NARCAN CAN: SAVE A LIFE

Support Medication Assisted Treatment Funding and Education

Proposed policy Action Plan for HPA
432 Public Health Advocacy Course
Summer 2016
By
Anitha Nagelli
7.10.2016

"FOR EDUCATIONAL USE ONLY. PREPARED FOR HPA 432,

UNIVERSITY OF ILLINOIS AT CHICAGO, SCHOOL OF PUBLIC HEALTH"

The Problem at the national level

Abuse of Heroin and Opioid Prescription Medications
7.9 & 9 Rate of Opioid deaths per 100,000, in 2013, 14

Its and
Epidemic!

More people died from drug overdoses in

2014 than in any year on record. The majority
of drug overdose deaths (more than six out of
26% Increase in heroin overdoses from 2013 -14
ten) involve an opioid.And since 1999, the
9% increase in drug overdose deaths from Opioids from
number of overdose deaths involving opioids
2013-14
(includingprescription opioid pain relievers
andheroin) nearly quadrupled. From 2000 to
100% increase in drug overdose deaths
2014 nearly half a million people died from
45% proportion of heroin users who also abuse prescription
drug overdoses. 78 Americans die every day
opioid painkillers
from an opioid overdose.
63% increase in Heroin use from 2002 to 2013

400%, 265% increase among women, compared to men

who overdosed on prescription pain relievers between 1999
2010.
Jane Hoback, April 2016, Overdosed on Opioids, Retrieved
from http://www.ncsl.org/bookstore/state-legislaturesmagazine/overdosed-on-opioids.aspx

Center for Disease Control (CDC), Drug overdose

deaths in the United States hit record numbers in
2014, Retrieved from
https://www.cdc.gov/drugoverdose/epidemic/

The Problem at the local level

Illinois - Overdose Deaths

251

201
Heroin
Prescription Opioid Pain
Relievers

151

101

51

1
2008

2009

2010

2011

2012

2013

2014

Source: Illinois Department

of Public Health

Lali's Law

FederalLegislationS707
PURPOSE.ThepurposeofthisActistosave
thelivesofpeoplewhointentionallyor
inadvertentlyoverdoseonheroinorother
opioidsbyprovidingcertainprotectionsfrom
civilliabilitywithrespecttotheemergency
administrationofopioidoverdosedrugs.
Retrieved from https://www.congress.gov/bill/114thcongress/senate-bill/707?q=%7B%22search%22%3A
%5B%22S+707%22%5D%7D&resultIndex=1

(Sec. 2) This bill amends the Public Health Service Act to permit the
Department of Health and Human Services to make grants to states that
allow standing orders (documents that allow a person to acquire,
dispense, or administer a prescription medication without a person-specific
prescription) for opioid overdose reversal medication (e.g., naloxone).
(Opioids are drugs with effects similar to opium, such as heroin and certain
pain medications.)
Grants may be used for:
developing standing orders for opioid overdose reversal medication
for pharmacies;
encouraging pharmacies to dispense medication pursuant to such a
standing order;
implementing best practices for prescribing opioids, prescribing
opioid overdose reversal medication with opioids, and discussing
opioid overdose reversal medication with patients;
developing training for prescribers to use in educating the public on
administration of opioid overdose reversal medication; and
educating the public on the availability and public health benefits of
opioid overdose reversal medication.
Retrieved from https://www.congress.gov/bill/114thcongress/house-bill/4586/text

7
Interventions

Research has demonstrated the efficacy of multiple types of

interventions including:
Educational initiatives delivered in school and community settings
(primary prevention)
Supporting consistent use of prescription drug monitoring programs
(PDMPs)
Implementation of overdose education and naloxone distribution
programs to issue naloxone directly to opioid users and potential
bystanders
Aggressive law enforcement efforts to address doctor shopping and
pill mills
Diverting individuals with substance use disorders
toby Drug
Courts
Presented
Nora D. Volkow,
Director, National
Institute on Drug Abuse
Expansion of access to MAT
House Committee on Energy and Commerce,
Subcommittee
on Oversight and Investigations,

Abuse-deterrent formulations for opioid analgesics

May 01, 2015. What is the Federal Government
Doing to
Combat the Opioid Abuse Epidemic? (pg. 1)

The 7 Interventions
need
$funding$
to ensure viability and
sustainability

GOOD NEWS!
Feb 2, 2016
President Obama
Proposes $1.1 Billion in
New Funding to Address
the Prescription Opioid
Abuse and Heroin Use
Epidemic
The White House, Office of the Press Secretary, Feb 2, 2016,
Retrieved from https://www.whitehouse.gov/the-pressoffice/2016/02/02/president-obama-proposes-11-billion-new-fundingaddress-prescription

June 14,2016
White House Releases Estimated
State Opioid Treatment Funding
Levels Under Presidents Budget
Under
the Presidents $1.1 billion proposal to help
Proposal
Americans with opioid use disorders who want
treatment get the help they need, States would
receive funding based on the severity of the
epidemic in their communities and the strength of
their strategy to respond to it. The final funding
amounts will depend on these factors and
Congressional action.
The White House, Office of the Press Secretary, June 14,2016 Retrieved from
https://www.whitehouse.gov/the-press-office/2016/06/14/white-house-releasesestimated-state-opioid-treatment-funding-levels

https://www.whitehouse.gov/sites/whitehouse.gov/file
s/documents/factsheet-opioid-heroin-epidemic_IL.pdf

NEXT STEPS
The 28 Million should be earmarked
through Lalis law based on severity
of epidemic in each county. The
funding should be tied to and
structured on the 7 interventions
identified earlier. This funding should
be administered through local public
health departments to ensure
success

All of us can play a role: As

family, friends, community or
professionals Now that we are
aware It time to actto save
lives!
COME JOIN THE ADVOCACY

REFERENCES

1. Jane Hoback, April 2016, Overdosed on Opioids, Retrieved from http://

www.ncsl.org/bookstore/state-legislatures-magazine/overdosed-on-opioids.aspx
2. Center for Disease Control (CDC), Drug overdose deaths in the United States hit record
numbers in 2014, Retrieved from https://www.cdc.gov/drugoverdose/epidemic/
3. Source: Illinois Department of Public Health
4. https://www.youtube.com/watch?v=rWqUN2j3Kaw
5. https://www.youtube.com/watch?v=Sq2aNEPZ07I
6. Federal Legislation S 707
7. Retrieved from https://www.congress.gov/bill/114th-congress/senate-bill/707?q=%
7B%22search%22%3A%5B%22S+707%22%5D%7D&resultIndex=1
8. Lalis Law Retrieved from https://www.congress.gov/bill/114th-congress/house-bill/4586/text
9. Presented by Nora D. Volkow, Director, National Institute on Drug Abuse
10. House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations,
May 01, 2015. What is the Federal Government Doing to
11. Combat the Opioid Abuse Epidemic? (pg. 1)
12. The White House, Office of the Press Secretary, Feb 2, 2016, Retrieved from https://
www.whitehouse.gov/the-press-office/2016/02/02/president-obama-proposes-11-billion-new-fu
nding-address-prescription
13. The White House, Office of the Press Secretary, June 14,2016 Retrieved from
https://www.whitehouse.gov/the-press-office/2016/06/14/white-house-releases-estimatedstate-opioid-treatment-funding-levels
14. https://www.whitehouse.gov/sites/whitehouse.gov/files/documents/factsheet-opioid-heroinepidemic_IL.pdf