Opioid deaths surge as pandemic spreads across U.S.
How exactly is COVID-19 affecting the opioid crisis?
- Drug overdose deaths hit a record high in 2019, according to recent data from the Centers for Disease Control and Prevention.
- The pandemic seems to be worsening the opioid crisis, possibly due to users' reluctance to visit hospitals, mental health problems, and disruptions to drug supply.
- Still, it's too early to know exactly how the pandemic is transforming drug use in the U.S.
Opioid deaths in the U.S. are soaring amid the COVID-19 pandemic. Health experts say the overdose crisis is worsening as states with dwindling revenues cut funding for treatment programs.
At least 35 states have reported increases in fatal opioid overdoses this year, according to a recent report from STAT. Nationally, relapse rates and use of new synthetic opioids are on the rise, while drug overdose deaths have risen by an average of 13 percent, according to data obtained by The New York Times. In Chicago, officials have already logged 773 opioid deaths between January 1 and July 13. That's up from 605 during the same period last year.
Alarmingly, the opioid crisis was already worsening before the COVID-19 pandemic. In 2019, the U.S. logged nearly 71,000 drug overdose deaths, more than half of which were attributed to opioids, according to preliminary data released Wednesday by the US Centers for Disease Control and Prevention's National Center for Health Statistics. That's about a 5 percent increase from 2018.
Facing falling revenues due to economic turmoil caused by the pandemic, some states are cutting funding for treatment programs and other addiction-related services. STAT reports, for example, that Georgia, New Jersey, Florida and Utah have already cut millions in funding for future drug treatment programs.
Meanwhile, nearly half of syringe service programs in the U.S. have reported closures or other service disruptions since the pandemic began, according to a survey from the North American Syringe Exchange Network.
"Policymakers are faced with impossible choices," Jodi Manz, project director for chronic and vulnerable populations at the National Academy for State Health Policy, told STAT. "Leaders are being put in situations where they thought they had really significant revenue from the prior year, and just overnight were faced with a very, very different revenue situation."
The side effects of the pandemic may be worsening the problem, too. For example, stay-at-home orders may put Americans at higher risk of using or relapsing drugs, especially when you consider widespread job losses.
"Social isolation has always been a huge component of drug overdose risk," Traci Green, an epidemiologist at Brown University who studies drug addiction, told The New York Times. "So much of what we've been trying to do has been completely unraveled."
But perhaps more concerning amid the pandemic is drug users' reluctance to visit hospitals. In Illinois, for example, emergency rooms across Cook County Health have reported a surge in opioid deaths, but no corresponding surge in emergency-room visits for opioids.
A deposit box for used hypodermic needles stands in a park in the South Bronx on March 13, 2019 in New York City.
Photo by Spencer Platt/Getty Images)
"This is extremely alarming because an opioid overdose patient will likely live if given naloxone in the ambulance and opioid overdose deaths in the emergency department are a rare event," Dr. Steve Aks, division chair of emergency medicine and toxicology at Cook County Health, told ABC 7 Chicago.
"Due to the pandemic, we asked individuals to stay at home unless it is an emergency — an overdose is an emergency."
Another reason the pandemic may be exacerbating the opioid crisis is that it's disrupting regular habits and drug supply. For example, cash-strapped users may be taking unusually long breaks between taking opioids, which would lower their tolerance. This would also increase their risk for overdose.
Still, it's still too early to determine exactly how the pandemic is affecting the opioid crisis in the United States.
"Nobody has hard data yet; they just don't," Patrick Trainor, a spokesman for the Drug Enforcement Administration in Philadelphia, told The New York Times.
What the addiction treatment community does know, however, are some basic steps that help to save lives, as journalist Maia Szalavitz told Big Think in 2019:
"I think in order to help deal with opioid addiction, for one we need to have naloxone in every first aid kit. There is absolutely no reason why people who are surrounded by other people should ever die of an overdose. If you are injecting and other people are there—which is the case 50 to 60 percent of the time—naloxone should be there.
"And this is not going to encourage more drug use, because it's an awful experience to get awakened with naloxone, but it will save lives. And so that's one way we can turn the tide on this.
"The other way that I think we can turn the tide on opioid addiction is we really need to provide greater access to drugs like methadone and Suboxone, which is also called buprenorphine."
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Famous physicists like Richard Feynman think 137 holds the answers to the Universe.
- The fine structure constant has mystified scientists since the 1800s.
- The number 1/137 might hold the clues to the Grand Unified Theory.
- Relativity, electromagnetism and quantum mechanics are unified by the number.
Younger Americans support expanding the Supreme Court and serious political reforms, says new poll.
- Americans under 40 largely favor major political reforms, finds a new survey.
- The poll revealed that most would want to expand the Supreme Court, impose terms limits, and make it easier to vote.
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A 2020 study published in the journal of Psychological Science explores the idea that fake news can actually help you remember real facts better.
- In 2019, researchers at Stanford Engineering analyzed the spread of fake news as if it were a strain of Ebola. They adapted a model for understanding diseases that can infect a person more than once to better understand how fake news spreads and gains traction.
- A new study published in 2020 explores the idea that fake news can actually help you remember real facts better.
- "These findings demonstrate one situation in which misinformation reminders can diminish the negative effects of fake-news exposure in the short term," researchers on the project explained.
Previous studies on misinformation have already paved the way to a better understanding<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDU1NzQ4NC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNjE2Mjg1Nn0.hs_xHktN1KXUDVoWpHIVBI2sMJy6aRK6tvBVFkqmYjk/img.jpg?width=1245&coordinates=0%2C800%2C0%2C823&height=700" id="fc135" class="rm-shortcode" data-rm-shortcode-id="246bb1920c0f40ccb15e123914de1ab1" data-rm-shortcode-name="rebelmouse-image" alt="fake news concept of misinformation and fake news in the media" />
How does misinformation spread?
Credit: Visual Generation on Shutterstock<p><strong>What is the "continued-influence" effect?</strong></p><p>A challenge in using corrections effectively is that repeating the misinformation can have negative consequences. Research on this effect (referred to as "continued-influence") has shown that information presented as factual that is later deemed false can still contaminate memory and reasoning. The persistence of the continued-influence effect has led researchers to generally recommend avoiding repeating misinformation. </p><p>"Repetition increases familiarity and believability of misinformation," <a href="https://engineering.stanford.edu/magazine/article/how-fake-news-spreads-real-virus" target="_blank" rel="noopener noreferrer">the study explains</a>.</p><p><strong>What is the "familiarity-backfire" effect?</strong></p><p>Studies of this effect have shown that increasing misinformation familiarity through extra exposure to it leads to misattributions of fluency when the context of said information cannot be recalled. <a href="https://journals.sagepub.com/doi/10.1177/0956797620952797#" target="_blank" rel="noopener noreferrer">A 2017 study</a> examined this effect in myth correction. Subjects rated beliefs in facts and myths of unclear veracity. Then, the facts were affirmed and myths corrected and subjects again made belief ratings. The results suggested a role for familiarity but the myth beliefs remained below pre-manipulation levels. </p>