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In 2017, New York providers wrote 37.8 opioid prescriptions for every 100 persons. This is one of the lowest rates in the country. The average U.S. rate in the same year was 58.7 prescriptions per 100 persons. However, the prescription opioid abuse problem continues to hobble New York's progress as well as take up a sizable amount of the state's budget.

The Prescription Drug Crisis In New York

Opioid overdose deaths among New York State residents increased sharply in 2015 and 2016. The rate of overdose deaths involving any opioid in New York State was almost three times higher in 2016 (15.1 deaths per 100,000 population) than it was in 2010 (5.4 per 100,000).

The 2016 statewide rate of overdose deaths involving heroin was 6.5 per 100,000 residents, while the rate of deaths involving opioid pain relievers was 11.7 per 100,000.

Among overdose deaths involving opioid pain relievers, a subcategory of synthetic opioids excluding methadone (8.3 deaths per 100,000 residents), which includes illicit Fentanyl and its analogues, contributed to the majority of deaths.

Thus, this does not mean that the majority of deaths in the opioid pain reliever category are attributable to prescription opioid overdoses. Instead, they are largely due to a subcategory of illicit synthetic opioids which are not medically-prescribed and are commonly found mixed with heroin and other illicit drugs or pressed into counterfeit pill form to resemble prescriptions opioids. However, opioid prescription drugs are the primary gateway to these, so there's that.

There was a sharp increase in the statewide age-adjusted rate of overdose deaths involving synthetic opioids other than methadone, from 1.4 deaths per 100,000 in 2014 to 8.3 per 100,000 in 2016.

Furthermore, a large increase was observed in 2016 (compared to 2010) for overdose deaths involving synthetic opioids other than methadone with other substances present, such as heroin (3.3 per 100,000) and cocaine (2.3 per 100,000).

Since 2010, the rate of overdose deaths involving any opioid has been higher among residents of New York State excluding (outside) New York City than among residents of New York City, with both rates trending upward through 2016.

Similarly, the rate of overdose deaths involving heroin has been higher in New York State excluding New York City than in New York City since 2010, again increasing through 2016.

Statewide, 2016 rates of overdose deaths involving any opioid were higher among males (22.3 per 100,000) than among females (8.1 per 100,000), higher among White non-Hispanics (19.8 per 100,000) than among Black non-Hispanics (10.5 per 100,000) or Hispanics (12.6 per 100,000), and highest among those aged 25-44 years (27.7 per 100,000).

In 2016, there were more than 11,000 emergency department (ED) visits for any opioid overdose among New York State residents, with a statewide crude rate of 56.9 per 100,000 residents. The rate was highest among young adults aged 18-24 (104.5 per 100,000), followed by those aged 25-44 (103.4 per 100,000).

The ED visit rate for opioid overdose was more than two times higher among males (77.5 per 100,000) than that among females (37.5 per 100,000). Disparities existed among certain racial and ethnic groups.

The rate was highest among the White non-Hispanic population (68.8 per 100,000), followed by the Black non-Hispanic population (36.2 per 100,000) and Hispanics (30.8 per 100,000).

Geographic differences continue to be seen. ED visit rate for opioid overdose was more than two times higher for New York State excluding New York City (74.9 per 100,000) as compared to New York City (33.3 per 100,000).

During 2016, most opioid overdose deaths in New York State occurred in the decedent's home (60.3 percent). There was no apparent seasonal pattern in the number of opioid overdose deaths by month in New York State during 2016.

The rate of overdose deaths involving opioid prescriptions did not significantly change from 2015-2017 with 5.1 deaths per 100,000 persons reported in 2017.

In 2017, there were 3,224 overdose deaths--- involving opioids in New York — a rate of 16.1 deaths per 100,000 persons compared to the average national rate of 14.6 deaths per 100,000 persons.

The greatest rise occurred among synthetic opioid-involved deaths (predominantly Fentanyl) with 2,238 deaths reported in 2017, up from the 210 deaths in 2013.

Heroin-involved deaths also rose in the same four-year period from 666 deaths to 1,356 deaths. Deaths involving prescription opioids have shown a slower increase since 2013 from 859 to 1,044 cases in 2017.

NAS or neonatal opioid withdrawal syndrome (NOWS) may occur when a pregnant woman uses drugs such as opioids during pregnancy.The most recent data on the rate of babies born with NAS/NOWS in New York is from 2014 hospital discharge data.

The rate of NAS/NOWS nearly doubled from 2.6 cases per 1,000 hospital births in 2008 to 5.8 cases per 1,000 hospital births in 2014 (New York State Maternal and Child Health Dashboard).

Of the new HIV cases in 2016, 2,875 occurred in New York. Among males, 8.5 percent of new HIV cases were attributed to opioid abuse and prescription opioid abuse or male-to-male contact and opioid abuse. Among females, 13.0 percent of new HIV cases were attributed to opioid and prescription opioid use and abuse.

In 2015, an estimated 128,681 persons were living with a diagnosed HIV infection in New York—a rate of 768 cases per 100,000 persons. Of those, 26.1 percent of cases among males were attributed to opioid and prescription opioid abuse or male-to-male contact and opioid abuse. Among females, 29.5 percent were living with HIV attributed to opioid abuse.

There were approximately 179 new cases of acute HCV (0.9 per 100,000 persons) reported in New York in 2016 (CDC). In New York, there are an estimated 36,800 persons living with Hepatitis C (2013-2016 annual average), a rate of 900 cases per 100,000 persons. Many of these cases are attributable to opioid abuse.

Addiction Treatment In New York

Fortunately, New York has numerous centers of treatment and rehab. There are many types of treatment centers such as long term addiction treatment facilities, short term drug abuse treatment, outpatient detoxification programs, outpatient substance abuse treatment services, inpatient drug abuse treatment and others.

There is a wide range of drug and alcohol rehab facilities available. They include individual psychotherapy, dialectical behavior therapy, couple/family therapy, trauma therapy, trauma-related counseling, cognitive/behavior therapy and others, to name a few. If you need rehab in New York, all you need to do is place a call to any of the available rehab centers.

CITATIONS

https://www.carnevaleassociates.com/our-work/emerging-drug-trends-prevention-issue-brief.html

https://www.dea.gov/resource-center/2016%20NDTA%20Summary.pdf#page=40&zoom=auto,-80,792

https://www.dea.gov/sites/default/files/2018-11/DIR-032-18%202018%20NDTA%20final%20low%20resolution.pdf

https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs

https://www.getsmartaboutdrugs.gov/news-statistics/emerging-drug-trends

https://www.ncbi.nlm.nih.gov/books/NBK234579/

https://www.shadac.org/publications/50-state-analysis-drug-overdose-trends-evolving-opioid-crisis-across-states

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