Discover and read the best of Twitter Threads about #overdose

Most recents (24)

I used to lament that it was often the case that I didn't get to know more of someone's story until their funerals, when friends & family would share stories of days gone by. As organizers, I remember we'd say, "We need a parent to speak out on this."
#Overdose #HarmReduction
Then the next terrible avalanche of deaths started. I remember being in awe of the formation of @momsstoptheharm - powerhouses of grieving parents who had the unimaginable strength & courage to stand up to judgment & stigma, to honour the dead & fight like hell for the living.
Some of the most powerful, brave and complicated conversations about drug use are with parents in pain. This early episode of @crackdownpod is absolutely gut-wrenching. The pain and the anger and the love and the grief knocked me sideways.…
Read 9 tweets
1-Objective: SAVE LIVES.
Recently I said a #SafeSupply is the pinnacle of saving lives but I realized it's not; it's the FOUNDATION, upon which we build policies to actually save lives.
I'm going to refer to this moving forward as the GOLD STANDARD in reducing #DeathsOfDespair. Image
2-Drugs would be legalized. A safe, known potency supply of substances created by existing drug manufacturers. It would include supply for RX'd medicines as well as for OTC public, adult, sales and consumption. Similar to how alcohol is sold & consumed now.
#SafeSupply Image
3-The BILLIONS UPON BILLIONS being funneled into the #DrugWar and the 'opioid crisis' would be put into improving efficacy and access to AFFORDABLE HEALTH CARE, including mental and dental health, while bridging gaps in regard to other #socialdeterminants of health. Image
Read 7 tweets
2)which underscores the need for close supervision of these patients."

Let's take a look at their rationale for their conclusion.

Of 9940 patients who received 3 or more #opioid prescriptions over an 8 years, 51 experienced an #overdose, 6 of the 51 experienced a fatal event.
3)The researchers did not make the yearly data available, nor did they provide data on any known prior history of Substance Use Disorder #SUD within the #Patient population.

It's impossible to determine how they performed their calculations to obtain these results.
4)While they did provide percentage risk based on MME dosages, they also Risk based folks multipliers which obscures actual risk. The highest percentage of risk reported based on MME dosage was less than 2%,

Limitation: Low OD Rate 🙄🤦‍♂️…
Read 7 tweets
Implementation of a Leave-behind Naloxone Program in San Francisco: A One-year Experience 1/5…
INTRODUCTION: In response to the ongoing opioid #overdose crisis, US officials urged the expansion of access to naloxone for opioid overdose reversal. Since then, emergency medical services' (EMS) dispensing of naloxone kits has become an em... 2/5
erging #harmreduction strategy.METHODS: We created a naloxone training and low-barrier distribution program in San Francisco: Project FRIEND (First Responder Increased Education and Naloxone Distribution). The team assembled an advisory com... 3/5
Read 5 tweets
Factors Associated with Non-Evidence-Based #Overdose Responses among People Who Use Prescription Opioids Non-Medically in Rural Appalachia 1/5…
Background: Opioid-related #overdose deaths recently accelerated. In response, overdose education and naloxone distribution (OEND) has been implemented widely, though access remains sparse in rural Appalachia. Despite increasing OEND, risk f... 2/5
actors for non-evidence-based #overdose responses among the training-naïve remain unknown. Methods: We enrolled 169 adults who use prescription opioids non-medically and reside in rural West Virginia (August 2014-March 2015). Participants we... 3/5
Read 5 tweets
Drug checking is a #harmreduction tool aimed at combatting the dangerous consequences of illicit #druguse. However, some critics say that it actually promotes drug use – but they’d be wrong!

Let’s find out why 👉💡🧵:
First of all, consuming illicit substances from the black market comes with huge risks: unknown dosage and purity, the presence of unexpected (potentially dangerous!) adulterants, and the constant influx of new, unresearched chemicals. #DrugChecking directly combats these risks.
But what exactly is drug checking?
It is the chemical analysis of substances which, according to the @EMCDDA, allow drug users to receive “information on the content of the samples as well as advice, and, in some cases, counseling or brief interventions.”
Read 19 tweets
Drug overdose numbers for July have been released by the province.

95 Albertans died by drug poisonings in the month of July.

40 of those were Edmontonians (42%)

92/95 involved opioids (97%)

#yeg #ab #overdose #opioid #edmonton
In the first 7 months of this year there have been 923 overdoses in Alberta, compared to 966 last year in the same time period which is a decrease of 4.5%.

#ab #overdose #opioid
During the first 7 months of this year in Edmonton there have been 347 overdoses compared to 342 in the same time frame last year which is a 1.5% increase.

#yeg #overdose #opioid #edmonton
Read 6 tweets
Building Hope: Substance Use in the Trades
Men account for 74% of overdose deaths in Canada which has become a leading cause of death across the country...
Co-produced by MSTH cofounder @LornaKay_Thomas
#overdose #drugpoisoning #stigma #menintrades
Several factors contribute to these trends, including chronic pain, toxic masculinity, and stigma, which can contribute to men being less likely to speak openly about their substance use and mental health...
#overdose #drugpoisoning #stigma #menintrades
Building Hope: Substance Use in the Trades is a film where four men with experience in the construction industry and trades, as well as their own experiences with substance use speak to their fellow tradespeople about how to stay safer in the overdose era...
Read 8 tweets
During the pandemic, guidance for #OAT was modified around the world, leading to more flexible access to take-home doses for many people treated with #methadone and #buprenorphine. In our new study in @JAMA_current, we evaluated the impact of these changes on patient outcomes.
We looked separately at ppl treated with #methadone and #buprenorphine, stratified by level of take-home doses before the pandemic (daily or weekly). We then examined how more flexible take-home doses were associated with risk of OAT discontinuation, interruption and #overdose.
Impacts were most prominent among methadone recipients, where receiving new or extended take-home doses led to a lower risk of treatment discontinuation/interruption & a similar or lower risk of overdose.
Read 7 tweets
And I want to RT this to stand on it's own merit.
Just in case it gets buried in the thread.
#ChronicPain #Addiction #DrugUseForGrownUps
#Overdose #Opioids
2-A patients need for opiate pain meds should not be determined on addiction treatment issues. Nor should it necessitate recreational drug advocacy. Those are NOT our fights.
People in pain have been deemed acceptable collateral damage in an ongoing, doomed to fail drug war.
3-And here we are. Tens of millions of people in pain told that we should be helping get access to #MAT for thoes w/addiction issues, and help legalize recreational drugs, all while we watch our frends in the pain community dying due to lack of needed legal/safe MEDICINES.
Read 4 tweets
The trend for drug #overdose/poisoning deaths keep going ⬆️⬆️⬆️ as they count the data. For the 12 months ending in April 2021, the US had a record 100,000+ overdose deaths. *Thread/RANT* 🧵😡😤🗣…
Not to take attention away from people with addiction, but the media should also be using these opportunities to spread awareness about other at-risk groups, such as pain patients and ppl buying counterfeit pills for recreational use. They contribute to the death toll too.
Any media story on the drug epidemic should be educating ppl about HOW we got to 100k deaths - sure illicit fentanyl is a huge factor, but what about the role drug policies of underprescribing (safe) Rx opioids played in driving pain patients to seek (unsafe) illicit opioids???
Read 13 tweets
Last afternoon of #APSAD40! It is a joy to chair this session on #overdose - lots of key learnings and great work in the prevention space. Here are a couple of highlights from the session 1/
2/ Louisa Durrant (NUM at Melaleuca, @qldhealthnews) spoke about lessons learned supplying take-home naloxone in the opioid treatment program in QLD. Despite many having experienced an overdose, few had access to naloxone before the pilot, and consumers valued being offered THN.
3/ Dr Eleanor Black presented on the ONE study, a pilot study looking at ED delivery of #naloxone - a key opportunity to offer naloxone to people at risk of overdose. Most (not all) staff through they should offer #naloxone, with common misconception of naloxone increased OD risk
Read 11 tweets
Big last day of #APSAD40 today for #opioid research. I'll be presenting in a symposium of #naloxone today, and then super excited to chair two sessions on #overdose and prescription #opioid treatment ... a couple of highlights include ... 1/
2/ New research on the implementation of prescription monitoring in Victoria with @LouisaPicco @PPrathivadi and @Sarah_Haines_ (all superstar PhD researchers in the @MonashAddiction crew)
3/ @DrTinaLam_AU (also from @MonashAddiction) presenting on prescription opioid overdose using emergency department data and @JMoullin from @CurtinUni talking about pharmacists and naloxone supply in Western Australia
Read 6 tweets
🧵 #Overdose deaths hit record highs last year. Medications like buprenorphine cut the risk of death in half. But many pharmacies don’t provide it, saying they fear a @DEAHQ investigation -- like what happened to Martin Njoku. My latest for @NPR @KHNews
2/ As a pharmacist, Martin Njoku wanted to help those hit by the #opioidepidemic. But a few years after he began providing medications for #addiction, @DEAHQ raided his pharmacy & accused him of furthering the very ailment he set out to treat.
3/ DEA pointed to "red flags" at Njoku's pharmacy: ppl getting Subutex—considered easier to abuse than Suboxone— ppl driving from far away, paying in cash, etc. But @Formanir @hfdrlaw explained that's what happens when Suboxone is too expensive & access to treatment is scarce.
Read 10 tweets
Yes, we are still in the middle of a global pandemic, #COVID19, but let’s not forget about the #opioid epidemic, a public health issue we have been dealing with a while... What can we do about it?? #ph260720 #opioidepidemic Image
In 2017 (more than 4 years ago), @HHSGov declared the #opioidepidemic as a public health emergency. An “emergency” situation that we have not been able to control yet... #publichealthemergency #ph260720…
According to @CDCgov and @NIDAnews, more than 70,000 Americans die every year due to opioid overdose. That is 70,000 lives (read in bold!) lost every year, the majority of which is preventable. #opioidepidemic #opioidskill #opioidoverdose #ph260720 Image
Read 12 tweets
#DrugChecking for Novel Insights into the Unregulated Drug Supply 1/5…
Tobias et al. (Am J Epidemiol. XXXX;XXX(XX):XXXX-XXXX) present a novel analysis of time trends in fentanyl concentrations in the unregulated drug supply in British Columbia, Canada. The pre-existing knowledge about unregulated drugs had pre... 2/5
viously come from law enforcement seizures and post-mortem toxicology. As both of these data sources are subject to selection bias, large scale #drugchecking programs are poised to be a crucial component of the public health response to the... 3/5
Read 5 tweets
"It's like 'liquid handcuffs": The effects of take-home dosing policies on #Methadone Maintenance Treatment (MMT) patients' lives 1/5…
BACKGROUND: #Methadone Maintenance Treatment (MMT) is widely recognized as one of the most effective ways of reducing risk of #overdose, arrest, and transmission of blood-borne viruses like HIV and HCV among people that use opioids. Yet, MMT'... 2/5
s use of restrictive take-home dose policies that force most patients to attend their clinic on a daily, or near-daily, basis may be unpopular with many patients and lead to low rates of treatment uptake and retention. In response, this art... 3/5
Read 5 tweets
To compare the 3 south Florida counties’ drug #overdose data, each of them had an 83%+ increase of OD deaths from 2015 to 2016 📈. Then in 2018, all 3 saw a drop in their drug OD death count 📉.

My educated guess: the positive overdose death spikes in 2015 may be attributed to the rise of illicit fentanyl in the US. I’m not too sure about the negative spike in 2018. Keep in mind that 2018 was the ONLY year of nationwide #overdose death decline since 1999.
Maybe the decrease was due to programs such as @HealthyFla HEROS that distributed free naloxone/Narcan to #FirstResponders. But of course, the overdose death count jumped back up in 2019.
Read 4 tweets
Effective early drug education is necessary to curb drug #overdose deaths. And no, I don’t mean DARE. I taught a univ. freshman seminar class and they go through a lesson on “substance abuse” and those 18 yr olds didn’t know sh*t about drugs. #InternationalOverdoseAwarenessDay
If that’s the representation of our teenage and young adults in the US, then we need to do more in middle school & high school to educate them about drugs, responsible medical use, and the risks of irresponsible or recreational drug use. Educate them rather than scare them str8.
We can’t look at the drug epidemic as a problem that will be solved overnight, or next year, or even in 5 years. We must invest more in educating the younger generations with basic information about drugs.
Read 6 tweets
My next few posts will be about South #Florida, the most populated region in my state. Miami-Dade Co. also had a large surge in drug #overdose deaths in 2016 and has remained above 200 per year ever since.

This 135 drug #overdose death surge is within the same timing as the 248 death surge in the Jacksonville Florida area (shown in my last tweet) from 2015 to 2016. This surge also correlates to the rise of illicit fentanyl overdose spikes in the US.
The data from Miami-Dade is actually mind boggling. This county is the most populated in #Florida but has managed to maintain one of the lowest overdose deaths per 100k ppl in the state over the years.
Read 5 tweets
New data on #OpioidDeaths in #Ontario released from the Coroner's Office today. Again, opioid-related deaths continue to climb, with 246 deaths in March 2021 (probable/confirmed) Image
As we started to see in last month's release, carfentanil involvement continues to grow, contributing to 29 deaths in the first three months of 2021. Image
Reminder: rates vary by PHU, with huge growth seen in Northern parts of the province ->Thunder Bay, Sudbury, Porcupine, North Bay and Algoma. Image
Read 6 tweets
you're my best shot

-- a winrina au

just two people with camera's on. ImageImage

-don't mind the timestamps
-chill lang

Cali Wright - ME student, hobby is photography

Kyline Montaverde - Tourism student, likes photography. ImageImage
Read 417 tweets
Ontario Canada: "The world's longest #lockdown will come to an end next week" (Step 3, July 16/21).

No. It's not over.

New chief medical officer of health, Dr Kieran Moore makes clear #endemic state will emerge in fall w/ Ont. "doing all the due diligence to prepare." Image
Let's explore numbers behind "world's longest #lockdown", Ont., Canada. Gov't of Ontario website updated July 11, 2021.

"Active cases" in Ont. as of July 11 2021 under 20 yrs of age: 0

Deaths under 20 w/ #COVID19 - 3.

Estimated pop. of Ontario: approx. 14.73 million people. Image
Under 20 yrs:

Jan 15 2020 to July 11 2021:

Resolved cases: 68, 280

Active cases: 0

Deaths (WITH #covid19): 3

[Keeping in mind that Covid tests are inaccurate (false positives) & largely meaningless as testing positive can mean mild to no symptoms whatsoever.] Image
Read 26 tweets
A moment of #ShamelessSelfpromoFriday : I’ve been selected as a finalist for this years VGH/BMO Innovator’s Challenge with my team for developing a novel opioid analyzer.

Last year, BC experienced the highest rates of #opioid #overdose fatalities ever recorded in history, with the highest rates of death in Canada. #OUD can be treated with #HarmReduction strategies, therapy, and partnering with patients to meet their goals and priorities.

Medications such as opioid agonist therapy (OAT) can be part of the treatment plan for some or many patients with OUD.

Read 12 tweets

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