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INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES Naloxone could save so many lives but is
restricted to so few Preliminary results of the IDHDP global
naloxone survey
Dr Chris Ford, Clinical DirectorVanessa Huke, Communications Manager
IDHDP
Global Addiction Conference Belgrade
Physicians globally unite for health based drug policy
Reducing drug related deaths: Naloxone part of the solution
Saved my life But many have been lost Siobhan’s story
Drug use around the world
Prevalence of use of opioids worldwide
Why we need naloxone
• 1.3 million users of opioids in Europe• 27 million users of opioids worldwide (0.6%
world pop)• 6,100 overdose deaths in Europe in 2012• 3.5% of all deaths in males under 40 in Europe• 250,000 overdose deaths world wide in 2010
This represents 2 million years of life lost
Preventing opioid overdoses in Europe EMCDDA, Lisbon, October 2012 (revised 2014)
What is Naloxone?• An opioid receptor antagonist• Reverses opioid (heroin, methadone, prescription
opioids) overdoses• Safe, cost-effective• Can be given
– IV, IM, subcutaneous, intranasal
Images from www.noperi.org 2015
Opiate overdose
Most heroin users witness/experience an overdose at some point:
From a sample of 155 drug using clients:
– 46% had overdosed themselves
– 82% had witnessed an overdose
– 43 of which were fatal
46%
82%
43
Best D., Man LH., Gossop M., Noble A., Strang J., 2000
Naloxone is just part of a response
Naloxone is an addition to a greater set of overdose interventions, you should still:
– Check ABC– Ambulance – call– Breathing– reCovery position– Stay with them
What reduces risk of fatal overdose?
Better response to opiate overdose and wider access to take home naloxone.
Talking about Naloxone: United Nations Commission on Narcotic Drugs
UNODC 2012
Resolution 55/7: “Encourages all Member States …..to share best practices ………..including the use of opioid receptor antagonists such as naloxone”
http://www.unodc.org/documents/commissions/CND/Drug_Resolutions/2010-2019/2012/CND_Res-55-7.pdf
Compare England with Scotland & Wales: Shocking rise in number of deaths registered in 2013
(Office of National Statistics: 2014)
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
200
400
600
800
1000
1200
1400
1600
1800
2000
Number of “drug misuse” Deaths 1993-2013
England
Wales
Scotland
num
ber o
f dru
g re
late
d de
aths
Barriers
• Legal restrictions• Bad policy• Ignorance
– “Naloxone is a drug of abuse”– “Naloxone is dangerous”– “Naloxone will encourage risk taking”
• Lack of Awareness• Lack of Motivation
– Need local champions
What do we know about Naloxone in 2013?
o Denmark, Germany, Italy, Romania, United Kingdom, Afghanistan, Australia, Canada, China, India, Italy, Kazakhstan, Kyrgyzstan, Tajikistan, Thailand, United Kingdom, United States, Ukraine and Vietnam report the existence of naloxone programmes
o The measure is regarded as a low-cost approach that can empower healthcare workers and people who use drugs to save lives
http://www.emcdda.europa.eu/topics/pods/preventing-overdose-deaths 2013
Countries which have Naloxone
Counries with naloxone
Counries without naloxone
No data
Question 1: Location of Participants
With members in over 80 countries the survey had responses from 21 of these countries
• Q2 Is there a problem with opioid related overdose in your area?
INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES
Now - go out and SAVE SOME NALOXONE
Also complete the survey
Dr Chris Ford & Vanessa [email protected]
www.idhdp.com
Physicians globally unite for health based drug policy
INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES
Tuesday 2nd June @ 1740“If doctors want to treat addiction - they
should start with the policies”Why WE ALL need to be involved with the
UNGASS debateAll welcome
FOLLOWED BY IDHDP MEMBERS MEETING @ 1830
Physicians globally unite for health based drug policy
