. Under the national emergency declared by the Trump administration in March, the government has suspended a federal law that required patients to have an in-person visit with a physician before they could be prescribed drugs that help quell withdrawal symptoms, such as Suboxone. Patients can now get those prescriptions via a phone call or videoconference with a doctor
HHS Official: ‘Fourth Wave’ Looms in Drug Crisis
Rx Drug Abuse & Heroin Summit 2020
Despite overall drug overdose-related deaths decreasing in 2018, other statistics indicate a rising “fourth wave” in the nation’s substance use disorder crisis means there is more work to be done, federal officials said in addresses presented during the evening plenary session of the virtual Rx Drug Abuse & Heroin Summit on Wednesday.
Admiral Brett Giroir, MD, assistant secretary of the U.S. Department of Health and Human Services, said methamphetamine-associated deaths saw a 20% to 30% year-over-year increase in 2018, with methamphetamine-associated deaths overtaking those linked to prescription opioids and heroin, with cocaine soon to be next. Polysubstance use is now the norm, Giroir said, noting that methamphetamine and illicit fentanyl or fentayl analogue use together is on the rise.
Researchers: Hope is on the horizon
Many clinical trials and research initiatives targeted to the opioid crisis have had to be placed on hold while our country focuses on responding to the COVID-19 pandemic. However, the potential that awaits just over the horizon is encouraging, stated two of the country’s leading researchers. Dr. Francis Collins, Director of the National Institutes of Health (NIH), and Dr. Nora Volkow, Director of the National Institute on Drug Abuse (NIDA) – both long-time contributors to the Rx Drug Abuse & Heroin Summit – joined Thursday, April 16, for a conversation to discuss the status of promising research.
U.S. Representatives: Don’t Dial Back Opioid Response Now
RX Drug Abuse & Heroin Summit.
In Wednesday’s morning plenary session in the Rx Drug Abuse & Heroin Summit, three U.S. representatives expressed cautious optimism about the nation’s drug overdose death rate dropping by 4.6% in 2018—the first decline recorded in decades—but added that neither that development nor the COVID-19 crisis is a reason to throttle back now.
“For the first time in literally 20 years, the number of Americans who lost their lives to opioid overdose declined. Think about that. That’s bending the curve in a productive way. But obviously, the fight is not over. We’ll have to continue in the years ahead to devote additional resources to research, law enforcement and, most importantly, finding ways to help folks who have become addicted—usually through no fault of their own, usually by following a legitimate prescription given to them by a medical professional."
Officials worry of potential spike in overdose deaths amid COVID-19 pandemic
ABC news
Health officials worry extended isolation could exacerbate the problem. Health officials acknowledged there could be a myriad of potential factors behind the increase of overdoses in some communities, with a primary concern being the obstacles that social distancing orders have created for public health services like addiction clinics and syringe exchange services.
For Drug Users, COVID-19 Poses Added Dangers
U.S. News
The National Institute on Drug Abuse director warns the coronavirus could increase the pressure to use, cause complicated health effects and curtail access to treatment for those struggling with addiction. As the novel coronavirus spreads and more states issue stay-at-home orders in the U.S., the head of the National Institute on Drug Abuse says social isolation and overburdened health systems could paint a dire picture for people struggling with addiction.
"Every one of us is affected by COVID – maybe we don't get infected, (but) we're all anxious because of the uncertainties" surrounding it, NIDA Director Dr. Nora Volkow says. "How we cope with that anxiety is very much dependent on multiple factors, including our circumstances, but one of the ways that people cope with it is by taking drugs."
Rx Drug Abuse & Heroin Summit 2020
The Rx Drug Abuse & Heroin Summit, a 2020 Virtual Experience, begins today through April 16. VCBH staff have been attending the Rx Summit since its inception in 2012. We brought back the inspiration and the momentum of the Rx Summit annually to inform our efforts to address the opioid crisis at home in Ventura County.
“The same power, the same drive that prompted you to be a part of the solution – to beat back the opioid epidemic, to save lives, and bring illegal drug dealers to justice – it’s that same victorious spirit that will carry this nation through the coronavirus pandemic. Together, we have witnessed a dramatic shift in the stigma behind drug abuse, and most importantly we have seen the number of overdose deaths finally decrease across the country – falling from more than 70,000 in 2017 to under 68,000 in 2018, according to the CDC. It’s a direct result of your comprehensive work. We have ambushed the opioid epidemic on every side – through improvements in law enforcement, treatment and education.” - Congressman Hal Rogers
NIDA director outlines potential risks to people who smoke and use drugs during COVID-19 pandemic
The precarious intersection of the COVID-19 national health emergency and the concurrent epidemic of drug overdose deaths is outlined in the Annals of Internal Medicine this week by Dr. Nora D. Volkow, director of the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health. Dr. Volkow discusses how the serious health risks of COVID-19 pose unique challenges to people who smoke or vape, are already struggling with substance use disorders (SUD), or are in recovery from addiction.
People recovering from addiction now face new challenges. Physical distancing measures, while critical to COVID-19 mitigation, eliminate the important element of social support needed for addiction recovery. Additionally, people with opioid use disorder may face barriers to obtaining medications (i.e., buprenorphine or methadone) or obtaining services from syringe services programs. Social distancing will also decrease the likelihood of observed overdoses; administration of naloxone to reverse overdose may be less likely, potentially resulting in more fatalities.
NIDA. (2020, April 2). NIDA Director outlines potential risks to people who smoke and use drugs during COVID-19 pandemic. Retrieved from https://www.drugabuse.gov/news-events/news-releases/2020/04/nida-director-outlines-potential-risks-to-people-who-smoke-use-drugs-during-covid-19-pandemic on 2020, April 2
National Prescription Drug Take Back Day Postponed
The upcoming National Prescription Drug Take Back Day scheduled for Saturday, April 25, 2020, is postponed due to the ongoing coronavirus (COVID-19) pandemic. DEA will reschedule Take Back Day for a date shortly after the health crisis recedes and national emergency guidelines are lifted.
Opioid Withdrawal Raises Health Risks for Injection Drug Users: Study
Health Day
Having opioid withdrawal symptoms increases the odds that injection drug users will share needles or have a non-fatal overdose, new research suggests. For the study, the researchers questioned more than 800 injection drug users in San Francisco and Los Angeles. "Withdrawal is one of the main chronic health challenges for this population, and we need to be intervening on it," said lead author Ricky Bluthenthal. He's associate dean for social justice at the University of Southern California's Keck School of Medicine, in Los Angeles. An average 130 people a day die in the United States from an opioid overdose, according to the U.S. Centers for Disease Control and Prevention. Needle sharing increases a person's risk of infections such as HIV and hepatitis, as well as other serious health problems, the CDC says.
News: Lethally potent counterfeit pills taking more lives with drug overdoses in Ventura County
More Ventura County drug abusers are overdosing on pills that look like real medications but are often spiked with a lethally potent synthetic opioid, according to authorities. While the overall number of overdoses appears to be holding steady, authorities are seeing a lower proportion from the street forms of drugs that are injected or smoked, according to the Ventura County Pharmaceutical Crimes Unit. Instead, the trend since the last quarter of 2019 is toward look-alikes of commonly abused prescription pills.
Armed with overdose drug Narcan, Oxnard police aim to reduce opioid fatalities
Ventura County Star
Public safety personnel locally and nationwide have seen a dramatic increase in drug overdose calls in recent years. In 2018, Oxnard police responded to 190 overdose calls, or nearly four per week. The Oxnard Police Department has responded to the opioid epidemic by training officers to administer an overdose-reversal drug and changing the protocol for logging overdose calls. In early 2018, the department began equipping officers with naloxone, also known as Narcan, a nasal spray that reverses the effects of an opioid overdose. Today, 150 officers are equipped with naloxone kits, Cmdr. Sharon Giles said Tuesday in a report to the City Council.
“If you have someone that you believe is suffering from drug dependency and has overdosed, this goes into the nostril, a couple pumps and it’s administered,” Giles told the council while showing the nasal spray. In 2018, 19 of the 96 opioid-related deaths in Ventura County were in Oxnard. Figures for 2019 were not yet available, but Giles said she expects the number will be lower due to naloxone. 2019 was the first full year in which officers were equipped with naloxone. Officers used the nasal spray nine times.
> Read the Story, Ventura County Star
> See the Video "Oxnard Police Respond to the Opioid Epidemic in Ventura County"