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Opinion

Embrace new ideas to triage WA’s fentanyl epidemic

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Fentanyl, a drug whose life-threatening excessive sells in Washington for lower than $1 a dose, is on tempo to assert greater than 1,000 overdose deaths this year in King County alone.

Investments are urgently wanted, sure, however so are options that can present triage in a state with the biggest percentage increase of fatal overdoses in the nation — 21%.

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On Monday, Gov. Jay Inslee go toed an Everett clinic to debate his intention to spend about $50 million extra to assist fight the opioid epidemic. Remedy specialists, first responders and others contributed concepts . Dr. Michael Sayre, the Seattle Fireplace Division’s program director, instructed a doable new protocol: What if medics might instantly administer a drug to quell sufferers’ withdrawal signs promptly following their overdoses?

At present, Sayre stated, responders administer naloxone to reverse the opiate’s results. But many don’t stick round for additional assist.

“Half of the individuals then refuse additional care and stroll away,” stated Sayre, whose division responds to as many as 20 drug overdose calls every day.

Additionally administering buprenorphine would quell opiate withdrawal signs for a time — an intervention that may make somebody extra amenable to starting a therapy program.

However Sayre and others say they want readability from lawmakers to begin a pilot program. Inslee was within the thought.

“It could be the one manner we will get them to begin therapy,” stated Caleb Banta-Inexperienced, a College of Washington scientist who has been finding out opioid use dysfunction for 28 years.

However he famous that it’s solely a begin — simply because the lifesaving drug naloxone was as soon as far much less accessible to cease overdoses, the usage of buprenorphine ought to change into extra ubiquitous to assist individuals fighting opiate dependancy to keep away from fentanyl.

“It’s going to take a whole continuum of care,” he stated.

Inslee and the Legislature, with assist from these on the federal stage like Sen. Maria Cantwell — who held roundtables this summer and has worked to pass meaningful legislation on the topic — should proceed to be vigilant to find concepts like Sayre’s and paving their manner with tweaks to state legislation, if needed, and funding.

It would take all ranges of presidency — and each good thought we have now — to finish this epidemic.


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