(Boston Orange摘要編譯) 麻省公共衛生局 (DPH)今 (22) 日公佈初步數據,2022年麻州鴉片類相關藥物用藥過量死亡率比2021年增加了2.5%,其中黑人、非西班牙裔居民增幅最大。
2022年有2,357例確認和估計的鴉片類相關藥物過量死亡案件,比2021年的峰值還超過57例。初步數據還顯示,在2023年前三個月中確認和估計的鴉片類藥物過量死亡人數為522例,比2022年同期下降7.7%。
在非西班牙裔黑人居民中,鴉片類相關藥物過量死亡率增加了42%,從2021年的每10萬名居民有36.4人死亡,增加到2022年的51.7人。當按性別來分開計算時,數據顯示,非西班牙裔黑人男性在所有種族/民族群體的男性中,鴉片類相關藥物過量死亡率增幅最高,從每10萬人的56.4人增加到79.6人(增加41%)。非西班牙裔黑人女性的死亡率增加了47%,從每10萬人的17.4人增加到25.5人。
奚莉(Healey-Driscoll)政府的防止鴉片類藥物濫用工作,集中在為社區提供所需資源上,包括以支持各種行為健康和無家可歸者為中心的藥物使用計劃。奚莉政府的2024財政年度(FY24)預算,還提議投資超過6億美元用於物質成癮預防和治療計劃,包括用於擴大門診服務的重要資金,增加社區和急診科的穩定危機服務,以及加強住院環境中的連續性照護。
麻州繼續擴大現有的藥物使用障礙治療和預防過量計劃,包括增加人們取得逆轉用藥過量的藥物納洛酮 (Naloxone)的服務。麻州已經超過了聯邦納洛酮“飽和”目標,並計畫擴大的為社區提供足夠的納洛酮以防止可能因缺乏獲得醫藥機會而導致的藥物過量死亡。自2020年以來,DPH已經發放了將近30萬劑納洛酮套件,給減少損害項目,鴉片治療供應者,社區健康中心,醫院急診部門,以及郡拘留所。分發量每年增加約40%。最近這幾年,DPH在納洛酮上花的錢也增加了140%,從2018年的290萬美元增加到2022年的700萬美元。通過這些投資,DPH於2022年5月推出了[社區納洛酮購買計劃]( https://www.mass.gov/service-details/community-naloxone-purchasing-program-cnpp),以經由這些組織向麻州社區成員分發免費的納洛酮。
Massachusetts opioid-related overdose deaths rose
2.5 percent in 2022
Black residents accounted for the largest
increase in opioid overdose death rates
BOSTON (June 22, 2023) –
Opioid-related overdose deaths in Massachusetts increased by 2.5 percent in
2022 compared to 2021, with rates among Black, non-Hispanic residents making up
the largest increase, according to preliminary data released today by the Massachusetts Department of Public
Health (DPH).
There were 2,357 confirmed and
estimated opioid-related overdose deaths in 2022, surpassing the previous peak
in 2021 by an estimated 57 deaths. Preliminary data also show there were 522
confirmed and estimated opioid-related overdose deaths in the first three
months of 2023, a 7.7 percent decrease (an estimated 44 fewer deaths) from the
same time period in 2022.
Among non-Hispanic Black residents,
the opioid-related overdose death rate increased by 42 percent, from 36.4 to
51.7 deaths per 100,000 residents from 2021 to 2022. When broken down by sex,
the data show that non-Hispanic Black men had the highest opioid-related
overdose death rate increase among males in all race/ethnicity groups, from
56.4 to 79.6 per 100,000 (a 41 percent increase). The rate for non-Hispanic
Black women increased by 47 percent, from 17.4 to 25.5 per 100,000.
The Healey-Driscoll
Administration’s opioid prevention efforts are focused on providing communities
with the resources needed to support a wide range of substance use programs,
including those centered on behavioral health and homelessness. The
Administration’s Fiscal Year 2024 (FY24) budget proposes investments of more
than $600 million for substance addiction prevention and treatment programs,
including critical funding for expanding outpatient services, increasing access
to crisis stabilization services in communities and emergency departments, and
strengthening the continuum of care in inpatient settings.
“As Attorney General, I made
combatting the opioid crisis a top priority, and that commitment continues as
Governor while we work to provide individuals and communities with the support
they need for treatment, prevention and recovery,” said Governor Maura
Healey. “Too many Massachusetts families, particularly families of color,
have been impacted by this crisis, and in order to effectively respond, we need
to address the gaps in the system by advancing long-term solutions that include
housing, jobs, mental health care and more resources for our cities and towns.”
“We know that the opioid crisis
impacts communities across Massachusetts and requires a collaborative response
between the state and municipalities,” said Lieutenant Governor Kim Driscoll.
“By investing in supports at the local level, including increasing access to crisis stabilization services in the
community, we will be able to support people where they live, and where their
families and communities can support them in their treatment.”
The Commonwealth continues to
expand existing substance use disorder treatment and overdose prevention
initiatives, including increasing access to the overdose-reversal drug
naloxone. Massachusetts has already exceeded, and plans to expand upon, federal
naloxone “saturation” goals, providing communities with enough naloxone to
prevent overdose deaths that may occur from a lack of medication access. Since
2020, DPH has distributed nearly 300,000 naloxone kits to harm reduction
programs, opioid treatment providers, community health centers, hospital
emergency departments, and county houses of correction, with distribution
increasing about 40 percent each year. DPH has increased its investment in
naloxone by more than 140 percent in recent years, from $2.9 million in 2018 to
$7 million in 2022. Through these investments, DPH launched the Community Naloxone Purchasing Program in May 2022 to increase distribution of free naloxone through
organizations to community members across Massachusetts.
In response to the rise in
opioid-related overdose deaths, DPH issued an advisory last month urging all
providers to increase availability of naloxone kits and train staff to dispense
and administer naloxone to anyone who may need it. Retail pharmacies in
Massachusetts should continue to dispense naloxone without a prescription as
part of a statewide standing order. Everyone, especially those around people at
high risk for overdose, should carry and know how to use naloxone, which can
prevent serious harm and death from overdose. Those at high risk include people
taking high doses of prescription opioids, people misusing prescription opioids,
and people using illicit opioids or other drugs, which can be contaminated with
the powerful opioid fentanyl.
“We understand that to address the
opioid crisis, we need to prioritize overdose death prevention while
simultaneously investing in comprehensive supports for those dealing with
substance use disorder, to ensure they have every opportunity for recovery,” said
Secretary of Health and Human Services Kate Walsh. “We have to lean into
the disparities we see in impacts on Black residents and target our
interventions accordingly. Challenges like housing, hunger, and accessing
education, behavioral health treatment and transportation need to be addressed
in concert with substance use treatment in order to turn the tide of this
epidemic.”
“The increase in opioid-related
overdose deaths is a tragedy and alarming,” said Department of Public Health
Commissioner Robert Goldstein, MD, PhD. “We know overdose deaths are
preventable. The pandemic has had a devastating impact on mental health and
substance use, especially among marginalized communities. We are working to
reverse these troubling trends by continuing to build on our data-driven and
equity-based approaches toward responsive support and treatment.”
Key Points and Interventions:
- The
opioid-related overdose death rate in Massachusetts increased to 33.5 per
100,000 people in 2022, 2.5 percent higher than in 2021 (32.7 per 100,000)
and 9.1 percent higher than the pre-pandemic peak in 2016.
- Since
August 2022, DPH has distributed about 275,000 rapid fentanyl test strip
kits at no cost to providers and community organizations and plans to
expand distribution in the coming year. Single-use fentanyl test strips
help reduce the chances of overdose by allowing people who use drugs to
test their supply prior to consumption to determine if it is tainted with
fentanyl.
- Fentanyl
was present at a rate of 93 percent of fatal opioid overdoses in 2022
where a toxicology report was available. Cocaine was present in 53 percent
of toxicology reports, a 4 percent increase over 2021. Alcohol was present
in 28 percent, benzodiazepines in 27 percent, prescription opioids in 11
percent, amphetamines in 9 percent, and heroin in 6 percent. Xylazine was present in 5 percent of
opioid-related overdose deaths from June to December 2022 where a
toxicology screening was available.
- 47
percent of all opioid-related overdose deaths were between 25 and 44 years
old; 43 percent were between 45 and 64 years old.
- Males
comprise 72 percent of all opioid-related overdose deaths in 2022.
- In
the first three months of 2023, males aged 35-44 accounted for the
greatest number of suspected opioid-related incidents with a known age and
sex treated by Emergency Medical Services (EMS) at 19.4 percent. This
marks a shift from prior years where the greatest number of incidents
occurred among males aged 25-34.
- Naloxone
was administered in 97 percent of acute opioid overdoses occurring in the
first three months of 2023.
- Using
federal funds, DPH continues to increase investment in 29 opioid addiction
treatment programs across the Commonwealth to expand services aimed at
reaching historically underserved or hard to reach populations, including
those in the hardest-hit communities like Boston, Lawrence, Lynn,
Springfield, and Worcester.
- DPH’s
ongoing investments in temporary and permanent low-threshold housing for
homeless or housing unstable individuals struggling with substance use
disorder have led to the placement of more than 400 people so far. Using
funds from the state’s Opioid Recovery and Remediation Fund, DPH expects
to increase low-threshold housing units statewide from 394 to 761 and is
on track to house more than 500 people by the end of FY24.
- The
largest overdose death increases in 2022 were seen in Worcester County (18
percent, from 281 to 331) and Plymouth County (14 percent, from 167 to
190).
- The
most rural communities had the highest opioid-related overdose death rate
in 2022 at 36.1 deaths per 100,000 residents.
- The
following cities and towns experienced a notable decrease in
opioid-related overdose deaths in 2022 compared with 2021: Gloucester,
Haverhill, Norton, Salem, and Taunton.
The following cities and
towns experienced a notable increase in opioid-related
overdose deaths in 2022 compared with 2021: Lawrence, Leominster, Lynn,
Springfield, Waltham, Weymouth, and Worcester.