Issue Category: Substance Misuse and Mental Health

Estados Unidos experimentó las tasas combinadas más altas de muertes debido al alcohol, las drogas y el suicidio durante la pandemia de COVID-19

Las muertes abarcaron edades, grupos raciales y étnicos y geografía, pero dañaron de manera desproporcionada a ciertos jóvenes y personas de color.

Las soluciones son conocidas y deben implementarse

 

(Washington, DC – 24 de mayo de 2022) – Las muertes asociadas con el alcohol, las drogas y el suicidio cobraron la vida de 186.763 estadounidenses en el 2020, un aumento del 20 % en un año en la tasa de mortalidad combinada y la mayor cantidad de muertes por uso indebido de sustancias jamás registrada durante un solo año, según un informe publicado hoy por Trust for America’s Health (TFAH) y Well Being Trust.

Además, los datos provisionales de los Centros para el Control y la Prevención de Enfermedades muestran que las muertes por sobredosis de drogas continuaron aumentando en el 2021.

Si bien las muertes por alcohol, drogas y suicidio han aumentado durante décadas, el aumento durante el 2020 no tuvo precedentes y fue impulsado por un aumento del 30 % en la tasa de muertes inducidas por drogas y un aumento del 27 % en la tasa de muertes inducidas por el alcohol. Las tasas combinadas de muertes por alcohol, drogas y suicidio aumentaron en los 50 estados excepto New Hampshire, y por primera vez dos estados (Virginia Occidental y Nuevo México) superaron las 100 muertes por cada 100,000 residentes estatales por alcohol, drogas y suicidio combinados en un solo año

o La tasa general de muertes inducidas por drogas aumentó en un 30 por ciento, en gran parte impulsada por aumentos en las muertes debido al uso de opioides sintéticos y psicoestimulantes. La tasa de muerte inducida por drogas aumentó para todos los grupos de población menos uno: los mayores de 75 años. Hubo aumentos particularmente grandes en las comunidades de color, entre los jóvenes (de 17 años o menos) y los adultos jóvenes (de 18 a 34 años) y en las regiones sur y oeste del país.

o Las tasas de mortalidad inducida por el alcohol aumentaron en un 27 por ciento, y el aumento abarcó grupos demográficos y partes del país, incluidos los 50 estados y el Distrito de Columbia. Los aumentos fueron particularmente altos entre los adultos jóvenes, los indios americanos/nativos de Alaska y las comunidades asiáticas, y entre los que viven en el Medio Oeste.

o Las tasas generales de suicidio disminuyeron en un 3 por ciento, pero esa tendencia no fue universal. La disminución se produjo entre los blancos, pero las muertes por suicidio durante el año aumentaron entre los indios americanos, los negros y los latinos. Las tasas de suicidio de adultos de 35 a 74 años de edad disminuyeron, pero las tasas de jóvenes y adultos jóvenes aumentaron.

“Con las tendencias que continúan yendo en la dirección equivocada, debemos preguntarnos, ¿qué se necesita para pasar a una acción sólida e integral? La historia detrás de estos datos es más que devastadora y desgarradora para aquellas familias que han sufrido pérdidas”, dijo el Dr. Benjamin F. Miller, presidente de Well Being Trust. “Empecemos a atender esta crisis con la urgencia que se merece llevando atención donde está la gente. Desde las escuelas hasta la atención primaria y nuestros lugares de trabajo, asegurémonos de que todos los lugares estén equipados para abordar la salud mental y el abuso de sustancias. Esta no es solo la responsabilidad del campo de la salud mental y las adicciones, sino toda nuestra responsabilidad”.

TFAH y Well Being Trust han estado informando muertes inducidas por alcohol, drogas y suicidio como parte de su iniciativa Pain in the Nation desde 2018. En el informe inaugural de la iniciativa de 2018, las muertes por alcohol, drogas y suicidio representaron 55,403 muertes por año, en comparación con las 186.763 muertes asociadas con el alcohol, las drogas o el suicidio en el informe de este año. Según los autores del informe y otros expertos, el sorprendente aumento de las muertes por alcohol y drogas en el 2020 se vio exacerbado por: un aumento continuo de las sobredosis de opioides sintéticos y psicoestimulantes y la ansiedad, el estrés, el dolor, la interrupción de los programas de recuperación del abuso de sustancias y las dificultades financieras muchas personas y familias experimentaron durante la pandemia de COVID-19.

El informe incluye recomendaciones sobre los pasos que los gobiernos federal, estatal y local deben tomar para comenzar a revertir la crisis de las muertes por desesperación. Incluyen:

Invertir en programas que promuevan la salud y prevengan el uso indebido de sustancias y el suicidio:

  • Apoyar programas en la escuela enfocados en la salud mental de los estudiantes y la prevención del uso de sustancias.
  • Fortalecer los programas informados sobre el trauma y culturalmente competentes y lingüísticamente apropiados dentro de todas las agencias que atienden a los jóvenes, incluido el sistema de justicia juvenil.
  • Fortalecer la continuidad de los programas de intervención en crisis con un enfoque en la línea de vida “988” recientemente establecida.
  • Expandir los esfuerzos integrales de prevención del suicidio de los CDC, incluidas medidas para fortalecer los apoyos económicos, promover la conexión y crear entornos protectores.
  • Desarrollar programas que aborden los determinantes sociales de la salud y promuevan la resiliencia en los niños, las familias y las comunidades, incluidos aquellos enfocados en la prevención de experiencias infantiles adversas.

 

Abordar las crisis de uso indebido y sobredosis de sustancias:

  • Promover políticas de reducción de daños para reducir las sobredosis y las infecciones transmitidas por la sangre, incluido el aumento del acceso a programas de servicio de jeringas, naloxona y tiras reactivas de fentanilo.
  • Preservar y ampliar los programas que crean un acceso más flexible al tratamiento del trastorno por consumo de sustancias durante la pandemia.
  • Financiamiento directo del acuerdo de litigio de opioides para la prevención primaria del abuso de sustancias por parte de los jóvenes.
  • Reducir el consumo excesivo de alcohol mediante políticas que limiten dónde y cuándo se puede servir/comprar alcohol y mediante el uso de impuestos especiales sobre el alcohol.

Transformar el sistema de prevención de salud mental y abuso de sustancias

  • Aumentar el acceso al tratamiento de salud mental y uso de sustancias a través de la plena aplicación de la Ley de Equidad en Adicción y Paridad en Salud Mental.
  • Combatir el estigma sobre los problemas de salud mental y el acceso al servicio.
  • Modernizar los servicios de salud física y mental alineando la prestación de servicios, el pago de los proveedores, las medidas de calidad y la capacitación hacia la salud integral de las personas y la atención integrada.
  • Desarrollar la capacidad comunitaria de base para la identificación e intervención tempranas de personas con trastornos de salud mental y uso de sustancias, incluso a través de entornos comunitarios o no tradicionales.

“Es imperativo que los funcionarios de todos los niveles del gobierno actúen sobre las políticas recomendadas en este informe. Los datos son sorprendentemente claros: las vidas corren peligro en todas las comunidades debido al alcohol, las drogas y el suicidio, y las comunidades que experimentan desventajas debido a las desigualdades sociales, económicas y ambientales de larga data sufren un impacto desproporcionado. Existe una necesidad urgente de actuar para salvar vidas”, dijo J. Nadine Gracia, presidenta y directora ejecutiva de Trust for America’s Health.

 

Lea el informe completo

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Trust for America’s Health es una organización no partidista y sin fines de lucro que promueve la salud óptima para cada persona y comunidad y hace de la prevención de enfermedades y lesiones una prioridad nacional.

Well Being Trust es una filantropía de impacto dedicada a promover la salud mental, social y espiritual de la nación.

 

U.S. Drug Overdose Deaths Increased by 31 Percent in 2020; Up 56 Percent for Synthetic Opioids

(Washington, DC – January 4, 2022) According to a National Center for Health Statistics report released the last week of 2021 using official annual mortality data, 91,799 Americans died from drug overdoses in 2020. This is an astounding 31 percent increase over the 2019 rate and the largest year-over-year rate increase on record. Additional data suggests that 2021 drug overdose deaths continued to increase, underscoring the negative impact the COVID-19 pandemic has had on the health and well-being of Americans.

The increases in drug deaths occurred nationally, spanning age, sex, and racial/ethnic groups. In both 2019 and 2020, the highest overdose deaths rates were for American Indian/Alaska Native people and the largest percentage increase in drug overdose death rates from 2019 to 2020 were seen in Black and Native Hawaiian/Other Pacific Islander people. These data show again the urgent need for comprehensive action to address the nation’s growing substance misuse crisis among diverse populations.

Additional analysis by Trust for America’s Health (TFAH) and Well Being Trust (WBT) of state-level data show nearly all states and the District of Columbia saw increases between 2019 and 2020, including very large ones for many states.

  • Five states—Kentucky, Louisiana, Mississippi, South Carolina, and West Virginia—had drug overdose death rates that increased by more than 50 percent between 2019 and 2020.
  • Just seven states had increases under 10 percent, including three states (Delaware, New Hampshire, and South Dakota) that saw declines.

“The long-term and recent trends in drug overdoses are alarming, and require more attention from policymakers,” said J. Nadine Gracia, M.D., MSCE, President and CEO of Trust for America’s Health. “As we continue to respond to and work to recover from the pandemic, we must take a comprehensive approach that includes policies and programs that reduce overdoses and help Americans suffering from addiction. Policies that address social, economic, and environmental disadvantage, such as childhood trauma, poverty, and discrimination, are needed to help change the trajectory of alcohol, drug, and suicide deaths in the coming decades.”

Over the last five years, TFAH and WBT have released as series of reports on “deaths of despair” called Pain in the Nation: The Drug, Alcohol and Suicides Epidemics and the Need for a National Resilience Strategy, which include data analysis and recommendations for evidence-based policies and programs that federal, state, and local officials. The 2022 Pain in the Nation report will be released in May.

“This comes down to leadership and action. If we don’t move to do something now, these terrible trends will only continue,” said Benjamin F. Miller, PsyD, President of Well Being Trust. “The data are clear— we need to move beyond talk and push for programs and policies that work; and, we need to do so in a way that recognizes that all communities are different and each are going to benefit from a more tailored approach to address this massive problem.”

Key findings by drug-type from the recent NCHS report include:

  • Overall drug overdoses deaths: 91,799 Americans died from drug overdoses in 2020, a rate of 28.3 deaths per 100,000 people. This is a rate 31 percent higher than over 2019 when 70,630 Americans died of drug overdoses (21.6 deaths per 100,000).
  • Opioid overdose deaths: 68,630 Americans died from opioid overdoses in 2020, a rate of 21.4 deaths per 100,000 people. This is a rate 38 percent higher than 2019 when 49,860 Americans died of opioid overdoses (15.5 deaths per 100,000).
  • Synthetic opioid overdose deaths: 56,516 Americans died from synthetic opioid overdoses in 2020, a rate of 17.8 deaths per 100,000 people. That is a rate 56 percent higher than 2019, when 36,359 Americans died of synthetic opioids overdoses (11.4 deaths per 100,000). The rate of synthetic opioid overdose deaths has increased more than fivefold over the past five years.
  • Cocaine overdose deaths: 19,447 Americans died from cocaine overdoses in 2020, a rate of 6.0 deaths per 100,000 people. That rate is 22 percent higher than 2019, when 15,883 Americans died of cocaine overdoses (4.9 deaths per 100,000). The rate of cocaine overdose deaths has increased by almost threefold over the past five years.
  • Psychostimulant overdose deaths: 23,837 Americans died from psychostimulants in 2020, a rate of 7.5 deaths per 100,000 people. That’s a rate 50 percent higher than 2019, when 16,167 Americans died from psychostimulant overdoses (5.0 deaths per 100,000). The rate of psychostimulants overdose death has increased by fourfold over the past five years.

Additional annual, racial/ethnic, and state-level data can be found below.

Drug Overdose Deaths, 1999-2020

Year Deaths Deaths per 100,000 (Age Adjusted)
1999 16,849 6.1
2000 17,415 6.2
2001 19,394 6.8
2002 23,518 8.2
2003 25,785 8.9
2004 27,424 9.4
2005 29,813 10.1
2006 34,425 11.5
2007 36,010 11.9
2008 36,450 11.9
2009 37,004 11.9
2010 38,329 12.3
2011 41,340 13.2
2012 41,502 13.1
2013 43,982 13.8
2014 47,055 14.7
2015 52,404 16.3
2016 63,632 19.8
2017 70,237 21.7
2018 67,367 20.7
2019 70,630 21.6
2020 91,799 28.3

Source: National Vital Statistics System, National Center for Health Statistics

Drug Overdose Deaths by Racial/Ethnic Groups, 2019-2020

Racial/Ethnic Group 2019 Deaths 2019 Deaths Per 100,000         (Age Adjusted) 2020 Deaths 2020 Deaths Per 100,000         (Age Adjusted) Change in Death Rate, 2019–2020
Non-Hispanic White 50,044 26.2 62,312 33.1 26%
Non-Hispanic Black 10,517 24.8 15,256 35.8 44%
Non-Hispanic American Indian/ Alaska Native 723 30.5 1,009 42.5 39%
Non-Hispanic Asian 679 3.3 935 4.6 39%
Non-Hispanic Native Hawaiian/ Other Pacific Islander 58 9.5 86 13.7 44%
Hispanic 7,473 12.7 10,606 17.6 39%

Source: National Vital Statistics System, National Center for Health Statistics

Drug Overdose Deaths by State, 2019-2020

State 2019 Deaths 2019 Deaths Per 100,000          (Age Adjusted) 2020 Deaths 2020 Deaths Per 100,000          (Age Adjusted) Change in Death Rate, 2019–2020
Alabama 768 16.3 1029 22.3 37%
Alaska 132 17.8 160 22.0 24%
Arizona 1907 26.8 2550 35.8 33%
Arkansas 388 13.5 546 19.1 41%
California 6198 15.0 8908 21.8 46%
Colorado 1079 18.0 1492 24.9 38%
Connecticut 1214 34.7 1371 39.1 13%
Delaware 435 48.0 444 47.3 -2%
D.C. 311 43.2 424 58.1 34%
Florida 5268 25.5 7231 35.0 37%
Georgia 1408 13.1 1916 18.0 38%
Hawaii 242 15.9 274 18.3 15%
Idaho 265 15.1 287 15.9 5%
Illinois 2790 21.9 3549 28.1 28%
Indiana 1699 26.6 2321 36.7 38%
Iowa 352 11.5 432 14.3 25%
Kansas 403 14.3 490 17.4 22%
Kentucky 1380 32.5 2083 49.2 51%
Louisiana 1267 28.3 1896 42.7 51%
Maine 371 29.9 496 39.7 33%
Maryland 2369 38.2 2771 44.6 17%
Massachusetts 2210 32.1 2302 33.9 6%
Michigan 2385 24.4 2759 28.6 17%
Minnesota 792 14.2 1050 19.0 34%
Mississippi 394 13.6 586 21.1 55%
Missouri 1583 26.9 1875 32.1 19%
Montana 143 14.1 162 15.6 10%
Nebraska 161 8.7 214 11.3 30%
Nevada 647 20.1 832 26.0 29%
New Hampshire 407 32.0 393 30.3 -5%
New Jersey 2805 31.7 2840 32.1 1%
New Mexico 599 30.2 784 39.0 29%
New York 3617 18.2 4965 25.4 39%
North Carolina 2266 22.3 3146 30.9 39%
North Dakota 82 11.4 114 15.6 37%
Ohio 4251 38.3 5204 47.2 23%
Oklahoma 645 16.7 762 19.4 17%
Oregon 615 14.0 803 18.7 34%
Pennsylvania 4377 35.6 5168 42.4 19%
Rhode Island 307 29.5 397 38.2 29%
South Carolina 1127 22.7 1739 34.9 54%
South Dakota 86 10.5 83 10.3 -2%
Tennessee 2089 31.2 3034 45.6 46%
Texas 3136 10.8 4172 14.1 31%
Utah 571 18.9 622 20.5 8%
Vermont 133 23.8 190 32.9 38%
Virginia 1547 18.3 2240 26.6 45%
Washington 1259 15.8 1733 22.0 39%
West Virginia 870 52.8 1330 81.4 54%
Wisconsin 1201 21.1 1531 27.7 31%
Wyoming 79 14.1 99 17.4 23%

Source: TFAH and WBT analysis of data from the National Center for Health Statistics

Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority. www.tfah.org Twitter:@HealthyAmerica1

Well Being Trust is a national foundation dedicated to advancing the mental, social, and spiritual health of the nation. Created to include participation from organizations across sectors and perspectives, Well Being Trust is committed to innovating and addressing the most critical mental health challenges facing America, and to transforming individual and community well-being. www.wellbeingtrust.org. Twitter: @WellBeingTrust

Trust for America’s Health and Well Being Trust Applaud the Surgeon General’s Advisory on Youth Mental Health

The challenges to our children’s mental health were many before COVID-19 and made worse by the pandemic – immediate action is needed

(December 7, 2021) – Trust for America’s Health and Well Being Trust strongly applaud U.S. Surgeon General Dr. Vivek Murthy’s Advisory on Youth Mental Health released today.

“We applaud the Surgeon General for not only drawing more attention to the issue of youth mental health, but reminding us that this problem, significant before COVID-19, has been negatively impacted during, and could only get worse after the pandemic without robust action,” said Benjamin F. Miller, PsyD, President of Well Being Trust.  “By proactively addressing mental health, including bringing care to where people are, we are more likely to meet the moment in a way that can help countless young people and their families.”

The Surgeon General’s advisory calls for “a swift and coordinated response” to the nation’s youth mental health crisis and demonstrates the need for all sectors of society to be part of the solution with recommendations for what individuals, families, community organizations, technology companies and government can do to improve and protect young people’s mental health.

“One of the strengths of this advisory is that it recognizes that in order to support young people’s mental health we need to address the social and economic conditions in their lives with multisector initiatives, said J. Nadine Gracia, M.D., MSCE, President and CEO of Trust for America’s Health. “Where a child lives, where they go to school, their family’s access to employment and safe housing all impact their mental health.”

TFAH and WBT’s Pain in the Nation series has tracked the nation’s deaths of despair since 2017 including the escalating youth mental health crisis. Its report Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide. makes recommendations for cross sector action.

 

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Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority. Twitter: @HealthyAmerica1

Well Being Trust is a national foundation dedicated to advancing the mental, social, and spiritual health of the nation. Created to include participation from organizations across sectors and perspectives, Well Being Trust is committed to innovating and addressing the most critical mental health challenges facing America, and to transforming individual and community well-being. www.wellbeingtrust.org. Twitter: @WellBeingTrust

 

 

Pain in the Nation: How High Rates of Suicide, Drugs and Overdose Deaths Require a Comprehensive Resiliency Strategy

On May 19, 2021,  Trust for America’s Health and Well Being Trust hosted a virtual Congressional briefing on the Pain in the Nation report series. Over the past decade more than one million Americans have died from alcohol, drugs and suicide. Now this trend has been exacerbated by the COVID-19 pandemic, a fragmented health system, and social and community conditions. No single program or policy will be a cure-all to address these issues. Instead, a comprehensive approach that focuses on the underlying causes of these “deaths of despair” can make even our most vulnerable resilient and heal a fracturing nation.

 

Annual Deaths Due to Alcohol, Drugs or Suicide Exceeded 156,000 According to the Most Recent Data

Preliminary data shows COVID-19 crisis created higher rates of mental distress, substance use, and drug overdose; 2019 alcohol deaths were higher for every adult age group

(Washington, DC and Oakland, Ca) – May 18, 2021 – Newly released data show that 156,242 Americans died due to alcohol, drugs or suicide in 2019, a record number of such deaths in a single year.  Furthermore, the COVID-19 pandemic increased stress and related substance use for many Americans.

During 2019, alcohol and drug-induced deaths increased, while suicide rates were slightly lower. Over the last decade, 2009 – 2019, the number of alcohol and drug related and suicide deaths increased by 52 percent.  These data are part of a report releasing today, Pain in the Nation: Alcohol, Drug and Suicide Deaths, the latest in a series of reports tracking the nation’s deaths of despair crisis produced by Trust for America’s Health and Well Being Trust.

Americans dying due to drug-induced causes was five percent higher in 2019 than the previous year, for a total of 74,511 deaths. The data are also beginning to show changes in the most affected population groups.  For many years, the death rate for drug overdoses among whites was substantially higher than other racial groups, data are now showing dramatic increases in drug related deaths for certain populations of color. For the year, drug-induced deaths were up by 15 percent among Latinos and Blacks, 11 percent for American Indians and 10 percent for people of Asian descent. Among whites’ drug-induced deaths rose by 2 percent for the year.

For the first time since 2005, 2019 deaths rates from drugs for Black people was higher than that of whites.

Synthetic opioids, such as fentanyl, (up 16%), cocaine (up 8%) and other psychostimulants (e.g., methamphetamine and ecstasy) (up 28%) continue to drive drug-induced deaths higher. Natural/semisynthetic opioids (e.g., Prescription opioids) and heroin overdoses declined for the year.

In 2019, 39,043 Americans died from alcohol-related causes, up 4 percent over 2018.  It was the tenth year in a row that the alcohol death rate increased.  Alcohol deaths were highest among American Indians (31.9 deaths per 100,000 people), adults over 55 (28.3 deaths per 100,000 people) and males (15.2 deaths per 100,000 people). All groups, except children, had a higher rate of alcohol deaths in 2019 compared with 2018 and early 2020 data show that rates of consumption are continuing to increase.

One bright spot in the data is that for the year (2019), the age-adjusted suicide rate declined from 14.2 to 13.9 deaths per 100,000 deaths, a 2 percent decrease. Americans who died by suicide in 2019 totaled 47,511. This decline in suicide deaths was the first since 2005 and is statistically significant. Preliminary 2020 data show a further small decrease in suicides despite the COVID crisis.

States with the highest age-adjusted death rates from alcohol, drugs and suicide combined in 2019 were New Mexico (88 deaths per 100,000 people) and West Virginia (85.1 deaths per 100,000 people).

“These data underscore, yet again, the massive problem we have had on our hands in this country,” said Benjamin Miller, PsyD, Chief Strategy Officer, Well Being Trust. “The trends are clear we are going in the wrong direction. If we are serious about addressing mental health and addiction, we must invest in strategies that are comprehensive and integrated. Incremental tinkering will not change the course or direction sufficiently enough – it’s time for bold leadership to demand more.”

The Impact of the COVID-19 Pandemic

The COVID-19 pandemic impacted Americans in almost inconceivable ways including illness, the loss of loved ones, job loss, financial stress, food insecurity, social isolation, and learning loss and the interruption of school-based services for millions of children. These stressors are impacting rates of alcohol and drug use and drug overdose deaths as more people turn to substances to help them cope.

From March 2019 to March 2020, the number of calls to the Substance Abuse and Mental Health Services Administration Disaster Distress Helpline increased by 891 percent.  The U.S. Household Pulse Survey found that the number of adults reporting symptoms of anxiety or depression from April 2020 through March 2021 was triple the number who reported such symptoms in 2019. A June 2020 CDC study found that 13 percent of adults “started or increased substance use to cope with pandemic-related stress or emotions.”

“The drug, alcohol and suicide crisis has been growing for a decade and growing in uneven ways. The COVID crisis has increased stress on all Americans and has worsened the differential impact of health inequities on communities of color. While all Americans need support coping with the pandemic, people who are currently struggling with addiction or a mental health issue need urgent attention,” said John Auerbach, President and CEO Trust for America’s Health.

The report includes policy solutions and recommendations including:

  • Expand programs that support families and communities and reduce traumatic experiences, particularly in childhood.
  • Expand access to substance use prevention programs and mental health and resiliency programs in schools.
  • Tailor prevention and intervention programs for communities of color.
  • Strengthen crisis intervention programs and supports.
  • Increase access to mental health and substance use healthcare through full enforcement of the Mental Health Parity and Addiction Equity Act.
  • Reduce availability of illicit opioids and psychostimulants.
  • Limit access to lethal means of suicide.
  • Expand efforts to combat stigma about mental health issues.
  • Improve mental health data accuracy, completeness and timeliness.
  • Expand the mental health and substance use treatment workforce; promote diversity and culturally informed practices within the workforce.
  • Build community capacity for early identification and intervention with individuals who need mental health care.

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 Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority.

Well Being Trust is a national foundation dedicated to advancing the mental, social, and spiritual health of the nation. Created to include participation from organizations across sectors and perspectives, Well Being Trust is committed to innovating and addressing the most critical mental health challenges facing America, and to transforming individual and community well-being. www.wellbeingtrust.org. Twitter: @WellBeingTrust

 

 

 

 

 

 

 

 

Increases in Drug Overdose Death Rates Were Up Before COVID-19 and Are Continuing to Rise During the Pandemic

Trust for America’s Health and Well Being Trust Call for Renewed Focus on Preventing Deaths of Despair

DISTRICT OF COLUMBIA & OAKLAND, CA – Dec. 23, 2020 – According to data released this week by the National Center for Health Statistics, in 2019 age-adjusted drug overdose deaths increased slightly over the prior year.  Coupled with data released last week by the CDC showing increases in drug overdose deaths in early 2020, these reports demonstrate the continuing upward trajectory of drug deaths in the U.S, a trend that is being compounded by the COVID-19 pandemic.

The age-adjusted rate of drug overdose during 2019 was 21.6 per 100,000 deaths, up from the 2018 rate of 20.7 per 100,000. In 2019, 70,630 people died due to drug overdose in the United States.

Between 1999 and 2019 the rate of drug overdose deaths increased for all groups aged 15 and older, with people aged 35-44 experiencing the highest single year increase in 2019.  While rates of drug overdose deaths involving heroin, natural and semisynthetic opioids, and methadone decreased between 2018 and 2019 the rate of overdose deaths involving synthetic opioids other than methadone continued to increase.

2018 data showing only minor progress after decades of worsening trends, provisional drug overdose data showing an 18% increase over the last 12 months, and the recent CDC Health Alert Network notice on early 2020 increases in fatal drug overdoses driven by synthetic opioids all underscore the continued impact of the deaths of despair crisis and how the COVID-19 pandemic has further diminished the mental health and well-being of many Americans.

“These 2019 overdose rates and the outlook for 2020 are extremely alarming and the result of insufficient prioritization and investment in the well-being and health of Americans for decades,” said John Auerbach, President and CEO of the Trust for America’s Health. “As we work to recover from the COVID-19 pandemic, we must take a comprehensive approach that includes policies and programs that help Americans currently struggling and target upstream root causes, like childhood trauma, poverty and discrimination in order to help change the trajectory of alcohol, drug, and suicide deaths in the upcoming decades.”

Over the last five years, Trust for America’s Health (TFAH) and Well Being Trust (WBT) have released a series of reports on “deaths of despair” called Pain in the Nation: The Drug, Alcohol and Suicides Epidemics and the Need for a National Resilience Strategy, which include data analysis and recommendations for evidence-based policies and programs that federal, state, and local officials.

“If leaders don’t act now to stymie America’s mental health and addiction crises, next year’s data will easily surpass the astounding numbers we’re seeing today,” said Dr. Benjamin F. Miller, PsyD, Chief Strategy Officer at Well Being Trust. “Overdose deaths can be prevented if individuals who are struggling are able to access the appropriate services and supports – and with greater demonstrated success if the care individuals receive is rooted in their immediate communities.”

 

Drug Overdose Deaths, 1999-2019 (Rates age-adjusted)

Year Deaths Deaths per 100,000
1999 16,849 6.1
2000 17,415 6.2
2001 19,394 6.8
2002 23,518 8.2
2003 25,785 8.9
2004 27,424 9.4
2005 29,813 10.1
2006 34,425 11.5
2007 36,010 11.9
2008 36,450 11.9
2009 37,004 11.9
2010 38,329 12.3
2011 41,340 13.2
2012 41,502 13.1
2013 43,982 13.8
2014 47,055 14.7
2015 52,404 16.3
2016 63,632 19.8
2017 70,237 21.7
2018 67,367 20.7
2019 70,630 21.6

 Sources:
CDC – NCHS – National Center for Health Statistics
https://emergency.cdc.gov/han/2020/han00438.asp
https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

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About Trust for America’s Health
Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority. Twitter: @HealthyAmerica1

 

About Well Being Trust
Well Being Trust is a national foundation dedicated to advancing the mental, social, and spiritual health of the nation. Created to include participation from organizations across sectors and perspectives, Well Being Trust is committed to innovating and addressing the most critical mental health challenges facing America, and to transforming individual and community well-being. www.wellbeingtrust.org Twitter: @WellBeingTrust