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

Official: S. Sudan President, Rebel Leader to Meet in Tanzania

Talks part of effort to end conflict in country that has left more than 10,000 people dead, displaced more than 1.5 million others More

Dutch Deny Link to Mystery Submarine Off Sweden

Netherlands denies Russian claim that 'foreign vessel' photographed in waters off Sweden could be Dutch More

China Boosts Efforts to Help Afghan, Regional Stability

Observers say China’s increased regional involvement are due to concerns that Afghan instability and the presence of anti-China militants in Pakistani border areas could fuel Xinjiang troubles More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
China Political Meeting Seeks to Improve Rule of Lawi
X
William Ide
October 20, 2014 10:23 AM
China’s communist leaders will host a top level political meeting this week, called the Fourth Plenum, and for the first time in the party’s history, rule of law will be a key item on the agenda. Analysts and Chinese media reports say the meetings could see the approval of long-awaited measures aimed at giving courts more independence and include steps to enhance an already aggressive and high-reaching anti-corruption drive. VOA’s Bill Ide has more from Beijing.
Video

Video China Political Meeting Seeks to Improve Rule of Law

China’s communist leaders will host a top level political meeting this week, called the Fourth Plenum, and for the first time in the party’s history, rule of law will be a key item on the agenda. Analysts and Chinese media reports say the meetings could see the approval of long-awaited measures aimed at giving courts more independence and include steps to enhance an already aggressive and high-reaching anti-corruption drive. VOA’s Bill Ide has more from Beijing.
Video

Video Ebola Orphanage Opens in Sierra Leone

Sierra Leone's first Ebola orphanage has opened in the Kailahun district. Hundreds of children orphaned since the beginning of the Ebola outbreak face stigma and rejection with nobody to care for them. Adam Bailes reports for VOA about a new interim care center that's aimed at helping the growing number of children affected by Ebola.
Video

Video Latinas Converting to Islam for Identity, Structure

Latinos are one of the fastest growing groups in the Muslim religion. According to the Pew Research Center, about 6 percent of American Muslims are Latino. And a little more than half of new converts are female. VOA’s Carolyn Presutti travelled to Miami, Florida -- where two out of every three residents is Hispanic -- to learn more.
Video

Video Nigeria Agrees to Cease-Fire With Boko Haram

Islamist militant group Boko Haram and the Nigerian government have agreed to a cease-fire. The Nigerian government issued an order Friday, telling all military chiefs "to comply with the cease-fire agreement in all theaters of operations. Why now and the significance of the agreement are questions on some people’s minds. VOA's Mariama Diallo reports.
Video

Video Kobani Fighting Sends 400,000 Refugees to Turkey

The offensive by Islamic State militants against the northern Syrian city of Kobani has caused hundreds of thousands of residents to flee to Turkey. They receive help from Turkish authorities and individuals, but say much more is needed. VOA’s Scott Bobb reports from the town of Suruc a few kilometers from the border.
Video

Video Exclusive: American Joins Kurds' Anti-IS Fight

The United States and other Western nations have expressed alarm about their citizens joining Islamic State forces in Syria and Iraq. In a rare counterpoint to the phenomenon, an American has taken up arms with the militants' Syrian Kurdish opponents. Elizabeth Arrott has more in this exclusive profile by VOA Kurdish reporter Zana Omer in Ras al Ayn, Syria.
Video

Video South Korea Confronts Violence Within Military Ranks

Every able-bodied South Korean male between 18 and 35 must serve for 21 to 36 months in the country’s armed forces, depending upon the specific branch. For many, service is a rite of passage to manhood. But there are growing concerns that bullying and violence come along with the tradition. Reporter Jason Strother has more from Seoul.
Video

Video Comanche People Maintain Pride in Their Heritage

The Comanche (Indian nation) once were called the “Lords of the Plains,” with an empire that included half the land area of current day Texas, large parts of Oklahoma, New Mexico, Kansas and Colorado.The fierceness and battle prowess of these warriors on horseback delayed the settlement of most of West Texas for four decades. VOA’s Greg Flakus reports from Lawton, Oklahoma, that while their warrior days are over, the 15,000 members of the Comanche Nation remain a proud people.
Video

Video Turkey Campus Attacks Raise Islamic Radicalization Fears

Concerns are growing in Turkey of Islamic radicalization at some universities, after clashes between supporters of the jihadist group Islamic State (IS) or ISIS, and those opposed to the extremists. Pro-jihadist literature is on sale openly on the streets of Istanbul. Critics accuse the government of turning a blind eye to radicalism at home, while Kurds accuse the president of supporting IS - a charge strongly denied. Henry Ridgwell reports from London.
Video

Video Syrian Defector Leaks Shocking Photos of Torture Victims

Shocking photographs purporting to show Syrian torture victims are on display at the U.S. Holocaust Memorial Museum in Washington. The museum says the graphic images are among thousands of photographs recently smuggled out of Syria by a military policeman-turned-defector. As VOA reporter Julie Taboh reports, the museum says the photos provide further evidence of atrocities committed by the government of Syrian President Bashar al-Assad against its own people.
Video

Video Drought-Stricken California Considers Upgrading Water System

A three-year drought in California is causing a water shortage that is being felt on farms and cities throughout the state. As VOA's Mike O’Sullivan reports, water experts, consumers and farmers say California needs to make changes to cope with an uncertain future.
Video

Video TechShop Puts High-tech Dreams Within Reach

Square, a business app and card reader, makes it possible to do credit card transactions through cell phones. But what made Square possible? VOA’s Adrianna Zhang and Enming Liu have the answer.

All About America

AppleAndroid