Texas should use data to tailor its own solutions to opioid epidemic

The opioid crisis seems to make national headlines nearly daily.

The most recent news was that nearly 64,000 Americans died in 2016 of a drug overdose, according to the Centers for Disease Control and Prevention. But when it comes to designing and implementing programs to prevent drug misuse and overdose, the devil is in the details.

Although national in its scope, the epidemic takes different shapes in different areas of the country, depending on the opioids available and the way they are combined with other drugs. Accordingly, treatment programs should be tailored to the particular mix of drugs driving overdoses in each region, and particularly Texas.

In the Northeast and Midwest, highly pure powdered white heroin dominates the landscape. This type of heroin is easy to mix with fentanyl, a highly potent synthetic opioid that also comes in powdered form.

In Texas, the predominant heroin is Mexican black tar. To inject it, users must first dissolve it in water over heat. It would take an extra step to work powdered fentanyl into the mix, and so far, users in Texas don’t seem to be taking this extra step: Last year, less than 4 percent of heroin deaths in Texas also involved fentanyl.

The fact that black tar heroin is more difficult to mix with fentanyl — which would make it much more potent — may account for the fact that the death rate due to heroin in Texas has been lower (1.9 per 100,000) than the national rate (4.2 per 100,000).

While there were 539 deaths in Texas due to heroin in 2016, there were 715 deaths due to methamphetamine. And the Drug Enforcement Administration predicts that methamphetamine traffickers are expanding their product line to include heroin. We may already be seeing this trend, since 23 percent of 2016 heroin overdoses in Texas also involved methamphetamine.

These regional differences mean that state and local authorities must constantly monitor their respective drug scenes to identify emerging trends.

Here in Texas, the Department of Health and Human Services has current data on poison center cases, treatment admissions and deaths. In addition, the DEA has data on the drugs seized on the Texas border and how these drugs are combined.

At the University of Texas, researchers produce a yearly report that summarizes substance abuse trends in the state and lists data resources.

We need to quit wringing our hands about the extent of the problem and instead do a better job using the available data to target groups at high risk and deliver time-tested treatment designed to meet their needs.