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Friday, Mar 23 2018

Full Issue

Country Is Under-Counting Opioid Overdose Deaths By At Least 20 Percent, Study Finds

On a death certificate, coroners and medical examiners often leave out exactly which drug contributed to a death. In other news on the crisis, drugmakers work with federal officials to help combat the epidemic and Republicans push for higher sentencing for trafficking fentanyl.

In a refrigerator in the coroner's office in Marion County, Ind., rows of vials await testing. They contain blood, urine and vitreous, the fluid collected from inside a human eye.In overdose cases, the fluids may contain clues for investigators. "We send that off to a toxicology lab to be tested for what we call drugs of abuse," said Alfie Ballew, deputy coroner. The results often include drugs such as cocaine, heroin, fentanyl or prescription pharmaceuticals. (Harper, 3/22)

Federal officials said聽they are working聽to get聽new non-opioid painkillers onto the market, along with聽opioid treatment drugs, part of the administration's聽strategy to address an addiction epidemic that shows no signs of abating. To those who became addicted after they were prescribed聽or tried pharmaceutical opioids as teens, the alternatives come too late聽but are still welcome news.聽(O'Donnell, 3/21)

A group of Republicans wants to bolster聽mandatory minimum sentencing for trafficking fentanyl, a move that comes as President Trump advocates for harsher punishments for drug traffickers. Fentanyl is 鈥渁s much a weapon of mass destruction as it is a drug,鈥 Sen. Tom Cotton (R-Ark.) said at a Thursday press conference, holding up a nearly empty salt shaker and explaining how that amount 鈥 less than 40 grams 鈥 of fentanyl could kill thousands of people. (Roubein, 3/22)

And in the states聽鈥

There were more than four times the number of drug-related deaths in Jefferson Parish in 2017 than homicides. There were 173 overdose deaths, according to the Jefferson Parish Coroner's office, and 42 homicides in 2017. A total of 139 of the overdose deaths were opioid/ opiate related. Suicides are included in some of the overdose deaths reported last year. (Clark, 3/22)

A doctor from Dover who admitted to defrauding Medicare and other health insurers out of millions of dollars and spending it on a extravagant lifestyle was sentenced Thursday to eight years in federal prison, officials said. Fathallah Mashali, 62, who once ran pain management clinics in Massachusetts in Rhode Island, was also sentenced to three years of supervised release, and ordered to pay $8.7 million in restitution, according to a statement from the US Attorney鈥檚 office. (Levene, 3/23)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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