Drug Addiction Has Become An Epidemic

This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.

Since the early times, opiates, heroin, and other drugs have been used in providing analgesia as well as substitutes to reach a place of euphoria. Originally, as Yurgelum-Todd et al (2009) has noted, derived from the opium poppy, heroin has been used as an alternative to morphine in dealing with addiction (Yurgelum-Todd, p. 175, 2009). Unfortunately, over the years it has consistently become prevalent that heroin has more negative aspects than anything; heroin is highly addictive, resulting in consequences such as overdoses, infections, violence and crime, deficits in memory, learning, and

Opiates have been commonly used in the United States for several decades. During the late 19th century opium and morphine became regular ingredients in a lot of widespread patent medicines (Spohn & Belenko, 2015, p. 25). Since then, the use and abuse of opiates has been a serious epidemic that has been growing at a fast pace in the United States for many years now. Every day roughly forty-one people die from overdoses which are related to prescription painkilling drugs in the United States (Clark, 2014, p. 1).

Additionally, opioid medications are the primary cause for overdose deaths in the United States. According to the Weekly Standard, “In 2014, the most recent year for which we have measurements, 47,055 Americans died from drug-induced deaths, with almost 29,000 dying from opioids…” (2), a figure that includes illicit synthetics, heroin, and prescriptions. From 2015 to 2016 in Maryland, fentanyl deaths rose by 268 percent and heroin deaths by sixty eight percent. Fentanyl has contributed to this dramatic increase in OD deaths because of its potency and lethality. It only takes two milligrams of fentanyl to kill a human. In fact, a single kilogram of fentanyl is capable of killing 500,000 people (Murray, Blake, and Walters 2). More than 30,000 opioid deaths occurred for the first time ever in 2015, which is 5,000 more than in 2014. Since the 1990s, heroin deaths had not surpassed prescription opioids (oxycodone and hydrocodone) until now. In 2007, gun homicides outnumbered heroin deaths at a rate of five to one, however at the height of the epidemic, now heroin OD deaths outnumber gun homicides (Ingraham 2). It is obvious that these unprecedented levels of drug deaths are derived from the opioid epidemic and need immediate attention.

As we all have researched and found out the devastating numbers to the opioid epidemic “the abuse of prescription and non-prescription opioids is one of the greatest threats facing public health in the United States today. It is estimated that as many as 2.5 million people in the US are suffering from opioid addiction related to prescriptions, and an additional 467,000 are addicted to heroin”(2017).

Analysis: Opioids are a class of drug that are medically used as very effective painkillers, like fentanyl and morphine, however, they are highly addictive and produce a feeling of euphoria (“Opioids”). This combination leads do a lot of abuse and dependency, where people take more than prescribed in order to feel better. People start off taking the opioid painkillers in order to not feel pain as prescribed by their doctors. Then, they end up getting addicted to them. There are also illicit opioids, such as heroin, that are also highly addictive and also lead to dependency and death (“Opioids”). These illicit versions are taken for recreational reasons, and are also often mixed with other drugs. The combination of taking an unregulated drug in conjunction with other drugs leads to a lot of overdoses.

In the US, according to CQ Researcher, the number of those that used heroin had more than doubled between the years of 2002 and 2004 and doubled again between 2011 and 2013. It is a growing issue especially due to

The rate of poisonings associated with drug overdoses has been on the rise, especially concerning those involving opioids (Paulozzie, Budnitz, & Xi, 2006). The Centers for Disease Control and Prevention (CDC) does not mince words regarding the status of opioid utilization in the United States: ?The United States is in the midst of an opioid overdose epidemic? (CDC, 2016). Opioids are now the most common cause of prescription drug use deaths (Rudd et al., 2016). Even as overdoses associated with the more historic killers such as heroin and cocaine increased, opioid overdoses rose the fastest between 1990 and 2002 (Paulozzi, Budnitz, and Xi, 2006). The prescription opioid epidemic contradicts traditional assumptions of drug use being a problem with illicit drugs: a majority of those who overdosed had a prescription for their cause of death (Kolondy et al., 2015). As asserted by Paulozzi et al., ?licit drugs have therefore recently replaced illicit drugs as the most common cause of fatal poisonings in the US? (2006, p 624). Further, it is important to note that these numbers represent just a fraction of the problem of prescription opioid abuse. Other adverse impacts associated with the epidemic of prescription opioid abuse include non-fatal hospitalizations and infants born addicted to opioids (Kolondy et al., 2015).

The use of opioids and other drugs continues to gradually increase in the United State. According to Centers for Disease Control and Prevention (CDC), the number of overdose deaths involving opioids has quadrupled since 1999” (CDC website). Individuals are abusing prescription opioids such as oxycodone, hydrocodone, and methadone. Prescriptions opioids that are supposed to be used as pain relievers, cough suppressants and for withdrawal symptoms are being use by individuals in order to feel relaxed or for the overwhelming effect of euphoria. These types of drugs are to be taken orally, but people are snorting, smoking, and injecting them in order to get a better high. I have personal encounters with opioid drugs and opioid abuser on a regular

The United States currently faces an unprecedented epidemic of opioid addiction. This includes painkillers, heroin, and other drugs made from the same base chemical. In the couple of years, approximately one out of twenty Americans reported misuse or abuse of prescriptions painkillers. Heroin abuse and overdoses are on the rise and are the leading cause of injury deaths, surpassing car accidents and gun shots. The current problem differs from the opioid addiction outbreaks of the past in that it is also predominant in the middle and affluent classes. Ultimately, anyone can be fighting a battle with addiction and it is important for family members and loved ones to know the signs. The cause for this epidemic is that the current spike of opioid abuse can be traced to two decades of increased prescription rates for painkillers by well-meaning physicians.

Facing both the mental and physical effects, they will generally do anything they have to do to acquire their next fix. I interviewed 5 recovering addicts in the Monroe area who are all in a program of recovery now but did not wish to have their names mentioned. One of the female interviewees stated, “When you’re going through withdrawals from heroin, your whole existence is revolved around how you’re going to get your next fix. I would do anything to achieve that goal, whether it be steeling from friends, family, stores, or even selling my body if I became desperate enough.” She claims, “Looking back now, it’s hard for me to believe that was me. That’s something I never would have even thought about doing just a few short years before my addiction began.” They all said that their opiate addiction actually started with prescription pain killers, 4 of them said they took some Vicodin they had found in a family members or parents’ home, and the fifth stated that he was prescribed Vicodin at the age of 13 when he broke his arm. They all agreed that they never meant to become addicted but couldn’t resist the warm, calming, euphoria that the drug produced. Not knowing how addictive the pain medications could be, they all continued taking Vicodin until they were hooked. One gentleman stated “It was all downhill from there. One day I ran out of the medication after a couple weeks of taking it and I felt awful.”

In Nolan and Amico’s article, “How Bad is the Opioid Epidemic?” they argue the opioid epidemic has become the worst drug crisis in American history. Heroin and other opioids overdose kill more than 47,055 people a year. Deaths caused from drug overdose has outnumber as much as 40 percent compared to the death caused from car crashes in 2014 (Nolan and Amico 3). Furthermore, in 1999 there were only 15000 people died from drug overdose. This number has tripled in 15 years. Also, in his article, “America’s Addiction to Opioids: Heroin and Prescription Drug Abuse” Volkow also presents the fact that “with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin. The consequences of this abuse have been devastating and are on the rise. For example, the number of unintentional overdose deaths from prescription pain relievers has

Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).

In America, the use of opioids is at an all time high, it has became such an issue nationwide, that it has became an epidemic. Because of the opioid epidemic, America is tearing apart, children all across the country are dying everyday, these children are dying from overdoses due to poisoning. The opioid problem is not just because of a person's decision to pick up a needle or a pill bottle, but it is because in the 1990’s doctors gave up on trying to treat patients for their overwhelming pain and discomfort, causing opioids to become over prescribed. Due to the carelessness of America, opioids are being distributed more and more everyday, causing the skyrocketing number of deaths.

Heroin use and overdose related deaths have increased considerably in the United States in recent years (Jones, Logan, Gladden, & Bohm, 2015). The results of the National Survey on Drug Use and Health [NSDUH] (2014), showed in the year 2013, approximately 517,000 Americans abused heroin, which was almost a 150 percent increase since 2007 (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). According to the National Institute on Drug Abuse [NIDA] (2014), in the year 2011, 4.2 million people who were twelve years of age or older said they used heroin at least once in their lifetime. Furthermore, data from NSDUH showed approximately 460 people, twelve years of age or older, used heroin each day in 2013 (Lipari and Hughes, 2015). An even more frightening statistic is death rates doubled for people who were twelve years of age or older as a result of heroin overdose in the years 2010 through 2012 (Hedegaard, Chen, and Warner, 2015).