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                                                                                                 U.S. NEWS Thursday 18 July 2019





























            Number of U.S. overdose deaths appears to be falling



            By MIKE STOBBE               involving a different opioid,  ing more deaths than pre-
            AP Medical Writer            fentanyl,  as  well  as  other  scription painkillers or other
            NEW YORK (AP) — U.S. over-   drugs  such  cocaine  and  drugs. In 2016, fentanyl and
            dose deaths last year likely  methamphetamines. Over-     its  close  cousins  became
            fell for the first time in nearly  dose  deaths  often  involve  the biggest drug killer, and
            three decades, preliminary  more than one drug.           in 2018 they were involved
            numbers suggest.             The improvement is not uni-  in about 46% of the report-
            The  Centers  for  Disease  form: Some states seem to  ed  overdose  deaths,  ac-
            Control and Prevention on  be making dramatic prog-       cording  to  the  preliminary
            Wednesday  posted  data  ress, while deaths continue  CDC data.
            showing nearly 68,000 drug  to rise in others. The prelimi-  Strategies  to  reduce  drug
            overdose  deaths  were  re-  nary CDC data suggested  overdose  deaths  have  in-
            ported last year. The num-   deaths  last  year  were  cluded  tougher  policing,
            ber  may  go  up  as  more  down by as many as 1,000  treatment program expan-
            investigations  are  com-    or more in Ohio and Penn-    sions, policies to limit opioid   In this April 5, 2019, file photo, containers depicting OxyContin
            pleted, but the agency ex-   sylvania — each seeing de-   painkiller  prescriptions  and   prescription pill bottles lie on the ground in front of the Depart-
            pects  the  tally  will  end  up  clines of about 20%. Mean-  wider  distribution  of  the   ment of Health and Human Services' headquarters in Washing-
            below 69,000.                while,  deaths  increased  overdose-reversing      drug   ton as protesters demonstrate against the FDA's opioid prescrip-
                                                                                                   tion drug approval practices.
            Overdose     deaths    had  by  about  17%  in  Missouri,  naloxone.q                                                           Associated Press
            been  climbing  each  year  which  had  more  than  200
            since  1990,  topping  70,000  additional deaths.
            in 2017.                     It can take months for au-
            The  numbers  were  cel-     thorities  to  complete  toxi-
            ebrated  by  the  U.S.  secre-  cology  tests  and  other  el-
            tary  of  health  and  human  ements  of  a  death  investi-
            services.  "Lives  are  being  gation involving drugs. And
            saved,  and  we're  begin-   some  states  report  faster
            ning to win the fight against  than  others.  The  CDC  is
            this crisis," Alex Azar wrote in  expected  to  report  more
            a tweet.                     complete  data  later  this
            But  the  overdose  death  year.
            rate  is  still  about  seven  The  current  overdose  epi-
            times  higher  than  it  was  a  demic has killed more peo-
            generation ago.              ple  than  any  other  in  U.S.
            "We're  still  in  a  pretty  sad  history, and it had been on
            situation  that  we  need  to  a  soaring  trajectory.  From
            address,"  said  Rebecca  2014  to  2017,  overdose
            Haffajee,  a  University  of  deaths jumped by 5,000 or
            Michigan researcher.         more each year.
            Researchers do not believe  Experts  trace  the  epidem-
            this is the start of a dramat-  ic's origins to 1995 and the
            ic  decline.  Data  from  the  marketing  of  the  prescrip-
            first months of this year likely  tion  painkiller  OxyContin.
            will show that the decrease  It was meant be safer and
            is  not  gaining  steam,  said  more  effective  than  other
            Farida Ahmad of the CDC's  prescription  opioids,  but
            National  Center  for  Health  some patients got hooked
            Statistics.                  and  found  they  could
            The improvement was driv-    crush the tablets and snort
            en by a drop in deaths from  or inject them to get high.
            heroin  and  prescription  Gradually, many turned to
            painkillers.  Those  falls  were  cheaper  street  drugs  such
            offset  somewhat  by  con-   as  heroin  and  fentanyl.  In
            tinuing  growth  in  deaths  2015,  heroin  began  caus-
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