Just How Bad Did Opiate Overdose Get During COVID?

While the news gave us hourly updates on the Covid-19 pandemic, little was said about overdoses or overdose deaths.

opiates
San Francisco did a pretty good job containing COVID-19. One of the first major cities to shut down, the outcomes relative to other cities was impressive for such a densely populated area. To date, San Francisco is reporting 173 deaths from COVID as of December 2020. At that same time, the city by the bay saw more than 600 overdose deaths. As bad as the pandemic got, the overdoses were much worse.
Across the country, The city of brotherly love didn’t fare any better. Long-suffering, Philadelphia has had a severe problem for a long time. COVID didn’t help, it made things much worse. While the city saw a dip in overdose deaths among white people, it saw a staggering 40% rise among the black population. White or black, the numbers are grim.
 
DC, Maryland, and Virginia all saw spikes in overdose deaths of up to 40%. Southern states, western states, and overdose deaths rose in close connection to covid policy across the board. Isolation, stigma, lack of ability to connect with services were all contributing factors to the rise in deaths.
 
The question is, what can help now? Will this continue now that the world has opened up? The big question, the elephant in the collective American living room is why do we care so much about people dying of covid but seemingly not about people dying of drug overdose?
 
The truth is, the overdose crisis is just that, a health crisis and it needs to be addressed as such

Here’s what we could do (but won't) to help slow the rate of opiate overdose deaths...

1. Flood communities with Narcan. Make it rain Narcan. If the alcohol supply were tainted and people using it were vulnerable to death, what would America do to stop it? We should do that. The issue isn’t that we can’t or don’t know how to help, the issue is we don’t like people who like drugs and we don’t make enough efforts for their care.

2. Federally legalize cannabis use. To date, the death rate among cannabis users, covid or not, is holding steady at exactly zero. The hoops people have to go through to access cannabis need to be relaxed. While opinions swing wildly, fewer overdose deaths in communities with legal, safe, cannabis.

That’s without promotion. Imagine if there were messages on the side of a bus “why use opiates if cannabis will do?”

3. Federal Good Samaritan law. In other words, just call for help. Calling for help would eliminate any policing or arrests at the scene.

4. Treatment on demand for self-reporting. Walk into an admissions site and be admitted for care on the same visit.

5. Pop up clinics in hardest-hit areas. Get a clean needle, basic health care, a bag of cannabis, and information about treatment options.

The big question “how will you pay for it?” Simple, a .10/100 on beer, .20/100 on wine, and .50/100 on distilled spirits. We will have billions in a discretionary fund to deal with the spike.

 Of course, there are things we can do, why aren’t we?

Overdose

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