Combating the opioids crisis is a top priority for the Missouri Department of Health and Senior Services (DHSS). This is because numerous lives have been lost owing to the blight. Prescription opioids, especially, have played a large role in the opioid poisoning cases of the state.
The department is working with sister state agencies, local health departments, hospitals, law enforcement and other partners to fight this modern plague. The truth is that every person saved from an overdose or connected with rehabilitation resources is a mother, father, sibling or child to someone else.
The United States is facing a substance abuse crisis more deadly than in any other period in US history. According to the CDC, over 52,000 people died of drug overdoses in 2015, and almost 2/3 of those deaths were linked to opioids. In 2015, Missouri ranked 23rd out of the 50 states for drug abuse mortality at 15.7 deaths per 100,000 residents, but the rate lies above the US average of 14.8.
Opioid data poisoning data tells a troubling story: the opioid epidemic affects all genders, all races, and many age groups in both rural and urban Missouri geographies. The impact is multi-dimensional and multi-generational. Trends indicate that the scourge of misuse in the state, and nationwide, continues to affect people across all demographics.
The increase in opioid-related deaths has risen at a significantly steep rate in Missouri relative to the rest of the country (per the CDC WONDER Online database, 1999-2014). Heroin use in the 1960's was, by and large, a minority, urban problem and almost always began with heroin as the initial opioid of use. This trend changed considerably near the turn of the millennium, both in the affected population and the initial opioid exposure.
In 2005, less than 10% of heroin users had used heroin as their initial opioid; instead, nearly 80% had initiated with a prescription opioid medication. Many of these initial prescription medication exposures had been diverted for non-medical use.
In 2017, Missouri providers wrote 71.8 opioid prescriptions for every 100 persons compared to the average U.S. rate of 58.7 prescriptions for every 100 persons. Overall, this represents a less than 10 percent decline in Missouri opioid prescriptions since 2006 (per the CDC).
In the U.S, the state with the highest drug overdose death rate has a rate more than eight times that of the state with the lowest rate. Missouri's overdose death rate for 2010 (17.0 per 100,000 residents) is above the national rate (12.4 per 100,000 residents).
Studies have specifically emphasized rising mortality rates among middle aged white men, and nationally, drug poisoning mortality rates are highest among this demographic. In Missouri, however, the highest drug poisoning mortality rates are among middle-aged black men.
According to the Missouri Bureau of Vital Statistics, there were 908 deaths from opioid overdose in Missouri in 2016 (per http://health.mo.gov/data/opioids). Although opioid-related deaths are most common in eastern Missouri, people are dying across the state.
In 1999 the age-adjusted death rate from drug overdose was 6.1 per hundred thousand residents, this increased to 16.3 per hundred thousand residents in 2015, an average increase of 5.5% per year. The biggest increases were between 1999 and 2006, where the rate of increase was 10% per year.
The rate of overdose deaths involving opioid prescriptions has followed this trend with overall rates unchanged in the last decade: 4.3 to 4.1 from 2007 to 2017. By 2017, there were 952 overdose deaths involving opioids in Missouri—a rate of 16.5 deaths per 100,000 persons and higher than the national rate of 14.6 deaths per 100,000 persons.
The greatest increase in opioid deaths occurred among cases involving synthetic opioids (mainly Fentanyl), with an eleven-fold increase from 56 deaths in 2012 to 618 in 2017. Heroin involved deaths and those related to prescription opioids have remained steady in recent years.
NAS or neonatal opioid withdrawal syndrome (NOWS) may occur when a pregnant woman uses drugs such as opioids during pregnancy. A recent national study revealed a fivefold increase in the incidence of NAS/NOWS between 2004 and 2014, from 1.5 cases per 1,000 hospital births to 8.0 cases per 1,000 hospital births.In 2016, there were 2,112 reported cases of NAS/NOWS in Missouri.
Of the new HIV cases in 2016, 511 occurred in Missouri. Among males, 6.6 percent of new HIV cases were attributed to opioid abuse or male-to-male contact and opioid abuse. Among females, 12.2 percent of new HIV cases were attributed to opioid abuse.
In 2015, an estimated 11,887 persons were living with a diagnosed HIV infection in Missouri—a rate of 234 cases per 100,000 persons. Of those, 13.4 percent of male cases were attributed to opioid abuse or male-to-male contact and opioid abuse. Among females, 16.3 percent were living with HIV attributed to opioid abuse.
There were approximately 24 new cases of acute HCV (0.4 per 100,000 persons) reported in Missouri in 2016. In Missouri, there are an estimated 41,000 persons living with Hepatitis C (2013-2016 annual average), a rate of 880 cases per 100,000 persons. A hefty amount of these cases were attributable to opioid and prescription opioid abuse.
It is not all doom and gloom though. There are numerous centers of treatment and rehab in Missouri. There are many types of treatment centers such as long term addiction treatment facilities, short term drug abuse treatment, outpatient detoxification programs, outpatient substance abuse treatment services, inpatient drug abuse treatment and others.
There is a wide range of drug and alcohol rehab facilities available. They include individual psychotherapy, dialectical behavior therapy, couple/family therapy, trauma therapy, trauma-related counseling, cognitive/behavior therapy and others, to name a few. If you need rehab in Missouri, all you need to do is place a call to any of the available rehab centers.
If you are addicted to alcohol or drugs, it is imperative that you look for professional help as soon as you possibly can. However, you might not know where to start or the options that are open to you. Similarly, you may have little to no idea about the differences between the different treatment facilities and the programs they have in store for their patients.
Do you need help finding the right drug or alcohol rehab facility in your area?
Fill out the form below or call 1-877-275-7054 to get the help you need.