More than 106,000 people died of drug overdoses in the United States in 2021. That’s more than the number of people who died due to firearm-related injuries (48,830), falls (44,686) or motor vehicle crashes (42,939). These are all considered preventable causes of death, and as such, they are a public health problem. Reducing the toll requires research to identify risk factors and then the development of interventions that make the environment safer and discourage unsafe behavior.
Motor vehicle crashes make for a good case study. From 1972 to 2019, the death rate from crashes dropped by more than half in the United States, from 26.9 per 100,000 people to 11.9. It took multiple interventions to make that happen, including laws requiring seat belts and lower speed limits, graduated driver’s licenses for teens, safer roads, new technologies like airbags and advocacy from groups like Mothers Against Drunk Driving.
Some simple interventions are remarkably effective. Just using a seat belt, for example, reduces the risk of death for people in the front seat of a car by 45 percent compared with those without seat belts. New technologies like forward collision avoidance may do more. Research by the AAA Foundation for Traffic Safety estimates that these technologies could potentially prevent more than 2.7 million crashes a year if they were on all cars and properly used by drivers.
In this issue, we explore one effort to prevent deaths from drug overdoses. In the 1990s, use of prescription opioids like Oxycontin fueled a rise in overdoses, according to the U.S. Centers for Disease Control and Prevention. Over the last decade, powerful synthetic opioids such as fentanyl have greatly increased the risk of overdose and death — so much so that annual deaths from opioid overdoses have more than doubled since 2015. Addiction is a disease; the goal here is keeping people alive so they can get treatment and rebuild their lives.
Access to naloxone, a medication…
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