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News / Northwest

Washington heroin use, deaths up, especially in youth

The Columbian
Published: June 11, 2013, 5:00pm

Opioid related deaths by residence county, including overdoses from heroin and related prescription drugs.

This information is provided by the University of Washington Alcohol and Drug Abuse Institute in a report entitled “Heroin Trends Across Washington State.”

County 2000-2002 deaths 2009-2011 deaths

Cowlitz 20 50

Pend Oreille 1 6

Clallam 17 30

Skamania 4 6

Snohomish 105 290

Klickitat 1 7

Grays Harbor 4 24

Spokane 91 155

Skagit 16 37

Chelan 7 24

Lewis 8 26

Asotin 4 6

Stevens 8 10

Okanogan 10 14

Mason 5 17

Whatcom 37 56

Jefferson 1 10

Pierce 127 232

Douglas 8 10

Grant 12 22

Thurston 12 58

King 309 467

Whitman 0 6

Clark 50 89

Benton 8 32

Kitsap 18 50

Yakima 24 43

Island 6 12

Kittitas 2 5

Walla Walla 5 5

Franklin 1 6

Adams 1 2

Columbia 1 1

Ferry 0 1

Garfield 0 0

Lincoln 2 2

Pacific 2 4

San Juan 3 4

Wahkiakum 1 2

State Total 931 1,821

SEATTLE — Heroin use and related deaths have increased significantly across Washington over the past decade, especially among people younger than 30, according to a new study released Wednesday.

Young people are finding it cheaper and easier to get heroin than prescription opiates these days. Both kinds of drugs offer a similar high, and a similar addiction danger, said Caleb Banta-Green, author of the report and a researcher at the University of Washington’s Alcohol and Drug Abuse Institute.

The largest increases in heroin use and abuse in Washington state were outside of metropolitan areas, where drug treatment and awareness are lowest.

Opioid related deaths by residence county, including overdoses from heroin and related prescription drugs.

This information is provided by the University of Washington Alcohol and Drug Abuse Institute in a report entitled "Heroin Trends Across Washington State."

County 2000-2002 deaths 2009-2011 deaths

Cowlitz 20 50

Pend Oreille 1 6

Clallam 17 30

Skamania 4 6

Snohomish 105 290

Klickitat 1 7

Grays Harbor 4 24

Spokane 91 155

Skagit 16 37

Chelan 7 24

Lewis 8 26

Asotin 4 6

Stevens 8 10

Okanogan 10 14

Mason 5 17

Whatcom 37 56

Jefferson 1 10

Pierce 127 232

Douglas 8 10

Grant 12 22

Thurston 12 58

King 309 467

Whitman 0 6

Clark 50 89

Benton 8 32

Kitsap 18 50

Yakima 24 43

Island 6 12

Kittitas 2 5

Walla Walla 5 5

Franklin 1 6

Adams 1 2

Columbia 1 1

Ferry 0 1

Garfield 0 0

Lincoln 2 2

Pacific 2 4

San Juan 3 4

Wahkiakum 1 2

State Total 931 1,821

Overdose deaths from heroin or related prescription drugs more than doubled in Cowlitz, Snohomish, Grays Harbor, Chelan, Lewis, Mason, Thurston, Benton and Kitsap counties between 2000 and 2011.

“It’s a big change,” Banta-Green said, adding, however, that he’s not surprised by the data.

He attributed part of the increase to new state rules that make it harder to get pharmaceutical opiates because of better prescription tracking.

Washington is ahead of the nation in that trend, Banta-Green said. He expects other states also may see an increase in heroin use after they tighten their prescription rules.

Washington is also setting an example for the nation with new pharmacy rules that allow pharmacists to distribute overdose response kits, including a medical antidote to heroin, naloxone, without a prescription from a doctor. So far, only one pharmacy in Washington is participating in the program, but Banta-Green expects that will change.

“What we are seeing and the pharmacy work is leading the country, for good and bad,” he said.

Banta-Green used three sources of data for his study: police drug evidence testing, treatment statistics and county death certificates. Here’s what he found:

o The number of pieces of police evidence that tested positive for heroin totaled 842 in 2007 and increased statewide to 2,251 in 2012.

o Drug treatment admissions for heroin increased statewide from 2,647 in 2002 to 7,500 in 2012. The majority of 18- to-29-year-olds seeking drug treatment for the first time in 2012 were being treated for heroin use.

o The number of accidental deaths statewide involving heroin and prescribed opiates doubled from an average of 310 a year between 2000 and 2002 and 607 a year from 2009 to 2011. In King County, almost three-quarters of drug-caused deaths involved heroin or a prescription opiate between 1997 and 2012.

Banta-Green believes the pharmacy program and a relatively new 911 overdose Good Samaritan law, along with increased awareness, could turn at least the overdose statistics around.

Washington passed the Samaritan law three years ago to encourage people to seek professional help when someone is overdosing. The law gives the person calling for medical help immunity from prosecution for drug possession charges.

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