Synthetic opioids involved in more deaths than prescription opioids (Science News)

Tuesday May 1st, 2018

As opioid-related deaths rise in the United States, so has the role of synthetic opioids — primarily illicit fentanyl, mixed into heroin or made into counterfeit pills (SN Online: 3/29/18). In 2016, synthetics surged past prescription opioids and were involved in 19,413 deaths, compared with 17,087 deaths involving prescription opioids, researchers report May 1 in JAMA. The study is based on data from the National Vital Statistic System’s record of all U.S. deaths.

“Synthetic opioids are much deadlier than prescription opioids,” says emergency physician Leana Wen, Health Commissioner of Baltimore, who was not involved in the study. Fentanyl, for example, is about 50 to 100 times more potent than morphine. The illicit origins of many synthetic opioids make the public health response more difficult, she says. “We can track prescriptions; it’s much harder to track illegally trafficked drugs.”

Read the entire story.

Related Stories

Lead poisoning cases fell 19 percent in Baltimore last year, even as more children tested for exposure (Baltimore Sun)

The number of Baltimore children with lead poisoning fell 19 percent in 2017, even as more children were tested for exposure to the powerful neurotoxin.

Statewide, the number of Maryland children found to have elevated levels of lead in their blood held steady even as the number of children tested increased by 10 percent, according to a Maryland Department of the Environment report released Tuesday.

Read the entire story.

Azar Unveils Plan to Help Pregnant Patients Quit Opioids (MedPage Today)

States will get help from the federal government integrating services for pregnant and postpartum Medicaid patients with opioid use disorder under a pilot program announced Tuesday by Health and Hu

Trump declared an emergency over opioids. A new report finds it led to very little. (Vox)

To much fanfare last year, President Donald Trump ordered his administration to declare a public health emergency over the opioid epidemic. “As Americans, we cannot allow this to continue,” Trump said at the time. “It is time to liberate our communities from this scourge of drug addiction.”

When I’ve asked experts about these approaches, it’s not that any of them are bad. It’s that they fall short. For instance, Leana Wen, the former health commissioner of Baltimore (and soon-to-be president of Planned Parenthood), said that the Support for Patients and Communities Act “is simply tinkering around the edges.”

Read the entire story.