Los Angeles Times

The wide reach of opioid deaths

The scourge afflicts nearly every segment of the country, new statistics indicate.

- KAREN KAPLAN karen.kaplan@latimes.com Twitter: @LATkarenka­plan

At a time when the country seems hopelessly divided, health officials are here to remind us of something that unites Americans from all walks of life: deaths tied to opioid overdoses.

A report issued Thursday by the Centers for Disease Control and Prevention presents some alarming new statistics about the opioid epidemic that claims the lives of 115 Americans each day.

Researcher­s from the CDC’s National Center for Injury Prevention and Control examined data on fatal overdoses from the 31 states that made reliable reports of drug-related causes of death to the CDC’s National Vital Statistics System. The District of Columbia was included as well.

The picture that emerges is of a public health crisis that touches just about every segment of the country.

“From 2015 to 2016, opioid-involved deaths increased in males and females and among persons [age 15 and older], whites, blacks, Hispanics and Asians/Pacific Islanders,” the researcher­s wrote. “Deaths involving synthetic opioids increased in every subgroup examined.”

Their findings appear in Friday’s edition of the Morbidity and Mortality Weekly Report.

Here’s a by-the-numbers look at how the opioid epidemic is evolving.

42,249

The number of accidental opioid overdose deaths in the United States in 2016. That figure represents 66% of all drug overdose deaths that year.

13.3

The age-adjusted rate of opioid overdose deaths in 2016. That means that for every 100,000 Americans, 13.3 died from taking a powerful dose of opioids.

By adjusting for age, researcher­s can estimate how many deaths there would have been if every state had the same age distributi­on of residents. Then they can make comparison­s between states that skew younger and states with a higher proportion of elderly people.

27.9%

That’s how much the opioid overdose death rate increased in just one year, between 2015 and 2016. In 2015, there were 10.4 opioid overdose deaths per 100,000 people.

56.1%

The increase in fatal opioid-related overdoses among Americans categorize­d as non-Hispanic blacks between 2015 and 2016. That was the biggest increase seen in any racial or ethnic group.

Asians and Pacific Islanders came in second at 36.4%, followed by Latinos at 32.6%. Among whites, the opioid-related overdose death rate increased by 25.9%, and among Native Americans it rose 14.9%.

43.4

For every 100,000 residents of West Virginia, that’s how many died in 2016 after overdosing on an opioid. It was the highest ageadjuste­d death rate among the states with reliable data.

Other states with high death rates included New Hampshire (35.8 deaths per 100,000 people), Ohio (32.9 deaths per 100,000 people), the District of Columbia (30 deaths per 100,000 people), Maryland (29.7 deaths per 100,000 people) and Massachuse­tts (also 29.7 deaths per 100,000 people).

4.9

The opioid overdose death rate for Texas. This was the lowest rate among the states in the study.

10.6%

That’s the nationwide increase in deaths caused by prescripti­on opioid medication­s. In 2015, there were 15,281 such deaths; by 2016, that there were 17,087.

100%

The nationwide increase in fatal overdoses linked to synthetic opioids other than methadone. In other words, the death rate associated with these drugs doubled between 2015 and 2016.

200%

That’s how much the death rate due to synthetic opioids increased among Latinos and Asians and Pacific Islanders between 2015 and 2016. In other words, it tripled. 4

The number of times the CDC report mentions illicitly manufactur­ed fentanyl, or IMF. The researcher­s said IMF is “highly potent” and is probably fueling the spike in overdose deaths involving synthetic opioids.

“IMF is now being mixed into counterfei­t opioid and benzodiaze­pine pills, heroin, and cocaine, likely contributi­ng to increases in overdose death rates involving other substances,” they wrote.

4.9%

For every 100,000 people living in the United States, that’s how many died of a heroin overdose in 2016. The rate was nearly 20% higher in 2016 than it was in 2015.

3

The number of “waves” in the epidemic of opioid overdose deaths, according to the CDC researcher­s. The first wave began in the 1990s, a result of prescripti­on pain medication­s. The second wave followed in 2010, marked by fatal overdoses of heroin. The current wave can be traced to the rise of IMF and other synthetic opioids, beginning in 2013. By 2016, these drugs were responsibl­e for 45.9% of all opioid-related overdose deaths in the U.S.

 ?? John Minchillo Associated Press ?? MEDICS with the Cincinnati Fire Department nasally administer naloxone to a woman while responding to a possible overdose at a gas station in the city.
John Minchillo Associated Press MEDICS with the Cincinnati Fire Department nasally administer naloxone to a woman while responding to a possible overdose at a gas station in the city.
 ?? C.M. Guerrero Miami Herald ?? MEMBERS of a Miami Fire Rescue crew work on a possible overdose victim in November.
C.M. Guerrero Miami Herald MEMBERS of a Miami Fire Rescue crew work on a possible overdose victim in November.

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