logo
Drug overdose deaths in Massachusetts plummet to lowest levels in a decade

Drug overdose deaths in Massachusetts plummet to lowest levels in a decade

Boston Globe29-05-2025
'These data reinforce our commitment to eliminating racial and ethnic disparities and to ensuring equitable access to services for people with substance use disorders,' said Dr. Bisola Ojikutu, commissioner of public health for the city of Boston,
in a statement. 'While we are encouraged by these data, we still have work to do. One life lost to overdose is one life too many.'
Advertisement
Public health officials and those who work with people with substance use disorders point to a constellation of forces behind the decline. These include expanded treatment and prevention efforts, the increased availability of
Advertisement
Yet another significant factor could also be at play: changes in the illicit drug supply.
Fentanyl,
Still, addiction specialists cautioned that it's too early to tell if the state has turned the corner on the overdoses crisis, which has claimed more than 20,000 lives in Massachusetts in the past decade.
The illicit drug supply is changing constantly, with new and addictive substances being mixed into street drugs. Over the past two years, for instance, New England has seen a troubling trend in which dealers are selling drugs mixed with a variety of substances. A counterfeit Xanax pill can be laced with cocaine, fentanyl, and
Other treatment specialists are worried about whether the recent gains can be sustained if Congress prevails in its efforts to offset trillions in tax cuts with cuts to Medicaid and other federal health plans, including those addressing the drug crisis. The Republican budget bill that passed the House last week could
Advertisement
Allyson Pinkhover, director of substance use services at Brockton Neighborhood Health Center, is concerned. More than 70 percent of the 824 patients that received treatment at the health center last year were enrolled in Medicaid, she said. Those left without insurance will be less likely to seek services and some treatment programs may shut down or limit services, she said.
'The [proposed] cuts to Medicaid are a direct threat to the years of progress that we've made‚" Pinkhover said. 'Every fiber of my being wants to be excited about this [reduction in overdoses], but there's a feeling in your gut that it's fragile, that it won't last.'
And despite the recent progress, drug fatalities remain historically high. Nationwide, 80,391 people died of drug overdoses in 2024, and overdoses remain
'This is a really meaningful reduction, but it's not the time to take our hands off the steering wheel,' said Dr. Miriam Harris, an addiction expert at Boston Medical Center and assistant professor of medicine at Boston University. 'Too many people are still dying and the unregulated drug supply is too dynamic to declare victory.'
Advertisement
Even so, the Commonwealth is showing progress in reducing
While members of the Black and Hispanic community are still dying of overdoses at disproportionate rates, their share of overall overdoses has begun to decline. People who identify as Black or Hispanic represented 27.5 percent of opioid-related overdoses over the 12-month period ending last June, compared with 30.6 percent in the same period in 2023, according to
'The sharp drop in overdoses across all racial and ethnic groups is a promising sign that the Healey-Driscoll Administration's targeted investments in overdose prevention strategies are working and should continue,' said Deirdre Calvert, director of the state's Bureau of Substance Addiction Services, in a statement. 'In particular, our efforts to reduce unintentional exposure to fentanyl, often caused by a contaminated drug supply, have raised awareness of the risk of overdose and increased uptake of naloxone, drug testing, and other evidence-based harm reduction strategies.'
Chris Serres can be reached at
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Feds direct states to check immigration status of their Medicaid enrollees
Feds direct states to check immigration status of their Medicaid enrollees

Yahoo

timean hour ago

  • Yahoo

Feds direct states to check immigration status of their Medicaid enrollees

A mother holds her daughter while she gets a vaccine at a clinic in Texas in March. Children and adults who receive health insurance through Medicaid or the Children's Health Insurance Program will now be subject to immigration or citizenship status checks, according to a new initiative announced this week by Robert F. Kennedy Jr., who oversees Medicaid as secretary of the U.S. Department of Health and Human Services. (Photo by) This week, the Trump administration's Centers for Medicare & Medicaid Services (CMS) announced an effort to check the immigration status of people who get their health insurance through Medicaid and the Children's Health Insurance Program. Medicaid is the public health insurance program for people with low incomes that's jointly funded by states and the federal government. For families that earn too much to qualify for Medicaid but not enough to afford private insurance, CHIP is a public program that provides low-cost health coverage for their children. The feds will begin sending states monthly enrollment reports that identify people with Medicaid or CHIP whose immigration or citizenship status can't be confirmed through federal databases. States are then responsible for verifying the citizenship or immigration status of individuals in those reports. States are expected to take 'appropriate actions when necessary, including adjusting coverage or enforcing non-citizen eligibility rules,' according to a CMS press release. 'We are tightening oversight of enrollment to safeguard taxpayer dollars and guarantee that these vital programs serve only those who are truly eligible under the law,' Robert F. Kennedy Jr., who oversees CMS as secretary of the U.S. Department of Health and Human Services, said in a press release announcing the new program. As of April, roughly 71 million adults and children nationwide have Medicaid coverage, while another 7 million children have insurance through CHIP. Immigrants under age 65 are less likely to be covered by Medicaid than U.S.-born citizens, according to an analysis from health research organization KFF. Immigrants who are in the country illegally aren't eligible for federally funded Medicaid and CHIP. Only citizens and certain lawfully present immigrants — green card holders and refugees, for example — can qualify. But some states have chosen to expand Medicaid coverage for immigrants with their own funds. Twenty-three states offer pregnancy-related care regardless of citizenship or immigration status, according to KFF. Fourteen states provide coverage for children in low-income families regardless of immigration status, while seven states offer coverage to some adults regardless of status. The tax and spending package President Donald Trump last month cuts federal spending on Medicaid by more than $1 trillion, leaving states to either make up the difference with their own funds or reduce coverage. But the new law also includes restrictions on coverage for certain immigrants, including stripping eligibility from refugees and asylum-seekers. Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@ Solve the daily Crossword

Dozens of OB-GYNs fled Idaho after its abortion ban. Medicaid cuts could make access to care even worse.

timean hour ago

Dozens of OB-GYNs fled Idaho after its abortion ban. Medicaid cuts could make access to care even worse.

More than six months after Idaho's near-total abortion ban went into effect, a small town nestled in the state's northern mountain ranges lost its labor and delivery service -- and access to such care could now be imperiled further by looming Medicaid cuts. Bonner General Health, located in Sandpoint, Idaho, announced in March 2023 that it would no longer provide obstetrical care, citing the state's "legal and political climate" as one of the factors that drove the decision. Abortions in Idaho are illegal except in the cases of rape, incest and the life of the mother. The hospital in the city of around 10,000 people was one of three health systems in Idaho to shutter their labor and delivery services in recent years. The state has lost over a third of its OB-GYNs -- 94 of 268 -- since the ban was enacted in 2022, according to a new study in medical journal JAMA Network Open. Local health care providers and advocates ABC News spoke with said that Medicaid cuts could put additional labor and delivery services at risk of closing -- adding further pressure to Idaho's already strained maternal and reproductive health care system. More than 350,000 of the state's residents are insured by Medicaid, including those covered by the expansion plan voters approved through a ballot measure in 2018. Idaho was already seeking federal approval to institute its own work requirements after Gov. Brad Little signed a Medicaid cost bill this spring. Under the federal changes, the state could lose $3 billion in funding over the next decade and 37,000 residents could lose coverage, according to analysis by KFF. "We are living with the consequences of when you criminalize practicing medicine, you lose doctors, and I think that, coupled with these cuts at the federal level, are going to prove devastating for Idaho's already precarious rural health system," Melanie Folwell, the executive director of Idahoans United for Women and Families, the group spearheading a ballot initiative to restore abortion rights, told ABC News. After Bonner General closed its obstetric services, Kootenai Health, located an hour south, inherited its patients, which included residents across the northern tip of the state. Some women now have to drive two to three hours to get prenatal care or to deliver at Kootenai, according to one of its OB-GYNs, Dr. Brenna McCrummen. Traveling that far for care, especially in cases of complications, can endanger women and infants, McCrummen noted. "There have been patients that have delivered on the side of the road because they're not able to get to the hospital in time. There have been babies that have gone to the NICU who didn't do as well as they probably would have had they not had to travel long distances," she told ABC News. The loss of OB-GYNs in the state has hit rural areas like those in the north especially hard, the JAMA Network Open study noted. A vast majority of the remaining physicians providing obstetric care are concentrated in Idaho's seven most populated counties, leaving only 23 OB-GYNs to serve a population of over half a million across the rest of the state, according to the study. Those giving birth aren't the only ones affected by the shortage of physicians. OB-GYNs like McCrummen have packed schedules, leading to long wait times for other reproductive care. Patients seeking annual exams, for instance, often have to book five months in advance, McCrummen explained. These exams provide vital preventive health services, such as screenings for cervical and breast cancer. Across the U.S., more than 35% of counties are maternity care deserts -- areas that lack obstetrics clinicians -- according to Dr. Michael Warren, the chief medical and health officer of the March of Dimes, a nonprofit focused on maternal and infant health. Reductions to Medicaid funding could exacerbate the problem, Warren told ABC News. "The worry is that as these changes are happening in the Medicaid space, it's going to be harder, particularly for rural hospitals, to maintain those obstetric services, and if they discontinue those, we've got more maternity care deserts, and we've got a greater risk of both moms and babies having worse outcomes," Warren said. The Medicaid cuts were passed into law in July as part of President Donald Trump's massive tax and policy bill. Idaho Sen. Mike Crapo, a Republican who serves as chairman of the Senate Finance Committee, defended the bill in a press release earlier this month, saying that "targeting waste, fraud and abuse in the program ensures that it stays financially viable for the populations who need it most." Crapo has also argued that the legislation's $50 billion rural hospital fund is the "largest investment in decades in rural health care." In Idaho, Medicaid covers around a third of births, according to data from March of Dimes. Even before cuts to coverage, labor and delivery units were difficult to keep open, Toni Lawson, a vice president of the Idaho Hospital Association, told ABC News. Lawson explained that such units require "special equipment" and "specially trained staff" on call, which is expensive to maintain -- especially in rural areas with lower birth volumes and where Medicaid reimburses less than cost. Additionally, she said, hospitals have had difficulty recruiting and retaining qualified OB-GYNs amidst Idaho's abortion restrictions. As a result, looming reductions to Medicaid funding could push these healthcare systems over the edge, according to Lawson. "What you'll see in Idaho, before you see hospitals close, is we'll have more closures of labor and delivery services," she said. These cuts could also worsen outcomes for the women who lose coverage, physician assistant specialist Amy Klingler explained. "If patients don't have access to insurance and they don't have access to Medicaid, sometimes they delay prenatal care, we don't catch complications early enough, and it puts the baby and the mother's lives at risk," Klingler, who works in a small mountain town in central Idaho, told ABC News. The two problems can compound -- Klingler noted that the risk of not catching complications early on is heightened when the same women also have to travel further to receive care. While she is able to provide prenatal care to her patients, the closest hospital that can deliver babies is a 60-mile drive from her clinic -- a route she says that lacks cell service for 45 miles. "So in the best circumstances, it takes planning and forethought. And then when things are serious and complicated, it's much more dangerous," Klingler said. "Complicated pregnancies in Idaho are the scary ones right now," she added. In cases when the mother's health becomes at risk, health providers say that the state's abortion ban limits the emergency care they are able to provide. A state court issued a ruling in April slightly expanding the medical exception to the ban in response to a lawsuit filed by the Center for Reproductive Rights, but advocates still argue the existing law constricts physicians' ability to supply adequate care. The organization Idahoans United for Women and Families is currently gathering signatures to get a measure on the ballot in 2026 to return the state to the standard of abortion access it had before the Supreme Court overturned Roe v. Wade in 2022. However, Lawson said "there is no silver bullet" to solve depleted access to maternal and reproductive care. "It is going to have to be a combination of things and certainly removing barriers to recruitment is an important part of that," she said, adding that the state must also address rural hospitals' precarious financial position amid the projected loss of Medicaid funding. Breana Lipscomb, the senior manager of maternal health and rights at advocacy group the Center for Reproductive Rights, noted that all of these factors are "working in tandem" to restrict access. "It's making health care even further out of reach for people, and this is particularly concerning for Black people, for people living in rural areas, for low income folks and for people with capacity to birth," Lipscomb said. "I am really afraid of what we might see," she added.

Deadly NYC Legionnaires' disease outbreak fueled by negligence, lawsuit says
Deadly NYC Legionnaires' disease outbreak fueled by negligence, lawsuit says

Yahoo

time2 hours ago

  • Yahoo

Deadly NYC Legionnaires' disease outbreak fueled by negligence, lawsuit says

Civil rights attorney Ben Crump has filed lawsuits against two construction companies over what he called a "completely preventable" outbreak of Legionnaires' disease that has killed five people and sickened more than 100 others in New York City. Legionnaires' disease is a severe pneumonia caused by a type of bacteria called Legionella, which grows in warm or hot water, according to the Centers for Disease Control and Prevention. An outbreak of the disease, which began on July 25, has been clustered across five zip codes in Central Harlem. The city health department said the outbreak is linked to cooling towers, heat exchangers that use fans and water to cool down buildings. On Aug. 14, health officials confirmed that 12 cooling towers at buildings including NYC Health + Hospitals/Harlem tested positive for the Legionella bacteria. Crump and other attorneys filed complaints on behalf of two construction workers who were hospitalized with Legionnaire's disease in July after working near the hospital in Harlem, according to a news release. Crump said the legal team has also filed a notice of claim and intend to sue the city as well. "It is believed that the cooling towers at Harlem Hospital were filled with rainwater after several large July storms," the release said. "The water was left untreated, which permitted bacteria to spread causing workers at the site to become sick." Construction companies, city accused of negligence Crump accused Skanska USA Building, Inc., Rising Sun Construction LLC and the city of negligence at a news conference on Aug. 20, announcing the lawsuits. The attorneys said the construction companies were put on notice about the possibility of Legionella bacteria through bulletins after the storms, but failed to take action to keep those working near the hospital safe. "When corporations cut corners, tragedies like this happen. Preventable tragedies, unnecessary tragedies," Crump said. Crump said the lawsuit is seeking not only compensation for the workers but also accountability and answers about why this outbreak occurred in Harlem — a historically Black neighborhood in Upper Manhattan. Skanska and Rising Sun did not immediately respond to a request for comment from USA TODAY. Christopher Miller, a spokesperson for NYC Health + Hospitals, said in a statement the agency has "one of the most rigorous cooling tower safety and inspection programs, exceeding City testing and cleaning requirements." "We inspect towers every day; further, we look for legionella weekly instead of the required every 90 days," the statement said. "We continue to work with our cooling tower maintenance firm and the NYC Health Department to best serve our patients and the Harlem community.' When asked about Crump's claims about the source of the outbreak, a spokesperson for the city's health department said the investigation is ongoing. "Molecular testing may help us determine which cooling tower — or cooling towers — were the source of the bacteria in the Central Harlem cluster," spokesperson Chantal Gomez said in a statement. "The Public Health Lab is still determining a match through DNA sequencing and we expect final results soon.' Electrian describes gasping for air while hospitalized with Legionnaire's Nunzio Quinto, a union electrian who worked at a ground-up construction of the NewYork City Public Health Laboratory, a 10-story facility adjacent to the hospital complex, said he thought he had food poisoning when he first started feeling lethargic in late July. Quinto said his family took him to the hospital, where he was immediately diagnosed with Legionnaire's disease. He suffered breathing problems, pain and internal bleeding during a five-day stay in the hospital, but said his coworkers weren't notified of his illness. "I want answers to what's going on. I can't have a safe place to work? This is New York City," Quinto said at the news conference. Contributing: Thao Nguyen This article originally appeared on USA TODAY: Lawsuit blames Legionnaires' disease outbreak on negligence

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store