Author: Justin Mckibben
Naloxone expansion is something we consistently see as a topic of discussion. Naloxone, or the name-brand Narcan, is an opioid overdose antidote that is in high demand as one of the primary tools in the fight against the ongoing overdose outbreak. Law makers and law enforcement agencies have joined with community organizations and pharmacy companies in trying to provide this medication to more and more people.
New legislation across the U.S. has made access to Naloxone more common than ever. Now, the drive for Naloxone expansion is leading us to another avenue. This is beyond supplying the families of addicts, the addicts themselves and first responders.
Some may remember, back in September, the Food and Drug Administration launched a competition to app developers in the name of improving resources for naloxone expansion. The contest was seeking a mobile app for connecting people experiencing a drug overdose with someone nearby who can administer naloxone. With technology being used to expedite just about everything in our world, it only made sense to use it to help save lives if possible.
The winner of the Naloxone App Competition has been announced this month, and the $40,000 cash prize has been claimed. Their mission: to make it possible for more people to be first responders for opiate overdoses.
The OD Help App
The winning app is the OD Help App, creared by Team PwrdBy, a small start-up in Venice, California. The start-up’s CEO Jared Sheehan says this innovation stems from the idea of making naloxone assistance as available as ride-sharing services like Uber and Lyft. With Uber and Lyft drivers being so spread out, the idea is the app could cover a lot more ground and reach more people in the event of opioid overdose.
Sheehan says there’s still a lot of work to be done before the app is made available to the public. To implement this kind of program with Uber or Lyft, it would require reaching out and coordinating with ride-sharing companies. Sheehan stated:
“Is there a way if every Uber driver had a naloxone kit in the back of their car, that you could call someone and they’d be able to come over and administer naloxone?”
So in essence, the idea of the OD Help app would be to be able to alert naloxone carriers of an overdose (OD) and give them the option of being dispatched to help revive someone experiencing the overdose.
Expanding Team PwrdBy Naloxone Plan
According to Sheehan, ride-sharing apps are just one avenue that Team PwrdBy is setting its sights on. The company is also exploring more traditional distribution systems.
One such method Team PwrdBy wants to look to for inspiration for the OD Help app is the AED network, the automated external defibrillators network across schools. The goal is to better comprehend how these programs are funded and distributed. Modeling after an already successful style of expanded access for other emergency medical supplies may be vital to changing the way we expand naloxone access.
All of this is to save as many lives as possible.
How OD Help Works
The OD Help app connects opioid users with a crowd-sourced network of naloxone carriers. Using GPS, it specifically connects someone who may experience an overdose with someone nearby who has access to naloxone. The app is also able to be personalize to the user’s specifications. One feature lets you set it up so in the event of an overdose the app would only alert people in your selected support network. And naloxone carriers can disable alerts if they are not able to respond.
Another feature available with the OD Help app is a breathing monitor. This can be helpful for people who use opioids alone. It gives the app a way to communicate with others when the user can’t. The wearable monitor is able to detect if the individual’s breathing rate is dangerously low, a sign of overdose. In this case the OD Help app automatically alerts a naloxone carrier nearby.
The app also features information on:
- How to correctly identify an overdose
- How to administer naloxone
Another hope is that the app will also inform younger generations about the dangers of opioid abuse, and about overdose prevention. The hope is the app could reach a younger population and make them aware of how to get access to naloxone and how to administer it. Many young people don’t think of pharmacies as a place to get the drug that could save their lives.
Put to Good Use
The truth is, not all people will be able to have access to a consistent supply of naloxone. The drug also doesn’t last forever. For those who would need to have an overdose antidote resource, the OD Help app could be a safe-guard against being completely unprepared for an overdose.
Some people may be embarrassed or have some reservations about personally obtaining naloxone. With the OD Help app they could reach out to someone if they truly needed the help.
If you or someone you loved were overdosing, would it be useful to be able to look on an app and find someone close by with the tools to help? Some people would say you should just call an ambulance, but what if it could get there sooner? Or what if someone is afraid of reporting it? Too many people die for these very reasons, but they shouldn’t have to. Sure, some people may ask if they would let a random citizen administering the antidote. However, some might say any help is worth having.
Then on the other side, would people be willing to come to the rescue if they had the resources? If your phone rang and the OD Help app said someone needed help around the corner, would you? Would you be happy you could?
Something tells me plenty of people would be willing to put this tool to good use.
This writer has said this before; the preservation of all lives should be a responsibility of all who have the ability to help; not just for public health officials, but everyone. As part of that, Palm Partners is dedicated to contributing to the rehabilitation and revolutionary growth possible with holistic treatment for drug and alcohol abuse. If you or anyone you know is struggling with substance abuse or addiction, please call now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Sometimes new policy can be good. Sometimes, not so much.
The opiate epidemic in America has hit some states with staggering rates of overdose and death. The paralyzing truth gripping the nation today is that more people are dying from drug overdose than homicides and car crashes. Heroin, fentanyl and prescription painkillers collectively decimate entire communities. People from all over are starting to push officials and lawmakers for more progressive and effective solutions.
Addiction has led to an overdose outbreak that shakes the country to the core, everywhere. Now, Florida lawmakers are pushing for new legislation to try and protect and serve those who suffer from an overdose. One of the first bills on the 2017 agenda is one that hopes to change how law enforcement treats overdose victims.
Although, another bill is trying to turn things in a very different direction.
Florida HB 61 Bill
Florida Representative Larry Lee, a Democrat from Port St. Lucie, has filed a proposal titled HB 61. If approved, this piece of reform would require several new policies for healthcare providers, starting with hospitals.
- It would require hospitals to screen overdose victims to determine the need for additional health care services
- Prohibits hospitals from discharging overdose patients to a detox or treatment facility until stabilized
- Requires attending physician to attempt contact with patients primary care physician, or other treatment providers, who prescribe controlled substances to notify them of overdose
- Requires hospital to inform medical director of treatment center (if patient is currently in treatment) of the overdose
- Hospital must inform overdose victim’s family or emergency contact of overdose
- Must inform contacts what drugs they suspect to have caused overdose
- Attending physician must provide list of drug treatment providers and information about Florida’s Marchman act and Backer act in case the family or contact wishes to seek legal action to protect the addict
The Big Change in HB 61
Lastly, what is probably the most progressive part of this legislation, is the HB 61 bill would prohibit criminal charges from police officers and prosecutors against the overdose victim for possession of any drugs found on them during the incident.
This final aspect of HB 61 this writer thinks is a big deal, because from personal experience I have seen and heard many stories of individuals not calling for help in the event of an overdose out of fear of prosecution. In some cases people actually die because of the fear of criminal punishment. Adding this kind of measure to the bill is an attempt at eliminating the loss of life due to fear of discrimination. Even if it is not a perfect system, this kind of reform takes first responders and law enforcement a step closer to dealing with addicts who are fighting a fatal illness like sick people instead of criminals.
Florida SB 150 Bill Attacks Fentanyl
From across the aisle we see another push from Republican Senator Greg Steube from Sarasota. The question is, will this push go in the right direction? On December 12, he introduced bill SB 150. This is set to be a direct attack on fentanyl.
For those who are not yet familiar, fentanyl is an incredibly powerful, and lethal, opioid painkiller. It’s medical use is to sedate surgical patients and relieve chronic pain. However, being several times more powerful than heroin, it has crept into the illicit drug trade in various parts of the country. And with its arrival also came a horrifying increase in overdose and death.
This proposal means to make 4 grams or more of fentanyl a first-degree felony through:
November 20, the Palm Beach Post released an analysis of people who died in 2015 from heroin-related overdoses. Out of the 216 individuals profiled in this report, 42% of the cases were found to involve fentanyl. So of course, with Steube coming from a district hit particularly hard by the opiate epidemic, it is logical to want to do everything you can to cut the flow of fentanyl off.
Yet, some say that this kind of strategy is too close to the concept of mandatory minimums.
Is SB 150 Too Close to Mandatory Minimums?
For those who need more clarification, mandatory minimum sentencing laws were a “one-size-fits-all” strategy implemented originally back in 1951 against marijuana, then repealed in the 1970s, and refined in 1986. In 1973, New York State enacted mandatory minimums of 15 years to life for possession of more than 4 ounces of any hard drug.
The idea is that regardless of the individual or the circumstances that a certain crime will have an inflexible punishment across the board. Ever since their introduction, criminal justice advocates have fought these laws, and they have always been surrounded by debate and controversy.
Essentially, some are already saying that SB 150 will ruthlessly make addicts into victims of the already overpopulated prison system. To be clear and fair- the bill does not seem to directly require a specific prison sentence like mandatory minimums, but it’s similar in that it treats every issue related to fentanyl the same.
The issue has already been argued time and time again that non-violent low-level drug offenders have spent excessive amounts of time in prison for possession of a substance. In some cases, an individual will do more time behind bars for possessing a large quantity of drugs than someone who has actually killed someone. Some have come to the conclusion that this tactic just doesn’t work.
The fear with SB 150 is not about the manufacturers or the dealers as much as it is for the consumers. Sometimes individuals purchase drugs on the street believing it to be heroin or another substance without even knowing there is fentanyl in it. So this bill would make first-degree felons out of desperate addicts?
What is Right?
The big question we all face at the end of the day is- what is the right thing to do? How is the best way to handle something that feels so utterly out of hand?
Well, it would seem like its time to finally let go of the archaic stigma. More states and law enforcement officials are turning to compassionate and supportive progress. Many places in America are starting to do everything they can to help people struggling with addiction to find help before it is too late. So why move backwards?
In my opinion, strictly based on what has been presented so far, SB 150 seems dangerous. There are countless advocates out there who say that intensifying the punishment is not how you deter the crime. Especially when it comes to addiction, because this kind of method still suggests it is a moral failing and not a psychological and physical illness.
HB 61 seems to be trying to call health care providers to action and add more accountability on the front lines in the fight against the overdose outbreak. At the same time it seems to move in the opposite direction of SB 150 by trying to limit the persecution of addicts. HB 61 makes more room to help preserve life and offer treatment and solutions. By now we should already know, the solution isn’t a War on Drugs, it is community and compassion.
These are some of the initial responses to recommendations recently made by the grand jury. Every day there are countless people suffering. And every day there are countless more recovering and fighting to help others recover. If you or someone you love is struggling, please call toll-free now. We want to help. You are not alone.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
It should be obvious by now that expanded Naloxone access is a necessity. With the opioid epidemic spreading more and more and the overdose outbreak claiming so many lives everywhere, we must take advantage of every available asset to save lives. Because of price hikes that coincide with the increasing rates of overdose and death Big Pharma companies that produce the overdose antidote have come under fire many times in the past year. Now, one such company has reached an agreement with the state of Ohio to help ease the financial burden of protecting the people.
Authorities and city officials in Ohio battling the overdose outbreak will soon receive some financial relief. The state has struck a deal with the makers of Naloxone, Adapt Pharma, to provide the life-saving nasal spray at a discount.
The Ohio Overdose Outbreak
Being from the Buckeye State myself, it is disturbing to know Ohio has been hit so hard by the heroin epidemic. This is in large due to the recent introduction of Carfentanil. This incredibly poisonous substance is currently mixing into the drug supply through Chinese vendors, according to an Associated Press investigation. The investigation found several businesses based in China that export dangerous drugs with relative ease to the United States, including:
Carfentanil is so potently perilous that it even poses a risk to law enforcement that may come in contact with it during drug seizures.
The terrible truth is that Ohio has been an epicenter of the overdose outbreak. In 2014, Ohio was #2 of states with the most overdose deaths. Since then several stories of horrific overdose upsurges and deaths due to opiates have highlighted the devastation in the state.
Just this year Cincinnati, Ohio statistics show the city sees at least four overdoses per day on average. The dangerous drug Carfentanil has been seized at least 343 times in Ohio. In July, Akron paramedics responded to 236 overdoses, including 14 fatalities linked to carfentanil, in a period of just 21 days! July also saw Ohio Governor John Kasich push for Naloxone expansion, and the battle has been uphill to equip all those in need.
Ohio Public Interest Price Deal
The Public Interest Price deal was announced by Attorney General Mike DeWine this past Friday. The discount agreement with Adapt Pharma states that Ohio officials will be able to purchase naloxone nasal spray for $75 per dose. Now this still seems a bit high, but this price is a 40% discount from the wholesale cost of $125. DeWine explained the need for such action in order to make any progress on saving those in Ohio who are suffering.
“The cost to purchase naloxone has prevented some agencies from carrying this life saving drug. I hope that Adapt Pharma’s new price freeze for Ohio will allow more agencies to consider keeping naloxone on hand. I continue to urge law enforcement agencies to carry this drug, because it can mean the difference between life and death for those suffering from addiction.”
The Attorney General’s comments echo an issue that is present in many places across the country. Law enforcement agencies and First Responders are aware of the need for Naloxone. However, because the makers have spiked the price so high in the last few years the demand has been met with financial hurdles.
Continued Overdose Antidote Expansion
This isn’t the only deal Ohio is involved in to make the communities safer. The agreement Ohio has with Amphastar Pharmaceuticals, Inc. stands to to provide $6 rebates for every Naloxone syringe. This deal applies to all Naloxone purchased through March 2017. This deal has been active for a year now. In that time 82 local agencies have been reimbursed over $209,000 to offset the cost of Naloxone purchases.
The new Public Interest Price deal is set to last a year. In that time it could mean the difference between life and death for many people. Having the resources is now especially vital. One can only hope that more allowances are made where needed.
Naloxone and Narcan, both opioid overdose antidotes, should be made as available as possible. The fact that price has become such a problem is not just unfortunate; it is unsettling with all things considered. It is some consolation that companies are willing to acknowledge the need and offer some semblance of compromise to help.
The preservation of all lives should be a responsibility of all who have the ability to help; not just for public health officials, but everyone. As part of that, Palm Partners is dedicated to contributing to the rehabilitation and revolutionary growth possible with holistic treatment for drug and alcohol abuse. If you or anyone you know is struggling with substance abuse or addiction, please call now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Early yesterday afternoon I caught a shared video link on my Facebook feed to the new Macklemore video. It was the first I had heard of it, and the person sharing it seemed pretty impressed. The title for the video- “Drug Dealer”– is already enticing. Once you see it, it’s hard not to get pulled into the cold, dark reality of it. I shared it, and watched it a couple times by the end of the day.
Honestly, if you haven’t seen it by now I would be absolutely shocked.
Later, I noticed on my feed it had been shared by 20+ people I knew, and the comments were praising this harsh and devastating depiction of withdrawal and addiction more and more. The spark was lit and the story has since taken off. So what was it about the Macklemore “Drug Dealer” music video that made its message so strong?
Describing “Drug Dealer” Music Video
This latest piece of work directed by Jason Koenig tells a haunting and dramatic story from the open shot. Throughout the “Drug Dealer” music video the theme is consistently set in intensity, and the darkness of the battle with addiction is complimented in the visual contrast.
The first clip begins with Macklemore himself curled up in a naked ball in a shower. It skips back and forth between shots of him twisting on an empty mattress in a dirty room decorated with drugs, and close up shots of Macklemore’s sweaty, swollen face. The close-ups are portraits of pain as the artist passionately raps about opioid addiction, eyes dark and teary that are almost entirely fixed on the camera.
Breaking Down “Drug Dealer” Music Video Lyrics
The words to the song are powerful, direct and damning to the Pharmaceutical Industry and the crooked doctors that many say have made the determining contribution to the opiate epidemic in America. Macklemore makes some raw and heartbreaking revelations in his lyrics.
Calling out Big Pharma
One line implies that billionaire drug companies pay off crooks in congress, but executives never see prison time for their crimes. Probably referencing numerous stories of drug companies being sued for falsely marketing drugs as not addictive, and hiding research information.
Singer Ariana Deboo is featured on the chorus, and Deboo also appears in the “Drug Dealer” music video, drowning in a sea of red and white pills as she voices her contribution. Deboo’s vocals are a evocative melody of words that point a blatant finger at the Pharmaceutical Industry and the crooked doctors in America. Her words ring out-
“My drug dealer was a doctor, doctor
Had the plug from Big Pharma, Pharma
He said that he would heal me, heal me
But he only gave me problems, problems
My drug dealer was a doctor, doctor
Had the plug from Big Pharma, Pharma
I think he trying to kill me, kill me
He tried to kill me for a dollar, dollar.”
Neither Macklemore or Deboo seem to be pulling any punches in this one. The scary part is these words are so firmly based in truth. In fact, over time controversy has continued to boil as reports shed light on doctors getting kick-backs for prescribing drugs from the companies that produce them.
In another few lines he makes mention of several other artists that have died due to drugs, especially prescription drugs, including:
These are just a handful of the celebrities in the past few years who have suffered or died in relation to prescription drug abuse.
Calling out the music industry
In one line Macklemore says “we dancing to a song about a face gone numb” pointing out how despite the fact that more people are dying from drug overdoses than ever before, we have a society that generates a music industry where artists glorify drug abuse. Even though some of these same artists don’t use drugs, they just say what sells. Macklemore seems to be calling out the icons of our time to stand for something instead of just trying to sell anything they can.
In the “Drug Dealer” music video Macklemore also challenges the fact that since the opiate epidemic has made it into the suburbs from the city it is suddenly everyone’s problem. Many have argued that the epidemic wasn’t such a public health concern until it was no longer only hurting low-income inner-city communities.
This same segment of the song also stands to shake the addiction stigma that it only happens in certain areas with certain groups.
Reality of addiction and recovery
A great moment is toward the end of the song when the momentum reaches a fever-pitch. The distortion of the vocals and the shouting, sweat-smeared face in the camera says enough, but the reality of what Macklemore is sharing about his own desperation is gripping.
Then, he says the serenity prayer.
This prayer is one well known to pretty much anyone in the recovery community. It is recited in many 12 Step groups, depending on the group’s format and function. Most recovering addicts and alcoholics know it by heart. The video lightens up to a scene of Macklemore sitting in a 12 Step meeting, surrounded by people sharing. He gets a hug from another member, and the credits roll.
A Man with a Message
The “Drug Dealer” music video is part of the release of the first new single from Macklemore & Ryan Lewis since earlier this year when they released their sophomore album, This Unruly Mess I’ve Made. Macklemore is a man with a message who has been open about his own struggle with addiction for some time. He celebrated his sobriety and discussed his addiction in his music before. He even opened up after a brief relapse a while back.
Macklemore recently discussed America’s opioid crisis with President Barack Obama in the MTV documentary Prescription for Change and has continued to try and be a voice shouting for reform and revolutionary action against the opiate epidemic and the overdose outbreak destroying millions of lives.
There are so many reasons this song hits so hard on the opioid crisis in our country. For anyone who has experienced it first hand, whether their own addiction or that of a loved one, the fight is very graphic and very real. Macklemore’s new “Drug Dealer” music video looks you in the eyes with the intensity of that fight. It is hard to watch, but it’s something too many people have to live every day.
As part of most recovery fellowships, we often share our stories. As part of the battle against the shady practices of Big Pharma, we should call politicians to action. And as part of overcoming the opiate epidemic, we raise awareness. Macklemore’s new “Drug Dealer” music video takes a stab at all of these. Along with such action, effective treatment is also critical to change. If you or someone you love is struggling, please reach out and get help. Call toll-free now. We want to help. You are not alone.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Back in February of this year the mayor of Ithaca, New York began pursuing a plan that would establish safe heroin injection sites in Ithaca in an attempt to battle the opiate epidemic raging across the country. This controversial harm reduction tactic is getting brought up a lot more lately. Other states are also looking into starting up similar contingencies for their citizens. Now, the Big Apple is set to spend quite a bit of money and resources investigating the merits of safe heroin injection sites. That’s right, New York City is now taking a closer look at how safe heroin injection sites operate, wondering if it might be a decent plan after all.
Talking about the tab…
One of the big things people seem to be focused on right now is the money. Some believe providing addicts with a clean, medically supervised facility to use is a waste. They believe that what it will be doing is promoting heroin addiction while enabling it, all at the city’s expense.
So far, the tab is already pretty steep. The City Council has announced it will be allocating $100,000 to study the practice. This money will go to the Health Department for a nine-month study to determine whether it makes sense to open safe heroin injection facilities.
Shouldn’t be much of a surprise that these desperate times have called for such desperate measures in New York City. The study comes as the Big Apple is still reeling from a record 937 fatal drug overdoses in 2015, a 66% increase since 2010. With 2016 coming closer to the end, it is a wonder if this will be another record year for the five boroughs. Overdose death rates are a huge factor in a lot of new movements for change.
What are safe heroin injection sites?
Safe heroin injection sites are facilities where intravenous drug users are permitted to use the drug intravenously under medical supervision. The sites offer a place where addicts can use without fear of arrest, in case of an overdose. The idea is to have staff trained and available to be able to save lives. At the same time, the hope is to reduce other risks associated with intravenous drug use.
Several safe heroin injection sites already exist in dozens of cities outside the United States. Should America be next? Some of the countries who use this practice include:
Council Speaker Melissa Mark-Viverito commented saying,
“It’s been done and been implemented in other areas [of the world], so we just want to look up what the viability would be in New York,”
This seems like a pretty fair response to the epidemic; trying to explore and educate officials on more options that could help. And beyond reducing overdose deaths, HIV and viral hepatitis transmission, safe heroin injection sites work to connect addicts with drug-treatment options. So it isn’t just about giving them a safe place to get high, but also making them feel safe and supported whenever they try to get help.
Conservatives in opposition
But of course there is a great deal of opposition. Michael Long, the state Conservative Party Chairman, claims the $100,000 could-
“- be put to better use than sending a message that it is OK to use intravenous drugs as long as you use a government-sanctioned place.”
However, the reality is that the money is being utilized in a way that serves it’s initial purpose. $5.6 million is already set aside in the city budget to combat AIDS. The $100,000 for the safe heroin injection site study is coming from that bulk of finances.
So while surely some would not be all for spending the tax-payers dollar on researching “legal drug dens” the truth is the money is going somewhere that could make a huge difference to the effect of what tax-payers originally intended it for.
The safe heroin injection study
According to a council memo, as far as the actual study itself, the researchers will review data that pertains to:
- Health conditions and disease transmission related to heroin and other injected drugs
- Evaluate existing supervised injection facilities
- Assess legal issues
- Input from select “city officials and community experts”
This isn’t the first radical idea on this side of the country. Seattle is also considering safe heroin injection sites. Earlier this year, Boston opened a facility where addicts can use under safe medical observation. However these people have to inject drugs elsewhere. This doesn’t seem like as good of a plan, because it’s basically asking for addicts to use and drive. Still, it is some kind of innovation in a different direction.
Preventing of death and the spread of disease is vital. As the death rate escalates in relation to heroin addiction and infections caused by intravenous drug use, prevention is increasingly important. These programs may be controversial, but the cost of losing lives is a lot higher than spending some money looking into alternatives.
Beyond harm reduction, there is real recovery. Real recovery begins with effective and innovative treatment. If you or someone you love is struggling with substance abuse or addiction, please call now. You are not alone.
CALL NOW 1-800-951-6135