Fighting the Opioid Epidemic: The Role of Providers and the Clinical Laboratory in Understanding Who Is Vulnerable covers the important aspects that are essential in fighting the opioid epidemic. This succinct reference highlights how the toxicology laboratory can play a vital role in fighting the opioid epidemic by implementing a robust system for drugs of abuse testing as well as drug testing in pain management patients. It targets health care professionals in a technical manner, discussing polymorphisms of important genes that may be associated with increased vulnerability of alcohol and drug addiction to an individual. Covers all important aspects of opioid abuse, including genetic and environmental factors Discusses pharmacology, toxicology and the pharmacogenomics related to opioid metabolism Presents genetic and environmental factors associated with those vulnerable to opioid addiction, as well as the pitfalls of drug testing in pain management
North America is in the grips of a drug epidemic; with the introduction of fentanyl, the chances of a fatal overdose are greater than ever, prompting many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. While deaths across the continent continue to climb, Fighting for Space explains the concept of harm reduction as a crucial component of a city’s response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens. Over the past twenty-five years, this group of residents from Canada's poorest neighborhood organized themselves in response to the growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. The "genocide" in Vancouver finally sparked government action. Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience. Fighting for Space tells that story—including case studies in Ohio, Florida, New York, California, Massachusetts, and Washington state—with the same passionate fervor as the activists whose tireless work gave dignity to addicts and saved countless lives.
|Author||: Jay C. Butler,Michael R. Fraser|
|Publisher||: Oxford University Press, USA|
|Release Date||: 2019|
|ISBN 10||: 0190056819|
|Pages||: 400 pages|
THE DEFINITIVE GUIDE FOR PUBLIC HEALTH PROFESSIONALS FIGHTING THE OPIOID EPIDEMIC The opioid crisis has devastated families and communities across the United States. Changes in policing and medical practices have been swift, but they've achieved only a modest impact on the fundamental causes of substance misuse and addiction. The necessity for upstream intervention is clear. But what does that look like? A Public Health Guide to Ending the Opioid Epidemic does what only a public health approach can: offer credible, scalable, and empirically supported approaches to uprooting one of society's most pernicious challenges. It systemizes the core tenets of the public health approach to substance misuse and addiction, which alongside clinical approaches (prescription guidelines and monitoring, increased access to overdose-reversal medication, and medication-assisted treatment availability) offers a roadmap for end-to-end response to this diverse problem. Core elements of the public health approach, all covered here in practical terms, include: · How to support community-based, primary prevention of substance misuse and addiction in different settings and populations · How to effectively address the cultural, social, and environmental aspects of health that are driving the current epidemic · How governmental public health agencies play a significant role in responding to the epidemic, both in the field's traditional model of disease surveillance and control and in more directed approaches to health promotion (building community resilience; addressing the impact of adverse childhood events; mitigating the root causes of addiction) These frameworks offer a foundation for understanding, analyzing, and meaningfully impacting the burden of opioid misuse and addiction in any population or setting. A Public Health Guide to Ending the Opioid Epidemic is a roadmap for meaningful change.
The United States is currently suffering the worst addiction crisis in history. Addiction to opioids, including prescription painkillers, heroin, and illegal synthetic opioids, is ravaging the country, destroying families, homes, and communities in its path. This riveting collection of articles tracks the opioid crisis from its earliest days through the present, aggregating human interest stories with news stories on how the government and public are responding to the epidemic. With such breadth of journalism examining the causes, impact, and response to the crisis, this collection offers readers a comprehensive approach to an unfortunately frequent topic of headlines.
From a Pulitzer Prize–winning reporter from the smallest newspaper ever to win the prize in the investigative reporting category, an urgent, riveting, and heartbreaking investigation into the corporate greed that pumped millions of pain pills into small Appalachian towns, decimating communities. Death in Mud Lick is the story of a pharmacy in Kermit, West Virginia, that distributed 12 million opioid pain pills in three years to a town with a population of 382 people—and of one woman, desperate for justice, after losing her brother to overdose. Debbie Preece’s fight for accountability for her brother’s death took her well beyond the Sav-Rite Pharmacy in coal country, ultimately leading to three of the biggest drug wholesalers in the country. She was joined by a crusading lawyer and by local journalist, Eric Eyre, who uncovered a massive opioid pill-dumping scandal that shook the foundation of America’s largest drug companies—and won him a Pulitzer Prize. Part Erin Brockovich, part Spotlight, Death in Mud Lick details the clandestine meetings with whistleblowers; a court fight to unseal filings that the drug distributors tried to keep hidden, a push to secure the DEA pill-shipment data, and the fallout after Eyre’s local paper, the Gazette-Mail, the smallest newspaper ever to win a Pulitzer Prize for investigative reporting, broke the story. Eyre follows the opioid shipments into individual counties, pharmacies, and homes in West Virginia and explains how thousands of Appalachians got hooked on prescription drugs—resulting in the highest overdose rates in the country. But despite the tragedy, there is also hope as citizens banded together to create positive change—and won. A work of deep reporting and personal conviction, Eric Eyre’s intimate portrayal of a national public health crisis illuminates the shocking pattern of corporate greed and its repercussions for the citizens of West Virginia—and the nation—to this day.
An instant New York Times bestseller, Dopesick is the only book to tell the full story of the opioid crisis, from the boardroom to the courtroom and into the living rooms of Americans struggling to save themselves and their families: "masterfully interlaces stories of communities in crisis with dark histories of corporate greed and regulatory indifference" (New York Times) from a journalist who has lived through it. In this extraordinary work, Beth Macy takes us into the epicenter of a national drama that has unfolded over two decades. From the labs and marketing departments of big pharma to local doctor's offices; wealthy suburbs to distressed small communities in Central Appalachia; from distant cities to once-idyllic farm towns; the spread of opioid addiction follows a tortuous trajectory that illustrates how this crisis has persisted for so long and become so firmly entrenched. Beginning with a single dealer who lands in a small Virginia town and sets about turning high school football stars into heroin overdose statistics, Macy sets out to answer a grieving mother's question-why her only son died-and comes away with a gripping, unputdownable story of greed and need. From the introduction of OxyContin in 1996, Macy investigates the powerful forces that led America's doctors and patients to embrace a medical culture where overtreatment with painkillers became the norm. In some of the same communities featured in her bestselling book Factory Man, the unemployed use painkillers both to numb the pain of joblessness and pay their bills, while privileged teens trade pills in cul-de-sacs, and even high school standouts fall prey to prostitution, jail, and death. Through unsparing, compelling, and unforgettably humane portraits of families and first responders determined to ameliorate this epidemic, each facet of the crisis comes into focus. In these politically fragmented times, Beth Macy shows that one thing uniting Americans across geographic, partisan, and class lines is opioid drug abuse. But even in the midst of twin crises in drug abuse and healthcare, Macy finds reason to hope and ample signs of the spirit and tenacity that are helping the countless ordinary people ensnared by addiction build a better future for themselves, their families, and their communities. "An impressive feat of journalism, monumental in scope and urgent in its implications." - Jennifer Latson, The Boston Globe
"The opioid epidemic is responsible for the first sustained decline in U.S. life expectancy since the 1960s. In 2016 alone, about 50,000 Americans died from overdose related to opioids. The Opioid Epidemic: What You Need to Know will cover the basic science of opioids, the nature of addiction, reasons for the opioid epidemic, and effective approaches to helping individuals, families, communities, and national policy. This comprehensive approach will help readers make connections between the experience of individuals and families and critical policy questions. Throughout the text, we will address myths and other misunderstandings with clear and non-judgmental responses. The book will be fact-based, clearly written, and practical in orientation. It will include specific stories and cases from the authors' experience. Our goal is for readers to feel informed and empowered"--
|Author||: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse|
|Publisher||: National Academies Press|
|Release Date||: 2017-09-28|
|ISBN 10||: 0309459575|
|Pages||: 482 pages|
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
A comprehensive overview of opioid use throughout human history, current problems surrounding opioid abuse, and suggested approaches to solving these problems. • Provides a complete historical overview of opioid use in human societies • Contextualizes the crisis with a chronology of important events in the history of opioid use • Offers a strong collection of reference materials for use in further research on the topic • Discusses the synthetic and neurological chemistry of opioids and how different types have been used throughout history
When Rick Van Warner found himself searching abandoned buildings and dangerous streets looking for his missing son, he had no idea that the synthetic, pill-form heroin that had snared his teen was already killing so many. In the years of pain and heartache that followed as he tried to save his son from opioid addiction, Van Warner discovered what the American public is just now becoming aware of: opioids prescribed for even minor pain relief are so addictive that even a few days of use can create dependency. On Pills and Needles is a memoir that also serves as a wake-up call and crash course in opioid addiction. Through his harrowing personal story, Van Warner exposes the common causes of opioid addiction, effective and ineffective ways it has been treated, and how families can walk alongside loved ones who are dealing with the daily realities of addiction.
Winner of the NBCC Award for General Nonfiction Named on Amazon's Best Books of the Year 2015--Michael Botticelli, U.S. Drug Czar (Politico) Favorite Book of the Year--Angus Deaton, Nobel Prize Economics (Bloomberg/WSJ) Best Books of 2015--Matt Bevin, Governor of Kentucky (WSJ) Books of the Year--Slate.com's 10 Best Books of 2015--Entertainment Weekly's 10 Best Books of 2015 --Buzzfeed's 19 Best Nonfiction Books of 2015--The Daily Beast's Best Big Idea Books of 2015--Seattle Times' Best Books of 2015--Boston Globe's Best Books of 2015--St. Louis Post-Dispatch's Best Books of 2015--The Guardian's The Best Book We Read All Year--Audible's Best Books of 2015--Texas Observer's Five Books We Loved in 2015--Chicago Public Library's Best Nonfiction Books of 2015 From a small town in Mexico to the boardrooms of Big Pharma to main streets nationwide, an explosive and shocking account of addiction in the heartland of America. In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America--addiction like no other the country has ever faced. How that happened is the riveting story of Dreamland. With a great reporter's narrative skill and the storytelling ability of a novelist, acclaimed journalist Sam Quinones weaves together two classic tales of capitalism run amok whose unintentional collision has been catastrophic. The unfettered prescribing of pain medications during the 1990s reached its peak in Purdue Pharma's campaign to market OxyContin, its new, expensive--extremely addictive--miracle painkiller. Meanwhile, a massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel--assaulted small town and mid-sized cities across the country, driven by a brilliant, almost unbeatable marketing and distribution system. Together these phenomena continue to lay waste to communities from Tennessee to Oregon, Indiana to New Mexico. Introducing a memorable cast of characters--pharma pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, and parents--Quinones shows how these tales fit together. Dreamland is a revelatory account of the corrosive threat facing America and its heartland.
Maureen Cavanagh’s gripping memoir If You Love Me is the story of a mother who suddenly finds herself on the frontlines of the opioid epidemic as her daughter battles—and ultimately reckons with—substance use disorder. Fast-paced and heartwarming, devastating and redemptive, Maureen’s incredible odyssey into the opioid crisis—first as a parent, then as an advocate—is ultimately a deeply moving mother-daughter story. When Maureen and her ex-husband Mike see their daughter Katie’s needle track marks for the first time, it is a complete shock. But, slowly, the drug use explains everything—Katie’s constant exhaustion, erratic moods, and all those spoons that have gone missing from the house. Once Mike and Maureen get Katie into detox, Maureen goes to sleep that night hoping that in 48 hours she’ll have her daughter back. It’s not that simple. Like the millions of parents and relatives all over the country—some of whom she has helped through her nonprofit organization—Maureen learns that recovery is neither straightforward nor brief. She fights to save Katie’s life, breaking down doors on the seedy side of town with Mike, kidnapping Katie outside a convenience store, and battling the taboo around substance use disorder in her picturesque New England town. Maureen is launched into the shadowy world of overcrowded, for-profit rehabilitation centers that often prey on worried parents. As Katie runs away from one program after another, never outrunning her pain, Maureen realizes that even while she becomes an expert on getting countless men and women into detox and treatment centers, she remains powerless to save her own daughter. Maureen's unforgettable story brings the opioid crisis out of the shadows and into the house next door.
Is there a way to end North America’s opioid epidemic? In The Age of Fentanyl, Brodie Ramin tells the story of the opioid crisis, showing us the disease and cure from his perspective as an addiction doctor working on the front lines. We meet his patients, hear from other addiction experts, and learn about the science and medicine of opioid addiction and its treatments. He shows us how addiction can be prevented, how knowledge can reduce stigma, and how epidemics can be beaten. Dr. Ramin brings the hopeful message that just as patients and health care workers rallied together to fight HIV one generation ago, a coalition of patients, advocates, scientists, doctors, and nurses is once again finding solutions and making plans to stem the overdose deaths, block the spread of fentanyl, and end the epidemic.
Opioids are pain relievers that include legal drugs like morphine, fentanyl, and oxycodone and illegal drugs like heroin. In 2017, the U.S. Department of Health and Human Services declared the opioid epidemic a public health crisis after 42,249 people in the United States died of opioid overdoses in 2016. Opioid prescription has been on the rise since the 1990s, when pharmaceutical companies asserted that the pain relievers were not addictive, though the tragic consequences have proven otherwise. This volume explores the history of the opioid crisis and solutions that have been proposed to fight this increasingly deadly epidemic.
A first-of-its kind collection of the most vivid reporting about the most lethal addiction crisis ever Just a few years ago, the opioid crisis could be referred to as a “silent epidemic,” but it is no longer possible to argue that the scourge of opiate addiction being overlooked. This is in large part thanks to the extraordinary writings featured in this volume, which includes some of the most impactful reporting in the United States in recent years addressing the opiate addiction crisis. American Epidemic collects, for the first time, the key works of reportage and analysis that provide the best picture available of the origins, consequences, and human calamity associated with the epidemic. Spirited, informed, and eloquently written, American Epidemic will serve as an essential introduction for anyone seeking insight into the deadliest drug crisis in American history.
Nearly every American knows someone who has been affected by the opioid crisis. Addiction is a trans-partisan issue that impacts individuals from every walk of life. Millions of Americans, tired of watching their loved ones die while politicians ignore this issue. Where is the solution? Where is the hope? Where's the outrage? Ryan Hampton is a young man who has made addiction and recovery reform his life's mission. Through the wildly successful non-profit organization Facing Addiction, Hampton has been rocketed to the center of America’s rising recovery movement—quickly emerging as the de facto leader of the national conversation on addiction. He understands firsthand how easy it is to develop a dependency on opioids, and how destructive it can quickly become. Now, he is waging a permanent campaign to change our way of thinking about and addressing addiction in this country. In American Fix, Hampton describes his personal struggle with addiction, outlines the challenges that the recovery movement currently faces, and offers a concrete, comprehensive plan of action towards making America’s addiction crisis a thing of the past.
|Author||: D Terrence Foster M D,D. Terrence Foster|
|Publisher||: Global Health & Consortium|
|Release Date||: 1919-01-29|
|ISBN 10||: 9781732880405|
|Pages||: 308 pages|
PAPERBACK IS BLACK AND WHITE PRINT COPY (HARDCOVER IS COLOR PRINT COPY ): This book looks at how the opioid epidemic started and where we are now. We examined and explained the causes of the opioid epidemic and who are most likely responsible, as we look at prescription drugs and the doctors and providers who write these prescriptions. The impact of legal and illegal opioids and their contribution to the opioid epidemic are discussed. Also, non-opioid drugs, which are also a major contributing factor to the opioid epidemic, are considered. The significance of diversions of opioids and controlled substances are presented. The impact of the opioid epidemic on family and loved ones, including teens and young adults, is also presented, as well as some of the obstacles to available treatment. Appropriate medical, nonmedical intervention, and treatment as well as the obstacles faced by those of us who work with chronic and acute pain patients are elaborated on at length with an emphasis on addiction treatment, prevention. Alternative therapies such as marijuana, non-traditional treatments, and some controversial programs are also examined. The importance of naloxone is thoroughly discussed. As we move forward, we looked at what can be done, and some of the things that are being done in other countries that are helpful in their fight against the opioid crisis. We also looked at what is being done in our country by various sectors, including but not limited to the government, providers, and healthcare insurance companies. The importance of opioid use in our society is discussed, along with the need for continuing opioid treatment despite the number of deaths it has caused. This book provides a relatively simple approach to a very complex problem; as well as information that will create a better understanding for consumers, the public as a whole, and healthcare providers/physicians of some of the challenges involved with opioid use, treatment and addiction. This book is intended for consumers and the general public, as well as healthcare providers mainly engaged in primary care and service treatment of patients who are potential users of opioids, and those who are already on opioids and other controlled substances. Dr. D. Terrence Foster - Author.
NATIONAL BESTSELLER “Overdose is a necessary and searching investigation into a devastating epidemic that should never have happened. Benjamin Perrin painstakingly shows that it need not continue if we, as a society, heed the evidence.” —Gabor Maté M.D., author of In The Realm of Hungry Ghosts: Close Encounters With Addiction An astonishing and powerful look at the ongoing opioid crisis North America is in the middle of a health emergency. Life expectancies are declining. Someone is dying every two hours in Canada from illicit drug overdose. Fentanyl has become a looming presence—an opioid more powerful, pervasive, and deadly than any previous street drug. The victims are many—and often not whom we might expect. They include the poor and forgotten but also our neighbours: professionals, students, and parents. Despite the thousands of deaths, these victims have remained largely invisible. But not anymore. Benjamin Perrin, a law and policy expert, shines a light in this darkest of corners—and his findings challenge many assumptions about the crisis. Why do people use drugs despite the risk of overdosing? Can we crack down on the fentanyl supply? Do supervised consumption sites and providing “safe drugs” enable the problem? Which treatments work? Would decriminalizing all drugs help or do further harm? In this urgent and humane look at a devastating epidemic, Perrin draws on behind-the-scenes interviews with those on the frontlines, including undercover police officers, intelligence analysts, border agents, prosecutors, healthcare professionals, Indigenous organizations, activists, and people who use drugs. Not only does he unveil the many complexities of this situation, but he also offers a new way forward—one that may save thousands of lives.
A comprehensive portrait of a uniquely American epidemic--devastating in its findings and damning in its conclusions The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs, but the corrupting of medicine and public institutions that let the opioid makers get away with it. The starting point for McGreal's deeply reported investigation is the miners promised that opioid painkillers would restore their wrecked bodies, but who became targets of "drug dealers in white coats." A few heroic physicians warned of impending disaster. But American Overdose exposes the powerful forces they were up against, including the pharmaceutical industry's coopting of the Food and Drug Administration and Congress in the drive to push painkillers--resulting in the resurgence of heroin cartels in the American heartland. McGreal tells the story, in terms both broad and intimate, of people hit by a catastrophe they never saw coming. Years in the making, its ruinous consequences will stretch years into the future.
This book is the trusted companion to three PBS segments exploring the devastating effects of the opioid epidemic, which is the worst man-made epidemic in the history of our nation, and the programs redefining the treatment and recovery process.