For the second consecutive year, a record number of people died from drug overdoses in 2015. Fueled by soaring rates of opioid abuse and addiction, 52,404 Americans died from drug overdoses last year. That’s up from 47,055 drug deaths in 2014.
Opioids, such as prescription drugs containing oxycodone, or illicit drugs such as heroin accounted for 33,091 deadly drug overdoses in 2015, up from 28,647 in 2014.
“The epidemic of deaths involving opioids continues to worsen,” Centers for Disease Control and Prevention Director Tom Frieden said in a statement. “Prescription opioid misuse and use of heroin and illicitly manufactured fentanyl are intertwined and deeply troubling problems.”
Deaths from heroin increased by 23 percent to 12,990 in 2015, causing more deaths than semi-synthetic opioids, such as oxycodone and hydrocodone, for the first time since the opioid epidemic began in the 1990s, according to a Washington Post analysis of CDC data.
The number of annual heroin deaths has been increasing steadily since 2007. That year, gun homicides killed five times as many people as heroin. In 2015, the number of heroin deaths passed gun homicides for the first time.
Heroin is a drug derived from morphine, a naturally-occurring chemical found in opium. It’s chemically similar to prescription painkillers containing opiates such as oxycodone, hydrocodone or methadone. Illicit use of heroin began to rise in the mid-2000s when people dependent on or addicted to prescription opioids turned to the cheaper and more easily available drug on the street.
As the opioid epidemic has worsened, more opioid users have begun seeking a more potent painkiller called fentanyl. Fentanyl is a prescription drug that is between 25 and 50 times as strong as heroin. It’s commonly found in pain patches, but illicit manufacturers have been selling the chemical to dealers on the street.
Drug dealers have laced heroin with fentanyl to increase the drug’s value, leading to a large number of overdoses from people who didn’t know the strength of the drug they were consuming. Deaths from synthetic opioids, including fentanyl and excluding methadone, nearly doubled from 2014 to 2015.
| Drug | 2014 | 2015 |
| Heroin | 10,574 | 12,990 |
| Synthetic opioids (including fentanyl, excluding methadone) | 5,544 | 9,580 |
| Prescription opioids (excluding fentanyl) | 16,941 | 17,536 |
| All opioids | 28,647 | 33,091 |
Note: Some deaths included a combination of illicit, synthetic or prescription opioids.
Congress recently passed the 21st Century Cures Act, which authorizes $1 billion to support state efforts to prevent and treat opioid addiction. President Obama has said that he’ll sign the bill into law before he leaves office.
The president requested more than $1 billion to combat the issue in February 2016, and he renewed that request when Congress passed the Comprehensive Addiction and Recovery Act during the summer with only $181 million in new funding.
In a statement, Director of National Drug Control Policy Michael Botticelli said the opioid epidemic continues to devastate communities because Americans can’t get the treatment that they need.
“The administration will work to get this new funding out to states as quickly as possible to make sure that every American who wants treatment for an opioid use disorder is able to get it,” Botticelli said.
Funding for treatment is vital to saving lives. However, recent research indicates that physicians are continuing to prescribe highly addictive opioid drugs, and they’re failing to properly educate or monitor their patients for signs of abuse.
More than a decade after researchers discovered that reckless prescribing of opioids was associated with increases in drug overdoses, prescription drugs still cause more drug overdose deaths than illicit substances such as heroin or fentanyl.
An estimated 5 percent of American adults take prescription opioids for long-term use, and 34 percent of them say they believe they are either addicted or dependent on the drugs, according to a recent Washington Post/Kaiser Family Foundation survey.
Almost every survey participant (98 percent) said they took prescription painkillers to relieve pain, but many also reported other reasons for taking the drugs.
Most respondents (97 percent) said they first got painkillers through a doctor’s prescription, and they discussed the drug’s addictive potential with their prescriber. However, only 33 percent of respondents discussed ways to stop using the drugs with their doctor.
The CDC announced guidelines for prescribing opioids in March 2016. The guidelines emphasized that doctors should develop a plan for discontinuation before prescribing the drugs and closely monitor their patients.
Until the majority of the nation’s prescribers adhere to the guidelines, the country will continue to treat addiction while doing little to prevent it.