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. 2018 Aug 1;75(8):767-768.
doi: 10.1001/jamapsychiatry.2018.0611.

Making the Opioid Public Health Emergency Effective

Rebecca L Haffajee  1 , Richard G Frank  2
Affiliations

Making the Opioid Public Health Emergency Effective

Rebecca L Haffajee et al. JAMA Psychiatry. .
No abstract available

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Conflict of interest statement

Potential Conflicts of Interest. Neither of the authors has relevant financial interests or relationships with entities in the bio-medical arena that could be perceived to influence, or that give the appearance of potentially influencing, this submitted work.

Figures

Figure.
Figure.. Opioid Public Health Emergency Rates and Percent Increases, 2010-2016
Notes: Percents are the percent increase from 2012 to 2016 for all outcomes, except for New Hepatitis C Infections per 100,000, which is the percent increase from 2010 to 2015. Drug overdose deaths were classified using the International Classification of Disease, Tenth Revision (ICD-10), based on the ICD-10 underlying cause-of-death codes X40–44 (unintentional), X60–64 (suicide), X85 (homicide), or Y10–Y14 (undetermined intent). Among the deaths with drug overdose as the underlying cause, opioid-related overdose deaths were identified using the following ICD-10 multiple cause-of-death codes: opium (T40.0), heroin (T40.1), natural and semi-synthetic opioids (T40.2), methadone (T40.3), synthetic opioids excluding methadone (T40.4), or other and unspecific narcotics (T40.6). For 2016, the opioid-related overdose deaths may represent an undercount, because they do not include the following ICD-10 multiple cause-of-death codes: opium (T40.0), and other and unspecific narcotics (T40.6). Among deaths with drug overdose as the underlying cause, synthetic opioid-related overdose deaths (other than involving methadone) were identified using the following ICD-10 multiple cause-of-death code: T40.4. Sources: Hedegaard H, Warner M, Miniño AM. Drug overdose deaths in the United States, 1999–2016. NCHS Data Brief, no 294. Hyattsville, MD: National Center for Health Statistics. 2017, https://www.cdc.gov/nchs/products/databriefs/db294.htm. Children in Foster Care: Office of the Administration for Children and Families, Adoption and Foster Care Statistics, 1999–2016 data, https://www.acf.hhs.gov/cb/research-data-technology/statistics-research/afcars. New Hepatitis C Infections: Centers for Disease Control and Prevention, Viral Hepatitis Statistics and Surveillance, Hepatitis C Virus, 1992–2015 data, https://www.cdc.gov/hepatitis/statistics/index.htm.
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References

    1. Haffajee R, Parmet WE, Mello MM. What Is a Public Health “Emergency”? N Engl J Med. 2014;371(11):986–988. - PubMed
    1. Altarum. Economic Toll Of Opioid Crisis In U.S. Exceeded $1 Trillion Since 2001. https://altarum.org/about/news-and-events/economic-toll-of-opioid-crisis.... Published 2018. Accessed February 15, 2018.
    1. Hedegaard H, Warner M, Minino AM. Drug Overdose Deaths in the United States, 1999–2016. NCHS Data Brief. 2017;(294):1–8. - PubMed
    1. Buchanich JM, Balmert LC, Burke DS. Exponential growth of the USA overdose epidemic. bioRxiv. 2017;(1):1–7. doi:10.1101/134403. - DOI
    1. The President’s Commission on Combatting Drug Addiction and the Opioid Crisis. Final Report of The President’s Commission on Combatting Drug Addiction and the Opioid Crisis; 2017.

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MeSH terms

Substances