Opioid Overdose Epidemic

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

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.

Opioids are taking over the United States with its addictive composition, once patients are take opioids there is no escaping. The drug directed from opium which is obtained from a plant (Katz). Opioids are most commonly found in prescription pill from making underground sales more common. Since opioids are derived from a plant this makes the reality of home grown drugs more of an issue. American citizens overdosing on opioids is what is sparking the crisis because opioid “overdoses killed more people last year than guns or car accidents” (Katz). Opioids are extremely addictive and that is why so many citizens overdose on these types of drugs. After patients become hooked on opioids their body constantly is needing more and more opium to escape they pain they think they are enduring. The overdosing of Americans is not a small percentage of the population either, it is estimated that “over two million people in America have problem with opioids” proving this growing issue is an ongoing crisis (Katz). The United States government needs to take action immediately to the opioid crisis because doctors are overprescribing patients because they seemingly overreact to pain, and opioids are one of the most addictive drug types in the world.

Last year there were over 64,000 reported opioid-related deaths in the United States – making it the leading cause of accidental death in people under the age of 50 in this country (Katz). Opioids, also referred to as painkillers, have become a growing problem over the past two decades particularly in rural communities all across the country where the death rates are higher per capita compared to the death rate in cities (“America’s Opioid Epidemic is Worsening”). These narcotics, such as codeine, fentanyl, hydrocodone, morphine and oxycodone are extremely addictive and, as a result, this silent killer has quadrupled the overdose death toll since 1999

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 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

Various levels of governments in different communities across North America have initiated programs to deal with the opioid epidemic and its effect. Some of these initiatives will be examined in more details below.

The United States of America has had a war against drugs since the 37th president, Richard Nixon, declared more crimination on drug abuse in June 1971. From mid-1990s to today, a crisis challenges the health department and government on opioid regulation, as millions of Americans die due overdoses of painkillers. Opioids are substances used as painkillers, and they range from prescription medications to the illegal drug, heroin. Abusing these substances can cause a dependency or addiction, which can lead to overdoses, physical damages, emotional trauma, and death. To ease the crisis, physicians are asked to depend on alternatives to pain management. Law enforcement cracks down on profiting drug-dealers and heroin abusers. People are warned against misusing opioids. The controversy begins for those who suffer from chronic pain, because they depend on opioids. There’s so a correlation to the 1980s cocaine epidemic, and people are upset over racial discrimination. Nonetheless, the best way to avoid this crisis is to recover the people at risk, reduce inappropriate opioid description, and have a proper response.

There is no question that the alarming rate of deaths related to opioid overdose needs to be addressed in this county, but the way to solve the problem seems to remain a trial and error approach at this point. A patient is injured, undergoes surgery, experiences normal wear and tear on a hip, knee or back and has to live with that pain for the rest of their life or take a narcotic pain medication in order to improve their quality of life and at least be able to move. The above patients are what narcotic pain medications were created for, a population of people that use narcotic pain medications for fun is what is creating a problem. Narcotics are addictive to both populations, however taking the narcotic for euphoric reasons is not the intention of the prescription that the physician is writing. The healthcare system needs to find a way to continue to provide patients that experience chronic pain with the narcotics that work for them while attempting to ensure the Drug Enforcement Agency (DEA) doesn’t have to worry about a flood of pain pills hitting the streets by granting access to the population with a substance abuse problem.

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.

Here in America, there is an ongoing tragedy ceaselessly unfolding right before our eyes. Beyond the calamities of gun violence, the loss of innocent lives through ruthless crimes and deadly motor vehicle accidents, there is a crisis occurring in the very homes of many Americans. There is a proceeding addiction to the pill bottles hidden behind bathroom mirrors, needles poking through the surface of fragile skin to get a “fix”, and prescriptions being written left and right with the intention to help but the potential to kill. Here in America, over 115 people die every single day from overdosing on opioids and this is a reality that has been nothing short of deadly since as early as 1990.

In the article, Oaklawn responds to opioid epidemic through a variety of treatment methods, Oaklawn shares how the opioid epidemic came to be and how they are geared to resolve the issue. The opioid epidemic started when physicians in the 1980’s, 90’s and 00’s thought that the only way to treat chronic pain was to keep giving their patients an increase in the pain medications. Physicians are now recognizing their mistake in doing this and are now working together to find a way to help people struggling with opioid addiction.

The Opioid Epidemic has effect a vast majority of the American population and has destroyed and taken these American's lives. Certainly, every American has seen the effects of opioid addition and how it effects their loved ones. It has crumbled families and pushed people apart. It is almost as if anyone can walk the streets of their home town and find the shells of once successful people turn inside out in to homeless lonely beggars scavenging for there next pill, but corrupt drug companies have forced there substances onto these people just to take all they have.

opioids are drugs formulated to replicate the pain-reducing properties of opium. The opioid crisis is the rapid increase in the use of prescription and non-prescription opioid drugs in the United States beginning in the late 1990s and continuing throughout following decades to come. Pharmaceutical companies reassured the medical community that patients would not become addicted to prescription opioid, therefore healthcare providers went ahead and prescribe them at greater rates. The potency and accessibility of these substances, despite their high risk of addiction and overdose, have made them popular both for medical and recreational purposes.

The negative stigma surrounding opioid addiction is not only dangerous and harmful but promotes marginalization to the individuals who are carrying the burden of these negative labels. It can cause them to be misdiagnosed as well as be given improper treatment. (National Pain Report, 2015). In addition, it may discourage those individuals from seeking help. Narcan has been proven to be effective at reversing the effects of an overdose and has been credited in reversing 10,000 overdoses from 1996 to 2010. In Boston, Massachusetts police officers started carrying Narcan and were able to respond to 591 overdoses and reverse 491of them. (The Marshall Project, 2015) Narcan is slowly becoming available to be purchased over the counter. Rhode Island is one of those states, and it is imperative to disseminate this information to the people of Rhode Island. Lastly, a multidisciplinary approach addressing the further training of those at the clinical level and the criminal justice level. Physicians along with law enforcement will be required to complete education on overdose prevention, drug addiction, and the effects of the opioid antagonist Narcan. This action plan will arm the public with insight and further the knowledge of just how damaging the opioid addiction is, not only on a state level but a national and global level. Further, data and evidence will convince