News / Health

Addiction Treatment Specialists Say Heroin Deaths Avoidable

Addiction Treatment Specialists Say Heroin Deaths Are Avoidablei
X
February 07, 2014 1:29 AM
Heroin use and fatal overdoses from it - the apparent cause of actor Philip Seymour Hoffman’s death - are at epidemic levels in the U.S. Addiction specialists say that such tragedies are avoidable because effective treatment programs exist. VOA’s Carolyn Weaver reports.
Carolyn Weaver
As authorities investigate the apparent heroin death of actor Philip Seymour Hoffman, experts say that narcotic addiction and overdose deaths are epidemic in the United States, particularly in the northeast.

According to federal reports, about 669,000 Americans use heroin - a figure that has doubled since 2007.  Overdoses of drugs, both legal and illegal, kill more than 100 people every day, more than the number who die in automobile accidents.

A major factor in the upsurge, drug-treatment specialists say, is middle class people in their 20s and 30s who become addicted to prescription painkillers such as Oxycontin, and then turn to heroin.

“Someone will typically start on an opioid painkiller, and basically it becomes expensive, and they need to take more and more to get that high, and then they need to move over to heroin. And it happens very quickly,” said Allegra Schorr, an owner of the West Midtown Medical Group, an outpatient addiction-treatment center in Manhattan, and president of the Committee of Methadone Program Administrators of New York State.

Physician Stuart Kloda, an addiction medicine specialist in private practice, notes that those who quit heroin and then relapse are especially vulnerable to fatal overdoses.

"If at the end of your initial addiction, you were using, say, five bags of heroin, and then a couple of months go by and you start injecting heroin again, and you decide okay, ‘I'm going to inject five bags,’ your risk of overdose is very high, because your body is not tolerant of that amount of the drug,” he said.

Avoidable deaths

Kloda and Schorr say that deaths like Hoffman's are preventable, because treatments that combine counseling with opioid replacements like methadone or Suboxone (buprenorphine and naloxone) are highly effective.  

But they say not all drug rehabilitation programs are current in their treatment approach.

“They are not offering appropriate medical therapy for addiction, and they’re not offering Suboxone,” Kloda said, calling it “one of the best drugs that has been developed for addiction, in a very, very long time. Basically, in one day, once it's started, and the person finds the right dose, they’re out of withdrawal, everything is great," he said. "You’re fine, you feel good, and I consistently see people do well,” both at work and in their personal relationships.

Kloda says traditional self-help groups, like Narcotics Anonymous, are invaluable in offering social support and interaction with other recovering addicts. "It's like free group therapy, cognitive therapy," he said.  But he said although it’s not official NA policy, “a lot of group members are anti-medications, even anti-depressants. So people have had their peer groups drop them, or they’ve relapsed, because they had a sponsor who told them to go off their medication."

Schorr says that for many addicts, opioid-replacement drugs are as necessary as a diabetic’s insulin. "The risk of relapse is always present," she said, "but one of the things that’s so important to know is that we do have answers.

"We know that medication with counseling is the answer. We have study after study," Schorr said. "It's heartbreaking for people in this field to know that here is this epidemic, and we have treatment available, and that people are searching and don’t know the answer exists, but the answer is here."

You May Like

Karzai's Legacy: Missed Opportunities?

Afghanistan's president leaves behind a much different nation than the one he inherited, yet his legacy from 13 years in power is getting mixed reviews More

US Urges Restraint in Hong Kong Protests

Protesters angered by Beijing's decision to only approve candidates that it sanctions for Hong Kong's leadership elections in 2017 More

Archive of Forgotten UCLA Speeches Offers Snapshot of History

Recordings of prominent voices in social change, politics, science and literature from 1960s, early 1970s now available on YouTube More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Treasure Hunters Seek 'Hidden Treasure' in Central Kenyai
X
Gabe Joselow
September 29, 2014 6:20 PM
Could a cave in a small village in central Kenya be the site of buried treasure? A rumor of riches, left behind by colonialists, has some residents dreaming of wealth, while others see it as a dangerous hoax. VOA's Gabe Joselow has the story.
Video

Video Treasure Hunters Seek 'Hidden Treasure' in Central Kenya

Could a cave in a small village in central Kenya be the site of buried treasure? A rumor of riches, left behind by colonialists, has some residents dreaming of wealth, while others see it as a dangerous hoax. VOA's Gabe Joselow has the story.
Video

Video Iran's Rouhani Skeptical on Syria Strikes

Iranian President Hassan Rouhani expressed skepticism Friday that U.S.-led airstrikes in Iraq and Syria could crush Islamic State militants. From New York, VOA’s Margaret Besheer reports the president was also hopeful that questions about Iran’s nuclear program could be resolved soon.
Video

Video US House Speaker: Congress Should Debate Authorization Against IS

As wave after wave of U.S. airstrikes target Islamic State militants, the speaker of the Republican-controlled House of Representatives says he would be willing to call Congress back into session to debate a formal, broad authorization for the use of military force. VOA’s Michael Bowman reports from Washington, where legislators left town 10 days ago for a seven-week recess.
Video

Video Ebola Patients Find No Treatment at Sierra Leone Holding Center

At a holding facility in Makeni, central Sierra Leone, dozens of sick people sit on the floor in an empty university building. They wait in filthy conditions. It's a 16-hour drive by ambulance to Kailahun Ebola treatment center. Adam Bailes was there and reports on what he says are some of the worst situations he has seen since the beginning of this Ebola outbreak. And he says it appears case numbers may already be far worse than authorities acknowledge.
Video

Video Identifying Bodies Found in Texas Border Region

Thousands of immigrants have died after crossing the border from Mexico into remote areas of the southwestern United States in recent years. Local officials in south Texas alone have found hundreds of unidentified bodies and buried them in mass graves in local cemeteries. Now an anthropologist and her students at Baylor University have been exhuming bodies and looking for clues to identify them. VOA’s Greg Flakus has more from Waco, Texas.
Video

Video Ebola Robs Liberians of Chance to Say Good-Bye to Loved Ones

In Liberia, where Ebola has killed more than 1,500 people, authorities have worked hard to convince people to allow specialized burial teams to take away dead bodies. But these safety measures, while necessary, make it hard for people to say good bye to their loved ones. VOA's Anne Look reports on the tragedy from Liberia.
Video

Video Reconstruction? What Reconstruction? Life After War in Gaza

It’s been a month since Israel and the Palestinians agreed to a ceasefire to end 52 days of an air and tank war that left 60,000 homes in Gaza damaged or destroyed and 110,000 homeless. Sharon Behn reports that lack of reconstruction is leading to despair.
Video

Video US, Saudi Arabia and UAE Hit Islamic State's Oil Revenue

The United States, Saudi Arabia and the United Arab Emirates have bombed oil facilities operated by Islamic State militants in Syria. It was a truly collaborative effort, with the two Arab countries dropping the majority of the bombs. The 12 refineries targeted were estimated to generate as much as $2 million per day for the terrorist group. VOA Pentagon correspondent Carla Babb has the story.
Video

Video Russia's Food Sanctions Raise Price Worries, Hopes for Domestic Production

Russia retaliated against Western sanctions imposed for its actions in Ukraine by halting food imports from the West. The temporary import ban on food from Australia, the European Union, Norway and North America has Russian consumers concerned that they could face a sharp increase in food prices. But in an ironic twist, the restrictions aimed at the Kremlin have made Russia's domestic food producers hopeful this can boost their business. VOA's Daniel Schearf reports from Moscow.
Video

Video Washington to Pyongyang: 'Shut This Evil System Down'

U.S. Secretary of State John Kerry is calling on North Korea to shut down prison camps and other human rights abuses following a United Nations Commission of Inquiry into "widespread and systematic human rights violations." VOA State Department Correspondent Scott Stearns reports from the United Nations.
Colonel Steve ‘Spiros’ Pisanos left Greece and came to the U.S. to learn to fly. He flew fighters for the Allies in World War II, narrowly escaping death multiple times.Colonel Steve ‘Spiros’ Pisanos left Greece and came to the U.S. to learn to fly. He flew fighters for the Allies in World War II, narrowly escaping death multiple times.

AppleAndroid