News Coverage

Painkillers: prescription or affliction? (WVRO Radio – Take Care)

When a water heater fell on him one fateful day at work, John Dias’ life was forever changed. He awoke in the hospital, partially paralyzed, and when he left, he had a prescription for OxyContin. But like so many others, his prescription became his affliction, resulting in a severe addiction and eventual overdoses.

In recent years, this occurrence has become all too common, leading to the development of the antidote naloxone – the very medicine which revived Dias on two separate occasions. To find out more about his story, “Take Care” spoke with Dias, who opened up about his experience and the importance of naloxone, also known by the brand name Narcan.

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Were it not for Narcan, Dias says he would have died. Since its development, it has saved countless lives, but not everyone is so lucky. In fact, Dias says his own brother might still be alive had there been Narcan available at the time of his overdose. But unfortunately, says Dias, there wasn’t.

As the number of overdoses continues to soar, accessibility to Narcan is becoming increasingly important. Those in the public health sector, like Baltimore Health Commissioner, Dr. Leana Wen, are pushing for Narcan training in their cities, to reduce the number of lives cut short as a result of drug abuse. Addiction is a disease, but through proper education, training, and availability to Narcan, health officials hope to prevent people from overdosing and revive those who do.

Read the entire story. 

A blanket prescription: How one community is combating opioid and heroin overdose (WVRO Radio – Take Care)

In recent years, the United States has seen an alarming spike in opioid overdoses. From prescription painkillers to street drugs like heroin, opioid abuse has led to widespread addiction and all too often, death. Today, development of the counterdrug Narcan is serving to combat the growing problem and save the lives of those affected.

To find out more about this epidemic and what’s being done about it, “Take Care” spoke with emergency medicine physician and Baltimore Health Commissioner, Dr. Leana Wen.

Opioids, Wen explains, are derived from the opium found in poppies. Heroin, for example – an illegal, schedule I narcotic -- is an opioid. But you can also find opioids behind the pharmacy counter, in prescription drugs such as Oxycodone, OxyContin, Percocet, and morphine. And despite their legality, these drugs have similar effects to heroin, including euphoria … and addiction. Prescription painkillers are meant to treat severe pain, but when abused, yield disastrous results.

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Read the entire story. 

Drug-related deaths overburden Maryland medical examiner's office (Baltimore Sun)

The opioid epidemic that has claimed so many lives in Maryland is overwhelming the state medical examiner's office.

The agency has exceeded national caseload standards — the number of autopsies a single pathologist should perform in a year — in each of the past four years. The office now risks losing its accreditation.

"Everyone continues to add on work hours and work faster and hopefully not take short cuts," said Dr. David R. Fowler, Maryland's chief medical examiner. "They absorb this extra load. But there is a point where they can't continue to add to that and expect the system will function."

The challenge is not limited to Maryland. The combination of additional and more complex cases is overwhelming medical examiners' offices across the country, particularly along the East Coast, leaving many on the verge of losing accreditation.

"We view this as a national crisis," said Dr. Brian L. Peterson, president of the National Association of Medical Examiners.

The association categorizes the Maryland Office of the Chief Medical Examiner, traditionally well regarded by peers, as "deficient." It will re-evaluate the Baltimore-based agency in May.

The office can continue to operate without accreditation. But the association warns that performing too many autopsies can jeopardize quality and undermine confidence in the results.

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Read the entire story. 

Officials see a spike in sleep-related infant deaths in Baltimore City (WMAR)

Baltimore City is experiencing a spike in sleep-related infant deaths.

In the first few months of this year, there have been six sleep-related infant deaths.

The increase comes as a surprise to city health officials who saw record-low numbers in the past several years.

“Between 2009 and 2016 we have had an unprecedented nearly 40 percent drop in infant mortality,” said Baltimore City Health Commissioner Dr. Leana Wen.

In 2009, 27 babies died in their sleep compared to 2015 where 13 babies passed.

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Baltimore sees uptick in sleep-related deaths of infants (Baltimore Sun)

Baltimore City health officials have announced a spike in deaths among newborns related to unsafe sleeping arrangements and urged parents to follow professional medical advice about how to put their infants to bed safely.

There were six suspected cases of sleep-related death in the first three months of the year, compared with seven suspected cases in all of 2016, based on preliminary data from the state medical examiner’s office. The sleep-related deaths had been on the decline for years and were the result of a campaign called B’more for Healthy Babies to educate parents about putting their babies to sleep alone and on their backs in a crib.

Read the entire story.

Treat opioid addiction with resources, not rhetoric (Op-ed CNN)

Little is known about the Trump administration's plan to end this public health epidemic of opioid abuse, apart from the creation of a Commission on Combating Drug Addiction and the Opioid Crisis. So far, the White House has only said that the commission will produce a report and look for federal funding mechanisms.

But that is not nearly enough.

At a time when opioid overdose deaths kill tens of thousands of Americans every year -- including more than 33,000 in 2015 -- we do not have the luxury of giving this commission months to rehash facts that experts, including the surgeon general and coalitions of doctors and public health experts, already agree upon.

Read the entire story.

Dr. Leana Wen: Maryland Makes Progress in Treating Addiction as a Disease (Opinion) (Center Maryland)

The opioid epidemic has ravaged families and communities across Maryland, claiming thousands of lives every year. In 2015, there were 1259 drug- and alcohol-related intoxication deaths. That number rose to 1,468 deaths on only the first nine months of 2016, according to the most recently available data.

Addiction and overdose are undoubtedly health issues, but for years, our efforts to curb drug use focused solely on the criminal justice side of the equation. As the heartbreaking numbers indicate, that alone is not enough. We must do more to save lives, improve access to on-demand treatment, and eliminate stigma about the disease. Only then will we be able to fully address this health crisis.

Read the entire op-ed.

CMS puts $120 million into bridging gaps between clinic and community (Modern Healthcare)

What happens after a patient leaves the doctor's office is just as important, if not more so, as what takes place during the visit itself. But bridging that gap between the clinic and community is a major challenge for healthcare and community providers alike.

In an effort to close the divide, the CMS Innovation Center said Thursday it will give up to $120 million to 32 organizations selected to participate in its Accountable Health Communities model. Over five years, the groups will serve as test hubs helping Medicare and Medicaid beneficiaries with health-related social needs including housing instability, food insecurity, domestic violence and transportation.

The three-track model aims to reduce unnecessary healthcare utilization in order to drive down spending, while also improving outcomes and quality of care for patients. Model participants will work to improve community-clinical collaboration by screening beneficiaries for unmet social needs, referring them to the right services or helping them navigate and access those services. They also work to ensure that community services are available and responsive to beneficiaries.

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Here’s a new way to tell Baltimore city government what you think (Technical.ly)

The city has a new web platform to find out what residents want from their government. 

On Wednesday, Mayor Catherine Pugh announced that Open City Hall is live on the city’s website.

The platform from Peak Democracy offers surveys that allow residents to weigh in on their views and priorities. All city departments will be able to use the platform to poll residents, but it’s starting in three areas.

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The Baltimore City Health Department is seeking views on equity issues, and the role that health plays in issues such as violence, addiction and housing.

“We know that there are neighborhoods in our city that are just a few miles apart where the life expectancy can differ by 20 years, and yet we also have the medical institutions in the world that are right here in our backyard,” said Health Commissioner Leana Wen. “So we know that health is not just about the healthcare that you get.”

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Residents across Baltimore can expect to live longer (Baltimore Sun)

Life expectancy grew in nearly every Baltimore neighborhood in the last six years, but a yawning gap still remains between the most disadvantaged and the wealthiest areas, according to data compiled by city health department officials.

The department looks at 60 indicators in clusters of neighborhoods every few years to draw both a larger picture of health and a specific idea of what public health issues officials and residents should tackle. The indicators include the rates of disease and infant mortality, demographic information, environmental factors such as the number of liquor stores, and socioeconomic measures such as poverty levels and incomes.

These neighborhood health profiles have provided an oft-cited talking point in public health circles about intractable disparities within the city — a 20-year difference in the average life expectancy between neighborhoods.

Read the entire story. 

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