Year-over-year Opioid-related Overdose Deaths Decline in Massachusetts

BOSTON — Opioid-related overdose deaths in Massachusetts have fallen steadily over the past three quarters even as the presence of fentanyl in overdose deaths reached an all-time high. The presence of fentanyl in the toxicology of those who died from opioid-related overdose deaths rose to nearly 90% in 2018, underscoring its impact as the driving force behind the opioid epidemic in Massachusetts, according to the latest quarterly opioid-related deaths report released by the Massachusetts Department of Public Health (DPH).

The report illustrates the changing nature of the epidemic, with cocaine now surpassing heroin in the toxicology for opioid-related deaths, beginning with the fourth quarter of 2017 (October through December). DPH officials reissued a June clinical advisory to all medical providers to warn them about the increase of fentanyl in cocaine.

Overall, 2017 saw a 4% decrease in opioid-related overdose deaths from 2016. The data also shows that the Commonwealth has experienced a 30% decline in opioid prescriptions since the launch of the Massachusetts Prescription Monitoring Program (MassPAT) in August 2016. Between April and June 2018, searches by registered prescribers to MassPAT increased by 100,000 searches over the previous quarter, making it the largest increase in searches conducted in a single quarter.

“The opioid epidemic is a tragic public health crisis that has taken scores of lives in our Commonwealth, and while we have much work to do, there continue to be trends related to a decline in overdose deaths and a decline in the number of opioid prescriptions written by physicians,” said Gov. Charlie Baker. “This quarterly report provides a new level of data revealing an unsettling correlation between high levels of synthetic fentanyl present in toxicology reports and overdose death rates. It is critically important that the Commonwealth understand and study this information so we can better respond to this disease and help more people. The legislation I signed earlier this month adds another set of tools to our toolkit, including requiring all emergency departments to offer medication-assisted treatment in emergency departments and extending medication-assisted treatment in correctional facilities.”