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Letters |

Prescription Opioids and Overdose Deaths

Noni A. Graham, MPH; Mark S. Gold, MD; Bruce A. Goldberger, PhD
JAMA. 2009;301(17):1766-1769. doi:10.1001/jama.2009.577
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To the Editor: Dr Hall and colleagues1 studied the patterns of abuse among unintentional pharmaceutical overdose fatalities in West Virginia. There has been a similar increase in opioid and other prescription drug-related deaths in the state of Florida, and mixed-drug intoxication is now a common cause of death in this area. For example, since 2001 the numbers of methadone-related deaths in Florida have been increasing while the rates of heroin-related deaths have decreased.2 The misuse of prescription opioids has led to an epidemic of opioid-related deaths.

Others have reported on methadone-related deaths, but unfortunately such efforts have not spanned state lines.3 5 State-by-state variability in reporting data on drug-related deaths could be eliminated by a uniform data-collection process linking heath care professionals, medical examiners, and law enforcement to a national monitoring system that would enable consistent collection and reporting of this vital public health information.

AUTHOR INFORMATION

Financial Disclosures: Ms Graham and Drs Gold and Goldberger reported that their research on drug mortality is supported in part by a subcontract from JBS International, which is funded by the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration.

REFERENCES

Hall AJ, Logan JE, Toblin RL,  et al.  Patterns of abuse among unintentional pharmaceutical overdose fatalities.  JAMA. 2008;300(22):2613-2620
PubMedCrossRef
Graham NA, Merlo LJ, Goldberger BA, Gold MS. Methadone- and heroin-related deaths in Florida.  Am J Drug Alcohol Abuse. 2008;34(3):347-353
PubMedCrossRef
Wolf BC, Lavezzi WA, Sullivan LM, Flannagan LM. Methadone-related deaths in Palm Beach County.  J Forensic Sci. 2004;49(2):375-378
PubMedCrossRef
Shah N, Lathrop SL, Landen MG. Unintentional methadone-related overdose death in New Mexico (USA) and implications for surveillance, 1998-2002.  Addiction. 2005;100(2):176-188
PubMedCrossRef
Shields LB, Hunsaker JC, Corey TS, Ward MK, Stewart D. Methadone toxicity fatalities: a review of medical examiner cases in a large metropolitan area.  J Forensic Sci. 2007;52(6):1389-1395
PubMedCrossRef

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Hall AJ, Logan JE, Toblin RL,  et al.  Patterns of abuse among unintentional pharmaceutical overdose fatalities.  JAMA. 2008;300(22):2613-2620
PubMedCrossRef
Graham NA, Merlo LJ, Goldberger BA, Gold MS. Methadone- and heroin-related deaths in Florida.  Am J Drug Alcohol Abuse. 2008;34(3):347-353
PubMedCrossRef
Wolf BC, Lavezzi WA, Sullivan LM, Flannagan LM. Methadone-related deaths in Palm Beach County.  J Forensic Sci. 2004;49(2):375-378
PubMedCrossRef
Shah N, Lathrop SL, Landen MG. Unintentional methadone-related overdose death in New Mexico (USA) and implications for surveillance, 1998-2002.  Addiction. 2005;100(2):176-188
PubMedCrossRef
Shields LB, Hunsaker JC, Corey TS, Ward MK, Stewart D. Methadone toxicity fatalities: a review of medical examiner cases in a large metropolitan area.  J Forensic Sci. 2007;52(6):1389-1395
PubMedCrossRef
May 6, 2009
Richard D. Layne, MD; Ronald J. Pellegrino, MD; Nathan M. Lerfald, MD
JAMA. 2009;301(17):1766-1769.
May 6, 2009
Robert Newman, MD, MPH
JAMA. 2009;301(17):1766-1769.
May 6, 2009
Michael Merrick, MD
JAMA. 2009;301(17):1766-1769.
May 6, 2009
Aron J. Hall, DVM, MSPH; Leonard J. Paulozzi, MD, MPH
JAMA. 2009;301(17):1766-1769.
May 6, 2009
A. Thomas McLellan, PhD; Barbara J. Turner, MsEd, MD
JAMA. 2009;301(17):1766-1769.
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