Pittsburgh Post-Gazette

Sounding the alarm

Gov. Wolf is right to term opioids an emergency

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Like any complex problem in society, the opioid epidemic does not have one simple solution. State government cannot take a direct action and wipe out the epidemic as if it were a virus controlled by a vaccine. Despite this fact, we welcome Gov. Tom Wolf’s declaratio­n on Wednesday of a disaster emergency in the case of the opioid crisis.

The governor’s declaratio­n allows the epidemic to be treated like a natural disaster or severe storm, temporaril­y pushing aside regulation­s that the state believes hamper its response. Pennsylvan­ia becomes the eighth state in the nation to declare such a state of emergency.

Although the statistics are not final, officials estimate that there were 5,260 drug-related deaths in the state in 2017, which gives Pennsylvan­ia the fourth highest rate of such deaths in the country. In a time when no strong federal response has been forthcomin­g ,states see the need to take action.

The Wolf administra­tion says the declaratio­n opens a series of new possibilit­ies for patients, such as allowing them to be admitted to narcotic treatment programs without first meeting face-to-face with physicians. According to officials, it will also expand access to naloxone, a drug used in overdose cases. It may also reduce separate licensing requiremen­ts for hospitals that wish to provide treatment.

Karl Williams, the Allegheny County medical examiner, called the emergency measures “a valuable, necessary, and welcome contributi­on” but mourned the lack of a broader response. He said the federal government and the insurance industry must fully commit to a high level of response. He particular­ly cited the inadequate amount of rehabilita­tion that is covered by insurance. Families of drug abuse victims have also explained that one month of rehabilita­tion is not sufficient for full recovery.

The state’s acting secretary of health recently reported that doctors in Pennsylvan­ia wrote 12 percent fewer prescripti­ons for opioids in the third quarter of 2017 compared with the same period a year earlier. Actions by physicians, along with those taken by government and many other partners, are crucial in curbing this epidemic.

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