Heroin
availability and drug overdoses increase
By RENEE
FOX
Tribune
Chronicle
ö Heroin
was present in 2/3 of accidental overdose deaths
ö 42
percent of deaths were a result of a polydrug intoxication
ö Either
cocaine, oxycodone, methadone, morphine, hydrocodone, fentanyl,
opiates or amphetamines were responsible for 11 of the deaths
ö Six of
the people that died suffered from a medical condition and drug
overdose
Where the
deaths occurred:
Warren: 14
Howland: 8
Niles: 7
Weathersfield:
3
Cortland:
3
Hubbard: 3
Brookfield:
2
Liberty: 2
McDonald:
2
Bazetta: 2
Newton
Falls: 1
Masury: 1
Austintown:
1
Braceville:
1
Unknown/
hospital: 4
SOURCE:
Trumbull County Coroner's Office
A drug
trafficking highway stretching across Ohio may be partially
responsible for the availability of heroin and a rise in accidental
overdose deaths in Trumbull County, according to law enforcement and
industry specialists.
"We are
located where the highways between Detroit, Toledo and Columbus
meet," Executive Director of the Trumbull County Mental Health and
Recovery Board April Caraway said. "That makes the heroin very pure,
very cheap and highly accessible."
Caraway's
analysis is backed up with data from Trumbull County Coroner Dr.
Humphrey Germaniuk and facts and opinions gathered from law
enforcement, counselors and users in a recently released Ohio
Substance Abuse Monitoring Network study. OSAM reports on drug trends
in eight metro areas across the state, every six months.
Data from
Germaniuk show there were 54 accidental overdose deaths in the
county, up from 39 in 2013. Heroin caused 20 of those deaths last
year -- 36, if counting the number of times heroin showed up in the
bloodstream of the deceased, combined in a fatal mixture with other
drugs.
According
to the OSAM report, the Ohio Bureau of Criminal Investigation
Richfield Crime Lab reported an increase in the number of heroin
cases it processed between this and the last reporting period.
An Ohio
Drug Task Force Report covering 2010 to 2013, shows a sharp increase
in heroin trafficking and possession indictments. In 2010, drug task
forces across the state generated 470 indictments for heroin
trafficking, and 237 indictments for heroin possession. In 2013,
there were 1,217 indictments for heroin trafficking and 777 for
possession.
There was
more than one accidental death from drug overdose a week last year in
Trumbull County, 54 total.
ö 38 men
and 16 women died
ö 94
percent were white
ö 0 were
21 or younger
ö 24
percent were aged 22-30 years
ö 37
percent were aged 31-45 years
ö 27
percent were aged 46-56 years
ö 11
percent were aged 57-79 years
The report
states that heroin was responsible for a 160 percent increase in
total drug trafficking indictments and a 200 percent increase in
total drug possession indictments.
OSAM
examined Trumbull County from January to June with Mahoning,
Columbiana, Ashtabula and Jefferson counties, making up the
Youngstown region. Toledo, Cleveland, Dayton, Akron-Canton,
Cincinnati, Columbus and Athens were also surveyed. Heroin
availability increased in six regions and is considered high in all
eight.
Drug users
undergoing treatment in Columbiana, Jefferson and Mahoning counties
were surveyed in focus groups; treatment providers and law
enforcement were interviewed in focus groups in Trumbull, Ashtabula
and Mahoning counties.
Participants
were asked about the availability, pricing and potency of crack and
powder cocaine, heroine, prescription opiods, methamphetamines,
marijuana and numerous other drugs, to produce epidemiological
descriptions of local substance abuse trends.
They were
asked to rank the availability of the substances on a one-to-10
scale, with 10 ranking as the most available. Users, law
enforcement and substance abuse treatment counselors agreed, heroin
is a "10."
"Heroin,
lots and lots of heroin," a specialist commented in the report.
Trumbull
County Sheriff Captain Jeff Orr said the majority of heroin in our
region comes from Detroit, although Ashtabula sees product from New
York. The Valley might be a rest stop for traffickers on their way to
other parts of Ohio, according to information garnered during arrests
and traffic stops.
In
addition to the location of the county, focus group participants and
Caraway speculated increased heroin use is a result of a reduction in
prescriptions for opiods written by doctors because of stricter
regulations. Orr said more prescription drugs are being discovered in
busts in the region.
"The No.
1 reason people get hooked on heroin is an addiction to opiates after
an injury," Caraway said. "When the doctor takes away the
prescription, they get sick, going through withdrawal. They turn to
heroin to help with the pain and sickness. It is remarkably cheaper."
The report
also found 6 out of 10 heroin users in the region share injection
needles.
"More
(people share needles) than you believe," a comment in the report
states. "The younger kids now, they don't take it serious ... they
think they are Superman and won't (catch a disease)."
The OSAM
report found an increase in hepatitis C cases among intravenous drug
users in the Dayton and Columbus regions.
Heroin is
also losing its stigma, according to treatment providers interviewed.
That's bad news in a county that saw deaths from the drug nearly
double in the last two years.
Accidental
overdoses are my primary concern, Caraway said. Trumbull County
has gotten worse; we rank sixth (out of 88) in the state for
accidental overdoses on heroin, up from ninth.
Of concern
is a rise in the number of adolescent heroin users, according to the
majority of the region treatment providers surveyed by OSAM. Last
year, none of the people who suffered a fatal overdose was under the
age of 22.
Between
2010 and 2013, 260,158 grams of heroin were removed from the streets
according to the Ohio Drug Task Force Report.
Last
month, Warren police recovered nearly four pounds of heroin worth at
least $250,000 from 1538 North Road; Ricardo McKinney was charged
with felony possession. The bust was the biggest ever in Warren, the
second largest in Trumbull County, according to police.
According
to national data from the Centers for Disease Control, more people
ages 25 to 64 die from drug overdose than traffic accidents.
Overdoses were the leading cause of deaths from injury in 2012 and
the drug overdose rate has more than doubled since 1999.
Accidental
drug overdoses in Trumbull County 2010-2014:
2010: 49
2011: 59
2012: 36
2013: 39
2014: 54
From
heroin:
2010: 6
2011: 19
2012: 10
2013: 12
2014: 20
Solutions
Although
there won't always be an emergency worker of law enforcement
professional nearby when someone is suffering from a heroin overdose,
a dose of naxalone, or Narcan, swiftly administered can save
someone's life.
Earlier
this month, St. Joseph Warren Hospital donated 40 of the pricey kits
to the Trumbull County Sheriff's office. A spray that enters the
body through the nostrils, Narcan acts to reverse respiratory
depression by blocking the receptors activated by opiods. Narcan acts
as an antidote to a body over-exposed to heroin and other opiates,
including some prescription drugs.
Dr. Edward
J. Novosel, associate medical director at the hospital, said many
overdose victims die before first responders arrive or before he or
she can be transported for medical treatment.
"Having
Narcan available as soon as the sheriff's deputies arrive is a
lifesaver," Novosel said. "The sooner the Narcan is administered,
the better the chances the overdose victim will survive."
The price
of naxalone has only increased as its efficacy has become known. The
primary solution to a heroin overdose is prevention.
"We need
to have some realism in the classroom, not just a teacher reading
from a book," Orr said. "The police, the addicts, the coroner and
social workers, the people out there seeing the effects, need to
share their experiences with kids."
There are
new government standards for drug abuse education, Orr said,
requiring students to learn about prescription drug addiction. Opiod
addictions usually begin with prescription drugs, Orr said; and
students should be learning about addiction from more industry
professionals, not just teachers.
"I think
we will see some positive changes in the years to come," Orr said. "We have strategic partnerships with the MHRB and are working to get
awareness out in the community."
The MHRB
has allocated $826,000 to pay for addiction and detoxification
services for those that need the help and cannot afford it. Trumbull
County does not have a treatment center that offers a place to detox;
residents seeking help have to go to Mahoning County, Caraway said.
The process usually takes 5 to 7 days and costs a minimum of $2,700.
Caraway said by the time many addicts reach treatment, heroin doesn't
even give them a high anymore; they take it to avoid the extreme
aches and flu-like symptoms withdrawal causes.
The MHRB
works to match users with a program that will work for the individual
and also sponsors the Alliance for Substance Abuse Prevention, ASAP.
Using marketing and public awareness, the board hopes to prevent drug
use with school programs, advertising and focusing public awareness
on the problem, Caraway said.
ASAP hosts
programs like Hope for Recovery, where addicts, the coroner and other
industry professionals speak about their experiences and the effects
of drug use, designed to educate the public on addiction prevention
and intervention.
Other
trends
The OSAM
report includes information on all illegal drug trends in monitored
regions of Ohio, and found the availability of bath salts and
synthetic marijuana has gone down during the reporting period,
largely due to busts on known sellers.
Powdered
and crack cocaine use and availability has remained relatively
stable. The substance, in either version, was present in 35 percent
of Mahoning County Coroner drug deaths. A new trend, users reported,
is mixing crack cocaine with Kool-Aid or vinegar, in order to inject
it. Also, because of the length of time crack has been on the streets
now, there are more older users now.
"A
treatment provider explained that heroin seems more fatal, while
crack cocaine users can use it for a longer period of time," the
OSAM report states.
Prescription
drugs are just as available on the streets as ever before; Percocet
and oxycodone were listed by users and professionals as the most
widely available illegally trafficked prescribed medication.
And
Roxicodone use is on the rise, according to an officer in the OSAM
report, "More people are being prescribed (Roxicodone 30 mg), so it
is going to be... a lot more accessible."
One or
more prescription opiod was present in half of all drug-related
deaths in Mahoning County over the OSAM reporting period.
"I don't
think anyone takes their pills anymore. I think they just sell them,"
a study participant said.
rfox@tribtoday.com