Opioids: a National Epidemic; it's Worse Than We Thought |
Written by Editor |
Friday, August 11, 2017 12:17 PM |
On August 8, Health and Human Services Secretary Tom Price, MD, stated “We believe that, at this point, that the resources that we need, or the focus that we need to bring to bear to the opioid crisis at this point can be addressed without the declaration of an emergency.” Such emergencies are used in response to “specific area” and a “time-limited problem,” Price reported. On August 10, President Trump declared the opioid crisis a national emergency. “The opioid crisis is an emergency, and I'm saying officially right now it is an emergency. It's a national emergency. We’re going to spend a lot of time, a lot of effort and a lot of money on the opioid crisis. …We're going to draw it up and we're going to make it a national emergency. It is a serious problem, the likes of which we have never had." The declaration would release millions in emergency funding and resources that could quickly be distributed to states. It would allow states and localities to access money in the federal Disaster Relief Fund and allow temporary waivers from many rules. More than one out of three average Americans used a prescription opioid painkiller in 2015. Opioids directly killed more than 33,000 people in 2015. The opioid epidemic is worse, however, than previously reported. A recent study published in the American Journal of Preventive Medicine indicates that we’re still underestimating the size of the opioid epidemic. A big chunk of death certificates that list overdose as a cause of death don’t report what drug was to blame. The rate of the discrepancies varied dramatically from state to state. This study corrected the data by applying models to each case. The corrected results increased the number of opioid deaths nationally by 24% over what was previously reported–11.2 per 100,000 rather than 9.0. Heroin was deaths were increased by 22%–4.0 per 100,000 rather than 3.3. There is a growing body of research validating the effectiveness of chiropractic services. Many respected health care organizations now recommend non pharmaceutical pain relief such as chiropractic and its drug-free approach. The American Chiropractic Association (ACA) encourages patients and health care providers to first exhaust conservative forms of pain management, when appropriate, before moving on to riskier, potentially addictive treatments such as opioids. ACA’s policy statement supports: investigating non-pharmacologic interventions for pain treatment; the promotion of evidence-based non-pharmacologic therapies within best practice models for pain management; improved access to providers of non-pharmacologic therapies; improved interprofessional education to augment the training of pain management teams; and public health campaigns to raise awareness of drug-free treatment options for pain syndromes. Now that a national emergency has been reported, President Trump noted that “federal drug prosecutions have gone down in recent years. We’re going to be bringing them up and bringing them up rapidly.” The emergency declaration would give HHS broad authority.
Since 2014, Massachusetts, Virginia, Maryland, Alaska, Florida and Arizona have all made emergency declarations that temporarily allowed state health officials to launch statewide initiatives. President Trump stated “you know when I was growing up they had LSD and they had certain generations of drugs. There's never been anything like what's happened to this country over the last four or five years. And I have to say this in all fairness, this is a worldwide problem, not just a United States problem. This is happening worldwide. But this is a national emergency and we are drawing documents now to so attest." Sources: http://www.modernhealthcare.com/article/20170810/NEWS/170819984 https://www.medpagetoday.com/Psychiatry/Addictions/67154 https://www.medpagetoday.com/PublicHealthPolicy/HealthPolicy/67204 https://www.medpagetoday.com/PublicHealthPolicy/by-the-numbers/67196 http://www.acatoday.org/Patients-Why-Choose-Chiropractic-Chiropractic-and-the-Opioid-Epidemic http://www.cbsnews.com/news/more-than-one-third-americans-prescribed-opioids-in-2015/ |