Transcript Goodbye Pain Pills**Hello Heroin!!

“Heroin Addiction in
Kentucky”
Mark Fisher,M.S., SOTA
Kentucky
HB1 and KASPER
Kentucky’s PDMP
Implemented in October 15, 2015
Reformulation of Opana in 2011
Hydrocodone dispensed, -16.4%
Oxycodone , -15.9%
Oxymorphone ( Opana), -45%
Alprazolam , ( Xanax), -19%
40 million prescriptions in 1991, up
to 180 million in 2007.
US receives 99% of world’s supply
of Hydrocodone.
US receives 71% of world’s
Oxycodone.
Lot of access to opiates for all ages!!
Where are our Overdoses?
Overdose Deaths
Top 6 counties for 2013 by overdose deaths
were:
1) Bell County- 93.2 per 100,000
2) Clinton- 49.3 per 100,000
3) Breathitt- 44.3 per 100,00
4) Floyd- 43.9 per 100,000
5) Perry- 42.8 per 100,00
6) Harlan- 42.1 per 100,000
Fayette county was 27.9 per 100,000
Guess Whose Back?????
Heroin Use Increasing Across Ohio
By Join Together Staff | March 28, 2012 |
Heroin use has increased so much in Ohio
that users say it is “falling out of the sky,”
according to a new report by state health
officials. Children as young as 13 are starting
to use the drug, they said.
Many heroin users responding to a state
survey said increased demand for the drug
was due to the reformulation of OxyContin,
which makes it more difficult to abuse.
Heroin Use on the Rise
“Heroin Use Increasingly Seen in Suburbs
Across the Country”-Join Together-April 16th,
2013
“Latest cycle of heroin abuse hitting
Lexingtonians of all demographics while
officials try to track the drug's source”
Fayette County experienced 86 overdose fatalities in
2013, up from 74 in 2012. 44 of those were
specifically related to Heroin.
Clay Mason, who oversees police, fire and
emergency management departments in Lexington
as the city’s public safety commissioner, told Pure
Politics that those who have overdosed cut across
all demographics, ranging in their 20s to their 50s
and coming from all income levels. (Jacqueline Pitts,
CN/2).
1,007 overdose fatalities in 2013 statewide,
compared to 1,004 in 2012. (2013 Overdose Fatality
Report)
Prevelance
Seizures of heroin are up 6,688 percent
LMPD blames 80 percent of burglaries
and thefts on opioid dependent persons.
Heroin arrests have increased 2,334
percent from 32 in 2008 to 779 in 2012 in
Louisville – LMPD
Kentucky State Police -heroin
submissions;
in 2010 were 451, in 2012 they were 1074
Kentucky
Snorting
Smoking
IV Use
Adolescents-“Slamming, Buttons”
Potency ranges from 10% Heroin up to 60-70% now.
Dose depends greatly on the purity of the heroin and
level of tolerance. Common IV doses generally fall
between 1 and 2gm; smoked heroin doses may range
from 15 to 25 mg. Heroin users typically use small
quantities of new material to determine potency and
reduce the risk of overdose.
Kentucky House Bill 79
-Now allows Doctors to prescribe
Naloxone to someone they believe
could administer it, such as a relative
of a Heroin addict.
-Neither the Doctor not the person
administering it would be subject to
disciplinary action.
Naloxone
Overdose Kits Now Available!!!! (Pharmacist Sam Colletta, Avenue
Pharmacy-Dayton, KY
Senate Bill 192 (3/25/2015)
Increase penalties of over 100 grams or
more will be a Class B felony
Approval of needle exchange programs in
local health departments.
Good Samaritan Clause.
Extended use of NARCAN ( naloxone kits)
$10 million for treatment the 1st year, 24
each of the following years.
OTP expansion
Increase since 2011 of 11 clinics to 20 as
of September 2014
Increase admission from 2906 in 20122 to
4600+ as of 3/25/2015
OBOT’s prescribed 13 million doses of
Buprenorphine in 2013.
Thank You!!
Mark A. Fisher, M.S., SOTA - KY
275 E. Main St 4 W-G
Frankfort, KY 40621
[email protected]
502-782-6162