(CHICAGO) — Two babies, born 15 months apart to the same young woman overcoming opioid addiction. Two very different treatments.Sarah Sherbert’s first child was whisked away to a hospital special-care nursery for two weeks of treatment for withdrawal from doctor-prescribed methadone that her mother continued to use during her pregnancy. Nurses hesitated to let Sherbert hold the girl and hovered nervously when she visited to breast-feed.
Born just 15 months later and 30 miles away at a different South Carolina hospital, Sherbert’s second child was started on medicine even before he showed any withdrawal symptoms and she was allowed to keep him in her room to encourage breast-feeding and bonding. His hospital stay was just a week.

“It was like night and day,” Sherbert said.
The different approaches highlight a sobering fact: The surge has outpaced the science, and no one knows the best way to treat the opioid epidemic’s youngest patients.
Trying to cope with the rising numbers of affected infants, hospitals around the United States are taking a scattershot approach to treating the tremors, hard-to-soothe crying, diarrhea and other hallmark symptoms of newborn abstinence syndrome.
“It’s a national problem,” said Dr. Lori Devlin, a University of Louisville newborn specialist. “There’s no gold-standard treatment.”
With help from $1 million in National Institutes of Health funding, researchers are seeking to c…

Source: TIME: HealthCategory: Consumer Health News Authors: Tags: Uncategorized APH Drugs healthytime onetime Source Type: news

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Conclusions Despite a dramatic increase in the incidence of NAS in the U.S. and, in particular, the Southwest border states of AZ and NM, there is still scant research on the overall incidence of NAS, its assessment in the southwest border, and associated long-term outcomes. The Healthy Border (HB) 2020 binational initiative of the U.S.-Mexico Border Health Commission is an initiative that addresses several public health priorities that not only include chronic and degenerative diseases, infectious diseases, injury prevention, maternal and child health but also mental health and addiction. The growing opioid epidemic and r…

Credit: New York Times article, Jan. 19, 2016.

The United States is in the midst of an opioid overdose epidemic. The rates of opioid addiction, babies born addicted to opioids, and overdoses have skyrocketed in the past decade. No population has been hit harder than rural communities. Many of these communities are in states with historically low levels of funding from the National Institutes of Health (NIH). NIGMS’ Institutional Development Award (IDeA) program builds research capacities in these states by supporting basic, clinical, and translational research, as well as faculty development and infrastructure impro…

This report describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia during 2013-August 1, 2017. State-level data on the number of SSPs, client visits, and services offered were collected by each state through surveys of SSPs and aggregated in a standard format for this report. In 2013, one SSP operated in a free clinic in West Virginia, and SSPs were illegal in Kentucky and North Carolina; by August 2017, SSPs had been legalized in Kentucky and North Carolina, and 53 SSPs operated in the three states. In many cases, SSPs provide integrated services to address hepatitis and human immunodeficiency viru…

Source: MMWR Morb Mortal Wkl…Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research

The US Surgeon General, Dr. Jerome Adams, recently released an advisory on naloxone and opioid overdose. In his advisory, Dr. Adams writes:
For patients currently taking high doses of opioids as prescribed for pain, individuals misusing prescription opioids, individuals using illicit opioids such as heroin or fentanyl, health care practitioners, family and friends of people who have an opioid use disorder, and community members who come into contact with people at risk for opioid overdose, knowing how to use naloxone and keeping it within reach can save a life.
This was the first surgeon general advisory issued in 13 years…

Source: Harvard Health BlogCategory: Consumer Health News Authors: Tags: Addiction Health Source Type: blogs

Conclusion
Using the three Cs of risk management strategies—collecting information, communicating, and carefully documenting—when prescribing controlled substances supports quality patient care and can decrease the risk of improper prescribing allegations.
Appendix 1. Prescribing Controlled Substances: Informed Consent
Some, but not all states have promulgated various requirements and recommendations for components of an informed consent discussion when prescribing controlled substances.  The following is a compilation of current individual state requirements and recommendations for informed consent. …

A bipartisan group of senators have introduced legislation framed as a follow-up bill to the Comprehensive Addiction and Recovery Act (CARA) of 2016. Dubbed CARA 2.0, the bill includes a combination of policy changes and increased funding authorizations that seek to restrict access to opioid-based painkillers and boost access to addiction treatment, including establishing a three-day initial prescribing limit on opioids for acute pain and aiming to increase the availability of treatment. The legislation was introduced by Sens. Rob Portman (R-OH), Sheldon Whitehouse (D-RI), Shelley Moore Capito (R-WV), Amy Klobuchar (D-MN),…

Source: Policy and MedicineCategory: American Health Authors: Source Type: blogs

CHICAGO (AP) — Two babies, born 15 months apart to the same young woman overcoming opioid addiction. Two very different treatments.
Sarah Sherbert’s first child was whisked away to a hospital special-care nursery for two weeks of treatment for withdrawal from doctor-prescribed methadone that her mother continued to use during her pregnancy. Nurses hesitated to let Sherbert hold the girl and hovered nervously when she visited to breast-feed.
Born just 15 months later and 30 miles away at a different South Carolina hospital, Sherbert’s second child was started on medicine even before he showed any withdrawal symptoms a…

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All NNLM MAR funding opportunities are currently closed. In February, we will announce opportunities to apply for projects starting May 15, 2018. Now is the perfect time to start meeting with potential partners and consulting with NNLM MAR staff on health information outreach ideas. Contact us to set up a consultation.
It’s Not Too Late to Participate in National Drug and Alcohol Facts Week 2018! Learn more about free materials, activities, and opportunities for your school, public library, or community organization t…

More than 78 American’s die daily from an opioid related overdose; a 500% increase since 2000. The epidemic has effected the Appalachian region of the United States particularly hard. To combat the crisis, ACOG and other leading societies recommend the use of Medication Assisted Treatment (MAT) in the form of methadone or more recently buprenorphine for all pregnant women with opioid addiction. Despite the acceptance of MAT as a standard of care, opioid related maternal and neonatal morbidity rates continue to rise.

ALBUQUERQUE, N.M. (AP) — A routine call about an Albuquerque convenience store theft turned into a life-transforming moment for an officer who came across upon a pregnant woman he found using heroin.
That officer later volunteered to adopt the unborn baby.
Officer Ryan Holets and his wife, Rebecca, were honored Monday for adopting the baby girl they named Hope after the addicted mom agreed to let the couple raise her child. The baby is now 6-weeks-old and is recovering after being born with an opioid addiction.
“We’re blessed,” Holets said.
City officials called the officer’s act selfless, said it gave the …

Source: JEMS Administration and LeadershipCategory: Emergency Medicine Authors: Tags: News Administration and Leadership Source Type: news





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