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阿片類藥物的使用和資源

 In crisis? Call or text 988  If there is imminent danger to anyone, dial 9-1-1. Additional contacts.

阿片類資源圖形標誌本頁目錄


 
Opioid Use


若發生過量緊急情況,致電 911

所有打入湯普金斯郡 9-1-1 中心的電話都根據緊急情況的類型進行編碼。該代碼(稱為自然代碼)通知調度員是否將緊急情況分配給警員、消防或 EMS。  

當 9-1-1 調度員接到醫療救助電話時,他們會根據部門緊急醫療調度計劃制定的協議向呼叫者詢問某些關鍵問題,以確定原因是否可能是藥物引起的。有時呼叫者知道原因,而其他時候調度員根據他們的問題和其他情況的答案以及多年的經驗做出編碼決策。 

此圖表中使用的數據是每月被編碼為「用藥過量/中毒」的呼叫總數。


資料來源:TC 應急部 (DoER)。


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藥物相關死亡

Death investigations may require weeks or months to complete; while investigations are being conducted, deaths may be assigned a pending status on the death certificate. Pending causes of death may be for the results of toxicology or further investigation.

Regarding toxicology, the substances tested for, the circumstances under which the tests are performed, and how information is reported on death certificates may also vary. Drug overdose deaths that lack information about the specific drugs may have involved opioids. Even after a death is ruled as caused by a drug overdose, information on the specific drug might not be subsequently added to the certificate. Therefore, fatal drug overdoses involving opioids may be underestimated from lack of drug specificity.

Please note: Overdose deaths may include overdose deaths due to pharmaceutically and illicitly produced, naturally occurring, semi-synthetic, and synthetic drugs.


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NYS Opioid Quarterly Report

Summary of Tompkins County data published October 2023

 
Full report on the NYSDOH website


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紐約州阿片類藥物數據儀表板:

  • County (use the Select County dropdown menu to display the Tompkins dataset) 
    screenshot of the "Select County" dropdown
  • 全州 

 
更多資訊和資源: NYSDOH 阿片類藥物數據和報告


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Opioid Resources

 
How to lower the risk of opioid overdose

  • Never use alone. Use with others and take turns.
  • Before using drugs, ask someone you trust to check on you regularly.
  • If you are alone call the Never Use Alone hotline. Dial 1-800-484-3731. An operator will stay with you while you use, and call emergency services if needed.
  • Test your drugs. Use test strips to test your drugs for Xylazine and Fentanyl. Drugs with one of these cut in can kill you.
  • Always carry naloxone (Narcan®) with you.
  • Go slow by taking small amounts, especially if you haven’t used for a while.
  • Wait before taking more. Wait long enough to feel the effects of the drugs you took before taking more.
  • Avoid mixing with alcohol or other drugs, especially drugs that make you sleepy.
  • There is no safe dose of opioids.

吩坦尼

吩坦尼是一種高度上癮的合成物質,被加入到非法街頭毒品中以增加消費。它也與過量死亡的風險高度相關。湯普金斯郡衛生局已發佈健康警報,警告當地街頭毒品中存在吩坦尼的高風險。

有害副作用包括 

  • Sedation, confusion, drowsiness, dizziness, nausea, vomiting, urinary retention, pupillary constriction, and respiratory depression.

過量跡象包括 

  • Stupor, changes in pupillary size (pinpoint size pupils), cold and clammy skin, cyanosis (blue discoloration of the skin), coma and respiratory failure leading to death. 

過量預防策略 


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Xylazine

Xylazine (also called “tranq” or “tranq dope”) is a powerful non-opioid sedative or tranquilizer that is increasingly being found in the US illegal drug supply and linked to overdose deaths. Due to its impact on the opioid crisis, fentanyl mixed (adulterated) with xylazine has been declared an emerging threat by the White House’s Office of National Drug Control Policy. In one study, xylazine was found in almost 80% of drug samples that contained opioids (Maryland, 2021-2022). In another, xylazine was found in 31% of heroin and/or fentanyl overdose deaths (Philadelphia, 2019). [Source: CDC]

Symptoms and health risks of xylazine

  • Sedation, difficulty breathing, dangerously low blood pressure, slowed heart rate, wounds that can become infected, severe withdrawal symptoms, death.

Reduce the overdose and the harms of overdose 

  • Never use alone.
  • Provide rescue breaths, especially for people who have used xylazine since xylazine causes breathing to slow down. Harm reduction experts also suggest rolling individuals on their side, into the recovery position.
  • Carry naloxone and learn how to use it. Because xylazine is often mixed with opioids like fentanyl, naloxone should be given in response to a suspected overdose to reverse any possible opioid effects. Importantly, naloxone will not reverse effects of xylazine. In the event of an overdose, call 911 for additional medical treatment.
  • Reduce injection-related risks by using sterile injection equipment, rotating injection sites, allowing skin veins time to heal before another use, and taking drugs in other ways besides injection.
  • Test drugs before using. There are commercially available test strips to test for the presence of xylazine in a sample of drugs. Test strips are available free of cost at a variety of local programs (see "Local services and support" section below).

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Test Strips for fentanyl and xylazine

  • Fentanyl and Xylazine Test Strips can tell you if your drugs contain the synthetic opioid Fentanyl or the non-opioid sedative Xylazine. Both are frequently found in street drugs. Xylazine is always cut in with fentanyl, so drugs that test positive for xylazine will also contain fentanyl.
  • If used correctly, these test strips can help to prevent overdose deaths and, with other risk reduction practices, save your life.
  • Fentanyl Test Strips are blue and marked with the letters “FYL”.
  • Xylazine Test Strips are red and marked with the letters “XYL”.

Image with steps typed out for how to test with test strips. Right click to open the image to full size or click the link below for a PDF version

Image with steps typed out for how to test with test strips. Right click to open the image to full size or click the link below for a PDF version

 
PDF version for how to use xylazine and fentanyl test strips. 


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Naloxone (Narcan®)

Naloxone (Narcan®) is a medicine that can reverse the effects of an overdose from opioids, including fentanyl, heroin, and opioid-based pain killers. It is a tool that community members can use to prevent an overdose from becoming a death.

 

Using Naloxone

Used correctly, naloxone can reverse an opioid overdose. It works by temporarily displacing the opioids from the opioid receptors in the brain. This allows the person who is experiencing an opioid overdose to begin breathing normally. The effect of naloxone wears off after about 30 to 90 minutes and the impacts of the overdose may return. If the overdose victim does not respond within 2 minutes of giving it, or if the naloxone wears off, a second dose should be given. There is no safety risk associated with naloxone. Click here to open a 5-step guide for giving naloxone nasal spray. Remember to always DIAL 9-1-1 FIRST. (Click here for a PDF.)

Watch this video. It shows you the signs of an overdose and how to respond and take the steps to prevent opioid overdose.

If you feel the need to receive further information on how to use Naloxone (Narcan®), dial 2-1-1 for information about where you can get trained on how to use Naloxone (Narcan®) in our community.

 
Carry Naloxone with you

A statewide pharmacy standing order allows anyone* to get naloxone (Narcan®) nasal spray at a pharmacy without a prescription in NYS. Ask for it at the pharmacy counter. Insurance covers up to $40 copay. If you don’t have insurance you can buy naloxone at the pharmacy or you can get it for free at one of the local community agencies listed below. Or dial 2-1-1 for additional assistance.

*Dispensing to adolescents under age 18 is at the discretion of the pharmacist.

 
Project COPE (NYS OASAS)

Community Overdose Prevention Education: Project COPE website
Harm reduction tools and strategies to prevent overdose deaths and save lives in our community.


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本地服務和支援


緊急情況

  • 如果您或您認識的人有緊急醫療情況,請立即致電 911
  • 自殺預防和危機服務,危機熱線,9-8-8,提供免費和保密的危機諮詢,24/7 全天候開放。

 
預防

  • 湯普金斯郡酒精與毒品委員會是一家非營利機構,為當地居民和組織提供資訊、教育、諮詢和轉介服務。主頁,607-274-6288
    • 阿片類藥物過量預防訓練 (Narcan),6072746288。委員會獲准提供此訓練並向非醫務人員分發納洛酮。 納洛酮是一種處方藥,透過在大腦中阻斷海洛因(或其他阿片類藥物)30 至 90 分鐘來逆轉過量服用。
  • 湯普金斯郡銳器收集和處置站點
  • Southern Tier AIDS Program (STAP):在紐約南部提供全面的 HIV/AIDS 服務。他們提供阿片類藥物過量預防計劃,為個人提供訓練、納洛酮套件和處方,以便他們能夠攜帶和分發這種可能挽救生命的藥物。
  • 湯普金斯郡心理健康協會成立於 1954 年,旨在解決伊薩卡社區的心理健康需求,主頁
    • 詹金斯希望與康復中心是為那些使用或曾經使用過心理健康服務的人士提供的臨時中心。詹金斯中心提供了一個安全的環境,心理健康消費者可以在這裡放鬆、與同齡人一起玩樂並分享資訊和支援。
  • 紐約州戒癮服務與支援處開展「Project COPE」,這是一個在紐約州推廣藥物過量預防和減少危害教育的網站。該計劃的目標是使人們能夠學習如何防止過量服用並挽救社區中的生命。
  • 預防服務的其他資源:紐約愛滋病研究所提供者名錄

 
Using

  • Never Use Alone hotline. Dial 1-800-484-3731. An operator will stay with you while you use, and call emergency services if needed.
  • Test strips for Fentanyl and test strips for xylazine are available for free at the Southern Tier AIDS Program, REACH Medical, Cayuga Addiction Recovery Services, and Tompkins County Whole Health's office at 201 E. Green St.
  • Narcan, fentanyl testing strips and xylazine testing strips can be ordered free of cost and delivered to your home via NYS OASAS. Complete the order form online at: https://oasas.ny.gov/harm-reduction.
  • 基於社區的支援小組可以協助個人進行個人康復,也可以協助受親人吸毒影響的朋友和家人。

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治療

  • Medication Assisted Treatment (MAT)
  • Alcohol and Drug Council offers a variety of counseling services and treatment options, including MAT. They also provide education programs for workploaces and referral services for area residents and organizations. 607-274-6288.
  • Cayuga Addiction Recovery Services (CARS) offers intensive residential and out-patient treatment services, including MAT. CARS offers Open Access Monday thru Thursday from 8:30 a.m.–4:00 p.m. Clients need only to bring an insurance card, if they have one. 607-273-5500.
  • REACH Medical provides medical and behavioral services, including MAT. The REACH Project is a non-profit operating as a low threshold, harm reduction medical practice in Ithaca. Reach Medical offers a wide range of services including: opioid replacement therapy, medical cannabis certification, Hep C treatment, primary care and behavioral services, in a stigma-free, inclusive setting. 607-273-7000. REACH Project Facebook page.
  • 紐約州戒癮服務與支援處 (OASAS): 治療查找器


恢復

  • Ithaca Community Recovery, is a non-profit organization that provides a meeting and activity space for Ithaca’s recovering community. They host a variety of meetings, including Alcoholics Anonymous, Al-Anon Meetings, Narcotics Anonymous, and more. Go to their website for meeting schedules.
  • Mental Health Association in Tompkins County was established in 1954 to address mental health needs in the Ithaca community.
    • 詹金斯希望與康復中心是為那些使用或曾經使用過心理健康服務的人士提供的臨時中心。詹金斯中心提供了一個安全的環境,心理健康消費者可以在這裡放鬆、與同齡人一起玩樂並分享資訊和支援。


預防自殺

  • 預防自殺及危機服務,提供免費及保密的危機諮詢。危機熱線 9-8-8,24/7 全天候開放。
  • Tompkins County Suicide Prevention Coalition.
  • Sophie Fund, Inc. 是一間成立於 2017 年的非營利性慈善公司,旨在支援協助大伊薩卡和湯普金斯郡年輕人的心理健康計劃。它支援多個計劃和專案;提高認識並消除有關精神疾病和治療的恥辱感;在社區中倡導「零自殺」精神;並擔任與精神疾病作鬥爭的年輕人的社區倡導者。 


全國性

  • SAMHSA 全國求助專線 FindTreatment.SAMHSA.gov/,1-800-662-4357(幫助)。求助專線為面臨藥物濫用和精神健康問題的個人和家庭成員提供英語和西班牙語的免費和機密資訊。每天 24 小時,每週 7 天。該網站還有一個位置查找器,可根據輸入的郵遞區號查找最近的治療服務。
  • SAMHSA 為應對精神和物質使用障礙的家庭提供的資源

 Need help finding help?   Dial 2-1-1 (877-211-8667) for supportive referrals.

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