U.S. Supply Of Fentanyl Being Fed By Vast, Unregulated Network In China
While U.S. law limits trade in key ingredients used to make fentanyl, the chemicals are unregulated in China or by United Nations policing conventions. Meanwhile, as the opioid crisis grips the nation, there's a push for doctors to prescribe alternative pain treatments, a hard-hit Maine town comes together to fight it and the surgeon general says the path to solving the problem is to think of opioid addiction in terms of illness rather than as a crime.
The Wall Street Journal:
The Chinese Connection Fueling America’s Fentanyl Crisis
Last spring, Chinese customs agents seized 70 kilograms of the narcotics fentanyl and acetyl fentanyl hidden in a cargo container bound for Mexico. The synthetic opium-like drugs were so potent that six of the agents became ill after handling them. One fell into a coma. The cargo had traveled through five freight forwarders before reaching customs, obscuring its exact origins, according to an internal U.S. Drug Enforcement Administration intelligence briefing reviewed by The Wall Street Journal. One thing is clear: The shipment and a host of others, detailed in the DEA briefing, court documents and interviews with government officials in multiple countries, are part of a vast drug-distribution network beginning in China that feeds lethal fentanyl to the Americas. (Whalen and Spegele, 6/22)
The New York Times:
New Ways To Treat Pain Meet Resistance
In recent months, federal agencies and state health officials have urged doctors to first treat pain without using opioids, and some have announced plans to restrict how many pain pills a doctor can prescribe. But getting the millions of people with chronic pain to turn to alternative treatments is a daunting task, one that must overcome inconsistent insurance coverage as well as some resistance from patients and their doctors, who know the ease and effectiveness of pain medications. (Meier and Goodnough, 6/22)
NPR:
A Small Town Bands Together To Provide Opioid Addiction Treatment
Bridgton, Maine, is the kind of place people like to go to get away. It's got a small main street with shops and restaurants, a pair of scenic lakes, a ski resort and plenty of hiking trails. But about 10 years ago, Bridgton, a town of just 5,000 residents, began showing signs of a serious drug problem. "I had a lot of young people calling the agency to come into treatment," says Catherine Bell, director of Crooked River Counseling, a substance abuse treatment center in Bridgton. "They were using needles. They were shooting heroin and it was like, really bombarded." (Sharon, 6/22)
The Tennessean:
Surgeon General: Recast Opioid Addiction As Illness
The path to solving the country's opioid abuse epidemic is an opportunity to recast addiction as an illness rather than a crime in many cases and to find efficient ways to treat pain, U.S. Surgeon General Dr. Vivek Murthy told an auditorium of medical students and doctors Wednesday at Meharry Medical College. (Fletcher, 6/22)
And in other opioid news —
The Associated Press:
Nearly 1 In 3 On Medicare Got Commonly Abused Opioids
Nearly 12 million Medicare beneficiaries received at least one prescription for an opioid painkiller last year at a cost of $4.1 billion, according to a federal report that shows how common the addictive drugs are in many older Americans' medicine cabinets. With an overdose epidemic worsening, nearly one-third of Medicare beneficiaries received at least one prescription for commonly abused opioids such as OxyContin and fentanyl in 2015. (Johnson, 6/22)
Reuters:
Heroin Use At 20-Year High In U.S. Drug 'Epidemic', U.N. Says
A heroin "epidemic" is gripping the United States, where cheap supply has helped push the number of users to a 20-year high, increasing drug-related deaths, the United Nations said on Thursday. (Nasralla, 6/23)
The Associated Press:
New York Sets 7-Day Limit On Initial Opioid Prescriptions
New York is limiting opioid drug prescriptions to seven days of painkillers following a patient's initial visit to a doctor. ... The changes also require insurers to cover initial inpatient drug treatment without prior approval; extend from 48 to 72 hours the time someone can be held for emergency treatment; and add 2,500 addiction-treatment slots statewide. (Virtanen, 6/22)
