Opioid Crisis Intensifies During Pandemic

The first nine months of 2020 are compared to the entire year of 2019. The picture that emerges indicates that the coronavirus pandemic has had “significant and detrimental effects on substance use trends in Maryland.” The report goes on to say, “Taken together, the associated social isolation, disruptions of support, impeded access to care, and economic distress have helped to create an extremely dangerous environment for those suffering from substance use disorder (SUD).” Other experts in the field agree.
Citing a nationwide record of overdose deaths in the 12 months ending May 2020, the Centers for Disease Control and Prevention has called for expanded prevention efforts, including increased naloxone distribution and use, expanded overdose prevention education, and increased awareness of and access to treatment options. The CDC has pledged assistance to already-stressed state and local health departments.
On the Eastern Shore, there were 171 accidental opioid overdose deaths in the first nine months of 2020, compared with 160 for all of 2019. In eight of the nine Eastern Shore counties, the number of opioid overdose deaths in the first nine months of 2020 exceeded or nearly equaled deaths in all of 2019 (see chart above). Only Kent County saw a decrease. A Maryland Opioid Operational Command Center report concurs that this large increase is very likely related to the significant societal consequences of the covid-19 pandemic.
Fentanyl-related deaths are responsible for the vast majority of opioid deaths, accounting for 94 percent of opioid deaths on the Eastern Shore as a whole, and between 82 percent and 100 percent in the individual counties. Statewide, fentanyl-related deaths increased by almost 12 percent compared to the same time last year.
Deaths attributable to prescription opioids also increased over last year, by eight percent. Heroin-related deaths, however, decreased by 30 percent, continuing a trend from 2019.
Note: Since an intoxication death may involve more than one substance, percents of deaths related to
specific drugs may sum to more than 100 percent of the total number of deaths.
Emergency room visits statewide due to non-fatal opioid overdose declined in March when covid-19 restrictions were first imposed and people feared contracting the virus, but have picked up since the summer. Similarly, naloxone administration by emergency personnel statewide decreased initially in the spring, but has since increased along with the upsurge in opioid-related fatalities.
A word about alcohol: Alcohol-related deaths increased by 20% over the same time frame for the Eastern Shore. Only one county, Wicomico, showed a decrease in the first nine months of 2020 compared with all of 2019. This drastic increase is in line with the general increase in substance use. Professionals attribute this increase also to the despair caused by the economic and social effects of the pandemic.
County resources for substance abuse help:
Jan Plotczyk spent 25 years as a survey and education statistician with the federal government, at the Census Bureau and the National Center for Education Statistics. She retired to Rock Hall.
Common Sense for the Eastern Shore




