Heroin Abuse : A Growing Concern

In August of 2016, twenty-six people lives changed, and may never be fixed. In only one week these twenty-six people overdosed on heroin, which three of them died (Police). This is the unseen epidemic because of how unaware people are. People are blind to the prevalence in our community, rising rate of deaths, and seizures, lastly that Narcan will become counterproductive. This unseen epidemic is growing faster than anyone knows, and has to be addressed head on.

Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2

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).

There have been several news coverages on TV and social network about drug overdose of different cases recently and they have risen people’s concern about the problems of drug abuse national-wide. The drug abuse and opioid epidemic is not a new problem to the American society, actually it has been a serious problem for many years. So what is the situation of drug epidemic now, and how can we find effective ways to deal with this problem? A few writers who ponder this question are Nora D. Volkow, Dan Nolan and Chris Amico.

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.

If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid related deaths in the United States. With an increase of 137 percent since 2000, deaths from drug overdoses now occur 1.5 times more often than deaths from motor vehicle accidents (Rudd Aleshire, Zibbell & Gladden, 2016). The opioid epidemic in the

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.

Just last year, the United States experiences an astonishing 60,000 deaths related to drug overdose—with roughly 33,000 of those deaths due to Opioids. That means that more than 91 Americans die from an opioid overdose per day, making it the leading cause of death for people under 50. As I have said over and over again, this crisis affects Americans across all socioeconomic levels in all regions of the country – including the 6th District of Virginia – and has rightfully gained the attention of Congress as well as the

America is in the midst of yet another drug-related epidemic only this time it is the worst opioid overdose epidemic the world has seen since the late 1990’s. According to the Center for Disease Control and Prevention (CDC 2016), “since 1999, the number of overdose deaths involving opioids has quadrupled.” Opioids (including prescription opioids and heroin) killed more than 33,000 people in 2015, more than any year on record. (Rudd, Seth, David, School, 2015). With overdoses from heroin, prescription drugs, and opioid pain relievers surpassing car accidents as the leading cause of injury-related death in America, it became clear that swift and comprehensive legislation was needed for treatment, recovery support and prevention education in communities

The source describes the opioid overdose epidemic across the U.S. as a significant issue possibly deriving from economic stress, social isolation, and over-prescribing pain relievers. Action must be taken to help and prevent dependency on opioids in order to stop this rapid rate of overdose throughout America. Proper education is vital for younger and elder generations to know how to prevent opioid dependency.

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.

In 1999, fatal heroin over doses accounted for 1,960 deaths in the United States. In 2014, the toll went up to 10,574 fatal over doses. 2,414 of them were women and 8,160 of them were men ("Overdose Death Rates", 2015). 10,574 women and men. They were someone's mother and father, wife and husband, daughter and son, sister and brother. Addiction is ugly. Addiction is fatal. Addiction is real. Sometimes, no matter how much a person loves their family, they love their drug more and sobriety is not an option. While all other efforts to control the war on drugs are clearly failing, the United States needs to take another route of harm reduction with supervised injection facilities. Supervised injection facilities should be implemented throughout the United States because they reduce fatal overdoses, offer treatment and counselling, and have decreased the amount of public injections.

According to Michigan Department of Health and Human services deaths caused by Opioid/heroin abuse now exceeds the gun and traffic fatalities. More than 300 deaths in Michigan each year are caused by this issue (Domino, Andrew). Prescription for individual dosage units of schedule II drugs increased from 180 million in 2007 to 745 million in 2014. Interestingly, a report from the Michigan state’s Health

The Center of Disease Control and Prevention states, “from 2014 to 2015, heroin overdose death rates increased by 20.6%, with nearly 13,000 people dying in 2015.” Overdosing on opioids has drastically increased over the past few years and has caused many deaths. Throughout the United States, many different cases are reported of individuals who have abused these dangerous opioid drugs. Heroin is known as one of the most common opioid drugs which leads people to addiction and can consequently lead to overdosing. Using heroin on a daily base or taking high doses can cause individuals slow down their heart rates, which is threatening to their body. Due to the recurring events of heroin related deaths and overdose, it is vital for people to

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).