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Title : Declaring An Opioid Emergency
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Declaring An Opioid Emergency

Audio Interview
Interview with Dr. Lainie Rutkow on legal action taken by states to address the opioid-overdose crisis. 

Lainie Rutkow is an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. (6:55)

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Six U.S. states have declared their opioid-overdose situation an emergency. Though the scope of these declarations has been limited, they could suggest additional responses to multiple facets of the crisis, especially if emergency powers are used in innovative ways.

Perspective
Emergency Legal Authority and the Opioid Crisis
Lainie Rutkow, J.D., Ph.D., M.P.H., and Jon S. Vernick, J.D., M.P.H.
N Engl J Med 2017; 377:2512-2514

December 28, 2017

DOI: 10.1056/NEJMp1710862

Opioid-overdose deaths in the United States have steadily increased for the past 15 years, with more than 33,000 such deaths reported in 2015.1 The epidemic is unfolding on two fronts: use of prescription opioid pain relievers (OPRs) accounts for approximately half of opioid-overdose deaths, and deaths from heroin and synthetic opioids such as fentanyl, obtained illicitly, have increased dramatically during the past 5 years.

In the face of this public health crisis, various policies have been enacted — particularly at the state level — often to address OPR prescribing and limit opportunities for OPR diversion. For example, all 50 states have established prescription drug monitoring programs (PDMPs) that collect information about individuals’ prescription-drug history in an electronic database. Eleven states have laws regulating pain-management clinics,2 and several states have enacted laws to limit the dosage or duration of OPR prescriptions.

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