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* 🧵😡😤🗣

google.com/amp/s/www.nyti…
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???
What about all the teenagers and young adults accidentally overdosing because the Xanax pills they bought were actually some mixture of illicit synthetic opioids?
Credit to anyone writing about the drug epidemic but I feel there’s an opportunity to change public perception of the ppl that overdose. These ppl aren’t “junkies”. They are ppl with mental health issues, kids that wanted to party, ppl in chronic pain that are denied Rx opioids..
Too many ignorant ppl group those that overdose into one group and say sh*t like “they don’t care about 100k deaths because those ppl were ‘addicts’ and a lost cause.” Governments and the media need to play a bigger role in destigmatizing substance use.
There are just waaay too many issues that led to 100k drug overdose deaths in 12 months… multiple solutions to combat the drug epidemic on multiple fronts are necessary to bring numbers down.
1. Harm reduction - fentanyl test strips to test the supply before using it, carrying naloxone/Narcan, safe supply clinics for health care pros to administer a safe supply of drugs to users, surveillance of illicit drug supplies (I blogged about this idemsystems.com/illicit-drug-s…)
2. Better access to addiction treatment and mental health counseling - addiction stems from a mental health and a pill doesn’t magically make someone an addict. Access to buprenorphine or suboxone (especially for the uninsured and underserved groups) treatments are critical.
3. Reversing drug policies that reduced Rx opioids to #ChronicPain patients - The existing drug policies made dr.’s afraid to prescribe opioids because they could get arrested. Reversing them would prevent patients from having seek illicit drugs to replace their safe Rx supply.
4. Drug interdiction - while many substances are controlled/prohibited, it drives the black market to push deadlier supplies to their customer. #LawEnforcement are responsible for keeping these supplies out of communities but their current tech is not effective enough to curb ODs
5. More effective early drug education - many of us were taught to “just say no” and we see where that got us (100k deaths in a year). Let’s get public health experts and drug experts to develop a standard curriculum for early drug education to be adopted by public schools.
I’m sure there are more things that need to change in order to curb the drug epidemic but I’ll end my rant here. 🥵

Tweet your local public officials and congresspeople to educate them about the drug epidemic! I learned more by engaging on Twitter so maybe they can too.

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More from @DrDavid_IDEM

6 Nov
Here is drug-related #data for the counties in the Philadelphia PA region from 2006-2018. I'd have to dive into the math later, but it looks like counties with the largest decreases in Rx #opioids dispensing had the largest increases in drug overdose death rates. *THREAD*
Similar to my earlier tweet, in these visualizations you will generally see the counties on the left get darker (overdose death rate increasing) as the right gets lighter (Rx opioid dispensing rate decrease). This is apparent for Philadelphia, Delaware, and Bucks counties.
For those that aren't familiar: Rx opioid dispensing ⬇️ due to federal drug policies that restricted doctors from prescribing Rx opioids to their patients, in hopes of 📉 overdose deaths -- but restricting Rx opioids clearly has not solved that problem according to this data.
Read 4 tweets
6 Nov
*THREAD 🧵* Here is a visualization of drug-related data from a regional perspective. I'll start with Central Florida counties that surround Orange County (Orlando). The left is drug overdose death rate, right is Rx opioid dispensing rate for each colored county from 2006-2018.
As the rate changes from year to year, the colors either get darker (increase) or lighter (decrease). It's fairly straight forward. Seeing multiple counties from a regional view is pretty eye-opening 👀.
Orange County (Orlando) is the metro center of this area with a population of over 1 million people. Note that population is not the one and only factor that influences overdose death rates... we can see the smaller Brevard and Volusia consistently have the highest rates.
Read 12 tweets
12 Oct
Here are data for Rx opioid dispensing and drug overdose deaths in #America. The notable feature is the 📉 of Rx opioid disp rate having no impact in reducing overdose deaths, then the rise of illicit fentanyl contributing to a sharp 📈 in the mid-2010s.

*thread* 🧵
The U.S. drug overdose/poisoning death rate has increased almost every year since 1999 (2018 had a 📈), but in the mid-2010s, there was a larger than normal increase in that rate. The rise of illicit fentanyl in the black market has been a big contributor to this mid-2010s spike.
The health danger with illicit drug supplies is that the user has no clue exactly what is in the drug. Poor quality control by clandestine lab chemists in manufacturing these illicit drugs is nowhere near the level of QC performed by a legitimate pharmaceutical manufacturer.
Read 14 tweets
1 Sep
I’ll cap #OverdoseAwarenessDay with this. Data show there was no correlation between Rx opioid dispensing and the drug overdose death rate in 38 states & D.C (represented by the dots) in 2018. The closer R-squared (R^2) is to 1, the stronger the correlation. Here R^2 is 0.00002.
0.00002 is VERY VERY far from 1, indicating that the Rx opioid dispensing rate from state to state had no effect on drug overdose numbers.
Explanation of the data: In simple linear regression, R-squared is known as the correlation coefficient, on a scale of 0-1, 1 being a perfect linear correlation and 0 being no correlation.
Read 6 tweets
31 Aug
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 📉.

#InternationalOverdoseAwarenessDay
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
31 Aug
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

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