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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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Innovation in manufacturing has crawled since the 1950s. That's about to speed up.
Here's why you might eat greenhouse gases in the future.
- The company's protein powder, "Solein," is similar in form and taste to wheat flour.
- Based on a concept developed by NASA, the product has wide potential as a carbon-neutral source of protein.
- The man-made "meat" industry just got even more interesting.
Seriously sustainable<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTk0MDIzNS9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTYyMjM4NTMzMX0.BCEfYnn6C3z1zUHIS38xOWjXktgamNBi5iyqklSMYK8/img.png?width=980" id="ea524" class="rm-shortcode" data-rm-shortcode-id="50533380eeb18eb5833b6b6aa3abec38" data-rm-shortcode-name="rebelmouse-image" />
Image source: Solar Foods<p>Solar Foods makes Solein by extracting CO₂ from air using <a href="https://www.fastcompany.com/90356326/we-have-the-tech-to-suck-co2-from-the-air-but-can-it-suck-enough-to-make-a-difference" target="_blank">carbon-capture technology</a>, and then combines it with water, nutrients and vitamins, using 100 percent renewable solar energy from partner <a href="https://www.fortum.com" target="_blank">Fortum</a> to promote a natural fermentation process similar to the one that produces yeast and lactic acid bacteria.</p><p>When the company claims its single-celled protein is "free from agricultural limitations," they're not kidding. Being produced indoors means Solar Foods is not dependent on arable land, water (i.e., rain), or favorable weather.</p><p>The company is already working with the European Space Agency to develop foods for off-planet production and consumption. (The idea for Solein actually began at NASA.) They also see potential in bringing protein production to areas whose climate or ground conditions make conventional agriculture impossible.</p><p>And let's not forget all those <a href="https://www.bk.com/menu-item/impossible-whopper" target="_blank">beef-free burgers</a> based on pea and soy proteins currently gaining popularity. The environmental challenge of scaling up the supply of those plants to meet their high demand may provide an opening for the completely renewable Solein — the company could provide companies that produce animal-free "meats," such as <a href="https://www.beyondmeat.com/products/" target="_blank">Beyond Meat</a> and <a href="https://impossiblefoods.com" target="_blank">Impossible Foods</a>, a way to further reduce their environmental impact.</p>
The larger promise<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTk0MDI0MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1NjU4MTg2OX0.7dZZYT5WEV_EupBuLVFwHynarTiz8RYR9aJtC6Ts2C4/img.jpg?width=980" id="3415d" class="rm-shortcode" data-rm-shortcode-id="2e6eebe06d795f844752f9e9d30040d7" data-rm-shortcode-name="rebelmouse-image" />
Image source: Solar Foods<p>The impact of the beef — and for that matter, poultry, pork, and fish — industries on our planet is widely recognized as one of the main drivers behind climate change, pollution, habitat loss, and antibiotic-resistant illness. From the cutting down of rainforests for cattle-grazing land, to runoff from factory farming of livestock and plants, to the disruption of the marine food chain, to the overuse of antibiotics in food animals, it's been disastrous.</p><p>The advent of a promising source of protein derived from two of the most renewable things we have, CO₂ and sunlight, <a href="https://solarfoods.fi/environmental-impact/" target="_blank">gets us out of the planet-destruction business</a> at the same time as it offers the promise of a stable, long-term solution to one of the world's most fundamental nutritional needs.</p>
Solar Foods' timetable<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTk0MTEzMS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTU5OTU1OTMwMn0.wnXh56iO_77x2XKV2uIPf78BKw4AJLUpmiyq_JBVGvo/img.jpg?width=1245&coordinates=172%2C146%2C62%2C135&height=700" id="0297c" class="rm-shortcode" data-rm-shortcode-id="125c9a98ec818f5c241fa28ef1423e67" data-rm-shortcode-name="rebelmouse-image" />
Image source: Lubsan / Shutterstock / Big Think<p>While company plans are always moderated by unforeseen events — including the availability of sufficient funding — Solar Foods plans a global commercial rollout for Solein in 2021 and to be producing two million meals annually, with a revenue of $800 million to $1.2 billion by 2023. By 2050, they hope to be providing sustenance to 9 billion people as part of a $500 billion protein market.</p><p>The project began in 2018, and this year, they anticipate achieving three things: Launching Solein (check), beginning the approval process certifying its safety as a Novel Food in the EU, and publishing plans for a 1,000-metric ton-per-year factory capable of producing 500 million meals annually.</p>
The protein powder Solein. Image source: SOLAR FOODS
SEAL training is the ultimate test of both mental and physical strength.
- The fact that U.S. Navy SEALs endure very rigorous training before entering the field is common knowledge, but just what happens at those facilities is less often discussed. In this video, former SEALs Brent Gleeson, David Goggins, and Eric Greitens (as well as authors Jesse Itzler and Jamie Wheal) talk about how the 18-month program is designed to build elite, disciplined operatives with immense mental toughness and resilience.
- Wheal dives into the cutting-edge technology and science that the navy uses to prepare these individuals. Itzler shares his experience meeting and briefly living with Goggins (who was also an Army Ranger) and the things he learned about pushing past perceived limits.
- Goggins dives into why you should leave your comfort zone, introduces the 40 percent rule, and explains why the biggest battle we all face is the one in our own minds. "Usually whatever's in front of you isn't as big as you make it out to be," says the SEAL turned motivational speaker. "We start to make these very small things enormous because we allow our minds to take control and go away from us. We have to regain control of our mind."
Pandemic-inspired housing innovation will collide with techno-acceleration.