Some Emergency Departments See Drop in Heroin Overdoses

MedicalResearch.com Interview with:
<p style="font-size: 0.9rem;font-style: italic;"><a href="https://www.flickr.com/photos/35294562@N00/3049812708">"High School Photography"</a><span>by <a href="https://www.flickr.com/photos/35294562@N00">nadja.robot</a></span> is licensed under <a href="https://creativecommons.org/licenses/by-nc/2.0/?ref=ccsearch&atype=html" style="margin-right: 5px;">CC BY-NC 2.0</a><a href="https://creativecommons.org/licenses/by-nc/2.0/?ref=ccsearch&atype=html" target="_blank" rel="noopener noreferrer" style="display: inline-block;white-space: none;opacity: .7;margin-top: 2px;margin-left: 3px;height: 22px !important;"><img style="height: inherit;margin-right: 3px;display: inline-block;" src="https://ccsearch.creativecommons.org/static/img/cc_icon.svg" /><img style="height: inherit;margin-right: 3px;display: inline-block;" src="https://ccsearch.creativecommons.org/static/img/cc-by_icon.svg" /><img style="height: inherit;margin-right: 3px;display: inline-block;" src="https://ccsearch.creativecommons.org/static/img/cc-nc_icon.svg" /></a></p>Alana Vivolo-Kantor, PhD, MPH

Behavioral Scientist, Injury Center
CDC

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: This study analyzed emergency department (ED) data from 23 states funded by CDC’s Enhanced State Opioid Overdose Surveillance (ESOOS) program to understand changes in suspected heroin overdose from 2017 to 2018. Overall there was a significant yearly decrease of 21.5% in heroin overdose ED visits in the 23 ESOOS states.

  • Overall, the 23 ESOOS states saw a significant yearly decrease of 21.5% in heroin overdose emergency department visits.
  • Ten states witnessed significant yearly decreases ranging from 12.6% (Massachusetts) to 67.5% (District of Columbia).
  • Decreases occurred mostly in eastern states (District of Columbia, Kentucky, Maryland, Massachusetts, New Hampshire, Ohio, Pennsylvania, Rhode Island, West Virginia, and Wisconsin).
  • Three states witnessed significant yearly increases (Indiana, Illinois, and Utah).

MedicalResearch.com: What should readers take away from your report? 

  • Monitoring overdose fatalities is difficult as a result of time lags in reporting; however, emergency department (ED) data can be used to rapidly detect changes in overdose trends.
  • This study showcases the importance of using emergency department data as an early warning system for communities so that they can better monitor and respond to overdoses. 

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

  • Public health agencies need support to develop rapid surveillance of local trends with a standardized national definition of suspected drug overdose, including heroin, that meets their needs
  • Real-time data on overdoses could be used to guide prevention initiatives, such as distributing naloxone, linking patients to peer navigators, and initiating medication-assisted treatment for opioid use disorder. 

MedicalResearch.com: Is there anything else you would like to add?

  • The findings in this report demonstrate the local and dynamic nature of this epidemic, and highlights the need for timely regional, state, and local information.
  • No disclosures.

Citation:

American Journal of Public Health (AJPH)
Suspected Heroin Overdoses in US Emergency Departments, 2017–2018

May 22, 2019 @ 12:08 am

 

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Parental Attitudes Linked to Infant Sugar-Sweetened Beverage Consumption

MedicalResearch.com Interview with:
“Soda” by Jannes Pockele is licensed under CC BY 2.0Jennifer Woo Baidal, MD, MPH
Assistant Professor of Pediatrics
Director of Pediatric Weight Management,
Division of Pediatric Gastroenterology, Hepatology, and Nutrition,
Columbia University Medical Center &
New York-Presbyterian Morgan Stanley Children’s Hospital

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Childhood obesity prevalence is historically high, with most incident obesity among children occurring before age 5 years. Racial/ethnic and socioeconomic disparities in childhood obesity are already apparent by the first years of life. Latino/Hispanic children in low-income families are at-risk for obesity. Thus, understanding potentially effective ways to prevent childhood obesity, particularly in vulnerable populations, should focus on early life.

Sugar-sweetened beverage (SSB) consumption is a modifiable risk factor for obesity and is linked to other adverse health outcomes. Maternal SSB consumption in pregnancy and infant sugar-sweetened beverage consumption in the first year of life are linked to later childhood obesity.

We sought to describe beverage consumption in a modern cross-sectional cohort of 394 low-income, Latino families, and to examine the relationship of parental attitudes toward sugar-sweetened beverages with parental and infant SSB consumption.

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