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Opioid-Krise senkt erstmals seit 1993 die Lebenserwartung in den USA

Washington – Wegen der wachsenden Zahl der Opfer von Opioid-Überdosen ist die Lebenserwartung in den USA erstmals seit den 1990er-Jahren gesunken. Wie die US-Gesundheitsbehörde CDC am Mittwoch mitteilte, sank die Lebenserwartung der US-Bürger seit 2014 um fast vier Monate. Damit sei zum ersten Mal seit 1993 ein Rückgang zu verzeichnen. Damals habe sich die durchschnittliche Lebenserwartung wegen des Aids-Ausbruchs reduziert. (aerzteblatt.de, 30.10.2019)

https://www.aerzteblatt.de/nachrichten/107060/Opioid-Krise-senkt-erstmals-seit-1993-die-Lebenserwartung-in-den-USA

Bayern. Drogentote: Nürnberg ist bundesweit trauriger Spitzenreiter -- 23 Menschen starben 2019 bereits an einer Überdosis - Zahl erschreckend hoch 

NÜRNBERG - Trauriger Spitzenreiter bei Drogentoten: Die Zahl in Nürnberg ist auch in diesem Jahr wieder erschreckend hoch, die Öffentlichkeit bekommt davon aber kaum etwas mit. Denn die Polizei hält sich neuerdings bedeckt. (nordbayern.de, - 07.11.2019 

https://www.nordbayern.de/region/nuernberg/drogentote-nurnberg-ist-bundesweit-trauriger-spitzenreiter-1.9505137

Todesfälle im Zusammenhang mit E-Zigaretten in den USA steigen weiter

New York – Die Zahl der Toten nach dem Gebrauch von E-Zigaretten in den USA steigt weiter an. Neuen Angaben der US-Gesundheitsbehörde CDC zufolge starben bereits 39 Menschen. Die Opfer stammten demnach aus 24 US-Bundesstaaten. Auch die Zahl der Er­krankten nahm auf nun 2.051 bestätigte Fälle zu. Vor einer Woche hatte die CDC noch von 37 Toten und 1.888 Kranken berichtet. (aerzteblatt.de, 08.11.2019)

https://www.aerzteblatt.de/nachrichten/107280/Todesfaelle-im-Zusammenhang-mit-E-Zigaretten-in-den-USA-steigen-weiter

USA. US-Krise um tödliche E-Zigaretten

New York – Ein 17-Jähriger aus der New Yorker Bronx, eine um die 60 Jahre alte Frau aus dem Bundesstaat Massachusetts, ein um die 40 Jahre alter Mann aus Missouri: Nur wenige spärliche Informationen gibt die US-Gesundheitsbehörde CDC über die Toten heraus, aber die Gesamtzahl muss sie fast jede Woche nach oben korrigieren. (aerzteblatt.de, 01.11.2019)

https://www.aerzteblatt.de/nachrichten/107091/US-Krise-um-toedliche-E-Zigaretten

Racial/Ethnic and Age Group Differences in Opioid and Synthetic Opioid–Involved Overdose Deaths Among Adults Aged ≥18 Years in Metropolitan Areas — United States, 2015–2017. 

Lippold KM, Jones CM, Olsen EO, Giroir BP. 

MMWR Morb Mortal Wkly Rep 2019; 68:967–973. doi.org/10.15585/mmwr.mm6843a3

https://www.cdc.gov/mmwr/volumes/68/wr/mm6843a3.htm

USA. CDC, States Update Number of Cases of Lung Injury Associated with Use of E-cigarette, or Vaping, Products

CDC today announced the updated number of confirmed and probable lung injury cases and deaths associated with the use of e-cigarette, or vaping, products. (CDC – Centers of Disease Control and Prevention, USA, 24.10.2019)

https://www.cdc.gov/media/releases/2019/s1024-states-update-lung-injury-numbers.html

USA. Zahl der Toten durch E-Zigaretten in den USA gestiegen

New York – Die Zahl der Todesfälle in Zusammenhang mit dem Gebrauch von E-Ziga­retten in den USA steigt weiter an. Bis vorgestern seien 33 Menschen in 24 US-Staaten gestorben, nachdem sie elektronische Zigaretten benutzt hatten, teilte die US-Gesund­heitsbehörde CDC gestern mit. (aerzteblatt.de, 18.10.2019)

https://www.aerzteblatt.de/nachrichten/106774/Zahl-der-Toten-durch-E-Zigaretten-in-den-USA-gestiegen

Schweiz. Was tun im Drogennotfall?

Die Informationen in dieser Broschüre beruhen auf dem aktuellen medizinischen Wissens-stand und auf Erfahrungen der Autorinnen und Autoren aus der Praxis. Die Broschüre richtet sich an Laiinnen und Laien und kann eine fachkundige ärztliche Behandlung nicht ersetzen. Trotz aller aufgewendeten Sorgfalt können die Autorinnen und Autoren sowie die Herausgeberin für die Richtigkeit, Vollständigkeit und Aktualität keine Haftung über-nehmen. (CONTACT Stiftung für Suchthilfe, Bern/Schweiz, 2019)

https://www.contact-suchthilfe.ch/wp-content/uploads/2019/08/Broschuerere_Drogennotfall_Contact_web.pdf

Survey of Southern Wisconsin Needle Exchange Clients Regarding Opioid Overdose and Naloxone Use.

Baltes A, Devo B, Kaiser M, Birstler J, Brown RT.

WMJ. 2019 Jul;118(2):84-87. PMID: 31532934

http://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/118/2/84.pdf

IAS – International AIDS-Society. Access saves lives: Opioid overdose treatment

Most opioid overdose deaths occur in the presence of other people who use drugs or by close family members and is a particular risk for people released from prison who have a history of opioid use. Naloxone - a drug that rapidly reverses the effect of opioids, preventing death and recommended by WHO - should be available to peers, over the counter and to take home. (IAS – International AIDS-Society, September 2019)

https://www.iasociety.org/Web/WebContent/File/2019__IAS__Brief_Access_Saves_Lives.pdf

Causes of hospital admission and mortality among people who use heroin: a cohort study comparing relative and absolute risks

DanLewer, Emily J.Tweed, Robert W.Aldridge, KatherineMorley

Drug and Alcohol Dependence, Available online 3 September 2019, doi.org/10.1016/j.drugalcdep.2019.06.027

https://www.sciencedirect.com/science/article/pii/S0376871619302844?via%3Dihub

Kanada. Vancouver’s new overdose response team aims to deliver services to hard-to-reach victims

(...) The Combined Overdose Response Team, a new outreach initiative launching Friday, aims to deliver services to those who would otherwise be hard to reach, at a time when they’re likely more receptive to help. (Globe and Mail, Kanada, 05.09.2019)

https://www.theglobeandmail.com/amp/canada/british-columbia/article-vancouvers-new-overdose-response-team-aims-to-deliver-services-to

Schottland. Taskforce to tackle drug deaths emergency

£20m to support expert group to reduce drug harms. (Scottish Government, 05.09.2019)

https://www.gov.scot/news/taskforce-to-tackle-drug-deaths-emergency/

Schottland. Catriona Matheson: 'I support decriminalisation of illegal drugs for personal use'

Having spent her entire career researching pharmacy services for drug users, Catriona Matheson is well placed as head of Scotland’s Drug Deaths Taskforce. Here, she explains what the group will do to tackle rising drug deaths in Scotland. (The Pharmaceutical Journal – A Royal Pharmaceutical Society publication, 04.09.2019)

https://www.pharmaceutical-journal.com/opinion/catriona-matheson-i-support-decriminalisation-of-illegal-drugs-for-personal-use/20206899.article

Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study.

Larochelle MR, Bernson D, Land T, Stopka TJ, Wang N, Xuan Z, Bagley SM, Liebschutz JM, Walley AY.

Ann Intern Med. 2018 Aug 7;169(3):137-145. doi: 10.7326/M17-3107. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387681/

Changes in Opioid-Involved Overdose Deaths by Opioid Type and Presence of Benzodiazepines, Cocaine, and Methamphetamine - 25 States, July-December 2017 to January-June 2018.

Gladden RM, O'Donnell J, Mattson CL, Seth P.

MMWR Morb Mortal Wkly Rep. 2019 Aug 30;68(34):737-744. doi: 10.15585/mmwr.mm6834a2.

https://www.cdc.gov/mmwr/volumes/68/wr/mm6834a2.htm

Notes from the Field: Unintentional Fentanyl Overdoses Among Persons Who Thought They Were Snorting Cocaine - Fresno, California, January 7, 2019.

Armenian P, Whitman JD, Badea A, Johnson W, Drake C, Dhillon SS, Rivera M, Brandehoff N, Lynch KL.

MMWR Morb Mortal Wkly Rep. 2019 Aug 9;68(31):687-688. doi: 10.15585/mmwr.mm6831a2. 

https://www.cdc.gov/mmwr/volumes/68/wr/mm6831a2.htm

EMCDDA. Prevention of drug-related deaths

Introduction: Worldwide, overdose is the leading cause of avoidable death among people who inject drugs. It accounts for nearly half of all deaths among people who inject heroin, exceeding HIV and other disease-related deaths (UNODC, 2017).

More than 9 000 lives were reported to be lost to drug overdoses in Europe (28 EU Member States, Norway and Turkey) in 2017, the latest reporting year, and this is an underestimate. The number of drug-related deaths in Europe has been rising for 5 years (EMCDDA, 2019a). Reducing drug-related deaths therefore remains a major challenge for European public health policy. (EMCDDA, September 2019)

http://www.emcdda.europa.eu/publications/topic-overviews/prevention-drug-related-deaths

USA. CDC Director’s Statement on the first death related to the outbreak of severe lung disease in people who use e-cigarette or “vaping” devices

We are saddened to hear of the first death related to the outbreak of severe lung disease in those who use e-cigarette or “vaping” devices. CDC’s investigation is ongoing. We are working with state and local health departments and FDA to learn the cause or causes of this ongoing outbreak. (Centers for Disease Control and Prevention, USA, 23.08.2019)

https://www.cdc.gov/media/releases/2019/s0823-vaping-related-death.html

USA/Kanada. Addiction Policy Forum launches overdose awareness toolkit in collaboration with University of Waterloo

Today Addiction Policy Forum released a comprehensive Overdose Awareness Toolkit in collaboration with the University of Waterloo School of Pharmacy (Ontario, Canada). This toolkit comes ahead of International Overdose Awareness Day on August 31st. (University of Waterloo, School of Pharmacy, Kanada, 23.08.2019)

https://uwaterloo.ca/pharmacy/news/addiction-policy-forum-launches-overdose-awareness-toolkit

Changes in Opioid-Involved Overdose Deaths by Opioid Type and Presence of Benzodiazepines, Cocaine, and Methamphetamine — 25 States, July–December 2017 to January–June 2018.

Gladden RM, O’Donnell J, Mattson CL, Seth P. 

MMWR Morb Mortal Wkly Rep 2019;68:737–744. doi.org/10.15585/mmwr.mm6834a2

https://www.cdc.gov/mmwr/volumes/68/wr/mm6834a2.htm

Australien. Drug overdoses kill one Australian every five hours 

Unintentional deaths increased 38% between 2001 and 2017, annual report reveals. (The Guardian, UK, 26.08.2019)

https://www.theguardian.com/australia-news/2019/aug/27/drug-overdoses-kill-one-australian-every-54-hours

Rising opioid-related deaths in England and Scotland must be recognised as a public health crisis

Kimber, Jo et al.

The Lancet Psychiatry, Volume 6, Issue 8, 639 - 640 

https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(19)30209-3/fulltext

The Drug Overdose Epidemic and Deceased-Donor Transplantation in the United States: A National Registry Study.

Durand CM, Bowring MG, Thomas AG, Kucirka LM, Massie AB, Cameron A, Desai NM, Sulkowski M, Segev DL.

Ann Intern Med. 2018 May 15;168(10):702-711. doi: 10.7326/M17-2451.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205229/

31. August: International Overdose Awareness Day (IOAD)

Der Aktionstag wird 2019 mit dem Titel „Überdosierung kann jeden betreffen“ erstmalig in Deutschland bundesweit stattfinden!

Mit einigen Beispielen für Aktionen, die Ihr in Eurer Einrichtung anbieten könnt. (akzept e.V., JES, DAH u.a., 28.07.2019)

http://www.akzept.org/upload19/August31Anschreiben.pdf

Deaths related to drug poisoning in England and Wales: 2018 registrations

Deaths related to drug poisoning in England and Wales from 1993 onwards, by cause of death, sex, age and substances involved in the death. (ONS – Office of National Statistics, UK, 15.08.2019)

https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2018registrations

Number of drug-related deaths rises to highest on record, the UK Government must now declare a public health emergency

The Office for National Statistics data released today shows 4,359 drug poisoning (i.e. ‘overdose’) deaths registered in 2018 in England and Wales, of which over two thirds (2,917) related to ‘drug misuse’. Drug misuse deaths are defined by the ONS as deaths: where the underlying cause is drug abuse or drug dependence; or deaths where the underlying cause is drug poisoning and where any of the substances controlled under the Misuse of Drugs Act 1971 are involved.

2018 is now the year with the highest number of registered drug poisoning deaths since records began and, with a 16 per cent increase in drug poisoning deaths since last year, the highest year-on-year increase in deaths. The number of drug misuse deaths is over 3 times the number of such deaths registered when records began in 1993. (Talking Drugs, UK, 15.08.2019)

https://www.talkingdrugs.org/number-of-drug-related-deaths-rises-to-highest-on-record-the-uk-government-must-now-declare-a-public

The prevalence of non-fatal overdose among people who inject drugs: A multi-stage systematic review and meta-analysis.

Colledge S, Peacock A, Leung J, Larney S, Grebely J, Hickman M, Cunningham E, Trickey A, Stone J, Vickerman P, Degenhardt L.

Int J Drug Policy. 2019 Jul 24. pii: S0955-3959(19)30208-7. doi: 10.1016/j.drugpo.2019.07.030.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31351755

Fatal misuse of transdermal fentanyl patches.

Geile J, Maas A, Kraemer M, Doberentz E, Madea B.

Forensic Sci Int. 2019 Jun 19:109858. doi: 10.1016/j.forsciint.2019.06.016.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31279508

Heroin Overdose-Related Child and Adolescent Hospitalizations: Insight on Comorbid Psychiatric and Substance Use Disorders.

Queeneth U, Bhimanadham NN, Mainali P, Onyeaka HK, Pankaj A, Patel RS.

Behav Sci (Basel). 2019 Jul 13;9(7). pii: E77. doi: 10.3390/bs9070077.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6680937/