Wednesday, June 28, 2017

# 117

This blog commenced with a prayer, given by a High School Football Coach, before every game:

Men, in life there are three choices that are yours alone to make:

  • You can choose your friends
  • You can Choose your faith
  • You can decide what you put into your bodies

Based upon this premise, the Blog has noted that - with the exception of children born into opioid dependency - everyone experiences "a day before addiction" in which they have free and unfettered choices they can make before subjecting their bodies to things which are lethal; or harmful.

The exceptions to the "choice" or "friends" prayer my Coach prayed are babies.

In the below article, we find a West Virginia Grandmother whose daughter's made bad adult decisions which brought them and their babies into opioid addiction and the article discusses the fourth grandchild that has been placed with grand mom.

http://www.cnn.com/2017/06/28/health/grandmother-heroin-crisis-huntington-west-virginia/index.html

Tuesday, June 27, 2017

#116

FDA's OD Narcan Application winner announced, prize awarded and video released.

In December 2016, the FDA announced the winner of its competition.

[ https://blogs.fda.gov/fdavoice/index.php/2016/12/fdas-naloxone-app-prize-competition-celebrates-innovation-in-search-of-technological-solutions-to-the-opioid-epidemic/ ]

From the FDA release:

OD Help’s concept is a simple, easy-to-use mobile app designed to connect potential opioid overdose victims with a crowd-sourced network of naloxone carriers. OD Help can easily be tailored for use in rural or urban areas by expanding or contracting the radius within which naloxone carriers are sought. An additional innovative feature of OD Help is the optional interface with a breathing monitor to detect when a victim’s breathing rate is dangerously low, a sign of an opioid overdose. Hence, if the victim is alone and unable to call for help, OD Help will detect the diminished breathing and alert a naloxone carrier of the potential overdose. Other features of OD Help include: only alerting people in one’s support network and allowing naloxone carriers to disable alerts when they are unable to respond. The app also provides instructions on how to correctly diagnose an overdose and administer naloxone and helps contact emergency medical services when help is required.


https://www.youtube.com/watch?v=wiiNvSLbUgo&feature=youtu.be

# 115

The range of responses in the world of opioid overdoses.

Ohio City Councilman proposes limit of two Narcan OD reversal doses, coupled with payment or equivalent community service or third request for assistance will be denied.


This blog has been posting for more than one year at a rate of approximately one post every 4 days.  Today's post illustrates, perhaps, the stingiest response for persons in need because the demand for Narcan has sky-rocketed, while overloading Municipal budgets.  The Middletown, Ohio Fire Department spent $11,000 for Narcan in 2016 and $30,000 in 2017 and the below article reports on a proposed effort to control the expense.

In contrast, in September 2016, the FDA announced a competition (with a prize of $40,000) for any submitter of a mobile device application that will identify the location of the user in a quest to locate the nearest available dose of Narcan; presumably due to a nearby overdose of an opioid substance.  As one reads the announcement [http://www.ajmc.com/newsroom/5-things-about-the-fdas-call-for-a-naloxone-finding-app] one can imagine an overdose in a Manhattan high-rise building coupled with a query on the application followed by locating an available dose within the same building - a life saved.

When the application competition was announced last fall, it was addressed in this blog [ see Post # 26 ] for reasons other than cost.  In the United States, local and state health departments maintain statistics in order that they can provide better service to taxpayers as well as data to politicians.  When Narcan was once issued only by prescription, data was easily obtained and tracked and Government could use the data for budget and pro-active reasons.  Once Narcan was made available without prescription, the positive benefits from the data collection was lost.  Secondly, any responsible Department of Health would want to intervene to save the life of any person who overdosed too many times.  That ability to recognized OD victims in crisis is being lost as tracking of Narcan issuance data has been lost.

So the reader can compare a wide-open, no data-tracked Narcan availability for an unlimited use example to a stingy maximum of two doses for which repayment - in some form - is required.

The outcome may lie somewhere in between the two.

Again, this blog asks:

Our Society is spending resources on persons who have climbed onto the substance abuse opioid conveyer belt which has the potential to lead to death.

Meanwhile, a mass of humanity remains a not-addicted to opioids and these younger people are not yet on the conveyer belt.

What percentage of Society's resources should be devoted to the group who are not on the conveyer belt?

While politicians respond to the folks who have lost loved ones to opioid overdoses by taking off the cap on Narcan spending and ease of acquisition, shouldn't a large chunk of those resources be used to keep a trailing generation from climbing on to the conveyer belt?

http://www.foxnews.com/us/2017/06/26/ohio-city-rep-proposes-new-system-to-combat-expensive-overdose-drug.html

Monday, June 26, 2017

# 114

Public Libraries as havens for substance use/overdose & deaths; Identified as pattern in 2016


This blogger, a baby-boomer, was raised in a world in which libraries existed for quiet reading and research, training and checking-out books.  VMI's Preston Library continued that illusion, but in a military setting, which had sanctions for bad behavior and noise.  Good fortune, in 1980, had the blogger using the GMU Law Library daily and weekend study at the U.S. Supreme Court Law Library during the summer of 1980.  Libraries, for a period of America's history, represented safe places for all visitors which stood for education and edification.  As access to online research and Broad-Band connectivity accelerated after 1994, Libraries became focal points for computer literate users who may not have had the funds to afford Broad-Band.  Those virtuous experiences did not prepare me for the visit to the Atlantic City Public Library in February 2017.  As we waited for the doors to open, we were granted admittance to the County Probation Office's restrooms by an armed guard.  As the time drew close for opening the Library, the array of God's humanity stacked-up to get inside and claim a computer and its coveted broad-band connectivity.  This humanity did not suggest a raft of college students; or any example of traditional student: no books, no book-bags.  Instead of giving the appearance of a library-crowd, it portrayed the stereo-type of a soup-kitchen crowd.  No one was returning books, no one was checking-out books.  Loud exchanges between locals as they greeted one another and caught-up on news, characterized the Library as a setting for socializing of the type one would find at a Community Center.  The Library did not have a Security Guard which guarded its entrance so, once opened, outside visitors drifted in to use the bathrooms possibly because it was easier to gain entrance when compared to the Probation Department's options.

I admit that I was jolted in February 2017 when I visited the Atlantic City Library because I had not visited Public Libraries for 23 years.  Social activists may laugh at those of us who fund the libraries while not blending in as typical users or even scared-off users.  I confess that, when a heroin addict OD'd in the restroom at an S&W Cafeteria in Falls Church, Va. during the 1980s, my family stopped patronizing that public restaurant.  I stopped letting my children enter public restrooms without a parent.

The recent posts of Library anomalies involving overdose cases has led to today's post of an older article which identified this phenomenon.

How does a politician with children respond?  Place libraries far away from the inner city and far away from public transportation?  Many persons who may pay no taxes will probably complain.  Place libraries in locations in the inner city where the poor can have access and computer use; while placing guards at entrances and inside restrooms - where taxpayers may not wish to venture?  Change the name from Library to Community Center?

For nostalgia's sake, a look back on one man's view of a Library:

A Carnegie library is a library built with money donated by Scottish businessman and philanthropist Andrew Carnegie. A total of 2,509 Carnegie libraries were built between 1883 and 1929, including some belonging to public and university library systems. 1,689 were built in the United States, 660 in the United Kingdom and Ireland, 125 in Canada, and others in Australia, South Africa, New Zealand, Serbia, Belgium, France, the Caribbean, Mauritius, Malaysia and Fiji.
At first, Carnegie libraries were almost exclusively in places where he had a personal connection, namely his home-town in Scotland and the Pittsburgh, Pennsylvania area. Beginning in 1899, Carnegie substantially increased funding to libraries outside of these areas.
In later years few towns that requested a grant and agreed to his terms were refused. By the time the last grant was made in 1919, there were 3,500 libraries in the United States, nearly half of them built with construction grants paid by Carnegie. (wiki)

https://www.statnews.com/2016/09/10/drug-users-public-libraries/

Saturday, June 24, 2017

#113

Libraries now focal points for substance users; persons that overdose.

The below report, in Philadelphia, is identical to the blogger's visit to the Atlantic City Library in February 2017 which, in Atlantic City, is housed in the same building as the Probation Department.  Bathrooms no longer used for original purposes.


http://www.cnn.com/2017/06/23/health/opioid-overdose-library-narcan/index.html

Tuesday, June 20, 2017

# 112

Nearly 1.3 million Americans needed hospital care for opioid-related issues in only one year

The statistics, from 2014, are compared to 2005 and ER Opioid visits are up 99% and Inpatient admissions from opioids are up 64%.  Deaths increased 38-fold over ten years and the trajectory is continuing upward.

https://www.washingtonpost.com/news/to-your-health/wp/2017/06/20/in-just-one-year-nearly-1-3-million-americans-needed-hospital-care-for-opioid-related-issues/?utm_term=.5f6cf68e2621

# 111

Millions of Lethal Doses of Fentanyl seized in DEA drug arrest in San Diego; 97 pounds.

Three persons were arrested by the DEA in San Diego and many potential deaths were averted-including the subjects who handled the substance.


http://www.foxnews.com/us/2017/06/20/dea-seizes-nearly-100-pounds-fentanyl-from-san-diego-home-3-arrested.html