‘It’s coming’: Kansas health professionals, leaders consider opioid crisis impact on state
The opioid crisis is poised to become a Kansas problem, and leaders across the state must consider what can be done to address it now.
“I don’t think we’re quite to the place yet where we recognize how bad this is going to be when it gets here,” said panelist Ed Klumpp, former Topeka Police Department chief and currently lobbying for the Kansas Association of Chiefs of Police. “But it’s coming. You could say the edge of the hurricane is hitting us right now, and the eye is on the way.”
Bob St. Peter, KHI president and CEO, agreed.
“The question for us is what can Kansas do, what will Kansas do to prepare and respond to what we know is coming,” he said. “We clearly already have a problem in our state, but is there something we can do to dampen that peak, that spike, that we know has been seen in so many other communities across the country.”
In 2015, 38,000 people died from motor vehicle accidents, 36,000 from guns and 52,000 from drug overdoses, St. Peter said.
Keynote speaker Andrew Kolodny, M.D., is a leading national expert on the prescription opioid and heroin crisis. When he first began talking on the subject, it was necessary to convince people there was an epidemic, he said. That talk is no longer necessary.
“Each year for the past 20 years, we’ve set a new record for deaths from drug overdoses in the United States,” he said. “Next year, we will break that record.”
Until 2010, the increase in deaths was driven by prescription opioids, such as oxycodone, Kolodny said. But since 2010, deaths from those drugs have flattened out, and deaths from heroin began going up “very rapidly,” he said.
That didn’t occur, as commonly thought, because there was a “crackdown” on prescription painkillers; instead, it can be attributed at least in part to the increased practice of mixing fentanyl, a strong opioid pain medication, with other drugs. There hasn’t, in fact, Kolodny said, been a crackdown on using painkillers.
“We are still massively over-prescribing opioids,” he said.
Kolodny, in walking through a brief history of opioids or “how we got into this mess,” said prescription opioids are made from opium, typically using the same process used to make heroin.
“When you talk about opioid pain medicines, we’re essentially talking about heroin pills,” he said, adding that by making that statement, he’s not saying don’t prescribe opioids. They remain an important medicine for pain management.
But much needs to be done to address the multitude of ways people become addicted, Kolodny said. That can occur from recreational use, using prescribed drugs, or, as he said may be the most common, a brief medical exposure, followed by recreational use.
Opioid addiction is strongly affecting young people in their 20s and people over the age of 45 or 50, Kolodny said, who also pointed out that demographics are showing significant differences in opioid use among racial groups.
“To say that the epidemic is disproportionately white is an understatement,” he said. “It’s really striking how white the epidemic is.”
Another primary issue is the connection between opioid deaths and opioid sales. On a chart Kolodny showed, the sales and deaths trended upward at about the same pace. The CDC message to the medical community is that the epidemic may not be able to be controlled until sales, or prescriptions, are controlled, Kolodny said.
According to the Centers for Disease Control, 82 to 95 opioid prescriptions are written per 100 people in Kansas. Other states, primarily in the east but also including Oklahoma, range 96 to 143 prescriptions per 100 people.
In the U.S., Kolodny said, about five percent of the world’s population is consuming about 80 percent of the world’s oxycodone and about 90 percent of the world’s hydrocodone.
“The most consistent explanation for geographical differences that we see in our opioid crisis is that the opioid crisis is worst where doctors prescribe most aggressively,” he said.
In two panels, the KHI symposium also heard from Kansas leaders who talked about prescribing, treatment, regulation and enforcement, sharing programs already in place that are addressing the crisis and also needs.
St. Peter said he hopes the symposium gave attendees a broad look at the issue, but more importantly, started conversations.
“The people that could address the issue in our state were in this room today. I hope that they got educated about the issues, and understand the urgency and can come together collectively to do something,” he said. “That’s what we were trying to get done.”
Kolodny stated that prescription opiate deaths have flatten since 2010… keep in mind that our population increases at about a 3%/yr rate.. that means in SEVEN YEARS… our population has increased some 20 million+. SO… IF they have flattened… if figured by population… there has been a 20%+ REDUCTION…This past week claims that they have reduced opiate prescriptions written nationally by about 15% since 2012… Gov Kasich has stated that there has been HUNDREDS OF MILLION of fewer opiate doses prescribed – JUST IN OHIO
The DEA has reduced the pharmas’ opiate allowable production quota by upward of 35% this year and proposed cutting another 20% next year.. that will be nearly a 50% reductions in production.
He is still calling the opiate crisis a EPIDEMIC… but to be a EPIDEMIC.. it would have to be a CONTAGIOUS DISEASE and there is NOTHING about the proposed opiate OD/abuse crisis that would indicate that it would qualify as a EPIDEMIC.
Has anyone seen a estimate of how much illegal Heroin and illegal fentanyl analogs actually gets to our streets ? It has been reported that the drug cartels generate an estimated 100 BILLION/yr in revenue and I have seen it stated that the DEA admits that it is able to seize about 4% of what gets to the street.
Has anyone noticed that we hear very little about all the Cocaine, Crack, Methamphetamine on our streets and the abuse of these products ? Has the abuse of these products pretty much stopped… or is it just not possible for the media to sensationalize multiple drug crisis at the same time ?
You notice.. NO ONE .. never compares the drug OD deaths to the number of deaths caused by the use/abuse of the the two drugs ALCOHOL and NICOTINE… maybe the 550,000/yr deaths could not compare favorably ?
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Former Cuyahoga County Jail inmate sues, says staff ignored severe withdrawal symptoms
CLEVELAND, Ohio — A Cleveland man is suing Cuyahoga County, county jail staff and employees of The MetroHealth System for what he says was negligent care provided to him while he was in jail and suffering obviously painful symptoms of drug and alcohol withdrawal.
National Institute on Drug Abuse
