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Some States Say Declaring An Emergency Has Helped In The Opioid Fight

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After a briefing on the opioid crisis with Health and Human Services Secretary Tom Price, President Trump remarked on the severity of the epidemic but did not declare a national emergency, as his commission on opioids had recommended.

Health officials awaiting news from President Trump's briefing on opioids Tuesday didn't, in the end, get much about what the White House plans to do about the growing crisis.

While he acknowledged the severity of the problem and the threat opioids pose to all Americans, Trump did not talk about expanding addiction treatment or access to the overdose-reversal drug naloxone, two of the recommendations his commission on opioids made in its interim report last week.

Nor did Trump act on the commission's recommendation to declare the epidemic a national emergency. Health and Human Services Secretary Tom Price said Tuesday that such a declaration is usually reserved for "time-limited" problems such as the Zika outbreak.

While there has been debate among addiction treatment specialists over what a national emergency declaration would achieve, a handful of states have found the move helpful. The health news website STAT reports that six states have used disaster or emergency declarations in order to take more aggressive measures to fight opioids.

Arizona Republican Gov. Doug Ducey signed an emergency declaration in June, after the state reported that 790 Arizonans had died from opioid overdoses in 2016, an average of more than two per day.

"What this does is allows us to use additional resources — so additional funding, additional personnel," Dr. Cara Christ, director of the Arizona Department of Health Services, told All Things Considered host Audie Cornish.

With the emergency declaration, Christ says the state has been able to train law enforcement on the use of naloxone, which helps reverse overdoses, and develop opioid prescribing guidelines.

They've also gotten access to better real-time data about the epidemic, including the number of overdose deaths by county and the number of doses of naloxone administered outside of hospital settings. Previously, Christ says, there was a lag of 6 to 18 months in data reporting, which made responding to the crisis harder.

Asked about the renewed emphasis on law and order in dealing with the crisis, including from President Trump himself, Christ says she does see an important role for law enforcement in addressing the illegal supply of drugs. Still, she says, it's important to treat drug addiction as a chronic disease rather than a crime.

"We don't want people to feel afraid of going and seeking help and calling in the middle of an emergency," she says. "You wouldn't hesitate in calling when someone has a heart attack. You should call when somebody has a drug overdose and help that friend or loved one get into treatment."

In his remarks Tuesday, Trump noted that the best way to prevent addiction and overdoses is to keep people away from drugs in the first place.

"If they don't start, they won't have a problem," he told reporters. "So if we can keep them from going on and maybe by talking to youth and telling them, 'No good. Really bad for you in every way.' But if they don't start, it will never be a problem."

Christ says what's so challenging about the opioid epidemic in the U.S. is that most people never started out intending to use illicit drugs.

"These were drugs that were started as being prescribed by their physician to treat pain or a medical condition or after surgery," she says. "So we really need to work with our health care providers to prevent people from becoming dependent and addicted."

All Things Considered editor Jessica Deahl contributed to this story.

Copyright 2017 NPR. To see more, visit http://www.npr.org/.

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