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By Michaela Gibson Morris
Daily Journal
Mississippi public health and law enforcement officials fear the state is on the cusp of an opioid overdose crisis.
To combat the risking risk of an opioid epidemic, Gov. Phil Bryant on Tuesday issued an executive order to create an Opioid and Heroin Study Task Force.
“We are committed to protecting our citizens from the scourge of drug abuse and addiction,” Bryant said in a statement.
Bryant said he will appoint members to the task force, who will meet “as often as necessary.”
So far, the state has avoided the dramatic increases in deaths related to misuse of prescription pain pills, including tramadol and oxycodone, and heroin that other states like Kentucky, West Virginia and Alabama have seen.
“People have got to wake up,” said John Dowdy, director of the Mississippi Bureau of Narcotics. “We are on the same pattern that these other states were.”
Using Centers for Disease Control data gleaned from death certificates, Alabama saw nearly a 20 percent increase in opioid-related deaths between 2013 and 2014, with 723 deaths. Mississippi had 336 deaths in 2014, according to the CDC data, representing a 7 percent increase, which was not considered statistically significant.
Most troubling, health, law enforcement and mental health leaders say, is the high rate of opioid prescriptions in Mississippi. A 2014 CDC analysis found that Mississippians received prescription pain pills at a rate of 120 prescriptions per 100 population.
“This is a public health crisis in the making,” said Mississippi State epidemiologist Dr. Paul Byers.
Based on research from the U.S. Substance Abuse and Mental Health Services Administration, four out of five heroin users become addicted through the use of prescription opioids.
“We have to treat this as an illness that is potentially fatal,” said Mississippi State Medical Association past president Dr. Dan Edney, who is an internist in Vicksburg.
Misusing both prescription opioid medication and heroin puts people at risk of fatal overdose. Opioids can depress respiration, leading to unconsciousness and death. With regular use, tolerance grows, leading people to take higher and higher doses to achieve the effect.
Illicit heroin carries extra risks because of variations in purity and addition of substances like fentanyl, a synthetic opioid, making it difficult to judge doses. Intravenous drug users also are at risk for contracting HIV and Hepatitis C.
Addicts who have been recently released from prison or rehab programs are particularly vulnerable to overdose because their tolerance drops off quickly when they are forced to stop, addiction treatment advocates say. What was their normal dose is now a fatal dose.
In Northeast Mississippi
From 2013 to Sept. 30, 2016, there have been at least 82 overdose deaths in Northeast Mississippi, based on coroner reports to the Mississippi Bureau of Narcotics.
“I think this is the tip of the iceberg,” because not all coroners report as required, Dowdy said. “They don’t adequately show the problem.”
Lee County Coroner Carolyn Green is seeing opioid-related deaths regularly – 17 cases in the 33-month period covered by the MBN statistics.
Most are related to misuse of prescription opioids, but heroin is showing up, too, she said. Heroin laced with fentanyl is suspected in the November deaths of two people at a Tupelo hotel.
The heartbreaking human cost of opioid and heroin addiction defies stereotype. It affects young and old, poor and affluent.
“It can affect everybody,” Green said. “I’ve seen professionals who had everything going for them.”
michaela.morris@journalinc.com