The Opiate Problem
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8/7/2019 The Opiate Problem
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Adult admissions to state-funded treatment for prescription-type opiate addiction are 11 times what they were in 2001.
364 446 596836
1,2111,729
2,2242,630
3,4744,089
OPIATE OVERDOSE DEATHS, 2005-2009
ADULT ADMISSIONS TO TREATMENT
The number of kilograms of heroin seized by drug task
forces in Washington state.
KILOGRAMS SEIZED
The number of free, clean needles exchanged for drug usersthrough the Kitsap County Health District, 2008-2010.
NEEDLES EXCHANGED
HOW METHADONE WORKS
25
20
15
10
5
02005 06 07 08 09
50
40
30
20
10
02001 02 03 04 05 06 07 08 09 10
800
700
600
500
400
3002005 06 07 08 09
Kitsap County Washington State
(hundreds)
2006 26
2007 53
2008 14
2009 47
2010 1,490
2008 282,039
2009 436,390
2010 682,462
Note: No data prior to 2008
1 All opiate-based drugs heroin, oxycodone, morphine andothers travel through the bloodstream to the brain, wherethey attach to specialized proteins called mu opiod receptors,like a key going into a lock.
2 These receptors, which are located on the surface of braincells, are triggered by the opiates to release feelings ofpleasure from the brains reward system the high aperson gets.
3 The more the brain is exposed to the artificialopiate, however, the less responsive its receptorsbecome in triggering those feelings of happiness
hence the tolerance the person gets for the drug andthe more they need of it to get high.
Prolonged opiate use actually alters the brainschemistry to where the addict simply needs adose of opiates to feel normal.
4 Methadone can be used to treat an opiateaddict by quelling the addiction without givingthe high from the drug. Methadone does so byattaching to the receptors and occupyingthem, as other opiates do, but in a lowenough dose not signaling a release ofpleasure from the brains reward system.
5 Buprenorphine, a more recent drug used to treat opiateaddiction, is similar to methadone in that it occupies thereceptors, which quell the addiction. But the drug hasthe unique ceiling effect in which it will actually block
not just occupy the receptors from other opiates.
Axon
Neurotransmitters
Receptors Synapticgap
NEURON
1
2
3
45
The body has its ownnaturally occurring
opiods, such asendorphins, that also
attach to the samereceptors. Those bonds
come naturally whenpeople engage in thepromoting of basiclife functions, such
as eating or sex.
Sources: Kitsap County Health District; Northwest HighIntensity Drug Trafficking Area; Treatment and Assess-ment Report Generation Tool; Division of BehavioralHealth and Recovery; Washington State Department of
Social and Health Service; Center for Health Statistics;Washington State Department of Health