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R. Gil Kerlikowske

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Every Drug Overdose Is Preventable

Posted: 08/27/2012 5:08 pm

As a former police chief, I have seen the devastating effect that substance abuse and addiction can have on individuals, families and communities. Almost 16,000 overdose deaths involved prescription painkillers in the United States in 2009. That is four times the number of people killed by these drugs at the end of the 1990s.

That is why this year the Obama Administration allocated more money for drug prevention and treatment programs -- $10.1 billion -- than for U.S. law enforcement and incarceration. This Administration understands substance dependence is a public health issue, not just a law enforcement issue. Reducing drug use and its consequences -- especially drug overdose deaths -- is essential to our mission, and we support efforts to bring help to people who need it.

One organization that is providing this kind of help is Project Lazarus in Wilkes County, North Carolina. Project Lazarus serves an area that has borne a disproportionally large share of the suffering caused by the prescription drug abuse epidemic in America. In 2009, the death rate in Wilkes County due to drug poisoning was four times the North Carolina state average.

Project Lazarus assists community groups and healthcare professionals throughout the state to help prevent and intervene in drug overdoses. The organization was founded on the principle that communities are responsible for their own health, and that every drug overdose is preventable. Project Lazarus empowers communities and individuals to prevent drug overdose deaths through training and overdose prevention programs. The services provided by Project Lazarus and other programs like it quite literally save lives.

Naloxone, a drug that reverses an opioid overdose, is one of the many tools used by Project Lazarus to prevent drug-related deaths. The Administration supports the use of naloxone by public health and law enforcement professionals because we have seen how effective the drug can be. While results from Project Lazarus' work are still preliminary, according to their numbers, Wilkes County has seen a dramatic reduction in the number of overdose deaths related to opioids: a 71 percent drop from 2009 to 2011. Other communities in the United States with overdose prevention and intervention programs have also seen declines in overdose deaths.

Of course, the most effective and sustainable way to prevent drug overdose is to prevent drug use in the first place. To that end, the Office of National Drug Control Policy has worked with partners in and out of government to develop an array of programs to help parents, teachers, young people, leaders and others prevent drug use in their communities. These include the "Above the Influence" media program, which educates young people about the dangers of drug use and inspires them to choose healthy alternatives, and the Drug-Free Communities Support Program, which distributes grants to anti-drug coalitions in more than 700 communities throughout the United States.

Prevention efforts do not always succeed, so we must make sure treatment is available when a substance use disorder develops. President Obama did exactly that by signing the Affordable Care Act, which includes substance use disorders as one of the ten elements of essential health benefits. By including these benefits in health insurance packages, more health care providers can offer and be reimbursed for these services, resulting in more individuals having access to treatment.

We also realize that in order to turn the tide on substance abuse and overdose rates, we must work together to break the stigma of addiction and bring the promise of recovery into the light of day. International Overdose Awareness Day -- on August 31st -- brings attention to the sorrow overdose causes and provides an outlet for those silenced by stigma to speak out about the pain of losing a loved one to overdose.

By sharing our stories and by addressing the root cause of overdose, we can save lives and build a safer, healthier America.

 

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11:03 AM on 09/10/2012
The hippa law prevented me from getting the help my son needed for his drug addiction. I understand the law and believe it is necessary in most cases but when Dr's etc. would not talk to me because my son was over 18 (19) I felt as if my hands were tied. He needed me to speak up for him and I was not allowed to do that! As a result he died of an overdose! If I could have intervened on his behalf without his permission he may be alive today!
07:42 PM on 08/31/2012
Medical marijuana gives me more releif then any of the pain meds, at 52 I suffer with ADHD,DDD, OA, and epilepsy caused by a drunk driver passing out then running me over at 14 causing head injury. Never have I heard of anyone passing out because they smoked too much pot have you? No! Yet alcohololics continue to get there free pass to KILL at will legally, now you tell me what's the hell wrong with this picture.
11:14 PM on 08/28/2012
From all that Ive read Colorado is about to legalize cannabis in november. This should be very interesting to see how the fed handles it.
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HUFFPOST SUPER USER
rcmdr7
Disgusted Texas Liberal
10:38 AM on 08/28/2012
More people die from prescription drug overdose than all the illegal drugs combined, yet we keep Big Pharma well paid.... i think we need to get rid of all the lobbyist in washington and let the actual people decide what they want. Legalize Marijuana and we wont need half the drugs being pushed on us .
HUFFPOST SUPER USER
yzwxuv
03:56 AM on 08/28/2012
This guy is such a pompous HYPOCRIT!!! When we legalize marijuana he'll be out of a job and will be a volunteer greeter at Macy's department store.
09:09 AM on 08/28/2012
Dude legalizing marijuana will only give him job security, and you will end up being the stoned greeter at a dog kennel. Even if marijuana is legalized, the fact that you have it in urine tests will prevent employment in most occupations coporations and insurance companies will deny employment to pot users just like they try to do with alchoholics and other drug users. They are too high of a liability to have on staff or to insure.
10:44 PM on 08/28/2012
All the marijuana users I know have jobs now and none of them are stoned greeters at a dog kennel.
02:54 AM on 08/28/2012
Every disease is cure able thru raw fruit
11:13 AM on 08/28/2012
Well, I don't know that I'd limit that statement to raw fruit as being the "everything" solution, although it would have a good chance of being a major step in the right direction.

A variety of fresh fruits does have every Vitamin, Mineral and Amino Acid required for optimum human health http://www.thefruitpages.com/contents.shtml, but it would take awhile to stabilize, since you must be able to absorb what you eat, for the body to metabolize what you eat into the correct bio-available chemicals and get it to the brain for use. Most people have a quite weak digestive system and the neurotransmitters are highly deficient, so they will also require much higher "doses" of the nutrition that comes from food. Another tidbit of info though, is most people are way off base on how much protein the human body requires - it's only 2%, so fruit is a great choice, but I'd at least throw in a good portion of greens, if for no other reason, sugar can be a trigger at least initially, in quitting addictive substances.

Supplementing or juicing are both great ways to achieve higher doses and one should also be tested for deficiency levels, so they aren't just guessing what they need. Scroll down towards the bottom of this site http://www.holistichelp.net/neurotransmitters.html to see the best ways to get the best tests for your particular needs.
11:15 AM on 08/28/2012
This may post out of order, but should be part tw of my reply...

Food when converted to chemicals, by the body, is still medicine and you want optimal amounts to correct each specific health issue, because to much of a good thing, can be too much even here. You need to work with someone who understands real nutrition, along with getting exercise and enough sleep.

In general though, you are correct. All chronic illness can and will only be cured through nutrition - along with exercise, adequate deep sleep, sunshine, fresh air and clean water - not just what you drink, but also what you bathe with. In a typical shower, the body absorbs the equivalent of 8 or more glasses of water - along with all the fluoride, chlorine, drug and chemical residue it contains. This toxin absorption, along with all the chemicals in mass produced soaps, lotions, shampoos, toothpaste, etc... completely bi-passes the filtering of the digestive process and goes directly into the blood stream to the brain.

There's a lot to know in getting and staying healthy in this drug crazy world. I'd suggest learning about Amino Acid IV Therapy to end addiction or get a book by Charles Gant called "End Your Addiction Now" and sign up for nutrition sites like www.doctoryourself.com
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MarvinGardens
"Vacantly occupied"
12:26 AM on 08/28/2012
So you want to save someone overdosing on heroin so that they may live to shoot up another day.
03:04 PM on 08/28/2012
Anyone that has an opiate dependent loved one would say absolutely. One more day might be the day that they find an answer to the struggle rather than another funeral. Also, you might want to educate yourself a bit on the fact that addiction does not have to be a life-long sentence, so you don’t have this ignorant stigma that drug addicts are less than human, so just let them die.

Think, better yet, Read before you speak.

http://www.addictionsolutionsource.com/drug_addiction_treatment/amino-acid-therapy-what-is-it
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MarvinGardens
"Vacantly occupied"
03:13 PM on 08/28/2012
Don't have to read up on it. Soon as I posted I though Hoo-boy, someone is going to call me out on this. No, I have never had experience with a loved one and a drug addiction but I probably would be singing another tune if I had. Marcia, I stand corrected.
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HUFFPOST SUPER USER
Querent
I say the things that have to be said.
10:56 PM on 08/27/2012
Your article might actually have an impact if your job-title didn't completely discredit you before anyone even decides whether or not to read it.
HUFFPOST SUPER USER
deweaver
Scientist, businessman, semi-retired
10:21 PM on 08/27/2012
Most of the failed "drug war" is about increasing and supporting a massive police/legal/prison bureaucracy with a few minor programs to help addicts. People like Kerlikowske can then claim to be doing something about the drug problem. I am not sure that his claim of half of the money is going into "drug prevention and treatment programs" means what he is implying and not just relabeling "enforcement and incarceration" money. Even in the project Lazarus he references, you find statements like "The National Association of Drug Diversion Investigators has grant funding for hiring new law enforcement officers" which sounds like more enforcement or freeing up resources for more cops.

When we view the "drug war" from the viewpoint of the incentives of these bureaucracies (DEA, Gil's group -White House Office of National Drug Control Policy, etc), it is in the interest of the 20+ billion dollar per year bureaucracies to continue increasing the drug addiction problem, not solve it. The only way these organizations can grow and their members prosper is to increase the addition problem and these organizations respond to the real incentives they face not some good sounding statements.
08:01 PM on 08/27/2012
How do you fight an acute overdose of tea?
billstewart
Not a micro-biologist
07:51 PM on 08/27/2012
I'd like to thank the Administration for supporting naloxone - it's been a big help in reducing deaths.

But if the Drug Czar actually believed that drugs were a public health issue, instead of a police power issue, he'd be working to end needle prohibition, because that's caused far more deaths from spreading AIDS and hepatitis than the drugs themselves have caused. Needle exchange is a start, but it's really better to just let junkies buy needles at the drugstore the way diabetics do, even though it means that it'll be a bit easier for people to use needle drugs.

It's going to be a long time before American society is going to be politically willing to legalize opiates (even though the black market kills more people with gunfire and gang violence than with the heroin and cocaine they're selling), seeing as how we haven't even re-legalized marijuana, but ending needles is something that's much less challenging politically. It's a straight-forward public health issue for most people, and just as with naloxone, it's a way to have fewer people sick and dying, and to make non-users safer as well.

And as somebody who thinks there's no excuse for marijuana prohibition, I'd still much rather have needles legalized and let the police keep harassing us hippies while we keep pretending those swirly glass pipes are for "tobacco".
07:17 PM on 08/27/2012
PLUS.. Gil all you doing is supporting the disingenuous drug treatment kennels...lol

It is silly that Americans and our elected officials still think you can "treat" people for engaging in personal freedom! We can punish the drug abuser for committing a crime; stealing, abusing children, violence... It is NEVER possible to criminalize; drug use, food consumption, violent speech, bad hair cuts, and horrible breath!
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Marcus01
It all just seems like it's real
10:27 PM on 08/27/2012
Yeah, I have a college education, but somehow missed the part about how my body is the property of the State. I wonder if Gil would share his explanation of how that works together with "life, liberty, and the pursuit of happiness" in his next blog.
07:13 PM on 08/27/2012
not just a law enforcement issue
or
just not a law enforcement issue?
07:07 PM on 08/27/2012
Criminalization of drugs is more dangerous then drugs themselves... You can't blow smoke up Huff post readers rear ends!
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JstDarla
Gone Fishing
06:59 PM on 08/27/2012
Should worry more about the Big Pharma companies than legalizing pot. The statistics I have read are more like 780.000 die from prescriptions and or complications from them. What is wrong with this picture? Really where are the priorities today?