State Approaches to Addressing the Overdose Epidemic: Public Health Focus Needed

Davis, Corey S.; Green, Traci; LaSalle, Lindsay; Beletsky, Leo

doi:10.1177/1073110519857315

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…100 Overdose immunity laws fail to provide protections to these bystanders against homicide charges. 101…”

Section: B Overdose Immunitymentioning

confidence: 99%

Legalizing Harm Reduction

Hoss

2019

SSRN Journal

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of Law. Her research explores topics in public health law, health policy development, and the impact of federal Indian law and Tribal law on health outcomes. The author would like to thank the faculty, staff, and students at Ohio State University Moritz College of Law for graciously hosting this symposium. The author is also indebted to the student editors of the Ohio State Law Journal for their editorial assistance. Finally, the author also thanks Michael Brewer, Joshua Jones, Anthony Singer, and Nicolas Terry for their comments on this Article.

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“…100 Overdose immunity laws fail to provide protections to these bystanders against homicide charges. 101…”

Section: B Overdose Immunitymentioning

confidence: 99%

Legalizing Harm Reduction

Hoss

2019

SSRN Journal

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“…The Centers for Disease Control and Prevention (CDC) relies on states for collecting national data through the State Unintentional Drug Overdose Reporting System (SUDORS), which is challenged by growing number of cases needing manual abstraction [47,48]. Despite all efforts, the crisis continues to accelerate unabated, complicated by an absence of a coherent national drug policy [49][50][51][52][53].…”

Section: Introductionmentioning

confidence: 99%

Medical examiner response to the drug overdose epidemic in King County Washington: “Real‐time” surveillance, data science, and applied forensic epidemiology

Harruff

Yarid

Barbour

et al. 2023

Journal of Forensic Sciences

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As the overdose epidemic overwhelmed medicolegal death investigation offices and toxicology laboratories, the King County Medical Examiner's Office responded with “real‐time” fatal overdose surveillance to expedite death certification and information dissemination through assembling a team including a dedicated medicolegal death investigator, an information coordinator, and student interns. In‐house testing of blood, urine, and drug evidence from scenes was performed using equipment and supplies purchased for surveillance. Collaboration with state laboratories allowed validation. Applied forensic epidemiology accelerated data dissemination. From 2010 to 2022, the epidemic claimed 5815 lives in King County; the last 4 years accounted for 47% of those deaths. After initiating the surveillance project, in‐house testing was performed on blood from 2836 decedents, urine from 2807, and 4238 drug evidence items from 1775 death scenes. Time to complete death certificates decreased from weeks to months to hours to days. Overdose‐specific information was distributed weekly to a network of law enforcement and public health agencies. As the surveillance project tracked the epidemic, fentanyl and methamphetamine became dominant and were associated with other indicators of social deterioration. In 2022, fentanyl was involved in 68% of 1021 overdose deaths. Homeless deaths increased sixfold; in 2022, 67% of 311 homeless deaths were due to overdose; fentanyl was involved in 49% and methamphetamine in 44%. Homicides increased 250%; in 2021, methamphetamine was positive in 35% of 149 homicides. The results are relevant to the value of rapid surveillance, its impact on standard operations, selection of cases requiring autopsy, and collaboration with other agencies in overdose prevention.

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Dynamics of drug overdose in the 20th and 21st centuries: The exponential curve was not inevitable, and continued increases are preventable

Keyes

Cerdá

2022

International Journal of Drug Policy

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State Approaches to Addressing the Overdose Epidemic: Public Health Focus Needed

Cited by 4 publications

References 13 publications

Legalizing Harm Reduction

Legalizing Harm Reduction

Medical examiner response to the drug overdose epidemic in King County Washington: “Real‐time” surveillance, data science, and applied forensic epidemiology

Dynamics of drug overdose in the 20th and 21st centuries: The exponential curve was not inevitable, and continued increases are preventable

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