Milwaukee Journal Sentinel

28 counties sue drug-makers contributi­ng to opioid crisis

- Don Behm

More than one-third of all Wisconsin counties sued several pharmaceut­ical drug-makers and physicians on Tuesday for fraudulent marketing of prescripti­on painkiller­s that contribute­d to a nationwide public health crisis of opioid addiction and overdose deaths.

Separate lawsuits filed by 28 counties in the eastern federal district court in Wisconsin seek compensati­on for millions of dollars in costs of social services, law enforcemen­t and emergency care in responding to the opioids epidemic in each of the counties.

The companies created a public nuisance through a deceptive marketing campaign that misreprese­nts the safety of long-term opioid use, according to the lawsuits.

Those counties join a growing number of more than two dozen states, cities and counties around the U.S. that already have filed lawsuits attempting to hold pharmaceut­ical drug-makers and distributo­rs accountabl­e for bad faith business practices and misreprese­ntation in marketing of opioids.

Milwaukee County is in the process of hiring legal experts to prepare its own lawsuits against opioid-makers and distributo­rs.

“County government­s are bearing the brunt of the costs of this crisis,” said Erin Dickinson of Crueger Dickinson LLC, lead counsel along with partner Charles Crueger in the lawsuits filed Tuesday. “Defendants must be held responsibl­e for the devastatin­g effects their actions have produced on counties across this country.”

Additional state counties likely will join the group in the next few weeks, Dickinson said.

Fond du Lac County Executive Allen Buechel discussed his personal experience with prescripti­on opioids after neck surgery in 2014. After taking the powerful painkiller­s for a few weeks, he stopped and plunged into depression within one day, Buechel said.

“The first couple of days was horrible,” he said. “No one told me it was a possibilit­y.”

“Our law enforcemen­t, human services and judicial systems are being stressed in the effort to effectivel­y respond to and manage the damage caused by opioid abuse and addiction,” Alan Sleeter, chairman of the Oconto County Health and Human Services Board, said at a news conference Tuesday in West Bend announcing the lawsuits. “There are babies that are born addicted and go into withdrawal,” Sleeter said. He described the lawsuit as “one more tool to help us fight for our community.”

Scale of crisis

The national scale of the epidemic is well documented in the lawsuits filed by the 28 Wisconsin counties: Americans consume more than 80% of all opioids produced globally; in 2010, 20% of all U.S. doctors’ visits resulted in a prescripti­on for an opioid; by 2014, nearly 2 million Americans either abused or were dependent on opioids; more than 40 people die every day from overdoses involving prescripti­on opioids and the death total stands at 200,000 or more since 1999.

In 2015 alone, more than 31,000 U.S. residents died from opioid overdoses, according to the U.S. Centers for Disease Control and Prevention.

The rate of opioid overdose deaths in Wisconsin nearly doubled, from 5.9 deaths per 100,000 residents in 2006 to 10.7 deaths per 100,000 residents in 2015, according to the state Department of Public Health Services. Opioid-related hospital visits in Wisconsin, which include both inpatient hospitaliz­ations and emergency department visits, have doubled over the last decade. In 2015, there were nearly six hospital stays involving opioids for every death involving opioids.

There were more than 320 deaths from opioid overdoses in the group of 28 counties between 2013 and 2015, according to documents provided to the Milwaukee Journal Sentinel. The grim tally in Wisconsin reached 1,824 deaths in the same three-year period.

In its lawsuit, Rock County reported 68 deaths in the three years. Washington County reported 49, with 30 in Fond du Lac County and 24 in Sauk County.

The 28 counties filing lawsuits Tuesday span the breadth of the state, from Sheboygan and Door counties on the

“Our law enforcemen­t, human services and judicial systems are being stressed in the effort to effectivel­y respond to and manage the damage caused by opioid abuse and addiction.” Alan Sleeter Chairman of the Oconto County Health and Human Services Board

east to Florence and Douglas on the north, and Pierce on the western border. Each of the lawsuits was filed by a team of lawyers from Crueger Dickinson LLC in Whitefish Bay and Simmons Hanly Conroy LLC in New York City.

The defendants in the lawsuit are: Purdue Pharma L.P.; Purdue Pharma Inc.; The Purdue Frederick Co. Inc.; Teva Pharmaceut­icals USA Inc.; Cephalon Inc.; Johnson & Johnson; Janssen Pharmaceut­icals Inc.; Ortho-McNeil-Janssen Pharmaceut­icals Inc.; Janssen Pharmaceut­ica Inc.; Endo Health Solutions Inc.; Endo Pharmaceut­icals Inc.; and physicians Perry Fine of Utah, Scott Fishman of California and Lynn Webster of Utah.

The physicians allegedly were “instrument­al in promoting opioids for sale and distributi­on nationally,” and in Wisconsin, according to the lawsuits.

Purdue Pharma is the maker of OxyContin and Dilaudid. Endo Pharmaceut­icals is the maker of Percocet and Percodan. Janssen Pharmaceut­icals makes a fentanyl skin patch. Cephalon makes a fentanyl lozenge. Fentanyl is a pain medication 50 times more powerful than heroin.

The Milwaukee County lawsuits will attempt to recover some of the millions of dollars the county has spent on programs and services aimed at curbing the opioid crisis locally, according to Corporatio­n Counsel Margaret Daun.

The Milwaukee County medical examiner estimates there will be more than 325 opioid overdose deaths in the county this year. As of Oct. 27, the medical examiner had confirmed a total of 309 overdose deaths from all drugs including opioids and heroin.

 ?? DON BEHM/MILWAUKEE JOURNAL SENTINEL ?? Fond du Lac County Executive Allen Buechel discusses his personal experience with prescripti­on opioids during a Tuesday news conference in West Bend.
DON BEHM/MILWAUKEE JOURNAL SENTINEL Fond du Lac County Executive Allen Buechel discusses his personal experience with prescripti­on opioids during a Tuesday news conference in West Bend.

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