SC MAT ACCESSMedication Assisted Treatment
Academic Community Capacity Expansion for Sustainable Success
Kathleen Brady, MD, PhD, VPR, MUSC
Overdose Death Rates from OpiatesMost important sign of a SUD
Marked increase from 1999 to 2014 by county
1999 2014
Opioid OD Deaths US, 2000-2015
2015 Overdose Deaths:
52,404 Any Drug
33,091 Any Opioid266 260 253
242 234222250
300
200
150
100
50
0201020112012201320142015
OP
IOID
MM
EIN
BIL
LION
S
Source: IMS Health, U.S. Outpatient
Retail Setting
Opioid morphine milligram
equivalents (MME) dispense fell
by over 15% from 2010-2015
Opioid Prescriptions have started to Decrease
but
Opioid Fatalities are still Increasing
Heroin Price Has Decreased
in
Recent Years
4 out of 5 new heroin users started
with rx opioids
"Retail" Price
Per PureGram
$3,500
$3,000
$2,500
$2,000
$1,500
$1,000
$500
$-
National Drug Control Strategy--Data Supplement 2014. https://www.whitehouse.gov/sites/default/files/ondcp/policy-and-
research/ndcs_data_supplement_2014.pdf
Emerging Illicit
Synthetic Opioids
Increasing reports of fentanyl
laced - heroin and prescription pills.
Other synthetic opioids emerging
i.e., Carfentanil.
https://www.whitehouse.gov/sites/default/files/ondcp/policy-and-research/ndcs_data_supplement_2014.pdf
HOW DID WE
GET
HERE?