West Virginia City Once Battered by Opioid Overdoses Confronts ‘Fourth Wave’
Years of struggle prepared residents in Cabell County, West Virginia, to confront the latest wave of the opioid epidemic as mixtures of fentanyl and other drugs claim lives nationwide.
Evolving Overdose Crisis Shakes Previously Effective Treatments
The prevalence of synthetic drugs is undercutting a previously effective and widely embraced opioid use disorder treatment tactic. Now, the model pioneered in Vermont a decade ago and adopted at sites nationwide, especially in hard-to-reach rural areas, is being forced to evolve.
Life in a Rural ‘Ambulance Desert’ Means Sometimes Help Isn’t on the Way
No local hospital and anemic ambulance services mean residents in rural Pickens County, Alabama, are thrown into perilous situations when they have medical emergencies. It’s a kind of medical care roulette that has become a fact of life for rural Americans who live in ambulance deserts.
Once-Resistant Rural Court Officials Begin to Embrace Medications to Treat Addiction
As evidence supporting medication treatment for opioid addiction mounts, judges, district attorneys, and law enforcement officials in rural America are increasingly open to it after years of insisting on abstinence only.
Black Lung Resurgence Drives Push to Protect Coal Miners Against Silica Dust
Since 2005, central Appalachia has recorded a tenfold increase in cases of severe black lung disease among long-term coal miners. Now, federal regulators are expected to propose a new rule to protect against silica dust, which causes the most severe form of black lung, progressive massive fibrosis.
HIV Outbreak Persists as Officials Push Back Against Containment Efforts
Research shows offering clean syringes to people who misuse IV drugs is effective in combating the spread of HIV. But an epidemiologist and advocates say state and local officials in West Virginia, home to one of the worst HIV outbreaks in recent years, have taken measures that render syringe exchange less accessible.
Offering Syringes Along With Prayers, Churches Help IV Drug Users
Some churches and other faith-based organizations are offering clean syringes to IV drug users, while still others are voicing their support for comprehensive treatment, testing and education programs that also help stem transmission of diseases like HIV and hepatitis C.