Opioid Overdose Research Paper

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.

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.

From teenagers to adults, many are suffering with an opioid addiction. The opioid crisis that has struck, has taken a significantly large amount of lives. There were about “...50,000 [ opioid ] overdose deaths...in 2015-roughly equivalent to the number of Americans lost in the Vietnam War”(Price). All these friends and family members are dying because of something that can be controlled and even avoided. Although there are some who believe that the programs that are enacted to help with this sort of addiction are very effective, the truth is they are not as effective as people let on to believe. There should be a more enforced and regulated limit for those with a stronger prescription drug in order to lower the overdose count, over prescription from doctors, and pill shopping.

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 opioid problem is big. The fact that multiple parties (FDA, Pharmacies, Doctors) are involved make the problem even more complex and difficult to fix. One of the best ways to begin helping the opioid crisis is within the FDA. The different types of opioids need to be re-tested to evaluate their necessity within our healthcare system. Too many readily available opioids are not beneficial. Next are doctors need to be taught to stand up again big pharmaceutical companies. These companies have their priority in profit, not patient care. Hopefully by implementing these factors, the opioid crisis can become a problem of the past.

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.

Opioid abuse has become so widespread in Baltimore that on March 1, 2017, the governor of Maryland, Larry Hogan, declared a state of emergency. The rise in the number of opioid-related overdoses in the Baltimore have skyrocketed in the past few years. According to the Maryland Department of Health and Mental Hygiene, 1089 people, a majority from Baltimore, died of a fentanyl overdose in 2015. In 2016, the number rose to 1856 deaths. (Maryland Department of Health and Mental Hygiene 14). The spike in overdose deaths can be contributed to the increased use of Fentanyl. Fentanyl is 50 times more potent and costs less than a third of heroin (Adwanikar; Duncan). Drug dealers mix fentanyl with heroin to make their product less expensive to produce

Proponents of harm reduction argue that instead of penalizing individuals for partaking in illicit drug use, it is more productive to create policies and procedures that reduce the likelihood of harmful consequences of such drug use (14). Naloxone, an opioid antagonist and overdose reversal medication, has been shown to be a highly effective harm reduction strategy. If used quickly, naloxone can prevent and overdose and reverse the effects of opioids (15). Previously only used by EMT’s and other medical professionals, allowing laypersons to access and use naloxone has successfully prevented opioid-related overdoses (13, 16-18). While naloxone is the most studied and validated harm reduction method, others have been employed nationally. Though not validated through peer-reviewed literature, Project Lazarus and the Harm Reduction Coalition, two harm-reduction centered non-profits, advocate that when using drugs, people should use together, and avoid mixing drugs as a means of reducing the likelihood of overdose (19-22). Many fatal-overdoses result from poly-substance drug use and therefore, the recommendation of avoiding poly-substance use bares significance even if this harm reduction strategy has not been analyses in a scientific context

On June 6, 2017 Arizona Governor Doug Ducey declared the opioid epidemic a public health emergency in the state of Arizona (Vestal, C. 2017, June 6). Since 2012 there has been a 74% increase in opioid overdoses and deaths; this equals about 2 opioid overdose deaths per day in Arizona (Vestal, C. 2017, June 6). 431 million opioid pills were prescribed in Arizona in 2016 enough for every Arizonan to have a 2.5 week supply of opioid pills (Arizona Department of Health Services, 2017). The “U.S. is only 5% of the world’s population however we consume more than 80% of the worlds opioid supply” (Arizona Department of Health Services, 2017). In 2011 opioids made $11 billion in profits for pharmaceutical businesses (Eban, 2011)

The opioid crisis is greatly affecting communities nationwide. This epidemic has escalating death rates that are ruining families and taking tolls on a whole generation. The issue of the opioid crisis matters to me because it has impacted many people and families, including my own. On November 23, 2013 my high school sweetheart passed away from an overdose at the age of twenty. The experience of being by his bedside with his family for two and a half days while he was on life support is something I will never forget. I had never been through anything like this and never hope to again. This great loss was