Hot Spots for the Opioid Crisis
Problematic pockets in every state, CDC reports
https://www.medpagetoday.com/PainManagement/PainManagement/66477
New county-level data from the CDC highlight the extreme geographic variation in opioid prescription rates, with some areas showing average morphine equivalents per capita 10 times greater than those of less-impacted counties. As seen in the map below, Appalachia appeared to be one giant hot spot. But every state had at least one county with a high per-capita rate of prescribed opioid use.
Overall prescribing has fallen in the past few years, but the amount of opioids per person was still three times higher in 2015 than it was in 1999.
Those were the major findings in a Vital Signs release from the CDC, which focused on opioid prescribing. The data looked at trends through 2015, which notably does not include the agency’s 2016 opioid guidelines. The numbers will serve as a baseline to measure the impact of those guidelines going forward, said acting CDC Director Anne Schuchat, MD.
“The bottom line remains, we still have too many people getting these opioid prescriptions for too many days at too high a dose,” she said.
In a statement, Patrice A. Harris, head of the American Medical Association’s opioid task force, said she was pleased to see the report confirm that physicians have been making “more judicious” prescribing decisions. She also called for increased prescribing of naloxone and pointed to the AMA’s own task force recommendations.
Enough opioids were prescribed in 2015 to medicate every American for three weeks straight. To combat overprescribing, she said physicians should do so only when benefits outweigh risks. Behavioral and physical therapy and NSAIDs should be first choices.
The average days’ supply has increased annually for the past decade, from 13.3 in 2006 to 17.7 in 2015. If opioids are prescribed, the CDC recommends the duration of the prescription should be short — three days or less — and dose amounts should be as low as possible to achieve adequate pain relief.
In that way, the trendline is encouraging. The average daily morphine-equivalent dose per prescription has declined each year since 2006. Schuchat said she expects to see further reductions as the 2016 recommendations are implemented.
“We won’t be able to solve it overnight, but changes … hold promise that prescribing practices can improve,” she said.
Filed under: General Problems
Several years ago, in California, a DEA agent named “Michael…”, [this man was awesome !], he proved that the CIA brought -in CRACK-FREEBASE-COCAINE, [their planes were exempt from search]. Anyway, the revenue from these profits, supported Gov Very-Well. Somehow, Trillions of Dollars were mis-directed from HUD, and. disappeared, This courageous man, and after countless Videos,U-tube Speeches,including Public Court Videos revealing each relationship between one and other, as-well as a plane crash, and why certain related persons were targeted, is both Timely, Essential Attention, and an interesting individual because he represents a DEA agent-who genuinely cared about “Addicts”, Public Health, [not including chronic-pain patients], and stated perfectly, the true purpose for the California Drug Epidemic, and it’s not what most would think. The CIA tormented this educated, sensitive, and honest man-who saw beyond what most DEA agents are trained to see. He is a must-view-read for all, as he understood the dark politics behind Americas’ creation & ultimate Blame for ” ADDICTIONS”, [when in fact, it was the perfect scapegoat for the succeeding “paradigm”, and reason why politicians highest on the ‘Food-Chain’, become OCD in repeating this Mantra.
These people have really lost their damn minds