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August 31, 2019, is International Overdose Awareness Day, a global event that aims to raise awareness that overdose death is preventable and to reduce the stigma associated with drug-related death. Goals also include providing information about risk for overdose and community services and preventing drug-related harm through evidence-based policy and practice (https://www.overdoseday.com).
The opioid overdose epidemic, which killed 47,600 U.S. persons in 2017,* substantially expanded in 2013 driven by rapid increases in overdose deaths involving synthetic opioids (excluding methadone), particularly illicitly manufactured fentanyl.† Cocaine and methamphetamine overdose deaths co-involving synthetic opioids also rapidly increased during this period (1).
A report in this issue of MMWR documented decreases in opioid-involved overdose deaths in 25 states from July–December 2017 to January–June 2018, especially those involving fentanyl analogs and prescription opioids. Overdose deaths involving illicitly manufactured fentanyl (including those co-occurring with illicit opioids and stimulants) increased (2). Improved identification of persons at high risk for overdoses involving illicitly manufactured fentanyl and linkage to risk-reduction services and evidence-based treatment are critical to reducing opioid deaths. Further information on CDC’s state efforts and overdose data is available at https://www.cdc.gov/drugoverdose/index.html.
† https://www.cdc.gov/drugoverdose/epidemic/index.html.
References
- Kariisa M, Scholl L, Wilson N, Seth P, Hoots B. Drug overdose deaths involving cocaine and psychostimulants with abuse potential—United States, 2003–2017. MMWR Morb Mortal Wkly Rep 2019;68:388–95. CrossRef PubMed
- Gladden RM, O’Donnell J, Mattson C, Seth P. Changes in opioid-involved overdose deaths by opioid type and presence of benzodiazepines, cocaine, and methamphetamine—25 states, July–December 2017–January–June 2018. MMWR Morb Mortal Wkly Rep 2019;68:737–44.
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