How the state-mandated drug monitoring database may have helped W. Va’s heroin OD rate double - Entrepreneur Generations

The opioid epidemic was partly caused by prescription drug abuse, so almost all states have instituted prescription monitoring databases so doctors can judge whether a patient is pain pill shopping. But those efforts to lower addiction may have created a perverse incentive for addicts to choose a more easily accessible high: heroin. Researchers from West Virginia University found that "after West Virginia required doctors to use its database, overdoses from heroin among 18- to 34-year-olds actually went up, more than doubling in just three years,"  Francie Diep reports for Pacific Standard.

The data came from an analysis of West Virginia University-affiliated hospitals and outpatient centers; lead researcher Sara Warfield and her colleagues looked for how often the facilities admitted adults for prescription painkiller and heroin overdoses between 2008 and 2015. The prescription drug monitoring database was mandated in 2012, and that year heroin overdoses among young adults began spiking "significantly".

The research isn’t in-depth enough to prove a causal relationship between monitoring databases and heroin overdoses, but it jibes with other research suggesting that increasing prescription drug monitoring without also enacting policies to help people overcome addiction triggers an increase in illicit opioid use. "Another way to think about this idea is that to solve a drug problem, you can't only dry up the drug supply," Diep reports. "You also have to reduce drug demand." The researchers recommend more needle exchange programs, naloxone availability, and drug treatment programs, and note that West Virginia has done all three in recent years.



from The Rural Blog http://ift.tt/2zs8OJI How the state-mandated drug monitoring database may have helped W. Va’s heroin OD rate double - Entrepreneur Generations

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